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Transcultural Communication Strategies in Nursing with Multicultural Clients in Hospital Settings: A Systematic Literature Review Reiza Agustina Wulandari; Nurfika Asmaningrum; Anisah Ardiana
JURNAL PENDIDIKAN KEPERAWATAN INDONESIA Vol 8, No 2 (2022): Volume 8, Nomor 2, December 2022
Publisher : Universitas Pendidikan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.17509/jpki.v8i2.47326

ABSTRACTIntroduction: A lack of nurse understanding of cultural diversity during nurse-patient communication may cause conflicts and misunderstandings. Objectives: To analyze nurse transcultural communication strategies with multicultural clients in hospitals. Methods: Systematic literature review incorporating four databases, including PubMed, Science Direct, Google Scholar, and ProQuest. Assessed Article quality based on JBI and MMAT. Results: A total of 47.848 articles were identified, and twelve articles analyzed highlight ten transcultural communication strategies, including the usage of language translators and interpreters, communication skills training, cultural competency training, initiative to learn a new culture, clarity of communication, doing self-reflection, familiarizing to the patient, developing confidence, spending more time to consult, respecting and appreciating patient. Discussion: implementing transcultural communication strategies during nurse-patient interactions is important to achieve therapeutic communication goals. Conclusion: Transcultural communication enables nurses to understand and respond to patient needs effectively. The study suggests that nurses develop transcultural communication skills and competencies to practice intercultural communication during clinical care.ABSTRAKPendahuluan: Kurangnya pemahaman perawat atas keragaman budaya pasien selama komunikasi antar perawat-pasien dapat menyebabkan konflik dan kesalahpahaman, sehingga dibutuhkan strategi dalam komunikasi transkultural. Tujuan: Menganalisis strategi komunikasi lintas budaya perawat dengan klien multikultural di rumah sakit. Metode: Tinjauan literatur sistematis yang menggabungkan empat database termasuk PubMed, Science Direct, Google Scholar, dan ProQuest. Kualitas artikel dinilai berdasarkan JBI dan MMAT. Hasil: Sebanyak 47.848 artikel berhasil diidentifikasi. Dua belas artikel yang dianalisis ditemukan sepuluh strategi komunikasi lintas budaya meliputi: penggunaan penerjemah dan juru bahasa, pelatihan keterampilan komunikasi, pelatihan kompetensi budaya, memperjelas penekanan komunikasi, inisiatif untuk mempelajari budaya baru, mampu merefleksikan diri, mampu mengakrabkan diri, mengembangkan kepercayaan diri, meluangkan lebih banyak waktu untuk konsultasi, menghormati dan menghargai klien. Diskusi: Penerapan strategi komunikasi lintas budaya selama interaksi perawat-pasien penting untuk mencapai tujuan komunikasi terapeutik. Simpulan: Komunikasi lintas budaya memungkinkan perawat untuk secara efektif memahami dan menanggapi kebutuhan pasien. Studi ini menyarankan perawat harus mengembangkan kompetensi keterampilam komunikasi lintas budaya untuk mempraktikan komunikasi antar budaya selama perawatan klinis.

Implementation of Discharge Planning for Hospitalized Children with Tonsillitis: A Case Study Yuzqi Rizqullah; Dicky Endrian Kurniawan; Nurfika Asmaningrum; A’Jalil Achbab
Health and Technology Journal (HTechJ) Vol. 1 No. 1 (2023): February 2023
Publisher : KHD Production

Tonsillitis, especially among hospitalized children, can cause worse impacts or complications. Dynamic, planned, and patient-centered nursing care is needed, which can be done by implementing discharge planning. This study aimed to analyze and evaluate the implementation of discharge planning among hospitalized children with tonsillitis. A case study method involving one patient and his family in the pediatric inpatient room; was carried out from April 3 to 6, 2022. The results of this study show that the implementation of discharge planning has been carried out following the theory. Discharge planning is carried out when the patient enters until the patient returns with stages assessment to evaluation; besides that, from the implementation of discharge planning, there is an increase in parents' knowledge about disease and skills about the importance of a healthy lifestyle and nutrition/dietary pattern in children. This study concludes that discharge planning is important in providing nursing care because it can increase independence, knowledge, and skills in healing and maintain the patient's health status. It was needed for a more detailed discharge planning assessment format because this study only includes studies that focus on tonsillitis patients and are linked to theory. If it is implemented on patients with different diagnoses, it is necessary to update the assessment format.

