Journal Of Nursing Practice
The Journal Of Nursing Practice focuses its article in the field of nursing, which is the branch of health sciences. The scope of this journal articles are: • Medical and Surgical Nursing • Emergency • Maternity And Pediatric Nursing • Psychiatric • Family and Community Nursing • Geriatric Nursing • Education and Management in Nursing
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<![CDATA[A School-based Suicide Prevention Programme with Peer Support to Prevent Suicidal Ideation in Adolescents: A Cross-Sectional Study ]]>
<![CDATA[Rohmi, Faizatur]]>;
<![CDATA[Agustiningsih, Nia]]>;
<![CDATA[Setiawan, Arik Agung]]>;
<![CDATA[Supriono]]>
<![CDATA[ Journal Of Nursing Practice Vol. 9 No. 2 (2026): January ]]>
Publisher : <![CDATA[Universitas STRADA Indonesia ]]>
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DOI: 10.30994/jnp.v9i2.981
<![CDATA[Background: Suicide is a significant public health concern among school-aged adolescents. Suicidal ideation (SI) in adolescents are robustly associated with greater risk of concurrent and succeeding suicide attempts. Evidence suggests that suicidal ideation in adolescents is influenced by peer support at school. Purpose: Our aim was to investigate the influence of peer support on school-based suicidal ideation in adolescents. Methods: A cross-sectional study was conducted in Malang, Indonesia. A total of 179 Adolescents aged 13-15 years were recruited from six classes at junior high schools in Malang by stratified random sampling. An anonymous self-report questionnaire was used to collect demographic characteristics, suicidal ideation, and peer support. Logistic regression was used to test the hypotheses. Results: The results of the multiple logistic regression showed that peer support and protection against suicidal ideation had a significance value of 0.008. This means that peer support influences protection against suicidal ideation. The results also showed that peer support and suicide vulnerability had a significance value of 0.840. This means that peer support did not influence vulnerability to suicidal ideation. Conclusions: Suicide vulnerability is a risk factor for suicidal ideation. Peer support can enhance protective factors against suicidal ideation. Public health nurses can collaborate with school nurses to regularly detect symptoms of suicidal ideation and provide early intervention. Educating peers and teachers about methods to enhance protective factors in adolescents can be beneficial in reducing suicidal ideation.]]>
<![CDATA[The Relationship Between Stress, Depression, and Suicidal Ideation among Adolescents in Gresik Regency ]]>
<![CDATA[Widiyawati, Wiwik]]>;
<![CDATA[Musfara, Deah Dwi]]>
<![CDATA[ Journal Of Nursing Practice Vol. 9 No. 2 (2026): January ]]>
Publisher : <![CDATA[Universitas STRADA Indonesia ]]>
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DOI: 10.30994/jnp.v9i2.996
<![CDATA[Background: Mental health disorders have become a serious concern due to their wide-ranging impacts, including the rising incidence of suicide. Suicide is an intentional act to end one’s life, influenced by both internal factors such as psychological and biological conditions, and external factors such as economy, environment, and technology. Adolescents and young adults represent vulnerable groups prone to stress and depression triggered by academic and social demands. When left unaddressed, these conditions may lead to the emergence of suicidal ideation. This situation underscores the need for mental health awareness and early prevention efforts among adolescents and young adults. Purpose: This study aimed to determine the relationship between stress and depression with suicidal ideation among adolescents in one of the districts of Gresik Regency. Methods: This study employed quantitative cross-sectional design. Data was collected using the Depression Anxiety Stress Scale (DASS-42) to assess stress and depression levels, and the Mini Plus 5.0.0 Questionnaire to measure suicidal idea. The study population consisted of 462 adolescents, with 215 respondents selected through simple random sampling. Ethical approval was obtained under No. 005/KET/II.3.UMG/KEP/A/2024. Data was analyzed using the Spearman Rank correlation test. Results: The correlation analysis between stress and suicidal ideation yielded a significance value of 0.01 (r=0.358, p-value < 0.05). Similarly, the correlation between depression and suicidal ideation also showed a significant value of 0.01 (r= 0.376, p-value < 0.05). Conclusion: The findings indicate that both stress and depression are significantly correlated with suicidal ideation among adolescents in Gresik Regency. Mental health problems, particularly stress and depression, can severely affect daily functioning among adolescents and young adults, leading to discomfort and vulnerability to suicidal thoughts due to inadequate coping mechanisms and environmental support.]]>
