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All Journal Journal Of Bionursing Indonesian Journal of Global Health research Malahayati International Journal of Nursing and Health Science Journal Of Bionursing Indonesian Journal of Global Health Research
Wastu Adi Mulyono
Universitas Jenderal Soedirman
Religion Biochemistry, Genetics & Molecular Biology Education Health Professions Languange, Linguistic, Communication & Media Medicine & Pharmacology Nursing Public Health

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Nurses’ Perceived Barriers to The Prevention of Pressure Injury and Related Factors in Indonesia Yunita Sari; Arif Setyo Upoyo; Annas Sumeru; Wastu Adi Mulyono; Akhyarul Anam
Journal of Bionursing Vol 5 No 2 (2023): 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.bion.2023.5.2.204

Abstract

Background. Incidence of pressure injury (PI) in Indonesia is high. Therefore, Indonesian nurses should take measures to prevent PI from developing. Considering the high incidence of PI in Indonesia, there could be some barriers faced by Indonesian nurses in performing prevention of PI. However, to date, no study has assessed the perceived barriers and factors associated with perceived barrier of prevention of PI in Indonesian nurses. Therefore, this study aimed to assess perceived barriers to prevention of PI and associated factors in Indonesian nurses. Methods. A total of 521 nurses participated in the study. A pressure injury prevention barriers questionnaire was used to assess perceived barriers of prevention of PI. A multivariate logistic regression model was used to analyse factors associated with the perceived barriers. Results. The two most commonly perceived barriers in nurses were lack of preventive devices such as special mattresses, cushions, and skin care products, and a lack of training courses related to prevention of PI. Associated factors emerging from the results were working experience (AOR =1.74) and working unit (AOR =2.73).
Learning from genetic blood disorders: A systematic review of digital educational strategies to improve adherence in thalassemia care Rosalia Ratri Wulandari; Wastu Adi Mulyono
Malahayati International Journal of Nursing and Health Science Vol. 9 No. 1 (2026): Volume 9 Number 1
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v9i1.1838

Abstract

Background: Adherence to lifelong treatment is a critical challenge for patients with thalassemia and other hereditary blood disorders. Educational and digital interventions have emerged as promising strategies to strengthen patient self-management and adherence. Purpose: To systematically review the effectiveness of digital and educational interventions in improving adherence, self-efficacy, and psychosocial outcomes among patients with thalassemia and other hereditary blood disorders. It also sought to identify the role of nursing-led digital programs in supporting patient empowerment and long-term treatment engagement. Method: This systematic review followed PRISMA 2020 guidelines. Comprehensive searches were conducted in PubMed, Scopus, and Web of Science for studies published between 2010–2025. Eligible studies included RCTs and quasi-experiments evaluating educational or digital interventions to improve adherence and self-efficacy in patients with thalassemia, sickle cell disease, or hemophilia. Results: Ten studies met the inclusion criteria, showing that mobile health (m-Health), e-learning, and telenursing programs significantly improved adherence, disease knowledge, and self-efficacy compared with standard education.Conclusion: Educational and digital interventions are effective adjuncts to conventional care in promoting adherence among patients with thalassemia. This systematic review provides insights into integrating digital health strategies in nursing practice.
Digital Literacy and Career Intention among Nursing Students: Evidence from Indonesian Nursing Education Zahra Athina Deapriandita; Wastu Adi Mulyono; Hasby Pri Choiruna
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.2026.8.2.19479

