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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 560 Documents
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Prevalence of Hypertension and Risk Factors among Adolescent High School Girls Widayati , Kurniasih; Astutik, Windu; Daryaswanti , Putu Intan; Febianingsih, Ni Putu Eka; Dewi , Ni Luh Made Asri; Sulistyadewi, Ni Putu Eny; Noviyanti, Ni Putu Ayu Wulan
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.v9i2.808

Abstract

Background: The health of adolescent girls is important. Teenage girls have a vital role in giving birth to a new generation (future mothers). Purpose: The research aimed to determine the description of blood pressure in adolescent girls and to analyze what factors were associated with the incidence of hypertension in adolescent girls. Methods: This research used a cross-sectional method with a descriptive approach. The sample of this research, a total of 1,193 adolescent girls at Jembrana Regency, Bali, Indonesia, from 5 high schools and vocational schools, was selected using purposive sampling. The adolescent girls were 15 to 19 years old with an average age of 16.5 years old. Blood pressure was categorized in children and adolescents by using four categories: normal, pre-hypertension, hypertension I, and hypertension II. Results: The research results on 1,193 adolescent girls showed that the majority of respondents had blood pressure in the normal category, totaling 1,031 individuals (86%). A total of 149 adolescent girls (12%) were in the pre-hypertension category, while stage 1 and stage 2 hypertension were found in 13 respondents (1%). The average systolic blood pressure of respondents was 116.3 mmHg (SD ±12.3), and diastolic blood pressure was 71.3 mmHg (SD ±9.8). The average age of respondents was 16.5 years (SD ±0.7). Bivariate analysis results showed that nutritional status based on BMI and mid-upper arm circumference (MUAC) had a significant relationship with the incidence of hypertension in adolescent girls (p < 0.05). Adolescents with overweight, obesity, and chronic energy deficiency (CED) status were more frequently found in the pre-hypertension and hypertension groups. Conclusions: It was concluded in this research that the majority of adolescent girls at Jembrana Regency, Bali-Indonesia had normal blood pressure. To prevent hypertension, adolescent girls have to maintain their health and change risk factors by optimizing their nutritional status.
Assessing the Knowledge, Attitude and Practices of Nurses in Implementing Infection Control Measures for Tuberculosis in Hospital: Literature Review Alromimah, Mohammed Mutahar; Shanti Wardaningsih; Nur Chayati
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.v9i2.872

Abstract

Background: Tuberculosis (TB), caused by Mycobacterium tuberculosis, remains a major global health concern, particularly for healthcare workers (HCWs) who are at increased risk due to occupational exposure. This study evaluates nurses’ knowledge, attitudes, and practices (KAP) in implementing TB infection control measures in hospital settings across Ethiopia, Zimbabwe, Nepal, Saudi Arabia, India, Gabon, and Malaysia. Despite the availability of preventive measures, their inconsistent application due to inadequate training, resource shortages, and systemic challenges continues to hinder effective TB control. Identifying these gaps is crucial for improving infection prevention strategies. Purpose: This study aims to assess nurses' KAP regarding TB infection control, identify critical gaps in their understanding and practices, and highlight the need for targeted interventions such as in-service training, resource allocation, and stigma-reduction efforts. Methods: A literature review was conducted on studies published between 2020 and 2024 using the PubMed, ProQuest, and Scopus databases. The inclusion criteria focused on studies involving nurses in hospital settings that discussed knowledge, attitudes, and practices related to TB prevention. The 340 articles identified, 29 articles met the eligibility criteria after applying strict exclusion criteria for duplicate and non-empirical publications and studies that did not specifically focus on nurses in hospitals. To ensure accuracy and credibility, the included studies were assessed using the critical appraisal tool from the Joanna Briggs Institute (JBI) to minimize the risk of bias. Results: Findings revealed substantial gaps in nurses' knowledge and infection control practices, despite generally positive attitudes. For instance, many incorrectly relied on surgical masks instead of N95 respirators. Inconsistencies in infection control were linked to inadequate training, resource limitations, and high workloads. Conclusion: Addressing these deficiencies through structured training, improved resource distribution, and stigma-reduction strategies is essential to enhance TB prevention efforts in hospital settings.
The Psychological Response to Menarche in Elementary School Students is Influenced by Age, Perception, Knowledge, and Information Sources Khairiyatul Afiyah, Raden; Septianingrum, Yurike; Puspitasari, Yenny; Rahmawati, Arsya
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.v9i2.895

