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All Journal Pediomaternal Nursing Journal NERS Jurnal Keperawatan
Herman, Hermalinda
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Nursing

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Evaluating the autonomy of mother in infant feeding decision: A case study Herman, Hermalinda; Huang, Mei-Chih
Pediomaternal Nursing Journal Vol. 11 No. 2 (2025): VOLUME 11 NO 2 SEPTEMBER 2025
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/pmnj.v11i2.66007

Abstract

Introduction: Exclusive breastfeeding is widely recognized as the optimal method to feed infant up to six months of age. However, mothers often encountered social barriers that challenge the ability to provide exclusive breastfeeding. A significant obstacle was the tendency of grandmothers to be decision-makers in infant care, including feeding. Only a few studies explored maternal autonomy in making the decision about feeding infant based on individual cases. Objective: This case study aimed to describe the ethical dimension in breastfeeding, focusing on maternal autonomy in infant feeding decision and how this was influenced by family and cultural beliefs. Case: A 22-year-old mother with a four-month-old infant followed her grandmother’s advice to provide homemade porridge mixed with soup stock. The practice was considered safe because it had been passed down through generations. For decisions regarding infant care, the mother consistently relied on her grandmother’s knowledge and experience. Conclusion: Exclusive breastfeeding was not achieved because the grandmother advised early introduction of complementary feeding, showing that family influence strongly determined feeding practices. Guidance from nurses was essential to counteract misinformation and support informed breastfeeding decisions. Strengthened post-natal counselling, delivery of intensive information through the media, and participation in monthly growth monitoring were strategies that improved infant feeding practices in line with health recommendations. Keywords: case study; exclusive breastfeeding; decision-making; infant feeding; maternal autonomy
Enhancing Disaster Preparedness among Elementary School Students through Flood Preparedness Training: A Pre-Experimental Study Herman, Hermalinda; Yanti Pupita Sari; Sovia Susianty; Ira Mulya Sari
NERS Jurnal Keperawatan Vol. 21 No. 2 (2025): NJK Volume 21, Number 2
Publisher : Fakultas Keperawatan Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/njk.v21i2.394

Abstract

Children are a vulnerable group in disasters due to their limited physical strength, susceptibility to illness, and emotional instability. Reducing vulnerability is essential for protecting children during disasters, and one crucial factor in their preparedness is disaster education. This study aimed to evaluate the effect of flood disaster preparedness training on improving elementary school students’ preparedness in dealing with flash floods. A pre-experimental design with a one-group pretest–posttest approach was employed, involving 50 students from SDN 23 Guguak Randah. The intervention consisted of a 60-minute training session using lectures, discussions, videos, and disaster simulations. Disaster education plays a significant role in raising children's awareness about disasters and their risk perception. Students’ knowledge was assessed using a validated 10-item questionnaire before and after the intervention. The data were analyzed using the Wilcoxon test. The results showed an increase in the mean knowledge score from 69.20 (SD = 17.71) before training to 80.40 (SD = 15.53) after training (z = 4.089, p < .0001). These findings demonstrate that flood preparedness training significantly enhances students’ knowledge and awareness of disaster preparedness. Disaster education programs for children have been considered an innovative approach to disaster risk reduction The use of lecture-based methods, complemented by simulations, can significantly improve students' comprehension of the concepts and materials being taught. Routine implementation of disaster preparedness programs in schools, in collaboration with the Regional Disaster Management Agency (BPBD), is recommended to strengthen children’s resilience and readiness for future disasters.
Co-Authors Huang, Mei-Chih Ira Mulya Sari Sovia Susianty Yanti Pupita Sari