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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.
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Articles 473 Documents
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Quality Of Child Health Services And Its Utilization Among Staff And Mothers In Selected Primary Healthcare Facilities In Enugu South Local Government Area Enugu State Nigeria Blessing Okezue; Chikaodili Ndidiamaka Ihudiebube-Splendor; Ijeoma Judith Ilo; Chidinma Egbichi Israel
International Journal of Nursing and Health Services (IJNHS) Vol. 9 No. 1 (2026): 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.v9i1.908

Abstract

Background: Children carry a disproportionate burden of disease globally, and strengthening child health services (CHS) in primary health care (PHC) can improve access to safe, effective, quality, and affordable care. Objective: This study assessed the quality and utilization of CHS in two selected PHC facilities in Enugu South LGA, focusing on infrastructure, equipment and personnel; clinical consultation, diagnosis and treatment of common childhood illnesses; service utilization; and clients’ satisfaction. Method: A cross-sectional descriptive survey design was used, with researcher-developed questionnaires, and data were analyzed using SPSS version 25. Result: Findings showed that staffing was inadequate, with most providers being SCHEWs (35.2%) and JCHEWs (29.4%). Facility structures were largely adequate, but one PHC lacked a functional pharmacy and laboratory. Essential drugs and some key equipment were insufficient, although consultation processes and the diagnosis and treatment of common childhood illnesses were rated adequate. Overall service quality was reported as good across the two facilities (80% and 60%). Mothers had a mean age of 31.11 ± 6.09 years; over half had secondary education (52.7%), many were traders (36.0%), and most had 1–2 children (43.3%). Utilization of CHS was high (87.2% and 84.4%), and satisfaction levels were very high (97.9% and 99.4%). Conclusion: The study concludes that while utilization and satisfaction were high and clinical care was generally adequate, gaps remain in staffing and the availability of essential drugs and equipment, including pharmacy and laboratory services in one facility. Recommendation: It recommends improving staffing and training, providing basic amenities, and adopting standard minimum equipment and supply requirements for PHC facilities.
Traditional Birth Attendants’ Practice Encounters: Experiences from Northern Nigeria Yahaya Jafaru; Aisha Abdullahi Magaji; Maryam Kabiru Haruna
International Journal of Nursing and Health Services (IJNHS) Vol. 9 No. 1 (2026): 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.v9i1.911

Abstract

Background: The utilization of Traditional Birth Attendants (TBAs) is one of the patient-level factors that are common in causing maternal mortality. The TBAs are deficient in the ability to identify or manage birth complications such as postpartum haemorrhage and birth asphyxia. However, training and retraining are given to TBAs without ascertaining their practice needs. The aim of the study was to explore the difficult situations the Traditional Birth Attendants encountered during their practice. Methods: The study employed a descriptive phenomenological research design. The population of the study consisted of TBAs currently practicing in Birnin Kebbi Metropolis. A purposive sampling strategy was employed to select twelve veterans TBAs for the study. An in-depth interview was used for data collection. One-on-one interviews were conducted by the researchers with each participant TBA. Giorgi’s descriptive phenomenological method was used for the analysis. four themes that emerged from this study conducted through in-depth interview. Results: The four themes that emerged from this study are difficulties in conducting labour, retained placenta, umbilical cord issues, and method of identifying abnormal labour. Conclusion: The identified difficulties encountered by TBAs are crucial. These are difficulties that could lead to serious maternal and neonatal health issues. Understanding these difficulties underscores the importance of training TBAs.
Analysis of the Influence of Brand Image and Servicescape On Patients’ Repurchase Intention with Hospital Reliability as an Intervening Variable at Sumber Waras Hospital Jakarta Krisma Kristiana; Rian Adi Pamungkas; Johanes Johanes
International Journal of Nursing and Health Services (IJNHS) Vol. 9 No. 1 (2026): International Journal of Nursing and Health Services (IJHNS)
Publisher : Alta Dharma Publisher

