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Health Belief Model–Based TRIAD-KRR Education and Risky Sexual Behaviors among Adolescents: A Literature Review Shinta Ainur Rohmah; Sri Wahyuni; Nopi Nur Khasanah; Herry Susanto
Jurnal Ners Vol. 10 No. 3 (2026): JULI 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i3.60711

Abstract

Background: Adolescents are a vulnerable group for reproductive health problems, including risky sexual behaviors, sexually transmitted infections, and unintended pregnancy. Theory-based health education, such as the Health Belief Model (HBM) and the TRIAD-KRR framework, is considered effective in improving knowledge, strengthening risk perception, and promoting protective behaviors. However, variations in intervention delivery from face-to-face sessions and peer education to digital platforms require a comprehensive evaluation of their effectiveness. Objective: This literature review aimed to evaluate the effectiveness of theory-based reproductive health education (HBM, TRIAD-KRR, and related approaches) in improving knowledge, attitudes, self-efficacy, and the prevention of risky sexual behaviors among adolescents. Methods: A systematic search was conducted in PubMed, ScienceDirect, Google Scholar, DOAJ, and national journal portals (Garuda, university OJS platforms, and Indonesian nursing and health journals) for articles published between 2020 and 2025. The search strategy followed the PICO framework and PRISMA 2020 guidelines using keywords related to adolescents, TRIAD-KRR, Health Belief Model, health education, and risky sexual behavior. Inclusion criteria were original research articles using quasi-experimental or randomized controlled trial designs, adolescent populations, theory-based educational interventions, and outcomes related to knowledge, attitudes, or risk behaviors. Articles were screened through title–abstract review, full-text assessment, and eligibility verification. A total of 13 studies met the criteria and were appraised using the Joanna Briggs Institute (JBI) Critical Appraisal Tools. Results: Theory-based educational interventions delivered through classroom teaching, peer-led activities, case-based learning, and digital media consistently improved adolescents’ knowledge, enhanced attitudes and self-efficacy, and reduced tendencies toward risky sexual behaviors. Conclusion: Theory-based reproductive health education is an effective and feasible strategy for preventing risky sexual behaviors among adolescents. Integrating interactive methods with digital support is recommended to sustain and strengthen program outcomes.
PATIENT CARE MANAGERS AND INTEGRATED PROGRESS NOTES DOCUMENTATION IN RELATION TO INTERPROFESSIONAL JOB SATISFACTION: A SYSTEMATIC MIXED STUDIES REVIEW Nurul Hidayah; Dyah Wiji Puspita Sari; Herry Susanto; Nopi Nur Khasanah
Multidiciplinary Output Research For Actual and International Issue (MORFAI) Vol. 6 No. 5 (2026): Multidiciplinary Output Research For Actual and International Issue
Publisher : RADJA PUBLIKA

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Effective interprofessional collaboration is increasingly recognized as a key determinant of patient safety, continuity of care, and healthcare worker satisfaction. Within this context, patient care managers and integrated progress notes documentation may function as important mechanisms for coordinating care across disciplines and supporting interprofessional job satisfaction. However, empirical evidence synthesizing the relationship between care coordination roles, shared documentation practices, and job satisfaction remains limited. This systematic mixed studies review aimed to synthesize evidence on the relationship between patient care managers, integrated progress notes documentation, and interprofessional job satisfaction across healthcare settings. A systematic mixed studies review was conducted using a convergent integrated approach. Studies were identified from major databases and screened according to predefined inclusion criteria focused on care coordination roles, integrated progress notes, and interprofessional job satisfaction. The final synthesis included six studies spanning primary care, acute care, geriatric practice, home healthcare, and interprofessional collaboration platforms. The review found that interprofessional job satisfaction was shaped by four interrelated domains: organisational context, digital documentation design, role clarity, and adaptation over time. Integrated progress notes and collaborative documentation systems facilitated communication, reduced duplication, and improved workflow efficiency when aligned with team needs and organisational support. Conversely, role ambiguity, hierarchical relationships, fragmented systems, and resistance to change weakened collaboration and reduced professional satisfaction. Across the included studies, patient care managers emerged as important coordinators who can strengthen shared documentation, promote team cohesion, and support person-centred care. These findings suggest that sustainable improvements require role clarity, shared accountability, interoperable documentation tools, and interprofessional training to strengthen teamwork and workforce well-being.
The Effect of Socialization Externalization Conbination Internalization Methods in Improving the Implementation of Early Mobilization in Inpatient Wards Karnadi Karnadi; Suyanto Suyanto; Erna Melastuti; Herry Susanto
Indonesian Journal of Global Health Research Vol 7 No 2 (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.v7i2.5611

