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All Journal International Journal of Public Health Science (IJPHS) Jurnal Keperawatan Indonesia Nurse Media Journal of Nursing e-Journal Pustaka Kesehatan UNEJ e-Proceeding JURNAL CITRA KEPERAWATAN Journal Of Holistic Nursing Science Jurnal Perawat Indonesia Jurnal Kesehatan Jurnal Keperawatan Malang (JKM) Jurnal Ilmiah Kesehatan Rustida Jurnal Pengabdian Masyarakat Multidisiplin Babali Nursing Research Jurnal Kesehatan Pasak Bumi Kalimantan Jurnal Promotif Preventif Jurnal Kesehatan Tambusai Intan Husada : Jurnal Ilmiah Keperawatan Nursing and Health Sciences Journal (NHSJ) Journal of Applied Nursing and Health Madago Nursing Journal D Nursing and Health Journal (DNHJ) Journal Nursing Care Jurusan Keperawatan Politeknik Kesehatan Gorontalo Journal of Noncommunicable Diseases (JOND) Journal of Nursing Science Update DUNIA KEPERAWATAN: JURNAL KEPERAWATAN DAN KESEHATAN Jurnal Keperawatan Soedirman (The Soedirman Journal of Nursing) Jurnal Kesehatan Komunitas Indonesia Dedikasi Saintek Jurnal Pengabdian Masyarakat Health and Technology Journal (HTECHJ) Jurnal Penelitian dan Kajian Ilmiah Kesehatan Politeknik Medica Farma Husada Mataram International Journal of Midwifery and Health Sciences Jurnal Ilmiah Mahasiswa Fakultas Keperawatan Journal of Community Empowerment for Multidisciplinary (JCEMTY) International Journal of Community Services International Health Sciences Journal Health Access Journal Journal of Nursing Periodic DEDIKASI SAINTEK Jurnal Pengabdian Masyarakat NurseLine Journal Jurnal Bidan Mandiri
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Pesticide Exposure Increases The Incidence Of Low Birth Weight (LBW) In Agricultural Areas Nadhira Faza; Reza Novita; Dian Trisnawati; Enggal Hadi Kurniyawan; Alfid Tri Afandi; Dicky Endrian Kurniawan; Kholid Rosyidi Muhammad Nur
Journal of Nursing Periodic Vol. 2 No. 2 (2025): July
Publisher : LPPM Universitas dr. Soebandi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36858/jnp.v2i2.39

Abstract

Introduction: The involvement of pregnant women in agricultural activities causes pregnant women to be exposed to chemicals contained in pesticides, which will have an impact on the health of pregnant women, especially on reproductive health, which can pose a risk of low birth weight babies. This study aimed to determine the relationship between pesticide exposure and the incidence of low birth weight in agricultural areas. Methods: This research was conducted using the literature review technique; the literature search process used three databases, including Google Scholar, PubMed, and Science Direct, with a publication range from 2020-2024. Results: Pesticide exposure in female farmers influences a determinant of LBW, namely participation in agricultural activities; some articles found that there was no relationship between pesticide exposure and the incidence of LBW; this is because the participation of mothers in agricultural activities is mostly not too long so that the intensity of pesticide exposure in the majority of mothers is still low, in addition, exposure non-organophosphate pesticides had more impact on skin problems in infants rather than low birth weight. Conclusions: Pesticide exposure during pregnancy influences the incidence of LBW; the role of nurses is needed in raising awareness of farmers and their families such as the use of personal protective equipment, managing pesticides according to standards, avoiding direct contact with someone who is bound by pesticides, and storing pesticides out of reach.
Acute Prioritization Over Transitional Preparation: An Observational Study of Discharge Planning in the Emergency Department Khoirotin Anisa; Alfid Tri Afandi; Dicky Endrian Kurniawan; Sujarwanto
Health and Technology Journal (HTechJ) Vol. 4 No. 4 (2026): August 2026
Publisher : KHD Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/htechj.v4i4.629

