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All Journal Jurnal Wiyata : Penelitian Sains dan Kesehatan Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Jurnal Keperawatan Widya Gantari Indonesia Adi Husada Nursing Journal Jurnal Aisyah : Jurnal Ilmu Kesehatan Babali Nursing Research JOURNAL OF COMMUNITY ENGAGEMENT AND EMPOWERMENT Jurnal Keperawatan Klinis dan Komunitas (Clinical and Community Nursing Journal) Indonesian Health Science Journal JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Jurnal Ners dan Kebidanan (Journal of Ners and Midwifery) Jurnal Pengabdian Masyarakat Mentari Jurnal Smart Keperawatan Jurnal Penelitian Keperawatan
Giovanni Iga Firmanda
Institut Ilmu Kesehatan Bhakti Wiyata Kediri
Religion Humanities Computer Science & IT Economics, Econometrics & Finance Education Environmental Science Health Professions Library & Information Science Medicine & Pharmacology Neuroscience Nursing Physics Public Health Social Sciences Veterinary Other

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Head Nurse Leadership and Blame Culture Among Nurses: A Cross-Sectional Study in a Public Hospital Giovanni Iga Firmanda; Rita Dewi Sunarno; Wahyu Nur Pratiwi; Aries Wahyuningsih; Moch Gandung Satriya
Adi Husada Nursing Journal Vol 12 No 1 (2026): Adi Husada Nursing Journal
Publisher : STIKES Adi Husada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37036/ahnj.v12i1.687

Abstract

Head nurse leadership plays an important role in shaping organizational culture and influencing nurses’ perceptions of psychological safety in hospital settings. Ineffective leadership may contribute to fear-based work environments, reduced psychological safety, and the emergence of a blame culture among nurses, which can hinder open communication and learning from clinical errors. This study aimed to examine the relationship between head nurse leadership and blame culture among nurses in a public hospital. A quantitative analytic study with a cross-sectional design was conducted involving 220 nurses recruited from inpatient, intensive care, emergency, and outpatient units of a public hospital. Data were collected using structured questionnaires measuring perceived overall head nurse leadership and blame culture in clinical practice. Data were analyzed using descriptive statistics and Pearson correlation analysis using SPSS version 26. The results showed that overall head nurse leadership was perceived at a moderately high level (3.62 ± 0.54), while blame culture was categorized as moderate (3.41 ± 0.63). Pearson correlation analysis demonstrated a significant moderate negative relationship between head nurse leadership and blame culture (r = -0.528, p = 0.001), indicating that higher perceived leadership was associated with lower levels of blame culture among nurses. These findings highlight the importance of strengthening effective and supportive leadership practices among head nurses to promote a psychologically safe and learning-oriented organizational culture in hospital settings.
Empowerment-Based Stroke Education to Enhance the Quality of Life (Qol) of Post-Stroke Patients in Kediri City Christina Dewi Prasetyowati; Giovanni Iga Firmanda
Journal of Ners and Midwifery Vol 13 No 1 (2026)
Publisher : STIKes Patria Husada Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26699/jnk..v13i1.ART.p074-082

Abstract

Stroke can lead to a varied course of disease, ranging from recovery with disability, death, to surviving with recurrent strokes. Post-stroke patients require special attention to improve self-care behaviors or self-care abilities. Stroke empowerment education is an educational approach given to stroke patients with an empowerment focus that centers on the patient.This study aimed to determine the effect of stroke empowerment education on the self-care of post-stroke patients as an effort to prevent recurrent strokes at RSUD Gambiran Kota Kediri. The research design used was a Quasi-Experiment with a pre-post test design with a control group. Sampling was done using accidental sampling technique, resulting in 98 respondents. Data collection on self-care was conducted using the modified version of The Subjective Self-Care Performance Scale questionnaire. The results of the Wilcoxon Signed Ranks Test showed a p-value of 0.000, meaning p < 0.05, thus rejecting H0. This study concluded that there was an effect of stroke empowerment education on improving self-care among post-stroke patients as an effort to prevent recurrent strokes at RSUD Gambiran Kota Kediri. As a recommendation, the results of this study can be continued as an intervention in hospitals to enhance services for post-stroke patients to improve self-care as an effort to prevent recurrent strokes.
Co-Authors Ahsan Ahsan Aprilita, Niken Ayu Ari Probandari Aries Wahyuningsih Aries Wahyuningsih Aries Wahyuningsih I Wayan Gede Artawan Putra Isnaeni, Ely Lin, Chu-eh Ho Maharani, Clarisa Margaretta, Sheylla Septina Margaretta, Sheylla Sheylla Moch Gandung Satriya Paramita Ratna Gayatri Prasetyowati, Christina Dewi Prasetyowati, Christina Dewi Pratama, Yuan Guruh Pratiwi, Wahyu Nur Retno Lestari Rita Dewi Sunarno Rita Dewi Sunarno SUJATMIKO Sumardiyono Wahyu Nur Pratiwi Wahyu Nur Pratiwi Winanda Rizki Bagus Santosa, Winanda Rizki Bagus Yuan Guruh Pratama