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INDONESIA
Journal Of Nursing Practice
Published by Universitas Strada Indonesia
ISSN : 26143488     EISSN : 26143496     DOI : 10.30994
Core Subject : Health,
Nursing
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
Arjuna Subject : Keperawatan - Keperawatan (Lain-Lain)
Articles 376 Documents
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The Effect of Competence, Workload and Compensation on the Performance of Family Assistance Team (FAT) Cadres in Reducing the Risk of Stunting in the Buleleng District Area I Putu Aprilia Pratama; Henry Sudiyanto; Eka Diah Kartiningrum; Sulis Diana
Journal Of Nursing Practice Vol. 8 No. 4 (2025): July
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v8i4.873

Abstract

Background: Stunting as a health problem is influenced by various factors including inappropriate nutrition and feeding practices. Family Assistance Team (FAT) cadres have an important role in providing assistance, but challenges in the field related to competence and high workload are a barrier to achieving optimal performance. Purpose: This study aims to analyze the influence of competence, workload, and compensation on the performance FAT cadres in reducing the risk of stunting in Buleleng District. Methods: This study uses an analytical observational design with a cross-sectional approach. The population of this study includes all FAT cadres who are actively serving in Buleleng District, Buleleng Regency, totaling 288 people. The research sample was taken using the proportional stratified random sampling technique. The samples was calculated using the Slovin formula resulting 168 cadres as respondents. Results: The results showed that the majority of FAT cadres' competence was good (93.5%), most of the workload was high (64.3%) but only 25% stated that the compensation received was good. The results of data analysis were carried out using multiple linear regression. The results showed that the majority of competencies had a positive (p-value 0.000 < 0.005) and significant effect on cadre performance, while workload (p-value 0.522 > 0.005) and compensation (p-value 0.828 > 0.005) showed no significant effect. Conclusion: Increased competence and compensation, as well as good workload management, are very important to support the performance of FAT cadres in stunting prevention. Therefore, it is important for FAT cadres to attend many trainings and workshops that are in accordance with their needs in order to improve competence. Thus, they will have good performance in reducing stunting.
The Effect of Consumption of Kepok Banana (Musa Paradisiaca Formatipyca) on Reducing the Intensity of Nausea, Vomiting in 1st Trimester Gravida Women Suci Anggraeni; Luvi Susiana; Reni Yuli Astutik; Nining Istighosah; Yenny Puspitasari
Journal Of Nursing Practice Vol. 8 No. 4 (2025): July
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v8i4.874

Abstract

Background: Nausea and vomiting in early pregnancy is something that is normal for all pregnant women to experience as long as the intensity is not excessive. This has an impact on pregnant women and also the fetus, causing fluid, nutrition and weight loss. Purpose: The aim of this study was to determine the effect of consuming Kepok bananas (Musa Paradisiaca Formatypica) on reducing the intensity of nausea and vomiting in women in first trimester gravida. Methods: This study used a pre-experiment design with one group pre-post test in which pregnant women were given boiled kepok bananas for 40 minutes 3 times a day for 7 days. The population in this study was pregnant women in the first trimester who experienced nausea and vomiting. The sample size was 36 respondents. . The sampling technique uses random sampling. The independent variable is consumption of kepok bananas while the dependent variable is intensity of nausea and vomiting. This research uses a questionnaire with Wilcoxon test data analysis Result: The results of the research showed that before being given Kepok bananas, the majority (75.0%) experienced moderate nausea and vomiting, as many as 27 respondents. After being given Banana Kepok, most of the 18 respondents (50.0%) did not experience nausea and vomiting. Based on the results of statistical tests, it is known that the p value is 0.000. Because the value of 0.000 is smaller than <0.05, it can be concluded that the "hypothesis is accepted" that there is an effect of giving Kepok bananas (Musa Paradisiaca F) on the intensity of nausea and vomiting in Gravida mothers in the first trimester. Conclusion: Boiled kepok bananas have the highest vitamin B6 content, namely kepok bananas that are boiled for 40 minutes with vitamin levels (0.3646), so that vitamin B6 levels will reduce the intensity of nausea and vomiting.
Milieu Therapy as an Effort to Prevent Burnout Events in Nurses Shindi Hapsari; Tri Ismu Pujiyanto; Eko Ristiarso; Aprin Rusmawati
Journal Of Nursing Practice Vol. 8 No. 4 (2025): July
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v8i4.878

