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Jurnal Keperawatan Padjadjaran
Published by Universitas Padjadjaran
ISSN : 23385324     EISSN : 24427276     DOI : -
Core Subject : Health, Science,
Health Professions Neuroscience Nursing Public Health
Jurnal Keperawatan Padjadjaran (JKP) or The Padjadjaran Nursing Journal is a peer review journal providing an open access facility for scientific articles published by the principles of allowing free research available for public to support global scientific exchange. Padjadjaran Nursing Journal (JKP) is published three times a year, specifically in April, August, and December.
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Articles 400 Documents
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The unsung heroes in the fight to end HIV: The role of nurses in Indonesia Kusman Ibrahim, S. Kp., MNS., PhD.; Erin M. Kahle
Jurnal Keperawatan Padjadjaran Vol. 12 No. 2 (2024): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jkp.v12i2.2597

Abstract

HIV new cases are continuing to be reported in Indonesia. Although progress in HIV prevention and control has been made, Indonesia continues to face significant challenges in its fight against HIV. Continued efforts to expand treatment, reduce stigma, and strengthen prevention initiatives by involving health care workers and all stakeholders are essential to controlling the epidemic and improving the lives of those affected by HIV in the country. As a healthcare worker, nurses are central to the country's efforts to control and eventually end the HIV epidemic. Their roles are diverse and impactful, ranging from direct patient care to community outreach, education, and policy advocacy. As Indonesia continues to face challenges in its HIV response, the contributions of nurses will remain essential in overcoming these barriers and improving the lives of those affected by HIV.
Effect of breathing relaxation on stress related to COVID-19 pandemic among older adults in nursing homes: A pre-experimental study Betan, Yasinta; Jenau, Benedikta; Djogo, Herliana Monika Azi; Rumbo, Helmi
Jurnal Keperawatan Padjadjaran Vol. 12 No. 3 (2024): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jkp.v12i3.2261

Abstract

Background: Elderly in nursing homes are facing more mental health consequences due to the COVID-19 pandemic situation. Assessment of the appropriate intervention in declining the level of stress-related to pandemic situations among institutionalized elderly is critical. Purpose: this study was conducted to evaluate the effectiveness of breathing relaxation on stress related to the COVID-19 pandemic among elderly people in nursing homes. Methods: a quasi-experimental with a one-group pretest-posttest design was used in the present study. Thirty elderlies were recruited using the purposive sampling method. Perceived Stress Scale (PSS-10) related to COVID-19 was used to identify the level of stress among the elderly. Twenty minutes of breathing relaxation were conducted once a day for 1-week from January 6 to January 12, 2021. The intervention was taught and guided by the researcher in small groups of 5-7 elderly based on the number of residents in the homesteads. Results: Of 30 participants, 60% were female, and the mean age was 72.80 (SD=8.50) years. The average length of stay in the nursing home was 8.10 (SD=8.75) years. The elderly in nursing homes who performed breathing relaxation once a day for one week significantly decreased their stress related to the COVID-19 pandemic (t = 4.881, ρ = .000). Conclusion: The current study highlights the significance of breathing relaxation in relieving perceived stress related to COVID-19 pandemic. This intervention is useful in daily practice for improving the psychological well-being of the elderly, especially in a pandemic situation.
The unmet needs of palliative care among patients with non-malignant chronic illness in Indonesia: A phenomenology study Merduaty, Rona Cahyantari; Nuraini, Tuti; Sihwastuti, Sihwastuti
Jurnal Keperawatan Padjadjaran Vol. 12 No. 3 (2024): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jkp.v12i3.2397

