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The Experience of Nurses Transitioning to Primary Nursing in Indonesia: A Hermeneutic Phenomenological Study Sitanggang, Septyarani; Rantung, Gilny Aileen Joan
Journal of Applied Nursing and Health Vol. 7 No. 3 (2025): Journal of Applied Nursing and Health
Publisher : Chakra Brahmanda Lentera Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55018/janh.v7i3.426

Abstract

Background: Primary nursing is promoted globally for better continuity, accountability, and engagement,, butthere is limitede is limited evidence from Indonesia on nurses' transition from team to primary care. This study explored the lived experiences of nurses transitioning from team nursing to primary nursing in Indonesia, aiming to understand how they adapt, the barriers they encounter, and the impact of this shift on nurse–patient relationships. Methods: A qualitative approach was used, employing Van Manen’s hermeneutic phenomenology. Ten registered nurses working in medical–surgical wards of a tertiary hospital in Bandung, Indonesia, were purposively sampled. Inclusion criteria included registered nurses with experience in both team and primary nursing models. Nurses in managerial roles without bedside duties were excluded. Data were collected through in-depth semi-structured interviews lasting 45–60 minutes, conducted face-to-face or via secure online platforms. These interviews were audio-recorded, transcribed verbatim, and member-checked. Analysis followed Van Manen’s reflective approach, with thematic analysis supported by NVivo (QSR International, version 12) for data organization. Trustworthiness was maintained through audit trails, reflexivity, peer debriefing, and thick description. Ethical approval was obtained (No. 513/KEPK-FIK.UNAI/EC/VI/25). Reporting followed COREQ. Results: Three themes emerged: (1) Readiness and adaptation to change, where nurses emphasized mindset and gradual learning as essential to adaptation; (2) Challenges in practice and system limitations, including high nurse-to-patient ratios, administrative burden, delayed support services, and training misaligned with practice; and (3) Strengthened nurse–patient relationships, reflecting improved trust, openness, and professional accountability, which sustained motivation despite systemic barriers. Conclusion: This study reveals how Indonesian nurses manage transitioning to primary nursing. Despite systemic challenges that affect continuity and workload, nurses' commitment and strong patient ties sustain their efforts. The findings highlight the importance of aligning training with practice, improving staffing ratios, and ensuring consistent patient assignments to support primary nursing
PERSEPSI BULLYING PADA MAHASISWA KEPERAWATAN : PENELITIAN KUALITATIF Sinaga, Aline Yohana; Rantung, Gilny Aileen Joan
PREPOTIF : JURNAL KESEHATAN MASYARAKAT Vol. 9 No. 3 (2025): DESEMBER 2025
Publisher : Universitas Pahlawan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/prepotif.v9i3.51722

Abstract

Fenomena bullying dalam pendidikan keperawatan masih menjadi isu kompleks yang sering tersembunyi dan dianggap wajar sebagai bagian dari proses pembentukan mental mahasiswa. Persepsi ini berpotensi menormalisasi perilaku yang merugikan secara psikologis, sosial, dan akademik. Penelitian ini bertujuan mengeksplorasi persepsi mahasiswa keperawatan terhadap praktik bullying di lingkungan akademik dan praktik klinik, serta strategi yang digunakan dalam mengantisipasinya. Penelitian menggunakan pendekatan kualitatif deskriptif dengan wawancara mendalam terhadap mahasiswa keperawatan yang pernah mengalami atau menyaksikan tindakan bullying. Analisis data dilakukan secara tematik melalui proses transkripsi, kategorisasi, dan interpretasi makna. Hasil penelitian menunjukkan empat tema utama, yaitu: (1) normalisasi bullying sebagai hal yang dianggap wajar dan bagian dari pembentukan mental; (2) bentuk bullying dominan bersifat verbal dan psikologis yang disamarkan sebagai humor; (3) faktor penyebab meliputi budaya hierarkis, lemahnya sistem pelaporan, dan rasionalisasi kekuasaan senioritas; serta (4) strategi antisipatif meliputi upaya personal (percaya diri, coping mechanism), sosial (dukungan teman dan keluarga), dan institusional (kebijakan, sanksi, serta edukasi anti-bullying). Kesimpulannya, normalisasi bullying merupakan bentuk kekerasan terselubung yang memerlukan intervensi sistemik melalui kebijakan tegas, pelatihan empati, dan budaya akademik berbasis nilai humanistik serta profesional.  
Factors Related to the Level of Anxiety of People in Landslide-Prone Areas in Parongpong District Syifa Nur Atiyah; Gilny Aileen Joan
Interdisciplinary Social Studies Vol. 4 No. 3 (2025): Regular Issue: April-June 2025
Publisher : International Journal Labs

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55324/iss.v4i3.842

Abstract

Natural disasters, such as landslides, can cause significant psychological impacts, such as anxiety. Anxiety is a mental disorder characterized by feelings of fear, worry, restlessness, and physical symptoms such as increased blood pressure, trembling, and headaches. This study aims to identify the factors that influence the level of anxiety among communities in landslide-prone areas, particularly in the Parongpong District, West Bandung Regency. The study uses a quantitative correlational method with a cross-sectional approach. The research population consists of the community in Parongpong District, with a sample of 70 individuals selected using purposive sampling techniques. The variables analyzed include age, gender, educational background, experience of being affected by a disaster, disaster training, and length of residence. The analysis of 70 respondents with diverse characteristics (26 males and 44 females) shows that most respondents experience mild anxiety, with an average score of 6 on the GAD-7 scale. Of the respondents, 49 (70%) experienced mild anxiety, 16 (22.8%) experienced moderate anxiety, 1 (1.4%) experienced severe anxiety, and 4 (5.7%) did not experience anxiety. Factors such as age, gender, educational background, experience of being affected by a disaster, disaster training, and length of residence did not show a significant relationship with the level of anxiety (p > 0.05). These findings are consistent with previous research that shows the psychosocial impacts of landslides, but with relatively low anxiety levels in the Parongpong District. This study recommends the integration of mental health programs into disaster mitigation policies and an increase in community preparedness. A holistic approach involving the government, health workers, and the community is needed to build resilience against disasters, not only physically but also psychologically.