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The complexities of human procedural nursing research ethical approval processes in Indonesia Abigail, Wendy; Yulia, Yulia; Christina, Juliana; Pradanie, Retnayu
Jurnal Ners Vol. 18 No. 3 (2023): SEPTEMBER 2023
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v18i3.44463

Abstract

Introduction: Research requires high quality ethical practices. However, research approvals vary between developed and developing countries resulting in additional challenges for researchers wishing to participate in collaborative research projects. The aim of this paper is to describe and discuss three nursing research ethics application processes in different locations in Indonesia that had an Australian university overseeing them.  Methods: Three nurse researchers provide a reflective account of the ethics application processes of their qualitative research projects conducted between 2014 and 2021. A collective case-study methodology using descriptive analysis was applied where the information was collated and compared for similarities, differences and challenges. Results: Ethics and site approvals varied at each Indonesian site. The ethical and approval application processes were time-consuming at all levels. which delayed the start of all the projects, which varied from between one to six months. As a result, all three projects experienced delayed completion. Conclusions: Ethical approval is required for medical research prior to any data collection. Approval processes need to be consistent so that delays in the application processes are avoided. Any delays in approval to conduct research has implications for research projects. It is essential that timeframe factors need to be considered when applying for grant funding, gatekeepers are identified early, and payments are identified and planned for. It is recommended that, to improve consistency with ethical application processes, streamlining of applications and approvals in Indonesia needs to be reviewed, particularly since the introduction of the WHO March 2022 Standard Operating Procedures.
Innovations for Successful Electronic Medical Records (EMR) Implementation in Hospitals: Inovasi untuk Keberhasilan Implementasi Rekam Medis Elektronik (EMR) di Rumah Sakit Sandhe, Dhiyan Sandhe Kurniawan; Krisnana, Ilya; Pradanie, Retnayu
Indonesian Journal of Innovation Studies Vol. 26 No. 2 (2025): April
Publisher : Universitas Muhammadiyah Sidoarjo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21070/ijins.v26i2.1360

Abstract

General Background: Electronic Medical Records (EMR) enhance healthcare efficiency, cost-effectiveness, and data accessibility. However, implementation remains uneven globally. Specific Background: Despite Indonesia’s Ministry of Health Regulation No. 24 of 2022 mandating EMR adoption, many hospitals struggle with infrastructure, workforce limitations, and regulatory challenges. Knowledge Gap: While studies highlight EMR benefits, limited research addresses specific barriers in Indonesian hospitals and effective implementation strategies. Aims: This study identifies EMR adoption challenges and explores strategies for successful implementation in Indonesia. Results: Key barriers include inadequate infrastructure, unclear policies, insufficient training, and connectivity issues. Pre-implementation planning and structured training improve outcomes. Novelty: This study systematically analyzes Indonesia-specific EMR challenges and presents actionable solutions. Implications: Hospitals require better preparation, clear policies, and government support to ensure seamless EMR integration, fostering healthcare digitalization. Highlights: Regulatory Compliance: Despite mandates, many Indonesian hospitals struggle with full EMR adoption due to infrastructure and policy gaps. Key Barriers: Limited resources, lack of training, and unstable internet hinder effective EMR implementation. Strategic Solutions: Pre-implementation planning, technical support, and structured training improve adoption success. Keywords: Barriers, Strategy, Electronic Medical Record, Hospital
Quality of Life of Diabetic Foot Ulcer Patients with Hyperbaric Oxygen Therapy Kusnanto, Kusnanto; Dismalyansa, Dismalyansa; Pradanie, Retnayu; Arifin, Hidayat
Folia Medica Indonesiana Vol. 55, No. 2
Publisher : Folia Medica Indonesiana

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Abstract

DM with ulcer can result in a decrease in the quality of life of patients and need to reduce the intensity of pain and odor on the ulcer, preventing amputation and Hyperbaric Oxygen as an adjuvant therapy in accelerating wound healing. This study aims to explain the effect of HBO on the quality of life of patients with diabetic foot ulcers at RSAL Dr. Ramelan Surabaya. Methods: The research used quasi-experimental design with a non-equivalent control group design approach. The samples were 70 patients from population of all diabetes patients who suffered from diabetic foot ulcers at RSAL Dr. Ramelan. Data were collected by WHOQOL-BREF questionnaire. Analyzed byWilcoxon signed rank test and Mann Whitney U test. Result: Mann Whitney in the post test, the physical p-value domain (0.000), psychological domain (0.012), social domain (0.003), and environmental domain (0,001), where the intervention group has a better value than the control group. Wilcoxon signed rank test results on the physical domain (0,000), psychological (0,012), social (0,003), and environmental (0,001), meaning there were significant differences between pre post test in intervention group. Discussion: Diabetes mellitus patients with foot ulcers given hyperbaric oxygen showed improvement on wound condition, thus reducing pain and medical needs. This makes patients motivated, reduce anxiety, and improve interpersonal support and confidence. Therefore, it is necessary to socialize the effect of HBO on DM patients with foot ulcer, as a treatment option in improving the quality of life of DM patients with foot ulcers.
Analysis Factor that Related to the Nurse in Gives Personal Hygiene to Total Care Klau, Oktovianus Tahu; Wahyudi, Andri Setiya; Pradanie, Retnayu
Fundamental and Management Nursing Journal Vol. 3 No. 1 (2020): APRIL 2020
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/fmnj.v3i1.17779

