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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 727 Documents
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Non-Pharmacological Interventions for Various Perinatal Mental Health Disorders: A Scoping Review Elismi Haryanti; Cesa Septiana Pratiwi; Asri Hidayat
Journal Of Nursing Practice Vol. 10 No. 1 (2026): October
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v10i1.1104

Abstract

Background: Perinatal mental health disorders are a critical maternal health concern because their effects extend beyond mothers to infant development and family well-being. Non-pharmacological interventions offer safe and holistic approaches that may support maternal mental health while reducing concerns related to medication.Purpose: This scoping review aimed to map the types, characteristics, and applications of non-pharmacological interventions for perinatal mental health disorders and examine their relevance to modern midwifery practice.Methods: A scoping review was conducted following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews framework. Literature searches were conducted on December 10, 2025, in PubMed, Scopus, Wiley, and Research Rabbit. Articles published in English or Indonesian during the past decade and addressing non-pharmacological interventions for perinatal mental health were included. Of 1,089 identified records, 10 articles met the eligibility criteria and were analyzed using a standardized data charting form.Results: Five themes emerged: intervention types, delivery media, intervention content, provider characteristics, and barriers to implementation. Conclusion: Non-pharmacological interventions can strengthen maternal mental health through education, emotional support, and multidisciplinary collaboration. However, limited access, social stigma, and inadequate provider capacity remain important barriers to sustained implementation in midwifery practice.
Head Nurse's Resilient Leadership and Nurses’ Adaptive Capacity in Hospital Service Systems: A Cross-Sectional Study Asmuji Asmuji; Dwi Yunita Haryanti; Luh Titi Handayani; Wahyudi Widada
Journal Of Nursing Practice Vol. 10 No. 1 (2026): October
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v10i1.1136

Abstract

Background: Changes in hospital care systems require nurses to be highly adaptable in order to maintain quality and patient safety. Head nurses play a crucial role in influencing nurses’ adaptive responses, particularly through the characteristics of resilient leadership.Purpose: This study aims to analyze the relationship between head nurses’ resilient leadership and nurses’ adaptive capacity in response to changes in the hospital service system.Methods: This quantitative study employed a cross sectional design. The sample consisted of 152 practicing nurses selected through purposive sampling based on predetermined inclusion criteria. Data were collected using a questionnaire that had been tested for validity and reliability. Data analysis was performed using simple linear regression.Results: The results of the study indicate a significant relationship between resilient leadership by head nurses and nurses’ adaptive capacity in responding to changes in the hospital care system (R = 0.489; R² = 0.239; F = 47.178; pvalue= 0.001). The regression coefficients indicate that resilient leadership is associated with an increase in the adaptive capacity of practicing nurses (β = 0.489; pvalue= 0.001). Resilient leadership accounts for 23.9% of the variation in nurses’ adaptive capacity.Conclusion: These findings highlight the importance of strengthening resilient leadership to enhance organizational readiness for change in hospital settings.
Effleurage Massage and Warm Compress Interventions to Reduce Postpartum Abdominal Pain: An Explanatory Case Series Study Anik Puji Rahayu; Sofia Ananda Mutiara Sari
Journal Of Nursing Practice Vol. 10 No. 1 (2026): October
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v10i1.1164

Abstract

Background: Uterine contractions resulting from involution are triggered by oxytocin release, often causing abdominal cramping (afterpains) that disrupts a mother's physical and psychological adaptation. Non-pharmacological approaches, such as effleurage massage and warm compresses, are increasingly recognized as safe, comfortable, and low-risk interventions in maternity nursing care.Purpose: To evaluate the effect of combined effleurage massage and warm compress interventions on the adaptation process and reduction of afterpains among postpartum mothers.Methods: This study utilized an explanatory case series design with a pretest–posttest approach, combining visual pain scale observations and qualitative interviews. The sample consisted of four multiparous postpartum mothers. Interventions were administered in two sequence patterns for a total duration of 30 minutes per participant: two participants received a warm compress followed by an effleurage massage, while the other two received an effleurage massage followed by a warm compress. Data were analyzed by evaluating pain score changes alongside qualitative interview responses.Results: Initial baseline observations revealed moderate abdominal pain scores across all four participants (pretest). Following the 30-minute combined intervention, all participants experienced a 2-point reduction in pain scale scores, regardless of the intervention sequence order. Qualitative findings supported these results, with participants reporting improved comfort and physical relaxation.Conclusion: The combination of effleurage massage and warm compresses is effective in reducing postpartum abdominal pain and promoting maternal physical adaptation, regardless of the sequence of administration.
Patients’ Lived Experiences of Self-Management in Chronic Kidney Disease Undergoing Hemodialysis: A Qualitative Study Yosi Suryarinilsih; Sila Dewi Anggreni; Eka Gusti
Journal Of Nursing Practice Vol. 10 No. 1 (2026): October
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v10i1.1189

