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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 778 Documents
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Adherence to Patient Identification Procedures Among Healthcare Professionals in an Indonesian Hospital: A Cross-Sectional Study Sri Gunarni; Suci Noor Hayati
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 12 No. 3 (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.v12i3.1037

Abstract

Background: Accurate patient identification is essential for preventing wrong-patient errors during diagnostic, therapeutic, and administrative procedures. Despite established hospital safety protocols, adherence to identification procedures may remain inconsistent across healthcare professions. Objective: This study examined adherence to standardized patient identification procedures among healthcare professionals at Pasundan Hospital. Methods: A descriptive cross-sectional study was conducted involving 41 healthcare professionals selected through simple random sampling. Adherence was assessed using an observation checklist based on the hospital’s patient identification procedures. Each participant was observed on three separate occasions. Data were summarized using frequencies and percentages. Results: Of the 41 participants, 36 (87.8%) were categorized as adherent and 5 (12.2%) as partially adherent. Physicians demonstrated the lowest adherence, with 11 of 16 physicians (68.8%) meeting the required standard. All nurses and other participating healthcare professional groups were classified as adherent. Conclusion: Adherence to patient identification procedures was generally high but remained below the hospital’s expected standard. Profession-specific audit, feedback, and reinforcement strategies are needed, particularly for physicians, to promote consistent implementation of identification procedures
Effectiveness of Spiritual Care in Reducing Death Anxiety Among Patients Receiving Palliative Care: An Integrative Literature Review Dian Kusuma Dewi; Wantonoro Wantonoro; Islamiyatur Rokhmah
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 12 No. 3 (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.v12i3.1038

Abstract

Background: Death anxiety is a common psychological and existential concern among patients with chronic, terminal, and palliative illnesses, adversely affecting emotional well-being, quality of life, and coping ability. Spiritual care has been increasingly recognized as an essential component of holistic palliative care; however, evidence regarding its effectiveness in reducing death anxiety remains fragmented. Objective: This integrative literature review aimed to synthesize current evidence on the effectiveness of spiritual care in reducing death anxiety among patients receiving palliative care. Methods: An integrative literature review was conducted following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA 2020) guidelines. Six electronic databases (PubMed, ScienceDirect, SAGE Journals, ProQuest, SpringerLink, and Wiley Online Library) were searched for English-language studies published between 2021 and 2026. Eligible studies included randomized controlled trials, quasi-experimental studies, and analytical cross-sectional studies involving adults with chronic, terminal, or palliative illnesses. Methodological quality was assessed using the Joanna Briggs Institute (JBI) Critical Appraisal Tools, and findings were synthesized narratively using thematic analysis. Results: Eight studies met the eligibility criteria, comprising two randomized controlled trials, one quasi-experimental study, and five analytical cross-sectional studies. Three overarching themes emerged: (1) spirituality as a protective factor against death anxiety, (2) the effectiveness of spirituality-based interventions in reducing death anxiety, and (3) mechanisms through which spiritual care enhances psychological adaptation. Higher levels of spiritual well-being, meaning in life, and fulfillment of spiritual care needs were consistently associated with lower death anxiety. Structured interventions, including spiritual counseling, nurse-led spiritual care, and spirituality-oriented palliative care, significantly reduced death anxiety while improving resilience, psychological well-being, and quality of life. Conclusion: Spiritual care is an effective non-pharmacological intervention for reducing death anxiety and supporting psychological adaptation among patients receiving palliative care. Integrating evidence-based spiritual care into routine nursing practice may enhance holistic, person-centered care. Further multicenter randomized controlled trials using standardized interventions are needed to strengthen the evidence base
Effectiveness of a Short Education Movie on Family Knowledge of Pulmonary Tuberculosis Transmission: A Quasi-Experimental Study Ecki Salma Hapsari; Dadang Kusbiantoro; Arifal Aris
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 12 No. 3 (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.v12i3.1040

