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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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The Effectiveness of Buerger Allen Exercise and Hydrotherapy on Changes in Peripheral Blood Circulation and Neuropathic Pain Intensity in Preventing Diabetes Mellitus Complications in the Elderly Yammar; Ratna Wardani; Prasetyo, Joko; Asnuddin; Darwis, Nirmawati; Ruslang
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.v9i3.1025

Abstract

Background: Type 2 Diabetes Mellitus (T2DM) is a major health problem in the elderly, often leading to complications, including impaired peripheral circulation, often accompanied by neuropathic pain. Therefore, foot activity therapy, including Buerger Allen exercises and hydrotherapy, is necessary to improve peripheral blood circulation. Purpose: This study aims to prevent complications of T2DM by improving peripheral blood circulation, as indicated by changes in Ankle Brachial Index(ABI) valuesand the intensity of neuropathic pain in the elderly. Methods: This quantitative study used a True Experimental Design with a pretest-posttest control group design. The study was divided into three groups: Buerger Allen exercise, hydrotherapy, and a control group. The sample consisted of 45 elderly individuals with type 2 diabetes mellitus (T2DM), selected using a simple random sampling method. This study was conducted in the Tempe District, Wajo Regency. Data analysis used a paired t-test to determine the effect of the three foot activity therapies. Data were analyzed using SPSS with a significance level of p < 0.05. Results: The study showed that the Buerger Allen exercises and hydrotherapy groups experienced significant changes in ABI valuesand neuropathic pain intensity before and after therapy (p-value 0.000). Meanwhile, the control group showed no significant changes in ABI values or neuropathic pain intensity from the pretest to the posttest (p-value  1.000). Conclusion: It can be concluded that the Buerger Allen exercises and hydrotherapy groups can improve peripheral blood circulation compared to the control group, thereby preventing complications associated with type 2 diabetes in the elderly.
Factors Influencing Pre-Hospital Delay in Acute Coronary Syndrome Patients Rofi'ah, Ika Ainur
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.v9i3.1038

Abstract

Background: Acute Coronary Syndrome (ACS) is a major cause of morbidity and mortality worldwide, with delayed hospital presentation contributing to poor outcomes. Pre-hospital delay, defined as the time from symptom onset to seeking definitive care, is influenced by patient, symptom, and system-related factors. Evidence from Indonesia on determinants of such delays remains limited. Purpose: This study aimed to analyze factors associated with pre-hospital delay among ACS patients in the Emergency Department of Dr. Wahidin Sudiro Husodo Regional Hospital, Mojokerto City. Methods: An observational, analytic, cross-sectional study was conducted in 2024, with 70 adult ACS patients recruited through consecutive sampling. Data were collected via standardized questionnaires and medical record review, including demographic, clinical, transportation, attack type, symptom onset timing, health insurance, and ACS knowledge. Bivariate and multivariate logistic regression analyses were performed to identify predictors of pre-hospital delay. Results: The mean age of respondents was 61.67 years, with 60% male and 61.4% lacking knowledge of ACS. Most arrived by private vehicle (87.1%) and experienced a new attack (77.1%). Pre-hospital delay occurred in 77.1% of respondents. Multivariate analysis showed that the type of attack had the highest odds ratio (OR = 5.55) for pre-hospital delay, although not statistically significant (p = 0.115). Transportation, time of onset, and ACS knowledge did not demonstrate significant associations but suggested potential confounding effects. Conclusion: Pre-hospital delay is highly prevalent among ACS patients in this setting. No significant predictors were identified, suggesting delays reflect complex behavioral and system factors. Given the limited sample size, the findings should be interpreted with caution. Improving public awareness and emergency access remains essential.
Cognitive Development in Children Aged 2-3 Years with Stunting in Kediri Suharto, Idola Perdana Sulistyoning; Susmiati; Endang Mei Yunalia; Devangga Darma Karingga; Angeline Bushy; Ines Septiya Prayogi
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.v9i3.1085

