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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 491 Documents
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Effect of an android-based KEKASIH class on breastfeeding knowledge, attitudes, and breastfeeding self-efficacy among pregnant women in Bengkulu City Epti Yorita; Rina; Mariati; Rolita Efriani; Sri Yanniarti
JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) Vol. 14 No. 2 (2026)
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/jnki.2026.14(2).276-290

Abstract

Background: Exclusive breastfeeding coverage remains suboptimal in many regions in Indonesia, including Bengkulu City. This is related to several factors, such as pre-lacteal feeding practices, limited maternal knowledge, inadequate family support, and cultural influences. Strengthening breastfeeding education during pregnancy is essential to improve maternal preparedness and support successful exclusive breastfeeding. Objectives: This study aimed to examine the effect of an Android-based KEKASIH Class educational program on breastfeeding knowledge, attitudes, and breastfeeding self-efficacy among pregnant women. Methods: A quasi-experimental study with a non-equivalent control group design was conducted among 70 third-trimester pregnant women in Bengkulu City. Participants were selected using purposive sampling and divided into an intervention group and a control group. The intervention group received breastfeeding education through the Android-based KEKASIH Class application, while the control group received conventional education through antenatal classes. Data were analyzed using univariate analysis and non-parametric tests, including the Wilcoxon signed-rank test and the Mann–Whitney U test. Results: The results showed significant improvements in breastfeeding knowledge, attitudes, and breastfeeding self-efficacy in both groups after the intervention (p < 0.05).There was no statistically significant difference between the intervention and control groups (p > 0.05), indicating that both educational approaches were effective in improving maternal readiness for breastfeeding. Conclusions: The findings demonstrate that both the Android-based KEKASIH Class and conventional antenatal education can effectively improve breastfeeding knowledge, attitudes, and breastfeeding self-efficacy among pregnant women. Digital health education can therefore be considered an alternative strategy to support breastfeeding promotion programs.
The effect of coconut sugar on blood glucose level in prediabetes patients Nurun Laasara; Yusniarita; Sari Lutfijah; Vira Zahra Alkharis; Siti Fatimah Sa’at
JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) Vol. 14 No. 2 (2026)
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/jnki.2026.14(2).291-301

Abstract

Background: Diabetes not only causes premature deaths worldwide. This disease is also a major cause of blindness, heart disease and kidney failure. Prevention and control of diabetes mellitus in Indonesia is carried out so that healthy individuals remain healthy and people who already have risk factors can control them so that they do not fall ill with diabetes. Individuals with a history of impaired glucose tolerance (IGT) or the pre-diabetic group need to adopt a healthy lifestyle by paying attention to food and drink intake, especially sweet foods and doing physical activity, so that it does not progress to diabetes mellitus. Objectives: To determine the effect of coconut sugar on blood sugar levels in prediabet sufferers in the Sleman Regency, Special Region of Yogyakarta. This research is focused on promotive and preventive efforts in efforts to prevent non-communicable diseases such as diabetes mellitus so as to achieve optimal levels of public health. Methods: This research was Quasy experimental research design, carried out by giving pre-diabetic sufferers 30 grams of coconut sugar a day for 2 weeks on selected respondents with blood sugar levels of 100 – 126 mg/dl. Respondents who met the criteria were then divided into 2 groups. The intervention group given 30 grams of coconut sugar per day for 2 weeks and the control group consume food and drinks as usual. Results: Based on comparative research of blood sugar levels before and after giving coconut sugar among prediabetes, the results showed that there was a significant decrease in blood sugar in the intervention group after giving with the level blood sugar average is 17.39 mg /dl and in the control group blood sugar level average is 6.83 mg/dl Conclusions: There is significant effect of coconut sugar to decrease level of blood sugar among prediabetes patients.
Factor influencing electronic nursing documentation in type C Private Hospitals Pekanbaru Fitra Mayenti; Dwi Yunita Rahmadhani; Ahmad Redho; Tengku Isni Yuli Lestari Putri
JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) Vol. 14 No. 2 (2026)
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/jnki.2026.14(2).331-349