Abstract

Background: Chronic kidney disease (CKD) patients undergoing hemodialysis (HD) face complex multidimensional challenges that profoundly affect self-management capacity and quality of life.Purpose: To explore the lived experiences of CKD patients undergoing HD, focusing on self-management practices, perceived barriers and benefits, and educational needs within the Health Belief Model (HBM) framework.Methods: A qualitative exploratory study was conducted at the Hemodialysis Unit of one of the hospitals in Bukittinggi, West Sumatera, Indonesia. Twenty CKD patients undergoing routine HD were selected using purposive sampling technique. In-depth semi structured interviews were conducted individually (20–45 minutes). Data were analyzed using Braun and Clarke's reflexive thematic analysis approach. Trustworthiness was ensured through source triangulation, member checking, audit trail, and peer debriefing.Results: Nine themes emerged: (1) physical burden of fatigue, cramps, and activity limitation; (2) psychological adaptation from fear and shock to acceptance; (3) social role disruption and community participation; (4) perceived susceptibility and severity; (5) self-management challenges in diet, fluid restriction, and medication adherence; (6) perceived benefits of adherence; (7) barriers of transportation, economic burden, and vascular access complications; (8) self-efficacy and family support as motivational pillars; and (9) educational needs favoring interactive and personalized approaches.Conclusion: Patients’ self-management experiences are shaped by intersecting physical, psychological, social, and educational dimensions, providing a critical empirical foundation for developing a structured HBM-based Self-Management Education model for the Indonesian hemodialysis context.
Digital Play and Distraction Interventions for Pediatric Pain and Anxiety Management: A Scoping Review and Evidence Map for Post-Laparotomy Care Yuliana Yuliana; Yuni Purwati; Yuli Isnaeni
Journal Of Nursing Practice Vol. 10 No. 1 (2026): October
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v10i1.1195

Abstract

Background: Postoperative pain and anxiety after pediatric surgery impair mobility and recovery. Digital play-based interventions, distraction, and interactive media are non-pharmacological adjuncts to standard analgesia, but the evidence for their use after laparotomy is unclear.Purpose: To map the evidence on digital play and distraction interventions, including digital design-based play therapy, for pain and anxiety in children receiving procedural, perioperative, or postoperative care, using the Population–Concept–Context framework, and to evaluate how far this evidence can be transferred to post-laparotomy care.Methods: This scoping review followed the Joanna Briggs Institute methodology and the reporting guideline for scoping reviews of the Preferred Reporting Items for Systematic Reviews and Meta-Analyses. PubMed, PubMed Central, and Google Scholar were searched in May 2026 for primary quantitative studies published in English from 2020 to 2025. Two reviewers screened records independently. Data were charted with a piloted extraction form and synthesized numerically and narratively.Results: Of 276 records identified, 17 primary studies met the eligibility criteria. They examined virtual reality, mobile applications, video games, interactive multimedia, and non-digital play in procedural pain (7 studies), preoperative anxiety (5 studies), and postoperative recovery (5 studies). Thirteen studies assessed pain and 15 assessed anxiety, and all reported reductions in pain or anxiety. Media, devices, and protocols varied widely. No study reported outcomes specific to children after laparotomy, and none evaluated digital drawing, coloring, or interface-design activities.Conclusion: Digital distraction offers promising complementary benefits for pediatric procedural distress and preoperative anxiety. However, no direct evidence exists for post-laparotomy care, so controlled feasibility and safety trials are needed before any claim of clinical efficacy.
Factors Associated with Cardiopulmonary Resuscitation Success Among Patients with Cardiac Arrest in Hospital Joaquim Pinto; Novita Ana Anggraini; Jayasree S Kanathasan; Imelda Dwi Agustin; Rahmania Ambarika; Nurma Afiani
Journal Of Nursing Practice Vol. 10 No. 1 (2026): October
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v10i1.1199

