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INTERNATIONAL JOURNAL OF NURSING AND MIDWIFERY SCIENCE (IJNMS)
Published by STIKES PPNI Bina Sehat Mojokerto
ISSN : 26860538     EISSN : 26862123     DOI : doi.org/10.29082
Core Subject : Health, Education,
Health Professions Nursing Public Health Other
Arjuna Subject : -
Articles 518 Documents
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THE IMPACT OF PREECLAMPSIA ON NEONATAL OUTCOMES AMONG LABORING MOTHERS: A STUDY AT THE GAYATRI WARD, DR. WAHIDIN SUDIRO HUSODO REGIONAL GENERAL HOSPITAL, MOJOKERTO Indah Kusmindarti; Lusi Rusdiana
International Journal of Nursing and Midwifery Science (IJNMS) Vol. 10 No. 2 (2026): VOLUME 10 ISSUE 2 AUGUST 2026
Publisher : Departement Research and Community Engagement Bina Sehat PPNI Institute of Health Science, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29082/IJNMS/2026/Vol10/Iss2/855

Abstract

Preeclampsia is one of the major pregnancy complications contributing to maternal and neonatal morbidity and mortality. Impaired uteroplacental perfusion in preeclampsia may lead to adverse neonatal outcomes, including asphyxia, prematurity, low birth weight (LBW), and intrauterine growth restriction (IUGR). To analyze the impact of preeclampsia in laboring mothers on neonatal outcomes. The research method used was descriptive research with an observational approach to examine the characteristics of patients with hypertension in labour at Dr. Wahidin Sudiro Husodo Regional General Hospital, Mojokerto City, in 2025-2026 This study employed a retrospective descriptive-analytic design. A total of 53 mothers with preeclampsia who met the inclusion criteria were included in the study. Data were collected from medical records and analyzed using univariate analysis to describe respondents' characteristics and Chi-square tests to determine the relationship between maternal age, parity, gestational age, and neonatal outcomes. Most mothers were aged 20–35 years (83.1%), multiparous (51%), delivered at term (85%), and underwent cesarean section (77.4%). Normal neonatal outcomes were found in 26 infants (49.1%), followed by asphyxia in 21 infants (39.6%), prematurity in 8 infants (15.1%), low birth weight in 4 infants (7.5%), and IUGR in 1 infant (1.9%). Maternal age and gestational age were associated with neonatal outcomes, whereas parity showed no significant association. Preterm infants had a higher risk of adverse neonatal outcomes compared to term infants. Preeclampsia in laboring mothers adversely affects neonatal outcomes, particularly increasing the risk of asphyxia, prematurity, low birth weight, and IUGR. Gestational age was identified as the most influential factor. Early detection and appropriate management of preeclampsia are essential to reduce neonatal complications
DYNAMICS OF ADAPTIVE INTERGENERATIONAL SUPERVISION AMONG MILLENNIALS AND GENERATIONS Z NURSES Ana Zakiyah
International Journal of Nursing and Midwifery Science (IJNMS) Vol. 10 No. 2 (2026): VOLUME 10 ISSUE 2 AUGUST 2026
Publisher : Departement Research and Community Engagement Bina Sehat PPNI Institute of Health Science, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29082/IJNMS/2026/Vol10/Iss2/856

