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International Journal of Nursing and Health Services (IJNHS)
Published by IJNHS Publisher
ISSN : 26546310     EISSN : -     DOI : -
Core Subject : Health, Social,
Health Professions Nursing Public Health Social Sciences
International Journal of Nursing and Health Service is a refereed international publication that provided a venue for nursing scholar and others related health to publish the updating information. We aim to highlight research on nursing science, public health, public health nursing, and other health sciences to a wide international audience.
Arjuna Subject : -
Articles 464 Documents
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The Influence of Knowledge, Motivation and Supervision Techniques on Nurses' Compliance in Implementing Fall Risk Prevention in the Inpatient Room of Tiara Hospital Tangerang Masriah, Masriah; Pamungkas, Rian Adi; Andry, Andry
International Journal of Nursing and Health Services (IJNHS) Vol. 8 No. 2 (2025): International Journal of Nursing and Health Services (IJHNS)
Publisher : Alta Dharma Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35654/ijnhs.v8i2.856

Abstract

Introduction: Implementing patient safety such as reducing patient risk of falling requires SOP. In 2023, the nurse compliance rate in conducting fall risk assessments at Tiara Hospital was 97%. Objective: This study was conducted to analyze various factors that influence nurse compliance in implementing fall risk prevention SOPs at Tiara Hospital Tangerang. Method: The type of research is analytical with an observational approach and using a Cross Sectional study. Questionnaires were distributed to 73 nurses. The dependent variable is Nurse Compliance in implementing the Fall Risk Prevention SOP, the independent variables of the study are Knowledge, Motivation and Supervision Techniques of the Head of the Room. Result: The results of the study showed that simultaneously knowledge, Motivation and Supervision techniques of the Head of the Room had a significant effect on Nurse compliance in implementing the Fall Risk Prevention SOP in inpatients at Tiara Hospital Tangerang. R square of 0.734 means that the variable can explain the influence of knowledge, motivation and supervision techniques of the Head of the Room by 73.4%. Recommendation: It is recommended that the management try to improve knowledge through training both internally and externally to the hospital and commitment in implementing SOP for preventing patient false
The Effect of Clinical and Leadership Employee Engagement on Nurse Retention with Resilience as An Intervening Variable at Siloam Kebon Jeruk Hospital Melissa, Melissa; Kusumapradja, Rokiah; Jusad, Idrus
International Journal of Nursing and Health Services (IJNHS) Vol. 8 No. 2 (2025): International Journal of Nursing and Health Services (IJHNS)
Publisher : Alta Dharma Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35654/ijnhs.v8i2.857

Abstract

Nursing shortages and high rates of staff turnover are pressing issues that can disrupt health service delivery and increase the costs of recruiting new staff. A similar situation also occurred at Siloam Kebon Jeruk Hospital, which underlines the need to conduct this research. This study aims to examine the influence of clinical leadership and employee involvement on nurse retention at Siloam Kebon Jeruk Hospital, with resilience as a mediating factor. This research is a quantitative study with a cross sectional approach involving 262 respondents. The research sample was taken using the Simple Random Sampling technique. Nurses were surveyed using quantitative techniques to collect data. These findings suggest that clinical leadership and employee engagement have a significant impact on nurse retention, both directly and indirectly, through resilience. Effective clinical leadership fosters a pleasant work environment, enhancing nurses' professional growth and job satisfaction. This study shows that employee engagement can build commitment and reduce turnover rates. The findings of this study suggest that supporting solid clinical leadership and active nurse engagement can significantly increase nurse retention, thereby ensuring consistent, high-quality healthcare services.
Brand Association, Patient Experience, and Patient Involvement Improved Awareness of Re-visit to Hospital Supriyati, Titin; Tahjoo, Anastina; Pamungkas, Rian Adi
International Journal of Nursing and Health Services (IJNHS) Vol. 8 No. 3 (2025): International Journal of Nursing and Health Services (IJHNS)
Publisher : Alta Dharma Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35654/ijnhs.v8i3.858

