Main Article Content

Abstract

Nurses have an important task in the strategy of intervention to reduce of Non-Communicable Diseases (NCD)’ incidence. Community health nurses have tried to control the problem of NCD. However, the incidence of NCD has not decreased as expected. The promotion and prevention of non-communicable diseases are one of the efforts to control PTM. This study aims to explore the experience of nurses in implementing the strategies of NCD’ promotive and preventive. This study used a qualitative descriptive phenomenological design. A total of 16 community health nurses were selected using purposive sampling. The inclusion criteria of this study were (1) nurses who served at the community health center for a minimum of 6 months, (2) performed individual health services in the community health center and carried out family visits and services in the community. The data were analyzed using Colaizzi's approach. This research was approved by the Committee of Ethics in the Faculty of Nursing, Universitas Indonesia. This study resulted in five strategies of nurses implementing to NCD’ promotion and prevention, include (1) health education, (2) partnership with community health workers, (3) coordination, (4) stand with the community, (5) monitoring the change of behavior in the community. Nurses’ experience of NCD’s promotion and prevention in the community health center still needs improvement to achieve holistic and comprehensive health services. Nurses should be attention to the preparation of themselves before implementing the promotion and prevention, such as preparation of the topic, communication with colleagues and communities, and doing a partnership with multisectoral.

Keywords

community health center non-communicable disease nurses preventive promotive

Article Details

How to Cite
Istifada, R., Rekawati, E., & Wiarsih, W. (2021). How Do The Community Health Nurses’ Experience in The Strategies of Non-Communicable Disease (NCD) Promotion and Prevention?. Jurnal Ilmu Dan Teknologi Kesehatan, 9(1), 13-32. https://doi.org/10.32668/jitek.v9i1.555

References

    Allender, J. A., Rector, C. and Kristine D. Warner (2015) Community & Public Health Nursing: Promoting the Public’s Health. USA: Lippincott Williams & Wilkins.

    Astuti, E. D., Prasetyowati, I. and Ariyanto, Y. (2016) ‘Gambaran Proses Kegiatan Pos Pembinaan Terpadu Penyakit Tidak Menular di Puskesmas Sempu Kabupaten Banyuwangi (The Description of Activity Process for the Integrated Development Post of Non-Communicable Disease (IDP of NCD) at Sempu Public Health Centre)’, Pustaka Kesehatan, 4(1), pp. 160–167.

    Berman, A., Snyder, S. and Frandsen, G. (2016) Kozier&Erb’s Fundamentals of Nursing : Concepts, Process, and Practice. England: Pearson.

    Brobeck, E. et al. (2013) ‘Health Promotion Practice and Its Implementation in Swedish Health Care’, International Nursing Review, 60(3), pp. 374–380. doi: https://doi.org/10.1111/inr.12041.

    Casey, D. (2007a) ‘Nurses’ Perceptions, Understanding and Experiences of Health Promotion’, Journal of Clinical Nursing, 16(6), pp. 1039–1049. doi: https://doi.org/10.1111/j.1365-2702.2007.01640.x.

    Casey, D. (2007b) ‘Using action research to change health-promoting practice’, Nursing and Health Sciences, 9(1), pp. 5–13. doi: https://doi.org/10.1111/j.1442-2018.2007.00297.xx.

    Creswell, J. W. (2007) Qualitative inquiry and research design: Choosing among five traditions, Qualitative Health Research. doi: https://doi.org/10.1111/1467-9299.00177.

    DeCola, P. et al. (2012) ‘Nurses’ potential to lead in non-communicable disease global crisis’, International nursing review, 59(3), pp. 321–330. doi: https://doi.org/10.1111/j.1466-7657.2012.01006.x.

    Dinas Kesehatan Kota Depok (2018) Profil Kesehatan Kota Depok Tahun 2017. Depok.

    Edberg, M. C. (2013) Essentials of Health Behavior: Social and Behavioral Theory in Public Health. Canada: Jones and Bartlett Publishers.

    Hörnsten, Å. et al. (2014) ‘Strategies in Health-Promoting Dialogues - Primary Healthcare Nurses’ perspectives - A Qualitative Study’, Scandinavian Journal of Caring Sciences, 28(2), pp. 235–244. doi: https://doi.org/10.1111/scs.12045.