Abstract

Background and Objectives: People with chronic illness tend to report multiple and complex symptoms that decrease their ability to meet their needs and quality of life (QoL). As an approach to address people with chronic illness, palliative care is still shortly focused on people with chronic malignancies in Indonesia. Eventually, that paradigm makes the spectrum of palliative care interpreted narrowly only for cancer or end-of-life (EOL) patients. This study explores the experience and needs of patients diagnosed with non-malignant chronic illness towards their illness to identify the need for palliative care. This study used a qualitative method with a phenomenological approach. Material and Methods: A total of seven (7) participants were involved in semi-structured interviews that were previously selected based on screening using an adult palliative patient score developed by Cipto Mangunkusumo Hospital (RSCM), Jakarta. Only participants with a score above or equal to 4 (four) are selected to participate. All qualitative data is recorded, transcribed, and analyzed using Colaizzi's approach. Results: There are seven major interrelated themes emerging from this qualitative study that uniquely match with the illness trajectory of non-malignant chronic patients. The themes are: (1) negative feelings that cannot be described at the time of diagnosis, (2) ignorance of the disease process, (3) late realization that illness cannot be cured, (4) helplessness during the medication/treatment process, (5) shame of being a burden to family and surroundings, (6) limited access, (7) family and God as motivation and hope reinforcement to recover at the end of illness stage. Conclusions: People with non-malignant chronic complain of several challenges, which are not much different from those with cancer. Therefore, patients with non-malignant chronic illness (PWNMCI) also have a similar need for palliative care. A deeper and broader assessment of palliative care should also be implemented in patients with non-malignant chronic illness from the early diagnostic process.
Factors influencing children's dietary variety in Eastern Indonesia: A comprehensive national analysis Prasetyo, Yoyok Bekti; Ika Wardojo, Sri Suryaningsih; Dwi Laksono, Agung
Jurnal Keperawatan Padjadjaran Vol. 12 No. 3 (2024): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jkp.v12i3.2488

Abstract

Background: Limited dietary diversity among children is a critical public health concern across Indonesia, with Eastern Indonesia facing the most severe nutritional challenges among children. Purpose: This study aims to identify factors influencing children's dietary diversity in Eastern Indonesia. Methods: A cross-sectional study design was employed, utilizing data from the 2017 Indonesia Demographic and Health Survey (n = 1,476). Dietary diversity was assessed using the dietary diversity score (DDS), categorized into adequate and inadequate levels. Results: Key sociodemographic factors associated with DDS included the number of children in the household, place of residence, economic status, breastfeeding practices, and vitamin A supplementation, with p-values of 0.007, <0.001, 0.001, <0.001, and <0.001, respectively. Children who were not breastfed were 0.5 times more likely to have inadequate DDS compared to those who were breastfed (95% CI: 0.36–0.67). Urban-dwelling families had a 0.7 times lower risk of inadequate DDS than rural counterparts (p = 0.026; 95% CI: 0.47–0.95). Additionally, children from low-income families were twice as likely to experience inadequate DDS compared to those from higher-income families (p = 0.012; 95% CI: 1.14–2.99). Conclusion: Rural residency, low income, lack of breastfeeding, and inadequate vitamin A supplementation significantly contribute to poor dietary diversity among children in Eastern Indonesia. These findings highlight the need for targeted government interventions to bridge gaps in maternal education, enhance healthcare access, and improve families' socioeconomic conditions, ultimately advancing child nutrition and health in the region.
Unresponsive feeding practices in overweight and obese suburban preschool-aged children: A qualitative case study Astuti, Astuti; Winahyu, Karina Megasari; Perdani, Zulia Putri; Mulmuang, Susheewa Wichaikul; Kartini, Kartini
Jurnal Keperawatan Padjadjaran Vol. 12 No. 3 (2024): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jkp.v12i3.2524

Abstract

Background: Irresponsible feeding behavior is the cause of being overweight in early childhood. Purpose: This study aimed to investigate the dietary habits of preschool-aged children residing in a suburban region of Indonesia characterized by a significant prevalence of obesity among children aged five and below. Methods: This study was a case study design conducted in South Tangerang, Banten Province, Indonesia, involving six moms who had toddlers with overweight to obese nutritional status. The number of six participants was decided after the saturation coding of the fifth participant, and then one more participant was interviewed to ensure that the data was genuinely saturated. The mothers were selected to participate in the study and were interviewed in depth. The researcher also observed the participants' eating behavior. The analytical framework was used in this research, and then the interview transcripts were analyzed using thematic analysis. Results: The four themes found were 1) The inability to respond to internal cues of satiety, 2) Distraction at mealtimes, 3) Unhealthy food in emotional eating, and 4) Mothers practice persuasive feeding. Conclusions: The children show unresponsive feeding behavior, which notably contributes to the prevalence of overnutrition during early childhood. Community health professionals should strengthen their efforts to improve feeding behaviors among mothers to address the nutritional status of preschool-aged children.
Older adults’ lived experiences with bamboo bed handicrafts in improving their quality of life Sangsuk, Nisachon; Meethien, Nongyaow; Khamenkan, Kanokjun; Wongkruasorn, Watcharawan; Pongprathet, Jarurin; Shangyom, Duangtida
Jurnal Keperawatan Padjadjaran Vol. 12 No. 3 (2024): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jkp.v12i3.2534

