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All Journal JURNAL ILMIAH KESEHATAN KEPERAWATAN Majalah Kedokteran Bandung Disease Prevention and Public Health Journal JURNAL ILMIAH EDUCATIONAL MANAGEMENT Jurnal Manajemen Pendidikan Mutiara Medika: Jurnal Kedokteran dan Kesehatan IJNP (Indonesian Journal of Nursing Practices) Jurnal Ilmiah Universitas Batanghari Jambi AKSIOLOGIYA : Jurnal Pengabdian Kepada Masyarakat Jurnal Penelitian Pendidikan IPA (JPPIPA) JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) BERDIKARI : Jurnal Inovasi dan Penerapan Ipteks Jurnal Manajemen Kesehatan Yayasan RS.Dr. Soetomo JCES (Journal of Character Education Society) Jurnal Keperawatan Muhammadiyah Media Ilmu Kesehatan Citra Delima Scientific journal of Citra Internasional Institute Manuju : Malahayati Nursing Journal Care : Jurnal Ilmiah Ilmu Kesehatan HOSPITAL MAJAPAHIT (JURNAL ILMIAH KESEHATAN POLITEKNIK KESEHATAN MAJAPAHIT) Unnes Journal of Public Health The Shine Cahaya Dunia Ners Indonesian Journal of Halal Research Jurnal Admmirasi Jurnal Ilmu Kesehatan Jurnal Kesehatan Karya Husada Jurnal Ilmu dan Teknologi Kesehatan Amalee: Indonesian Journal of Community Research & Engagement Jurnal Ners Jurnal Aisyah : Jurnal Ilmu Kesehatan Indonesian Journal of Global Health research Infokes : Jurnal Ilmiah Rekam Medis dan Informasi Kesehatan Nusantara Science and Technology Proceedings Journal of Nursing and Health (JNH) Akper Yakpermas Banyumas JOSING: Journal of Nursing and Health Multidiciplinary Output Research for Actual and International Issue (Morfai Journal) Hospital Majapahit : Jurnal Ilmiah Kesehatan Politeknik Kesehatan Mojokerto Prosiding Seminar Nasional Program Pengabdian Masyarakat JKKI : Jurnal Kedokteran dan Kesehatan Indonesia International Journal of Health Science and Technology Jurnal Kebidanan dan Keperawatan Aisyiyah JHeS (Journal of Health Studies) Jurnal Keperawatan Notokusumo Citra Delima Scientific journal of Citra Internasional Institute JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) The Shine Cahaya Dunia Ners Jurnal Ilmiah Kesehatan Keperawatan Media Penelitian dan Pengembangan Kesehatan Strada Jurnal Ilmiah Kesehatan (SJIK) JURNAL KEPERAWATAN IJP (Indonesia Jurnal Perawat) Folia Medica Indonesiana Indonesian Journal of Global Health Research
Elsye Maria Rosa
Universitas Muhammadiyah Yogyakarta
Religion Agriculture, Biological Sciences & Forestry Arts Humanities Biochemistry, Genetics & Molecular Biology Chemical Engineering, Chemistry & Bioengineering Chemistry Civil Engineering, Building, Construction & Architecture Computer Science & IT Decision Sciences, Operations Research & Management Dentistry Economics, Econometrics & Finance Education Energy Engineering Environmental Science Health Professions Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Library & Information Science Materials Science & Nanotechnology Medicine & Pharmacology Neuroscience Nursing Physics Public Health Social Sciences Veterinary Other

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The Effect of Implementing Pre-Conference and Post-Conference on the Completeness of Nursing Care Documentation: A Systematic Review Acep Yudi Wahyudi; Elsye Maria Rosa
Indonesian Journal of Global Health Research Vol. 8 No. 3 (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.v8i3.1180

