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151	Nursing Management and Education	ABS-6
Primary Care Nurse Practitioner Role Extending; "A Necessity In Indosesia Health Care System Dedy Purwito Community Nursing Department, School of Nursing, Health Science Faculty, University Muhammadiyah of Purwokerto Abstract Extend the nursing roles are complex, based on rising demand of health care, pressure to constrain costs, poor access to services and medical human resource shortage. The nurse has been able to practice most freely where there is a shortage of medical practitioners. The clarity, role of nurse, strength in nursing focus, and support from PC management and physicians are required for prescriptive authority to be fully enacted. Purpose; to explore the nature of PC in term of PC nurse practitioner (NP) role. Using critical ethnographic, thirteen primary participants (PC staff), and twenty-three secondary participants (PC stakeholder) were selected considering the PC and health care services knowledgeable. An open-ended interview, unstructured type of question from guided interviews were conducted to verify detailed information. Interview guidelines are based on the context of the nature of PC. Data were generated via taped interviews, participant observation, and photographs. Transcripts and field notes were analyzed qualitatively yielding categories, domains, cultural themes, and a descriptive matrix. Three themes were identified; 1) meet the need for extend; 2) discomfort versus requirement and 3) capacity development. Role of PC NP should continue to be developed locally so that local consistency in practice is achieved. The practice development never really ends, it is a dynamic process, and change to practice are continuously evaluated and re-evaluated. Keywords: Primary Care, Nurse Role, Nurse Practitioner Share Link | Plain Format | Corresponding Author (dedy purwito)

152	Nursing Management and Education	ABS-7
FACTORS RELATED TO NURSE COMPLIANCE IN THE IMPLEMENTATION OF NUTRITION THROUGH NGT IN RSUD dr. R. GOETENG TAROENADIBRATA PURBALINGGA etlidawati, Dinda Laste Agustina Universitas Muhammadiyah Purwokerto Abstract Background: The act of providing nutrition using NGT requires skills to be in accordance with the SOP. Based on observations there were several nurses who worked in providing food that was not in accordance with standard operational procedures. Where the nurse does not check whether the NGT is still in the correct position. Aim : To identify factors related to nurse compliance in implementing SOP for nutrition through NGT in RSUD dr. R. Goeteng Taroenadibrata Purbalingga. Method: This research employed descriptive correlational design with cross sectional approach. It was conducted in RSUD dr. R. Goeteng Taroenadibrata Purbalingga. Hypothesis testing used chi-square and testing the relationship used contingency coefficient. There were 30 population in this study with the technique of taking the sample by using total sampling. Result: P value of age 0.000 with coefficient correlation is 0.576. P value of gender 0.027 with coefficient correlation is 0.374. P value of education 0.028 with coefficient correlation is 0.371. P value of work duration 0.003 with coefficient correlation is 0.471. P value of knowledge 0.001 with coefficient correaltion is 0.504. P value of attitude 0.003 with coefficient correlation is 0.475. Conclusion: There are some factors related to nurses compliance in the implementation of SOP in providing nutrition through NGT in RSUD dr. R. Goeteng Taroenadibrata Purbalingga, such as age, gender, education, work duration, knowledge, and attitude. Keywords: Attitude, Compliance, Knowledge, NGT, Nurse, SOP Share Link | Plain Format | Corresponding Author (Etlida wati)

153	Nursing Management and Education	ABS-268
ARABIC LANGUAGE CONVERSATION MODEL FOR NURSING STUDENTS IN INTERNATIONAL CLASS Munasib Munasib, Atikah Proverawati, Akhyarul Anam, Endo Dardjito Universitas Jenderal Soedirman Abstract Background: Nurse education needs to be well managed to produce quality output. One form of management in education is to conduct research and development in which combines language skills and nursing skills. Purpose: This study aims to develop educational products in the form of Arabic conversation models for nursing students in international class. Method: The method used in this study is a research and development method, namely by developing and validating research objects by collecting information data, making plans, developing models, revising models, disseminating and implementing them. Results: this study can develop educational products in the form of Arabic conversation models for nursing students Conclusion: Research and development can be used as a form of management and innovation in nurse education to complement student skills in an integrated way Keywords: Arabic, nursing, research and development Share Link | Plain Format | Corresponding Author (Munasib Munasib)

154	Nursing Management and Education	ABS-275
The dynamic of mindfulness and spirituality among cancer patients undergoing chemotherapy Wastu Adi Mulyono, Chung-Hey Chen, Hsing-Mei Chen Jenderal Soedirman University National Cheng Kung University Abstract Background Suffering from cancer and undergoing chemotherapy are vulnerable conditions. According to the Reeds Self-Transcendence Theory, this vulnerability may promote well-being through a mechanism called self- transcendence. Developing patients spiritualities as well as their mindfulness are manifestations of the self-transcendence itself. Purposes This study was to investigate whether the spirituality and mindfulness changes following time. Methods A longitudinal study was conducted to observe mindfulness and spirituality among 180 cancer patients undergoing chemotherapy. Measurements were conducted in three points; at the first contact, after 1 month, and after three months. The dynamic of mean score were described in trend. FACIT-Sp12 and FMI Bahasa Indonesia version were applied to measure Spirituality and Mindfulness. Results Three means of mindfulness scores from three measurement points were 34,06 (5.09), 33,22 (6.21) and 40.38. While, there set of means of spirituality score were 33.34 (3.84), 30.89 (4.91) and 32.57 (4.65). Conclusion Both mindfulness and spirituality change dynamically in each measurement. Scores of mindfulness tend to higher in the third measurement than the first one, while the spirituality score tends to lower than the first measurement in the third measurement. This finding indicated that time may affect in the dynamic of mindfulness and spirituality among cancer patients. Further study may consider series of measurement when observe mindfulness and spirituality. Keywords: self transcencence, mindfulness, spirituality, quality of life, survivorship Share Link | Plain Format | Corresponding Author (Wastu Adi Mulyono)