Abstract

Generational diversity in nursing practice presents new supervisory challenges in healthcare organizations. Differences in expectations, communication styles, and professional values between Millennial and Generation Z nurses require a more adaptive supervisory approach. This study aimed to explore the perceptions, needs, and relational dynamics of young nurses toward supervisory practices in hospital settings. A qualitative phenomenological design was used with purposive sampling involving 14 nurses from Millennial and Generation Z cohorts. Data were collected through in-depth interviews and analyzed using Collaizi’s method. Five major themes emerged: (1) the meaning of supervision, (2) communication and feedback, (3) responses and adaptive strategies toward supervision, (4) supervisory style and supervisor characteristics, and (5) the impact of supervision on job satisfaction and career development. Generation Z perceived supervision primarily as guidance and quality control, whereas Millennials viewed it as discipline and an indicator of professionalism. Open communication, direct feedback, and democratic leadership were identified as key enablers of work motivation and satisfaction. The findings highlight the need for adaptive intergenerational supervision models that align with contemporary workforce characteristics. This study contributes to the advancement of generation-based nursing supervision theory and provides a foundation for future development of a practical model suited to modern nursing environments.
EFFECT OF HONEY SUPPLEMENTATION ON BREAST MILK PRODUCTION AMONG POSTPARTUM MOTHERS: A QUASI-EXPERIMENTAL STUDY nining istighosah; Suci Anggraeni; Retno Palupi Yonni Siwi; Ida Siswi Astuty
International Journal of Nursing and Midwifery Science (IJNMS) Vol. 10 No. 2 (2026): VOLUME 10 ISSUE 2 AUGUST 2026
Publisher : Departement Research and Community Engagement Bina Sehat PPNI Institute of Health Science, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29082/IJNMS/2026/Vol10/Iss2/858

Abstract

Background: Insufficient breast milk production remains one of the most common challenges encountered by postpartum mothers and contributes to the suboptimal achievement of exclusive breastfeeding. Adequate maternal nutrition is essential for supporting lactation, and honey has attracted increasing attention as a natural complementary nutritional supplement because it contains carbohydrates, amino acids, vitamins, minerals, antioxidants, and bioactive compounds that may improve maternal metabolism and stimulate breast milk production.Objective: This study aimed to determine the effect of honey supplementation on breast milk production among postpartum mothers.Methods: A quasi-experimental study employing a one-group pretest–posttest design was conducted at the Independent Midwifery Practice (TPMB) of Ida Siswi Astuty, West Kotawaringin Regency, Central Kalimantan, Indonesia, from November to December 2024. Thirty postpartum mothers were recruited using accidental sampling. Honey supplementation was administered for nine consecutive days. Breast milk production was measured before and after the intervention using breast milk pumping measurements and structured observation sheets. Data were analyzed using descriptive statistics and the Wilcoxon Signed Rank Test because the data were not normally distributed.Results: The mean breast milk production increased from 49.17 ± 18.62 mL before the intervention to 136.83 ± 31.66 mL after honey supplementation, representing an average increase of 87.66 mL. Statistical analysis revealed a significant difference between pre- and post-intervention measurements (Z = −4.792; p < 0.001), indicating that honey supplementation significantly improved breast milk production among postpartum mothers.Conclusion: Honey supplementation significantly increased breast milk production in postpartum mothers. As a natural, affordable, and culturally acceptable nutritional intervention, honey may be incorporated into postpartum care to support successful breastfeeding and exclusive breastfeeding programs. Further randomized controlled studies with larger sample sizes are recommended to strengthen the current evidence.    
CHAMOMILE TEA INTERVENTION FOR DYSMENORRHEA: EFFECTS ON PAIN AND ANXIETY Amanda Gilbrania Putri Afandi
International Journal of Nursing and Midwifery Science (IJNMS) Vol. 10 No. 2 (2026): VOLUME 10 ISSUE 2 AUGUST 2026
Publisher : Departement Research and Community Engagement Bina Sehat PPNI Institute of Health Science, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29082/IJNMS/2026/Vol10/Iss2/861

