Nurse and Health: Jurnal Keperawatan

TRADITIONAL CULTURAL SOCIO-RELIGIOSITY PRACTICES IN GLOBAL INFERTILITY TREATMENT: A SYSTEMATIC REVIEW

Inna Sholicha Fitriani, Yusuf Hamdani Abdi, Nur Hidayati — Sun, 18 May 2025 06:43:35 +0000

Background: Infertility, a complex and diverse issue and in global, particularly within rural regions, it has been observed that a vast majority, approximately 80%, of individuals turn to practitioners of traditional medicine for assistance with various ailments, including infertility.

Objective: Identify traditional practices used in the treatment of infertility in different countries, including herbal therapies, cultural rituals, and spiritual approaches.

Design: In a systematic literature review conducted through the P.R.I.S.M.A, the keywords based on the research questions were "traditional medicine," "infertility," and "cultural practices." In processing article data for filtering using Zotero and scispase applications. The quality assessment tool of this study uses the Mixed Methods Appraisal Tool (MMAT).

Data Sources: Databases including Google Scholar, PubMed, Science Direct, Wiley Library, and Scopus, from 2014 to 2024 searching on September 2024.

Review Methods: Databases were selected for extract data then detailed analysis. The exclusion criteria are those that cannot open full access to the article, and the purpose of the theme is not linear. By synthesizing existing literature. The search yielded 1310 Google Scholar entries, four from Scopus, 233 from Science Direct, 3 from PubMed, and 188 from Wiley Library, 18 valids articles.

Results: Particularly in global, that of rural and urban populations opt for traditional medicine. In developing countries, particularly within rural locales, it is to address numerous health challenges, including infertility. Modifications in diet and lifestyle, rooted in traditional medicine, have been demonstrated to enhance the treatment of infertility significantly. Support from family, friends, and professionals, though necessary, is insufficient to fulfil the needs of individuals facing infertility, who are especially susceptible to complex stresses

Conclusion: The study reveals that the use of traditional medicine such as herbal therapies, cultural rituals, and spiritual approaches is very common, especially in developing countries and rural areas. Factors such as accessibility, affordability, and cultural beliefs are the main reasons people choose this method, however, although many traditional practices show positive results.

COMPASSION FATIGUE IN HEMODIALYSIS NURSES: A SCOPING REVIEW

Suci Wulandari Sassanti, Titin Andri Wihastuti, Dina Dewi Sartika Lestari Ismail — Sun, 18 May 2025 08:43:32 +0000

Background: The high prevalence of chronic kidney disease has led many patients to undergo hemodialysis therapy, making them dependent on nurses for their care procedures. Hemodialysis nurses are not only responsible for performing dialysis but also for providing education, emotional support, and patient advocacy. This results in a high workload and an increased risk of experiencing compassion fatigue. Such conditions can negatively impact nurses' well-being and the quality of healthcare services due to physical exhaustion, emotional stress, and prolonged burnout.

Objective: To analyze a review on compassion fatigue in hemodialysis nurses.

Design: Scoping Review.

Data Sources: The search was conducted using Google Scholar, PubMed, and EBSCO databases, with articles limited to the time range of 2015–2025. The search term used in Google Scholar was “intitle:compassion fatigue AND intext:hemodialysis nurse”, while in PubMed and EBSCO, the keyword used was “compassion fatigue AND hemodialysis nurse”.

Review Methods: This scoping review follows the Preferred Reporting Items for Systematic Reviews and Meta-Analyses model, and the collected search results were synthesized for data analysis.

Results: A total of six research articles were analyzed, which were then summarized based on the level of compassion fatigue, related factors, symptoms, and interventions applied to hemodialysis nurses.

Conclusion: Compassion fatigue in hemodialysis nurses is influenced by workload, emotional interactions, and lack of social support. Further research is needed to standardize measurement tools, explore demographic and psychological factors, and develop effective interventions to enhance nurses' well-being and improve patient care quality.

