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All Journal Jurnal NERS Jurnal Ilmiah Keperawatan (Scientific Journal of Nursing) Media Keperawatan Indonesia Critical Medical and Surgical Nursing Journal Educatoria : Jurnal Ilmiah Ilmu Pendidikan
Deli, Dwina Oktavia
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Education Environmental Science Health Professions Languange, Linguistic, Communication & Media Medicine & Pharmacology Nursing Public Health Social Sciences Other

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The role of patient portals for cancer patients: a systematic review of benefits, challenges, and opportunities Puspitasari, Halfie Zaqiyah Gusti; Nuzulullail, Agung Subakti; Deli, Dwina Oktavia; Irawan, Dana Prayoga; Yogatama, Bagaskara
Jurnal Ners Vol. 20 No. 4 (2025): VOLUME 20 ISSUE 4 (NOVEMBER 2025)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v20i4.69709

Abstract

Introduction: Cancer patients have a complex journey. Technological developments offer convenience in communicating and accessing health information. Cancer patient portals were developed to coordinate and integrate care by overcoming existing barriers. This study aims to explain the benefits, challenges, and opportunities of using patient portals in oncology services. Methods: The design of this study was a systematic review, with the source articles drawn from PubMed, ScienceDirect, ProQuest, EBSCOhost, and Scopus. Inclusion and exclusion criteria were used to screen articles with the PRISMA 2020 guidelines. A critical appraisal was conducted using the JBI Critical Appraisal Checklist 2020 and the MMAT 2018. Narrative descriptive approaches are used for data synthesis. Results: We screened 3,301 articles using inclusion, exclusion, and duplication criteria, resulting in 10 articles for analysis. Communication and care coordination (n=4) were among the main benefits of using patient portals. Perceived obstacles such as limited resources (n=2), socio-demographic challenges (n=3), and limited information sources (n=2) are still found. On the other hand, the use of patient portals creates opportunities to address information needs and provide assistance (n=1), increase security and privacy (n=1), and improve service efficiency (n=2). Conclusions: Patient portals play an essential role in improving coordination and engagement among cancer patients, despite ongoing challenges related to access and digital literacy. For nursing, these portals strengthen nurses' roles in education, coordination, and the use of evidence-based technology to improve the quality of care.
Analisis Ontologis, Epistemologis, dan Aksiologis dalam Ilmu dan Praktik Keperawatan Modern : Literature Review Yuda, Rifkal Artha; Deli, Dwina Oktavia
Educatoria : Jurnal Ilmiah Ilmu Pendidikan Vol. 6 No. 2 (2026): April
Publisher : Lembaga Pendidikan, Penelitian, dan Pengabdian Kamandanu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36312/educatoria.v6i2.1074

Abstract

Modern nursing is often trapped in a technical-clinical routine, thus risking losing its basic essence as a scientific discipline. To maintain its professional identity, nursing requires a solid philosophical foundation through aspects of ontology, epistemology, and axiology. This study aims to synthesize the development of these three philosophical aspects in modern nursing practice, as well as identify their contributions to strengthening the nursing discipline. This study uses a narrative literature review design. Literature searches were conducted through the PubMed, ScienceDirect, and Google Scholar databases with keywords nursing philosophy, ontology, epistemology, axiology, and nursing science. Inclusion criteria included full-text articles in Indonesian and English published between 2016-2024 that specifically discuss the philosophy of nursing science. An analysis of ten selected articles shows that ontologically, nursing defines humans as holistic-relational entities. Epistemologically, there has been a shift from the dominance of positivism toward the integration of evidence-based science with intuitive and reflective knowledge. Axiologically, the value of caring remains the primary ethical compass. However, this study found a gap, where axiology and epistemology are often more dominant in educational curricula, while ontology (the essence of nursing's existence) tends to be neglected in bureaucratized clinical practice. The integration of nursing philosophy has proven crucial to preventing dehumanization in healthcare. The implications of this study's findings urge a reorientation of educational curricula and clinical practice standards that focus not only on technical competencies but also on strengthening philosophical foundations to ensure the sustainability of humanistic nursing science in the future.
Dibalik strategi nonfarmakologis untuk nyeri punggung kronis: Terapi Su Jok pada lansia dengan Hernia Nukleus Pulposus (HNP) : Behind nonpharmacological strategies for chronic back pain: Su Jok therapy in elderly patients with Herniated Nucleus Pulposus (HNP) Deli, Dwina Oktavia; Rumsori, Petrus Paris; Taluphyta, Rurry Nindya; Pertiwi, Ariani Arista Putri; Nurjannah, Intansari
Jurnal Ilmiah Keperawatan (Scientific Journal of Nursing) Vol. 12 No. 1 (2026): JiKep | Februari 2026
Publisher : UPPM STIKES Pemkab Jombang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33023/jikep.v12i1.2934