Abstract

Background: In the first 1,000 days of life, children are vulnerable to chronic malnutrition, known as stunting, which impacts cognitive development. An initial survey in Blabak Village, Kediri City, on several stunted children showed language delays, difficulty concentrating, motor delays and understanding commands, which means they tend to experience cognitive disorders. Purpose: The study aim is to analyze the relationship between stunting and cognitive development in children aged 2–3 years. Methods: This research using correlation analytical research design with cross-sectional approach. Sample of 54 children aged 2-3 years, selected using proportionate stratified random sampling. The research was conducted at 6 integrated health service post (posyandu), Blabak Village, Kediri City in September 2024. Stunting as an independent variable, while cognitive development as a dependent variable. Data were analyzed using Spearman rho test. Results: The results of Spearman's rho between stunting and cognitive development in learning and problem solving category, logical thinking, symbolic thinking sequentially have P values of 0.000; 0.000; and 0.005. The correlation coefficient between Stunting and Cognitive Development in Learning and Problem Solving Category, Logical Thinking, Symbolic Thinking sequentially is 0.651; 0.650; 0.374. Conclusion: There is a significant relationship between stunting and cognitive development in learning and problem solving category (strong relationship), logical thinking (strong relationship), symbolic thinking (quite strong relationship).
Effect of Mindfulness-Based Stress Reduction with 40 Hz Music on Anxiety and Quality of Life in Prolanis Patients with Diabetes Mellitus Muhammad Akbar Sobarna; Mendrofa, Fery Agusman Motuho; Iswanti, Dwi Indah
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.v9i3.1089

Abstract

Background: Anxiety is a common psychological problem experienced by patients with Diabetes Mellitus and can negatively affect disease management and quality of life. Mindfulness-Based Stress Reduction (MBSR) combined with 40 Hz music frequency is that may help reduce anxiety and improve quality of life in patients with chronic diseases. Purpose: This study aimed to analyze the effectiveness of MBSR with 40 Hz music frequency on anxiety and quality of life among Prolanis patients with Diabetes Mellitus. Methods: Study design used a quasi-experimental pretest–posttest control group. The sample consisted of 60 respondents, divided into intervention and control groups. The intervention group received an 8-week MBSR program combined with 40 Hz music frequency, while the control group received standard Prolanis care. Anxiety levels using the DASS-21 questionnaire, and quality of life was assessed using WHOQOL-BREF. Data were analyzed using Wilcoxon and Mann–Whitney tests. Results: The anxiety levels significantly decreased in the intervention group (mean difference = −10.15; p < 0.001), while no significant change was observed in the control group (p > 0.05). In addition, quality of life significantly improved in the intervention group (median increase = +16; p < 0.001), whereas the control group showed only a slight and non-significant improvement (p > 0.05). Conclusion: Mindfulness-Based Stress Reduction combined with 40 Hz music frequency is effective in reducing anxiety and improving quality of life among Prolanis patients with Diabetes Mellitus. This intervention can be integrated into primary healthcare services as a complementary nursing intervention to support holistic diabetes management.
The Asosociation between Consumptive Behavior and Depresion Levels among Students Enggaging in Online Loan (Pinjol) Service Nurlela, Lela; Kertapati, Yoga; Sukma Ayu Candra Kirana; Selly Indria Cahyani
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.v9i3.1100

Abstract

Background: High consumptive behavior among students can influence their decision to use online loan services, which are often used to meet consumptive needs. Uncontrolled use of online loans can lead to financial stress and trigger psychological disorders. Purpose: This study aims to determine the relationship between consumptive behavior affecting online loans (pinjol) and the depression levels among students Methods: This study uses an analytical observational design with a cross-sectional approach. The study population consists of 256 students. A simple random sampling technique was used with the Slovin formula, resulting in 156 respondents. The independent variable is consumptive behavior affecting online loans (pinjol), measured using a consumptive behavior instrument, while the dependent variable is depression level, measured using a depression level instrument. Data analysis was performed using the chi-square test. Results: The results show that 140 participants (89.7%) exhibit high consumptive behavior affecting online loans (pinjol), while 86 participants (55.2%) have severe depression. The chi-square test results indicate a significant relationship between consumptive behavior affecting online loans (pinjol) and depression levels among students, with a p-value of (0.000) and ρ-value < 0.05. Conclusion: This study indicates that consumptive behavior affecting online loans (pinjol) is a factor influencing depression levels among students. Therefore, it requires attention from lecturers, educators, and students to address this issue.
Predictors of Turnover Intention among Nurses in Private Hospitals: A Cross-Sectional Study Using Logistic Regression Analysis Zubaidah, Risna; Ibrahim, Mochammad Malik
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.v9i3.1102

