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All Journal INOTEKS : Jurnal Inovasi Ilmu Pengetahuan, Teknologi, dan Seni Jurnal Keperawatan Indonesia Nurse Media Journal of Nursing Jurnal Manajemen Keperawatan Jurnal Keperawatan Soedirman (The Soedirman Journal of Nursing) Jurnal NERS Jurnal Keperawatan Padjadjaran Jurnal Kesehatan Vokasional Belitung Nursing Journal Jurnal Keperawatan Silampari Jurnal Keperawatan Muhammadiyah Journal of Telenursing (JOTING) Jurnal Aisyah : Jurnal Ilmu Kesehatan Indonesian Journal of Global Health research Babali Nursing Research Jurnal Syntax Transformation Cendekia Medika : Jurnal Stikes Al-Ma`arif Baturaja Jurnal Keperawatan Wiyata DUNIA KEPERAWATAN: JURNAL KEPERAWATAN DAN KESEHATAN Journal of Pharmaceutical and Sciences. Indonesian Journal of Community Development Media Penelitian dan Pengembangan Kesehatan Holistik Jurnal Kesehatan Indonesian Journal of Global Health Research
Hening Pujasari
Department Of Nursing And Basic Nursing, Faculty Of Nursing, University Of Indonesia
Agriculture, Biological Sciences & Forestry Arts Humanities Biochemistry, Genetics & Molecular Biology Chemical Engineering, Chemistry & Bioengineering Chemistry Computer Science & IT Decision Sciences, Operations Research & Management Dentistry Education Environmental Science Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Materials Science & Nanotechnology Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences Veterinary

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Optimization of the Role of Nurse Managers in the Implementation of Primary Nursing through Educational and Structured Observation Interventions Resa Ariansyah; Enie Novieastari; Hening Pujasari; Muhammad Koko Hartopo
Indonesian Journal of Global Health Research Vol. 8 No. 1 (2026): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v8i1.654

Abstract

Primary nursing is a care delivery model emphasizing continuity and individualized nurse responsibility. Although implemented at X Hospital West Jakarta since 2017 through MPKP, challenges remain regarding role clarity, documentation, and assignment consistency. Objective to optimize the implementation of primary nursing through educational interventions and structured observation using the POSAC managerial approach. This study used a case study and pilot study approach conducted from May 27 to June 30, 2025. he sampling technique used was purposive sampling, involving 21 nurses as participants. Data were collected via interviews, observations, and questionnaires. Problems were prioritized using the USG method and root causes analyzed using the Fishbone diagram (5M+1E), followed by a Plan of Action based on POSAC functions. Interventions such as fixed team assignment, role education via Zoom, bedside handover, nurse identification labeling, and dashboard utilization improved consistency of care. The dashboard scored 75 on the System Usability Scale (SUS), indicating good usability. Optimizing nursing management functions especially planning and control proved effective in enhancing the implementation of primary nursing and improving continuity of care in the inpatient unit.
Optimizing the Role and Function of Managers in Tiered Supervisionat Ruri Wulandari; Enie Novietasari; Hening Pujasari; Sri Herni Wigiarti
Indonesian Journal of Global Health Research Vol. 8 No. 2 (2026): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v8i2.656

Abstract

Supervision is an active and continuous process aimed at ensuring that employees carry out their duties and responsibilities optimally in accordance with applicable standards, through monitoring, guidance, and performance evaluation activities, both directly and indirectly. At Jakarta Barat x Hospital, the implementation of tiered supervision in the General Outpatient Installation still faces several challenges, such as the suboptimal involvement of head nurses in the supervision process and the lack of standardized evaluation instruments. This study aims to optimize the implementation of tiered supervision by designing a daily work plan for head nurses and developing applicable and measurable supervision tools.  The method used is a case study approach through a pilot study. The study involved 16 nurse respondents, with data collected through questionnaires, interviews, and observations. The data were analyzed qualitatively and descriptively using a fishbone diagram for problem analysis, followed by priority setting, POA formulation with the POSAC approach, and implementation guided by Kotter’s eight-step change theory. The results show that systematic implementation of tiered supervision can enhance compliance with standard operating procedures, improve team communication, and ultimately raise the quality of patient care services. This optimization is expected to serve as a pilot model for strengthening the role of head nurses as frontline supervisors in nursing care units. The optimization of tiered supervision through structured daily work plans for head nurses and the development of measurable supervision tools significantly improves adherence to standard operating procedures, enhances team communication, and strengthens the overall quality of patient care. This approach not only clarifies the managerial role of head nurses as frontline supervisors but also provides a scalable model that can be replicated in other nursing units to ensure consistent, high-quality supervision and service delivery.
Development of Advance Care Planning-Based Discharge Planning to Enhance the Continuity of Palliative Care Viesca Septianata; Tuti Afriani; Hening Pujasari; Andi Amalia Wildani; Hana Mutiasari
Indonesian Journal of Global Health Research Vol. 8 No. 1 (2026): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v8i1.662