Model Hospital Company Image Pride-Based Organizational Behavior Dodi Wijaya; Iis Rahmawati; Nurfika Asmaningrum; Kholid Rosyidi Muhammad Nur
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 8, No 1: March 2023
Publisher : Universitas Aisyah Pringsewu

Introduction: The globalization era makes the hospital service industry competition even higher, which requires hospital management to develop strategies to face competition. The efforts made by the hospital in the face of this competition by encouraging staff to engage in Organization Citizenship Behavior (OCB). Nurses as health workers who provide care to patients play an important role in being involved in OCB to build a positive image of the hospital. More and more staff involved in OCB can improve service efficiency, and patient satisfaction, and provide positive value to Hospital's Corporate Image (HCI). Objective: This study aims to compile an OCB-based HCI model. Materials and Methods: This study used an analytical observational design with a cross-sectional approach. The study sample involved 260 patients spread across five plantation hospitals that are members of the Indonesia Healthcare Corporation in The Eastern Salient of Java, East Java Province, Indonesia. Variables consist of 7 latent variables and 25 indicators. Inferential analysis using SEM PLS. Results: The results showed that (1) the determinants of OCB were influenced by employee factors, company factors, and customer factors, (2) employee factors had the most influence on OCB which had a positive impact on HCI, (3) OCB was a mediating variable between employee and HCI factors, (4) OCB had a strong influence on HCI. Conclusion: The OCB-based HCI model is a model that is influenced by employee factors through good nurse interpersonal communication to improve nurses' OCB behavior through tolerance behavior (sportsmanship) to create a positive hospital image. Plantation hospitals in Indonesia that are members of the Indonesia Healthcare Corporation need to start thinking about efforts to improve employee factors through the competence of interpersonal communication of nurses in providing services to patients.

Analisis Pelaksanaan Discharge Plannning Terhadap Tingkat pengetahuan Pasien Typhoid Fever di Rumah Sakit: Sudi Kasus Risma Dian Ayu; Nurfika Asmaningrum; Retno Purwandari; Ika Mardiyah Bratajaya
Health and Technology Journal (HTechJ) Vol. 3 No. 6 (2025): December 2025
Publisher : KHD Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/htechj.v3i6.324

Discharge planning is essential for providing special education or training to patients and their families when a patient is admitted to the hospital and prepares for discharge. It is a crucial part of nursing care that requires collaboration across multiple disciplines. The goal of discharge planning is to facilitate communication between nurses and patients, enabling the provision of procedures for managing and preventing diseases at home. Typhoid fever, an endemic infectious disease, necessitates continued care and treatment. The ability of nurses to effectively implement discharge planning significantly enhances families' understanding and capacity to care for patients with typhoid fever. This study analyzes the implementation of discharge planning for patients with typhoid fever at Treatment Room D of Kaliwates General Hospital in Jember. This case report examines the discharge planning process for these patients. To assess changes in understanding disease prevention, the study measured patients' knowledge before and after implementing discharge planning using a questionnaire on understanding typhoid disease. The results indicate that implementing discharge planning effectively improves patients' understanding of disease prevention related to typhoid fever. Before discharge planning was instituted, patients scored an average of 50% on the pretest regarding their knowledge. After the discharge planning was carried out, the posttest score increased to 90%. This demonstrates that providing discharge planning to families and patients significantly enhances their knowledge about typhoid fever.

