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JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery)
Published by Universitas Alma Ata Yogyakarta
ISSN : 23547642     EISSN : 25031856     DOI : -
Core Subject : Health, Education,
Health Professions Medicine & Pharmacology Nursing Public Health Other
Jurnal Ners dan Kebidanan Indonesia (Indonesian Journal of Nursing and Midwifery) abbreviated JNKI (p-ISSN 2354-7642 and e-ISSN 2503-1856) is the journal of nursing and midwifery published by Department of Nursing and Department of Midwifery, Faculty of Health Sciences, Alma Ata University in collaboration with AIPNI (Asosiasi Institusi Pendidikan Ners Indonesia), AIPKIND (Asosiasi Institusi Pendidikan Bidan Indonesia), PPNI (Persatuan Perawat Nasional Indonesia), and IBI (Ikatan Bidan Indonesia).
Arjuna Subject : -
Articles 466 Documents
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The influence of breastfeeding technique education on knowledge of lactation problem prevention Siregar, Rohani
JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) Vol. 13 No. 4 (2025)
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/jnki.2025.13(4).582-592

Abstract

Background: Proper breastfeeding techniques are essential for maintaining optimal breast milk production. Incorrect application of these techniques may result in nipple trauma and discourage mothers from breastfeeding. Inadequate breastfeeding can lead to infant malnutrition, increased susceptibility to illness, and, in severe cases, mortality. Health education serves as an effective strategy for postpartum mothers, as it provides knowledge that fosters behavioral change and reduces the risk of exclusive breastfeeding failure.Objectives: This study aimed to evaluate the effect of breastfeeding technique education on improving postpartum mothers’ knowledge in preventing lactation problems.Methods: A quantitative study with a pre-experimental design, specifically a one-group pretest–posttest approach, was conducted. The sample comprised 26 respondents selected through total sampling. Data were analyzed using univariate methods to describe knowledge levels before and after the intervention, and bivariate methods to assess differences between the two measurement points. The Wilcoxon test was applied because the data were not normally distributed (p < 0.05). Results: The findings revealed a significant effect of breastfeeding technique education on the improvement of postpartum mothers’ knowledge in preventing lactation problems, with a p-value of 0.000 (< α = 0.05). Conclusions: Providing education and information on breastfeeding techniques, supported by healthcare professionals, particularly midwives, is crucial. This intervention has been demonstrated to be an effective strategy for enhancing breastfeeding success and preventing lactation-related problems
The Relationship between exclusive breastfeeding history and nutritional status of toddlers on the incidence of stunting in toddlers Destariyani, Elvi; Burhan, Rialike; Andriani, Lusi; Sari, Ade Zayu Cempaka; Utami, Rega Yunike
JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) Vol. 13 No. 4 (2025)
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/jnki.2025.13(4).611-622

Abstract

Background: Stunting is a chronic nutritional problem that impacts the physical growth, cognitive development, and health of children in the future. In 2023, Indonesia still had a high rate of stunting at 21.5%, which is higher than the national goal of 14%. In Bengkulu Province, the prevalence of stunting reached 20.2%, while in North Bengkulu Regency it was 8.7%. One of the areas with a high stunting rate is the Kemumu Health Center, where stunting cases were recorded in 120 toddlers (10.56%) in 2024. Factors that affect the incidence of stunting include the history of exclusive breastfeeding and the nutritional status of toddlers.     Objectives: To determine the relationship between exclusive breastfeeding history and nutritional status of toddlers with stunting incidence. Methods: This type of study is a retrospective case-control design. This research was conducted in July 2025. The population of this study is all toddlers whose data were recorded in the register of the Kemu Health Center’s integrated health post (Posyandu). The sample used was 238 toddlers (119 stunted, 119 not stunted) with a simple random sampling technique. The data were analyzed using chi-square.Results: There was a correlation between exclusive breastfeeding history (p=0,000; OR=8,066) and Nutritional Status of Toddlers (p=0,008) with the incidence of stunting. Toddlers who do not get exclusive breastfeeding are eight times more likely to experience stunting. Conclusions: There is a relationship between the history of exclusive breastfeeding and the nutritional status of toddlers with the incidence of stunting in toddlers aged 6-59 months at the Kemu Health Center. It is recommended that to solve the stunting problem, it is essential to provide nutritional information corresponding to the specific needs of toddlers.
Improving self-care behavior knowledge in hypertensive patients through jigsaw learning and educational booklets: A quasi-experimental study Muhammad Anwar Hafid; Al-Fisyah, Dina
JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) 2026: Just Accepted Manuscript and Article In Press 2026
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/jnki.2026.14(1).147-162

Abstract

Background: Hypertension remains a major global health problem with a high prevalence rate, necessitating effective educational strategies to improve patient self-care behaviors to prevent cardiovascular complications and premature death. Objectives: This study aims to analyze the effect of healthy lifestyle education using the Jigsaw method through a booklet medium on improving self-care behavior knowledge in hypertensive patients. Methods: A quasi-experimental design with a pretest-posttest control group approach was used, involving 58 hypertensive patients in the Benteng Community Health Center working area who were randomly allocated into the intervention and control groups. Data were collected using a hypertension self-care knowledge questionnaire consisting of 24 questions covering six important aspects and analyzed using the Cochran test to evaluate the effect of the intervention. Results: The results showed a significant difference between the intervention and control groups with a p-value of 0.000 (p < 0.05), indicating that the intervention group experienced a greater increase in self-care behavior knowledge. The intervention group showed a significantly higher increase in mean knowledge scores across all self-care domains compared to the control group, underscoring the superior effectiveness of the collaborative Jigsaw strategy in enhancing deeper understanding and knowledge retention. Conclusions: These findings indicate that the Jigsaw method is effective in improving patient understanding and empowerment in hypertension management. This study advocates the integration of a patient-centered peer-teaching approach into routine primary healthcare to optimize self-management and clinical outcomes in chronic disease care
POSITIVE EFFECT OF CHEWING GUM ON THE RECOVERY OF INTESTINAL PERISTALSIS IN POST-LAPAROTOMY PATIENTS widiyono, widiyono S.Kep.,
JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) 2026: Just Accepted Manuscript and Article In Press 2026
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/jnki.2026.14(1).177-188

