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Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal)
Published by Sekolah Tinggi Ilmu Keperawatan PPNI Jawa Barat
ISSN : 23548428     EISSN : 25988727     DOI : 10.33755
Core Subject : Health, Science,
Health Professions Medicine & Pharmacology Nursing Physics Public Health
Jurnal Keperawatan Komprehensif (JKK) of STIKep PPNI Jawa Barat has mission to provide information regarding nursing science for students, teachers, and for public community who have concern in nursing. Jurnal Keperawatan Komprehensif published twice a year on every July and Januari.
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Articles 699 Documents
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The Relationship between Self-efficacy, Resilience and Social Support with Relapse Tendency in Substance Use Disorder in Indonesia Yanuarti, Tuty; Daud, Mohd Nazri Bin Mohd; Mohamed, Noor Hassline Binti; Atil, Azman Bin; Triaswati, Rusmai
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 11 No. 2 (2025): JURNAL KEPERAWATAN KOMPREHENSIF (COMPREHENSIVE NURSING JOURNAL)
Publisher : STIKep PPNI Jawa Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33755/jkk.v11i2.851

Abstract

Background: Substance use disorder (SUD) remains a major public health concern, with high relapse rates following detoxification treatment. Psychosocial factors such as self-efficacy, resilience, and social support may influence relapse outcomes, yet their roles remain underexplored in Indonesia. Objective: This study aimed to examine the relationship between self-efficacy, resilience, social support, and relapse tendency among Indonesians with SUD. Methods: A cross-sectional study was conducted at a rehabilitation center in Jakarta, Indonesia. Participants (n = 200; mean age = 37.56 ± 5.89 years) were adults (≥18 years) diagnosed with SUD by a psychiatrist. Standardized questionnaires assessed social support, self-efficacy, resilience, and relapse tendency. Correlation and mediation analyses were performed using bootstrapping with 5,000 samples (95% CI). Results: Social support was negatively correlated with relapse tendency (r = –0.42, p < 0.01), while self-efficacy and resilience were significant mediators in this relationship. The direct effect of social support accounted for 58% of the total effect, and the indirect effect through self-efficacy and resilience accounted for 37.34%. Conclusions: Higher social support reduces relapse risk, partly by enhancing self-efficacy and resilience. Strengthening these factors could be a key strategy in relapse prevention programs for Indonesians with SUD.
Parental Knowledge and the Incidence of Acute Respiratory Infections in Toddlers: A Cross-Sectional Study at Cilandak Health Center, Afidatul Muayani, Novia; Putri, Rima Berlian
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 11 No. 3 (2025): JURNAL KEPERAWATAN KOMPREHENSIF (COMPREHENSIVE NURSING JOURNAL)
Publisher : STIKep PPNI Jawa Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33755/jkk.v11i3.814

Abstract

Background: Acute Respiratory Infection (ARI) is a leading cause of morbidity and mortality in children under five years, particularly in low- and middle-income countries. In Indonesia, ARI continues to contribute significantly to the disease burden in toddlers. One critical factor influencing ARI incidence is the level of parental knowledge regarding prevention and early detection of symptoms. Objective: This study aimed to determine the relationship between parental knowledge and the incidence of ARI in toddlers in the working area of Cilandak Health Center, South Jakarta. Methods: This study applied a correlational analytic design with a cross-sectional approach. A total of 77 respondents were selected using accidental sampling, consisting of parents with toddlers. Data were collected using structured questionnaires to assess the level of parental knowledge and the incidence of ARI in their children. Statistical analysis used Pearson correlation to test the relationship between variables. Results: The study found that 70.1% of parents had low knowledge about ARI, and 71.4% of toddlers had experienced ARI. The correlation test showed a very strong and significant negative relationship between parental knowledge and ARI incidence (p = 0.001; r = -0.906), indicating that higher knowledge levels are associated with lower ARI incidence in toddlers. Conclusion: There is a significant inverse relationship between parental knowledge and the incidence of ARI in toddlers. Enhancing parental knowledge through health education may help reduce the burden of ARI among young children.
Effectiveness of Thermotherapy in Reducing Pain in Patients with Acute Coronary Syndrome: A Quasi-Experimental Study Gusmarta, Gusmarta; Nurhusna, Nurhusna; Oktarina, Yosi
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 11 No. 3 (2025): JURNAL KEPERAWATAN KOMPREHENSIF (COMPREHENSIVE NURSING JOURNAL)
Publisher : STIKep PPNI Jawa Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33755/jkk.v11i3.826

