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Contact Name
Reni Nurhidayah
Contact Email
jnpstrada@gmail.com
Phone
085736406427
Journal Mail Official
jnpstrada@gmail.com
Editorial Address
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 727 Documents
Pain Management in Breast Cancer Patients Based on Symptom Management Theory Feriana Handian; Pertiwi Perwiraningtyas; Ninda Putri Ardila Kurnia; Wang Ellyana; Ririn Purwaningsih
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.v10i1.1233

Abstract

Background: Pain related to breast cancer and its treatment affects physical, psychological, and social well-being throughout the illness trajectory, yet patients’ subjective experiences of pain, the strategies they use to manage it, and the outcomes they perceive remain insufficiently explored, particularly within Southeast Asian and Islamic cultural contexts.Purpose: This study aimed to explore the lived experience of pain management and its perceived outcomes among breast cancer patients, guided by the Symptom Management Theory (SMT), and to describe how these relate to participants’ clinical and sociocultural characteristics.Methods: A qualitative phenomenological design was used with twenty breast cancer patients (stage I–IV) purposively recruited from a general hospital and a palliative care house in Batu City, East Java, Indonesia. Data from in-depth, semi-structured interviews, direct observation, and family-member triangulation were analyzed using Colaizzi’s steps and thematic content analysis (initial and axial coding) with OpenCode 4.03; categories and themes were then mapped deductively onto the three SMT domains.Results: Three themes corresponded to the SMT domains: symptom experience (perception, evaluation, and emotional response to pain); symptom management strategies (opioid and non-opioid analgesics alongside compresses, prayer, and family support); and symptom outcomes (self-reported pain reduction, improved physical function, comfort, and holistic well-being). Participants’ age (41–76 years) and stage (65% early, 35% advanced) varied widely.Conclusion: The findings support the SMT as a framework for nursing practice and highlight the need for holistic, culturally sensitive, and family-centered pain management for breast cancer patients.
Enhancing Nursing Students' Critical Thinking Skills Through a Pedagogical Learning Model: A Mixed Methods Study Hilda Mazarina Devi; Yanti Rosdiana; Ronasari Mahaji Putri; Gita Irianingsih
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.v10i1.1234

Abstract

Background: Critical thinking is essential for nursing students to make accurate clinical decisions. This study evaluates the Tribhuwana Nursing Student Academic Support Group (TNS-ASG), a four-session case-analysis and problem-based mentoring program designed to enhance critical thinking skills and explore students' learning experiences.Methods: A sequential explanatory mixed-methods design with a single-group pretest–posttest approach was conducted with 34 nursing students at Universitas Tribhuwana Tunggadewi, Malang, who completed the program (from 44 initially recruited; 10 dropped out due to scheduling conflicts). Quantitative data were analyzed using paired t-tests for the total score and Wilcoxon signed-rank tests for subdimensions. Qualitative data from semi-structured interviews, journals, and observations underwent thematic analysis.Results: Participation in the program was significantly associated with improved overall critical thinking scores, with a mean paired change of 5.44 points (t = -2.560, p = .015, d = 0.44). Significant gains were also observed in the subdimensions of interpretation (p = .021), analysis (p = .024), evaluation (p = .032), explanation (p = .015), and self-regulation (p = .016). Qualitatively, students reported an enhanced ability to analyze clinical cases, evaluate articles, and articulately express arguments, although limited time and fear of making mistakes remained key barriers.Conclusion: The TNS-ASG pedagogical model provides promising preliminary evidence for enhancing nursing students' critical thinking competencies, demonstrated
SiMerah Digital Monitoring of Iron–Folic Acid Supplementation Adherence Among Adolescent Girls: A Quasi-Experimental Study Eva Agustina Yalestyarini; Dedi Saifulah; Joko Sutrisno
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.v10i1.1245

