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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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Evaluation of Patient-Centered Care (PCC) Implementation at A Type C Private Hospital Vivi Retno Intening; Ros Eva Simanungkalit; I Wayan Sudarta; Yullya Permina
Journal Of Nursing Practice Vol. 9 No. 1 (2025): October
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v9i1.915

Abstract

Background: Patient-centered care, or PCC, has been recognized as a crucial pillar supporting both patient safety and healthcare quality. PCC must be monitored and evaluated, and reporting or documentation must be used as a communication mechanism. To determine the effectiveness of health care implementation, an assessment system is put in place. Purpose: To evaluate the implementation of PCC at a type C private hospital. Methods: A descriptive analytical design was applied in this study with a population of 385 inpatients. In this study, 97 respondents or 25% of the population participated as samples, chosen through purposive sampling. The instrument used was a questionnaire containing eight PCC indicators, namely patient choice, communication of information and education, coordination of services, moral support, physical comfort, involvement of family and loved ones, continuity and transition, and access to services. Percentage formulas was used in this study. This research has been declared ethically approved with document number 1117.1/RSPWDC/LP/KEPK/VIII/2023. Results: The dimensions of choice appreciation, moral support, physical comfort, continuity and transition, coordination, and integrated patients included in the good category as many as 97 respondents (100%), dimensions of family involvement and the closest people to patients included in the good category as many as 94 respondents (96.9%), and the dimensions of communication, information, and patient education included in the good category as many as 72 respondents (74.2%). Conclusion: The evaluation of the implementation of PCC implementation at a type C private hospital is in the good category.
Preventing and Managing Radial Artery Bleeding following Transradial Procedures: Strategies and Considerations Istianah, Istianah; Peristiowati, Yuly; Hariyono, Hariyono; Manumara, Theophylia Melisa; Sani, Miftahuddin
Journal Of Nursing Practice Vol. 9 No. 1 (2025): October
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v9i1.916

Abstract

Background: Cardiac catheterization is an invasive diagnostic procedure using one or more catheters inserted into the heart and certain blood vessels to determine the degree of narrowing in the coronary arteries. Catheterization access through the radial artery shows better results that are not free from complications of bleeding and hematoma. Purpose: To determine whether there is a relationship between the duration of mechanical compression of the radial artery and the incidence of bleeding. Methods: Quantitative cross Sectional . The sample size was 40 patients, divided into 2 groups, namely 20 respondents who in aff mechanical compression at three hours and 20 respondents at four hours. Results: Observations were made every 15 minutes in the first hour, every 30 minutes in the second hour, and every 1 hour in the following hours. Research results: The chi-square test obtained p = 0.038¸ p value ≤ α (0.05) then H0 was rejected, which is statistically interpreted as a relationship, so it can be concluded that there is a significant relationship between the duration of aff mechanical compression on the radial artery and bleeding in post-operative corangiography patient. Conclusion: There is a significant relationship between the duration of aff mechanical compression of the radial artery and bleeding in post corangiography standby PCI patients. Optimal compression duration is essential to minimize bleeding complications and improve the safety of the procedure.
Peak of Covid-19 Case Increase: Factors Related to Acceptance of the Covid-19 Booster Among Adolescents Putri, Santy Irene; Arie Jefry Ka’arayeno; Siti Asiyah; Joel Rey Ugsang Acob
Journal Of Nursing Practice Vol. 9 No. 1 (2025): October
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v9i1.917