Abstract

Background Digital transformation in healthcare and nursing education increases the need for nursing graduates who are digitally capable and work-ready, making digital literacy a foundational competency that should be deliberately developed rather than assumed. At the same time, nursing students’ career intentions are shaped by educational and contextual influences, and intention-related patterns are relevant to workforce sustainability, including in Indonesia where nursing students may consider varied career trajectories. Students’ perceptions of digital health technologies also suggest that digitalization can shape how they imagine their future nursing roles, reinforcing the educational importance of digital competence development. Objective To examine whether digital literacy significantly predicts intention to become a nurse among Indonesian undergraduate nursing students, controlling for age, sex, PKK training/competence, and cohort. Methods A cross-sectional survey was conducted among undergraduate nursing students at Jenderal Soedirman University, Indonesia (n = 282). Digital literacy was measured using an 11-item instrument (α = 0.87), and intention to become a nurse was measured using a 4-item instrument (CVI = 0.93; α = 0.78). Multiple linear regression tested whether digital literacy predicted intention to become a nurse after adjusting for covariates. The use of cross-sectional survey designs and regression modeling aligns with common approaches in nursing education research examining digital literacy-related competencies and career intention outcomes. Results Participants were predominantly female (84.4%) with mean age 19.4 ± 1.6 years. Mean digital literacy score was 45.54 ± 5.54 (range 23–55), and mean intention to become a nurse was 16.37 ± 2.73 (range 6–20). Digital literacy significantly predicted intention to become a nurse (B = 0.187, SE = 0.026, t = 7.08, p < 0.001), controlling for age, sex, PKK, and cohort. The model was significant (F (8, 273) = 10.97, p < 0.001) with R² = 0.243 (adjusted R² = 0.221). Cohort was significant for Batch 2022 (p = 0.018), Batch 2023 (p = 0.050), and Batch 2025 (p = 0.042). Conclusion Higher digital literacy is associated with stronger intention to become a nurse among Indonesian nursing students, independent of demographic factors and educational cohort. These findings support curricular strategies that assess and strengthen nursing students’ digital literacy as part of developing digitally fluent, work-ready graduates, consistent with broader calls to embed digital capability development within nursing education.
Comparison of the Effectiveness of Sbar and I-PASS Communication Methods in Nurse Handover: Literature Review Khotijah Khotijah; Wastu Adi Mulyono
Indonesian Journal of Global Health Research Vol 7 No 5 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i5.6437

Abstract

Communication is a critical component in providing safe and high-quality nursing care. Various adverse events that occur in hospitals are mostly caused by communication errors between health workers. This literature review aims to analyze a systematic comparison of the effectiveness of the SBAR and I-PASS communication methods. Literature search methodology includes major electronic databases such as PubMed, Google Scholar with a publication time range of 2013-2023. A total of 1,008 articles were obtained from the initial search, after the screening process using the PRISMA flow diagram, 10 journals were obtained that met the criteria. Research results: Both SBAR and I-PASS methods were proven to be effective in increasing patient safety, with I-PASS showing slightly superior performance in reducing the risk of medical errors. Although both methods have a structural framework for information transfer, I-PASS shows better consistency and depth of information than SBAR. I-PASS shows superiority in handover process efficiency, with a more significant time reduction and increased communication completeness compared to SBAR. Conclusion: The I-PASS communication method is more recommended than SBAR in nursing handover practice because it has higher effectiveness in reducing the risk of medical errors and improving the quality of information transfer.
Digital Electronic Early Warning Scores for Early Detection of Patient Deterioration and Nursing Response: A Systematic Literature Review Nawawi Nawawi; Wastu Adi Mulyono
Indonesian Journal of Global Health Research Vol. 8 No. 3 (2026): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v8i3.1403

