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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.
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Articles 217 Documents
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Understanding the Health Landscape of Coastal Communities: A Review on Non-Communicable Diseases Maziyya, Nur; Nurhamsyah, Donny
Journal of Nursing Care Vol 8, No 3 (2025): Journal of Nursing care
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jnc.v8i3.64334

Abstract

Non-communicable diseases (NCDs), particularly hypertension and type 2 diabetes mellitus, pose serious health challenges in coastal communities, which are often socioeconomically and geographically vulnerable. Limited access to healthcare and inadequate preventive health information further worsen these issues. This literature review aims to describe the health profile and associated risk factors of NCDs in coastal populations. A structured search was conducted through PubMed, Google Scholar, and ScienceDirect using keywords including non-communicable diseases, hypertension, diabetes, coastal community, and risk factors. Inclusion criteria comprised peer-reviewed primary research (quantitative or qualitative), published in English or Indonesian between 2020 and 2025. Of 67 articles identified, 17 met the criteria and were analyzed descriptively. Hypertension emerged as the most frequently studied NCD, followed by diabetes and metabolic syndrome. Commonly reported risk factors included obesity, low physical activity, high sodium intake, smoking, stress, aging, and low socioeconomic status. Some studies also noted the influence of seafood consumption, sleep quality, and comorbid conditions. Among elderly populations, factors such as health insurance and access to health counseling influenced health-seeking behaviors. These findings highlight the urgent need for tailored, community-based strategies to prevent and control NCDs in coastal regions.
The Use of the Pressure Ulcer Scale for Healing (Push) in Patients with Pressure Ulcers and Multimorbidity: A Case Study Aulia, Syifa Nurul; Harun, Hasniatisari; Rahayu, Urip
Journal of Nursing Care Vol 8, No 3 (2025): Journal of Nursing care
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jnc.v8i3.64761

Abstract

Pressure ulcers are a complication that becomes more complex when experienced by patients with multimorbidity such as Congestive Heart Failure (CHF), Chronic Kidney Disease (CKD), and thrombocytopenia. These conditions can lead to prolonged healing, high risk of infection, systemic complications, and even death. Interventions must be accompanied by appropriate tools to evaluate wound healing optimally. The Pressure Ulcer Scale for Healing (PUSH) is a tool for accurately, practically, and simply assessing the progression of pressure ulcers. However, its use for evaluating pressure ulcers remains limited. The objective to describe the use of PUSH in patients with pressure ulcers and multimorbidity. Method: This study used a case study design involving a 56-year-old patient with a grade III pressure ulcer on the buttocks measuring 121.5 cm2 with granulation tissue, minimal necrosis tissue, pus, and active bleeding. Wound progression was evaluated using PUSH over 4 days during wound care. The results that the PUSH score increased to 16 with a wound size of 150 cm2 moderate exudate, and extensive necrosis tissue. This indicates that the wound condition has not improved, prompting an evaluation of the wound care and factors hindering wound healing. Although PUSH aids clinical decision-making, it has limitations in assessing wound depth and systemic conditions as it only evaluates three parameters. The PUSH instrument is a simple and efficient tool for monitoring the healing of pressure ulcers and has the potential to indicate changes in wound condition as a result of an intervention, thereby aiding clinical decision-making. PUSH is recommended for routine use in clinical practice, while continuing to evaluate systemic conditions comprehensively and involving a multidisciplinary team.
Assessment of Fall, Dependency, and Stroke Knowledge In CKD Patient With Comorbidities Pebriana, Tika Rifa Luthfiyah; Kurniawan, Titis; Nursiswati, Nursiswati
Journal of Nursing Care Vol 8, No 3 (2025): Journal of Nursing care
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jnc.v8i3.64537

