Journal title : Nurse and Health: Jurnal Keperawatan (NHJK) Initials : NHJK Frequency : 2 issues per year (July and December) DOI : Prefix 10.36720 Print ISSN : 2088-9909 Online ISSN : 2623-2448 Editor-in-chief : Dini Prastyo Wijayanti Publisher : Politeknik Kesehatan Kerta Cendekia collaboration with PPNI Journal Of Nursing Practice is an international open access journal (e-journal) which publishes the scientific works for nurse practitioners and researchers. The scope of this journal is articles in the fields of health, public health, and nursing (basic nursing, medical surgical nursing, pediatric nursing, maternity nursing, community health nursing, family nursing, emergency nursing, psychiatric and mental health nursing, gerontological nursing, and also nursing management). The NHJK Editorial team welcome and invite researchers from around the world to submit their papers (original research article, systematic review, and case study) for publication in this journal. Submitted papers must be written in English for initial review stage by editors and further review process by minimum two reviewers. Before submission, You have to make sure that your paper is prepared using the NHJK Journal Template, has been carefully proofread and polished, and conformed to the Author guidelines. Online Submissions Already have a Username/Password for Journal Of Nursing Practice Informatics? GO TO LOGIN Need a Username/Password? GO TO REGISTRATION Forget your password? Please contact us Registration and login are required to submit items online and to check the status of current submissions.
Institute for Research and Community Service of Health Polytechnic of Kerta Cendekia, Sidoarjo
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THE RELATIONSHIP BETWEEN FAMILY SUPPORT AND SELF-HARMING BEHAVIOR AMONG STUDENTS
Background: Mental health problems among university students are increasing and may lead to maladaptive coping behaviors, including self-harm. Self-harm is defined as intentional self-injury without suicidal intent, commonly used as a means of regulating emotional distress. Family support is considered a key protective factor that can enhance emotional stability and reduce the risk of self-harm behavior. Objective: This study aims to determine the relationship between family support and self-harming behavior in undergraduate nursing students at Muhammadiyah University of Surakarta Method: This research was quantitative with a correlational method. The sample used was 114 students, using a simple random sampling method. Data were collected using a demographic questionnaire, the Family Support Scale (FSS) consisting of 20 items, and the Deliberate Self-Harm Inventory (DSHI) consisting of 16 items. Results: A negative correlation is a relationship between two variables that move in opposite directions, where an increase in one variable is followed by a decrease in the other. In this study, a negative correlation indicates that the higher the family support received by students, the lower the tendency for self-harming behavior, and vice versa. The correlation coefficient value obtained from the Spearman test, r = -0.480, indicates a negative relationship with moderate strength. Conclusion: This can be interpreted as meaning that there is a relationship between family support and self-harming behavior in undergraduate nursing students at Muhammadiyah University of Surakarta.
Copyright (c) 2025 Shela Amelia Septiyanti Putri, Arif Widodo https://creativecommons.org/licenses/by-nc/4.0
ANALYSIS OF OCCUPATIONAL SAFETY AND HEALTH RISK MANAGEMENT IN METAL INDUSTRY PRODUCTION AREAS USING THE HIRA METHOD
Background : The informal metal industry poses a high risk of hazards but often escapes oversight of Occupational Safety and Health (K3) standards. The lack of systematic risk management in these environments exposes workers to a variety of hazards, ranging from ergonomic, mechanical, physical, and chemical, all of which can potentially lead to accidents and occupational illnesses. Objective: The purpose of the research is to identify potential hazards, assess the level of risk in each production area, and formulate effective control alternatives to minimize work incidents. Methods: The research method used was descriptive quantitative with the Hazard Identification and Risk Assessment (HIRA) approach. This approach was used to analyze all activities in nine production areas through the stages of hazard identification, likelihood and severity assessment, and risk level determination. Data was collected through direct observation and worker interviews, and validated using secondary data from Job Safety Analysis (JSA) and previous incident reports. Results: The research results showed that there were 11 findings of high hazard risks, 11 moderate hazard risks and 7 low hazard risks in all production areas. Conclusion: It can be concluded that the application of the HIRA method is essential for risk management in the informal metal industry. It is recommended to implement hierarchical controls, ranging from engineering controls such as the installation of machine guards and ventilation systems, to administrative controls such as the development of stricter SOPs and regular OHS training.
