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All Journal International Journal of Public Health Science (IJPHS) Jurnal Keperawatan NURSCOPE: Jurnal Penelitian dan Pemikiran Ilmiah Keperawatan Jurnal Kesehatan JURNAL SUMBER DAYA MANUSIA KESEHATAN Jurnal NERS Jurnal Penelitian Kesehatan Suara Forikes JOURNAL OF HEALTH SCIENCE (JURNAL ILMU KESEHATAN) Jurnal Keperawatan Padjadjaran Jurnal Kesehatan Mesencephalon Jurnal Kesehatan Vokasional Journal Of Holistic Nursing Science Jurnal Keperawatan Muhammadiyah Al Qalam: Jurnal Ilmiah Keagamaan dan Kemasyarakatan Jurnal Ilmiah Keperawatan (Scientific Journal of Nursing) Nurse and Health: Jurnal Keperawatan Jurnal Pengabdian Masyarakat Kesehatan Media Keperawatan Indonesia Hearty : Jurnal Kesehatan Masyarakat International Journal of Nursing and Health Services (IJNHS) Faletehan Health Journal JURNAL NERS LENTERA Journal of Health Sciences Jurnal Respirasi (JR) Medical Technology and Public Health Journal JKEP : Jurnal Keperawatan Jurnal Ners Journal of Telenursing (JOTING) Critical Medical and Surgical Nursing Journal Pediomaternal Nursing Journal Jurnal Layanan Masyarakat (Journal of Public Service) Indonesian Journal of Community Health Nursing Indonesian Journal of Global Health research Prosiding Conference on Research and Community Services Jurnal Pengabdian Masyarakat dalam Kesehatan Indian Journal of Forensic Medicine & Toxicology Lumbung Inovasi: Jurnal Pengabdian Kepada Masyarakat Journal of Vocational Nursing D Nursing and Health Journal (DNHJ) The Journal of Palembang Nursing Studies Indonesian Nursing Journal of Education and Clinic (Jurnal Pendidikan dan Praktik Keperawatan Indonesia) Jurnal Keperawatan Soedirman (The Soedirman Journal of Nursing) Jurnal Keperawatan Jurnal Pengabdian Masyarakat Bangsa Jurnal Ners Lentera Indonesian Journal of Global Health Research
Makhfudli Makhfudli
Faculty Of Nursing Universitas Airlangga
Agriculture, Biological Sciences & Forestry Arts Humanities Civil Engineering, Building, Construction & Architecture Computer Science & IT Decision Sciences, Operations Research & Management Economics, Econometrics & Finance Education Energy Environmental Science Health Professions Immunology & microbiology Industrial & Manufacturing Engineering Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Mathematics Medicine & Pharmacology Neuroscience Nursing Physics Public Health Social Sciences Veterinary Other

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Work environment, burnout, and turnover intention among Indonesian nurses: A cross-sectional study Makhfudli Makhfudli; Rifky Octavia Pradipta; Yati Afiyanti; Mei Chan Chong; Ferry Efendi; Gading Ekapuja Aurizki
Jurnal Ners Vol. 21 No. 3 (2026): VOLUME 21 ISSUE 3 (AUGUST 2026)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v21i3.89717

