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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 507 Documents
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The effect of breast massage with breastfeeding and baby nutritional status Fatimah Fatimah; Dwiarini, Muafiqoh; Lestari, Prasetya; Ayuningrum, Lia Dian; Amelia Hasna Rullita
JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) Vol. 14 No. 3 (2026)
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/jnki.2026.14(3).589-599

Abstract

Background:The success of the breastfeeding process is not due to the mother's biological factors but rather due to difficulties for the mother in her first role so that this affects improper attachment techniques during breastfeeding and the feeling that milk production is not enough and not smooth. The benefits of breastfeeding are very important to reduce nutritional imbalances and reduce stunting rates. One of the factors of failure of breastfeeding is because breast milk does not come out after the mother delivers their baby. Breast massage is another important factor in how mothers can successfully breastfeed their baby. Objectives:The aim of research is determine the effect of breast massage on breastfeeding and the nutritional status of babies Methods: This study analyzes the effect of breast massage in third trimester pregnant women with exclusive breastfeeding and infant nutritional status. A cross-sectional study was carried out with 80 pregnant women with gestational age 38 weeks using purposive sampling methods. The research instruments were the breast massage checklist, breastfeeding behavior, and body weight observation sheet. Results: showed that breast massage during pregnancy has a direct effect of breastfeeding and baby nutritional status. Breast massage was significantly influenced in supporting mothers to breastfeed and make a better baby’s nutritional status. Breast massage should be implemented during pregnancy at 38 weeks to support the success of exclusive breastfeeding. The earlier preparation for breastfeeding during pregnancy, the sooner mothers can breastfeed their babies smoothly and better nutritional status. Conclusions: Health care professionals should provide early intervention to enhance mother capabilities like a breastfeeding education during pregnancy and breast massage to support the success of exclusive breastfeeding and prevent stunting.
Digital games technologies for the elderly with dementia: A bibliometric analysis (2005-2025) Sulastien, Herni; Tandiyo Rahayu; Widya Hary Cahyati; Ari Yuniastuti; Chatila Maharani
JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) Vol. 14 No. 3 (2026)
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/jnki.2026.14(3).570-588

Abstract

Background:
The global and national increase in the elderly population has led to a rising prevalence of dementia, negatively impacting quality of life and imposing socio-economic burdens on families and healthcare systems. Recently, non-pharmacological interventions, particularly digital games, have gained traction as innovative tools to support cognitive function and well-being in older adults with dementia. Objective:
This study conducts a bibliometric analysis of global research on digital game technologies for elderly individuals with dementia from 2005 to 2025, aiming to identify trends, key contributors, research themes, collaboration networks, and influential publications. Methods:
A bibliometric analysis was performed using Scopus-indexed data collected in May 2025. A total of 413 open-access articles published between 2005 and 2025 were analyzed. Data screening and extraction were conducted independently by two researchers. Tools used included R Studio (Biblioshiny) and VOSviewer, focusing on authorship, institutional and national productivity, keyword frequency, and collaboration patterns. Results:
Research output has grown significantly over the last seven years, peaking at 64 publications in 2024, though the average remains below 40 articles annually. The United States, the United Kingdom, and China were the most prolific contributors. Top institutions included University College London and the University of California. Dominant keywords were digital games, elderly, aged, dementia, and virtual reality, reflecting a growing interest in exergames and technology-driven cognitive stimulation. HEYN P (2004) authored the most cited work with 1,019 citations. Conclusion:
This study reveals a growing yet emerging field focused on digital games for dementia care. It highlights established areas and critical gaps, offering a strategic roadmap for future research. The findings are valuable for researchers, clinicians, and policymakers working to optimize digital game interventions for enhancing the lives of older adults with dementia.
Avocado cookies to prevent anemia in pregnancy Sari, Rati Purnama; Thaariq, Nurul Aziza Ath; Rahmawati, Lisa; Wahyuningsih, Retno
JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) Vol. 14 No. 3 (2026)
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/jnki.2026.14(3).600-609

