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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 535 Documents
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The Relationship between Psychological Capital and Subjective Well-Being among Boarding School Adolescents Yossie Susanti Eka Putri; Ice Yulia Wardani; Dian Fitria; Mahraniy; Pichitra Lekdamrongkul
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.v9i1.940

Abstract

Background: Psychological capital (Psycap), encapsulates positive mental attributes such as hope, resilience, optimism, and one’s ability to positively reframe a situation, all of which shape an individual’s responses to and management of challenges. The adolescence period is crucial to the development of Psychological capital (Psycap), and the extent to which it is cultivated will determine levels of happiness in one’s future. Its role within the unique socio-educational environment, however, is still unresolved in the context of Islamic boarding schools. Purpose: The objective of this research was to analyze the correlation of Psychological Capital (PsyCap) with the Subjective Well-Being (SWB) of youth in Indonesian Islamic boarding schools. Methods: Information was obtained through a cross-sectional survey distributed to 208 adolescents. The Psychological Capital Questionnaire was administered to gauge the PsyCap. The Satisfaction With Life Scale (SWLS), in conjunction with the Positive and Negative Affect Schedule (PANAS), was employed to measure subjective well-being (SWB). For data analysis, descriptive statistics and Pearson correlation were used. Results: This investigation determined that mean scores for all PsyCap components and SWB besides observed the clearly connected data that as PsyCap increased, SWB also appeared to elevate. Among components, hope demonstrated the strongest correlation (r = 0.444, p<0.001), followed by optimism (r = 0.407, p<0.001), efficacy (r = 0.364, p<0.001), and resilience (r = 0.363, p<0.001). Conclusion: All PsyCap components positively correlated with subjective well-being and with hope being the strongest predictor. This underscores the significance of hope-augmentation PsyCap interventions within the context of a boarding school to aid in the development and well-being of adolescents.
Moringa Leaf Extract as a Natural Intervention to Increase Hemoglobin Levels in Postpartum Anemia Reni Yuli Astutik; Suci Anggraeni; Nining Istighosah; Januaris Auktovitis
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.v9i1.943

Abstract

Background: Postpartum anemia is a significant health problem that contributes to maternal morbidity and mortality. It is estimated that 50–80% of women experience anemia within 48 hours after childbirth. In Indonesia, postpartum anemia is among the leading causes of maternal mortality. Effective and affordable interventions are urgently needed to improve maternal outcomes. Moringa (Moringa oleifera) leaves are rich in iron and essential nutrients that may support hemoglobin synthesis. Purpose: This study aimed to evaluate the effect of Moringa leaf extract on hemoglobin levels in postpartum women with anemia. Methods: A quasi-experimental study was conducted among postpartum women diagnosed with anemia. Participants were divided into an intervention group receiving Moringa leaf extract and a control group receiving standard care. Hemoglobin levels were measured before and after the intervention. Data were analyzed using paired and independent statistical tests with a significance level of p<0.05. Results: The intervention significantly improved hemoglobin levels, with the mean rising from 8.65 g/dL pre-test to 10.93 g/dL post-test (p < 0.05). The average increase of 2.27 g/dL was accompanied by a more uniform distribution, indicating effective enhancement of maternal hemoglobin status after intervention. Conclusion: Moringa leaf extract is effective in increasing hemoglobin levels among anemic postpartum women. This low-cost, natural intervention can be considered as a complementary strategy in the management of postpartum anemia, particularly in low- and middle-income settings. Further large-scale randomized controlled trials are recommended to confirm these findings.
Teenage Pregnancies in Indonesia: Does Socio-Economic Matter? Masruroh Hasyim; Joko Prasetyo; Agung Dwi Laksono; Nikmatur Rohmah
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.v9i1.947