Abstract

The demand for palliative care in Indonesia continues to rise as more patients live with chronic and life-limiting conditions. Yet, discharge planning—which should serve as a bridge between hospital care and home care remains limited, particularly when it is not integrated with Advance Care Planning (ACP). This study aimed to design an ACP-based discharge planning model that supports smoother transitions and strengthens continuity of care for palliative patients after hospital discharge.  A descriptive design with a developmental action research approach was carried out at the Hospital. Thirty nurses participated through surveys, complemented by in-depth interviews with the head nurse, nursing committee, and nursing division, as well as direct observation of clinical practice. This study used a purposive sampling technique, with data collected through observations, in-depth interviews, and structured surveys, and analyzed using thematic analysis for qualitative data and descriptive analysis for quantitative data to explore nurses’ knowledge, attitudes, and readiness in implementing ACP-based discharge planning. Data were analyzed descriptively and further explored using SWOT analysis and a fishbone diagram to map strengths, weaknesses, opportunities, threats, and root causes. Findings showed that most nurses understood the concept of ACP (80%) and expressed readiness to be involved, although the majority (73.3%) had never received formal training. Key barriers included limited empathic communication skills, the absence of standard operating procedures (SOPs), and the lack of standardized ACP forms. As an initial step, the study produced draft SOPs, technical guidelines, and ACP forms, which were considered useful but still require refinement and pilot testing. Overall, ACP-based discharge planning has strong potential to improve continuity of care and enhance the quality of life for palliative patients at home. Its success, however, will depend heavily on sustained managerial support, continuous training for nurses, and the active involvement of patients and their families in the care process.
Understanding sleep quality among postoperative patients in Intensive Care Unit: A conceptual analysis approach Nunung Nurhayati; Agung Waluyo; I Made Kariasa; Sali Rahadi Asih; Hening Pujasari; Bahrul Hayat
Jurnal Keperawatan Padjadjaran Vol. 13 No. 3 (2025): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jkp.v13i3.2762

Abstract

Background: Sleep quality is an important yet understudied element influencing postoperative recovery in intensive care units. Considering that there is a lack of consistent knowledge of the quality of sleep, it is difficult to establish appropriate tests and therapies. Objective: To do a conceptual analysis of sleep quality in postoperative intensive care units patients utilizing the Walker and Avant framework, delineating its qualities, antecedents, consequences, and empirical referents. Methods: This study used the Walker and Avant eight-step process for idea analysis, which included a systematic literature evaluation of papers published between 2020 and 2024 in databases such as PubMed, Scopus, ScienceDirect, and ProQuest. Data was evaluated to determine important defining qualities, causes, outcomes, and measurable indicators of sleep quality. Results: The analysis identified four defining attributes of sleep quality: sleep architecture, sleep disturbances, subjective experience, and physiological indicators. Antecedents included environmental noise, lighting, pain, anxiety, and frequent medical interventions. Poor sleep quality was associated with adverse outcomes such as increased delirium risk, delayed wound healing, and prolonged intensive care units      stays. Empirical referents included patient-reported tools like the Pittsburgh Sleep Quality Index, polysomnography, and actigraphy. Conclusion: Sleep quality is a multidimensional concept central to postoperative care in intensive care unit. Addressing environmental and psychological factors through targeted interventions can improve sleep quality and enhance recovery outcomes.
Efektivitas Intervensi Mindfulness-Based Childbirth Parenting (MBCP) bagi Ibu Hamil terhadap Kesejahteraan Psikologis Ibu: Sebuah Tinjauan Sistematis Riska Adellia; Imami Nur Rachmawati; Titin Ungsianik; Hening Pujasari
Journal of Pharmaceutical and Sciences JPS Volume 9 Nomor 1 (2026)
Publisher : Fakultas Farmasi Universitas Tjut Nyak Dhien