Abstract

Background: Nurses have a high workload, so they are at risk of burnout. One of the non-pharmacological therapies that can overcome burnout is Milieu therapy.  Purpose: This study aims to determine the effect of Milieu therapy on reducing the incidence of burnout in nurses in the inpatient room of Melati RSUD Batang. Methods: This study is pre-experiment research with One-Group Pretest-Posttest design using the Maslach Burnout Inventory questionnaire. The intervention was carried out 1 time per shift with a duration of 20 minutes for 7 days. The study used a total sampling of 18 implementing nurses in the Melati room of RSUD Batang. Data analysis using the Wilcoxon test. Results: The average burnout rate before Milieu therapy was 45.22 and after 42.28. The results of the Wilcoxon test obtained p value = 0.001, it can be concluded that there is an effect of Milieu therapy on reducing the incidence of burnout in nurses in the Melati inpatient room of RSUD Batang. Conclusion: Milieu therapy can be applied as an effective nonpharmacological therapy in treating burnout in nurses.
Effectiveness of Giving Ambon Banana, Avocado and Honey Juice on Increasing Hemoglobin (Hb) Levels in Pregnant Women Retno Palupi Yonni Siwi; Erma Retnaningtyas; Anggrawati Wulandari; Nur Yeny Hidajaturrokhmah; Era Pebriana
Journal Of Nursing Practice Vol. 8 No. 4 (2025): July
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v8i4.881

Abstract

Background: Anemia in pregnancy is a condition in which the mother has a hemoglobin level below 11 gr% in the first and third trimesters, and a level below 10.5 gr% in the second trimester. Most anemia in pregnancy is caused by iron deficiency and acute bleeding. Purpose: The effectiveness of giving ambon banana, avocado and honey juice to increase hemoglobin levels in pregnant women. Methods: True experiment with pretest and posttest control group design. The sampling technique used was purposive sampling obtained a sample of 34 respondents, namely 17 control and intervention groups. Analysis using the Independent t-test. Results: The Independent t-test statistical test resulted in p=0.001<0.05, meaning there was an influence of Ambon Banana, Avocado and Honey juice on increasing hemoglobin levels in pregnant women. Conclusion: Giving ambon banana, avocado and honey juice is effective in increasing hemoglobin levels in pregnant women. Bananas contain iron which will stimulate the production of hemoglobin in the blood. Avocados have important nutrients, namely vitamin C, vitamin E, vitamin K, iron, folic acid, potassium and quite high levels of calories and fat which are useful as a source of energy. Honey contains important minerals which help form hemoglobin.
Combination of Spiritual Benson Relaxation and Lavender Aromatherapy (SBR-LA) on Anxiety, Sleep Quality and Blood Pressure in Hypertension Patients Muhammad Basuni; Eppy Setiyowati; Chilyatiz Zahroh
Journal Of Nursing Practice Vol. 8 No. 4 (2025): July
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v8i4.556

Abstract

Background: A person's anxiety due to an illness is one of the causes of hypertension or an increase in blood pressure above the normal limit in all age groups. Hypertension that is not recognized and is not treated immediately can cause various kinds of comorbidities. Therefore, apart from pharmacological treatment, non-pharmacological therapy is also needed to reduce anxiety and blood pressure and improve the quality of sleep for hypertension sufferers. Purpose: The aim of this research is Explain the influence of Combination Of Spiritual Benson Relaxation and Lavender Aromatherapy (SBR-LA) on anxiety, sleep quality and blood pressure in hypertension patients. Methods: This research is quantitative research that uses a quasi-experiment research design with a pretest - posttest control group design approach. The entire population of hypertension patients in TNI AL Dr.Oepomo Hospital many as 97 people. The sample size was 44 respondents. The sampling technique is purposive sampling. The research independent variables are: Combination Of Spiritual Benson Relaxation And Lavender Aromatherapy  (SBR-LA) and the dependent variables are anxiety, sleep quality and blood pressure. Analysis used the paired t-test with a significant p value <0.05. Results: The results of research using the paired t-test show that there is an effect of giving The Effect of the Combination of Spiritual Benson Relaxation and Lavender Aromatherapy (SBR-LA)which is significant for anxiety with p value = 0.000, sleep quality with p value = 0.000 and systolic blood pressure p value = 0.000, diastolic blood pressure p value = 0.000. Conclusion: The Effect of the Combination of Spiritual Benson Relaxation and Lavender Aromatherapy (SBR-LA) Effectively reduces anxiety levels, improves sleep quality and lowers blood pressure in hypertension patients. This technique is very easy to do, so it can be applied as a nursing intervention in inpatient rooms to develop nursing knowledge in hospitals.
A Scoping Review of Factors Associated with Self-Management Among Patients with Breast Cancer Ruth Jamlaay; Restuning Widiasih; Mira Trisyani
Journal Of Nursing Practice Vol. 8 No. 4 (2025): July
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v8i4.679

