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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. 
The Relationship Between Motivation and Adherence of Chronic Kidney Disease in Undergoing Hemodialysis Therapy in The Hospital Agu, Kimi Duimeer; Tambunan, Evelyn Hemme
NUTRIX Vol 8 No 1 (2024): Volume 8, Issue 1, 2024
Publisher : Fakultas Ilmu Keperawatan Universitas Klabat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37771/nj.v8i1.1095

Abstract

The prevalence of chronic kidney disease (CKD) continues to increase and hemodialysis therapy is one of the main renal replacement therapies in CKD patients. There is a relationship between motivation and adherence to hemodialysis therapy in several previous studies. However, this study has never been conducted at the research location so this study aims to investigate the relationship between motivation and adherence of patients with CKD in undergoing hemodialysis therapy. The research design used in the study was descriptive quantitative correlation with a cross-sectional approach to explore the relationship between motivation and adherence of CKD patients in undergoing hemodialysis therapy. The population in this study were CKD patients who were undergoing hemodialysis therapy at Advent Hospital Bandung, totaling 100 patients. With the Simple Random Sampling technique and using the Michael and Isaac table, 79 respondents participated in the study. The instruments used in this study were the ESRD-AQ questionnaire (The End-Stage Renal Disease Adherence Questionnaire) and a valid motivation questionnaire to measure the motivation and adherence of patients with CKD in undergoing hemodialysis therapy. Univariate descriptive analysis and Spearman's rank bivariate correlation were used to answer the identified research questions. The results showed that most of the GHG patients had high motivation in undergoing hemodialysis therapy. It is suggested that healthcare should improve the quality of medical services for patients with GGK who undergo hemodialysis therapy. Further research is needed to investigate the factors associated with motivation and adherence using qualitative design. Kepatuhan dan motivasi merupakan hal penting untuk menetukan keberhasilan pengobatan terapi hemodialisa. Penelitian ini bertujuan untuk menginvestigasi hubungan antara motivasi dan kepatuhan pasien GGK dalam menjalani terapi hemodialisa. Desain penelitian yang digunakan dalam penelitian adalah deskriptif kuantitatif korelasional dengan pendekatan cross-sectional untuk mengeksplorasi hubungan antara motivasi dan kepatuhan pasien GGK dalam menjalani terapi hemodialisa. Populasi dalam penelitian ini adalah pasien GGK yang sedang menjalankan terapi hemodialisa di Rumah Sakit Advent Bandung yang berjumlah 100 pasien. Dengan teknik pengambilan sampel Simple Random Sampling dan menggunakan tabel Michael dan Isaac, 79 responden berpartisipasi dalam penelitian. Instrumen yang digunakan dalam penelitian ini adalah kuesioner ESRD-AQ (The End-Stage Renal Disease Adherence Questionnaire) dan kuesioner motivasi yang telah valid untuk mengukur motivasi dan kepatuhan pasien GGK dalam menjalani terapi hemodialisa. Analisis deskriptif univariat dan korelasi bivariat Spearman’ rank digunakan untuk menjawab identifikasi masalah penelitian. Hasil penelitian menunjukkan bahwa sebagian besar pasien GGK memiliki motivasi tinggi dalam menjalani terapi hemodialisa yaitu berjumlah 44 responden (55,7%), sebagian besar pasien GGK patuh dalam menjalani terapi hemodialisa dengan jumlah 46 pasien (58,23%) dan terdapat hubungan antara motivasi dengan kepatuhan pasien GGK dalam menjalani terapi hemodialisa dengan nilai p-value adalah 0,001. Disarankan agar pelayanan kesehatan meningkatkan kualitas pelayanan medis bagi pasien GGK yang menjalani terapi hemodialisis. Penelitian lebih lanjut diperlukan untuk menyelidiki faktor-faktor yang berhubungan dengan motivasi dan kepatuhan dengan menggunakan desain kualitatif.
Tingkat Kejenuhan Akademik Pada Mahasiswa Keperawatan di Universitas Advent Indonesia Hutabarat, Novlyn Sandra Ayu; Tambunan, Evelyn Hemme
NUTRIX Vol 8 No 1 (2024): Volume 8, Issue 1, 2024
Publisher : Fakultas Ilmu Keperawatan Universitas Klabat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37771/nj.v8i1.1100