Copyright (c) 2025 Riza Irianingtyas, Arya Bimantara, Bachtiar Chahyadhi, Nima Eka Nur Rahmania https://creativecommons.org/licenses/by-nc/4.0
THE EFFECTIVENESS OF TAI CHI IN REDUCING DEPRESSION LEVELS IN THE ELDERY
Background: Older adults are a group that is vulnerable to psychological changes, including depression. Depression in older adults can lead to a decline in overall well-being and increase the risk of additional health complications. One non-pharmacological intervention that can help reduce symptoms of depression is Tai Chi, which involves rhythmic movements and can improve physical and psychological balance. Objectives: The purpose of this study was to examine how Tai Chi exercises affect depression levels among elderly people living in Purbayan Village. Methods: This study used a quantitative approach with a pre-experimental design, in which one group underwent pre-test and post-test assessments. Participants were selected through random sampling based on inclusion criteria, which required elderly individuals who were able to perform daily activities independently. Data were collected using the Indonesian version of the Patient Health Questionnaire-9 (PHQ-9), which showed validity scores ranging from 0.508 to 0.907. The intervention involved Tai Chi exercises consisting of eight movements, performed independently at home for 30 minutes per session, three times a week. Results: The results showed a decrease in the average depression score of 4.9 after the Tai Chi exercise intervention. Statistical analysis using a paired t-test showed a p-value of 0.000 (< 0.05), indicating a significant effect of the intervention. Conclusion: Tai Chi exercises have been proven to reduce depression levels in older adults. This intervention has been proven effective as a non-pharmacological approach to improving mental well-being and overall quality of life among older adults. Keywords: Tai Chi, Depression, Elderly, Mental Health
Copyright (c) 2025 Tasya Aulifiah Rahmah, Wachidah Yuniartika https://creativecommons.org/licenses/by-nc/4.0
IMPLEMENTATION OF THE KMB DIGITAL EDUCATION APPLICATION ON COMPLIANCE AND WOUND HEALING OF POST-ABDOMINAL SURGERY PATIENTS AT PEMANGKAT REGIONAL HOSPITAL
Background: Health education is a crucial component in improving patient adherence to wound care, particularly among individuals recovering from abdominal surgery. Improper wound care can increase the risk of infection and delay the healing process. The integration of digital technology in healthcare provides innovative solutions for patient education. The KMB Digital Education Application serves as a medium to enhance patients’ understanding of postoperative wound management, enabling them to follow care instructions more consistently and achieve faster recovery. Objectives: This study aimed to determine the effect of the KMB Digital Education Application on patient adherence and wound healing among post-abdominal surgery patients at Pemangkat Regional Hospital. Methods: This research employed a quasi-experimental design with a pretest-posttest control group approach. A total of 50 post-abdominal surgery patients were selected using purposive sampling and divided equally into intervention and control groups. The intervention group received education through the KMB Digital Application, while the control group received standard education. Data were collected using observation sheets and analyzed using Repeated Measure ANOVA. Results: The findings revealed a significant improvement in patient adherence within the intervention group, increasing from 31.12 ± 1.20 to 46.44 ± 1.56, compared to the control group, which only rose from 28.68 ± 1.07 to 33.24 ± 0.97 (p < 0.001). Wound healing outcomes also showed significant differences between groups, where the intervention group’s healing scores improved from 42.32 ± 2.19 to 21.84 ± 2.19, while the control group improved from 42.36 ± 1.87 to 36.48 ± 1.16 (p < 0.001). Conclusion:The implementation of the KMB Digital Education Application significantly enhances patient adherence to wound care and accelerates wound healing among post-abdominal surgery patients. The use of digital education technology can therefore be an effective innovation to support postoperative recovery and improve the quality of nursing care.
