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All Journal Jurnal Riset Kesehatan Journal of Public Health Sciences INOVASI LOKAL : Pemberdayaan Masyarakat dalam Pembangunan Berkelanjutan Interdisciplinary Journal of Ethnopsychiatric Nursing (IJEN) Jurnal Keperawatan Terapan
Apriana Rahmawati
Universitas Jember
Religion Arts Humanities Dentistry Economics, Econometrics & Finance Education Health Professions Languange, Linguistic, Communication & Media Medicine & Pharmacology Nursing Public Health Social Sciences

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The Impact of Leadership Training on Nurse Satisfaction and Healthcare Outcomes in Management Clinics: A Cross-Sectional Study: Dampak Pelatihan Kepemimpinan terhadap Kepuasan Perawat dan Kinerja Pelayanan di Klinik Manajemen: A Cross-Sectional Study Nurul Huda; Evy Aristawati; Bagus Dwi Cahyono; Apriana Rahmawati
Jurnal Keperawatan Terapan Vol 11 No 2 (2025): Jurnal Keperawatan Terapan (E-Journal)
Publisher : Poltekkes Kemenkes Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31290/jkt.v11i2.5733

Abstract

Abstrak: Kepemimpinan efektif berperan penting dalam meningkatkan kualitas pelayanan kesehatan dan kepuasan tenaga kesehatan. Namun, akses terhadap pelatihan kepemimpinan bagi perawat di klinik manajemen masih terbatas. Penelitian potong lintang ini melibatkan 100 perawat dari 10 klinik manajemen di Indonesia. Data dikumpulkan melalui kuesioner terstruktur yang telah divalidasi (Cronbach’s alpha = 0,89) dan dianalisis menggunakan uji chi-square serta odds ratio (OR) dengan interval kepercayaan 95%. Hanya 44% perawat yang pernah mengikuti pelatihan kepemimpinan. Analisis menunjukkan bahwa perawat yang mengikuti pelatihan memiliki peluang lebih besar mengalami outcome positif, dengan OR tertinggi pada persepsi manajer suportif (OR = 6,00; 95% CI: 2,68–13,40), diikuti kolaborasi tim (OR = 5,45), kualitas pelayanan (OR = 5,17), dan kepuasan kerja (OR = 4,21), semua signifikan secara statistik (p < 0,05). Pelatihan kepemimpinan secara signifikan meningkatkan kepuasan kerja, dinamika tim, dan kualitas pelayanan. Program pelatihan perlu diintegrasikan ke dalam pengembangan profesional berkelanjutan bagi semua perawat.
Multifaceted Roles of Nurses in Mitigating Climate Change-Related Health Impacts: A Scoping Review Nadia Rohmatul Laili; Apriana Rahmawati; Arina Qona'ah
Journal of Public Health Sciences Vol. 5 No. 02 (2026): In Press - Journal of Public Health Sciences
Publisher : The Indonesian Institute of Science and Technology Research

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56741/IISTR.jphs.002004

Abstract

Climate change is increasingly amplifying global morbidity and mortality, disproportionately affecting vulnerable populations and placing sustained pressure on health systems. Nurses, as the largest segment of the healthcare workforce, are strategically positioned to mitigate climate change-related health impacts; however, the scope and empirical basis of these roles remain insufficiently consolidated. This scoping review aimed to map and critically examine the multifaceted roles of nurses in addressing climate-related health consequences. A comprehensive search of SCOPUS, PubMed, ProQuest, and ScienceDirect identified 15 articles eligible for inclusion in this review. Four core nursing roles were identified: (1) integrating climate change into nursing curricula and community health education, (2) advancing research on planetary health, (3) influencing climate-related health policies, disaster preparedness, and resilience strategies, and (4) providing climate-responsive care to vulnerable populations. A key finding was the predominance of normative and conceptual literature, revealing a substantial gap between expected nursing roles and empirically supported practices, particularly in direct caregiving interventions.
ANCAMAN FINANSIAL DAN GAYA HIDUP SEHAT DI KALANGAN MAHASISWA KEPERAWATAN USIA REMAJA AKHIR DI DAERAH PEDESAAN JAWA TIMUR Apriana Rahmawati; Bagus Dwi Cahyono; Evy Aristawati; Nurul Huda; Ronal Surya Aditya; Trihaningsih Puji Astuti
Jurnal Riset Kesehatan Vol 15 No 1 (2026): MAY 2026
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jrk.v15i1.14203