Abstract

Background: Adherence to weekly iron-folic acid supplementation remains an important challenge in anemia-prevention programs for adolescent girls. Recent Indonesian evidence suggests that adherence is influenced by individual, peer, school, and program-delivery factors, while digital reminder interventions may improve supplementation behavior. SiMerah (Skrining Anemia pada Remaja Sehat) is a web-based digital application developed to support scheduled reminders, consumption recording, adherence monitoring, and validation of evidence of tablet intake.Purpose: To evaluate adherence outcomes associated with SiMerah digital monitoring compared with routine school-based monitoring.Methods: A two-group quasi-experimental pre-test–post-test study involved 186 adolescent girls (93 per group) at SMK Karya, Kediri, Indonesia. Adherence was calculated as the proportion of five scheduled weekly tablets recorded as consumed during each assessment period. Within-group paired tests, between-group comparison of change, and exploratory baseline-adjusted linear regression with heteroskedasticity-robust standard errors were performed.Results: Mean adherence changed from 97.85% to 96.13% in the SiMerah group and from 92.04% to 89.25% in the comparison group. The between-group difference in change was 1.08 percentage points (95% CI -2.71 to 4.86; p=0.575). Baseline adherence differed between groups (p<0.001). Exploratory baseline-adjusted analysis showed a post-test difference of 5.16 points (95% CI 1.81 to 8.51; p=0.003), but the observational design and baseline imbalance limit causal interpretation.Conclusion: The SiMerah group did not show a statistically significant improvement in recorded adherence relative to routine monitoring when comparing pre–post changes. High initial adherence, baseline imbalance, and strong existing school health monitoring warrant cautious interpretation. Future versions should evaluate post-consumption symptoms and usability.
Preliminary Changes in Flood Preparedness Following the PREPARE-BANJIR Chatbot: A One-Group Pretest–Posttest Study Alfian Fawzi; Aprin Rusmawati; Solichudin
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.v10i1.1246

Abstract

Background: Flood-prone communities need accessible education that supports preparedness and collective action. Evidence on chatbot-supported flood education in community settings remains limited.Purpose: To assess changes in flood-related knowledge, attitudes, and mitigation practices following PREPARE-BANJIR chatbot use, describe participant engagement, and document the initial formation of community flood-response groups.Methods: A pre-experimental, one-group pretest–posttest study involved 150 residents purposively recruited from flood-prone communities along the Brantas River in Kediri Regency, Indonesia. The intervention comprised six chatbot-based educational modules. Outcomes were assessed using a 48-item questionnaire, while engagement was documented through usage logs. Paired changes were analyzed using Wilcoxon signed-rank tests for knowledge and attitudes and a paired-samples t-test for mitigation scores.Results: Mean knowledge scores increased from 7.79 to 9.93, with a mean change of 2.14 (95% CI: 1.86–2.42). Attitude scores increased from 41.79 to 46.97, with a mean change of 5.18 (95% CI: 4.43–5.93), and mitigation scores increased from 18.55 to 23.73, with a mean change of 5.18 (95% CI: 4.42–5.94). All paired comparisons were statistically significant (p < 0.001). Overall, 79.3% of participants completed all modules. Five flood-response groups, each comprising 30 members, were established.Conclusion: PREPARE-BANJIR use was followed by improved preparedness-related scores and the establishment of community response groups. These preliminary findings warrant controlled evaluations to determine intervention effectiveness and the sustainability of individual and group outcomes.
Development, Validation, and Concurrent Performance of the Multidimensional Index of Child Growth (MICG) for Identifying Stunting in Primary Health Care Dian Rahmawati; Lia Agustin; Lely Khulafa&#039;ur Rosidah
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.v10i1.1256