    Istifada, R. and Rekawati, E. (2019) ‘Peran Kader Kesehatan dalam Promosi Pencegahan Komplikasi Hipertensi di Wilayah Perkotaan : Literatur Review’, Dunia Keperawatan, 7(1), pp. 28–46.

    Jerdén, L. et al. (2006) ‘Experiences of Swedish community health nurses working with health promotion and a patient-held health record’, Scandinavian Journal of Caring Sciences, 20(4), pp. 448–454. doi: https://doi.org/10.1111/j.1471-6712.2006.00427.x.

    Jurkowski, J. M. et al. (2010) ‘Impact of a Multimedia Campaign to Increase Intention to Call 9-1-1 for Stroke Symptoms, Upstate New York, 2006-2007’, Preventing chronic disease, 7(2), pp. 1–11.

    Keleher, H. and Parker, R. (2013) ‘Health Promotion by Primary Care Nurses in Australian General Practice’, Collegian, 20(4), pp. 215–221. doi: https://doi.org/10.1016/j.colegn.2012.09.001.

    Kementerian Kesehatan RI (2006) Pedoman peyelenggaraan upaya perawatan kesehatan masyarakat di puskesmas: Keputusan Menteri Kesehatan No. 279 tahun 2006. Indonesia: Kementerian Kesehatan RI.

    Kementerian Kesehatan RI (2012) Petunjuk Teknis Pos Pembinaan Terpadu Penyakit Tidak Menular (Posbindu PTM), Ditjen Pengendalian Penyakit dan Penyehatan Lingkungan, Kementerian Kesehatan RI. Jakarta: Kementerian Kesehatan Republik Indonesia.

    Kementerian Kesehatan RI (2014) Pusat Kesehatan Masyarakat: Peraturan Menteri Kesehatan No. 75 tahun 2014. Indonesia: Kementerian Kesehatan RI.

    Kementerian Kesehatan RI (2018) Hasil Utama Riskesdas Tahun 2018. Jakarta.

    Kemppainen, V., Tossavainen, K. and Turunen, H. (2013) ‘Nurses’ roles in health promotion practice: An integrative review’, Health Promotion International, 28(4), pp. 490–501. doi: https://doi.org/10.1093/heapro/das034.

    Khetan, A. K. et al. (2017) ‘The Effectiveness of Community Health Workers for CVD Prevention in LMIC’, Global Heart, pp. 233-243.e6. doi: https://doi.org/10.1016/j.gheart.2016.07.001.

    Lock, C. A. et al. (2002) ‘A Qualitative Study of Nurses’ Attitudes and Practices Regarding Brief Alcohol Intervention in Primary Health Care’, Journal of Advanced Nursing, 39(4), pp. 333–342. doi: https://doi.org/10.1046/j.1365-2648.2002.02294.x.

    Luquis, R. R. and Paz, H. L. (2015) ‘Attitudes About and Practices of Health Promotion and Prevention Among Primary Care Providers’, Health Promotion Practice, 16(5), pp. 745–755. doi: https://doi.org/10.1177/1524839914561516.

    Maijala, V., Tossavainen, K. and Turunen, H. (2016) ‘Health promotion practices delivered by primary health care nurses: Elements for success in Finland’, Applied Nursing Research, 30, pp. 45–51. doi: https://doi.org/10.1016/j.apnr.2015.11.002.

    Navarro, A. M. et al. (2007) ‘Charting the Future of Community Health Promotion: Recommendations From the National Expert Panel on Community Health Promotion’, Preventing Chronic Disease, 4(3), pp. 1–7.

    Naylor, M. D. and Kurtzman, E. T. (2010) ‘The Role Of Nurse Practitioners In Reinventing Primary Care’, Health Affairs, 29(5). doi: https://doi.org/10.1377/hlthaff.2010.0440.

    Neupane, D. et al. (2017) ‘Identifying Female Community Health Volunteers’ Understanding and Motivations About Blood Pressure Control: A Prerequisite for Developing Community-Based Interventions for Hypertension in Nepal’, Global heart, 12(3), pp. 227–232. doi: https://dx.doi.org/10.1016/j.gheart.2016.09.003.

    Nies, M. A. and McEwen, M. (2015) ‘Community/Public Health Nursing : Promoting The Health of Populations’. Canada: Elsevier.

