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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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Multilevel Analysis of Socioeconomic and Cultural Factors on Chronic Energy Deficiency among Pregnant Women in Madura Indriyani, Ratna; Murti, Bhisma; Anggraini, Novita Ana; Puspitasari, Yenny
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.v9i3.952

Abstract

Background: Chronic Energy Deficiency (CED) is one of the health problems that often occurs in pregnant women in various countries, especially in regions with low economic levels and vulnerable communities. Purpose: The purpose of this study is to examine the influence of socioeconomic and cultural contextual factors on the occurrence of CED in pregnant women. Methods: The research design is explanatory research with a cross-sectional approach. The research sample consists of 200 pregnant women with CED and 200 pregnant women without CED in Madura. The dependent variable in this study is the incidence of CED, while the independent variables are regional conditions, access to health services, parity, food availability, and CED preventive behavior. Data analysis in the study is univariate and linear regression with a multilevel approach using SPSS 23. The research ethics certificate 001867/EC/KEPK/I/II/2024. Results: Level 1 is rural and urban areas, access to health services, parity, food availability, and preventive behavior for CED. Level 2 is the subdistrict level. Subdistrict conditions have a contextual influence on the variation in the occurrence of CED in pregnant women, namely significant values in rural and urban areas (p=0.009), significant values in access to health services (p=0.013), significant values for parity (p=0.022), significant values for food availability (p=0.049), and significant values for CED preventive behavior (p=0.029). Conclusion: The highest prevalence of CED was found in coastal areas, followed by villages, and the lowest in cities. Women with low parity (primiparas) are not entirely free from the risk of CED. Conversely, pregnant women in urban areas tend to have better access to health facilities, nutritional information, and a variety of foods, resulting in a relatively lower risk of CED.
Social Support for Parents of Children with Disabilities: A Scoping Review Utami, Rahayu Budi; Puji Astutik
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.v9i3.955

Abstract

Background: Raising children with disabilities can be a heavy burden for families which ultimately has a negative impact on the child. Many studies recommend the need for social support for parents. Although the need for social support has been widely reported, the impact of social support for parents with disabilities children in the literature is very diverse. Purpose: This study aims to map and synthesize the existing evidence on the impact of social support for parents of children with disabilities, particularly in identifying its effects on parents, families, and children, as well as to provide a comprehensive understanding that can inform future interventions and support strategies. Methods: Therefore, a scoping review was conducted to identify the impact of social support for parents of children with special needs in international studies. A comprehensive search strategy was employed across multiple electronic databases, including PubMed, Taylor and Francis, Wiley Online library, dan Google Scholar. Results: The database search identified a total of 423 potentially relevant articles. After screening titles and abstracts, 28 potentially relevant articles were identified. All 28 articles were assessed at full-text level, resulting in 10 relevant articles for analysisTen studies were included in the review, from which positive impacts of social support for parents with disability children were identified on parents themselves, families, and children. The positive impacts of social support on parents were increasing resilience, coping skill, parenting efficacy, parenting mental health literacy and decreasing psychological distress and depression-anxiety symptoms. The impacts for parents are also buffering effect on parenteral stress-depression, parenteral stress-efficacy and parents’ satisfaction, positive affect, and depression. The positive impacts on the family increasing family psychological health and family quality of life, and decreasing family burden. Social support is also buffering the effect on family burden-psychological health and resilience. The positive impacts on children are decreasing the emotional and behavioural problem, Conclusion: Social support for parents of children with disabilities has many positive impacts on the parents themselves, the family, and the child. Through identifying the benefits of social support, direction can be provided for interventions by enabling professionals to detect and address available social support.
How Demographic and Academic Factors Relate to Critical Thinking Skills among Indonesian Nursing Students Adelia, Gita; P´erez, Esperanza Zuriguel; Malfasari, Eka; Febtrina, Rizka; Hasana, Ulfa
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.v9i3.1011

