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Nurse and Health: Jurnal Keperawatan
Published by Politeknik Kesehatan Kerta Cendekia
ISSN : 20889909     EISSN : 26232448     DOI : -
Core Subject : Health,
Nursing
Nurse and Health: Jurnal Keperawatan (NHJK) is a Scientific Journal managed by Community Service and Research Division of Kerta Cendekia Nursing Academy. The scope of this journal is articles in the fields of health, public health, and nursing (basic nursing, medical surgical nursing, pediatric nursing, maternity nursing, community health nursing, family nursing, emergency nursing, psychiatric and mental health nursing, gerontological nursing, and also nursing management). This journal is published in print and online every 6 months, namely June and December.
Arjuna Subject : Profesi Kesehatan - Profesi Kesehatan (Lain-Lain)
Articles 284 Documents
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THE EFFECTIVENESS OF HEALTH EDUCATION THROUGH E-FILES MULTIMEDIA AND FACE-TO-FACE CLASSROOM LEARNING ON ADOLESCENTS’ REPRODUCTIVE HEALTH KNOWLEDGE AMONG SEVENTH-GRADE STUDENTS AT SMPN 1 KRAMATWATU, SERANG, BANTEN Ika Apriyanti; Nuria Fitri Adista
Nurse and Health: Jurnal Keperawatan Vol. 15 No. 1 (2026): Nurse and Health: Jurnal Keperawatan
Publisher : Institute for Research and Community Service of Health Polytechnic of Kerta Cendekia, Sidoarjo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36720/nhjk.v15i1.881

Abstract

Background : Adolescence is a transitional period between childhood and adulthood. During this time, many changes occur in adolescents, including physical changes, puberty, and behavior. Globally, health issues among adolescents are primarily driven by risky behaviors such as unhealthy dating, smoking, alcohol consumption, and drug use, which have become major concerns worldwide. This research aims to prove the influence of Health Education through Multimedia E-Files and Face-to-Face Learning in the Classroom on Adolescent Reproductive Health Knowledge. Methods:  The research design is a Quasi-Experimental Design with a pretest-posttest control group design. The sample consists of seventh-grade students from SMP Negeri 1 Kramatwatu, with 45 respondents in the control group and 45 respondents in the experimental group, using probability sampling with proportional random sampling method. Data analysis was conducted using Wilcoxon and Mann-Whitney tests. Results:  Indicate an effect of reproductive health education through E-File Multimedia media on adolescents' reproductive health knowledge. The average N-Gain Score in the control group was 31.33, while in the experimental group, it was 59.34. Conclusion : Future research is expected to implement different interventions regarding the TRIAD KRR in adolescents and enhance the effectiveness of other media or expand this research with different variables to provide the latest innovations in health education.    
DETERMINANTS OF SECOND-DOSE MEASLES IMMUNIZATION ACCEPTANCE AMONG TODDLERS: A SYSTEMATIC LITERATURE REVIEW Anita Dewi Anggraini; Diyas Windarena Anggraini; Dwi Ardani Rochmaniah Anggraini; Ika Ayu Purnamasari Anggraini
Nurse and Health: Jurnal Keperawatan Vol. 15 No. 1 (2026): Nurse and Health: Jurnal Keperawatan
Publisher : Institute for Research and Community Service of Health Polytechnic of Kerta Cendekia, Sidoarjo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36720/nhjk.v15i1.883

