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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 Implementation of Lymphoma Exercises to Reduce Pain and Improve Sleep Quality Using the Theory of Planned Behavior Approach Wibawa, Shinta Restu; Waluyo, Agung; Nuraini, Tuti
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.v8i3.877

Abstract

Background: Patients with lymphoma often experience various signs and symptoms that can significantly affect their quality of life. Pain and poor sleep quality are two main symptoms commonly experienced by lymphoma patients. The combination of pain and sleep disturbance can negatively impact patients' energy, mood, and ability to perform daily activities, thus requiring appropriate attention and management in the care of lymphoma patients. Objective: This study aims to apply Evidence Based Nursing Practice: Lymphoma Exercises in nursing care for patients with lymphoma using the Theory of Planned Behaviour approach. Method: This approach emphasizes the importance of attitudes, subjective norms, and perceived behavioral control in shaping nursing diagnoses. This framework can enhance understanding and improve patient care. The research method used is a quantitative experiment without a control group. Respondents completed questionnaires to measure pain using the Numerical Rating Scale (NRS), and to measure sleep quality using the Pittsburgh Sleep Quality Index (PSQI). Result: The results show that the intervention had a substantial positive impact on pain and sleep patterns of lymphoma patients. Recommendation: The reduction in pain and improvement in sleep quality can be explained through several potential mechanisms
The Effect of Endotracheal Suction on Hemodynamics of Neurological Patients: A Literature Review Aris, Rahaemil Jannah; Arafat, Rosyidah; Rachmawaty, Rini
International Journal of Nursing and Health Services (IJNHS) Vol. 8 No. 4 (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.v8i4.844

Abstract

Introduction: One of the challenges in caring for neurology patients is the risk of increased intracranial pressure. Endotracheal suction is a routine nursing action but this procedure is reported can affect hemodynamic parameters. Artificial Airway Suction endotracheal recommends open and closed endotracheal suction safety and effective but several studies recommend the use of closed endotracheal suction so that study of the effect of endotracheal suction is needed. Objective: To determine the effect of endotracheal suction on hemodynamics of neurology patients. Method: The author was using a flow chart prism from 3 databases, namely Pubmed, Research Gate and Europe PMC with quantitative articles and Randomized Controlled Trial studies. Results: There were 11 articles found by the author, 8 articles compared the effect of endotracheal suction on hemodynamics, showing a significant effect between the use of open endotracheal suction and closed endotracheal suction on several hemodynamic assessment variables, which results were found more stable hemodynamic in the use of closed endotracheal suction, 3 articles looked at the effect of open endotracheal suction on oxygen saturation and all concluded that there was an effect of open endotracheal suction. 4 articles recommended the use of closed endotracheal suction in critical care areas because there were fewer physiological disorders. Conclusion: The use of closed endotracheal suction is recommended for neuro patients because of the more stable hemodynamic effects. The author suggests further studies on the effect of endotracheal suction of neurology patients spesifik for increased intracranial pressure.
Effectiveness of training program on the knowledge of midwifes and nursing responsibilities Post Blood Transfusion at Nasser medical complex, Palestine Taghreed Mohammed Abu hadaf, Taghreed; Al-Dar, Mohammed Jabr
International Journal of Nursing and Health Services (IJNHS) Vol. 8 No. 4 (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.v8i3.848

Abstract

Blood transfusion is a crucial procedure in medical care, especially in obstetrics and emergencies, where strict adherence to protocols is essential to avoid severe complications. This study assesses the impact of a targeted training program on midwives and nurses at Nasser Medical Hospital in Palestine, focusing on essential post-transfusion nursing responsibilities. The program aimed to enhance critical skills, including patient identification, blood product verification, and risk management, addressing key knowledge gaps in healthcare practice. Using a Randomized Controlled Trial (RCT) design, 45 midwives and nurses were randomly chosen to participate. Data collected through structured questionnaires were analyzed with SPSS to evaluate knowledge levels before and after training. The participant cohort, predominantly female (84.4%) and largely aged 35-40 years (42.2%), is primarily composed of professionals holding a Bachelor’s degree (77.8%). Participants represent diverse roles, with midwives (57.8%) and nurses (42.2%) from departments such as the Labor and Delivery Ward (46.7%), Cesarean Section Operations (28.9%), and Neonatal and Maternity Department ((24.4%). The training program led to significant improvements in knowledge scores related to post-transfusion complications, with a mean increase from 76.71 to 96.81 (MD = 20.10, P < 0.001). This improvement was consistent across various demographics, including gender, age, education, marital status, professional experience, and department. For instance, participants over 40 years achieved the highest effect size (2.27), and diploma holders displayed the greatest mean difference (28.99). Additionally, both midwives and nurses saw substantial knowledge gains, with the Cesarean Section Operations and Neonatal and Maternity Departments exhibiting the highest improvements. These findings underscore the program's broad efficacy in enhancing transfusion-related knowledge, reinforcing its value in promoting patient safety and care quality at the ComplexThe study recommends expanding targeted training to include other healthcare professionals, conducting long-term evaluations, incorporating simulation-based learning, and analyzing patient outcomes. It suggests broader implementation in diverse settings, tailoring content to specific roles, and addressing psychological readiness to enhance skills, promote safety, and improve transfusion practices in clinical care
Influencing Factors on Nurses' Motivation to Pursue Bachelor’s Degree. A Study in a Class B Hospital in West Jakarta Situmorang, Indah Mestika; Hilmy, Mohamad Reza Hilmy; Anindita, Rina
International Journal of Nursing and Health Services (IJNHS) Vol. 8 No. 4 (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.v8i4.872

