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Effectiveness Of Nursing Interventions in The Implementation of Primary Health Care Policies: A Systematic Review Suprapto, Suprapto; Kadang, Yuniharce
Majalah Kesehatan Indonesia Vol. 7 No. 1 (2026)
Publisher : Utan Kayu Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47679/makein.2026282

Abstract

Nursing-led interventions play a critical role in strengthening primary health care (PHC) delivery; however, empirical evidence on their policy-level impact remains fragmented and under-theorized. This review synthesizes quantitative and qualitative findings to evaluate how nursing-driven strategies influence PHC policy implementation outcomes across diverse health system contexts. A systematic search across five major databases and grey literature sources identified eligible studies assessing the effectiveness, feasibility, and contextual determinants of nursing-led interventions using established methodological frameworks. Quantitative analyses demonstrated that these interventions were associated with enhanced measurable policy compliance, improved continuity of care indicators, and greater alignment with PHC implementation targets. Qualitative synthesis further highlighted perceived patient empowerment, the contextual barriers faced by nurses, and the organizational enablers that shape intervention effectiveness. This review provides an integrative synthesis linking nursing-led interventions to PHC policy adherence, offering a novel framework for evaluating community-based policy outcomes. Findings underscore the importance of context-sensitive implementation and highlight opportunities for strengthening PHC systems through nursing leadership.
Effect of health education on self-care behavior in patients with type 2 diabetes mellitus Syaharuddin; Suprapto; Darmi Arda; Maria Kurni Menga; Rudolf Cymorr Kirby Palogan Martinez
Jurnal Ilmiah Kesehatan Sandi Husada Vol. 14 No. 2 (2025): July - December
Publisher : LPPM Politeknik Sandi Karsa, South Sulawesi, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35816/jiksh.v14i2.281

Abstract

Introduction: Type 2 Diabetes Mellitus (T2DM) is a chronic metabolic disorder requiring continuous self-care to prevent complications. Health education plays a crucial role in enhancing patients’ understanding, attitudes, and skills for effective self-management. This study aimed to investigate the impact of health education on self-care behaviors among patients with Type 2 Diabetes Mellitus. Methods: This quasi-experimental study employed a pretest–posttest design with a control group. The study involved 60 patients with type 2 diabetes mellitus (T2DM) selected using purposive sampling from a public health center. The intervention group received structured health education sessions covering diet management, physical activity, medication adherence, and blood glucose monitoring for a period of four weeks, while the control group received standard care. Data were collected using the Summary of Diabetes Self-Care Activities (SDSCA) questionnaire. Statistical analysis was conducted using paired and independent t-tests with a significance level of p < 0.05. Results: The findings showed a significant increase in self-care behavior scores in the intervention group after receiving health education (p < 0.001), while no significant change was observed in the control group (p > 0.05). The mean difference between the two groups indicated that health education had a positive effect on self-care behavior among patients with T2DM. Conclusion: Health education has a significant impact on improving self-care behaviors among patients with Type 2 Diabetes Mellitus. Structured and continuous education increases patients’ awareness, adherence, and ability to manage diet, exercise, medication, and blood glucose monitoring effectively. Healthcare providers should integrate regular health education programs into diabetes management to enhance patients’ self-care skills and prevent complications. Further research with larger samples and longer follow-up is recommended to evaluate the long-term impact of such interventions.
Relationship between knowledge level and contraceptive compliance among family planning acceptors: A Cross-Sectional Study Suprapto Suprapto
Journal Interdisciplinary Health Vol. 2 No. 1 (2026): Volume 2 Number 1 February 2026
Publisher : Edukasi Ilmiah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61099/jih.v2i1.175

Abstract

Introduction: Contraceptive compliance is a key determinant of the effectiveness of family planning programs. Inadequate compliance may lead to contraceptive failure, unintended pregnancy, and reduced confidence in family planning services. Knowledge level is considered an important factor influencing compliance; however, empirical evidence linking knowledge to contraceptive compliance remains limited, particularly in primary health care settings. This study aimed to examine the relationship between knowledge level and contraceptive compliance among family planning acceptors. Methods: A quantitative analytical study with a cross-sectional design was conducted at selected primary health care facilities. The study involved 50 women of reproductive age who were active family planning acceptors. Data were collected using a structured questionnaire assessing socio-demographic characteristics, knowledge of contraception, and contraceptive compliance. Knowledge levels were categorised as low, moderate, or high, while the correct and consistent use of contraceptive methods and adherence to follow-up schedules were used to assess compliance. Data analysis included descriptive statistics and chi-square tests, with a significance level set at p < 0.05. Results: 44.0% of respondents had a high level of knowledge, 36.0% had moderate knowledge, and 20.0% had low knowledge. Overall, 62.0% of respondents were compliant with contraceptive use. A statistically significant relationship was found between knowledge level and contraceptive compliance (p = 0.012). Respondents with high knowledge levels demonstrated the highest compliance rate (81.8%), while non-compliance was most prevalent among those with low knowledge levels (70.0%). Conclusion: Knowledge level is significantly associated with contraceptive compliance among family planning acceptors. Strengthening structured and client-centred educational and counselling interventions is essential to improve contraceptive compliance and enhance the effectiveness of family planning programs
Health policy analysis of universal coverage implementation in national health systems and services governance financing Suprapto Suprapto
Journal of Health Policy Analysis Vol. 1 No. 1 (2026): Volume 1 Number 1 January 2026
Publisher : Lembaga Edukasi Ilmiah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61099/jakespol.v1i1.190

