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Journal of Nursing Care
Published by Universitas Padjadjaran
ISSN : -     EISSN : 26141698     DOI : -
Core Subject : Health, Science,
Health Professions Nursing Physics Public Health
Journal of Nursing Care (JNC) is a journal of scientific publications that publish every four months (quarterly) using a peer review system for article selection. JNC intended for practitioners, academics, professionals, students or among the general public who are involved and interested in the development of Health and Nursing Science. It can receive relevant articles in the field of health and nursing, which includes research articles.
Arjuna Subject : -
Articles 197 Documents
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Motivational Drives Behind Indonesian Female Nursing Graduates’ Pursuit of Rn-Clex in California: A Hermeneutic Phenomenological Study Tambunan, Evelyn Hemme
Journal of Nursing Care Vol 8, No 1 (2025): Journal of Nursing Care
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jnc.v8i1.62824

Abstract

The increasing demand for globally competent nurses has prompted many Indonesian nurses to pursue international licensure, such as the NCLEX-RN in the United States. Understanding the motivations behind this pursuit is essential for informing nursing education, workforce planning, and international migration policies. This hermeneutic phenomenological study explored the lived experiences and motivational drives of Indonesian female nursing graduates pursuing the Registered Nurse (RN) licensure by passing the NCLEX-RN examination in California. Utilizing in-depth interviews with ten Indonesian female nurses who have successfully obtained their RN licenses and are practicing in California, the research aimed to uncover the complex interplay of personal, professional, economic, and socio-cultural factors shaping their decisions and experiences. The study revealed five overarching themes “Economic aspirations and the pursuit of financial stability,” “Professional growth and the desire for advanced opportunities,” Familial responsibilities and the drive to support loved ones,” “The allure of western healthcare systems and improved working conditions,” and “Navigating cultural adjustments and maintaining identity in a hew environment.” The findings provide valuable insights into the motivations, challenges, and resilience of Indonesian female nurses seeking international opportunities, ultimately contributing to a deeper understanding of the global nursing migration phenomenon. The implications of the study address the need for culturally sensitive support systems and policies to facilitate successful integration and retention of international nurses in healthcare settings.
The Application of Origami Therapy in The Elderly with Impaired Cognitive Function: A Case Study Salsabila, Nada; Witdiawati, Witdiawati; Sari, Sheizi Prista
Journal of Nursing Care Vol 8, No 2 (2025): Journal of Nursing Care
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jnc.v8i2.63418

Abstract

Older adults are prone to cognitive decline, which impacts their quality of life. While origami therapy is known to improve concentration and fine motor skills, studies on its effect on cognitive function in older adults remain limited. As a non-pharmacological intervention, origami folding offers cognitive stimulation through enjoyable activities. Objective to determine the effectiveness of origami therapy in improving cognitive function in an older adult with cognitive impairment. This study employed a case study design involving a 71-year-old resident of Griya Lansia Garut. The intervention was carried out in six sessions over a period of ten days. Cognitive function was assessed using a standardized cognitive assessment tool on the first and last day of the intervention. The client’s score increased from 18 to 22, which remains within the mild cognitive impairment category but indicates improvement. Enhancements were observed in the client’s ability to follow instructions, recall folding steps, name objects, and orient to time. These findings suggest that origami folding may help enhance cognitive funtion in older adults, particularly in attention, memory, and orientation. Further research with a larger sample size is recommended to explore the broader effectiveness of this intervention.
The Impact of Health Education on Parental Knowledge in Preventing Tuberculosis in Children Widiawati, Susi; Khairani, Annisa
Journal of Nursing Care Vol 8, No 1 (2025): Journal of Nursing Care
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jnc.v8i1.62869

