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INDONESIA
Real in Nursing Journal
Published by Sekolah Tinggi Ilmu Kesehatan Fort De Kock
ISSN : 26859068     EISSN : 26851997     DOI : -
Core Subject : Health,
Nursing
RNJ ini fokus memublikasi hasil penelitian orisinal yang belum diterbitkan di manapun, isu yang dipublikasi oleh RNJ meliputi pengembangan ilmu pengetahuan dan kajian ilmiah di seluruh area bidang keperawatan, yakni, keperawatan dasar, keperawatan medikal bedah, keperawatan maternitas, keperawatan anak, keperawatan jiwa, keperawatan gerontik, keperawatan keluarga, keperawatan komunitas, manajemen keperawatan, dan pendidikan keperawatan.
Arjuna Subject : -
Articles 169 Documents
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Reframing Pain Management: A Nursing Perspective on Multimodal and Holistic Interventions Kartika, Imelda Rahmayunia
REAL in Nursing Journal Vol 8, No 1 (2025): REAL in Nursing Journal
Publisher : Universitas Fort De Kock Bukittinggi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32883/rnj.v8i1.3539

Abstract

Pain is a multidimensional experience that extends beyond physical discomfort, affecting emotional, psychological, and spiritual domains of human-being health. Nurses are uniquely positioned to play a leading role in multimodal pain management, yet the nursing contribution is often underemphasized in practice and policy. This perspective article synthesizes the evolving understanding of pain management from a nursing perspective and explores the importance of holistic, patient-centered care as nursing interventions. It calls for a shift from biomedical models to integrated approaches, emphasizing non-pharmacologic therapies, cultural competence, and continuous reassessment as vital components of nursing care. Enhancing nursing roles in pain management will improve patient outcomes and address disparities in pain relief.
Comparing Deep Breathing and Semi-Fowler Position to Reduce Respiratory Rate in Asthma Patients: A Quasi-Experimental Study Oktorina, Rola; Oktavia, Minda; Wahyuni, Aria; Rahman, Waldi; Yenni, Yenni; Rofi’i, Aby Yazid Al Busthomy
REAL in Nursing Journal Vol 8, No 2 (2025): REAL in Nursing Journal
Publisher : Universitas Fort De Kock Bukittinggi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32883/rnj.v8i2.3498

Abstract

Background: Asthma remains a global health burden, marked by recurrent respiratory symptoms that significantly affect quality of life. Non-pharmacological nursing interventions such as deep breathing and semi-Fowler positioning have been increasingly recommended to improve respiratory function in patients with asthma. However, few studies have compared the relative effectiveness of these two interventions within a single experimental framework. Purpose: This study aimed to compare the effectiveness of deep breathing exercises and the semi-Fowler position in reducing respiratory rate among asthma patients. Methods: A quasi-experimental study was conducted involving 70 asthma patients, divided into two intervention groups: deep breathing (n = 35) and semi-Fowler position (n = 35). Participants were recruited using purposive sampling based on defined inclusion and exclusion criteria. Data on respiratory rate were collected before and after intervention using direct observation, recorded in breaths per minute. Paired and independent t-tests were used for statistical analysis with a significance level of α < 0.05.Result: In the deep breathing group, the mean respiratory rate decreased significantly from 29.03 ± 2.20 to 18.29 ± 1.56 breaths/minute (mean difference = 10.74; p < 0.001). Similarly, in the semi-Fowler group, the respiratory rate reduced from 28.43 ± 1.98 to 18.29 ± 1.66 breaths/minute (mean difference = 10.14; p < 0.001). However, the post-intervention comparison between the two groups showed no statistically significant difference (p = 1.00).Conclusion: Both deep breathing and semi-Fowler positioning are effective in reducing respiratory rate among asthma patients. These findings suggest that nurses can apply either method based on patient preference and clinical context, supporting individualized, evidence-based respiratory care.
Progressive muscle relaxation as a Non Pharmacological Intervention For Mild Insomnia in adolescents Helen, Millya; Mariyana, Rina
REAL in Nursing Journal Vol 8, No 2 (2025): REAL in Nursing Journal
Publisher : Universitas Fort De Kock Bukittinggi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32883/rnj.v8i2.3503

