Background: Despite the large number of Indonesian nurses currentlyworkingasmigrantcareworkersinTaiwan,nostudies intheliteraturehavebeenfoundthatexplorethisphenomenon orassesstheworkingsituationofIndonesiannursesworkingin care facilities in Taiwan. Purpose:ThisstudyaimedtoelicitanddescribethelivedexperiencesofIndonesiannursesservingascareworkersinTaiwan. Methods:Phenomenologicalresearchwasusedtoexplorethe experiencesofIndonesiannursesworkinginlong-term carefacilities. The participants were recruited from care facilities in Taiwan. This study utilized semistructured interviews conducted with 16 Indonesian nurses in a suitable setting. All of the interviews were transcribed, and the work of Van Manen was used to analyze the data. Results: Four main themes were identified, including motives for working abroad, feelings of being trapped, experiencing a difficult journey, and the feeling of being supported. These themes reflect the lived experiences of Indonesian nurses who work in Taiwan’s long-term care industry. Conclusions: Nurses from Indonesia choose to who work as nurses in Taiwan because of poor financial background and the chance of gaining a better life. However, the participants in this study felt stressed, challenged, and disappointed when faced with the unmet expectations of being employed as care workers without a clear career path. Furthermore, the need to communicateinanunfamiliarlanguagewasmentionedasasignificantbarriertofulfillingtheirrole.Betterpoliciesshouldbeput in place to achieve improved outcomes for both countries.
Nursing Supervision Model toward Patient Safety Goals On The Ward
Muhammad Hadi1, Turyatiningsih Turyatiningsih2, Fitri Arofiati3, Ferry Efendi4, Nursalam4*
Abstract
Clinical supervision of interactive reflective model is a guideline for the implementation of patient safety goals at the hospital. This supervision supports the one who is supervised to improve self-awareness and professional development in the implementation of patient safety goals. The purpose of this research was to find out the influence of reflective interactive supervision model toward the implementation of patient safety goals. The method used is quasi-experimental with pretest-posttest with control group design. There were 24 subjects in interventions and 24 subjects in control group. Data were taken using a proportional stratified random sample. The data were analyzed by using chi-square, independent sample t-test, paired sample t-test, Pearson correlation, and general linear model repeated measure was used for multivariate analysis. The result shows that there are significant differences after the implementation of interactive reflective supervision (p < 0.000). The average achievement score of the implementation of patient safety goals between groups shows a significant difference. In the intervention group, the achievement score began to show an improvement starting from the second measurement and the maximum score was seen in the fifth measurement. Clinical supervision interactive reflective model is potentially required by the head nurse as a guideline for supervising the implementation of the patient’s safety goals in the hospital.
Introduction: Diarrhea among children under two years old remains a big challenge for the Indonesian government due to its association with fatal cases. Diarrhea can be caused by factors such as socio-demographics, the environment, and behavioral childcare practices. This study aimed to assess the associated factors of diarrheal diseases among children under two years old in Indonesia. Methods: Cross-sectional data was obtained from the 2017 Indonesia Demographic and Health Survey (IDHS) used for the study. A total of 5858 children, aged 0–23 months and who lived with their mothers, were selected for this study. Binary logistic regression was utilized to examine the determinants of diarrhea. Results: The prevalence of diarrhea among Indonesian children under two years old was 17.16%. The mother’s age [AOR = 1.63; 95% CI = 1.28–2.08], the education of the mother [AOR = 1.80; 95% CI = 1.35–2.40], the type of toilet [AOR = 1.40; 95% CI = 1.14–1.72], non-exclusively breastfeeding [AOR = 3.30; 95% CI = 2.32–4.69], and feeding from a bottle [AOR = 1.21; 95% CI = 1.02–1.45] were all signi?cantly associated with the occurrence of diarrhea. Conclusions: socio-demographic, environmental, behavioral and childcare practice characteristics are associated with diarrhea among children under two years old in Indonesia. This study highlighted the need for environmental improvement and healthy behavior to reduce the number of diarrhea cases. Increasing the awareness of the mother through counseling and health promotion about the essential bene?t of breastfeeding is inevitable. Hygiene practices should be promoted at the household level for those who care for young children.