<![CDATA[Cognitive Behavioral Therapy to Reduce Academic Stress among Nursing Students: A Quasi-Experimental Study ]]>
<![CDATA[Sustrami, Dya]]>;
<![CDATA[Susanti, Ari]]>;
<![CDATA[Ardhy Wahyu Ramadhana Putra]]>;
<![CDATA[Suhardiningsih, A.V. Sri]]>
<![CDATA[ Journal Of Nursing Practice Vol. 9 No. 2 (2026): January ]]>
Publisher : <![CDATA[Universitas STRADA Indonesia ]]>
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DOI: 10.30994/jnp.v9i2.997
<![CDATA[Background: Academic stress was commonly experienced by university students as a result of high academic demands and workload. Cognitive Behaviour Therapy (CBT) is one of the methods that can help individuals identify irrational thought and replace them with adaptive cognitions so they can assess academic situation more realistically and rationally. Purpose: The purpose of this study was to analyze the effectiveness of CBT in reducing academic stress among nursing students. Methods: A quasi-experimental pre–post-test design was applied with 141 participants selected through simple random sampling, consisting of 70 respondents in the experimental group and 71 in the control group. The intervention group received a two-week CBT program based on the ABCDE model and cognitive restructuring techniques. The Student Life Stress Inventory (SSI) was administered before and after the intervention. Data were analyzed using the Wilcoxon Signed Rank Test and Mann–Whitney U Test. All procedures of this study were approved by the Research Ethics Committee of STIKes Hang Tuah Surabaya Number PE/50/II/2025/KEP/SHT Results: The Wilcoxon test showed a significant reduction in stress levels in the experimental group (Z = –3.088, p = 0.002), while no significant difference was found in the control group (Z = –0.765, p = 0.444). The Mann–Whitney U Test revealed a significant difference in post–pre score changes between groups (U = –3.017, p = 0.003), indicating that CBT was effective in decreasing stress levels. Conclusion: CBT effectively reduced academic stress among nursing students.CBT also can be used as an effective non-pharmacological nursing intervention in stress management.]]>
<![CDATA[Strategic Model of Mental Health Nurse Competence and Caregiver in Preventing Relapse Risk in Schizophrenia Patients ]]>
<![CDATA[M. Suhron]]>;
<![CDATA[Sitti Sulaihah]]>;
<![CDATA[Faisal Amir]]>
<![CDATA[ Journal Of Nursing Practice Vol. 9 No. 2 (2026): January ]]>
Publisher : <![CDATA[Universitas STRADA Indonesia ]]>
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DOI: 10.30994/jnp.v9i2.998
<![CDATA[Background: The competences under consideration include clinical knowledge, clinical skills, communication competence, crisis and safety management, professional growth, management of care, and recommendations. Purpose: Analyzing the Strategic Model of Mental Health Nurse Competence and Caregiver in Preventing Relapse Risk in Schizophrenia Patients. Methods: The study used a quantitative design with a cross-sectional methodology and included 110 participants, including nurses and caregivers from five community health clinics in East Java Province. The data were obtained using a Likert-scale instrument that was previously validated and reliable. The data was analyzed using the Structural Equation Modeling (SEM) approach using the SmartPLS tool. Results: All competency characteristics of psychiatric nurses and caregivers have a substantial and essential relationship to the prevention of relapse risk in schizophrenia patients, with a very high model commitment in producing variations in variables which are dependent variables. Conclusion: Thoroughly enhancing the competence of psychiatric nurses and caregivers is an effective method for lowering relapse rates among schizophrenia patients. Suggestions include enhancing the psychiatric nurse education curriculum, providing competency-based continuing training, and incorporating collaborative care models into health care organizations.]]>