UNDERSTANDING YOUTH MENTAL HEALTH: A NARRATIVE REVIEW

Faida Annisa — Mon, 09 Jun 2025 02:44:45 +0000

Youth mental health has increasingly become a global health concern. Depression in Indonesia has the highest rate of this age group compared to all age groups. Age 15-24 years is a key phase of identity formation, emotional growth, and social transition; therefore, mental health difficulties during this time can have lifetime effects. This review draws on recent literature to explore global patterns in youth mental health, to gain understanding into youth's perceptions, and a variety of social and digital influences as key barriers to early recognition and effective coping. The paper underscores the importance of promotive and preventive strategies, including mental health education, coping skills training, and early intervention programs. Emphasis is placed on culturally responsive and developmentally appropriate approaches that meet youth where they are—emotionally, socially, and digitally. Recommendations are offered for nursing and community practice, with a focus on building youth resilience and improving access to timely, stigma-free support systems.

HEALTH COACHING AS A DIABETES MANAGEMENT INTERVENTION: A SCOPING REVIEW

Niken Safitri Dyan Kusumaningrum, Monica Adelia Puspitasari — Thu, 19 Jun 2025 07:32:54 +0000

Background: Health coaching is considered an effective multidisciplinary intervention for managing chronic diseases, such as diabetes mellitus. There is extensive research on the health coaching topic in diabetes management. However, its implementation varies given the lack of standardized regulation as a guiding principle.

Objective: This study aims to explore health coaching concepts in diabetes management.

Design: This was a scoping review.

Data Sources: We searched relevant studies published from 2018 to 2022 using three journal databases, including PubMed, CINAHL, and Google Scholar.

Review Methods: The selection is determined using PRISMA Flow Diagram Scoping Review with inclusion criteria and analyzed on the basis of data extraction and the TIDieR checklist.

Results: Nine articles were included in this study. Most of the articles revealed that health coaching was delivered by healthcare professionals to help patients living with diabetes cope with their problems. Long-term (>6 months) application of health coaching effectively reduces the HbA1c level which indicates a positive effect on self-management. Face-to-face interactions, telephone conversations, virtual meetings, and home visits are the most common strategies applied in health coaching sessions.

Conclusion: Tailored health coaching is proven as an alternative intervention to support patients with diabetes in achieving their desired goals. Thus, effective health coaching must be implemented based on individual preference.

ANALYSIS OF FACTORS INFLUENCING THE IMPLEMENTATION OF NURSING SUPERVISION BY THE HEAD OF THE ROOM: A SCOPING REVIEW

Endang Nilaprapti, Lidia Hastuti, Wida Kuswida Bhakti — Tue, 24 Jun 2025 03:27:18 +0000

Background: Supervision in several hospitals until now is still not optimal by the head of the room so that the direction function in nursing management does not run optimally which affects the quality of nursing care. This study aims to find factors that influence the implementation of supervision by the head of the room.

Objective: This research uses the Scoping review method

Data Sources: In the search using data sources from Google Scholar, Scient Direct and Pubmed. The search uses the keywords "nursing supervision" AND "faktors" AND "nurse management". Articles are filtered from the years "2018-2024", "free full text". Of all the articles found, there are 8 articles obtained for analysis.

Review Methods: The review method uses a Scoping Review using the PRISMA diagram, and synthesis is carried out by removing the exclusion criteria.

Results : The results of the study showed that from the 8 articles obtained, there were 4 factors that influenced trust and good relationships, supervisor workload, shared understanding of the implementation of supervision and supervisor competence.

Conclusion: The results show that the supervision by the head of the room is less than optimal due to these factors. So it can be a recommendation for hospital institutions to make efforts to improve the nursing management function, especially the direction function in the form of supervision.