Abstract

Background: Chest pain is the most common and distressing symptom experienced by patients with Acute Coronary Syndrome (ACS), often requiring rapid and effective management. While pharmacological therapies are standard, integrating non-pharmacological interventions such as thermotherapy may enhance pain control and patient comfort. Objective: This study aimed to evaluate the effectiveness of thermotherapy in reducing pain levels among patients with ACS. Methods: A quasi-experimental design was employed, involving 36 patients diagnosed with ACS at a hospital in Indonesia. Participants were divided equally into an intervention group (n = 18), who received thermotherapy in addition to standard care, and a control group (n = 18), who received standard care alone. Pain intensity was measured using the Numerical Rating Scale (NRS) before and after the intervention. Data were analysed using paired t-tests to compare pre- and post-intervention pain levels within each group, and independent t-tests to assess differences between groups. Results: The intervention group showed a statistically significant reduction in pain levels after receiving thermotherapy (p < 0.001). In contrast, the control group showed no significant change in pain levels (p = 0.088). Between-group analysis using an independent t-test revealed a significant difference in post-intervention pain scores (p < 0.001), indicating the effectiveness of thermotherapy. Conclusion: Thermotherapy is effective in reducing chest pain in patients with ACS and can be considered a complementary nursing intervention alongside standard care.
The Effect of Contrast Therapy on Phlebitis Severity in Toddlers and Preschoolers: A Clinical Study at Cibabat Hospital, Cimahi Apriany, Dyna; Delima, Elga; Setiawan, Asep; Ardiansyah, Diki
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 11 No. 3 (2025): JURNAL KEPERAWATAN KOMPREHENSIF (COMPREHENSIVE NURSING JOURNAL)
Publisher : STIKep PPNI Jawa Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33755/jkk.v11i3.883

Abstract

Background: Phlebitis remains a prevalent complication associated with intravenous therapy in pediatric populations, particularly among toddlers and preschool-aged children. Managing phlebitis effectively is essential to minimize discomfort and prevent further complications. Non-pharmacological interventions, such as contrast therapy which involves alternating applications of warm and cold compresses have shown potential in reducing local inflammation and improving patient outcomes. Objective: This study aimed to assess the effectiveness of contrast therapy in reducing phlebitis severity among young children receiving intravenous treatment at a public hospital in Indonesia. Methods: A quasi-experimental study was conducted using a non-equivalent control group design with pretest and posttest assessments. A total of 30 pediatric patients diagnosed with phlebitis were recruited and allocated to either the intervention group (contrast therapy) or the control group (cold compress only). Phlebitis severity was evaluated using the Visual Infusion Phlebitis (VIP) Scale. Statistical analyses included the Wilcoxon signed-rank test and Mann–Whitney U test for bivariate comparisons, and logistic regression for multivariate analysis. Results: The application of contrast therapy significantly reduced the phlebitis grading scale within the intervention group. However, when comparing the intervention and control groups, the difference in mean phlebitis score reduction was not statistically significant. Conclusion: Contrast therapy serves as an effective non-pharmacological approach to managing phlebitis in pediatric patients. Nonetheless, its clinical effectiveness in comparison to cold compress therapy alone appears comparable. Further research with larger sample sizes and randomized designs is recommended to validate these findings and optimize clinical practice.
The Relationship Between Postoperative Pain and Sleep Quality in Cesarean Section Patients at Koja Hospital Tridiyawati, Feva
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 11 No. 3 (2025): JURNAL KEPERAWATAN KOMPREHENSIF (COMPREHENSIVE NURSING JOURNAL)
Publisher : STIKep PPNI Jawa Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33755/jkk.v11i3.884

Abstract

Background: Maternal mortality continues to be a pressing global health issue, particularly in low- and middle-income countries. Postpartum complications, including poor sleep quality, can impede maternal recovery and are often exacerbated by unmanaged postoperative pain following cesarean section. Understanding the link between pain and sleep disturbance is critical to enhancing maternal care and recovery outcomes. Objective: This study aimed to examine the correlation between postoperative wound pain and sleep quality among women undergoing cesarean section at Koja District Hospital in 2020. Methods: A cross-sectional study was conducted involving 40 postpartum women who met the inclusion criteria. Participants were selected through total sampling. Pain intensity was measured using a standardized numerical pain rating scale, while sleep quality was assessed using a validated sleep quality questionnaire. Data were analyzed using the Pearson chi-square test to evaluate the relationship between pain severity and sleep quality. Results: The analysis revealed a statistically significant correlation between the intensity of cesarean wound pain and sleep quality (p = 0.001). Women reporting higher levels of postoperative pain were more likely to experience disturbed or poor-quality sleep. Conclusion: A significant relationship exists between postoperative pain and sleep quality in post-cesarean patients. These findings underscore the importance of effective pain management as part of comprehensive postpartum care to improve sleep quality and facilitate optimal recovery. Future studies are recommended to explore longitudinal effects and potential interventions targeting both pain and sleep in the postpartum period.
Determinants of Patient Safety Competence Among Diploma-Level Nursing Students in Jakarta Linda, Silvana Evi; Lindayani, Linlin
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 11 No. 3 (2025): JURNAL KEPERAWATAN KOMPREHENSIF (COMPREHENSIVE NURSING JOURNAL)
Publisher : STIKep PPNI Jawa Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33755/jkk.v11i3.885

