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All Journal Jurnal Keperawatan Indonesia Jurnal NERS
Ni Luh Putu Inca Buntari Agustini
Faculty of Health, Institute of Technology and Health Bali, Denpasar, Indonesia
Health Professions Nursing

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Patterns of musculoskeletal discomforts across sedentary and dynamic working activity types: An occupational health nursing approach Dr. Ni Luh Dwi Indrayani; Chi-Jane Wang; I Gede Putu Darma Suyasa; Pande Putu Ida Oktaviani; Apiradee Pimsen; Ni Luh Putu Inca Buntari Agustini
Jurnal Ners Vol. 21 No. 2 (2026): VOLUME 21 ISSUE 2 (MAY 2026)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v21i2.82136

Abstract

Introduction: This study investigated the pattern of musculoskeletal disorders (MDs), including their prevalence and determinants among sedentary and dynamic workers, and analyzed working posture across various job characteristics. Methods: A total of 100 factory workers were recruited for this cross-sectional study. A self-reported Nordic Musculoskeletal Questionnaire was used to confirm the affected body parts, and observational analysis was performed using the Rapid Entire Body Assessment. Descriptive statistics and chi-square (χ²) tests were used. Results: Results showed that 89% of workers reported at least one musculoskeletal symptom in the past 12 months, with discomfort in the neck (52%), lower back (51%), and shoulder (48%) as the most affected regions. Office personnel exhibited higher proportions of discomfort in the wrist (38%), thighs (28%), and ankle and feet (32%) than dynamic workers (p < 0.01). Significant differences across occupational groups were identified in all body regions, with the largest effects in the wrist (χ² = 17.38, p < 0.001), thigh (χ² = 26.53, p < 0.001), and knee (χ² = 11.64, p < 0.01). Female sex (χ² = 4.86, p < 0.05), irregular exercise (χ² = 8.53, p < 0.01), and shorter work duration (χ² = 5.10, p < 0.05) were associated with a higher prevalence of MDs. Conclusions: Dynamic workers exhibited higher ergonomic risk scores, particularly for trunk and leg postures compared to static workers. This study concludes that ergonomic redesign and occupational health nursing interventions based on occupational demands are essential to minimize musculoskeletal disorder risks and promote musculoskeletal well-being.
Evaluating Mobile Palliative End-of-Life Advanced Care Enhancement (M-PEACE) Usability and Technology Acceptance: Mixed-Methods Design Ni Luh Putu Inca Buntari Agustini; I Gede Putu Darma Suyasa; Israfil Israfil
Jurnal Keperawatan Indonesia Vol 29 No 2 (2026): July
Publisher : Fakultas Ilmu Keperawatan Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.7454/jki.v29i2.2089

Abstract

Palliative End-of-Life Care (PEoLC) is a process requiring timely assessment, effective communication, and person-centered decision-making to support patients and families. Although the process can be strengthened through digital health innovations such as Mobile Palliative End-of-Life Advanced Care Enhancement (M-PEACE), its use in PEoLC remains limited. Therefore, this study aimed to evaluate M-PEACE usability and technology acceptance through an explanatory sequential mixed-methods design and explore user experiences in describing quantitative results. The quantitative phase was conducted to assess usability through an adapted System Usability Scale (SUS), and technology acceptance was measured using a modified Technology Acceptance Model (TAM) questionnaire. A total of 106 respondents (median age = 46.5 years) who participated were selected using convenience sampling. The results showed that internal consistency of the modified instruments was excellent (Cronbach’s α = 0.865–0.980). Quantitative analysis showed high agreement across usability, functionality, reliability, and transportability domains (median = 4). Perceived usefulness, ease of use, attitudes, behavioral intention, and trust were also high (median = 4–5). In line with the methodological procedures, the qualitative phase was conducted through semi-structured interviews with patients, family caregivers, and nurses to help explain and deepen the quantitative results. Thematic analysis identified three themes, namely (1) Positive Experience with the Application (user-friendly interface, easy access), (2) Perceived Benefits (motivation booster, better symptom monitoring, enhanced quality of life and dignity at end of life, improved self-care ability), and (3) Improvements Needed (reminders, simpler language, cross-platform access, additional tools, offline functionality). Overall, the integration of quantitative and qualitative results suggested that M-PEACE showed strong usability and acceptance, indicating substantial potential for incorporation into PEoLC service delivery.
Co-Authors Apiradee Pimsen Chi-Jane Wang Dr. Ni Luh Dwi Indrayani I GEDE PUTU DARMA SUYASA Israfil Israfil Pande Putu Ida Oktaviani