155	Nursing Management and Education	ABS-21
Could Coronavirus 2019-Infected Disease Patients Get Cope with the Treatment? Fery AM Mendrofa (a), Umi Hani (a*), Yuni Nurhidayat (c) a) School of Health, Karya Husada Semarang, Department of Community Health Nursing, Jalan R. Soekanto 46, Semarang, Indonesia *umi.hani.ners[at]gmail.com b) Department of Medical Surgical Nursing, Tugurejo Semarang Hospital, Jl. Walisongo KM 8,5 No. 137 Semarang, Indonesia Abstract Background: Outbreak of a novel coronavirus-infected disease is currently ongoing in the world. Most patients have to be isolated due to the treatments. However, the experience of patients in Indonesia is lacking. Purpose: This study aimed to make sense of how patients with coronavirus-infected disease understand and experience infectious isolation. Methods: The research used a qualitative design with a phenomenological approach. Data collection was conducted with in-depth interviews of 9 patients with coronavirus disease-2019 confirmed who had been in the isolation room. The analysis was conducted on interview transcripts by organizing keywords found into categories, sub-themes, and themes based on Colaizzi^s approach. Results: Participants experienced fright due to the isolation and attempted to integrate their isolation experiences. Isolation high-lighted a sense of threat posed by cross-infection, a threat that participants experienced as originating from others and from themselves to others. Participants described feeling changes experienced after several days of treatment. Participants reported various symptoms of the disease and received careful care while in isolation. Communication with family is still done by the participants. Conclusion: Isolated patients are able dealing with the treatment improving their coping strategies. Participants reported the most support from their families even from distance. Future research could explore experiences of isolation from family and staff perspectives and identify the psychological aspect in caring the COVID-19 patients. Keywords: coronavirus- isolated patients- coping Share Link | Plain Format | Corresponding Author (Umi Hani)

156	Nursing Management and Education	ABS-278
The Effect of Intrinsic and Extrinsic Motivation on Nursing Care Documentation in RSUD M.NATSIR and RSUD ARIFIN ACHMAD Tintin Sumarni1, Sri Dewi2, Wiwiek Delvira3 1 Lecturer of Poltekkes Kemenkes Padang 2 Lecturer of Poltekkes Kemenkes Padang 3 Lecturer of Poltekkes Kemenkes Riau Abstract Background: Intrinsic motivation is a work driver that comes from within the worker as an individual in the form of awareness of the importance or benefits or meaning of the work carried out. And Extrinsic Motivation is a work driver originating from outside the worker as an individual in the form of a condition that requires him to carry out work optimally. However, limited study covers effect of intrinsic and extrinsic motivation on Nursing Care Documentation in this area. Purpose: To examine the effect of intrinsic and extrinsic motivation on Nursing Care Documentation Methods: A quasi-experimental pre and post test with control group was used in this sudy. The study was conducted from June to November 2019. A total of 160 respondents were recruited (80 nurses from RSUD M.NATSIR as intervention group and 80 nurses form RSUD Arifin Achmad as control group). Intervention grup was provided with clinic supervision and control grup was provided with motivation training. Nursing care documentation quality was measured and Independent T Test were used for analyzing the data. Result: The study found that the quality of documenting nursing care after being given intrinsic motivation and extrinsic motivation obtained statistical test results p: 0,000, it can be concluded that there are differences in the value of documenting nursing care before and after given intrinsic and extrinsic motivation. Conclusion: Intrinsic and extrinsic motivation intervention may benefit to improve nurses performance in nursing care documention. Keywords: Nursing Care Documentation, Intrinsic Motivation, Extrinsic Motivation Share Link | Plain Format | Corresponding Author (Tintin Sumarni)

157	Nursing Management and Education	ABS-27
Burnout among Nurses Working in COVID-19 Pandemic Fery AM Mendrofa (a), Umi Hani (a*) a) School of Health, Karya Husada Semarang, Jalan R. Soekanto 46 Sambiroto, Semarang, Indonesia *umi.hani.ners[at]gmmail.com Abstract Objective: To analyze the prevalence of burnout syndrome and its correlation with the demographic and work environment-related factors among nurses in the COVID-19 pandemic. Method: This observational cross-sectional study involved nurses from some hospitals and public health centers in Semarang in the COVID-19 pandemic used an online questionnaire. Maslach Burnout Inventory was used included emotional exhaustion, depersonalization, and reduced personal accomplishment. Univariate and multivariate analyses were performed. Results: 63,6% of nurses in the COVID-19 unit were at high levels of EE, 56,3% of them were at high levels of DP, and 46,7% of them are at high levels of RPA. Education was the only demographic factor that was significantly related to EE and DP (p<0,05) with a weak correlation. Work environment-related factors included COVID-19 unit and reduced anxiety-related PPE usage were not significantly correlated with the RPA with very weak correlation, while the nurses^ unit was significantly correlated with DP (p<0,05) with very weak correlation. Conclusions: Nurses should take into account several factors that more prone to burnout. The pandemic has a specific burden that distinguishes it from all others, whether the burnout characteristic the same as the normal situation. Keywords: burnout- nurses- work load Share Link | Plain Format | Corresponding Author (Umi Hani)

158	Nursing Management and Education	ABS-29
LEAN HOSPITAL MANAGEMENT IMPLEMENTATION: A CASE STUDY OF THE 5R METHOD UTILIZATION AT RURAL MOTHER AND CHILD HOSPITAL IN INDONESIA Nur Adini Rahmawati(a*), Achmad Sudjadi(a), Saryono Saryono(b) a) Faculty of Economy and Bussiness, Jenderal Sudirman University, Purwokerto, Central Java, Indonesia * nuradinimd[at]gmail.com b) Faculty of Health Sciences, Jenderal Sudirman University, Purwokerto, Central Java, Indonesia Abstract Background Lean hospital is a well recognized management approach to improve the quality of hospital services by empowering employees through the 5R method consisting of ringkas, rapi, resik, rawat and rajin. However, research on the impact of this method on employee wellbeing, cost effectiveness and work environment in a middle income country such as Indonesia, remains unclear. Objective To evaluate the implementation of lean hospital management with the 5R method in terms of working environment conditions, cost effectiveness, perceptions, responses, and expectations of employees at Rural Mother and Child (MC) Hospital. Method A qualitative study with a single case study design. The data were analyzed using thematic analysis. Results Employees did not understand the concept of Rawat and Rajin from 5R although most employees perceptions were in the same degree in regards to the lean hospital concept. Aside from that, employees were able to identify problems and encourage a positive attitude and behavior changes in the work environment. Moreover, the implementation of this method also reduced hospital operational costs. Conclusion Despite the non optimal implementation of lean hospital management, the 5R method utilization promoted changes in the work environment, employees roles, positive attitude, and behavior responses. This method also showed an indication of cost effectiveness at Rural MC Hospital in Indonesia Keywords: lean hospital, 5R, hospital management, cost-effectiveness Share Link | Plain Format | Corresponding Author (NUR ADINI RAHMAWATI)