<![CDATA[Implementation of Digital based Handover as an Effort to Improve Safety and Continuity of Patient Care ]]>
<![CDATA[Susanti, Ni Luh Putu Dina]]>;
<![CDATA[Wahyuningsih, Luh Gde Nita Sri]]>;
<![CDATA[Parwati, Putu Atika]]>;
<![CDATA[Jiyestha Aji Dharma Aryasa]]>
<![CDATA[ Journal Of Nursing Practice Vol. 9 No. 2 (2026): January ]]>
Publisher : <![CDATA[Universitas STRADA Indonesia ]]>
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DOI: 10.30994/jnp.v9i2.999
<![CDATA[Background: Digital-based handover systems have emerged as an innovative approach to standardize communication, support clinical decision-making, and enhance the integration of patient information across shifts and care units. Purpose: this study was to evaluate the implementation of a digital weighing system as an effort to improve safety and continuity of service for patients. Methods: This study used a non-experimental quantitative design with a cross-sectional approach. The sample for this study was the entire population, consisting of 220 respondents. Data collection was conducted using a standardized questionnaire with a Cronbach's alpha value of 0.88 and a Likert scale of 1–5. The data were then analyzed using descriptive statistics, normality tests, Pearson's correlation test, and simple/multiple linear regression to see the strength of the relationship and the contribution of independent variables to the dependent variable. Results: Base on result the implementation of digital weighing, the higher the safety and continuity of patient care. The r value is in the strong relationship category, indicating that the variables in this study have a strong relationship. Conclusion: The implementation of a digital-based handover system is not only a technological innovation, but also a strategic intervention in efforts to improve patient safety and continuity of service.]]>
<![CDATA[Effectiveness of Foot Exercise on Improving Ankle-Brachial Pressure Index (ABPI) in Young Adults at Risk of Peripheral Artery Disease (PAD) ]]>
<![CDATA[Aminuddin, Muhammad]]>;
<![CDATA[Rahmadhani, Siti]]>;
<![CDATA[Alhawaris]]>
<![CDATA[ Journal Of Nursing Practice Vol. 9 No. 2 (2026): January ]]>
Publisher : <![CDATA[Universitas STRADA Indonesia ]]>
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DOI: 10.30994/jnp.v9i2.1000
<![CDATA[Background: Peripheral artery disease (PAD) is a vascular complication associated with cardiovascular disease or diabetes mellitus and, if not adequately managed, may progress to severe morbidity and increased mortality risk. The prevalence of PAD, based on an Ankle-Brachial Pressure Index (ABPI) value of ≤ 0.89, among students of the Faculty of Medicine at Mulawarman University is approximately 44.7%. Foot exercise is a simple physical activity that, when performed sequentially and regularly, can enhance peripheral blood circulation and improve lipid metabolism, including increasing HDL cholesterol and reducing total cholesterol and triglyceride levels. Purpose: To evaluate the effectiveness of foot exercise in improving the Ankle-Brachial Pressure Index (ABPI) among young adults at risk of peripheral arterial disease. Methods: This study employed a quasi-experimental design using a pre-test and post-test non-equivalent control group approach. Forty respondents with an ABPI value of ≤ 0.89 were randomly assigned to two groups (intervention and control), with 20 participants in each group. The intervention group performed foot exercises three times per week for one month, while the control group did not receive any intervention. Data analysis was conducted using the paired t-test. Results: The mean ABPI value increased after foot exercise, from 0.75 (SD = 0.83) to 0.97 (SD = 0.70). This difference was statistically significant (p < 0.05). Conclusion: Foot exercise is effective in increasing ABPI values among young adults at risk of peripheral artery disease (PAD).]]>
<![CDATA[The Relationship between Food Availability and Nutritional Status of Children Aged 6–24 Months ]]>
<![CDATA[Ernawati , Dwi]]>;
<![CDATA[Fazrin, Intan]]>;
<![CDATA[Maharani, Yovinka]]>;
<![CDATA[Prasetya, Taufan Agung]]>;
<![CDATA[Qori Ila Saidah]]>