IDENTIFICATION OF KEY FACTORS TO IMPROVE NURSES' TRIAGE COMPETENCE IN HOSPITALS: A SCOPING REVIEW

Angga Andreas Wantoro — Sun, 29 Jun 2025 04:21:28 +0000

Background: Many emergency department nurses still lack adequate competency in performing triage, so hospital management needs to understand the right strategies to enhance triage competencies.
Objective: The purpose of this scoping review is to identify and analyze the essential factors contributing to the improvement of nurses' triage competencies in hospitals.
Methods: This scoping review was conducted by identifying scientific articles in five databases: ScienceDirect, ProQuest, Google Scholar, Wiley Online Library, and Springer Link. The authors used the keywords "emergency nurses" AND "triage competency" AND "emergency department." After identification, the authors selected and analyzed articles using PRISMA based on predefined inclusion and exclusion criteria. Studies obtained from various databases yielded 186 research articles, and from this number, 10 relevant articles were extracted for data analysis.
Results: Ten studies were included in this scoping review, and the most important factor in improving triage competency was participating in triage training, providing innovative triage learning methods, and
developing nurses' professional self-concept. This review shows that the most effective effort is to provide triage training, as it covers all triage related material in depth by applying various learning methods aligned
with actual practice.
Conclusion: This review found that triage training is the most effective factor in improving nurses' triage competency in hospitals.

VALIDITY AND RELIABILITY TEST OF THE INDONESIAN VERSION OF THE MULTIDIMENSIONAL SEXUAL SELF-CONCEPT QUESTIONNAIRE

Tiara Amalia Mentari, Haryanto, Lidia Hastuti, Imran — Tue, 24 Jun 2025 03:33:43 +0000

Background: One comprehensive instrument for assessing different facets of sexual self-concept is the Multidimensional Sexual Self-Concept Questionnaire (MSSCQ). Its adaptation into different languages and cultural contexts is essential for cross-cultural research.

Objectives: To assess the reliability and validity of the MSSCQ's Indonesian version in gauging sexual self-concept.

Design: Observational research with a cross-sectional design.

Methods: The study began with a two-stage translation process of the MSSCQ questionnaire into the Indonesian version. Subsequently, validity and reliability tests were conducted on 30 diabetes mellitus outpatients at Tanjungpura University Hospital using purposive sampling techniques. Data were analyzed using Pearson Correlation with statistical software.

Results: All items across the 20 subscales demonstrated validity with r calculated > r table and p-values < 0.05. The Cronbach's Alpha values for all subscales were > 0.70, indicating good internal consistency.

Conclusion: The Indonesian version of the MSSCQ is a valid and reliable instrument for measuring sexual self-concept.

NURSING PROBLEM IN INPATIENTS WITH DRUG-RESISTANT TUBERCULOSIS AT SULIANTI SAROSO INFECTIOUS DISEASE HOSPITAL

Sun, 18 May 2025 06:35:53 +0000

Background: Tuberculosis is a worldwide health problem, including in Indonesia. Drug-resistant tuberculosis (DR-TB) is caused by spontaneous mutations in the chromosomes that cause resistance to first-line DR-TBugs.

Objectives: to determine the patient characteristics and nursing problems of patients with DR-TB.

Methods: We conducted a cross-sectional study of inpatients with DR-TB in the DR-TB isolation ward at Sulianti Saroso Infectious Disease Hospital from July to December 2021. The variables investigated in this study include patient characteristics, comorbid diseases, tuberculosis treatment history, nutritional status, psychological status, nursing problem, and subcategories of nursing problems.

Results: Most patients were 56-65 years old, male, high school graduates, unemployed, and married. Most of the populations had diabetes mellitus as a comorbid disease, a history of having received previous treatment, and long-term treatment regimens. Most patients had normal nutritional status and a calm and adaptive psychological history. Nursing problems were airway clearance, dietary deficits, and electrolyte imbalance. The sub-categories of nursing problems that appear most were nutrition and fluid intake, respiration, and ego integrity. This occurs due to physiological disturbances caused by the disease process and the side effects of DR-TBugs.