Abstract

Discharge planning must commence during emergency department admission to ensure continuity of care. Ineffective transitional preparation frequently leads to patient deterioration, medication errors, and increased hospital readmissions. This study evaluated the implementation of discharge planning within the emergency department of Jember Regency Hospital. Researchers employed a descriptive cross-sectional case study design to assess nursing practices. The sample included five emergency nurses and five patients across priority levels one through three. Data collection utilized direct observation and structured Guttman-scale checklists over five days. Findings revealed optimal execution during the initial patient admission phase, specifically regarding comprehensive healthcare needs assessment and interprofessional collaboration. Conversely, the preparatory phase exhibited significant clinical deficiencies, particularly in patient education concerning activity regulation, medication adherence, and dietary management. Critical patients prioritized for immediate life-saving interventions frequently bypassed these educational components. The final discharge and transfer phases demonstrated high compliance with logistical protocols, including medical order verification and transportation coordination. Systemic barriers, including high patient acuity, unpredictable emergency workflows, and the absence of standardized documentation templates, severely restricted comprehensive educational interventions. Emergency discharge planning requires urgent structural reforms to integrate proactive patient education directly into acute care workflows. Hospitals must develop standardized electronic protocols to enhance nursing standards, reduce preventable readmissions, and ensure seamless continuity of care across all patient priority levels.
Integrated Agronursing Strategies to Mitigate Occupational Hazards among Global Agricultural Workers Kurniyawan, Enggal Hadi; Afandi, Alfid Tri; Nur, Kholid Rosyidi Muhammad; Kurniawan, Dicky Endrian; Mahardhika Rahmawati, Primasari; Emerson, Iraha; Mukhtar, Madiha; Rany Agustin Wulandari
Health and Technology Journal (HTechJ) Vol. 4 No. 3 (2026): June 2026
Publisher : KHD Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/htechj.v4i3.724

Abstract

Agricultural occupational hazards pose escalating threats to farming populations globally, yet fragmented evidence limits cohesive clinical and policy responses. This systematic review synthesizes contemporary research to inform an integrated agronursing framework addressing occupational health and safety among farmers. Following PRISMA 2020 guidelines, we searched Scopus, PubMed, and ProQuest for English-language, open-access studies published between 2022 and 2026. Ten studies spanning eight countries underwent a Joanna Briggs Institute critical appraisal and narrative synthesis due to methodological heterogeneity. Results indicate strong positive correlations between hazard knowledge and safety behaviors, though high-risk practices persist, including pesticide overconcentration (74.6%) and inconsistent use of personal protective equipment. Panel regression analysis revealed a monotonic escalation in severe agricultural trauma above 20°C, increasing 123% beyond 30°C. Multicomponent educational interventions demonstrated significant short-term improvements in sun safety knowledge and protective behaviors. At the same time, qualitative evidence highlighted structural determinants, piece-rate compensation, infrastructure deficits, and cultural norms that independently mediate risk exposure. Media analyses further revealed tendencies to individualize injury responsibility, obscuring upstream regulatory drivers. These findings confirm that knowledge acquisition alone cannot sustain behavioral change without concurrent environmental and policy-level interventions. Consequently, agronursing practice must evolve from episodic clinical care toward proactive, ecologically grounded models integrating standardized psychosocial screening, climate-responsive surveillance, and advocacy for equitable safety protocols. This framework equips rural health systems with evidence-based strategies to implement contextually tailored interventions, ultimately safeguarding farmer wellbeing and strengthening global agricultural resilience.
Prenatal Pesticide Exposure and Maternal-Fetal Health Outcomes: A Systematic Review Informing Agro-Nursing Practice Kurniyawan, Enggal Hadi; Afandi, Alfid Tri; Nur, Kholid Rosyidi Muhammad; Kurniawan, Dicky Endrian; Emerson, Iraha; Aung, Sa Sa
Health and Technology Journal (HTechJ) Vol. 4 No. 4 (2026): August 2026
Publisher : KHD Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/htechj.v4i4.754