Abstract

Background: Cardiac arrest requires timely resuscitation, but associations between event characteristics and immediate resuscitation outcomes require careful interpretation, particularly in small hospital samples.Purpose: To examine the associations of initial heart rhythm, cardiopulmonary resuscitation duration, and arrest-to-resuscitation interval with recorded resuscitation success at Elizabeth Hospital Situbondo, Indonesia.Methods: This observational cross-sectional study included 38 patients selected through convenience sampling during February–March 2025. Data were extracted from patient records and resuscitation documentation using an observation sheet. Aggregate contingency-table counts were reanalyzed using Pearson chi-square or two-sided Fisher exact tests, as appropriate. Crude odds ratios and 95% confidence intervals were calculated where estimable.Results: Resuscitation was recorded as successful in 24 patients (63.2%). Success occurred in 15/18 patients with shockable rhythms versus 9/20 with nonshockable rhythms (odds ratio, 6.11; 95% confidence interval, 1.34–27.96; p = 0.014), and in 17/21 receiving resuscitation for <10 minutes versus 7/17 for ≥10 minutes (6.07; 1.42–26.03; p = 0.011). Success occurred in 24/32 patients with an arrest-to-resuscitation interval <2 minutes and 0/6 with an interval ≥2 minutes (Fisher p = 0.001).Conclusion: All three variables were associated with recorded immediate resuscitation success. These findings support attention to timely response and rhythm assessment but do not establish causality, independent predictors, or a duration threshold for stopping resuscitation.
From Stress to Serenity: The Effect of Scented Candle Combination of Agarwood and Santalum Album on Cortisol Hormone Levels in Pregnant Women Anis Nikmatul Nikmah; Meirna Eka Fitriasnani; Nur Fahma Laili; Eka Diana Putri; Tan Cenly Tian Frissilia
Journal Of Nursing Practice Vol. 10 No. 1 (2026): October
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v10i1.1200

Abstract

Background: Pregnancy involves physiological and psychological changes that may increase stress and cortisol levels. Aromatherapy using agarwood and Santalum album scented candles may offer a complementary approach to relaxation.Purpose: This study aimed to evaluate the effect of combined agarwood and Santalum album scented candles on cortisol levels in pregnant women.Methods: This quasi-experimental study employed a pretest-posttest control group design involving 32 pregnant women selected through purposive sampling, with sample size determined using Federer’s formula. Participants were divided into an intervention group (n = 16) and a control group (n = 16). Inclusion criteria were pregnant women aged 20 to 35 years in the second or third trimester, with singleton pregnancies, mild to moderate stress, no pregnancy complications or olfactory disorders, and willingness to participate. Women with fragrance allergies, respiratory disorders, pregnancy complications, or medication use that could affect cortisol levels were excluded. The intervention group received scented candle aromatherapy for 15 to 30 minutes per session, twice daily for a week, while the control group received no intervention. Cortisol levels were measured using the enzyme-linked immunosorbent assay (ELISA) method. Data were analyzed using the Wilcoxon signed-rank and Mann-Whitney tests.Results: Mean cortisol levels in the intervention group decreased from 330.07 ± 35.17 to 257.27 ± 45.30 ng/mL (p = 0.001). In the control group, levels increased from 303.66 ± 50.48 to 311.49 ± 58.39 ng/mL (p = 0.196). The between-group comparison showed a significant difference (p = 0.005).Conclusion: Combined agarwood and Santalum album scented candle aromatherapy was associated with reduced cortisol levels in pregnant women.
The Effect of GEBANG (Gerakan Bangun Health Digital) on Telemedicine Effectiveness and Healthcare Workers’ Stress Levels Wihelmus Nukak Gebang; Dwi Indah Iswanti; Sonhaji Sonhaji
Journal Of Nursing Practice Vol. 10 No. 1 (2026): October
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v10i1.1222

