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The Effectiveness of Spiritual Emotional Transcedence Care (SET Care ) On Stress Levels of Pulmonary Tuberculosis Patients: A Quasi-Experimental Study Hartono, Hartono; Kusnanto, Kusnanto; Wahyuni, Erna Dwi
Critical Medical and Surgical Nursing Journal Vol. 14 No. 2 (2025): SEPTEMBER 2025
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/cmsnj.v14i2.65720

Abstract

Introduction: Tuberculosis (TB) is a chronic infectious disease that can affect various organs and often leads to psychological stress. Spiritual Emotional Transcendence Care (SET Care), which integrates the SEFT approach with self-transcendence theory, is a relaxation technique aimed at reducing stress in TB patients.  Methods: This quasi-experimental study used a non-randomized pretest-posttest control group design. A total of 20 pulmonary TB patients were selected through purposive sampling and divided into treatment (n=10) and control (n=10) groups. Stress levels were measured using a modified DASS-42 stress subscale. Data were analyzed using the Wilcoxon signed-rank test and the Mann-Whitney U test with a significance level of p ≤ 0.05. Results: Demographic data showed equal gender distribution (50% male, 50% female), with most participants aged 44–55 years and educated up to senior high school. A significant reduction in stress levels was found in the treatment group after the intervention (p = 0.004), while the control group showed no significant change (p = 0.655). The Mann-Whitney U test confirmed a significant difference in post-test scores between groups (p = 0.000). Conclusions: SET Care effectively reduces stress in pulmonary TB patients and can be considered a complementary nursing intervention. Its integration into nursing practice supports holistic care by addressing emotional and spiritual well-being, potentially enhancing treatment adherence and patient outcomes.
Relationship between Smartphone Addiction with Social Anxiety in Adolescents Primadiana, Dinda Berlian; Nihayati, Hanik Endang; Wahyuni, Erna Dwi
Psychiatry Nursing Journal (Jurnal Keperawatan Jiwa) Vol. 1 No. 1 (2019): March, 2019
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (507.708 KB) | DOI: 10.20473/pnj.v1i1.14325

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Introduction: Excessive and uncontrolled use of smartphones in adolescents can cause addiction to users. One negative influence on uncontrolled smartphone use is the occurrence of social anxiety. The purpose of this study was to analyze the relationship between smartphone addiction and social anxiety in adolescents.Method: This research method uses descriptive analysis design with cross sectional approach. The population in this study were adolescents of smartphone users in SMA Antartika Sidoarjo. The number of samples of this study were 289 respondents using probability sampling techniques with a type of simple random sampling. The independent variable in this study is smartphone addiction, while the dependent variable is social anxiety. Data obtained by questionnaire instruments using Smartphone Addiction Scale (SAS) and Social Anxiety Scale for Adolescent (SAS-A), and analyzed using spearmans rho with significance <0.05. Result: The results of the statistical test show the value of p = 0,000 and the value of r = 0,255. The conclusion of this study, there was a relationship between smartphone addiction and social anxiety in adolescents of SMA Antartika Sidoarjo.Conclusion: Adolescents who experience smartphone addiction always fail to control the use of smartphone and assume that smartphone is important, while smartphone addiction can cause social anxiety in the form of fear of negative evaluation by others. Nurses need to do health education for adolescents related to smartphone addiction and the negative effects it causes.
PENGARUH PENDIDIKAN KESEHATAN MEDIA BOOKLET TERHADAP PENGETAHUAN DAN SIKAP KELUARGA TENTANG SPEECH THERAPY PADA PASIEN STROKE DI IRNA SERUNI A RSUD DR. SOETOMO SURABAYA (The Influence Of Health Education With Booklet Media On Knowledge And Attitudes Towa Nimah, Lailatun; Nurwahyuni, Tutuk; Wahyuni, Erna Dwi
JURNAL NERS LENTERA Vol. 6 No. 1 (2018): Maret
Publisher : Fakultas Keperawatan, Universitas Katolik Widya Mandala Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33508/ners.v6i1.1858