Abstract

Early mobilization is a therapeutic approach involving physical activity or patient mobilization that begins early after medical procedures, such as surgery, especially in the context of intensive care unit (ICU) care. The purpose of this study was to prevent complications associated with immobility, such as muscle weakness, decreased physical function, and cardiovascular problems, and to accelerate patient recovery. The research method used a literature review with a search for relevant articles using semantic science. This study is in accordance with the keywords that have been found and refers to the criteria for dysarthria and speech therapy, the overall search results for articles from 3 databases contained 350 articles. After filtering the full text obtained 10 journals from scientific articles published in the last 5 years (2019-2024), which showed that there was an influence of the externalization socialization method combined with internalization in improving the implementation of early mobilization in the inpatient ward. Research with an orthogonal design showed no influence of the externalization socialization method combined with internalization in improving the implementation of early mobilization.
Literature Review: Psychosocial Aspects as Determinants of Cancer Patients' Quality of Life Umi Khudoifah; Herry Susanto; Ahmad Ikhlasul Amal; Suyanto Suyanto
Indonesian Journal of Global Health Research Vol 7 No 4 (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.v7i4.6473

Abstract

Cancer is a chronic disease that not only affects patients physically, but also causes significant psychosocial distress. These psychosocial aspects have been shown to reduce patients' quality of life, yet are often overlooked in clinical practice. In fact, psychosocial-based interventions can strengthen emotional resilience and improve overall therapeutic outcomes. This review aims to evaluate the contribution of psychosocial aspects to cancer patients' quality of life based on recent scientific literature. This study was a systematic literature review by searching articles from two major databases, namely PubMed and Google Scholar, within the period 2020-2025. The search strategy was organized based on the PICO framework using keywords such as “psychosocial factors”, “quality of life”, and “cancer patients”. From a total of 180 articles found, 28 duplicate articles were eliminated, leaving 152 unique articles. The next stage of screening was done by reviewing the titles and abstracts, so 79 irrelevant articles were excluded and 73 articles continued to the next stage. At the eligibility assessment stage, 32 articles were selected after full-text reading and evaluation based on the inclusion criteria, which included discussing the relationship between psychosocial aspects and the quality of life of cancer patients, being available in full-text format, and written in either English or Indonesian. Finally, an in-depth evaluation of the quality and relevance of the articles was conducted, resulting in only 10 articles being deemed eligible for analysis in this literature review. The literature review indicated that psychosocial aspects such as anxiety, depression, coping, social support, and spirituality were shown to determine the quality of life of cancer patients. Psychosocial aspects are important determinants of cancer patients' quality of life.
Literature Review: The Advantages of Bonding Attachment to Prevent Baby Blues in Post Partum Moms Resky Salsasisca Sephianti; Herry Susanto; Sri Wahyuni; Nopi Nur Khasanah
Indonesian Journal of Global Health Research Vol 7 No 4 (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.v7i4.6551

Abstract

The postpartum period is a transitional period that is physically and emotionally challenging for a mother. One of the emotional disorders that often appear during this period is baby blues, which is a feeling of sadness, anxiety, and irritability that usually occurs in the first week after childbirth. This study aims to identify and analyze the benefits of bounding attachment in preventing baby blues in postpartum mothers through a systematic review of scientific literature. This study used a Systematic Literature Review design with reference to the PRISMA guidelines. Article searches were conducted through two main databases, namely PubMed and Google Scholar, with a publication range between 2020 and 2025. The search strategy was organized based on the PICO approach, using keywords such as "bounding attachment", "baby blues", and "postpartum mother". Of the 320 articles found, a selection process based on inclusion and exclusion criteria was carried out to obtain 10 articles that were analyzed in depth. The analysis showed that bounding attachment has significant benefits in reducing the risk of baby blues. Bounding attachment is a simple but effective intervention in preventing emotional disorders in postpartum mothers, especially baby blues.
Effectiveness of Body Positioning in Improving Oxygen Saturation in Pediatric Patients with Bronchopneumonia: A Systematic Review Based on Kolcaba’s Comfort Theory Shalsa Nurmajidah Malik; Nopi Nur Khasanah; Herry Susanto; Sri Wahyuni
Indonesian Journal of Global Health Research Vol. 8 No. 1 (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.v8i1.553