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

Abstract

This study aims to analyze the influence of brand image and servicescape on repurchase intention, with hospital reliability as an intervening variable. The background of this study is based on visit data showing a decline in the number of repeat patient visits at Sumber Waras Hospital as well as increasing competition among hospitals that demands improvement in service quality and trust-based marketing strategies. This study is a quantitative study with a cross-sectional design. Data were obtained through the distribution of questionnaires to 150 respondents who were outpatient consumers of executive polyclinic at Sumber Waras Hospital, Jakarta. The data obtained were analyzed using the Structural Equation Modeling (SEM) method with the assistance of AMOS. The results of the study show that brand image and servicescape have an influence on reliability and repurchase intention. Reliability has an influence on repurchase intention. In addition, reliability can also act as mediating variable between brand image and servicescape. These findings indicate that the better the hospital’s brand image, the better the condition of the physical service environments, and the more reliable the services provided, the higher the consumers’ intention to reuse the services. The practical implication of this study is the importance for the management of Sumber Waras Hospital to strengthen the hospital’s positive brand image, improve the comfort of the physical environment (servicescape), and maintain consistency in providing the best services in order to create consumers repurchase intention that can increase patient loyalty.  
Empowering Patient-Centered Care After Surgery: How Clinical Competence And Leadership Shape Outcomes Through Nurse Engagement Moch. Ilfan Gunadi; Rian Adi Pamungkas; Nofierni Nofierni
International Journal of Nursing and Health Services (IJNHS) Vol. 9 No. 1 (2026): International Journal of Nursing and Health Services (IJHNS)
Publisher : Alta Dharma Publisher

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

Abstract

Introduction:This study aimed to analyze the impact of Clinical Leadership and Clinical Competence on the implementation of Patient-Centered Care (PCC) post-surgery, mediated by Work Engagement among nurses at RS Islam Jakarta Cempaka Putih. The optimal implementation of PCC remains a major challenge in improving post-surgical healthcare quality, particularly within the context of limited human resources and complex work dynamics. Problems such as low nurse engagement and variations in leadership and clinical skills affect the effectiveness of PCC delivery. Methods:This quantitative research employed a cross-sectional design at RS Islam Jakarta Cempaka Putih, involving 115 nurses selected through a saturated sampling method. Data were collected using a 4-point Likert scale questionnaire and analyzed with SEMPLS software. Ethical approval was granted by the institutional ethics committee, and informed consent was obtained from all participants. Results:The main outcome was the implementation of post-surgical PCC. Findings indicated that Clinical Leadership, Clinical Competence, and Work Engagement significantly influenced PCC implementation when analyzed simultaneously. Clinical Leadership and Clinical Competence had a positive and significant effect on Work Engagement. Furthermore, Clinical Competence and Work Engagement directly improved PCC implementation, while Clinical Leadership did not show a direct significant effect. Work Engagement acted as a key mediator linking Clinical Leadership and Clinical Competence with PCC implementation. Conclusion:This study highlights the critical role of Work Engagement in enhancing the influence of Clinical Leadership and Competence on PCC implementation. Strengthening leadership, developing clinical skills, and fostering engagement among nurses can improve post-surgical care. Future research should adopt longitudinal designs and explore additional factors to deepen understanding and advance healthcare leadership knowledge.
Psychological Impact of High-Risk Pregnancy and the Role of Nursing Interventions-An integrative review Saman Naseema; Chitrekha Sippy; Ramcharan Bairwa; Naseema Shafqat
International Journal of Nursing and Health Services (IJNHS) Vol. 9 No. 2 (2026): International Journal of Nursing and Health Service
Publisher : Alta Dharma Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35654/ijnhs.v9i2.919

Abstract

Pregnancy is widely perceived as a positive and transformative life event; however, when complications categorise a pregnancy as high-risk, women often experience substantial psychological distress alongside physical challenges. Emotional responses such as anxiety, fear, uncertainty, and depressive symptoms may adversely influence maternal wellbeing, foetal health, and the overall pregnancy experience. Despite advancements in obstetric care, the psychological needs of women with high-risk pregnancies remain insufficiently integrated into routine antenatal services. This integrative review aimed to examine the psychological impact of high-risk pregnancy and evaluate the effectiveness of nursing interventions in supporting emotional wellbeing and coping. A comprehensive literature search was conducted across major electronic databases for studies published between 2010 and 2025. Both qualitative and quantitative evidence were considered, and methodological quality was assessed using established appraisal frameworks. Data were analysed through thematic synthesis to identify recurring patterns and key findings. The review demonstrated that women with high-risk pregnancies commonly report elevated levels of anxiety, depression, fear of adverse outcomes, and feelings of emotional vulnerability. Socioeconomic challenges, inadequate social support, and limited psychological care were identified as important contributing factors. Positive coping was strongly associated with family involvement, supportive healthcare interactions, and effective communication. Nurse-led interventions, including counselling, relaxation techniques, mindfulness-based strategies, structured education, and telehealth support, were consistently associated with improvements in psychological wellbeing and maternal–foetal attachment. High-risk pregnancy should therefore be recognised as both a psychological and physiological experience. Integrating structured psychosocial support within antenatal care is recommended to enhance coping, emotional resilience, and maternal outcomes.
Leadership Commitment, Open Organizational Culture, and Learning Organization Among Nurses: Happiness at Work as a Mediator Evi Maris Sahara; Rian Adi Pamungkas; Rokiah Kusumapradja
International Journal of Nursing and Health Services (IJNHS) Vol. 9 No. 3 (2026): 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.v9i3.921

