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INDONESIA
Indonesian Contemporary Nursing Journal (ICON Journal)
Published by Universitas Hasanuddin
ISSN : -     EISSN : -     DOI : -
Core Subject : Health,
Nursing
Arjuna Subject : -
Articles 134 Documents
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Evaluation of Work Posture During Bed Bathing Procedures and Its Association with Musculoskeletal Complaints among Nursing Students Guru Prapti, Ni Ketut; Damayanti, Made Rini
Indonesian Contemporary Nursing Journal (ICON Journal) Vol. 10 No. 1 (2025): Volume 10 Number 1 Augustus 2025
Publisher : Faculty of Nursing, Universitas Hasanuddin

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20956/icon.v10i1.44693

Abstract

Aims: This study aimed to analyze the working posture of nursing students while bathing patients in bed and to identify the musculoskeletal complaints experienced by nursing students after the intervention. Methods: This was an analytical observational study aimed at observing and analyzing the work posture of respondents while bathing patients in bed as well as identifying musculoskeletal complaints experienced by nursing students after the intervention. The Rapid Entire Body Assessment (REBA) instrument was used to determine whether the nursing students were working beyond safe limits, while the Nordic Body Map (NBM) was used to identify which parts of the body experienced discomfort. The study was conducted in the Nursing Skill Lab at one of the nursing education institutions in Bali, and involved 19 nursing students performing a case scenario related to fulfilling personal hygiene needs through bed bathing. A video of the activity was recorded and converted into images for analysis by measuring the angles of the various body parts. The scores for each body part were entered into the REBA worksheet to determine the final score. Results: The results of the study showed that wiping the nearest hand, stomach, chest, and foot had a REBA score of 7, indicating a moderate risk. In contrast, wiping the furthest hand, back, and feet had REBA scores ranging from 9 to 10, indicating a high risk. The results of the NBM questionnaire revealed that the most commonly reported musculoskeletal disorders were disorders of the back (57.4%), waist (55.4%), and feet (42.3%). Conclusion: Musculoskeletal complaints during education are a significant concern, as nursing programs must prepare students for a lifelong professional career that includes managing the physical demands of clinical practice. Therefore, modifying work procedures based on comprehensive ergonomic principles is essential, as is providing nursing students with a thorough understanding of proper ergonomic work postures.
Beyond the Surface: Why Community Health Nurses Should Embrace the Critical Realist Perspective Rahman, Framita
Indonesian Contemporary Nursing Journal (ICON Journal) Vol. 10 No. 1 (2025): Volume 10 Number 1 Augustus 2025
Publisher : Faculty of Nursing, Universitas Hasanuddin

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20956/icon.v10i1.45791

Abstract

Researchers have often reflected on why improving community health remains a persistent challenge, and why many well-intentioned policies and interventions are often difficult to sustain or fall short in addressing complex health issues. Through the PhD journey at the University of Edinburgh, the researcher developed a deeper understanding of how community health nurses’ practice is shaped by social, cultural, and structural dynamics. This journey has also highlighted the importance of addressing the social determinants of health and adopting a critical realist lens to explore not only what happens in communities but also why, for whom, and under what conditions. This approach offers a stronger foundation for the design of effective and sustainable interventions.
Enhancing Patient Safety and Patient-Centered Care Through Patient and Family Engagement in Hospitals Tombong, Andi Baso
Indonesian Contemporary Nursing Journal (ICON Journal) Vol. 10 No. 1 (2025): Volume 10 Number 1 Augustus 2025
Publisher : Faculty of Nursing, Universitas Hasanuddin