Abstract

Introduction: Nurses play a vital role in healthcare services, but various challenges make them consider leaving the profession, leading to nursing shortages both nationally and globally. However, studies exploring the factors influencing this intention remain very limited. This study aimed to investigate factors associated with nurses' turnover intentions, focusing on work environment and burnout. Methods: This study employed a cross-sectional design involving 252 nurses in Indonesia who had been working for at least six months, selected using non-probability sampling. Data were collected using a sociodemographic form, the Practice Environment Scale of the Nursing Work Index (PES-NWI), the Copenhagen Burnout Inventory (CBI), and the Turnover Intention Scale (TIS-6). Statistical analysis was conducted using the Chi-square test and logistic regression analysis, with α = 0.05. Results: 41.3% of participants intended to leave the nursing profession. Factors significantly associated with the turnover intentions were age: <30 (AOR=6.851; 95% CI=1.908-24.601; p=0.003) and 30-40 (AOR=3.017; 95% CI=1.214-7.499; p=0.017); region of origin: Java (AOR=4.276; 95% CI=1.296-14.107; p=0.017); highest education: bachelor’s (AOR=3.391; 95% CI=1.413-8.139; p=0.006); work experience: 2-4 years (AOR=8.828; 95% CI=1.792-43.477; p=0.007) and ≥5 years (AOR=6.806; 95% CI=1.047-44.224; p=0.045); work environment: poor (AOR=5.032; 95% CI=1.133-22.344; p=0.034); and burnout: moderate (AOR=3.064; 95% CI=1.304-7.198; p=0.01) and severe (AOR=12.741; 95% CI=3.940-41.198; p<0.001). Conclusion: This study underscores the importance of targeted retention strategies that address nurses’ diverse needs throughout their careers. Initiatives should focus on enhancing supportive work environments and addressing the various challenges nurses face at different career stages.
Integrated health belief model- symptom management theory diarrhea management module on maternal and toddler outcomes: A quasi-experimental study mariyam mariyam; Yuni Sufyanti Arief; Makhfudli Makhfudli; Nuzul Qur'aniati; Ilya Krisnana
Jurnal Ners Vol. 21 No. 3 (2026): VOLUME 21 ISSUE 3 (AUGUST 2026)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v21i3.92060

Abstract

Introduction: This study evaluated the effectiveness of an integrated Health Belief Model (HBM)-Symptom Management Theory (SMT) diarrhea management module in improving mothers' home-based caregiving capabilities and toddlers' health status. Methods: This quasi-experimental study used a non-equivalent control group design involving 72 mothers and their toddlers with diarrhea, with 36 participants in the intervention group and 36 in the control group, recruited sequentially from two public health centers in Semarang, Indonesia. The intervention group received a 12-week HBM-SMT-based module delivered in four sessions: socialization, externalization, combination, and internalization. Maternal caregiving capabilities were evaluated as pre and post-intervention, while toddler clinical outcomes were descriptively tracked as a secondary trend. Data were analyzed using the Wilcoxon signed-rank test, Mann-Whitney U test, and Spearman's rho correlation analysis. Results: The intervention group showed significant improvements in maternal caregiving capabilities, including in condition monitoring (∆ mean = 13.94), meeting basic needs (∆ mean = 25.94), and infection prevention (∆ mean = 13.61) (all p <0.001), whereas no significant changes were observed in the control group. Toddlers in the intervention group had shorter mean diarrhea duration (4.88 vs 6.38 days), an increase in normal nutritional status (from 61.1% to 80.6% vs. a decline from 63.9% to 50.0% in control), and a higher proportion of intact skin integrity without irritation (94,4% vs. 61.1% post-intervention). Conclusions: The integrated HBM-SMT module enhanced maternal caregiving capabilities and improved clinical outcomes in toddlers with diarrhea.
Latihan Kegel untuk Menurunkan Inkontinesia Urine Pasien Post-Trans Urethral Resection of the Prostate (TURP) Susanto, Joko; Lestari, Trijati Puspita; Mardhika, Amellia; Makhfudli, Makhfudli
Jurnal Kesehatan Vokasional Vol 6, No 4 (2021): November
Publisher : Sekolah Vokasi Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkesvo.66336

