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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 415 Documents
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Comparison of the accuracy of two wound classification systems for diabetic foot ulcer healing Pratama, Kharisma; Suyanto, Suyanto; Kuswida Bhakti, Wida; Jais, Suriadi
Jurnal Keperawatan Padjadjaran Vol. 13 No. 3 (2025): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jkp.v13i3.2447

Abstract

Background: Diabetic foot ulcers (DFUs) remain a significant clinical challenge, requiring precise classification systems to aid prognosis and treatment planning. The Wagner classification is widely used but offers limited detail on specific wound characteristics, while the SHID (Suriadi, Haryanto, Imran, Defa) system provides a more comprehensive evaluation but lacks validation. Purpose: This study was designed to evaluate and compare the predictive validity of the Wagner and SHID classification systems in forecasting DFU healing outcomes. Methods: A prospective cohort study was conducted at Kitamura Clinic and Doctor Soedarso Pontianak Hospital between August 2021 and July 2022, involving 89 DFU patients. Both systems were evaluated based on sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV), and likelihood ratios. Predictive validity was determined using receiver operating characteristic (ROC) curve analysis and the Youden index. Results: A cut-off grade of >2 provided optimal predictive value for both systems. The SHID classification demonstrated a sensitivity of 92%, specificity of 62%, PPV of 27.5%, and NPV of 98%, while the Wagner classification showed a sensitivity of 58%, specificity of 77%, PPV of 28%, and NPV of 92.2%. Positive likelihood ratios were 2.4 for SHID and 2.5 for Wagner. ROC analysis yielded an area under the curve (AUC) of 0.786 (95% CI: 0.69–0.87) for SHID and 0.703 (95% CI: 0.60–0.80) for Wagner. The Youden index was higher for SHID (0.540) compared to Wagner (0.349). Conclusion: Although both systems are effective for predicting DFU healing within 12 weeks, SHID's superior AUC and Youden index suggest greater clinical utility in screening and managing DFUs.
Factors associated with stage of behavior change and willingness to quit smoking among people living with HIV In Taiwan Linlin Lindayani; Lai, Yiin; Ko, Wen-Chien; Wang, Jung-Der; Ko , Nai-Ying
Jurnal Keperawatan Padjadjaran Vol. 13 No. 3 (2025): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jkp.v13i3.2621

Abstract

Background: The prevalence of smoking among people living with HIV is double than general population. There is no specific guideline for smoking cessation in this population thus many of HIV-smoker receive unproven treatment that led to low adherence and high relapse. Objectives: The aim of this study was to identify the stage of behavior change and willingness to quit smoking, and to determine their associated factors among people living with HIV. Methods: A cross-sectional design was conducted at an HIV/AIDS hospital in southern Taiwan. of 423 people living with HIV, the mean age was 37.43 (SD=10.99) years and 97.9% were male. About 33.9% were a current smoker, 22.9% were in pre-contemplation stage, and 33.3% willing to quit smoking. Age, education, CD4 cell counts, viral load, having diabetic and hepatitis B, and exposure to smoking cessation information were associated with stage of behavior change. Smoking 2-3 times a month (aOR=9.33, 95%CI= 1.45-60.2) and having heard about smoking cessation were significant predictors for willingness to quit smoking (aOR= 3.67, 95 CI= 3.67-9.06). Conclusion: Our findings suggest to design an intervention according to HIV-smoker stage of behavior change for successful smoking cessation. Additionally, it is important to address patients’ clinical conditions including smoking frequency and exposure to information related to smoking cessation.
Lived experiences of domestic violence among Minangkabau women: A phenomenological study Sari, Yanti Puspita; Abdullah, Khatijah Lim; Hermalinda, Hermalinda
Jurnal Keperawatan Padjadjaran Vol. 13 No. 3 (2025): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jkp.v13i3.2637