Abstract

Background: Turnover intention among nurses remains a critical workforce challenge, particularly in private hospitals where staffing instability directly affects service quality, patient safety, and organizational costs. Despite extensive research, evidence integrating multiple psychosocial work factors within a single multivariate model in the Indonesian private hospital context remains limited. This study addresses this gap by simultaneously examining key determinants of turnover intention and identifying the most influential predictors. Purpose: This study aimed to identify independent predictors associated with turnover intention among nurses in a private hospital setting. Methods: A cross-sectional study was conducted among nurses at a private hospital in Indonesia in 2025. A total of 70 respondents were selected using purposive sampling from a population of 81 nurses. Data were collected using a validated and reliable structured questionnaire. Turnover intention was dichotomized into high and low categories for logistic regression analysis. Data were analyzed using descriptive statistics, bivariate analysis (chi-square), and multivariate logistic regression. Although the sample size was relatively small, the number of predictors included in the final model was limited to ensure model stability. Results: Bivariate analysis showed that work motivation, work stress, burnout, work–life balance, job demands, and job satisfaction were significantly associated with turnover intention (p < 0.05). Multivariate logistic regression identified high work stress (POR = 31.62; 95% CI: 3.65–273.55; p = 0.002), high burnout (POR = 12.35; 95% CI: 1.78–85.58; p = 0.011), and low work motivation (POR = 9.02; 95% CI: 1.24–65.60; p = 0.030) as independent predictors of turnover intention. Conclusion: Turnover intention among nurses is primarily driven by high work stress, burnout, and low work motivation. These findings highlight the need for targeted organizational interventions focusing on stress management, burnout prevention, and motivation enhancement to improve nurse retention in private hospitals.
Phenomenological Study of Occupational Stress among Nurses in the Perinatology Unit at RSUD Dr. Iskak Tulungagung Dhita Kurnia Sari; Listiana; Nurhidayah, Reni; Kusumawardani, Lingga; Yalestiarini, Eva Agustina
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.v9i3.1124

Abstract

Aeni, N., Rahmawati, D., & Putri, A. (2024). Neonatal intensive care and nursing challenges in perinatology units. Jurnal Keperawatan Neonatal, 6(1), 45–53. https://doi.org/10.1234/jkn.v6i1.2024. Aurellia, F., & Prihastuty, R. (2022). The development of nursing professionalism in Indonesia in the era of globalization. Jurnal Ilmu Keperawatan Indonesia, 12(2), 101–110. Hangewa, A., Bawotong, J., & Katuuk, M. (2020). Hubungan stres kerja dengan kinerja perawat di rumah sakit. Jurnal Keperawatan Klinik, 4(2), 89–97. Hasbi, M., Fatmawati, A., & Alfira, N. (2019). Faktor-faktor yang berhubungan dengan stres kerja pada perawat. Jurnal Kesehatan Masyarakat, 14(1), 55–62. Kementerian Kesehatan Republik Indonesia. (2023). Profil Kesehatan Indonesia 2022. Jakarta: Kemenkes RI. Labrague, L. J., & De Los Santos, J. A. A. (2020). COVID-19 anxiety among frontline nurses: Predictive role of organizational support, personal resilience, and social support. Journal of Nursing Management, 28(7), 1653–1661. https://doi.org/10.1111/jonm.13121. Maslach, C., & Leiter, M. P. (2016). Understanding the burnout experience: Recent research and its implications. World Psychiatry, 15(2), 103–111. https://doi.org/10.1002/wps.20311. National Library of Medicine. (2024). Occupational stress and mental health outcomes among healthcare workers. Retrieved from https://www.ncbi.nlm.nih.gov. Persatuan Perawat Nasional Indonesia. (2022). Laporan survei stres kerja perawat di Indonesia. Jakarta: PPNI. Rizki Amalya, S., Nugroho, A., & Wulandari, E. (2020). Analisis pelayanan kesehatan di RSUD dr. Iskak Tulungagung sebagai rumah sakit rujukan. Jurnal Administrasi Rumah Sakit Indonesia, 6(3), 210–218. Sulistyawati, D., Handayani, S., & Putra, Y. (2019). Stres kerja dan dampaknya terhadap kualitas pelayanan keperawatan. Jurnal Keperawatan Indonesia, 22(1), 33–40. World Health Organization. (2020). State of the world’s nursing 2020: Investing in education, jobs and leadership. Geneva: WHO.
The Relationship between Bullying Victimization and Academic Achievement among Adolescents in Malang Dewi, Sagung Manik Dwi Purnama; Windarwati, Heni Dwi; Merdikawati, Ayut; Petriano, Haris
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.v9i3.1128

