A telenursing application Innovation based on local wisdom in nursing care for chronic disease patients
DOI: https://doi.org/10.33024/minh.v8i5.794
Application Chronic Diseases Suster Kita
Abstract
Background: Patients with chronic diseases generally experience repeated hospitalizations. Cultural diversity can affect communication and engagement from health care providers and recipients. An interactive culturally sensitive telenursing application is needed as a form of continuous nursing intervention when patients are at home.
Purpose: To build and test the culturally sensitive telenursing application of Suster Kita.
Method: Using the ADDIE (Analysis, Design, Development, Implementation, Evaluation) process design. The research was conducted from August 2022 to February 2024 and tested on 20 respondents in the DKI Jakarta area. The evaluation of the effectiveness of the Suster Kita culturally sensitive telenursing application at the implementation stage was carried out using a questionnaire on the use of the application developed by the research team. The final results of the application are evaluated 2 weeks after the respondent uses the application.
Results: the use of the application showed that the average knowledge of chronic diseases and their treatment consisting of 10 knowledge components increased before and after the trial of the use of the culturally sensitive application of Suster Kita.
Conclusion: the intervention is acceptable to users and is worth using. Application suggestions are integrated with laboratory results.
Downloads
References
Aliyanto, W., Suarni, L., Sono, S., & Hajar, A. I. (2021). Pengembangan Telehealth “SIPISPeKa” sebagai Solusi Mensukseskan Program Indonesia Sehat dengan Pendekatan Keluarga (PIS-PK) (Doctoral dissertation, Poltekkes Tanjungkarang).
Altuwayrib, S., Win, K. T., & Freeman, M. (2024). Medication Adherence Support Applications for Chronic Arthritis Patients: Healthcare Providers’ Perspective in Saudi Arabia. In MEDINFO 2023—The Future Is Accessible (pp. 1056-1060). IOS Press.
American Telemedicine Association. (2018). Telehealth nursing fact sheet. ATA Telehealth Nursing Special Interest Group. Accessed from: https://www.americantelemed.org/wp-content/uploads/resources/Telehealth_Nursing_Fact_Sheet_04_25_2018.pdf
Aria, R., & Archer, N. (2020). An online mobile/desktop application for supporting sustainable chronic disease self-management and lifestyle change. Health Informatics Journal, 26(4), 2860-2876.
Atmiroseva, A., & Nurwahyuni, A. (2017). Inpatient Readmission Insidence of National Health Insurance Patients at Partner Hospitals of BPJS- Health in Sukabumi 2015. Journal of Indonesian Health Policy and Administration, 02(2), 20–24.
Bahr, S. J., Bang, J., Yakusheva, O., Bobay, K. L., Krejci, J., Costa, L., Hughes, R. G., Hamilton, M., Siclovan, D. M., & Weiss, M. E. (2020). Nurse Continuity at Discharge and Return to Hospital. Nursing Research, 69(3), 186–196.
Barker, I., Steventon, A., & Deeny, S. R. (2017). Association between continuity of care in general practice and hospital admissions for ambulatory care sensitive conditions: cross sectional study of routinely collected, person level data. BMJ, 356(j84).
Bautista, L. H., Bingham, S., & Sterling, M. (2021). Reducing Stroke Readmission Through the Implementation of Telehealth [University of St. Augustine for Health Sciences]. In University of St Augustine for Health Sciences.
Borja, A. C. (2024). Digital Transformation Enhancing Patient Engagement Using Mobile Health Apps. Tres Astronautas.
Brunner-La Rocca, H. P., Peden, C. J., Soong, J., Holman, P. A., Bogdanovskaya, M., & Barclay, L. (2020). Reasons for Readmission After Hospital Discharge in Patients with Chronic Diseases- Information from An International Dataset. PLoS ONE, 15, 1–19.
Chapman-Goetz, J., Packham, N., Yu, K., Gabb, G., Potts, C., Prosser, A., & Suppiah, V. (2023). NPS MedicineWise application in supporting medication adherence in chronic heart failure: an acceptability and feasibility pilot study. Frontiers in Digital Health, 5, 1274355.
Chike-Harris, K. E. (2024). The role of the advanced practice registered nurse in implementing telehealth practice. In Telehealth essentials for advanced practice nursing (pp. 121-140). Routledge.
Denieffe, S., Denny, M., & White, M. (2022). Embracing and sustaining telehealth progress: The role of the nurse manager. Journal of Nursing Management, 30(7).
