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All Journal PROSIDING SEMINAR NASIONAL Jurnal Keperawatan Indonesia Idea Nursing Journal Jurnal Keperawatan Jiwa (JKJ): Persatuan Perawat Nasional Indonesia Jurnal Keperawatan Soedirman (The Soedirman Journal of Nursing) Jurnal NERS Jurnal Penelitian Kesehatan Suara Forikes Jurnal Ilmiah Universitas Batanghari Jambi Jurnal Keperawatan Padjadjaran Journal Of Nursing Practice Jurnal Keperawatan Silampari Jurnal Kesehatan Manarang Nursing Current : Jurnal Keperawatan Jurnal Keperawatan Abdurrab Journal of Islamic Nursing Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) International Journal of Nursing and Health Services (IJNHS) Jambura Nursing Journal Jurnal Ilmu Keperawatan Jiwa Jurnal Kesehatan South East Asia Nursing Research JPP Jurnal Kesehatan Poltekkes Palembang Jurnal Keperawatan Widya Gantari Indonesia JURNAL ILMIAH OBSGIN : Jurnal Ilmiah Ilmu Kebidanan & Kandungan Jurnal Ners Jurnal Persatuan Perawat Nasional Indonesia (JPPNI) Journal of Telenursing (JOTING) Jurnal Aisyah : Jurnal Ilmu Kesehatan Community Development Journal: Jurnal Pengabdian Masyarakat Psychiatry Nursing Journal (Jurnal Keperawatan Jiwa) Jurnal Ners Widya Husada Jurnal Kesehatan MAHESA : Malahayati Health Student Journal Borobudur Nursing Review Jurnal Keperawatan Soedirman (The Soedirman Journal of Nursing) Jurnal Sahabat Keperawatan Malahayati International Journal of Nursing and Health Science
Novy Helena Chatarina Daulima
Faculty Of Nursing Universitas Indonesia
Agriculture, Biological Sciences & Forestry Humanities Biochemistry, Genetics & Molecular Biology Civil Engineering, Building, Construction & Architecture Dentistry Economics, Econometrics & Finance Education Environmental Science Health Professions Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Neuroscience Nursing Physics Public Health Social Sciences Veterinary

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Exploring family emotions in do-not-resuscitate (DNR) decision-making for hospitalized patients: A systematic review Siagian, Nur Aima; Putri, Yossie Susanti Eka; Daulima, Novy Helena Catharina; Chandra, Yudi Ariesta; Panjaitan, Ria Utami
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 11 (2026): Volume 8 Number 11
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i11.988

Abstract

Background: End-of-life decision-making, particularly Do-Not-Resuscitate (DNR) decisions for critically ill patients in hospital care, is an extremely difficult and often traumatic issue. This process has a profound impact on the mental health of families, causing anxiety, depression, stress, and even post-traumatic stress disorder (PTSD). There is currently little literature that thoroughly explores the diverse and profound emotional landscape, such as fear, optimism, well-being, and challenges experienced by families during the DNR decision-making process. Purpose: To examine the various emotions experienced by family members during the DNR decision-making process for patients hospitalised in hospital. Understanding these emotional experiences is crucial for improving support interventions, reducing conflict, and avoiding adverse psychological effects on families and healthcare providers. Method: A systematic review (SR) design was used in this study to evaluate and synthesise existing qualitative evidence on the emotional experiences of families. This design was chosen because it provides a better understanding of the family situation. To ensure its relevance to current clinical practice, this review used the PRISMA guidelines and the PICO framework. The publications included were published between 2020 and 2025 and were retrieved from electronic databases such as PubMed, SAGE, and Clinicalkey Nursing. Nine studies in the qualitative synthesis included 28 primary studies that were evaluated, most of which were qualitative or used mixed methods, conducted in several countries (such as the US, Australia, Taiwan, and Chile). The focus of the analysis was to find patterns, similarities, and differences in emotional experiences. Results: Families' experiences with DNR decisions are characterised by significant psychological stress. When families are faced with discussions about Goals of Care (GoC), they often feel unprepared, confused, and shocked. This situation is often exacerbated by time pressure. Families experience the deepest emotions, namely guilt and fear of making the wrong decision, with the family's main goal being to ‘do everything right so there are no regrets’. Conclusion: The DNR process is complex, dynamic, and emotional. This study shows that healthcare professionals must not only provide medical information but also acknowledge, validate, and assist families in coping with their emotional issues. To improve the quality of end-of-life care, clinical practice must shift to a more family-centred and friendly communication model that explicitly addresses the complex emotional dynamics that families face during difficult times in their lives.
Efektivitas Pemberian Terapi Relaksasi Otot Progresif Terhadap Penurunan Tingkat Stres Pada Perawat : Systematic Review Linda Mandasari; Novy Helena Catharina Daulima; Mustikasari Mustikasari; Yossie Susanti Eka Putri
Jurnal Ners Vol. 9 No. 2 (2025): APRIL 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i2.42754