Abstract

Introduction: Universal Health Coverage (UHC) is a central objective of national health systems, aiming to ensure equitable access to quality health services without financial hardship. Despite global commitments, countries vary widely in UHC implementation due to differences in governance, financing mechanisms, and system capacity. This study analyzes health policy approaches to UHC implementation with a focus on governance and financing arrangements within national health systems. Methods: A qualitative policy analysis was conducted using a narrative review of peer‑reviewed articles, policy documents, and reports from international health organizations published between 2015 and 2024. Data were analyzed using a health systems framework emphasizing governance, financing, and service delivery dimensions. Cross‑country comparisons were applied to identify common patterns, challenges, and enabling factors in UHC implementation. Results: The analysis shows that strong governance structures, clear regulatory frameworks, and political commitment are critical for effective UHC implementation. Sustainable financing characterized by pooled funding, strategic purchasing, and reduced out‑of‑pocket payments was consistently associated with improved service coverage and financial protection. Fragmented governance and inadequate financing mechanisms remained major barriers, particularly in low‑ and middle‑income countries. Conclusion: Effective UHC implementation requires integrated governance and financing reforms aligned with national contexts. Policy coherence, institutional capacity strengthening, and adaptive financing strategies are essential to improve system performance and equity.
Professional Nursing Competence in Contemporary Healthcare: A Qualitative Study of Knowledge, Skills, and Attitudes Integration Suprapto, Suprapto; Djaha, Yohan Trayanus Lasarus
Journal of Current Health Sciences Vol. 6 No. 3: 2026
Publisher : Utan Kayu Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47679/jchs.2026169

Abstract

The increasing complexity of contemporary healthcare requires nurses to integrate knowledge, clinical skills, and professional attitudes to ensure high-quality and safe patient care. However, limited qualitative evidence exists on how this integration is experienced and enacted in real-world clinical settings. This study aims to explore nurses’ lived experiences in integrating knowledge, skills, and attitudes as core components of professional competence in contemporary healthcare practice. Methods: A qualitative study with a phenomenological approach was conducted among 18 registered nurses working in hospital and primary healthcare settings. Participants were purposively selected based on their clinical experience and direct involvement in patient care. Data were collected through in-depth semi-structured interviews and analyzed using thematic analysis following Braun and Clarke’s framework. Results: The findings revealed that professional nursing competence is a dynamic and integrative process shaped by individual and organizational factors. Seven main themes were identified: adaptive clinical reasoning, interprofessional collaboration, professional knowledge integration, clinical skills proficiency, ethical and professional attitudes, organizational support, and reflective practice. These themes demonstrate how competence is constructed through experiential learning, teamwork, and contextual influences within healthcare environments. Conclusion: Professional nursing competence is a multidimensional and context-dependent phenomenon that extends beyond individual capability. Strengthening the integration of knowledge, skills, and attitudes requires supportive organizational environments, collaborative practice, and continuous reflective learning. These findings provide important implications for nursing education, policy, and clinical practice in enhancing competency-based healthcare delivery.
Co-Authors A Syamsinar Asmi A. Pananrangi M A. PANANRANGI M Agnes Montolalu Agustang, Andi Ajeng Wijayanti, Lumastari Andi Abdul Malik Andi Asliana Sainal Andi Suyatni Musrah Andi Tenri Nippi Anita Lontaan Arda, Darmi Asliana Sainal, Andi Ayu Rahmadani, Risna Bakri Caco Cahya Mulat, Trimaya Darmi Arda Darmi Arda Darmi Arda Deviarbi Sakke Tira Dewi Nurhanifah, Dewi Dr. Trimaya Cahya Mulat Elmiana Bongga Linggi Erlina Y Kongkoli Fachry Abda El Rahman Fauziah H Tambuala Fredy Saputra, M. Khalid Glendy Ariando Salomon Gustini Gustini Hamsu Abdul Gani Hartaty Hartaty Herlianty, Herlianty Herman Herman Iramaya Sari Ismail Ismail Kadang, Yuniharce Kamaruddin, Muh Ihsan Kamaruddin, Muh. Ihsan Lalla, Nursyamsi Norma Lamaria Situmeang Latif, Sarifudin Andi Lina Yunita Mangaya Takke, Jessy Andre Maria Kurni Menga Martinez, Rudolf Cymorr Kirby Menga, Maria Kurni Muh. Ihsan Kamaruddin Muhammad Purqan Nur Mulat, Trimaya Cahya Norma Lalla, Nursyamsi Nour Sriyanah Nur Syamsi Norma Lalla Nurhaedah Nurhaedah Nurlina Nurlina Nursyamsi Norma Lalla Nurul Qamarya Prasetyowati Prasetyowati Rahagia, Rasi Rahmat Pannyiwi Rahmat Panyyiwi Rasi Rahagia Ria Wahyuni Rifdan . Rina Asrina Ririn Indriani Rudolf Cymorr Kirby Palogan Martinez Setyawati, Ari Suprapto Suprapto Syaharuddin Syaharuddin Syaharuddin Syaharuddin Tri Wijayanti, Yoga Trimaya Cahya Mulat Trimaya Cahya Mulat Trimaya Cahya Mulat Wa Ode Novi Angreni Wibowo Wibowo Wijayanti, Lumastari Ajeng Yoga Tri Wijayanti Yohan Trayanus Lasarus Djaha Yunus, Muh Yuriatson, Yuriatson