159	Nursing Management and Education	ABS-32
Learning Motivation Using Blended Learning and Students Learning Outcomes in Nursing Department Jenderal Soedirman University Erry Fuzian (a*)- Mekar Dwi Anggraeni (b)- Wahyudi Mulyaningrat (b) a) Nursing Student, Faculty of Health Science, Jenderal Soedirman University *Email: efuzian[at]gmail.com b) Lecturer at Nursing Department, Faculty of Health Science, Jenderal Soedirman University Abstract Background: Blended learning was a mixed learning model between online learning and face-to-face learning which aimed to keep the learning process contextual, directed, and based on information technology. Blended learning is expected to be able to attract students attention and interest in learning activities. Objectives: The purpose of this study was to determine the correlation between learning motivation using blended learning and students^ learning outcomes of the Nursing Department, Jenderal Soedirman University. Methods: This study used a quantitative design with a correlative descriptive method. Random sampling with 97 students as the respondents. The research instrument used the ARCS-V Learning Motivation Questionnaire (Keller 2016) and a list of mid-semester exam scores on the Nursing Information System. Univariate analysis was used to identify age and gender characteristics, as well as the description of learning motivation and learning outcomes. Bivariate analysis using Pearson Product Moment Correlation was used to identify the correlation between the motivation to learn using Blended Learning and learning outcomes. Results: The average score of students learning motivation was moderate motivation. Learning motivation using blended Learning had a moderate positive correlation with learning outcomes. Conclusion: There was a significant positive correlation between the learning motivation using Blended Learning and students learning outcomes of the Nursing Department, Jenderal Soedirman University. Keywords: Blended Learning, Learning Motivation, Learning Results Share Link | Plain Format | Corresponding Author (Erry Fuzian)

160	Nursing Management and Education	ABS-292
Differences in the Cultural Knowledge and Cultural Skill between Nursing Lecturers at Public and Private Colleges in Central Java Province, Indonesia Yektiningtyastuti Lecturer, Al Irsyad Al Islamiyyah Cilacap Health Science College, Cilacap email : yningtyastuti[at]gmail.com or yektiningtyastuti[at]stikesalirsyadclp.ac.id Abstract Background: Cultural knowledge is the process of seeking and obtaining a sound educational base about culturally and ethnically diverse groups. Cultural skill is the ability to collect culturally relevant data regarding the patients presenting problem, as well as accurately performing a culturally based physical assessment in a culturally sensitive manner. Cultural knowledge and cultural skill of nursing lecturers can be seen on trans cultural teaching behavior. Purpose: To determine the cultural knowledge and cultural skill between nursing lecturers at public and private colleges in Central Java Province. Methods: The study made use of a non experimental descriptive comparative method of quantitative research. The study had 134 nursing lecturers from two public nursing colleges and five private nursing colleges. T test was used for analyzing the data. Results: The study found that there is a significant difference on cultural knowledge (the computed t= 2.116 > t table= 1.96), and there is no significant difference on cultural skill (the computed t= 1.900 < t table= 1.96), between nursing lecturers at public and private colleges. Conclusion: Cultural knowledge and cultural skills are important part of cultural competence that must be mastered by nursing lecturers. Cultural knowledge of nursing lecturers from public nursing colleges needs to be improved Keywords: Cultural knowledge, cultural skill, nursing lecturers, public colleges, private colleges Share Link | Plain Format | Corresponding Author (Yektining Tyastuti)

161	Nursing Management and Education	ABS-46
Burnout Syndrome among by Nurses in Semarang : Fenomenology Study Tri Ismu Pujiyanto (a*), Shindi Hapsari (a) a) Lecturer, Department of Management in Nursing, Karya Husada Health and Science College of Semarang, Indonesia *triismu[at]yahoo.co.id Abstract Background: Burnout syndrome experienced by nurses can influence their performance in hospitals. Burnout syndrome can be caused by the degradation of Nurse quality of life. The quality nurses of life is affected by the fatigue of physical syndrome are fatigue, mental fatigue, and emotions caused by work-related stress. Previous research showed that Nurse quality of work life has a positive and significant impact on its performance. Purpose: This research aims to discover nurses experience related to burnout syndrome. Methods: Qualitative method of research is used in this research with descriptive phenomenology design. The population of this research is nurses who are actively participated for care service in Public Hospital of dr. Adhyatma, MPH Tugurejo Semarang, consisting 15 executive nurse, 15 head of ward, and 15 management and leader. Purposive sampling technique is used to get the sample of research. The data collected from an interview using FGD (Focus Group Discussion) technique and analyzed by Colaizzi technique. Results: The research discovers three themes, which are: unsatisfied complaint, unpleasant working environment, and excessive responsibility. Conclusion: Unsatisfied complain feeling, unpleasant working environment, and excessive responsibility are the cause of burnout syndrome. The consequences that can arise from burnout syndrome are very substantial and give a great impact to the quality of patient care services in hospitals. Keywords: Burnout Syndrome. Nurses Share Link | Plain Format | Corresponding Author (SHINDI HAPSARI)

162	Nursing Management and Education	ABS-313
THE RELATIONSHIP OF BURNOUT SYNDROME WITH THE COMPLETENESS OF NURSING CARE DOCUMENTATION IN MEDIKA UTAMA HOSPITAL BLITAR CITY, INDONESIA Moch. Oscar Setya Putra, Ulfa Husnul Fata STIKes Patria Husada Blitar Abstract Abstract: Background: Burnout syndrome has a negative impact on nurses including high rates of turnover and absenteeism, a tendency to withdraw from patients, long breaks, and cause nurses to neglect nursing care. This study was to determine the relationship between Burnout Syndrome and the complete nursing care documentation of Medika Utama Hospital. Methods: This study uses a qualitative descriptive design with a Cross-Sectional approach. Samples were 21 respondents using purposive sampling. Data collection uses questionnaire sheets (MBI) and Observation Checklist for Medical Record sheets. Statistical analysis using the spearmans test with p <0.05. Results: The results of the statistical test show p = 0.002 with correlation coefficient = 0.638. There was a relationship between Burnout Syndrome and the completeness of the documentation in Medika Utama Hospital with direction of a positive relationship. Conclusion: If the burnout experienced by nurses is low then the increase in the procedure for completing nursing care documentation will lead to good performance. To avoid the significant effects of Burnout Syndrome, nurses are wiser in managing their time and activities to prepare their energy and mind to carry out their duties as professional nurses at Medika Utama Hospital. Take advantage of vacation time for rest and refresing. Keywords: burnout syndrome, exhaustion, nursing care documentation. Share Link | Plain Format | Corresponding Author (ULFA HUSNUL FATA)

