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Indonesian Contemporary Nursing Journal (ICON Journal)
Published by Universitas Hasanuddin
ISSN : -     EISSN : -     DOI : -
Core Subject : Health,
Nursing
Arjuna Subject : -
Articles 146 Documents
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Managements for Controlling Inflammation/ Infection in Diabetic Foot Ulcers: A Scoping Review Erlin Ifadah; Amika Yamada; Muhammad Aminuddin; Kanae Mukai; Makoto Oe
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.v10i2.46824

Abstract

Aims: This review summarizes the management strategies for controlling inflammation/infection in diabetic foot ulcers based on infection severity and identifies research gaps. Methods: This scoping review was conducted in accordance with the PRISMA-ScR guidelines. Three databases (PubMed, CINAHL, and Medline) were searched in October 2024 using combinations of keywords related to diabetic foot ulcers, inflammation, infection, osteomyelitis, and management. Two independent researchers screened and extracted data from studies meeting the inclusion criteria: original articles/case reports, studies involving patients with diabetic foot ulcers, and studies on inflammation/infection management. Results: The search yielded 11201 articles, of which 206 met the inclusion criteria. The included studies were published between 1993 and 2024. Among these, two studies focused on inflammation and reported the beneficial effects of antioxidant vitamin and mineral supplementation and glycemic control. A total of 124 studies addressed infection management strategies, demonstrating the effectiveness of debridement, systemic antibiotic therapy, and adjunctive or innovative therapies. However, quantitative evidence distinguishing interventions based on local and systemic infections remains limited. In addition, 80 studies focused on osteomyelitis, supporting the effectiveness of surgical intervention, systemic antibiotic therapy, and adjuvant therapy.  Conclusion: The management strategies for diabetic foot ulcers include nutritional intervention, antimicrobial treatments, adjuvant therapies, and surgery. While these approaches affect inflammation and infection control, no study has identified the best method for each infection condition. Further research is needed to develop specific recommendations based on the infection severity and skin layers in diabetic foot ulcers.
Climate change, migration, and refugee as triggers risk of leprosy spread Badrul Nurul Hisyam; Tantut Susanto
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.v10i2.48535

Abstract

One of the challenges in controlling leprosy is the displacement of people and refugees, which has the potential to accelerate the spread of the disease to areas that were previously free of it (Hooij & Geluk, 2021). Migration, especially that triggered by conflict, climate instability causing natural disasters, or economic pressures, often triggers mass displacement of people (World Health Organization, 2016). Refugees and migrants often must live in densely populated areas with poor sanitation conditions and very limited access to health services (Feizi et al., 2023). This situation creates an ideal environment for the spread of infectious diseases such as leprosy, where close and repeated interactions between sufferers and healthy individuals can increase the risk of transmission (Mahardita et al., 2019; Susanto, 2020). Overcrowding in refugee camps and limited health facilities make early detection and treatment of leprosy difficult, allowing the disease to spread undetected (Bulstra et al., 2021).
Plasma medicine in Indonesian wound care: Clinical potential, implementation barriers, and practice recommendations Warsono Warsono; Mudyawati Kamaruddin; Rasheed Ahmad
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.v10i2.49821

Abstract

Both acute and chronic wounds remain significant challenges in Indonesian healthcare services. Postoperative wounds, diabetic ulcers, traumatic wounds, and infected wounds impose substantial clinical, financial, and psychosocial burdens on patients, families, and the healthcare system. The high incidence of non-communicable diseases, such as diabetes, limited availability of modern wound care facilities in many regions, and risk of nosocomial infections complicate the wound healing process and increase the length of hospital stay. Plasma medicine, particularly nonthermal plasma (cold atmospheric plasma), has emerged as an innovative approach to wound care. Nonthermal plasma can generate reactive oxygen and nitrogen species, electric fields, and low-dose UV radiation, all of which collectively contribute to antimicrobial effects, modulation of inflammation, and stimulation of tissue regeneration without causing thermal damage to healthy tissue (Kamaruddin et al., 2024). Various studies have shown that plasma-based wound therapy can reduce microbial load, improve granulation, and accelerate wound closure, particularly in chronic, hard-to-heal wounds.
Time to Care for Male Nurses: Confronting Stigma and Workforce Imbalance Saldy Yusuf; Muhammad Arsyad Subu
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.v10i2.49969