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36490/journal-jps.com.v9i1.1266

Abstract

Background: Pregnancy is a critical life stage characterized by physiological and psychosocial changes that increase vulnerability to mental health disorders such as depression, anxiety, and fear of childbirth. Objective: To identify Mindfulness-Based Childbirth and Parenting (MBCP) as an intervention for reducing depression, anxiety, stress, and fear of childbirth, as well as enhancing prenatal attachment. Methods: This systematic review followed the PRISMA guidelines to analyze and present findings from randomized controlled trials (RCTs) involving pregnant women who received MBCP or other mindfulness-based interventions during pregnancy and reported outcomes related to mental health or prenatal attachment. Studies published in English between 2020 and 2025 were considered. Observational studies, reviews, and research without relevant outcomes were excluded. Literature searches were conducted in PubMed, ScienceDirect, ProQuest, Scopus, and ClinicalKey. Methodological quality was assessed using the JBI Critical Appraisal Checklist for RCTs. Due to heterogeneity in interventions and outcomes, meta-analysis was not feasible. A narrative synthesis was performed by summarizing study characteristics and thematically grouping results. Results: Ten RCTs (N=907) consistently demonstrated reductions in depression, anxiety, stress, and fear of childbirth, as well as improvements in prenatal attachment. Conclusion: MBCP interventions are effective in enhancing maternal psychological health and reducing fear of childbirth, with potential benefits for both mother and infant. Integration of MBCP into antenatal care and cultural adaptation is recommended. Further research is needed to evaluate long-term outcomes, cost-effectiveness, and implementation strategies across diverse contexts.
Napping Policy as an Investment in Health and Academic Innovation in a World-Class Research Campus Pujasari, Hening; Erwandi, Dadan; Nurhayati, Nunung; Rizany, Ichsan; Rahmini, Juwi Athia
Indonesian Journal of Community Development Vol 5, No 2 (2025): Vol 5, No 2 (2025): Indonesian Journal of Community Development
Publisher : Universitas Pendidikan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.17509/ijcd.v5i2.93346

Abstract

Background: The campus napping policy has emerged as an innovative initiative that can positively impact the well-being and productivity of the academic community. With increasing academic pressure, greater attention has been given to maintaining balance between work and mental health. Napping has proven to be an effective method for improving productivity and supporting both physical and mental recovery. This research aims to explore how napping policies influence academic productivity and mental health, as well as the challenges that arise in their implementation on campus. Methods: This study employed in-depth interviews with experts in health and university management to gain a comprehensive understanding of napping policies and their effects on the academic community. Results: The findings revealed that naps have a significant positive effect on productivity, particularly among lecturers and students experiencing high academic demands. Six main themes emerged, illustrating how napping policies enhance well-being and academic performance. Discussion: The main challenge in implementing this policy lies in achieving acceptance from the academic community and university management. Successful implementation requires adjustments to existing regulations and a shift in mindset regarding working hours and well-being. Napping also offers physical health benefits, such as lowering blood pressure and improving cognitive capacity, which further strengthen the rationale for policy adoption. Conclusion: The campus napping policy has proven to provide substantial benefits by improving academic productivity and the physical and mental health of the academic community. To ensure success, implementation must be flexible, data-driven, and supported by updates in human resource management. Integrating napping policies into campus health programs will create a healthier, more innovative, and productive academic environment
Exploring the Spiritual Dimensions of Indonesian Patients Living with a Permanent Stoma after Colorectal Cancer: A Phenomenological Study Dwi Asih Rohmawati; Yati Afiyanti; Hening Pujasari; Dyah Juliastuti
Nurse Media Journal of Nursing Vol 16, No 2 (2026): (August 2026) [In Progress]
Publisher : Department of Nursing, Faculty of Medicine, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/nmjn.v16i2.77600