Abstract

Introduction: Stroke included into the blood vessel disease. Stroke is the leading cause ofcommunication disorder that aphasia and dysarthria. Speech therapy is absolutely necessary to overcome communication disorders. Family empowerment through health education is very important to optimize speech therapy. This study aimed to determine the influence of health education with booklets on knowledge and attitudes of families of stroke on speech therapy at IRNA Seruni A Hospital Dr. Soetomo Surabaya. Method: The design of this study is pre-experimental with intervention Health education use booklet, design were analyzed by Wilcoxon sign rank test. The population in this study were all cases of stroke. The sampel in this study were the patient’s familiy with aphasia five person and dysartria 11 person who taken by consecutive sampling. Independent variables was health education with booklet media and dependent variable were the knowledge and attitude.Result: The results showed that the health education with booklet media about speech therapyhas significant influence to improve the knowledge (aphasia p = 0,038; dysartria p = 0,003) dan attitude (aphasiap = 0,042; dysartriap = 0,003)..Instrument use questionare. Discussion: It can be concluded that health education with booklet media on speech therapyhas influence in increasing of knowledge and attitudes of families on speech therapy. therefore, for future research needs to do research on the effect of health education with booklet media on behavior / psychomotor family of speech therapy.
Factors Related to the Quality of Nursing Care Documentation Susiana, Endang; Wahyuni, Erna Dwi; Asmoro, Candra Panji
Fundamental and Management Nursing Journal Vol. 2 No. 1 (2019): APRIL 2019
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/fmnj.v2i1.12340

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Introduction: Nursing documentation is a legal aspect that protects nurses in providing nursing services, but incomplete documentation is still found. The purpose of this study was to analyze the relationship between motivation, supervision, and workload with the quality documentation of nursing care in the Medical Inpatient Dr. Soetomo Hospital Surabaya.Method: This study used a descriptive correlation design with a cross-sectional approach. The population was 135 nurses and 100 nurses were obtained by simple random sampling. Independent variables are motivation, supervision, and workload. The dependent variable is the quality documentation of nursing care. Data were obtained by motivation, supervision and observation sheets: TMS (Time Motion Study), SAK (Nursing Standards) and analyzed with Spearman's Rho, Regression Logistic with α=95%.Result: There was a relationship between motivation (p = 0,000; r = 0,363) with the quality of nursing care documentation, there was a relationship between supervision (p = 0,012; r = 0,310) and the quality of nursing care documentation and there was a relationship between workload (p = 0,002; r = 0,299) with the quality of nursing care documentation.Conclusion: There was a relationship between motivation, supervision, and workload with the quality of nursing care documentation. It is known that motivation was the most related factor in the quality of nursing documentation.
Nurses Experience of Prone Position in The Absence of Positioning Tool, and Suggestion of Prone Position Tool: A Phenomenology Study Sriyono, Sriyono; Zulkarnain, Hakim; Wahyuni, Erna Dwi; Sudarmaji, Wikan Purwihantoro; Proboningsih, Jujuk; Mosteiro-Diaz, María Pilar
JURNAL INFO KESEHATAN Vol 22 No 2 (2024): JURNAL INFO KESEHATAN
Publisher : Research and Community Service Unit, Poltekkes Kemenkes Kupang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31965/infokes.Vol22.Iss2.1542

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During the COVID-19 pandemic which is a non-natural disaster, the ARDS cases (Acute Respiratory Disease Syndrome) rocketed. Despite the advantages of prone positioning for ARDS care, ICU staff seldom use it due to the unavailability of positioning tools, making it a challenging task for nurses. This study aims to investigate nurses' experiences with manual prone positioning and propose ICU-friendly prone position tools. This research method used a qualitative phenomenology theory study to 15 ICU nurses who were experienced in prone positioning at least 10 times to intubated patients and had complaints about the intervention. The experience was gathered using structured questions and recorded. The data was analyzed following Colaizzi’s thematic method, and all the emerged themes were collected and reported. The research results show that fifteen interviewed nurses noted that prone positioning is physically demanding and requires a coordinated team with a minimum of three staffs, 2 handles patient positioning, 1 leader securing the intubation tube. Before starting, the team assesses the difficulty level. Recommended tools include a slide sheet with handles, a modified Vollman prone positioner, and a crane-like prone harness. The conclusion is nurses find tools highly beneficial for prone positioning but will improvise with available resources like underpads as a ring-shaped pillow if tools are unavailable.              
Entrepreneurship in Social Media Literacy and Intentions for Diabetes Prevention among Adolescent Students Pratiwi, Ika Nur; Prabawati, Dita Dwi Oktav; Wahyuni, Erna Dwi; Nursalam, Nursalam; Widyawati, Ika Yuni; Yahaya, Nor Aziyan
Aptisi Transactions On Technopreneurship (ATT) Vol 8 No 1 (2026): March
Publisher : Pandawan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34306/att.v8i1.626

