Claim Missing Document
Check
Articles

Determinants of functional limitations in basic and instrumental daily activities among older adults living in rural settings: a cross-sectional study Suyasa, I Gede Putu Darma; Agustini, Ni Luh Putu Inca Buntari; Sutini, Ni Kadek
Jurnal Ners Vol. 21 No. 1 (2026): VOLUME 21 ISSUE 1 (FEBRUARY 2026)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v21i1.83252

Abstract

Introduction: Maintaining the functional capacity of older adults is essential to support independence, particularly in rural areas. Understanding the factors contributing to the reduced ability to perform activities of daily living (ADLs) and instrumental activities of daily living (IADLs) is essential for developing effective gerontological nursing strategies. This study identified the predictors of ADL and IADL impairment among older adults residing in rural communities. Methods: This cross-sectional study involved 318 older adults selected through simple random sampling. The Barthel Index and Lawton IADL Scale were used to measure ADL and IADL abilities. The Geriatric Depression Scale was used to assess depressive symptoms, whereas difficulties in vision, hearing, and communication were evaluated using the Washington Group Short Set. Chi-square tests and logistic regression were used to examine the associations and predictors. Results: ADL and IADL disabilities were identified in 4.4% and 10.1% of the respondents, respectively. Communication difficulties were a strong predictor of both ADL and IADL disabilities (AOR = 13.72; 95% CI = 3.26–57.76, p < 0.001 and AOR = 7.07; 95% CI = 2.34–21.34, p < 0.001). Depressive symptoms increased the risk of ADL disability (AOR = 4.17; 95% CI = 1.24–14.05, p = 0.021), and adults aged ≥ 75 years showed higher odds of IADL impairment (AOR = 4.39; 95% CI = 1.89–10.16, p < 0.001). Conclusions: Challenges in communication and depressive affect functional capacity among rural older adults. Maintaining independence and improving daily functioning by implementing early identification and intervention targeting communication and mental health are essential.
EXPLORING NURSING STUDENTS' LEARNING EXPERIENCE IN COMMUNITY HEALTH NURSING PRACTICE: A PHOTOVOICE STUDY Israfil, Israfil; Indrayani, Ni Luh Dwi; Suyasa, I Gede Putu Darma; Wulandari, Sarah Kartika; Citra Sari, Ni Made Candra
Indonesian Journal of Community Health Nursing Vol. 11 No. 1 (2026): FEBRUARY 2026
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/ijchn.v11i1.74298

Abstract

Introduction: Learning in the community presents different challenges than learning in a clinical setting. However, studies on student nurses' experience in the community have not been discussed comprehensively. This study aimed to explored nursing students’ experiences in a community setting using the five stages of the nursing process   Method: This study used a qualitative design with the Photovoice approach. A total of 14 students were involved in the study. Data was collected by taking photos and small group discussions for the narrative photo with the SHOWED approach. Photos and narration are the primary data and are analyzed thematically.   Result: A total of approximately eighteen photos have been included. At the assessment phase, the student requires an adaptation process and strategic anticipation, as the practice was conducted directly in the participants’ community. Formulating nursing diagnosis is done through teamwork and group discussion with an approach based on evidence and theory, and asking for guidance from the lecturer as a facilitator for learning. The development of nursing intervention was done with active participation from society, presenting the intervention plan to the community, community meetings, and ensuring the legality of the plan's activities. Implementation in the nursing community is implemented collaboratively between students and the community following the agreed-upon plan. Evaluating nursing practice is done with collaborative reflection of students, discussion together, and related plans, actions, and carrying on independently in public.   Conclusion: This study finds that community-based nursing practice requires student adaptation, strategic planning, and evidence-based teamwork.   Keywords: Clinical nursing education, community health nursing, photovoice, nursing students, nursing care plan
Readiness for implementing a case management based long-term care program for older people Suyasa, I Gede Putu Darma
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 12 (2026): Volume 8 Number 12
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i12.1742