Abstract

Background: Adolescents who experience bullying may face various psychological and social consequences that can potentially affect their learning process at school. Being a victim of bullying may lead to fear, discomfort, and decreased learning motivation, which may ultimately influence students' academic achievement. Purpose: This study aimed to examine the relationship between bullying victimization and students’ academic achievement. Methods: The study was conducted in 2019 at SMP Negeri 5 Kepanjen, East Java, Indonesia. This study employed a cross-sectional design with a total sample of 283 respondents selected using purposive sampling based on predetermined criteria. The bullying victim instrument used in this study is a modified version of the Revised Cyber ​​​​Bullying Inventory (RCBI) and the Adolescent Peer Relations Instrument (APRI) to measure bullying victimization and the midterm examination scores to assess students’ academic achievement. Descriptive analysis was conducted to describe the characteristics of bullying victimization and students’ academic achievement, while the correlation analysis was performed using Spearman Rank. Results: The results showed that most respondents experienced low levels of bullying victimization with moderate academic achievement, accounting for 99 respondents (34.9%). The Spearman Rank correlation test indicated a statistically significant but weak negative correlation between bullying victimization and academic achievement (r = −0.174, p = 0.003), indicating that higher exposure to bullying is associated with slightly lower academic performance. Conclusion: The findings indicate that bullying victimization is associated with students’ academic achievement. Therefore, schools are expected to strengthen supervision, create a safe and supportive learning environment, and provide assistance for students who experience bullying in order to minimize its negative impact on the learning process.
Media Documentary Films First Aid for Willpower Enhancement First Aid Burn Case Darotin, Rida; Nastiti, Eky Madyaning; Ekaprasetia, Feri; Wulansari, Yunita Wahyu; Wirasakti, Guruh
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.v9i3.467

Abstract

Background: Burns are one of the injuries that can affect children. Children aged 5-14 years are the age in growth and development to develop gross motor skills that have a high risk of injury. School-age children aged 6 years have higher assumptions about their physical abilities while for ages 7-12 years have limitations in understanding related to personal safety, even though adolescent children should be able to perform first aid. Purpose: to identify students' willpower to giving first aid for burns before the documentary film is screened, to identify students' willpower to giving first aid for burns after the documentary film is screened and analyze the difference  on students' willpower to giving first aid for burns before and after screened of the Documentary Film giving first aid for burns. Methods: The study used the quasi experimental method with one group pretest-post test design. The sample of this study was 96 grade eight students of SMPN 1 Kalisat using a simple random sampling technique. Instrument of the research used questionnaire and media audiovisual. The questionnaire used to measure willpower variables. Media audiovisual used documentary film. The duration of the documentary film is 10 minutes and this is shown 3 times for 1 hour. Results: Data analysis using the Mc Nemar test with a P Value of 0.00 means that there is a difference on students' willpower to giving first aid for burns before and after screened documentary films. Conclusion: Before the documentary film was screened, most students hadn't had the willpower to giving first aid for burns, After the documentary film was screened, most students had the willpower to giving first aid for burns, and there was a difference on students' willpower to giving first aid for burns before and after screened documentary films.
Health Education Interventions to Improve Cervical Cancer Screening Behavior: A Scoping Review Firda Dwi Anugrah
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.v9i3.603

Abstract

Background: Cervical cancer is one of the most common cancers and the fourth leading cause of death among women worldwide. Several factors influencing cervical cancer screening behavior include knowledge and attitudes toward screening, relationships between patients and health care providers, and fear of test results. Purpose: This study aimed to identify the provision of health interventions in improving cervical cancer screening behavior. Methods: The method used in this study was a scoping review of 11 selected articles. The findings showed that six articles reported health education using audio visual media, which significantly increased cervical cancer screening behavior. Three articles examined the use of social media, although one study found that social media did not significantly improve screening behavior. In addition, three articles used conventional educational methods and demonstrated significant improvements in cervical cancer screening behavior. Results: Overall, the review indicates that increasing knowledge is a key factor in encouraging women to participate in cervical cancer screening. Conclusion: Adequate understanding can improve awareness, willingness, and ability to undergo screening. Future studies are recommended to compare the effectiveness of various health education media to support their implementation in health services. Nurses, as educators and counselors, have an important role in providing sufficient information and influencing the community regarding the importance of cervical cancer screening.

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