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Diabetes Mellitus (DM) prevention behavior is essential for reducing DM incidence among adolescents, a population increasingly exposed to lifestyle risks and heavily engaged with digital platforms. Social media provides a promising channel for health promotion, yet limited evidence explains how literacy in this medium supports preventive behaviors. This study aims to analyze the correlation between social media literacy and intention with DM prevention behavior among adolescent students. A cross-sectional design with purposive sampling was conducted involving 231 students aged 16 years in East Java, Indonesia. Data were collected using questionnaires measuring social media literacy, intention, and DM prevention behavior, while Spearman’s rho correlation <0.05 was applied for analysis. Descriptive findings showed that 58% of participants were female, 67.1% used more than three social media platforms, 39% accessed social media 3–4 hours daily, and 4.3% had a family history of DM. The analysis revealed significant positive correlations between social media literacy (p<0.001, r=0.325) and intention (p<0.001; r=0.305) with DM prevention behavior. Adolescents with higher literacy and stronger intentions were more likely to exhibit proactive DM prevention actions. These results demonstrate that emerging technologies, particularly social media, hold substantial potential as promotive and preventive tools for adolescent health. Enhancing social media literacy can improve adolescents’ ability to identify, interpret, and apply credible health information, supporting healthier behavioral choices. The study suggests that integrating digital health literacy into adolescent-focused programs may strengthen early preventive efforts and reduce future DM risk.
The Effectiveness of Early Interventions in Post-Ischemic Stroke Patients on Neurological Recovery And Quality of Life: A Systematic Review Wisnu Guntur Prakoso; Sriyono Sriyono; Erna Dwi Wahyuni
Jurnal Ners Vol. 10 No. 1 (2026): JANUARI 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i1.52684

Abstract

Abstract Introduction: Individuals recovering from ischemic stroke often endure significant neurological impairments, including motor deficits, cognitive challenges, and emotional disturbances. These complications substantially reduce their quality of life and impose a heavy burden on both the healthcare system and caregivers. Objective: This systematic review aims to evaluate the effectiveness of early interventions in improving neurological recovery and quality of life in post-ischemic stroke patients. Method: A structured literature review was conducted following the PRISMA guidelines. Five major databases (Scopus, PubMed, Science Direct, Web of Science, and ProQuest) were systematically searched using defined keywords. Articles were screened and selected based on pre-established eligibility criteria, and quality appraisal was carried out using Joanna Briggs Institute (JBI) tools. Results: A total of 11 studies met the inclusion criteria. Most early interventions were initiated within 24 to 72 hours after stroke onset. The results consistently showed that early rehabilitation, nursing care, occupational therapy, and other multidisciplinary approaches contributed to significant improvements in neurological function, daily living activities, and health-related quality of life. Conclusion: Early interventions administered during the acute phase of ischemic stroke are effective in enhancing recovery and improving quality of life. These findings highlight the importance of timely, structured, and multidisciplinary stroke rehabilitation programs as a standard part of stroke management. Keywords: Early intervention, ischemic stroke, neurological recovery, quality of life, stroke rehabilitation
The application of nursing diagnoses in Intensive Care Units: A scoping review of clinical indicators and patient outcomes Wahyuni, Erna Dwi; Nursalam, Nursalam; Dewi, Yulis Setiya; Puspitasary, Novalia; Klankhajhon, Sirikanok; Ye, Jia-You; Arifin, Hidayat
Jurnal Keperawatan Padjadjaran Vol. 13 No. 3 (2025): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jkp.v13i3.2841

Abstract

Introduction: Nursing diagnoses are essential in Intensive Care Units (ICUs) for guiding decisions, prioritizing care, and improving outcomes. However, inconsistent terminology and documentation burdens hinder their effective implementation and evaluation. The aimed of this study was to examine the application of nursing diagnoses in ICUs, exploring their relationships with clinical indicators, patient outcomes, and the impact of standardized diagnostic frameworks on nursing practice. Methods: This scoping review followed PRISMA-ScR guidelines We searched PubMed, CINAHL, Scopus, and Web of Science from 2019 to 2024. Studies examining nursing diagnoses in ICU settings were included. The reviewers independently screened 527 records, with nineteen full-text articles assessed for eligibility, resulting in thirteen included studies. Results: Thirteen studies with diverse methodologies from multiple countries were analyzed. Four key themes emerged: 1) Clinical indicators linked to specific nursing diagnoses, particularly respiratory conditions where impaired spontaneous ventilation was associated with dyspnea, fever, fatigue, and cough; 2) Implementation processes for nursing diagnoses, including electronic health records and nurse-delivered thoracic ultrasound that enhanced clinical decision-making; 3) Diagnostic validation and prevalence studies highlighting the importance of standardized frameworks for accurate diagnosis; and 4) Interventions that improved nursing practice and patient outcomes, including the institutionalization of nursing processes and development of electronic care plans. Conclusion: Standardized nursing diagnoses optimize ICU patient care by providing a structured approach to assessment, intervention planning, and outcome evaluation. Technology integration and consistent terminology enhance diagnostic accuracy and intervention effectiveness. Future research should focus on validating these frameworks across diverse ICU settings and patient populations to establish best practices for implementation.
A Systematic Review of Pressure Ulcers Prevention Wahyuni, Erna Dwi; Dewi, Yulis Setiya; Laili, Nadia Rohmatul; Kurniawati, Ninuk Dian; Wulandari, Sartika; Gunawan, Gunawan; Lestari, Diah
Fundamental and Management Nursing Journal Vol. 6 No. 1 (2023): APRIL 2023
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/fmnj.v6i1.41956

