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All Journal Jurnal NERS Jurnal Skolastik Keperawatan (e-Journal) JURNAL PENDIDIKAN GLASSER Media Keperawatan: Politeknik Kesehatan Makassar Journal of Nursing Care Jurnal Perawat Indonesia Jurnal Keperawatan Respati Yogyakarta Jurnal Keperawatan Terpadu (Integrated Nursing Journal) Jurnal Ilmiah Keperawatan Indonesia (JIKI) NURSING UPDATE JURNAL ILMIAH ILMU KEPERAWATAN Jurnal Ilmiah Keperawatan Imelda Jurnal Ners Nutrix Journal Nursing Sciences Journal Jurnal Kesehatan Primer MAHESA : Malahayati Health Student Journal Jurnal Gema Keperawatan Jurkessutra/Jurnal Kesehatan Surya Nusantara Nurse and Holistic Care Jurnal Keperawatan Soedirman (The Soedirman Journal of Nursing) Innovative: Journal Of Social Science Research Journal of Community Empowerment
Evelyn Hemme Tambunan
Universitas Advent Indonesia
Humanities Computer Science & IT Dentistry Economics, Econometrics & Finance Education Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Neuroscience Nursing Physics Public Health Social Sciences Other

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The Relationship between High Altitude Work Environments and Anxiety among Employees Djula, Sapti Heru Widiyarti; Tambunan, Evelyn Hemme
Journal of Nursing Care Vol 8, No 2 (2025): Journal of Nursing Care
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jnc.v8i2.63040

Abstract

The present study examines the relationship between high altitude and anxiety levels among employees at one of Indonesia’s leading petrochemical company. Using a quantitative research design, the investigation focused on 42 employees working in distinct altitude zones within the facility. Data were collected over a six month period during normal operational hours, employing the Hamilton Anxiety Rating Scale (HARS) as the standardized psychological assessment tool. Altitude measurements for work zones were recorded precisely, with categorized levels defines as low, moderate, high and very high altitude zone. Descriptive statistics, including means, standard deviations, and range values, were computed and correlation tests conducted R programming to determine the strength and direction of the relationship between altitude and anxiety. Results revealed the mean HARS scores among 42 participants was 21.4 (SD = 5.7), with a range of 11 to 33 whilst a statistically significant positive correlation between increased altitude exposure and elevated anxiety scores (r = 0.68, p < 0.001), suggesting that higher work zone are associated with greater anxiety levels among employees. This study also discusses occupational health and safety concerns, ethical considerations, and the limitations intrinsic to a cross-sectional quantitative design. Implications for workplace design and employee well-being interventions are explored, with recommendations for future research addressing broader environmental and psychosocial variables.
Motivational Drives Behind Indonesian Female Nursing Graduates’ Pursuit of Rn-Clex in California: A Hermeneutic Phenomenological Study Tambunan, Evelyn Hemme
Journal of Nursing Care Vol 8, No 1 (2025): Journal of Nursing Care
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jnc.v8i1.62824

Abstract

The increasing demand for globally competent nurses has prompted many Indonesian nurses to pursue international licensure, such as the NCLEX-RN in the United States. Understanding the motivations behind this pursuit is essential for informing nursing education, workforce planning, and international migration policies. This hermeneutic phenomenological study explored the lived experiences and motivational drives of Indonesian female nursing graduates pursuing the Registered Nurse (RN) licensure by passing the NCLEX-RN examination in California. Utilizing in-depth interviews with ten Indonesian female nurses who have successfully obtained their RN licenses and are practicing in California, the research aimed to uncover the complex interplay of personal, professional, economic, and socio-cultural factors shaping their decisions and experiences. The study revealed five overarching themes “Economic aspirations and the pursuit of financial stability,” “Professional growth and the desire for advanced opportunities,” Familial responsibilities and the drive to support loved ones,” “The allure of western healthcare systems and improved working conditions,” and “Navigating cultural adjustments and maintaining identity in a hew environment.” The findings provide valuable insights into the motivations, challenges, and resilience of Indonesian female nurses seeking international opportunities, ultimately contributing to a deeper understanding of the global nursing migration phenomenon. The implications of the study address the need for culturally sensitive support systems and policies to facilitate successful integration and retention of international nurses in healthcare settings.
A SYSTEMATIC REVIEW ON THE IMPLEMENTATION OF LEAN HOSPITAL TO IMPROVE CHEMOTHERAPY UNIT SERVICES IN HOSPITAL Tambunan, Evelyn Hemme
Nurse and Holistic Care Vol. 5 No. 1 (2025): Nurse and Holistic Care
Publisher : Universitas Nahdlatul Ulama Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33086/nhc.v5i1.7154

Abstract

Background: Rising demand for efficient chemotherapy services calls for improved hospital processes. Lean Hospital applies Lean principles to reduce waste and enhance service quality. Objective: This study aims to assess the available quantitative evidence regarding the impact of lean methodologies on key performance indicators (KPIs) such as cost efficiency, service quality, and patient satisfaction in the chemotherapy unit. Design: A systematic literature review methodology was adopted to collate evidence related to the implementation of lean hospital practices in chemotherapy units using PRISMA guidelines for Scopus, Web of Science, and PubMed searches. Data Sources: This systematic review synthesizes peer-reviewed studies published between 2015 and 2023, retrieved from Scopus, Web of Science, and PubMed databases. Review Methods: A systematic literature search was conducted in Scopus, Web of Science, and PubMed using a combination of keywords and MeSH terms related to lean hospital practices and chemotherapy services. Boolean operators and truncation were applied to refine results, with the search limited to peer-reviewed articles published between 2015 and 2023. Title, abstract, and full-text screenings were conducted based on predefined inclusion criteria. Results: This study included a total of 48 full-text studies for analysis. The findings indicate statistically significant improvements in process efficiency and service quality metrics following lean interventions, with cost savings ranging from 10% to 35% observed across studies. Conclusion: This systematic review shows that Lean Hospital practices effectively improve chemotherapy unit services. Lean interventions significantly reduce costs, enhance service quality, and boost patient satisfaction. Despite some methodological variations, the evidence supports lean methods as a cost-effective strategy for optimizing care delivery.
INDONESIAN NURSES' EXPERIENCES WORKING IN AURORA, COLORADO: A PHENOMENOLOGICAL STUDY Serly Vinanda Jenne; Evelyn Hemme Tambunan
Nursing Sciences Journal Vol 9 No 1 (2025): April 2025
Publisher : Universitas Kadiri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30737/nsj.v9i1.6376

