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Prima Dewi Kusumawati
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jnpstrada@gmail.com
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+6285748959055
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jnpstrada@gmail.com
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Manila Street Number 37, Sumberece Kediri, East Java Indonesia 64133
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INDONESIA
Journal Of Nursing Practice
ISSN : 26143488     EISSN : 26143496     DOI : 10.30994
Core Subject : Health,
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
Articles 585 Documents
Implementing OSH-MS in North Sumatra's Hospitals and Public Health Centers: Challenges and Best Practices Herlina J. EL-Matury; Nabila Syahlan; Mohd Rafee B. Baharuddin; Rizliana Anggita
Journal Of Nursing Practice Vol. 9 No. 4 (2026): July
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v9i4.1068

Abstract

Background: Occupational Safety and Health Management Systems (OSH-MS) are essential for protecting healthcare workers and ensuring safe service delivery in healthcare facilities. Purpose: This study aimed to assess and compare the implementation of OSH-MS in hospitals and primary health centres using a principle-based framework. Methods: A cross-sectional assessment was conducted in six hospitals and seven primary health centres, evaluating five OSH-MS principles: establishing OHS policies, OSH plans, OHS plan implementation, OHS performance monitoring and evaluation, and OHS performance review and improvement. Data were collected through document review and verification of implementation evidence, and achievement was analysed descriptively as percentages. Results: The results reveal substantial variation in OSH-MS implementation, with overall achievement ranging from 14% to 88%. OSH planning and implementation showed relatively high achievement across most facilities, indicating that operational safety measures are generally in place. In contrast, establishing OHS policies, monitoring and evaluation, and performance review and improvement demonstrated consistently lower achievement, particularly in several primary health centres. Hospitals generally performed better than primary health centres, although variability was observed within both groups. Conclusion: In conclusion, OSH-MS implementation in healthcare facilities remains uneven and predominantly focused on operational activities, with limited emphasis on governance, monitoring, and continuous improvement. Strengthening leadership commitment, formal OHS policies, and systematic monitoring and review mechanisms is necessary to achieve comprehensive and sustainable OSH-MS implementation, especially in primary health care settings.
Adherence, Quality of Life, and Determinant Factors among Patients with Chronic Kidney Disease Undergoing Hemodialysis: A Cross-Sectional Analysis Wenny Trisnaningtyas; Novita Kurnia Wulandari; Sherly Metasari; Nina Indriyawati; Ana Permatasari; Sawab; Rodhi Hartono; Wahyu Sukma Samudera
Journal Of Nursing Practice Vol. 9 No. 4 (2026): July
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v9i4.1099

Abstract

Background: Hemodialysis sustains life for chronic kidney disease patients but imposes heavy physical, psychological, and social burdens. Poor adherence worsens complications and reduces quality of life, emphasizing the need to explore how compliance and patient well-being interact to improve outcomes. Purpose: This study examined how quality of life and patient factors shape treatment adherence in chronic hemodialysis. Methods: A cross-sectional design was employed with 158 adult patients recruited from hospitals in Central Java. Data were collected using validated instruments: KDQOL-36 for quality of life and MMAS for adherence. Multivariable linear regression analysis was performed to examine associations between variables. Results: Moderate adherence was observed (47.66 ± 5.90), with the highest quality of life domain in the problem list (78.30 ± 9.67). Strong positive correlations were found between adherence and all QoL domains: SF-12 (r = 1.000, p < 0.001). Regression analysis showed that age, employment, education, income, dialysis duration, and CKD length negatively influenced adherence, while quality of life was a significant positive predictor (B = 0.021, p < 0.001), confirming that better adherence is strongly linked to improved quality of life across physical, psychological, and social domains, with patient-reported challenges being the most critical factor. Conclusion: Quality of life influences adherence by affecting burden, motivation, and self-management, while age and longer dialysis history weaken this link through fatigue and reduced resilience. Socioeconomic factors help only with psychosocial support, so nursing should reduce treatment burden.
Burnout and Patient Safety Culture among Emergency Department Nurses: A Cross-Sectional Analysis Eka Lutfiatus Solehah; Komang Ayu Henny Achjar; Putu Ayu Lestarini; Nyoman Sri Ariantini; Yupin Aungsuroch
Journal Of Nursing Practice Vol. 9 No. 4 (2026): July
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v9i4.1120