163	Nursing Management and Education	ABS-62
Implementation of the Literacy Program at Special School During the Period of Pandemic Covid-19 in Yogyakarta Prima Daniyati Kusuma, Fika Nur Indriasari STIKES Notokusumo Yogyakarta Abstract Background: School literacy program has been launched by the government since 2015 and has also been massively applied to all types and education levels in Indonesia. This rule is not only applied in public schools, but also in special schools (SLB). Literacy seems to be an important challenge during the pandemic. The covid-19 pandemic forces all education units to be dependent to communication and information technology as a tool of learning from home. Distance learning, or studying online from home becomes a more serious problem for special needs students. The accessibility of distance learning application becomes dilemmatic to special needs students with physical, sensory, mental or intellectual limitations. Purpose: To find out how literacy program is applied at special schools during covid-19 pandemic. Methods: The study used descriptive study. In addition, convenience sampling was used as the media of taking samples. The subjects of the study were special school teachers of SLB N Pembina. Questionnaires and interviews were used as tools to collect data. Results: Most of the teachers stated that distance learning could be applied in a conducive way to 79,3% of their students- 77,6% of the students joined whatsapp group as media of distance learning- the interaction of students and teachers could reach 56,9%- reading activity to support literacy program was conducted 94,8% by the teachers and 36,8% of reading resources were mostly general knowledge books. Conclusion: Literacy program during distance learning could still be conducted in the covid-19 pandemic sub optimally. Teachers should be very creative in developing literacy learning design to increase reading interest rate and special needs students^ language skill. Additionally, parents^ support was crucial to the successful school literacy program during covid-19 pandemic. Keywords: School literacy program, Special School, Pandemic Covid-19 Share Link | Plain Format | Corresponding Author (Prima Daniyati Kusuma)

164	Nursing Management and Education	ABS-66
Developing a Short Course for Promoting Civility in Indonesian Nursing Education Ni Gusti Ayu Eka(1*), Peggy Sarah Tahulending(2), Rijanto Purbojo(3) (1*)Head of Research and Community Service Faculty of Nursing Universitas Pelita Harapan Jend. Sudirman Bulevard No 15 Gedung Fk Lama Email: gusti.eka[at]uph.edu (2) Clinical Educator Faculty of Nursing Universitas Pelita Harapan (3) Director of Online Education Universitas Pelita Harapan Abstract Background: Civility is the foundation of professionalism and acknowledged as socially and culturally determined. Therefore, promoting civility is also a unique challenge for educator in nursing education in which it is needed of a specific learning technology that context bound such as blended learning. A blended learning provides realistic portrayals of civility and incivility in nursing education that develop students effective respond for use in their professionalism journey. Purpose: This study aimed to develop a blended learning course to promote civility in Indonesian nursing education. Methods: This study was a research and development study using ADDIE (Analysis, Design, Development, Implementation, and Evaluation) model that was developed by some scholars. The ADDIE model is an instructional design process that aims for a learner-centred learning. This study recruited five lectures and 30 students for module evaluation. The evaluation consisted of 4 point Likert scale questionnaire and two open-ended questions. Results: A blended-learning module of promoting civility is established. Mean score of the module evaluation was 3.29 (SD 0.51). Some suggestions included rubrics adjustments, well-defined session activities (before class, in class, after class), more examples of civility and incivility incidences and creating video of the lecturers that explaining about civility and incivility concepts. Conclusion: This study provides a novel-blended learning module of promoting civility for undergraduate students in Indonesia. Further recommendations include to modify the structure of the course and to enhance the quality of the video clips, for its applicability in the teaching-learning process and further research. Keywords: civility, nursing education, short course Share Link | Plain Format | Corresponding Author (Ni Gusti Ayu Eka)

165	Nursing Management and Education	ABS-322
Self Care Nursing: Teleassessment Nursing with Chatbot Application The Covid 19 Pandemic Period in North Sumatra Reni Asmara Ariga1, Cholina Trisa Siregar2, Siti Zahara Nasution3, Fajar Amanah Ariga4, Sri Budi Astuti5, Selvina Ariga6 1234Faculty of Nursing, University of North Sumatra, 56Public Health, Medan Indonesia Abstract Objective: Patients and families can independently identify health conditions through the chatbot teleassessment nursing application. Method: Telegram platform forward chaining method using chatbot as a portal for customers to interact about teleassessment nursing by using the API breaking sentences into words. The steps taken 1. Identify and analyze design needs 2. Describe the architectural design 3. Making inference engine signs of general conditions, danger signs and patient and family decisions to overcome the disturbances experienced 4. Testing the black box method. Total population was 147, obtained a sample of 107 respondents through Slovin formula with 0.05% approach with characteristics that all people who have Android and have a telegram application. The data that has been collected then processed and carried out by descriptive statistical tests. Previous, Researchers have obtained approval from the USU Nursing Health Research Ethics Commission and have obtained informed consent from each respondent. The research was conducted on March 16 - June 30 2020 at Asri Wound Care Pancing, Medan. Result: The results of research on teleassessment nursing found that 73 respondents (68%) could do it independently and 34 respondents (32%) could not do it due to their first experience of using chatbots, unstable internet networks, not yet proficient in using applications due to age and low educational background. The study also identified the respondent^s ability to make decisions about using health services. Conclusion: The telassessment nursing chatbot application allows patients and families to assess general conditions, danger signs and make decisions to use health services. Keywords: Self Care Nursing, Teleassessment, Chatbot, Pandemic, COVID-19 Share Link | Plain Format | Corresponding Author (Reni Asmara Ariga)

166	Nursing Management and Education	ABS-67
Professional Role Modelling Behaviour in Indonesian Nursing Education Ni Gusti Ayu Eka(1*), Peggy Sarah Tahulending(2), Christie Lidya Rumerung(3) (1*) Head of Research and Community Service Faculty of Nursing Universitas Pelita Harapan Jend. Sudirman BUlevard No 15 Gedung FK Lama email: gusti.eka[at]uph.edu (2) Clinical Educator Faculty of Nursing Universitas Pelita Harapan (3) Clinical Educator Faculty of Nursing Universitas Pelita Harapan Abstract Background: Professional role modelling is argued as a proposed method to transfer knowledge, skills and attitude in nursing education. Nevertheless, there has been little evidence to guide nurse educators regarding the characteristics of professional role modelling behaviour. Purpose: This study was to identify professional role modelling behaviour in nursing education settings from students perspective at a private faculty of nursing in Indonesia. Methods: This study applied an exploratory sequential with mixed method design. In the first phase, 287 students were involved by answering open ended questions. A questionnaire was developed from the first phase by analysing the qualitative data using thematic analysis. Then, the new developed questionnaire was tested for its validity and reliability to 30 students (Cronbach Alpha 0.97). In the second-quantitative phase, the developed questionnaire was self administered (online survey) to 263 undergraduate nursing students based on a four point scale (strongly disagree, disagree, agree, and strongly agree). The quantitative data was analysed using a descriptive statistic. Results: Most students (more than 80%) agreed that nurse educators demonstrated professional role modelling behaviour in nursing education settings. Yet, few students disagreed in which they witnessed unprofessional behavior in their learning journey. Conclusion: This study has developed a number of characteristics of professional role modelling in nursing education settings that most students have supported them. These characteristics are essential and desirable for role models that could assist nurse educators to strengthen those characteristics within their institutions. Keywords: professional, behaviour, role modelling, nurse educator Share Link | Plain Format | Corresponding Author (Ni Gusti Ayu Eka)

