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All Journal Jurnal Keperawatan dan Fisioterapi (JKF) Jurnal Pengmas Kestra (JPK) Journal of Innovative and Creativity
Muhammad Reza Fahlevi Hanafi
Institut Kesehatan Medistra Lubuk Pakam
Education Health Professions Languange, Linguistic, Communication & Media Mathematics Nursing Public Health Social Sciences Other

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Literature Review Dimensi Etika Dalam Manajemen Keperawatan Serta Pengaruhnya Terhadap Kepemimpinan Dan Profesionalisme Muhammad Reza Fahlevi Hanafi; Arfah May Syara
Journal of Innovative and Creativity Vol. 5 No. 3 (2025)
Publisher : Fakultas Ilmu Pendidikan Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/joecy.v5i3.4653

Abstract

This literature review explores the ethical dimensions of nursing management and their influence on leadership and professionalism. The study aims to synthesize current findings on how ethical values—such as justice, integrity, responsibility, honesty, and empathy—are integrated into nursing leadership practices. A total of 12 peer-reviewed articles published between 2020 and 2025 were analyzed using a thematic synthesis approach. The results reveal that these ethical dimensions consistently underpin effective leadership and contribute to staff morale, decision-making quality, and organizational culture. However, challenges such as bureaucratic pressure, power imbalance, and the lack of formal ethical leadership training hinder consistent implementation. The findings suggest that ethical leadership is not only a moral ideal but a managerial competence that can be developed through education and structural support. The review highlights the need for healthcare institutions to incorporate ethical leadership development into both policy and practice to enhance nursing management outcomes.
The Relationship Between Body Image and Self-Confidence Among Post-Mastectomy Breast Cancer Patients at Grandmed Hospital Lubuk Pakam Arfah May Syara; Farhah Zaqwa Khairunnisa Damanik; Simson Sinuhaji; Muhammad Reza Fahlevi Hanafi; Yuni Suharnida Lubis
JURNAL KEPERAWATAN DAN FISIOTERAPI (JKF) Vol. 8 No. 2 (2026): Jurnal Keperawatan dan Fisioterapi (JKF)
Publisher : Fakultas Keperawatan dan Fisioterapi Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/s468vz11

Abstract

Carcinoma mammae is a malignant condition of breast tissue characterized by the uncontrolled proliferation of abnormal cells that form tumors, which may metastasize to other organs and become life-threatening if not properly treated. Cancer cells generally originate from the milk-producing lobules or the breast ducts. Mastectomy, as a primary therapeutic intervention, often leads to significant physical changes that can affect patients’ body image and self-confidence. This study aimed to analyze the relationship between body image and self-confidence among post-mastectomy carcinoma mammae patients. This research employed a quantitative approach with a survey design using questionnaires. The sample consisted of 51 respondents selected through a total sampling technique at Grandmed Hospital Lubuk Pakam. The frequency distribution results indicated that the majority of respondents had a positive body image perception, with 48 individuals (94.1%) agreeing and 3 individuals (5.9%) disagreeing. Meanwhile, the level of self-confidence among respondents was also relatively high, with 44 individuals (86.3%) agreeing and 7 individuals (13.7%) disagreeing. Statistical analysis using the chi-square test revealed a significant relationship between body image and self-confidence (p-value = 0.84; α < 0.05), indicating that the alternative hypothesis was accepted. These findings highlight the importance of effective body image management in enhancing patients’ self-confidence. Therefore, psychological interventions such as counseling, psychoeducation, and peer support are essential to facilitate patients’ adaptation and self-acceptance following mastectomy.
CPR Knowledge: The Key to ICU Nurses’ Readiness in Facing Emergency Conditions Angriawan Angriawan; Ilyas I Made Permata Gusti; Muhammad Reza Fahlevi Hanafi; Nadya Ulfa Kesumawardani
JURNAL KEPERAWATAN DAN FISIOTERAPI (JKF) Vol. 8 No. 1 (2025): Jurnal Keperawatan dan Fisioterapi (JKF)
Publisher : Fakultas Keperawatan dan Fisioterapi Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/82p1x098

