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All Journal International Journal of Public Health Science (IJPHS) NURSCOPE: Jurnal Penelitian dan Pemikiran Ilmiah Keperawatan Nurse Media Journal of Nursing Jurnal Keperawatan Soedirman (The Soedirman Journal of Nursing) JURNAL SUMBER DAYA MANUSIA KESEHATAN Jurnal Administrasi Kesehatan Indonesia Jurnal NERS The Indonesian Journal of Public Health Jurnal Penelitian Kesehatan Suara Forikes Belitung Nursing Journal Journal Of Nursing Practice Journal Of Holistic Nursing Science Jurnal Keperawatan Silampari Jurnal Keperawatan Muhammadiyah Media Ilmu Kesehatan Jurnal Pengabdian Masyarakat Kesehatan International Journal of Nursing and Health Services (IJNHS) PEDULI: Jurnal Imiah Pengabdian Pada Masyarakat Media Karya Kesehatan Medical Technology and Public Health Journal Darmabakti Cendekia: Journal of Community Service and Engagements Jurnal Midpro Jurnal Ners Journal of Telenursing (JOTING) Critical Medical and Surgical Nursing Journal Indonesian Journal of Community Health Nursing Indonesian Journal of Global Health research Nursing Sciences Journal Proceeding of International Conference Health, Science And Technology (ICOHETECH) Indonesian Nursing Journal of Education and Clinic (Jurnal Pendidikan dan Praktik Keperawatan Indonesia) Journal of Global Pharma Technology Jurnal Keperawatan Soedirman (The Soedirman Journal of Nursing) Journal Of Health Science Community Poltekita: Jurnal Pengabdian Masyarakat Indonesian Journal of Global Health Research
Ferry Efendi
Fakultas Keperawatan, Universitas Airlangga, Indonesia
Humanities Computer Science & IT Decision Sciences, Operations Research & Management Dentistry Economics, Econometrics & Finance Education Engineering Environmental Science Health Professions Immunology & microbiology Industrial & Manufacturing Engineering Languange, Linguistic, Communication & Media Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences Other

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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
Stategies For Reducing Substance Abuse Among Street Children: A Systematic Review Irawan Faisal Adi; Ferry Efendi; Praba Diyan Rachmawati
Jurnal Ners Vol. 10 No. 2 (2026): APRIL 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i2.54720

Abstract

Introduction: Substance abuse among adolescents, particularly street children, is a global public health concern influenced by demographic and social factors. While substance abuse in school settings has been widely studied, evidence focusing on street children remains limited. This review aims to evaluate strategies for reducing substance abuse among street children, with an emphasis on interventions affecting physical, mental, and social well-being. Method: This systematic review followed PRISMA 2020 guidelines and was registered in PROSPERO. Literature searches were conducted in four databases (Scopus, Web of Science, PubMed, and ProQuest), yielding 8,774 records. After screening and eligibility assessment, eight studies published between 2016 and 2025 were included. Study quality was appraised using the JBI critical appraisal tool, and findings were synthesized narratively. Results: Eight studies involving homeless or street-involved adolescents aged 10–19 years were reviewed. Commonly reported substance use included alcohol, cannabis, and inhalants. Interventions such as motivational interviewing, psychological reinforcement, and strength-based approaches were effective in reducing risky behaviors and increasing readiness for change. Conclusion: Motivational interviewing combined with community-based psychosocial support is effective in addressing substance abuse among high-risk adolescents. Sustainable interventions should be holistic and adapted to local cultural and structural contexts.
Efektivitas Intervensi Community Health Worker dalam Pelayanan Kesehatan: A Systematic Review Jimni Maulana; Ferry Efendi; Setho Hadisuyatmana
Jurnal Ners Vol. 10 No. 2 (2026): APRIL 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i2.55081

Abstract

The risk of heart disease and stroke can be reduced with adequate cardiovascular disease prevention, as outlined in the American Heart Association's Life's Essential 8 guidelines for modifiable health behaviors. This review examines the role of Community Health Workers (CHWs) in CVD prevention trials across the United States. In the 24 clinical trials identified, our review emphasized the effectiveness of CHWs in improving health behaviors and outcomes, particularly for underserved populations with limited access to health care. CHWs were actively involved in implementing interventions, providing culturally sensitive education, offering health coaching, and supporting lifestyle modifications, such as increased physical activity and medication adherence. It is noteworthy that most studies focused on heart disease. Beyond the CHW's role in delivering behavioral interventions, training for community health workers (CHWs) generally includes disease-specific knowledge and communication skills. CHW training programs vary widely in scope and standards, with unclear role definitions and inadequate collaboration. To improve CHW-led preventive health care, it is recommended to develop a standardized training framework, define CHW responsibilities in clinical and research collaborations, and build sustainable community-academic partnerships. This action could significantly enhance the role of CHWs in reducing cardiovascular disease (CVD) disparities, thereby promoting more equitable health care.
Pemberdayaan Caregiver melalui Program “CITRA: Caregiver Inovatif untuk Lansia” Berbasis Aplikasi sebagai Upaya Peningkatan Kualitas Hidup Lansia di Surabaya Ferry Efendi; Retno Indarwati; Rifky Octavia Pradipta; Visky Afrina; Faisal Adi Irawan
Poltekita: Jurnal Pengabdian Masyarakat Vol. 7 No. 1 (2026)
Publisher : Pusat Penelitian & Pengabdian Masyarakat Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/pjpm.v7i1.4302