Abstract

Completeness of nursing care documentation is an important indicator of service quality and patient safety because it supports continuity of care, communication between shifts, and professional accountability. However, in clinical practice, documentation is often incomplete due to workload, time constraints, varying adherence to SOPs, and minimal feedback. Pre- and post-conferences, as a forum for structured briefings and evaluations, are seen as capable of organizing team communication flows and strengthening process discipline, thus potentially improving documentation completeness. To synthesize scientific evidence regarding the application of pre-conference and post-conference in nursing practice and their impact on the completeness of nursing care documentation. The study design was a systematic review with narrative synthesis. A literature search was conducted on Google Scholar, Scopus, and PubMed for articles published between 2011 and 2025, in Indonesian or English. Included studies were original research that evaluated the implementation of pre- and/or post-conferences for nurses or nursing teams in clinical settings and reported outcomes related to completeness of documentation or relevant process quality indicators. Selection was conducted through title/abstract screening and full-text assessment. Data were then standardized and synthesized descriptively due to heterogeneity in design, context, and measurement indicators. Eight studies met the inclusion criteria with varying designs, including case studies, descriptive studies, PDSA-based pilot studies, quasi-experimental, pre-experimental, and cross-sectional correlational studies. Thematic synthesis showed that pre-conferences play a role in establishing shared clinical perceptions, establishing priorities, and aligning care plans, resulting in more focused recording. While post-conferences serve to close the work cycle by evaluating and verifying completeness before the shift change. Studies that directly assessed documentation reported improved completeness after the implementation of pre- and post-conferences, while others demonstrated improved compliance with the handover/conference process and nurse performance as supporting mechanisms for documentation quality. Effective implementation appeared to be influenced by team leader leadership, clarity of SOPs and formats, practice-based training (e.g., role-play/simulation), and tiered supervision. Workload and time constraints, particularly at the end of the shift, were key barriers. Implementing pre- and post-conferences has the potential to improve the completeness of nursing care documentation by improving team communication processes, standardizing clinical priorities, and strengthening accountability before handover. A more consistent impact is likely to emerge when conferences are integrated into a quality control system that includes clear standard operating procedures (SOPs), training, supervision, and periodic documentation audits and feedback.
Effectiveness of Experiential Learning–Based Clinical Education on Nurses' Clinical Decision-Making: A Systematic Review Ayu Trisnadewi; Elsye Maria Rosa
Indonesian Journal of Global Health Research Vol. 8 No. 3 (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.v8i3.1181

Abstract

Clinical decision-making is a core competency for nurses that directly impacts patient safety. However, the development of this skill is often not automatic and faces barriers such as service complexity and lack of confidence. Experiential learning through a cycle of concrete experiences and reflection offers an approach to bridge this competency gap. This study aims to synthesize scientific evidence regarding the types of experiential learning interventions in clinical education and assess their impact on nurses' clinical decision-making or judgment. The study design was a systematic review following the PRISMA 2020 guidelines. A literature search was conducted in PubMed/MEDLINE, Scopus, and CINAHL databases for articles published between 2011 and 2025. Inclusion criteria included RCTs or quasi-experimental studies involving nurses or nursing students in clinical settings with experience-based interventions. Nine studies met the inclusion criteria and were analyzed narratively. Data synthesis identified two main themes. First, intervention modalities included realistic clinical simulations, in-situ simulations in the ICU, scenario-based triage training, interactive cognitive techniques (such as critical thinking cards), and structured reflection methods such as Debriefing for Meaningful Learning (DML). Second, these interventions consistently improved clinical decision accuracy, reasoning, knowledge, and service time efficiency. The use of DML was shown to be more effective in improving clinical reasoning than traditional debriefing. However, some studies have shown a decline in retention of the effect after three months, emphasizing the need for ongoing training. Experiential learning-based clinical education is effective in improving the quality of nurses' clinical decisions. The success of this intervention depends heavily on the integration of structured exposure to clinical experiences with systematic reflection mechanisms. Hospital management is advised to implement regular scenario-based training and strengthen the capacity of facilitators in conducting debriefings to ensure patient safety and the quality of nursing care.
Nurse Management and Leadership Practices in Hospitals: A Systematic Review Ayu Trisnadewi; Elsye Maria Rosa
Indonesian Journal of Global Health Research Vol. 8 No. 3 (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.v8i3.1424

