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Nurse Media Journal of Nursing
Published by Universitas Diponegoro
ISSN : 24068799     EISSN : 20877811     DOI : https://doi.org/10.14710/nmjn
Core Subject : Health,
Nursing
Nurse Media Journal of Nursing (e-ISSN: 2406-8799, p-ISSN: 2087-7811) is an international journal that provides a forum for publishing the scientific works of nurse practitioners, academics, and researchers. The focus and scopes of the journal include adult nursing, emergency nursing, gerontological nursing, community nursing, mental health nursing, pediatric nursing, maternity nursing, nursing leadership and management, complementary and alternative medicine (CAM) in nursing, and education in nursing. The journal is published regularly in June and December every year. Starting 2020, the journal will publish three issues each year, that is in April, August, and December
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Articles 367 Documents
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Health-Promoting Behaviors and Their Predictors Among Nurses in Saudi Arabia Alreshidi, Nashi; Alrimali, Afaf Mufadhi
Nurse Media Journal of Nursing Vol 16, No 1 (2026): (April 2026)
Publisher : Department of Nursing, Faculty of Medicine, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/nmjn.v16i1.72960

Abstract

Background: Nurses fulfill a critical dual role as both caregivers and health promoters; however, their own health-promoting behaviors (HPBs) frequently receive inadequate attention. These behaviors significantly influence nurses’ personal well-being, professional credibility, and willingness to advocate for healthy lifestyles among patients. In Saudi Arabia, empirical evidence regarding HPB levels and their demographic and occupational predictors among clinical nurses remains scarce, hindering the design of targeted wellness interventions.Purpose: This study evaluated the levels of HPB among clinical nurses in Saudi Arabia and identified significant demographic and occupational predictors.Methods: A cross-sectional study was conducted among 233 clinical nurses from 16 public hospitals using convenience sampling. Data were collected through an online, self-administered questionnaire that incorporated the Health-Promoting Lifestyle Profile II (HPLP-II) and items assessing perceived health status and sociodemographic characteristics. Data normality was assessed using Kolmogorov-Smirnov and Shapiro-Wilk tests. In addition to bivariate analyses (t-tests and ANOVA), multiple linear regression was performed to identify independent predictors while controlling for confounders.Results: The overall mean HPLP-II score was 2.46 ± 0.46, reflecting a moderate level of engagement in HPBs. Spiritual growth and interpersonal relations were the highest-scoring domains, whereas physical activity was the lowest. The regression model explained 24% of the variance (R² = 0.24). Multivariable analysis identified perceived health status (p < 0.001) and supervisory job titles (p = 0.046) as the only significant independent predictors of higher HPB scores. No other demographic or occupational characteristics were significant.Conclusion: Clinical nurses demonstrated a moderate level of HPBs, primarily driven by their perceived health status and occupational role. Strengthening nurses’ health perceptions through structured wellness initiatives, supported by nursing leadership, may enhance behavioral engagement and reinforce their effectiveness as health advocates.
Factors Associated with Creativity and Innovation among Undergraduate Nursing Students Thomas, Deena Clare; Nain, Rose A; Arsat, Norkiah; Kumilau, Raynee; Joanes, Renie Martha; Fauziningtyas, Rista; Rachmawati, Praba Diyan
Nurse Media Journal of Nursing Vol 16, No 1 (2026): (April 2026)
Publisher : Department of Nursing, Faculty of Medicine, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/nmjn.v16i1.70218

Abstract

Background: Creativity and innovation are essential competencies in nursing education, as they support problem-solving, critical thinking, and adaptability in dynamic healthcare environments. However, limited evidence exists on factors associated with creativity and innovation among undergraduate nursing students.Purpose: This study aimed to examine the association between selected sociodemographic and academic characteristics (age, gender, cumulative grade point average [CGPA], year of study, and exposure to creativity- and innovation-related courses) and creativity and innovation among undergraduate nursing students.Methods: This cross-sectional study was conducted among undergraduate nursing students at a public university in Malaysia. Using total sampling, 167 students were included. Data were collected using a structured questionnaire. Descriptive statistics were used to summarise the variables. Pearson correlation, independent t-test, and one-way ANOVA were performed to examine associations, with significance set at p < 0.05.Results: A total of 167 undergraduate nursing students were included. The mean total creativity and innovation score was 27.56 (SD = 0.79). Male students and those who had attended creativity- and innovation-related courses had significantly higher scores (p = 0.007 and p < 0.001, respectively). Creativity and innovation scores were positively correlated with CGPA (r = 0.188, p = 0.015) and negatively correlated with age (r = -0.162, p = 0.036), with no significant difference by year of study (p = 0.872).Conclusion: Creativity and innovation among undergraduate nursing students were significantly associated with gender, attendance in creativity- and innovation-related courses, CGPA, and age, but not with year of study. These findings suggest that both academic performance and educational exposure may play a role in shaping creativity and innovation competency, underscoring the importance of supportive learning experiences in nursing education.
Modifiable Factors Associated with Psychological Well-Being among Women with Polycystic Ovary Syndrome (PCOS): A Cross-Sectional Study Umi Shalihatun; Nina Setiawati; Lutfatul Latifah
Nurse Media Journal of Nursing Vol 16, No 2 (2026): (August 2026) [In Progress]
Publisher : Department of Nursing, Faculty of Medicine, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/nmjn.v16i2.72559