Abstract

Background: Emergency departments (EDs) in major tourist destinations face intensified patient volume and cultural diversity, posing risks to nurse well-being and patient safety. Purpose: This study examined the effects of tourism-pressure workload and intercultural nursing competence on patient safety culture among emergency nurses in Bali, testing burnout as a mediating mechanism within the Job Demands Resources (JD–R) framework. Methods: A quantitative, cross-sectional survey was conducted from May to September 2025, coinciding with Bali’s peak tourist season. Using a total-sampling (census) approach, all eligible emergency nurses in participating public and private hospitals across Bali were invited, yielding 283 fully usable responses. Data were analyzed with partial least squares structural equation modeling (PLS-SEM): measurement quality was tested via Cronbach’s α, composite reliability, average variance extracted, and Fornell Larcker/HTMT discriminant-validity criteria, and structural paths and bootstrapped indirect (mediation) effects were tested with 5,000 resamples and bias-corrected 95% confidence intervals. Results: Tourism-pressure workload strongly increased burnout (β = 0.511, p < .001) and was negatively associated with patient safety culture (β = −0.249, p < .001). Contrary to the hypothesized protective direction, intercultural nursing competence was positively associated with burnout (β = 0.336, p < .001), while directly strengthening patient safety culture (β = 0.382, p < .001) as its strongest predictor. Burnout was negatively related to patient safety culture (β = −0.314, p < .001) and partially mediated the workload–safety relationship; the indirect path from intercultural competence through burnout was small and of the opposite sign to its direct effect (competing partial mediation). The model explained 55.2% of the variance in burnout and 65.6% in patient safety culture. Conclusion: Burnout is a central pathway through which tourism-driven demands erode safety culture, and intercultural competence carries a dual character protecting safety culture directly while imposing emotional demands when organizational support is insufficient. Integrated workload management, structured intercultural training, and burnout prevention are required.
Insomnia Related with Intellectual Function in the Elderly Wahidyanti Rahayu Hastutiningtyas; Nurul Aisyiyah Puspitarini
Journal Of Nursing Practice Vol. 9 No. 4 (2026): July
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v9i4.1132

Abstract

Background: Insomnia is a common sleep disorder among older adults that can negatively affect quality of life and intellectual function. Impaired intellectual function may reduce independence, limit daily activities, and hinder social interactions. Purpose: This study aimed to determine the relationship between insomnia and intellectual function among older adults attending the Elderly School in Bandungrejosari, Malang City. Methods: This quantitative correlational study involved 30 older adults selected through simple random sampling. Insomnia was assessed using the KSBPJ-IRS questionnaire, while intellectual function was measured using the Short Portable Mental Status Questionnaire (SPMSQ). Data were analyzed using a correlation test to examine the relationship between insomnia and intellectual function. Results: A significant relationship was found between insomnia and intellectual function (p = 0.002). Higher levels of insomnia were associated with lower intellectual function, indicating that sleep disturbances may contribute to cognitive decline in older adults. Conclusion: Insomnia was significantly associated with intellectual function among older adults at the Elderly School in Bandungrejosari, Malang City. Improving sleep quality may help preserve intellectual function and enhance the quality of life of older adults.
Evaluation Flood Disaster Management System in Primary Health Centers in East Java Ani Sutriningsih; Vita Maryah Ardiyani; Wahyu Dini Metrikayanto; Sri Haryuni; Ika Rahmawati
Journal Of Nursing Practice Vol. 9 No. 4 (2026): July
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v9i4.1144

Abstract

Background: Floods are the most frequent disasters in Indonesia, namely 3885 since 1815-2019. The cause of the high morbidity and mortality rates due to floods is the disruption of the continuity of Primary Health Centers services during a disaster. Primary Health Centers play a role in disaster management which includes pre-disaster, during disaster, and post-disaster. Purpose: This study examines the flood disaster management system at Primary Health Centers. Methods: This quantitative descriptive study involved 60 flood-prone Primary Health Centers in East Java. The instrument used to measure the role of Primary Health Centers is a questionnaire. The questionnaire contained 18 indicators. Seven indicators were used in the pre-disaster phase, five in the during-disaster phase, and six in the post-disaster phase. Data analysis was performed using frequency distribution and mean ± standard deviation. Results: The distribution of disaster management systems shows the highest average value in the pre-disaster stage (4.28), followed by the post-disaster stage (3.80), and the disaster stage (3.65). The three stages have the same median value, namely 4.00, with the largest data variation seen in the post-disaster stage (standard deviation 2.916). Conclusion: Practical implications for disaster preparedness policies at Primary Health Centers include developing emergency plans, routine training for health workers, and providing adequate emergency infrastructure. This policy ensures that primary health care facilities remain ready and responsive in the event of a crisis.
Implementation of Standardized Nursing Language (SNL) in Nursing Documentation: A Scoping Review Salsabila Fiqrotu Tsauroh; Ariani Arista Putri Pertiwi; Widyawati; Silvia Tri Wahyu Christaputri; Sihqina Ramadhani Selwis Raistanti
Journal Of Nursing Practice Vol. 9 No. 4 (2026): July
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v9i4.1147

