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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 759 Documents
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Inhaled Lavender Aromatherapy for Preoperative Anxiety: A Systematic Review of Randomized Controlled Trials Salsabilla, Gita Al-Fauzia; Maliya, Arina
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 12 No. 2 (2026): 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.v12i2.1008

Abstract

Background: Preoperative anxiety is common among patients undergoing surgery and may adversely affect perioperative outcomes, including hemodynamic instability, increased anesthetic requirements, and delayed recovery. Lavender aromatherapy has been widely used as a complementary non-pharmacological intervention; however, its effectiveness in preoperative care remains variably reported across studies. Objective: This review aimed to synthesize evidence from randomized controlled trials (RCTs) on the effectiveness of inhaled lavender aromatherapy in reducing preoperative anxiety among adult surgical patients. Methods: A structured review of RCTs was conducted using Scopus, PubMed, and ScienceDirect. Studies published within the last 10 years were searched using combinations of terms related to lavender aromatherapy, inhalation, and preoperative anxiety. Eligibility criteria were defined using the PICOS framework. After duplicate removal, title and abstract screening, and full-text assessment, 11 RCTs were included in the final qualitative synthesis. Due to heterogeneity in surgical populations, intervention protocols, comparators, and anxiety measurement tools, findings were synthesized narratively. Results: Eleven RCTs met the inclusion criteria. Most studies reported reductions in preoperative anxiety following inhaled lavender aromatherapy compared with standard care, no-aroma control, or placebo. Several trials also reported additional benefits, such as improved hemodynamic parameters, reduced cortisol levels, and lower anesthetic requirements. However, the findings were not entirely consistent, as some studies found lavender to be comparable to other non-pharmacological interventions or not significantly different from placebo. Conclusion: Inhaled lavender aromatherapy appears to be a promising complementary intervention for reducing preoperative anxiety in adult surgical patients. Nevertheless, the evidence remains heterogeneous, and effectiveness may vary according to clinical context, comparator type, and intervention protocol. Further high-quality trials using standardized administration methods and outcome measures are needed to clarify its clinical role.
Factors Associated with Disaster Response Self-Efficacy among Nursing Students in Indonesia Lainsamputty, Ferdy; Saluy, Priscillia M.
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 12 No. 2 (2026): 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.v12i2.1009

Abstract

Background: Disaster preparedness is a critical competency for nursing students, as they are expected to respond effectively in emergency and disaster situations. However, the level of disaster response self-efficacy (DRSE) and its associated factors among nursing students in Indonesia remain unclear. This study aimed to identify factors associated with DRSE among nursing students. Design: A cross-sectional design was used. Methods: This study involved 234 students from a university in North Sulawesi Province, Indonesia, selected through convenience sampling. Data were collected in May 2023 using the Disaster Response Self-Efficacy Scale (DRSES) and analyzed using descriptive statistics, independent t-test, Pearson correlation, and multiple linear regression. Results: The mean DRSES score was 3.31 (SD=0.66). Age was positively correlated with self-efficacy (r=0.188, p=0.004). Significant differences were also found for academic level (t=-4.974, p<0.001), disaster experience (t=-2.613, p=0.010), disaster organization involvement (t=-2.231, p=0.027), disaster training (t=-2.883, p=0.004), and disaster course participation (t=-3.320, p=0.001). Academic level emerged as the only significant determinant of DRSE (β=0.293, 95% CI [0.166 to 0.626], p<0.001). The overall model was statistically significant (p<0.001), explaining 15.6% of the variance. Conclusions: DRSE among nursing students was moderate, with academic level as the primary determinant. The findings underscore the need for curriculum enhancement through structured disaster education, simulation-based training, and experiential learning to better prepare nursing students for real-world disaster response
The Relationship Between Resilience and Nurses’ Mental Health: A Systematic Review Istiqomah, Amani; Ardi, Bangun Mukti
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 12 No. 2 (2026): 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.v12i2.1010