Copyright (c) 2025 Putra Ardhana, Lydia Moji Lautan, Marsela Renasari Presty, Apriliana Pipin, Asmaurina Pramulya, Eben Haezar Kristian https://creativecommons.org/licenses/by-nc/4.0
THE EFFECTIVENESS OF AROMATHERAPY RELAXATION TECHNIQUES AND SLOW STROKE BACK MASSAGE STIMULATION ON CHANGES IN PAIN INTENSITY IN POST-HYDRONEPHROSIS SURGERY PATIENTS AT AMIRA GENERAL HOSPITAL IN 2024
Background: Post-hydronephrosis surgery patients may experience pain. The physical impacts of pain include rapid breathing, increased heart rate, elevated blood pressure, increased stress hormones, delayed healing, and decreased immune function. Pain reduction can be achieved through pharmacological and non-pharmacological approaches. One non-pharmacological method includes aromatherapy relaxation therapy, SSBM stimulation, and a combination of both aromatherapy relaxation and SSBM stimulation. Objectives: To identify the effectiveness of aromatherapy relaxation techniques and slow stroke back massage stimulation on changes in pain intensity among post-hydronephrosis surgery patients at Amira General Hospital Methods: This study utilized a quantitative research approach with a quasi-experimental design, specifically employing a pretest-posttest design with three intervention groups. The population consisted of post-hydronephrosis surgery patients at Amira General Hospital. The sample involved 21 respondents, divided into three groups: aromatherapy relaxation therapy (7 respondents), SSBM stimulation (7 respondents), and a combination of aromatherapy relaxation and SSBM stimulation (7 respondents). The sampling technique used was purposive sampling. The research instrument used for data collection was an observation sheet. Data analysis was conducted using dependent t-test and independent t-test. Results: The study found that changes in pain intensity before and after intervention in post-hydronephrosis surgery patients showed the following p-values: aromatherapy relaxation therapy p = 0.3711, SSBM stimulation p = 0.001, combination therapy (aromatherapy relaxation and SSBM stimulation) p = 0.017, and combination therapy p < 0.001. Based on the independent t-test results, p < 0.05 indicated a significant difference in pain intensity changes between aromatherapy relaxation, SSBM stimulation, and their combination in post-hydronephrosis surgery patients at Amira General Hospital. Conclusion: Slow Stroke Back Massage (SSBM) stimulation and the combination therapy (Aromatherapy + SSBM) demonstrated a significant effect on reducing pain intensity in post-hydronephrosis surgery patients. However, aromatherapy relaxation alone did not show a statistically significant effect. The combination therapy provided the most optimal reduction in pain intensity. Keywords: Aromatherapy Relaxation, Combination, Hydronephrosis, Slow Stroke Back Massage
Copyright (c) 2025 Deri Afrido Basahudin, Agus Purnama, Yeni Koto https://creativecommons.org/licenses/by-nc/4.0
THE EFFECT OF EDUCATION USING KIA BOOKS ON PREGNANT WOMEN KNOWLEDGE
Background: The trend of maternal mortality in recent years has fluctuated. One way to prevent maternal mortality is to increase the use of KIA books. However, the current KIA books are not being used optimally, so many mothers do not have knowledge about KIA books. Objectives: To determine the effect of education on the use of KIA books on the knowledge of pregnant women at the Daleman Community Health Center in Sampang Regency. Methods: This study used a descriptive-quantitative method, with sampling using total sampling. The population of this study consisted of 17 people with a sample of 23 respondents, using a questionnaire instrument with a Wilcoxon test. Results: The Wilcoxon test showed that the pre-test and post-test values obtained a result of 0.000 with a significance of p (<0.05), which means that the education provided significantly increased the knowledge of pregnant women at the Daleman Community Health Center, Sampang Regency. Conclusion: The results of the study indicate that education on the use of the KIA book influences the improvement of knowledge among pregnant women at the Daleman Community Health Center in Sampang District. Therefore, it is recommended that education on the Mother and Child Health Handbook be conducted regularly and continuously by health workers, and developed using attractive and easy-to-understand media in order to increase awareness and optimal use of the KIA book among pregnant women.
Copyright (c) 2025 Elisa Christiana, Irmawati, Ririn Ariyanti https://creativecommons.org/licenses/by-nc/4.0
THE EFFECTIVENESS OF THE HEALTHY MILLENNIAL CARD MEDIA GAME IN INCREASING YOUNG WOMEN'S KNOWLEDGE ABOUT ANEMIA PREVENTION
Background : Anemia is a global health problem that deserves attention, especially in developing countries such as Indonesia . Health education through the Healthy Millennium Card game plays an important role in raising awareness among young women about anemia prevention. Study objective : to determine the influence of health education through the media on healthy millennial card games . on the knowledge of teenage girls about prevention of anemia Methods : The design of this study used a pre-experiment with a pre-test post-test group. The population of this study was 73 female students with a sample of 62 female students using purposive sampling technique according to the inclusion and exclusion criteria . Data collection was carried out through a knowledge questionnaire, then analyzed using the Wilcoxon Test. The results of the study showed that before being given the healthy millennial card game , 37 female students (59.6%) had insufficient knowledge . And after the intervention, more than half of the respondents had good knowledge, namely 41 female students (66.1%) . The results of data analysis obtained a knowledge p value of 0.000 <0.05, then H1 was accepted, meaning that there was an influence of health education through the healthy millennial card game media on the knowledge of teenage girls about anemia prevention . Conclusion : These results indicate that the use of interactive educational media such as Healthy Millennial Card Games can be an effective alternative in health education programs in schools, in order to reduce the prevalence of anemia among adolescents.
