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All Journal Jurnal Keperawatan Indonesia Jurnal Keperawatan Jiwa (JKJ): Persatuan Perawat Nasional Indonesia JKG (Jurnal Keperawatan Global) Jurnal Keperawatan Silampari Jurnal Keperawatan Muhammadiyah Nursing Current : Jurnal Keperawatan Jurnal Keperawatan Abdurrab Jurnal Kepemimpinan dan Manajemen Keperawatan Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) International Journal of Nursing and Health Services (IJNHS) Jurnal Keperawatan Respati Yogyakarta Poltekita : Jurnal Ilmu Kesehatan Health Information : Jurnal Penelitian Jurnal Bahana Kesehatan Masyarakat (Bahana of Journal Public Health) Jurnal Kesehatan Panrita Husada Jurnal Ners Jurnal Persatuan Perawat Nasional Indonesia (JPPNI) Journal of Telenursing (JOTING) Indonesian Journal of Global Health research Budapest International Research and Critics Institute-Journal (BIRCI-Journal): Humanities and Social Sciences Caring : Indonesian Journal of Nursing Science Jurnal Kesehatan Tambusai JOSING: Journal of Nursing and Health DUNIA KEPERAWATAN: JURNAL KEPERAWATAN DAN KESEHATAN Holistik Jurnal Kesehatan Jurnal Abdimas Indonesia Indonesian Journal of Global Health Research
Tuti Afriani
Dasar Keperawatan Keperawatan Dasar, Fakultas Ilmu Keperawatan, Universitas Indonesia
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Development of A New Nurse Orientation Program in the Intensive Care Unit Masitho Masitho; Rr Tutik Sri Haryati; Hanny Handiyani; Krisna Yetti; La Ode Abdul Rahman; Tuti Afriani
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.v8i1.593

Abstract

The transition of newly graduated nurses into high-intensity environments such as Intensive Care Units (ICU) presents significant challenges, often resulting in psychological stress and a gap between theoretical knowledge and clinical practice. To bridge this gap, a structured and systematic orientation approach is essential. One proven method is preceptorship, in which senior nurses act as clinical mentors to support new nurses in their professional adaptation. This approach facilitates the development of professional identity, enhancement of clinical competence, and gradual internalization of a patient safety culture. Objective: To evaluate and strengthen the roles of head nurses and primary nurses in mentoring newly graduated nurses to optimize ICU orientation and enhance patient safety.  A pilot project method was applied, beginning with problem identification, problem analysis, priority setting, development of a Plan of Action, implementation, and evaluation. The implementation of a preceptorship-based orientation program, supported by clear guidelines and checklists, improved the effectiveness of clinical mentoring by Primary Nurses in the ICU. Through a systematic change approach, the program successfully strengthened the role of preceptors, accelerated the adaptation of new nurses, and fostered a sustainable clinical learning culture. The preceptorship-based orientation program effectively facilitated the transition of newly graduated nurses into the ICU setting by enhancing clinical competence, confidence, and professional adaptation. Strengthening the role of preceptors and implementing structured guidelines fostered a supportive learning environment, reduced the theory–practice gap, and promoted a sustainable culture of patient safety and continuous professional development.
Daily Competency Notes as a Strategy to Observe the Development of Clinical Competence of NICU Nurses at Hospital X Ratna Meilina; Tuti Afriani; La Ode Abdul Rahman; Rr Tutik Sri Hariyati; Melissa Selviany; Herawani Herawani
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.v8i1.644

