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JOURNAL EDUCATIONAL OF NURSING(JEN)
Published by Akademi Keperawatan RSPAD Gatot Soebroto
ISSN : 26552418     EISSN : 26557630     DOI : 10.37430
Core Subject : Health,
Nursing
Journal Educational Of Nursing(JEN) adalah Jurnal Ilmiah Ilmu Kesehatan dan Keperawatan pada AKPER RSPAD GATOT SOEBROTO,yang akan mempublikasin hasil penelitian dosen bidang ilmu kesehatan dan informasi keperawatan Jurnal ilmiah ini terbit dua kali dalam satu tahun setiap bulan Januari dan Juli.Redaksi juga menerima tulisan dari perguruan tinggi kesehatan lainya.Jurnal Ilmiah ilmu merupakan Jurnal Perawat dan tenaga kesehatan.
Arjuna Subject : Keperawatan - Keperawatan (Lain-Lain)
Articles 176 Documents
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COMPARATIVE ANALYSIS OF THE EFFECTIVENESS OF RELAXATION TECHNIQUES AND PHYSICAL EXERCISE ON CONTROLLED BLOOD PRESSURE: A META-ANALYSIS Wahidin ‎; Dina Raidanti; Christin Jayanti; Didin Syaefudin; Rina Wijayanti
JOURNAL EDUCATIONAL OF NURSING(JEN) Vol 9, No 1 (2026): Journal Educational of Nursing (JEN)
Publisher : STIKes RSPAD RSPAD Gatot Soebroto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37430/jen.v9i1.350

Abstract

Background: Hypertension is a major global public health problem, with prevalence increasing, particularly among adults and older adults. Non-pharmacological interventions such as relaxation techniques and physical exercise are widely recommended for blood pressure control. However, evidence directly comparing the relative effectiveness of these two approaches remains limited and inconsistent. Objective: This study aimed to compare the efficacy of relaxation techniques and physical exercise in reducing blood pressure using a meta-analytic approach. Methods: This meta-analysis was conducted in accordance with PRISMA 2020 guidelines. Randomized controlled trials and quasi-experimental studies evaluating relaxation techniques or physical exercise interventions on blood pressure outcomes were included. Statistical analyses were performed using a random-effects model with standardized mean difference (SMD) as the effect size metric. Heterogeneity and subgroup analyses by age group and intervention type were conducted. Results: A total of 33 studies were included in the analysis. Overall, non-pharmacological interventions significantly reduced blood pressure (SMD = −0.744; p < 0.001). Subgroup analysis showed that relaxation techniques produced a greater reduction in blood pressure (SMD = −0.954) than physical exercise (SMD = −0.570). The largest effect size was observed among older adults (SMD = −1.075). Substantial heterogeneity was identified across studies (I² = 74.1%). Conclusion: Both relaxation techniques and physical exercise are effective non-pharmacological interventions for reducing blood pressure, with relaxation techniques demonstrating greater and more consistent effects, particularly among older adults. These findings provide robust comparative evidence to support evidence-based hypertension management strategies.
The Effect of Inhaled Lemon Essential Oil Aromatherapy on Pain Intensity in Women During the Active Phase of the First Stage of Labor at Pesanggrahan Regional General Hospital in 2025 ‎, Rosita; Nuurjanah, Febri Annisa; Jayanti, Christin
JOURNAL EDUCATIONAL OF NURSING(JEN) Vol 8, No 2 (2025): Journal Educational of Nursing (JEN)
Publisher : STIKes RSPAD RSPAD Gatot Soebroto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37430/jen.v8i2.372

Abstract

Labor pain is a subjective experience encountered by more than 90% of women worldwide, with intensity ranging from moderate to severe. At Pesanggrahan Regional General Hospital, pain management remains largely conventional and has not yet systematically incorporated complementary therapies. Lemon aromatherapy contains limonene compounds that exert analgesic and relaxation effects through stimulation of the limbic system, thereby reducing pain perception. This study aimed to determine the effect of inhaled lemon essential oil aromatherapy on pain intensity in women during the active phase of the first stage of labor at Pesanggrahan Regional General Hospital in 2025.This study employed a quasi-experimental design using a one-group pretest–posttest approach. The population consisted of women in the active phase of the first stage of labor at Pesanggrahan Regional General Hospital, with a total sample of 32 respondents selected through purposive sampling. The research instrument was an observation sheet using the Wong-Baker Faces Pain Rating Scale. Data were analyzed using the Paired Sample t-test.The results showed that prior to the intervention (pretest), the majority of respondents experienced severe pain, with a pain scale score of 8 (25.8%). After receiving inhaled lemon aromatherapy (posttest), pain intensity decreased, with most respondents reporting pain scores of 3 and 4 (each 19.4%). Statistical analysis revealed a p-value of 0.000 (p < 0.05), with a mean reduction in pain intensity of 3.5806. It can be concluded that inhaled lemon essential oil aromatherapy has a significant effect on reducing pain intensity in women during the active phase of the first stage of labor at Pesanggrahan Regional General Hospital in 2025. This therapy may serve as a safe and effective non-pharmacological alternative for pain management in the delivery room
The Relationship between Ward Manager Conflict Management Strategy and Nurse Job Satisfaction Reni Rahmawati; Siti Anisah; Lilis Kamilah
JOURNAL EDUCATIONAL OF NURSING(JEN) Vol 9, No 2 (2026): JOURNAL EDUCATIONAL OF NURSING(JEN)
Publisher : STIKes RSPAD RSPAD Gatot Soebroto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37430/jen.v9i2.346