Abstract

Nursing remains predominantly female worldwide, even as the need for a diverse healthcare workforce grows. Nurses are the largest group of healthcare professionals; however, the profession faces an increasing shortage. Although nursing has expanded rapidly (Kouta & Kaite, 2011), it is often associated with traditional, female caregiving roles. In the Western world, Florence Nightingale is celebrated as a key figure in nursing (Turkowski & Turkowski, 2024), whereas Rufaidah Al-Aslamiyah is recognized in the Islamic world (Bodrick et al., 2022). Both are women, and their status as pioneers perpetuates the idea that nursing is a feminist profession. Historically, Indonesia has limited nursing education to female students, reinforcing this stigma. This perception has become a global issue (Subu et al., 2022), leading to fewer male nurses at all educational and professional levels in the field. For instance, a nursing school noted that a male student withdrew because he was the only male participant. Research indicated that male nurses often feel isolated or marginalized (Yip et al. 2021).
Psychometric Testing: Indonesian Adaptation of the Maslach Burnout Inventory-Human Services Survey (MBI-HSS) for Nurses Lisa Fauzia; Syahrul Syahrul; Andi Masyitha Irwan; Kadek Ayu Erika
Indonesian Contemporary Nursing Journal (ICON Journal) Vol. 11 No. 1 (2026): Volume 11 Number 1 August 2026
Publisher : Faculty of Nursing, Universitas Hasanuddin

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20956/59f8ky88

Abstract

Aims: This study aimed to develop a valid and reliable Indonesian version of the Maslach Burnout Inventory-Human Services Survey (MBI-HSS) Questionnaire to identify nurses experiencing burnout syndrome.   Methods: This research uses a methodological study approach with cross-cultural adaptation and psychometric validation through the Delphi study method. The research is conducted in two stages: adaptation through translation of the original version of the Maslach Burnout Inventory-Human Services Survey (MBI-HSS) questionnaire and testing the validity and reliability of the questionnaire. Purposive sampling included 180 samples from three hospitals in Makassar, Indonesia.    Results: Each statement item with a Content Validity Index (CVI) of ≥0.80 was regarded as valid. Reliability was confirmed by a Cronbach's alpha exceeding 0.70, which signifies good consistency. Most items in the questionnaire showed significant test-retest correlations (p=< 0.05)   Conclusion: The Indonesian version of the Maslach Burnout Inventory-Human Services Survey (MBI-HSS) is valid and reliable for identifying nurses experiencing burnout syndrome.  
Influence of Exercise Regimen Parameters on Low Back Pain Reduction and Disability Among Office Workers: A Systematic Review Ni Luh Dwi Indrayani; Li-Hsuan Wang; Chun-Teng Wu; Ni Luh Putu Inca Buntari Agustini; I Gede Putu Darma Suyasa
Indonesian Contemporary Nursing Journal (ICON Journal) Vol. 11 No. 1 (2026): Volume 11 Number 1 August 2026
Publisher : Faculty of Nursing, Universitas Hasanuddin

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20956/415y1k17

Abstract

Aims: This study aimed to evaluate the parameters of low back exercise intervention on pain and disability in office workers with low back pain (LBP) and explore its potential application in clinical practice.  Methods: A systematic review was conducted by systematically searching three databases: EMBASE, OVID Medline, and Web of Science. Following the PRISMA guidelines, the included reviews exploring low back pain and disability among office workers and detailed exercise programs were described. Reviewers were recruited to independently appraise and synthesize all eligible studies using the Joanna Briggs Institute critical appraisal tool.  Results: Of the 169 articles initially identified, 13 articles were included in the review, with an average article quality indicating minimal bias and trustworthy evidence. Thirteen structured and progressive exercise programs significantly influenced LBP reduction, alleviation, and disability management (p<0.05 to p<0.001). The effective programs were most commonly implemented twice weekly for five to ten weeks longer with 20- 60 minutes duration sessions of light to moderate intensity, and weekly progress with regular activities maintenance. The most commonly reported studies for pain level are the visual analog scale or numerical rating scale and disability outcome with the Oswestry Disability Index and Rolland Morris Disability Questionnaire.  Conclusion: The exercise program followed a structured parameter of frequency, intensity, time, type, volume, and progression of exercise intervention to improve LBP and disability. These findings provide a baseline integration strategy that is practical and evidence-based for managing LBP and disability in the workplace.  
Effects of a Breastfeeding Pillow Intervention on Feeding Performance in Preterm Infants Ida Ayu Kade Sri Widiastuti; Yeni Rustina; Defi Efendi; Made Ermayani
Indonesian Contemporary Nursing Journal (ICON Journal) Vol. 11 No. 1 (2026): Volume 11 Number 1 August 2026
Publisher : Faculty of Nursing, Universitas Hasanuddin

