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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
Arjuna Subject : -
Articles 367 Documents
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Directional Model of Health-Related Quality of Life After Percutaneous Coronary Intervention: A Structural Equation Model Analysis Emil Huriani
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.v16i2.80773

Abstract

Background: Although percutaneous coronary intervention (PCI) improves survival and clinical outcomes in patients with acute coronary syndrome (ACS), many patients continue to experience impaired health-related quality of life (HRQoL). However, the direct determinants and mediating pathways influencing HRQoL among patients with ACS following PCI remain incompletely understood.Purpose: This study aimed to test the relationships among determinants of HRQoL based on the revised Wilson and Cleary model in patients with ACS following PCI.Methods: This cross-sectional study involved 240 patients. Data were collected using the Cardiac Self-Efficacy Scale, Fatigue Assessment Scale, Seattle Angina Questionnaire-7, Depression Anxiety Stress Scale-21, Social Functioning Questionnaire, and MacNew Quality of Life Questionnaire. Structural equation modeling was performed using SmartPLS version 3.2.7.Results: Self-efficacy, fatigue, anxiety, and social functioning demonstrated significant direct effects on HRQoL (β = 0.276, β = −0.151, β = −0.152, and β = 0.307, respectively; p < .05). Social functioning had the greatest direct effect on HRQoL (β = 0.307), while self-efficacy had the strongest association with its observed variables (β = 0.789).Conclusion: Self-efficacy, fatigue, anxiety, and social functioning were significant determinants of HRQoL in patients with ACS following PCI. These findings may inform comprehensive patient assessment and the development of targeted, patient-centered nursing care strategies to improve HRQoL. 
Path Analysis of Impaired Well-Being in Patients with Advanced Cancer Undergoing Chemotherapy Thidarat Khamboon; Intira Pakanta
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.v16i2.77151

Abstract

Background: Well-being is an overall indicator of an individual’s health status. Psychological and somatic symptoms may negatively affect patients undergoing chemotherapy for advanced cancer. Previous studies have identified cancer-related symptoms and psychosocial factors associated with impaired well-being but have not fully explored the relationships among multiple symptoms and impaired well-being.Purpose: This study aimed to develop and test a path model of the relationships between unpleasant symptoms and impaired well-being among patients undergoing chemotherapy for advanced cancer.Methods: A cross-sectional secondary data analysis was conducted among 500 patients with advanced cancer who received treatment at a tertiary care hospital in the Lower Northern region of Thailand. Data included personal and clinical information and the Edmonton Symptom Assessment System (ESAS), which assessed pain, anxiety, nausea, shortness of breath, drowsiness, tiredness, depression, loss of appetite, and well-being. Impaired well-being was measured using the ESAS well-being item, ranging from 0 (best well-being) to 10 (worst possible well-being). Path analysis was used to examine the relationships between symptoms and impaired well-being.Results: The final path model demonstrated a good fit to the data and explained 22.1% of the variance in impaired well-being (R² = .221). Loss of appetite had the strongest total effect on impaired well-being (β = 0.72, p < .001). Loss of appetite (β = 0.71, p < .001), depression (β = 0.31, p < .001), and shortness of breath (β = 0.21, p < .001) had significant direct effects. Anxiety, nausea, shortness of breath, pain, tiredness, and loss of appetite had indirect effects on impaired well-being.Conclusion: The study provides an explanatory model of the relationships between symptoms and impaired well-being in patients undergoing chemotherapy for advanced cancer. The findings may help nurses design interventions that consider the multidimensional relationships among symptoms associated with impaired well-being and poor functional status. 
Experiences of Mental Health Challenges among Vulnerable Groups in Indonesia Sri Warsini; Martini Sinta Kristanti; Intansari Nurjannah; Rizki Fitryasari; Marthoenis Marthoenis
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.v16i2.77275