Abstract

Background: Nurses face chronic work-related stress burdens that lead to mental health problems such as depression, anxiety, stress, burnout, and sleep disorders, while suboptimal resilience levels may increase nurses’ mental health vulnerability. Objective: This systematic review aimed to synthesize recent evidence on the relationship between resilience and mental health outcomes among nurses. Methods: This systematic review followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. A structured search was conducted in Scopus, PubMed, ScienceDirect, and Web of Science to identify articles published in English between 2021 and 2025. Original quantitative studies that examined the association between resilience and mental health outcomes among nurses were included. Two reviewers independently screened the records, assessed eligibility, and resolved disagreements through discussion. Methodological quality was appraised using the Joanna Briggs Institute Critical Appraisal Checklist. Due to heterogeneity in study measures and outcomes, findings were synthesized narratively. Results: A total of 1319 records were identified, of which 10 studies met the inclusion criteria. Resilience was consistently associated with lower levels of depression, anxiety, psychological distress, burnout, and fatigue among nurses. Higher resilience was also associated with better psychological well-being, professional quality of life, occupational adaptation, and job satisfaction. Several studies suggested that resilience functioned as a mediating factor in the relationship between occupational stressors and mental health outcomes, while burnout also emerged as an important mediator. Conclusion: Resilience is consistently associated with more favorable mental health outcomes among nurses. However, the available evidence is limited to cross-sectional research, preventing causal inference. Strengthening resilience may represent a promising strategy to support nurses’ mental health, but future longitudinal and intervention studies are needed
Impact of Android-Based Reproductive Health Education on Knowledge Improvement Among Adolescent Girls in Takalar, Indonesia: A Quasi-Experimental Study in a Senior High School Sumarmi, Sumarmi; Hidayati, Wahyuni; Ernawati, Ernawati; Arafah, Salmah; Alwi, Alwi; Mulyoto, Raufina Riandhani
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 12 No. 2 (2026): 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.v12i2.1011

Abstract

Background: Adolescent girls are particularly vulnerable to reproductive health problems due to limited knowledge and inadequate access to reliable information. Innovative educational strategies are needed to improve their understanding of reproductive health. Objective: This study aimed to evaluate the effectiveness of Android-based reproductive health education in improving knowledge among adolescent girls. Methods: A quasi-experimental study with a pretest–posttest control group design was conducted among 100 female students at a senior high school in Takalar, Indonesia. Participants were divided into an intervention group (n = 50) and a control group (n = 50). The intervention group received reproductive health education through an Android-based application, while the control group continued routine school activities. Knowledge was assessed using a structured questionnaire administered before and after the intervention. Data were analyzed using descriptive statistics and the Mann–Whitney U test. Results: The intervention group showed a substantial increase in mean knowledge scores from pre-test to post-test (11.52 ± 3.04 to 17.54 ± 2.29), while the control group demonstrated only a slight change (12.86 ± 3.74 to 13.24 ± 4.22), indicating greater short-term knowledge improvement in the intervention group. Conclusion: Android-based reproductive health education effectively improves knowledge among adolescent girls and represents a promising digital approach for school-based health promotion
SMART-HTN Pocketbook Education and Improved Medication Adherence and Blood Pressure Control in Primary Care Aji, Prima Trisna; Cing, Marta Tania Gabriel Ching; Rizkasari, Elinda
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 12 No. 2 (2026): 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.v12i2.1012