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20956/ptbb8c98

Abstract

Aim: Breastfeeding effectiveness is influenced by various factors, including medical conditions, gestational age, maternal health, and environmental influences, all of which affect a baby's ability to breastfeed effectively.  A breastfeeding pillow may improve breastfeeding positioning, attachment, sucking ability, and suckling duration, thereby enhancing feeding performance and reducing maternal discomfort. Methods: A quasi-experimental pretest-posttest control group study with repeated outcome measurements was conducted involving 70 hospitalized preterm infants recruited using consecutive sampling. Mothers in the intervention group used a customized U-shaped breastfeeding pillow, while the control group received routine breastfeeding care. Breastfeeding performance, including positioning, attachment, sucking ability, and suckling duration, was assessed using an 11-item observational checklist at four predetermined time points over four-day intervention period. Data were analyzed using a general linear model repeated measures analysis.  Results: Significant group-by-time interaction effects were observed for breastfeeding position, attachment, sucking ability, and suckling duration (all p<0.001). Compared with the control group, preterm infants in the intervention group demonstrated greater improvements in breastfeeding positioning (mean final score: 1.09 vs.2.11; 95% CI: -1.276 to 19.787), attachment (1.09 vs. 2.57; 95% CI: -1.712 to -1.259), and sucking ability (1.29 vs. 2.51; 95% CI: -1.487 to 3.123). Suckling duration also increased significantly in the intervention group from baseline to the final assessment (21.34 vs. 15.43 min; 95% CI: 1.163-3.577; p<0.001). Conclusion: The use of a breastfeeding pillow significantly improved breastfeeding effectiveness in preterm infants by enhancing positioning, attachment, sucking ability, and suckling duration.   
The Role of Clinical Supervision in Patient Safety Incident Reporting Among Nurses: A Moderated Model Erna Puspita Sari; Kuswantoro Rusca Putra; Yati Sri Hayati; Mochamad Ali Sodikin
Indonesian Contemporary Nursing Journal (ICON Journal) Vol. 11 No. 1 (2026): Volume 11 Number 1 August 2026
Publisher : Faculty of Nursing, Universitas Hasanuddin

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20956/37p10x56

Abstract

Aims: Underreporting remains a major challenge in patient safety programs, influenced by both individual and organizational factors. This study aimed to examine the effects of the nursing work environment, patient safety competence, and clinical supervision on patient safety incident reporting. Methods: A cross-sectional quantitative correlational study was conducted among nurses from three type B hospitals in Malang. A total of 224 eligible nurses completed the questionnaire. Data were collected using four validated and reliable Indonesian-translated instruments: PES-5, H-PEPSS, MCSS-26, and ROCAES. SmartPLS 4 was used to analyze the data and test the moderating role of clinical supervision.  Results: The nursing work environment showed a positive but insignificant effect on patient safety incident reporting (β=0.130, p=0.106), whereas patient safety competence (β=0.109, p=0.048) and clinical supervision (β=0.373, p<0.001) had significant positive effects. Clinical supervision did not moderate the relationship between the nursing work environment and incident reporting (β=−0.007, p=0.929), but significantly strengthened the effect of patient safety competence on incident reporting (β=0.276, p<0.001).). Conclusion: Clinical supervision serves not only as a direct determinant of patient safety incident reporting but also as a mechanism that strengthens the influence of nurses' patient safety competence on reporting behavior. These findings highlight the importance of integrating structured clinical supervision with competency development initiatives to foster a stronger patient safety reporting culture.    
Mapping Methods for Total Body Weight Measurement in Critically Ill Patients: A Scoping Review Refonda Rias Anggiri; Suhartini Ismail; Retnaningsih Retnaningsih; Sumardi Sumardi
Indonesian Contemporary Nursing Journal (ICON Journal) Vol. 11 No. 1 (2026): Volume 11 Number 1 August 2026
Publisher : Faculty of Nursing, Universitas Hasanuddin