167	Nursing Management and Education	ABS-323
The Effect of Health Education Using WhatsApp Group on the Level of Compliance with Fluid Intake of Hemodialysis Patients in Medan Cholina Trisa Siregar1*, Yunita Eliafni Siregar2, Reni Asmara Ariga 3, Siti Zahara Nasution 4, Zulkarnain 5, M. Pahala Hanafi Harahap6 1,2,3,4 Faculty of Nursing, Universitas Sumatera Utara, Medan, Indonesia 5Faculty of Psychology, Universitas Sumatera Utara, Medan, Indonesia 6Faculty of Medicine, Universitas Sumatera Utara, Medan, Indonesia Abstract Objective: Restriction of fluid in patients with end-stage kidney disease requires adherence in undergoing therapy to prevent and minimize the occurrence of complications and improve the quality of life of patients. Method: The pretest and posttest with control group aims to determine the effect of health education using WhatsApp Group on the level of fluid intake compliance for hemodialysis patients. Samples were selected using purposive sampling in 78 patients who underwent hemodialysis for less than 1 year. Result: Research data obtained that there is an effect of health education using WhatsApp group in increasing compliance with patient^s fluid intake (pv: 0,000). Changes in blood pressure before the action and after the action that is normal blood pressure 4 people (10.3%) to 6 people (15.4%), Pre hypertension 9 people (23.1%) to 18 people (46.2%), Stage 1 hypertension: 21 people (53.8%) to 13 people (33.3%), Stage 2 hypertension: 5 people (12.8%) to 2 people (5.1%). Conclusion: Fluid restriction for hemodialysis patients can be done well if they have the support of family and health workers. Keywords: Health Education,Quality of life, Kidney Failure, Blood Pressure, fluid intake Share Link | Plain Format | Corresponding Author (Cholina Siregar)

168	Nursing Management and Education	ABS-68
Spiritual Well-Being: The Ideals and Realities Experienced by Student Nurses in a Faith-based University in Indonesia Juniarta (a*), Ineke Patrisia (a) a) Fakultas Keperawatan, Universitas Pelita Harapan Jl. Boulevard Jend. Sudirman no 15A *juniarta.sinaga[at]uph.edu Abstract This study aimed to investigate the difference between nursing students^ ideals for spiritual well-being, their lived experiences and perceptions of care as they assist patients in enhancing spiritual well-being on four domains of spiritual health. This was a quantitative study conducted in a faith-based nursing school in Indonesia involving 197 students. The Spiritual Health and Life-Orientation Measure (SHALOM) questionnaire was used to assess four domains of spiritual health which consists of personal, communal, environmental, and/or God. The Friedman^s ANOVA was applied in data analysis. This study showed that there were significant differences in the three areas of spiritual wellbeing (X2(2) =36.170- p = 0.0001). However, in the follow up analysis, this study showed that there was no significant difference between the experienced spiritual wellbeing and the spiritual care given to the patients (p>0.05). Meanwhile, there was a significant difference between the ideal spiritual well-being and the nursing students lived experiences (p=0.0001). Nursing students^ ideals for spiritual well-being that they were not able to live up to, may result in the lower perception on how they help patients^ in the four domains of spiritual well-being. Further studies should be conducted in identifying contributing factors towards nursing students^ spiritual well-being and strategies in enhancing patients^ spiritual well-being as well as meeting their spiritual needs. Keywords: Spiritual well-being- nursing students Share Link | Plain Format | Corresponding Author (Juniarta Juniarta)

169	Nursing Management and Education	ABS-324
Behavior of Cadres in the Management of Pulmonary Tuberculosis with HORAS Program during the COVID-19 Pandemic in North Sumatra Reni Asmara Ariga1*, Cholina Trisa Siregar2, Siti Zahara Nasution3, Fajar Amanah Ariga4, Selviani Ariga5, Sri Budi Astuti6 1234Faculty of Nursing, University of North Sumatra, 56Public Health, Medan Indonesia Abstract Objective : Improve cadres^ behavior towards pulmonary tuberculosis management with the HORAS program Method : Experimental design to see the effect of the HORAS program on cadre behavior, held May 4 to June 30, 2020 in Medan Amplas and Medan Johor Puskesmas. The number of samples was 78 respondents from 97 populations used Slovin formula, random sampling technique with inclusion criteria cadres come from an environment with a high incidence of pulmonary tuberculosis, have pulmonary TB training from puskesmas, have a minimum high school education background, are willing to take part in research. Respondents were given a pretest, HORAS training program and posttest. The material were knowledge, attitudes, and action observations. Ethical test was conducted by the ethics committee of the Faculty of Nursing, University of North Sumatra and carried out informed consent. Result:The results of the cadres^ pretest behavior towards the HORAS program were 1) Knowledge: good 5 respondents (6%) Enough 45 respondents (58%), Not good 28 respondents (36%). 2) Attitude: positive 23 respondents (29 %%), negative 55 respondents (71%), 3). Action: good 17 respondents (22%), enough 10 respondents (13%), and not good 51 respondents (65%). While the posttest results after the intervention obtained 1) Knowledge: good 15 respondents (19%), enough 50 respondents (64%), Not good 13 people (17%). 2) Attitude: positive 40 respondents (51%), negative 38 people (49%). 3) Actions: good 32 people (41%), Enough 27 people (35%), and not good 19 people (24%). Conclusion : There was an increase in the knowledge, attitudes and actions of the cadres regarding the management of pulmonary tuberculosis after the HORAS program training. Keywords: Behavior, Cadre, Tuberculosis lungs, Pandemic, COVID-19 Share Link | Plain Format | Corresponding Author (Reni Asmara Ariga)