<![CDATA[ Journal Of Nursing Practice Vol. 9 No. 2 (2026): January ]]>
Publisher : <![CDATA[Universitas STRADA Indonesia ]]>
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DOI: 10.30994/jnp.v9i2.1001
<![CDATA[Background: The growth and development period is the golden phase for toddlers; thus, providing adequate and balanced nutrition is essential to optimize their nutritional status. One of the factors influencing poor nutritional status is limited food availability. Purpose: This study aims to analyse the relationship between food availability and the nutritional status of children aged 6–24 months in the Bulak Banteng Subdistrict, Surabaya. Methods: This study employed a descriptive analytic design with a cross-sectional approach. The population consisted of all children aged 6–24 months in Bulak Banteng Subdistrict, totalling 146 toddlers. A total of 107 respondents were selected using simple random sampling. Food availability, was measured using the Household Food Insecurity Access questionnaire, and nutritional status, was assessed using anthropometric measurements. Data were analysed using the Spearman’s rho test. Results: The findings showed that most households were categorized as food secure, and most children had a good nutritional status. Statistical analysis revealed a significant relationship between food availability and nutritional status (p =0.001, ρ <0 .05). Conclusion: Food availability is significantly associated with the nutritional status of toddlers. Parents demonstrated the ability to maintain good nutritional status in their children; however, they are encouraged to actively participate in nutrition education programs, enhance their knowledge and skills in preparing nutritious meals, and regularly monitor their children’s nutritional status.]]>
<![CDATA[Resilience and Spiritual well being in Rural and Urban Communities: A Community Nursing Perspective ]]>
<![CDATA[Zaini, Mad]]>;
<![CDATA[Supapak Phetrasuwan]]>;
<![CDATA[Komarudin]]>
<![CDATA[ Journal Of Nursing Practice Vol. 9 No. 2 (2026): January ]]>
Publisher : <![CDATA[Universitas STRADA Indonesia ]]>
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DOI: 10.30994/jnp.v9i2.1002
<![CDATA[Background: Resilience and spiritual well-being are essential aspects of life in both rural and urban settings. Rural communities are more closely connected to nature, yet they face limitations in accessing health care services. In contrast, urban communities experience stress related to social life, but they benefit from more access to health. Purpose: This study aims to examine differences in resilience and spiritual well-being in rural and urban communities in Jember Regency. Methods: The researchers employed a cross sectional approach for analyzing the study. The sample consisted of 210 respondents living in rural and urban communities in Jember Regency. The researchers selected the samples using a purposive sampling technique. Data collection was carried out using a digital questionnaire through validity and reliability tests. Data were analyzed using independent sample t-test. Results: Univariate test results indicate that the mean resilience score for rural communities is 64.70, whereas for urban communities it is 64.81. The mean spiritual well-being score for rural communities is 22.35, compared to 22.86 for urban communities. The difference test for resilience between rural and urban communities yields a p-value of 0.92, while the spiritual well-being difference test shows a p-value of 0.11. Conclusion: The conclusion of this study is that there is a relationship between resilience and spiritual well-being in rural and urban communities in Jember Regency. Meanwhile, the results of the difference test for resilience and spiritual well-being showed no difference between rural and urban communities.]]>
<![CDATA[The Relationship between Parenting Styles and Adolescents Social Development ]]>
<![CDATA[Nurlela, Lela]]>;
<![CDATA[Fajar Rinawati]]>;
<![CDATA[Ari Susanti]]>;
<![CDATA[Sukma Ayu Candra Kirana]]>;
<![CDATA[Bagas Hadi Saputro]]>
<![CDATA[ Journal Of Nursing Practice Vol. 9 No. 2 (2026): January ]]>
Publisher : <![CDATA[Universitas STRADA Indonesia ]]>
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DOI: 10.30994/jnp.v9i2.1004
