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Language Grade/Level
İngilizce - / Intermediate
Letter of Intent
I have finished my bachelor's degree at the Faculty of Nursing Universitas Airlangga. There are five
departments or specialization in My faculty. Those are surgical and critical nursing, basic nursing and nursing
management, mental and community health of nursing, and Maternal-child nursing. My research at Bachelor's
degree was about the productivity level of patients with chronic kidney disease undergoing hemodialysis. The
scope of this research included medical surgical nursing and community nursing. In communities, there are a
lot of people who suffer from an illness needs support from people around them. The community and health
care providers have an important role in this matter. That's why I plan to deepen my science in nursing namely
community health nursing. Community health nursing is similar to public health science. The public health
department has a broad scope of knowledge, which one of them is children's health. I also love the child health
scope in the Community of nursing. some of my research also discusses children's health and I believe that
Turkey is one of the countries with the best education quality in the world which can develop my keen interest
in the community and the child. I was inspired by Dr. Ihsan Doğramacı who had the first idea of establishing a
child health center in the slum settlements around the Dört Yol neighborhood and Hacettepe Park, one of the
first residential areas of Ankara. The project which was developed in 1951 aimed to bring quality to basic public
health care services and child health-care and to become a model for other existing hospitals with the
education provided. Know, I am planning to develop a health community and child trough my research program.
Turkey has a good education system and I hope to become a good health educator and obtain health
innovations that also can be applied to improve the health status of Indonesia in the future.
In this section, it is expected to explain following details: your academic and social experiences relating the field you want to take an education, your
reasons for choosing Turkey for study and the importance of your future plans for your education and scholarship in Turkey.You can write the letter
of intent in the language you can express yourself.
Public Health
1- Subject of study
The development model of family role to sedentary lifestyle in Pediatric based on the theory of planned
behavior and family-centered nursing
2- Working Title (Up to 15 words)(Please write in short and concise terms the title of your work as a thesis or an article title.)
A sedentary lifestyle in pediatric is one of the causes of obesity and other health problems. Sedentary lifestyle
in pediatric that is uncontrolled mainly occurs at home because there are no regulations that regulate the time
spent on using HP or watching TV. The role of the family which can be determining factor for pediatric lifestyle
males the study of family needs to be considered. Family-Centered Nursing can be used as a basic concept of
theory to identify family factors and provide a family-centered nursing care model. This theory has not identified
the main factors of belief that influence family intention to change previous habits in carrying out family roles,
therefore Ajzen theory will be added, namely the Theory of Planned Behavior. Based on these problems, this
study aims to develop a family role model for the sedentary lifestyle of family-centered nursing and the theory of
planned behavior.
3- Analysis of the Problem (at least 75, maximum 300 words)(In this section, briefly describe the topic and your theory (concept map) to be used in
the study.)
This research uses explanative survey design with cross sectional Approach.
4- Research Method (minimum 50 maximum 300 words)"(Give information about the academic research methods you intend to use in this study. For
example, in-depth interviews, observations, surveys, experiments, etc.) For example, in-depth interviews, observations, surveys, experiments, etc.)
1)Pediatric Concept 2)Family Concept 3)Family Role Concept 4)Sedentary Lifestyle Concept 5)Family-
Centered Nursing Model (Friedman et al. 2010) 6)Theory of Planned Behavior
5- General Structure of the Study (at least 75, maximum 300 words)Write the main headings of the study.)
This research is used as a reference for a family to educate children preventing sedentary behavior which
increase the risk of obesity or other medical disorders caused by lack of activities
6- Academic Contribution of the Study (minimum 75, maximum 300 words) (Explain how this study will contribute to your academic field.)
1. Prapavessis, H, 2015. The Theory of Planned Behavior as a model for understanding sedentary behavior.
Psychology of Sport &Exercise, 2. Viitasalo Anna, et.al. Individualized and Family-based Lifestyle Intervention
on Physical Activity, Sedentary Behavior, and Diet in Children, Preventive Medicine (2016), 3. Kimberly R.
Hartson, et. al. 2018. Correlates of Physical Activity and Sedentary Behaviors Among Overweight Hispanic
School-aged Children. Journal of Pediatric Nursing 40 (2018)
7- Literature Review (at least 75, maximum 300 words)(Please write down the main academic sources written in this study area.)
-
If you have a subject in your application documents that you think is not clear enough and you want to explain, or if you want to draw the attention of
the evaluation committee, please briefly explain in this section. You can write the description in the language you can express yourself.
Field Questions
Family Information Total Monthly Income : 50-100 ($)
MAHMUD / No - -/-
Father’s Name / Is your father alive? The institution/company your father works at Your Father’s Occupation / Title/Position
+6285859515762 +6285859515762
Phone (Home) Mobile Phone
Jamsaren I Street / 5A /
Street / Building Number / Door Number
Academic Qualification
Social Activities
Award,
Project,
Certificate
Type Name Field Date Institution Description
Award Awardee Religion and 28.02.2018 IYEES Award as Delegation to this confence.
program of Humanities
International
Islamic
Conference
Award youth Ecopreneur 29.04.2016 Universitas Airlangga Award as Selected Participant in YSEALI Earth
ecopreneur Feat YSEALI Day. It is like an ecopreneur competition. We
challenges presented our action plan about how to make a
program which safe environment.