Abstract

Chronic kidney disease (CKD) is a global health problem that can lead to serious complications. In patients with CKD and diabetes mellitus (DM), there is an increased risk of falls, dependence in daily activities, and stroke. Although these risks are often associated with the elderly population, the phenomenon of multimorbidity is now also increasing trends among individuals of working age. This study aims to describe changes in fall risk levels, dependency levels, and stroke risk knowledge among CKD patients with DM and glaucoma during hospital care. Data collection was conducted through observation, interviews, physical examinations, and medical record reviews. The sample used was a 43 year old woman. The study results showed a significant improvement in reduced fall risk (MFS: 35 to 25), decreased dependency level (CDS: 53 to 66), and increased stroke risk knowledge (SRQ: 28 to 40). This study indicates that comprehensive interventions such as hemodialysis, wound care, pharmacological therapy, and education effectively improve functionality and understanding in productive aged patients with complex multimorbidity.
Assessment of Pain and Dependency Levels in Patient with Paralytic Ileus Associated with Prolonged Antacid Use: Case Report Syifaurrahmah, Syifaurrahmah; Perbrianti, Sandra; Nursiswati, Nursiswati
Journal of Nursing Care Vol 8, No 3 (2025): Journal of Nursing care
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jnc.v8i3.64489

Abstract

Paralytic ileus is a disorder that results in a halt of intestinal flow, causing fluid and gas accumulation. Although paralytic ileus is commonly associated with postoperative conditions, it may also influenced by electrolyte imbalances from long-term antacid use and age-related factors that increase mortality risk. If inadequately unmanaged, the condition can result in significant pain, increased risk of complications, and greater care dependency. The purpose to describe a case of paralytic ileus in an elderly patient with long-term antacid use and evaluate changes in pain intensity and care dependency during treatments. This case report involved a 74-year-old male patient with paralytic ileus and a primary nursing diagnosis of acute pain. Pain intensity and care dependency were assessed using the Numeric Rating Scale and Care Dependency Scale during a four-day hospitalization period. The patient showed clinical improvement, include the return of flatus and defecation, normalization of electrolyte levels, reduced pain intensity (NRS 6 to 3), and increased independence (CDS 46 to 62). Discussion: Nursing care included electrolyte correction and pain management through pharmacological therapy and guided imagery, which contribute to decreased pain an improved care dependency, particularly in continence-related aspects. Recall bias related medication history was identified as a limitation. This case underscores the importance of early recognition of electrolyte imbalance and comprehensive nursing assessment in patients with paralytic ileus. Holistic nursing care supported by multidisciplinary collaboration and non-pharmacological intervention played a critical role in enhancing patient outcomes and promoting functional independence during hospitalization.
Translation and Validity Content Testing of The Quality Clincial Placement Evaluation Instrument Ilfanty, Ananda Rafa; Yusanti, Irma; Anna, Anastasia
Journal of Nursing Care Vol 8, No 3 (2025): Journal of Nursing care
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jnc.v8i3.64563

Abstract

Clinical learning environments are fundamental to nursing education, and their quality must be systematically evaluated. The Quality Clinical Placement Evaluation (QCPE) instrument is widely used to assess clinical placements; however, an Indonesian version has not been previously available. This study aimed to translate, culturally adapt, and assess the content validity of the QCPE instrument in the Indonesian context. A methodological study was conducted using a structured translation process comprising forward translation, synthesis, backward translation, and developer review to ensure conceptual equivalence. Content validity was evaluated by three Nursing Professional Practice experts who assessed each item for relevance, clarity, and essentiality. Quantitative analysis was performed using the Item Content Validity Index (I-CVI), Scale Content Validity Index (S-CVI/UA and S-CVI/Ave), and Content Validity Ratio (CVR). The Indonesian QCPE demonstrated good content validity. Most items achieved an I-CVI of 1.00, indicating high relevance. S-CVI/ UA values ranged from 0.82 to 0.95, and S-CVI/Ave values ranged from 0.94 to 0.98, reflecting strong overall agreement among experts. CVR values ranged from 0.33 to 1.00. One item from each questionnaire was removed due to limited relevance to the Indonesian nursing education context, resulting in a final version with 20 items for the Professional Student Questionnaire and 16 items for the Supervisory Nurse Questionnaire. The Indonesian version of the QCPE instrument demonstrates strong content validity and is suitable for evaluating clinical learning environments. Further studies are recommended to establish construct validity and reliability prior to widespread use.Keywords: Content Validity, Clinical Learning Environment, Cross-Cultural Adaptation, Nursing Education
The Influence of Audio-Visual Social Media on Knowledge of the Impact of Early Marriage on Adolescent Reproductive Health Musfiroh, Sri; Triwahyuningsih, Ria Yulianti; Nurjanah, Nunung; Hidayah, Fika Nurul; Rahmatika, Siti Difta; Garbella, Denada
Journal of Nursing Care Vol 8, No 3 (2025): Journal of Nursing care
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jnc.v8i3.67136