Abstract

Background: Laparotomy is an invasive treatment that involves surgery on the lining of the abdominal wall. The effect of laparatomy using general anesthesia is gastrointestinal motility and vomiting, and if it lasts more than 24 hours, and causes postoperative ileus (IPO). Various efforts are needed to accelerate the return of intestinal peristalsis in post laparatomy patients to accelerate flatus time, including developing independent nursing interventions for chewing gum.Objective: This research examined how chewing gum affected intestinal peristalsis in Waras Wiris Hospital post-laparotomy patients.Methods: This quantitative pre-experimental research used a one-group pre- and post-test design. This research sampled 90 postoperative laparatomy patients using purposive sampling.Results: The mean digestive peristalsis increased from 0.001 to 16.27 following the intervention. Chewing gum affects intestinal peristalsis in post-laparatomy patients, according to the Paired T-Test test, which had a p value of 0.001. Gum may boost intestinal peristalsis after laparotomy.Conclusion: This action is a non-invasive intervention and very effective. Nurses need to provide this nursing intervention to patients after laparatomy
The correlation between career ladder implementation and nurse job satisfaction in Y Hospital, Kuningan: A cross-sectional study Rusmianingsih, Nining; Noviani, Rinda Virgin
JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) 2026: Just Accepted Manuscript and Article In Press 2026
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/jnki.2026.14(1).163-176

Abstract

Background: In healthcare systems worldwide, the implementation of structured career advancement mechanisms such as career ladders has been increasingly recognized as essential to ensuring workforce motivation, retention, and quality of care. However, empirical evidence on how these systems are perceived and their impact on nurses’ job satisfaction particularly in decentralized or resource-constrained hospital settings remains limited. Objectives: This study aimed to examine the correlation between nurses’ perceptions of career ladder implementation and their reported levels of job satisfaction. It specifically tested the hypothesis that a positive perception of the career ladder system is significantly associated with higher job satisfaction among nurses. Methods: Using a quantitative correlational cross-sectional design, the study surveyed 100 registered nurses selected via total sampling. Validated questionnaires were employed to measure two key constructs: perceived implementation of the career ladder system and levels of job satisfaction. Data were analyzed using descriptive statistics, cross-tabulation, and chi-square testing to determine the strength and direction of associations between variables. Results: Results indicate that most nurses were positioned at Career Level III (49%). While 54% perceived the career ladder implementation as effective, 46% did not. Job satisfaction was reported by 65% of participants. Notably, there was a statistically significant correlation (p = 0.000) between positive perceptions of career ladder implementation and job satisfaction: 81.5% of nurses with positive perceptions reported satisfaction, compared to only 45.7% among those with negative views. These findings affirm international research highlighting that clear, well-communicated, and equitable career structures foster motivation, retention, and satisfaction among healthcare staff. Conclusions: The findings suggest that the presence of a career ladder system alone is insufficient. Effective implementation supported by institutional leadership, transparent communication, and staff engagement is critical to realizing its benefits.  
Risk factors of neonatal mortality in Jember Regency, Indonesia: A case-control study Alvianto, Muhammad Azirul Afif; Kusumawardani, Devi Arine; Baroya, Ni'mal
JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) 2026: Just Accepted Manuscript and Article In Press 2026
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/jnki.2026.14(1).126-146

Abstract

Background: Neonatal mortality constitutes most infant deaths in Indonesia, influenced by maternal and infant factors, smoking exposure levels during pregnancy, and the seeking of health services. Objectives: The study aimed to determine risk factors associated with neonatal mortality in Jember Regency. Methods: This observational analytical study employed a case-control design, with 42 cases and 42 controls selected by simple random sampling. Data collection used a documentation study to obtain maternal and infant characteristics, and maternal cigarette smoke exposure level was assessed using a direct interview SHSES questionnaire. Results: Mostly the age of mothers from case and control 20-35 years, gestational age 37-42 weeks, upper arm circumference ≥23.5 cm, not anemic, parity 2-4, experiencing complications, heavy exposure to cigarette smoke, birth spacing 24-60 months, birth weight <2500 & >4000 grams, inappropriate ANC, delivery assisted by health workers in health care facilities, and using the abdominal delivery method. Preterm and postterm delivery increased neonatal death risk 3.5 times (OR =3.511; 95% CI = 1.316-9.364), maternal or infant complications increased risk 4.2 times (OR = 4.200; 95% CI = 2.445-7.214), extreme birth weight increased risk 4.4 times (OR = 4.462; 95% CI = 1.785-11.154), and the vaginal delivery method is 0.194 times (OR = 0.194; 95% CI = 0.073-0.518) more protective than the abdominal delivery method. Conclusions: Preterm and post-term birth, maternal and neonatal complications, extreme birth weight, and abdominal delivery were associated with neonatal mortality. Strengthening early risk detection and antenatal care quality to prevent complications, optimize birth outcomes, and improve referral coordination to support targeted neonatal mortality reduction strategies.

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