Abstract

Background: Menarche causes anxiety in some teenagers, because they consider menstruation to be a disease and dirty blood. Purpose: The aim of the research is to determine the factors related to the psychological response during menarche at Khadijah Elementary School, Surabaya. Methods: This research is an analytical observational study with a cross-sectional approach. It was conducted at SD Khadijah Surabaya on May 3, 2024. The sample consisted of 47 female students who had experienced menarche. The sampling technique used was stratified random sampling. The research instruments included questionnaires on age at menarche, sources of information, knowledge and perceptions about menstruation and menarche, as well as psychological responses during menarche. The data were analyzed using the Chi-square test with a significance level of α = 0.05. Multivariate analysis was not performed to avoid overfitting due to the small sample size. Results: The results of the Chi-square test showed significant associations between psychological responses at menarche and the following variables: age at menarche (p = 0.001), knowledge (p = 0.000), perception (p = 0.000), and source of information (p = 0.035). Conclusion: Based on the results of the research and discussion that have been described, it can be concluded that there is a relationship between the age of menarche, knowledge, perception and sources of information with the psychological response during menarche at Khadijah Elementary School Surabaya.
Cost-Effectiveness of Maternal Tetanus Toxoid and Tetanus Diphtheria in Developing Countries: Systematic Review Ana Claudia da Costa Guterres; Sri Annisapada Jamaru; Tiara Mudrika; Azizah Yuhani; Sulistyaningsih; Putri Listiani
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.v9i2.995

Abstract

Background: Maternal and neonatal tetanus (MNT) remains a public health threat in low- and middle-income countries due to suboptimal coverage of complete-dose maternal immunization. Although TT and Td vaccines are clinically effective, their cost-effectiveness in different country contexts needs systematic assessment. Purpose: To evaluate the cost-effectiveness of maternal tetanus toxoid (TT) and tetanus-diphtheria (Td) vaccination in developing countries, focusing on economic outcomes and contextual variations. Methods: This systematic review followed PRISMA 2020 guidelines. Literature was searched in PubMed, Scopus, ScienceDirect, Wiley, and Crossref. Inclusion criteria comprised CEA/CUA studies on maternal TT/Td immunization in developing countries. Reporting quality was assessed using the CHEERS 2022 checklist. Results: From 2,040 records, four studies met inclusion criteria. All reported maternal TT/Td vaccination as highly cost-effective, with ICERs ranging from USD 3.61 to 15,600 per DALY or life-year saved. Key uncertainties included vaccine effectiveness and distribution costs, while program efficiency varied by local health system conditions. Conclusion: Complete-dose maternal TT/Td immunization is a highly cost-effective public health intervention in resource-limited settings. However, policy implementation must be adapted to local contexts and supported by robust sensitivity analysis and reliable primary data.
Health Education for Increasing Knowledge and Skills of Caring Family in Post Stroke at Poncokusumo Community Health Center, Malang Rahmania Ambarika; Novita Ana Anggraini; Agus Santosa; Herman Adhi Wijaya
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.v9i2.1008

Abstract

Background: The lack of knowledge and skills among family members in caring for post-stroke patients can make prolong recovery time and increase the risk of complications. Health education is essential to enhance understanding and optimize caregiver skills. Purpose: This study aims to examine the effect of health education on family knowledge and skills in post stroke care at Poncokusumo Community health center in Malang regency. Methods: This research employs pra experimental with one group pre-post test design with a total population of 35  family with the post stroke patients in Poncokusumo Community Health Center , from which 32 participants were selected using purposive sampling. The research instrument consists of a questionnaire, and data were analyzed using the Wilcoxon test. Results: The results show that before the health education intervention, half of the participants had a moderate level of knowledge (16 people, 50.0%). After the intervention, nearly all participants demonstrated good knowledge (28 people, 87.5%). In terms of skills, before the intervention, the majority of participants had poor caregiving skills (19 people, 59.4%). After the intervention, most participants improved to a moderate skill level (19 people, 59.4%). There was a significant effect of health education on family knowledge regarding post-stroke care at Poncokusumo Community Health Center, with a p-value of 0.000 (<0.05). Conclusion: Health education is effective in improving family knowledge and skills in caring for post-stroke patients. With structured education, families understand how to care for patients, from mobilization, prevention of complications, to psychosocial support. Direct training and educational media help them apply skills with more confidence. This increased understanding contributes to better quality of care, accelerates patient recovery, and reduces the risk of complications.
Diagnostic Accuracy of the Roll Over Test (ROT) and Mean Arterial Pressure (MAP) for Early Detection of Preeclampsia in Pregnant Women Pusparini Dwi Arisanti; Lumastari Ajeng; Rahajeng Siti Nur Rahmawati; Koekoeh Hardjito
Journal Of Nursing Practice Vol. 9 No. 3 (2026): April
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v9i3.1005