Abstract

Background: The acceleration of booster vaccination targets a minimum of 50 percent people aged 18 years and above while still prioritizing high-risk groups, such as the elderly. This is crucial to extend the protection of the Covid-19 vaccine and ensure that there is no surge in cases in the future. Purpose: This study aimed to analyze the determinant factors of Covid-19 booster acceptance among adolescents aged 18-24 years. Methods: The present study adopted an analytic observation method with a cross-sectional approach. It took place in East Java and involved 1415 adolescents selected through a simple random sampling. The dependent variable was Covid-19 booster acceptance among these adolescents. The independent variables were age, education, gender, and family income. The data were obtained through a questionnaire. They processed using bivariate analysis to investigate the relationship between the dependent and independent variables. To determine the acceptance of adolescents towards Covid-19 booster, it used multivariate logistic regression. Results: Age (OR= 1.71, CI 95% = 1.25 to 2.3, p= 0.001), education (OR= 1.56, CI 95% = 1.18 to 2.08, p= 0.002), gender (OR= 1.51, CI 95% = 0.14 to 1.99, p= 0.004), and family income (OR= 1.36, CI 95% = 0.10 to 1.85, p= 0.052) hold a statistically significant relationship with Covid-19 booster acceptance among adolescents. Conclusion: Age, education, gender, and family income are factors affecting Covid-19 booster acceptance among adolescents. Government and other relevant stakeholders are expected to take comprehensive measures to increase Covid-19 booster vaccination among adolescents aged 18-24 years.
Correlation between Stress Levels and Self-Harm Behavior among College Students in Surabaya: Cross-Sectional: Mental Health Nursing Andikawati Fitriasari; Dyah Ika Krisnawati; Chilyatiz Zahroh; Firdaus; Ragil Putri Fitriyanti
Journal Of Nursing Practice Vol. 9 No. 1 (2025): October
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v9i1.919

Abstract

Background: Nursing students experience high stress levels because of the high demands, expectations and activities during their study. Therefore some students struggle to adapt to their college life, eventually resorting to dangerous behaviors such as self-harm, which they perceive as a coping mechanism to relieve stress. Purpose: This study aims to analyze the relationship between stress levels and self-harm incidents among active students at Universitas Nahdlatul Ulama Surabaya. Methods: This research design uses descriptive correlational with cross-sectional approach.  This study involved 293 students from Universitas Nahdlatul Ulama Surabaya, with purposive sampling technique. The dependent variable in this study is self-harm behavior, while the independent variable is the level of stress. The instrument tools used are the Perceived Stress Scale (PSS) questionnaire and DSHI (Deliberate Self Harm Inventory). Results: A total of 293 students were sampled in this study. The majority of stress levels were experienced by women, with 135 respondents experiencing moderate stress levels and 118 students having engaged in mild self-harm behavior. The results of the Spearman’s rank statistical test showed a significant correlation between stress levels and self-harm behavior (p-value = 0.004), indicating that higher levels of perceived stress are associated with a greater tendency toward self-harm Conclusion: This study concluded that the majority of students were under stress, with most perceiving themselves to be experiencing moderate stress. There is an urgent need to identify the underlying causes and implement effective management and preventive measures to mitigate the long-term negative effects of stress on students’ careers and well-being.
Factors Associated with Autism Early Detection to Minimize the Need for Long-Term Care in Children: A Cross-Sectional Study I Gusti Ngurah Made Kusuma Negara; Siti Komariyah; Ni Made Sri Rahyanti; Anak Agung Istri Wulan Krisnandari D
Journal Of Nursing Practice Vol. 9 No. 1 (2025): October
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v9i1.922

Abstract

Background: Autism is characterized by a total withdrawal from the outside world and a complete lack of interaction with the outside world. It is a complex developmental disorder affecting behavior, resulting in deficits in communication skills, social relationships, and emotional relationships with others. Symptoms are evident before the child is three years old. Autism has been increasingly reported in recent years. However, in Indonesia, some children are still diagnosed with autism late.Purpose: This study aimed to determine factors influencing the early detection of autism.Methods: This study used a cross-sectional correlation study. The study population was parents of children with autism registered at the Bali Province Special Needs School (SLB), with a sample size of 81. Data analysis used univariate analysis (percentages and frequencies) and bivariate analysis (Chi-square test). Results: The study showed that the majority of respondents had primary/secondary education (66.7%), the majority were unemployed (55.6%), the majority had conducted regular and proper child development monitoring (82.7%), and the majority of children had received early detection for autism (53.1%). The correlation test results showed a relationship between parental education (p = 0.028), parental occupation (p = 0.028), and the number of children (p = 0.011) with early detection of autism in children.Conclusion: ore than half of the children had received early detection for autism. Early detection needs to be further enhanced through effective education about the importance of early detection for children.
Training Preschool Teachers in Early Detection of Emotional-Behavioral Problems and ADHD using Audiovisual and Booklet Media Khalida Ziah Sibualamu; Elsi Dwi Hapsari; Sri Hartini
Journal Of Nursing Practice Vol. 9 No. 1 (2025): October
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v9i1.925