Abstract

Background: Women with polycystic ovary syndrome (PCOS) face a wide range of physical, psychological, and social challenges that may negatively affect their psychological well-being. Previous studies have identified various psychosocial and demographic factors associated with the psychological well-being of women with PCOS; however, findings regarding these associations remain inconsistent.  Purpose: This study examined the associations between potentially modifiable factors, including religiosity, social support, and body mass index (BMI), and psychological well-being among women with PCOS.Methods: This study employed an analytical cross-sectional design. A total of 106 respondents were recruited using convenience sampling from the “PCOS Fighter Indonesia” Instagram community. Data were collected using a demographic questionnaire, a religiosity scale, the Multidimensional Scale of Perceived Social Support, and a psychological well-being questionnaire. Bivariate analysis was performed using the Fisher-Freeman-Halton exact test due to small expected cell counts. Multivariable binary logistic regression was performed to identify factors independently associated with psychological well-being.Results: Social support was significantly associated with psychological well-being (p = 0.029), whereas BMI (p = 0.076) and religiosity (p = 0.815) were not. In the final multivariable model, participants with low social support had higher odds of poor psychological well-being than those with high social support (OR = 9.50, 95% CI [1.32, 68.31], p = .025).Conclusion: Social support was the most dominant modifiable factor associated with psychological well-being among women with PCOS. Nurses should provide supportive and community-based interventions that focus on strengthening social support to improve psychological well-being among women with PCOS. 
Assessing Interprofessional Collaboration among Healthcare Professionals for Noncommunicable Disease Management in Primary Care: A Cross-Sectional Study Junaiti Sahar; M Agung Akbar; Etty Rekawati; Utami Rachmawati; Kuei-Ru Chou
Nurse Media Journal of Nursing Vol 16, No 2 (2026): (August 2026) [In Progress]
Publisher : Department of Nursing, Faculty of Medicine, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/nmjn.v16i2.77921

Abstract

Background: Interprofessional collaboration (IPC) is critical for delivering comprehensive and coordinated care, particularly in managing complex noncommunicable diseases (NCDs). However, in primary care settings, collaboration among healthcare professionals remains fragmented. Evidence on how different health professions collaborate in Community Health Centers (CHCs) remains limited. This knowledge gap hampers efforts to strengthen team-based NCD management in primary care.Purpose: This study aimed to assess IPC among healthcare professionals in primary care and identify domains that require strengthening for NCD management.Methods: A cross-sectional study was conducted in 37 CHCs in Palembang City, South Sumatera Province, Indonesia. A total of 301 healthcare professionals, including nurses, medical doctors, midwives, and public health workers, were selected through simple random sampling. Data were collected using a sociodemographic questionnaire and the validated Indonesian version of the Collaborative Practice Assessment Tool (CPAT), which consists of 56 items across eight subscales. Descriptive statistics and Kruskal–Wallis tests were used to analyze the data.Results: A total of 301 healthcare professionals participated. Overall CPAT scores were relatively similar across professions, with median (IQR) values of 292 (275.75−330.50) for nurses, 304 (278−329.50) for medical doctors, 292 (278.50−334) for midwives, and 287 (279−314) for public health workers. The highest scores across professions were observed in general role responsibilities and autonomy and team leadership, while the lowest were in community linkages and coordination of care and patient involvement. Only the communication and information exchange domain showed a significant difference among professions (p = 0.039).Conclusion: IPC for NCD management in primary care demonstrated strengths in role clarity and autonomy, team leadership, and professional relationships, but remained weak in communication, patient involvement, and community linkages. Targeted interventions, including structured interprofessional education, patient-centered care approaches, and stronger community partnerships, are needed to strengthen collaboration.
Multilevel Factors Influencing Nurses' Job Performance in Tertiary Hospitals in Northern Thailand: A New Normal Perspective Jirarat Ruetrakul; Pattamaporn Bumrungkhet
Nurse Media Journal of Nursing Vol 16, No 2 (2026): (August 2026) [In Progress]
Publisher : Department of Nursing, Faculty of Medicine, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/nmjn.v16i2.73014