Abstract

This phenomenological study explores the lived experiences of Indonesian nurses working in Aurora, Colorado. The study aims to understand the multifaceted aspects of their professional and personal lives, focusing on financial well-being,  mental well-being, relationships with coworkers, and perceptions of the personnel system. Utilizing in-depth interviews, the study captures the essence of their experiences, revealing both challenges and opportunities encountered in navigating a foreign healthcare system and culture. The findings illuminate the four themes including “The Promise and the Reality, “Stress, Support, and Resilience,” Navigating Cultural Differences and Building Bridges,” and “Career Paths, Work-Life Balance, and Opportunities for Growth.” The study contributes to a deeper understanding of the global nursing migration phenomenon and offers valuable insights for improving the integration and support of international nurses in the United States healthcare system.
IMPLEMENTATION OF EARLY WARNING SYSTEM SCORE (EWSS) IN HOSPITALIZED PATIENT: A LITERATURE REVIEW Rodina Sinaga; Evelyn Hemme Tambunan
Nursing Sciences Journal Vol 9 No 1 (2025): April 2025
Publisher : Universitas Kadiri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30737/nsj.v9i1.6489

Abstract

The Early Warning System Score (EWSS) is increasingly recognized as an essential tool for identifying clinical deterioration in hospitalized patients. This literature review synthesizes the outcomes and practical aspects of EWSS implementation over the past decade, with a focus on studies conducted in teaching, community, and specialized care hospitals. Articles indexed in English databases PubMed, MEDLINE, Embase, and the Cochrane Library. The research steps were performed according to PRISMA writing standard and the quality assessment was done using CASP critical appraisal tools due to the heterogeneity of the study designs according to the inclusion criteria. Drawing from over 26 scholarly sources—80% of which have been published within the last five years the review examines key implementation metrics such as patient safety  indicators, staff response times, and cost-effectiveness while detailing the assessment tools and measurements used to evaluate EWSS outcomes. Quantitative data were analyzed to assess success rates and pinpoint failure points across multiple hospital departments including emergency, intensive care, and in-patient wards. Implementation challenges related to staff training, resource allocation, and integration with existing patient monitoring systems are discussed, along with recommendations to enhance system performance and clinical decision-making. The findings suggest that while EWSS can significantly improve early detection of clinical deterioration, its success is contingent upon tailored implementation strategies that consider the unique constraints of varied hospital types. This review contributes to a better understanding of how global standards and local practices interact in the effective utilization of EWSS, ultimately aiming to improve patient outcomes and hospital safety.
HEAD NURSES’ LEADERSHIP STYLES AND THEIR IMPACT ON STAFF INPATIENT NURSES’ JOB PERFORMANCE: AN INTEGRATIVE REVIEW Hamonangan Tambunan; Evelyn Hemme Tambunan
Nursing Sciences Journal Vol 9 No 1 (2025): April 2025
Publisher : Universitas Kadiri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30737/nsj.v9i1.6491

Abstract

This integrative review aims to examines how head nurses' leadership styles impact quantifiable job performance metrics of staff inpatient nurses who work in acute care hospital settings. This research review synthesizes quantitative studies from peer-reviewed nursing journals over the past 10 years. We utilized databases CINAHL, PubMed, and Scopus to locate studies that incorporate standardized quantitative metrics and critical appraisal tools for assessing leadership effectiveness. The research team used a PRISMA flow diagram to maintain transparency throughout the process of literature selection. Transformative leadership shows the strongest positive correlation with nurse job performance outcomes such as increased patient satisfaction ratings alongside reduced staff turnover and improved clinical skills. The research field exhibits notable gaps because study designs vary widely while performance metrics and longitudinal data remain insufficient. Future research should employ strong methodological frameworks to further clarify how specific leadership behaviors affect staff outcomes. Nurse managers and policy makers should focus on creating leadership development programs and organizational approaches that optimize staff performance within acute care settings. 
Co-Authors Christian Irmando Sikteubun Dearly Gabriela Alexander Dewi Kristiana Djula, Sapti Heru Widiyarti Ellen Ruth Tambunan Tambunan Evi Yohanita Wangania Evie Siregar Sitorus Glorya Glorya Gresya Linda Siregar Hamonangan Tambunan Hamonangan Tambunan Herna Angelica Idauli Simbolon Imanuel Sri Mei Wulandari Irwan Adiputra Leokuna Ivanna Femi Baransano Jeanny Rantung Jessica Novia Christi Kimi Duimeer Agu Kurniawan, Samuel Monalisa Sitompul Novlyn Sandra Ayu Hutabarat Raiman Parlindungan Situmorang Richel Febiola Nadya Gultom Robert Pauwell Wangania Rodina Sinaga Sapti Heru Widyarti Djula Serly Vinanda Jenne Solfiani Ebrin Toni