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Health communication: the urgency and challenges of telenursing in remote nursing practice Yustikasari Yustikasari; Tawakkal Baharuddin; Priyo Subekti; Renata Anisa; Retasari Dewi
Jurnal Studi Komunikasi Vol. 9 No. 1 (2025)
Publisher : Faculty of Communications Science, Dr. Soetomo University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25139/jsk.v9i1.9352

Abstract

This study examined the challenges and opportunities for telenursing services’ success in remote regions of Indonesia, particularly the role of health communication in addressing these issues. This research was done using Online Research Methods (ORMs) and analysed using NVivo 12 Plus. The results reveal the desperate need to use telenursing to enhance access to and efficiency and quality of services, especially in regions far removed from healthcare facilities. The analysis showed the existence of significant barriers to the care and technological infrastructure of the area, the scant digital literacy among healthcare providers and patients, and fears concerning data security and privacy. Additionally, there is a lack of sufficient government policies and resource funding, which would otherwise improve the situation. To respond to such challenges, this study advocates for adopting other tools such as health communication models, particularly promotional and trust-building therapeutic communication designed for interaction with patients at the clinic, to increase trust and responsiveness among healthcare workers towards telemedicine. Programmatic, regulatory, and institutional documents, schemes, and strategies for digital literacy, public advocacy, and services for training healthcare workers of advanced age are also enabling and essential factors for the practical and sustained application of telenursing in Indonesia.
Negotiating birth: literacy and intercultural health communication in rural Indonesia Subekti, Priyo; Sjuchro, Dian Wardiana; Fitriana, Rina; Tri, Nguyen Minh
Bricolage : Jurnal Magister Ilmu Komunikasi Vol 12, No 1 (2026): Accredited by Kemenristekdikti RI SK No.152/E/KPT/2023
Publisher : Universitas Bunda Mulia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30813/bricolage.v12i1.8209

Abstract

The impact of socio-cultural literacy and health communication on childbirth service preferences in rural Indramayu, Indonesia is investigated in this paper.  Even with national insurance programs providing better access to official medical treatments, many women still chose traditional birth attendants (TBAs) because of cultural comfort, trust, and local knowledge systems. The study consisted in 19 purposefully chosen informants: eight midwives, three TBAs, and eight moms who lately gave birth or were pregnant using a descriptive qualitative technique and a case study design.  Limited field observations and semi-structured interviews helped to gather data; Braun and Clarke's framework helped them to be thematically analyzed. The results expose seven main themes: (1) medical vs. traditional rationality in service preference; (2) fragmented and experience-based health literacy; (3) inclusive midwife-TBA partnerships enabled by local health centers; (4) symbolic rituals as informal health education; (5) structural barriers and access to healthcare; (6) interpersonal and culturally embedded communication channels; and (7) the collective role of family-particularly husbands and seniors-in decision-making.  According to the study, rather than only cognitive knowledge, cultural and social practices shape health literacy; moreover, communication strategies anchored in local symbols and trust are more successful than top-down messaging.  This study adds fresh understanding of community-based mother health systems combining indigenous knowledge with biomedical methods.The study has pragmatic ramifications for creating culturally sensitive health education plans that acknowledge the agency of modern and traditional health actors. It underlines the requirement of inclusive, culturally responsive communication to enhance rural mother health outcomes.