Abstract

Background: Professional nurses’ job performance is fundamental to delivering high-quality patient care, particularly in tertiary hospitals. In the post-COVID-19 era, tertiary hospitals in northern Thailand have faced increased patient care complexity, workforce shortages, greater technological demands, and persistent psychological stress among nurses. These changes highlight the importance of improving nurses’ quality of work life and fostering spiritual leadership to create supportive organizational climates that sustain high performance. Although both individual- and group-level factors are known to influence nurses’ job performance, their multilevel interplay in post-pandemic healthcare settings remains unclear.Purpose: This study investigated the empirical validity of a hypothesized model of individual- and group-level factors influencing professional nurses’ job performance in tertiary hospitals under the Ministry of Public Health in northern Thailand.Methods: A predictive correlational design was used with multilevel structural equation modeling. Data were collected from 284 professional nurses working in tertiary hospitals in northern Thailand. At the individual level, quality of work life was specified as the independent variable, work engagement as the mediator, and job performance as the dependent variable. At the group level, spiritual leadership was specified as the independent variable, organizational climate as the mediator, and job performance as the dependent variable. Data were analyzed using Mplus version 8.8.Results: The model demonstrated a good fit to the empirical data (χ²/df = 1.25, CFI = 0.95, RMSEA = 0.06, SRMR = 0.04). At the individual (within) level, quality of work life and work engagement had significant positive direct effects on nurses’ job performance. Work engagement significantly mediated the relationship between quality of work life and job performance. The within-level model explained 71% of the variance in nurses’ job performance. At the group (between) level, spiritual leadership and organizational climate had significant positive direct effects on nurses’ job performance. Organizational climate also significantly mediated the relationship between spiritual leadership and job performance. The between-level model explained 95% of the variance in job performance.Conclusion: Quality of work life and work engagement at the individual level, along with spiritual leadership and organizational climate at the group level, were significantly associated with nurses’ job performance. Strengthening these factors may improve nurses’ performance and support high-quality patient care in tertiary hospitals.
A Sequential Explanatory Mixed Methods Evaluation of a Clinical Nursing Practice Guideline for Intracranial Pressure Management Rungnapha Khiewchaum; Pimwalunn Aryuwat; Pawena Narasri; Mahka Kittitornkul; Wanchananan Kuhasak
Nurse Media Journal of Nursing Vol 16, No 2 (2026): (August 2026) [In Progress]
Publisher : Department of Nursing, Faculty of Medicine, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/nmjn.v16i2.78130

Abstract

Background: Increased intracranial pressure (IICP) is a life-threatening complication of traumatic brain injury (TBI). Previous studies in Thailand have not evaluated the effectiveness of a structured clinical nursing practice guideline (CNPG) in improving nurses’ knowledge, skills, and confidence, highlighting the urgent need for a rigorously developed and evaluated CNPG.Purpose: This study evaluated the effectiveness of a CNPG in improving nurses’ knowledge, skills, and confidence in managing IICP among patients with TBI, and explored nurses’ perceptions of its feasibility, optimality, and benefits.Methods: A sequential explanatory mixed methods design was employed. A quantitative pretest–posttest design was conducted from February to September 2024. The intervention involved implementing an IICP CNPG among 45 registered nurses in two neurological wards at a tertiary hospital in eastern Thailand. Data were collected using four validated instruments: the Nurses’ Knowledge on IICP Questionnaire, Clinical Skills Observation Checklist, Self-Confidence Scale for IICP Care, and Nurses’ Perception of CNPG Questionnaire. In the qualitative phase, 20 nurses participated in two focus group discussions, which were analyzed using conventional content analysis.Results: Nurses showed statistically significant improvements in knowledge, clinical skills, and self-confidence following CNPG implementation (all p < .001). Perceptions of the CNPG in terms of feasibility, optimality, and benefits all significantly exceeded the standard benchmark (all p < .001). Eight qualitative themes were identified, highlighting the roles of evidence-based knowledge, repeated training, structured protocols, interprofessional collaboration, and refresher training in improving consistency, confidence, and quality of IICP care.Conclusion: The CNPG was feasible, effective, and well-accepted among nurses, leading to significant improvements in knowledge, clinical skills, and self-confidence in IICP management. Future research should examine its long-term impact and effectiveness across diverse clinical settings. 
Mental Health Problems and Regularity of Health-Seeking Behavior among Older Adults with Diabetes Nurullya Rachma; Intansari Nurjannah; Ema Madyaningrum; Probosuseno Probosuseno
Nurse Media Journal of Nursing Vol 16, No 2 (2026): (August 2026) [In Progress]
Publisher : Department of Nursing, Faculty of Medicine, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/nmjn.v16i2.82691