Abstract

Introduction: Sleep disorders in adolescents vary, but some studies suggest quite a high number. Around 39% of teenagers reported experiencing insomnia or difficulty sleeping. sleep. Another study stated that up to 73.4% of adolescents experience sleep disorders. Aim: evaluating the effects of progressive muscle relaxation training (PMRE) applied to patients in improving sleep quality in adolescentsMethod: The design of this research isPre-Eksperiment Intack Group Comparison. In this study there is one group but divided into two, namely half the group for the experiment (treated) and half for the control group. The sampling technique in this study was carried out by adolescents. Determination of the sample in this study was by purposive random sampling technique, which amounted to 20 people, namely 10 experimental people and 10 control people in adolescents who experience insomnia who have met the inclusion criteria and exclusion criteria. Sample criteria Inclusion criteria: adolescents aged 11-13 years, have complaints of insomnia, do not receive pharmacological therapy, do not experience significant psychological trauma, depression, withdraw, Not consuming alcohol.Findings: The average level of difficulty sleeping in female adolescents in the control group was (2.60), meaning the level of difficulty sleeping was mild (95% CI: 1.37-2.43), with a standard deviation of 0.516.Conclusion and recommendation:  In line with these findings, it has been determinedthat PMRE improves sleep quality in adolescents. It is recommended that education about PMRE be provided and that the exercises be taught.Keywords: sleep quality, progressive muscle relaxation exercises, adolescents
The Relationship Between Stress Levels and The Incidence of Dysmenorrhea in Adolescents Esti, Amira; Nurhadia, Nurhadia
REAL in Nursing Journal Vol 8, No 2 (2025): REAL in Nursing Journal
Publisher : Universitas Fort De Kock Bukittinggi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32883/rnj.v8i2.3514

Abstract

Background: Adolescents can experience dysmenorrhea due to stress exceeding normal limits and inadequate nutrition, which can exacerbate dysmenorrhea. This is because nutritional deficiencies can affect reproductive organ function and increase the risk of menstrual pain in adolescents. This study aims to analyze the relationship between stress levels and the incidence of dysmenorrhea in adolescents. Methods: The study design used an observational analytic approach. The sample of 48 adolescent respondents was selected using a simple random sampling technique using a stress questionnaire (Kessler Psychological Distress Scale) and a dysmenorrhea questionnaire (Numeric Pain Rating Scale). Data were analyzed using the Spearman Rho test (p < 0.05). Results: The results showed a very strong relationship between stress levels and the incidence of dysmenorrhea in adolescents. The p-value of 0.913 (less than 0.05) confirmed the significance of this relationship. Conclusion:  It can be concluded that there is a strong relationship between stress levels and the severity of dysmenorrhea in adolescents in Koto Baru Hiang Village. There is also a significant positive relationship between stress levels and the severity of dysmenorrhea. Adolescents with higher stress levels tend to experience more severe dysmenorrhea. Data also shows that interventions to reduce stress are essential to support adolescent reproductive health and improve their quality of life. Therefore, in-depth education for adolescents is needed to minimize the incidence of stress-related diemesis.
The Relationship between Incentives and Years of Service with Nurses' Performance in Documenting Nursing Care Mayenti, Fitra; Mustika, Aai; Mulyadi, Romi
REAL in Nursing Journal Vol 8, No 2 (2025): REAL in Nursing Journal
Publisher : Universitas Fort De Kock Bukittinggi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32883/rnj.v8i2.3517

Abstract

Background: Nurses are one of the professions in hospitals that have an important role in the provision of health services. Therefore, hospitals where nurses work are always making various efforts aimed at improving the quality of nurse professionalism. Nurse performance is a problem that must be addressed immediately, because nursing services determine the quality of hospital services.Purpose: This study aims to determine the relationship between incentives and length of service with nurse performance in documenting nursing care at Indrasari Regional General Hospital.Methods This type of research is quantitative with a cross-sectional approach. The number of samples in this study was 79 people. The sampling technique used was Probability Sampling with Proportionate Stratified Random Sampling. The statistical test used was the Pearson chi-square test.Results : The results showed that the majority of nurses' incentives (71 respondents (89.9%) were categorized as available, the majority of nurses' length of service (64 respondents (81.0%) were ≥5 years, and the majority of nurses' performance was categorized as moderate (53 respondents (67.1%). The results of statistical tests show that there is a significant relationship between incentives and length of service with nurse performance in documenting nursing care (P value 0.02 and P value 0.03).Conclution: It is hoped that the hospital will prioritize the needs of nurses in improving competence, providing incentives according to workload, and adding facilities in order to improve the quality of health services to patients.
The Relationship between the Quality of Health Services and The Satisfaction of Families’ Patients at Intensive Care Unit Amalia, Endra; Sefrila, Sefrila; Delima, Mera; Suri, Marta
REAL in Nursing Journal Vol 8, No 2 (2025): REAL in Nursing Journal
Publisher : Universitas Fort De Kock Bukittinggi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32883/rnj.v8i2.3445

Abstract

Quality service health is determinant main satisfaction family patients, especially in intensive care units intensive (Sutoyo and Rusdi, 2023) . Survey Index Public Satisfaction of Sungai Dareh Regional General Hospital 2023 shows score 76.02, decreased from 76.77 in 2020 and not yet reach minimum standard ≥ 90%. Dominant complaints covering delay service, lack of information clear medical, as well as cleanliness facilities are not optimal. Research This aim For analyze connection between quality service health and satisfaction family patients in the Intensive Care Unit of Sungai Dareh Hospital. Research use design analytic correlational with cross-sectional approach and involved 44 selected respondents by accidental sampling. Data collected through questionnaire and analyzed using the Chi-Square test. The results showed that 86.4% of respondents evaluate service good, and 65.8% of them feel satisfied. On the other hand, 83.3% of respondents who assessed service not enough Good feel No satisfied. Statistical test show connection significant between quality service and satisfaction family patients (p = 0.034). These results confirm importance improvement quality services, especially in aspect communication, accuracy time, cleanliness, and responsiveness power health For increase satisfaction users service.
Concept Analysis: "Cultural Disruption" in Indigenous Cardiac Patients and Its Implications for Nursing Practice Wahyuni, Aria; Oktorina, Rola; Yenni, Yenni
REAL in Nursing Journal Vol 8, No 2 (2025): REAL in Nursing Journal
Publisher : Universitas Fort De Kock Bukittinggi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32883/rnj.v8i2.3509