Abstract

Background: Indonesia faces a rapidly ageing population, with Bali designated as a pilot province for implementing the Case Management Program for Long-Term Care (CMP-LTC). Assessing readiness among nurses and community cadres is crucial to ensure program success and sustainability. Purpose: To explored the readiness of nurses and community cadres to implement the CMP-LTC program for older people in Bali, Indonesia. Method: A descriptive qualitative design was applied using focus group discussions involving two nurses and eight community cadres selected purposively. Data were analyzed thematically based on Braun and Clarke’s approach while ensuring credibility through triangulation and member checking. Results: Six major themes emerged: (1) enhanced knowledge and skills after training, (2) the need for continuous and advanced learning, (3) limited resources and unclear legal authority, (4) sociocultural and community challenges, (5) teamwork and collaboration, and (6) increased empathy and motivation. Conclusion: Readiness for CMP-LTC implementation is multidimensional, encompassing personal competence, structural support, and sociocultural acceptance. Strengthening continuous education, resource provision, legal clarity, and intersectoral collaboration will enhance the effectiveness and sustainability of Indonesia’s long-term care services for older people.
Co-Authors A.A. Ayu Yuliati Darmini Adnyanita, Anak Agung Istri Citra Agus Ari Pratama Agustini , Ni Luh Putu Inca Buntari Agustini, Ni Komang Tri Agustini, Ni Komang Tru Anak Agung Istri Citra Adnyanita Anak Agung Istri Wulan Krisnandari, Anak Agung Istri Wulan Anggari, Inggita Aries Susanti, Ni Putu Arinjaya, I Gede Eka Arnaya, I Gede Putu Suka Artsanthia, Jintana Astawa, I Gede Satria Asthadi Mahendra Bhandesa, Asthadi Mahendra Buntari, Ni Luh Putu Inca Agustini Cahyani, Kadek Indra Darmini, AAA Yuliati Dewi, Ni Putu Ayu Ratna Dewi, Ni Putu Dita Ariani Sukma Dewi, Putu Ayu Laksmi Dewi, Putu Sundari Diyu, Ida Ayu Ningrat Pangruating Duygulu, Sergul Edi Sanjana, I Wayan Gst Ayu Dwina Mastryagung Gusti Ayu Dwina Mastryagung I Gusti Agung Tresna Wicaksana I Gusti Ayu Puja Astuti Dewi I Gusti Ngurah Made Kusuma Negara I Kadek Nuryanto I Ketut Alit Adianta I Ketut Alit Adianta I Ketut Swarjana I Komang Wirayasa I Nengah Agus Mega Aryawan I Putu Gede Darmayasa I Wayan Remiasa Ida Ayu Ketut Adi Setiawati Ida Ayu Suptika Strisanti Ida Bagus Putu Rai Suryawan Idah Ayu Wulandari IGA Rai Rahayuni Indrayani, Ni Luh Dwi Inggita Anggari Intan Julia Anastasia Israfil Israfil, Israfil Israfil, Israfil Israfil Jaya Kusuma, I Made Kadek Ayu Ananda Maharini Kadek Buja Harditya Kadek Sriasih Kamaryati, Ni Luh Putu Kenbubpha, Kedsaraporn Kesari Darmapatni, Ni Wayan ketut hendra yanti dewi Ketut Widia Komang Asrini Widya Tri Lestari Komang Ayu Purnama Dewi Komang Rosa Tri Anggaraeni komang suarningsih Made Dian Shanti Kusuma Made Rismawan Meenongwah, Jaroonsree Nadya Treesna Wulansari Negara, I Gusti Ngurah Made Gusti Kusuma Nelson, Warongrong Ni Kadek Devariyani Swantari Ni Kadek Devariyani Swantari Ni Kadek Leni Ni Kadek Sriasih Ni Kadek Sutini Ni Kadek Sutini Ni Ketut Erawati Ni Komang Ady Tri Hapsari Ni Komang Tru Agustini Ni Luh Dwi Indrayani Ni Luh Gede Hari Nugrahini Ni Luh Putu Dina Susanti Ni Luh Putu Inca Buntari Agustini Ni Luh Putu Mira Santana Sari Ni Luh Putu Mira Santana Sari Ni Luh Tutik Hermi Wahyuni Ni Made Ari Widayani Ni Made Candra Citra Sari Ni Made Dewi Wahyunadi Ni Made Manik Elisa Putri Ni Made Milapastiniari Ni Made Nurtini Ni Made Sri Rahyanti Ni Made Wirantini Ni Nyoman Nuartini Ni Putu Ayu J. Sastamidhyani Ni Putu Ayu Jelantik Sastamidhyani Ni Putu Kamaryati Ni Putu Kristiani Ni Wayan Deani Ni Wayan Kesari Darmapatni Ni Wayan Kesari Dharmapatni Ni Wayan Manik Parwati Ni Wayan Sri Wahyuni Ni Wayan Sukma Antari Nooiad, Ganyanee Nugrahini, Ni Luh Gede Hari Nurhayati Nurhayati Nuryanto, Kadek Oka Putra, I Nyoman Trisna Oka Putra Pangruating Diyu, Ida Ayu Ningrat Portia, Vitug Promwong, Waiyaporn Putra, I Komang Ardidhana Nugraha Putra, I Nyoman Arya Maha Putra, Kadek Andika Dwi Putra, Komang Ardidhana Nugraha Putu Adinda Saraswati Putu Awik Sirna Wardani Putu Noviana Sagitarini Ratih Comala Dewi, Ni Made Rittiruang, Amonwan Sagita, Ni Wayan Riska Sandra, Putu Yudara Sani, Ari Wina Sanjana, I Wayan Edi Sarah K Wulandari Serinadi, Desak Made Sri Ariani Sri Dewi Megayanti Sriasih, Ni Kadek Strisanti, Ida Ayu Suptika suarningsih, komang Suryawan, Ida Bagus Putu Rai Suyasa, Agus Baratha Swantari, Ni Kadek Devariyani Tanuparbrungson, Supawan Tripayana, I Nyoman Trisna, Made Oktaviani Bulan Untung Sujianto Wangi, Ni Luh Putu Ayu Puspita Wardana, Dewa Gede Wisnu widia, ketut Wulandari, Sarah K Wulandari, Sarah K. Wulandari, Sarah Kartika yanti dewi, ketut hendra Yoga, Sukma Wisnu Yogi RS, I Gusti Agung Yudi Wahyu, I Made Yulistina, Putu Desi Yusniawati, Yustina Ni Putu