Copyright (c) 2025 Asri kusyani, Yusiana Vidhiastutik, Paskalia Tri Santi https://creativecommons.org/licenses/by-nc/4.0
THE RELATIONSHIP BETWEEN DIETARY ADHERENCE AND RANDOM BLOOD GLUCOSE LEVELS IN TYPE 2 DIABETES MELLITUS PATIENTS AT THE ANGGREK ELDERLY POSYANDU UNDER THE WORKING AREA OF BULULAWANG HEALTH CENTER
Background: Elevated blood glucose levels are indicative of type 2 diabetes mellitus, a metabolic disease. Glycemic stability is largely determined by dietary compliance, a crucial non-pharmacological treatment. Purpose: To determine how elderly clients with type 2 diabetes mellitus at the Anggrek Wellbeing Center in the Bululawang Community Health Center service area relate to random blood sugar levels and adherence to diet. Methods: A descriptive correlational quantitative technique and a cross-sectional strategy were used in this study. 54 elderly people with type 2 diabetes from the Anggrek Old Health Center comprised the study sample. This was obtained by use of the entire sampling approach. Diet compliance was measured using the PDAQ questionnaire, while blood sugar levels were measured using a glucometer. The relationship between the two variabels was analyzed using Pearson’s test. Results: Most participants had moderate to good dietary adherence (38.9% each), while 22.2% exhibited poor adherence. More than half of participants (57.4%) had normal RBG levels, while 42.6% had high levels. Dietary adherence and RBG showed a high and significant negative connection (r = –0.907, p = 0.000), suggesting that lower blood glucose levels were linked to improved adherence. Conclusion: Dietary adherence is essential for individuals with Type 2 diabetes in order to control their blood sugar levels at random. Strengthening dietary education and continuous monitoring is essential
Copyright (c) 2025 Diah Murni Sawitri, Juliati Koesrini, Ratna Roesardhyati https://creativecommons.org/licenses/by-nc/4.0
INNOVATION OF MATERNITY PILLOW DESIGN WITH LAVENDER AROMATHERAPY ON SLEEP QUALITY OF PREGNANT WOMEN IN THIRD TRIMESTER
Background: Good sleep quality plays an important role in maintaining maternal health during pregnancy and providing sufficient energy for labor. However, physiological changes such as increased uterine size, physical discomfort, and elevated progesterone levels often lead to sleep disturbances in pregnant women, particularly in the third trimester. One effort to improve maternal sleep quality is by increasing comfort through an innovative maternity pillow design equipped with lavender aromatherapy. Purpose: This study aimed to develop a maternity pillow design integrated with lavender aromatherapy as a supportive intervention to improve sleep quality among pregnant women. Methods: This study employed a pre-experimental method using a one-group pre–post test design and a research and development (R&D) approach. The R&D stages included literature review, system and product design, product development and manufacturing, expert validation, system testing, and analysis. Sleep quality was assessed using a structured questionnaire. The research was conducted over a one-year period. Results: The findings showed that maternal self-efficacy increased from 41 before the intervention to 59.8 after the intervention, with a p-value of 0.000 (p≤0.05), indicating a significant influence of the Android-based application intervention “cakoASI.id” on the self-efficacy of breastfeeding mothers. Conclusion: The evaluation results indicated that the Maternity Pillow Design was categorized as very high, effectively improved sleep quality among third-trimester pregnant women, and was feasible and successfully tested in the field
Copyright (c) 2025 Rini Rahmayanti, Yani Maidelwita, Fira Gusri Amelia, Rahmat Syarief https://creativecommons.org/licenses/by-nc/4.0
DETERMINANT FACTORS ASSOCIATED WITH DIGITALIZATION OF LEADERSHIP COMMUNICATION AT HOSPITAL
Background: The digital era has accelerated the digitalization of organizational processes, including leadership communication. The emergence of digital leadership requires leaders to adapt their communication and leadership styles to dynamic, technology-mediated work environments. In hospital settings, effective digital leadership communication is essential to support coordination, decision-making, and quality nursing care. Purpose: This study aimed to identify determinants associated with the digitalization of leadership communication in hospitals. Methods: A cross-sectional study design was employed involving 131 nurses recruited through purposive sampling based on predefined inclusion criteria. Data were collected using structured questionnaires measuring leadership style, communication style, leadership skills, leader enthusiasm, and the implementation of digital leadership communication. Statistical analyses included the Spearman rho test, contingency coefficient, and multiple logistic regression to examine associations between variables. Results: The findings indicated that 94.7% of respondents perceived the implementation of digital leadership communication as good. Leadership style showed a moderate positive correlation with digital leadership communication (p = 0.000; r = 0.512). Communication style was not significantly associated with digital leadership communication (p = 0.434; r = 0.068). Leadership skills demonstrated a strong positive relationship (p = 0.000; r = 0.589), while leader enthusiasm showed the strongest association (p = 0.000; r = 0.698). Multivariate analysis confirmed that leadership skills and enthusiasm were the most influential determinants. Conclusion: Leader enthusiasm and leadership skills are key determinants of effective digitalization of leadership communication in hospital settings. Strengthening these competencies may enhance digital leadership practices and improve organizational communication in healthcare institutions.
