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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 500 Documents
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Comparison of the effectiveness of rocking and massage on infant sleep quality using a local wisdom approach in Barito Kuala Regency, South Kalimantan Province Eka Damayanti; Mufdlillah Mufdlillah; Asri Hidayat
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).410-425

Abstract

Background: Infant sleep quality is an important determinant of growth, neurodevelopment, immune function, and family well-being. In South Kalimantan, traditional rocking practices such as bapukung remain culturally familiar, yet their effectiveness compared with infant massage has not been adequately examined. Objectives: This study aimed to compare the effectiveness of rocking and infant massage in improving sleep quality among infants aged 0-12 months in the working area of Tamban Community Health Center, Barito Kuala Regency, South Kalimantan, Indonesia. Methods: A quasi-experimental study with a non-equivalent control group design was conducted from March to June 2025. Seventy-six infants were selected through purposive sampling and allocated into two groups: rocking (n=38) and infant massage (n=38). Rocking was performed using a traditional/manual rhythmic swing three times daily for 5-25 minutes, adjusted to infant comfort, whereas infant massage was performed once daily before bedtime for 10-15 minutes using a structured gentle massage procedure. Sleep quality was measured before and after the 5-week intervention using the Brief Infant Sleep Questionnaire (BISQ). Changes in sleep quality categories were analyzed using the McNemar test with a significance level of p<0.05. Results: The proportion of infants with good sleep quality in the rocking group increased from 39.5% before intervention to 60.5% after intervention, and the change was statistically significant (p=0.008). In the massage group, good sleep quality increased from 44.7% to 60.5%, but the change was not statistically significant (p=0.180). Conclusions: Rocking was more effective than infant massage in improving infant sleep quality. Culturally relevant education on safe rocking techniques may be integrated into community-based infant health promotion programs.
Analysis of health promotion in preventing chronic energy deficiency (CED) among pregnant women in coastal and mountainous areas Masruroh; Max Robinson Wenno; Tri Subaeti; Ida Rahmawati
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(3).465-478

Abstract

Background: Chronic Energy Deficiency (CED) in pregnant women is a significant public health problem, especially in coastal and mountainous areas. CED is associated with insufficient energy intake and related to social, economic, cultural, and behavioral factors. Low educational attainment, traditional belief about food taboos, and limited geographic access are major obstacles to improving nutrition for pregnant women.Objectives: to analyze health promotion eforts to prevent CED in pregnant women. Methods: qualitative research design with a phenomenological approach. The research was conducted in the hall of the Kebumen District Health Office on May 26, 2025. The total number of participants was 10 people, consisting of 2 people from the Kebumen District Health Office, 6 community health center coordinator midwives (3 from the coastal/beach area and 3 from the mountainous area) and 2 village midwives (1 from the coastal area and 1 from the mountainous area). Inclusion criteria were current involvement in maternal health-promotion or CED-prevention activities, at least six months of relevant service experience, and willingness to provide informed consent. Individuals were excluded if they declined participation, could not be interviewed during the data-collection period, or did not have direct experience with the program. Informants were selected purposive sampling. Data were collected through in-depth interviews, Focus Group Discussions (FGD), and documentation of health promotion programs.Results: The results identified five main themes: (1) Strengthening Health Education and Counseling for Pregnant Women; (2) Implementation of Nutrition Programs and Cross-Sector Collaboration; (3) Intensive Assistance Through Cadres and Family Support Teams (TPK); (4) Establishment of Special High-Risk Pregnant Women's Classes; (5) Strengthening Pregnancy Examination (ANC Terpadu) for Early Detection. Conclusions: Integrated and sustainable health promotion eforts involving education, nutritional interventions, mentoring, and cross-sector collaboration have proven efective in preventing CED and supporting optimal maternal and fetal health
Assessing the impact of prenatal education on maternal birth preparedness and complication readiness: A quasi-experimental approach in Jember Regency Devi Arine Kusumawardani; Nur Intan Fadila
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(3).440-464

