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Jurnal Keperawatan Priority
Published by Universitas Prima Indonesia
ISSN : -     EISSN : 26144719     DOI : -
Core Subject : Health,
Dentistry Health Professions Medicine & Pharmacology Nursing Public Health
Journal of Nursing Priority is a nursing journal managed by the Faculty of Nursing and Midwifery of the University of Prima Indonesia, which is published twice in the discussion of research article spaces in the field of nursing such as surgical medical care, emergency nursing, maternity nursing, child nursing, child nursing, child nursing, gerontik nursing, nursing family, community nursing, nursing management, and other health fields.
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Articles 320 Documents
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Nurses’ Communication in Providing Care for Children with Cancer: Literature Review Dina Rasmita; Dewi Elizadiani Suza; Setiawan; Diah Arruum; Nurbaiti
Jurnal Keperawatan Priority Vol. 9 No. 1 (2026)
Publisher : Universitas Prima Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/jukep.v9i1.7823

Abstract

Cancer in children presents a major global health problem, impacting not only the physical condition of pediatric patients but also causing significant psychological and social challenges for both the children and their families. Effective communication between nurses, children, and families is essential to ensure quality care, support psychosocial adaptation, and foster active involvement in decision-making. The study design used literature review. This literature review was conducted using PubMed, Scopus, and CINAHL (EBSCO) databases, focusing on articles published from 2014 to 2025. The inclusion criteria were English-language articles discussing nurse communication with children aged 0-18 diagnosed with cancer, with nurses as the main communicators, and full-text availability. The findings indicate that nurses assume multifaceted roles not only as providers of medical information, but also as emotional supporters, advocates, and key facilitators in multidisciplinary healthcare teams. Communication approaches identified include tailoring information to the child’s developmental stage and cultural context, validating emotions, and employing active listening, open-ended questioning, and reflection. However, nurses face considerable barriers such as limited time, insufficient communication training, unclear professional roles, emotional burden, and systemic challenges within healthcare settings. Therefore, there is a need to improve communication training, enhance institutional support, and develop policies that encourage multidisciplinary collaboration and a work environment that supports effective communication. These efforts are expected to strengthen the role of nurses in providing holistic, adaptive, and family-centered care in the pediatric oncology setting.
The Influence of Organizational Climate and Leadership on Nurse Performance: A Narrative Review Patimah Sari Siregar; Elis Anggeria; Tiarnida Nababan
Jurnal Keperawatan Priority Vol. 9 No. 1 (2026)
Publisher : Universitas Prima Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/jukep.v9i1.7860

Abstract

Nurse performance is a crucial determinant of healthcare quality and patient safety. Beyond clinical competence, contextual factors such as organizational climate and leadership styles play a crucial role in shaping professional outcomes. This study aims to synthesize empirical evidence regarding the influence of organizational climate and leadership on nurse performance and to identify the mediating mechanisms between these variables. A narrative review was conducted using a systematic search strategy across four major databases: PubMed, ScienceDirect, ProQuest, and Google Scholar. The search was limited to articles published between 2019 and 2025. Following the PRISMA guidelines, a total of 213 initial articles were screened, resulting in 7 articles that met the inclusion criteria for final thematic analysis. The thematic synthesis identified three key themes: (1) The role of organizational climate in well-being and retention, (2) The impact of leadership styles on performance, and (3) The mediating role of organizational climate. Findings indicate that a supportive organizational climate is significantly associated with reduced burnout and increased intention to stay. Furthermore, transformational leadership was found to be the most effective style for improving patient outcomes, whereas toxic leadership negatively impacts retention. Organizational climate and leadership are fundamental determinants that simultaneously influence nurse performance. Effective leadership cannot function in isolation; it requires a supportive organizational climate to optimize nurse engagement and clinical outcomes. Management strategies should focus on creating a synergistic environment that combines visionary leadership with a constructive work atmosphere.
Machine Learning Models Prediction Medication Nonadherence Risk in Type 2 Diabetes: A Systematic Review Victor Trismanjaya Hulu; Yusuf Panserito Hulu; Kharis Meiwan K Telaumbanua; Reni Aprinawaty Sirait; Arianus Zebua; Rumiris Simatupang
Jurnal Keperawatan Priority Vol. 9 No. 1 (2026)
Publisher : Universitas Prima Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/jukep.v9i1.7859

