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Electronic Health Record Acceptance Among Healthcare Workers: A TAM/UTAUT-Based Scoping Review Risky Kusumawardhani; Muhamad Zulfatul A'la; Iis Rahmawati
Babali Nursing Research Vol. 7 No. 3 (2026): July
Publisher : Babali Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37363/bnr.2026.73575

Abstract

Background: EHR acceptance among healthcare workers is a critical determinant of successful digital health transformation. Systematic mapping of EHR acceptance determinants, particularly the roles of digital literacy and nurse characteristics within TAM/UTAUT frameworks over the past five years, remains limited. Methods: A scoping review design was chosen to map heterogeneous TAM/UTAUT evidence rather than to pool effect sizes. Following JBI methodological guidance and reported per PRISMA-ScR, a systematic search across three databases (PubMed, Scopus, SpringerLink) identified 1,682 articles; after database-specific filters, 172 articles were identified for screening. Following deduplication (n=10), title/abstract screening (n=109 excluded), and full-text eligibility assessment (n=38 excluded), 15 articles were included in the final synthesis with JBI critical appraisal. Results: Synthesis yielded three key findings: (1) perceived usefulness (PU) and perceived ease of use (PEOU) were identified as consistent cross-contextual predictors across all 15 studies (100%); (2) digital literacy demonstrated the largest effect sizes in this literature (ISL is associated with PEOU, β=0.782); and (3) individual characteristics and organizational factors functioned as contextual moderators. Only 4 of 15 studies (26.7%) exclusively targeted nurses. Conclusion: Despite nurses being the largest EHR user group, only 26.7% of studies focused exclusively on nurses, underscoring the need for TAM-SEM research integrating digital literacy and nurse characteristics in the Indonesian context.
Application of Combined Ankle Pump Exercise and 30° Leg Elevation in Nursing Care to Reduce Leg Edema in a Patient with Chronic Kidney Disease : Case Report Cahyani, Puja Sheylla Riskita; A'la, Muhamad Zulfatul; Nistiandani, Ana; Handoko, Yudho Tri
Jurnal Ilmiah Ners Indonesia Vol 7 No 1 (2026): May 2026
Publisher : Program Studi Keperawatan Fakultas Kedokteran dan Ilmu Kesehatan Universitas Jambi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22437/jini.v7i1.53137

Abstract

Chronic kidney disease (CKD) is a global health problem with multifactorial etiologies that may clinically manifest as leg edema, affecting patient comfort and mobility. Although pharmacological and non-pharmacological therapies can be administered simultaneously, evidence regarding the application of combined ankle pump exercise and 30° leg elevation in nursing care for edema reduction in CKD patients remains limited. To analyze nursing care through the application of combined ankle pump exercise and 30° leg elevation therapy to reduce leg edema in a patient with CKD. This study employed a case report design involving a CKD patient with bilateral leg edema. Nursing interventions consisted of a combination of ankle pump exercise and 30° leg elevation administered twice daily for 8 minutes per session, accompanied by furosemide therapy. Edema was assessed through daily observation of edema grading. A reduction in edema level was observed, with the left leg showing improvement on the third day and the right leg on the fourth day, decreasing from grade II to grade I edema. The application of combined ankle pump exercise and 30° leg elevation, accompanied by furosemide administration, demonstrated a reduction in the degree of leg edema in a patient with CKD. However, further studies using larger samples and controlled study designs are needed to confirm the effectiveness and generalizability of this intervention in clinical nursing practice. Chronic kidney disease (CKD) is a global health problem with multifactorial etiologies that may clinically manifest as leg edema, affecting patient comfort and mobility. Although pharmacological and non-pharmacological therapies can be administered simultaneously, evidence regarding the application of combined ankle pump exercise and 30° leg elevation in nursing care for edema reduction in CKD patients remains limited. To analyze nursing care through the application of combined ankle pump exercise and 30° leg elevation therapy to reduce leg edema in a patient with CKD. This study employed a case report design involving a CKD patient with bilateral leg edema. Nursing interventions consisted of a combination of ankle pump exercise and 30° leg elevation administered twice daily for 8 minutes per session, accompanied by furosemide therapy. Edema was assessed through daily observation of edema grading. A reduction in edema level was observed, with the left leg showing improvement on the third day and the right leg on the fourth day, decreasing from grade II to grade I edema. The application of combined ankle pump exercise and 30° leg elevation, accompanied by furosemide administration, demonstrated a reduction in the degree of leg edema in a patient with CKD. However, further studies using larger samples and controlled study designs are needed to confirm the effectiveness and generalizability of this intervention in clinical nursing practice.
VALIDITY AND RELIABILITY OF CRITICAL CARE FAMILY NEEDS INVENTORY (CCFNI) IN INDONESIAN VERSION Wantiyah; Muhamad Zulfatul A'la; Baskoro Setioputro; Siswoyo
NurseLine Journal Vol. 3 No. 2 (2018): November 2018
Publisher : Program Studi Ilmu Keperawatan Universitas Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19184/nlj.v3i2.60138