Abstract

Background: Nurses play a crucial role in improving the quality of care through standardized nursing practices. Standardized Nursing Language (SNL) provides as structured and systematic approach to articulating nursing care, facilitating accurate communication and promoting consistency in nursing documentation. Purpose: This scoping review aimed to identify the implementation of SNL in nursing documentation. Methods: A scoping review was conducted using four electronic databases: Garuda, PubMed, ScienceDirect, and Wiley. Eligible studies full text-original articles published in English or Indonesian between 2020 and August 2025 that examined SNL implementation in documentation within healthcare settings. Studies conducted in educational contexts, case reports, editorial commentaries, conference proceedings, and study protocols, were excluded. Results: Across the 10 included studies, SNL implementation was associated with improvements nursing documentation quality. Five studies (50%) reported improved documentation accuracy and readability, while five (50%) reported more appropriate nursing diagnoses and interventions. The main implementation barriers were inadequate EHR support, limited nurses’ familiarity with SNL, and lack of standardized documentation formats, each reported in five studies (50%). Conclusion: SNL implementation is associated with improved quality and consistency of nursing documentation. Further research using implementation science frameworks is warranted to systematically examine context specific barriers and facilitators of SNL implementation.
Delayed Initiation of Antenatal Care among Pregnant Women in Indonesia: Findings from a Multi-Centered Cross-Sectional Study Wiqodatul Ummah; Yanti Rosdiana; Woro Tri Utami
Journal Of Nursing Practice Vol. 9 No. 4 (2026): July
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v9i4.1157

Abstract

Background: Early initiation of antenatal care (ANC) is critical for optimizing maternal and neonatal health outcomes, yet late initiation remains a persistent challenge in many low- and middle-income countries. Purpose: This study aimed to investigate the magnitude and factors associated with delayed initiation of antenatal care among pregnant women in Indonesia in Malang City and Malang Regency, Indonesia. Methods: A facility-based cross-sectional study was conducted from May to July 2025 among 309 pregnant women selected using systematic random sampling from one hospital and two health centers. Delayed ANC initiation was defined as the first ANC visit after 12 completed weeks of gestation. Data were collected using a structured interviewer-administered questionnaire and medical record review, then analyzed using bivariable and multivariable logistic regression. Results: The prevalence of delayed ANC initiation was 57.3% (95% CI: 51.7-62.9), indicating suboptimal utilization of maternal health services. Multivariable analysis revealed that low maternal education (AOR = 2.31; 95% CI: 1.42-3.76), unplanned pregnancy (AOR = 1.89; 95% CI: 1.12-3.19), lack of advice from health professionals (AOR = 2.67; 95% CI: 1.58-4.51), poor knowledge (AOR = 2.45; 95% CI: 1.51-3.98), longer distance to health facilities (AOR = 2.12; 95% CI: 1.18-3.81), and cultural beliefs discouraging early pregnancy disclosure (AOR = 1.87; 95% CI: 1.12-3.12) were significantly associated with delayed initiation. Conclusion: Delayed ANC initiation is influenced by multiple socio-demographic, cognitive, behavioral, health system, and cultural factors. These findings highlight the need for policies that strengthen early pregnancy counseling, improve maternal health literacy, and enhance timely ANC initiation in Indonesia.
Emotional Intelligence, Self-Efficacy, and Clinical Decision-Making of Perioperative Nurses Elza Feronika A’yunil Hofi; Tri Anjaswarni; Joko Wiyono; Rudi Hamarno; Duong Thi To Anh
Journal Of Nursing Practice Vol. 9 No. 4 (2026): July
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v9i4.1159