Abstract

Background: Critical thinking is a core competency for nursing students because it supports clinical judgment, evidence-based practice, and patient safety. However, evidence on critical thinking among nursing students in Indonesia remains limited, and findings on the influence of demographic and academic factors are inconsistent. Purpose: This study aimed to examine the relationship between demographic and academic characteristics and critical thinking levels among Indonesian nursing students. Methods: This cross-sectional study was conducted at the largest private health education institution in Riau Province, Indonesia. Of the 400 eligible students, 365 completed the survey, resulting in an analyzable response rate of 91.3%. Data were collected using the Nursing Critical Thinking in Students Questionnaire (N-CT-4 Students), which consists of 109 items across four dimensions of the 4-Circle Critical Thinking Model. Data were analyzed using descriptive statistics, the Kruskal–Wallis test, and the chi-square test of independence. Results: Nearly half of the respondents had a moderate level of critical thinking (48.2%). Inferential analysis showed that gender (χ² = 7.997; p = 0.018), educational program (χ² = 10.886; p = 0.004), academic year (χ² = 12.352; p = 0.015), and semester level (χ² = 12.352; p = 0.015) were significantly associated with critical thinking level. Age was not significantly associated with critical thinking level (H = 4.398; p = 0.111). Conclusion: Most nursing students demonstrated a moderate level of critical thinking. Critical thinking was associated with gender and academic characteristics, whereas age was not. Nursing educators may strengthen critical thinking through case-based, reflective, and structured clinical learning strategies across the curriculum.
Non-Pharmacological Management of Sleep Disorders in the Older Adults: The Role of Aromatic Footbath-Hydrotherapy Hidayati, Rizqi Wahyu; Sukmawati, Anastasia Suci; Astuti, Yuli
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.v9i3.1016

Abstract

Background: The increase in physiological symptoms in the elderly has an impact on reducing the quality of sleep. This decrease in sleep quality has an impact on health both physically and psychologically. One of the psychological impacts is depression. Various studies explain that depression can lead to distortion of thoughts, decreased memory, increased risk of suicide, and death. Purpose: The aimed to determine the effectiveness of the complementary therapy, especially aromatic footbath-hydrotherapy in reducing sleep disorders among the elder adults. The potential harming of the study were allergic and foot-wound, however the researcher select the participants based on inclusions and exclusions criteria. Methods: The method used was quasi experiment with pre-post control group. The group was divided into three with the number of respondents, there was 39 elderly consumptions of Sahdu tea, 38 elderly consumptions of "wedhang uwuh", and 30 elderly aromatic footbath hydrotherapy. The inclusions were elderly (>= 55 years old), independent activities, good verbal communication. The exclusions were allergic with the herbal’s composition, severe dementia, and severe cardiovascular disease. The data was located in Candibinangun, Ambarketawang, and Balecatur D.I. Yogyakarta in 2024. The data were scattered abnormally so using non- parametric tests to see the effectiveness of therapy. The questionnaire used PSQI. The one-way ANOVA test was implemented in the study. Results: Based on Wilcoxon test, Sahdu tea had effectively in latency and the total PSQI score; Wedhang Uwuh Javanese Drink had only effectively in sleep disorders, and the latest therapy, aromatic footbath hydrotherapy had effectively in quality, latency, duration, sleep disorder, dysfunctional, and total score of PSQI. One way ANOVA found that aromatic footbath hydrotherapy was most effective in reducing elderly sleep disorders (p: 0.000). Conclusion: Aromatic footbath hydrotherapy (AH) was most effective in reducing elderly sleep disorders. However, the weakness of this study is that researchers cannot control the stability of water temperature during therapy.
Integrating the Early Warning Scoring System (EWSS) into Nursing Students’ Assessment to Enhance Critical Thinking and Optimize Patient Care in Inpatient Settings Lutfi, Erik Irham; Suharto, Idola Perdana Sulistyoning; Haryuni, Sri; Fitriasnani, Meirna Eka; Wahdi, Achmad
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.v9i3.1039

Abstract

Background: High-quality nursing care begins with an accurate and comprehensive patient assessment. The Early Warning Scoring System (EWSS) is a vital tool in inpatient units for monitoring vital signs and detecting early signs of clinical deterioration, enabling timely intervention. However, field observations indicate that nursing students often lack a practical understanding and the ability to apply EWSS, leading to passivity and uncertainty in clinical decision-making. Therefore, the development of EWSS-based initial assessments within nursing care reports is essential to enhance students' critical thinking and rational intelligence in clinical practice.Purpose: This study aims to develop and implement an EWSS-based initial assessment model that enables students to integrate assessment findings, scoring values, and appropriate clinical interventions. Through the interpretation of EWSS scores, students are expected to improve their clinical reasoning and decision-making skills within inpatient nursing services.Methods: This study employed a comparative analytical quantitative design. The research was conducted in the inpatient wards of a hospital in East Java. The population consisted of all nursing profession students (Ners) undergoing clinical practice in 2024, with a total sample size of 28 respondents. The independent variable was the nursing care report integrated with EWSS indicators, while the dependent variable was the students' rational intelligence in clinical decision-making related to EWSS outcomes. Data were collected using initial assessment observation sheets supplemented with EWSS. Statistical analysis was performed using the Wilcoxon test to determine differences before and after the intervention.Results: The integration of EWSS parameters into nursing students' assessment instruments significantly improved their ability to accurately interpret patients' clinical conditions and guided them in determining interventions, thereby enhancing rational intelligence. Conclusion: Early exposure to EWSS among students ultimately supports the creation of safer (patient safety) and more effective nursing care across all clinical practice settings.
The Effect of Bawang Dayak Tea on Sleep Quality in Patients With Type 2 Diabetes Mellitus Setyawan, Annaas Budi; Rao, U.S Mahadeva
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.v9i3.1069