Abstract

Background: Hypertension remains a major global health problem contributing significantly to cardiovascular morbidity and mortality. Poor medication adherence is a key factor leading to uncontrolled blood pressure, particularly in primary care settings. The SMART-HTN pocketbook is a structured educational tool integrating medication adherence, lifestyle modification, and self-monitoring strategies for hypertension management. Objective: This study aimed to evaluate the effectiveness of SMART-HTN pocketbook-based education on medication adherence and blood pressure control among hypertensive patients in primary care. Methods: A quasi-experimental pretest–posttest control group study was conducted involving 60 hypertensive patients (30 intervention and 30 control). The intervention group received structured education using the SMART-HTN pocketbook combined with follow-up reinforcement for eight weeks, while the control group received standard care. Medication adherence was measured using the Morisky Medication Adherence Scale (MMAS-8), and blood pressure was assessed using a calibrated digital sphygmomanometer. Data were analyzed using paired and independent t-tests. Results: Baseline characteristics were comparable between groups (p > 0.05). After eight weeks, the intervention group demonstrated a significant increase in medication adherence scores (mean difference = +2.3 points; p < 0.001) compared to the control group. In addition, systolic blood pressure decreased by 13.3 mmHg and diastolic blood pressure decreased by 8.3 mmHg in the intervention group, both significantly greater than the control group (p < 0.001). Conclusion: SMART-HTN pocketbook-based education was associated with improved medication adherence and better blood pressure control among hypertensive patients in primary care. This structured and low-cost intervention shows promise as a scalable strategy for hypertension management in resource-limited settings
Digital Technology Platforms for Community-Based Hypertension Management: A Bibliometric Analysis Sudarman, Sudarman; Dioso, Regidor III; Hassan, Hafizah Che
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 12 No. 2 (2026): 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.v12i2.1014

Abstract

Background: Hypertension remains a major global health challenge requiring effective and sustainable long-term management. The rapid advancement of digital health technologies has introduced new opportunities to enhance blood pressure control, patient adherence, and community-based care delivery. Objective: This study aimed to analyze global research trends on digital technology platforms for community-based hypertension management using a bibliometric approach, and to identify key research themes, collaboration patterns, and emerging gaps. Methods: A bibliometric analysis was conducted using data retrieved from the Dimensions.ai database for publications between 2021 and 2025. Study selection followed PRISMA guidelines with predefined inclusion and exclusion criteria. Data were analyzed using VOSviewer to visualize keyword co-occurrence, collaboration networks, and thematic evolution through network, overlay, and density mapping. Results: Of 14,455 identified records, 3,371 articles met the inclusion criteria. The analysis identified 161 key items grouped into five thematic clusters, with a total link strength of 19,847. Findings demonstrate a clear shift in research focus from conventional clinical treatment approaches toward the integration of digital health technologies, including telemonitoring, self-management systems, patient engagement tools, and artificial intelligence in community-based hypertension care. Conclusions: Digital technology platforms are increasingly central to community-based hypertension management, particularly in improving blood pressure control, medication adherence, and healthcare accessibility. However, critical gaps remain regarding long-term effectiveness, interoperability, and data privacy. Future research should prioritize sustainable implementation and integration within health systems to maximize clinical and public health impact
Digital Queueing Innovation and Outpatient Service Quality: Integrating Technology Acceptance and SERVQUAL at a Military Hospital in Indonesia Salsabila, Alfina Mentari; Suhat, Suhat; Mauliku, Novie Elvinawaty; Rahmiyati, Ayu Laili
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 12 No. 2 (2026): 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.v12i2.1015

Abstract

Background: Long waiting times in outpatient services often reduce service quality. Digital solutions such as online queue systems, including Mobile JKN, are increasingly used to improve efficiency, but their impact on overall service quality remains unclear. Objective: This study aims to examine how effective an online queue system is in improving service quality at Dustira Hospital. Methods: A quantitative approach with a cross-sectional design was applied. Participants were selected through purposive sampling, resulting in a total of 379 respondents. Data were collected using structured questionnaires with Likert-scale responses to assess both the performance of the online queue system and perceived service quality. The independent variable refers to the effectiveness of the online queue system, evaluated using the Technology Acceptance Model (TAM), which includes perceived usefulness, perceived ease of use, behavioral intention, and actual system utilization. The dependent variable is service quality, measured through SERVQUAL dimensions: tangibles, reliability, responsiveness, assurance, and empathy. Data analysis consisted of univariate statistics, Chi-square testing for bivariate analysis, and logistic regression for multivariate analysis. Results: Most respondents were adults aged 18–59 years, male, and had completed secondary education. Bivariate analysis showed a significant association between online queue system effectiveness and perceived service quality (p < 0.05). In the multivariate model, perceived ease of use emerged as the only significant predictor of service quality (p < 0.05; OR = 1.874), indicating that patients who perceived the system as easier to use were more likely to report better service quality. Conclusion: The implementation of an online queue system contributes positively to service quality at Dustira Hospital. Greater ease in system usage is associated with better perceived service quality among patients.
Passive Range of Motion Intervention to Improve Physical Mobility in a Hemorrhagic Stroke Patient After External Ventricular Drainage: A Case Study Komariah, Siti; Fuji Purwanti, Tentry; Rustandi, Budi; Octovia Manalu, Lisbet
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 12 No. 2 (2026): 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.v12i2.1005