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20956/5t4vhk21

Abstract

Aims: This scoping review aimed to identify and map existing methods for measuring total body weight in critically ill patients. Methods: A comprehensive literature review was conducted across seven databases (PubMed, Web of Science, Embase, Medline-OVID, CINAHL, Cochrane, and Scopus) on August 1, 2024, without publication-year restrictions. The terminology keywords: “Critical Illness,” “Intensive Care Units,” “Burn Units,” “Coronary Care Units,” “Respiratory Care Units,” “Critical Care,” “Weights and Measures,” “Ideal Body Weight,” “Body Weight,” “Body Size,” “Data Accuracy.” Eligible records were English-language original studies, validation studies, observational studies, quality-improvement projects, and pilot studies reporting total body weight measurement or estimation methods applicable to critically ill adults.  Results: Twelve studies were included. Four approaches were identified: 1) estimation methods, 2) anthropometric formulas, 3) technology-assisted techniques, and 4) tape measurement methods. The evidence for method performance varied. Visual estimation showed substantial errors, including errors greater than 10% in nearly half of the estimates in one ICU study. Anthropometric formulas showed moderate or population-specific agreement with the measured weights. Technology-assisted methods, including bed or hoist scales and 3D camera systems, generally provide more objective measurements or lower error but require equipment, calibration, and feasibility considerations. The PAWPER XL-MAC adult tape method showed a strong validation performance, with P20 of 96.0% and P10 of 71.3%, respectively. Conclusion: Technology-assisted methods and standardized anthropometric or tape-based approaches appear to be more clinically useful for critically ill patients. However, their accuracy, validity, reliability, feasibility, and cost-effectiveness vary by setting. Further validation in diverse ICU populations is required before recommending a single, preferred method.   
Management Strategies of Diabetic Foot Ulcers with Tunneling or Undermining: A Scoping Review Erlin Ifadah; Sukarni Sukarni; Muhammad Aminuddin; Kanae Mukai; Makoto Oe
Indonesian Contemporary Nursing Journal (ICON Journal) Vol. 11 No. 1 (2026): Volume 11 Number 1 August 2026
Publisher : Faculty of Nursing, Universitas Hasanuddin

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20956/qxyycq06

Abstract

Aim: This review summarizes the available evidence on the management of diabetic foot ulcers using tunneling or undermining and identifies potential gaps in the current research. Methods: A scoping review was conducted according to the PRISMA-ScR guidelines. Four databases (Medline, Scopus, Google Scholar, and PubMed) were searched in May 2025 using a combination of terms related to diabetic foot ulcer, tunneling, and undermining. Two independent researchers screened the articles according to the inclusion criteria and extracted the data. The inclusion criteria were original articles/case reports, studies involving patients with diabetic foot ulcers, and studies on the management strategies of diabetic foot ulcers with tunneling or undermining. Results: The search yielded 115 articles, of which five were included. The included studies were published between 2009 and 2024. Three studies reported that acellular dermal matrix (ADM) is effective for diabetic foot ulcers with tunneling. In contrast, another study reported that debridement of all surface areas, compression, and immobilization were effective for diabetic foot ulcers with undermining. Conclusion: The management strategies for diabetic foot ulcers with tunneling and undermining include ADM, debridement, compression, and immobilization. While this scoping review does not aim to establish the statistical or clinical effectiveness of one intervention over another, it clearly uncovers a substantial knowledge gap and a lack of standardized protocols in the current literature. Further research is needed to develop specific recommendations based on tunnel and undermining sizes.  

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