Abstract

Background: Maternal mortality remains a global priority issue, caused mainly by pregnancy-related complications that are not managed promptly and appropriately. The working area of Panti Public Health Center, Jember Regency, showed high coverage of obstetric complications during 2022–2024, 56%, 77%, and 52%. The implementation of Birth Preparedness and Complication Readiness (BPCR) is an essential strategy to reduce the high incidence of pregnancy complications.Objectives: This study aimed to analyze the effect of prenatal education on BPCR practices among pregnant women in the working area of Panti Public Health Center, Jember Regency.Methods: This quasi-experimental study employed a pre-test and post-test design with a control group. The study sample comprised 30 pregnant women in the early third trimester, equally distributed between the intervention and control groups, selected through simple random sampling. Data were collected using the JHPIEGO questionnaire and observation sheets. Data analysis was performed using the chi- square test, with p-values < 0.05.Results: Before the prenatal education intervention, BPCR practices in both the intervention and control groups showed a similar level of readiness, with no statistically significant difference (χ² = 0.000; p = 1.000). After the intervention, the intervention group experienced a substantially greater improvement in good BPCR practices, from 43.3% to 90.0%, compared to the control group, which increased only from 43.3% to 50.0%. Post-intervention statistical analysis indicated that prenatal education had a significant effect on BPCR practices (χ² = 11.429; p = 0.002), with women who received prenatal education more likely to achieve good BPCR practices.Conclusions: Prenatal education significantly improves BPCR practices among pregnant women, as evidenced by a significant difference in post-test results. The intervention should be implemented continuously through third-trimester maternal classes, with particular emphasis on BPCR components that remain suboptimal, especially planning for potential blood donors.
A mixed-methods study of pregnancy-centered antenatal care strategies for stunting prevention in Jepara Regency Ita Rahmawati; Roihatul Zahro; Devi Rosita
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(3).426-439

Abstract

Background: Stunting remains a major public health challenge rooted in the prenatal period. Although antenatal care (ANC) coverage in Indonesia is high, gaps in ANC quality, nutrition counseling, and risk-responsive care limit its effectiveness for stunting prevention.Objectives: This study examined pregnancy-centered ANC strategies for stunting prevention in Jepara Regency using a mixed-methods approach integrating quantitative and qualitative findings.Methods: An explanatory sequential mixed-methods design was applied. The quantitative phase involved a cross-sectional survey of 212 pregnant women receiving routine ANC. ANC quality was assessed using the Content-Qualified Antenatal Care (ANCq) indicator, dietary diversity using the Minimum Dietary Diversity for Women (MDD-W), and stunting prevention knowledge and practices through structured questionnaires. Multivariable generalized linear models identified predictors of stunting prevention practices. The qualitative phase included in-depth interviews with 24 purposively selected pregnant women. Reflexive thematic analysis and narrative integration were conducted.Results: The mean ANCq score was 7.1 ± 1.8, indicating moderate ANC adequacy, while only 46.2% of participants achieved minimum dietary diversity (MDD-W ≥5). Higher ANCq scores (β = 2.84; p < 0.001), adequate dietary diversity (β = 5.96; p < 0.001), maternal education, and partner support were significantly associated with stronger stunting prevention practices. Qualitative findings revealed limited understanding of stunting prevention despite regular ANC attendance, a knowledge–practice gap caused by economic and pregnancy-related barriers, and the important role of family and health-system support.Conclusions: Pregnancy-centered stunting prevention is strongly influenced by ANC quality, dietary diversity, education, and partner support. Strengthening risk-responsive ANC and practical nutrition counseling may improve early stunting prevention outcomes.
The relationship between parental acceptance and socialization ability among children with special needs grades 1-6 at of state Special School B, Sumedang Regency in 2025 Mona Yulianti; Puji Nurfauziatul Hasanah; Sobur Setiaman; Siti Nur Kiki Atika
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(3).520-530

Abstract

Background: Children with special needs have difficulties in communicating influenced by the lack of parental acceptance, with the development of social skills children with special needs are better due to the support from the environment, especially parents who can accept the presence of children with special needs will try to pay attention to the growth and development of children such as giving attention, meeting needs and sending children to school. Objectives: This study aims to determine the relationship between parental acceptance and the socialization ability of children with special needs grades 1-6 SDLB in SLBN-B Sumedang, Sumedang Regency in 2025. Methods: This study uses descriptive quantitative with a cross-sectional design. The number of samples was 38 students taken using the total sampling technique. Results: The results showed that out of 38 (100) children with special needs, children with special needs who had parental acceptance did not receive 11 people (28.9%), and children with special needs who had parental acceptance received 27 people (71.1%). Children with special needs who have social skills are good at 22 people (57.9%), children with special needs who have enough social skills are 6 people (15.8%), and children with special needs who have social skills are less than 10 people (26.3%). The results of the Chi-Square statistical test showed a p-value = 0.001 (<0.05) which means that the research has a relationship between parental acceptance and the ability to socialize children with special needs. Conclusions: It is hoped that nurses can play an active role in collaborating with teachers, parents and counselors in developing school programs that aim to improve the social skills of children with special needs.
Nurses' spiritual care competence for coronary heart disease patients Hana Ariyani; Ida Rosidawati; Elvina Rose Damayanti; Syifa Yuhanida Thohir; Asep Robby
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(3).531-543