Abstract

Background: Number of patient visits decreased from 2019 to 2020 by 31.18%. This encourages hospitals to implement a patient-oriented marketing concept and a comprehensive understanding of consumer behavior. One of the factors for a hospital's success is attracting patients to return. Factors that influence Return Visit Intention are Brand Association, Patient Engagement and Patient Experience. Objective: The purpose of this study is to empirically reveal the influence of brand association and patient experience on the interest in returning to the An-Nisa Hospital polyclinic in Tangerang with patient engagement as an intervening variable. Method: This study is included in quantitative research, the population used is patients who have visited at least 2 times, the sample calculation uses the indicator formula x 5, so that a sample of 190 respondents is obtained with a sampling technique using purposive sampling. The analysis method used is the three box method and SEM analysis. Result: The results of the analysis conclude that brand association, patient experience, and patient engagement have a significant effect on return visit interest. In addition, the results obtained are that brand association and patient experience have a significant effect on patient engagement. Patient engagement has been shown to be an intervening variable between brand association and patient experience on revisit intention. Conclusion: This study demonstrates that brand association, patient experience, and patient engagement are crucial factors influencing the intention of patients to revisit the An-Nisa Hospital polyclinic in Tangerang. Recommendation: These efforts will help the hospital build stronger relationships with its patients, encouraging loyalty and repeat visits, ultimately addressing the decline in patient numbers
Bridging Perception and Practice: How User Attitude Shapes EMR Utility, Convenience, and Self-Efficacy for Greater Adoption Indrayani, Reka; Supriyantoro, Supriyantoro; Pamungkas, Rian Adi
International Journal of Nursing and Health Services (IJNHS) Vol. 8 No. 3 (2025): International Journal of Nursing and Health Services (IJHNS)
Publisher : Alta Dharma Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35654/ijnhs.v8i3.859

Abstract

Background: The implementation of Electronic Medical Records at the Tangerang Regency Hospital has been since September 2023, but in its implementation in November 2023 it has only reached 70.44%, the target set by the hospital is 100%, this is due to the actual use that is not optimal. Objective: The purpose of this study is to analyze the influence of perception of utility, perception of convenience, and self-efficacy on the actual use of electronic medical records through user attitudes as intervening variables in the Outpatient Installation of Tangerang Regency Hospital. Method: A cross-sectional study was applied in this study. The sample in this study totaled 83 with a sampling technique using the total sampling method. Data was obtained through questionnaires. Result: The results of the Path Coefficients hypothesis test, the results of t>1.96 and p<0.05 were obtained. The results of data analysis and direct hypothesis testing found that there was an influence on the perception of utility, perception of convenience, self-efficacy and user attitude towards actual use. Testing the indirect hypothesis found that there was an influence of the perception of utility, perception of convenience, and self-efficacy on actual use with the attitude of the user as a mediator. Conclusion: the attitude mediated the perception of utility, perception convenience, and self-efficacy on improving the actual usage EMR. Recommendation: the management of hospital need to consider all factors to implement the effective EMR
A Cultural Sensitivity in Antenatal Care for Muslim Women in Eswatini: A Case Report : Addressing Cultural Competence in Antenatal Services Mkhonta, Zama; Huang, Mei-Chih; Hsu, Yu-Yun
International Journal of Nursing and Health Services (IJNHS) Vol. 8 No. 2 (2025): International Journal of Nursing and Health Services (IJHNS)
Publisher : Alta Dharma Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35654/ijnhs.v8i2.860

Abstract

Introduction: Antenatal care is crucial for safeguarding maternal and fetal health. However, systemic and cultural barriers disproportionately affect minority populations, including Muslim women, in Eswatini, a predominantly Christian country. Addressing these challenges is essential to achieving equitable and culturally responsive healthcare. Objective: This case report describes the cultural sensitivity challenges and ethical dilemmas encountered in providing antenatal care to Muslim women in Eswatini. Method: Researchers used a case report approach to examine the experiences of three pregnant Muslim women over six weeks at a resource-limited public hospital. The analysis, guided by Leininger’s Transcultural Nursing Theory, focused on clinical interactions, environmental challenges, and systemic barriers, incorporating nursing diagnoses to contextualize the findings within a care framework. Result: The case identified significant barriers to culturally sensitive antenatal care, including inadequate privacy, limited access to female healthcare providers, and insufficient cultural competence among staff. These issues contributed to emotional distress, discomfort, and reduced patient engagement. Interventions such as private examination spaces, prioritizing female providers, and mandatory cultural competence training showed promise but were inconsistently applied due to staffing and resource constraints, limiting their overall effectiveness. Conclusion: Significant cultural and systemic barriers hinder the delivery of culturally sensitive antenatal care for Muslim women in Eswatini. Recommendations: Maternal healthcare systems are encouraged to integrate cultural competence training, enhance privacy infrastructure, and adopt gender-sensitive practices to promote equitable and culturally responsive care. Keywords: Antenatal care, Cultural Sensitivity, Ethical Dilemmas, Privacy, Transcultural Care
Implementation of School-Based Mental Health Programs in Promoting Resilience among Adolescents of Bato, Catanduanes Toledana, John Eric; Emerenciana, Anthony T.; Barra, Regina Salve B.; Taule, Ma. Monette S.; Torno, John Vincent A.
International Journal of Nursing and Health Services (IJNHS) Vol. 8 No. 3 (2025): International Journal of Nursing and Health Services (IJHNS)
Publisher : Alta Dharma Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35654/ijnhs.v8i3.861