Abstract

Background: Despite growing global recognition of mental health needs, qualitative evidence on how different vulnerable populations in Indonesia experience mental health challenges and navigate help-seeking within the same sociocultural context remains limited. This knowledge gap may result in unrecognized psychosocial needs, underutilization of mental health services, insufficiently tailored interventions, and persistent inequities in mental health service provision.Purpose: This study explored experiences of mental health challenges among vulnerable populations, including adolescents, university students, pregnant and postpartum women, and caregivers of individuals with severe mental illness.Methods: A qualitative descriptive design was employed. Data were collected through five focus group discussions (FGDs) conducted with 18 participants recruited through purposive sampling in the Special Region of Yogyakarta: three pregnant women, three postpartum women, four caregivers of individuals with severe mental illness, four adolescents, and four university students. Source triangulation was conducted through an additional FGD with five mental healthcare providers. Verbatim Indonesian transcripts were analyzed using thematic analysis with manual coding supported by Microsoft Excel. Trustworthiness was enhanced through peer debriefing and cross-verification among the research team.Results: Three overarching themes emerged: (1) root causes of mental health vulnerability, encompassing family- and perinatal-related stressors, developmental and identity-related stress, and caregiving burden and social exclusion; (2) coping and help-seeking practices, shaped by emotional disclosure preferences, support systems, and mental health literacy; and (3) structural gaps in mental health services, including inadequate service integration, logistical barriers, and mistrust of care quality. Help-seeking preferences varied across vulnerable groups and were influenced by stigma, concerns about confidentiality, and perceived accessibility of mental health services.Conclusion: Vulnerable populations experience mental health challenges through distinct psychosocial stressors, coping strategies, and help-seeking behaviors. These findings underscore the need for person-centered, culturally responsive, and population-specific mental health services that address the diverse needs of vulnerable groups. 
Determinants of Public's Intention to Assist Out-of-Hospital Cardiac Arrest Victims: A Regional Survey Eka Yulia Fitri; Dhona Andhini; Hikayati Hikayati; Ulfa Nur Rohmah
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.v16i2.78903

Abstract

Background: Early cardiopulmonary resuscitation (CPR) substantially improves survival after out-of-hospital cardiac arrest (OHCA). However, the proportion of OHCA victims receiving CPR from the public remains low in Asia, ranging from 10% to 40%. Although several factors associated with the public’s intention to assist OHCA victims have been identified, evidence from Indonesia remains limited, particularly among community-based populations.Purpose: This study aimed to identify factors associated with the public’s intention to assist out-of-hospital cardiac arrest victims in South Sumatra, Indonesia. Methods: A four-month cross-sectional survey guided by the Theory of Planned Behavior (TPB) was conducted among 433 residents from 17 regencies and municipalities in South Sumatra using a two-stage sampling approach. Trained enumerators collected data using a structured questionnaire based on TPB constructs with acceptable validity and internal consistency. Intention to assist OHCA victims was assessed as a binary (yes/no) outcome based on participants’ self-reported responses. Multivariable logistic regression was used to identify factors associated with this intention.Results: Among all participants, 64.9% expressed an intention to assist OHCA victims, whereas 15.2% reported previous CPR experience. Multivariable analysis showed that previous experience of encountering an OHCA victim (adjusted odds ratio [aOR] = 2.89, 95% CI: 1.32–6.30, p = .008), positive attitudes (aOR = 3.37, 95% CI: 1.81–6.28, p = .001), high subjective norms (aOR = 2.09, 95% CI: 1.07–4.06, p = .030), willingness to attend CPR training (aOR = 3.62, 95% CI: 2.11–6.20, p = .001), and high perceived behavioral control (aOR = 3.94, 95% CI: 2.32–6.71, p = .001) were significantly associated with the intention to assist OHCA victims. High perceived behavioral control showed the strongest association.Conclusion: High perceived behavioral control was the strongest factor associated with the intention to assist OHCA victims. These findings support nursing-led, community-based CPR education strategies that strengthen confidence, promote positive attitudes and supportive social norms, and expand access to hands-on CPR training.
Exploring the Spiritual Dimensions of Indonesian Patients Living with a Permanent Stoma after Colorectal Cancer: A Phenomenological Study Dwi Asih Rohmawati; Yati Afiyanti; Hening Pujasari; Dyah Juliastuti
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.v16i2.77600

Abstract

Background: Research worldwide has highlighted the physical, psychological, social, and spiritual challenges faced by patients living with a permanent stoma following colorectal cancer. However, limited research has examined the spiritual dimensions of living with a stoma among Indonesian patients.Purpose: This study aimed to explore the spiritual meanings and experiences of patients living with a permanent stoma due to colorectal cancer in Indonesia.Methods: A qualitative phenomenological design using Heidegger’s interpretive phenomenological approach was employed. Fifteen participants who had been living with a permanent stoma following colorectal cancer for more than three months were purposively recruited, 12 of whom were Muslim. Data were collected at the National Cancer Hospital in Indonesia over nine months through in-depth, semi-structured interviews and analyzed using QSR NVivo 14 software.Results: Three overarching themes emerged: (1) experiencing spiritual distress following cancer diagnosis and stoma formation (including rejection of life diversion, anger toward God, and social withdrawal); (2) embracing life with a stoma (including making peace with oneself and God, receiving social and professional support, and accepting the stoma); and (3) reconstructing self-existence after stoma formation (including developing meaning, hope, life goals, and pride in living with a stoma).Conclusion: This study shows that spirituality helps Indonesian patients with colorectal cancer and a permanent stoma find meaning, achieve self-actualization, and make peace with themselves and God. Healthcare professionals should anticipate these patients’ spiritual needs through routine spiritual assessment and health education and, when necessary, facilitate their participation in support groups to help meet those needs. 
Anxiety among Nurses in East Java Indonesia: A Comparative Study between Nurses Working in Primary Health Centers and Hospitals Heni Dwi Windarwati; Tantut Susanto; Budi Anna Keliat; Hanik Endang Nihayati; Retno Lestari; Adji Achmad Rinaldo Fernandes; Niken Asih Laras Ati; Mira Wahyu Kusumawati
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.v16i2.78565