Conclusion: The process of Mycobacterium tuberculosis infection accelerates the body’s metabolism as it combats the bacteria. This resulted in decreased appetite and reduced nutritional status. Consequently, nurses should focus on intensified care for DR-TB patients. This involves ensuring adequate nutrition and fluid intake, offering spiritual support to boost confidence, and educating patients on maintaining airway hygiene.

EFFECT OF IMPLEMENTING THE ANDROID-BASED APPLICATION “CAKOASI.ID” (COMPLEMENTARY THERAPY DISC) ON MOTHER'S SELF-EFFICACY IN OVERCOMING BREASTFEEDING PROBLEMS

Rini Rahmayanti, Fitri Wahyuni, Hadigufri Triha — Sun, 18 May 2025 06:48:05 +0000

Background: Breastfeeding coverage in Indonesia is still low, including Padang City, especially in the Andalas Health Center working area, which is 51.1%, has not reached the national target of 90%. Self-efficacy is one of the main factors in increasing exclusive breastfeeding behavior. Self-efficacy is influenced by the mother's knowledge about how to overcome breastfeeding problems. Increasing knowledge can be done through the innovation of complementary therapy disc applications that can be accessed by mothers via Android.

Objectives: This research aims to determine the effectiveness of implementing the cakoASI.id application on the self-efficacy of breastfeeding mothers in overcoming problems in breastfeeding.

Methods: This research uses a pre-experimental design method with a one group pre-posttest design approach. This research will be carried out for six months in the Andalas Community Health Center working area. The sample in this study was breastfeeding mothers with babies aged <6 months. Purposive sampling technique will be used to determine the sample. The instrument that will be used is a questionnaire to determine self-efficacy. This research will be carried out within one year. The research results will be processed using the paired T test statistical test.

Results: It was found that the mother's self-efficacy before was 41 and after was 59.8 with a p value of 0.000 (p≤0.05) which means that there is an influence of the use of the Android-based application intervention "cakoASI.id" on the self-efficacy of breastfeeding mothers.

Conclusion: There is an effect of using the android-based application intervention "cakoASI.id" on the self-efficacy of breastfeeding mothers.

EFFECTIVITY OF OXYGEN THERAPY IN NEUROLOGICAL DEFICITS IN ACUTE ISCHEMIC STROKE PATIENTS

Ervin Damayanti, Ceria Nurhayati — Sun, 18 May 2025 06:53:24 +0000

Background: Neurological deficits in acute ischemic stroke patients cause disrupted day living activities. The study aimed to analyze the difference in neurological deficits of acute ischemics stroke between patients with oxygen therapy in the stroke center room of Dr. Ramelan Hospital.

Objectives: The study sample used total random sampling technique. Variable of this study were neurological deficit, using the NIHSS scale instrument is the National Institute of Health Stroke Scale and using the statistical Mann Whitney test.

Methods: The research design used was quasi experiment. The population in the study was acute ischemic stroke patients in the stroke center room of RSPAL Dr. Ramelan Surabaya totaling 32 patients. Divide into 16 patients with oxygen therapy, 16 without oxygen therapy. The study was neurological deficit, using the NIHSS scale insrumen is the National Institute of Health Stroke Scale and using the statistical Mann Whitney Test.

Results: The results showed that there was a significant difference in neurological deficit of two group with the Mann Whitney that P = 0.037 (P≤0.05).

Conclusion: Acute ischemis stroke patients who are given oxygen therapy can cause decreased neurological deficits. The implications of this study are expected so patients can get oxygen therapy as the main therapy in the management of acute ischemic stroke.