Abstract

Bacground: Teenage pregnancies is a crucial health problem in developing countries, including in Indonesia, which may cause various physical, psychological, emotional, and social problem including death for both mother and baby. Purpose: This current research aimed to analyze the socio-economic relationship with the occurrence of teenage pregnancies in Indonesia. Methods: This study uses secondary data for the 2017 IDHS with cross-sectional design. The dependent variable in this study is the prevalence of pregnant adolescents, while the independent variable is the socioeconomic status, the number of samples in this study was 3350 in women aged 20-24 years. The sampling technique uses simple random sampling. Analysis using binary logistic regression. Results: The results showed that the poorer women had 0.804 times the probability of having teenage pregnancies (AOR 0.804; 95% CI 0.655-0.986). The women with middle socio-economic have 0.640 times more chance than the most impoverished women to have teenage pregnancies (AOR 0.640; 95% CI 0.514-0.797). The wealthier women have 0.804 times the probability of having teenage pregnancies compared to the poorest women (AOR 0.804; 95% CI 0.655-0.986). Moreover, the wealthiest women are 0.607 times more likely than the poorest women to have teenage pregnancies (AOR 0.607; 95% CI 0.447-0.823). Conclusion: The study concluded that socio-economic proved to be related to the occurrence of teenage pregnancies in Indonesia. Also, there are 3 other variables which are also significant predictors of teenage pregnancy. The three variables are age, education level, and employment status.
Comparative Effects of Safe Steps and Life Cycle Games on Adolescent Reproductive Literacy and Mental Health Reni Nurhidayah; Dhita Kurnia Sari; Lingga Kusuma Wardani
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.v9i1.961

Abstract

Background: Adolescents often experience low reproductive literacy and poor mental health, which can lead to risky behaviors, early sexual debut, unintended pregnancy, and psychological problems such as anxiety and depression. Innovative approaches are needed to provide engaging and effective health education. Purpose: This study aimed to compare the effects of two educational games, SafeSteps (mobile) and LifeCycle (board game), on adolescents’ reproductive health literacy and mental health. Methods: A quasi-experimental design was applied with 266 participants divided into the two intervention groups (n=133 per group). Data on reproductive literacy and mental health (SDQ) were collected using validated questionnaires before and after the intervention. Paired t-tests and Analysis of Covariance (ANCOVA) were conducted to measure within- and between-group differences. Results: Both SafeSteps and LifeCycle significantly improved adolescents’ reproductive literacy, attitudes toward sexual violence, and mental health (p < .001). The SafeSteps group showed a significantly greater increase in reproductive literacy (mean D=17.3) compared to the LifeCycle group (mean D=13.4; F=13.84, p < .001). SafeSteps also yielded stronger gains in attitudes toward sexual violence (p < .001). Crucially, improvements in mental health were comparable between the two groups (F=1.46, p=0.228). Conclusion: SafeSteps (mobile) yielded stronger gains in cognitive and attitudinal outcomes, while both game modalities equally improved mental health. These findings recommend that policymakers and educators should integrate a hybrid approach combining scalable digital games with collaborative board-based sessions into school-based programs to ensure comprehensive and effective adolescent health promotion.
The Relationship between Exploring New Meanings of Caregiving and Family's Ability to Care Schizophrenia Nia Agustiningsih; Dwi Indah Iswanti; Fery Agusman Motuho Mendrofa
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.v9i1.963

Abstract

Background: Families who care for patients with schizophrenia are still considered negative experiences. Families are less able to find new, positive meaning when caring for patients with schizophrenia. This condition increases the family's and patient's burden as well as the inability of families to care for patients with schizophrenia. Purpose: This research aims to identify relationships between exploring the new meaning of caregiving with the family's ability to take care of patients with schizophrenia. Methods: This research is a quantitative descriptive study with a cross-sectional approach. A sample of 135 families who were caregivers of patients with schizophrenia was selected using purposive sampling techniques. The questionnaire exploring the new meaning of caregiving was developed from the concept of integrative empowerment and the family's ability to care for schizophrenia from the Barthel Index questionnaire and the Caregiving Tasks in Caring for an Adult with Mental Illness Scale (CTiCAMIS). Data analysis used Spearman rank correlation with alpha 5%. Results: This study's result is that the family's ability to explore new meanings of care is still in the sufficient category, both in the family aspect of having responsibility, the ability to assess positive aspects, acceptance of caring situations, and the family being part of the healer. Meanwhile, families' ability to care for patients with schizophrenia is still lacking to help with social interaction and productive skills. Conclusion: There is a relatively strong and unidirectional relationship between exploring new meanings of caregiving and the family's ability to care for schizophrenia (p-value=0.000; rho=0.311). Nurses must train family skills to explore new meanings through family empowerment programs.
The Effect of Pursed Lip Breathing and Diaphragmatic Breathing on Increasing Oxygen Saturation in COPD Patients Tonika Tohri; Metilda; Sindi Sugandi
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.v9i1.965