Abstract

Background: Hospital X, a state-owned enterprise, aims to increase the ratio of nurses with a Bachelor of Nursing degree to 30:70, but the current ratio is reversed, necessitating an increase in this number. Objective: This study aims to evaluate the influence of social support, and hospital organizational support mediated by self-concept factors on the motivation of nurses to continue formal education. Methods: Quantitative research and a questionnaire, with a 4-point Likert Scale were distributed. There were 489 respondents and 320 respondents met the inclusion criteria. The data was analyzed using three-box method and SEM-PLS. Results: Social support and self-concept independently influence the motivation of the nurses to pursue a Bachelor’s degree. However, organization support does not affect the motivation of nurses. The role of self-concept as a mediator to motivate nurses is significantly positive. Social support and organization support; each have a positive influence on self-concept.  Conclusion: Hospital X must calculate the needs of qualified nurses with a Bachelor of Nursing degree and follow it with talent scouting, mentoring, and leadership training programs to improve nurses’ self-concept. Providing scholarships or tuition assistance can increase the perception of organization support, which further increases commitment and loyalty of the nurses. Recommendation: The equalization Bachelor of Nursing degree program must be improved to utilize the potential of nurses who have already obtained the degree independently. Further study to explore the type of organization support and other motivational factors is also needed
Enhancing Nursing Careers: The Role of Training and Work Environment Through Clinical Competence in X Sukabumi Hospital Simarmata, Tioma Lusi Septiana; Indrawati, Ratna; Johanes, Johanes
International Journal of Nursing and Health Services (IJNHS) Vol. 8 No. 4 (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.v8i4.881

Abstract

Background: Career development for healthcare professionals, particularly nurses, is a crucial aspect of Human Resource Management (HRM) in hospitals. At X Sukabumi Hospital, only 1.8% of the 159 nurses successfully advanced in their careers, despite the majority having more than 10 years of experience. Objective: This study examines the impact of training and work environment on nurses' career development, with clinical competence as a mediating variable. Method: A quantitative associative design with a cross-sectional approach was employed, using a questionnaire for data collection. The sample consisted of 159 nurses, and data were analyzed using the Three-Box Method and Structural Equation Modeling (SEM) with PLS v.03, incorporating T-tests and F-tests. Result: findings reveal that training, work environment, and clinical competence significantly influence nurses' career development (F-statistic = 86.55 > F-table = 2.81). However, training alone does not directly impact career development (p-value = 0.309), while the work environment has a significant effect (p-value = 0.000). Both training and work environment significantly influence clinical competence (p-value = 0.000), which in turn positively affects career development (p-value = 0.009). Furthermore, clinical competence plays a key mediating role (p-value= 0.018). Conclusion: In conclusion, training and work environment influence nurses' career development through clinical competence at X Sukabumi Hospital
The Role of Coaching In Enhancing The Completeness of Nursing Care Documentation Rozi, Muhammad Fachrur; Wahidi, Kemala Rita; Pamungkas, Rian Adi
International Journal of Nursing and Health Services (IJNHS) Vol. 8 No. 4 (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.v8i4.882

Abstract

Abstract. This study was based on preliminary research indicating that the average completeness of nursing documentation in the inpatient unit was around 57.32%. The study aimed to examine coaching on mediating the knowledge and motivation on the completeness of nursing documentation. The cross-sectional study was employed in this study. We recruited the 121 inpatient nurses from Sultan Sulaiman hospital. Data collection was performed using questionnaires, and the analysis methods employed were the three-box method and SEM-PLS. The results show Fcount 150,320 > Ftable 2,68 indicated that knowledge, motivation, and coaching simultaneous influenced the completeness of nursing and result show path coefficient values 0,348 (positive) 0,195 (positive) and 0,417 (positive), which means that knowledge, motivation and coaching have an effect completeness of nursing care documentation individually. . Furthermore, coaching acted as a mediator, enhancing the impact of knowledge and motivation on documentation completeness. Therefore, the hospital needed to focus on improving nurses' knowledge and motivation through effective and sustainable coaching programs to enhance the quality of nursing documentation.
The Role of Customer Engagement Influenced Brand Image, Advertising, and Patient Experience on Customer Delight of Outpatients in Hospital X Palit, Selvyana C.; Indrawati, Ratna; Pamungkas, Rian Adi
International Journal of Nursing and Health Services (IJNHS) Vol. 8 No. 4 (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.v8i4.883