Fan, K., & Zhao, Y. (2022). Mobile health technology: a novel tool in chronic disease management. Intelligent Medicine, 2(1), 41-47.
Fandinata, S. S., Lubada, E. I., Ulfa, N. M., & Darmawan, R. (2022). Intervention Digital Medication Reminder App to Improve Hypertension Patient's Self-Management Medication Adherence. STRADA: Jurnal Ilmiah Kesehatan, 11(2), 117-125.
Fernández, C., Vicente, M. A., Guilabert, M., Carrillo, I., & Mira, J. J. (2023). Developing a mobile health app for chronic illness management: Insights from focus groups. Digital Health, 9, 20552076231210662.
Fuller, R. L., Atkinson, G., Mccullough, E. C., & Hughes, J. S. (2013). Hospital Readmission Rates: The Impacts of Age, Payer, and Mental Health Diagnoses. J Ambulatory Care Manage, 36(2), 147–155.
Gustin, T., & Rutledge, C. M. (2021). Preparing Nurses for Roles in Telehealth: Now is the Time. OJIN: The Online Journal of Issues in Nursing, 26(1), 1-13.
Guzmán, M. D. C. G., Ferreira, A., & Andrade, S. R. D. (2020). Rol enfermero para continuidad del cuidado en el alta hospitalaria. Texto & Contexto-Enfermagem, 29, e20190268.
Henke, R. M., Karaca, Z., Lin, H., Wier, L. M., Marder, W., & Wong, H. S. (2015). Patient Factors Contributing to Variation in Same-Hospital Readmission Rate. Medical Care Research and Review, 72(3), 338–358.
Hoyer, E. H., Odonkor, C. A., Bhatia, S. N., Leung, C., Deutschendorf, A., & Brotman, D. J. (2016). Association Between Days to Complete Inpatient Discharge Summaries With All-Payer Hospital Readmissions in Maryland. Journal of Hospital Medicine, 11(6), 393–400.
Izzati, V. A., & Firmanto, Y. (2021). Analisis Kepuasan Pengguna Aplikasi Kesehatan Halodoc Melalui Model End User Computing Satisfaction Selama Masa Pandemi Covid-19. Jurnal Ilmiah Mahasiswa FEB, 9(2), 1-16.
Kalaitzaki, A., Rovithis, M., Dimitropoulos, A., Koukouli, S., Linardakis, M., Katsiri, E., & Stavropoulou, A. (2023). Promoting self-management and independent living of older individuals with chronic diseases through technology: a study of self-reported needs, priorities, and preferences. Medicina, 59(8), 1493.
Kalumata, E. M., Waleleng, G. J., & Kalangi, J. S. (2021). Pengaruh Penggunaan Aplikasi Halodoc Terhadap Pemenuhan Kebutuhan Informasi Kesehatan di Kelurahan Paniki Bawah Kecamatan Mapanget Kota Manado. Acta Diurna Komunikasi, 3(4).
Lu, C., Hu, Y., Xie, J., Fu, Q., Leigh, I., Governor, S., & Wang, G. (2018). The use of mobile health applications to improve patient experience: cross-sectional study in Chinese public hospitals. JMIR mHealth and uHealth, 6(5), e9145.
Ma, L. C., Liu, Y. M., Lin, Y. C., Liao, C. T., Hung, K. C., Chen, R., & Zheng, C. M. (2022). Factors influencing self-management behaviors among hemodialysis patients. Journal of personalized medicine, 12(11), 1816.
Meurs, E. A., Siegert, C. E., Uitvlugt, E., Morabet, N. E., Stoffels, R. J., Schölvinck, D. W., & Karapinar-Çarkit, F. (2021). Clinical characteristics and risk factors of preventable hospital readmissions within 30 days. Scientific Reports, 11(1), 20172.
Miedaner, F., Allendorf, A., Kuntz, L., Woopen, C., & Roth, B. (2016). The Role of Nursing Team Continuity in The Treatment of Very-Low-Birth-Weight Infants: Findings From A Pilot Study. Journal of Nursing Management, 24(4), 458–464.