Copyright (c) 2025 Ni Luh Putu Inca Buntari Agustini, Dewa Gede Wisnu Wardana, I Gusti Ngurah Made Gusti Kusuma Negara, Yustina Ni Putu Yusniawati, Israfil Israfil, I Gede Putu Darma Suyasa https://creativecommons.org/licenses/by-nc/4.0
THE EFFECT OF HEALTH EDUCATION USING AUDIOVISUAL MEDIA ON THE KNOWLEDGE AND ATTITUDE SCORES ABOUT PRE-HOSPITAL STROKE MANAGEMENT IN FAMILIES
ABSTRACT Background: Health education about pre-hospital stroke management in families is very important. One of the medias that can be used in providing health education about pre-hospital stroke management is the audiovisual media. Purpose: The purpose of this study was to find out the effect of health education with audiovisual media on family knowledge and attitudes about pre-hospital stroke management. Methods: This study employed a pre-experimental design with one group pre-test and post-test design. The population in the study were families who lived and cared for the elderly (caregivers). The sample in this study were 33 respondents who were selected through simple random sampling. The instrument used in this study was a questionnaire. The statistical test used to analyze the data was the Wilcoxon Rank Test. Results: The results showed that the average pre-test score of knowledge was 3.09, the median post-test score of knowledge was 6, the median pre-test score of attitudes was 28, the median post-test score of attitudes was 30, and the statistical test results obtained the p-value = 0.001. Conclusion: There is an effect of health education with audiovisual media to the knowledge and attitudes of the families about pre-hospital stroke management. The health workers, particularly those working at the public health center should consider using audiovisual as a medium to provide health education to the community.
Copyright (c) 2025 yustina ni putu yusniawati, Ni Luh Putu Novi Cahyani https://creativecommons.org/licenses/by-nc/4.0
PHENOMENOLOGICAL STUDY: CAMPUS SECURITY EXPERIENCE OF THE MINISTRY OF HEALTH'S SURAKARTA HEALTH POLYTECHNIC AS A LAY HELPER IN PROVIDING FIRST AID & CARDIAC ARREST TREATMENT FOR ACCIDENT VICTIMS
Background: Accidents are events that can occur at anytime and anywhere, including on campus. Campus security plays a strategic role as the vanguard in maintaining security and peace, as well as providing first aid in the event of such incidents. Purpose: Aims of this study is to explore and understand in depth the experience of security officers at the Surakarta Ministry of Health Polytechnic Campus as lay helpers in providing first aid and cardiac arrest treatment for accident victims. Methods: This study used were qualitative with a phenomenological approach. Data analysis used Interpretative Phenomenological Analysis (IPA). The research participants consisted of 5 security officers. Data were collected through in-depth interviews Results: produced five main themes, namely: (1) Immediate first aid measures for victims, (2) Providing first aid according to ability, (3) Limited knowledge and skills in first aid, (4) Helping according to the dictates of conscience as a form of devotion and pride, (5) The need for routine training and coaching. The limitations include Reliance on interview data based on participants' subjective experiences, which has the potential to introduce recall bias and social-desirability bias in describing first aid skills and actions and cardiac arrest management. Conclusion: The experience of security personnel shows the importance of providing first aid skills based on ongoing training so that they are able to act quickly, appropriately, and confidently in emergencies in a health education environment.