170	Nursing Management and Education	ABS-97
The Differences of Sleep Quality between Nurses with Two-Shifts of Work and Nurses with Three-Shifts of Work Indriani Mendrofa(a), Pingkan Natasya(a), Martina Pakpahan(b*), Dora Irene Purimahua(c*) a)Student, Faculty of Nursing, Pelita Harapan University, Tangerang Indonesia b)Lecturer, Faculty of Nursing, Pelita Harapan University, Jl Boulevard Jend. Sudirman, Lippo Karawaci, Tangerang, Indonesia, Email: martina.pakpahan[at]uph.edu (corresponding author) c)Clinical Educator, Faculty of Nursing, Pelita Harapan University, Jl Boulevard Jend. Sudirman, Lippo Karawaci, Tangerang, Indonesia, Email: *dora.purimahua[at]uph.edu (corresponding author) Abstract Background: Humans generally have two times, which are daytime for activity and night for rest (circadian rhythm). Shift system of working can cause a lack of sleep or disruption of a persons sleep cycle, especially those who have a night shift. Nurses are health workers who have a shift system of working. Shifts that occur continuously can cause poor sleep quality of the nurses. Purpose: To find out the differences in sleep quality between nurses with two-shifts of work and nurses with three-shifts of work. Methods: This study conducted on June-July 2019 with a quantitative method and a cross-sectional approach. The sample of this study was 90 nurses (two-shifts: n=35; three-shifts: n= 55) in one private hospital in the west region of Indonesia. Pittsburgh Sleep Quality Index was used as the instrument that has passed for Validity and Reliability (Chronbach alpha=0.820). Univariate and Mann-Withney U were used to analyze the data. Results: This study found that most of the respondents were women (83,3%), range of ages 26-65 (51,11%), and nurses with two-shifts that have poor sleep quality as 15.56%, nurses with three-shifts that have poor sleep quality as 46.67%. There are differences in sleep quality between nurses with two-shift and nurses with three-shifts (p value= 0.002). Conclusion: Shift system of working can cause poor sleep quality of the nurses, especially for nurses with three-shifts. Keywords: Nurses; Shifts of work; Sleep quality Share Link | Plain Format | Corresponding Author (Dora Irene Purimahua)

171	Nursing Management and Education	ABS-103
Relationship Of Organization Culture with Nurse Behavior In Implementing Patient Safety in One Private Hospital in West Indonesia Santa Monika Sinaurat, Septiani Simanulang, Solagratia Latumaerissa, Riama Marlyn Sihombing, Windy Sapta Handayani Zega Faculty Of Nursing, University Pelita Harapan Abstract Patients safety is a measure from the quality of health services. The interview result obtained at least one until two patient safety incidents in a month as patient falls and giving the drug to the wrong patient. The behavior of the nurse in carrying out patient safety is influenced by the organizational culture, vision, mission, goals, and leadership style. The culture of the organization that are inherent in a nurses affect the quality of hospital services and nurses can reflect itself as a professional nurse with the perform culture of the organization. The purpose of this study was determine the relationship between organizational culture with the behavior of the nurse in carrying out patient safety. This study uses research methods korelational quantitative methods cross-sectional. The sample amounted to 55 nurses were taken using total sampling. Instruments in the form of questionnaires of organizational culture and the behavior of the nurse in carrying out patient safety that is propagated online through google forms and questionnaires directly to nurses. The questionnaire has been conducted to test the validity and reliability of the 31 nurses. The test results of the questionnaire of organizational culture with the count r 0,475-0,811 and the value of Cronbach alpha 0,962 while the questionnaire of nurse behavior with the count r 0,444-0,911 and value Cronhbach alpha 0,982. Analysis of data using test of Spearman. The research started from 29 March-June 2020. The result of this study is 58.2% the nurse perceives the organizational culture that is less, and 54,5% of nurses have poor behavior in implementing patient safety. The results of the test of Spearman showed an association (p=0.002) the culture of the organization with the behavior of the nurse in carrying out patient safety. Recommendation for future is hospital can do coaching by the head nurse or team leader in the form of socialization, training, mentoring and supervision. Keywords: organizational culture, nurse behavior, patient safety Share Link | Plain Format | Corresponding Author (Windy Sapta Handayani Zega)

172	Nursing Management and Education	ABS-110
Effectiveness of Online Registration for Waiting Time and Outpatient Satisfaction Ichsan Rizany (a*), Herry Setiawan (a,) Musafaah (b), Miftakhul Jannah (c), Yuliani (c), Laila Rahmaniah (c), Winda Lestari (c) a) Nursing management Department, Nursing school, Faculty of Medicine, Lambung Mangkurat University, South Kalimantan Province, Indonesia *ichsan.r.psik[at]ulm.ac.id b) Health Policy Administration and Health Promotion Department, Program Study of Public Health, Faculty of Medicine, Lambung Mangkurat University, South Kalimantan Province, Indonesia c) College student of Nursing school, Faculty of Medicine, Lambung Mangkurat University, South Kalimantan Province, Indonesia Abstract Long waiting time indicates that the patient feels unnoticed and treated fairly so that it can cause many complaints. High complaints cause patient dissatisfaction. The purpose of this study was to analyze the effectiveness of online registration for waiting time and outpatient satisfaction. This study used an experimental design with a post-test only control group design. This design was divided into two groups, including control and intervention (∑n = 80 people). The instruments used were the patient satisfaction questionnaire and waiting time observation. Data were analyzed using the Mann Whitney test. The results showed that the mean of patient waiting time online is faster than the average waiting time of patients offline with a difference of 44 minutes. And the mean of online patients satisfaction is higher than the mean of offline patients satisfaction with a difference of 3.77 points. There were differences in online waiting times and offline patient waiting times (p-value= 0,001). In addition there are differences in online patient satisfaction with offline patients (p-value= 0,045). The conclusion was that the online registration system was effective for enhanced patient satisfaction and reduced waiting time. Hospitals can implement online registration extensively for the health services of outpatient. Keywords: nurse satisfaction; online registration; outpatients; waiting time Share Link | Plain Format | Corresponding Author (Ichsan Rizany)

173	Nursing Management and Education	ABS-123
The Effect of Interprofessional Education Training on Perception and Readiness of Health Students : Nursing, Public Health, Midwifery, Medical Record Citra Setyo Dwi Andhini(a*), Sunartini(b), Gandes Retno Rahayu (c), Yani Kamasturyani(d), Hediyana Yusuf(e), Andinna Ananda Yusuf(f) (a*) Lecturer, Department of Nursing, Mahardika Health College, Jl Terusan Sekar Kemuning, Kesambi Kota Cirebon, Indonesia, email : citra[at]stikesmahardika.ac.id (corresponding author) (b) Professor, Department of Children Faculty of Medicine, Gadjah Mada University, Indonesia (c) Professor, Medical Education Faculty Of Medicine, Gadjah Mada University, Indonesia (d) Asisstant Professor, Department of Public Health, Mahardika Health College, Indonesia (e) Asisstant Professor, Department of Public Health, Mahardika Health College, Indonesia (f) Lecturer, Department of Public Health, Mahardika Health College, Indonesia Abstract Background: Interprofessional education is intended to train practitioners to collaboratively address challenges in healthcare delivery. Negative perception, professional egoism, bad knowledge about, it will hamper the collaboration. Reducing negative perception and creating readiness is a prime target for IPE training. Purpose: We sought to understand whether perception and readiness change among health students after participating in IPE training. Methods: This was a quasi-experimental pretest-posttest study. The study took place at Mahardika Health College. 44 Nursing students, 30 Public Health students, 30 midwifery , 30 Medical Record Students. Students were grouped into interprofessional teams for 2 days and participated IPE training consist of lecture, small group discussion dan simulation. At the beginning pf the first session, the completed a pretest survey with demographic items and measures of their perception of interprofessional education and readiness to work as a team. They completed a posttest with the same measures after the third of session. Result: 134 students completed both the pretest and posttest surveys. On all three measures student showed an overall increase in scores after IPE training experience. This research indicates significant difference in students perception after given treatment p=0,0005 as well as in their readiness p=0,0005 Conclution: This study demonstrated that a short series of IPE Training experiences resulted in improved perceptions and readiness of interprofessional practice. Keyword: Interprofessional education, Interpofessional collaboration, IPE training, health education, learning method Keywords: Interprofessional education, Interpofessional collaboration, IPE training, health education, learning method. Share Link | Plain Format | Corresponding Author (Citra Setyo Dwi Andhini)