Abstract

Background: Nurses experience considerable psychosocial demands that may contribute to anxiety symptoms. Work settings and work schedules, particularly shift work, may be important contributing factors. However, evidence comparing anxiety symptoms across healthcare settings and examining associated demographic and occupational factors among nurses in Indonesia remains limited.Purpose: This study examined anxiety symptoms among nurses working in primary health centers and hospitals in East Java, Indonesia, and identified associated demographic and occupational factors.Methods: A descriptive cross-sectional study was conducted among 315 nurses working in primary health centers and hospitals in East Java, Indonesia. Anxiety symptoms were assessed using the Generalized Anxiety Disorder-7 (GAD-7). Descriptive statistics were used to summarize participant characteristics and the prevalence of anxiety symptoms. The Mann–Whitney U test, chi-square test, and Fisher’s exact test were used to examine differences and associations between demographic and occupational characteristics and anxiety symptoms.Results: Among 315 nurses, 72.1% worked shifts. Participant characteristics differed significantly by workplace in terms of age (p = 0.002), years of experience (p = 0.001), location (p = 0.001), marital status (p = 0.003), income (p = 0.038), and work schedule (shift vs. non-shift; p = 0.001). Anxiety symptoms (GAD-7 ≥ 7) were significantly associated with age (p = 0.001), years of experience (p = 0.008), marital status (p = 0.003), income (p = 0.001), and work schedule (p = 0.006). Hospital nurses had higher odds of experiencing anxiety symptoms than nurses working in primary health centers (OR = 4.842; p = 0.010). Shift work was also associated with higher odds of anxiety symptoms (OR ≈ 6.8) compared with non-shift work.Conclusion: Hospital work and shift work were associated with anxiety symptoms among nurses, along with demographic factors such as younger age, shorter work experience, unmarried status, and lower income. These findings support targeted anxiety screening and workplace interventions, including shift management and psychosocial support, particularly for hospital nurses. 
Factors Influencing Postoperative Recovery after Lower Extremity Surgery: A Prospective Cohort Study Amornrat Sangsaikaew; Apinya Koontalay; Khunphitha Junsevg; Arunrat Utaisang
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.v16i2.80772

Abstract

Background: Suboptimal health-related quality of life (HRQoL) during postoperative recovery following lower extremity surgery increases healthcare costs and reduces patients’ overall well-being. However, evidence regarding factors influencing HRQoL trajectories remains limited.Objective: This study examined predictors of HRQoL and self-efficacy at weeks 1 and 4 post-discharge.Methods: This prospective cohort study used consecutive sampling to recruit 90 patients undergoing lower extremity orthopedic surgery (hip, femur, knee, or tibia) at a tertiary hospital in Thailand. Data collected included demographic characteristics, clinical factors, anthropometric measurements, and surgical variables. Outcomes were assessed at weeks 1 and 4 post-discharge using the 12-Item Short Form Health Survey (SF-12) to measure HRQoL and a validated 25-item questionnaire to measure self-efficacy. Multiple regression analysis was used to identify independent predictors of postoperative HRQoL and self-efficacy.Results: Among 90 participants (mean age = 58.3 ± 12.4 years; 53.3% female), higher BMI independently predicted poorer physical HRQoL at week 1 (β = −0.54, p = .023) and week 4 (β = −0.62, p = .008). Waist circumference was an additional predictor of physical HRQoL at week 4 (β = 0.58, p = .002), with both variables explaining 34.6% of the variance (R² = .346, p < .001). Self-efficacy improved substantially from week 1 (109.14 ± 9.86) to week 4 (123.47 ± 0.64), with a mean difference of 14.33 points (95% CI [12.27, 16.39], Cohen’s d = 2.03, p < .001). In contrast, SF-12 Physical Component Scores remained unchanged (week 1: 28.21 ± 1.66; week 4: 28.11 ± 1.30, p = .571).Conclusions: Higher BMI was consistently associated with poorer postoperative physical HRQoL following lower extremity surgery, while physical HRQoL remained unchanged despite improvements in self-efficacy. Perioperative nurses should emphasize routine BMI assessment, targeted weight-management education, and support for patients’ self-efficacy during postoperative recovery. 

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