Abstract

The daily competency log represents an innovative strategy to enhance nurses’ clinical competency development, particularly in the high-complexity environment of the Neonatal Intensive Care Unit (NICU). This initiative aims to implement and evaluate the daily competency log as a structured tool for monitoring, reflection, and strengthening nursing professionalism at X Hospital. A quality improvement case report approach was applied, encompassing observation, interviews, questionnaires, implementation, and evaluation phases. This study involved 29 NICU nurses selected through total sampling to evaluate the implementation of a Daily Nursing Competency Log. The instrument showed good validity (r > 0.514) and high reliability (Cronbach’s Alpha = 0.87), supporting its effectiveness in improving documentation, reflection, and professional accountability among nurses. Prior to its introduction, no structured competency documentation system existed, not all NICU nurses were certified, and nurse placement was not fully aligned with competency levels. Through pilot testing, socialization, and ongoing mentorship, the daily competency log was successfully introduced and gradually adopted. Digital evaluation indicated that nurses perceived the tool as beneficial for recording daily nursing practices, despite technical limitations such as suboptimal formatting and inefficient competency search features. Conducted collaboratively with the Assistant Manager of Nursing Care, the initiative also established a follow-up plan to refine the system and its content. In conclusion, the daily competency log contributes positively to the advancement of NICU nurses’ clinical competencies and holds significant potential for sustainable integration into the hospital’s nursing human resource quality management system.
Effectiveness of Monitoring and Evaluation in Enhancing the Quality of Nursing Care Documentation in Inpatient Baskoro Abdiansyah; Rr Tutik Sri Hariyati; Andi Amalia Wildani; Tuti Afriani; Sudaryati Sudaryati
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.v8i1.652

Abstract

Effective nursing care documentation is a fundamental component of improving service quality, ensuring patient safety, and supporting professional accountability. This study aimed to evaluate the effectiveness of monitoring and evaluation in enhancing the quality of nursing documentation in an inpatient ward of a hospital in South Jakarta. This pilot study employed a management function framework, with activities conducted through planning, organizing, implementing, and controlling phases. Monitoring and evaluation interventions using digital tools were carried out by head nurses and primary nurses for 10 staff nurses. This study used a total sampling technique involving 10 nurses, with data analyzed through descriptive quantitative and qualitative methods to compare pre- and post-feedback documentation quality and identify factors influencing monitoring and evaluation effectiveness. The results showed an increase of 40.7% in the average documentation score after monitoring-evaluation feedback was provided. Significant improvements were found in the areas of nursing diagnoses and interventions. Structured monitoring and direct feedback were effective in improving documentation consistency and accuracy. Monitoring and evaluation should be institutionalized as a routine program supported by standard operating procedures, continuous training, and supervision to ensure the sustainability of high-quality nursing documentation.
Development of Advance Care Planning-Based Discharge Planning to Enhance the Continuity of Palliative Care Viesca Septianata; Tuti Afriani; Hening Pujasari; Andi Amalia Wildani; Hana Mutiasari
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.v8i1.662

Abstract

The demand for palliative care in Indonesia continues to rise as more patients live with chronic and life-limiting conditions. Yet, discharge planning—which should serve as a bridge between hospital care and home care remains limited, particularly when it is not integrated with Advance Care Planning (ACP). This study aimed to design an ACP-based discharge planning model that supports smoother transitions and strengthens continuity of care for palliative patients after hospital discharge.  A descriptive design with a developmental action research approach was carried out at the Hospital. Thirty nurses participated through surveys, complemented by in-depth interviews with the head nurse, nursing committee, and nursing division, as well as direct observation of clinical practice. This study used a purposive sampling technique, with data collected through observations, in-depth interviews, and structured surveys, and analyzed using thematic analysis for qualitative data and descriptive analysis for quantitative data to explore nurses’ knowledge, attitudes, and readiness in implementing ACP-based discharge planning. Data were analyzed descriptively and further explored using SWOT analysis and a fishbone diagram to map strengths, weaknesses, opportunities, threats, and root causes. Findings showed that most nurses understood the concept of ACP (80%) and expressed readiness to be involved, although the majority (73.3%) had never received formal training. Key barriers included limited empathic communication skills, the absence of standard operating procedures (SOPs), and the lack of standardized ACP forms. As an initial step, the study produced draft SOPs, technical guidelines, and ACP forms, which were considered useful but still require refinement and pilot testing. Overall, ACP-based discharge planning has strong potential to improve continuity of care and enhance the quality of life for palliative patients at home. Its success, however, will depend heavily on sustained managerial support, continuous training for nurses, and the active involvement of patients and their families in the care process.
Analysis of Medical Equipment Control Through Handover Tools in the Inpatient Ward of Hospital Tatik Wahyuni; Tuti Afriani; Kuntarti Kuntarti; Rr Tutik Sri Hariyati; Eka Pujiyanti
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.v8i3.1164