Abstract

Prenatal pesticide exposure poses significant risks to maternal and child health in agricultural communities worldwide. This systematic review evaluated recent empirical evidence on the impact of agricultural chemical exposure during pregnancy to inform agro-nursing practice directly. A systematic literature search was conducted in Scopus, PubMed, and ProQuest following PRISMA guidelines. Studies published within the last year, written in English, and featuring active DOIs were strictly included. Methodological quality was rigorously assessed using the Joanna Briggs Institute critical appraisal tools. Ten studies ultimately met the inclusion criteria, comprising seven cohort studies, one case-control study, one cross-sectional study, and one ecological analysis. Eight studies demonstrated high methodological quality. The synthesized evidence revealed strong associations between prenatal pesticide exposure and a range of adverse health outcomes. Specifically, exposure to organochlorines and organophosphates correlated with impaired early childhood neurodevelopment and increased childhood neuroblastoma risk. Maternal exposure to pyrethroids and organophosphates significantly elevated the risk of gestational diabetes mellitus and disrupted maternal thyroid homeostasis. Spatial analyses further confirmed increased risks of low birth weight in high-application agricultural zones. Agricultural chemical exposure during pregnancy constitutes a critical determinant of adverse perinatal outcomes. Agro-nurses must integrate comprehensive histories of environmental exposures into standard prenatal assessments. Proactive patient education and targeted clinical surveillance are essential for mitigating toxicological risks and optimizing maternal-fetal health trajectories globally
Health Education on Infection Prevention for Families of Hospitalized Patients: A Community Service Program Prestasianita Putri; Alfid Tri Afandi; Kholid Rosyidi Muhammad Nur; Dicky Endrian Kurniawan; Enggal Hadi Kurniyawan
International Journal of Community Services Vol. 4 No. 1 (2026): InJCS Vol 4 No 1 (2026)
Publisher : Rajaki of Tulip Medika Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61777/injcs.v4i1.101

Abstract

Family members frequently remain at the bedside of hospitalized patients and may participate in basic care, food assistance, mobility support, and contact with the patient environment. Their infection-prevention practices therefore influence patient safety and the wider hospital environment. This community service program aimed to improve families’ knowledge and practical skills regarding infection prevention, particularly hand hygiene, respiratory hygiene, environmental cleanliness, and appropriate use of personal protective equipment (PPE). The activity used health education, demonstration, return-demonstration, discussion, and bedside mentoring. A pretest-posttest evaluation was conducted among 30 family caregivers of hospitalized patients. The mean knowledge score increased from 58.7 before education to 86.3 after education. The proportion of participants achieving the predefined good-knowledge category increased from 26.7% to 90.0%. Practical observation also showed improvement in correct hand-rub/hand-washing technique and recognition of critical hand-hygiene moments. Participants reported that demonstration and direct feedback were more useful than lecture alone. A brief, family-centered infection-prevention education package can strengthen knowledge and practical skills among family caregivers. Integration of family education into routine hospital admission and bedside communication may support a safer care environment, although longer-term observation is needed to determine whether the observed improvement is sustained.
Clinical Competence Among Inpatient Nurses: A Comparative Study Across Two Indonesian Tertiary Hospitals Raul Requilmy Suprapto; Nurfika Asmaningrum; Anisah Ardiana; Dicky Endrian Kurniawan; Elok Faradisa; Thi Thu Huong Phan
Nursing and Health Sciences Journal (NHSJ) Vol. 6 No. 3 (2026): September 2026
Publisher : KHD-Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/nhsj.v6i3.638

Abstract

Clinical competence is a fundamental indicator of the quality of nursing care and patient safety. In Jember Regency, type C hospitals such as Kalisat Regional General Hospital and Balung Regional General Hospital play an important role in providing health services in their respective areas. However, differences in unit characteristics and resource management can lead to variations in nursing competence. Objective: This study aims to compare the clinical competence of inpatient nurses between RSD Kalisat and RSD Balung. Methods: This is a comparative descriptive study with a cross-sectional design. The population consisted of inpatient nurses, with a total sample of 64 respondents (32 from each hospital) through total sampling. Data were collected using the Clinical Competency Questionnaire (CCQ) and analyzed using the Independent Sample T-test and Mann-Whitney U test. Results: The findings showed no significant difference in overall clinical competence between the two hospitals (p=0.757). The same was true for each unit tested in both hospitals (general p=0.549), (surgery p=0.190), and (internal medicine p=0.626). Conclusion: In general, the clinical competence of nurses in both hospitals and between units had equivalent values and showed consistent standards. Recommendation: Hospitals should continue to provide ongoing training to maintain and improve clinical competence and other competencies.
IMPROVING PREGNANT MOTHERS' INTENTION TOWARD HIV TESTING THROUGH HOME-BASED HIV TEST AND EDUCATION (HOPE) IN JEMBER, INDONESIA Azkiel Fikrie; Ahmad Rifai; Dicky Endrian Kurniawan
NurseLine Journal Vol. 6 No. 1 (2021): May 2021
Publisher : Program Studi Ilmu Keperawatan Universitas Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19184/nlj.v6i1.60178