Abstract

Background: Measles is a contagious disease with high morbidity and mortality rates. Globally, measles immunization coverage has reached 81% for the first dose and 71% for the second dose. In Southeast Asia, the coverage is 91% for the first dose and 85% for the second dose; however, these figures remain below the measles elimination target. Purpose: identify the factors influencing second-dose measles immunization coverage. Methods: The method used is a Systematic Literature Review with keywords formulated based on the PICO framework: Population: “children,” Exposure: “second-dose measles vaccine,” and Outcome: “associated factors,” “predictors,” or “determinants.” From a total of 1,159 articles identified, ten studies met the inclusion criteria and were analyzed further. Results: The results show that second-dose measles immunization coverage is influenced by several factors, including maternal age, education level, knowledge, utilization of maternal health services, and accessibility to healthcare facilities. Maternal health service utilization, such as antenatal care visits, delivery at health facilities, and postnatal checkups, significantly increases the likelihood of children receiving the second dose. Conversely, barriers such as long distances, limited transportation, and long waiting times remain major challenges. Conclusion: Therefore, strengthening education, integrating maternal health services with immunization programs, and expanding access in remote areas are essential to improving measles immunization coverage. These efforts provide an important foundation for formulating more effective policies to support both global and national measles elimination strategies.
DEVELOPMENT OF STANDARD OPERATING PROCEDURES FOR SPANNING PATIENTS WITH FRACTURES IN THE EMERGENCY ED OF BALIMED HOSPITAL, DENPASAR Made Oktaviani Bulan Trisna; Ni Made Dewi Wahyunadi Buntari Agustini; Ni Luh Putu Inca Buntari Agustini; Ni Putu Yustina; I Wayan Edi Sanjana; I Gede Rendy Arizona Vallentino; Pige Rade Sairo
Nurse and Health: Jurnal Keperawatan Vol. 15 No. 1 (2026): Nurse and Health: Jurnal Keperawatan
Publisher : Institute for Research and Community Service of Health Polytechnic of Kerta Cendekia, Sidoarjo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36720/nhjk.v15i1.891

Abstract

Background: Emergency services provided to fracture patients include splinting, which is a nursing action to relax or rest (immobilize) the injured body part using a splint with the aim of reducing pain and preventing excessive bone displacement. Splinting is a technique used to immobilize or stabilize a broken limb. Immobilization can reduce pain, swelling, muscle spasms , epistaxis, and the risk of fat embolism Purpose: The aim of this study is to analyze the development of standard operating procedures for splinting in patients with fractures in the emergency room of Balimed Hospital, Denpasar. Methods: The method used was a case report with the ADDIE approach, which is an abbreviation of the stages, namely Analysis, Design, Development, Implementation, and Evaluation. Its use is for various forms of product development such as models, strategies, methods, or media. Results: The same thing as HIPPII, (2019) which informs that the steps and principles of writing an SOP are by implementing a policy review that underlies a procedure or work process, considering the procedure, when the SOP was created, searching for literature and other related information that supports the procedure, seeking input from staff and officers, writing down the equipment or facilities needed, determining who is authorized to carry out the procedure, writing down indications or contraindications and underlining risks, warnings, and other things that are needed. Conclusion: The effectiveness of the SOP that has been developed on patients and evaluating patient comfort and controlling pain due to fractures experienced.
Efektivitas Intervensi Edukasi Audiovisual Berpusat pada Keluarga terhadap Pengetahuan dan Pencegahan Delirium di Unit Perawatan Intensif: Studi Kuasi-Eksperimental: FAMILY-CENTERED AUDIOVISUAL EDUCATION FOR DELIRIUM PREVENTION IN ICU Wenny Trisnaningtyas; Muhammad Triyandinata
Nurse and Health: Jurnal Keperawatan Vol. 15 No. 1 (2026): Nurse and Health: Jurnal Keperawatan
Publisher : Institute for Research and Community Service of Health Polytechnic of Kerta Cendekia, Sidoarjo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36720/nhjk.v15i1.901

Abstract

Background: Family involvement is essential in the care of critically ill patients, particularly in preventing and managing conditions such as delirium. However, limited knowledge among family caregivers often hinders effective participation. Audiovisual-based health education has emerged as a promising strategy to enhance understanding through engaging and accessible learning modalities. Objective: This study aimed to examine the effectiveness of audiovisual-based health education in improving knowledge among family caregivers of intensive care unit (ICU) patients. Methods: A quasi-experimental study with a pre-test–post-test control group design was conducted involving 72 participants. Respondents were assigned to either an intervention group receiving audiovisual-based education or a control group receiving standard care. Knowledge levels were measured using a structured questionnaire before and after the intervention. Data were analyzed using the Wilcoxon signed-rank test for within-group comparisons and the Mann–Whitney U test for between-group differences. Results: The intervention group demonstrated a significant increase in knowledge scores from 7.86 ± 2.55 to 16.19 ± 3.46 (Z = 4.949, p < 0.001), indicating a large effect size (r = 0.70). In contrast, the control group showed a non-significant improvement from 4.56 ± 1.78 to 6.28 ± 2.19 (Z = 1.732, p > 0.05). Between-group analysis revealed a significantly greater improvement in the intervention group (Δ = 8.33) compared to the control group (Δ = 1.72) (Z = 7.062, p < 0.001; r = 0.99). Conclusion: Audiovisual-based health education is highly effective in improving caregiver knowledge and represents a practical, scalable strategy for enhancing family engagement in ICU care. Keywords: audiovisual education; knowledge; family caregivers; ICU; delirium
KNOWLEDGE OF WARNING SIGNS OF HYPERTENSION CRISIS AND EMERGENCY HELP SEEKING BEHAVIOR AMONG PRODUCTIVE AGE ADULTS Nurul Imam; Budi Artini; Khalifatus Zuhriyah Alfianti; Martha Lowrani Siagian
Nurse and Health: Jurnal Keperawatan Vol. 15 No. 1 (2026): Nurse and Health: Jurnal Keperawatan
Publisher : Institute for Research and Community Service of Health Polytechnic of Kerta Cendekia, Sidoarjo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36720/nhjk.v15i1.903