Abstract

Background: Indigenous populations experience disproportionately high rates of cardiovascular disease (CVD), yet their encounters with healthcare systems often involve cultural disconnection and marginalization. Despite increasing use of terms such as cultural safety and competence, the specific phenomenon of cultural disruption—particularly in hospital-based cardiac care—remains underexplored and poorly defined in nursing literature.Purpose: This concept analysis aims to explore and clarify the meaning of cultural disruption as it relates to Indigenous patients undergoing cardiovascular care, with a focus on implications for nursing practice.Methods: Walker and Avant’s eight-step method of concept analysis was employed to identify the defining attributes, antecedents, consequences, and empirical referents of cultural disruption. Data were synthesized from peer-reviewed articles published within the last 10 years, including qualitative studies and Indigenous health frameworks relevant to cardiac care.Results: Cultural disruption is characterized by disconnection from cultural identity and practices, invalidation of Indigenous knowledge systems, breakdown in relational and community support, spiritual alienation, and erosion of trust in healthcare systems. Antecedents include colonization, systemic racism, and biomedical dominance, while consequences include treatment non-adherence, patient disengagement, and poor health outcomes. Empirical referents include patient-reported cultural safety assessments, narrative interviews, and clinical documentation audits.Conclusion: Cultural disruption is a distinct and critical concept in understanding health inequities experienced by Indigenous cardiac patients. Recognizing this phenomenon enables nurses to implement culturally responsive strategies that uphold spiritual, relational, and community-based dimensions of care. Future research is needed to validate tools that assess cultural disruption and evaluate outcomes of culturally grounded interventions in cardiovascular nursing.   
Mother’s Satisfaction with Midwifery Services at Martubung Community Health Center, Indonesia: A Cross Sectional Study Tarigan, Yenni Gustiani; Purba, Ivan Elisabeth
REAL in Nursing Journal Vol 8, No 2 (2025): REAL in Nursing Journal
Publisher : Universitas Fort De Kock Bukittinggi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32883/rnj.v8i2.3457

Abstract

Background: Mortality in women during pregnancy and childbirth still becomes a major concern in many developing countries. Almost 95% of all maternal deaths occurred in low and lower middle-income countries, and most could have been preventedPurpose: to examine the determinants of mother’s satisfaction in midwifery services at the Martubung community health center in 2022.to examine the determinants of mother’s satisfaction in midwifery services at the Martubung community health center in 2022. Methods: This was a descriptive analytic research based on a cross sectional research design. The population was 314 patients including pregnant women, postpartum mothers and infants’ mothers who visited the health center from March to June 2022; 145 mothers served as research samples, selected through random sampling technique. A standardized questionnaire was administered to collect patients’ satisfactory about midwifery service. We used demographic characteristics and the satisfaction questionnaires. Bivariate and multivariate analyses were performed in data analysis. Results: The results showed that there were significant relationships between mothers’ satisfaction and the independent variables including tangible (p-value=0.00), reliability (p-value=0.00), responsiveness (p-value=0.00), assurance (p-value=0.00), and empathy (p-value=0.00) at Martubung health center. Meanwhile, the most dominant factor was reliability (97%). Conclusion: These findings suggest the necessity of mobile health services by visiting pregnant, postpartum and neonatal women and improving the quality of maternal and child health duties by participating in midwifery training
Wound Healing After Wet Cupping Therapy (Descriptive) at Fort De Kock University, Bukittinggi Putri, Lydia Mardison; Wati, Del Fatma
REAL in Nursing Journal Vol 8, No 2 (2025): REAL in Nursing Journal
Publisher : Universitas Fort De Kock Bukittinggi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32883/rnj.v8i2.3527

Abstract

Cupping is one part of Complementary And Alternative Therapy (CAT) therapy . The benefits of cupping therapy are claimed to maintain health by removing toxins from the body, but scars are at risk of infection if not done properly . The purpose of this study was to determine the picture of cupping wound healing after 3 days of treatment. This study is quantitative with a descriptive research design . The population in this study were cupping patients aged 18-26 years, with a sample size of 200 people, sampling by purposive sampling , this study used a research instrument for measuring secondary wound healing issued by the Nursing Outcomes Classification (NOC), data were analyzed univariately. The results of the univariate analysis showed that all 100% of patients who underwent cupping therapy had a good wound healing process, none of whom were found to have wound infections after 3 days after wet cupping. It is expected that every nurse who performs cupping therapy will continue to pay attention to standard operating procedures (SOP), sterile principles and disinfectant areas of the injection.

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