Abstract

Background: Chronic Obstructive Pulmonary Disease (COPD) is a progressive respiratory condition marked by continuous airflow limitation, often resulting in hypoxemia and hypercapnia. The WHO (1) projects that by 2030, COPD will rank as the third leading cause of death globally. In Indonesia, the prevalence of COPD reached 2.4% in 2018. One of the key clinical manifestations of COPD is a decline in oxygen saturation. Non-pharmacological breathing techniques such as Pursed Lip Breathing (PLB) and Diaphragmatic Breathing (DB) have been shown to improve ventilation and oxygenation. Purpose: This study aimed to determine the effectiveness of PLB and DB in improving oxygen saturation among COPD patients. Methods: A quasi-experimental one-group pre-post test design was used, involving 30 purposively selected COPD patients from a population of 35 treated. Each participant performed PLB and DB for 5-10 minutes per session, three times daily, for four weeks-initially during hospitalization and later at home under supervision. Inclusion criteria were COPD patients with oxygen saturation levels of 88–90% who had not previously received PLB or DB therapy. Exclusion criteria included those with prior experience of PLB/DB, anxiety, anti-anxiety treatment, as anxiety can alter breathing patterns and reduce therapy effectiveness. Data were collected using observation sheets and pulse oximeters and analyzed with Wilcoxon Signed Rank Test. Results: Mean oxygen saturation increased from 89.40% (SD = 2.15) to 92.10% (SD = 1.98) with a significant p-value (0.000 < 0.05). Conclusion: PLB and DB effectively enhance oxygen saturation in COPD patients and have important implications for evidence-based nursing practice and education.
The Effectiveness of Education about Healthy Food on Mother's Motivation and Knowledge of Mothers in Preventing the Risk of Stunting Enok Sureskiarti; Aprin Rusmawati; Gatra Zakky Sabbily; Tiara Adinda Aulia
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.v9i1.969

Abstract

Background: Stunting is a health problem caused by chronic malnutrition in children, which affects cognitive and motor growth and development. The role of mothers is very important in preventing stunting, especially through a good understanding of nutritional intake. The issue of stunting in Indonesia is a significant chronic nutritional problem caused by inadequate nutritional intake and various other factors, including maternal Motivation and knowledge about healthy food. Purpose: This study aims to evaluate the effectiveness of nutrition education through animated videos and booklets in improving maternal Motivation and knowledge to prevent the risk of stunting. Methods: This study used a Quasi-Experimental design with a pre-test and post-test with control group design. The sample consisted of 60 mothers who had toddlers at the Kelapa Gading Sehat Posyandu (animation video group) and the Amalia Posyandu (booklet group), each consisting of 30 people. Data were collected using a questionnaire and analyzed using a paired t-test and an independent t-test to see the effectiveness of the educational intervention. Results: he results showed a significant increase in mothers' motivation and Knowledge after being given education. In the animated video group, the average motivation score increased from 35.8 to 48.9, while in the booklet group it increased from 36.4 to 49.8 (p-value = 0.000). The results showed that the average maternal knowledge scores significantly increased after the intervention, with a p-value < 0.05. Conclusion: This study concludes that nutrition education based on animated video media and booklets can be an effective method in increasing mothers' motivation and Knowledge in efforts to prevent stunting.
Cognitive behavioral Therapy Based on Local Wisdom Culture to Increase Happiness and Slow Degradation of Cognitive Function in the Elderly Post-Stroke Aristawati, Evy; Huda, Nurul; Dwi Cahyono, Bagus; Susanto, Tantut
Journal Of Nursing Practice Vol. 9 No. 2 (2026): January
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v9i2.663