Abstract

Nurse management and leadership play a critical role in shaping nurses’ work environments, patient safety, and organizational performance in hospital settings. In recent years, there has been a growing shift from traditional hierarchical management toward more relational and clinically oriented leadership practices. However, empirical evidence regarding dominant leadership styles, associated outcomes, and remaining research gaps remains dispersed across the literature. This systematic review aimed to synthesize existing evidence on nurse management and leadership practices in hospital settings, with a focus on dominant leadership styles, reported outcomes, and identified research gaps. A systematic review was conducted following the PRISMA 2020 guidelines. Literature searches were performed in PubMed/MEDLINE, Scopus, and CINAHL databases. A total of 524 articles were initially identified. After removal of duplicates and screening of titles and abstracts, 45 articles were assessed for full-text eligibility. Ten studies met all inclusion criteria and were included in the final synthesis. Data were analyzed using a narrative thematic approach. The synthesis revealed three main themes. First, transformational leadership emerged as the most frequently examined leadership style in nurse management, with increasing attention to clinical leadership among bedside nurses. Second, leadership practices were associated with nurse-related outcomes (work engagement, reduced burnout, and job performance), patient-related outcomes (quality of care, patient safety, and satisfaction), and organizational outcomes (innovative work behavior and reduced counterproductive behaviors). Third, several research gaps were identified, including the predominance of cross-sectional designs, reliance on self-reported measures, limited multicultural perspectives, and insufficient evidence on the long-term impact of leadership during and after healthcare crises such as the COVID-19 pandemic. Evidence from this systematic review indicates that relational and transformational leadership practices are consistently associated with positive outcomes for nurses, patients, and healthcare organizations in hospital settings. Strengthening leadership development and advancing longitudinal and intervention-based research are essential to better understand causal mechanisms and support sustainable improvements in nursing management and leadership.
Global Research Trends on Communication Practices among International Nurses in Multicultural Healthcare Settings: A Bibliometric Analysis Acep Yudi Wahyudi; Elsye Maria Rosa
Indonesian Journal of Global Health Research Vol. 8 No. 3 (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.v8i3.1588

Abstract

The mobility of nurses across borders continues to increase, reinforcing cultural and linguistic diversity in healthcare settings. International nurse communication practices are crucial for ensuring patient safety, team coordination, and effective therapeutic relationships. Although publications on communication among international nurses in multicultural settings are growing, the global knowledge landscape remains fragmented and has not been comprehensively mapped through bibliometric approaches. Objective to map publication performance, geographic contributions, and the dynamics of research themes related to communication practices in international nurses in multicultural healthcare environments. A bibliometric study was conducted using the Scopus database (Elsevier) with publication coverage spanning 1994–2025. The search strategy combined keywords representing international or migrant nurses, clinical and interprofessional communication practices, and multicultural or cross-cultural contexts in the Title–Abstract–Keywords columns. The documents analyzed were limited to articles and reviews according to the Population, Concept, Context (PCC) criteria, resulting in 38 documents for mapping. Keyword co-occurrence mapping, overlay maps, and density maps were performed using VOSviewer. Publications showed a long period of sporadic productivity, then increased sharply in the most recent period with a peak in 2025. The co-occurrence map places general and population terms as central nodes such as article, human, nursing, adult, male, and female, with major theme clusters reflecting strengthening of cross-cultural education and competency in nursing, dimensions of psychology and interpersonal communication, and increased attention to measurement aspects and methodological rigor through questionnaires, psychometrics, and repeatability of results. The overlay map indicates a shift from an initial focus on organizational context and service quality to strengthening the theme of cross-cultural communication education, then evolving towards standardization and validation of measurements, including cross-cultural comparisons and language issues. The density map highlights the largest hotspots in the general terms population and nursing that are networked with interpersonal communication, cultural factors, and the theme of measurement and quality of evidence. Research on international nurse communication practices in multicultural healthcare has shown a strengthening trend in the recent period, with published contributions still concentrated in countries with established research ecosystems. The thematic landscape confirms that communication is understood as part of cross-cultural competence and the safety of clinical collaboration, while also moving towards the need for more valid and replicable measurements.
EXPLORING BURNOUT AND MENTAL FATIGUE AMONG HEALTHCARE WORKERS IN TOURISM-BASED CLINICS IN BALI, INDONESIA: A QUALITATIVE PHENOMENOLOGICAL STUDY Agus Wahyu Permana; Elsye Maria Rosa
Multidiciplinary Output Research For Actual and International Issue (MORFAI) Vol. 6 No. 5 (2026): Multidiciplinary Output Research For Actual and International Issue
Publisher : RADJA PUBLIKA