Abstract

Tuberculosis (TB) is an infectious disease that causes the second-largest number of deaths after Covid-19. There were 1,627 cases of TB in children in Jambi Province in 2021, while in the city of Jambi, the highest number of cases were in the Puskesmas Familiar Besar area with 159 cases. The impact of TB disease on children will disrupt growth and development. There is a need to address the impacts and new cases of TB in various ways, including health education for children's parents. This study aims to determine the effect of health education on parents' knowledge in preventing tuberculosis in children. This research is quantitative research with a pre-experimental design. The research subjects were parents who had children With a sample of 34 people, the sample was taken using a purposive sampling technique. Data were collected from 5 to 24 June 2023. The intervention provided was TB prevention material with video tools and leaflets. Data was collected using a questionnaire and analyzed univariately and bivariately using the T-Test. The results of univariate analysis showed that the average value of maternal knowledge before the intervention was 6.38 and the average value of maternal knowledge after the intervention was 8.15. The results of the bivariate analysis showed the influence of health education on parental knowledge in preventing tuberculosis in children with a p-value of 0.001. It is hoped that Puskesmas officers will provide health education in various activities to prevent the transmission of tuberculosis to children. This research can be developed with a digital education application to prevent TB in children.
Application of Hand Held Fan Therapy and Orthopneic Position to Reduce Dyspnea in Congestive Heart Failure (CHF) Patients: Case Report Salsabilla, Sausan Zahrah Salwa; Platini, Hesti; Sari, Eka Afrima
Journal of Nursing Care Vol 8, No 2 (2025): Journal of Nursing Care
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jnc.v8i2.63827

Abstract

Introduction: Congestive Heart Failure (CHF) is a condition in which the heart is unable to pump blood effectively to meet the body’s needs, resulting in decreased cardiac output. This leads to fluid accumulation in the lungs due to increased pulmonary venous pressure, which subsequently triggers pulmonary edema. Pulmonary edema causes impaired oxygen diffusion in the alveoli, resulting in dyspnea as the primary complaint in CHF patients. The main nursing problem that arises is impaired gas exchange, indicated by an increased respiratory rate, decreased oxygen saturation, and the use of accessory respiratory muscles. To help address impaired gas exchange in CHF patients, non-pharmacological therapies such as the use of a hand-held fan and the implementation of an upright sitting position (orthopnea position) can be utilized. Purpose: To evaluate the effectiveness of the hand-held fan and orthopneic position interventions in CHF patients experiencing shortness of breath. Methods: This study employed a case study approach based on observation, interviews, and medical record reviews. The interventions hand-held fan and orthopneic position were administered over three days, with each session lasting 5 minutes. Results: Following the interventions, respiratory rate decreased from 30 breaths per minute to 25 breaths per minute, and oxygen saturation increased from 95% to 98%. The patient reported feeling more relieved, comfortable during breathing, and able to sleep more easily, although occasional shortness of breath persisted. Discussion: The interventions are physiologically beneficial: the orthopneic position helps reduce venous return to the heart, thereby lowering pulmonary pressure, while hand-held fan therapy alleviates the perception of breathlessness through sensory stimulation of the face, which activates the V2 branch of the trigeminal nerve. Conclusion: The combination of hand-held fan therapy and the orthopneic position is effective in relieving dyspnea, reducing respiratory rate, and improving oxygen saturation in patients with congestive heart failure
Age and VAP Bundle Factors Support the Success of Ventilator Weaning in Patients with Post Evd E.C Hydrocephalus Communica, ME TB BRMC Grade II in the ICU room Taufindari, Revita Pricilia Ananda Putri; Setioputro, Baskoro
Journal of Nursing Care Vol 8, No 1 (2025): Journal of Nursing Care
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jnc.v8i1.61482