Abstract

Background: Anemia remains a global significant health issue, with pregnant women among the groups most susceptible to the conditions. While iron supplementation is a standard preventive strategy, its effectiveness is often hindered by low compliance and absorption issues, highlighting the need for alternative nutritional interventions. Avocados (Persea americana) are rich in essential nutrients, which play vital roles in erythropoiesis and enhancing iron metabolism. Objectives: This study aims to make and provide avocado cookies as a strategy to prevent anemia in first-trimester pregnant women. Methods: This study employed experimental one-group pre-test and post-test design. The study compared hemoglobin levels in one treatment group before and after a 14-day avocado cookie intervention. The sample comprised 30 pregnant women first-trimester pregnant women within the jurisdiction of the Nanggalo Public Health Center in Padang City who met the inclusion criteria. Participants consumed 60 g of avocado cookies daily for 14 consecutive days. Hemoglobin levels were measured before and after the intervention using a digital hemoglobin meter. Data were analyzed using paired t-tests to determine statistical significance. Results: The average hemoglobin level before the avocado intervention was 12.37 (± 1.87) gr/dl, which decreased to 13.69 (± 1.29) gr/dl after intervention. The paired t-test showed that hemoglobin levels before and after the intervention were significantly different (p = 0.03). Conclusions: Consuming avocado cookies for two weeks effectively increases hemoglobin levels in pregnant women. Avocado cookies may serve as an alternative healthy snack for pregnant women. Future studies with larger sample sizes are recommended to further validate these findings.
Preconception health is not a man’s business : A formative qualitative study on men’s roles in preconception health preparation Savitri, Wenny; Agustina, Silvia Ari; Moyo Ri
JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) Vol. 14 No. 3 (2026)
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/jnki.2026.14(3).610-625

Abstract

Background: Issues related to preconception health are always associated with women, whereas men’s involvement in maternal and child health services is crucial to prevent maternal and infant mortality and morbidity. Despite its importance, research related to the involvement and role of men in the preconception period is still very limited. Objectives: The purpose of this study is to explore men’s roles in preconception health preparation. Methods: This formative qualitative research was conducted from October 2023 to July 2024. Participants consisted of 26 premarital couples and staff from three Community Health Centers, a Village Office, the National Population and Family Planning Agency, a Religious Affairs Office, and the Health Office in Bantul Regency, Yogyakarta, Indonesia. Purposive sampling was used to recruit individuals who had direct experience with, or relevant responsibilities in, premarital health services and intersectoral coordination. Data were collected from nine focus group discussions (FGDs) and 15 in-depth interviews, which were then transcribed and analyzed using thematic content analysis. Results: The role of men in preconception health preparation was low due to a lack of awareness of its importance. Furthermore, men were not directly involved in the existing government’s preconception health program. Although men encouraged their partners to prepare for pregnancy, they lacked the awareness regarding the importance of improving their own preconception health, such as through doing exercise, eating a nutritious and balanced diet, and avoiding unhealthy lifestyles. Their preparation tended to focus more on economic and social readiness, while mental preparation was given less attention. Conclusions: Increasing the role of men in preconception health can be conducted by involving men in preconception care.
Story-based animation and flip-chart education improves knowledge and attitudes toward sexual violence prevention among Elementary School Students Auliya, Vista; Astuti, Dyah Dwi; Rahayu, Sunarsih
JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) Vol. 14 No. 3 (2026)
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/jnki.2026.14(3).638-655

Abstract

Background: Sexual abuse of children has long-term effects on their psychological well-being and emotional development. Primary school-aged children are particularly vulnerable because their ability to protect themselves is still limited and education prevention is not yet adequate. Objectives: To analyze the effect of health education using a combination of animated videos and flip charts on the knowledge and attitudes of elementary school children regarding the prevention of sexual violence. Methods: This study used a pre-experimental design with a one-group pre-post test design without control. The sampling technique used was purposive sampling with a total sample of 39 respondents. The data collection method used a questionnaire on knowledge and attitudes towards sexual violence prevention, with demonstrated axcellent content validity (I-CVI and S-CVI = 1.00) and good reliability (Cronbach’s alpha = 0.770), supported by validated video and flipchart media (I-CVI and S-CVI = 1.00). Hypothesis analysis used the Paired Sample T-Test. Results: The average knowledge of children increased significantly from 70.26 (95% CI: 64.92–75.59) in the pretest to 94.87 (95% CI: 92.92–96.82) in the posttest (p < 0.001). Children's protective attitudes increased from 71.01 (95% CI: 66.84–75.18) to 86.77 (95% CI: 84.46–89.07) (p < 0.001). Specifically, the most notable increase in knowledge occurred in understanding the prohibition of unauthorized touching (5.1% to 97.4%), the courage to say “no” and walk away (35% to 100%), and recognition of private body parts (48.7% to 100%). Conclusions: Health education using a combination of story-based animations and flipcharts is effective in improving primary school children’s knowledge and attitudes regarding the prevention of sexual violence. Nurses can use these materials as an educational strategy to enhance children’s self-protection skills.
Parenting styles and emotional attachment among parents of early adolescents in Aldeã São Miquel, Timor Leste Abuk, Elfrida Yustina; Suryaningsih , Endang Koni; Faidullah, Hilmi Zadah
JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) Vol. 14 No. 3 (2026)
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/jnki.2026.14(3).626-637