Abstract

Nurses are at the forefront of health services so they can influence the physical and psychological condition of nurses. Psychological disorders that can occur include work stress on nurses which must be studied and solutions found so that nurses' performance remains good and of high quality. To overcome work stress conditions in nurses, there are various solutions that can be done, one of which is progressive muscle relaxation. Progressive muscle relaxation therapy can have an effect on reducing stress and anxiety levels in nurses. Literature search using databases namely ProQuest, Sciencedirect and Clinicalkey Nursing within the last 10 years. There are 3 articles that use a Randomized Control Trial. Providing progressive muscle relaxation therapy can be effective in reducing stress levels in nurses.
Comprehensive approaches to suicide prevention in undergraduate students: A scoping review of psychological, social, and institutional strategies Soeli, Yuniar Mansye; Daulima, Novy Helena Catharina; Mustikasari, Mustikasari; Martha, Evi
Jurnal Keperawatan Padjadjaran Vol. 13 No. 3 (2025): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jkp.v13i3.2763

Abstract

Background: Diabetic foot ulcers (DFUs) remain a significant clinicalchallenge, requiring precise classification systems to aid prognosis and treatment planning. The Wagner classification is widely used but offers limited detail on specific wound characteristics, while the SHID (Suriadi, Haryanto, Imran, Defa) system provides a more comprehensive evaluation but lacks validation. Purpose: This study was designed to evaluate and compare the predictive validity of the Wagner and SHID classification systems in forecasting DFU healing outcomes. Methods: A prospective cohort study was conducted at Kitamura Clinic and Doctor Soedarso Pontianak Hospital between August 2021 and July 2022, involving 89 DFU patients. Both systems were evaluated based on sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV), and likelihood ratios. Predictive validity was determined using receiver operating characteristic (ROC) curve analysis and the Youden index. Results: A cut-off grade of >2 provided optimal predictive value for both systems. The SHID classification demonstrated a sensitivity of 92%, specificity of 62%, PPV of 27.5%, and NPV of 98%, while the Wagner classification showed a sensitivity of 58%, specificity of 77%, PPV of 28%, and NPV of 92.2%. Positive likelihood ratios were 2.4 for SHID and 2.5 for Wagner. ROC analysis yielded an area under the curve (AUC) of 0.786 (95% CI: 0.69–0.87) for SHID and 0.703 (95% CI: 0.60–0.80) for Wagner. The Youden index was higher for SHID (0.540) compared to Wagner (0.349). Conclusion: Although both systems are effective for predicting DFU healing within 12 weeks, SHID’s superior AUC and Youden index suggest greater clinical utility in screening and managing DFUs. Keywords: diabetic foot ulcer; sensitivity, specificity, wound classification, wound healing prediction
Voice From the Frontline: A Qualitative Exploration of Nurses' Views on Schizophrenia Therapy Adherence in Indonesia Wardani, Ice Yulia; Hamid, Achir Yani; Daulima, Novy Helena Catharina; Asih, Sally Rahadi; Nasution, Riska Amalya
Jurnal Kesehatan Manarang Vol 12 No 1 (2026): April 2026
Publisher : Politeknik Kesehatan Kemenkes Mamuju

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33490/jkm.v12i1.2227

Abstract

Schizophrenia is a severe chronic mental disorder characterized by symptoms that affect human thought processes, emotions, and behavior. This study aimed to explore nurses' perspectives on therapy adherence among individuals with schizophrenia in Indonesia, focusing on types of therapy programs, causes of non-adherence, consequences of non-adherence, barriers to adherence, and strategies for improving continuity of care. A qualitative phenomenological approach was employed, involving in-depth interviews with 11 nurses purposively selected from psychiatric hospitals and mental health clinics across Indonesia. Participants had at least three years of experience in schizophrenia care. Data were analyzed using the Colaizzi method to identify themes and subthemes. Five key themes emerged: (1) Types of therapy programs (nursing therapy, psychopharmacology, psychotherapy); (2) Causes of non-adherence (negative attitudes, lack of family support, drug side effects, healthcare system challenges, economic barriers); (3) Consequences of non-adherence (relapse, rehospitalization, social and familial impacts); (4) Barriers to adherence (nurse-related, doctor-related, patient-related, and family-related obstacles); and (5) Continuity of care (increasing resources, health collaboration, service integration). Nurses emphasized the need for multidisciplinary collaboration and systemic improvements to enhance adherence. The study highlights the multifaceted challenges in achieving therapy adherence among schizophrenia patients in Indonesia. Addressing these issues requires tailored interventions, stronger family and healthcare provider support, and integrated care models. These findings can inform policy and practice to reduce relapse rates and improve patient outcomes.
Menurunkan Kecemasan Anak Usia Sekolah Selama Hospitalisasi Dengan Terapi Bermain All Tangled Up Syarif, Syisnawati; Helena, Novy; Setiawan, Agus
Journal of Islamic Nursing Vol 1 No 1 (2016): Journal Of Islamic Nursing
Publisher : Universitas Islam Negeri Alauddin Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (529.938 KB) | DOI: 10.24252/join.v1i1.3514