Abstract

Family centered care (FCC) in intensive care as a family-based care approach has been developed for a long time, but this development in Indonesia is still not optimally created. The FCC needs basic data about the needs of the family who are caring for it, so that the need for the family can be identified therefore nursing intervention can be done optimally. One measure that has been developed to assess family needs is Critical Care Family Needs Inventory (CCFNI). The purpose of this study was to analyze the CCFNI questionnaire in Indonesian version. This study tried to test the questionnaire through several steps translation into Indonesian, validity testing in the form of validity content documents (CVI) and construct validity, and reliability testing. Theresults of the CVI test on 45 Indonesian language CCFNI questionnaire statements found that the CVI value was in the range 0.6-0.9obtained 36 valid statement items, while the results of the construct validity test were found to be valid. Reliability test results obtained an alpha value of 0.97 which means it is very reliable. The conclusion is that the Indonesian version of the CCFNI questionnaire which is translated into Kebutuhan Keluarga Pasien di Ruang Perawatan Intensif (K3PI) is valid and reliable
Nurses' Attitude Toward End of Life Care in Emergency Departement and Intensive Care Unit In Rural Hospital A'la, Muhamad Zulfatul; Farikhah, Zumrotul; Hakam, Mulia
IJNP (Indonesian Journal of Nursing Practices) Vol. 4 No. 1 (2020): Indonesian Journal Of Nursing Practices
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/ijnp.41103

Abstract

Background: Death is a psychological and physical event that affects patients caring for, especially in Emergency Departement (ED) and the Intensive Care Unit (ICU). Patients and families need the end of life care from a health professional, including nurses. Nurses need to have knowledge, skill, attitude, and interpersonal competencies to provide end of life care. Objective: This study aimed to explored differences of attitudes towards dying care between ED and ICU ward nurses in a rural hospital.Method: Variable in this study was the nurse's attitude. This study used a quantitative comparative cross-sectional research design. The samples were 24 nurses from the emergency ward and 16 from the intensive care unit who were recruited by total sampling. Data were collected to use Frommelt Attitudes Towards the Care of the Dying Care Form B Indonesian version (FATCOD-BI).Result: The results revealed that nurses' attitudes toward caring for dying patients in the ED were 101.42±6.646 (30-150) on average, and in the intensive care unit was 106.44±7.633 (30-150) on average. Nurses in the ICU had a more positive attitude than the ED (p = 0.034). There are differences between the proportion of respondents based on gender, level of education, length of time working in the emergency ward, and ICU. The result showed gender, level of education, and range of time working could influence nurses' attitudes towards caring for dying patients in the emergency ward and ICU.Conclusion: There is a difference between nurses' attitudes towards EOLC in the ED and ICU room at rural hospitals. Moreover, the ICU nurses have a more positive attitude than ED nurses.
Religious Coping and Mental Health among Patients with Chronic Illness: A Scoping Review in Asian Contexts Undariningsih, Sutriani; A'la, Muhamad Zulfatul; Ardiana, Anisah; Win, Thandar
IJNP (Indonesian Journal of Nursing Practices) Vol. 9 No. 2 (2025): December
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/ijnp.v9i2.25939