Abstract

Background: Mental health issues among adolescents are a growing concern. The implementation of school-based mental health programs plays a crucial role in promoting resilience and emotional stability. However, the extent of their effectiveness in specific contexts, such as in Bato, Catanduanes, remains underexplored. Objective: This study aims to assess the effectiveness of a school-based mental health program in promoting resilience and well-being among adolescents in Bato, Catanduanes. It evaluates the level of implementation, identifies challenges, and examines strategies used to support students' mental health. Method: The study employed a quantitative-descriptive research design. Data were gathered through surveys administered to students, teachers, and school administrators. Mean scores were used to determine the extent of program implementation, and statistical analysis was conducted to evaluate its effectiveness. Result: Findings revealed that while mental health programs were moderately implemented in schools, certain areas, such as access to mental health resources and collaboration with mental health professionals, were lacking. Key strategies such as counseling sessions, mental health awareness campaigns, and stress management workshops were found to be effective in supporting students’ well-being. However, challenges such as limited resources, lack of trained personnel, and inconsistent parental involvement hindered the program’s full potential. Conclusion: The study highlights the need for strengthening school-based mental health initiatives through better resource allocation, enhanced training for educators, and increased community and parental involvement. Recommendation: It is recommended that schools implement more structured mental health programs, increase collaboration with mental health professionals, and provide training for teachers to effectively address students’ psychological needs. Strengthening parental involvement and ensuring adequate funding for mental health resources are also essential to enhance the program's impact.
Navigating Challenges in Nursing Education: Lived Experiences of Clinical Instructors Supporting Students with Health Needs Magtagñob, Joselle; Tabor, Vheendil; Tapel, Alpha; Gianan, Jeric; Alberto, Heigie
International Journal of Nursing and Health Services (IJNHS) Vol. 8 No. 2 (2025): International Journal of Nursing and Health Services (IJHNS)
Publisher : Alta Dharma Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35654/ijnhs.v8i2.863

Abstract

Background: Clinical instructors play a vital role in supporting students with health needs by adapting teaching strategies, fostering an inclusive learning environment, and addressing unique challenges to ensure their academic and professional success. Objective: This study explores the lived experiences of nursing educators and clinical instructors at Catanduanes State University in supporting students with health needs. It aimed to identify challenges, evaluate teaching methods, and develop recommendations to improve inclusivity and resilience for students with health conditions in nursing education. Method: Using a qualitative phenomenological approach. Result:  ten participants provided insights into challenges such as limited resources, insufficient training, and difficulty adapting teaching methods. While traditional teaching strategies were found inadequate, opportunities emerged through inclusive education, innovative practices, and collaborative learning environments. Educators emphasized the need for universal design for learning, simulation-based training, and tailored assessments to better accommodate diverse student needs. Recommendations: It include ongoing professional development, enhanced assistive technologies, and flexible teaching plans to create a more inclusive educational system. These findings aim to guide future strategies and policies, ensuring nursing education adapts to meet the varied needs of both students and the healthcare sector.
Lived Experience of Solo Parents Nurturing Young Children Seven Years and Below in Virac, Catandaunes Arcilla, Rose Ann; Zafe, Rica. I; Tuplano, Schultz T.; Canaria, Melchor Z.; Panesa, Rosano R.
International Journal of Nursing and Health Services (IJNHS) Vol. 8 No. 2 (2025): International Journal of Nursing and Health Services (IJHNS)
Publisher : Alta Dharma Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35654/ijnhs.v8i2.864