Abstract

Abstrak Salah satu terapi yang digunakan untuk  menurunkan kecemasan pada anak usia sekolah selama hospitalisasi adalah dengan melakukan terapi bermain all tangled up. Penelitian ini bertujuan mengetahui pengaruh terapi bermain terhadap kecemasan anak usia sekolah selama hospitalisasi di RSUD Syekh Yusuf Kabupaten Gowa Propinsi Sulawesi Selatan. Desain penelitian quasi experimental pre-post test with control group. Sampel berjumlah 68 orang yang meliputi 34 orang kelompok intervensi dan 34 orang kelompok kontrol. Hasil penelitian menunjukkan penurunan skor tingkat kecemasan pada anak usia sekolah  lebih tinggi pada kelompok intervensi dibandingkan kelompok kontrol (p value<0.05). Terapi bermain  all tangled up direkomendasikan diterapkan sebagai terapi keperawatan merawat klien anak usia sekolah yang mengalami kecemasan selama hospitalisasi. 
The The effectiveness of dialectical behavior therapy (DBT) in reducing suicide risk among psychiatric patients: A systematic review Irma Sofiani Kusmara; Mustikasari Mustikasari; Novy Helena Catharina Daulima; Yossie Susanti Eka Putri
Malahayati International Journal of Nursing and Health Science Vol. 9 No. 3 (2026): Volume 9 Number 3
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v9i3.2148

Abstract

Background: Suicide is a major public health concern and one of the leading causes of death globally, particularly among individuals with psychiatric disorders. Various psychotherapeutic interventions have been developed to reduce suicide risk, including Dialectical Behavior Therapy (DBT), which has shown promising results in patients with borderline personality disorder (BPD) and other psychiatric diagnoses Purpose: To systematically review the effectiveness of DBT in reducing suicidal ideation, suicide attempts, and self-harm behaviors in adult psychiatric patients. Method: A systematic search was conducted through PubMed, Scopus, and ClinicalKey Nursing for articles published between 2010 and 2025. Inclusion criteria encompassed randomized controlled trials and quasi-experimental studies involving DBT as the main intervention. Results: A total of eight studies (seven RCTs and one quasi-experimental) met the criteria. The results indicate that DBT significantly reduces suicidal ideation, suicide attempts, and non-suicidal self-injury (NSSI), particularly when the skills training component is included. DBT was found to be equally or more effective than treatment as usual (TAU), cognitive behavioral therapy (CBT), and other interventions. Key factors influencing effectiveness included therapist fidelity, patient engagement, and contextual implementation. Conclusion: This review concludes that DBT is a robust, evidence-based approach to suicide prevention in psychiatric settings and recommends its comprehensive implementation in clinical practice.
Co-Authors Abdul Wakhid Achir Yani S Hamid Achir Yani S. Hamid Agus Setiawan Alber Tanjung Asih, Sally Rahadi Basmanelly Basmanelly Berlian Nurtyashesti Kusumadewi Budi Anna Keliat Cahyani, Eliza Chandra, Yudi Ariesta Deborah Ferdinanda Lumenta Denny Paul Ricky Dewi Eka Putri Dewi, Apri Rahma Dwi Heppy Rochmawati Dwi Suratmini Eka Malfasari Eka, Angelina Eka, Angelina Roida Eli Saripah Emi Wuri Wuryaningsih Eni Hidayati Evi Martha Fandy Yoduke Giur Hargiana Hargiana Hamid, Achir Yani Hargiana, Giur Hasibuan, Shinta Yuliana Hening Pujasari Herni Susanti I Ketut Suada Ice Yulia Wardani Ida Ayu Putri Wulandari Ikhwanudin Ikhwanudin Imami Nur Rachmawati Irma Sofiani Kusmara Junaiti Sahar Junardi Junardi Keksi Girindra Swasti Kellyana Irawati Lina Iffata Fauziya Linda Mandasari Livana PH Livana Ph, Livana Manumba, Ruliyani mariyati mariyati Misesa Misesa Moch. Bahrudin Mustikasari Mustikasari Naedi Naedi Novitasari, Prihatini Dini Pasaribu, Jesika Puji Mentari Ria Utami P Ria Utami Panjaitan Riska Amalya Nasution Robby Prihadi Aulia Erlando Rr Tutik Sri Hariyati Rudi Abas Safra Ria Kurniati Sambodo Sriadi Pinilih Sawab Sawab Setyowati Setyowati Siagian, Nur Aima Sri Endriyani Subu, Muhammad Arsyad Susila, Wahyu Dini Candra Sutanto Priyo Hastono Sutanto Priyo Hastono Sutejo Sutejo Syarif, Syisnawati Titik Suerni Tri Budiati Triaswati, Rusmai Usraleli Usraleli Wahyu Reknoningsih Wanda , Dessie Wardhani, Ice Yulia Wardhani, Ice Yulia Winahayu, Neng Esti Winda Ratna Wulan Yanuar Fahrizal Yoduke, Fandy Yossie Susanti Eka Putri Yuniar Mansye Soeli Yunita Astriani Hardayati