Abstract

Background: Older adults with diabetes are vulnerable to mental health problems, such as depression, anxiety, and cognitive impairment, as well as inappropriate medication use. These conditions may affect their health-seeking behavior (HSB), including the regularity of visits to healthcare facilities. However, studies examining the regularity of HSB and associated factors among older adults with diabetes remain limited.Purpose: This study aimed to examine the associations between mental health problems and the regularity of HSB among older adults with diabetes.Methods: A cross-sectional study was conducted among 301 older adults with diabetes recruited from three community health centers in Semarang, Indonesia, using proportionate stratified random sampling. Data were collected on sociodemographic characteristics, mental health status, medication appropriateness, and regularity of healthcare visits as a measure of HSB. Healthcare visits were categorized as routine or irregular based on participants’ self-reported visits during the previous three months. Data were analyzed using chi-square tests and logistic regression.Results: Most participants were aged 70 years or younger (75.7%), female (64.1%), and married (68.1%). Overall, 8.6% were at risk of depression, 22.6% screened positive for anxiety symptoms, 18.9% were at risk of inappropriate medication use, and 88.7% had normal cognitive functioning. Irregular HSB was reported by 61.8% of participants. HSB regularity was significantly associated with age (p = .003), gender (p = .004), education (p < .001), marital status (p = .043), risk of depression (p = .019), cognitive impairment (p = .001), and inappropriate medication use (p = .001), but not with anxiety (p = .11). In multivariable analysis, participants at risk of inappropriate medication use had lower odds of routine HSB (OR = 0.044, 95% CI: 0.017–0.106). Participants aged over 70 years also had lower odds of routine HSB (OR = 0.423, 95% CI: 0.182–0.979).Conclusion: Sociodemographic characteristics, mental health problems, and inappropriate medication use were associated with the regularity of HSB among older adults with diabetes. Integrating mental health screening, appropriate medication management, and family support into diabetes care may promote regular healthcare visits and improve health outcomes.
Exploring Barriers to Self-Care Behaviors: Beliefs of Jordanian Patients with Heart Failure Yasmeen Abu Sumaqa; Saleh Al Omar; Yahya W. Najjar; Nour Ali Alrida; Anas Ababneh; Osama Alkouri; Sarah Al-Ja’freh
Nurse Media Journal of Nursing Vol 16, No 2 (2026): (August 2026) [In Progress]
Publisher : Department of Nursing, Faculty of Medicine, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/nmjn.v16i1.73221

Abstract

Background: Heart failure (HF) is a prevalent cardiovascular disease. Despite the crucial role of self-care behaviors in reducing complications and hospitalizations, many patients still struggle to adhere to these behaviors. However, the specific barriers that impede self-care behaviors among Jordanian patients with HF remain insufficiently understood.Purpose: This study sought to develop a comprehensive understanding of the barriers to self-care behaviors among Jordanian patients with HF.Methods: A descriptive qualitative study was conducted in outpatient medical clinics. Using purposive sampling, 22 Jordanian adults aged ≥18 years who had a confirmed diagnosis of HF and were receiving regular care were recruited. Data were gathered through semi-structured in-depth interviews and analyzed using the six-phase reflexive thematic analysis framework.Results: The qualitative analysis identified four main themes reflecting barriers to self-care behaviors: lack of self-care knowledge, financial burden, difficulty of changing habits, and disturbance of feelings. Participants described inadequate knowledge of disease management and self-care, financial constraints affecting access to medications and healthcare, difficulty modifying long-established health behaviors, and emotional challenges that interfered with adherence to recommended self-care practices.Conclusion: Patients with HF encounter various barriers to self-care behaviors, including knowledge-related, financial, behavioral, and emotional challenges. These findings highlight the need for healthcare providers to recognize these barriers and implement interventions to enhance self-care behaviors among patients with HF. 
Healthcare Professionals’ Knowledge and Experiences of Adverse Event Detection in Emergency Departments in Southwest Nigeria: A Mixed Methods Study Olamide Olajumoke Afolalu; Oluwaseyi Abiodun Akpor; Sunday Adeniran Afolalu
Nurse Media Journal of Nursing Vol 16, No 2 (2026): (August 2026) [In Progress]
Publisher : Department of Nursing, Faculty of Medicine, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/nmjn.v16i2.72025