Abstract

Background: Household members of patients with pulmonary tuberculosis are at increased risk of infection because of prolonged exposure and often have inadequate knowledge regarding disease transmission. Health education using audiovisual media, such as a Short Education Movie (SEM), may improve understanding of tuberculosis transmission; however, evidence regarding its effectiveness among family members in primary healthcare settings remains limited. Objective: This study aimed to evaluate the effect of Short Education Movie (SEM)–based health education on family members' knowledge of pulmonary tuberculosis transmission at a primary healthcare center. Methods: A quantitative quasi-experimental study with a one-group pretest–posttest design was conducted at Mantup Community Health Center, Lamongan, Indonesia, from May to June 2026. Fifty-four family members of patients with pulmonary tuberculosis were recruited using accidental sampling. Participants completed a researcher-developed 15-item knowledge questionnaire before and immediately after receiving a single SEM-based educational intervention. Descriptive statistics were used to summarize participant characteristics and knowledge scores. Differences between pretest and posttest scores were analyzed using the Wilcoxon Signed-Rank Test, with statistical significance set at p < 0.05. Results: The mean knowledge score increased from 8.59 ± 2.54 before the intervention to 12.87 ± 1.69 after the intervention. The proportion of participants with good knowledge increased from 13.0% at baseline to 70.4% following the intervention, whereas the proportion with poor knowledge decreased from 59.3% to 3.7%. The Wilcoxon Signed-Rank Test demonstrated a statistically significant improvement in knowledge after the intervention (p < 0.001). Conclusion: Short Education Movie–based health education significantly improved family members' knowledge of pulmonary tuberculosis transmission. SEM represents a practical and effective educational strategy for strengthening family-centered tuberculosis prevention and may support the integration of standardized audiovisual education into community nursing practice and primary healthcare tuberculosis control programs
Exploring Older Adults' Experiences and Coping Strategies for Loneliness: A Case Study Jiyan Shaqilla; Irma Darmawati
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 12 No. 3 (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.v12i3.1042

Abstract

Background: Older adults are a vulnerable to physical, psychological, and social changes associated with aging, including loneliness. As loneliness can affect their psychological well-being and quality of life, understanding the coping strategies they use is essential. Objective: This study aims to explore the experiences and coping strategies of an older adult residing in a nursing home in dealing with loneliness in old age. Methods: This qualitative descriptive case study included one purposively selected older adult living in a nursing home. Data were collected using a semi-structured and non-participant observation through face-to-face interview, transcribed verbatim, and analyzed using thematic analysis by generating codes, grouping them into categories, and developing themes. This study was conducted as part of nursing care while adhering to ethical principles. Results: The findings identified three themes: feelings of loneliness and helplessness, emotional coping strategies, and social support from the shelter community. Intervies were conducted in Indonesian and Sundanese and subsequently translated into English for this manuscript. Conclusion: Participants’ experiences of loneliness were influenced by limited family interaction, nursing home living conditions, and age-realted physical and social decline. Participants used emotional regulation, self-acceptence, spiritual coping, and solitary behavior to cope with loneliness. Social support from fellow residents, staff, students, and the community helped reduce participants’ loneliness by providing emotional support and social interaction. These findings highlight routine psychosocial assessment and psychosocial interventions to reduce loneliness among older adults
Association Between Spousal Loss and Depression Among Older Adults: A Cross-Sectional Study in Geulanggang Teungoh Village, Aceh, Indonesia Muakhir Syah Putra; Adelia Silfana Nasution; Maisura Maisura; Mahadzir ZA
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 12 No. 3 (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.v12i3.1043

Abstract

Background: The growing elderly population has increased the number of older adults experiencing spousal loss, a major life event that may adversely affect psychological well-being and increase the risk of depression. Evidence from rural communities with strong cultural and family support systems, such as those in Aceh, Indonesia, remains limited. Objective: This study aimed to examine the association between spousal loss and depression among older adults in a rural Acehnese community. Methods: A quantitative analytical study with a cross-sectional design was conducted among 48 older adults who had experienced spousal loss, selected through total sampling. Data were collected using structured interviews, a respondent characteristics questionnaire, a researcher-developed spousal loss questionnaire, and the Geriatric Depression Scale (GDS-15). Descriptive statistics summarized participant characteristics, while the association between spousal loss and depression was analyzed using the Lambda contingency coefficient with a significance level of 0.05. Results: Most participants were women (87.5%), aged 60–74 years (56.2%), and had experienced spousal loss for more than two years (70.8%). Mild depression was the most common condition (47.9%), followed by moderate depression (37.5%), whereas most participants had normal cognitive function (79.2%). A statistically significant association was found between spousal loss and depression (p = 0.026). Conclusion: Spousal loss was significantly associated with depression among older adults in this rural community. Although the cross-sectional design precludes causal inference, the findings highlight the need for early depression screening, family-centered support, psychosocial interventions, and community-based gerontological nursing programs to promote the psychological well-being of bereaved older adults
The Relationship Between Immunization Status and Infectious Diseases in Children: A Literature Review Feby Artha Ayu Mefian; Atha Faiza Anindya Putri Sunoto; Siti Rahmatul Maulidiyah; Manzilah El Inayah; Satriya Pranata
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 12 No. 3 (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.v12i3.1045