Abstract

Background: Height-for-age anthropometry is the backbone of stunting detection in Indonesian primary health care, yet it does not describe the feeding, health, developmental, caregiving, and service-access conditions that shape child growth.Purpose: To develop a multidimensional child growth instrument, evaluate its psychometric properties, and examine how well its composite index identifies concurrent stunting status.Methods: This cross-sectional validation study enrolled 180 caregiver–child pairs (children aged 6–59 months) from four stunting-priority sub-districts of an Indonesian city through cluster random sampling. The 80-item, six-dimension Indonesian MICG was tested for content validity, item–total correlation, factor structure, and internal consistency. An equal-weighted index (0–100) was compared with concurrent height-for-age status using Spearman correlation, receiver operating characteristic analysis, and logistic regression.Results: All items achieved an item-level content validity index of 1.00. Cronbach’s alpha ranged from 0.35 (Physical Health) to 0.88 (Child Development). The mean index score was 80.16 (SD 8.83). The index correlated weakly with continuous height-for-age z-scores (rho = 0.17; p = 0.027) but not with height-for-age category (rho = −0.13; p = 0.084). The area under the curve was 0.57 (95% CI 0.48–0.66) for both outcome definitions, and the six-dimension logistic model was not significant (p = 0.115).Conclusion: The current equal-weighted MICG Index cannot distinguish children who are stunted or at risk from those growing normally and should not replace or supplement anthropometric screening. Its use for holistic growth profiling remains a proposal requiring feasibility and utility evaluation.
The Relationship Between Peer Support and Psychological Well-Being Nilam Agustina Anggraeni; Muhammad Rosyidul Ibad
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.v10i1.1266

Abstract

Background: Adolescence is a crucial period in which physical, psychological, and social changes occur that can affect psychological well-being. Peer social support is one of the protective factors that help adolescents cope with various developmental demands and maintain mental health.Purpose: This study aims to analyze the relationship between peer social support and psychological well-being in adolescents in Malang Raya.Methods: This quantitative correlational study employed a cross-sectional design involving 264 adolescents aged 11–23 years enrolled in formal education, residing in Greater Malang (Malang City, Malang Regency, or Batu City), and willing to participate. Participants were recruited from junior high schools and vocational high schools using simple random sampling. Data were collected using a demographic questionnaire, the Indonesian versions of the Peer Support Questionnaire (PSQ) and Psychological Well-Being Scale (PWBS). Data were analyzed using descriptive statistics and Pearson's correlation test.Results: The results showed that adolescents had relatively good levels of peer social support (77.36 ± 18.06) and psychological well-being (95.99 ± 13.17). Informational support is the highest average social support dimension, while personal growth is the most dominant psychological welfare dimension. Pearson's analysis showed a significant positive relationship between peer social support and psychological well-being (r = 0.487; p < 0.001). These findings show that the higher the social support that adolescents receive from their peers, the higher the level of psychological well-being they have.Conclusion: Higher peer social support was associated with better psychological well-being among adolescents, highlighting the importance of peer-support programs in adolescent mental health nursing practice.
Developing the ForCAP Framework for Competency Assessment in Care Plan Formulation: A Delphi Study and Preliminary Psychometric Evaluation Mohamad As’ad Efendy; Michael I. Aggari
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.v10i1.1289

Abstract

Background: Care plan formulation is a core nursing competency, but instruments that target it are limited, particularly in Indonesia.Purpose: To develop the Framework for Competency Assessment in Care Plan Formulation (ForCAP), to examine expert consensus on its structure, and to obtain preliminary content-validity, reliability, and dimensionality evidence for an aligned student self-assessment questionnaire.Methods: This sequential multiphase instrument-development study reviewed 16 competency frameworks (2010–2023), conducted a two-round modified Delphi with 15 purposively selected experts (acceptance: at least 70% rating 3 or 4), and had the same experts rate the content validity of a 32-item questionnaire, which was then piloted with 224 nursing students.Results: The initial 57 elements were refined to 5 domains, 10 competencies, and 32 sub-competencies; all 42 final elements were accepted (Fleiss’ kappa 0.93). Item-level content validity ranged from 0.80 to 0.93 (scale-level 0.82–0.86). Total-score Cronbach’s alpha was 0.87 (95% CI 0.85–0.89); domain alphas were 0.46–0.68.Conclusion: Experts endorsed the ForCAP structure, and the questionnaire total score has preliminary support. The faculty-rated rubric, proficiency anchors, and progression indicators remain provisional and need further validation.