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20956/icon.v10i1.46214

Abstract

Patient safety remains a pressing global concern, with millions of preventable adverse events occurring annually, particularly in low-income and middle-income countries. This perspective review highlights the critical role of Patient and Family Engagement (PFE) in enhancing patient safety and advancing patient-centered care in hospital settings. Drawing on global frameworks such as the WHO Global Patient Safety Action Plan 2021–2030 and national policies from countries including the United States, United Kingdom, Australia, and Indonesia, this article underscores the ethical and practical imperatives of involving patients and families as active partners in care. Evidence shows that PFE improve communication, reduce hospital readmissions, enhance treatment adherence, and contribute to better health outcomes. Despite its proven benefits, PFE remains underutilized owing to systemic barriers such as hierarchical communication, limited staff training, and cultural norms. This article calls for a multidimensional approach to embed PFE into hospital practices, including policy reform, education, and leadership support. Future research is recommended to explore practical strategies for implementing PFE and engage all stakeholders in fostering safer, more responsive healthcare systems.
Contemporary Nursing as a Dynamic Response to Evolving Health Challenges Yusuf, Saldy
Indonesian Contemporary Nursing Journal (ICON Journal) Vol. 10 No. 1 (2025): Volume 10 Number 1 Augustus 2025
Publisher : Faculty of Nursing, Universitas Hasanuddin

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20956/icon.v10i1.46314

Abstract

The concepts of nurse and nursing are inherently interwoven, representing distinct yet inseparable dimensions that are unified by the universal principle of caring. Caring for humanity must be delivered through a holistic approach, wherein therapeutic communication emerges as a defining characteristic of nursing practice. This form of communication serves not only as a therapeutic intervention in fostering interpersonal relationships with patients but also as a vital bridge in collaboration with other healthcare professionals. Within this framework, nurses are ethically and professionally obligated to provide care that is both evidence-based and holistic, while upholding the principles of responsibility and accountability in every intervention they deliver.
Poor Sleep Quality in Critically Ill Patients Sri Setiyarini; Desy Listyaningrum; Irni Fuzi Wijayanti; Setyo Triatmojo; Hersinta Retno Martani; Yunita Cahyaningsih; Gunawan; Hardi Apriyanto; Endang Suryaningsih; Husna Yulianingsih
Indonesian Contemporary Nursing Journal (ICON Journal) Vol. 10 No. 2 (2026): Volume 10 Number 2 February 2026
Publisher : Faculty of Nursing, Universitas Hasanuddin

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20956/icon.v10i2.43865

Abstract

Aims: This study aimed to evaluate the sleep quality of critically ill patients in Indonesia. Additional aims are to compare sleep quality among patients using both the Richards-Campbell Sleep Questionnaire (RCSQ) and smartwatch-based data.  Methods: A descriptive cross-sectional study was conducted involving adult critically ill patients in three hospitals in Indonesia. A total of 437 patients completed the RCSQ, with 26 of these individuals additionally utilizing a smartwatch to objectively assess sleep quality. A frequency distribution was employed to analyze all samples exhibiting poor quality, alongside the Mann-Whitney test to compare RCSQ and smartwatch scores.  Results:  Among 437 participants, 217 patients (49.7%) were classified as having poor sleep quality based on a mean (±SD) RCSQ score of 59.26±24.8, below a cut-off point of 63.4. Mean (±SD) scores across RCSQ domains were as follows: the sleep depth (60.87±27.97), sleep latency (56.68±27.99), awakening (56.99±27.10), sleep continuity (59.30±28.28), and sleep quality (59.30±28.28). The measurement results from smartwatch data indicated an overall sleep quality score of 72.42±9.72. No significant difference was observed between the total score of RCSQ and smartwatch sleep quality (p=0.297).  Conclusion: Critically ill patients demonstrated generally poor sleep quality, with sleep latency and awakening being the most affected domains
Positive Aspects of Dementia Caregiving: Caregivers' Lived Experiences Indarwati, Retno; Aditama, Eka Putri; Dewi, Lingga Curnia; Haryanto, Joni; Amelia, Vira; Astuti, Trihaningsih Puji
Indonesian Contemporary Nursing Journal (ICON Journal) Vol. 10 No. 2 (2026): Volume 10 Number 2 February 2026
Publisher : Faculty of Nursing, Universitas Hasanuddin