Copyright (c) 2025 bayu akbar khayudin, Maria Wisnu Kanita, Asri Kusyani https://creativecommons.org/licenses/by-nc/4.0
OPTIMIZING THE QUALITY OF NURSING CARE DOCUMENTATION THROUGH NURSING SUPERVISION TRAINING IN THE INPATIENT ROOM OF RSIA BUNDA DENPASAR
Background: Hospitals are health service organizations providing integrated care by professional caregivers, including doctors, nurses, nutritionists, and pharmacists. Nursing care documentation is essential for patients, nurses, and the entire health team involved in service delivery. Complete documentation supports continuity of patient care, facilitates coordination among professionals, and contributes positively to patient safety. Therefore, the completeness of nursing documentation plays an important role in improving the overall quality of health services provided by hospitals in daily clinical practice settings. Subjective: This study aims to determine the optimization of the quality of nursing care documentation through nursing supervision training at RSIA Bunda Denpasar. Methods: This study uses a pre-experiment method with a one group pre-test post test design. This study included a population of 38 nurses on duty in inpatient and the sample in this study was taken with a total sampling technique of 38 people. This study uses the wilcoxon signed rank test. Results: The results of the Wilcoxon signed rank test obtained a significance value of < 0.005 for each variable so that supervision training was obtained to be able to optimize the quality of nursing care documentation through nursing supervision training in the Inpatient Room of RSIA Bunda Denpasar. Conclusion: Based on the research conducted, it can be concluded that the provision of proctor and reflective model supervision training is able to optimize the quality of nursing care documentation through nursing supervision training in the Inpatient Room of RSIA Bunda Denpasar.
Copyright (c) 2025 IGAA Sherlyna Prihandhani, Made Oktaviani Bulan Trisna, Putu Widiastuti https://creativecommons.org/licenses/by-nc/4.0
THE EFFECT OF PREMARITAL SEXUAL HEALTH EDUCATION ON ADOLESCENTS' KNOWLEDGE AND ATTITUDES AT MADRASAH ALIYAH PUTRI AL-KHOIROT MALANG
Background: Adolescents are a vulnerable group to sexual problems, which can lead to an increase in unwanted pregnancies and early marriages due to a lack of knowledge and appropriate attitudes. Premarital sexual health education serves as an important preventive effort to improve healthy knowledge and attitudes related to sexuality. Purpose: This study aims to examine the effect of premarital sexual health education on the knowledge and attitudes of adolescents at Madrasah Aliyah Putri AL-Khoirot Malang. Methods: This study used a pre-experimental design with a one-group pretest-posttest approach. A total of 67 students were selected using stratified random sampling. The instruments used were knowledge and attitude questionnaires, and the data were analyzed using the Wilcoxon test. Results: The findings revealed a significant increase in knowledge and attitude scores after the educational intervention (p < 0.05). Conclusion: Premarital sexual health education significantly improves adolescents’ knowledge and attitudes toward healthy sexual behavior. Educational institutions are encouraged to integrate comprehensive sexual health education programs to prevent risky sexual behavior among youth.
Copyright (c) 2025 Fetreo Negeo Putra, Lilis Sulistya, Alfi Hilmiyah, Wahyu Sukma https://creativecommons.org/licenses/by-nc/4.0
PEACEFUL END OF LIFE IN LATE-STAGE CANCER PATIENTS: CONCEPT ANALYSIS BY WALKER AND AVANT
Background:The increasing number of malignant cancer patients makes end-of-life care an inseparable element of nursing services. The concept of peaceful end-of-life is very popular , but it is complex and abstract. Understanding the concept of peaceful end-of-life helps professional nurses improve the quality of care outcomes for patients suffering from terminal or life-threatening illnesses. Objective:The researcher's goal was to clarify and clarify the understanding of the concept of peaceful end-of-life in end-stage cancer patients using the approach of Walker and Avant (2005). Methods: This concept analysis was conducted using the eight steps proposed by Walker and Avant. Results:Attributes of peaceful end-of-life in advanced cancer patients include: freedom from pain, a feeling of comfort, acceptance of the disease, and the presence and support of those closest to them. Antecedents, consequences, and empirical referents are explained. Model cases, related cases, threshold cases, and conflicting cases are illustrated to further clarify the concepts. Conclusion: Four attributes are interconnected and play a role in forming a complete state of peace for terminal cancer patients according to Walker & Avant's analytical approach.