Award 2nd winner of Health 6.11.2016 Faculty of Nursing It is a scientific writing competition. We make an
Islamic Health Universitas Airlangga essay about some topic and we presented this
Essay essay to all audience and the judges. I got award
Competition as Runner Up
Award 1st winner of Health 14.10.2017 Faculty of Nursing, It is a scientific writing competition. We made an
Islamic Health Universitas Airlangga essay about some topic and we presented this
Essay essay to all audiences and the judges. I got Award
Competition as The 1st Winner
Award Finalist of Autism World 13.05.2017 Universitas Jambi It is scientific writing competition. We make an
National Essay Day Indonesia essay about some topic and we presented this
Competition essay to all audience and the judges. I got the top
ten finalist
Certificate Basic Training of Training 27.07.2018 Indonesian National Basic Training of Cardiac Life Support is a training
Cardiac Life Certificate Nurse Association program for a bachelor's nurse about emergency
Support management for the patient.
Certificate Syahadah Memorizing 9.11.2019 Ikhwan Al Haromain Final evaluation for tahfidz (memorizing Qur'an)
Qur'an Tahfidzil Quran program
Certificate Boarding School
Surabaya
Award the most Memorizing 31.12.2018 Ikhwan Al Haromain It is awarding to the student who has many
memorization Qur'an Tahfidzil Quran memorizations of the Qur'an. I got the second
Boarding School hope campion.
Surabaya
Award Chemistry Chemistry 11.11.2011 Chemistry Departement It is a national chemistry competition for students
Competition Competition of Faculty of Science of senior high school. In this competition, I got
and Technology og semifinals or top ten participants.
Universitas Airlangga
Projects National Paper 21.11.2015 Bidikmisi Universitas I am to be the captain for this project. The goal
Scientific Writing competition Airlangga project is building the writing skill and enhance
Competition their academic
Award, Person/organisation
Project, that offered
Certificate Level Scholarship Scholarship Year of scholarship
Type Field Name Title Field Scholarship (Sponsor) Description
bachelor's
students cannot
afford
financially but
have good
academic
Internship Experience
Nurul Hayat boarding school / I teach childrens about Reading Al-Qur'an such as Tahsin and
Tahfidz(memorizing). Currently I still teach / 2 Month
Company/Institution Name / Subject/topic of Internship / Duration of Internship
Academic Activities
Information on Hobbies
I like to read a book that is like a novel, motivation book, biography. And I like to listen to music and singing.
Book Music
Other
Voluntary Activities
Institution/NGO
Name you served at Description
KKN-BBM Universitas Airlangga community service activities organized by the university. the aim is to find solutions to problems
and develop the potential of disadvantaged areas
Seminar of BSMI Surabaya This activity contains a seminar for elementary school children about the dangers of free sex,
HIV AIDS drugs and HIV AIDS
Reference Information
This
information
belongs to
my
Company/Institution academic
Name Surname Name Title/Position reference. Phone E-mail
Nursalam Nursalam Faculty of Nursing UNAIR Dean of Nursing Yes 081339650000 nursalam@fkp.unair.ac.id
Faculty
Ah. Yusuf Faculty of Nursing UNAIR Vice Dean 3 of Yes 08123298571 ah-yusuf@fkp.unair.ac.id
Nursing Faculty
Hanik Endang Faculty of Nursing UNAIR Person in charge Yes 081553344704 hanik-e-
Nihayati of Muslim Student n@fkp.unair.ac.id
Organization
Interview Location
Education Information
Undergraduate (Graduate)
Universitas Airlangga / THE FACULTY OF NURSİNG / Public Health
University / Faculty/Graduate School / Department
Indonesia / Surabaya (Kota) 4 / 3.40
Country / City Grading System / Grade
01/09/2014 - 08/08/2018
Start date / Graduation Date
Associate (Graduate)
Universitas Airlangga / THE FACULTY OF NURSİNG / Public Health
University / Faculty/Graduate School / Department
Indonesia / Surabaya (Kota) 4 / 3.81
Country / City Grading System / Grade
13/08/2018 - 18/07/2019
Start date / Graduation Date
My Applications
You have no previous applications.
Turkiye Experience
-/- No
Start date / Graduation Date Have you ever received a scholarship from any institution or
organisation in Turkey?
- Friend / Relative
Institution/organisation that provided the scholarship Please specify how you learned about this scholarship?
No No
Do you have a relative who is currently or was previously a holder of a Do you have any relatives living in Turkey?
Türkiye Scholarship?