Abstract

Background: Sleep disturbances are common among patients with Type 2 Diabetes Mellitus and are associated with poor metabolic control and reduced quality of life. Effective non-pharmacological and culturally relevant interventions are needed to improve sleep quality in this population. Purpose: This study aims to determine the effect of Bawang Dayak tea on sleep quality in patients with Type 2 Diabetes Mellitus. Methods: A quasi-experimental study with a pretest–posttest control group design was conducted in the working area of Community Health Center Wonorejo, Samarinda, from December 1 to 31, 2025. A total of 50 patients with Type 2 Diabetes Mellitus were assigned to an intervention group or a control group. The intervention received routine diabetes care and Bawang Dayak tea, while the control received routine care alone. Sleep quality was assessed before and after the intervention using a standardized sleep quality questionnaire. Data were analyzed using paired and unpaired statistical tests, with a significance level of < 0.05. Results: Paired analysis revealed a significant improvement in sleep quality in the intervention group following the intervention (p < 0.001), whereas the control group demonstrated a smaller but statistically significant change (p = 0.032). Unpaired analysis revealed that post-intervention sleep quality scores were significantly better in the intervention group compared with the control group (p < 0.001). Conclusion: Bawang Dayak tea significantly improves sleep quality in patients with Type 2 Diabetes Mellitus when used as a complementary intervention in diabetes care, supporting its potential integration into nursing practice for holistic diabetes.
Family Caregiving Behavior and its Correlation with Stroke Severity among Patients with Stroke Sari, Ratna Yunita; Riska Rohmawati; Faizah, Imamatul; Dyah Ika Krisnawati; Hasina, Siti Nur; Anh, Duong Thi To; Kuo, Tsung-Rong
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.v9i3.1072

Abstract

Background: Stroke is a disease that requires intensive family care. Suboptimal family care can worsen a stroke patient's condition.   Purpose: This study aimed to determine family caregiving behaviours, based on the severity of the stroke, at PHC Hospital Surabaya. Methods: The study design employed analytical observation using a cross-sectional method, with a study population of 170 respondents and a sample of 120 selected via simple purposive sampling. The independent variable in this study was family behavior, and the dependent variable was tingkat keparahan pasien stroke. The instruments used were National Institutes of Health Stroke Scale (NIHSS) Questionnaire and the Family Behaviour Questionnaire. Data analysis utilised the Spearman rank test. Results: The results of the study showed that almost half (49.2%) had adequate behavior in caring for stroke patients and nearly half (44.2%) had severe stroke severity with a value of ρ = 0.014 correlation coefficient of 1.000, which means there is a relationship between family behavior in caring for stroke patients and the severity of stroke patients at PHC Hospital Surabaya with a robust correlation. Conclusion: Family caregiving behavior is significantly associated with stroke severity. Improving education and guidance for families of stroke patients is crucial to supporting successful patient care and rehabilitation.
Mental Health Self-Movement through Group Activity Therapy to Improve Self-Leadership in People with Mental Disorders Sulaihah, Sitti; Suhron, M.; Amir, Faisal; Atik Puji Rahayu
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.v9i3.1098