Abstract

Introduction: Pressure ulcers in high-risk patients are contributes to patient burden and cost financially. Identifying strategies on the prevention of high ulcers among those with high risk is necessity. Nevertheless, an intense study exploring those issues is scarce. The study aimed to analyze the prevention method and their effectiveness in pressure ulcer prevention. Method: This study used PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analysis) to guide the systematic review process. The article searches were conducted on Web of Science (WOS), ScienceDirect, Wiley Online Library, and Scopus using the keywords used Decubitus Ulcer, Pressure Ulcer, Management, and Prevention, and any possible combinations. Results: A total of 18 studies met the inclusion criteria for this review and show some different prevention for a pressure ulcer. The findings of the present study are foam dressings, support surfaces, repositioning, topical-based interventions, wearable patient sensors, and two distinct endotracheal tube fixations affect the incidence of pressure ulcers. Conclusions: This current review emphasized a bundle care consisted of two methods or more are effective to reduce the incidence of pressure ulcers rather than a single treatment. Nurses should consider intervention to prevent ulcers among high-risk patients by way analyses of each single treatment prior bundling. Further study investigating factors associated wound's ulcer healing is necessary.
Co-Authors Abit Mawan Dayoko Abu Bakar Ah Yusuf, Ah Ah. Yusuf Alfaruq, Muhammad Fikri Alit Armini, Ni Ketut Amellia Mardhika Ananta Baru Wijaya Andri Setiya Wahyudi Anestasia Pangestu Mei Tyas Anita Dwi Ariyani Arifin, Hidayat Arina Qona'ah Ayu Permata Sari Candra Panji Asmoro, Candra Panji Deka Ade Yussmawan Deni Yasmara Devi Rahmaningrum Wardani Diah Lestari, Diah Dimas Satrya Sukma Wijaya Dinda Dhia Aldin Kholidiyah Dwi Ferafurisca Desi Dwi Susi Pristiwatin Edy Nugroho Eka Misbahatul Mar'ah Has Ekawati, Shintia Elok Faradisa Eti Rahmawati Ferry Efendi Fitria, Mawaddah Gunawan Gunawan Gunawan Gunawan Hakim Zulkarnain Hakim Zulkarnain Haris Widodo Harmayetti Harmayetti Hartono Hartono Hery Sasongko Hidayat Arifin Hikmah Lia Basuni I Ketut Sudiana Ika Nur Pratiwi Ika Yuni Widyawati Indarwati , Retno Intan Widiastuti Joni Haryanto Jujuk Proboningsih, Jujuk Kinanthi Rosyana Klankhajhon, Sirikanok Konita Shafira Kristiningrum, Sifira Kurniawati, Ninuk Dian Kusnanto Kusnanto Lailatun Ni'mah Laili, Nadia Rohmatul Lucy Kartika Dewi Lutfiyah, Kharisma Nuur M. Zakariya Mabda Novalia Istafa Made Mahaguna Putra Makhfudli Makhfudli María Pilar Mosteiro-Diaz Maropi, Anuchit Martini Sriwulaningdyah Mosteiro-Diaz, María Pilar Nadia Rohmatul Laily Neisya Pratiwindya Sudarsiwi Nihayati, Hanik Endang Nimah, Lailatun Novita Fajriyah Nursalam . Nursalam Nursalam Nursalam, Nursalam Nurwahyuni, Tutuk Praba Diyan Rachmawati, Praba Diyan Prabawati, Dita Dwi Oktav Primadiana, Dinda Berlian Puspitasary, Novalia Qona'ah, Arina Ratri Ismiwiranti Rifky Octavia Pradipta Rizki Dwi Cahyono Rizki Dwi Cahyono S.Pd. M Kes I Ketut Sudiana . Safrullah, Safrullah Sena Wahyu Purwanza, Sena Wahyu Setho Hadisuyatmana Setiya Dewi, Yulis Silvia Lusiana Suwandi Soares, Domingos Sriyono Sriyono Sriyono Sriyono Suadyani, I Ketut Sudarmaji, Wikan Purwihantoro Sukma Randani I Susiana, Endang Syahri, Alfi Tintin Sukartini Sukartini, Tintin Sukartini Wieji Santosa Wikan Purwihantoro Sudarmaji Wimar Anugrah Romadhon Wimar Anugrah Romadhon Wisnu Guntur Prakoso Yahaya, Nor Aziyan Ye, Jia-You Yety Elina Yonia Rafika Nanda Yulis Setiya Dewi Zuhriya, Cholilatul