Abstract

Perceived financial stability and uncertainty may impair physical and mental health during late adolescence. Yet, its association with health-promoting lifestyle among nursing students in resource-limited community settings remains underexplored. This study aimed to analyze the relationship between financial threat and health-promoting lifestyle among late adolescent nursing students. A descriptive quantitative study with a cross-sectional design was conducted in September 2025 with 69 nursing students undergoing rural community fieldwork in a rural district participated. Data were collected using two validated instruments: (1) the Financial Threat Scale (FTS), which measures subjective financial anxiety, perceived economic uncertainty, and financial burden (Cronbach’s α = 0.776), and (2) a modified 10-item Health-Promoting Lifestyle Profile II (HPLP-II), which assesses multidimensional health behaviors across six domains (Cronbach’s α = 0.850). Both continuous variables were dichotomized (low/high) based on empirically derived cut-offs (FTS ≤14 vs. ≥15; HPLP-II ≤37 vs. ≥38) to enable Chi-Square analysis, a non-parametric test appropriate for categorical data with modest sample sizes and potential non-normality. Analyses included descriptive statistics, Pearson’s correlation, and Chi-Square tests with Fisher’s Exact Test. High financial threat was reported by 40.6% (n = 28); 53.6% (n = 37) demonstrated good health-promoting lifestyle. No significant association was found either on a continuous basis, with r = 0.147 and p = 0.228, or on a categorical basis, with χ² = 0.981 and p = 0.322; Fisher's exact test, p = 0.339 meaning that students experiencing high financial threat were just as likely to maintain good health-promoting behaviors as those with low threat. although this study did not directly measure familial support, professional identity or academic scaffolding, the absence of a significant association between financial threat and health-promoting lifestyle despite high levels of perceived threat aligns with emerging literature suggesting that such culturally embedded protective mechanism may buffer the behavioral impact of financial stress in collectivist, low and middle income contexts.
Virgin Coconut Oil Therapy for Coastal Dermatitis: A Community Nursing Application of Orem's Self-Care Deficit Theory Galuh Harini Sasiraya; Evy Aristawati; Apriana Rahmawati; Sri Wahyuni
Inovasi Lokal Vol. 4 No. 1 (2026): Inovasi Lokal
Publisher : Tarqabin Nusantara Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62255/noval.v4i1.289

Abstract

Dermatitis is one of the most common integumentary disorders encountered in community nursing practice, and its burden is amplified among populations continuously exposed to environmental irritants such as seawater, wind, dust, and extreme humidity. Coastal communities sit at the upper end of this exposure gradient, yet affordable, theory-guided non-pharmacological interventions for this population remain sparsely evaluated. This study evaluated the effectiveness of standardized topical Virgin Coconut Oil (VCO) therapy, delivered through a structured nursing process guided by Orem's Self-Care Deficit Theory, on impaired skin integrity among coastal residents with contact dermatitis. A quasi-experimental, one-group pretest-posttest design, reported in accordance with the TREND Statement, was conducted over three consecutive days (12–14 May 2026) with two purposively selected participants, aged 35 and 60 years, in the coastal working area of the Gadingrejo Community Health Center, Pasuruan City, Indonesia. VCO was applied topically per a standard operating procedure while nursing support progressed from a wholly compensatory to a partially compensatory and finally a supportive-educative system. Skin integrity was assessed daily using SDKI/SLKI-aligned indicators covering pruritus, erythema, skin texture, lesion status, and local skin temperature. Both participants showed a consistent decline in pruritus and erythema, smoother skin texture, and reduced local skin temperature (37.4°C to 36.5°C in the older participant), with near-complete symptom resolution by the third day. Structured VCO therapy delivered through a theory-guided nursing process meaningfully restored skin integrity within 72 hours and moved participants toward independent self-care, supporting its viability as a low-cost, evidence-based community nursing intervention for coastal dermatitis.
Guided Autogenic Relaxation for Hypertensive Acute Pain: An Orem-Based Community Nursing Program Dian Ratna Sari; Evy Aristawati; Apriana Rahmawati; Heny Ekawati
Inovasi Lokal Vol. 4 No. 1 (2026): Inovasi Lokal
Publisher : Tarqabin Nusantara Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62255/noval.v4i1.298