Abstract

Background: Clinical decision-making is an important aspect of perioperative practice because it determines patient safety and quality of care. Current phenomena show that nurses are still not sensitive to the complexity of patients' emotions, so that emotional aspects are not fully integrated into treatment considerations. Emotional intelligence helps nurses understand and manage their own emotions and those of their patients so that they can assess situations more accurately, while self-efficacy strengthens their confidence in choosing and implementing the right actions. These two factors contribute to the accuracy and consistency of clinical decision-making. Purpose: The purpose of this study was to analyze the relationship between emotional intelligence and self-efficacy with the clinical decision-making of perioperative nurses. Methods: The research method was observational with a cross-sectional approach. The sample was taken using total sampling and consisted of 31 perioperative nurses at a hospital in Batu City. Data analysis used Spearman's rank correlation test and ordinal logistic regression test. Results: The bivariate test results showed a significant relationship between emotional intelligence (p-value = 0.002; r = 0.536) and self-efficacy (p-value = < 0.001; r = 0.568) with the clinical decision-making of perioperative nurses. The correlation coefficient showed a moderate positive correlation, indicating that the higher the emotional intelligence and self-efficacy, the higher the clinical decision-making of perioperative nurses. In the multivariate test, both variables simultaneously had a significant effect on clinical decision-making (p-value = 0.002 < α 0.05). Conclusion: The results of this study contribute significantly to maintaining the quality of nursing services and care provided by nurses through the improvement of emotional intelligence and self-efficacy.
Conflict Management and Performance of Multigenerational Nurses at Haji Makassar Hospital Patima; Marzah Genta Ramadhani; Syisnawati; Musdalifah; Syamsiah Rauf; Rahmi Damis; Aidah Fitriani; Rasdiyanah; Eny Sutria; Ani Auli Ilmi; Ilhamsyah; Ahmad J; Mariam Mohd Nasir
Journal Of Nursing Practice Vol. 9 No. 4 (2026): July
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v9i4.1169

Abstract

Background: Nurse performance plays a crucial role in the success of healthcare. However, nurses' performance can be affected by conflicts in the workplace, including intergenerational conflicts arising from differences in age, experience, and communication styles. Conflicts that are not managed properly have the potential to reduce teamwork and the quality of nursing services. Objective: This study aims to determine the relationship between conflict management and the performance of multigenerational nurses at Haji Makassar Hospital. Methods: This study used a quantitative research design with a cross-sectional approach. The variables in this study are: conflict management as an independent variable and nurse performance as a dependent variable. The sampling technique used was non-probability sampling with the total sampling method. The sample consisted of 80 nurses who met the inclusion criteria. Data were collected using a questionnaire on conflict management and nurse performance and analyzed using the Somers'D statistical test. Results: The results showed that most of the multigenerational nurses had good conflict management (62.5%), and most also showed good performance (73.8%). The Somers'D statistical test revealed a p value of 0.020 (p < 0.05), which showed a significant relationship between conflict management and the performance of multigenerational nurses at Haji Makassar Hospital. Conclusion: This study shows that effective conflict management contributes to improved performance of multigenerational nurses. Therefore, strengthening conflict management strategies through improved intergenerational communication and teamwork is needed to support the quality of nursing services.
The Influence of Breastfeeding Self-Efficacy Education on Pregnant Women's Attitudes Towards Exclusive Breastfeeding at Aura Syifa Hospital, Kediri Regency Ely Isnaeni; Yanuar Pujiastutik; Sheylla Septina Margareta; Paramita Ratna Gayatri; Erik Irham Lutfi
Journal Of Nursing Practice Vol. 9 No. 4 (2026): July
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v9i4.1170

Abstract

Background: Feeding babies only breast milk is very important for lowering health problems in infants and helping them develop properly. However, coverage remains suboptimal. Breastfeeding Self-Efficacy (BSE) plays a big role in how successful breastfeeding is. When mothers don't feel confident, they often have negative attitudes that can make breastfeeding harder. Initial research showed that 70% of pregnant women did not have positive views about exclusively breastfeeding, highlighting the need for educational programs based on BSE. Objective: This study aimed to find out how BSE education influences pregnant women’s views on exclusive breastfeeding. Methods: A study was carried out at RS Aura Syifa using a one-group pretest-posttest design, which means that we tested the same group of people before and after an intervention. A group of 50 pregnant women was chosen using No probability sampling with accidental sampling. The program included weekly video lessons given over two weeks, using both in-person and online methods. Data were analyzed using Wilcoxon. Results: The study showed that there was a noticeable change for the better in how people felt after the intervention. The statistical analysis showed a p-value of 0.000 (p < 0.05), which means that BSE education had a significant impact on the attitudes of pregnant women. Conclusion: Teaching pregnant women about breastfeeding confidence helps them have a better attitude towards exclusive breastfeeding. Health care providers should include education about Breastfeeding Self-Efficacy (BSE) in prenatal care. Future researchers should look into other factors like family support or breastfeeding practices.