Abstract

Background: Hospital nurses must continuously adapt to changes in healthcare technology, patient-safety standards, and service-quality expectations. A learning organization is therefore essential, yet the psychological mechanism that links leadership commitment and open organizational culture with organizational learning among hospital nurses remains insufficiently explained. Objective: This study analyzed the associations of perceived leadership commitment and open organizational culture with learning organization, with happiness at work as a mediating variable among nurses at An-Nisa Hospital, Tangerang. Method: An explanatory cross-sectional study was conducted among 225 staff nurses selected using purposive sampling. Data were collected using a validated 45-item questionnaire with a four-point Likert scale. Instrument validity, reliability, descriptive statistics, and structural model testing were analyzed using SPSS 25 and SmartPLS 3. Direct and indirect effects were evaluated using Structural Equation Modeling-Partial Least Squares. Result: Perceived leadership commitment and open organizational culture explained 54.8% of the variance in happiness at work. The final model explained 69.3% of the variance in learning organization and demonstrated acceptable model fit (SRMR = 0.055). Happiness at work had the strongest association with learning organization (? = 0.574, p < 0.001), followed by open organizational culture (? = 0.251, p = 0.004) and perceived leadership commitment (? = 0.104, p = 0.048). Happiness at work partially mediated the association of perceived leadership commitment (? = 0.127, p < 0.001) and open organizational culture (? = 0.351, p < 0.001) with learning organization. Conclusion: Nurses’ happiness at work is a central psychological pathway through which leadership commitment and open organizational culture are translated into organizational learning. Recommendation: Hospital managers should strengthen fair leadership practices, transparent communication, shared organizational values, and nurse well-being programs to support clinical learning. Further longitudinal and multi-site studies are recommended to confirm temporal relationships and improve generalizability.
Association of Body Image, Eating Behavior, and Physical Activity with Wasting among Adolescents Deby Andriani
International Journal of Nursing and Health Services (IJNHS) Vol. 9 No. 3 (2026): 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.v9i3.924

Abstract

Background: A learning organization is therefore essential, yet the psychological mechanism that links leadership commitment and open organizational culture with organizational learning among hospital nurses remains insufficiently explained. Objective: This study analyzed the associations of perceived leadership commitment and open organizational culture with learning organization, with happiness at work as a mediating variable among nurses at An-Nisa Hospital, Tangerang. Method: An explanatory cross-sectional study was conducted among 225 staff nurses selected using purposive sampling. Data were collected using a validated 45-item questionnaire with a four-point Likert scale. Direct and indirect effects were evaluated using Structural Equation Modeling-Partial Least Squares. Result: Perceived leadership commitment and open organizational culture explained 54.8% of the variance in happiness at work. The final model explained 69.3% of the variance in learning organization and demonstrated acceptable model fit (SRMR = 0.055). Happiness at work had the strongest association with learning organization (? = 0.574, p < 0.001), followed by open organizational culture (? = 0.251, p = 0.004) and perceived leadership commitment (? = 0.104, p = 0.048). Happiness at work partially mediated the association of perceived leadership commitment (? = 0.127, p < 0.001) and open organizational culture (? = 0.351, p < 0.001) with learning organization. Conclusion: Nurses’ happiness at work is a central psychological pathway through which leadership commitment and open organizational culture are translated into organizational learning. Recommendation: Hospital managers should strengthen fair leadership practices, transparent communication, shared organizational values, and nurse well-being programs to support clinical learning.   Keywords: happiness at work; leadership commitment; learning organization; nurses; organizational culture
System Quality, Service Quality, and Electronic Medical Record Adoption: User Satisfaction as Mediator in Regional Hospital Outpatient Care Synthia Sari Toha; Rokiah Kusumapradja; Rian Adi Pamungkas
International Journal of Nursing and Health Services (IJNHS) Vol. 9 No. 3 (2026): 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.v9i3.930