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20956/icon.v10i2.44214

Abstract

Aims: This study aims to qualitatively explore the positive experiences of caregivers for people with dementia (PwD. Methods: A descriptive phenomenological design was employed with purposive sampling. This study was conducted in Indonesia by the Alzheimer’s Indonesia organization. Participants were selected using purposive sampling methods. The study involved 11 caregivers, including paid caregivers and family members, including children, grandchildren, spouses, siblings, and other close relatives, who had provided care for at least one year. Data were collected through in-depth interviews conducted face-to-face or via Zoom in 2022. Colaizzi’s method guided the data analysis to extract significant statements, formulate their meanings, and identify emerging themes. Rigor was ensured through data triangulation, peer checking, and participant validation. Results: The study identified four main themes reflecting the positive experiences of caregivers of persons with dementia: (1) Personal Growth and Development, including increased patience, empathy, and caregiving competence; (2) improved relationships and connections, characterized by stronger emotional bonds and supportive family dynamics; (3) Search for Meaning and Role Satisfaction, where caregiving was seen as a purposeful, spiritually meaningful role; and (4) Positive Psychological Outcomes, such as reduced stress, greater emotional resilience, and enhanced well-being. Conclusion: Despite the challenges, caregiving for individuals with dementia can lead to personal growth, stronger relationships, a sense of meaning, and emotional resilience. These positive experiences highlight the importance of supporting caregivers and recognizing their strengths.
Critical Aspects in Assessing Palliative End-of-Life Care: A Narrative Review of Family Support and Spiritual Needs Buntari Agustini, Ni Luh Putu Inca; Israfil, Israfil; Suyasa, I Gede Putu Darma; Sujianto, Untung
Indonesian Contemporary Nursing Journal (ICON Journal) Vol. 10 No. 2 (2026): Volume 10 Number 2 February 2026
Publisher : Faculty of Nursing, Universitas Hasanuddin

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20956/icon.v10i2.44511

Abstract

Aims: To review the existing evidence on the assessment of spiritual needs and family support in palliative end-of-life nursing care. Methods: A narrative review was conducted using databases, including ScienceDirect, EBSCOhost, ProQuest, and PubMed. Keywords included “palliative care,” “assessment tools,” “family,” and “spiritual.” After applying the inclusion criteria, 12 relevant articles were analyzed. Results: Two major assessment domains were identified. First, spiritual needs encompass perceptions of death, hopelessness, dependency, fear, avoidance, anxiety, stress, depression, Quality of Life (QoL), and religious barriers. Second, family support includes caregiver burden, fatigue, depression, declining physical health, anxiety, and financial stress. These factors influence both patient well-being and the family’s capacity to provide end of life care. Conclusion: Spiritual needs and family support are interconnected and critical components of a comprehensive palliative nursing assessment. Integrating structured spiritual and family assessment tools into clinical practice is essential for developing culturally sensitive holistic care plans that enhance quality of life and death. Future nursing education, clinical training, and policies should prioritize systematic assessment approaches and interdisciplinary collaboration to strengthen end-of-life care.
Limitations of Patients’ Communication with Mechanically Ventilated Patients: A Scoping Review Widaryati, Widaryati; Ismail, Suhartini; Retnaningsih, Retnaningsih; Margawati, Ani; Subu, Muhammad Arsyad
Indonesian Contemporary Nursing Journal (ICON Journal) Vol. 10 No. 2 (2026): Volume 10 Number 2 February 2026
Publisher : Faculty of Nursing, Universitas Hasanuddin

