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All Journal Jurnal Keperawatan Nurse Media Journal of Nursing IJNP (Indonesian Journal of Nursing Practices) Majalah Kesehatan FKUB Care : Jurnal Ilmiah Ilmu Kesehatan Poltekita : Jurnal Ilmu Kesehatan Jurnal ABDINUS : Jurnal Pengabdian Nusantara Jurnal Aisyah : Jurnal Ilmu Kesehatan Caring : Jurnal Pengabdian Masyarakat Journal of Nursing Science Update Indonesian Nursing Journal of Education and Clinic (Jurnal Pendidikan dan Praktik Keperawatan Indonesia) Jurnal Kesehatan Komunitas Indonesia
Hayati, Yati Sri
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Biochemistry, Genetics & Molecular Biology Computer Science & IT Dentistry Economics, Econometrics & Finance Education Environmental Science Health Professions Industrial & Manufacturing Engineering Medicine & Pharmacology Nursing Public Health Veterinary

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Information Management and Critical Thinking–Strategic Decision-Making Competencies of First-Line Nurse Managers and the Achievement of Minimum Service Standards for Older Adults: The Mediating Role of Job Satisfaction: Job Satisfaction Rakhmawati, Rani; Ahsan, Ahsan; Hayati, Yati Sri
Jurnal Keperawatan Vol. 17 No. 1 (2026): January
Publisher : University of Muhammadiyah Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22219/jk.v17i1.42118

Abstract

Introduction: The increasing number of older adults poses growing challenges for primary healthcare services, particularly in achieving the Minimum Service Standards (MSS) for elderly health. In community health centers (Puskesmas), first-line nurse managers play a strategic role in planning, implementing, and monitoring health programs for the elderly. However, achievement of MSS varies across facilities, suggesting that managerial competencies and work-related factors may influence service outcomes.Objective: This study aimed to examine the direct and indirect relationships between first-line nurse managers’ managerial competencies—specifically information management, critical thinking, strategic decision-making, and the achievement of Minimum Service Standards for elderly health, with job satisfaction as a mediating variable.Methods: An analytical quantitative cross-sectional study was conducted among 126 first-line nurse managers from 17 community health centers in Malang City and Malang Regency, Indonesia. Data were collected using the Primary Care Manager’s Managerial Competence Scale (15 items) and the short version of the Minnesota Satisfaction Questionnaire (16 items). Data were analyzed using Partial Least Squares–Structural Equation Modeling (PLS-SEM).Results: Critical thinking–strategic decision-making competence showed no significant direct association with MSS achievement (β = −0.012; T = 0.740; p = 0.460), nor did information management competence (β = −0.016; T = 0.734; p = 0.463). However, mediation analysis revealed significant indirect associations through job satisfaction. Critical thinking–strategic decision-making competence demonstrated a positive indirect association with MSS achievement (β = 0.028; p = 0.021), while information management competence also showed a significant indirect association (β = 0.037; p = 0.024).Conclusion: Managerial competencies of first-line nurse managers were not directly associated with the achievement of Minimum Service Standards for elderly health. However, these competencies showed significant indirect associations with MSS achievement through job satisfaction, highlighting the importance of fostering supportive work environments to enhance elderly health service performance in primary care settings.
Path Analysis of Family Communication, Decision-Making, and Caregiver Burden on Family Caregivers’ Quality of Life: The Mediating Role of Self-Efficacy Setyoadi, Setyoadi; Ismail, Dina Dewi Sartika Lestari; Hayati, Yati Sri; Efendi, Ferry; Haryanto, Joni
Nurse Media Journal of Nursing Vol 16, No 1 (2026): (April 2026)
Publisher : Department of Nursing, Faculty of Medicine, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/nmjn.v16i1.73159