Abstract

Background: Research worldwide has highlighted the physical, psychological, social, and spiritual challenges faced by patients living with a permanent stoma following colorectal cancer. However, limited research has examined the spiritual dimensions of living with a stoma among Indonesian patients.Purpose: This study aimed to explore the spiritual meanings and experiences of patients living with a permanent stoma due to colorectal cancer in Indonesia.Methods: A qualitative phenomenological design using Heidegger’s interpretive phenomenological approach was employed. Fifteen participants who had been living with a permanent stoma following colorectal cancer for more than three months were purposively recruited, 12 of whom were Muslim. Data were collected at the National Cancer Hospital in Indonesia over nine months through in-depth, semi-structured interviews and analyzed using QSR NVivo 14 software.Results: Three overarching themes emerged: (1) experiencing spiritual distress following cancer diagnosis and stoma formation (including rejection of life diversion, anger toward God, and social withdrawal); (2) embracing life with a stoma (including making peace with oneself and God, receiving social and professional support, and accepting the stoma); and (3) reconstructing self-existence after stoma formation (including developing meaning, hope, life goals, and pride in living with a stoma).Conclusion: This study shows that spirituality helps Indonesian patients with colorectal cancer and a permanent stoma find meaning, achieve self-actualization, and make peace with themselves and God. Healthcare professionals should anticipate these patients’ spiritual needs through routine spiritual assessment and health education and, when necessary, facilitate their participation in support groups to help meet those needs. 
Optimizing Patient Distribution Through the Adaptation of the RAFAELA System by Strengthening the Role of Nurse Unit Managers to Achieve Equitable Nursing Workload Distribution Mikha Arisia Helen; Tuti Afriani; Hening Pujasari
Indonesian Journal of Global Health Research Vol. 8 No. 5 (2026): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v8i5.2434

Abstract

Increasing patient complexity and Bed Occupancy Rate (BOR) have contributed to higher nursing workload at X hospital. These conditions potentially lead to imbalanced workload distribution, nurse fatigue, and decreased quality of care and patient safety. This study aimed to optimize competency-based nurse staffing through the role of Nurse Unit Managers (NUMs) in managing nursing workload at X hospital. This study used a project improvement approach conducted during nursing management residency activities in inpatient units on the 5th, 10th, 11th, 12th, and 13th floors of X hospital from April to May 2026. Data were collected through observations, semi-structured interviews, and document reviews. Problem analysis was conducted using the POSAC approach and fishbone analysis. The intervention was implemented through competency-based staffing using the RAFAELA System as a nursing intensity measurement tool. Most patients had partial to total dependency levels with high clinical complexity. The nurse-to-patient ratio increased to 1:9–11 during full BOR conditions. Patient assignment was previously based on room location rather than patient complexity and nurses’ competency levels, resulting in workload imbalance. The implementation of competency-based staffing assisted NUMs in distributing patients more objectively according to patient complexity and nurses’ competencies. Competency-based nurse staffing optimization through strengthening the role of NUMs and utilization of the RAFAELA System has the potential to improve nursing service effectiveness, support patient safety, and create more proportional workload distribution.
Strategi Manajemen Shift Work Disorder (SWD) untuk Perawat Rumah Sakit: Sistematik Review Rizany, Ichsan; Handiyani, Hanny; Pujasari, Hening; Erwandi, Dadan; Wulandari, Cicilia Ika; Gayatri, Dewi
Jurnal Kesehatan Vokasional Vol 9, No 2 (2024): May
Publisher : Sekolah Vokasi Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkesvo.93081

Abstract

Latar Belakang: Shift Worker Disorder (SWD) masih menjadi masalah sampai saat ini. Perkiraan prevalensi gangguan kerja shift (SWD) bervariasi antara 5 - 35,2%. Banyak dampak yang diakibatkan oleh SWD kepada perawat.Tujuan: Penelitian bertujuan melakukan analisis tentang strategi manajemen shift work disorder (SWD) untuk perawat di rumah sakit.Metode: l Desain penelitian ini adalah systematik review menggunakan diagram alur PRISMA. Peneliti menggunakan PICOs dan mencari artikel bahasa inggris yang diterbitkan dari tahun 2018 sampai dengan Maret 2023. Database yang digunakan meliputi ProQuest, MEDLINE, Embase, Scopus, PubMed, ClinicalKey Nursing, Science Direct, dan Taylor & Francis. Peneliti memanfaatkan tool Covidence untuk proses seleksi data sampai dengan ekstraksi serta menggunakan instrument the Joanna Briggs Institute (JBI) untuk mengevaluasi artikel.Hasil: Sepuluh artikel telah diidentifikasi dan dianalisis. Ukuran sampel dari studi dilaporkan berkisar dari 16 sampai dengan 4275 yang dilakukan di berbagai wilayah geografis. Perawat bisa melakukan manajemen stres, menerapkan sleep hygiene, dan terapi perilaku kognitif untuk mengurangi SWD. Manajemen jadwal dinas, dukungan social dan pengaturan cahaya lingkungan menjadi poin yang dapat diperhatikan di level organisasi oleh manajer rumah sakit dalam membantu mengurangi SWD.Kesimpulan: Strategi untuk manajemen SWD dapat melalui sleep hygiene, pengaturan cahaya lingkungan, terapi perilaku kognitif,  dukungan sosial, manajemen stres, dan penjadwalan dinas.
Effectiveness of Cancer Patient Navigator Program to Reduce Caregiver Burden: A Systematic Review Rikumahu, Marisco; Allenidekania, Allenidekania; Pujasari, Hening; Gayatri, Dewi
Jurnal Kesehatan Vokasional Vol 10, No 2 (2025): May
Publisher : Sekolah Vokasi Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkesvo.105240