Abstract

Menstrual cramps frequently affect the reproductive well-being of young females, routinely triggering psychological distress that disrupts their academic focus, routine functioning, and general wellness. To mitigate these dual challenges of physical distress and psychological tension, the therapeutic attributes of Matricaria chamomilla, which naturally alleviates muscle spasms, reduces inflammation, and induces calmness, offer a viable alternative. This investigation sought to evaluate how the administration of this herbal infusion modifies both the severity of menstrual discomfort and psychological distress experienced by young students at SMA Islam Duduk Sampeyan. By employing a pre-experimental approach centered on evaluating a single cohort before and after exposure, the researchers gathered data from 31 participants chosen via targeted criteria. The evaluation of physical discomfort utilized a segmented numerical scale, whereas psychological tension was quantified through a specific clinician-rated clinical framework. The resulting data underwent statistical evaluation via a non-parametric paired variance procedure, applying a threshold where alpha equals 0.05. Initial observations indicated that a substantial portion of the cohort struggled with intermediate levels of both physical discomfort and psychological distress. Following the dietary introduction of the herbal infusion, a shifting trend emerged, with most participants experiencing either complete relief or minimal discomfort alongside diminished psychological tension. The non-parametric statistical analysis confirmed this shift, indicating that the drop in both physical suffering and psychological strain was highly meaningful, with the probability value falling below 0.001. Consequently, utilizing this herbal infusion serves as a practical, accessible, and risk-free non-medicinal strategy suitable for young females seeking to manage menstrual discomfort.
THE EFFECT OF BREASTFEEDING TECHNIQUE EDUCATION VIA BOOKLET MEDIA ON BREASTFEEDING BEHAVIOR AMONG MOTHERS WITH INFANTS AGED 0-6 MONTHS shofia ageng pertiwi
International Journal of Nursing and Midwifery Science (IJNMS) Vol. 10 No. 2 (2026): VOLUME 10 ISSUE 2 AUGUST 2026
Publisher : Departement Research and Community Engagement Bina Sehat PPNI Institute of Health Science, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29082/IJNMS/2026/Vol10/Iss2/862

Abstract

The low coverage of exclusive breastfeeding in Tuban Regency, ranging from 45% to 50%, presents a critical public health issue largely attributed to insufficient maternal knowledge of correct breastfeeding techniques. This study aimed to analyze the effect of breastfeeding technique education using booklet media on the breastfeeding behavior of mothers with infants aged 06 months at Puskesmas Plumpang, Tuban Regency. A quantitative study with a quasi-experimental, one-group pretest-posttest design was conducted, involving 32 mothers recruited via total sampling. Data were gathered through questionnaires and analyzed using the Wilcoxon Signed Rank Test. Results indicated that prior to the intervention, 59.4% of mothers exhibited adequate behavior and 40.6% exhibited poor behavior, with no participants demonstrating good behavior. Following the intervention, 90.6% of mothers demonstrated good behavior and 9.4% showed adequate behavior. Statistical analysis yielded a Z-value of -5.160 (p < 0.001), confirming a significant positive effect of the intervention. Booklet media is an effective tool for improving breastfeeding practices. Continuous education from pregnancy through the postpartum period is recommended to enhance maternal knowledge and skills, thereby supporting the success of exclusive breastfeeding.  
The Relationship between Diabetes Burnout Syndrome and Complication Prevention Behavior in Diabetes Mellitus Patients  Lutfi Wahyuni; Umi Azizah Kusumaningrum
International Journal of Nursing and Midwifery Science (IJNMS) Vol. 10 No. 2 (2026): VOLUME 10 ISSUE 2 AUGUST 2026
Publisher : Departement Research and Community Engagement Bina Sehat PPNI Institute of Health Science, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29082/IJNMS/2026/Vol10/Iss2/863

Abstract

One of the diseases that often occurs among the public is diabetes mellitus, a chronic condition that can cause worsening problems throughout the patient's life due to metabolic disorders that occur in the pancreas. Diabetes sufferers often experience stress, anger, despair, frustration, and emotional disturbances called diabetes burnout. This study aims to determine the relationship between diabetes distress and The Relationship between Diabetes Burnout Syndrome and Complication Prevention Behavior in Diabetes Mellitus Patients diabetes sufferers. This type of research uses a quantitative method, with a retrospective approach. The instrument used in this study was a questionnaire that had been tested for validity in previous studies. Respondents were 66 diabetes sufferers at the Bangsal Community Health Center (UPT Bangsal), selected using a total sampling technique. The results of the analysis using the Spearman rho correlation test obtained a p-value of 0.000, indicating a relationship between diabetes distress and self-care in diabetes sufferers at the Bangsal Community Health Center (UPT Bangsal). The correlation coefficient value of -0.649 indicates a strong closeness with a negative direction, meaning that the milder the diabetes burnout, the better the Complication Prevention Behavior in Diabetes Mellitus Patients
THE ROLE OF THE FAMILY ENVIRONMENT IN CHILD DEVELOPMENT AT AL IZZAH KINDEGARTEN, PURI DISTRICT, MOJOKERTO REGENCY Lida Khalimatus Sadiyah; Tria Wahyuningrum
International Journal of Nursing and Midwifery Science (IJNMS) Vol. 10 No. 2 (2026): VOLUME 10 ISSUE 2 AUGUST 2026
Publisher : Departement Research and Community Engagement Bina Sehat PPNI Institute of Health Science, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29082/IJNMS/2026/Vol10/Iss2/864