Abstract

The surgical inpatient ward is a hospital care unit with a high workload and demanding work, which has the potential to cause conflict in the nursing work environment. Conflicts that are not managed properly can have a negative impact on work comfort and reduce nurse job satisfaction. The role of the ward manager in implementing appropriate conflict management strategies is very important in creating a conducive work environment. This study aims to analyze the relationship between the ward managers’ conflict management strategy and nurse job satisfaction in the surgical inpatient ward at Gatot Soebroto Army Hospital. This study implemented a correlational analytic design using a cross-sectional approach. The study involved 47 nurses selected through proportionate stratified random sampling. Data collection was conducted using a conflict management strategy questionnaire and a job satisfaction questionnaire. This study employed both univariate and bivariate analysis. Data analysis was performed using the Chi-square test with a significance level of α = 0.05. The results of the statistical analysis showed a significant relationship between the ward managers’ conflict management strategy and nurse job satisfaction (p < 0.05). It was concluded that the ward manager's implementation of effective conflict management strategies has the potential to increase nurses' job satisfaction. Therefore, hospital management is encouraged to strengthen the conflict management competencies of ward managers to promote a harmonious work environment and improve the quality of nursing care.
DEWI SRIKANDI: INNOVATIVE SUPPORT THAT CREATES INDEPENDENT CADRES FOR DETECTING HIGH-RISK PREGNANCY COMPLICATIONS Endah Kusuma Wardani; Indah Christiana
JOURNAL EDUCATIONAL OF NURSING(JEN) Vol 9, No 2 (2026): JOURNAL EDUCATIONAL OF NURSING(JEN)
Publisher : STIKes RSPAD RSPAD Gatot Soebroto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37430/jen.v9i2.365

Abstract

High-risk pregnancy refers to conditions in which the pregnant mother or fetus has factors that increase the likelihood of complications during pregnancy. Efforts for high-risk pregnancies in maternal health involve the services and care of pregnant women through integrated ANC services via the Dewi Srikandi program. This study aims to determine whether there is an effect of the Dewi Srikandi innovation mentoring on the independence of cadres in early detection efforts of high-risk pregnancy complications in the Work Area of Parijatah Kulon Health Center. The research design used is a quasi-experiment with a two-group pretest-posttest design with a control group. The population in this study consists of all cadres in the work area of Parijatah Kulon Health Center, amounting to 249 people, with a sample of 70 people taken through proportional random sampling. The research instrument used a questionnaire, and the collected data were tested for homogeneity, resulting in heterogeneous data, thus the Mann Whitney test was used. The research results showed an increase in the independence of cadre members in the intervention group by 25.72 and in the control group by 14. The Mann Whitney test results showed a p-value of 0.000 <0.05, meaning that there is an effect of the Dewi Srikandi innovation mentoring on cadre independence in efforts to detect early complications in high-risk pregnant women. Based on these research results, the community health center continues to provide continuous mentoring of the Dewi Srikandi program, and the cadres are more active in seeking information on high-risk pregnancies.
The Role of Parents in Improving the Nutritional Status of Early Childhood Intan Arum Anjar Wati; ‎ Zulhijriani; Sholihah Gustavia Yolanda
JOURNAL EDUCATIONAL OF NURSING(JEN) Vol 9, No 2 (2026): JOURNAL EDUCATIONAL OF NURSING(JEN)
Publisher : STIKes RSPAD RSPAD Gatot Soebroto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37430/jen.v9i2.385