Abstract

Self-management in patients with breast cancer plays an essential role in improving the quality of life of breast cancer patients. Self-management behaviour changes along with the treatment period and varies in patients with different demographic and psychosocial characteristics. However, systematic identification of self-management factors in this population is still lacking. This review aimed to identify factors that influence self-management in patients with breast cancer. This study used a scoping review. Literature was searched from three databases: EbscoHost: Medline Ultimate, Pubmed, and Scopus, and additional literature was identified using Google Scholar, using the keywords "Self-management OR self-care AND breast cancer OR breast neoplasm OR breast tumours AND factors or causes or influences or reasons or determinants or predictors or contributors." The analysis was carried out thematically with a descriptive exploratory approach. A total of 11 articles were analyzed in this review. Several factors influence self-management in patients with breast cancer, including chemotherapy status, duration of illness, patient's personal experience, age, education level, social support, anxiety, self-efficacy, self-compassion, understanding of the condition, adaptation and acceptance of life with lymphedema. This findings underscore the importance of developing comprehensive interventions that address these diverse factors to enhance self-management. These interventions should include patient education, psychological support, and social assistance to improve patients' ability to manage their condition. A holistic approach, incorporating medical care, emotional well-being, and social support, is essential to improving the overall quality of life for breast cancer patients.
The Benefits, Factors, and Barriers Faced in the Implementation of Digital National Early Warning Score in Hospitals: A Scoping Review Fricilia Noya; Yanny Trisyani; Etika Emaliyawati
Journal Of Nursing Practice Vol. 8 No. 4 (2025): July
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v8i4.680

Abstract

Digital National Early Warning Score (NEWS) is a system designed to detect early clinical deterioration in patients by monitoring vital parameters using digital technology. The implementation of Digital NEWS in hospitals is increasingly gaining attention because of its ability to improve patient safety, efficiency in clinical decision-making, and reduce the workload of health workers. However, although many benefits have been identified, implementing Digital NEWS is open to various challenges and obstacles. This study aimed to explore the benefits, factors, and obstacles faced in implementing digital NEWS in Hospitals. This scoping review used the Arksey and O'Malley framework following the PRISMA for Scoping Review. Literature searches used three main databases: EbscoHost: Medline Ultimate, Pubmed, and Scopus, and also one search engine, Google Scholar. Ten relevant articles were analyzed in this study. Implementation of digital NEWS can improve early detection of deteriorating patient conditions, reduce medical response time, and improve communication between health teams. However, the success of its implementation is influenced by several factors, such as the availability of technological infrastructure, adequate training, and technological literacy among health staff. The main challenges include lack of resources, alarm fatigue, and cultural resistance to technological change. This review concludes that implementing digital NEWS has many benefits, but health workers still face many challenges and barriers. A comprehensive approach is needed to optimize the benefits of digital NEWS implementation, including investment in infrastructure, training, and managerial support.
Digital Based Education and Counseling on Self-Care Behaviors in Patients with Type 2 Diabetes Mellitus as a Prevention Strategy for Neuropathy Complications Asnuddin; Yenny Puspitasari; Prima Dewi Kusumawati; Yammar
Journal Of Nursing Practice Vol. 8 No. 4 (2025): July
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v8i4.701