Abstract

Medical equipment control is a crucial aspect in supporting the continuity and effectiveness of nursing services in inpatient wards. This study aimed to evaluate internal and external factors influencing the effectiveness of medical equipment control and to formulate the need for developing a structured, documentation-based handover tool. This preliminary study was conducted in hospital inpatient wards involving Nurse Unit Managers (NUMs) and staff nurses. Data were collected through in-depth interviews, field observations, and questionnaires. Medical equipment control processes were examined using the POSAC management framework. Questionnaire data were analyzed descriptively, while overall data were analyzed using POSAC and SWOT analyses, followed by IFE and EFE matrices to formulate improvement strategies. Data validity was ensured through source and method triangulation. The findings indicated that medical equipment control had not been optimally implemented due to the absence of standard operating procedures, inconsistent documentation, unequal distribution of equipment, and the lack of routine evaluation. Analysis of external factors revealed significant opportunities, including government regulations, accreditation requirements, technological advances, and increasing public expectations for fast and accurate services. A standardized, user-friendly, and integrated medical equipment handover system is required to improve efficiency, accuracy, and the overall quality of nursing services.
The Importance of Organizational Support in Preventing Obesity Among Nurses in Hospitals Rio Verdiansyah; Hanny Handiyani; Tuti Afriani; Novieastari Novieastari; Andi Amalia Wildani; Joan Xaveria Mahulae
Indonesian Journal of Global Health Research Vol. 8 No. 4 (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.v8i4.1804

Abstract

Obesity in nurses is a growing occupational health problem and has implications for the quality of service and patient safety. Organizational support is seen as an important resource within the nursing management framework that can shape a health-promoting work environment and lower the risk of obesity. To analyze the relationship between organizational support and the incidence of obesity in nurses in hospitals. A quantitative study with a cross-sectional design was conducted on 227 nurses in a teaching hospital by 2025 nurses were selected as the sample using a purposive sampling technique. Obesity status is determined based on Body Mass Index (BMI). Organizational support was measured using a structured questionnaire that has been tested for validity and reliability. The analysis was carried out in univariate, bivariate, and multivariate logistic regression with a significance level of p < 0.005. The prevalence of obesity in nurses was 57.3%. Bivariate analysis showed that organizational support was significantly related to obesity incidence (p < 0.005). In a multivariate analysis, nurses with low organizational support were 5.582 times more likely to be obese than nurses with good organizational support (OR = 5.582; 95% CI: 2.064–15.094; p = 0.001), after controlling for confounding variables. Organizational support is a strong independent determinant of obesity in nurses.
Napping Affects Night-Shift Nurses' Occupational Safety Anika Kartika; Krisna Yetti; Tuti Afriani; Hanny Handiyani; Dyah Fitri Wulandari
Indonesian Journal of Global Health Research Vol. 8 No. 2 (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.v8i2.1812

