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All Journal Jurnal Keperawatan Soedirman (The Soedirman Journal of Nursing) MEDISAINS Jurnal Skolastik Keperawatan (e-Journal) Jurnal Abdimas BSI: Jurnal Pengabdian Kepada Masyarakat Jurnal Manajemen Kesehatan Yayasan RS.Dr. Soetomo Jurnal Kepemimpinan dan Manajemen Keperawatan Journal Of Bionursing Indonesian Journal of Global Health research Jurnal Keperawatan Klinis dan Komunitas (Clinical and Community Nursing Journal) Jurnal Keperawatan Soedirman (The Soedirman Journal of Nursing) Jurnal of Community Health Development (JCHD) International Journal of Biomedical Nursing Review (IJBNR) Malahayati International Journal of Nursing and Health Science Holistik Jurnal Kesehatan Journal Of Bionursing
Wastu Adi Mulyono
Jurusan Keperawatan Fakultas Ilmu-Ilmu Kesehatan Universitas Jenderal Soedirman
Religion Biochemistry, Genetics & Molecular Biology Dentistry Education Environmental Science Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Medicine & Pharmacology Nursing Physics Public Health Veterinary

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Learning Climate as a Predictor of Nurse Clinical Competence: A Cross-Sectional Regression Analysis Maulana, Muhammad Gilang; Mulyono, Wastu Adi; Sumarwati, Made
Journal of Bionursing Vol 8 No 1 (2026): Journal of Bionursing
Publisher : Fakultas Ilmu-ilmu Kesehatan Universitas Jenderal Soedirman

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.job.2026.8.1.19496

Abstract

Background: Clinical competence is essential for safe, high-quality nursing care. Workplace learning conditions (learning climate) may be a key organizational lever to strengthen competence among practicing nurses. Aim: To examine whether learning climate predicts nurses’ clinical competence in an Indonesian tertiary referral hospital. Methods: This associative cross-sectional study was conducted at Prof. Dr. Margono Soekarjo Hospital, Central Java, Indonesia (August–December 2025). A total of 125 registered nurses from IRNA 1 and the Emergency Department participated via total sampling. Learning climate was measured using the Clinical Learning Environment and Supervision (CLES) scale, while clinical competence was assessed using a 28-item questionnaire based on Indonesia’s Regulation No. 40/2017. Linear regression tested the predictive effect of learning climate on clinical competence (p < .05). Results: Participants’ mean age was 36.90 years (SD = 8.24) with mean work experience of 12.24 years (SD = 8.75). Mean learning climate and clinical competence scores were 113.52 (SD = 12.53) and 121.02 (SD = 10.05), respectively. Learning climate significantly predicted clinical competence (B = 0.615, p < .001), explaining substantial variance (R² = 596). Age and work experience were not significant predictors. Conclusion: A more supportive learning climate is associated with higher nurse clinical competence. Strengthening supervision, feedback, and learning opportunities may accelerate competence development and improve care quality.
Model-Model Asuhan Spiritual untuk Praktik Mandiri Keperawatan: Sebuah Practice-Oriented Conceptual Article Mulyono, Wastu Adi
Journal of Bionursing Vol 8 No 1 (2026): Journal of Bionursing
Publisher : Fakultas Ilmu-ilmu Kesehatan Universitas Jenderal Soedirman

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.job.2026.8.1.19556

Abstract

Praktik mandiri keperawatan perorangan memerlukan kerangka konseptual yang jelas, aplikatif, dan mampu menegaskan identitas profesional perawat. Artikel konseptual berorientasi praktik ini bertujuan untuk menyintesis dan memetakan berbagai model asuhan spiritual yang relevan sebagai pedoman praktik mandiri keperawatan. Melalui telaah kritis terhadap literatur keperawatan, spiritual care, dan praktik keperawatan lanjut, artikel ini mengidentifikasi karakteristik utama model-model asuhan spiritual serta menjelaskan implikasinya dalam asesmen, relasi terapeutik, pengambilan keputusan klinis, dan refleksi profesional perawat praktik mandiri. Artikel ini menegaskan bahwa model-model asuhan spiritual tidak hanya berfungsi sebagai pendekatan pendukung, tetapi sebagai kerangka praktik yang memperkuat kualitas, legitimasi, dan keberlanjutan praktik mandiri keperawatan.
Efektivitas penerapan teknik pemasangan nasogastric tube berbasis sensor pada pasien stroke infark dalam praktik keperawatan: A systematic review Purnomo, Dedy Miswar; Mulyono, Wastu Adi; Nani, Desiyani
Holistik Jurnal Kesehatan Vol. 19 No. 12 (2026): Volume 19 Nomor 12
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v19i12.1926

