Nursalam Nursalam, Ferry Efendi, Ulfa Husnul Fata

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Introduction :Retirement is separation process of individual from their work that is being paid from their position or occupation. Retirement may change psychological responses. The aimed of this study was to analyze the influence of peer group support in psychological responses changes from public servant in retirement preparation phase. Method : This study was used an quasy experimental pre-post test purposive sampling design. Population were 18 respondents who will retire on 2009 and 2010 in Mardiwaluyo General Hospital Blitar. Sample were 16 respondents divided into 8 respondents each for treatment and control group. The independent variable was peer group support and dependent variable was psychological responses. Data were collected by using questionnaire before and after peer group support intervention. Data then analyzed by using Mann Whitney U Test and Wilcoxon Signed Rank Test with significance level ??0.05. Result: The result showed that peer group support didn’t have an influenced in denial respons (p=0.301), anger respons (p=0.317), bargaining respons (p=0.079) and depression respons (p=0.300). Otherwise peer group supporthave an influenced in acceptance respons (p=0.049). Discussion:  The result of this study has enlightened the important of retirement preparation phase to provide positive psychological responses. Further studies are recommended to extend this recearch with considering biological and spiritual responses.

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Improving village health post (Ponkesdes) nurses’ performance, which model should be used?

Improving village health post (Ponkesdes) nurses’ performance, which model should be used?

Dwi Ananto Wibrata, Tjipto Suwandi, Mr Nursalam, Siti Nur Kholifah, Ferry Efendi



Background: Village Health Post (Ponkesdes) has become a part of Public Health Nursing (PHN) program since year 2009 which criticized has a poor performance. From 2910 Ponkesdes that spread all over East Java region, only 10% of nurses implemented PHN. This situation will hamper the regional health development particularly and the nation commonly.

Objective: The purpose of this study was to develop a new model to improve the performance of Ponkesdes nurses’ especially in implementing PHN.

Method: The method was an observational analytic with cross sectional approach. Multi stage random sampling was employed to decide the district and simple random sampling was assigned to choose the participants, a total of 117 Ponkesdes nurses involved in this study. The study conducted in four districts in East Java Province (Blitar, Jember, Lamongan, and Bangkalan). Data were collected by questionnaire on variables namely reinforcing, personal, cognitive, affective, commitment, interaction, and nurses’ performance factors. The Partial Least Squares (PLS)-method is used for constructing predictive model.

Results: This study found a new model which was developed based on combination of Health Promotion Model (HPM) and Health Interaction Model (HIM) with additional of reinforcing factor. Statistical result confirmed that personal, affection and interaction factors considered as important factors in improving Ponkesdes nurses’ performance.

Conclusion: Ponkesdes nurses’ performance will improve by considering three main factors, personal, affection and interaction. This model can be adapted by Provincial District Health Office East Java Province as the main actor in regional health development. In addition, this model may become a reference for other province in improving their nurses’ performance in community setting and other country that have similar program in PHN.