Abstract

The prediction of medication nonadherence among patients with T2DM can be improved in accuracy and speed using machine learning (ML). This study aimed to develop an ML model to predict the risk of medication nonadherence among patients with T2DM. Methods, inclusion criteria comprised English-language, open-access journal articles published between 2020 and 2025 that developed and validated ML–based prediction models, including ensemble methods, gradient-boosting models, SVMs, and neural networks. Exclusion criteria included review articles, non-English papers, studies published before 2020, studies lacking prediction model development or validation, and studies using only traditional statistical methods, such as logistic regression. The article search was conducted in PubMed, Scopus, ScienceDirect, and Google Scholar. Prediction Model Risk of Bias Assessment Tool (PROBAST) to assess the methodological quality and usefulness of the qualified studies. This narrative synthesis examines the characteristics of ML-based prediction models, their performance, and the factors that predict adherence among patients with T2DM. The papers were sourced from various scientific journal databases. The results show that cross-sectional and cohort studies were among the research designs used in the five papers reviewed. The AUROC of the internal test was 0.782, and the AUROC of the external test was 0.771. The learned-feature classification model achieved an average accuracy of 79.7%. Among these algorithms, the AUC of the best-performing algorithm was 0.866 ± 0.082. The SVM classifier outperformed the others, achieving a recall of 0.9979 and an AUC of 0.9998. The conclusion indicates that predictive capacity is influenced by clinical metrics and the number of prescribed medications.
Analysis Of Inpatient Service Factors On Patient Satisfaction Level at Ngantang Community Health Center Leo Abdul Azis; Heny Nurmayunita; Maulana Arif
Jurnal Keperawatan Priority Vol. 9 No. 1 (2026)
Publisher : Universitas Prima Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/jukep.v9i1.7877

Abstract

The quality of healthcare services, particularly inpatient care at Community Health Centers (Puskesmas), is a key determinant of patient satisfaction. Although the Minimum Service Standards (SPM) target satisfaction above 95%, surveys in Indonesia show that satisfaction rates at Puskesmas remain in the range of 76–82%. This gap indicates the need for an in-depth evaluation of service factors.This study aims to analyze the relationship between five dimensions of service quality (Tangible, Assurance, Reability, Responsiveness, and Empathy) based on the SERVQUAL model with the level of satisfaction of inpatients at the Ngantang Community Health Center, Malang Regency. This study used a quantitative design with a correlation approach. The sample consisted of 39 inpatient respondents. Data analysis used univariate tests and Spearman's Rho correlation bivariate tests. The overall level of patient satisfaction was in the high category, where 90% (35 respondents) stated Satisfied. The results of the bivariate correlation test showed that only the Assurance variable had a statistically significant relationship with the level of patient satisfaction, with a p value of 0.032. Meanwhile, the dimensions of Tangible (p = 0.626), Reability (p = 0.843), Responsiveness (p = 0.301), and Empathy (p = 0.874) did not have a significant relationship with patient satisfaction (p > 0.05). There is a significant positive relationship between service assurance and inpatient satisfaction. This dimension, which encompasses the competence, friendliness, and credibility of staff, is a key factor that needs to be prioritized in efforts to improve service quality.
Nursing Care for XDR-TB Complicated by Infected Bronchiectasis and Malnutrition: A Case Report Robin Ferdiansyah Sitopu; Afeus Halawa; Basri Basri; Murni Aritonang; Fitriyana Br Kaban
Jurnal Keperawatan Priority Vol. 9 No. 1 (2026)
Publisher : Universitas Prima Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/jukep.v9i1.7886