Abstract

Background: Coronary Heart Disease (CHD) significantly impacts patients' physical, psychological, social, and spiritual well-being. Spiritual care has been shown to enhance coping, reduce emotional distress, and improve holistic health outcomes. However, spiritual care is often delegated to clergy, while nurses primarily focus on managing physical symptoms, resulting in unmet spiritual needs among patients with CHD. Objectives: This study describes the spiritual care competence of Intensive Care Unit (ICU) nurses and identifies factors influencing this competence among nurses caring for CHD patients in hospitals across Tasikmalaya City. Methods: This quantitative correlational study involved a total population of 95 ICU nurses from seven hospitals in Tasikmalaya City. Data were collected using the Spiritual Competency Scale (SCS). Multivariable associations were examined using ordinal logistic regression. Results: Multivariate ordinal logistic regression identified three significant predictors of nurses' spiritual care competence. Nurses with ≤3 years of work experience were less likely to achieve higher competence than those with longer experience (OR = 0.26, 95% CI: 0.08–0.84, p = 0.024). Similarly, nurses who had never attended spiritual care training (OR = 0.20, 95% CI: 0.04–0.96, p = 0.044) and team leaders (OR = 0.16, 95% CI: 0.03–0.82, p = 0.028) showed significantly lower competence. Conclusions: Work experience, previous spiritual care training, and nursing position were significant predictors of nurses' spiritual care competence. Nurses with limited experience, no prior training, and team-leader roles require greater support to strengthen their competence. Healthcare institutions should implement structured spiritual care education, continuous professional development, and mentorship programs.
Hospital brand image analysis and its impact on patients' choice of healthcare services Nurul Hikmatul Qowi; Trijati Puspita Lestari; Sylvi Harmiardillah
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(3).504-519

Abstract

Background: Patient selectivity in choosing hospitals has significant implications for newly established healthcare facilities. Although previous studies have identified factors influencing hospital selection, limited evidence has examined the key determinants of patient selectivity and trust toward newly established hospitals. Objectives: This study aimed to determine which dimensions of hospital brand image influence patients' healthcare service preferences. Methods: This research employed a cross-sectional design involving a sample of 98 patients recruited through consecutive sampling consecutive sampling. Measurements were conducted using a modified brand image questionnaire and a modified patient preference questionnaire. Data were analysed using the chi-square test, and variables significantly associated with healthcare service preference were entered into a multivariate logistic regression model to identify independent predictors. Results: The univariate results show that the hospital brand image indicator with the highest average was health care provider (3.42) include doctors and nurses. The bivariate analysis revealed two hospital brand image indicators with significance values of p≤0.250, include the director's reputation (p = 0.139) and hospital identity (p=0.190). Logistic regression analysis showed that Patients with a positive perception of the director's reputation were significantly more likely to choose healthcare services (p = 0.006). In addition, hospital identity was a significant predictor of healthcare service selection, with patients perceiving moderate (p = 0.017) or poor hospital identity (p = 0.001) being significantly less likely to choose the hospital than those perceiving a good hospital identity. Conclusions: A strong director's reputation and a positive hospital identity were identified as significant predictors of patients' healthcare service preferences. These findings suggest that hospital management should strengthen leadership credibility and reinforce a positive hospital identity through transparent governance, consistent service quality, effective communication, and strategic branding initiatives to enhance public trust, improve patients' healthcare service preferences, and increase the competitiveness of newly established hospitals.
Enhancing spiritual literacy during pregnancy through whatsapp-based telenursing support: Evidence from a quasi-experimental study Nurul Fadhilah Gani; Sumarmi; Nurhidayah; Hasnah; Zhaahirah Mohammad
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(3).558-569

Abstract

Background: Pregnancy is a transitional period that involves physical, psychological, and spiritual changes, making spiritual health, as reflected through spiritual literacy,an essential component of holistic maternal nursing care. However, maternal health services often emphasize physical aspects, while spiritual interventions remain underintegrated. Limited access to continuous spiritual support during pregnancy may affect maternal well-being and coping ability and limit the development of spiritual literacy among pregnant women. The use of digital communication technology, particularly whatsapp-based telenursing, offers an alternative approach to provide accessible and continuous spiritual assistance to strengthen spiritual literacy among pregnant women. Objectives: This study aimed to analyze the effect of telenursing assistance via whatsapp on optimizing the spiritual literacy among pregnant women. Methods: This study used a quantitative quasi-experimental design with a one-group pretest–posttest approach conducted at Public Health Center, Makassar, Indonesia, from March to August 2025. A total of 64 pregnant women were recruited through purposive sampling. The intervention consisted of whatsapp-based telenursing providing spiritual education and supportive guidance. Spiritual literacy was measured using the 10-item Spiritual Perspective Scale before and after the intervention. Data were analyzed using the Wilcoxon Signed Rank Test to determine differences in spiritual literacy scores before and after the intervention. Results: The Wilcoxon Signed-Rank Test demonstrated a significant improvement in spiritual health following the intervention (Z = −6.961, p < 0.001), with a large effect size (r = 0.87). These findings indicate that whatsapp-based telenursing was effective in improving the spiritual literacy among pregnant women. Conclusions: These findings support the clinical relevance of whatsapp-based telenursing as a practical and holistic maternal nursing intervention that can be integrated into routine antenatal care to address spiritual well-being and improve the quality of maternal nursing services.
Implementation the triple elimination program in Cilacap Regency, Indonesia: A sequential exploratory mixed- method study of supporting and hindering factors Johariyah; Evy Apriani; Putri Maretyara Septiyani
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(3).479-503