Abstract

Background: Preeclampsia remains a leading cause of maternal mortality. Early identification of pregnant women at risk is essential to prevent severe maternal and fetal complications. While Mean Arterial Pressure (MAP) and the Roll Over Test (ROT) are used for early detection, there is a need to compare their diagnostic performance in low-resource clinical settings to optimize screening protocols. Purpose: This study aimed to determine the sensitivity and specificity of ROT and MAP in screening for preeclampsia among pregnant women. Methods: This diagnostic observational study used a prospective approach involving 46 pregnant women (gestational age >30 weeks at the Puhjarak Community Health Center, Kediri District. Participants were selected using simple random sampling from a population of 52 eligible pregnant women. Screening was conducted using MAP and ROT, and the occurrence of preeclampsia was evaluated at ≥36 weeks of gestation based on clinical diagnosis. Data were analyzed to calculate sensitivity, specificity, and predictive values. Results: The prevalence of preeclampsia in this study was 17.3%. Both MAP and ROT showed a sensitivity of 75%. However, ROT showed higher specificity (94%) compared to MAP (63%). The PPV for ROT (75%) was also higher than for MAP (30%), Conclusion: There The findings suggest that the ROT may have higher specificity than MAP in screening for preeclampsia. However, further studies with larger samples are needed to confirm these findings.
The Impact of Peer Verbal Aggression on Automatic Negative Thoughts in Adolescent Bullying Victims Yunita, Rizka; Widya Addiarto
Journal Of Nursing Practice Vol. 9 No. 3 (2026): April
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v9i3.1020

Abstract

Background: Adolescence is a crucial period for psychosocial development, with peer acceptance playing a central role. Peer verbal aggression, manifested through threats, offensive language, and insults, can act as a stressor for adolescents. These experiences may shape dysfunctional cognitive schemas. Recurrent and persistent negative thoughts can impact long term psychological development. Purpose: This study aims to analyze the relationship between peer verbal aggression and automatic negative thoughts in adolescent victims of bullying. Methods: This study employed a quantitative design with a cross-sectional approach. The sample consisted of 92 adolescents who were victims of bullying, selected through purposive sampling. Data were collected using a verbal victimization questionnaire adapted from an indicator of the Multidimensional Peer Victimization Scale (MPVS) and the Children’s Automatic Thoughts Scale (CATS). Data analysis was performed using the Spearman rank correlation test. Results: Most respondents were adolescents aged 15-17 years (91.3%), with 42.4% experiencing bullying for more than six months. Bivariate analysis revealed a significant correlation between peer verbal violence and automatic negative thoughts (p=0.001), encompassing physical threat (r=0.524), social threat (r=0.788), personal failure (r=0.703), and hostility (r=0.500). This suggests that higher exposure to peer verbal aggression is associated with a higher prevalence of automatic negative thoughts in bullying victims, which can disrupt their cognitive processes. Conclusion: Peer verbal aggression is a strong predictor of automatic negative thoughts in adolescent victims of bullying. The implications of this study underscore the need for psychological interventions, such as cognitive restructuring therapies, to reduce automatic negative thoughts.
Stroke Rehabilitation Trends: A Bibliometric Analysis Patima; Fitri Arofiati
Journal Of Nursing Practice Vol. 9 No. 3 (2026): April
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v9i3.756