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20956/icon.v10i2.44513

Abstract

Aims: This review aimed to examine the effects of communication barriers, identify effective communication strategies, and determine appropriate interaction content for patients receiving mechanical ventilation. Methods: A scoping review approach was conducted using four databases: EBSCOhost, Elsevier, PubMed, and ProQuest, selected for their extensive health-related collections. Eligible studies were published between 2015 and 2025, written in English, and utilized quantitative or qualitative designs. The search incorporated keywords related to communication barriers, ventilated patients, intensive care, and critical care. Data was synthesized through systematic collation, summarization, and reporting. Results: Of 1,239 records identified, 20 studies met the inclusion criteria. Findings indicated that communication challenges affected patients, nurses, and family members, with consequences categorized as psychological and care-related impacts. Two primary communication approaches were identified: unaided and aided methods, with aided strategies further divided into low-technology and high-technology tools. Communication content clustered into three domains: expressing patient needs and desires, conveying complaints, and facilitating care-related interactions. Conclusion: Communication barriers significantly influence the well-being of patients, nurses, and families in intensive care settings. Both unaided and aided communication strategies can enhance interactions with mechanically ventilated patients. Structured communication focusing on patient needs and desires, concerns, and caregiving elements is essential to promote care quality and support patient well-being.
Exploring the Lived Experiences of Self-Care among Patients with Type 2 Diabetes Mellitus in Indonesia: A Phenomenological Study Wahyuni, Aria; Febrina, Wiwit; Dewi, Fauziah Rahmah; Oktorina, Rola
Indonesian Contemporary Nursing Journal (ICON Journal) Vol. 10 No. 2 (2026): Volume 10 Number 2 February 2026
Publisher : Faculty of Nursing, Universitas Hasanuddin

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20956/icon.v10i2.44844

Abstract

Aims: This study aimed to explore the lived experiences of patients with type 2 Diabetes Mellitus (T2DM) in Indonesia regarding their self-care practices and the influence of psychosocial, cultural, and spiritual factors in managing the disease. Methods: A qualitative phenomenological study was conducted using in-depth interviews with 15 purposively selected patients with T2DM from primary healthcare centers in Bukittinggi, Indonesia. Eligible participants had a T2DM diagnosis, no severe cognitive or functional impairment, and provided informed consent. Data were collected between December 2024 and March 2025 using semi-structured interviews and analyzed using Colaizzi’s seven-step method, with NVivo 12 used only for data management. Results: Six themes emerged: acceptance and meaning-making in the following of diagnosis, physical activity in daily life, strategies for blood glucose monitoring, medication adherence and herbal use, dietary management and challenges, and diabetic foot care practices Conclusion: Self-care among T2DM patients is deeply influenced by emotional resilience, spiritual values, and family roles. Tailored and culturally appropriate interventions are essential for enhancing diabetes management and long-term self-care in community settings.
Effects of Diabetes Self-Care Calendar on Self-Care Behavior, Knowledge, and HbA1c among Type 2 Diabetes Mellitus Patients: A Randomized Controlled Trial Sugiharto, Sugiharto; Yu-Yun, Hsu
Indonesian Contemporary Nursing Journal (ICON Journal) Vol. 10 No. 2 (2026): Volume 10 Number 2 February 2026
Publisher : Faculty of Nursing, Universitas Hasanuddin

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20956/icon.v10i2.46029

Abstract

Aims: To examine the effects of a diabetes self-care calendar on self-care activities, diabetes knowledge, and glycemic control in individuals with type 2 Diabetes Mellitus.  Methods: This study used a randomized controlled trial design. This study employed a proportionate random cluster selection. The participants were blindly divided into intervention and control groups. The study was conducted at three community health centers in the region. The intervention group was provided with a Diabetes Self-Care Calendar (DSCC). The control group received conventional care. The summary of diabetes self-care activities and the diabetes knowledge questionnaire (Indonesian version) were used to assess the participants’ self-care performance and knowledge. The Infopia Clover A1c AnalyserTM was used to measure HbA1c levels. These variables were measured twice, at two months and four months after the intervention. A repeated-measures ANOVA and t-test were used to analyze the hypotheses. Results: A total of 126 patients with type 2 diabetes mellitus were enrolled in this study, which were equally divided into an intervention group and a control group. The results showed that the DSCC significantly (p<0.001) increased the diet, physical activity, self-monitoring of blood glucose, foot care, and medication adherence. The diabetes knowledge and HbA1c levels in the intervention group were significantly greater than those in the control group (p<0.001 and p=0.001), respectively. Conclusion: The diabetes self-care calendar enhances self-care activity adherence, knowledge, and HbA1c. As a reminder, the calendar obeys the pillars of diabetes self-care; it is an age-friendly and family empowered reminder and is usable.

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