Abstract

Background: Early identification of emotional and behavioral problems, including attention-deficit/hyperactivity disorder (ADHD), is essential for optimizing preschool children’s development. In Indonesia, many preschool teachers lack sufficient competence due to limited structured training. Evidence comparing audiovisual and booklet-based instructional media is scarce. This study addresses this gap, providing insights to enhance teacher preparedness in early detection. Purpose: This study compared the effectiveness of audiovisual and booklet-based training programs in improving preschool teachers’ knowledge and skills in the early detection of emotional behavior problems and ADHD. Methods: A quasi-experimental study with a non-equivalent group design was conducted among 58 preschool teachers selected through purposive sampling. Preschools were assigned to two formats that delivered identical training content through either audiovisual or booklet-based media. Participants’ knowledge was assessed using a questionnaire, and practical skills were evaluated with a checklist, both of which were validated and reliable. Data were analyzed using independent t-tests and Mann–Whitney U tests. Results: Audiovisual training produced significantly greater improvements in participants’ knowledge (p < 0.001) and skills in early detection of emotional behavior problems (p < 0.001) and ADHD (p = 0.009) compared with booklet training. The audiovisual group achieved higher post-test scores and demonstrated better knowledge retention. Conclusion: Audiovisual-based training was more effective than booklet-based training in enhancing preschool teachers’ knowledge and skills for identifying early emotional and behavioral problems in children. These findings highlight the importance of integrating audiovisual learning into teacher development programs to strengthen early childhood mental health surveillance.
Factors Affecting the Length of Stay for Covid-19 Sufferers with Cormobid Hypertension Rizqa Wahdini; Yulian Wiji Utami; Laily Yuliatun
Journal Of Nursing Practice Vol. 9 No. 1 (2025): October
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v9i1.926

Abstract

Background: Cormobid, one of the aggravating factors for COVID-19 sufferers, is hypertension. Therefore, cormobid COVID-19 sufferers can have a longer length of stay. Purpose: Thus, the researcher did a study at Soedarso Hospital in Pontianak City to find out what makes COVID-19 sufferers with hypertension cormobid stay in the hospital longer. Methods: The study used a retrospective design with a total sampling method of 204 data (15 March 2021 - 30 April 2022). Data analysis using Spearman test and ETA Correlation. Results: The Spearman test showed that there was a relationship between age (P-value 0.000, r 0.255), leukocytes (P-value 0.000, r=0.513), symptoms of COVID-19 (P-value 0.000, r=0.592), cormobid (P-value 0.002, r= 0.300) with length of hospitalization. The ETA test showed a relationship between sex (F table > F result, 3.89 > 8.14) and length of stay. Symptoms of covid-19 are the most related to the standard coefficient of beta 2,559. Conclusion: Factors affecting the length of stay for Covid-19 sufferers are age, gender, leukocytes, symptoms, and cormobid. However, the dominant factor for Covid-19 sufferers is the symptoms of Covid-19.
Evaluation of Iron Tablet Supplementation Program of Female Adolescent in Surakarta Hardiningsih, Hardiningsih; Fatsena, Rizka Adela; Parwatiningsih, Sri Anggarini; Yunita, Freshy Astrika; Ropitasari, Ropitasari; Kartikasari, M. Nur Dewi; Hutomo, Cahyaning Setyo; Karimah, Nahdiyah Karimah; Pratiwi, Dyah Krisnawati Satia Pratiwi; Puriastuti, Emma Anastya
Journal Of Nursing Practice Vol. 9 No. 1 (2025): October
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v9i1.928