Abstract

Backround: Stroke is one of the leading causes of irreversible brain damage and functional disability. Purpose: Explore stroke rehabilitation research trends through bibliometric analysis. Methods: Publication searches from 1997 to 2024 were conducted using the Scopus database. Furthermore, the data obtained was analyzed bibliometrically using VOSviewer version 1.6.20. This analysis includes visualization analysis, co-occurrence analysis, and stroke rehabilitation publication trend analysis. Results: The results of the bibliometric analysis identified 247 publications that met the search criteria in the field of stroke rehabilitation trends. The distribution of publications by country shows that the United States dominates with 83 publications (33.6%), followed by China with 29 publications (11.74%), and Canada with 19 publications (7.69%). This distribution pattern indicates that research on stroke rehabilitation trends remains concentrated in developed countries with high research capacity. These findings confirm that stroke rehabilitation is a topic receiving significant academic attention and continues to evolve globally; therefore, further studies on research trends in this field are considered important to provide direction for the development of more effective stroke rehabilitation interventions in the future. Conclusion: this article provides a comprehensive overview of stroke rehabilitation trends.
The Effectiveness of Nurses’ Independent Interventions: Benson Relaxation and Five-Finger Hypnosis in Reducing Anxiety among Elderly Individuals in the Service Area of UPT. Puskesmas Lawawoi, Sidenreng Rappang Regency Nurdin, Sulkifli; Yuly Peristiowati; Prima Dewi Kusumawati
Journal Of Nursing Practice Vol. 9 No. 3 (2026): April
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v9i3.831

Abstract

Background: The growing elderly population has increased concerns regarding geriatric mental health, particularly anxiety disorders. Anxiety in older adults is often associated with declining physical function, chronic illness, social isolation, and reduced social support, which can negatively affect psychological well-being and quality of life (Beard et al., 2016; World Health Organization, 2022). If untreated, anxiety may worsen physical health conditions and reduce functional independence. Non-pharmacological nursing interventions are therefore needed due to their safety and accessibility. The novelty of this study lies in integrating Benson relaxation and five-finger hypnosis as nurse-led complementary interventions to reduce anxiety among community-dwelling elderly individuals. Purpose: This study aimed to analyze the effectiveness of Benson relaxation and five-finger hypnosis in reducing anxiety levels among elderly individuals in the service area of UPT Puskesmas Lawawoi, Sidenreng Rappang Regency, Indonesia. Methods: A quasi-experimental study with a pretest–posttest design was conducted among 54 elderly participants selected through simple random sampling. Participants were assigned to Benson relaxation (n = 27) and five-finger hypnosis (n = 27) groups. Anxiety levels were measured using a standardized instrument and analyzed using paired t-tests. Results: The findings showed a significant reduction in anxiety levels after the interventions (p < .001). This study provides evidence that combining relaxation response therapy with hypnosis-based techniques can effectively reduce anxiety among older adults. Conclusion: Benson relaxation and five-finger hypnosis are effective nurse-led complementary interventions that can be applied in community nursing programs to improve mental health among the elderly.
Differences in the Effectiveness of Video and Booklet Education on Early Detection, Prevention, and Management of Preeclampsia in Pregnant Women among Health Workers Puspitasari, Yenny; Anggraeni, Suci; Nur Yeny Hidajaturrokhmah
Journal Of Nursing Practice Vol. 9 No. 3 (2026): April
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v9i3.949

Abstract

Background: Preeclampsia is one of the leading causes of preventable maternal and fetal deaths in Indonesia if detected early. Lack of understanding about the symptoms, risk factors, and early treatment of preeclampsia remains a challenge at the community level, especially in areas with limited access to information and health services. Purpose: The purpose of this study was to analyze the differences in the effectiveness of video and booklet education on cadres' understanding of early detection, prevention, and management of preeclampsia in pregnant women. Methods: The research design was quasi-experimental, in which the researcher divided the respondents into two groups, namely video intervention and booklet intervention. The research sample consisted of 58 health cadres in Manisrenggo Village, using total sampling technique. The measurement tool used was a questionnaire on understanding early detection, prevention, and management of preeclampsia in pregnant women, which had been tested for validity and reliability. The research media used were videos and booklets. The research analysis was univariate, paired t-test, and independent t-test using SPSS 23. Results: The results showed that the mean score for cadres' understanding before the booklet intervention was 40.17, which increased to 43.41 after the booklet intervention. The p-value was 0.000, indicating that the booklet intervention had an effect on cadres' understanding of early detection, prevention, and management of preeclampsia in pregnant women among health cadres before and after the intervention. Conclusion: There is a difference in the effectiveness of video and booklet education on early detection, prevention, and management of preeclampsia in pregnant women among health cadres. Based on the mean value, video intervention is more effective than booklet intervention.

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