Abstract

Background: Parenting practices and emotional attachment are important family-level determinants of adolescent mental health, emotional regulation, and social adjustment. In Timor-Leste, parenting occurs within a post-conflict, resource-limited, and strongly family-oriented context, yet evidence on parents’ lived experiences with early adolescents remains limited. Objectives: This study explored parents’ experiences in applying parenting styles and building emotional attachment with early adolescent children in Aldeã São Miquel, Timor-Leste. Methods: A qualitative phenomenological design was used. Ten parents of adolescents aged 11–15 years were recruited through purposive sampling. Data were obtained through in-depth, semi-structured interviews and analyzed using a six-step thematic process supported by NVivo 12 Plus. Trustworthiness was strengthened through cross-participant source triangulation, comparison of interview data with field notes, and an audit trail. Ethical approval was obtained from the Ethics Committee of Universitas ’Aisyiyah Yogyakarta. Results: Three interconnected themes were identified. First, parenting practices reflected discipline, future orientation, and attempts to balance firmness with adolescents’ growing autonomy. Second, emotional attachment was maintained through daily communication, physical and emotional reassurance, parental self-control during conflict, and involvement in children’s social lives. Third, parenting was shaped by local family and religious values, peer and environmental influences, parents’ previous adverse experiences, single-parent responsibilities, and work-related separation. Warmth and responsiveness frequently coexisted with firm control, indicating that parenting practices were dynamic rather than limited to a single fixed category. Conclusions: Supportive communication, consistent boundaries, and emotionally responsive parenting may strengthen adolescents’ sense of security and psychosocial well-being. Community-based health services should incorporate culturally appropriate parenting education, early identification of parental distress, and referral pathways for families affected by trauma or limited social support. Midwives, nurses, and other primary health workers can play a strategic role in strengthening parent–adolescent relationships.
Risk prediction instrument for premature rupture of membranes based on clinical parameters and obstetric history Rosyidah, Rafhani; Azizah, Nurul; Cholifah, Siti
JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) Vol. 13 No. 3 (2025)
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/jnki.2025.13(3).401-414

Abstract

Background: Premature rupture of membranes is one of the most significant obstetric complications, with a direct impact on increasing the risk of infection, preterm labor, and perinatal mortality. In Indonesia, the main challenge in managing premature rupture of membranes is the late identification of at-risk pregnant women due to the unavailability of objective and practical screening instruments.Objective: This study aims to develop and test the validity of a clinical and obstetric history-based early rupture risk prediction instrument that can be widely applied in primary health care.Methods: The research design used a case control approach with a total of 450 respondents, consisting of case and control groups. Data were obtained from medical records and analyzed through chi-square test and logistic regression to identify significant risk factors. A score prediction model was then developed and validated using ROC curve, Youden index, and sensitivity-specificity analysis.Results: Four variables proved significant in the final model: age beyond 20-35 years, at-risk parity (primipara or grandemultipara), anemia, and fetal abnormality. The prediction score constructed based on these four factors had an Area Under the Curve value of 0.887, with a sensitivity of 82.4% and specificity of 84.8% at a cut-off point of >2.50. The overall accuracy of the model reached 0.86, indicating excellent classification performance.Conclusions: This score-based prediction model was shown to be valid and can be used as a practical screening tool to detect early risk of premature rupture of membranes. Its application is expected to strengthen efforts to prevent obstetric complications and improve the quality of maternal care in Indonesia

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