Abstract

Background: Nasogastric tube (NGT) placement is an important intervention in meeting the nutritional needs of stroke patients with dysphagia. However, conventional methods often have limitations in accuracy and risk complications such as aspiration, pneumonia, and misplacement into the airway. Advances in sensor technology have improved the accuracy and safety of NGT placement procedures, thereby minimizing clinical risks and enhancing the effectiveness of nursing practices. Purpose: To determine the effectiveness of implementing sensor-based nasogastric tube insertion techniques in infarction stroke patients in nursing practice. Method: This study used a systematic review design based on the PRISMA guidelines with the PICOS framework. Articles were searched on SCOPUS, PubMed, ScienceDirect, Scisapse, and Elicit, with inclusion criteria of articles from the last 10 years, Quasi-Experimental design, RCT, Quantitative Research, and R&D. From the selection and screening process, nine articles that met the criteria were obtained and analyzed using a narrative approach. Results: Sensor technology, including pressure sensors, magnetic sensors, warning sensors, fog computing, and color detection sensors, consistently improves the accuracy of NGT position detection, speeds up the verification process, and reduces the risk of dislodgement and misalignment. Several studies have shown position tracking accuracy to reach a deviation of only 0.55–1.63 cm compared to the gold standard of radiology, while R&D research has demonstrated excellent user acceptance with validation >89%. Sensor technology also improves patient safety and provides real-time feedback unavailable with conventional methods. Conclusion: The application of sensor-based NGT placement techniques has been proven effective in improving the accuracy, safety, and efficiency of NGT placement in stroke patients. This technology has the potential to become the standard for supporting clinical processes in the future, although further research is needed on costs, facility readiness, and device integration into nursing practice.   Keywords: Nasogastric Tube; Nursing Practice; Sensor-Based Technique; Stroke Infarction.   Pendahuluan: Pemasangan nasogastric tube (NGT) merupakan intervensi penting dalam pemenuhan kebutuhan nutrisi pasien stroke infark dengan disfagia. Namun, metode konvensional sering memiliki keterbatasan akurasi dan berisiko menimbulkan komplikasi, seperti aspirasi, pneumonia, hingga misplacement ke saluran napas. Perkembangan teknologi sensor memungkinkan peningkatan akurasi dan keamanan prosedur pemasangan NGT, sehingga meminimalkan risiko klinis serta meningkatkan efektivitas praktik keperawatan. Tujuan: Untuk mengetahui efektivitas penerapan teknik pemasangan nasogastric tube berbasis sensor pada pasien stroke infark dalam praktik keperawatan. Metode: Penelitian systematic review berdasarkan pedoman PRISMA dengan framework PICOS. Pencarian artikel dilakukan pada SCOPUS, PubMed, ScienceDirect, Scisapse, dan Elicit, dengan kriteria inklusi artikel 10 tahun terakhir, desain quasi experimental, RCT, quantitative research, dan R&D. Dari proses seleksi dan penyaringan, diperoleh 9 artikel yang memenuhi kriteria dan dianalisis menggunakan pendekatan naratif. Hasil: Teknologi sensor, termasuk sensor tekanan, sensor magnetik, warning sensor, fog computing, hingga sensor pendeteksi warna secara konsisten meningkatkan akurasi deteksi posisi NGT, mempercepat proses verifikasi, dan mengurangi risiko dislodgement maupun salah jalur. Beberapa studi menunjukkan akurasi pelacakan posisi mencapai deviasi hanya 0.55–1.63 cm dibandingkan gold standard radiologi, sementara penelitian R&D menunjukkan penerimaan sangat baik pada pengguna dengan validasi >89%. Teknologi sensor juga meningkatkan keselamatan pasien dan memberikan real-time feedback yang tidak tersedia pada metode konvensional. Simpulan: Penerapan teknik pemasangan NGT berbasis sensor terbukti efektif meningkatkan akurasi, keamanan, dan efisiensi pemasangan NGT pada pasien stroke infark. Teknologi ini berpotensi menjadi standar pendukung proses klinis di masa mendatang, meskipun diperlukan penelitian lanjutan mengenai biaya, kesiapan fasilitas, dan integrasi perangkat dalam praktik keperawatan.   Kata Kunci: Nasogastric Tube; Praktik Keperawatan; Stroke Infark; Teknik Berbasis Sensor.
Learning from genetic blood disorders: A systematic review of digital educational strategies to improve adherence in thalassemia care Wulandari, Rosalia Ratri; Mulyono, Wastu Adi
Malahayati International Journal of Nursing and Health Science Vol. 9 No. 1 (2026): Volume 9 Number 1
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v9i1.1838