Abstract

Background: Electronic Nursing Documentation (EDN) practices in Class C hospitals are crucial for implementing the current care system. However, EDN practices in developing cities like Pekan Baru have not been fully implemented, and the factors influencing them remain poorly understood. Objectives: This study aims to analyze the factors influencing electronic nursing documentation among nurses in inpatient wards at Class C hospitals in Pekan Baru City. Methods: This is an observational, analytical, cross-sectional study. The study was conducted at three private Class C hospitals in Pekanbaru: Ibnu Sina Hospital, Syafira Hospital, and Sansani Hospital. Data were collected through questionnaires from 173 nurses who met the inclusion and exclusion criteria. Factors such as demographics, psychological conditions, job satisfaction, stress, personality, organizational factors, and work compensation systems were measured. Analysis used chi-square analysis followed by multiple logistic regression. Results: In this study, hospital type, age, education, biological stress, supervisory organizational factors, and rewards system were significantly associated (p-value < 0.05), while other factors were not. Multivariate analysis revealed that five variables significantly associated nurse documentation: age, education level, biological stress, supervision, and reward systems (p < 0.05). Supervisory organizational factors (OR = 15.429) and reward systems (OR = 8.657) were the most dominant. Conclusions: The finding indicate that supervision and institutional incentive system are significantly associated with electronic nursing documentation practice among nurse. Nurse with better supervision and more supportive reward systems tended to demonstrate improve documentation practices. These findings suggest that organizational factor may contribute to supporting electronic documentation, although further longitudinal or experimental studies are needed to confirm causality.
Effectiveness of health coaching nursing education based on the precede-proceed model theory on medication compliance of TB Patients Anna Nur Hikmawati; RR.Viantika Kusumasari; Fitri Dian Kurniati
JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) Vol. 14 No. 2 (2026)
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/jnki.2026.14(2).399-409

Abstract

Background: Tuberculosis is a contagious infectious disease where its control efforts are one of the world's targets, namely the Sustainable Development Goals (SDGs). Compliance with taking medication in pulmonary TB patients is an obstacle often faced by patients because they have to take medication continuously until the specified time, however in Indonesia there are still many cases of drop out for various reasons such as drug side effects, level of knowledge, habits, lack of family support, environment, socio-economic and health education strategies. The education provided is still one-way and has not touched on psychological, social, and motivational aspects, even though patients have the potential to act as facilitators of behavior change. Objectives: The purpose of this study is to determine the development of health coaching nursing education based on the precede-proceed model theory on medication adherence for TB patients in the Pleret Bantul DIY Community Health Center Working Area. Methods: This research design is quasi- experimental with Non Equivalent Control Group approach. The number of samples in this study refers to Non Probability Sampling type of total sampling amounting to 32, which are divided into 2 intervention and control group of 16 respondents each. The d ata analysis of this study used the Wilcoxon Signed Rank Test and Mann-Withney. Instrument for medication adherence was measured using the Medication Morisky Adherence Scale (MMAS-8). Results: The results showed a significant difference between the control group and the intervention group after health coaching nursing education based on the precede-proceed model theory with a value of p= 0.049 < 0,05. Conclusions: It was concluded that health coaching nursing education based on the precede-proceed model theory influenced medication adherence of TB patients in the Pleret Bantul DIY Community Health Center Work Area
The effect of dietary patterns on the incidence of illness in early childhood in the Special Region of Yogyakarta : A cross-sectional study using logistic regression analysis Oktaviana Maharani; Arantika Meidya Pratiwi; Jasmin Adinda Solikhah; Adinda Setyaningsih; Riska Miftakhul Rahmasari; Retha Nurhaida Rahmadanti
JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) Vol. 14 No. 2 (2026)
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/jnki.2026.14(2).222-237

Abstract

Background: Diet plays a crucial role in maintaining health status and boosting immune system of young children against different illnesses. The context based on ongoing pediatric illness due to suboptimal feeding patterns. An inadequate diet can depress the child's resistance and his ability to fight off illness. Objectives: This research aimed to analyse the effect of diet on child morbidity in Yogyakarta Special Region. Methods: This research was a quantitative study with a cross-sectional approach. The study population was all children aged 0–7 years in the Special Region of Yogyakarta, with a sample of 366 children selected using multistage cluster random sampling. Data analysis was performed using logistic regression analysis to determine the extent of the influence of diet on the incidence of illness. Results: The results showed that the majority of children had sufficient dietary patterns (51.9%), followed by good dietary patterns (44.3%) and poor dietary patterns (3.6%), while illness incidence was found in 48.6% of respondents. Logistic regression analysis indicated that dietary patterns significantly affected illness incidence among early childhood children (p = 0.012). Children with poor dietary patterns had a 7.23 times higher risk of experiencing illness compared to children with good dietary patterns (OR = 7.23). The Nagelkerke R Square value of 0.039 indicated that dietary patterns contributed 3.9% to illness incidence, while the remaining proportion was influenced by other factors not examined in this study. Conclusions: The conclusion of this study is that dietary patterns have a significant effect on the incidence of illness in early childhood, although the contribution is relatively small; therefore, strengthening other supporting factors for comprehensive child health is necessary.
Enhancing childbirth outcomes: The impact of pelvic floor muscle and abdominal exercises Lina Puspitasari; Raheleh Babazadeh; Misrina Retnowati; Yenni Kristiana
JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) Vol. 14 No. 2 (2026)
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/jnki.2026.14(2).252-266