Abstract

Background: Cancer is a major disease that significantly affects global public health. In Indonesia, the number of cancer patients continues to increase, requiring innovative approaches in the cancer care system.Objective: This study aims to evaluate the effectiveness of cancer patient navigator programs in reducing caregiver burden, particularly among cancer patients.Methods: This systematic review followed the PRISMA guidelines and used inclusion criteria that included full-text articles published in English and quantitative studies. Literature searches were conducted in various academic databases using relevant keywords.Results: Out of 3,583 records retrieved, 6 studies met the criteria for further analysis. The results also showed that patient navigator programs can significantly reduce caregiver burden through improved education, emotional support, and access to healthcare services.Conclusion: The implementation of cancer patient navigator programs in Indonesia has the potential to reduce caregiver burden and improve the quality of cancer patient care. Recommendations for further research and health policy are also included.
Co-Authors Abdul Rahman, La Ode Achir Yani Agung Waluyo Agustine Ramie Aldri Frinaldi Allenidekania Allenidekania ANDI AMALIA WILDANI Azizah, Yuni Bahrul Hayat Bahrul Hayat, Bahrul Cahyantari Merduaty, Rona Chatarina Setya Widyastuti Cicilia Ika Wulandari Cori Tri Suryani Dadan Erwandi Desnita Fitri Devi Nurmalia Dewi Gayatri Dwi Asih Rohmawati Dyah Juliastuti Elly Nurachmah Ema Hikmah Enie Novieastari Enie Novietasari Era Dorihi Kale Eric Umar Friska Friska Geri Donenberg Hana Mutiasari Hana Mutiasari Hanny Handiyani Hariyati, Roro Tutik Sri Harpendewisasmita Harpendewisasmita Hulu, Soni Roy Kurniawan I Made Kariasa Imami Nur Rachmawati Judith A Levy Juwi Athia Rahmini Kartika Mawar Sari Sugianto Keksi Girindra Swasti Khairunnisa, Riana Krisna Yetti Krisna Yetti Krisna Yetti Kristiawati Kristiawati Kuntarti La Ode Abdul Rahman Lasiyani, Ni Luh Lestari Hernawati Made Sumarwati Magdalena, Helen Mary Ellen Mackesy-Amiti Masfuri - Mayanti Mahdarsari Mikha Arisia Helen Muhamad Rofi’i Muhamad Rofi’i Muhammad Koko Hartopo Nasri, Khairul Noraliyatun Jannah Novy Helena Chatarina Daulima Nugraha, Rudi Nunung Nurhayati Nunung Nurhayati Puspita Eka Wuyung Rahma Marfiani Rahmini, Juwi Athia Ratna Sitorus Resa Ariansyah Ria Kodariah Rikumahu, Marisco Rio Verdiansyah Riska Adellia Rita Setianingrum Rizany, Ichsan Robert C Bailey Rohmawati, Dwi Asih Roro Tutik Sri Hariyati Rr Tutik Sri Hariyati Rr Tutik Sri Hariyati Rr. Tutik Sri Hariyati Rr. Tutik Sri Hariyati Rr. Tutik Sri Hariyati Rr. Tutik Sri Hariyati Rr. Tutik Sri Hariyati Ruri Wulandari Saho, Musa Sali Rahadi Asih Sari, Erna Puspita Sarma, Eva Winda Sarvita Dewi Sitta Diani Fichara Situmeang, Widiya Yulian Sri Herni Wigiarti Susanti, Epi Titin Ungsianik Tuti Afriani Uminah, Uminah Viesca Septianata Widyaningsih, Neni Wildan Wildan Yati Afiyanti Yati Afiyanti Yeni Rustina Yuliana Bernadetta Yuvensius Pili