Abstract

Background: The nature, incidence, and severity of adverse events (AEs) in hospital emergency departments (EDs) pose significant obstacles to patient safety and the quality of care provided globally and within Nigerian healthcare systems. While reporting of AEs may capture some incidents, healthcare professionals’ experiences regarding the types, the frequency of triggers, and detection measures remain understudied. Purpose: This study aimed to evaluate the knowledge and experiences of nurses and doctors regarding AEs in the EDs of three selected teaching hospitals in Southwestern Nigeria.Methods: An explanatory sequential mixed-methods design was used, involving 64 nurses and 57 doctors working in the emergency units of the selected hospitals. Data were collected using a 57-item structured, validated patient safety incident (PSI) questionnaire and six focus group discussions (FGDs) with 36 healthcare professionals purposively selected from the quantitative participants. Quantitative data were analyzed using descriptive statistics and the chi-square test, while qualitative data were thematically analyzed using ATLAS software.Results: Quantitative findings revealed that 56.2% of healthcare professionals possessed good knowledge of commonly occurring AEs; however, 65.3% had limited knowledge of specific triggers that cause AEs. Reporting methods mainly included forms and patient record reviews. Qualitative findings provided deeper insights into these results and revealed four key themes: experiences of AEs in emergency care, patterns and types, reporting practices and barriers, and suggestions for improved reporting. Participants reported equipment malfunctions and adverse drug reactions (ADRs) as frequently experienced AEs, and cited severe workloads, time constraints, the absence of standardized reporting protocols, fear of punishment, and restricted access to digital reporting tools as challenges to reporting.Conclusion: Despite good awareness demonstrated by healthcare professionals, significant organizational and system-level barriers hinder effective AE detection and reporting. Strengthening training on AE identification, introducing standardized digital reporting protocols, and promoting a non-punitive reporting culture may improve patient safety in EDs.
Synergistic Interaction between Older Age and an Abnormal Ankle-Brachial Index in Relation to Diabetic Peripheral Neuropathy Yani Sofiani; Rizki Nugraha Agung; Yana Adharani; Iyar Siswandi; Yohanes Andy Rias
Nurse Media Journal of Nursing Vol 16, No 2 (2026): (August 2026) [In Progress]
Publisher : Department of Nursing, Faculty of Medicine, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/nmjn.v16i2.78381

Abstract

Background: Diabetic peripheral neuropathy (DPN) is associated with older age and an abnormal ankle-brachial index (ABI). However, no previous study has investigated the synergistic interaction between older age and an abnormal ABI in relation to DPN.Purpose: This study aimed to investigate the independent associations and synergistic interaction of older age and an abnormal ABI in relation to DPN.Methods: This analytical cross-sectional study included 416 individuals with type 2 diabetes mellitus in Jakarta, Indonesia. Older age was defined as age >64 years. DPN was assessed using a combination of sensory testing with a 10-g Semmes-Weinstein monofilament and vibration testing with a 128-Hz tuning fork, with the diagnosis validated by a physician. ABI was assessed using continuous-wave Doppler ultrasound. Chi-square tests, independent t-tests, and multivariable logistic regression were performed with a significance level of p <0.05.Results: DPN was identified in 34.9% (n = 145) of participants. Older age (adjusted odds ratio [AOR] = 1.74) and an abnormal ABI (AOR = 2.04) were independently associated with DPN. Older participants with an abnormal ABI were 4.03 times more likely to have DPN than adult participants with a normal ABI (p < .001). A positive synergistic interaction between older age and an abnormal ABI in relation to DPN was identified (AOR = 4.03; relative excess risk due to interaction [RERI] = 2.20; attributable proportion [AP] = 0.55; synergy index [SI] = 3.65).Conclusion: Older age and an abnormal ABI were independently and significantly associated with DPN. Older participants with an abnormal ABI showed the most substantial synergistic effect on DPN. These findings highlight the importance of considering age and vascular status in T2DM. Routine ABI assessment, particularly in older adults, may help identify those at greater odds of DPN and guide targeted preventive care.

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