Abstract

Academic burnout is learning saturation that occurs among students, which is one of the main issues in higher education institutions. This condition affects various aspects of student life, both personal life and academic life, even academic achievement is under strain. This study aims to describe the academic burnout of nursing students in taking part in the time block system learning at Fakultas Ilmu Keperawatan Universitas Advent Indonesia. The type of this research is quantitative descriptive. By using the convenience sampling technique, the Bachelor of Nursing study program students who participated in this study amounted to 74 and the Diploma Three Nursing students were 13. Nursing students who have undergone block system learning for 3 semesters, in odd and even semesters of the 2022/2023 academic year and odd semester of the 2023/2023 academic year, participated. A valid instrument used in this study was a questionnaire containing 14 questions to measure academic burnout which was adopted from Arlinkasari, Akmal, and Raul (2017). Data were analyzed using frequency distribution to describe the level of academic burnout among nursing students The results showed that the majority of the respondents totaled 67 students (77,1%) were at mild academic burnout levels, and the dominant and less dominant identified were item number 11 and 13. It is inferred from the present study that by understanding the various levels of academic burnout among nursing students will provide the building block for further interventions designed to minimize the academic burnout among them. Burnout akademik atau kejenuhan belajar yang terjadi di kalangan mahasiswa merupakan salah satu masalah utama di institusi pendidikan tinggi. Kondisi ini mempengaruhi berbagai aspek kehidupan mahasiswa, baik kehidupan pribadi maupun kehidupan akademik, bahkan prestasi akademik pun menjadi tertekan. Penelitian ini bertujuan untuk mengetahui gambaran kejenuhan akademik mahasiswa keperawatan dalam mengikuti pembelajaran sistem blok di Fakultas Ilmu Keperawatan Universitas Advent Indonesia. Jenis penelitian ini adalah deskriptif kuantitatif. Dengan menggunakan teknik convenience sampling, mahasiswa program studi Sarjana Keperawatan yang berpartisipasi dalam penelitian ini berjumlah 74 orang dan mahasiswa Diploma Tiga Keperawatan berjumlah 13 orang. Mahasiswa keperawatan yang berpartisipasi dalam penelitian ini adalah mahasiswa yang telah menjalani pembelajaran sistem blok selama 3 semester, yaitu semester ganjil dan genap tahun akademik 2022/2023 dan semester ganjil tahun akademik 2023/2024. Instrumen valid yang digunakan dalam penelitian ini adalah kuesioner yang berisi 14 pertanyaan untuk mengukur kejenuhan akademik yang diadopsi dari Arlinkasari, Akmal, Raul (2017). Hasil penelitian menunjukkan bahwa mayoritas responden yang berjumlah 67 mahasiswa (77,1%) berada pada tingkat burnout akademik ringan, dan yang teridentifikasi dominan dan kurang dominan adalah item nomor 11 dan 13. Hasil penelitian ini menjadi gambaran untuk dapat memahami berbagai tingkat kejenuhan akademik di kalangan mahasiswa keperawatan, kemudian memberikan dasar untuk intervensi lebih lanjut yang dirancang untuk mengatasi kejenuhan akademik di kalangan mahasiswa keperawatan.
Motivasi dan Tantangan Tamatan Perawat Dalam Mencapai Kelulusan NCLEX-RN di California Sitorus, Evie Siregar; Tambunan, Evelyn Hemme
NUTRIX Vol 8 No 2 (2024): Volume 8, Issue 2, 2024
Publisher : Fakultas Ilmu Keperawatan Universitas Klabat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37771/nj.v8i2.1182

