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Journal : Babali Nursing Research

Leadership in Nursing: Styles, Challenges, and Barriers Kamaryati, Ni Putu; Putu Darma Suyasa, I Gede; Putu Dina Susanti, Ni Luh; Ratih Comala Dewi, Ni Made; Aries Susanti, Ni Putu; Yudi Wahyu, I Made
Babali Nursing Research Vol. 5 No. 4 (2024): October
Publisher : Babali Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37363/bnr.2024.54393

Abstract

Background: Leadership is a crucial component of nursing management, where leadership style plays a significant role in its effective implementation. Challenges and barriers in leadership execution are essential aspects that need attention. Leadership is about the ability of an individual to influence the behavior of others towards a goal. This literature review aimed to identify effective leadership styles, as ideal leadership is a key aspiration for every organization. Methods: This study was a literature review using the PICO framework to formulate article questions. The search for articles was conducted via PubMed, Google Scholar, ScienceDirect, and Wiley using the keywords "leadership in nursing" AND "challenges" AND "barriers." A total of 15 articles were selected based on inclusion criteria. Results: Several leadership styles are evident in nursing, with transformational leadership being regarded as the most effective. In practice, the primary challenge faced is communication, while the major obstacles include issues related to workplace culture and professionalism. Conclusion: Leaders with strong leadership skills positively impact nursing care management, inspiring and motivating staff while enhancing the quality of services.
Factors Associated with Readmissions in Ischemic Stroke : A Literatur Review Ni Made Ratih Comala Dewi; Ni Luh Putu Dina Susanti; I Kadek Nuryanto; Ni Kadek Sutini
Babali Nursing Research Vol. 6 No. 1 (2025): January
Publisher : Babali Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37363/bnr.2025.61444

Abstract

Background: Readmission cases among stroke patients are common, with only 15% of patients surviving and avoiding readmissions over a five-year period. Ischemic stroke patients who are readmitted face a higher risk of death and significantly increased healthcare costs. Therefore, identifying factors associated with the readmission of ischemic stroke patients is essential to prevent these occurrences. Methods: Articles were selected following PRISMA Guidelines. A literature review used three journal databases: ScienceDirect, PubMed, and Google Scholar. Keywords were aligned with the Medical Subject Heading (MeSH) terms, including "readmission," "ischemic stroke," and "risk factors." Several inclusion criteria were applied to identify eligible articles: publication between 2014 and 2023 and written in English or Bahasa. Sixteen eligible articles were ultimately included in the analysis. Results: A total of 16 articles were reviewed (n = 354,682). The causes of readmission in ischemic stroke patients were categorized into two groups: neurological and non-neurological disorders. Seven common comorbidities were identified as risk factors: hypertension, cardiovascular diseases, diabetes, dyslipidemia, obesity, previous stroke events, and stroke recurrence. Conclusion: The review revealed significant variation in readmission rates among ischemic stroke patients, ranging from 6.7% to 74% within 28 days to 10 years. This trend was particularly pronounced among adults and older women. These findings provide valuable insights for initiatives to prevent patient readmissions and highlight the importance of improving future care quality.
Analysis of Factors Affecting the Implementation of Discharge Planning by Nurses in the Inpatient Ward: A Literature Review Wahyu, I Made Yudi; Susanti, Ni Luh Putu Dina; Negara, I Gusti Ngurah Made Kusuma; Rahyanti, Ni Made Sri
Babali Nursing Research Vol. 6 No. 1 (2025): January
Publisher : Babali Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37363/bnr.2025.61472

Abstract

Introduction: Suboptimal discharge planning is a global issue that contributes to high patient readmission rates and increases the burden on healthcare systems. Effective discharge planning is essential to ensure the continuity of patient care after leaving the hospital, including follow-up care and maintaining the patient's health status. The purpose of this literature review is to identify the factors affecting the implementation of discharge planning by nurses in inpatient wards. Methods: This study employed a literature review design. Articles were selected according to the PRISMA guidelines. Inclusion criteria were established to ensure the selection of eligible articles: publications between 2017 and 2024, written in English or Indonesian. The literature review was conducted using three journal databases: ScienceDirect, PubMed, and Google Scholar. Keywords were adjusted to align with the Medical Subject Heading (MeSH) terms, including “influencing factors,” “discharge planning,” “discharge planning implementation by nurses,” and “hospitalization room.” Results: A total of 17 articles were reviewed. Overall, eight factors were identified as influencing the implementation of discharge planning by nurses in inpatient wards. These factors include knowledge, attitude, motivation, personnel, involvement and participation, communication, time, and agreements and consensus. Conclusion: The factors influencing the implementation of discharge planning include medical staff, involvement and participation, communication, time, agreements, consensus, knowledge, attitude, and motivation. These factors are interconnected and significantly impact the quality of discharge planning, ultimately affecting patient satisfaction and health outcomes after discharge.
Health Education Using Health Belief Model for Early Mobilization and Pain Post-Cesarean: A Literature Review Ekabudiningsih, Vinda; Susanti, Ni Luh Putu Dina; Diyu, Ida Ayu Ningrat Pangruating; Sagitarini, Putu Noviana
Babali Nursing Research Vol. 7 No. 1 (2026): January
Publisher : Babali Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37363/bnr.2026.71531