Abstract

Introduction: The growing elderly population in Indonesia raises health challenges, including chronic diseases and cognitive decline. Informal caregivers play a key role, yet limited knowledge and digital literacy reduce care quality. Method: The CITRA (Innovative Caregiver for the Elderly) program was conducted from July to September 2025 in Pacar Kembang, Surabaya. Twenty informal caregivers participated in health education, Android-based CITRA app training, and door-to-door mentoring. Evaluation used pre- and post-tests analyzed with the Wilcoxon test. Results: Caregivers’ knowledge improved significantly. In the first session, scores rose from 65 ± 10.13 to 82.75 ± 6.58 (p=0.000). In the second, scores increased from 71.5 ± 9.44 to 87.5 ± 8.57 (p=0.005). Skills in basic health checks and app utilization also improved. The CITRA app served as an accessible educational tool, though currently limited to Android devices. Discussion: Capacity improvement supports the active ageing framework and aligns with evidence that technology-based interventions effectively empower families in elderly care. Conclusion: CITRA successfully enhanced caregiver knowledge, skills, and provided a replicable digital innovation to improve elderly quality of life in Indonesia.
Factors Influencing Nurse Retention in Conflict Zones: A Systematic Review Clara Cassandra Resubun; Ferry Efendi; Sylvia Dwi Wahyuni
Indonesian Journal of Global Health Research Vol 7 No 2 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i2.5302

Abstract

Nurse retention in conflict zones remains a critical global issue, significantly influencing the sustainability of healthcare services. Nurses in these areas face numerous challenges, including safety risks, emotional stress, and inadequate compensation, which impact their decision to continue working in such environments. This systematic review aims to identify and analyze factors influencing nurse retention in conflict zones and propose intervention strategies to address these challenges. A systematic review was conducted following PRISMA guidelines. Data were extracted from Scopus, PubMed, Web of Science, and CINAHL databases. Studies focusing on nurse retention in conflict zones were included, with data extraction guided by the PICOS framework. The quality of the included studies was assessed using Joanna Briggs Institute tools. A total of fifteen studies were reviewed, identifying key factors for nurse retention. These include improved working conditions, adequate safety measures, financial incentives (e.g., risk allowances), and emotional support systems. Job satisfaction, influenced by job security and a supportive work environment, was also a significant determinant of retention. Emotional and psychological support systems were found to reduce burnout, thereby fostering nurse retention. A multifaceted approach, incorporating improved working conditions, enhanced financial incentives, and robust emotional support, is essential for retaining nurses in conflict zones. Future research should focus on the long-term impact of these strategies and their adaptation to region-specific needs.
Low birth weight among neonates in rural areas of Indonesia: A secondary data analysis Nelwati Nelwati; Hema Malini; Ferry Efendi; Heri Kuswanto; Eka Misbahatul Mar’ah Has; Mahendra Tri Arif Sampurna
Belitung Nursing Journal Vol. 12 No. 2 (2026): March - April
Publisher : Belitung Raya Publisher - Belitung Raya Foundation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33546/bnj.4163