Abstract

Introduction: Significant factors in influencing students' ability to pass the competency test include academic, cognitive, and individual aspects. Several factors that influence the success of the competency test from the perspective of student preparation in learning include motivation, reading ability, record management, time management, and critical thinking skills. Objective: This study aims to analyze the motivation and challenges of nurse graduates from Universitas Advent Indonesia in achieving graduation on the NCLEX-RN exam in California. Method: This study is a qualitative study with a phenomenological study that collects research data through in-depth interviews consisting of six UNAI alumni participants in California. Results: the results of the study in the form of research themes, namely: preparing for and requirements for the NCLEX exam, factors causing failure to pass the NCLEX exam, and motivation to take and pass the NCLEX exam. Conclusion: Nurses’ motivations in achieving NCLEX RN graduation in California are to improve finances, flexible working hours, make family happy, and be involved in complex patient care. Nurses’ challenges in achieving NCLEX RN graduation in California are meeting the administrative requirements for registering for the NCLEX RN exam, managing study time, understanding the material and the purpose of the exam questions, and adapting to the CAT exam system
Exploring The Essence of Web-Based Interactive Learning to Enhance Higher Order Thinking Skills in Nursing Students: A Focus Group Study: Web-based interactive learning for nursing education Tambunan, Evelyn Hemme; Simbolon, Idauli; Rantung, Jeanny
NUTRIX Vol 8 No 2 (2024): Volume 8, Issue 2, 2024
Publisher : Fakultas Ilmu Keperawatan Universitas Klabat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37771/nj.v8i2.1190

Abstract

This study aims to explore the essence of web-based interactive learning to enhance HOTS-analyzing, evaluating and creating in nursing students. This study implemented a qualitative research approach based on two focus group interviews on a sample of 20 resource participants including nursing students and faculty members from bachelor nursing program and information technology program at Universitas Advent Indonesia. All interviews were recorded, transcribed verbatim and analyzed for thematic contents using the standard to a consensus on thematic coding, the investigators finally convened to examine, classify, and arrange themes and categories. A thematic content analysis yielded three core themes: Gaps in Current Learning Methods, Potential Benefits of Web-Based Interactive Tools, Perceived Challenges. Categories were consented as variability in learning paces, engagement with teaching material, adaptability in learning approaches, feedback timeliness, interactive learning, resource and scalability limitations, enhanced flexibility, increased engagement through interactive features, personalized learning experiences, improved access to resources, support for collaborative learning, efficiency and scalability, technical issues, digital divide, reduced face-to-face interaction, equity and inclusivity, potential over-reliance on technology, privacy and security. This study highlights the multifaceted nature of the essence of web-based interactive learning to enhance higher order thinking nursing students. Implications are seen as valuable for enhancing higher order thinking skills to teaching, learning and academic support resources.
PENERAPAN PRINSIP 12 BENAR DALAM PEMBERIAN OBAT: STUDI FENOMENOLOGI PENGALAMAN PRAKTEK KLINIS MAHASISWA KEPERAWATAN DI UNIVERSITAS A Alexander, Dearly Gabriela; Tambunan, Evelyn Hemme
Jurnal Ilmiah Keperawatan IMELDA Vol. 10 No. 1 (2024): Jurnal Ilmiah Keperawatan IMELDA
Publisher : Program Studi S1/DIII-Keperawatan Universitas Imelda Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52943/jikeperawatan.v10i1.1631