Abstract

Early recognition of patient deterioration and prompt clinical intervention are essential components of quality healthcare and patient safety. Digital-based Electronic Early Warning Score (E-EWS) systems have been developed to facilitate the early identification of clinical deterioration; however, evidence regarding their effectiveness remains inconclusive. This systematic review aimed to examine the role of digital E-EWS systems in enhancing the early detection of patient deterioration and improving nursing responses across various clinical settings. A systematic review was conducted in accordance with the PRISMA 2020 guidelines. Relevant studies published between 2015 and 2025 were retrieved from PubMed, PMC, Scopus, Google Scholar, Springer, and MDPI databases. The search strategy employed the following keywords: (“Electronic Early Warning Score” OR “digital early warning system”) AND (“patient deterioration” OR “early detection”) AND (“nursing response” OR “rapid response” OR “escalation”) AND (inpatient OR hospital OR ward). A total of 133 articles were initially identified, and after screening based on PICOS criteria, nine studies met the eligibility criteria and were included in the final analysis. The selected studies evaluated the impact of E-EWS implementation on early detection of patient deterioration, clinical processes, nursing responses, and patient outcomes. The findings demonstrated that digital E-EWS systems improved the accuracy and completeness of vital sign documentation, enabled earlier identification of high-risk patients, and strengthened clinical escalation through automated alerts and standardized response recommendations. Improvements in nursing practice were also observed, including increased monitoring frequency, enhanced interprofessional communication, and more timely activation of Rapid Response Teams (RRT). Nevertheless, evidence regarding major clinical outcomes, such as mortality, cardiac arrest, and unplanned intensive care unit (ICU) admissions, remained inconsistent across studies. Variability in study design, differences in E-EWS platforms, and limited reporting of nursing interventions posed challenges to establishing definitive conclusions. Overall, digital E-EWS systems demonstrate considerable potential to improve patient safety and support the quality of nursing care in contemporary healthcare settings.
Learning Climate as a Predictor of Nurse Clinical Competence: A Cross-Sectional Regression Analysis Muhammad Gilang Maulana; Wastu Adi Mulyono; Made Sumarwati
Journal of Bionursing Vol 8 No 1 (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.2026.8.1.19496

Abstract

Background: Clinical competence is essential for safe, high-quality nursing care. Workplace learning conditions (learning climate) may be a key organizational lever to strengthen competence among practicing nurses. Aim: To examine whether learning climate predicts nurses’ clinical competence in an Indonesian tertiary referral hospital. Methods: This associative cross-sectional study was conducted at Prof. Dr. Margono Soekarjo Hospital, Central Java, Indonesia (August–December 2025). A total of 125 registered nurses from IRNA 1 and the Emergency Department participated via total sampling. Learning climate was measured using the Clinical Learning Environment and Supervision (CLES) scale, while clinical competence was assessed using a 28-item questionnaire based on Indonesia’s Regulation No. 40/2017. Linear regression tested the predictive effect of learning climate on clinical competence (p < .05). Results: Participants’ mean age was 36.90 years (SD = 8.24) with mean work experience of 12.24 years (SD = 8.75). Mean learning climate and clinical competence scores were 113.52 (SD = 12.53) and 121.02 (SD = 10.05), respectively. Learning climate significantly predicted clinical competence (B = 0.615, p < .001), explaining substantial variance (R² = 596). Age and work experience were not significant predictors. Conclusion: A more supportive learning climate is associated with higher nurse clinical competence. Strengthening supervision, feedback, and learning opportunities may accelerate competence development and improve care quality.
Model-Model Asuhan Spiritual untuk Praktik Mandiri Keperawatan: Sebuah Practice-Oriented Conceptual Article Wastu Adi Mulyono
Journal of Bionursing Vol 8 No 1 (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.2026.8.1.19556

Abstract

Praktik mandiri keperawatan perorangan memerlukan kerangka konseptual yang jelas, aplikatif, dan mampu menegaskan identitas profesional perawat. Artikel konseptual berorientasi praktik ini bertujuan untuk menyintesis dan memetakan berbagai model asuhan spiritual yang relevan sebagai pedoman praktik mandiri keperawatan. Melalui telaah kritis terhadap literatur keperawatan, spiritual care, dan praktik keperawatan lanjut, artikel ini mengidentifikasi karakteristik utama model-model asuhan spiritual serta menjelaskan implikasinya dalam asesmen, relasi terapeutik, pengambilan keputusan klinis, dan refleksi profesional perawat praktik mandiri. Artikel ini menegaskan bahwa model-model asuhan spiritual tidak hanya berfungsi sebagai pendekatan pendukung, tetapi sebagai kerangka praktik yang memperkuat kualitas, legitimasi, dan keberlanjutan praktik mandiri keperawatan.
Co-Authors Akhyarul Anam Annas Sumeru Arif Setyo Upoyo Hasby Pri Choiruna Khotijah Khotijah Made Sumarwati Muhammad Gilang Maulana Nawawi Nawawi Rosalia Ratri Wulandari Yunita Sari Zahra Athina Deapriandita