Abstract

Early marriage remains a serious issue that negatively impacts the reproductive health, education, economy, and psychology of adolescents. Ironically, social media often romanticizes this practice, thereby potentially reinforcing misperceptions and reducing reproductive health literacy. The lack of empirical research on the role of social media in shaping adolescents' knowledge about early marriage has created a gap in the literature that needs to be addressed. Lo988 A two-group pretest-posttest pre-experimental research design with a sample of 336 adolescents (168 intervention, 168 control) from SMAN 5 and SMAN 7 Cirebon, selected through simple random sampling. The intervention consisted of health education through animated videos and discussions via WhatsApp. Data were analyzed using the Mann-Whitney test with SPSS. The results showed that the intervention group experienced a significant increase in knowledge after education (p < 0.05), with the majority of respondents before the intervention, 88 people (52.38%), in the “poor” category. after the intervention, 89 respondents (52.98%) were categorized as “adequate” and 74 respondents (44.05%) were categorized as “good.” The control group showed only minimal changes. Therefore, future researchers are advised to develop interventions based on teenage influencers to expand the reach and sustainability of promotion.
The Effectiveness of Animated Videos in Health Education: Improving Knowledge, Attitudes, and Behaviors Haris, Abdul; Swarjana, I Ketut; Darmini, Anak Agung Ayu Yuliati; Rahyanti, Ni Made Sri
Journal of Nursing Care Vol 9, No 1 (2026): Journal of Nursing care
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jnc.v9i1.66263

Abstract

Background: Health education plays a crucial role in enhancing the knowledge, attitudes, and behaviors of the community. Animated videos have become an increasingly popular educational method due to their ability to present complex information in an engaging manner. However, systematic mapping of their effectiveness is still lacking. Objective: This scoping review aims to clarify the evidence of the effectiveness of animated video-based health education in improving knowledge, attitudes, and behaviors. Methods: This literature review employs the PCC model (P: Patients, Families, Community; C: Health Education Attitudes and Behaviors; C: Animated Videos, Digital Media) to identify relevant literature. Inclusion criteria consisted of articles published in English within the last 10 years, while narrative articles, integrative reviews, scoping reviews, systematic reviews, and meta-analyses were excluded. The results of the analysis are reported in accordance with the PRISMA-ScR guidelines. Results: Out of 578 identified articles, 12 met the inclusion criteria. Conclusion: Animated educational videos have proven effective in enhancing knowledge and attitudes. The implications for nursing practice include the development of video-based educational materials to improve communication and understanding among patients regarding complex health issues.
Family Nursing Care with Asthma Education Using The Calgary Family Assessment Model (CFAM) and The Calgary Family Intervention Model (CFIM): Case Report Azizah, Neng Zihan Nurul; Purnama, Dadang; Lukman, Mamat
Journal of Nursing Care Vol 9, No 1 (2026): Journal of Nursing care
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jnc.v9i1.64753

Abstract

Asthma is a chronic respiratory disease that can be triggered by hereditary and environmental factors, such as exposure to cigarette smoke at home. Effective asthma management requires active family involvement in the care process. This study aims to identify nursing problems and provide interventions for families with a history of asthma using the Calgary Family Assessment Model (CFAM) approach, which consists of the dimensions of Structural Assessment, Developmental Assessment, and Functional Assessment. Meanwhile, the Calgary Family Intervention Model (CFIM) focuses on three main domains of Cognitive, Affective, and Behavioral change as a conceptual framework. The research method used is descriptive with a case study design and the subjects in this study were one family with hereditary asthma selected using purposive sampling. This study was conducted from December 31, 2024, to January 22, 2025. The assessment was conducted for 15-30 minutes using the CFAM approach, which includes structural, developmental, and functional components of the family. The intervention was conducted using the CFAM approach across three domains: cognitive (education), affective (emotional counseling), and behavioral (lifestyle modification). The intervention involved education using easy-to-understand language and illustrated leaflets. Evaluation results showed increased family knowledge about asthma and the dangers of smoking, improved communication among family members, and a decrease in smoking frequency from six to three cigarettes per day. These findings suggest that implementing the CFAM and CFIM concepts can improve family health knowledge and support healthier behavior changes. This study recommends broader use of the CFAM and CFIM concepts in community-based family nursing practice.
“Psychoeducation” A Comprehensive Approach to Improve the Quality of Life of Patients with Coronary Heart Disease: A Scoping Review Widiasih, Restuning; Khoirunnisa, Khoirunnisa; Aini, Farah Huwaida Qurrota; Megatami, Noviani; Nurfadillah, Nisa Nizhan; Fathurrizki, Ahmad Ihsan; Araujo, Glorianita A. R.
Journal of Nursing Care Vol 9, No 1 (2026): Journal of Nursing care
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jnc.v9i1.69645