Abstract

Background: Infectious diseases remain the leading cause of morbidity and mortality among children. WHO data from 2023 indicate that approximately 14.5 million children worldwide are not immunized, including a significant number in Indonesia. Objective: This study aims to analyze the relationship between immunization status and the incidence of infections in children through a literature review. Methods: This study employed a systematic literature review approach. The literature search focused on publications from the past 10 years that were available in full text. Most of the analyzed studies used an analytical observational design. Data were collected from primary studies. Data analysis in the reviewed studies generally employed statistical tests such as the chi-square test, logistic regression, and multivariate analysis to determine the relationship between immunization status and the incidence of infections. Several large-scale studies also used logistic regression and multilevel models to control for confounding factors such as nutritional status, parental education, and access to health care. Results: The findings indicate that the majority of studies report an association between immunization status and the incidence of infectious diseases. Children with incomplete immunizations have a higher risk of developing infections such as acute respiratory infections (ARIs) and pneumonia. Variations in results are influenced by other factors such as nutritional status, environment, and access to health care. The conclusions indicate that immunization status plays a crucial role in reducing the incidence of infectious diseases in children, although this association is influenced by various other factors. Conclusion: The results of this analysis underscore the importance of increasing immunization coverage and adopting a comprehensive approach to the prevention of infectious diseases in children
Effect of Oral Health Education Using Poster Media on Knowledge Levels Among Elementary School Children in Surakarta, Indonesia Sri Lestari; Aem Ismail
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 12 No. 3 (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.v12i3.1046

Abstract

Background: Oral health is an essential component of a child's overall health, playing a vital role in physical growth, psychological well-being, and quality of life. School-aged children are highly susceptible to dental caries due to inadequate oral hygiene practices and limited knowledge. Health education using visual media, such as posters, is recognized as an effective strategy for improving children's understanding and awareness regarding oral health behaviors. Objective: This study aimed to determine the effect of oral health education using posters on the knowledge levels of elementary school students. Methods: This quantitative study employed a quasi-experimental, one-group pretest-posttest design and was conducted at Setabelan Christian Elementary School in Surakarta, Indonesia. The study involved 48 students selected via total sampling. Participants completed a validated oral health knowledge questionnaire before and after receiving the poster-based education. Data were analyzed using descriptive statistics and a paired t-test with a significance level of p < 0.05. Results: The mean knowledge score increased from 12.25 ± 1.57 prior to the intervention to 14.48 following the intervention. Before the educational session, 77% of participants demonstrated good knowledge, whereas after the intervention, all participants (100%) achieved the "good knowledge" category. The paired t-test results indicated a statistically significant improvement in oral health knowledge following the educational intervention (p = 0.001). Conclusion: Poster-based oral health education significantly improves the knowledge of elementary school students. Posters represent an effective, practical, and affordable educational approach for school-based oral health promotion programs
Characteristics of Patients with Diabetes Mellitus Regarding Efforts to Prevent Complications at the Internal Medicine Polyclinic Zikran Zikran; Herliawati Herliawati; Tobi Pitora; Romy Suwahyu; Dhia Diana Fitriani; Desti Kurnia Utami
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 12 No. 3 (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.v12i3.1044

Abstract

Background: Diabetes mellitus is a chronic disease that can affect a patient's quality of life if not properly managed. Patients require long-term care, making the prevention of complications essential, given the high potential for diabetes mellitus to cause complications in any organ of the body. Objective: This study aimed to describe the characteristics of patients with diabetes mellitus in the context of efforts to prevent diabetes complications at an internal medicine outpatient clinic. Methods: This study employed a descriptive survey using a cross-sectional design. A sample of 84 respondents was selected using a non-random, purposive sampling technique. Data were collected using a questionnaire designed to assess the characteristics of patients with diabetes mellitus. Univariate analysis was performed following the data collection procedure. Respondents received a study explanation, and ethical research principles were upheld throughout the process. Results: Univariate analysis revealed the following profile of the diabetes mellitus patients: the majority were male (n=48; 57.1%) and aged between 45 and 64 years (n=47; 56.0%); the most common education level was junior high school (n=26; 31.0%); 19 respondents (22.6%) were civil servants; 31 respondents (36.9%) weighed between 61 and 80 kg; the majority (n=55; 65.5%) had a family history of diabetes mellitus; and the most common duration of the disease was 6–10 years (n=30; 35.7%). Conclusion: This study was limited to describing the characteristics of patients with diabetes mellitus regarding efforts to prevent complications; future research should investigate the relationship between these characteristics and the prevention of diabetes complications

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