Abstract

Introduction: Postoperative pain and delayed mobilization after cesarean section (CS) can prolong recovery, increase complication risks, and extend hospital length of stay. Preoperative education is a non-pharmacological strategy to improve readiness, and the Health Belief Model (HBM) offers a structured approach by targeting perceived susceptibility, severity, benefits, barriers, cues to action, and self-efficacy. This review examined how HBM-based preoperative health education influences postoperative pain and early mobilization among CS patients. Methods: A Systematic Literature Review (SLR) was conducted using Kitchenham’s stages (planning–implementation–reporting) and reported using PRISMA 2020. Searches were performed in ScienceDirect and PubMed using the terms “Health Belief Model,” “postoperative pain,” “early mobilization,” and “cesarean section.” Eligible studies were full-text articles (2020–2024), written in English or Indonesian, that applied or discussed HBM within health interventions. From 3,218 records, 17 studies met the inclusion criteria after screening. Results: Across studies, HBM-based education was associated with improved patient understanding, stronger self-efficacy, and reduced psychological barriers (e.g., fear of pain or wound disruption), which supported earlier rising and increased physical activity. Higher self-efficacy and fewer perceived barriers were consistently linked to lower discomfort and faster functional recovery. Several studies also indicated that multimedia-supported education enhanced engagement and message clarity, potentially strengthening cues to action. Conclusion: HBM-based preoperative education shows promise for supporting pain management and promoting early mobilization after CS, thereby facilitating recovery and improving care efficiency.
Co-Authors Agustini, Ni Komang Tri Anak Agung Istri Wulan Krisnandari D Anggaraeni, Komang Rossa Tri Aries Susanti, Ni Putu Aryasa, Jiyestha Aji Dharma Astawa, I Gede Satria Asthadi Mahendra Bhandesa, Asthadi Mahendra Darmayanti, Ni Nengah Intan Diyu, Ida Ayu Ningrat Pangruating Ekabudiningsih, Vinda Gusti Ayu Dian Aryanjani Gusti Ayu Dwina Mastryagung I GEDE PUTU DARMA SUYASA I Kadek Nuryanto I KetutSwarjana, I KetutSwarjana Ida Ayu Ary Widnyani, Ida Ayu Ary Ida Ayu Gede Tina KomalaDewi Ida Ayu Putri Wulandari Idah Ayu Wulandari J Sastamidhyani Jiyestha Aji Dharma Aryasa KomalaDewi, Ida Ayu Gede Tina Komang Ayu Purnama Dewi Komang Ayu Purnama Dewi Krisnandari D, Anak Agung Istri Wulan Kusuma, I Gusti Agung Ari Lewar, Emanuel Iileatan Made Rismawan Negara, I Gusti Ngurah Made Kusuma Ni Kadek Sutini Ni Komang Desiani Ni Komang Surya Ariani Ni Made Cempaka Ningrum Ni Made Ratih Comala Dewi Ni Made Sri Rahyanti Ni Made Wida Prastini Ni Made Yeshika Armiandeni Ni Nyoman Nuartini Ni Putu Kamaryati Ni Putu Lilik Wahyuningsih Ni Putu Sri Haryati Ni Wayan Manik Parwati Ni Wayan Manik Parwati Nita S Nita S Nita Sri Wahyuni Nova Dwigita Andini, Dewa Ayu Made Parwati, Putu Atika Ratih Comala Dewi, Ni Made Rittiruang, Amonwan Sastamidhyani, J Sri Wahyuningsih, Luh Gde Nita Sri Wahyuningsih, Luh Gde Nita Susilayasa, I Komang Alit Tekayana, I Wayan Pasek valentina wulansari Wahyu, I Made Yudi Wahyuni, Nita Sri Wahyunigsih, Luh Gde Nita Sri Wahyuningsih, Luh Gde Nita Sri wulansari, valentina Yudi Wahyu, I Made