Abstract

Objective: This study aimed to explore the lived experiences of women who have faced domestic violence, focusing on the causes of the violence, its impact on their health, and the decision-making processes they undertook in response. Method: This study used a phenomenological study approach. The inclusion criteria were women from the Minangkabau tribe, aged 18-40, married or previously married, and with children. Participant recruitment was conducted through the Pusat Pelayanan Terpadu Pemberdayaan Perempuan dan Anak/ Integrated Service Center for the Empowerment of Women and Children) and the Women’s Crisis Center (WCC) “Nurani Perempuan”, based on predetermined inclusion criteria. Data collection continued until thematic saturation was reached. Nine women were involved. In-depth interviews and field notes were transcribed verbatim, and theme analysis was performed using the seven-step Collaizzi technique. Results: Four themes emerged from the data: (1) failure to resolve family conflict; (2) physical and psychological despair; (3) inability to make decisions; (4) need for external support. Participants’ experiences reflect the erosion of traditional protective systems due to cultural shifts, economic dependence, and societal pressures. Conclusions: The study highlights that unresolved family conflict, poor health outcomes, and limited decision-making power shape women's vulnerability to domestic violence. Strengthening community-based support and culturally sensitive interventions is recommended to empower women and reduce the risk of domestic violence.
Challenges in clinical training for professional nurse students: A qualitative study Naryati, Naryati; Muhammad Hadi; Rizki Nugraha Agung; Melati Fajarini
Jurnal Keperawatan Padjadjaran Vol. 13 No. 3 (2025): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jkp.v13i3.2700

Abstract

Introduction: Clinical training is a cornerstone of nursing education, equipping students with the practical competencies required for professional practice. However, professional nursing students often face significant obstacles, including limited supervision, communication barriers, emotional strain, and resource constraints that hinder their clinical learning. Despite these concerns, few studies in Indonesia have systematically explored these challenges, creating a gap in understanding the specific contextual factors shaping clinical training experiences. Objective: This study aimed to explore the challenges experienced by professional nursing students during clinical training in Indonesia. Methods: A qualitative descriptive study was conducted using semi-structured interviews with 25 professional nursing students from accredited nursing programs in Indonesia. Data collection occurred between March and June 2025 to provide temporal context. Participants were purposively sampled to ensure diverse experiences. Thematic analysis followed Braun and Clarke’s six-step framework, and NVivo software supported data management. Trustworthiness was ensured through credibility, dependability, confirmability, and transferability strategies. Results: Analysis revealed five central themes: (1) Inadequate clinical supervision, characterized by limited instructor availability and insufficient feedback; (2) Communication barriers, including hierarchical dynamics, medical jargon, and language differences; (3) Emotional and psychological strain, stemming from high workloads and performance anxiety; (4) Resource constraints, such as limited access to modern tools and simulation facilities; and (5) Interpersonal challenges, involving peer competition and difficulties in collaborative learning. These issues were further influenced by Indonesia’s cultural and institutional context. Conclusion: Overcoming these barriers requires a holistic strategy encompassing improved student-to-instructor ratios, enhanced communication training, stress management initiatives, investment in educational resources, and fostering positive peer relationships. Institutional dedication to these interventions is critical to advancing clinical training outcomes and cultivating competent nursing professionals.
Self-care education based on local wisdom to improve glycemic control and self-efficacy in type 2 diabetes Yasa, I Dewa Putu Gede Putra; Surasta, I Wayan; Rasdini, Iga Ari; Iblasi, Abdulkareem S.; Polsook, Rapin; Juanamasta, I Gede
Jurnal Keperawatan Padjadjaran Vol. 13 No. 3 (2025): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jkp.v13i3.2741

Abstract

Introduction: Effective management of type 2 diabetes mellitus (T2DM) requires structured self-care education supported by family and cultural context. In Bali, health-related decisions are often influenced by patrilineal households where male family members act as primary decision-makers. This study evaluated a self-care education program based on Balinese local wisdom to improve glycemic control and self-efficacy among T2DM patients. Methods: A quasi-experimental design with pre- and post-tests and a control group was conducted at Community Health Center in Bali, Indonesia from June to September 2024. .Seventy patients with T2DM living in patrilineal households were purposively recruited and randomly allocated into intervention (n=35) and control (n=35) groups.. The intervention consisted of twelve weekly sessions of culturally tailored self-care education covering diet, physical activity, monitoring, medication, and foot care, with active involvement of male household decision-makers. Outcome measures included self-efficacy (Diabetes Management Self-Efficacy Scale), HbA1C, and systolic/diastolic blood pressure, analyzed using t-tests. Results: After 12 weeks, the intervention group demonstrated significant improvements compared to controls: self-efficacy (mean difference: 8.37, p<0.001), systolic blood pressure (-4.51 mmHg, p<0.001), diastolic blood pressure (-2.74 mmHg, p<0.001), and HbA1C (-0.61%, p<0.001). Although the HbA1C reduction was modest, it indicates a meaningful step toward better glycemic control. Conclusion: A 12-week culturally tailored self-care education program involving patrilineal family members improved self-efficacy and glycemic control in T2DM patients. These findings highlight the importance of integrating local wisdom and family involvement into diabetes education to enhance patient empowerment and adherence.
Self-efficacy, drug side effects, and nurse communication: Factors related in chemotherapy adherence for breast cancer patients Ashraf, Muhammad; Malini, Hema; Refnandez, Randy; Kardila, Intan Yullya
Jurnal Keperawatan Padjadjaran Vol. 13 No. 3 (2025): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jkp.v13i3.2748