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Background. Burnout has become a major occupational health concern among healthcare professionals worldwide. Healthcare workers employed in tourism-oriented healthcare facilities face additional challenges compared with those in conventional healthcare settings, including multilingual communication, cross-cultural interactions, fluctuating patient volumes, emergency care for international travelers, and elevated service expectations. These unique workplace characteristics may increase the risk of emotional exhaustion and mental fatigue. Despite the rapid growth of tourism healthcare in Indonesia, qualitative evidence exploring burnout among healthcare workers in tourism-based clinics remains limited. Objective. This study aimed to explore the lived experiences of burnout and mental fatigue among healthcare workers employed in tourism-based clinics in Bali and to identify occupational, organizational, and cross-cultural factors contributing to burnout while exploring coping strategies used to maintain psychological well-being. Methods. A qualitative phenomenological study was conducted among healthcare professionals working in tourism-based clinics in Bali. Purposive sampling was used to recruit participants who had at least one year of clinical experience in tourism healthcare. Data were collected through semi-structured in-depth interviews and analyzed using Braun and Clarke’s six-phase thematic analysis. Credibility was enhanced through member checking, triangulation, and peer debriefing. Results. Four healthcare professionals representing nursing, midwifery, and general medical practice participated in this study. Seven interconnected themes emerged from the analysis: (1) high workload creates continuous emotional pressure; (2) emotional exhaustion as the dominant dimension of burnout; (3) mental fatigue reduces cognitive performance; (4) cross-cultural communication increases occupational stress; (5) organizational challenges contribute to burnout; (6) coping strategies improve psychological resilience; and (7) expectations toward organizational improvement. High patient volume during tourism seasons, language barriers, staff shortages, administrative burden, and limited organizational support were identified as major contributors to burnout. Participants described peer support, family support, spirituality, exercise, and work–life balance as important protective factors. Conclusion. Burnout among healthcare workers in tourism-based clinics is a multidimensional phenomenon shaped by occupational demands, cross-cultural communication challenges, organizational factors, and psychological stress. Organizational interventions focusing on workforce planning, staffing adequacy, administrative digitalization, leadership support, and employee well-being programs are essential to improve healthcare quality, patient safety, and workforce sustainability within tourism healthcare services.