Abstract

Background: Low birth weight (LBW) is a major global health concern because of its strong association with infant mortality, morbidity, and impaired long-term development. The determinants of LBW among neonates in rural areas of Indonesia remain underexplored. Objective: To examine the prevalence of LBW and determine its associated factors among neonates in rural areas of Indonesia.   Methods: A cross-sectional study used secondary data sources from the 2017 Indonesian Demographic and Health Survey. A total of 6,701 mothers who lived in rural areas were included. Explanatory variables were maternal age, maternal education, smoking status, parity, birth interval, twin history, antenatal care (ANC), husband support, wealth quintile, region of residence, and complications during pregnancy. The outcome variable was the prevalence of LBW. Data were analyzed using bivariate analysis with a Chi-square test (χ2) and multivariable logistic regression. Results: The prevalence of LBW was 6.65%. First birth [AOR = 1.486; 95% CI: 1.126-1.959], twin history [AOR = 27.165; 95% CI = 13.006-56.738], fewer than four ANC visits [AOR = 2.193; 95% CI = 1.519-3.164], and complications during pregnancy [AOR = 1.890; 95% CI = 1.427-2.503] were significantly associated with the prevalence of LBW. Conclusion: This study revealed the prevalence of LBW among neonates in rural areas of Indonesia. First birth, twin history, ANC visits, and complications during pregnancy were significantly associated with LBW. It is suggested that health professionals should strengthen the quality of antenatal care and improve health promotion and education during pregnancy for rural mothers to reduce the prevalence of LBW.
The Effect of Empowering Health Cadres Through Whatsapp on the Knowledge and Skills of Health Cadres in Hypertension Management Maitha Annthonette Wulan Keloay; Ferry Efendi; Makhfudli Makhfudli; Retno Indrawati; Andri Setiya Wahyudi; Elida Ulfiana
Indonesian Journal of Global Health Research Vol. 8 No. 3 (2026): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v8i3.1397

Abstract

Hypertension remains one of the leading causes of global mortality, affecting approximately 1.28 billion adults worldwide, yet only 21% successfully manage to control their blood pressure. This highlights the urgent need for community-based strategies, particularly through the empowerment of health cadres. Digital health education interventions—such as those utilizing WhatsApp—are considered promising for enhancing cadres’ competencies in hypertension management. The aim of this study was to determine the effect of empowering health cadres through Whatsapp on the knowledge and skills of cadres in hypertension management. This study employed a quasi-experimental design with a pretest-posttest control group approach. The first phase involved the development of a training module informed by a literature review, field study, and expert consultation. Data collection was done using purposive sampling with inclusion and exclusion criteria, a total of 60 respondents, 30 intervention and control groups each. In the second phase, an intervention was conducted involving 60 health cadres (30 in the intervention group and 30 in the control group) within the jurisdiction of Tateli public health care, delivered via WhatsApp. Data were analyzed using the Wilcoxon Signed Rank Test and the Mann-Whitney U Test, with a significance level set at p < 0.05. The findings revealed a statistically significant improvement in both knowledge and skills among cadres in the intervention group. Knowledge increased from moderate (90%) to good (73.3%), and skills from moderate (90%) to good (93.3%), with p < 0.001. No significant changes were observed in the control group. WhatsApp-based educational interventions are effective in improving health cadres' knowledge and skills in hypertension management. Given its accessibility, affordability, and practicality, WhatsApp serves as a strategic and sustainable tool for ongoing cadre training in the prevention and control of non-communicable diseases at the community level.
NURSING LEADERSHIP STYLE AND PATIENT SAFETY: A SYSTEMATIC LITERATURE REVIEW Sendy Ayu Mitra Uktutias; Ferry Efendi
Indonesian Journal of Health Administration (Jurnal Administrasi Kesehatan Indonesia) Vol. 14 No. 1 (2026): June
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jaki.v14i1.2026.139-151