Abstract

Napping is an evidence-based method used to reduce fatigue and increase alertness during night shift work. Objective: This study aims to identify the relationship between napping in night shift nurses and the work safety of nurses in hospitals. Method of This research uses a quantitative research design using a cross sectional method. Data was collected from 213 nurses using the Napping Nurse Questionnaire and the Occupational Safety questionnaire. Data collection was carried out from June to December 2024. Data analysis included univariate analysis in the form of a frequency distribution table, bivariate analysis using the chi-square test, and multivariate analysis using the multiple logistic regression test (p>0.05). Results There is a significant relationship between the implementation of night shift nurse napping and work safety at Khidmat Sehat Afiat Regional Hospital, Depok City and Graha Permata Ibu Hospital (p=0.001). Nurses with good napping will have the opportunity to have good work safety. The implementation of napping is the factor that most influences nurses' work safety.
Physical Activity Level as A risk Factor for Low Back Pain Among Young Adults in Depok City Rhomlah Rhomlah; Kuntarti Kuntarti; Hening Pujasari; Tuti Afriani
Jurnal Persatuan Perawat Nasional Indonesia (JPPNI) Vol 11, No 2 (2026)
Publisher : Persatuan Perawat Nasional Indonesia (JPPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32419/jppni.v11i2.719

Abstract

ObjectiveTo analyze the relationship between physical activity levels and low back pain (LBP) complaints among young adults in Beji District, Depok City, Indonesia.MethodsA quantitative cross-sectional study was conducted involving 287 respondents aged 18–29 years.  The villages were randomly selected, while respondents were recruited using a convenience sampling technique. Physical activity levelswere assessed using the Baecke Questionnaire, which evaluates work, sports, and leisure-time activities. LBP complaints were measured using the Nordic Body Map Questionnaire. Data were analyzed using the Chi-square.ResultsMost respondents demonstrated a moderate level of physical activity, mild pain was the most commonly reported complaint in the middle back/waist, lower back, and buttock regions, while severe pain was reported by only a small number of respondents.  Physical activity level was not significantly associated with the severity of middle back/waist pain (OR = 2.106; p = 0.551). However, significant associations were found between physical activity level and lower back pain severity (OR = 21.572; p < 0.001) and buttock pain severity (OR = 42.058; p < 0.001).ConclusionPhysical activity level was significantly associated with lower-back and buttock pain severity but not with middle back/waist pain severity. Moderate physical activity is associated with a reduced risk of lower back and buttock pain among young adults. Promoting regular physical activity and ergonomic practices may support musculoskeletal health and reduce the risk of LBP.Keywords:Low back pain, physical activity, young adults
Optimizing Patient Distribution Through the Adaptation of the RAFAELA System by Strengthening the Role of Nurse Unit Managers to Achieve Equitable Nursing Workload Distribution Mikha Arisia Helen; Tuti Afriani; Hening Pujasari
Indonesian Journal of Global Health Research Vol. 8 No. 5 (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.v8i5.2434