Abstract

Background: Every nursing student will of course undergo clinical practice in their education process. One of the demands in clinical practice is that applying the 12 correct principles in medication administration can prevent errors in administering medication and maintain the professionalism of nurses. However, there are still many students who have not applied the 12 principles of correct medication administration so the risk of errors in medication administration is greater. Objective: The aim of this research is to explain how the clinical practice experiences of Indonesian Adventist University nursing students in applying the 12 principles of correct medication administration. Method: This research is a qualitative research with a phenomenological study of students' experiences in applying the 12 correct principles of medication administration when carrying out clinical practice. Research data was collected through focused discussions consisting of 2 groups consisting of 8 UNAI nursing students each who were selected using convenience sampling, where the students involved are nursing students who have participated in clinical practice at least twice. Research data stored in recorded form will then be transcribed and grouped into appropriate themes. Results: From this research, research results were obtained in the form of students' experiences of making mistakes, the challenges faced by students, the benefits of applying the 12 correct principles and how students overcome the challenges they experience. Conclusion: The application of the 12 correct principles in the clinical practice of UNAI nursing students helps students develop skills and knowledge and increases the self-confidence of UNAI nursing students. Suggestion: Future researchers are expected to be able to research more deeply into students' clinical practice experiences, especially in applying the 12 correct principles of drug administration with a more specific scope.
Exploring Mothers Experiences on Complementary Feeding Practices Regarding Stunting Prevention Tambunan, Evelyn Hemme
Jurnal Gema Keperawatan Vol 16, No 2 (2023): Jurnal Gema Keperawatan
Publisher : Jurusan Keperawatan Poltekkes Kemenkes Denpasar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33992/jgk.v16i2.3117

Abstract

Complementary feeding is a significant milestone to promote childs healthy growth and development and prevent chronic malnutrition such as stunting. The aim of this study is to explore the mothers experience about complementary feeding practice regarding stunting prevention with children aged less than two years in Indonesia. A descriptive qualitative study was conducted from January to April 2023. This study was approved by Institutional Review Board (IRB) FIK UNAI. 22 mothers of children of 6-24 months of age were recruited by purposive technique form the mother who live in Cihanjuang Rahayu Village. Descriptive statistics were used to analyze the mothers demographic characteristics and thematic analysis was used to describe mothers experience about complementary feeding practices regarding stunting prevention. The study showed that the average age of the mothers was 24,40 (SD = 3,38) years, level education varied from elementary to senior high school. Through the findings, three main themes have been identified including knowledge of mothers regarding complementary feeding for stunting prevention. Mothers current practice of providing complementary feeding and challenges in providing complementary feeding practices regarding stunting prevention. Findings from the study may provide information for the nurses in increasing the rate of complementary feeding practice to prevent stunting among mothers of children in Indonesia. Future study is needed to identify the factors influencing complementary feeding among the mothers of 6 - 24 months old children in Indonesia.
HEALTH EDUCATION ON PREVENTING AND MANAGING HYPERTENSION IN CIHANJUANG RAHAYU VILLAGE Tambunan, Evelyn Hemme; Haro, Masta
Mitra Mahajana: Jurnal Pengabdian Masyarakat Vol. 6 No. 3 (2025): Volume 6 Nomor 3 November 2025
Publisher : LPPM Universitas Flores

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37478/mahajana.v6i3.7002

Abstract

Hypertension is known as the "silent killer" and remains one of the leading causes of morbidity and mortality globally. In Indonesia, the prevalence of hypertension is still high, particularly in rural areas where access to accurate health information is often limited. This Community Service Program (Pengabdian kepada Masyarakat, or PkM) aimed to improve community health literacy and self-management skills related to hypertension prevention and control among residents of Cihanjuang Rahayu Village, West Bandung Regency. The PkM activities included basic health screening, interactive health education sessions (lectures, discussions, and demonstrations), and evaluation using a quasi-experimental design with pre-test and post-test questionnaires on knowledge and behaviour. A total of approximately 35 participants were involved, consisting of older adults, health cadres, and individuals at risk for hypertension. The findings indicated a significant increase (p < .05) in participants’ knowledge scores, from a pre-test mean of 64.5 to a post-test mean of 89.2. The greatest improvement was observed in understanding lifestyle modification, especially the importance of a low-salt diet and medication adherence. The program successfully empowered the community by enhancing knowledge and awareness about hypertension prevention and management. Increased health literacy is expected to contribute to long-term behavioural change, supporting early detection and sustainable control of hypertension at the community level.
EDUKASI PEMANFAATAN TEMULAWAK DALAM MENGATASI RISIKO STUNTING DI DESA CISASAWI, KABUPATEN BANDUNG BARAT Tambunan, Evelyn Hemme; Djula, Sapti Heru Widiyarti
Devote: Jurnal Pengabdian Masyarakat Global Vol. 4 No. 4 (2025): Devote: Jurnal Pengabdian Masyarakat Global, 2025 (In Press)
Publisher : LPPM Institut Pendidikan Nusantara Global