Abstract

Background: Hypertensive crisis is an emergency condition that has the potential to cause damage to target organs and death if not treated quickly and appropriately. The low level of knowledge of the productive age community about the danger signs of a hypertension crisis can contribute to delays in seeking emergency medical attention. Purpose of this study is to determine the level of knowledge of productive age regarding the danger signs of a hypertensive crisis and emergency medical assistance seeking behavior. Methods: This study used a quantitative design with a cross-sectional approach conducted in Kelurahan Pakis, Sawahan, Surabaya, with a sample of 196 respondents selected using a simple random sampling technique. Data was collected using a structured questionnaire that has been tested for validity and reliability. Data analysis was carried out univariate and bivariate using the Chi-square test with a significance level of p < 0.05. Results: The results showed that most of the respondents had a good level of knowledge (36.7%), followed by the categories of sufficient (34.7%) and insufficient (28.6%). Emergency medical assistance seeking behavior was classified as good in 53.1% of respondents, but there were still 46.9% with inappropriate behavior. The results of the bivariate analysis showed a significant relationship between knowledge level and emergency medical assistance seeking behavior (p = 0.001). These findings show that knowledge level has an important role in shaping medical attention seeking behavior in hypertensive emergency conditions. Conclusion: Comprehensive interventions are expected to lower the risk of treatment delays and more severe complications.
BARRIERS AND ENABLERS OF A REPORTING CULTURE: A SYSTEMATIC REVIEW OF PATIENT SAFETY INCIDENT REPORTING BY HOSPITAL HEALTHCARE WORKERS Cyrilla Ayu Pamela; Trihaningsih Puji Astuti; Vira Amelia
Nurse and Health: Jurnal Keperawatan Vol. 15 No. 1 (2026): Nurse and Health: Jurnal Keperawatan
Publisher : Institute for Research and Community Service of Health Polytechnic of Kerta Cendekia, Sidoarjo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36720/nhjk.v15i1.904

Abstract

Background: Patient safety incidents remain common in hospitals and directly affect the quality of healthcare services. Incident reporting is a key strategy for improving service quality and promoting a safety culture. An effective reporting culture requires the reduction of barriers and the strengthening of enabling factors so that healthcare workers feel safe to report incidents. Purpose: This systematic review aimed to identify barriers and supportive factors affecting the establishment of a patient safety incident reporting culture among healthcare personnel within hospital environments. Methods: A systematic review was undertaken through a comprehensive search of four databases, including ScienceDirect, ProQuest, PubMed, and. Google Scholar. The search terms were: ("patient safety" OR "adverse event") AND ("incident reporting" OR "error reporting") AND ("barriers" OR "enablers") AND ("healthcare workers") AND ("hospital" OR "healthcare"). Inclusion criteria were articles published from 2021 to 2026 and written in English, available as free full text and were selected tobe analyzed and assessed using JBI. A total of 619 records were initially identified. Following the removal of duplicates, screening of titles and abstracts, and full-text assessment according to the eligibility criteria, 15 studies were ultimately included in the review. The selection process followed PRISMA guidelines. Results: Common barriers to concerns about blame or punitive consequences, insufficient feedback, and complex reporting mechanisms. Enabling factors included leadership support, implementation of a non-punitive (just) culture, simple and anonymous reporting systems, regular training, and transparent feedback mechanisms. Conclusion: Patient safety incident reporting culture is influenced by individual, organizational, and system-related factors. Sustainable improvement requires strong leadership, non-punitive policies, simplified reporting processes, continuous training, and structured feedback systems.
THE EFFECT OF MINDFULNESS INTERVENTION ON BURNOUT IN NURSES Luh Putu Sukmayanti; Ni Luh Cica Kusuma Dewi; Komang Laksmi Widari; I Gusti Putu Candra Adi Sastrawan
Nurse and Health: Jurnal Keperawatan Vol. 15 No. 1 (2026): Nurse and Health: Jurnal Keperawatan
Publisher : Institute for Research and Community Service of Health Polytechnic of Kerta Cendekia, Sidoarjo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36720/nhjk.v15i1.906