Abstract

Increasing patient complexity and Bed Occupancy Rate (BOR) have contributed to higher nursing workload at X hospital. These conditions potentially lead to imbalanced workload distribution, nurse fatigue, and decreased quality of care and patient safety. This study aimed to optimize competency-based nurse staffing through the role of Nurse Unit Managers (NUMs) in managing nursing workload at X hospital. This study used a project improvement approach conducted during nursing management residency activities in inpatient units on the 5th, 10th, 11th, 12th, and 13th floors of X hospital from April to May 2026. Data were collected through observations, semi-structured interviews, and document reviews. Problem analysis was conducted using the POSAC approach and fishbone analysis. The intervention was implemented through competency-based staffing using the RAFAELA System as a nursing intensity measurement tool. Most patients had partial to total dependency levels with high clinical complexity. The nurse-to-patient ratio increased to 1:9–11 during full BOR conditions. Patient assignment was previously based on room location rather than patient complexity and nurses’ competency levels, resulting in workload imbalance. The implementation of competency-based staffing assisted NUMs in distributing patients more objectively according to patient complexity and nurses’ competencies. Competency-based nurse staffing optimization through strengthening the role of NUMs and utilization of the RAFAELA System has the potential to improve nursing service effectiveness, support patient safety, and create more proportional workload distribution.
Co-Authors Aat Yatnikasari Aat Yatnikasari Aat Yutnikasari Achmad Fathi ade herawati Ade Irma Dahlia Ade Suhendri Agustina, Frima Ulfa Ali Ahmad Keliobas ANDI AMALIA WILDANI Andi Amalia Wildani Andi Nur Indah Sari Anika Kartika Annisa Rahmi Galleryzki Arhamsyah Arhamsyah Azizah, Yuni Baskoro Abdiansyah Cori Tri Suryani Cori Tri Suryani Dadan Bardah Dadan Bardah Dahlia, Ade Irma Damayanti, Mira Dara Ayu Wardhani Dewi Gayatri Dian Eka Resty Dina Warashati Dudi Mashudi Dudi Mashudi Dwi Suratmini Dwi Tyastuti Dyah Fitri Wulandari Dyah Fitri Wulandari Dyah Fitri Wulandari Dyah Fitri Wulandari Dyah Fitri Wulandari Dyah Fitri Wulandari Eka Budiarto Eka Pujiyanti Elisabet Herlyani Bota Koten Endah Ratna Samapty Winarsih Enie Novieastari Erwin Erwin Erwin Eva Metalita Fahmi, Ismail Fani Hestiana Sari Frima Ulfa Agustina Frima Ulfa Agustina Frima Ulfa Agustina Hana Mutiasari Hanny Handiyani Harpendewisasmita, Harpendewisasmita Harwina, Harwina Hening Pujasari Herawani Herawani Herawani, Herawani I Wayan Gede Saraswasta Ichsan Rizany Istiqomah Istiqomah Joan Xaveria Mahulae Kartika, Anika Khairul Nasri Khairul Nasri Krisna Yetti Krisna Yetti Krisna Yetti Krisna Yetti Kuntarti La Ode Abd Rahman La Ode Abdul Rahman La Ode Rahman Laras Adythia Pratiwi Lilis Rayatin Lusia Dian Wahyu Winarti Lusianus Demon Kehi Mahmul Rivai Siregar Manumba, Ruliyani Marbun, Yusniaty Maria Indah Septirini Masfuri Masfuri Mashudi, Dudi Masitho Masitho Melissa Selviany Mery Anglelia Sirait Metalita, Eva Mikha Arisia Helen Mira Damayanti Mu'minah Mu'minah Muhammad Hadi Muthi&#039;ah Najihah Nanang Miftakhul Wakhdi Nasri, Khairul Novieastari Novieastari Nurdiana Nurdiana Nurdiana Nurdiana Nurdiana Nurdiana Oktaviarini, Eva Perdana, Riska Rusfita Pina Pudiyanti Pinandhika Pinandhika Putri Nilasari Rachmi, Shanti Farida Ratna Meilina Reidha Fitri Nurbaeti Resty, Dian Eka Rezky Mulyana Rhomlah Rhomlah Rio Verdiansyah Rita Herawati Rizka Fadhila Rizky Indriasari Rosari Tarigan Rr Tutik Sri Hariyati Rr Tutik Sri Haryati Rr. Tutik Hariyati Sarvita Sarvita Dewi Sarvita Dewi Sarvita Dewi Setyowati Setyowati Setyowati Setyowati Silitonga, Ester Mutiara Indah Siti Indriani Situmeang, Widiya Yulian Suci Sari Pratiwi Sudaryati Sudaryati Sudaryati Sudaryati Sudaryati Sudaryati Sudaryati Sudaryati Sudaryati Sudaryati Suhariyanto Suhariyanto Suminarti, Tini Sunarti, Arni Suryati Suryati Tanlain, Susana Helen Tatik Wahyuni Tenti Ariyanti Tini Suminarti Tomy Suganda Vergeina Ayu Viesca Septianata Wahyu Kusumadi Retnoningtyas Wahyuni, Tyas Wildani, Andi Amalia Wirdani, Andi Wilda Wiwik Sulistyaningsih Sulistyaningsih Wulandari, Dyah Fitri Yuliana Yuliana Yuni Azizah Yuniar Mansye Soeli Yunita Yunita