DESCRIPTION OF POST TRAUMATIC STRESS DISORDER (PTSD) POST MOUNTAIN SEMERU ERUPTION

Sun, 18 May 2025 08:27:56 +0000

Background: The existence of the eruption of Mount Semeru certainly has a considerable impact on aspects of life, both in physical, social, psychological aspects, and has the potential to experience Post Traumatic Traumatic Stress Disorder (PTSD). Traumatic experiences can cause various disorders including physical, psychological and social development disorders which will have an impact on mental, emotional, social and personality disorders as well as disturbances in self-esteem.

Objectives: To describe the PTSD in victims of natural disasters after the eruption of Mount Semeru.

Methods: This study used a descriptive research design with a survey approach to respondents, with a total of 65 respondents. The sample used in this study was 65 respondents aged around 17 to > 65 years and over divided into the intervention group and the control group. This research was conducted in the Lumajang Regency Recolation area, using an instrument in the form of PCL-C from May to June 2023.

Results: The results showed that the majority of respondents did not indicate symptoms of Post Traumatic Stress Disorder (PTSD) as many as 12 people (18.5%) and most of them indicated symptoms of Post Traumatic Stress Disorder (PTSD) from mild to severe severity as many as 53 people (81.5%). Most of them were aged between 17-45 years as many as 51 people (78.4%) and a small portion aged 46-65 years &> 65 years as many as 14 people (21.6%).

Conclusion: The results of this study are expected to be used as a reference in the development of nursing interventions as an effort to reduce the symptoms experienced by PTSD sufferers

ANALYSIS OF FACTORS RELATING TO NURSES' COMPLIANCE IN THE IMPLEMENTATION OF SURGICAL SAFETY CHECKLIST IN WEST KALIMANTAN

Putra Ardhana, Suriadi Jais, Lidia Hastuti, Haryanto, Dedi Damhudi — Fri, 20 Jun 2025 08:37:51 +0000

Background: Hospitals as health institutions play an important role in providing optimal health services, including surgical procedures, which are susceptible to the risk of complications and death. The World Health Organization (WHO) has promoted the Surgical Safety Checklist (SSC) as a tool to improve patient safety and reduce post-operative complications, with implementation proven to be effective in reducing mortality and morbidity. However, in several hospitals in West Kalimantan, the level of compliance with SSC is still not optimal, with implementation only reaching around 50-52%. Several factors that influence this compliance include teamwork, motivation, attitudes, perceptions, knowledge, and nurse training

Objectives: The aim of this study aims to analyze the factors that are related and most dominant to nurse compliance in implementing SSC in hospitals in West Kalimantan Province

Methods: This type of research is quantitative correlational with a cross-sectional approach. The research was conducted at three hospitals in West Kalimantan province in 2024 using a total sampling technique, namely 105 operating room nurse respondents. The chi-square test and logistic regression were used to analyze this data.

Results: Based on the research results, it is known that there is a relationship between teamwork p=0.009, perception p=0.004, attitudeattitude p=0.005, knowledge p=0.001, motivation p=0.002, training 0.001, age p=0.008, education p=0.007, with compliance with SSC implementation while gender p=0.491 has no relationship with compliance with SSC implementation. The most dominant factor is Teamwork OR=21.64, which means nurses with good teamwork will be 21.64 times more likely to comply compared to those with poor teamwork.

Conclusion: It was concluded that the factors related to nurse compliance in implementing SSC were teamwork, perception, attitudeattitude, knowledge, motivation, training, age, and education. There is no influence on the gender factor. The most dominant factor is teamwork.

Keywords: Perioperative, Surgical Incidents, SSC, Compliance

RELATIONSHIP BETWEEN MICRONUTRIENT INTAKE AND HEMOGLOBIN LEVELS IN PREGNANT WOMEN IN DEPOK CITY WEST JAVA

Sinta Aulia Fikriah, Irma Nurbaeti — Tue, 24 Jun 2025 05:56:18 +0000

Background: Anemia remains a public health issue among pregnant women in Indonesia, including in the city of Depok. One of the causes is insufficient intake of micronutrients such as iron, folic acid, vitamin B12, and vitamin C, which play a crucial role in hemoglobin production.