Abstract

Extensively drug-resistant tuberculosis (XDR-TB) presents a formidable challenge, often exacerbated by irreversible structural lung damage and severe malnutrition. Roy’s Adaptation Model (RAM) was employed as the theoretical framework to address the profound physiological and psychosocial disruptions in a high-complexity case. This report describes the integrated, nurse-led management of a patient with XDR-TB and destroyed lung syndrome during the acute stabilization phase. A 39-year-old woman with a decade-long history of TB treatment failure was admitted to a national referral hospital with XDR-TB, profound cachexia (BMI 13.96 kg/m2), and severe hypercapnia (pCO2 94.7 mmHg). During a 72-hour acute stabilization period, integrated nursing-led interventions including the Active Cycle of Breathing Technique (ACBT), therapeutic positioning, and a high-calorie, high-protein regimen resulted in marked clinical improvement. Respiratory stabilization allowed for oxygen weaning from 5 to 4 L/min with an SpO2 increase to 97%. Breaking the catabolic cycle was evidenced by weight stabilization (maintained at 35 kg) and a positive metabolic shift, alongside significantly improved oral intake (80–90% of requirements).. Functional status progressed from total bed rest to independent short-distance ambulation without desaturation. Comprehensive nursing interventions, focusing on airway clearance and acute metabolic stabilization, play a pivotal role in the rapid stabilization of complex XDR-TB cases. Highlighting outcomes within the first 72 hours demonstrates that structured nursing care acts as a catalyst for physiological adaptation, even in the presence of severe anatomical lung destruction.
The Relationship Between Stress Management Techniques with Sleep Quality Disorders in the Elderly Yohanes Tarigan; Made Dwipa Negara
Jurnal Keperawatan Priority Vol. 9 No. 2 (2026)
Publisher : Universitas Prima Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/jukep.v9i2.8332

Abstract

Sleep quality disturbances are one of the problems frequently experienced by the elderly and triggered by stress. This often neglected sleep quality impacts physiological and psychological fulfillment disorders and increases the risk of health problems. The purpose of this study was to find out the relationship between stress management techniques on sleep quality disturbances frequently experienced by the elderly in Nusasari Village. The method used was a pre-experimental study with a one-group pre-test and post-test design. A total of 47 elderly were selected as samples using quota sampling techniques with the criteria of elderly experiencing sleep quality disturbances. The measurement instrument used was the Pittsburgh Sleep Quality Index (PSQI). The research was conducted by providing education on stress management techniques to elderly. Where the right stress management education techniques can help the elderly improve their sleep quality. The tools used by researcher in conducting interventions are PowerPoint and leaflets. Respondents received 30 to 45 minutes of education on the first day and returned on day 3 for a post-test. The results of the study found changes in sleep quality before (PSQI Score Poor=95,7%; Good=4,3%) and after (PSQI Score Poor=6,4%; Good=93,6%) the implementation of stress management technique education. There was a significant improvement in sleep quality (mean 21.50), Z -6.481 and data were analyzed using Wilcoxon Signed Rank Test p < 0.001 (p < 0.005). Providing alternative non-pharmacological interventions by using stress management techniques related to the elderly can improve their sleep quality.
Nurse-Mediated Parental Involvement in Pediatric Oncology: A Scoping Review Dina Rasmita; Dewi Elizadiani Suza; Dwi Karina Ariadni
Jurnal Keperawatan Priority Vol. 9 No. 2 (2026)
Publisher : Universitas Prima Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/jukep.v9i2.8512

Abstract

Parents investing time in caregiving is an essential component of their child's treatment in pediatric oncology. The literature describing the processes through which parents engage is often vague. This study collated evidence regarding engagement of parents in the care of pediatric oncology patients by nurses and care processes pertaining to nurses, and examined this evidence. A Scoping review designed according to PRISMA-ScR was conducted. The literature was collected from Scopus, Web of Science, PubMed, and CINAHL. Literature pertaining to pediatric oncology, parents, or family caregivers in the context of nursing from 2021-2026 was included. Of the 168 records, 20 studies were included. The evidence was framed as five facets of nursing: presence, information translation, family process support, coaching for home care and symptom management, and technology-supported care. Parent engagement in care was articulated through four process qualities: understanding, confidence, participation, and continuity in care from hospital to home. Evidence was most readily available for relational work and for the communication domain. Evidence was scarce for guidance on systematic discharge, preparation for home care, and inclusion of fathers and families of diverse language groups. Engagement of parents in pediatric oncology is better articulated as a process with nursing as a central element with clearly defined components rather than as a general family-centered construct.
Depression Levels Among Bedridden and Non-Bedridden Older Adults in a Residential Care Facility: A Cross-Sectional Comparative Study Ulfiatun Nafidah; Indari; Riki Ristanto
Jurnal Keperawatan Priority Vol. 9 No. 2 (2026)
Publisher : Universitas Prima Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/jukep.v9i2.8132

