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Implementation of patient-centered care in transforming mental health services: A scoping review Ariyani, Peni; Jiu, Cau Kim; Lestari, Lilis; Jais, Suriadi; Haryanto, Haryanto
JOURNAL OF Mental Health Concerns Vol. 4 No. 6 (2026): February Edition 2026
Publisher : Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Unit Penelitian dan Pengabdian Kep Akademi Keperawatan Baitul Hikmah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/mhc.v4i6.2471

Abstract

Background: Global healthcare is shifting from a traditional paternalistic model to a more inclusive and collaborative approach through Patient-Centered Care (PCC). While its impact on efficiency and patient satisfaction is well-documented, a gap remains in mapping how PCC acts as a catalyst for organizational and cultural transformation in hospitals, especially during digital transitions. Purpose: To map and synthesize existing evidence regarding the implementation of patient-centered care in transforming mental health services. Method: Following the Arksey and O’Malley framework, a systematic search was conducted on PubMed, ScienceDirect, and Wiley Online Library for articles published between 2015 and 2025. After rigorous screening, 10 articles met the inclusion criteria and were used for data synthesis. Results: The findings identify three primary transformation themes: (1) Digital Transformation, utilizing virtual care, 3D medical imaging, and eHealth to enhance patient empowerment; (2) Cultural and Behavioral Transformation, focusing on therapeutic engagement and transparent communication; and (3) Structural Transformation, requiring collaborative governance and distributed leadership. Key facilitators include senior leadership support and change agents, while staff resistance and digital literacy remain significant barriers. Conclusion: Hospital transformation through PCC requires a holistic approach that balances technological advancement with human-centered care. Success depends on strong policy support and a leadership model that embraces all medical professions to ensure sustainable service optimization. Keywords: Hospital Service; Patient-Centered Care; Transformation.
Effect of Henderson’s Need Theory–Based Nursing Care on Medication Adherence among Patients with Tuberculosis: A Quasi-Experimental Study Wahyuni, Tri; Jiu, Cau Kim; Ariyanti, Sri
Journal of Applied Nursing and Health Vol. 8 No. 1 (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.v8i1.525

Abstract

Background: Medication adherence remains a major challenge in tuberculosis (TB) management, particularly in low- and middle-income countries where socioeconomic and health system barriers affect treatment continuity. Although educational and psychosocial interventions have shown benefits, the application of structured nursing theories in TB care is still limited. This study aimed to examine the effect of Henderson-based nursing care on medication adherence among TB patients Methods: This quasi-experimental study with a pretest–posttest control group design followed the TREND reporting guideline. A purposive sampling procedure was conducted by screening outpatient TB registries and applying predefined inclusion and exclusion criteria, resulting in 60 eligible participants (intervention n = 30; control n = 30). The independent variable was nursing care based on Henderson’s fourteen fundamental needs, while the dependent variable was medication adherence. Adherence was measured using a validated Medication Adherence Scale (Cronbach’s α = 0.87). Before parametric testing, assumptions of normality and homogeneity of variance were examined. Paired and independent t-tests were performed, and ANCOVA was used to control for age, education level, and treatment duration. Effect size (Cohen’s d) and 95% confidence intervals (CI) were calculated. Results: Baseline characteristics were comparable between groups (p > 0.05). In the intervention group, mean adherence scores increased from 68.7 ± 8.9 to 88.3 ± 6.4 (mean difference = 19.6; 95% CI: 16.1–23.1; p < 0.001), representing a large effect size (Cohen’s d = 2.52). The control group showed no significant improvement (mean difference = 2.4; p = 0.27). The adjusted mean difference between groups at posttest was 16.8 points (p < 0.001). Additionally, the proportion of patients classified as having high adherence increased substantially in the intervention group compared to the control group. ANCOVA confirmed a significant intervention effect (F = 64.82; p < 0.001), independent of demographic covariates. Conclusion: Henderson’s Need Theory–based nursing care significantly improves medication adherence among TB patients and demonstrates a large clinical effect. Integrating structured, theory-driven nursing interventions into routine TB services may strengthen adherence-focused care, enhance patient independence, and contribute to improved treatment completion rates in resource-limited settings.
Pengaruh implementasi kepemimpinan spiritual terhadap penanganan konflik di ruang perawatan Rahmayani Rahmayani; Cau Kim Jiu; Wuriani Wuriani
Jurnal Kepemimpinan dan Manajemen Keperawatan Vol. 6 No. 1 (2023)
Publisher : Persatuan Perawat Nasional Indonesia Jawa Tengah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32584/jkmk.v6i1.1850