174	Nursing Management and Education	ABS-162
The Effect of Emotional Intelligence toward Nurses Communication Skill at The Ruteng Regional General Hospital Lusia Henny Mariati(a*), Yohanes Jakri(a) a)Nursing Study Program,UNIKA Santu Paulus Ruteng, Jl. Ahmad Yani No.10, Ruteng 86518 *lusiahenny87[at]gmail.com Abstract Effective and good communication is for nurses the key to carrying out their roles and functions. An obstacle in communication is the emotional response from the part of nurses. Nurses with high emotional intelligence will give meaning to interpersonal relationships by making people feel at ease. The objective of this study is to determine the effect of emotional intelligence of nurses - which comprises emotional awareness, emotional control, self-motivation, empathy, and social skills - on their communication skill. The research method used is quantitative with cross sectional design. In this study, using the method of Proportionate Stratified Random Sampling, the quantity of respondents was 96. Data collection was done through a questionnaire. The results of a multivariate analysis, using statistical tests of multiple linear regression analysis, obtained the values of p value= 0.001- R2 = 0.209. Based on statistical test values, it can be concluded that the emotional intelligence of nurses - comprising emotional awareness, emotional control, self-motivation, empathy, and social skills - significantly influence simultaneously the communication skills of nurses at Ruteng Regional General Hospital. Keywords: Emotional intelligence- Nurse- Communication skills Share Link | Plain Format | Corresponding Author (Lusia Henny Mariati)

175	Nursing Management and Education	ABS-177
Application Problem Solving for Better Health Nursing in Leadership and Management Nursing Course Made Sumarwati, Wastu Adi Mulyono Keperawatan FIKes Universitas Jenderal Soedirman Abstract Students in the last semester of the Professional Nurse Program were introduced and trained Problem Solving for Better Health Nursing (PSBHN), an approach to identify and solve nursing problems. Students implemented that approach in 4 units of the teaching hospital and produced seven projects. The projects covered teaching hand hygiene, discharge planning, a trial of using an android application to collecting patient/family complaints, increasing nursing awareness of patient safety, a program to reduce pediatric patients anxiety. PSBHN approach was useful in increasing students performance as an agent of change. The lessons learned and plans for continued use of PSBHN are discussed. Keywords: PSBHN, project, agent of change Share Link | Plain Format | Corresponding Author (Made Sumarwati)

176	Nursing Management and Education	ABS-178
Factors Related to the Family Satisfaction Toward the Nursing Services Dhiaz Feby Elsatriya(1), Riama Marlyn Sihombing(2)*, Elissa Oktoviani Hutasoit(3) (1)Nurse, Siloam Hospitals Buton, Kota Bau-Bau, Sulawesi Tenggara. 93716 (2)*Lecturer, Faculty of Nursing, Universitas Pelita Harapan, Jl. Boulevard Jend. Sudirman no. 15, Lippo Karawaci, Tangerang Banten, 15811. Email: riama.sihombing[at]uph.edu (3)Clinical Educator, Faculty of Nursing Universitas Pelita Harapan, Tangerang Banten. 15811 Abstract Background: Quality nursing services can provide satisfaction to the patients and their families. Satisfaction occurs after analyzing perceptions of service performance manifested in feelings of pleasure or disappointment. Based upon a survey during September 2019 in a private hospital of center Indonesia was found that 30% of the family members were dissatisfied beside nursing services. Respondents evaluated that nurses had late replied to the bell and the explanation of nursing intervention was not recognized by the family members. The study aimed to analyze the factors of quality of nursing service on the family satisfaction. Method: A quantitative inferential with a cross-sectional approach. The sample was selected by purposive sampling among 214 respondents. Data collection using a questionnaire that has been examined on validity and reliability which processed quantitatively and analyzed by Fishers exact and logistic regression tests. Results: more than and half of the respondents were female and more than and half were aged 26-45 years and a half were highly educated. There was a significant relationship between tangible (p=0.001), reliability (p=0.001), responsiveness (p=0.001), empathy (p=0.001) and assurance (p=0.001) with the family satisfaction. Reliability remains the most dominant factor that affected the family satisfaction. Conclusion: The nursing services are evaluated as dissatisfaction by the family member. Future research is needed further assessing the families desire for the reliability of nursing services, improving the quality of nursing services such as health education through the family member/patients and excellent service training toward the nurses so expect satisfaction will increase. Keywords: the family satisfaction, nursing services, reliability Share Link | Plain Format | Corresponding Author (Riama Marlyn Sihombing)

177	Nursing Management and Education	ABS-208
Implementations of Community-Based Nursing Case Management to Improve Access to Care: A Scoping Review Alenda Dwiadila Matra Putra (a*), Ayyu Sandhi (b) a) Departments of Nursing, Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada b) Department of Pediatric and Maternity Nursing, Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada Abstract Background: Case management is a strategy used to help patients locate and manage health resources as well as to enhance effective communication among patients, families, and health systems. Nurses role as a case manager has been proven effective in reducing healthcare costs among patients with chronic diseases. However, little is known about its implementation in improving access to care in community-based settings. Aim: The aim of this scoping review is to examine the components of nursing case management interventions to improve access to care in the community-based settings and to identify the issues of nursing case management for future implications. Methods: This study was conducted following the framework of scoping review. Four electronic databases (CINAHL, Pubmed, Science Direct, and Scopus) and grey literature were searched to identify studies published between 2010 and 2020. Only original studies involving nurses as one of the professions performing case management roles in the community-based settings, providing access to care as the findings, were included. The article screening was guided by PRISMA flowchart, extraction was performed on Google Form and synthesis was conducted from the extraction result. Results: A total of 19 studies were included in qualitative synthesis. Five components of nursing case management interventions to improve access to care were identified: 1) Bridging health systems into community; 2) Providing the process of care; 3) Delivering individually-tailored health promotion and prevention; 4) Providing assistance in decision making; and 5) Providing holistic support. Three issues of nursing case management were also identified: 1) Regulation ambiguity; 2) High caseloads; and 3) Lack of continuing case management training. Conclusions: Care coordination and care planning were the most components of nursing case management frequently associated with access to care. These findings are substantial to improve nurses ability in performing nursing processes and having more advocacy competence for futures implications. Keywords: Nursing case management, Case management, Access to care, care manager, community Share Link | Plain Format | Corresponding Author (Alenda Dwiadila Matra Putra)