Abstract

Introduction: The requirement of client personal hygiene is done by nurse. Nurse motivation is saturated by personal hygiene being regarded by intrinsik and ekstrinsik motivation. The purpose of this research is: Analysis factor that related to the Nurse in gives personal hygiene to total care.Method: Desain Cross Sectional. Observational population: Executer nirse at 9 room nurse to lodge adults in Regions Common Hospital prof. Dr.W.Z. Yohanesz Kupang. Sample: 106 respondents that accomplish inclusi's criterion. Dependen's variable: Motivation. Independen's variable: responsibility, pay, working conditio, safety of working and co- worker and superior relationship. Data collecting utulizes closed quesioner and Analysis with logistic regression.Results:  There are relationship among two factors with logistic regresson which is Responsibility factor (p= 0,000), and  Co- worker superior relationship with point (p= 0,025). Severally factor which repudiated is Pay (p= 0,275) working conditio (p= 0,951) and Safety of working (p= 0,999).Conclusion: Nurse motivation is related to the responsibility factor and Co- Worker and superior relationship. Need again been analyzed succes factor solved task, appreciation and the job itself. Pretty much chance amends goes forward hospital procedure, state, and technics supervisory.
The Role of Leadership through Structural Empowerment in Enhancing Healthcare Service Quality: A Systematic Literature Review Mila Hestika Sari; Mira Triharini; Retnayu Pradanie
Jurnal Ners Vol. 10 No. 3 (2026)
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i3.57560

Abstract

Healthcare service quality has become a critical issue due to its direct impact on patient safety, satisfaction, and organizational performance. Leadership has been identified as a key factor influencing healthcare service quality outcomes. This study aims to systematically review the role of leadership in improving healthcare service quality. This study employs a systematic literature review approach following PRISMA guidelines, utilizing databases including Scopus, PubMed, and Web of Science. Articles published between 2015 and 2025 were included based on predefined inclusion criteria, with most studies adopting a cross-sectional design. The findings indicate that leadership plays a fundamental role in enhancing healthcare service quality. Leadership demonstrates the strongest impact on improving patient care outcomes, employee engagement, and organizational performance. This study proposes a conceptual framework that can guide future research and practice. Furthermore, leadership significantly improves service quality through employee engagement, organizational culture, and innovation. Leadership also indirectly influences patient outcomes through mediating variables such as work engagement and structural empowerment. However, gaps remain in integrating leadership models with healthcare service quality frameworks.
Co-Authors Abdullah, Khatijah Lim Abigail, Wendy Abu Bakar Abu Bakar Abu Bakar Ah Yusuf, Ah Alfiani Triningsih Alit Armini, Ni Ketut Andri Setiya Wahyudi Aria Aulia Nastiti Arief, Yuni Sufyanti Arifin, Hidayat Asih , Meirina Nur Ayu Susilawati Bella Putri Prastika Biru, Mustika Milenia Dwi Tunjung Cahyani, Meilia Dwi Christina, Juliana Dismalyansa Dismalyansa Dismalyansa, Dismalyansa Dismalyansa, Dismalyansa Dita Fajrianti Dwiyanti Permata Sari Eka MHas Elida Ulfiana Ema Kahrismawati Erna Dwi W Esti Yunitasari Fitri Widayati Gaharuni Sahika Mutdinia Halfie Zaqiyah Gusti Puspitasari Halimatus Zahrah Hardiansyah Hardiansyah Hesti Permanasari Ida Ayu Trisnadewi Ika Nur Pratiwi Ika Rizqi L Ilya Krisnana, Ilya Inas Alifi Karima Indarwati , Retno Iqlima Dwi Kurnia Joni Haryanto Ketut L. Aryati Klau, Oktovianus Tahu Kristiawati Kristiawati Kurnia Puji P Kurniawati, Ninuk Dian Kusnanto Kusnanto Kusnanto Kusnanto Laily Hidayati Meidina Dewati Mila Hestika Sari Muhtadi, Fatichul Muhtadi, Fatichul Naomi Toulasik Ni Ketut Alit Nihayati, Hanik Endang NK A. Armini Nurlina, Wa Ode Nursalam . Praba Diyan Rachmawati, Praba Diyan Putu Widhi Sudariani Qur'aniati, Nuzul Rahmah, Citra Danurwenda Rambu Eri Hupunau Rani Sulistiawati Rinda Hidayati Rithpho, Pratuma Rizki Jian Utami S. Tauriana S. Tauriana Sabekti, Ria Sandhe, Dhiyan Sandhe Kurniawan Sa’diyah, Halimatus Sih Kinanti Sofiana Salim Stefani Angel Sylvia Dwi Wahyuni Tantya Edipeni Putri Tiyas Kusumaninggrum Tiyas Kusumaningrum Tri Agustiningsih Triharini, Mira Widya, Fadhilah Aliyyah Wulan Prihantini Yosina Martha Tamonob Yulia Meiliany Naragale Yulia Yulia Yuni S. Arief Zahra, Naili Raudiatus Zuliyanti, Elyta