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A Netnographic Critique of Cultural Appropriation versus Cultural Competence in Digital Mental Health Ethnic Communities Apriana Rahmawati; Suhendra Agung Wibowo; Beatriz Elizabeth Nuñez Martinez
Interdisciplinary Journal of Ethnopsychiatric Nursing Vol. 2 No. 1 (2026)
Publisher : Tarqabin Nusantara Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62255/ijen.v2i1.250

Abstract

Background: Digital mental health campaigns increasingly incorporate local cultural symbols to improve engagement among ethnically diverse populations. However, whether these adaptations represent genuine cultural responsiveness or merely superficial branding remains unclear, particularly within Indonesia's multicultural context. This study explored how ethnic and indigenous communities interpret, contest, and reclaim the cultural authenticity of institutional digital mental health advocacy. Methods: A qualitative netnographic study was conducted through 24 weeks of non-participant observation across Indonesian- and Malay-language digital ecosystems, including institutional social media platforms, community-led discussion forums, and professional nursing and psychiatric networks. Public discussion threads were purposively sampled and analysed using reflexive thematic analysis to identify recurring patterns of community interpretation. Results: Four interrelated themes emerged: (1) tokenistic aesthetic inclusion, (2) decontextualisation of sacred healing practices, (3) community reclamation through counter-narrative production, and (4) a discursive transition from cultural competence toward cultural justice. Participants overwhelmingly perceived institutional campaigns as relying on symbolic cultural representation rather than meaningful collaboration, criticising the use of indigenous knowledge and cultural symbols without shared decision-making or reciprocal community benefit. Conclusion: Superficial visual and linguistic localisation alone does not meet communities' expectations of culturally safe digital mental health advocacy. The findings suggest that psychiatric nursing and digital health communication should move beyond conventional cultural competence frameworks toward culturally just approaches that prioritise community co-design, shared governance, equitable benefit-sharing, and recognition of indigenous epistemic authority in the development of digital mental health campaigns.
Active Cycle Breathing Technique for Ineffective Airway Clearance in a COPD Patient:ACase Study Wardah Wardah; Erik Kusuma; Syaifuddin Kurnianto; Suhendra Agung Wibowo; Mufidah Mufidah
Health Gate Vol 4, No 3 (2026): July
Publisher : Dewan Pimpinan Daerah Persatuan Perawat Nasional Indonesia Kota Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70111/hg4313

Abstract

Background: Chronic Obstructive Pulmonary Disease (COPD) is a chronic respiratory disease that commonly causes ineffective airway clearance due to excessive mucus production and sputum retention. Active Cycle Breathing Technique (ACBT) is a breathing exercise used to facilitate secretion mobilization and improve airway clearance. Objective: This study aimed to describe the implementation of ACBT in a patient with ineffective airway clearance associated with COPD. Methods: A descriptive case study design was used involving one COPD patient hospitalized in Melati Ward, Bangil Regional Hospital. The intervention consisted of breathing control, thoracic expansion exercises, and forced expiration techniques administered once daily for three consecutive days. Clinical indicators observed included respiratory rate, oxygen saturation, cough effectiveness, dyspnea, breath sounds, and sputum characteristics. Results: The results showed progressive improvement during the intervention period. Respiratory rate decreased from 25 to 20 breaths/minute, oxygen saturation increased from 98% to 99%, dyspnea resolved, cough effectiveness improved, and sputum became thinner and easier to expectorate. Conclusion: These findings indicate that Active Cycle Breathing Technique contributed to improved airway clearance and respiratory status. ACBT can be recommended as a complementary nursing intervention for patients with ineffective airway clearance due to COPD.
Developing a community nursing model for health cadre management in primary care Ifa Nofalia; Suhendra Agung Wibowo; Agustina Maunaturrohmah
Nurse Professional Education Journal Vol. 2 No. 1 (2026): May 2026
Publisher : Kadewa Bakti Cendekia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.67958/nurseedu.v2i1.82

Abstract

Health cadres play a critical role in supporting primary healthcare delivery at the community level; however, their effectiveness is often constrained by fragmented management systems and limited integration with formal health services. This study aimed to develop a comprehensive community nursing model for managing health cadres in primary care settings. A qualitative case study design was employed involving 25 participants, including health cadres, nurse supervisors, and primary healthcare managers. Data were collected through in-depth interviews, focus group discussions, and document reviews, and analyzed using thematic analysis. The findings identified four key domains forming the proposed model: strategic planning, capacity development, supervision and performance evaluation, and community engagement, supported by enabling factors such as leadership, communication, resources, policy support, and information systems. The results revealed that the absence of structured management processes, limited continuous training, and inconsistent supervision negatively affected cadre performance. Conversely, integrated and community-oriented management practices enhanced coordination, competency, and service delivery effectiveness. The proposed community nursing model provides a systematic and interconnected approach to strengthening health cadre management and improving primary healthcare services.