Abstract

Background: Ensuring patient safety is a core component of healthcare quality; however, the persistence of medical errors highlights an ongoing global challenge. In Indonesia, Diploma III nursing programs are instrumental in preparing novice nurses, yet variability in curriculum design and clinical experience may affect their ability to uphold safety standards. Objective: This study aimed to identify factors associated with patient safety competence among Diploma III nursing students in Jakarta, Indonesia. Methods: A cross-sectional design was applied, involving 200 students from accredited Diploma III nursing institutions in Jakarta. Participants were recruited through multistage cluster sampling. Data collection utilized a structured survey comprising the Health Professional Education in Patient Safety Survey (H-PEPSS), the Quality of Clinical Learning Environment (QCLE) Scale, and the General Self-Efficacy Scale (GSES). Multiple linear regression analysis identified key predictors of safety competence. Results: Patient safety competence demonstrated significant positive associations with self-efficacy (r = 0.52, p < 0.001), quality of training (r = 0.41, p < 0.001), and institutional culture (r = 0.34, p < 0.001). Regression results revealed that self-efficacy (β = 0.42, p < 0.001) and training quality (β = 0.26, p = 0.002) significantly predicted competence, jointly explaining 37.2% of the variance. Institutional culture, however, was not a significant predictor (β = 0.09, p = 0.118). Conclusion: Self-efficacy and clinical training quality are key contributors to patient safety competence in Jakarta’s Diploma III nursing students. Educational strategies targeting these domains may enhance safety outcomes. Future research should explore the long-term influence of institutional culture.
Disaster Preparedness Among Hospital Nurses in a High-Risk Region: A Cross-Sectional Study from Pekalongan, Indonesia Fauzan, Ahmad; Mustikawati, Neti; Susri Utami
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 11 No. 3 (2025): JURNAL KEPERAWATAN KOMPREHENSIF (COMPREHENSIVE NURSING JOURNAL)
Publisher : STIKep PPNI Jawa Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33755/jkk.v11i3.886

Abstract

Background: Disaster preparedness is an essential component of healthcare systems, particularly in high-risk regions where healthcare providers, especially nurses, are expected to respond effectively during emergencies. Their readiness depends on sufficient training, knowledge, and confidence to act under pressure. Objective : This study aimed to assess the level of disaster preparedness among nurses working at RSI PKU Muhammadiyah Pekajangan, a hospital located in a disaster-prone area of Pekalongan, Indonesia. Methods: A descriptive cross-sectional study design was applied, involving 142 nurses selected through total population sampling. Data were gathered using the Disaster Preparedness Evaluation Tool (DPET), which consists of 28 items covering four core domains. Descriptive statistics were used to analyze demographic information and preparedness levels. Results: Among the respondents, 69.7% were women, and 60.6% held a Diploma III in Nursing. The majority (62.0%) were assigned to inpatient care units. Participants had an average of 10.09 years of professional experience, ranging from 1 to 34 years. Preparedness levels were classified as moderate in 64.1% of nurses and good in 35.9%; no respondents fell into the low-preparedness category. Conclusion: Most nurses demonstrated a moderate level of disaster preparedness, regardless of their educational background or years of experience. To enhance hospital readiness, it is recommended that continuous training, simulation exercises, and regular evaluations be integrated into institutional disaster management strategies.
Strengthening Palliative Care Systems in Indonesia: A Strategic Policy Brief to Address Health System Gaps Agustina, Rismia; Romadhon, Pradana Zaky; Lin, Mei- Feng
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 11 No. 3 (2025): JURNAL KEPERAWATAN KOMPREHENSIF (COMPREHENSIVE NURSING JOURNAL)
Publisher : STIKep PPNI Jawa Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33755/jkk.v11i3.888