Abstract

Depression is one of the most common mental health disorders among older adults and is frequently associated with reduced mobility and functional dependence. Older adults who are bedridden often experience limited physical activity, decreased social interaction, and increased dependence on caregivers, all of which may contribute to poorer psychological well-being. However, evidence comparing depression levels between bedridden and non-bedridden older adults living in residential care facilities remains limited, particularly in Indonesia. This study aimed to compare depression levels between bedridden and non-bedridden older adults residing at Husnul Khatimah Residential Care Facility, Malang Regency, Indonesia. A cross-sectional comparative study was conducted involving 110 older adults selected through purposive sampling, consisting of 55 bedridden and 55 non-bedridden participants. Depression levels were assessed using the 15-item Geriatric Depression Scale (GDS-15). Descriptive statistics were used to summarize participant characteristics, and differences in depression levels between the two groups were analyzed using the Mann–Whitney U test. The results demonstrated that bedridden older adults had significantly higher depression scores than non-bedridden older adults (p < 0.001). These findings indicate a significant association between bedridden status and depression levels among older adults. The study highlights the importance of routine psychological assessment, psychosocial support, and interventions aimed at maintaining functional independence to promote the mental well-being of older adults residing in long-term care facilities.
Heat Stress Impacts and Public Health Adaptation Strategies in Tropical Regions: A Narrative Review Asnita Yani; Dewi Astuti Pasaribu; Siska Tri Darmanita Lase
Jurnal Keperawatan Priority Vol. 9 No. 2 (2026)
Publisher : Universitas Prima Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/jukep.v9i2.8589

Abstract

Global climate change is intensifying heat stress and environmental degradation, posing a growing threat to public health in tropical regions such as Indonesia. This narrative review synthesizes evidence on the clinical, occupational, and epidemiological impacts of heat stress, identifies vulnerable populations, and outlines environmental health adaptation strategies in tropical settings. A literature search of Google Scholar, PubMed/MEDLINE, and ScienceDirect (2020–2026) identified 379 records, of which 10 peer-reviewed studies met the predefined eligibility criteria following a two-stage screening process and were retained for narrative synthesis. The reviewed evidence suggests that heat stress is associated with elevated mortality risk among vulnerable groups, particularly older adults and young children, and with dehydration and subjective health complaints among outdoor workers. Climate-related environmental changes were also associated with shifts in the transmission of dengue fever and diarrheal disease. Effective adaptation appears to require integrated occupational health protection, environmental sanitation, disease surveillance, health education, and community-based interventions. Although Green Open Spaces (GOS) were not directly evaluated in the included studies, this measure is discussed with reference to the broader environmental health literature as a complementary strategy for reducing heat exposure. These findings underscore the need to embed climate-sensitive adaptation measures within environmental and public health policy to strengthen population resilience in tropical regions.
Correlation of Anxiety Level to Cimino Puncture Pain Intensity in Patients Undergoing Regular Hemodialysis Marthalena Siahaan; Eka Isranil Laily; Donisman Bu'ulolo; Murni Aritonang
Jurnal Keperawatan Priority Vol. 9 No. 2 (2026)
Publisher : Universitas Prima Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/jukep.v9i2.8594

Abstract

Patients with chronic kidney failure who undergo regular hemodialysis experience repeated cannulation of the arteriovenous fistula (Cimino), which produces pain arising not only from the physical trauma of needle insertion but also from the patient’s psychological state, particularly anxiety. This study aimed to analyze the correlation between anxiety level and pain intensity during Cimino puncture among regular hemodialysis patients at a hospital in Medan, Indonesia. A quantitative correlational design with a cross-sectional approach was used. Thirty-three respondents were recruited through purposive sampling. Anxiety was measured using the Hamilton Rating Scale for Anxiety (HRS-A), while pain intensity was assessed with the Numeric Rating Scale (NRS). Data were analyzed using the Spearman Rank correlation test. Most respondents experienced mild anxiety (78.8%), and pain intensity was predominantly moderate (57.6%). The Spearman Rank test showed a strong, statistically significant positive correlation between anxiety level and pain intensity (r = 0.590; p = 0.000; p < 0.05), indicating that higher anxiety was associated with greater pain during Cimino puncture. These findings confirm that psychological factors contribute meaningfully to the pain experienced during invasive hemodialysis procedures. Hemodialysis nurses are recommended to conduct routine anxiety assessment before Cimino cannulation and to apply non-pharmacological interventions, such as distraction and relaxation techniques, to reduce both anxiety and pain during the procedure.

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