Work Stress Mapping of Farmers in Jember Regency Enggal Hadi Kurniyawan; Nurfika Asmaningrum; Rondhianto; Erti Ikhtiarini Dewi; Alfid Tri Afandi
Jurnal Penelitian Pendidikan IPA Vol 11 No 11 (2025): November
Publisher : Postgraduate, University of Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/jppipa.v11i11.12898

Work stress among farmers remains an overlooked occupational health issue in Indonesia despite high vulnerability to economic and environmental pressures. This study aimed to map farmers’ stress levels and identify demographic factors influencing stress. A quantitative descriptive design was used with 140 farmers selected through purposive sampling in Jember Regency. Stress was measured using the DASS-42 stress subscale, and data were analysed descriptively and through multiple linear regression. Results showed that 62.9% of farmers experienced mild stress, 30.7% moderate stress, and 6.4% severe stress. Regression analysis demonstrated that gender (p=0.012), educational attainment (p=0.005), family role (p=0.030), number of family members (p=0.025), land size (p=0.008), and monthly income (p=0.001) significantly influenced stress levels. Female farmers, individuals with low education, heads of households, farmers with more than four family members, land ≤ 0.65 ha, and income < Rp 1,916,983 had markedly higher stress scores. The study concludes that farmer stress is shaped by socioeconomic vulnerability and limited resources. These findings highlight the need for targeted interventions, including capacity-building programs, improved access to agricultural support, and policies that enhance economic stability to reduce work-related stress among Indonesian farmers

Critical Thinking and Nurses' Caring Behavior in Clinical Practice: A Cross-sectional Study Ailsa Ayu Fadhilla; Nurfika Asmaningrum; Dodi Wijaya; Nurul Arifah; Dwi Yoga Setyorini; Desy Listyaningrum
Journal of Bionursing Vol 8 No 2 (2026): Journal of Bionursing
Publisher : Fakultas Ilmu-ilmu Kesehatan Universitas Jenderal Soedirman

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.job.2026.8.2.20635

Background: Caring behavior is essential in nursing professionalism and is linked to the quality of nursing care. Nurses are responsible for providing holistic, patient-centered healthcare that includes various dimensions of well-being. However, nursing practice often lacks a holistic approach, especially as patient cases become more complex. Balancing critical thinking skills with caring behavior is crucial to meet the demands of nursing practice. Objective: To examine the association between critical thinking skills and caring behavior among ward inpatient nurses at Perkebunan Jember Klinik Hospital. Methods: A cross-sectional correlational study was conducted among all 82 nurses in tbe inpatient ward through total sampling. Critical thinking ability were measured using a NCT-4 Practice, and Caring behavior were assessed using Caring Behavior Questionnaire. Descriptive statistics were calculated for participant characteristics and study variables. The association between critical thinking skills and caring behavior was tested using Kendall’s Tau C (a =0,05). Results: Participants had a median age of 35 years and the work experience of nurses 10,5 years, were most female (76,8%), with the nurses’ highest education is in the nursing profession (72%) and the majority nurses are married (93,9%). The majority partisipants also attended the training (91,5%). Kendall’s Tau C indicated a statistically significant, weak correlation between critical thinking skills and caring behavior, with moderate critical thinking skills tending to be associated (|τ| = 0,376, p = 0,000), with caring conduct that is nonetheless considered to be deficient Conclusion: Critical thinking skills were significantly correlation with caring behavior among ward inpatient nurses.The development of evidence-based practice and the enhancement of clinical reasoning capacity through training and independent literature exploration are recommended to improve daily clinical critical thinking skills.

Effect of a nurse-led four-pillar diabetes management program on HbA1c in adults with type 2 diabetes Ida Zuhroidah; Mokh. Sujarwadi; Mukhammad Toha; Nurfika Asmaningrum; Dimas Hadi Prayoga; Nadia Rohmatul Laili; Fatimah Zahra
Nursing and Health Sciences Journal (NHSJ) Vol. 6 No. 2 (2026): June 2026
Publisher : KHD-Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/nhsj.v6i2.668

