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Journal : Babali Nursing Research

Leadership in Nursing: Styles, Challenges, and Barriers Kamaryati, Ni Putu; Putu Darma Suyasa, I Gede; Putu Dina Susanti, Ni Luh; Ratih Comala Dewi, Ni Made; Aries Susanti, Ni Putu; Yudi Wahyu, I Made
Babali Nursing Research Vol. 5 No. 4 (2024): October
Publisher : Babali Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37363/bnr.2024.54393

Abstract

Background: Leadership is a crucial component of nursing management, where leadership style plays a significant role in its effective implementation. Challenges and barriers in leadership execution are essential aspects that need attention. Leadership is about the ability of an individual to influence the behavior of others towards a goal. This literature review aimed to identify effective leadership styles, as ideal leadership is a key aspiration for every organization. Methods: This study was a literature review using the PICO framework to formulate article questions. The search for articles was conducted via PubMed, Google Scholar, ScienceDirect, and Wiley using the keywords "leadership in nursing" AND "challenges" AND "barriers." A total of 15 articles were selected based on inclusion criteria. Results: Several leadership styles are evident in nursing, with transformational leadership being regarded as the most effective. In practice, the primary challenge faced is communication, while the major obstacles include issues related to workplace culture and professionalism. Conclusion: Leaders with strong leadership skills positively impact nursing care management, inspiring and motivating staff while enhancing the quality of services.
Determinant Factors of Stress Family Caregiver in Caring for Stroke Patients: A Literature Review Bela, I Kade Miki Indra; Kamaryati, Ni Putu; Darmini, A.A. Ayu Yuliati; Sanjana, I Wayan Edi
Babali Nursing Research Vol. 6 No. 1 (2025): January
Publisher : Babali Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37363/bnr.2025.61445

Abstract

Introduction: Stroke is a common disease that disrupts daily activities and can even lead to death. According to the World Health Organization (2016), stroke is the leading cause of disability worldwide and the second leading cause of death. Stroke affects various aspects of life, including mobility, emotions, attitudes, and communication. Stroke patients often experience activity limitations, making them dependent on family caregivers for assistance with daily needs. This dependency can place a significant burden on family caregivers, leading to stress. This research aims to analyze the key factors contributing to stress among family caregivers of stroke patients. Methods: This study employed a literature review approach, analyzing 16 articles published between 2017 and 2024 in either Indonesian or English. Only full-text articles were included. The literature review followed the PRISMA checklist to ensure the appropriate selection of studies aligned with the research objectives. Results: Several factors contribute to stress among family caregivers of stroke patients, including (1) age, (2) duration of caregivers, (3) gender, (4) burden, and (5) (1) age, (2) duration of caregiving, (3) gender, (4) burden, and (5) social support received from other family members. Conclusion: This highlights the need for tailored stress management strategies, stronger social support networks, and further research to understand varying stressors. Policymakers and healthcare providers should prioritize creating resources, raising awareness, and offering personalized support to alleviate caregiver burden and improve overall well-being.
Determinant Factors of Stress in Family Caregiver in the Care of Older adults with Chronic Disease: Literature Review Widiastuti, Ni Kadek Nefi; Kamaryati, Ni Putu; Rismawan, Made; Sriasih, Ni Kadek
Babali Nursing Research Vol. 6 No. 1 (2025): January
Publisher : Babali Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37363/bnr.2025.61449

Abstract

Introduction: Chronic diseases are degenerative conditions that require long-term treatment. Older adults patients who are unable to care for themselves independently often rely on assistance from others, particularly family members, who serve as family caregivers. Stress among family caregivers is a significant issue encountered when caring for older adults individuals with chronic diseases. This research aims to analyze the factors contributing to stress in family caregivers providing care for older adults people with chronic diseases. Methods: This study employed a literature review design, analyzing 16 articles published between 2017 and 2024 in either Indonesian or English. Articles included were complete and relevant to the study objectives. The PRISMA checklist was utilized to guide the protocol and evaluation process, ensuring the appropriate selection of studies aligned with the literature review objectives. Results: Several factors contribute to stress among family caregivers caring for older adults individuals with chronic diseases, including (1) age of family caregiver; (2) sex; (3) Llow levels of education and knowledge can trigger stress family caregiver; (4) type of work and income level; and (5) the length of treatment carried out family caregiver also affects the stress he experiences Conclusion: Nurses can play a vital role in supporting family caregivers by conducting comprehensive assessments, providing individualized support, teaching stress management techniques, offering caregiver education, and facilitating respite care.
The Determining Factors of Quality of Life in Chronic Kidney Disease Patients with Hemodialysisin Hospitals: A Literature Review Wahyuni, Ni Wayan Sri; Kamaryati, Ni Putu; Rismawan, Made; Suantika, Putu Inge Ruth
Babali Nursing Research Vol. 6 No. 1 (2025): January
Publisher : Babali Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37363/bnr.2025.61454