Copyright (c) 2025 Sushanty Anjarwani, wahyuni, Aric Vranada, siti Aisah https://creativecommons.org/licenses/by-nc/4.0
MULTIPLE CASE STUDY : PRE-ANESTHESIA ASSESSMENT IN AMBULATORY ANESTHESIA PATIENTS
Background: Pre-anesthesia assessment is a procedure to assess the feasibility and preparation of a patient's medical condition before anesthesia. Ambulatory anesthesia is a medical service that does not require hospitalization after anesthesia. Purpose: To identify case study of pre-anesthesia assessment in ambulatory anesthesia patients Methods: This study employed descriptive qualitative with a case study approach with multiple case study design. The data were collected by using interview guide. There were 5 participants included in this study. The data were analyzed by using case analysis and cross-case analysis. Results: The finding showed that 5 participants described the pre-anesthesia assessment of ambulatory anesthesia patients, namely anamnesis including identity assessment, surgical indications, and anesthetic focus data. Physical examination includes breathing, blood, brain, bladder, bowel, and bone. Diagnostic examination analysis included laboratory and radiology, ASA physical status assessment, anesthetic considerations, and special considerations including distance and access to the hospital from the hospital, as well as the responsibility of the patient, but the history of obstructive sleep apnea and special considerations were not assessed in detail. Conclusion: The pre-anesthesia assessment of the outpatient anesthesia included participant anamnesis, physical examination, diagnostic examination, assessment of ASA physical status, and assessment of anesthesia, whereas a detailed study of obstructive sleep apnea and special considerations is not carried out.
Copyright (c) 2025 yustina ni putu yusniawati, Emanuel Ileatan Lewar, NPSOTirta https://creativecommons.org/licenses/by-nc/4.0
THE APPLICATION OF THE BUERGER ALLEN EXERCISE TO THE MANAGEMENT OF PERIPHERAL PERFUSION DISORDERS IN PATIENTS WITH TYPE II DIABETES MELLITUS IN DR. SOEDARSO HOSPITAL: CASE REPORT
Background: Diabetes Mellitus, a'silent killer', causes hyperglycemia and metabolic problems. Ineffective peripheral tissue perfusion is a nursing concern that must be treated soon to avoid problems. The test measures the Ankle Brachial Index (ABI). Medical and lifestyle-based treatments for type II diabetic mellitus (DM) exist. Purpose: The Buerger Allen Exercise (BAE) approach improves limb blood flow and is being studied in type II diabetics, Pontianak’s Dr. Soedarso Hospital Murai Room Methods: Descriptive observation is used in this case report. Typhus with Type II Diabetes Mellitus case study of 38-year-old Mrs. D. Writing data was collected through head-to-toe assessment, interviews, diagnostic exams, and BAE therapy (once daily for 3 days, ± 20 minutes). Results: Mrs. D had frequent thirst, numb feet, tingling, and a fluctuating fever. HBA1C 12.08 (H), Tubex 6 positive, P-LCR: 25.7 (H), ABI value on the first day of the right foot and hand 0.85, left 0.84. Insufficient peripheral perfusion is the main nursing diagnosis. Circulation care is provided. On the third day, the right foot and hand ABI is 0.94 and the left 0.97. Conclusion: The Buerger Allen Exercise enhances the client's lower extremity hemodynamics, which improves blood circulation in peripheral circulatory problems. Type II DM patients can avoid peripheral artery disease with BAE. BAE prevents type II diabetic peripheral artery disease.
Copyright (c) 2025 Fakrul Ardiansyah, Yuwaning, Suhendra Suhendra, Azhari Baedlawi, Hieronimus Amandus, Wuri https://creativecommons.org/licenses/by-nc/4.0
THE EFFECT OF QUARTED CARD SNAKES AND LADDER THERAPY ON PATIENTS WITH SOCIAL ISOLATION PROBLEMS IN SCHIZOPHRENIA AT THE BINA LARAS SOCIAL REHABILITATION UNIT IN PASURUAN
Background: Social isolation is a common nursing problem experienced by patients with schizophrenia, characterized by decreased ability to interact, withdrawal, and minimal communication with others. Effective nursing therapy is needed to improve patients' social skills, one example of which is group activity therapy using the Snakes and Ladders Quartered Card Game. Purpose: To determine the effect of providing Quarted Card Snakes and Ladders therapy on the socialization skills of Mr. Y with social isolation nursing problems at the Bina Laras Pasuruan Social Rehabilitation Unit. Methods: This research method used a case study approach on one patient with social isolation issues. The intervention, in the form of Quartered Card Snakes and Ladders therapy, was carried out for two days, once per day for approximately 45 minutes. Data were collected through interviews, observation, and documentation. Evaluation of social skills was conducted before and after the intervention using observation sheets in accordance with the Indonesian Nursing Diagnosis Standards (IDHS) and the Indonesian Nursing Outcome Standards (SLHS). Results: Evaluation results showed an improvement in Mr. Y's social skills after therapy. The patient began to make eye contact, introduce himself, participate in games, answer questions, and interact with group members. The patient appeared more confident and active in two-way communication compared to before the intervention. This study was limited by a single-patient case study, a short intervention duration, and the absence of a control group, which restrict the generalizability of the findings. Conclusion: The Snakes and Ladders Quartered Card Therapy has impact social skills in socially isolated patients. This intervention can be used as an alternative to group activity-based psychiatric nursing therapy to enhance social interaction in patients in social rehabilitation facilities.
