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All Journal Jurnal NERS JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) Jurnal Keperawatan Silampari Jurnal Kreativitas PKM Journal of Telenursing (JOTING) Jurnal Peduli Masyarakat Indonesian Journal of Global Health research TANJUNGPURA JOURNAL OF NURSING PRACTICE AND EDUCATION Journal of Applied Nursing and Health Jurnal Keperawatan Merdeka Indonesian Journal of Global Health Research
Ricky Prawira
Universitas Lambung Mangkurat
Biochemistry, Genetics & Molecular Biology Chemistry Dentistry Education Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Medicine & Pharmacology Neuroscience Nursing Public Health Veterinary Other

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Clinical Competence and Nursing Culture as Determinants of Standardized Pain-Sedation Assessment Compliance Among ICU Nurses: A Cross-Sectional Study Hafifah, Ifa; Prawira, Ricky; Risdianto, Risdianto
Journal of Applied Nursing and Health Vol. 8 No. 2 (2026): Journal of Applied Nursing and Health
Publisher : Chakra Brahmanda Lentera Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55018/janh.v8i2.641

Abstract

Background: Despite growing attention to ICU quality care, limited evidence has simultaneously examined the combined influence of nursing culture and clinical competence on compliance with standardized pain-sedation assessment among ICU nurses in developing healthcare settings. This study aimed to identify factors associated with ICU nurses’ compliance with standardized pain and sedation assessment using the COMFORT Scale and the Richmond Agitation-Sedation Scale (RASS), with a particular focus on the combined roles of nursing culture and clinical competence. Methods: A quantitative descriptive survey design was employed. This cross-sectional study was conducted and reported in accordance with the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) guidelines. The study included 35 ICU nurses at a tertiary hospital in South Kalimantan, Indonesia, using a total population sampling method. All ICU nurses who met the inclusion criteria were eligible to participate. The dependent variable was ICU nurses' compliance with standardized pain and sedation assessment, measured using structured observation checklists based on the COMFORT Scale and the Richmond Agitation-Sedation Scale (RASS). The independent variables were nursing culture and clinical competence, measured using validated questionnaires. Observers were trained and standardized before data collection to ensure consistency of assessment. Data were analyzed using descriptive statistics, Spearman's rho correlation, and multiple linear regression after assessing model assumptions, including linearity, multicollinearity, normality of residuals, and homoscedasticity. Statistical significance was set at p < 0.05. Results: Most participants were female nurses (65.7%) aged 30–39 years (51.4%) with ≤5 years of ICU experience (62.9%). Observed compliance with standardized pain and sedation assessment was moderate and inconsistent (Mean = 3.59 ± 0.505 on a 1–5 scale), with documentation and scheduled tracking intervals being the weakest domains. Bivariate analysis revealed that both a supportive nursing culture (r = -0.001, p = 0.002) and higher clinical competence (r = 0.912, p < 0.001) were significantly correlated with compliance. However, in the multiple linear regression model (R2 = 0.574, F(2,32) = 21.562, p < 0.001). Individual clinical competence emerged as the sole significant independent predictor of compliance with standardized pain and sedation assessment (β = 0.759, p < 0.001; 95% CI: 0.54 to 1.27). After multivariate adjustment, nursing culture was not significantly associated with compliance with standardized pain and sedation assessment (β = -0.001, p = 0.993; 95% CI: -0.29 to 0.29). Conclusion: Clinical competence was the only independent predictor of compliance with standardized pain and sedation assessment among ICU nurses in multivariate model. Therefore, competency-based training and evaluation should be prioritized, while future longitudinal, multi-center studies should investigate the long-term effects of such interventions and other factors influencing compliance.
The Effectiveness of Autogenic Relaxation on Sleep Quality and Fatigue Levels in Cancer Patients Undergoing Chemotherapy Uni Afriyanti; Muhammad Ra’uf; Candra Kusuma Negara; Ricky Prawira
Indonesian Journal of Global Health Research Vol 7 No 5 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i5.6829