Ministry of Health of the Republic of Indonesia. (2020). Laporan Akuntabilitas Kinerja Instansi Pemerintah Unit Pelayanan Kesehatan. Direktorat Jenderal Pelayanan Kesehatan. Accessed from: https://r.search.yahoo.com/_ylt=AwrKAxiAAHxoAQIAYEbLQwx.;_ylu=Y29sbwNzZzMEcG9zAzEEdnRpZAMEc2VjA3Ny/RV=2/RE=1754166657/RO=10/RU=https%3a%2f%2fupk.kemkes.go.id%2fnew%2fdownload%2f1eb4755134062b650e28eeb38a0be891.pdf/RK=2/RS=a3CGrejCVtLCXX8_4s4vlNhj.cA-
Ministry of Health of the Republic of Indonesia. (2021). Health Technology Transformation. Health Digital Transformation Strategy Blueprint 2024. Accessed from: https://www.kemkes.go.id/
Ministry of Health of the Republic of Indonesia. (2023). Decree of the Director General of Health Services Number HK.02.02/D/1131/2023 concerning Technical Instructions for the Use of the Integrated Referral Information System Application. Accessed from: https://yankes.kemkes.go.id/unduhan/fileunduhan_1706436147_906753.pdf
Ministry of Health of the Republic of Indonesia. (2024). Keputusan Menteri Kesehatan Nomor HK.01.07/MENKES/1596/2024 Tentang Standar Akreditasi Rumah Sakit. Accessed from: https://peraturan.infoasn.id/keputusan-menteri-kesehatan-nomor-hk-01-07-menkes-1596-2024/
National Council of State Boards of Nursing. (2014). The NCSBN position paper on telehealth nurse practice. Accessed from: https://www.ncsbn.org/papers/the-ncsbn-position-paper-on-telehealth-nursing-practice
Osokpo, O., & Riegel, B. (2021). Cultural factors influencing self-care by persons with cardiovascular disease: An integrative review. International Journal of Nursing Studies, 116.
Park, H. R., Kang, H. S., Kim, S. H., & Singh-Carlson, S. (2022). Effect of a smart pill bottle reminder intervention on medication adherence, self-efficacy, and depression in breast cancer survivors. Cancer nursing, 45(6), E874-E882.
Piscesiana, E., & Afriyani, T. (2020). The Effect of Telenursing on Preventing Re-admission among Patients with Heart Failure: A Literature Review. International Journal of Nursing and Health Services (IJNHS), 3(2), 662–671.
Rahmawati, I. N. (2024). Penerapan Aplikasi e-Health Education untuk Meningkatkan Pengetahuan, Perawatan Diri Pasien, dan Kesiapan Keluarga dalam Merawat Pasien dengan Penyakit Kronis di Rumah. Tri Dharma Mandiri: Diseminasi dan Hilirisasi Riset kepada Masyarakat (Jurnal Pengabdian kepada Masyarakat), 4(1), 22-32.
Relawati, A., Syafriati, A., Al Hasbi, H., & Fitria, P. N. (2018). Edukasi pasien chronic kidney disease berbasis aplikasi android: buku saku pasien. Journal of Health Studies, 2(2), 1-7.
Schweickert, P., Schweickert, P. A., Rutledge, C., & Rutledge, C. M. (2024). Telehealth essentials for advanced practice nursing. Taylor & Francis.
Shao, Y., Hu, H., Liang, Y., Hong, Y., Yu, Y., Liu, C., & Xu, Y. (2023). Health literacy interventions among patients with chronic diseases: A meta-analysis of randomized controlled trials. Patient Education and Counseling, 114, 107829.
Siallagan, A., Suza, D. E., & Ariani, Y. (2018). Transitional Care pada Pasien Gagal Jantung di Rumah Sakit di Kota Medan: Preliminary Study. Talenta Conference Series: Tropical Medicine (TM), 1(2), 381–386.
Slama-Chaudhry, A., Golay, A., & World Health Organization. (2019). Patient education and self-management support for chronic disease: methodology for implementing patient-tailored therapeutic programmes. Public health panorama, 5(2-3), 357-361.
Slametiningsih, S., Yunitri, N., Hendra, H., & Nuraenah, N. (2021). Rancang Bangun Applikasi Telenursing Me-Co Care Berbasis Mobile Dalam Pelayanan Keperawatan Jiwa Komunitas. Just IT: Jurnal Sistem Informasi, Teknologi Informasi, dan Komputer, 63-70.
Srisuwattananun, N., & Pongsathonviboon, K. (2023). The effects of a health-belief-promoting program for antiplatelet medication combined with online pillbox reminder on medication adherence among patients with myocardial infarction undergoing percutaneous coronary intervention. Journal of The Police Nurses and Health Science, 15(1), 74–86.
Downloads
Published
Issue
Section
License
Copyright (c) 2025 Antia Antia
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