Abstract

Background: This study was motivated by the challenges of healthcare accessibility in border regions, where digital transformation may be hindered by limited human resource readiness and the psychological burden experienced by healthcare workers.Purpose: This study aimed to analyze the impact of implementing the Gerakan Bangun Health Digital (GEBANG) program on the effectiveness of telemedicine service utilization and work-related stress among healthcare workers at Long Ampung Primary Hospital. Methods: The study employed a quasi-experimental design using a pretest posttest control-group approach involving 30 respondents selected through total sampling. Data were collected using a questionnaire assessing telemedicine utilization effectiveness based on the Technology Acceptance Model (TAM) and the Perceived Stress Scale (PSS-10) to measure perceived stress. Data were analyzed using paired-samples t-tests and multiple linear regression. The reporting approach was informed by relevant principles of CONSORT 2025, adapted to the quasi-experimental design.Results: The findings indicated an increase in telemedicine utilization effectiveness following the GEBANG intervention (p<0.05). Healthcare workers’ stress levels also decreased from the high to the moderate category. These findings suggest that the GEBANG program may support telemedicine utilization and help reduce work-related stress among healthcare workers.Conclusion: The GEBANG program may help strengthen healthcare workers’ digital competencies and support adaptation to technology-related demands through structured digital education and mentoring. Healthcare institutions in remote areas may consider similar interventions to support sustainable digital health transformation.
Self-Care Management of Pregnant Women with Pregnancy-Induced Hypertension at Tertiary-Level Hospitals in Dhaka Nur Jahan Begum; Ela Rani Shom; Mohammad Nurul Anowar; Reva Mondal
Journal Of Nursing Practice Vol. 10 No. 1 (2026): October
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v10i1.1223

Abstract

Background: Pregnancy-induced hypertension (PIH) is an important pregnancy complication associated with adverse maternal and perinatal outcomes. Appropriate self-care may support disease management and timely recognition of complications. However, limited evidence is available on self-care management among women with PIH in Bangladesh. Purpose: To assess self-care management among pregnant women with PIH attending tertiary-level hospitals in Dhaka, Bangladesh. Methods: A descriptive cross-sectional study was conducted among 112 pregnant women with PIH at two tertiary-level hospitals in Dhaka from January to December 2023. Participants were selected by convenience sampling. Data were collected using a structured interviewer-administered questionnaire, including a 25-item Pregnancy-Induced Hypertension-Related Self-Care Management Questionnaire. The questionnaire demonstrated acceptable internal consistency (Cronbach's α=.79). Descriptive and inferential statistics were used for analysis. Results: The mean age was 26.54 ± 6.51 years. The overall mean self-care management score was 2.79 ± 0.40. The highest-rated practice was avoiding heavy weights (4.79 ± 0.41), while the lowest-rated practices included drinking water as prescribed by a physician (1.22 ± 0.81), lifting the legs after prolonged standing (1.45 ± 0.68), and walking in fresh air (1.53 ± 0.85). Self-care management was significantly associated with educational level (p = .007), occupation (p = .017), monthly family income (p < .001), and number of antenatal visits (p < .001). Conclusion: Self-care management scores varied across individual practices, with gaps in several recommended behaviors. Individualized antenatal counseling and nursing support should emphasize blood pressure monitoring, healthy lifestyle practices, recognition of warning signs, and timely healthcare seeking.
Association Between Body Fat Percentage and Blood Pressure Among Adolescents: A School Based Cross Sectional Study Yeni Lufiana Novita Agnes; Arif Nurma Etika; Endang Mei Yunalia
Journal Of Nursing Practice Vol. 10 No. 1 (2026): October
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v10i1.1231

Abstract

Background: Adolescent adiposity and elevated blood pressure are important cardiometabolic concerns. Body mass index does not distinguish fat mass from fat free mass, which limits its usefulness as a standalone indicator of adiposity.Purpose: To assess the association between body fat percentage and blood pressure categories among adolescents.Methods: This cross-sectional observational study included 245 students from two junior high schools in Kediri, Indonesia. Body fat percentage was measured by bioelectrical impedance analysis, and blood pressure was measured using an automatic monitor blood pressure. Descriptive statistics and Spearman rank correlation were used.Results: Mean age was 13.44 ± 0.93 years; mean body fat was 20.45 ± 5.90%; and mean systolic and diastolic blood pressures were 110.21 ± 13.38 and 70.49 ± 8.48 mmHg, respectively. Overall, 196 students (80.0%) were categorized as having high or very high body fat, and 48 (19.6%) had non-normal blood pressure categories. The reported correlation was weak (ρ = 0.297; p < 0.001).Conclusion: Body fat and blood pressure categories were associated in this sample. School-based assessment may combine body composition and blood pressure screening, with follow-up confirmation of abnormal blood pressure results.

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