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All Journal Media Publikasi Promosi Kesehatan Indonesia (MPPKI)
Ni Luh Putu Dian Yunita Sari
Bachelor of Nursing Program, Stikes Bina Usada Bali, Bali, Indonesia
Public Health

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Balinese Nurses and the Multifaceted Role Burden: A Qualitative Exploration Ni Luh Putu Dian Yunita Sari; Luh Putu Widiastini; I Putu Artha Wijaya
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 8 No. 8 (2025)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v8i8.7622

Abstract

Introduction: Female nurses in Bali face several challenges after marriage, including cultural expectations, domestic responsibilities, and professional demands in the workplace. This may be a risk factor for physical and psychological problems. This study aimed to determine the perspectives of female Balinese nurses on their triple roles, so it contribute to existing literature on gender roles and nursing in patriarchal. Methods: This study uses a qualitative methodology underpinned by a phenomenological framework. Data were obtained through in-depth interviews and subjected to a systematic analysis involving transcription, thematic categorization, and processing using N-Vivo 12 software. The population in this study consisted of Balinese Hindu women who worked as nurses. Participants were determined using a purposive sampling technique with the following inclusion criteria: willing to be a participant, able to speak Indonesian, a nurse, as a housewife and already having children, working with a shift system or clearly scheduled (at least 40 hours/week), and active in traditional activities. The exclusion criterion was Balinese women with cognitive, mental, and verbal communication disorders. Twelve participants were interviewed until data saturation was reached. This study was approved by the Health Research Ethics Committee of Stikes Bina Usada Bali (Approval Number: 082/EA/KEPK-BUB-2025). All participants provided informed consent before participating in the study. Results: This research resulted in 6 themes, namely adaptation process, challenges as a Balinese' woman, perceived complaints, strategies to balance roles as Balinese women, support received, and feeling as a Balinese' woman. Participants explained their perspectives and experiences in balancing roles at home, as workers, and as part of Balinese society. Their multiple roles have led to physical and psychological complaints. However, some participants also revealed that there is support from the environment and positive affirmation that being a married Balinese woman is pride, because it is strong and awesome. Conclusion: This study uncovered six themes that deeply describe what Balinese female nurses experience and feel. These results are expected to help community nurses take strategic steps in providing nursing care to a special aggregate, namely, working women in the Balinese community.
Spiritual Emotional Freedom Technique and Lavender Aromatherapy in Hypertensive Elderly: A Quasy-Experimental Study Ni Luh Putu Dian Yunita Sari; I Kadek Prastikanala
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 8 No. 11 (2025)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v8i11.8415

Abstract

Introduction: Hypertensive elderly are one of the vulnerable groups because they have the potential to experience catastrophic disease complications and even death. Efforts to control blood pressure and pain perception in elderly hypertension require a drug companion approach. The purpose of this study was to determine the combination of Spiritual Emotion Freedom Technique (SEFT) and lavender aromatherapy on blood pressure and pain scale of hypertensive elderly. Methods: A quasi-experimental design with control group pre post-test was used in this study. The population in this study were all elderly people with hypertension who visited the Geriatric Poly of Mangusada General Hospital, which were then selected using purposive sampling technique. The sample size obtained after calculation using a two-group unpaired approach was 70 people. A calibrated sphygmomanometer was used to measure blood pressure, while the Numeric Rating Scale (NRS) was used to measure the pain scale. The analysis test used in paired data is Wilcoxon sign rank and in unpaired data is Mann-Whitney because it is not normally distributed. This study was approved by the Ethics Committee for Health Research at Mangusada General Hospital, Badung Regency, Bali (Approval Number: 070/6857/RSDM/2024). All respondents provided informed consent before participating in the study. Results: There is a significant difference between the intervention group and the control group on systolic (mean difference = 9,914), diastolic (mean difference = 3,714), and the pain scale (mean difference = 1,057) of hypertensive elderly before and after the intervention. So, there is an effect of the combination of Spiritual Emotion Freedom Technique (SEFT) and lavender aromatherapy on blood pressure and pain scale of hypertensive elderly. Conclusion:These results can be used as a reference in providing interventions for hypertensive elderly to control blood pressure and reduce pain scale.
“BRASH Therapy” on Quality of Life Among Nursing Home Residents: A Pre-Experimental Study Ni Luh Putu Dian Yunita Sari; I Kadek Prastikanala; Ni Wayan Yunnita Ceatra Jayathi; Pande Putu Riskyana; Meity Coryaningsih; Nabilla Rosa Nada Febriana; Ni Putu Ayu Gangga Restu Wedayanti
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 9 No. 5 (2026)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v9i5.9208

Abstract

Introduction: Elderly residing in nursing homes are susceptible to health issues, which can significantly impact their quality of life. This study aims to evaluate the effect of “BRASH Therapy” (Benson Relaxation, Affirmation, Butterfly Hug, and Self-Healing Touch Therapy) on the quality of life of the elderly. Methods: A quantitative approach employing a pre-experimental pre and post-test design was utilized in this study. The sample consisted of 65 participants selected through purposive sampling technique. The inclusion criteria are able to communicate in Indonesian, able to stand, and had no injuries to the upper and lower extremities. Meanwhile, the exclusion criteria set were elderly people with mental and cognitive disorders, as well as chronic mobility disorders. The intervention provided was “BRASH Therapy” administered over five sessions, each lasting fifteen minutes. The quality of life of the elderly was measured pre an post the completion of all intervention sessions. The instrument used for this measurement was the WHOQOL-BRIEF, which has been validated and is reliable. Due to the data not being normally distributed, the Wilcoxon test was used for processing. This research has been declared ethically receivable with evidence of passing ethical review with Ethical Approval Number 283/EA/KEPK-BUB-2024. Results: The majority of the respondents in this study were female (78,5%), with an average age of 74,3 years. The findings revealed median quality-of-life scores increased from 48,5 (IQR = 20,25-76,75) at baseline to 70,5 (IQR =20,25-80,50) post-intervention. The bivariate test indicated a statistically significant result (Z = ?6,758, p < 0,001). The calculated effect size was very large (r = 0,84, 95% CI: 0,74–0,90), indicating substantial practical significance. Thus, participation in “BRASH Therapy” showed statistically significant improvement of quality of life among elderly residing in nursing homes. Conclusion: The findings can serve as a basis for considerating complementary interventions aimed at improving the quality of life of elderly residing in nursing homes.
Co-Authors I Kadek Prastikanala I Kadek Prastikanala I Putu Artha Wijaya Luh Putu Widiastini Meity Coryaningsih Nabilla Rosa Nada Febriana Ni Putu Ayu Gangga Restu Wedayanti Ni Wayan Yunnita Ceatra Jayathi Pande Putu Riskyana