Abstract

Background: Goal 3 of the Sustainable Development Goals (SDGs) emphasizes Universal Health Coverage (UHC), which aims to ensure access to affordable, safe, effective, and high-quality health services for all. Patient care is delivered through systematically organized stages of activity through a system designed to prevent and mitigate errors. Leadership commitment to safety is a critical component of this system. Aims: To systematically review and analyze the relationship between nursing leadership styles and patient safety outcomes. Methods: This study employed a Systematic Literature Review (SLR) approach following the Preferred Reporting Items for Systematic Reviewers and Meta-Analysis (PRISMA) stages. The literature search used the online databases Scopus, PubMed, and CINAHL with keywords related to leadership, nursing, and patient safety combined with Boolean operators. This study determined the eligibility criteria using PICOS. After the selection process, 14 articles were determined to be eligible for review. Results: The findings indicate that transformational leadership is the most frequently reported and is consistently associated with patient safety, particularly in terms of safety culture, incident reporting, and reduction of clinical errors. Conclusion: Leadership style plays a strategic role in improving patient safety. Transformational nursing leadership demonstrates consistent on the clinical context. Further research is needed to empirically compare the effectiveness of leadership styles, particularly transformational leadership, in relation to patient safety. Keywords: leadership, nurse, patient safety, quality of health care.
Co-Authors AA Sudharmawan, AA Abu Bakar Achir Yani S. Hamid Achmad Haidar Ulinuha Adi Sukrisno Aditha Angga Pratama Ah Yusuf Ah Yusuf, Ah Ahmad Watik Pratiknya Ahmad Yamin Ahsan Akasyah, Wildan Amira Aulia Andri Setiya Wahyudi Anna Kurniati Aprilia, Nur Ravica Apriyanto, Yogo Ardhiyeni Hesti Oktavia Arief Hargono Arief, Yuni Sufyanti Arifin, Hidayat Arsi Susilawati Arta S. Rini Arwan Setyo Nugroho Asih, Meirina Nur Asroful Hulam Zamroni Astutik, Erni Aziz Nashiruddin Habibie Bushy, Angeline Clara Cassandra Resubun Dewi Sartika Lestari Ismail, Dina Dianis Wulan Sari Dima Kristianingrum, Niko Diyan Indriyani, Diyan Eka Misbahatul Eka Misbahatul M Has Eka Misbahatul Mar’ah Has Eka Mishbahatul Mar'ah Has Elida Ulfiana Erlysa Diah Pangestuti Ernawati, Rini Esti Yunitasari Evi Desnauli Evi Tunjung Fitriani Faisal Adi Irawan Fakhrun Nisa Fakhrun Nisa Farhan Ardiansyah Felipe-Dimog, Eva Feriani, Pipit Fiddaroini Fitri Mailani Fomocao, Alfred O. Gudia, Amel Dawod Kamel Hardiyanti, Vina Hari Basuki Notobroto Hayati, Yati Sri Hema Malini, Hema Heri Kuswanto Hidaayah, Nur I Gede Juanamasta I Komang Leo Triandana Arizona I Komang Leo Triandana Arizona Ilya Krisnana, Ilya Indarwati , Retno Indira Murty, Maulida Irawan Faisal Adi Ismail, Dina Dewi Sartika Lestari Israfil, Israfil Iswatun Iswatun Jimni Maulana JOKO SUSANTO Joni Haryanto Karingga, Devangga Darma Keloay, Maitha Annthonette Wulan Khotibul Umam Laely, Anna Jumatul Liang, Fu-Wen Lidwina Dewiyanti Wea Mabda Novalia Istafa Made Mahaguna Putra Mahendra Tri Arif Sampurna Maitha Annthonette Wulan Keloay Makhfudli Makhfudli Maratus Sholihah Ramadhani Maria N. Bwariat Marni Martin, Nelson Martono Martono Maryuni, Maryuni Maskur, Ach McKenna, Lissa Mika Tanaka Milanti, Ariesta Muhadi, Muhadi Muhammad Hadi Mutia, Jeihan Nafidatun Naafi&#039;a Nanik Lestari Nanik Lestari Neisya Pratiwindya Sudarsiwi Nelwati Nelwati Nia Pristina Nihayati, Hanik Endang Noor, Muhammad Arifin Novita Kamaruddin Novy Loudoe Nursalam . Nursalam Nursalam Nursalam, Nursalam Nurul Hidayati Nurul Hikmatul Qowi Nuzul Qur'aniati Permata, Putri Indah Perreira, Sebastio Pi-Ming Yeh Pinto Baptista, Edinha da Silva Praba D. Rachmawati Praba Diyan Rachmawati, Praba Diyan Primalova Septiavy Estiadewi Punomo Punomo Puspawati, Ni Luh Putu Dewi Qorinah Estiningtyas Sakilah Adnani Qur'aniati, Nuzul Rahayu, Fitri Kurnia Reny Maharani Reny Mareta Sari, Reny Mareta Retno Indrawati Rifky Octavia Pradipta Rika Sarfika RIO ADY ERWANSYAH RISKA WAHYUNI Rista Fauziningtyas, Rista Rohmatul Faizah Rosyidawati, Fitri RR Dian Tristiana Rukanah, Rukanah Safaah, Nurus Sahrir Ramadhan Saifudin, I Made Moh. Yanuar Sarah Kartika Wulandari Saskiyanti Ari Andini Saverinus Suhardin Sekar A. N Sari Sendy Ayu Mitra Uktutias Setho Hadisuyatmana Setyoadi Setyoadi Sismulyanto Siti Nur Kholidah Soares, Domingos Srihayati, Yati Sriyono Sriyono Sudijanto Kamso Suprajitno Susanti, Ika Adelia Susiana Nugraha Sutoto Sutoto Suyanto Suyanto Sylvia Dwi Wahyuni Telvie L. kasenda Tianingrum, Niken Agus Tintin Sukartini Sukartini, Tintin Sukartini Tiyas Kusumaningrum Tri Johan Agus Yuswanto Tumulak, Ma‑Am Joy Ulfa Husnul Fata Vina Hardiyanti Visky Afrina Vitayanti Fattah Wahyu Sukma Samudera Wahyuni, Erna Dwi Wijaya, Nindy Eka Wulandari, Shenda Maulina Yanti Hermayanti Yanuar Aga Nugraha Yulia Yunara Yulis Setiya Dewi