Abstract

The kindergarten years represent the "golden period" of early childhood, during which children experience rapid growth and development. Child development provides a critical foundation for future health and the quality of human resources. The family serves as the primary environment for a child's growth and development and plays a pivotal role in shaping the child's character. Families are primarily responsible for meeting children's basic needs, including developmental stimulation, care, and affection, all of which directly influence their physical, cognitive, language, social, and emotional development. However, many families still lack a comprehensive understanding of their role in providing optimal developmental stimulation, which may result in developmental delays that remain undetected during the early stages. This issue is particularly important in the context of community midwifery and maternal and child health services. This study aimed to analyze the relationship between the family environment and child development at Al Izzah Kindergarten, Mojokerto. A quantitative correlational research design was employed. The intended outputs of this study include an ISBN-registered book and a research article published in a SINTA-indexed journal. The findings showed that the majority of children experienced a positive family environment. Furthermore, the results of the Pre-Screening Questionnaire for Child Development (KPSP) indicated that almost all children demonstrated age-appropriate development. Data were analyzed using Fisher's Exact test. The statistical analysis revealed a significant relationship between the family environment and child development (p = 0.001, p < 0.05). The study concludes that the family environment plays a significant role in supporting child development at Al Izzah Kindergarten, Mojokerto. Therefore, families should provide age-appropriate developmental stimulation to promote optimal child development.
THE EFFECT OF ORAL HYGIENE WITH CHLORHEXIDINE ON THE INCIDENCE OF VENTILATOR-ASSOCIATED PNEUMONIA (VAP) IN PATIENTS ON VENTILATION IN THE INTENSIVE CARE UNIT Sutrisno; Deny Eko Saputro; Mayta Sari Dwianggimawati
International Journal of Nursing and Midwifery Science (IJNMS) Vol. 10 No. 2 (2026): VOLUME 10 ISSUE 2 AUGUST 2026
Publisher : Departement Research and Community Engagement Bina Sehat PPNI Institute of Health Science, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29082/IJNMS/2026/Vol10/Iss2/865

Abstract

Ventilator Associated Pneumonia (VAP) is a nosocomial infection that often occurs in patients with mechanical ventilation and can increase the risk of complications and mortality. This study aims to analyze the effect of oral hygiene with chlorhexidine on the incidence of VAP in patients with ventilators. The study design used a pre-experimental approach with a one-group pretest–posttest approach. A sample of 15 patients was selected using purposive sampling. Oral hygiene intervention with chlorhexidine was given twice a day for 3 days. The incidence of VAP was measured using the Clinical Pulmonary Infection Score (CPIS). Data analysis used the Wilcoxon Test. The results showed that the average body temperature decreased from 37.69°C to 37.21°C (p=0.028). Leukocyte values ​​showed a tendency for improvement after the intervention. Tracheal secretions did not show significant changes (p=1.00). The mean PaO₂/FiO₂ ratio changed from 241.6 to 236.1 (p=0.048). Chest X-ray evaluation results showed an improvement in pulmonary infiltrates in some respondents after the intervention. Overall, CPIS scores showed a downward trend after oral hygiene with chlorhexidine. Routine and standardized implementation of this measure has the potential to improve the quality of nursing care and reduce the risk of complications in patients on mechanical ventilation.  
FAMILY EXPERIENCES OF PREVENTING STUNTING AMONG CHILDREN UNDER TWO YEARS: A COMMUNITY HEALTH NURSING PERSPECTIVE Sarifudin Andi Latif; Muhammad Syafri; Sahdan Mustari
International Journal of Nursing and Midwifery Science (IJNMS) Vol. 10 No. 2 (2026): VOLUME 10 ISSUE 2 AUGUST 2026
Publisher : Departement Research and Community Engagement Bina Sehat PPNI Institute of Health Science, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29082/IJNMS/2026/Vol10/Iss2/866