Abstract

Background: Improving the quality of life for older adults is crucial in Northeast, Thailand, where most have low health literacy and live in substandard conditions. They are more likely to age alone or with a spouse with less support overall. Purpose: This study aimed to explore how the older adults had lived experiences using local wisdom, knowledge, and skill of bamboo bed handicrafts to improve their quality of life and strengthen the community. Method: This research study used a descriptive design based on Husserl’s qualitative phenomenological philosophy. Participants were purposively chosen. The semi-structured interview guide was created. The twelve key informants, aged 61 to 78 years, had knowledge and experience of making bamboo bed crafts and were interviewed face-to-face in their home environment by consent. Seniors with cognitive impairment met the exclusion criteria. Guba and Lincoln’s trustworthiness criteria were used. The content analysis used the Colaizzi method. Result: This study found four main themes: 1) Meaningful life 2) Happy life 3) Happy society and 4) Coping with deteriorating physical health through resilience adaptation. Conclusion: Nurses should enhance quality of life for older adults by supporting their psychological well-being through self-acceptance, coping, resilient adaptation, and continued activity.
Evaluation of the clinical nurse career path system in Indonesian Hospitals: Identifying areas for improvement and development Firman, Firman; Erfina, Erfina; Saleh, Ariyanti
Jurnal Keperawatan Padjadjaran Vol. 12 No. 3 (2024): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jkp.v12i3.2543

Abstract

Background: The clinical nurse career path system significantly impacts nurses' professional growth, job satisfaction, and service quality. Evaluating its effectiveness is vital for enhancing human resource management. Purpose: This study aimed to evaluate the nursing career path in Indonesia, identifying areas for improvement and development. Method: This study used a mixed-methods approach with nine participants and 339 samples. Surveys targeted clinical nurses, while interviews involved nursing management. Data was analyzed using descriptive statistics and thematic analysis. Results: Managerial experiences revealed three themes: (1) implementation of the nurse career path as a mandatory accreditation process, (2) challenges in the implementation of the nurse career path, and (3) expectations for career path implementation. The process evaluation pinpointed areas for improvement, including organizing, internship programs, Continuous Professional Development (CPD), and career advancement. In product evaluation, 80.8% of nurses had good perceptions, with a 77% job satisfaction rate. Analysis showed a positive correlation between perception and job satisfaction (P < 0.001). Conclusion: The clinical nurse career path in hospitals requires more attention, especially in areas such as human resources, which are not yet full-time, and leadership policies regarding rewards, regulations, and nurse placement in the implementation of career paths related to organizing, internship programs, CPD, and career advancement. Enhancing these aspects is vital for boosting nurses' job satisfaction and improving service quality and patient care.
“Plants brought back to life”: An exploration of female adolescent survivors’ experiences of sexual abuse, healing and resilience Jarabe, Maria Lourdes; Rahayuwati, Laili
Jurnal Keperawatan Padjadjaran Vol. 12 No. 3 (2024): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jkp.v12i3.2555

Abstract

Background: Sexual abuse is a significant issue for adolescent girls in the Philippines. This study explores the experiences of survivors, focusing on their journeys of healing and resilience. Methods: This Interpretative Phenomenological Analysis study aimed to understand the lived experiences of Filipino adolescent girls who survived sexual abuse through four key questions, namely: 1) How did each participant perceive their experience? 2) What coping mechanisms did they employ to deal with the trauma? 3) How did the abuse impact their self-perception and purpose in life? 4) What symbols or meanings do they associate with their experiences? Results: The analysis identified six superordinate and sixteen subordinate themes. These included: 1) sense of loss – participants described a deep sense of loss due to the abuse; 2) healing as a process – healing was perceived as a gradual and ongoing journey; 3) supportive environment – supportive relationships played a crucial role in coping; 4) growing faith in God – faith emerged as a significant source of strength; 5) reclaiming the sense of self – regaining a sense of self-worth was a central aspect of healing; and 6) altruism – the desire of helping others emerged as a meaningful way to cope. Conclusions: The participants’ experiences can be likened to a resilient plant that, despite facing near-destruction, revives with renewed strength. Family dynamics played a crucial role in the girls’ experiences of abuse. A culture of silence and fear emerged as a significant theme in their narratives. Additionally, the ambiguity and conflicting emotions surrounding accountability for perpetrators within close families posed complex challenges. This research provides valuable insights into the experiences of sexually abused Filipino adolescent girls, informing nursing practice. The findings enable nurses to offer culturally sensitive, trauma-informed care and develop targeted support interventions. Incorporating these insights into nursing education will enhance students’ competencies in trauma response, cultural sensitivity, and therapeutic communication with abuse survivors, leading to improved assessment protocols and care strategies.
The effect of 12-weeks foot exercise on blood glucose levels, ankle brachial index, and sensation of protection in diabetes mellitus patients: A quasi-experiment study Dewi, Rosliana; Budhiana, Johan; Agustina, Marina Pra; Melinda, Fera; Wahida, Astri Zeini
Jurnal Keperawatan Padjadjaran Vol. 12 No. 3 (2024): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jkp.v12i3.2566