Abstract

Background: Type 2 Diabetes Mellitus (T2DM) is the most common type of diabetes, accounting for approximately 90% of all diabetes cases. It is characterized by insulin resistance, where the body fails to adequately respond to insulin. Complications can include macrovascular and microvascular damage, as well as diabetic neuropathy, which can occur in both newly diagnosed and long-standing patients. Purpose: This study aims to explain the influence of digital-based education and counseling on self-care behaviors in patients with T2DM as a prevention strategy for neuropathy complications. Methods: This study used a quasi-experimental design with a two-group pretest posttest design, where the pretest was implemented before treatment digital education and counseling, the posttest was implemented after treatment digital education and counseling. the posttest was implemented after treatment digital education and counseling. This study was conducted with pretest observation before education on self-care for patients with T2DM was implemented. Results: The study population consisted of 194 patients with T2DM in the Lawawoi Community Health Center area, from which 32 respondents were selected via purposive sampling. Data were collected through questionnaires The Summary of Diabetes Self Care Activities (SDSCA) Reliabilitas: Cronbach’s alpha antara 0.62 – 0.91 Validated by experts with a score of CVI (Content Validity Index) > 0.80, Level of knowledge validated by experts, CVI > 0.80. Reliabilitas: Cronbach’s alpha berkisar antara 0.70 – 0.85, shows good internal consistency, and analyzed using paired t-tests and independent samples t-tests. Conclusion: The findings revealed that the digital education group’s knowledge obtained a sig. (2 tailed) value on the pretest and posttest of 0.000 <0.05, the digital education group’s skills obtained a sig. (2 tailed) value on the pretest and posttest of 0.000 <0.05, the counseling group’s knowledge obtained a sig. (2 tailed) value on the pretest and posttest of 0.000 <0.05, while the counseling group’s skills obtained a sig. (2 tailed) value on the pretest and posttest of 0.000 <0.05. There is a significant influence of digital-based education and counseling on the knowledge and skills of patients with T2DM.
Enhancing Knowledge of Clinical Preceptors Towards Role Modeling Using Online Role Modeling Training Lisa Musharyanti; Wulan Noviani; Jezyl Cempron Cutamora
Journal Of Nursing Practice Vol. 8 No. 4 (2025): July
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v8i4.859

Abstract

Background: Role models play a significant role in shaping the character and professionalism of nursing students in clinical settings. Strengthening the impact of preceptors requires robust support and collaboration from educational institutions to ensure effective mentorship and professional development. Purpose: The aim of this study was to carry out role model training for clinical preceptors as an effort to increase knowledge their role as a role model in clinical education. Methods: This study employed a pre-experimental one group pretest-posttest design. A purposive sampling technique was used to recruit 33 clinical preceptors from six affiliated home-based hospitals. The training was conducted via Zoom  and included structured material presentations and small group discussions. Multiple-Choice Questionnaire were administered to participants in before  and after the last session of the training. Paired sample  t-test were used to analyze the mean differences of preceptors’ knowledge before and after the training. Results: The results showed that the majority of respondents demonstrated a good level of knowledge following the role modeling training, with 22 participants (66.7%) falling into the 'good knowledge' category, while only 1 participant (3.0%) remained in the 'poor knowledge' category. A statistically significant improvement was observed in the knowledge levels before and after the training, as indicated by p-value 0.000 (<0.05). Conclusion: Online role modeling training is an effective faculty-led initiative that has been proven to enhance clinical preceptors’ knowledge and awareness of their role as professional role models in clinical settings.
Analysis of Providing Stretching and Postural Physiotherapy Education during Handling of Upper Cross Syndrome, Neck Pain and Sleep Quality in Physiotherapists at PT Indo Sehat Indasah; Surahman Sukron Rosyadi; Prima Dewi Kusumawati
Journal Of Nursing Practice Vol. 8 No. 4 (2025): July
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v8i4.706

Abstract

Background: Neck pain and upper cross syndrome (UCS) are common complaints among physiotherapists, often exacerbated by poor posture and repetitive tasks. These conditions can negatively impact sleep quality and overall work performance. Stretching and postural education are simple, non-invasive interventions that may reduce symptoms. Purpose:  This study aimed to determine the effects of neck stretching and postural education on neck pain, upper cross syndrome, and sleep quality among physiotherapists at PT Indo Sehat. Methods: A true experimental, descriptive-analytical study was conducted over four weeks in four PT Indo Sehat clinics. Using proportional random sampling, 60 physiotherapists with a history of neck pain and poor sleep quality were selected and divided into intervention and control groups. Interventions included stretching routines and postural correction education. Data were collected through questionnaires and observation, and analyzed using paired and independent sample t-tests. Results: The intervention group showed statistically significant improvements in neck pain (p = 0.004), sleep quality (p = 0.000), and upper cross syndrome symptoms (p = 0.000). The control group showed limited or no significant improvement, especially in UCS (p = 0.061). Comparative analysis between groups showed meaningful differences pre- and post-intervention across all three variables (p < 0.005). Conclusion: Stretching and neck posture education significantly reduce neck pain and improve sleep quality and UCS symptoms in physiotherapists. These simple interventions are effective workplace strategies and are recommended for broader implementation.

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