Abstract

Background: Adherence to lifelong treatment is a critical challenge for patients with thalassemia and other hereditary blood disorders. Educational and digital interventions have emerged as promising strategies to strengthen patient self-management and adherence. Purpose: To systematically review the effectiveness of digital and educational interventions in improving adherence, self-efficacy, and psychosocial outcomes among patients with thalassemia and other hereditary blood disorders. It also sought to identify the role of nursing-led digital programs in supporting patient empowerment and long-term treatment engagement. Method: This systematic review followed PRISMA 2020 guidelines. Comprehensive searches were conducted in PubMed, Scopus, and Web of Science for studies published between 2010–2025. Eligible studies included RCTs and quasi-experiments evaluating educational or digital interventions to improve adherence and self-efficacy in patients with thalassemia, sickle cell disease, or hemophilia. Results: Ten studies met the inclusion criteria, showing that mobile health (m-Health), e-learning, and telenursing programs significantly improved adherence, disease knowledge, and self-efficacy compared with standard education.Conclusion: Educational and digital interventions are effective adjuncts to conventional care in promoting adherence among patients with thalassemia. This systematic review provides insights into integrating digital health strategies in nursing practice.
Co-Authors Agis Taufik Akhyarul Anam Anas Sumeru Andriyana, Andriyana Arif Imam Hidayat Arif Setyo Upoyo Arini, Hana Nur Chen, Chung-Hey Chen, Hsing-Mei Choiruna, Hasby Pri Desiyani Nani Emilia, Silfi Eni Rahmawati Fadillah Puspa Nadinnisa Galih Noor Alivian Haidar Amr Abdilah Haryatiningsih Purwandari Haryatiningsih Purwandari Hasby Pri Choiruna Heza, Fuad Noor Hikmi Muharromah Pratiwi, Hikmi Muharromah Irnanda Naufal Riandi Keksi Girindra Swasti Keksi Girindra Swasti Keksi Girindra Swasti Khotijah Khotijah Lestari, Chanthy Tri Made Sumarwati Made Sumarwati Made Sumarwati Maharani, Nadia Bella Maulana, Muhammad Gilang Maulita, Adinda Arka Muhammad Nur Akmal Hidayat Niko Sutrisno Ningrum, Fera Agusti Nur Ulfah Nurhikmah, Salma Pranatarini, Nur Azizah Priyandaru, Bayu Aji Purnomo, Dedy Miswar Rahmi Setiyani Ryan Hara Permana Setiowati, Dwi Setiyani, Rahmi Silvia Batulingas Susilowati, Ida Sutrisno, Niko Tiana Dewi Wahyu Ekowati Wiguna, Ilham Wijayanty, Permana Novi Wulandari, Rosalia Ratri Yuana Kartika Yuliar Maulana Yuniawan, Arif Eko