Abstract

Background: Diabetes Mellitus (DM) is a global health issue causing nerve damage, blood vessel damage, and leg impairment. Foot exercises can improve risk factors for diabetic foot ulcers, neuropathy symptoms, pressure distribution, joint mobility, and strength in individuals with diabetes. Purpose: This study aimed to determine the effect of 12-weeks foot exercise on blood glucose levels, ABI values, and sensation of protection in diabetes mellitus patients West Java, Indonesia. Methods: The sample in this study was individuals aged 18 or above with a confirmed diagnosis of diabetes mellitus. A 154 patients willingly volunteered to participate and were subsequently enrolled in the study (77 in intervention group and 77 in control group).  The study encompassed participants who engaged in a twelve-week regimen of foot exercises utilizing teaching modules and video materials.The study employed several tools, namely a glucometer, a glucometer stick, Ankle Brachial Index value, and a questionnaire. A bivariate analysis using the paired t-test and ANCOVA was conducted using IBM SPSS Statistics version 22.0. Results: In intervention group, random blood glucose was decreased significantly from 237.5 ± 9.56 at baseline to 188.0 ±6 9.19 after intervention (p=0.002). Sensation of protection as measure by the number of areas with loss sensation was improve from 5.21 ± 1.03 at baseline to 3.42 ± 1.21 after intervention (p=0.001). While, no significant improvement in ankle-brachial index after intervention (p=0.413). The ANCOVA test showed that between group, sensation of protection was significantly different in intervention group compare to control group (ß =0.413, p-value=0.038). Conclusions: The study found that a 12-week foot exercise program significantly improves blood glucose and sensation protection, but not ankle-brachial index. Further research is needed with a more rigorous study design and larger sample size.
Family caregiver burden in schizophrenia: A structural equation model of caregiver, patient, environmental, and family function factors Sustrami, Dya; Suhardiningsih, AV Sri; Setyowati, Anggi; Fauk, Nelsensius Klau; Arifin, Hidayat
Jurnal Keperawatan Padjadjaran Vol. 12 No. 3 (2024): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jkp.v12i3.2599

Abstract

Introduction: Families play a critical role in the care and support of individuals with schizophrenia. However, this responsibility often leaves caregivers with significant physical and psychological burdens. Objective: The study aimed to evaluate the family caregiver, patient, environmental factors, and family function as predictors of family caregiver burden in schizophrenia patients. Methods: This study used a cross-sectional design. The population consisted of family caregivers of schizophrenia patients who had experienced at least one episode in the past year, lived in the same house, and had been caregivers for at least one year. We recruited 220 family caregivers of schizophrenia patients. The variables in this study were family caregiver, patient, environmental factors, family function, and caregiver burden. The data was collected using a self-report questionnaire and analyzed using partial least squares. Results: Most respondents were predominantly between the ages of 46 and 65. The model showed that caregiver burden was influenced by the patient factor (t= 4.259, path coefficient: 0.088), environment factor (t= 6.540, path coefficient: 0.288), and family function (t= 10.977, path coefficient: 0.497). These findings showed that family function was the dominant factor in caregiver burden.   Conclusion: Patient factors, environmental factors, and family function significantly affected the family caregiver burden, except for the family caregiver factor. This model can help family caregivers decrease their burden by managing family functioning.

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