Abstract

Background: Chemotherapy is a crucial therapy for breast cancer patients, and its success heavily depends on patient compliance. However, despite extensive in the impact of  Non-compliance, there is still limited understanding of the specific factors influencing chemotherapy adherence among breast cancer patients, highlighting the need to re identify these contributing factors. Purpose: This study aims to identify the determinant factors related to chemotherapy adherence among breast cancer patients at the West Sumatera Provincial Hospital. Methods: This study is a quantitative research with a cross-sectional design. An accidental sampling technique was used, with a total of 81 patients. Bivariate analysis was conducted using the chi-square test (p < 0.05), and multivariate analysis was performed using Multiple Logistic Regression. Results: The results showed that 61.7% of patients had good compliance. Factors associated with compliance included good self-efficacy, low knowledge, feeling bothered by the side effects of chemotherapy drugs, and effective nurse interpersonal communication. Multivariate analysis revealed that self-efficacy and drug side effects had a significant relationship with compliance (p < 0.05). Drug side effects were the most significant factor (OR = 12.223, 95% CI: 1.371 to 109.015, p < 0.05). Conclusion: The findings of this study highlight the importance of managing drug side effects and enhancing self-efficacy through patient education and improved nurse interpersonal communication. These measures are expected to improve the quality of nursing care and patient outcomes.
Understanding sleep quality among postoperative patients in Intensive Care Unit: A conceptual analysis approach Nurhayati, Nunung; Waluyo, Agung; Kariasa , I Made; Asih, Sali Rahadi; Pujasari, Hening; Hayat, Bahrul
Jurnal Keperawatan Padjadjaran Vol. 13 No. 3 (2025): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jkp.v13i3.2762

Abstract

Background: Sleep quality is an important yet understudied element influencing postoperative recovery in intensive care units. Considering that there is a lack of consistent knowledge of the quality of sleep, it is difficult to establish appropriate tests and therapies. Objective: To do a conceptual analysis of sleep quality in postoperative intensive care units patients utilizing the Walker and Avant framework, delineating its qualities, antecedents, consequences, and empirical referents. Methods: This study used the Walker and Avant eight-step process for idea analysis, which included a systematic literature evaluation of papers published between 2020 and 2024 in databases such as PubMed, Scopus, ScienceDirect, and ProQuest. Data was evaluated to determine important defining qualities, causes, outcomes, and measurable indicators of sleep quality. Results: The analysis identified four defining attributes of sleep quality: sleep architecture, sleep disturbances, subjective experience, and physiological indicators. Antecedents included environmental noise, lighting, pain, anxiety, and frequent medical interventions. Poor sleep quality was associated with adverse outcomes such as increased delirium risk, delayed wound healing, and prolonged intensive care units      stays. Empirical referents included patient-reported tools like the Pittsburgh Sleep Quality Index, polysomnography, and actigraphy. Conclusion: Sleep quality is a multidimensional concept central to postoperative care in intensive care unit. Addressing environmental and psychological factors through targeted interventions can improve sleep quality and enhance recovery outcomes.
Comprehensive approaches to suicide prevention in undergraduate students: A scoping review of psychological, social, and institutional strategies Soeli, Yuniar Mansye; Daulima, Novy Helena Catharina; Mustikasari, Mustikasari; Martha, Evi
Jurnal Keperawatan Padjadjaran Vol. 13 No. 3 (2025): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jkp.v13i3.2763

