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All Journal Jurnal NERS JURNAL PENDIDIKAN KEPERAWATAN INDONESIA Pediomaternal Nursing Journal
Seman, Nordianna
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Nursing Public Health

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Pressure ulcer prevention among nurses in Malaysia: a cross-sectional survey Seman, Nordianna; Maripen Kuta, Nasreen; Mamat, Nur Liyana Nabihah
Jurnal Ners Vol. 20 No. 3 (2025): VOLUME 20 ISSUE 3 (AUGUST 2025)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v20i3.70792

Abstract

Introduction: Pressure ulcers (PUs) remain a global health issue, contributing to increased morbidity and premature mortality. Nurses play a central role in prevention, underscoring the significant role in addressing this issue through the rapidly evolving healthcare environment.  Clinical competence requires sound knowledge, attitude, and practice that contribute to excellent outcomes, focusing on individual patient needs and the changing conditions of the healthcare setting. Therefore, this study is aimed to evaluate nurses’ knowledge, attitudes, and practices on preventing PUs. Methods: This quantitative cross-sectional survey was conducted across three public hospitals in Malaysia. Using the two-stage cluster sampling strategy, registered nurses were recruited (n=210). Data were collected using a self-administered questionnaire with good reliability scores (α=0.76–0.82). Descriptive and inferential analyses were computed to address the objectives. Results: Findings revealed low knowledge score (M=67.07, SD=7.78), neutral attitudes (M=73.28, SD=10.37), and excellent practices for pressure ulcer prevention (M=86.78, SD=15.05). Nurses’ attitudes were positively correlated with their practices (p<0.05), though no significant associations were observed between demographic factors and knowledge, attitude, and practice (p>0.05). Conclusions: The findings provide valuable information about nurses' understanding of pressure ulcer prevention that may assist with future strategies and interventions to enhance the knowledge and attitudes among practicing nurses. The identified gaps may be filled with targeted interventions, and future studies looking at variables affecting nurses' attitudes and practices, and the effectiveness of educational interventions can be beneficial.
Psychosocial, demographic, and clinical predictors of postpartum depression among mothers: a cross-sectional study Sukesi, Niken; Saputri, Oktavia Ramadhani; Iswanti, Dwi Indah; Seman, Nordianna; Retnaningsih, Dwi; Nugraha, Rozaq I
Pediomaternal Nursing Journal Vol. 12 No. 1 (2026): VOLUME 12 NO 1 MARCH 2026
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/pmnj.v12i1.77160

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Introduction: Postpartum depression (PPD) is a major public health issue with lasting effects on maternal well-being and child development. However, limited empirical evidence exists on the psychosocial, demographic, and clinical determinants of PPD among urban populations in Southeast Asia. This study aimed to identify psychosocial, demographic, and clinical predictors of postpartum depression among mothers residing in Semarang, Indonesia.Methods: A cross-sectional study was conducted among 168 postpartum women aged ≥17 years who had delivered a live infant and provided informed consent. Data were collected using validated tools, including the Edinburgh Postnatal Depression Scale (EPDS) to assess depressive symptoms. Independent variables included maternal age, education, employment, parity, mode and place of delivery, medical history, obstetric complications, socioeconomic status, anxiety level, and perceived spousal and family support. Chi-square tests and binary logistic regression were used to determine significant predictors.Results: The prevalence of mothers at risk of PPD was 50%. Logistic regression analysis showed that low education (OR = 7.18; 95% CI: 1.05–48.96; P-value = .044), moderate anxiety (OR = 5.52; 95% CI: 1.14–26.74; P-value = .034), limited spousal support (OR = .34; 95% CI: 0.15–0.80; P-value = .013), and lack of family support (OR = 6.15; 95% CI: 1.93–19.62; P-value = .002) were significant predictors of PPD.Conclusion: Psychosocial factors, particularly anxiety and insufficient social support, are key predictors of postpartum depression. Routine psychosocial screening and strengthened family-centered interventions are essential to reduce the risk and long-term impact of PPD.Keywords: depression postpartum; edinburgh postpartum depression scale; risk factors
Spiritual Care Education for Enhancing Clinical Competence, Confidence, and Caring Attitude: Mixmethod Study Puspita Dewi, Inggriane; Wilandika, Angga; Aisyah, Popy Siti; Seman, Nordianna
Jurnal Pendidikan Keperawatan Indonesia Vol 11, No 2 (2025): Volume 11, Nomor 2, Desember 2025
Publisher : Universitas Pendidikan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.17509/jpki.v11i2.82066

Abstract

Introduction. Spiritual care is a vital component of nursing that meets patients' spiritual needs, particularly in palliative care. However, spiritual care education should be included in nursing curricula, especially in culturally diverse settings like Indonesia.Objective. This study aimed to evaluate the effectiveness of spiritual care education on nursing students' clinical competence, self-confidence, and caring attitudes during a four-week clinical rotation in a palliative care unit in Indonesia.Methods. A sequential explanatory design was used, combining quantitative and qualitative approaches. The quantitative phase involved 127 nursing students in a quasi-experimental design to assess changes in competencies. Data collection included questionnaires measuring self-efficacy, caring attitudes, clinical competency, and clinical judgment. The qualitative phase involved focus group discussions with ten purposively selected students to explore experiences and challenges in providing spiritual care. Quantitative data were analyzed using the Wilcoxon test, while qualitative data were analyzed through thematic analysis.Results. Quantitative findings significantly improved students' self-efficacy, caring attitudes, and clinical competence. Qualitative results revealed barriers to spiritual care, including communication difficulties, fear of errors, and cultural sensitivity.Conclusion. Integrating spiritual care into nursing education enhances nursing students' competence and caring attitudes. Addressing cultural and communication barriers is crucial for improving holistic patient care in diverse contexts
Co-Authors Aisyah, Popy Siti Dwi Indah Iswanti Dwi Retnaningsih, Dwi Mamat, Nur Liyana Nabihah Maripen Kuta, Nasreen Niken Sukesi Nugraha, Rozaq I Puspita Dewi, Inggriane Saputri, Oktavia Ramadhani Wilandika, Angga