Co-Authors , Satiyo Abdelazis, Toka Acep Yudi Wahyudi Afandi, Moh Afandi, Moh. Afandi, Mohammad Agus Wahyu Permana Aine Artalia Al Farisi, Muhammad Farhan Andri Firman Saputra Andri Firman Saputra, Andri Firman Andriani, Wiwiek Retti Ani Syafriati Anisa Renang Yulianti Anjarwati Anjarwati Ariadne Aulia Arief Budiman Arif Riyanto Aris Fauzan Arlina Dewi Asbone, Asbone Asrofi Asrofi Aulia, Ariadne Aviv Aziz Triono Ayu Trisnadewi azizah khoiriyati Azizzah Khoiriyati Baharuddin, M Akhyar Bayu Anggileo Pramesona Brahmana, Ivanna Beru Budiharto . Budiharto ., Budiharto Dedep Nugraha Devi Permata Sari Dianita Subagyo Dienda Sesioria Assyakur Dini Desi Harmatiwi Dini Desi Harmatiwi Dwi Sulistyowati Dyah Rivani Eka Nur Sejati Eka Wahyu Puspitasari Ekorini Listiowati, Ekorini Ekorini Sulistyowati Elly Nurachmah Endang Suparniati Endang Suparniati Endang Suparniati, Endang Eny Retna Ambarwati Erna Rochmawati, Erna Erwin Santosa Erwin Santosa Erwin Santosa Falasifah Ani Yuniarti, Falasifah Ani Famella Tiara Nadya Famella Tiara Nadya Famella Tiara Nadya, Famella Tiara fatma Siti Fatimah Firman Pribadi Fithriani Sri Utami Fitri Arofiati Galuh Pradhi Paramita Galuh Pradhi Paramita Galuh Pradhi Paramita, Galuh Pradhi Goziyan . Goziyan ., Goziyan Goziyan Goziyan Guriti Guriti Gusti Jhoni Putra, Gusti Jhoni Haerul Anwar Harmatiwi, Dini Desi Haryanto, Wiwit Ciptaningsih Hendri Tamara Yuda Hendri Tamara Yuda Herlin Fitriana Kurniawati Ike Nurjana Tamrin Iman Permana Iman Permana, Iman Imram Radne Rimba Putri Indah Rizky Valiant Indah Rizky Valiant Irma Risdiana Irma Risdiana Irma Risdiana, Irma Irwandi Jaswir Iswanto Iswanto Jaswir, Irwandi Junior Hendri Wijaya Kartika, Umy Khasib Mabrur Ridho Khasib Mabrur Ridho Khasib Mabrur Ridho, Khasib Mabrur Khoiriyati, Azizah Khoiriyati, Azizzah Kiswarjanu, Dienda Sesioria Assyakur Krisna Rendi Awalludin Kurnia Sari, Novita Kurniasari, Novita Lalu Ady Misfiandi Larasati, Raden Rara Pandhan Budi Lucia Anik Purwaningsih Lucia Anik Purwaningsih, Lucia Anik M Akhyar Baharuddin Mahardhika, Rosliana Makiya, S.N Nurul Mananawan, Sheilla Paulina Maria Putri Sari Utami Maria Ulfa Migita Vidia Amita MJW, Endrian Mochammad Sjarifudhin Moh Afandi Moh Afandi Mufdlillah Mufdlillah Muhammad Alwi Andi Muhammad Roihan Naufal Musharyanti, Lisa Nastain Abubakar Pattimura Nia Supiana Nia Supiana, Nia Ningtyas, Palupi Fatma Nirbita, Alam Novita Kurnia Sari Novita Kurnia Sari Novita Kurnia Sari Nungky Kescandra Nur Hidayah Nurcahyanto, Aditiya Palupi Fatma Ningtyas Palupi, Isnafianing Pangisti Dwi Ananingsih Pangisti Dwi Ananingsih Pangisti Dwi Ananingsih, Pangisti Dwi Pratama, Gustian Satria Pratiwi, Cesa Septiana Prihati, Dyah Restuning Prita Anggraini Kartika Sari Puji Tri Hastuti Qurratul Aini Raditya Priambodo Rahmaniar, Shabrina Ari Rahmawati Husein, Rahmawati Ratih Lestari Utami Reiniatie, Archie Renny Endang Kafiar Rini Juni Astusi Rio Dimas Sugiarta Riyanto Prasetyo Rossa Hasbella Rozzali Taufiqurrahman Rusuldi, Gunawan Sanjaya, Puguh Danu Setia, Vovi Meidas Shabrina Ari Rahmaniar, Shabrina Ari Siti Solichah Sjarifudhin, Mochammad Sri Handari W Sri Handari W, Sri Sri Nabawiyati Nurul Makiyah Subagyo, Dianita Sukesih Sukesih Sukurni Sukurni Sulistyowati, Ekorini Sumarwanto, Edi Sumaryani, Sri Sundari, Sri Sundoro, Totok Supriyatiningsih . Supriyatiningsih ., Supriyatiningsih Suryanagari, Lintangkerty Suryani Suryani Syafriati, Ani Syafriati, Ani Sylvie Puspita Tamrin, Ike Nurjana Taufandas, Maruli Tenny Tarnoto Tarnoto Totok Sundoro Tri Pitara Mahanggoro Ulfa, Maria Utami, Maria Putri Sari Vidya Widowati Wahyu Widodo Wiwik Kusumawati Wiwik Kusumawati Wulan Rahmadhani Wulan Rahmadhani, Wulan Wuriani, Wuriani Yanuar Primanda Yekti Satriandari Yohanes Andy Rias Yuniarto, Mohammad Isa Yunita Dewi Indriani