<![CDATA[Background: The Relationship between Parenting Styles and Adolescent Social Development. Adolescent social development is the process of growing the ability to interact and understand social rules. Parenting styles play an important role in shaping children's attitudes and behavior in their social environment. This study aims to analyze the relationship between parenting styles and adolescent social development. Purpose: This study aims to analyze the relationship between parenting styles and adolescents’ social development. Methods: The research is a quantitative descriptive study with a cross-sectional approach. A sample of 165 students from class 11 at SMA Hang Tuah 5 Sidoarjo was selected using simple random sampling technique. The research was conducted on January 23-30, 2025. The questionnaire exploring Parenting styles were measured using the Parenting Styles and Dimensions Questionnaire-Short Version (PSDQ), and Adolescent Social Development Questionnaire (Rahmawati, 2021) for measured the social development. Data analysis used the Spearman rank correlation with alpha 5%. Results: The results showed that most parents applied democratic parenting styles (49.70%) and the majority of adolescents had fairly good social development (55.15%). The Spearman Rho test showed r = 0.323 with ρ = 0.01 (ρ < 0.05), indicating a weak relationship between parenting styles and adolescent social development. Conclusion: Adolescent social development does not always follow the same pattern because it is influenced by various factors, such as parenting styles, stimulation, health conditions, and child motivation. The ideal parenting style is one that balances supervision and freedom, supported by fulfilling needs and good communication. Therefore, parents are advised to apply a balanced parenting style to support optimal social development in adolescents.]]>
<![CDATA[The Effect of Training on First Aid for Cardiac Arrest on Knowledge and Readiness of Cadres to Provide Emergency Aid to Cardiac Arrest Victims in the Community ]]>
<![CDATA[Trisyani , Yanny]]>;
<![CDATA[Emaliyawati, Etika]]>;
<![CDATA[Nuraeni, Aan]]>;
<![CDATA[Anna , Anastasia]]>;
<![CDATA[Eli Kosasih, Cecep]]>;
<![CDATA[Mirwanti, Ristina]]>;
<![CDATA[Nurhamsyah, Donny]]>;
<![CDATA[Prawesti, Ayu]]>;
<![CDATA[Sugiharto, Firman]]>
<![CDATA[ Journal Of Nursing Practice Vol. 9 No. 2 (2026): January ]]>
Publisher : <![CDATA[Universitas STRADA Indonesia ]]>
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DOI: 10.30994/jnp.v9i2.740
<![CDATA[Background: The incidence of cardiac arrest or Sudden Cardiac Arrest (SCA) in the community that cannot be saved increases every year. This is because they do not get the right and fast action due to the community's ignorance and inability to assist. Objective: This study aimed to evaluate health education on increasing knowledge and readiness of respondents in helping cardiac arrest victims. Methods: This study used a pre-experimental design with a one-group pre-post test approach to 52 respondents, namely the general public. The research sample was recruited using convenience sampling techniques. The sample was given health education on basic life support (BLS) and cardiac arrest management directly with several interactive sessions using visual aids such as posters and presentation slides. Data collection used a valid and reliable questionnaire (Knowledge and Readiness to Help). Data were analyzed univariately through frequency distribution, central tendency, mean difference, and bivariate tests using paired sample t-tests. Results: There was an increase in respondents' BLS knowledge from 6.87 to 11 (p<0.001) and readiness to help, with an average score increasing from 60.4 to 63.3 (p=0.002). These results indicate that health education can increase knowledge about BLS and readiness to help respondents. Research results show that readiness to act in emergencies depends on more than theoretical understanding; it also requires practical training, self-confidence, and direct experience. Conclusion: Health education significantly improved public knowledge and readiness to provide first aid for cardiac arrest victims. These findings indicate that structured Basic Life Support (BLS) education is effective in strengthening community preparedness and timely emergency response. Integrating regular and practical BLS training into community health programs may further enhance public capacity to respond to cardiac arrest events.]]>
