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Understanding and Mapping Community Health Literacy on basic Life Support in Semi-Rural Indonesia Rahmania Ambarika; Novian Mahayu Adiutama; Novita Ana Anggraini
Journal Of Nursing Practice Vol. 9 No. 4 (2026): July
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v9i4.1180

Abstract

Background: Basic Life Support (BLS) is a fundamental life-saving skill whose effectiveness heavily relies on the ability of community members to act as first responders. Public health literacy regarding BLS serves as a critical link in the chain of survival, especially during the pre-hospital phase. Purpose: However, there is a lack of comprehensive spatial mapping of BLS literacy levels at the community level, particularly in rural areas such as Wajak Subdistrict, Malang Regency. This study aims to map the level of public health literacy concerning BLS, identify influencing factors, and provide an evidence-based foundation for preventive policymaking in primary healthcare settings. Methods: A descriptive quantitative cross-sectional study was conducted involving 400 respondents aged 17 years. Participants were selected using a cluster random sampling technique based on the smallest administrative units (neighborhoods or hamlets), ensuring geographic and demographic representation. The minimum sample size was determined using the Slovin formula with a 5% margin of error, resulting in a required minimum of 400 respondents to accurately reflect the target population distributionThe research instrument was a BLS literacy questionnaire encompassing. Data were analyzed using chi-square tests and spatially using QGIS software. Results: The majority of respondents (49.5%) demonstrated a moderate level of BLS literacy, while 34.5% showed low literacy and only 16% achieved a high level. Literacy levels were positively associated with educational attainment, prior BLS training, and age group. Spatial analysis revealed clusters of low literacy concentrated in the southern villages of the region. Conclusion: BLS literacy among the population in the Wajak area remains uneven, with vulnerable clusters requiring targeted, community-based interventions. These findings highlight the urgency of mainstreaming BLS training into public health outreach programs and integrating emergency literacy as an indicator of primary care readiness.
Intention-Based Transcultural Family Empowerment Model for Complementary Feeding Practices: A Structural Equation Modeling Approach Agusta Dian Ellina; Novian Mahayu Adiutama; Yudisa Diaz Lutfi Sandi; Wardah Fauziah; Dewi Rahayu Ningsih; Esti Andarini; Sandi Alfa Wiga Arsa; Nuridha Fauziyah
Journal of Ners and Midwifery Vol 13 No 2 (2026)
Publisher : STIKes Patria Husada Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26699/jnk..v13i2.ART.p126-135

Abstract

Stunting remains a major public health concern in Indonesia, particularly among children aged 6–24 months. The quality of complementary feeding is strongly influenced by cultural norms and family dynamics. This study aimed to validate a previously developed transcultural care-based family empowerment model by integrating “intention” as a mediating factor in behavioral change. A cross-sectional study was conducted involving 530 families in Kediri, East Java, Indonesia. Data were collected using structured questionnaires and analyzed through Structural Equation Modeling–Partial Least Squares (SEM-PLS). The findings revealed that “intention” served as a robust mediator between family empowerment and complementary feeding quality (β = 0.45; p < 0.001), with an R² value of 0.69. These results underscore that nutritional behavior within families is shaped not only by knowledge and cultural values but also by psychological intention to act. The expanded model—an intention-based transcultural family empowerment framework—enhances behavioral predictability and broadens the application of transcultural care theory in community nursing contexts. Future research is recommended to apply longitudinal or intervention-based designs to examine changes in family intention over time and their impact on child nutrition outcomes. Expanding the application of this model to other health behaviors and cultural settings may further strengthen its theoretical and practical relevance in community nursing and public health contexts.
Intention-Based Transcultural Family Empowerment Model for Complementary Feeding Practices: A Structural Equation Modeling Approach Agusta Dian Ellina; Novian Mahayu Adiutama; Yudisa Diaz Lutfi Sandi; Wardah Fauziah; Dewi Rahayu Ningsih; Esti Andarini; Sandi Alfa Wiga Arsa; Nuridha Fauziyah
Journal of Ners and Midwifery Vol 13 No 2 (2026)
Publisher : STIKes Patria Husada Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26699/jnk..v13i2.ART.p126-135

Abstract

Stunting remains a major public health concern in Indonesia, particularly among children aged 6–24 months. The quality of complementary feeding is strongly influenced by cultural norms and family dynamics. This study aimed to validate a previously developed transcultural care-based family empowerment model by integrating “intention” as a mediating factor in behavioral change. A cross-sectional study was conducted involving 530 families in Kediri, East Java, Indonesia. Data were collected using structured questionnaires and analyzed through Structural Equation Modeling–Partial Least Squares (SEM-PLS). The findings revealed that “intention” served as a robust mediator between family empowerment and complementary feeding quality (β = 0.45; p < 0.001), with an R² value of 0.69. These results underscore that nutritional behavior within families is shaped not only by knowledge and cultural values but also by psychological intention to act. The expanded model—an intention-based transcultural family empowerment framework—enhances behavioral predictability and broadens the application of transcultural care theory in community nursing contexts. Future research is recommended to apply longitudinal or intervention-based designs to examine changes in family intention over time and their impact on child nutrition outcomes. Expanding the application of this model to other health behaviors and cultural settings may further strengthen its theoretical and practical relevance in community nursing and public health contexts.