Abstract

Background: This research originates from a preliminary survey indicating that while most BSD area residents are aware of Hospital X, there is potential to enhance both the quality of its services and the extent of its utilization within the community. Objective: The aim of this study was to examine brand image, advertising, and patient experience on customer delight, with customer engagement serving as a mediating variable among Hospital outpatient population. Method: The study employed a quantitative approach using a cross-sectional design. The target population included all patients who had received care at Hospital X's Internal Medicine outpatient department in the past six months, though the exact number of patients is unknown. Using purposive sampling and the Lemeshow formula, 99 respondents were selected. Data was gathered through questionnaires and analyzed using the three-box method combined with multiple linear regression. Result: The findings demonstrate that brand image, advertising, and patient experience influence customer delight, with customer engagement as a mediating factor. However, brand image and advertising do not significantly affect customer engagement or customer delight among Hospital X's outpatients. Conversely, patient experience has a notable direct impact on both customer engagement and customer delight. Additionally, customer engagement directly enhances customer delight. Conclusion: Patient experience emerges as the most influential factor in boosting customer engagement and delight, whereas advertising is the least impactful in achieving these outcomes
Increasing Nurses' Commitment Through Managing Role Conflict, Role Unclarity and Job Stress in the Hospital Boby Krismanto Pello; Hasyim; Rokiah Kusumapradja
International Journal of Nursing and Health Services (IJNHS) Vol. 8 No. 5 (2025): International Journal of Nursing and Health Services (IJHNS)
Publisher : Alta Dharma Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Background: Hospitals are organizations that provide health services. Objective: The objective of this study is to examine the impact of role conflict, role ambiguity, and work stress on the organizational commitment of nurses. Method: This study utilized a cross-sectional technique to investigate the correlation between the independent variables and the dependent variables. The population consists of all nurses employed at Eka Hospital Bekasi. The sampling technique employed was purposive random sampling, with a sample size of 88 respondents. Result. The findings indicate a favorable correlation between role conflict, role ambiguity, and work-related stress on organizational commitment at Hospital Bekasi. Recommendation: Further study needs to conduct the to conduct a cross-sectional study to assess the impact of job stress on nurses' quality of life and caring behaviors, and identify factors that contribute to excessive job stress among nurses.
Perception of Benefits, Perception of Easy Used, Attitude and Social Influence on Intention to Use Electronic Medical Records MHD. Parlindungan; Pamungkas, Rian Adi; Hasyim, Hasyim
International Journal of Nursing and Health Services (IJNHS) Vol. 8 No. 5 (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.v8i5.867

Abstract

Background: This research is based on the Karawang Hospital management plan to implement electronic medical records as a whole by the end of 2023. Objective: The aim of this research is to describe perceived benefits, perceived convenience, attitudes and social influences on interest in using electronic medical records. Method: Descriptive studies are used in this research to explain the description of each research variable. The sample in this study was 210 potential users of electronic medical records. The sampling technique was carried out using a non-probability sampling technique, namely a purposive sampling technique. The data collection technique uses a questionnaire. Result: The results found that perceived convenience, attitudes and social influence contribute strongly to increasing interest in using RME. Perceived benefits and perceived convenience can influence attitudes. Perceived benefits, perceived convenience, and attitudes can influence interest in using RME, while social influence has no effect. Intervention attitudes positively influence perceived benefits and perceived convenience, as well as social influences positively interact with the influence of perceived benefits on interest in using RME, while on the influence of perceived convenience on interest in using RME, social influences interact negatively. Conclusion: The study underscores that fostering positive user attitudes and ensuring ease of use are pivotal determinants of successful electronic medical record (EMR) adoption, thereby highlighting the importance of user-centered strategies in EMR implementation. Recommendation: These findings suggest that enhancing positive user attitudes and simplifying EMR use are key drivers in supporting EMR implementation
Patient Safety Culture, Knowledge and Effective Communication Effectively Increasing Reporting of Patient Safety Incidents Novrifa, Hetzy; Mutiara, Rina; Pamungkas, Rian Adi
International Journal of Nursing and Health Services (IJNHS) Vol. 8 No. 5 (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.v8i5.868

Abstract

Background: Patient safety culture is an important principle that must be implemented in an effort to create a safe and healthy hospital environment. The large number of patient safety incidents, which have not been reported completely, accurately and clearly, will be a phenomenon that can be detrimental to patients and hospitals in terms of service costs. Objective: The study aimed to determine the relationship between patient safety culture, knowledge and effective communication of nurses on reporting patient safety incidents at Tiara Bekasi Hospital. Method: The research method in this study uses a cross-sectional approach. Sample recruitment in this study used total sampling of 101 nurses. Result: The results of this research analysis show that there is a significant relationship between patient safety culture and reporting of patient safety incidents. There is a significant relationship between knowledge and reporting of patient safety incidents. There is a significant relationship between effective communication and patient safety incident reporting. The results of the multivariate analysis in this study show that patient safety culture is the most dominant variable. Conclusion: The conclusions in this study show that it is important for nurses to have patient safety culture, knowledge and effective communication so that they are appropriate in reporting patient safety incidents.

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