The 4th International Conference on Nursing

Author :

Septi Dewi Rachmawati, Rinik Eko Kapti, Lailatul Fitria, Yulia Rochmawati

Affiliation :

School of Nursing, Universitas Brawijaya, Malang, Indonesia

Abstract :

Introduction Assessment of development delay in young children implemented manually has driven to time consuming and less practicable resulting in stressful documentation and overload work burden. Applying information technology tool based is considered as an alternative. The study aimed to identify stress and motivation of health cadres in Malang Indonesia during the implementation of paper and computerized based Child Growth and Development Early Detection tool . Methods A Mix Method study was conducted with convergent parallel approach: Quantitative & Qualitative (concurrent). The experimental quantitative study applied purposive technique sampling for recruiting 22 respondents: divided into paper (11) and computerized-based group (11) for 3 weeks of application. The qualitative study explored health cadres’ experiences through Focus Group Discussion (FGD) data collection method. Braun and Clarke stages of data analysis was applied to determine themes. Results Health cadres’ stress level decreased after computerized application (p=0.000) in contradiction to paper-based group (p=0.970). Independent t-Test showed a significant difference of stress level between two group (p<0.05). Regarding motivation level, interestingly, both groups experienced increased motivation (computerized and paper-based p=0.006 &0.027 respectively), meanwhile Mann Whitney test indicated a significant difference between both group (p=0.047). Turn to qualitative study, evolved themes included being between stressful and excited; technology gap appearing; spirit of welcoming digital era; unexplained feeling of satisfaction; confidentially and privacy data concern; worried about sustainability. Conclusions Computerized based tool for examination lead to lower stress and higher motivation compared to paper based. It is suggested to conduct further research with long-term application period.

Keywords :

Early Detection; Growth and Development; Children; Stress; Motivation; Health Cadres