Abstract

Manajemen konflik sangat penting dilakukan oleh seorang pemimpin sehingga sebuah konflik yang terjadi bisa memberikan manfaat sebagai evaluasi kerja untuk meningkatkan sumber daya manusia dalam pelayanan Kesehatan. Spitual Leadership merupakan paradigma baru dalam transformasi dan perkembangan organisasi yang didesain untuk mendorong terciptanya motivasi internal dan organisasi. Penelitian ini bertujuan untuk mengetahui bagaimana pengaruh implementasi spiritual leadershif terhadap penanganan konflik di ruang perawatan RSUD dr. Soedarso. Jenis penelitian ini yaitu Kuantitatif menggunakan tehnik eksperimental semu (quasi experiment ),dengan desain Pre and post design with control group. Dalam menentukan sampel peneliti menggunakan teknik purposive sampling, sampel diambil dari 30% dari total 250 orang dari 10 ruang rawat inap dan intensive yang berjumlah 75 orang. Hasil penelitian yang di dapat bahwa Penanganan konflik responden kelompok intervensi sebelum diberikan Implementasi spiritual leadership  sebesar (47,4 %) menjadi (76,3 %) setelah diberikan bimbingan . Kelompok kontrol tanpa diberikan bimbingan spiritual leadership  sebesar (42,1 %). Penanganan konflik responden pada kelompok intervensi sebelum dan setelah itervensi terdapat perbedaan dengan p value = 0,000. Penanganan konflik responden pada kelompok kontrol sebelum dan setelah intervensi tidak terdapat perbedaan dengan p value = 0,350. Analisis lebih lanjut menyimpulkan bahwa  terdapat Pengaruh Implementasi Spiritual Leadership pada perawat kelompok intervensi di RSUD Dr. Soedarso Pontianak dengan hasil didapai nilai  ( p value =  0,000  < 0,05 )
Implementation Of Zero Waste For Pineapple Farming Groups On Peatlands Alang, Hasria; Jiu, Cau Kim; Syamsuri, Syamsuri; Mukhtar, Wahdaniah; Ira, Nurmaya Putri; Nuraga, Welly Handa; Rozi, Abdul
TRANSFORMASI : JURNAL PENGABDIAN PADA MASYARAKAT Vol 6, No 1 (2026): April
Publisher : UNIVERSITAS MUHAMMADIYAH MATARAM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31764/transformasi.v6i1.38391

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Pineapples are a key commodity in Sungai Malaya Village. Peat soil is a limiting factor, while partners need fertilizer. However, the high cost and limited availability of fertilizer are problematic. Furthermore, long-term use of chemical fertilizers can further worsen soil conditions. Harvested pineapple waste is often discarded, creating a habitat for various disease vectors. Unsold pineapples are simply piled up until they spoil. Therefore, post-harvest management and agricultural land management on peat soil are essential. The partner in this activity is the Harapan Jaya Farmers Group in Sungai Malaya Village. The purpose of the community service is to educate partners about zero waste and provide training in making pineapple chips and food additives (POC) from pineapple waste. The community service method is Participatory Action Research (PAR), which consists of three stages: preparation, implementation, and evaluation. The results of the community service show that partners have been able to make POC and pineapple chips thanks to a vacuum fryer. Although the initial practice of making chips resulted in poor quality, after several practices, partners were finally able to produce crispy chips that meet standards. The evaluation results also indicate an increase in partners' knowledge and skills. The conclusion of the activity was that POC could be used as a safer alternative fertilizer for partners. Meanwhile, pineapple chips could become a business opportunity for partners in the future
Cultural Meanings, Spiritual Adaptation, and Communal Resilience Following Spousal Loss Among Older Adults: An Ethnographic Study Ariyanti, Sri; Jiu, Cau Kim; Anggarawati, Tuti; Pertiwi, Gracia Herni; Sastrini, Yovita Erin
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.v8i2.671