Abstract

Introduction: Religious coping is a crucial psychological mechanism for individuals managing chronic health conditions and fostering emotional resilience and adaptation. Nonetheless, this extant research has predominantly focused on Western contexts, thereby creating a lacuna in our comprehension of their significance within non-Western Asian societies. Objective: This scoping review investigated the measurement of religious coping and its impact on mental health outcomes among Asians with chronic illnesses. Method:  A scoping review based on the framework developed by Arksey and O’Malley was conducted. Literature was sourced from Scopus, Google Scholar, and PubMed using Boolean search terms related to religious coping, chronic illness, and mental health. The inclusion criteria were empirical studies on religious coping in Asian populations, published between 2015 and 2025. Thematic analysis was then performed.    Results: Nine studies were included in this review. The studies revealed various considerable scales to measure religious coping. The Religious Coping Scale (RCOPE), Brief-RCOPE, and the Spiritual Coping Questionnaire (SCQ) can be utilized. Positive religious coping (PRC), including prayer, meditation, and community support, was associated with reduced anxiety and depression and improved quality of life. Negative religious coping (NRC) includes perceptions of divine punishment, exacerbated psychological distress, and non-adherence to treatment. Cultural diversity has shaped coping styles: Islamic societies emphasize faith-based acceptance, Hindu traditions emphasize karma-based reasoning, and Buddhist communities emphasize mindfulness. Conclusion: Religious coping in the Asian context could be measured utilizing various valid and reliable scales. Moreover, religious coping significantly influences mental health outcomes among Asian patients with chronic illness. Future research needs to focus on culturally adapting religious coping scales in the Asian chronic illness context.
Co-Authors Agus Meriroja Agus Meriroja Agustiningsih Agustiningsih Akhmad Zainur Ridla Anggun Afrix Rozana Anisah Ardiana Ardiyanto, Makhrufi M.A.S. Arif Eko Cahyono Arini, Puji Artha Artha Baiq Linda Agustina Baskoro Setioputro Batrisyia, Irdina Benjayamas Pilayon Cahyani, Puja Sheylla Riskita Chanicha Chaitonthueng Chyntia, Meideline Chyntia Defi Efendi Dewi, Dwi Puspita Dicky Endrian Kurniawan Dodi Wijaya Emi Wuri Wuryaningsih Esoh, Nahyeni Bassah Evita Rohmaniah Farida Nur Qomariyah FARIKHAH, ZUMROTUL Fauziah, Oktaviani Fauziah Gesit Wira Mustapa Gunarto, Sugito Tri Hamidah Retno Wardani Hana R. Agustina Hana Rizmadewi Agustina Handoko, Yudho Tri Heri Siswanto Ifka Wardaniyah Iwan Setiawan Iyus Yosep Jon Hafan Sutawardana Juthaluck Saentho Juwarti Juwarti Karisa, Putri Karisa Khanitta Nuntaboot, Khanitta Komarudin Komarudin Kurniasari, Reni Hesti Kushariyadi Kushariyadi Kustiarini, Ari Latifa Aini Susumaningrum Lianawati Lianawati Linda Novema Maghfiroh, Rahmawati L. Mar'atus Sholihah Mas’ulyatul Hukmiyah Maulidiyah, Dewi Diniyatul Maysaroh, Salma Miftah Salsabila Mohammad Shodikin Muhamad Hasan Basri Muhamad Hasan Basri Muhamad Hasan Basri Mulia Hakam Murtaqib Murtaqib Musarrofa, Faise Lailatul Niruwan Turnbull Nistiandani, Ana Nurfika Amaningrum Nurfika Asmaningrum Pairin Yodsuban Pairin Yodsuban Rahmawati, Iis Retno Wardani, Hamidah Ridlwan Kamaluddin Risky Kusumawardhani Rismawan Adi Yunanto Rochmawati, Erna Rochmawati Rondhianto Rondhianto Rungreangkulkij, Somporn Ruris Haristiani Salma Dena Sanaah, Sanaah SISWOYO Siswoyo Siswoyo Siswoyo Siswoyo Siswoyo Siswoyo Siti Ulfah Rifa’atul Fitri Sriwardani, Endang SUJARWANTO Sulis Setyowati Susanti, Ika Adelia Tantut Susanto Tita Saskia Asmoro Tri Gunarto, Sugito Tri Handoko, Yudho Ulfi Bini’Matillah Undariningsih, Sutriani Wantiyah Wantiyah Wijaya, Dodi Win, Thandar Wira Mustapa, Gesit Yudho Tri Handoko Yudho Tri Handoko Yudho Tri Handoko Yulia Misni Yunanto, Rismawan Zetti Finali Zumrotul Farikhah