Abstract

Background: Electronic medical record (EMR) adoption is essential for improving documentation accuracy, information accessibility, service efficiency, and patient safety. In outpatient care, EMR adoption is particularly important because healthcare professionals work in a high-volume and time-sensitive service environment. Objective: This study aimed to examine the effects of system quality and service quality on EMR adoption, with user satisfaction as a mediating variable, among healthcare professionals in a regional hospital outpatient department. Method: A quantitative cross-sectional analytical study was conducted among 97 Care Provider Professionals in the outpatient department of Dr. Dradjat Prawiranegara Regional Hospital, Serang. Respondents were selected using purposive sampling. Data were collected using a structured questionnaire and analyzed using Structural Equation Modeling-Partial Least Squares (SEM-PLS). Result: User satisfaction had a positive and significant effect on EMR adoption (? = 0.600; t = 4.075; p < 0.001). System quality significantly influenced user satisfaction (? = 0.202; t = 2.805; p = 0.005) and EMR adoption (? = 0.506; t = 5.573; p < 0.001). Service quality significantly influenced user satisfaction (? = 0.770; t = 12.540; p < 0.001), but its direct effect on EMR adoption was not significant (? = -0.164; t = 0.966; p = 0.334). The model explained 83.3% of the variance in user satisfaction and 78.4% of the variance in EMR adoption. Conclusion: EMR adoption in outpatient care is primarily influenced by system quality and user satisfaction. Service quality contributes to EMR adoption indirectly by improving user satisfaction rather than through a direct pathway. Recommendation: Hospitals should strengthen EMR system reliability, responsive technical support, user-centered training, and routine user satisfaction monitoring to sustain EMR adoption.
Midwives' Electronic Medical Record Use: Perceived Ease, Competence, and the Mediating Role of Usefulness in a Regional Hospital Apri Ranti Nasir; Anastina Tahjoo; Rian Adi Pamungkas
International Journal of Nursing and Health Services (IJNHS) Vol. 9 No. 3 (2026): 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.v9i3.938

Abstract

Background: Electronic Medical Record (EMR) implementation is a key element of hospital digital transformation. In midwifery services, EMR use is particularly important because midwives are responsible for timely, accurate, and continuous maternal and neonatal documentation. Objective: This study examined the effects of perceived ease of use and midwife competence on EMR use, with perceived usefulness as a mediating variable. Method: A quantitative cross-sectional analytical study was conducted among 103 midwives at Dr. Dradjat Prawiranegara Regional Hospital, Serang, Banten. Total sampling was used. Data were collected using a structured questionnaire and analyzed using Partial Least Squares Structural Equation Modeling (PLS-SEM). Result: Midwife competence showed the strongest direct effect on EMR use (beta = 0.437; p < 0.001), followed by perceived ease of use (beta = 0.329; p < 0.001) and perceived usefulness (beta = 0.217; p = 0.002). Perceived ease of use significantly influenced perceived usefulness (beta = 0.267; p = 0.001), and midwife competence also significantly influenced perceived usefulness (beta = 0.615; p < 0.001). Perceived usefulness mediated the effects of perceived ease of use (indirect beta = 0.058; p = 0.019) and midwife competence (indirect beta = 0.133; p = 0.005) on EMR use. The model explained 71.6% of the variance in perceived usefulness and 84.8% of the variance in EMR use. Conclusion: EMR use among midwives is shaped not only by system usability but also by professional competence and the degree to which the system is perceived as useful for daily clinical documentation. Hospitals should strengthen workflow-based EMR training, system usability, and clinical data utilization to improve sustainable EMR use.
Factors Affecting The Quality of Life of Gynecological Cancer Patients : Narrative Review Adhwa Mufidah; Ida Maryati; Ermiati
International Journal of Nursing and Health Services (IJNHS) Vol. 9 No. 4 (2026): International Journal of Nursing and Health Services
Publisher : Alta Dharma Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35654/ijnhs.v9i4.871

Abstract

Background: Gynecological cancers include cervical, ovarian, uterine, vaginal, and vulvar cancers that can affect the quality of life of patients through physical, psychological, and social impacts. Cancer treatment that patients undergo can also worsen the condition. Objective: This article aims to identify factors that affect the quality of life of gynecological cancer patients. Method: A literature review was conducted using a narrative method. Journal searches with relevant keywords were conducted using the Google Scholar, PubMed, Scopus, and Science Direct databases. The articles used were those published in the last 5 years, in English or Indonesian, and had an appropriate research design. Results: Several factors that affect the quality of life of gynecological cancer patients include physical factors such as pain, fatigue, and dependence on daily activities; psychological factors such as anxiety and depression; and social factors, especially family support. Conclusion: Understanding the factors affecting the quality of life of gynecological cancer patients is important for designing a holistic and effective treatment approach to improve patient well-being and treatment success.

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