Abstract

The HIV testing program's implementation among pregnant mothers is still not going well due to their intention. Their intention is needed because it can affect pregnant mothers' behavior toward HIV testing. New interventions are needed to solve this problem, such as Home-based HIV Test and Education (HOPE). This study aimed to analyze the influ ence of HOPE to improve HIV testing intention among pregnant mothers. The pre experimental design used with the one group pretest-posttest approach where the imple mentation was carried out for one month with the distribution of the pretest carried out at week 2, and posttest carried out at week 4 of the study thirty pregnant mothers in Jember following this study and involved by using a purposive sampling technique. The data were collected by using the intention questionnaire and analyzed with the Wilcoxon test. The results showed that the pretest results were 20 pregnant women who had the intention to carry out HIV tests and increased to 27 pregnant women on posttest measurements. The results indicate a significant influence of HOPE on the intention of HIV testing in pregnant women (p = 0.033). The Home-based HIV Test and Education (HOPE) interven tion can improve pregnant mothers' intention toward HIV testing. The HOPE interven tion can reach all pregnant mothers (and their husbands) to discover HIV testing information. Involving their husbands in HOPE intervention encouraged pregnant mothers' intention of HIV testing because their husbands were decision-makers in their family, andpregnant mothers will take HIV testing.
Co-Authors Adela Qiyas Aulawi Adela Qiyas Aulawi Adelia Dewi Oktaviana Adisyah Maulidina Safi’i Aditya Bintang Imani Afandi Alfid Tri Afandi, Alfid Agustin, Leni Ahmad Hykal Adlan Zein Ahmad Rifai Ahmad Rifai Aisyah, Rifanti Dwi Akhmad Ramdhani Alfid Tri Afandi Alvita Galuh Nurprastiwi Ananda Kurniasari Andika Firda Azza Zahra Angela Irena Junanda Anisah Ardiana Anisah Ardiana Anisah Febrian Nabila Anisah, Ardiana Ardiana Anisah Arif Gustyawan Arif Gustyawan Arifatunnahriyah, Octavia Ariska Anisa’ul Khoiriyah Atifah Adha Manurung Aung, Sa Sa Az-Zuhri, Miratul 'Uzaimah Aziz Putra Adhitama Azkiel Fikrie Azkiel Fikrie A’Jalil Achbab Bagus Dwi Cahyono Bagus Pria Utama Bahri, Dinar Auliyatul Baiq Lily Handayani Baskoro Setioputro Chicha Amilia Putri Damiri, Dini Desfiani, Yofita Refvinda Dewi Kartikawati Ningsih Dewi Novi Maharani Dian Trisnawati Dinda Wahyu Dinanti Dita Septia Pratiwi Diyah Ayuningrum Amini Dodi Wijaya Dynta Eka Anggraeni Dzakia Raisa Efendi, Anggit Drajad Eko Prasetya Widianto Elok Faradisa Elok Faradisa Elysa Apriliani Emerson, Iraha Emi Wuri Wuryaningsih Enggal Hadi Kurniyawan Erik Kusuma Evy Aristawati Fadhilla, Ailsa Ayu Faisal Kevin Asti Purnomo Fajar Nur Aufar Fatikah Rizki Arum Mauliya Fazah Nur Alif Fathur Rahmah Femas Agusta Regi Darmawan Fitri Chandra Kuspita Futuwwah Sotya Cahyani Gipsy Rayhan Ghafur Grandisya Justitia Purwanto Halimatus Sufiyani Handhias Pramudya Sukma Handoko, Yudho Tri Hani Febriyanti Hanna Salsabila Harishoh, Liana Wafdatul Heri Kristanto