Abstract

Background: Childbirth is a critical physiological process experienced by women that requires optimal physical and psychological preparation. Inadequate preparation may contribute to prolonged labor and increased pain intensity. Prenatal exercise is recognized as a non-pharmacological approach to improve maternal readiness. A combination of pelvic floor muscle (PFM) exercise and abdominal exercise is considered beneficial for strengthening muscles involved in the labor process, potentially influencing both labor duration and pain perception. Therefore, this study aimed to analyze the effect of combined pelvic floor muscle and abdominal exercises on labor pain intensity and duration of labor among pregnant women. Methods: This study employed a quasi-experimental design with a posttest-only nonequivalent control group approach. The total sample consisted of 60 pregnant women, divided equally into an intervention group and a control group (1:1 ratio). Participants were selected using convenience non-probability sampling. The intervention group received prenatal exercise combining PFM and abdominal exercises starting from 38 weeks of gestation until delivery, while the control group received standard care. Data were analyzed using independent t-tests to compare outcomes between groups. Results: The findings demonstrated that the intervention group had significantly lower mean pain scores compared to the control group at 8 cm cervical dilation (t = -3.828, p = 0.001) and at complete dilation (t = -3.865, p = 0.001). Additionally, the duration of the first stage of labor (t = -3.118, p = 0.003) and the second stage of labor (t = -2.122, p = 0.038) were significantly shorter in the intervention group. Conclusions: Prenatal exercise combining pelvic floor muscle and abdominal exercises has a positive effect on the childbirth process by reducing labor pain and shortening the duration of labor stages. This intervention can be recommended as part of routine antenatal care to improve maternal outcomes.
External determinants of adolescent sexual behavior among Islamic Boarding School Students in Bali Feni Sulistyawati; Rury Narulita Sari; Ni Putu Widarini; Ni Putu Shinta Utari Dewi; Abdul Hakim
JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) Vol. 14 No. 2 (2026)
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/jnki.2026.14(2).384-398

Abstract

Background: Risky sexual behavior among adolescents is a significant concern for sexual health, even in religious settings such as Islamic boarding schools. Although these institutions provide intensive religious education, students remain exposed to external influences that can shape their sexual behavior. Understanding these external determinants is crucial to addressing sexual risk and promoting the psychosocial well-being of adolescents in pesantren environments. Objectives: To analyze the influence of external factors including parental supervision, peer influence, and access to information on adolescent sexual behavior in Islamic boarding schools in Bali. Methods: This study used a quantitative design with a cross-sectional approach. A total of 127 students with varying lengths of stay in Islamic boarding schools and ages ranging from 15-19 years from two Islamic boarding schools in Bali were selected using a total sampling technique. Data were collected using a structured questionnaire that had been tested for validity and reliability. The variables used in this study include independent variables, namely external factors consisting of access to information, parental supervision, and peer influence. The independent variable is sexual behavior with three categories: normal, moderate, and severe. Data analysis was carried out using frequency distribution, crosstabulation, and multinomial logistic regression with the non-risk category as a comparison. Results: Access to information and peer influence have a significant effect on severe risky sexual behavior with a p value <0.05. Adolescents with negative access to information were 6.7 times more likely (OR=6.711; 95% CI=1.797-25.065) to engage in high-risk sexual behavior, while those with negative peer influence were 14.8 times more likely (OR=14.838; 95% CI=1.238-177.883). Conclusions: Access to information and peer influence are the main determinants of high-risk sexual behavior among adolescents in Islamic boarding schools in Bali. Prevention efforts need to be directed at strengthening appropriate literacy and establishing peer educators.
An investigation of spiritual coping strategies among mothers of children with autism in Indonesia Gimanda Nahdiah Diana; Cesa Septiana Pratiwi; Iwan Setiawan
JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) Vol. 14 No. 2 (2026)
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/jnki.2026.14(2).238-251