Abstract

Fatigue and sleep disturbances are two common symptoms experienced by cancer patients undergoing chemotherapy. These conditions negatively impact quality of life and the effectiveness of treatment. One promising non-pharmacological approach is autogenic relaxation, a relaxation technique that combines self-suggestion, controlled breathing, and focused attention on bodily sensations to achieve physical and mental calmness. This study aims to evaluate the effectiveness of autogenic relaxation in improving sleep quality and reducing fatigue levels in cancer patients undergoing chemotherapy. The study employed a quasi-experimental design with a pretest–posttest and control group. A total of 30 patients were divided into two groups: intervention (n = 15) and control (n = 15). The sampling technique used was purposive sampling. The intervention was conducted for two weeks, twice a day, using an audio guide. Sleep quality was measured using the Pittsburgh Sleep Quality Index (PSQI), and fatigue was assessed using the Fatigue Assessment Scale (FAS). The intervention group showed a decrease in mean PSQI scores from 11.2 to 8.1 (p = 0.017) and FAS scores from 34.5 to 28.3 (p = 0.031). Data analysis was performed using the Shapiro–Wilk normality test, followed by the Wilcoxon test for analysis within groups, and the Mann–Whitney test for between groups. The control group did not show any significant changes. These results indicate that autogenic relaxation stimulates a physiological relaxation response that contributes to improved sleep and reduced fatigue. Autogenic relaxation is an effective and applicable non-pharmacological supportive intervention for cancer patients during chemotherapy.
The Effectiveness of Diabetes Self-Management Education (DSME) on the Self-Care of Patients with Diabetic Foot Ulcers Candra Kusuma Negara; Hery Wibowo; Rizka Hayyu Nafi'ah; Ricky Prawira
Indonesian Journal of Global Health Research Vol 7 No 5 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i5.6999

Abstract

Diabetic foot ulcers are one of the chronic complications of diabetes mellitus (DM) that can lead to serious infections and even amputation. Poor self-care ability is a major risk factor in the development of chronic wounds among DM patients. The Diabetes Self-Management Education (DSME) intervention has been considered effective in improving patients’ self-management abilities; however, contextual evidence in Indonesia remains limited. This study aimed to evaluate the effectiveness of DSME intervention in improving self-care abilities among patients with diabetic foot ulcers at RSUD Banjarmasin. The study employed a quasi-experimental design using a one group pre-test and post-test approach. A total of 30 patients were selected using total sampling. The DSME intervention was delivered over seven consecutive days through a structured, face-to-face educational approach. Self-care ability was measured using the Summary of Diabetes Self-Care Activities (SDSCA) questionnaire before and after the intervention. Data were analyzed using a paired sample t-test. Prior to the intervention, the majority of respondents (70%) were categorized as having poor self-care. After the intervention, 80% of respondents were categorized as having good self-care. The paired sample t-test showed a significant difference in self-care scores before and after the DSME intervention (p < 0.001). The DSME intervention was effective in enhancing self-care abilities among patients with diabetic foot ulcers.
The Effectiveness of Passive Range of Motion (ROM) Exercise on Motor Recovery in Post-Spinal Anesthesia Patients Mariani Mariani; Novia Heriani; Candra Kusuma Negara; Ricky Prawira
Indonesian Journal of Global Health Research Vol. 7 No. 6 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i6.279

Abstract

Spinal anesthesia is a commonly used regional anesthetic technique in surgical procedures, but it is often associated with delayed motor recovery postoperatively. Passive Range of Motion (ROM) exercise is a physiotherapy intervention that has the potential to accelerate motor recovery by stimulating the neuromuscular system and enhancing peripheral blood circulation. This study aimed to evaluate the effectiveness of passive ROM exercises on motor recovery in patients after spinal anesthesia. A quasi-experimental design with a posttest-only control group approach was used. This study used consecutive sampling to recruit respondents who met the inclusion criteria. The sample consisted of 30 patients who underwent spinal anesthesia and were evenly divided into an intervention group (n = 15) and a control group (n = 15). The intervention group received passive ROM exercises for 24 hours postoperatively in four scheduled sessions, while the control group received standard postoperative care. The data analysis used was univariate analysis to describe the characteristics of respondents, while bivariate analysis used the Mann-Whitney test to assess differences in Bromage scores. Motor recovery was measured using the Bromage Scale every four hours. A significant difference in Bromage scores was found between the intervention and control groups at the 24th hour (p = 0.019), with the intervention group showing a lower median score (0) compared to the control group (1), indicating faster motor recovery. Passive ROM exercise is effective in accelerating motor recovery in post-spinal anesthesia patients and can be recommended as part of postoperative care protocols.
Benson's Relaxation Technique as A Non-Pharmacological Intervention to Improve Sleep Patterns in Chronic Kidney Disease (CKD) Stage 5 Patients Undergoing Hemodialysis Yunita Yunita; Yulyanti Yulyanti; Candra Kusuma Negara; Ricky Prawira; Ari Athiutama
Indonesian Journal of Global Health Research Vol. 7 No. 6 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i6.519