Abstract

Hernia Nukleus Pulposus (HNP) merupakan penyebab utama nyeri punggung kronis pada lansia yang memengaruhi mobilitas dan kualitas hidup. Pendekatan farmakologis sering digunakan, tetapi berisiko menimbulkan efek samping, sehingga diperlukan alternatif nonfarmakologis seperti terapi Su Jok. Laporan kasus ini mengevaluasi efektivitas Su Jok dalam menurunkan nyeri dan meningkatkan mobilitas pada pasien lansia dengan HNP. Seorang pasien perempuan usia 59 tahun dengan keluhan nyeri punggung bawah menjalar hingga kedua kaki, skala nyeri 7–8, Intervensi dilakukan melalui pemijatan area tangan (Su) pada punggung tangan (yang) di titik korespondensi punggung lumbal 1–5 serta ruas jari manis dan tengah yang berkaitan dengan area kaki, dilanjutkan dengan penempelan biji chia seed selama ±30 menit. Pasien diedukasi melakukan terapi mandiri di rumah 1–2 kali per minggu. Setelah intervensi, skala nyeri menurun menjadi 5, disertai peningkatan kemampuan berjalan dan kenyamanan. Pasien menunjukkan respon emosional positif berupa motivasi dan kepercayaan diri untuk melakukan terapi mandiri serta tidak ditemukan efek samping. Terapi Su Jok terbukti aman dan berhasil meredakan nyeri dan dapat diterapkan sebagai intervensi komplementer nonfarmakologis untuk menurunkan nyeri punggung kronis pada lansia dengan HNP. Edukasi terapi mandiri memperkuat keberlanjutan hasil positif, diharapkan akan meningkatkan kepatuhan pasien.
Nursing Interventions to Improve Quality of Life in Palliative Cancer Care Patients: A Scoping Review Nuzulullail, Agung Subakti; Puspitasari, Halfie Zaqiyah Gusti; Deli, Dwina Oktavia; Irawan, Dana Prayoga
Critical Medical and Surgical Nursing Journal Vol. 15 No. 1 (2026): APRIL 2026
Publisher : Universitas Airlangga

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

Abstract

Introduction: In the last few decades, Quality of Life (QoL) in palliative cancer patients has become an important aspect to consider. Nurses play a crucial role in improving QoL through nursing interventions. However, reviews on the variety of nursing interventions to improve QoL in palliative cancer patients have not been widely conducted. This scoping review aims to identify findings related to nursing interventions and palliative care outcomes for cancer with cancer. Method: The scoping review was conducted through PubMed, ScienceDirect, ProQuest, and EBSCOhost. The Arksey and O’Malley framework was used to address the research question: “What nursing interventions are implemented to improve the QoL of palliative care cancer patients?” Study selection is based on the PRISMA-ScR 2020 guidelines with the scheme P: palliative cancer patients, I: nursing interventions, C: no intervention, and O: improvement in quality of life. The inclusion criteria were original articles published between 2020 and 2025, Randomized Controlled Trials (RCTs), quasi-experimental, and cohort studies. Review articles, protocols, commentaries, and books were excluded. Quality assessment was conducted using the JBI Critical Appraisal tool Results: From 990 records, 8 articles met the criteria. Nursing interventions included education, emotional and spiritual support, mediation, decision-making, nursing planning, nutritional support, comfort care, complementary therapy, and community service coordination. Improvements in QoL were observed in symptom reduction, social support, psychological, information, patient independence, and care satisfaction. Conclusions: Nursing interventions are crucial for improving the QoL of palliative cancer patients. Future research should test nursing interventions in palliative cancer patients, considering culture, special groups, and community services.
Alcohol Consumption and Gastrointestinal Cancer Risk: A Scoping Review Nuzulullail, Agung Subakti; Dudini, Amalia Khasanah Ima; Rahayu, Aulia Diah; Wensi, Avantika Puspa Imelda; Mamonto, Dita Aditia; Novitasari, Dhiana Ayu; Deli, Dwina Oktavia; Mukaromah, Mukaromah; Riyati, Riyati; Kalsum, Wa Ode Umi; Lismidiati, Wiwin
Media Keperawatan Indonesia Vol 8, No 4 (2025)
Publisher : Universitas Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26714/mki.8.4.2025.272-280

Abstract

Cancer is one of the leading causes of death worldwide, including gastrointestinal cancer, which continues to increase in prevalence. One contributing risk factor is long-term alcohol consumption. This study aims to determine the relationship between alcohol consumption and the incidence of gastrointestinal cancer. The study design used a scoping review through four databases, namely ScienceDirect, PubMed, SpringerLink, and Medline. Articles were selected based on inclusion and exclusion criteria, with the screening process following the PRISMA 2020 guidelines. The selected articles were then synthesized using the Guidance for Conducting Systematic Scoping Review (2020) guidelines. A total of seven articles met the criteria. Various types of gastrointestinal cancer related to alcohol consumption were found, including colorectal, esophageal, stomach, and liver cancer, and even breast cancer. Most studies examined current and past patterns of alcohol consumption. Overall, the findings of this study prove that alcohol consumption, whether in the past, present, or cumulative, is associated with an increased incidence of gastrointestinal cancer, especially colorectal cancer.
Co-Authors Dudini, Amalia Khasanah Ima Intansari Nurjannah Irawan, Dana Prayoga Kalsum, Wa Ode Umi Mamonto, Dita Aditia MUKAROMAH MUKAROMAH Novitasari, Dhiana Ayu Nuzulullail, Agung Subakti Pertiwi, Ariani Arista Putri Puspitasari, Halfie Zaqiyah Gusti Rahayu, Aulia Diah Riyati, Riyati Rumsori, Petrus Paris Taluphyta, Rurry Nindya Wensi, Avantika Puspa Imelda Wiwin Lismidiati Yogatama, Bagaskara Yuda, Rifkal Artha