Abstract

Background: Diabetic foot ulcers (DFUs) remain a significant clinicalchallenge, requiring precise classification systems to aid prognosis and treatment planning. The Wagner classification is widely used but offers limited detail on specific wound characteristics, while the SHID (Suriadi, Haryanto, Imran, Defa) system provides a more comprehensive evaluation but lacks validation. Purpose: This study was designed to evaluate and compare the predictive validity of the Wagner and SHID classification systems in forecasting DFU healing outcomes. Methods: A prospective cohort study was conducted at Kitamura Clinic and Doctor Soedarso Pontianak Hospital between August 2021 and July 2022, involving 89 DFU patients. Both systems were evaluated based on sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV), and likelihood ratios. Predictive validity was determined using receiver operating characteristic (ROC) curve analysis and the Youden index. Results: A cut-off grade of >2 provided optimal predictive value for both systems. The SHID classification demonstrated a sensitivity of 92%, specificity of 62%, PPV of 27.5%, and NPV of 98%, while the Wagner classification showed a sensitivity of 58%, specificity of 77%, PPV of 28%, and NPV of 92.2%. Positive likelihood ratios were 2.4 for SHID and 2.5 for Wagner. ROC analysis yielded an area under the curve (AUC) of 0.786 (95% CI: 0.69–0.87) for SHID and 0.703 (95% CI: 0.60–0.80) for Wagner. The Youden index was higher for SHID (0.540) compared to Wagner (0.349). Conclusion: Although both systems are effective for predicting DFU healing within 12 weeks, SHID’s superior AUC and Youden index suggest greater clinical utility in screening and managing DFUs. Keywords: diabetic foot ulcer; sensitivity, specificity, wound classification, wound healing prediction
Direct and indirect effects of stress, health literacy, social media use, and self-efficacy on diabetes prevention behaviors in youth: A path analysis Nina, Nina; Hakim, Achmad Lukman; Hidayani, Hidayani; Sansuwito, Tukimin Bin
Jurnal Keperawatan Padjadjaran Vol. 13 No. 3 (2025): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jkp.v13i3.2809

Abstract

The application of nursing diagnoses in Intensive Care Units: A scoping review of clinical indicators and patient outcomes Wahyuni, Erna Dwi; Nursalam, Nursalam; Dewi, Yulis Setiya; Puspitasary, Novalia; Klankhajhon, Sirikanok; Ye, Jia-You; Arifin, Hidayat
Jurnal Keperawatan Padjadjaran Vol. 13 No. 3 (2025): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jkp.v13i3.2841

Abstract

Introduction: Nursing diagnoses are essential in Intensive Care Units (ICUs) for guiding decisions, prioritizing care, and improving outcomes. However, inconsistent terminology and documentation burdens hinder their effective implementation and evaluation. The aimed of this study was to examine the application of nursing diagnoses in ICUs, exploring their relationships with clinical indicators, patient outcomes, and the impact of standardized diagnostic frameworks on nursing practice. Methods: This scoping review followed PRISMA-ScR guidelines We searched PubMed, CINAHL, Scopus, and Web of Science from 2019 to 2024. Studies examining nursing diagnoses in ICU settings were included. The reviewers independently screened 527 records, with nineteen full-text articles assessed for eligibility, resulting in thirteen included studies. Results: Thirteen studies with diverse methodologies from multiple countries were analyzed. Four key themes emerged: 1) Clinical indicators linked to specific nursing diagnoses, particularly respiratory conditions where impaired spontaneous ventilation was associated with dyspnea, fever, fatigue, and cough; 2) Implementation processes for nursing diagnoses, including electronic health records and nurse-delivered thoracic ultrasound that enhanced clinical decision-making; 3) Diagnostic validation and prevalence studies highlighting the importance of standardized frameworks for accurate diagnosis; and 4) Interventions that improved nursing practice and patient outcomes, including the institutionalization of nursing processes and development of electronic care plans. Conclusion: Standardized nursing diagnoses optimize ICU patient care by providing a structured approach to assessment, intervention planning, and outcome evaluation. Technology integration and consistent terminology enhance diagnostic accuracy and intervention effectiveness. Future research should focus on validating these frameworks across diverse ICU settings and patient populations to establish best practices for implementation.

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