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Contact Name
Nurse Media
Contact Email
media_ners@live.undip.ac.id
Phone
+6224-76480919
Journal Mail Official
media_ners@live.undip.ac.id
Editorial Address
Department of Nursing, Faculty of Medicine, Diponegoro University Jl. Prof. Soedarto, Tembalang, Semarang, Central Java, Indonesia 50275
Location
Kota semarang,
Jawa tengah
INDONESIA
Nurse Media Journal of Nursing
Published by Universitas Diponegoro
ISSN : 24068799     EISSN : 20877811     DOI : https://doi.org/10.14710/nmjn
Core Subject : Health,
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
Directional Model of Health-Related Quality of Life After Percutaneous Coronary Intervention: A Structural Equation Model Analysis Emil Huriani; Fitri Mailani
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’s model in patients with ACS following PCI.Methods: This cross-sectional study involved 240 patients recruited through consecutive sampling. 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 with SmartPLS version 3.2.7.Results: Self-efficacy, fatigue, anxiety, and social functioning had significant direct effects on HRQoL (β = 0.276, β = -0.151, β = -0.152, and β = 0.307, respectively; p < 0.05). Social functioning had the greatest direct effect (β = 0.307, f2= 0.219), whereas self-efficacy had the greatest total effect on HRQoL (β = 0.789, f2= 0.166).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 Modeling of Impaired Well-being in Advanced Cancer Patients 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 impact 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 factor structure of the whole spectrum of impaired well-being or assessed the causal effects of those factors on 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 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 the severity of cancer-related symptoms, including pain, anxiety, nausea, shortness of breath, drowsiness, tiredness, depression, and loss of appetite. 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 on impaired well-being. 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 highlight the importance of comprehensive symptom assessment and management and may help nurses design interventions that address both direct and indirect symptom pathways.
Experiences of Mental Health Challenges among Vulnerable Groups in Indonesia Sri Warsini; Martina 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 the 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) 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 involving five mental health care 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 the 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. 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 OHCA victims in South Sumatra, Indonesia.Methods: A 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 (aOR = 2.89, 95% CI = 1.32−6.30, p = 0.008), positive attitudes (aOR = 3.37, 95% CI = 1.81−6.28, p = 0.001), high subjective norms (aOR = 2.09, 95% CI = 1.07−4.06, p = 0.030), willingness to attend CPR training (aOR = 3.62, 95% CI = 2.11−6.20, p = 0.001), and high perceived behavioral control (aOR = 3.94, 95% CI = 2.32−6.71, p = 0.001) were significantly associated with greater intention to assist OHCA victims.Conclusion: High perceived behavioral control was the strongest predictive 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 face considerable psychosocial demands that may contribute to anxiety symptoms. Workplace settings and work schedules, particularly shift work, may contribute to these symptoms. 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 (PHCs) 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 PHCs and hospitals in East Java, Indonesia. Anxiety symptoms were assessed using the Generalized Anxiety Disorder-7 (GAD-7). Descriptive statistics summarized participant characteristics and the prevalence of anxiety symptoms. The Mann–Whitney U test, chi-square test, and Fisher’s exact test were used to assess differences in demographic and occupational characteristics and to examine associations with anxiety symptoms.Results: Of the 315 nurses, 72.1% worked shifts. Participant characteristics differed significantly across workplace settings by age (p = 0.002), years of experience (p = 0.001), city (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), work experience (p = 0.008), marital status (p = 0.001), and work schedule (p = 0.006). Hospital nurses had higher odds of anxiety symptoms than PHC nurses (OR = 4.842; p = 0.010). Shift work was also associated with higher odds of anxiety symptoms than non-shift work (OR = 6.801).Conclusion: Hospital employment and shift work were associated with anxiety symptoms among nurses, along with demographic factors such as younger age, shorter work experience, and unmarried status. These findings highlight the importance of targeted anxiety screening and suggest potential benefits of 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 recovery from lower-extremity surgery can increase healthcare costs and reduce patients’ overall well-being. However, evidence regarding factors influencing HRQoL trajectories remains limited.Purpose: This study examined predictors of HRQoL and self-efficacy at weeks 1 and 4 after hospital discharge in patients undergoing lower-extremity orthopedic surgery.Methods: This prospective cohort study used consecutive sampling to recruit 90 patients undergoing lower-extremity orthopedic surgery (hip, femur, knee, tibia) at a tertiary hospital in Thailand. Collected data included demographic characteristics, clinical factors, anthropometric measurements (body mass index [BMI] and waist circumference), and surgical variables. Outcomes were assessed at weeks 1 and 4 after 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, while paired-samples t-tests were used to examine changes in HRQoL and self-efficacy between weeks 1 and 4.Results: This study found that BMI independently predicted poorer physical-domain HRQoL at week 1 (β = -0.54, p = 0.023) and week 4 (β = -0.62, p = 0.008). Waist circumference emerged as an additional predictor of the physical domain of HRQoL at week 4 (β = -0.58, p = 0.002). The regression models explained 22.8% of the variance at week 1 (R² = 0.228, p < 0.001) and 21.8% at week 4 (R² = 0.218, p < 0.001). Self-efficacy improved substantially from week 1 to week 4 (MD = 14.33, SDD = 9.86, Cohen’s d = 2.03, p < 0.001). In contrast, the SF-12 physical component summary (PCS) scores remained unchanged (week 1: M = 28.21, SD = 1.66; week 4: M = 28.11, SD = 1.30; MD = -0.10, SDD = 1.35, Cohen’s d = 0.07, p = 0.571), revealing a marked dissociation between improved psychological confidence and stable outcomes in the physical domain of HRQoL.Conclusion: Elevated BMI consistently predicts poorer postoperative HRQoL following lower extremity surgery, with improvements in the physical domain of HRQoL often lagging behind improvements in patients’ self-efficacy. Perioperative nurses should emphasize routine BMI assessment and targeted weight-management education to bridge the gap between perceived self-efficacy and physical HRQoL outcomes in perioperative care protocols.