Abstract

Background: Burnout among nurses is a significant issue due to high work demands, emotional burdens, and limited resources in hospitals, including private hospitals like Bhakti Rahayu Tabanan. This condition is characterized by emotional exhaustion, depersonalization of patients, and a decreased sense of personal accomplishment, which impacts the quality of nursing care. Several studies over the past five years have shown that mindfulness interventions can reduce burnout and stress levels in healthcare workers, including nurses, whether through face-to-face programs, guided meditation, or mobile applications. Mindfulness helps nurses recognize and accept current experiences without judgment, enabling them to manage work stress more adaptively. Purpose: This study aims to analyze the effect of mindfulness interventions on nurse burnout levels at Bhakti Rahayu Tabanan Hospital. Methods: The planned design is a quasi ‑-experimental study with an intervention and control group. Burnout will be measured using standardized questionnaires (e.g., the Maslach Burnout Inventory) before and after the intervention. The mindfulness intervention will be implemented in several structured sessions over four weeks, consisting of mindfulness exercises focused on breathing, bodily sensations, and emotional acceptance, along with independent home practice. Results: From the results of the Mann-Whitney test conducted on the results of the post-test test of emotional exhaustion between the control and intervention groups, a significance value of 0.011 <0.05 was obtained, depersonalization between the control and intervention groups obtained a significance value of 0.005 <0.05, and the Decrease in Achievement between the control and intervention groups obtained a significance value of 0.018 <0.05 can be interpreted that there is a difference in intent between the intervention group and the control group. The results of the Wilcoxon test conducted on the comparison of the results of the Pre vs Post test of the emotional exhaustion sample obtained a significance value of 0.000 <0.05, depersonalization obtained a significance value of 0.044 <0.05 and Self-Achievement obtained a significance value of 0.005 <0.05 can be interpreted that there is a change in purpose between the intervention group and the control group, it can be interpreted that the mindfulness intervention in nurses has an impact on the emotional exhaustion of nurses. Conclusion: Based on research results, mindfulness interventions have been shown to significantly reduce burnout levels in nurses. The application of mindfulness helps nurses increase self-awareness, manage work stress, and improve emotional regulation, thereby reducing emotional exhaustion, depersonalization, and increasing a sense of accomplishment. Therefore, mindfulness can be used as an effective intervention strategy to maintain mental health and improve nurse performance in the workplace.
THE EFFECT OF HEALTH EDUCATION USING ANIMATED VIDEO ON KNOWLEDGE OF DIABETES MELLITUS PREVENTION IN SCHOOL-AGE CHILDREN Tia Afrilita Badaria; Nurdiana Djamaluddin; Maryadi
Nurse and Health: Jurnal Keperawatan Vol. 15 No. 1 (2026): Nurse and Health: Jurnal Keperawatan
Publisher : Institute for Research and Community Service of Health Polytechnic of Kerta Cendekia, Sidoarjo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36720/nhjk.v15i1.907

Abstract

Background: Diabetes mellitus (DM) among school-age children demonstrates a concerning upward trend in Indonesia. The limited understanding of adolescents regarding DM prevention necessitates effective educational strategies tailored to their developmental characteristics. Purpose: This study aims to evaluate the effectiveness of animated video–based education on school students’ knowledge of diabetes mellitus. Methods: A quasi-experimental design with a pretest–posttest control group approach was employed at SMPN 10, Gorontalo City. A total of 58 students were recruited through purposive sampling (intervention group n=29; control group n=29). The intervention group received health education via an animated video, while the control group received only a conventional lecture. Knowledge was assessed using a validated 10-item multiple-choice questionnaire. Data were analyzed using the paired sample t-test, the wilcoxon signed-rank test, and the independent sample t-test. Results: A statistically significant difference in knowledge gain was observed between the intervention group (33.45±9.24) and the control group (4.21±2.64) (p=0.000). Conclusion: Health education delivered via animated video was more effective than conventional lectures in improving knowledge of DM prevention among school-age adolescents.
THE ASSOCIATION BETWEEN LEVEL OF KNOWLEDGE AND CONSUMPTION OF IFA SUPPLEMENTATION IN ADOLESCENT GIRLS: A CASE STUDY IN SIDOARJO REGENCY Riesmiyatiningdyah; Farhan Ardiansyah; Tamara Nur Budiarti
Nurse and Health: Jurnal Keperawatan Vol. 15 No. 1 (2026): Nurse and Health: Jurnal Keperawatan
Publisher : Institute for Research and Community Service of Health Polytechnic of Kerta Cendekia, Sidoarjo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36720/nhjk.v15i1.909