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Background: Spousal loss represents a significant life transition in later life, often influencing psychological well-being, social functioning, and personal identity. In rural Indonesian communities, bereavement is embedded within sociocultural contexts where spiritual beliefs, family obligations, and communal caregiving traditions shape how older adults experience and respond to loss. Despite growing attention to bereavement among older populations, ethnographic evidence examining culturally grounded adaptation processes in rural Indonesian settings remains limited. This study aimed to explore the cultural meanings of spousal loss and the adaptation experiences of older adults residing in rural Indonesian communities. Methods: A qualitative ethnographic design guided by Spradley’s ethnographic tradition was employed. Eighteen older adults who had experienced spousal loss were recruited through purposive sampling. Data were collected during six months of field engagement using in-depth interviews, participant observation, field notes, and focus group discussions. Data were analyzed through thematic ethnographic analysis to identify culturally embedded patterns of meaning and adaptation. Results: Four interconnected themes emerged: spiritual acceptance of spousal loss, cultural values fostering resilience, communal caregiving practices, and loneliness after bereavement. Informants understood spousal loss not only as an emotional experience but also as a sociocultural and spiritual transition. Adaptation was facilitated through religious practices, family responsibilities, collective caregiving traditions, and community support, while loneliness and the loss of emotional companionship remained enduring challenges. Conclusion: Adaptation to spousal loss among older adults is deeply influenced by cultural values, spirituality, and community relationships. These findings contribute to a deeper understanding of culturally embedded bereavement processes and provide a foundation for future cross-cultural and intervention-based research addressing grief and adaptation in later life.
Maternal Sadness in the Context of Developmental Disabilities: A Cross-Sectional Study of Autism, Down Syndrome, and Intellectual Disability Jiu, Cau Kim; Ariyanti, Sri; Wahyuni, Tri; Usman, Usman; Solikhah, Solikhah
Journal of Applied Nursing and Health Vol. 8 No. 1 (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.v8i1.624

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Background: Mothers of children with special needs are vulnerable to emotional challenges; however, specific emotional responses such as sadness remain underexplored in the literature. This study aimed to describe the levels of sadness among mothers of children with Autism Spectrum Disorder (ASD), Down syndrome, and intellectual disabilities. Methods: A cross-sectional descriptive study was conducted between July and December 2025 involving 62 mothers recruited through purposive sampling. Data were collected using a self-reported questionnaire consisting of 15 Likert-scale items measuring sadness levels. Scores ranged from 0 to 60 and were categorized into four levels. Data were analyzed using descriptive statistics, ANOVA, and chi-square tests with a significance level of p < 0.05. Results: The majority of respondents reported moderate to high levels of sadness. The highest mean sadness score was observed among mothers of children with ASD (M = 49.30), followed by Down syndrome (M = 48.67), both indicating high levels. In contrast, mothers of children with intellectual disabilities reported moderate levels (M = 44.25). There was a significant difference in sadness levels across disability types (p = 0.001). Bivariate analysis showed that maternal education, occupation, family income, and type of disability were significantly associated with sadness levels (p < 0.05), whereas maternal age, child’s age, and gender were not (p > 0.05). Conclusion: Sadness is a prevalent emotional response among mothers of children with special needs, with variations across disability types and socioeconomic factors. These findings highlight the importance of targeted psychosocial support to improve maternal well-being.
Analysis of Family Knowledge about Health Diet and Nutritional Status among The Elderly Pertiwi, Gracia Herni; Sastrini, Yovita Erin; Jiu, Cau Kim; Ariyanti, Sri
Journal of Nursing Care Vol 9, No 2 (2026): Journal of Nursing Care
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jnc.v9i2.67105

Abstract

The increasing number of elderly people has an impact on the increase in specific problems that occur in the elderly, one of which is nutritional problems. An important aspect that families must have is adequate knowledge in preparing balance nutritional needs. If nutritional needs are not met in a balanced manner, health problems can occur in the elderly. Diseases or health problems among the elderly can lead them to limit their food intake, thereby worsening their condition. Restricting food due to dietary restrictions imposed by their condition will lead to a lack of nutrients the body needs. This study aims to determine families’ knowledge about healthy diets and nutritional, status in the elderly This research method used a descriptive-analytic design with a cross-sectional approach. The study population consisted of families with elderly members aged ≥ 55 years who voluntarily participated. The sample included families who accompanied or lived with the elderly. The respondents’ ages ranged from ≥ 26 years, and a total of 57 families with elderly members aged ≥ 55 years or older voluntarily participated in this study. The analysis in this study used univariate analysis to determine the frequency distribution and bivariate analysis using the Chi-Square test. The analysis was conducted for each family knowledge category and the Mini Nutritional Assessment (MNA). Based on the distribution of family knowledge about healthy diets, 39 respondent were in the good category, 33 respondent had a normal nutritional status. Family is also an important factor in the lives of the elderly. Statistical analysis results show that there is a relationship between family knowledge about healthy diets and nutritional status fulfillment in the elderly. The results of this study indicate that there is a correlation between the level of knowledge possessed by families and the nutritional status of elderly individuals. Families with sufficient knowledge are able to provide meals that take into account the types of food, frequency of meals, and daily menus for elderly individuals in order to maintain their nutritional status within the good or normal range. 
Community-Based Tuberculosis Prevention through Dayak Local Wisdom: A Qualitative Ethnographic Study Wahyuni, Tri; Jiu, Cau Kim; Parliani, Parliani
Journal of Applied Nursing and Health Vol. 8 No. 3 (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.v8i3.771