Abstract

Background: Hemorrhagic stroke is a life-threatening neurological disorder that often leads to significant motor impairment due to intracranial bleeding, elevated intracranial pressure, and disrupted neuromuscular function. Patients in intensive care settings are highly susceptible to complications related to prolonged immobility, including joint stiffness, muscle weakness, atrophy, contractures, impaired circulation, and pressure injuries. Passive Range of Motion (ROM) exercises are commonly applied as a nursing intervention for patients who are unable to perform voluntary movement, aiming to preserve joint mobility and prevent musculoskeletal deterioration. Objective: This case study aimed to describe the implementation of nursing care in a hemorrhagic stroke patient with impaired physical mobility following External Ventricular Drainage (EVD), with a focus on the application and evaluation of passive ROM exercises in the General Intensive Care Unit (GICU). Methods: A descriptive case study design was employed involving a female patient with hemorrhagic stroke who underwent EVD placement. Data were collected through comprehensive nursing assessment, direct observation, interviews, and medical record review. Passive ROM exercises were administered twice daily for 10–15 minutes using controlled movements of the upper and lower extremities. Neurological status, hemodynamic stability, and EVD function were continuously monitored. Results: Over a five-day period, gradual improvement was observed. Muscle strength increased by one grade, joint mobility improved by approximately 10 degrees, and the Glasgow Coma Scale reached 12. No complications related to the intervention or EVD were identified. Conclusion: Passive ROM may be safely incorporated into nursing care for hemorrhagic stroke patients with EVD and may help maintain joint function and reduce immobility-related complications, although outcomes are influenced by multiple clinical factors.
Needs Assessment for Ergonomic Patient Repositioning Device Among Bedridden Patients: A Literature Review Darmawati, Irma; Perdani, Agni Laili; Wahdini, Ridha; Wardany, Nadia Sintia
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 12 No. 2 (2026): 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.v12i2.1017

Abstract

Background: Pressure ulcers remain a prevalent and preventable complication among bedridden patients, with manual repositioning every two hours established as the clinical standard of prevention. This practice places substantial physical demands on nurses and informal caregivers, contributing to high rates of work-related musculoskeletal disorders, including low back pain, among those performing repetitive turning tasks. Despite the availability of various assistive devices, most have been developed without systematic assessment of the combined needs of both patients and caregivers as dual users. Objective: This review aimed to identify clinical, ergonomic, and functional needs for a patient repositioning device among bedridden patients and their caregivers through synthesis of existing literature. Methods: A literature review was conducted using Scopus, PubMed, and EBSCO, covering publications from 2016 to 2024. Articles published in English addressing repositioning practices, assistive device design or evaluation, caregiver ergonomics, or pressure injury prevention in immobile patients were included. Studies unrelated to repositioning function or device ergonomics were excluded. Eight articles met the inclusion criteria and were included in the final synthesis. Results: Three primary need domains were consistently identified across the reviewed literature. First, bedridden patients require effective pressure redistribution to prevent tissue injury during prolonged immobility. Second, caregivers need a reduction in biomechanical workload during repositioning, particularly in lumbar and shoulder loading. Third, the device must offer usability features that enable safe, consistent positioning without requiring multiple personnel or specialized training. Current assistive devices inadequately address all three domains simultaneously, with most designs optimizing for one dimension at the expense of others. Conclusion: Bedridden patients and their caregivers present distinct yet interdependent needs that must be jointly addressed in ergonomic repositioning device development. A dual-user design framework integrating pressure redistribution, biomechanical efficiency, and practical usability represents a critical direction for future nursing research and device innovation.

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