Abstract

Bronchopneumonia is a lower respiratory tract infection that frequently leads to impaired gas exchange and hypoxemia in children. Non-pharmacological interventions, such as body positioning, play a crucial role in nursing management. Kolcaba’s Comfort Theory offers a holistic approach by addressing physical, psychospiritual, environmental, and social dimensions to enhance patient comfort. This systematic review aims to evaluate the effectiveness of various body positions in improving oxygen saturation among pediatric patients with bronchopneumonia through the lens of Kolcaba’s Comfort Theory. This systematic review followed the PRISMA guidelines and utilized PubMed and Google Scholar databases to identify relevant studies published between 2020 and 2024. The search was guided by the PICO framework with keywords including body positioning, semi-Fowler position, oxygen saturation, bronchopneumonia, pediatric patients, and Kolcaba’s Comfort Theory. From 400 initially retrieved articles, 120 duplicates were removed, leaving 280 for screening. Titles and abstracts were reviewed for relevance, and 25 full-text articles were assessed for eligibility based on inclusion criteria. After applying these criteria, 10 studies were included for detailed analysis. Each selected study was then critically appraised using the Joanna Briggs Institute (JBI) Critical Appraisal Tools to assess methodological quality, data validity, and alignment with Kolcaba’s Comfort Theory. Analysis of the 10 included studies demonstrated that body positioning interventions (such as semi-Fowler’s, right lateral, and semi-recumbent positions) were significantly effective in increasing oxygen saturation (SpO₂) in children with bronchopneumonia. Based on Kolcaba’s theory, body positioning not only enhances physical comfort by optimizing ventilation but also reduces anxiety (psychospiritual dimension) and improves environmental comfort. Body positioning is an effective nursing intervention for improving oxygen saturation in pediatric patients with bronchopneumonia. The application of Kolcaba’s Comfort Theory underscores that the effectiveness of this intervention is mediated through the multidimensional enhancement of patient comfort.
The Impact of Nutritional Education Interventions on Maternal Knowledge, Self-Monitoring, and Stunting Prevention among Children Under Five: A Literature Review Lindawati Lindawati; Herry Susanto; Sri Wahyuni; Nopi Nur Khasanah
Indonesian Journal of Global Health Research Vol. 8 No. 1 (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.v8i1.670

Abstract

Stunting remains a major chronic nutritional problem among children under five in developing countries, including Indonesia. Low maternal knowledge and limited ability to monitor child nutrition are key contributing factors. Nutritional education interventions play an essential role in improving nutrition literacy, self-monitoring capacity, and stunting prevention practices among mothers of young children. This literature review aims to analyze the impact of nutritional education interventions on enhancing maternal knowledge and self-monitoring skills, as well as their effectiveness in preventing stunting among children under five, based on quasi-experimental and randomized controlled trial (RCT) studies. The review process followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Articles were retrieved from PubMed, ScienceDirect, Google Scholar, and Garuda (Garba Rujukan Digital) databases using the keywords: nutrition education, maternal knowledge, self-monitoring, stunting prevention, and children under five. The publication range included studies from 2020 to 2025. Out of 312 initially identified articles, duplicates were removed, and eligibility was assessed based on inclusion and exclusion criteria, resulting in 12 studies selected for in-depth analysis. Methodological quality was appraised using the Joanna Briggs Institute (JBI) Critical Appraisal Tools. Inclusion criteria comprised: (1) quasi-experimental or RCT study design; (2) population of mothers with children under five; (3) interventions involving nutrition education, health promotion, or maternal empowerment programs related to child nutrition; (4) open-access full-text availability; and (5) publications in English or Indonesian. Exclusion criteria included review articles, case reports, descriptive studies without intervention, populations other than mothers, studies not assessing outcomes related to knowledge, behavior, or child nutritional status, and articles lacking peer review or full-text access. Analysis of the 12 selected studies revealed that nutritional education interventions consistently improved maternal knowledge, feeding behavior, and self-monitoring practices while reducing the prevalence of stunting. Interventions combining education with maternal empowerment and community-based mentoring demonstrated greater effectiveness compared to education-only approaches. Overall, nutritional education interventions are effective in improving maternal knowledge and self-monitoring skills, contributing to stunting prevention among children under five. Continuous, community-based education integrated into primary health services is recommended to strengthen maternal roles and enhance the effectiveness of stunting prevention programs.  
Health Belief Model–Based Health Education and Maternal Health Behaviors During Pregnancy: A Literature Review: A LITERATURE REVIEW Francisca de Jesus Liberato; Sri Wahyuni; Muh. Abdurrouf; Herry Susanto
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.v8i3.1340