Abstract

Hypertension rarely presents in isolation; a substantial proportion of affected adults also live with acute pain, most often occipital headache and neck tension, that erodes daily functioning and pushes patients toward unsupervised analgesic use. Community-based, non-pharmacological interventions capable of addressing this dual burden inside patients' own homes remain underdocumented, particularly when explicitly grounded in a nursing theoretical framework. This community nursing program examined the effect of guided autogenic relaxation therapy, structured around Orem's Self-Care Deficit Theory, on acute pain intensity, blood pressure, and self-care behavior among hypertension patients in a primary care catchment area. A quasi-experimental, one-group pretest-posttest design, reported following TREND and TIDieR guidance, was applied to three male patients aged 49-56 years with moderate acute pain (Numeric Rating Scale 4-5). Each participant received a standardized 15-minute guided autogenic relaxation session daily for three consecutive days at home, with pain, blood pressure, vital signs, and pain-related behavior recorded before and after every session. Mean pain intensity fell from 4.67 to 1.33, a 71.5% reduction; systolic pressure declined by 21 mmHg and diastolic pressure by 13 mmHg; and observable pain behaviors resolved by the third day. Two of the three participants began practicing the technique independently before the scheduled session on day two, consistent with Orem's transition from a partially compensatory to a supportive-educative nursing system. These findings support incorporating guided autogenic relaxation into home-based community nursing as an accessible, theory-consistent strategy for strengthening self-care agency in hypertension management.
A Netnographic Critique of Cultural Appropriation versus Cultural Competence in Digital Mental Health Ethnic Communities Apriana Rahmawati; Suhendra Agung Wibowo; Beatriz Elizabeth Nuñez Martinez
Interdisciplinary Journal of Ethnopsychiatric Nursing Vol. 2 No. 1 (2026): Interdisciplinary Journal of Ethnopsychiatric Nursing
Publisher : Tarqabin Nusantara Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62255/ijen.v2i1.250

Abstract

Background: Digital mental health campaigns increasingly incorporate local cultural symbols to improve engagement among ethnically diverse populations. However, whether these adaptations represent genuine cultural responsiveness or merely superficial branding remains unclear, particularly within Indonesia's multicultural context. This study explored how ethnic and indigenous communities interpret, contest, and reclaim the cultural authenticity of institutional digital mental health advocacy. Methods: A qualitative netnographic study was conducted through 24 weeks of non-participant observation across Indonesian- and Malay-language digital ecosystems, including institutional social media platforms, community-led discussion forums, and professional nursing and psychiatric networks. Public discussion threads were purposively sampled and analysed using reflexive thematic analysis to identify recurring patterns of community interpretation. Results: Four interrelated themes emerged: (1) tokenistic aesthetic inclusion, (2) decontextualisation of sacred healing practices, (3) community reclamation through counter-narrative production, and (4) a discursive transition from cultural competence toward cultural justice. Participants overwhelmingly perceived institutional campaigns as relying on symbolic cultural representation rather than meaningful collaboration, criticising the use of indigenous knowledge and cultural symbols without shared decision-making or reciprocal community benefit. Conclusion: Superficial visual and linguistic localisation alone does not meet communities' expectations of culturally safe digital mental health advocacy. The findings suggest that psychiatric nursing and digital health communication should move beyond conventional cultural competence frameworks toward culturally just approaches that prioritise community co-design, shared governance, equitable benefit-sharing, and recognition of indigenous epistemic authority in the development of digital mental health campaigns.
Co-Authors Arina Qona'ah Bagus Dwi Cahyono Beatriz Elizabeth Nuñez Martinez Dian Ratna Sari Evy Aristawati Galuh Harini Sasiraya Heny Ekawati Laili, Nadia Rohmatul Nurul Huda Ronal Surya Aditya Sri Wahyuni Suhendra Agung Wibowo Trihaningsih Puji Astuti