skip to main content

Validity and Reliability of Indonesian Public Health Nursing Competencies in Achieving Indonesian Healthy Program with a Family Approach: A Pilot Study

*Tantut Susanto orcid scopus  -  Universitas Jember, Indonesia
Latifa Aini Susumaningrum  -  Universitas Jember, Indonesia
Hanny Rasni  -  Universitas Jember, Indonesia
Rismawan Adi Yunanto  -  Universitas Jember, Indonesia
Open Access Copyright (c) 2021 Nurse Media Journal of Nursing
Creative Commons License This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

Citation Format:
Abstract

Background: Indonesia has the Indonesian Healthy Program with a Family Approach (IHP-FA) to solve various health problems in the country. The public health providers in Indonesia play a very vital role in realizing this program. There have not been clear reference standards regarding the Indonesian Public Health Nursing (IPHN) competencies. This condition causes the provision of nursing services in public health centers (PHCs) to be suboptimal.
Purpose: This study aimed to identify the validity and reliability of the core competencies of IPHN standards in a practice setting to achieve the IHP-FA.
Methods: A pilot study using a descriptive correlational study was conducted among 55 coordinators of public health nursing (PHN) program from 50 PHCs in Jember, Indonesia. The IPHN practices were accessed using the five PHN core competencies (including activities in PHCs and nursing care for follow-up patients, family, special needs group in the community, and community). The IHP-FA was measured using 12 indicators. Content Validity Index (CVI) was used to examine the validity of core competencies. Internal consistency was explored using Cronbach’ α coefficient. Construct validity using the known-groups technique was explored to measure the correlational between IPHN competencies and indicator of IHP-FA.
Results: The CVI indicated adequate content validity (0.80-0.10) and high reliability (Cronbach’s alpha coefficient=0.81). There was a significant correlation between five core IPHN competencies and achievement of IHP-FA (safe birth delivery, immunization, growth and development, management of tuberculosis, smoking, and access to clean water).
Conclusion: IPHN competencies contain valid, reliable, and psychometrically robust measures. However, some programs in IHP-FA could not be achieved with five core IPHN competencies, demonstrating the need for developing the IPHN competencies in the future.

Background: Indonesia has the Indonesian Healthy Program with a Family Approach (IHP-FA) to solve various health problems in the country. The public health providers in Indonesiaplay a very vital role in realizing this program. There have not been clear reference standards regarding the Indonesian Public Health Nursing (IPHN) competencies. This condition causes the provision of nursing services in public health centers (PHCs) to be suboptimal.

Purpose: This study aimed to identify the validity and reliability of the core competencies of IPHN standards in a practice setting to achieve the IHP-FA.

Methods: A pilot study using a descriptive correlational study was conducted among 55 coordinators of public health nursing (PHN) programfrom 50 PHCs in Jember, Indonesia. The IPHN practices were accessed using the five PHNcorecompetencies (including activities in PHCs and nursing care for follow-up patients, family, special needs group in the community, and community). The IHP-FA was measured using 12 indicators. Content Validity Index (CVI) was used to examine the validity of core competencies. Internal consistency was explored using Cronbach’α coefficient. Construct validity using the known-groups technique was explored to measure the correlational between IPHN competencies and indicator of IHP-FA.

Results: The CVI indicated adequate content validity (0.80-0.10) and high reliability (Cronbach’s alpha coefficient=0.81). There was a significant correlation between five core IPHN competencies and achievement of IHP-FA (safebirth delivery, immunization, growth and development, management of tuberculosis, smoking, and access to clean water).

Conclusion: IPHN competencies contain valid, reliable, and psychometrically robust measures. However, some programs in IHP-FA could not be achieved with five core IPHN competencies, demonstrating the need for developing the IPHN competencies in the future.
Fulltext View|Download
Keywords: Community; competency; family; public health nurse; public health nursing
Funding: LP2M Universitas Jember

Article Metrics:

Article Info
Section: Articles
Language : EN
Statistics:
Share:
  1. Bigbee, J. L., Otterness, N., & Gehrke, P. (2010). Public health nursing competency in a rural/frontier state. Public Health Nursing, 27(3), 270–276. https://doi.org/10.1111/j.1525-1446.2010.00853.x
  2. Hewitt, C. M., Roye, C., & Gebbie, K. M. (2014). Core competency model for the family planning public health nurse. Public Health Nursing, 31(5), 472–479. https://doi.org/10.1111/phn.12133
  3. Low, W. Y., Lee, Y. K., & Samy, A. L. (2015). Non-communicable diseases in the Asia-Pacific region: Prevalence, risk factors, and community-based prevention. International Journal of Occupational Medicine & Environmental Health, 28(1), 20–26. https://doi.org/10.2478/s13382-014-0326-0
  4. Ministry of Health Republic of Indonesia. (2006). KMK no. 279 tentang pedoman penyelengaraan upaya keperawatan kesehatan masyarakat di puskesmas [KMK no. 279 concerning guidelines for the implementation of public health nursing efforts in community health centers]. Kementerian Kesehatan Republik Indonesia
  5. Ministry of Health Republic of Indonesia. (2016a). Pedoman umum program Indonesia sehat dengan pendekatan keluarga [General guidelines for healthy Indonesia program with a family approach] (1st ed.). Kementerian Kesehatan Republik Indonesia
  6. Ministry of Health of Republic Indonesia. (2016b). Peraturan Menteri Kesehatan No. 39 Tahun 2016, Pedoman Penyelenggaraan Program Indonesia Sehat Dengan Pendekatan Keluarga [Minister of Health Regulation No. 39 of 2016, Guidelines for Implementing Healthy Indonesia Programs with a Family Approach]. Kementerian Kesehatan Republik Indonesia
  7. Ministry of Health Republic of Indonesia. (2018). Hasil utama riset kesehatan dasar (Riskesdas) 2018 [Main results of basic health research (Rikesdas) 2018]. https://www.litbang.kemkes.go.id/hasil-utama-riskesdas-2018/
  8. Rahayu, N. H. (2017). Menggapai asa melalui Nawa Cita [Reaching the dream through Nawa Cita]. Simpul Perencana, 29(14), 1–86
  9. Ng, N. (2006). Chronic disease risk factors in a traditional country: The case of rural Indonesia. Folkhälsa och klinisk medicin. http://www.diva-portal.org/smash/record.jsf?pid=diva2%3A144482&dswid=881
  10. Nur, S., Yumni, H., Minarti, & Susanto, T. (2017). Structural model of factors relating to the health promotion behavior of reproductive health among Indonesian adolescents. International Journal of Nursing Sciences, 4(4), 367–373. https://doi.org/10.1016/j.ijnss.2017.10.001
  11. Pender, N.J., Murdaugh, C. L., & Parsons, M.A. (2016). Health promotion in nursing practice (7th ed.). Pearsons
  12. Polit, D. F., & Beck, C. T. (2017). Essentials of nursing research: Appraising evidence for nursing practice (9th ed.). Wolters Kluwer Health, Lippincott Williams & Wilkins
  13. Polivka, B. J., & Chaudry, R. V. (2015). Public health nursing position descriptions congruence with ana standards, public health essential services, and quad council domains. Public Health Nursing, 32(5), 532–542. https://doi.org/10.1111/phn.12148
  14. Reckinger, D., Cross, S., Block, D. E., Josten, L., & Savik, K. (2013). Public health nursing competency instrument: Scale reduction and reliability of factors. Public Health Nursing, 30(6), 566–574. https://doi.org/10.1111/phn.12032
  15. Susanti, I. A., Mahardita, N. G. P., Alfianto, R., Sujana, I. M. I. W. C., Siswoyo, & Susanto, T. (2018). Social stigma, adherence to medication and motivation for healing: A cross-sectional study of leprosy patients at Jember public health center, Indonesia. Journal of Taibah University Medical Sciences, 13(1), 97–102. https://doi.org/10.1016/j.jtumed.2017.06.006
  16. Susanto, T. (2018). Public health nurse services for maternal-child immigrant healthcare: A literature review. Central European Journal of Nursing and Midwifery, 9(2), 848–854. https://doi.org/10.15452/CEJNM.2018.09.0014
  17. Susanto, T., Arisandi, D., Kumakura, R., Oda, A., Koike, M., Tsuda, A., Kimura, R., Tabuchi, N., & Sugama, J. (2018). Development and testing of the family structure and family functions scale for parents providing adolescent reproductive health based on the Friedman family assessment model. Journal of Nursing Measurement, 26(2), 1–20
  18. Susanto, T., Bachtiar, S., & Turwantoko, T. (2019). Performance of public health nurses and coverage of the nursing care program by community health centers in Jember, Indonesia. International Journal of Community Based Nursing and Midwifery, 7(2), 161–168
  19. Susanto, T., Sulistyorini, L., Wuryaningsih, E. W., & Bahtiar, S. (2016). School health promotion: A cross-sectional study on clean and healthy living program behavior (CHLB) among Islamic boarding schools in Indonesia. International Journal of Nursing Sciences, 3(3), 291–298. https://doi.org/10.1016/j.ijnss.2016.08.007
  20. Susanto, T., Yunanto, R. A., Rasny, H., Susumaningrum, L. A., & Nur, K. R. M. (2019). Promoting children growth and development: A community-based cluster randomized controlled trial in rural areas of Indonesia. Public Health Nursing, 36(4), 514-524. https://doi.org/10.1111/phn.12620
  21. Swider, S. M., Krothe, J., Reyes, D., & Cravetz, M. (2013). The quad council practice competencies for public health nursing. Public Health Nursing, 30(6), 519–536. https://doi.org/10.1111/phn.12090
  22. World Health Organization. (2018). Progress towards the SDGs : A selection of data from World Health Statistics 2018. http://www.who.int/gho/publications/world_health_statistics/2018/EN_WHS2018_SDGhighlights.pdf?ua=1
  23. Widyarani, D., Susanto, T., Wahyuni, D. Pham, H.T.T. (2020). Identifying community/public health nursing competencies in indonesia: A modified delphi method. Nurse Media Journal of Nursing, 10(3), 350-360. https://doi.org/10.14710/nmjn.v10i3.29435
  24. Witt, R. R., & de Almeida, M. C. P. (2008). Identification of nurses’ competencies in primary health care through a Delphi study in Southern Brazil. Public Health Nursing, 25(4), 336–343. https://doi.org/10.1111/j.1525-1446.2008.00714.x

Last update:

No citation recorded.

Last update: 2021-09-16 13:42:13

No citation recorded.