Abstract

Background: Sexually transmitted infections, HIV, and viral hepatitis contribute substantially to global morbidity and mortality, causing approximately 2.3 million deaths annually. Integrated screening for HIV, syphilis, and hepatitis B is crucial because these infections share similar transmission routes and pose significant risks of mother- to-child transmission. In the absence of intervention, the transmission risk ranges from 20–45% for HIV, 69–80% for syphilis, and over 90% for hepatitis B. Indonesia introduced the Prevention of Mother-to-Child Transmission (PMTCT) program in 2007 and subsequently adopted the Triple Elimination strategy.The risk of transmission from mother to child for HIV/AIDS is 20%-45%, for Syphilis is 69-80%, and for Hepatitis B is more than 90%. The transmission of these three diseases occurs thru sexual contact and blood. Objectives ; this study evaluated the implementation of the Triple Elimination program in Cilacap Regency, Indonesia, and identified factors supporting and hindering its implementation. To evaluate the implementation of the Triple Elimination program in Cilacap Regency. Methods: Actually, the study closely resembles a sequential explanatory mixed- methods design because the quantitative phase is conducted first, followed by interviews that help explain the quantitative findings. Quantitative study as the initial phase, followed by qualitative study. Data analysis in the quantitative research is conducted through descriptive analysis, while qualitative research employs thematic analysis. Results: The highest coverage of hepatitis screening was 88.05%, the lowest was 32.34%, with an average coverage of 61.85%, and an average of 0.59% reactive cases. For HIV screening, the coverage was 88.05%, 23,15%, 59.81%, and 0. For syphilis screening, the coverage was 88.05%, 23,07%, 59.81%, and 0.06%. Supporting factors for program implementation include government programs, innovative coverage improvement programs, and programs integrated with ANC. Conclusions: The implementation of the triple elimination program in Cilacap district has been carried out, but it still needs to be improved.
The effect of progressive muscle relaxation, thought-stopping therapy, and acupressure on adolescent mental health Desak Made Ari Dwi Jayanti; I Gusti Ayu Putu Satya Laksmi; Sang Ayu Ketut Candrawati; Ni Putu Dita Wulandari; Windu Astutik
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(3).544-557

Abstract

Background: Adolescence is a critical developmental period marked by biological, psychological, and social changes that increase susceptibility to mental health problems. Although various psychological interventions have been developed, practical, non-pharmacological, and school-based complementary approaches remain limited. Objectives: This study aimed to examine the effect of a combination of Progressive Muscle Relaxation (PMR), Thought Stopping Therapy (TST), and acupressure on improving adolescents' mental health. Methods: A pre-experimental study with a one-group pre-test and post-test design was conducted among tenth-grade students at a senior high school in Denpasar, Bali, Indonesia. From a population of 401 students, 34 respondents were selected using purposive sampling. Mental health status was assessed using the Strengths and Difficulties Questionnaire (SDQ). The intervention consisted of four sessions, each including 15 minutes of PMR, 15 minutes of TST, and acupressure stimulation at ST36 (Zusanli), CV17 (Shanzhong), and HT7 (Shenmen). At each acupoint, stimulation was performed by applying moderate pressure accompanied by circular rotational movements, with 30 repetitions of pressure and rotation at each point. Data were analyzed using the Wilcoxon Signed-Rank Test with a significance level of p<0.05. Results: The mean SDQ score decreased from 16.97 (SD=1.114) before the intervention to 14.09 (SD=0.933) after the intervention, representing a mean reduction of 2.61 points. Statistical analysis demonstrated a significant improvement in adolescents' mental health following the intervention (p=0.001). Participants also showed a transition from the borderline category to the normal category based on SDQ classification. Conclusions: The combination of PMR, TST, and acupressure effectively improves adolescents' mental health through complementary physiological, cognitive, and somatic mechanisms. This integrated intervention represents a feasible, low-cost, and school-based complementary strategy that can support adolescent mental health promotion and prevention programs.

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