Abstract

Sleep disturbance is one of the common complaints experienced by patients with Chronic Kidney Disease (CKD) stage V undergoing hemodialysis, which has an impact on decreasing the quality of life physically, psychologically, and socially. Non-pharmacological therapy such as the Benson relaxation technique is considered effective and safe in overcoming sleep disturbances and improving the emotional well-being of patients. This study aims to evaluate the effectiveness of the Benson relaxation technique in improving the quality of life of patients with CKD stage V. The research design used was a quasi-experimental with a pre-test and post-test approach with a control group, involving 60 respondents who were divided into intervention groups (n=30) and control groups (n=30) through a purposive sampling technique. The intervention was carried out for 14 days with a duration of 15–20 minutes of exercise per day. The instrument used was a quality of life (QoL) questionnaire consisting of five aspects: satisfaction with therapy, impact on life, fear of complications, social problems, and total QoL score.The Pittsburgh Sleep Quality Index (PSQI) instrument used in this study has been proven valid (r = 0.412–0.698; p < 0.05) and reliable (Cronbach's Alpha = 0.824; p = 0.000), making it suitable for measuring patient sleep quality. Data were analyzed using statistics, with Pearson validity test, Cronbach's Alpha reliability ( α = 0.824), Shapiro-Wilk normality test, and Wilcoxon and Mann-Whitney difference tests. The results showed a significant increase in the total QoL score from 2.63 ± 0.49 to 3.27 ± 0.39 (p = 0.001). All aspects of QoL also experienced a significant increase (p < 0.05), especially in the aspect of satisfaction with therapy and decreased fear of complications. Field findings also showed that patients felt calmer, could fall asleep faster, and showed increased social interaction after the intervention. The conclusion of this study is that the Benson relaxation technique is effective in improving the quality of life of CKD stage V patients and is recommended as a nursing intervention that can be applied routinely and independently in hemodialysis service practices.
Pemberdayaan Masyarakat Berbasis Sociopreneur melalui Pemanfaatan Kain Perca sebagai Upaya Peningkatan Kemandirian Ekonomi Ifa Hafifah; Ricky Prawira; Yavistha Febriana Pradhini; Ahmad Samy Hafiz; Fitriatuz Zahra; Khafizah Khafizah; Majdah Nazif Mar&#039;ie; Muhammad Yasin; Nabila Nurazizah; Ranti Sandayani; Savira Najwa; Siti Nafisah
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 9, No 3 (2026): Volume 9 Nomor 3 (2026)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v9i3.24220