Abstract

Maternal health behaviors are a critical determinant of successful maternal healthcare outcomes; however, adherence to recommended health behaviors during pregnancy remains a significant challenge. Health education based on the Health Belief Model (HBM) has been recognized as an effective approach for modifying health behaviors by addressing individual perceptions and motivational factors. This literature review aimed to synthesize empirical evidence on the effectiveness of Health Belief Model–based health education in improving maternal health behaviors during pregnancy. This study employed a systematic literature review in accordance with the PRISMA 2020 guidelines. Articles were retrieved from PubMed, ScienceDirect, Google Scholar, and national journal databases, covering publications from 2020 to 2025. A comprehensive literature search was conducted using predefined keywords, including Health Belief Model, Health Behaviors During Pregnancy, Health Education, and Pregnant Women. A total of 312 articles were identified, of which 72 duplicates were removed. The remaining 240 articles were screened based on titles and abstracts, resulting in the exclusion of 205 articles. Subsequently, 35 full-text articles were assessed for eligibility. Based on predefined inclusion and exclusion criteria, 10 open-access studies involving pregnant women, applying the Health Belief Model, and reporting maternal health behavior outcomes were included in the qualitative synthesis. Health Belief Model–based health education was found to significantly improve maternal health behaviors, including adherence to antenatal care (ANC) visits, nutritional practices, compliance with iron–folic acid supplementation, physical activity, and disease prevention behaviors. Health education grounded in the Health Belief Model is an effective and relevant approach for enhancing maternal health behaviors during pregnancy and warrants integration into evidence-based maternal healthcare services.
Association Between Maternal Myopia and Myopia in Children Aged 10-12 Years in Karanggondang, Indonesia: A Cross-Sectional Study Nabila Dwi Desi Puspita; Herry Susanto; Indra Tri Astuti; Loan Thi Dang
Viva Medika Vol 18 No 3 (2025)
Publisher : LPPM Universitas Harapan Bangsa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35960/vm.v18i3.2197

Abstract

Myopia is the most common refractive error among school-aged children and a growing public health concern, particularly in developing countries. Although parental myopia is widely recognized as a genetic risk factor, evidence from Indonesia, especially among children aged 10 to 12 years, remains limited and inconsistent. By focusing on maternal myopia as a single and practical familial indicator in school-based settings, this study also considers a null association as a meaningful context-specific finding. This observational analytic study employed a cross-sectional design and was conducted from August to October 2025 in three public elementary schools in Karanggondang, Indonesia. A total of 88 child-mother pairs were recruited using purposive sampling. Visual acuity in both children and mothers was assessed using a Snellen chart without cycloplegic refraction. Refractive status was classified dichotomously as myopia or non-myopia. Data were analyzed using descriptive statistics and Chi-square tests with Yates’ continuity correction, and associations were expressed as odds ratios with 95 percent confidence intervals. The prevalence of myopia was 20.5 percent among children and 59.1 percent among mothers. Childhood myopia was slightly more frequent among children of myopic mothers at 12.5 percent compared with 8.0 percent among those of non-myopic mothers. However, no statistically significant association was found between maternal myopia and childhood myopia, with a p value of 1.000. The estimated odds ratio was 1.12 with a 95 percent confidence interval of 0.385 to 3.209. Maternal myopia was not a significant independent predictor of myopia in children aged 10 to 12 years in this population. This context-specific null finding suggests that maternal myopia alone may have limited explanatory value. Preventive strategies should prioritize modifiable lifestyle factors alongside routine vision screening, and future studies should incorporate cycloplegic refraction and broader familial and environmental measures
Comparative Effectiveness of Animated Video Versus Storytelling Distraction on Procedural Pain in Preschool Children During Intravenous Insertion Yunita Anggrain; Herry Susanto; Indra Tri Astuti; Siriluk Winitchayothin
Viva Medika Vol 19 No 2 (2026)
Publisher : LPPM Universitas Harapan Bangsa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35960/vm.v19i2.2204

Abstract

Intravenous (IV) insertion is a common invasive procedure in preschool children and frequently causes pain and distress because of limited developmental ability to understand and cope with the procedure. Effective non-pharmacological strategies are essential to reduce procedural pain and support atraumatic pediatric care. This study aimed to compare the effectiveness of animated video distraction and storytelling in reducing pain during IV insertion among children aged 3-5 years. A quasi-experimental posttest-only design was conducted in the emergency department of a tertiary hospital. Thirty-two preschool children were recruited using purposive sampling and non-randomly allocated to an animated video group (n = 16) or a storytelling group (n = 16). Pain intensity during IV insertion was assessed using the Face, Legs, Activity, Cry, and Consolability (FLACC) scale. Data were analyzed using descriptive statistics, the Shapiro-Wilk test, and the Mann-Whitney U test. Most children in both groups experienced moderate pain following intervention. The animated video group demonstrated a lower mean FLACC score (3.94) compared to the storytelling group (4.75). Statistical analysis revealed a significant difference in pain levels between the two interventions (Z = -2.015; p = 0.044; effect size r = 0.36), indicating greater effectiveness of animated video distraction. Both distraction methods reduced procedural pain, although animated video distraction was associated with significantly lower pain than storytelling in this single-site emergency department sample. These findings support the integration of audiovisual distraction into pediatric nursing practice to improve comfort and cooperation during IV insertion while future randomized studies are recommended to confirm these results.