Abstract

Background: Cancer is one of the most burdensome diseases in Indonesia, ranking as the second-highest cost contributor in the National Health Insurance (Jaminan Kesehatan Nasional) scheme, with expenditures reaching 3.2 trillion rupiahs (approximately 221 million USD). Palliative care is an essential component of cancer management, aimed at alleviating physical, emotional, and psychosocial suffering. However, access to palliative care in Indonesia is extremely limited, with services available in only seven hospitals across three major islands, leaving most regions underserved. Objective: This policy brief aimed to analyze existing challenges and propose strategic policy recommendations for strengthening palliative care services to address healthcare system pressures in Indonesia, particularly related to cancer. Methods: A narrative policy analysis was conducted using secondary data from national healthcare reports, cost analyses, and peer-reviewed literature on palliative care effectiveness. The review assessed service coverage, accessibility, financial burden, and policy frameworks to identify key gaps and opportunities. Results: The analysis highlighted critical disparities in access to palliative care across Indonesia’s geographically dispersed regions. Despite evidence supporting the cost-saving and quality-of-life benefits of palliative services, implementation remains centralized and fragmented. Lack of national integration, workforce capacity, and public awareness were identified as major barriers. Conclusion: Developing an integrated, nationwide palliative care strategy is urgently needed to mitigate healthcare costs and improve quality of life for patients with cancer and other life-limiting illnesses. Policy efforts should focus on decentralizing services, expanding training for health professionals, and incorporating palliative care into primary healthcare systems.
Outpatient Nursing Care (IONC) Model Effect on Self Care Patients with Pain in Outpatient Hospital Inayah, Iin
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 11 No. 3 (2025): JURNAL KEPERAWATAN KOMPREHENSIF (COMPREHENSIVE NURSING JOURNAL)
Publisher : STIKep PPNI Jawa Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33755/jkk.v11i3.889

Abstract

Background: Supporting self-care and managing pain effectively are critical elements of nursing practice in outpatient settings. Despite their importance, structured care models aimed at enhancing self-care behaviors among patients with pain are still underutilized in many outpatient environments. Objective: This study aimed to assess the effectiveness of the Inayah Outpatient Nursing Care (IONC) Model in improving self-care abilities among patients experiencing pain in a hospital outpatient setting. Methods: A quasi-experimental approach with a non-equivalent control group design was employed. The study was conducted at a public outpatient hospital in Bogor, West Java, Indonesia. A total of 200 patients were selected through purposive sampling, with 100 participants each in the intervention and control groups. Those in the intervention group received nursing care guided by the IONC Model, while the control group received standard outpatient nursing care. The impact on self-care was evaluated using a paired t-test to compare pre- and post-intervention scores. Results: Participants who received care based on the IONC Model showed a statistically significant improvement in self-care abilities for pain management (p = 0.0001). The control group did not exhibit a comparable change (p = 0.172). A significant difference was also observed between the post-test scores of the two groups (p = 0.0001), indicating the model’s effectiveness. Conclusion: The IONC Model demonstrates strong potential for enhancing self-care among outpatients dealing with pain. Incorporating this model into routine nursing practices could lead to improved health outcomes in outpatient care settings.
Assessing the Impact of Income and Expenditure on the Prosperity of Nurses in Private Hospitals in North Jakarta Suara, Mahyar; Maryanto, Maryanto
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 11 No. 3 (2025): JURNAL KEPERAWATAN KOMPREHENSIF (COMPREHENSIVE NURSING JOURNAL)
Publisher : STIKep PPNI Jawa Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33755/jkk.v11i3.890

Abstract

Background: Nurses are central to effective healthcare delivery, yet their economic welfare is often undervalued, especially in private healthcare institutions. Disparities in income and expenditure can significantly influence nurses’ overall well-being, impacting their physical, psychological, social, spiritual, and financial conditions. Objective: This study aimed to analyze how income and expenditure influence the prosperity of nurses employed in private hospitals in North Jakarta. Methods: A quantitative cross-sectional study was conducted with 348 nurses selected through proportional random sampling. Data were gathered using structured questionnaires, complemented by direct observations and literature review. Prosperity was evaluated across five dimensions: physical, psychological, social, spiritual, and economic. Univariate analyses described frequency distributions, while Chi-square tests with continuity corrections were used to explore associations between financial variables and prosperity outcomes. Results: Most respondents reported positive levels of physical (78.45%), psychological (78.16%), spiritual (83.3%), and economic (70.97%) well-being. However, social prosperity was less prevalent (49.4%). Bivariate analysis showed a statistically significant relationship between income and overall prosperity (p = 0.004), as well as between expenditure levels and prosperity (p = 0.044), indicating that both earnings and spending patterns are influential factors. Conclusion: Nurse prosperity in North Jakarta’s private hospitals remains an under-addressed issue, particularly regarding fair wages and financial protections. Inconsistencies with regional wage regulations persist in some institutions. Policymakers and healthcare administrators should reinforce fair compensation and promote financial planning initiatives to support nurses' holistic well-being and improve workforce retention.

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