Abstract

Introduction: Patients with chronic renal failure undergoing hemodialysis often experience a decline in quality of life. This decline is due to challenges in accepting their condition, the physical and emotional impact of treatment, and significant lifestyle changes. Maintaining or improving quality of life is essential for these patients to manage their condition effectively and live well. Methods: This study employed a literature review design, adhering to the PRISMA checklist for study selection. The review utilized five journal databases: ScienceDirect, EBSCO, PubMed, Neliti, and Google Scholar, with keywords aligned with MeSH terms: "quality of life," "chronic renal failure," "determinants," and "hemodialysis." The inclusion criteria encompassed articles published between 2015 and 2024 in English or Indonesian. A total of 15 eligible articles were included in the analysis. Results: The literature review identified several factors influencing the quality of life in hemodialysis patients. These included demographic factors such as age, gender, and education; clinical aspects like hemodialysis duration, medication adherence, complications, and comorbidities; psychological factors such as depression; and social determinants like family support and income. Nutritional status and hemoglobin levels were also significant contributors. Conclusion: This study identified several factors affecting the quality of life of hemodialysis patients, including hemodialysis duration, medication adherence, age, gender, education, occupation, family support, nutritional status, depression, hemoglobin levels, and comorbidities. Future research should explore additional factors not covered in this review to understand better the most influential determinants of quality of life in patients with chronic kidney failure.
Frequency of Prehospital Ambulance Utilization by Patients with Chronic Disease: A Retrospective Study Sanjana, I Wayan Edi; Kamaryati, Ni Putu; Sagitha, I Gede Edy; Sari, Ni Made Candra Citra; Sutini, Ni Kadek
Babali Nursing Research Vol. 4 No. 3 (2023): July
Publisher : Babali Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37363/bnr.2023.43239

Abstract

Ambulance services are becoming a trend for early response to emergencies in major cities. The performance of the ambulance service will increase in line with the population and possible problems in the area. EMS services are essential at this time, as any life-threatening condition requires immediate action to prevent disability and death. Ambulances are required to provide assurance to chronically ill patients that the service they provide is adequate and can handle them in case of deterioration. This study aims to describe the frequency of pre-hospital ambulance use in patients with chronic diseases. This research method is an observational study with a retrospective approach to find the frequency of ambulance use by chronic diseases during the period 2019-2021. The results showed the three highest cases of pre-hospital ambulance use in Denpasar City were accident, fire and evacuation services for sick patients. The use of prehospital ambulances by chronic diseases has not reached half of the ambulance services. Stroke, diabetes mellitus and heart disease are the three most common chronic diseases that use pre-hospital ambulance services.
The Influence of Slow Deep Breathing Technique on Inpatient Anxiety Nusa Harta, I Putu Arika; Kamaryati, Ni Putu; Putra, I Nyoman Arya Maha; Wicaksana, IGA Tresna
Babali Nursing Research Vol. 4 No. 3 (2023): July
Publisher : Babali Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37363/bnr.2023.43243

Abstract

Previous studies have shown that slow deep breathing techniques provide benefits in reducing anxiety in general, but there has been no specific review investigating its benefits in inpatient populations. Objective: To provide strong and up-to-date evidence on the effectiveness of slow deep breathing technique as a potential intervention in reducing anxiety in the inpatient population. Methods: This study is a literature review conducted during April-May 2023 using Google Scholar, PubMed, and ScienceDirect. The keywords used were "nafas dalam", "kecemasan", "rawat inap" in Indonesian, and "slow deep breathing," "anxiety," "inpatient care" in English. Results: The literature review identified eight articles that examined the anxiety of patients undergoing surgery and treatment in hospitals in Indonesia. These articles highlighted internal and external factors influencing anxiety. The dominant research approach employed experimental designs with pre-test and post-test measurements involving more than ten respondents. The study found that internal factors influencing anxiety included age, gender, education, health condition, and prior hospitalization experiences, while external factors included access to information, therapeutic communication, environment, and healthcare facilities. Conclusion: The implementation of slow deep breathing techniques is a major factor in reducing anxiety in inpatient populations. Further research is expected to emphasize the use of slow deep breathing techniques as a primary intervention in reducing anxiety levels in patients prior to undergoing surgery.
The Effectiveness of Non Pharmachological Therapy on Fatigue Level in Patients With Congestive Heart Failure (CHF) Gede, Khrisna Eka Yudha; Kamaryati, Ni Putu; Adiana, I Nengah; Sutini, Kadek
Babali Nursing Research Vol. 4 No. 4 (2023): October
Publisher : Babali Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37363/bnr.2023.44276

