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Patient Experiences of Receiving the Therapeutic touch of Nurses in Chronic Illness Care: A Qualitative Study Rezkiki, Fitrianola; Kartika, Imelda Rahmayunia; Febrina, Cory; Fatin, Nisa Nurliana
Jurnal Berita Ilmu Keperawatan Vol. 19 No. 1 (2026): January
Publisher : Universitas Muhammadiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23917/bik.v19i1.10805

Abstract

Therapeutic touch is a form of non-verbal communication, but its delivery in clinical settings often does not align with patient needs. Understanding the perspectives is essential to optimise its use in nursing care. Explore the experiences of Indonesian patients with chronic illness in receiving the therapeutic touch during hospitalisation. A qualitative descriptive design was used. Eight patients with chronic disease were recruited through purposive sampling. Data were collected through in-depth audio recordings and analyzed thematically. Results: Four themes emerged: Nurses’ ways of providing touch – techniques, intention and manner of initiating touch; Effects of touch – emotional comfort, reduced anxiety and perceived support; Timing of touch – appropriate moments when touch is expected or meaningful; Cultural and belief influences – feelings of shame, religious considerations and personal boundaries. Most of the patients expressed positive perceptions of therapeutic touch and acknowledged its benefits for comfort and connection. However, some hesitated due to cultural norms, religious values, or limited prior experience. Patients emphasised their right to therapeutic touch when nurses provide care, especially when it conveys empathy and genuine care. Practice Implications: Nurses should strengthen their use of therapeutic touch as part of holistic care. Health professionals are encouraged to integrate therapeutic touch intentionally and sensitively during hospitalisation.
Integrating the Traditional Games into Early Childhood Programs: Effects on Gross Motoric Skill Enhancement Using a One-Group Pretest–Posttest Design Wulandini S, Putri; Kartika, Imelda Rahmayunia
Jurnal Berita Ilmu Keperawatan Vol. 19 No. 1 (2026): January
Publisher : Universitas Muhammadiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23917/bik.v19i1.13115

Abstract

Gross motoric skill development in children is a basic component of children’s growth and their physical functional movement. This study was conducted using pilot quantitative study that evaluated the effectiveness of traditional Riau games in improving gross motoric skills, specifically balance, speed, and agility, among pre-school children. This study used a non-randomized, single-group pretest–posttest design without a control group, conducted on 50 participants. Gross motoric performance was assessed pre and post intervention by using an instrument of TGMD (Test of Gross Motoric Development). Data were analyzed using paired sample t-tests, with effect sizes calculated to estimate strong effects taken from this study. The results indicated statistically significant improvements in balance, speed, and agility following the intervention (p < 0.001), with a very large effect size (Cohen’s d = 2.39 ≥ 0.80). These findings suggest that traditional Riau games may represent a culturally appropriate and effective strategy for enhancing children’s gross motoric skills. Nevertheless, the absence of a comparator group and the pilot nature of the study warrant cautious interpretation, and further controlled trials are recommended to confirm these results.
Kompetensi Perawat Dan Kepuasan Pasien Terhadap Pelayanan Keperawatan di Rawat Jalan: Nurse Competence and Patient Satisfaction with Nursing Services Nursing Services in Outpatient Imelda Rahmayunia Kartika; Rr. Tutik Sri Hariyati; Nelwati
NERS Jurnal Keperawatan Vol. 14 No. 2 (2018): NJK Volume 14, Number 2
Publisher : Fakultas Keperawatan Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/njk.v14i2.208

Abstract

Nurse competence becomes an important part that must be considered in carrying out nursing care for patients, in order to achieve patient satisfaction. Nurses' competencies in conducting assessments, nursing interventions and communication in patients on outpatient care still need to be improved. Outpatient Hospital Dr. Achmad Mochtar Bukittinggi still stated unsatisfied with nurse interactions. The purpose of this study was to determine the relationship between nurse competency and outpatient satisfaction on nursing care. The design of this study uses descriptive correlation with a cross sectional approach. The total sample of 295 outpatients was taken purposively. The instrument used was a modification of the PSNCS (Patient Satisfaction with Nursing Care Scale) and NSNS (Newcastle Satisfacton to Nursing Scale). Data analysis using Spearman Correlation. Patient satisfaction is at the middle level (Mean = 33 in the score 12 - 60), while the mean for nurse competence is 12.39. The results of this study indicate a significant relationship between nurse competence and patient satisfaction (p value = 0,0001) and r value = +0,500, which means showing a directional relationship. The value of the determinant coefficient (r2) is 0.25, which means that nurse competence can explain patient satisfaction by 25%. This shows that the higher the competence possessed by a nurse in outpatient care, the higher the patient's satisfaction in nursing services. It is expected that nurses can improve their competence so that satisfaction and quality of nursing services can be increased.
Bridging the Gap Between Care and Expectation: Patient Satisfaction with Postoperative Pain Management in a Surgical Ward — A Mixed-Methods Study Kartika, Imelda Rahmayunia; Rezkiki, Fitria Nola; Febrina, Cory; Papa, Dahlia Permata
Journal of Applied Nursing and Health Vol. 8 No. 2 (2026): 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.v8i2.537