Abstract

Background: Stroke in the elderly often leads to physical, psychological, and quality of life deterioration, which can hinder post stroke rehabilitation. Although Cognitive Behavioural Therapy (CBT) has been widely applied, the use of Cognitive Behavioural Therapy (CBT) integrated with local wisdom remains limited, particularly among elderly stroke survivors. Purpose: This study aimed to explore the lived experiences of elderly individuals after stroke who received local wisdom based Cognitive Behavioural Therapy (CBT) using sulthon prayer as a therapeutic medium. Methods: This study employed a qualitative phenomenological design. A total of 25 elderly post stroke participants were selected through purposive sampling and participated in in depth interviews. Data were analysed using thematic analysis following Braun and Clarke’s approach. Results: The findings revealed three main themes, namely biological experiences, psychosocial experiences, and spiritual experiences, reflecting participants’ perceptions of physical comfort, emotional regulation, and enhanced spiritual meaning during the recovery process. In conclusion, local wisdom based Cognitive Behavioural Therapy (CBT) using sulthon prayer provides meaningful biological, psychosocial, and spiritual support for elderly individuals after stroke. Conclusions: These findings imply that integrating culturally and spiritually sensitive Cognitive Behavioural Therapy (CBT) interventions may enhance holistic nursing care and rehabilitation outcomes for elderly stroke survivors.
Mitigating Strategies for Nurses' Emotional Exhaust based on Technology-Based Assessment: A Systematic Review Laily, Anis khilya khasnatil; Dian Handayani; Heni Dwi Windarwati
Journal Of Nursing Practice Vol. 9 No. 2 (2026): January
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v9i2.709

Abstract

Background: Most nurses report experiencing emotional exhaustion due to high job demands, a condition that not only affects individuals but also impacts the overall healthcare system. The utilization of health information systems offers significant potential in detecting, measuring, and managing emotional exhaustion among healthcare professionals through comprehensive data analysis, thus improving individual well-being and the quality of healthcare services. Purpose: The objective of this systematic review is to explore indicators of emotional exhaustion and strategies to address it. Methods: This review was developed based on the Joanna Briggs Institute (JBI) methodology and presented according to PRISMA. Three databases, PubMed, ScienceDirect, and ProQuest, were used as sources to search for studies in English. The research obtained with the criteria of discussing health information systems and emotional exhaustion, original research, full text, and published between 2019-2024. Out of 1,782 identified articles, 15 articles were selected for in-depth analysis. Results: Through this systematic review, it was found that HIS can be used to measure emotional exhaustion through behavioural, performance, and organizational dimensions. These indicators can be identified through the analysis of data stored in HIS. In addition, HIS can also support mitigation efforts through increased work efficiency, employee health management, and organizational support. Conclusion: Detecting the condition of emotional exhaustion and understanding how to mitigate it are competencies required to support the smooth and quality delivery of nursing care.
Differences in Triage Accuracy for Respiratory Emergency Cases between Academic and Professional Level Nursing Students Using the Early Warning System Score (EWSS) Vita Maryah Ardiyani; Wahyu Dini Metrikayanto; Ani Sutriningsih; Putu Sintya Arlinda; Risna Yekti Mumpuni; Yati Srihayati; Rosly Junaedi; Indah Dwi Pratiwi; Wyssie Ika Sari; Hardiyanto
Journal Of Nursing Practice Vol. 9 No. 2 (2026): January
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v9i2.720

Abstract

Background: EWSS functions as a cumulative scoring framework that standardizes the clinical assessment of acute illness severity through systematic evaluation of vital sign measurements. Purpose: EWSS is a simple scoring system utilizing the Track & Trigger method based on patients' vital signs to detect early signs of clinical deterioration. It employs physiological parameters to identify patients with severe infections and facilitate triage decisions based on the severity level. Methods: The objective of this study is to compare the accuracy of triage determination in respiratory emergency cases between two groups of students: academic-level nursing students and professional-level nursing students, using the Early Warning System Score (EWSS) instrument. The research was implemented at nursing undergraduate education institutions in Malang City and Malang Regency. The sample consisted of 100 nursing students, divided into two groups: 50 academic-level students and 50 professional-level students. Each respondent was given 10 respiratory emergency vignette cases and performed triage assessments using the EWSS instrument. Results: The analysis showed that the Mann-Whitney test has a significance value 0.45, indicating no significant difference in triage accuracy using EWSS between academic-level and professional-level students. Almost all respondents were able to accurately determine triage for both groups using the EWSS method. Conclusion: EWSS can be broadly utilized by both academic and professional-level nursing students. The triage instrument based on patients' clinical signs and symptoms, EWSS is expected to be widely adopted, including by the general public.

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