Abstract

Latar Belakang: Inkontinensia urine (IU) adalah komplikasi yang sering timbul setelah tindakan Trans Urethral Resection of the Prostate (TURP). Kondisi tersebut dapat diatasi dengan latihan kegel karena mampu meningkatkan daya tahan otot dasar panggul sehingga meningkatkan resistensi uretra dan memperbaiki kemampuan berkemih serta mudah dilakukan secara mandiri, kapan saja, dan dimana saja.Tujuan: Menganalisis efektifitas latihan kegel terhadap skor inkontinensia urinepasien pasca-TURPMetode: Desain penelitian menggunakan Quasi Eksperimen dengan besar sampel 64 responden yang diambil dengan metode systematic random sampling (32 kelompok intervensi, 32 kelompok kontrol). Instrumen yang digunakan kuesioner ICIQ-UI-SF untuk mengukur inkontinensia urin. Analisis data penelitian dengan uji Paired t-test dan uji Independen t-test dengan derajat kemaknaan α<0,05.Hasil: Hasil uji statistik Paired t-test menunjukkan latihan kegel mampu menurunkan skor inkontinensia urin pada pasien pasca-TURP dengan p=0,000 dan CI=0,688, dan hasil uji statistik Independent t-test didapatkan perbedaan skor inkontinensia urine pada kelompok intervensi dan kontrol pasca-latihan kegel dengan p=0,000.Kesimpulan: Latihan kegel secara efektif menurunkan skor inkontinensia urinepasien pasca-operasi TURP.
Kondisi Psikologis dan Kualitas Tidur pada Lansia Kelompok Prolanis Susanto, Joko; Makhfudli, Makhfudli; Ilkafah, Ilkafah; Sairozi, Ali; Tyas, Anestasia Pangestu Mei; Wijayanti, Endah Sri; Iswatun, Iswatun; Umam, Khotibul
Jurnal Kesehatan Vokasional Vol 7, No 4 (2022): November
Publisher : Sekolah Vokasi Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkesvo.74460