178	Nursing Management and Education	ABS-214
LEARNING STYLE PREFERENCES AMONG NURSING STUDENTS IN A PRIVATE UNIVERSITY IN WEST INDONESIA Nada Suraya Br Barus (a*), Voppy Selvia Christina Simorangkir (a*), Yuni Cantika Yulistiyani Sombu (a*), Riama Marlyn Sihombing S.Kp., M.Kep (a*), Ns. Shinta Marina J.P, S.Kep (a*) a) Faculty of Nursing, Universitas Pelita Harapan Jl. Jendral Soedirman, Kecamatan Kelapa Dua, Tangerang, Banten, 15810 Abstract Objectives: Nursing knowledge and practice are evolving and nurse education are encouraged to empower the student to learn continuously and skilled in their profession. This is a challenge for first year students and educators with a shift from teacher-centered learning to learning strategies with case studies group, self-study, laboratory and clinical practice, and tutorials. The aim of this study to identify the learning style preferences using VARK (visual, aural, read/write and kinesthetic) of first year nursing students in a private university in west Indonesia. Methods: This research used a descriptive quantitative method and was conducted in a private university in west Indonesia. A total of 337 of the first year of nursing students participated in this study through a total sampling technique. The VARK questionnaires by Neil Fleming was used to elicit the data, and univariate analysis was used to analyze the data. Results: 251 students (74.5%) preferred multimodal learning style whilst the remaining 86 students (25.5%) preferred unimodal learning styles. With regard to the dominant preference, 27% student had a strong preference for quad modal, 24.3% for bimodal and 23.2 % for trimodal learning style. The rest of the participants were found to be unimodal learners with 13.9%, 8%, 2.7% and 0.9% of the students were Aural, Kinesthetic, Read/Write and Visual, respectively. Conclusions: Students with multimodal learning can learn productively as educators provide learning strategies that include visual, aural, read/write and kinaesthetic and the educators are encouraged to apply the multimodal teaching method and be more creative and engage the four categories of the modules in their teaching method. Keywords: Learning Style, Nursing Student, VARK Questionnaire Share Link | Plain Format | Corresponding Author (Shinta Marina Josephina Putri Sihaloho)

179	Nursing Management and Education	ABS-235
The Effect Of The Hand Hygiene History On Student Attitudes In Applying Hand Hygiene In Clinical Nursing Practice Amalia Rizki Radika, Made Sumarwati, Koernia Nanda Pratama Keperawatan FIKes Universitas Jenderal Soedirman Abstract Various media in hand hygiene topic has been developed in order to make it easier for students to master the procedure, but building a positive attitude in practice related to applied this skill has not been widely developed. This study aimed to explore the development of positive attitudes about hand hygiene behaviour in clinical practice through learning hand hygiene history. A quasi experiment used pre and post-tests with control group design were conducted. The sampling technique used total sampling. The sample was 54 students and divided into the intervention group and the control group. Data collected using questionnaires and paired t test, and unpaired t test was applied to analyse the data. This study showed a significant difference between intervention and control groups on the value of attitudes (p = 0,021). Therefore, knowing the history of hand hygiene improved students attitudes on hand hygiene behaviour in the clinical field significantly. Some implications for teaching are also provided. Keywords: booklet, hand hygiene, the history of hand hygiene Share Link | Plain Format | Corresponding Author (Made Sumarwati)

180	Nursing Management and Education	ABS-244
A Rare Recovery of Ventriculitis In Traumatic Brain Injury: Nursing Care Perspective. Muhammad Khairul Maula YAHYA ALI(1), Ahmad Syafwan AWANG(1), Marlina MOHD NAWAWI(1), Mohd Noor Faizal KAMARUDIN(1), Al Hafiz IBRAHIM(2,3), Muhammad Hafiz HANAFI(*2,3) . (1) Nursing Unit, Hospital Universiti Sains Malaysia, USM Health Campus, 16150 Kubang Kerian, Kelantan, Malaysia. (2) Rehabilitation Medicine Unit, Hospital Universiti Sains Malaysia, USM Health Campus, 16150 Kubang Kerian, Kelantan, Malaysia. (3) School of Medical Sciences, Universiti Sains Malaysia, USM Health Campus, 16150 Kubang Kerian, Kelantan, Malaysia. Abstract Introduction: Ventriculitis is a life-threatening and dangerous clinical emergency of traumatic brain injury (TBI) which if left untreated, commonly associated with death and disability. Ventriculitis typically presents with headache, nausea, vomiting, vertigo, mental instability, or even slurred speech Hence, if left untreated promptly and correctly, it may lead to severe consequences of seizures, and even death. Nursing care in ventriculitis patient is quite challenging as the symptoms of patients can change from bad to worst within minutes. Method: A 17-year-old man, came with alleged motor vehicle accident with initial Glasgow Coma Scale (GCS) of E1V1M5. Posterior Fossa Craniectomy was done together with External Ventricular Drainage to treat his intracranial haemorrhage and hydrocephalus. However he was not showing sign of improvement and the only positive sign was his EEG found that he is not brain death. The patient was monitored closely to prevent complication of immobility together with regular sensory and motor facilitation activity by the nursing and the rehabilitation team. Amazingly, after 36 days of consistent stimulation protocol, the patient showing progression from coma (Rancho Los Amigos Scale I) to vegetative state (Rancho Los Amigos Scale III). He was discharge in with ability to follow one step command consistently without any symptoms of agitation (Rancho Los Amigos Scale V). Results: All investigations were done to rule out other causes of coma, and we came to the conclusion that his prolonged coma and elevated white blood cells (WBC) count is due to the ventriculitis . It stresses that complications of disorder of consciousness can occur without signs and symptoms of infections (except for increase in WBC), in comatose patients. There was no further deterioration of consciousness once the ventriculitis was properly managed. Conclusion: In summary, the most important thing in this totally preventable condition is to distinguish the cause of prolonged coma, together with the ability to manage accordingly through effective communication in multidisciplinary management. Keywords: Traumatic brain injury; Ventriculitis; Multidisciplinary; Nursing Care; Coma. Share Link | Plain Format | Corresponding Author (Muhammad Hafiz Hanafi)

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