Abstract

Background: Patient satisfaction is an important indicator of healthcare quality and reflects patients’ perceptions of whether healthcare services meet their expectations. Effective postoperative pain management is essential for optimal recovery and patient satisfaction; however, gaps between clinical practice and patient expectations remain underexplored, particularly in surgical wards. Methods: This study employed an explanatory sequential mixed-methods design conducted in a surgical ward of a tertiary hospital in West Sumatra, Indonesia, from January to July 2024. The quantitative phase involved 190 postoperative patients recruited using accidental sampling. Patient satisfaction with postoperative pain management was assessed using a structured modified questionnaire from NOC (Nursing Outcomes Classification), which was analyzed descriptively. Quantitative data were analyzed using descriptive and inferential statistics, including independent t-tests and one-way Analysis of Variance (ANOVA). The qualitative phase included 8 purposively selected participants who participated in in-depth interviews to explore experiences and perceptions related to postoperative pain management. Qualitative data were analyzed using thematic analysis of interview transcripts and field notes. Quantitative and qualitative findings were integrated during the interpretation stage. Ethical approval was obtained, and informed consent was secured from all participants. Results: Quantitative findings showed that 53.2% of respondents (n = 190) reported being moderately satisfied with postoperative pain management. The mean satisfaction level indicated a moderate level of satisfaction. Inferential analyses showed that satisfaction scores differed significantly across age groups (p = 0.017), whereas no significant differences were observed according to sex (p = 0.839) or educational level (p = 0.168). Qualitative analysis identified three major themes: (1) experiences of postoperative pain, (2) postoperative pain management practices, and (3) perceptions of patient satisfaction. Integration of findings revealed that although overall satisfaction was reported, patients expressed unmet expectations regarding individualized pain relief, timely pain control, and communication with healthcare professionals. Conclusion: While most patients reported satisfaction with postoperative pain management, important gaps remain between patient expectations and clinical practice.  Patient satisfaction with postoperative pain management was associated with age but not with sex or educational level. Qualitative findings further demonstrated that effective communication, individualized care, and patient comfort were central experiences shaping patient satisfaction. These findings highlight the importance of combining patient-centered care with effective pain management strategies to improve postoperative care quality.
Critical Thinking Dimensions Among Nursing Students Across Educational Levels: A Cross-Sectional Study Gita Adelia; Esperanza Zuriguel Pérez; Imelda Rahmayunia Kartika; Eka Malfasari; Arieny Rizafni
An Idea Health Journal Vol 6 No 03 (2026)
Publisher : PT.Mantaya Idea Batara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53690/ihj.v6i03.778

Abstract

Background: Critical thinking is essential for nursing students to provide safe, evidence-based, and patient-centered care. Methods: This cross-sectional study described and compared critical thinking abilities among students in the Diploma III (D-3), Bachelor of Nursing (S-1), and Professional Nursing (Ners) programs at Institut Kesehatan Payung Negeri Pekanbaru. Of 521 eligible students, 493 participated, resulting in a 94.6% response rate. Data were collected using the N-CT-4 Students questionnaire and analyzed with the Kruskal–Wallis and Pearson’s chi-square tests. Result: Nearly half of the students (49.7%) demonstrated a moderate level of critical thinking. The educational program was not significantly associated with the critical thinking category, χ²(4) = 8.288, p = 0.082, Cramer’s V = 0.092. No significant differences were found across programs in the personal (p = 0.104), intellectual and cognitive (p = 0.408), interpersonal and self- management (p = 0.620), or technical dimensions (p = 0.673), with negligible effect sizes (rank ε² = 0.0016–0.0092). Conclusion: suggest that the three programs had similar critical thinking profiles at the time of measurement. Longitudinal studies using objective assessments are recommended to evaluate the development of critical thinking throughout nursing education.