Abstract

Background: Type 2 Diabetes Mellitus (T2DM) presents a chronic health challenge that extends beyond the patients, significantly affecting family members who assume caregiving responsibilities. Family caregivers often experience emotional, physical, and psychological burdens, particularly in low-resource settings. However, the interplay between family communication, decision-making, caregiver burden, and self-efficacy, and how these factors jointly influence caregiver quality of life, remains insufficiently explored, particularly in culturally specific and resource-limited settings.Purpose: This study aimed to examine the structural relationships among family communication, shared decision-making, caregiver burden, self-efficacy, and their influence on the quality of life of family caregivers of individuals with T2DM.Methods: A cross-sectional study was conducted involving 327 family caregivers recruited from 16 primary health centers using cluster random sampling. Data were collected using validated instruments to measure family communication, decision-making, caregiver burden, self-efficacy, and quality of life. Structural Equation Modeling (SEM) was used to analyze both direct and indirect relationships among the variables.Results: The findings revealed that family communication (β = 0.35) and decision-making (β = 0.42) had significant positive effects on self-efficacy, whereas caregiver burden (β = -0.33) had a significant negative effect. Self-efficacy, in turn, significantly improved caregivers’ quality of life (β = 0.51). Furthermore, self-efficacy mediated the indirect effects of family communication, decision-making, and caregiver burden on quality of life. The model explained 49% of the variance in self-efficacy and 64% of the variance in caregiver quality of life.Conclusion: Self-efficacy plays a central role in enhancing caregiver well-being and quality of life. Interventions that promote open family communication, shared decision-making, and burden reduction are essential. Nursing implications include the need for culturally sensitive, family-centered nursing interventions to enhance caregiver self-efficacy through communication training, psychosocial support, and empowerment in decision-making. Nurses should be equipped to assess caregiver burden and
The Influence of Self-Efficacy-Based Family Psychoeducation on Family Caregiving Skills for Patients with Paranoid Schizophrenia Endyka, Yessy; Hayati, Yati Sri; Supriati, Lilik
IJNP (Indonesian Journal of Nursing Practices) Vol. 9 No. 1 (2025): June
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/ijnp.v9i1.21756

Abstract

Background: Schizophrenia is one of the leading causes of disability worldwide. Among various types of schizophrenia, Paranoid schizophrenia is the most common type, which occurs about 40.8%. This type of prognosis has a better response to treatment, and many patients are still in stable conditions. Patients with paranoid schizophrenia need long-term care and supervision from their significant others, especially family members. In this situation, the role and support of the family becomes important; one of the nonpharmacological management for paranoid schizophrenia involving the family is family psychoeducation. In this research, psychoeducation was corrected and enhanced by presenting self-efficacy as part of family psychoeducation. Objective: Self-efficacy-based family psychoeducation aims to provide a better understanding of changes in a person’s behavior on long-term treatment of mental illness. Methods: This study used quantitative and pre-experimental designs with one group pretest and posttest. This study was conducted in the working area of  Jenangan Public Health Center. The research period started in October and continued until November 2023. The authors used a purposive sampling technique. Respondents in this study were family members of paranoid schizophrenia patients who were also their caregivers. This family psychoeducation used a guideline module to guide the therapist on how to perform self-efficacy-based family psychoeducation to respondents. The family caregiving skills for patients with paranoid schizophrenia were assessed using five family health tasks questionnaires and statistically tested with the Wilcoxon test. The total number of respondents in this study was 48 respondents. Results: The results of the statistical analysis showed that the P value was 0.000. This indicated a statistically significant difference, meaning that overall, the Family Psychoeducation intervention based on Self-Efficacy had a positive impact on the family's ability to care for individuals with paranoid schizophrenia. Conclusion: It can be concluded that self-efficacy-based psychoeducation influences caregiving skills for paranoid schizophrenia. This therapy is highly recommended for patients with mental health conditions. This therapy can be applied in hospital settings and in community family nursing. These findings highlight the importance of incorporating family psychoeducation as a part of the comprehensive treatment plan for patients with schizophrenia.
Co-Authors Ahsan Ahsan Amanda, Febrina Andinawati, Mia Ardhia, Jessica Fio Arifah, Medisa Roro Putri Nur Ayut Merdikawati, Ayut Azizah, Nurona Cholid Tri Tjahjono Efris Kartika Sari, Efris Kartika Elvira Sari Dewi Endyka, Yessy Ferry Efendi Gultom, Elisabeth Indhiarti, Tantri Refa Indriyani, Damayanti Irwando, Erdy Ismail, Dina Dewi Sartika Lestari Jannah, Riska Raudhatul Joni Haryanto Kartika, Annisa Kartika, Annisa Wuri Kristianingrum, Niko Dima Kumboyono Kumboyono Lailiyatul Munawaroh Laily Yuliatun Lilik Supriati, Lilik Machfud, Savinka Salsabiela Iriana Noorhamdani Noorhamdani Nurani, Nunik Nurul Aisyiyah Puspitarini Nurul Muslihah PUJI LESTARI Rani Rakhmawati, Rani Rokhmawati, Nila Lestari Seda, Lukas Fransiskus Saverius Setyoadi Setyoadi Setyoadi Sholihatul Amaliya, Sholihatul Titin Andri Wihastuti Widiani, Luh