Abstract

The consumption of large number of drugs in a long period of time makes CHF patients experience anxiety so that it faster to cause fatigue due to physical and psychological problems experienced. In addition, special measures to overcome fatigue conditions in patients with CHF are still rarely done. Without significant treatment efforts, it will cause serious problems for patients for a long time, therefore it is very necessary to study the effectiveness of non-pharmacological therapy for patients with CHF. This study aims to collect and analyze articles related to the effectiveness of non-pharmacological therapy in patients with congestive heart failure. This study is a type of literature review conducted by searching for articles related to effective non-pharmacological therapies to reduce fatigue in heart failure patients. The databases used were Pubmed, Google Scholar, and Pro Quest. Inclusion criteria used for data collection are complete articles, journal publications from 2018 to 2023, in English and Indonesian. The tools and guidelines used utilized the PRISMA method. Non-pharmacological therapies used such as back massage, hypnosis and virtual reality provide effects that will cause relaxation and can stimulate the release of endorphins to reduce the activity of the sympathetic and parasympathetic systems. Six studies (85%) of the total seven studies analyzed showed significant results that non-pharmacological therapies resulted in a significant reduction in fatigue. Each non-pharmacological therapy provided has its own stimulation and effect on the patient which will be effective according to the condition and physical problems experienced by the patient. This systematic review shows that non-pharmacological therapy is an effective therapy in reducing the level of fatigue in patients with congestive heart failure according to the psychological state and physical problems experienced by patients. The results of this study are expected to be the basis for complementary therapy and can be implemented as an independent and innovative intervention in nursing care.
Co-Authors A.A. Ayu Yuliati Darmini Adi Satriani Adiana, I Nengah Agustini, Ni Komang Tri Anak Agung Istri Wulan Krisnandari, Anak Agung Istri Wulan Antari, Luh Putu Juni Aries Susanti, Ni Putu Arka, I Gede Widhi Astawa, I Gede Satria Ayu Puja Astuti Dewi Bela, I Kade Miki Indra Cahyani, Kadek Indra Cintariasih, Putu Darmini, A.A. Ayu Yuliati Dewi, Ayu Puja Astuti Dewi, Puja Astuti Dina Susanti, NLP Diyu, Ida Ayu Ningrat Pangruating Gede, Khrisna Eka Yudha Gst Ayu Dwina Mastryagung Gustiawan, Sastro Putre I Gede Edy Sagitha I Gede Edy Sagitha I GEDE PUTU DARMA SUYASA I Gusti Ayu Rai Rahayuni I Kadek Nuryanto I Nyoman Purna Wijaya I Wayan Edi Sanjana Ida Ayu Ningrat Pangruating Diyu Ida Ayu Putri Wulandari Indrayani, Ni Luh Dwi Juliani, Made Krisnandari D, Anak Agung Istri Wulan Kusuma, Made Dian Santi Luh Gde Nita Sri Wahyuningsih Made Rismawan Nadya Treesna Wulansari Ni Kadek Sutini Ni Kadek Sutini Ni Luh Putu Dina Susanti Ni Luh Putu Inca Buntari Agustini Ni Made Ari Widayani Ni Made Ayu Yulia Raswati Teja Ni Made Candra Citra Sari Ni Made Sri Rahyanti Ni Putu Ayu Ratna Dewi Ni Wayan Kesari Dharmapatni Ni Wayan Sri Wahyuni NLP Dina Susanti Nur Halimah Nusa Harta, I Putu Arika Pangruating Diyu, Ida Ayu Ningrat Prataba, I Made Dwi Krisma Puja Astuti Dewi Purniawati, Wayan Puspariani, Ni Komang Sri Putra, I Nyoman Arya Maha Putra, Komang Ardidhana Nugraha Putu Inge Ruth Suantika Rahayuni, IGA Rai Ratih Comala Dewi, Ni Made Sagitha, I Gede Edy Sanjana, I Wayan Edi Sastro Putre Gustiawan Satriani, Adi Sri Dewi Megayanti Sriasih, Ni Kadek Sutini, Kadek Trisna, Made Oktaviani Bulan Wayan Purniawati Wicaksana, IGA Tresna Widiastuti, Ni Kadek Nefi Wijaya, I Nyoman Purna Wulandari, Sarah Kartika Yudari, Ni Made Adi Yudi Wahyu, I Made Yusniawati, Yustina Ni Putu Yustina Ni Putu Yusniawati