    Paterson, B. L., Duffett-Leger, L. and Cruttenden, K. (2009) ‘Contextual factors influencing the evolution of nurses’ roles in a primary health care clinic’, Public Health Nursing, 26(5), pp. 421–429. doi: https://doi.org/10.1111/j.1525-1446.2009.00800.x.

    Povlsen, L. and Borup, I. K. (2011) ‘Holism in nursing and health promotion: Distinct or related perspectives? - A literature review’, Scandinavian Journal of Caring Sciences, 25(4), pp. 798–805. doi: https://doi.org/10.1111/j.1471-6712.2011.00885.x.

    Roden, J. et al. (2016) ‘Australian Rural, Remote and Urban Community Nurses’ Health Promotion Role and Function’, Health promotion international, 31(3), pp. 704–714. doi: https://doi.org/10.1093/heapro/dav018.

    Saarmann, L., Daugherty, J. and Riegel, B. (2002) ‘Teaching Staff a Brief Cognitive-Behavioral Intervention’, Medsurg Nurs, 11(3), p. 144.

    Shosa, G. A. (2017) ‘Employment of Colaizzi’s Strategy in Descriptive Phenomenology: A Reflection of A Researcher’, European Scientific Journal, 8(27), pp. 31–43. doi: https://doi.org/10.1038/s41598-017-09255-5.

    Stanhope, M. and Lancaster, J. (2020) Public Health Nursing: Population Centered Health Care in The Community. 10th Edition. Canada: Elsevier.

    Stanik-Hutt, J. et al. (2013) ‘The Quality and Effectiveness of Care Provided by Nurse Practitioners’, Journal for Nurse Practitioners, 9(8), pp. 492-500.13. doi: https://doi.org/10.1016/j.nurpra.2013.07.004.

    Streubert, H. J. and Carpenter, D. R. (2011) Qualitative Research in Nursing : Advancing The Humanistic Imperative. Philadelphia: Lippincott Williams & Wilkins.

    Suparto, T. A., Sunjaya, D. K. and Susanti, R. D. (2015) ‘Masalah-Masalah Program Posbindu Di Desa Dayeuhkolot, Kabupaten Bandung, Jawa Barat’, Jurnal Pendidikan Keperawatan Indonesia, 1(1), pp. 1–17. doi: https://doi.org/10.17509/jpki.v1i1.1185.

    Svedberg, P., Jormfeldt, H. and Arvidsson, B. (2003) ‘Patients’ Conceptions of How Health Processes Are Promoted in Mental Health Nursing. A Qualitative Study’, Journal of psychiatric and mental health nursing, 10(4), pp. 448–456. doi: https://doi.org/10.1046/j.1365-2850.2003.00633.x.

    Watson, J. (2003) ‘Love and Caring Ethics of Face and Hand—An Invitation to Return to the Heart and Soul of Nursing and our Deep Humanity’, Nursing Administration Quarterly, 27(3), pp. 197–202. doi: https://doi.org/10.1097/00006216-200307000-00005.

    Whitehead, D. (2009) ‘Reconciling the differences between health promotion in nursing and “general” health promotion’, International Journal of Nursing Studies, 46(6), pp. 865–874. doi: https://doi.org/10.1016/j.ijnurstu.2008.12.014.

    WHO (2014) Global status report on non-communicable diseases 2014. Geneva.

    WHO (2017a) Non-Communicable Diseases, Progress Monitor 2017. Geneva.

    WHO (2017b) Status of The Health-Related SDGs. Geneva.

    Wilhelmsson, S. and Lindberg, M. (2009) ‘Health Promotion: Facilitators and Barriers Perceived by District Nurses’, International Journal of Nursing Practice, 15(3), pp. 156–163. doi: https://doi.org/10.1111/j.1440-172X.2009.01740.x.

    Worthmann, H. et al. (2013) ‘Educational Campaign on Stroke in an Urban Population in Northern Germany: Influence on Public Stroke Awareness and Knowledge’, International Journal of Stroke, 8(5), pp. 286–292. doi: https://doi.org/10.1111/j.1747-4949.2012.00809.x.

    Yuniarti, Y., Shaluhiyah, Z. and Widjanarko, B. (2012) ‘Kinerja Petugas Penyuluh Kesehatan Masyarakat dalam Praktek Promosi Kesehatan di Dinas Kesehatan Kabupaten Pati’, Jurnal Promosi Kesehatan Indonesia, 7(2), pp. 165–173. doi: https://doi.org/10.14710/jpki.7.2.165-173.