Abstract

Background: Anemia in adolescent girls remains a significant health problem, primarily due to iron deficiency. One preventative measure is the administration of iron supplements (TTD). However, compliance with iron supplements (TTD) among adolescent girls remains suboptimal. Knowledge is suspected to be a factor influencing consumption behavior. Purpose: This study aims to determine the relationship between the level of knowledge about iron supplements and the consumption of iron supplements in adolescent girls. Methods: This research method used a quantitative design with a cross-sectional approach. The population are adolescent girls in Sidoarjo. A sample of 106 respondents was drawn using a probability sampling technique with a multistage sampling method. Data were collected using a questionnaire and analyzed using the Chi-Square test with a significance level of 0.05. Results: The results showed that most respondents had a good level of knowledge (41.5%) and were compliant in taking iron tablets (54.7%). The Chi-square test showed a p-value of 0.001 (<0.05), indicating a significant relationship between knowledge level and iron tablet consumption. Conclusion: This study concluded that there was a relationship between knowledge about iron supplements and their consumption among adolescent girls. Increasing knowledge can be an important strategy for improving adherence to iron supplements.  
ENDORPHINE MASSAGE INTERVENTION ON MOTHERS POST-SECTION CAESAREAN PAIN LEVEL CHANGES Amalia Shabrina; Joanggi Wiriatarina Harianto; Pipit Feriani; Tri Wahyuni
Nurse and Health: Jurnal Keperawatan Vol. 15 No. 1 (2026): Nurse and Health: Jurnal Keperawatan
Publisher : Institute for Research and Community Service of Health Polytechnic of Kerta Cendekia, Sidoarjo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36720/nhjk.v15i1.915

Abstract

Background: Cesarean delivery is a surgical intervention frequently associated with postoperative discomfort stemming from abdominal and uterine incisions. Inadequately managed pain following this procedure may hinder early mobilization, interfere with lactation, delay overall recovery, and elevate the probability of adverse outcomes such as thromboembolism and compromised maternal-infant attachment. Endorphin massage serves as a viable therapeutic modality, utilizing gentle, rhythmic tactile stimulation designed to prompt the secretion of endogenous analgesic peptides known as endorphins. This technique functions by fostering relaxation, decreasing muscular rigidity, enhancing hemodynamics, and mitigating pain perception via specific neurophysiological pathways. Purpose: The objective of this investigation was to evaluate the efficacy of endorphin massage in diminishing pain severity among postpartum women who have undergone a Cesarean section. Methods: This inquiry utilized a case study framework grounded in the examination of clinical nursing practice. The intervention comprised a 15-minute endorphin massage session administered once daily over a consecutive three-day period. Data acquisition involved patient history taking, direct observation, and clinical documentation, with post-surgical pain assessments conducted utilizing the Numeric Rating Scale (NRS), the Visual Analogue Scale (VAS), and the Indonesian Nursing Outcome Standards (SLKI) criteria. Results: The findings demonstrated that the application of endorphin massage effectively lowered pain intensity in patients recovering from Cesarean deliveries. Consequently, this technique represents a practical, non-pharmacological nursing strategy for managing post-cesarean pain. Conclusion: Administering a 15-minute endorphin massage daily for three days successfully alleviated pain intensity in post-Cesarean section individuals. Pain metrics, as evaluated by the NRS and VAS, dropped from a baseline score of 5 on the initial day to a score of 1 following the final session on day three. Additionally, nonverbal pain indicators, including facial grimacing and guarding of the abdomen post-coughing, were notably diminished. Thus, endorphin massage is recommended as an adjunctive, non-pharmacological therapy for alleviating postoperative discomfort in post-Cesarean mothers.

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