Abstract

Cardiovascular disease remains the leading cause of death worldwide, and sudden cardiac arrest is a life-threatening emergency that requires immediate management through Cardiopulmonary Resuscitation (CPR). The low survival rate of patients is often attributed to insufficient knowledge and preparedness among healthcare professionals in performing CPR. This study aimed to analyze the correlation between nurses’ level of knowledge and their readiness to perform CPR in the ICU of Grandmed Hospital, Lubuk Pakam. A quantitative method with a cross-sectional and correlational design was employed. The study population included all 19 ICU nurses, selected using a total sampling technique. Data were collected using a structured questionnaire covering respondent characteristics, CPR knowledge based on American Heart Association (AHA) standards, and readiness to respond to emergency situations. Univariate analysis revealed that the majority of respondents were female (68.4%), aged 20–29 years (68.4%), held a professional nursing degree (63.2%), had 1–5 years of work experience (63.2%), and more than half had never attended CPR training (52.6%). Furthermore, 84.2% of nurses demonstrated good knowledge, and 78.9% were categorized as highly ready. The Spearman’s rho test indicated a strong and significant positive correlation between knowledge and readiness (r = 0.629; p = 0.004). In conclusion, the higher the nurses’ level of knowledge regarding CPR, the better their readiness to handle sudden cardiac arrest in the ICU.
Healthy Lifestyle Promotion for Maintaining Body Mass Index and Enhancing Self-Confidence among Post-Mastectomy Breast Cancer Survivors Arfah May Syara; Farhah Zaqwa Khairunnisa Damanik; Simson Sinuhaji; Muhammad Reza Fahlevi Hanafi; Yuni Suharnida Lubis; Syatriawati Syatriawati
JURNAL PENGMAS KESTRA (JPK) Vol. 6 No. 1 (2026): Jurnal Pengmas Kestra (JPK)
Publisher : Lembaga Penelitian dan Pengabdian Kepada Masyarakat (LP2M) Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/azc4tw27

Abstract

Breast cancer remains one of the most prevalent health problems among women and may cause long-term physical, psychological, social, and emotional consequences. Mastectomy, which is commonly performed as part of breast cancer treatment, can improve survival outcomes; however, postoperative changes in body appearance often affect body image, self-confidence, and the overall quality of life of survivors. In addition, weight fluctuations during the recovery period may influence Body Mass Index (BMI) and psychological well-being. This community service program aimed to improve breast cancer survivors’ knowledge and ability to adopt healthy lifestyle practices for maintaining an optimal BMI, increase awareness of physical and psychological health, and strengthen self-confidence following cancer treatment. The program was implemented using an educational-participatory approach through health education sessions, interactive discussions, nutritional status consultations, light physical activity demonstrations, and experience-sharing sessions. Evaluation was conducted using pretest and posttest assessments involving 20 breast cancer survivors aged 35–60 years at Grandmed Hospital, Lubuk Pakam. The results demonstrated that the proportion of participants with a good level of knowledge increased from 20.0% to 80.0%, while those with poor knowledge decreased from 45.0% to 0%. The mean knowledge score improved from 58.5 to 85.5, representing an increase of 27.0 points (46.2%). Furthermore, 90.0% of participants understood how to maintain an ideal BMI, 100.0% recognized the importance of regular physical activity, and 85.0% reported increased self-confidence after participating in the program. Participant satisfaction ranged from 75.0% to 85.0%. In conclusion, healthy lifestyle promotion was effective in improving knowledge, understanding, and self-confidence among breast cancer survivors, thereby supporting the adoption of sustainable healthy lifestyle behaviors.
Co-Authors Angriawan Angriawan Arfah May Syara Farhah Zaqwa Khairunnisa Damanik Ilyas I Made Permata Gusti Nadya Ulfa Kesumawardani Sinuhaji, Simson Syatriawati Syatriawati Yuni Suharnida Lubis