Heri Kristanto Herlina Puspita Hersanti Maulia Putri H Ida Ayu Made Sri Handayani Ifnadilla Ritma Sari Iftita Khoiril Waroh Ika Nilasari Ikha Nurjihan Ilma Khoiro Maulidia imel Ajeng Lestari Indra Sarosa Indrasasi, Adzraa Sadira Ranu Ira Purba Wanda Isyroq, Haidar Fadhilatin Ivada Dea Nintiarso Jannah, Latifah Nur Julian Ferdinanda Prasetya Eryata Kanaya Nugita Khamid M. Nur Kharisma Putri Sonya Khodijah Damanhuri Khoirotin Anisa Kholid Rosyidi Muhammad Nur Kholifatu Rosyidah Kholifatur Rosyidah Kurnia Rahmawati Lantin Sulistyorini Leni Agustin Leni Agustin, Leni Liandini, Sheila Anugrah M. Nur Khamid M. Nur Khamid M. Nur, Khamid Madiha Mukhtar Madiha Mukhtar madiha mukhtar, madiha Maharani, Ceria Dwi Karla Maman Suparman Mareta Deka Paraswati Maulidatus Sa’adah Maulidia, Aulia Melani Adelia Efendi Mellinia Septiani Wahdaniyah Meri Katrin Dwi Cayani Miratul 'Uzaimah Az-Zuhri Mochammad Imron Awalludin Modest, Bunga Misselvy Lovely Monica Zhafirah Nur Nashirah Muchamad Ferdy Rivaldi Muhamad Zulfatul A’la Muhammad Amirul Mukminin Muhammad Haidar Putra Kahono Muhammad Nur Khamid Muhammad Nur, Kholid Rosyidi Muliyanti, Ni Made Arik Musta’adah, Iftitatul Mutiara Baiq Qatrunnada Nabila Meyra Anindita Nabila Puspita Dewi Nadhira Faza Nadirotul Umami Nadya Anfa Askiya Irham Naela Farah Anisa Nafisatus Shofiyyah Najwa Zahira Shofa Nasywa, Adinda Nathasya Alfisyahr Sasongko Ni Made Arik Muliyanti Nindy Dwi Maharani Nisa, Indika Khoirun Nisak Berliana Ahmad Novia Narulia Sari Nur Hana Nurfatekha, Esa Darma Nurfika Asmaningrum Nurfika Asmaningrum Nurfika Asmaningrum Nurfika Asmaningrum Nurfika Asmaningrum Nurfika Asmaningrum Nurul Huda Oktaviana Dwi Kartikasari Orachorn Lumprom Pamela, Cyrilla Ayu Prasita Kusumaningtyas Prestasianita Putri Prestasianita Putri Primasari Mahardhika Rahmawati Puja Sheylla Riskita Cahyani Putri Nabilah Putri Shofiyyah Firdaus Putri, Chicha Amilia Putri, Jovanka Maylafaisya Ramadhan, Ibadillah Hilmy Dzulfiqar Rany Agustin Wulandari Rany Agustin Wulandari Raul Requilmy Suprapto Retno Purwandari Reza Novita Rifa’i, Achmad Rizki Yahya Fahrezi Robby Prihadi Aulia Erlando Rodiyatul Fitriyah Rondhianto Rondhianto Rusmawati, Adinda Athalia Sa Sa Aung Sa Sa Aung Safa Tri Wulandari Safira Risqi Aprianti Safitri, Andini Eka Salsabhila Nasywa Ramadhanti Salsabila, Yolanda Nandin Sari, Maya Mustika Sasi, Nugroho Pamungkas Selfi Dwi Cahyani Selvia Amelinda Novianti Selvia Wulandari Selvia Wulandari Setyoningsih, Dies Rut Shafira Anindyah sihqina ramadhani Siska Amaylia Putri Siti Amalia Galuh Putri Mawardi Siti Kusnul Kotimah SITI NUR AISYAH Suhendra Agung Wibowo SUJARWANTO Susanti, Nadia Indri Swastika Ayu Olyvera Syaifuddin Kurnianto Thi Thu Huong Phan Tia Rachman Cahyaningrum Tiara Aprilia Riyanti Titik Sandiva Yustiana Titin Andri Wihastuti Titin Ratnaningsih Ulfi Yuliyani Umi Latifah Utama, Bagus Pria Vanessa Octavia Ramadhani Vani Dekasari Wahyu Novia Fajriati Yanti, Nurhalida Indra Yeni Fitria Yeni Pusparini Yiyi Adelia Yopi Darmawan Yulia Kurniawati Yusnitasari, Engelina Yuzqi Rizqullah Zalsabilla, Adhelia Reisa Zhafira Puspitarini Zuhroidah, Ida