Copyright (c) 2025 Faradhifa Shafahana, Muhammad Ari Arfianto https://creativecommons.org/licenses/by-nc/4.0
THE EFFECT OF TELENURSING IMPLEMENTATION ON THE QUALITY OF LIFE (QoL) OF PATIENTS WITH CHRONIC DISEASES: A SYSTEMATIC REVIEW
Background:There are still differences in access to health services in Indonesia in the current digital era because conditions show that rural residents, especially those living in border areas, experience obstacles in obtaining health services and the prevalence of chronic diseases has increased, with hypertension rising from 25.8% to 34.1%, diabetes mellitus rising from 6.9% to 8.5%, stroke prevalence rising from 7% to 10.9%, and chronic kidney disease rising from 2% to 3.8%. Purpose:The purpose is to determine the effect of telenursing implementation on the quality of life of patients with chronic diseases. Methods:The method applied is a systematic review referring to the PRISMA guidelines, articles for the last 5 years, subject area, nursing, relevance, article types, and were selected to be analyzed and assessed using JBI. Results:The research findings indicate that nine studies were taken from 1,373 publications. Publications were taken from the period 2021 to 2025. Research articles were searched through academic electronic databases (Scopus, Pubmed, and Google Scholar). The implementation of telenursing has positive implications for the quality of life of patients with chronic diseases. Conclusion:Telenursing has shown positive results in improving the hope of improving the quality of life of patients with chronic illnesses. The variety of media and applications used in the implementation of telenursing also contributes to its success. It is hoped that further research will further examine the factors influencing the implementation of telenursing and also research can be conducted on the same media.
Copyright (c) 2025 NUUR FADHILAH https://creativecommons.org/licenses/by-nc/4.0
A EMERGENCY NURSES' EXPERIENCES IN PERFORMING CARDIOPULMONARY RESUSCITATION IN CARDIAC ARREST PATIENTS: A LITERATURE REVIEW
Abstract Background: Cardiopulmonary resuscitation (CPR) is the primary lifesaving measure for patients experiencing cardiac arrest, and emergency nurses play a central role in its implementation. Nurses' experience in performing CPR is a critical factor influencing resuscitation quality, clinical decision-making, and patient outcomes. However, this experience is often influenced by various factors such as clinical competence, training availability, psychological well-being, team dynamics, and work environment. Objective: This article aims to identify and analyze the experiences of emergency nurses in performing CPR on cardiac arrest patients based on a literature review of various recent studies. Design: Literature review search using Google Scholar electronic database, Science Direct published in 2020-2025 with search keywords emergency OR Emergency AND Nurse OR Nurse AND CPR OR CPR AND Cardiac Arrest OR Cardiac Arrest. Inclusion Criteria are Journals related to Emergency Nursing Experience &Journals discussing cardiopulmonary resuscitation. Data analysis involved critical appraisal, skimming, and scanning, separating irrelevant articles from relevant ones. Results: There were 6 articles found that were in accordance with the topic, and through review, it was found that they showed that the literature review indicates that emergency nurses' experience in performing cardiopulmonary resuscitation (CPR) on cardiac arrest patients is influenced by a combination of technical skills, psychological preparedness, the work environment, and ongoing training. Conclusion: Emergency nurse experience is a key element in the successful implementation of CPR on cardiac arrest patients. Strengthening the capacity of nurses through education, training, and work environment support is a strategic step to improve the quality of emergency services and patient safety. Keywords: emergency nurses, cardiopulmonary resuscitation, cardiac arrest, clinical experience
Copyright (c) 2025 Sumardino Sumardino, Bayu Akbar Kahyudin https://creativecommons.org/licenses/by-nc/4.0