Abstract

Coronary heart disease is one of the diseases with acute and critical manifestations that has a high mortality rate worldwide. Psychoeducation is a comprehensive intervention that can be provided to acute patients, given its speed and its effects on all aspects of health. Comprehensive studies on the application of psychoeducation in acute-phase coronary heart disease patients are limited, so this literature review aims to identify the effectiveness of psychoeducation in managing this disease. This review uses a scoping review approach, applying six main stages: problem identification, identification of literature sources, literature selection, mapping and collecting literature, compiling and reporting results, and consulting with competent parties. The literature selection used the PRISMA approach, with article searches across three databases: Academic Search Complete, PubMed, and SAGE Journals. The studies reviewed used English-language research designs and focused on adult patients with acute or chronic coronary heart disease who received psychoeducation therapy, using RCT/cross-sectional/quasi-experimental/cohort study designs. The search results yielded five articles on the management of psychoeducation interventions in surgical and non-surgical conditions, focusing on coping strategies, physical capacity improvement, and disease understanding. Psychoeducation has been proven to improve patients' biopsychosocial quality of life (reducing stress levels, anxiety levels, depression, physical health, and social functioning). Psychoeducation can increase patients' knowledge by explaining coping strategies for adapting to life crises and other potential threats or developments. Further research is needed to refine the application of psychoeducational interventions on the quality of life of coronary heart disease patients
The Effect of Antiretroviral Therapy (ART) on Obstetric Complications Risk in Pregnant Women with HIV: A Scoping Review Ermiati, Ermiati; Syalsabilla, Melsya Meira; Lailatussya’diah, Rania Annisa; Anggrayni, Selfi Astriyan; Pinto, Feliciano
Journal of Nursing Care Vol 8, No 3 (2025): Journal of Nursing care
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jnc.v8i3.68351

Abstract

Antiretroviral therapy (ART) is a cornerstone in the management of HIV among pregnant women due to its ability to suppress viral load and prevent vertical transmission. However, its effectiveness on pregnancy outcomes remains a challenge because of the potential risk of obstetric complications. This scoping review aimed to map and summarize existing evidence on the association between ART use and obstetric complications among pregnant women living with HIV. The review was conducted using the Arksey and O’Malley framework and reported in accordance with the PRISMA-ScR guidelines. A comprehensive literature search was performed across Scopus, EBSCOhost, PubMed, and ScienceDirect to identify full-text English-language original studies published between 2020 and 2025. Study selection was guided by the Population–Intervention–Outcome framework, focusing on pregnant women with HIV receiving ART and associated obstetric complications. Out of 11,669 identified articles, ten met the inclusion criteria. The findings revealed that initiating ART before pregnancy reduced the risk of small-for-gestational-age (SGA) infants, while regimens based on non-nucleoside reverse transcriptase inhibitors (NNRTIs) and protease inhibitors (PIs) were associated with a higher risk of preterm birth compared to integrase strand transfer inhibitor (INSTI)–based regimens. Low birth weight (LBW) was more frequently observed when ART initiation occurred during the second trimester. Immunological, placental, metabolic, and psychosocial factors were also found to influence pregnancy outcomes. In conclusion, ART management should consider drug type, timing of initiation, and maternal condition to minimize obstetric risks. Future research is recommended to examine the longitudinal effects of ART regimens using a multidimensional approach to achieve more precise and context-specific therapeutic management.

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