The relative contributions of individual components of multimodal diabetes management to glycemic control remain unclear in real-world primary care settings. This observational pre–post study enrolled 100 adults with type 2 diabetes in a 12-week, nurse-led four-pillar program integrating patient education, physical activity guidance, dietary counseling, and medication adherence monitoring. Multiple linear regression examined the simultaneous associations between behavioral predictors and changes in HbA1c (ΔHbA1c). Mean HbA1c reduction was 2.72 ± 1.25% (95% CI: 2.48–2.96), exceeding the clinically meaningful threshold (>0.5%). The regression model was statistically significant (F(4,95) = 5.16; p = 0.0008; R² = 0.178). Medication adherence independently predicted ΔHbA1c (unstandardized B = 0.327; standardized β = 0.216; p = 0.023), whereas diabetes knowledge, physical activity, and dietary adherence were non-significant (p > 0.05). A structured, nurse-coordinated four-pillar program achieved substantial short-term glycemic improvement among adults with type 2 diabetes, with medication adherence emerging as the strongest behavioral predictor. While comprehensive, multidimensional care remains essential for sustainable self-management, systematic adherence monitoring may optimize metabolic outcomes in routine clinical practice. Causal inference is limited by the observational pre–post design and potential residual confounding; future randomized controlled trials with extended follow-up and objective adherence measures are warranted to clarify component-specific effects and long-term sustainability

Implementation of Discharge Planning for Hospitalized Children with Tonsillitis: A Case Study Yuzqi Rizqullah; Dicky Endrian Kurniawan; Nurfika Asmaningrum; A’Jalil Achbab
Health and Technology Journal (HTechJ) Vol. 1 No. 1 (2023): February 2023
Publisher : KHD Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/htechj.v1i1.4

Tonsillitis, especially among hospitalized children, can cause worse impacts or complications. Dynamic, planned, and patient-centered nursing care is needed, which can be done by implementing discharge planning. This study aimed to analyze and evaluate the implementation of discharge planning among hospitalized children with tonsillitis. A case study method involving one patient and his family in the pediatric inpatient room; was carried out from April 3 to 6, 2022. The results of this study show that the implementation of discharge planning has been carried out following the theory. Discharge planning is carried out when the patient enters until the patient returns with stages assessment to evaluation; besides that, from the implementation of discharge planning, there is an increase in parents' knowledge about disease and skills about the importance of a healthy lifestyle and nutrition/dietary pattern in children. This study concludes that discharge planning is important in providing nursing care because it can increase independence, knowledge, and skills in healing and maintain the patient's health status. It was needed for a more detailed discharge planning assessment format because this study only includes studies that focus on tonsillitis patients and are linked to theory. If it is implemented on patients with different diagnoses, it is necessary to update the assessment format.

Analisis Pelaksanaan Discharge Plannning Terhadap Tingkat pengetahuan Pasien Typhoid Fever di Rumah Sakit: Sudi Kasus Risma Dian Ayu; Nurfika Asmaningrum; Retno Purwandari; Ika Mardiyah Bratajaya
Health and Technology Journal (HTechJ) Vol. 3 No. 6 (2025): December 2025
Publisher : KHD Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/htechj.v3i6.324

Discharge planning is essential for providing special education or training to patients and their families when a patient is admitted to the hospital and prepares for discharge. It is a crucial part of nursing care that requires collaboration across multiple disciplines. The goal of discharge planning is to facilitate communication between nurses and patients, enabling the provision of procedures for managing and preventing diseases at home. Typhoid fever, an endemic infectious disease, necessitates continued care and treatment. The ability of nurses to effectively implement discharge planning significantly enhances families' understanding and capacity to care for patients with typhoid fever. This study analyzes the implementation of discharge planning for patients with typhoid fever at Treatment Room D of Kaliwates General Hospital in Jember. This case report examines the discharge planning process for these patients. To assess changes in understanding disease prevention, the study measured patients' knowledge before and after implementing discharge planning using a questionnaire on understanding typhoid disease. The results indicate that implementing discharge planning effectively improves patients' understanding of disease prevention related to typhoid fever. Before discharge planning was instituted, patients scored an average of 50% on the pretest regarding their knowledge. After the discharge planning was carried out, the posttest score increased to 90%. This demonstrates that providing discharge planning to families and patients significantly enhances their knowledge about typhoid fever.

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