Abstract

Background: Tuberculosis (TB) prevention in geographically remote indigenous communities may be constrained by cultural beliefs, stigma, limited access to health services, and locally embedded health practices. However, limited qualitative evidence has examined how Dayak local wisdom and customary structures can be integrated with community-based TB prevention in Bengkayang, Indonesia. This study aimed to explore community perceptions and practices related to TB and formulate a culturally grounded community-based TB prevention strategy integrating local wisdom with existing health services. Methods: A qualitative ethnographic study was conducted in selected Dayak communities in Bengkayang Regency, West Kalimantan, Indonesia. Forty-eight participants were recruited using purposive and snowball sampling, comprising Dayak traditional leaders (Temenggung), community health cadres, active and former TB patients, and members of the general community. Data were collected through in-depth interviews, focus group discussions, and participatory observation using interview guides, observation sheets, field notes, and audio recordings. Data were analyzed through data reduction, data display, and conclusion verification, with source and methodological triangulation used to enhance credibility. The study was reported in accordance with the Standards for Reporting Qualitative Research (SRQR). Results: Three major themes emerged. First, perceptions of TB reflected a transition from traditional interpretations and stigma toward biomedical understanding of TB as a treatable infectious disease. Second, local wisdom included social restriction practices, traditional herbal use as a complement to medical treatment, and customary norms discouraging indiscriminate spitting, which could be aligned with TB prevention principles. Third, community-based prevention was supported by collaboration among traditional leaders, health cadres, and health services. Traditional leaders served as culturally trusted actors for reducing stigma and supporting treatment adherence, while cadres facilitated community-level case finding and health education. Conclusion: Dayak local wisdom and customary social structures provide potentially valuable cultural resources for strengthening community-based TB prevention. Integrating traditional leaders and community health cadres with formal health services may improve the cultural acceptability of TB education, stigma reduction, case finding, and treatment support. Further research should evaluate the implementation and effectiveness of culturally grounded TB prevention strategies.
Co-Authors Agung Anggara Lukmenda Aliana, Ande Almumtahanah, Almumtahanah Amelia, Lince Amelyadi, Amelyadi Amrullah, Syahid Ariyani, Peni Aryadi, Deni Ayu Diana Meilantika Ayu Romantika Azzahra, Fasya Bakti, Wida Kuswida Bhakti, Wida Kuswida Dara, Sokha Diah Ratri Larasati Djaswadi Dasuki Erin Sastrini, Yovita Febriyanti, Adinda Febriyanti, Indriani Gusmiah, Tisa Gusti Jhoni Putra Gusti Jhoni Putra, Gusti Jhoni Hartono Hartono Hartono Hartono Haryanto Haryanto Hasria Alang Indri Erwhani Ira, Nurmaya Putri Istiqamah, Istiqamah Jimmy Pintabar, Andar Junko Sugama, Junko Kardiatun, Tutur Kawuryan, Uji Kiri, Ming Lestari, Astuti Lestari, Lilis Lidia Hastuti Lukita, Yenni Mansunomi, Veronika Mardiyani, Ridha Mayumi Okuwa, Mayumi Mukai, Kanae Nakatani, Toshio Nilaprapti, Endhang Novianti, Wida Novita, Ninda Nur Jannah Nuraga, Welly Handa Nuril Lutvi Azizah Pandi, Jul Parliani Pertiwi, Gracia Herni Pitri, Pitri Pradika, Jaka Pratama, Kharisma Rahayu, Indah Dwi Rahmayani Rahmayani Rozi, Abdul Rungreangkulkij, Somporn Safira, Annisa Saparina, Saparina Sastrini, Yovita Erin Siti Masdah Solikhah Solikhah Sri Ariyanti Suriadi Jais Surtikanti SURTIKANTI SURTIKANTI Surtikanti Surtikanti Susilawati, Miya Syahid, Syahid Amrullah Syamsuri Tamara, Sena Dwi Tamara Tisa Gusmiah tri wahyuni Tuti Anggarawati Ujiana, Sugi Usman Usman Usman Usman Usman Vianny , Afrida Wahdaniah Mukhtar Wida Novianti Winarianti Wuriani Wuriani Wuriani Wuriani Wuriani, Wuriani Yani, Diah Fauri Yukari, Nakajima Yuli Hidayati