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55681/devote.v4i4.4932

Abstract

Stunting remains a public health issue in Indonesia, including in West Bandung Regency (KBB). Insufficient optimal nutrition is often exacerbated by poor appetite in children under two years old (Baduta) and pregnant women. This Community Service Program (PkM) aimed to improve the knowledge, attitudes, and skills (KAS) of the community particularly mothers and Posyandu cadres in Cisasawi Village in utilizing Temulawak (Curcuma xanthorrhiza Roxb.) as a locally sourced, affordable, and sustainable complementary nutrition intervention to address stunting risk. The PkM implementation involved pre-intervention, development of educational modules and media, education and demonstration, post-intervention, and follow-up stages. Participants consisted of 32 mothers of Baduta, pregnant women, and Posyandu cadres. Results showed a significant increase in the participants’ average knowledge scores, from 58.7 (poor category) in the pre-test to 85.3 (good category) in the post-test (p < 0.05). Additionally, 93% of participants demonstrated practical skills in processing Temulawak into simple syrup or powdered gelatin. Discussion indicated that Temulawak is effective as a natural appetite stimulant due to its curcuminoid and essential oil content, supporting increased daily calorie intake, which is crucial for stunting prevention. This PkM concluded that education based on local wisdom is an effective and sustainable strategy to support community nutrition improvement programs in Cisasawi Village.
Gambaran Perilaku Altruistik dan Empati Mahasiswa Keperawatan Dalam Pembelajaran Daring Di Era Pandemi Covid-19 Leokuna, Irwan Adiputra; Tambunan, Evelyn Hemme
JURNAL KESEHATAN PRIMER Vol 7 No 1 (2022): JKP (Jurnal Kesehatan Primer)
Publisher : Poltekkes Kemenkes Kupang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31965/jkp.v7i1.705

Abstract

Abstrak: Perilaku altruistik dan empati merupakan perilaku prososial yang harus dimiliki oleh perawat profesional. Pengembangan perilaku ini dimulai dari tahap pendidikan keperawatan, walaupun proses pembelajaran dilaksanakan secara daring di era pandemi Covid-19. Tujuan penelitian ini adalah untuk mengetahui gambaran perilaku altruistik dan empati mahasiswa keperawatan program sarjana keperawatan pada era pembelajaran daring di salah satu Universitas swasta di Bandung. Metode: deskriptif kuantitatif dengan metode sampling simple random sampling. Sample penelitian adalah mahasiswa program studi sarjana keperawatan Fakultas Ilmu Keperawatan di salah satu Universitas swasta di Bandung. Jumlah sampel adalah 118 dan waktu penelitian adalah bulan Juni-Desember 2021. Instrumen penelitian yang digunakan adalah kuesioner yang telah valid yaitu kuesioner perilaku altruisitk dan empati. Data kuesioner dikumpulkan menggunakan google form dan data dianalisa menggunakan distribusi frekuensi untuk mengetahui perilaku altruistik dan empati dalam kategori positif dan negatif. Hasil: 62 responden (53%) berperilaku altruistik negatif dan 60 responden (51%) berperilaku empati negatif. Sedangkan 56 responden (47%) berperilaku altruistik positif dan 58 responden (49%) berperilaku empati positif. Kesimpulan dan saran: Sebagian besar dari responden berperilaku altruistik dan empati negatif, dan sebagian kecil berperilaku altruistik dan empati positif. Diharapkan tenaga pendidik dapat meningkatkan pengembangan perilaku altruistik dan empati dalam pembelajaran daring. Kata Kunci : Perilaku altruistik dan empati; Mahasiswa keperawatan; Pembelajaran daring