Abstract

Stunting remains a major public health challenge affecting children's physical growth, cognitive development, and future productivity. Family involvement and community support are essential for effective prevention during the first 1,000 days of life. This study explored family experiences in preventing stunting among children under two years of age from a community nursing perspective in Jeneponto Regency, Indonesia. A qualitative descriptive phenomenological design was employed involving 14 purposively selected participants, including 10 mothers, two community nurses, and two Posyandu health volunteers. Data were collected through semi-structured in-depth interviews, field observations, and field notes, then analyzed using thematic analysis. Four themes emerged: family knowledge of stunting, family prevention practices, barriers to prevention, and community nursing support. Families practiced exclusive breastfeeding, nutritious complementary feeding, routine growth monitoring, and healthcare utilization. However, economic constraints, cultural beliefs, feeding difficulties, and limited healthcare access remained significant barriers. Family-centered community nursing interventions integrating education, empowerment, home visits, and multisectoral collaboration can strengthen sustainable stunting prevention among children under two years of age.
DEVELOPMENT OF A MULTI-MARKER PREDICTION MODEL INTEGRATING ANKLE-BRACHIAL INDEX, LIPID PROFILE, AND INFLAMMATORY BIOMARKERS FOR PERIPHERAL ARTERY DISEASE RISK STRATIFICATION IN INDIVIDUALS WITH METABOLIC SYNDROME Ima Rahmawati; Regan Arethusa Prabowo; Irmawati Ningsih
International Journal of Nursing and Midwifery Science (IJNMS) Vol. 10 No. 2 (2026): VOLUME 10 ISSUE 2 AUGUST 2026
Publisher : Departement Research and Community Engagement Bina Sehat PPNI Institute of Health Science, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29082/IJNMS/2026/Vol10/Iss2/867

Abstract

Background: Peripheral artery disease (PAD) is a common atherosclerotic complication among individuals with metabolic syndrome and is associated with increased cardiovascular morbidity and mortality. Although the Ankle-Brachial Index (ABI) is widely used as a screening tool, its diagnostic performance is limited when applied as a standalone measure. Therefore, an integrated approach combining vascular, metabolic, and inflammatory indicators is needed to improve the accuracy of early PAD detection. This study aimed to examine the effects of ABI, lipid profile, and inflammatory biomarkers on PAD occurrence and to develop a multi-marker prediction model for individuals with metabolic syndrome. Methods: The quantitative study employed a predictive analytical approach with a cross-sectional design. A total of 106 individuals with metabolic syndrome were recruited through purposive sampling from the Dlanggu Community Health Center catchment area, Mojokerto Regency, Indonesia. Data were collected using structured questionnaires, ABI measurements, lipid profile assessments, and inflammatory biomarkers, including the Monocyte-to-HDL Ratio (MHR), Neutrophil-to-HDL Ratio (NHR), C-Reactive Protein (CRP), and the Systemic Inflammatory Response Index (SIRI). Data were analyzed using descriptive statistics, multivariable logistic regression, and Receiver Operating Characteristic (ROC) curve analysis with IBM SPSS Statistics version 29. Results: ABI was significantly associated with PAD occurrence (β = −3.524, p < 0.001). Lipid profile components, including low-density lipoprotein (LDL), high-density lipoprotein (HDL), and triglycerides, as well as the inflammatory biomarkers MHR, NHR, CRP, and SIRI, were also significantly associated with PAD (p < 0.05). The proposed multi-marker prediction model demonstrated excellent predictive performance, with a Nagelkerke R² of 0.631 and an area under the ROC curve (AUC) of 0.891. Conclusions: A multi-marker prediction model integrating ABI, lipid profile parameters, and inflammatory biomarkers effectively predicts PAD among individuals with metabolic syndrome. These findings support a multidimensional approach to vascular risk stratification and suggest that this model has the potential to enhance early screening, facilitate timely clinical decision-making, and optimize preventive strategies in high-risk populations.

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