Abstract

Ventilator weaning disorder is the inability to adapt to the reduction of mechanical ventilator assistance that can hinder and prolong the weaning process. Meningitis is strictly defined as inflammation of the meninges, while encephalitis is defined as inflammation of the brain. If both are inflamed, the patient experiences meningo encephalitis. Ventilator weaning (or ventilator weaning) is the process of gradually reducing the mechanical respiratory support provided by the ventilator to the patient. Successful weaning is defined as effective spontaneous breathing without any machine support for 24 hours or more. Study was to analyze ventilator weaning in post evd patients e.c communicating hydrocephalus, me tb brmc grade ii in the icu room of prof. Dr. I.g.n.g ngoerah bali hospital. The method used is a quantitative case study method. The data source of this study is primary data that has been interviewed with the patient’s family and also refers to medical record data as secondary data. The results obtained in this study are that the success factor of ventilator weaning is related to the patient’s age. In early adulthood, it is easier to achieve successful ventilator weaning because the body’s immune function, respiratory muscles and lung function are stronger compared to late adulthood. Then, oral hygiene measures will reduce the incidence of vap and avoid oral infections. Because these measures can kill bacterial growth in the oropharynx. The application of the vap bundle for the prevention and control of vap is stated in the regulation of the minister of health (permenkes) of the republic of indonesia number 27 of 2017 concerning guidelines and prevention of infection which includes hand hygiene, bed position 30-45°, oral hygiene, management of oropharyngeal and tracheal secretions, daily sedation assessment, and administration of deep vein thrombosis (dvt) prophylaxis. The conclusion of this study is that age factors and vap bundles can support the success of ventilator weaning in post-evd patients e.c communicated hydrocephalus, me tb brmc grade ii in the icu room of prof. Dr. I.g.n.g. Ngoerah bali hospital
The Application of Crossword Puzzle Therapy (CPT) to Improve Cognitive Function in Older Adults in Griya Lansia Garut: A Case Study Pataya, Amalla; Witdiawati, Witdiawati; Sari, Sheizi Prista
Journal of Nursing Care Vol 8, No 2 (2025): Journal of Nursing Care
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jnc.v8i2.63994

Abstract

Introduction: Older adults are an age group that is vulnerable to a decline in cognitive function as they age. One of the efforts to slow down the process is through the provision of fun and structured cognitive stimulation, such as crossword puzzle games or Crossword Puzzle Therapy (CPT). Objective: : To determine the effectiveness ofthe application of CPT on improving cognitive function in older adults who experience mild cognitive function impairment. Methods: This study used a case study method with a nursing approach to a 74-year-old older adult with mild cognitive function impairment at Griya Lansia Garut. Cognitive function was measured using a questionnaire with the intervention given was Crossword Puzzle Therapy (CPT) for six times in ten days. Results: There was an increase in cognitive scores (from 18 to 21) before and after the intervention, especially in aspects of orientation and short-term memory. Clients can perform CPT exercises with assistance and only in the easiest CPT level. Conclusion: This study shows that CPT intervention can be an effective alternative nonpharmacological therapy to stimulate and improve cognitive function in older adults. A longer time and increase the sample size with various characteristics to determine the broader effectiveness of this intervention are recommended. The activity should begin with a low level of difficulty and be tailored to the individual’s ability in order to achieve more optimal outcomes. Keywords: Cognitive Function, Crossword Puzzle Therapy (CPT), Older Adult
The Effect of Diabetic Foot Exercise on Peripheral Perfusion and Fall Risk in Elderly with Diabetes Mellitus: Case Report Putri, Yuliana Eka; Sari, Sheizi Prista; Witdiawati, Witdiawati
Journal of Nursing Care Vol 8, No 2 (2025): Journal of Nursing Care
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jnc.v8i2.64001

Abstract

risk of experiencing complications such as peripheral neuropathy. Diabetic foot exercises are an intervention to control blood sugar levels and reduce the risk of complications and limited study have been found that support the intervention on the risk of further falls. This study aims to determine the effect of foot exerciseson peripheral perfusion and fall risk in elderly with DM. The research employed a case report methodology, utilizing a nursing care approach for an elderly individual aged 65 years. The client experienced peripheral neuropathy and the assessment showed that the client was in the moderate fall risk category. The intervention was given for 7 days in the morning and evening for 10–15 minutes, and evaluation was conducted daily through observation, interviews, physical examinations, and objective assessment using questionnaires Tinetti Assessment Tool. Complaints of tingling and stiffness in the feet had decreased, acral temperature became warm, CRT was 2 seconds, SpO₂ in the toes increased to 96%, GDS was 136 mg/dL, and the Tinetti Assessment Tool score was 5 with an interpretation of low fall risk. The findings of this study indicate that practicing diabetic foot exercises can improve peripheral perfusion and reduce the risk of falls in the elderly. Further research is expected to be conducted with a larger sample size and a longer intervention duration to observe its long-term effects.Keywords: Diabetic Foot Exercise, Diabetes Mellitus, Elderly 

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