Yati Afiyanti
Faculty of Nursing, Universitas Indonesia, Depok, Indonesia

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Cultural care behaviors of multidisciplinary health workers in preventing neutropenic fever in children with leukemia after chemotherapy: an Ethnonursing study Elsa Naviati; Yati Afiyanti; Allenidekania Allenidekania; Enie Novieastari
Jurnal Ners Vol. 19 No. 1 (2024): FEBRUARY 2024
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v19i1.50681

Abstract

Introduction: Neutropenic fever is commonly found in children with leukemia after chemotherapy. Fever occurs when children's immunity decreases after chemotherapy, and they are prone to infection. This study aims to describe the cultural care behaviors of multidisciplinary health workers in preventing neutropenic fever among hospitalized children with leukemia after chemotherapy. Methods: An ethnonursing study was conducted at a cancer referral hospital in Central Java, Indonesia. Data were collected through observation in two Pediatric ward and chemotherapy unit for three months and FGDs and in-depth interviews with health workers who provided care services to leukemia patients post-chemotherapy. Data were collected from 14 informants: six nurses, four doctors, two clinical pharmacists, and two nutritionists. This study employed four phases of Leininger analysis for qualitative data to develop its thematic structures. Results: The analysis of the entire data has revealed five themes: (1) performing antiseptic and aseptic techniques consistently, (2) nurse and dietician collaboration in handling eating difficulties post-chemotherapy, (3) collaborative interactions interdisciplinary in handling medication, (4) patient placement in an isolation room adjusted to patients' conditions, and (5) nurse's challenge to educate patients and their families. Conclusions: Health workers from multiple disciplines play essential roles in preventing neutropenic fever by involving patients, parents, and other family members. It is necessary for the nurses to collaborate with other healthcare professionals and educate patients, and families to participate in the care interventions for these patients in minimizing the occurrence of infection among leukemia patients.
The culture of caring for low birth weight infants at home after treatment: An ethnographic study from Indonesia Sri Intan Rahayuningsih; Yeni Rustina; Yati Afiyanti; Tris Eryando
Jurnal Keperawatan Padjadjaran Vol. 12 No. 1 (2024): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jkp.v12i1.2380

Abstract

Background: Caring for low birth weight (LBW) babies is a challenge for parents, especially after being discharged from the hospital, to continue the care provided by professional nurses. Culture can influence how parents behave and decide to keep babies healthy. Purpose: This study examined the culture that influences mothers in Aceh, Indonesia, to care for LBW infants at home following hospital treatment. Methods: This study used an ethnographic design that involved ten participants consisting of mothers who had an LBW infant after receiving hospital care, a grandmother, a midwife, and health cadres. The data were collected using focus group