Abstract

Background: Solo parenting demands constant balancing of caregiving duties with other responsibilities, highlighting the importance of understanding the unique struggles and coping mechanisms of solo parents, especially in contexts where resources may be limited. Objective: This study explored the lived experiences of solo parents nurturing young children in Virac, Catanduanes, emphasizing the physical, mental, and emotional challenges they encountered. Solo parenting demanded resilience and adaptability, as parents faced financial instability, social stigma, and emotional stress while striving to provide for their children's well-being. Method: The study employed a qualitative phenomenological design, gathering data through in-depth interviews with solo parents to gain insights into their struggles and coping mechanisms. Result: Findings revealed that financial constraints, exhaustion, and limited access to support services significantly impacted their physical and mental health. Many solo parents experienced stress, anxiety, and fatigue due to balancing employment and caregiving without consistent assistance. Despite these challenges, their unwavering commitment to their children served as a source of motivation and strength. Conclusion: The study highlighted the need for accessible government assistance programs, including financial aid, healthcare services, and community-based support networks, to alleviate the burdens of solo parents. Recommendation: It recommended policy enhancements, increased local implementation of solo parent benefits, and the establishment of community-driven interventions to promote the well-being of solo parents and their children in Virac, Catanduanes
Pharmacoeconomic Analysis of Type 2 Diabetes Mellitus Patients with the Application of PGA (Use of Antimicrobials) at Hospital X in East Java Dewi, Nisvi; Indrawati, Ratna; Tahjoo, Anastina
International Journal of Nursing and Health Services (IJNHS) Vol. 8 No. 3 (2025): International Journal of Nursing and Health Services (IJHNS)
Publisher : Alta Dharma Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35654/ijnhs.v8i3.865

Abstract

Background: Type 2 Diabetes Mellitus (T2DM) leads to a reduced immune response and increased susceptibility to infections, necessitating the use of antibiotics. However, inappropriate and excessive use of antimicrobials in humans, animals, and plants can contribute to increased antimicrobial resistance. Objective: This research aims to provide an overview of the application of Antibiotic Management (PGA) in the use of reserve antibiotics for T2DM patients concerning pharmacoeconomics at X Hospital in East Java. Method: Method: The study employed an observational approach with an exploratory descriptive method. Data were collected retrospectively from a cohort of patients who received reserve class antibiotics. The effectiveness of these antibiotics was assessed based on clinical outcomes, including patient survival or death, using medical records from October 2021 to September 2022 and October 2022 to September 2023. Result: The result indicated that the application of PGA using reserve antibiotics in T2DM patients had a positive and significant impact on pharmacoeconomics. The Incremental Cost Effectiveness Ratio (ICER) for T2DM patients with infections who received reserve antibiotics decreased after PGA implementation. Conclusion: The study concludes that PGA application in T2DM patients with infections yielded positive results, including a reduction in ICER, indicating improved cost-effectiveness and clinical outcomes. Recommendation: Proper and controlled use of reserve antibiotics through PGA can help mitigate antimicrobial resistance, a critical global health issue
Servant Leadership Style, Work Climate, Work Motivation Improved Handover Implementation Hidarpa, Nana; Dewi, Sandra; Pamungkas, Rian Adi
International Journal of Nursing and Health Services (IJNHS) Vol. 8 No. 3 (2025): International Journal of Nursing and Health Services (IJHNS)
Publisher : Alta Dharma Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35654/ijnhs.v8i3.866

Abstract

Background: Healthcare providers, particularly nurses, face the issue of enhancing the quality and consistency of communication along the healthcare chain, specifically at the transitory point or when interacting with healthcare officials. Safety problems can occur as a result of losses caused by failing to transmit patient information. Objective: The study seeks to examine the impact of characteristics related to servanter leadership style, working climate, and work motivation on the implementation of handover. Method: This research employs a quantitative study which is the cross-sectional study. The participant selected for this study was a nurse in a leadership position in a hospital unit, and the total number of respondents was 72. The research data was collected by questionnaire responses and analyzed using Structural Equation Modeling (SEM) techniques with the assistance of the SEM PLS application. Result: The findings of this study indicate that 1) Servant leadership, work climate, and work motivation together influence the implementation of handover. 2) Servant leadership has a positive and significant influence on work motivation; 3) Work climate has a positive and significant influence on work motivation; 4) Work motivation has a positive and significant influence on handover implementation; 5) There is no influence of servant leadership on handover implementation; 6) Work climate has a positive and significant influence on handover implementation. Conclusion: The integration of servant leadership, organizational climate, and work motivation is essential for the effective implementation of handovers

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