Objectives: This study aims to investigate the relationship between micronutrient intake and hemoglobin levels among pregnant women

Methods: This study employed a cross-sectional design in Depok city, West Java, in April to May 2025. A sample of 107 pregnant women was selected using accidental sampling. Data were collected through interviews using a 24-hour Dietary Recall questionnaire and hemoglobin level test results from medical records. The Spearman Rank test was used for data analysis

Results: The results showed that the majority of respondents had an adequate intake of micronutrients (81.3%) and hemoglobin levels in the non-anemic category (70.1%). A significant association was found between iron, folic acid, vitamin B12, and vitamin C intake and hemoglobin levels (p = 0.0001). A history of anemia was also strongly associated with hemoglobin levels (p = 0.0001; r = 0.706).

Conclusion: Adequate intake of iron, folic acid, vitamin B12, and vitamin C plays a role in maintaining hemoglobin levels in pregnant women. Nutrition education and monitoring of micronutrient intake need to be improved in nursing practice to prevent anemia and pregnancy complications.

EFFECTIVENESS OF REPRODUCTIVE HEALTH CARD ON ADOLESCENTS' UNDERSTANDING OF THE TRIAD KRR

Yuliyanik, Wira Daramatasia — Tue, 24 Jun 2025 08:22:37 +0000

Background: Adolescence is a transition period from childhood to adulthood. Adolescents' physical and psychological changes develop in line with their curiosity about the changes they are experiencing. The changes experienced by teenagers will not be a nuisance if teenagers understand the changes that occur in their bodies. In connection with changes in adolescents, the problem that often occurs is the Three Basic Threats to Adolescent Reproductive Health (TRIAD KRR).

Objective: The aim of the research was to determine the effectiveness of the Reproductive health card on adolescents' understanding of TRIAD KRR.

Method: This research design was quasi-experimental with one group pre-test and post-test design. In this study, research subjects were first given a questionnaire as a pretest to determine students' initial understanding before being given education about TRIAD KRR using a reproductive health card. After the pre-test, the students were then given education about TRIAD KRR using a reproductive health card. Next, the students were given a final test (posttest) to find out the extent of their understanding of TRIAD KRR using a reproductive health card.

Results: The results of the study showed that there was an increase in students' understanding of TRIAD KRR after being given reproductive health card educational media.

Conclusion: Reproductive health card educational media has an impact on increasing students' understanding of TRIAD KRR. The Wilcoxon test obtained a value of p = 0.002 (p<0.05), statistically confirming that educational media has a better impact.

RELATIONSHIP BETWEEN PARENTAL ROLES AND RISK SEXUAL BEHAVIOR IN ADOLESCENTS

Agus Sulistyowati, Risti Puji Listari, Dini Prasetyo Wijayanti — Sun, 29 Jun 2025 04:13:06 +0000

Background: Behavior sexual risky for teenagers is one of problem health increasing reproduction increased . Factors environment , especially family , holding role important in to form behavior teenagers . Parents own role crucial in give supervision , education , and open communication related issue sexual . The lack of role parent can cause teenager more prone to do behavior sexual that is not safe .

Objective : Study This aiming For know connection between role parent with behavior sexual risky for adolescents .

Method : quantitative with cross sectional design

Results: Results research shows that most teenager own knowledge which is less related to sexual behavior (62.5%) with the role of parents in adolescent development which is still lacking (67.7%) and as many as 82.3% of adolescents have engaged in sexual behavior. Analysis more carry on show No there is connection between knowledge ( p-value 0.629) on adolescent sexual behavior, but there is a relationship between the role of parents ( p-value 0.022) on sexual behavior.

Conclusion: Parents have an important role in preventing unhealthy or risky sexual behavior in adolescents. Positive support and proper sex education from parents can help. adolescents gain accurate knowledge about sexual health, develop positive attitudes and prevent inappropriate sexual behavior.