Abstract

Latar Belakang: Prevalensi penyakit kronis terutama diabetes melitus (DM) dan hipertensi pada lanjut usia (lansia) terus meningkat. Hal ini berisiko menimbulkan kecacatan, penurunan kualitas hidup, bahkan kematian. Sebagian besar lansia mengeluh mengalami gangguan tidur sehingga mempengaruhi status kesehatan dan kualitas hidup. Aspek psikologis diidentifikasi sebagai salah satu faktor penyebab utama masalah tidur pada lansia penderita DM dan hipertensi.Tujuan: Menganalisis hubungan kondisi psikologis dengan kualitas tidur lansia penderita DM dan hipertensi.Metode: Penelitian dilakukan dengan pendekatan cross sectional di Puskesmas Sukodadi Kabupaten Lamongan pada bulan Oktober‒Desember 2019. Sampel penelitian adalah 104 lansia kelompok prolanis secara purposive sampling. Instrumen penelitian menggunakan kuesioner psychological distress dan Pittsburg Sleep Quality Index (PSQI). Analisis data dengan uji Spearman.Hasil: Sebagian besar 65,4% lansia mengalami tekanan psikologis ringan, dan 54,8% lansia memiliki kualitas tidur baik. Hasil uji Spearman rho p=0,004 dan r=0,282, berarti terdapat hubungan kondisi psikologis dengan kualitas tidur lansia penderita penyakit kronis, kekuatan korelasi lemah dan bersifat positif.Kesimpulan: Kondisi psikologis secara statistik berhubungan dengan kualitas tidur pada lansia penderita penyakit kronis pada kelompok prolanis.
Co-Authors AA Sudharmawan, AA Abd Nasir Abdullah, Khatijah Lim Abu Bakar Aesthetica Islamy Ah. Yusuf ah. Yusuf Ahsan Ahsan Aisyah Nur Izzati Aldri Frinaldi Alghifahri, Sayyid Gaza Alit Armini, Ni Ketut Alwan Revai Amellia Mardhika Ananta Baru Wijaya Andini Wulan Sari Andri Setiya Wahyudi Anestasia Pangestu Mei Tyas Anindy, Maulidiyah Mahayu Nilam Apriana Rahmawati Aria Aulia Nastiti Arief, Yuni Sufyanti Arum Rahmawati Virgin Budi Utomo Budi Utomo Budi Utomo Choliq, Maulivia Idham Deni Yasmara Desak Noman Tri Bulan Trisna Wardhana Diantami, Aldini Yunita Mia Diantami, Aldini Yunita Mia Dominikus Rato Efa I. Maulina Eka Mishbahatul Mar'ah Has Elida Ulfiana Emmalia Adhi Fitama Endah Sri Wijayanti Erwansyah, Rio Ady Fadliyah, Lailatul Faizal Kurniawan Faizal Kurniawan Ferry Efendi Ferry Efendi Firda Dwi Yuliana Gading Ekapuja Aurizki Gita Kurnia Widiastutik Gregory Agung Himawan Handira Nadhifatul Aini Handira Nadhifatul Aini Hasanudin Hasanudin Hasanudin Hasanudin Heri Kusnaidi I Kadek Dwi Swarjana I Kadek Dwi Swarjana Ifada Nurrohmaniah Ika Yuni Widyawati Ilkafah Ilkafah, Ilkafah Ilya Krisnana, Ilya Indarwati , Retno Indra Alamsyah Iqlima Dwi Kurnia Iswatun Iswatun Joel Rey Ugsang Acob Joko Susanto JOKO SUSANTO Joni Haryanto Kartika Milaningrum Keloay, Maitha Annthonette Wulan Khotibul Umam Kurniawan, Faizal Kurniawan Kurniawati, Ninuk Dian Kusnanto Kusnanto Kusnul Chotimah Lailatun Ni’mah Laili, Nadia Rohmatul Laily Hidayati Latuperissa, Glorya Riana Lie Liana Fuadiati Liliek Juliati Lutfiandini, Cherlys Tin Luwarsih, Hesti Warastuti Maitha Annthonette Wulan Keloay Mar'atul Hasanah Maria Diana Durbin Maria Jia Fernandez mariyam mariyam Mau Leon, Fransiska Mau Leon, Fransiska Fabiola Maulida, Vetty Silvana Mei Chan Chong Mira Utami Ningsih Mokhamad Khoirul Huda Muh D. RAM Muhamad Rafly Bagus Nugrahanto Muhammad Amin Muhammad Amin Muhammad Amin Muhammad Amin Muhammad Amin Muhammad Rully Maulana Nala Astari Pramesti Nala Astari Pramesti Natalia Christin Tiara Revita Natalia Christin Tiara Revita Nihayati, Hanik Endang Nisa AmaliyaVariansyah Nursalam . Nursalam Nursalam Nursalam, Nursalam Nurul Hidayati Nuzul Qur'aniati Praba Diyan Rachmawati, Praba Diyan Pradita Ayu Fernanda Pramesti, Nala Astari Pratiwi, Denok Jua Purwaningsih - Qolbi Nur Qoidah Yahya Qona’ah, Arina R Endro Sulistyono Rachma, Widiyas Ulfia Retno Indrawati Richa Kumalasari Rifky Octavia Pradipta Rindayati, Rindayati Rista Fauziningtyas, Rista Rohmah, Ulfa Nur Romadhon, Pradana Zaky Rosi Arista Rosyid, Alfian Nur RR Dian Tristiana Rr Soenarnatalina M Rr Soenarnatalina M Rr Soenarnatalina M, Rr Soenarnatalina M Rudi Hariyono Rudi Hariyono, Rudi Rukanah, Rukanah S. Soedarsono Sairozi, Ali Saskiyanti Ari Andini Satriyo Dwi Suryantoro Setho Hadisuyatmana Soedarsono Soedarsono Sriyono Sriyono Suarilah, Ira Suhaedi Kuling Sukmayanti, Luh Putu Sulistiawati, Rani Sulistiawati, Rani Dwi Suryantoro, Satriyo Dwi Susanti, Inta Swarjana, I Kadek Dwi Sylvia Dwi Wahyuni Tintin Sukartini Sukartini, Tintin Sukartini Titiek Berniyanti Tiyas Kusumaningrum Totok Indarto Trijati Puspita Lestari Ubudiyah, Masunatul Umam, Khotibul Uswatun Hasanah Vetty Silvana Maulida Vetty Silvana Maulida Wahyuni, Erna Dwi Widiastutik, Gita Kurnia Wimar Anugrah Romadhon Wiwik Udayani Wiwik Udayani Wulandari, Shenda Maulina Yati Afiyanti Yuana Dwi Agustin, Yuana Dwi Yulia Yunara Yuliani Puji Lestari Yulis Setiya Dewi Zenitha Rani