Abstract

Background: The 2021 Indonesian Nutritional Status Survey (SGI) found that the prevalence of stunting in Indonesia was 24.4%, exceeding the global prevalence of 22.2%. The prevalence of stunting in Central Java Province in 2022 was 20.9%. The percentage of stunted toddlers in Surakarta City in 2022 was 1.87%, an increase compared to 1.39% in 2021. Based on 2018 data from the Surakarta Health Office, the highest incidence of stunting was found at the Sangkrah Community Health Center (Puskesmas), at 3.35%. Stunting in children is often caused by inadequate nutritional intake for preconception adolescents during the first 8,000 days of life. One sign of inadequate nutrition is anemia in adolescents. Anemia can be prevented by regularly taking iron supplements (TTD) from adolescence. Purpose: To evaluate iron supplement administration among adolescent girls in Surakarta City. Methods: This study used a mixed-methods design. The study population was junior high and high school students in the Sangkrah Community Health Center (Puskesmas) area. Participants were 150 female students selected using cluster sampling. The first stage involved hemoglobin (Hb) testing and measuring the girls' knowledge and adherence to iron supplement administration using a questionnaire. The second stage involved focus group discussions (FGDs) with health workers from the Surakarta City Health Office, teachers, and junior high and high school students. Quantitative data were analyzed using product-moment correlation, while qualitative data were analyzed using thematic analysis. Results: The human resources involved in the iron supplement administration program at this school complied with the Anemia Prevention and Control Guidelines. The iron supplement distribution program has been implemented by the Surakarta City Health Office since 2022. Iron supplement distribution is carried out by 2-4 individuals. Most respondents in this study were compliant with iron supplement administration (73.3%). There was a significant relationship between iron supplement adherence and hemoglobin levels, with a p-value of 0.0001. Conclusion: The iron supplement program for adolescent girls has been running well. Monitoring is conducted by the Sangkrah Community Health Center every three months, and the majority of girls are compliant with iron supplement consumption.
Imogene King's Theory-Based Telenursing to Improve Medication Compliance in Tuberculosis Patients: Telenursing Tuberculosis Achmad Wahdi; Devangga Darma Karingga; Dewi Retno Puspitosari
Journal Of Nursing Practice Vol. 9 No. 1 (2025): October
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v9i1.931

Abstract

Background: Tuberculosis (TB) is an infectious disease with a high health burden that requires patient compliance in taking anti-tuberculosis (ATD) medications. Non-compliance remains a barrier to successful therapy. Telenursing, an information technology-based service innovation, can be utilized to improve patient satisfaction, especially when developed based on Imogene King's nursing theory. Objective: Can telenursing based on Imogene King's theory improve medication adherence in TB patients? Methods: The study used a quasi-experimental design, with an intervention group receiving telenursing services based on Imogene King's theory and a control group receiving health promotion. Data on medication adherence were collected through observation and a medication adherence questionnaire. Data were analyzed using the Wilcoxon Signed Rank test. Results: The study showed that in the intervention group, the majority of respondents (66.6%) or 10 patients had high medication adherence. Conversely, in the control group, the majority of respondents (66.6%) or 10 patients had only moderate medication adherence. This indicates that telenursing based on Imogene King's theory is more effective than conventional health promotion in improving ATD adherence. Conclusion: Telenursing based on Imogene King's theory can improve medication adherence in TB patients through reciprocal interaction, therapeutic communication, and the achievement of shared goals between nurses and patients using the SETIA-TB application. The implementation of telenursing based on abortion theory is recommended to support the success of TB therapy and can serve as an innovative service model in the community.
The Role of Nurses in Ensuring Legal Protection of Patients in Nursing Clinics: Nursing Practice and Management Perspectives Wahyu Eko Putro; Fajar Rinawati; Zainal Andy Saputra
Journal Of Nursing Practice Vol. 9 No. 1 (2025): October
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v9i1.937

Abstract

Background: Nurses play a very crucial role in protecting patient rights. Nurses don't just provide clinical services. They are also required to understand patient rights and the legal and ethical aspects that accompany them. Due to new regulations and a complex health system, nurses need to be equipped with legal knowledge. This is important so that they can carry out their duties professionally and protect patients effectively. Purpose: This research aims to examine the role of nurses in protecting patient rights, identify challenges faced in practice, and provide recommendations for strengthening patient legal protection through management support and legal training. Methods: A descriptive qualitative approach within the constructivist paradigm was used to explore nurses’ perceptions of their role in ensuring patients’ legal protection. Ten participants were purposively selected from three clinics in East Java. Data were collected through semi-structured interviews, transcribed verbatim, and analyzed using inductive thematic analysis to identify emerging themes. Results: This research identified three main themes: nurses’ legal protection measures, understanding of law and ethical responsibilities, and challenges in implementing these roles. These themes, derived through systematic coding and categorization, illustrate how nurses apply legal and ethical principles in daily clinical practice within the Indonesian healthcare context. Conclusion: Nurses play an important role in advocating for patient rights, but still face obstacles such as workload and lack of management support. Legal training and supporting policies are needed to strengthen the legal protection of patients in nursing clinics.

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