Abstract

ABSTRAK Keterbatasan keterampilan produktif dan akses ekonomi masih menjadi permasalahan utama pada masyarakat marginal perkotaan. Program pengabdian masyarakat ini bertujuan untuk meningkatkan kemandirian ekonomi masyarakat melalui pendekatan sociopreneur berbasis pemanfaatan kain perca. Kegiatan dilaksanakan pada Minggu, 30 November 2025 di Tepi Jalan Najmi Adhani, Kota Banjarbaru, Kalimantan Selatan, dengan melibatkan 12 orang peserta. Metode pelaksanaan meliputi pelatihan soft skill kewirausahaan dan pelatihan hard skill berupa pembuatan kerajinan dari kain perca yang bernilai ekonomis. Hasil kegiatan menunjukkan bahwa 12 peserta (100%) mampu mengikuti pelatihan dengan baik dan berhasil menghasilkan produk kerajinan sederhana dari kain perca. Karakteristik peserta terdiri dari 8 orang perempuan (66,67%) dan 4 orang laki-laki (33,33%). Kegiatan ini meningkatkan pengetahuan, keterampilan, serta motivasi peserta dalam memanfaatkan limbah kain perca sebagai peluang usaha mikro. Program sociopreneur ini berpotensi menjadi model pemberdayaan masyarakat yang berkelanjutan dalam meningkatkan kemandirian ekonomi masyarakat perkotaan. Kata Kunci:  Pemberdayaan Masyarakat, Sociopreneur, Kain Perca, Kemandirian Ekonomi.  ABSTRACT Limited productive skills and economic access remain major problems in marginalized urban communities. This community service program aims to increase the economic independence of the community through a sociopreneur approach based on the utilization of scrap fabric. The activity was held on Sunday, November 30, 2025 at the edge of Najmi Adhani Street, Banjarbaru City, South Kalimantan, involving 12 participants. The implementation method included soft skills training in entrepreneurship and hard skills training in the form of making crafts from scrap fabric that have economic value. The results of the activity showed that 12 participants (100%) were able to follow the training well and successfully produced simple craft products from scrap fabric. The characteristics of the participants consisted of 8 women (66.67%) and 4 men (33.33%). This activity increased the knowledge, skills, and motivation of participants in utilizing scrap fabric waste as a micro-business opportunity. This sociopreneur program has the potential to become a sustainable community empowerment model in increasing the economic independence of urban communities. Keywords: Community Empowerment, Economic Independence, Fabric  Scraps, Patchwork, Sociopreneur.
Dikdea Skrining Risiko Diabetes Melitus pada Remaja Uni Afriyanti; Muhammad Ra’uf; Yosra Sigit Pramono; Candra Kusuma Negara; Ricky Prawira
Journal of Telenursing (JOTING) Vol. 8 No. 4 (2026): Journal of Telenursing (JOTING)
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31539/1y3sxe28

Abstract

This study aimed to analyze the effectiveness of Dikdea as a Diabetes Mellitus risk screening tool for adolescents. The study employed a quantitative research design using a Randomized Controlled Trial (RCT) with a pretest–posttest control group design. The results showed that the intervention group experienced significant improvements in knowledge, attitudes, and healthy behaviors related to Diabetes Mellitus prevention compared to the control group, with significant differences in knowledge (p=0.021), attitudes (p=0.017), and healthy behaviors (p=0.013). Receiver Operating Characteristic (ROC) analysis also showed that Dikdea had good diagnostic ability (AUC=0.87; sensitivity 84.2%; specificity 79.5%). In conclusion, Dikdea is an effective non-invasive screening tool for identifying the risk of Diabetes Mellitus among adolescents and has the potential to be implemented as a school-based screening strategy to support the early detection and prevention of Diabetes Mellitus.   Keywords: Adolescents, Diabetes Mellitus, Early Detection, Risk Screening
Co-Authors afriyanti, uni Ahmad Samy Hafiz Andrew Johan Andrew Johan Athiutama, Ari Candra Kusuma Negara Candra Kusuma Negara Chrismilasari, Lucia Andi Dewi, Anggara Fitri Dikki Saputra Fitriatuz Zahra Gustina, Erma Hafifah, Ifa Harokah, Ali Heriani, Novia Hery Wibowo Ifa Hafifah Jamini, Theresia Khafizah Khafizah Majdah Nazif Mar&#039;ie Mariani Mariani Muhammad Ra’uf Muhammad Yasin Nabila Nurazizah Nafi'ah, Rizka Hayyu Ranti Sandayani Rifky Ismail Rifky Ismail Risdianto Risdianto, Risdianto Rizka Hayyu Nafi'ah Savira Najwa Siti Nafisah Suhartini Ismail Suhartini Ismail Suhartini Ismail, Suhartini Yaumil Hafsani Siregar Yavistha Febriana Pradhini Yosra Sigit Pramono Yulyanti Yulyanti Yunita Yunita