Abstract

Background: Decreased self-leadership in individuals with mental disorders is a common consequence of psychological impairment and requires serious attention. A preliminary study conducted at  Mental Health Center in Bangkalan revealed reduced motivation, limited communication skills, and difficulties in establishing social relationships among patients. Purpose: This study aimed to analyze differences in self-leadership among patients before and after receiving Group Activity Therapy. Methods: This study employed a pre-test–post-test experimental design with a control group. The population consisted of individuals with mental disorders, with a total sample of 34 participants, divided into a control group (n = 17) and an intervention group (n = 17), selected using purposive sampling. The independent variable was Group Activity Therapy, while the dependent variable was self-leadership. Data were collected using a self-leadership observation sheet. Statistical analysis was conducted using the Paired t-test and Mann–Whitney test with a significance level of α = 0.05. Results: The intervention group showed a significant improvement in self-leadership (p < 0.001), while the control group also demonstrated a smaller but significant change (p = 0.041). A significant difference between groups was found (p < 0.001), indicating that Group Activity Therapy had a positive effect on improving self-leadership. Conclusion: Group Activity Therapy is effective in enhancing self-leadership among individuals with mental disorders. Continuous implementation of this therapy is recommended to support recovery and improve patient outcomes.
Effect of Positive Affirmation on Breastfeeding Outcomes among Mothers at Risk of Preeclampsia: A Quasi-Experimental Study Ahmaniyah; Astutik, Reni Yuli
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.v9i3.1103

Abstract

Background: Preeclampsia is associated with increased risk of breastfeeding difficulties, including delayed lactogenesis and reduced exclusive breastfeeding. Psychological factors may influence breastfeeding outcomes, and simple psychosocial interventions such as positive affirmations may offer potential benefits. Purpose: To evaluate the effectiveness of a positive-affirmation intervention on breastfeeding outcomes among mothers at risk of preeclampsia. Methods: A quasi-experimental study with a non-equivalent control group design was conducted in Sumenep from November 2025 to January 2026. A total of 98 mothers were recruited using purposive sampling and allocated into intervention (n = 49) and control (n = 49) groups. The intervention consisted of positive affirmations delivered for 10 minutes per session, twice weekly for four weeks. Outcomes included early initiation of breastfeeding, onset of lactogenesis, and exclusive breastfeeding at one month postpartum. Data were analyzed using independent t-tests and Chi-square tests. Effect sizes were reported as odds ratios (OR) with 95% confidence intervals (CI), and multivariate logistic regression was performed to control for confounders. Results: The intervention group showed a higher rate of successful early initiation of breastfeeding (77.6% vs 55.1%; OR = 2.82; 95% CI: 1.20–6.62; p = 0.018), earlier onset of lactogenesis (42.3 ± 10.5 vs 50.8 ± 12.1 hours; mean difference = −8.5 hours; 95% CI: −13.2 to −3.8; p = 0.001), and higher exclusive breastfeeding rates at one month postpartum (71.4% vs 51.0%; OR = 2.40; 95% CI: 1.08–5.33; p = 0.038). After adjustment, the intervention remained significantly associated with improved breastfeeding outcomes (adjusted OR = 2.40; 95% CI: 1.10–5.50; p = 0.030). Conclusion: Positive-affirmation intervention is associated with improved breastfeeding outcomes among mothers at risk of preeclampsia. Given its simplicity and feasibility, this intervention may be integrated into postpartum care to support breastfeeding practices in high-risk populations.
Association between Iron Tablet Adherence and Anemia among Adolescent Girls Yalestyarini, Eva Agustina; Fibrinia, Amanda Ayu; Saputro, Heri; Fazrin, Intan
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.v9i3.1151

Abstract

Background: Anemia in adolescent girls can impair growth and development, and iron tablet supplementation is a key strategy to meet iron requirements beyond dietary intake. In this study, respondents were given four iron tablets over one month, taken once weekly. Purpose: The purpose of this research was to examine the relationship between adherence to iron tablet consumption and the incidence of anemia among students at SMPN 1 Wates. Methods: A correlational analytical design with a cross-sectional approach was used, involving a population of 180 individuals and a sample of 124 participants selected through proportional random sampling. Data were collected using observation sheets to assess adherence to iron tablet consumption and to measure hemoglobin levels, and analyzed using a contingency table statistical test. Results: The results showed that the highest proportion of normal hemoglobin levels occurred in the compliant group (92 individuals, 74.2%), while the highest incidence of anemia was found in the non-compliant group (20 individuals, 22.6%). The chi-square test yielded a p-value of 0.000, which is less than α=0.05, indicating a significant relationship between adherence to iron tablet consumption and the incidence of anemia. Conclusion: In conclusion, regular consumption of iron tablets can help adolescent girls prevent anemia, improve learning ability, and enhance nutritional status and overall health, especially when combined with vitamin C–rich foods or beverages that enhance iron absorption.

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