Abstract

Background: Autism spectrum disorder places substantial emotional, social, and psychological demands on mothers, who often serve as the primary caregivers. In Indonesia, spirituality and religious practice are closely intertwined with everyday life and may function as important coping resources when mothers face prolonged caregiving stress, stigma, and uncertainty about their children’s future. Objective: This study explored how mothers of children with autism in Indonesia integrate spirituality into their coping processes during everyday caregiving. Methods: A qualitative descriptive study was conducted. Ten mothers of children diagnosed with autism spectrum disorder were recruited purposively on the basis of their role as primary caregivers and their involvement in spiritual or religious practices. Data were collected through in-depth semistructured interviews conducted face-to-face or online. Each interview lasted approximately 60–90 minutes, was audio-recorded with consent, transcribed verbatim, and analyzed thematically with the support of NVivo software. Results: Five main themes were identified: (1) the search for and meaning of spirituality, (2) emotional responses and the dynamics of acceptance, (3) spiritual coping strategies and daily practices, (4) culture, stigma, and social support, and (5) self-transformation and reflections on parenting. These findings suggest that faith actively shapes mothers’ resilience, hope, and acceptance of their circumstances. Conclusions: Spiritual coping is a crucial element that supports the psychological well-being of mothers caring for children with autism. The findings support the incorporation of spirituality-based approaches into mentoring and support practices for healthcare professionals, educators, and families as part of a holistic strategy for assisting mothers of children with autism.
Midwives’ clinical decision-making in the management of postpartum hemorrhage: A phenomenological study Rafhani Rosyidah; Nurul Azizah; Evi Rinata
JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) Vol. 14 No. 2 (2026)
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/jnki.2026.14(2).368-383

Abstract

Background: Postpartum hemorrhage (PPH) remains one of the leading causes of maternal mortality worldwide. The management of PPH requires rapid and accurate clinical decision-making by healthcare professionals, particularly midwives who serve as frontline providers in maternal care. In addition to clinical competence, emotional responses, teamwork, and personal values may influence midwives’ decision-making processes during obstetric emergencies. Objectives: This study aimed to explore midwives’ experiences of clinical decision-making in managing postpartum hemorrhage, with consideration of the role of spirituality in clinical practice. Methods: This qualitative phenomenological study involved 14 midwives working in delivery or postpartum units who had direct experience managing at least two PPH cases within the previous year. Participants were selected using purposive sampling until data saturation was achieved at the 14th interview. Data were collected through in-depth semi-structured interviews and field notes and analyzed using the Colaizzi phenomenological method. Trustworthiness was strengthened through member checking, source triangulation across participants and hospital contexts, peer debriefing, and an audit trail. Results: The analysis revealed four major themes describing midwives’ experiences in managing PPH: (1) emotional responses in life-threatening situations, (2) rapid clinical decision-making based on standard operating procedures (SOP) in critical conditions, (3) midwives’ leadership and teamwork within health system limitations, and (4) the integration of spiritual values as a source of strength and professional meaning in clinical practice. Conclusions: Midwives’ experiences in managing postpartum hemorrhage represent a dynamic process involving emotional regulation, adherence to clinical protocols, teamwork, and spiritual coping. The integration of clinical competence and psychosocial support plays an important role in supporting effective clinical decision-making during obstetric emergencies.
Effectiveness of VIO-ASI (oxytocin massage animation video) on maternal and paternal breastfeeding self-efficacy: A quasi-experimental study Eko Mardiyaningsih; Yuliaji Siswanto; Fiki Wijayanti
JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) Vol. 14 No. 2 (2026)
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/jnki.2026.14(2).350-367

Abstract

Background: Exclusive breastfeeding remains a major public health priority, yet mothers who deliver by caesarean section often face early physiological and psychological barriers that may reduce breastfeeding confidence and limit effective family support. Objectives: This study evaluated the effectiveness of VIO-ASI, an oxytocin massage animation video, in improving maternal breastfeeding self-efficacy and paternal self-efficacy in supporting breastfeeding among post-caesarean families. Methods: A quasi-experimental pretest-posttest study with a control group was conducted in a general hospital in Central Java, Indonesia, from December 2025 to February 2026. The final sample comprised 32 mother-father pairs, including 17 in the intervention group and 15 in the control group. The intervention group received animated video on oxytocin massage, whereas the control group received standard hospital care. Maternal breastfeeding self-efficacy and paternal self-efficacy were measured at baseline and one week later using validated Indonesian instruments. Results: The intervention did not produce a statistically significant increase in self-efficacy among either mothers or fathers within one week. Maternal baseline self-efficacy was significantly lower in the intervention group than in the control group (56.29 ± 9.83 vs 63.47 ± 5.71; p=0.021). At follow-up, maternal scores remained lower in the intervention group, but the difference was no longer significant (56.41 ± 10.47 vs 60.93 ± 7.80; p=0.181). Within-group changes were not significant in either mothers (p=0.924 intervention; p=0.116 control) or fathers. For fathers, baseline scores were 58.24 ± 8.00 versus 61.07 ± 9.12 (p=0.272), and follow-up scores were 59.41 ± 8.47 versus 61.60 ± 7.63 (p=0.594), with no significant difference in change scores (p=0.815). Conclusions: animated breastfeeding education may be more useful as a supportive component within a broader postpartum lactation intervention than as an isolated educational tool. The findings highlight the importance of integrating digital education with counselling, demonstration, family participation, and postpartum follow-up.  

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