Elida Ulfiana

Lived experience of Indonesian nurses in Japan: A phenomenological study.

AIM The movement of Indonesian nurses via a bilateral agreement with Japan has led to a substantial number of migrants to work as nurses in that nations healthcare system. The purpose of this research was to develop a deeper understanding of the meaningful experiences of Indonesian nurses while working in Japanese hospitals. METHODS In this phenomenological study, sampling was purposive and was based on information shared by five Indonesian nurses. The data were collected in interviews; the analysis was thematic. RESULTS Six key themes were identified: (i) seeking better than before; (ii) communication challenges; (iii) the nursing examination as a culmination; (iv) differences in nursing practice; (v) cultural differences; and (vi) the benefits of living in developed country. Among these challenges, communication as the basis of shared meaning and understanding was viewed as a complex issue, by both patients and coworkers. CONCLUSION The results of this study call for further intervention in supporting Indonesian nurses living in Japan in their struggle with the issue of communication. The emphasis on language acquisition for personal and professional objectives, and the bridging of cultural differences as well, should be considered in an international context.

End of Life Care in Elderly: Family Experiences

Mostly, death occurs due to aging, while the rest because of illness. In palliative care, Indonesian elderly with a chronic disease more likely to stay at home with their families until the death. These conditions give a unique experience to the family when taking care of elderly at the end of their life. This study was aimed to explore the family experiences in taking care of the elderly at the end of life. This study used a qualitative method with a phenomenological approach. It was in-depth interview with semi-structured questions. The sampling technique was purposive sampling with inclusion criteria at Puskesmas Mulyorejo, Surabaya, Indonesia. A total of 4 family carers were recruited, and ten individuals were got involved in an in-depth interview. Five themes were revealed, including response, barriers, coping mechanism, the hope of family member, and the needs of health care. Taking care of the elderly at the end of life could bring a negative response to the family. So, in some cases the family need properly preparation and some help from the health workers. Keywords— family, end-of-life-care, elderly, experiences,

The Effect of Sleep Hygiene on The Sleep Quality in Elderly

Most elderly has decreasing quality of sleep. Sleep patterns of elderly are different from children and adults, the need of the elderly to sleep is 5-7 hours / day. Elderly often awakened in the middle of the night because of physical changes due to age and disease patterns, sleep quality significantly decreases. A good sleep hygiene behavior is assumed can conduct a well sleep. The purpose of this study was to determine the effect of sleep hygiene on sleep quality in elderly. This study used quasi experiment with pre-test and post-test with control group. The research sample consisted of 14 respondents using purposive sampling technique. The statistical test used was simple linear regression to test the hypothesis and paired t-test, to analyze the difference average between the two paired samples (pre and post test). Sleep hygiene has a significant effect on the sleep quality in elderly. It had p value 0.023 <0.05 with F-count> F-table (6.827> 4.45). Correlation of pre-test and post-test was 0.078. Sleep hygiene has an influence on the effect of sleep quality for the elderly. Keywords— elderly, sleep, sleep hygiene, and sleep quality

Wudu Improving Sleep Quality In Elderly With Insomnia

Changes in sleep quality on elderly can lead to sleep disturbances such as insomnia. It needs proper interventions, one of them is to get wudu before going to sleep. The purpose of this study was to determine the effect of wudu in improving sleep quality in elderly with insomnia. Method: This study was used quasi-experiment method. The samples were 20 elderly with insomnia. The instrument used in this study was Pittsburg Sleep Quality Index (PSQI). Data were analyzed by using McNemar and Chi Square test with α ≤ 0.05. Result: The results showed the effect of wudhu in elderly sleep quality (p=0.031), and there was significant differences between intervention group and control group (a =0.003). Conclusion: Water splash and massage on wudu reduce muscle tension and make body relaxed and can be used as relaxation therapy. It could improve sleep quality in elderly with insomnia. It was recommended to elderly with insomnia to keep applying wudu as sleep hygiene to get good sleep quality.