Abstract

Background: Parents play a key role in supporting optimal growth and development in toddlers, particularly in preventing malnutrition. Methods: This study employed a qualitative design with a single case study approach. Data were collected through in-depth one-on-one interviews with 10 participants selected using purposive homogeneous sampling. Data analysis was conducted using explanation building techniques. Data validity was ensured through the criteria of credibility, transferability, dependability, and confirmability. Results: The findings revealed 7 themes and 15 sub-themes. Parents' roles included regular attendance at integrated health posts (Posyandu), appropriate parenting practices, and provision of balanced nutrition. Mothers received support from their husbands and extended family members. Health workers contributed through health education (KIE), Posyandu services, and supplementary feeding. Barriers faced included limited parental time and difficulty feeding children. Cultural practices, such as traditional massage, also influenced child care. Parents expressed hope for the sustainability of the program and improvement in children's nutritional status. Conclusion: Effective reduction in toddler nutritional status requires synergy between parents, families, and health workers, while addressing existing challenges and supporting community expectations for sustainable interventions. 
The Relationship Between Knowledge Level and Self-Efficacy on Self-Care Management in Chronic Kidney Failure Patients Undergoing Hemodialysis at Jakarta Cempaka Putih Islamic Hospital Rahmi Ayu Safitri; ‎ Sofwan; Bahreni Yusuf; Hendik Wicaksono
JOURNAL EDUCATIONAL OF NURSING(JEN) Vol 9, No 2 (2026): JOURNAL EDUCATIONAL OF NURSING(JEN)
Publisher : STIKes RSPAD RSPAD Gatot Soebroto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37430/jen.v9i2.351

Abstract

Background: Chronic Kidney Disease (CKD) patients undergoing hemodialysis require effective self-care management to support the success of their therapy. Knowledge and self-efficacy are important factors in managing self-care.  Objective: To determine the relationship between knowledge and self-efficacy levels with self-care management among CKD patients undergoing hemodialysis at the Jakarta Cempaka Putih Islamic Hospital. Methods: This study used a quantitative correlational design with a cross-sectional approach. The sample consisted of 75 CKD patients undergoing hemodialysis selected using simple random sampling. Data were collected using questionnaires on knowledge level, self-efficacy, and self-care management, and then analyzed using Chi-square tests and logistic regression. Results: Bivariate analysis showed a significant relationship between knowledge level and self-care management with a p value <0,001, as well as between self-efficacy and self-care management with a p value <0,001. Multivariate analysis showed that knowledge (OR = 6.633; p value < 0.001) and self-efficacy (OR = 10.633; p value < 0.001) had a significant effect on self-care management, with self-efficacy being the dominant factor. Conclusion: There is a significant relationship between the level of knowledge and self-efficacy with self-care management in CKD patients undergoing hemodialysis. Health education and emotional support are strongly needed to improve self-efficacy and knowledge so that patients' self-care management abilities can be enhanced.
Impact of Digital Health Interventions on Access, Quality, and Outcomes of Antenatal and Postpartum Care: A Systematic Review Siska Ilannur Lubis; Desmawati Desmawati
JOURNAL EDUCATIONAL OF NURSING(JEN) Vol 9, No 2 (2026): JOURNAL EDUCATIONAL OF NURSING(JEN)
Publisher : STIKes RSPAD RSPAD Gatot Soebroto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37430/jen.v9i2.362

Abstract

Digital health technologies are increasingly adopted to enhance access, quality, and outcomes of antenatal and postpartum care, particularly in low- and middle-income countries (LMICs), yet empirical evidence on their effectiveness and implementation challenges remains heterogeneous. This systematic review aimed to evaluate the impact of digital health interventions on service utilization, quality of care, and clinical outcomes across the antenatal and postpartum continuum, while identifying multilevel implementation challenges. A systematic search of PubMed, Scopus, and Taylor & Francis (2021–2025) identified 19 eligible studies assessing digital health applications, including e-registries, clinical decision support systems (CDSS), telehealth, SMS/audio messaging, and community-based mHealth tools. Data were synthesized narratively across three domains: access and utilization, quality and user experience, and maternal–neonatal outcomes. The findings show that digital interventions consistently improved ANC attendance, timeliness, screening completeness, adherence to clinical guidelines, and communication quality between clients and providers. However, improvements in hard outcomes such as maternal or neonatal morbidity and mortality remained modest or non-significant. Key challenges were identified at multiple levels, including gender norms and device control at the household level; workload and infrastructure gaps at the facility level; data fragmentation and financing sustainability at the system level; and the need for co-design and behavior-theory-based development at the intervention level. Overall, digital health functions as an enabler that strengthens access and quality of antenatal and postpartum care, but measurable reductions in maternal–neonatal complications require integration with system strengthening, improved service coverage, and broader socio-cultural interventions.
ANALYSIS OF NUTRITIONAL STATUS OF TODDLERS AGED 12-60 MONTHS BASED ON ANTHROPOMETRIC MEASUREMENTS Tri Endah Widi Lestari; Misrina Retnowati; Uti Lestari; Fatihah Wari Nurjanah
JOURNAL EDUCATIONAL OF NURSING(JEN) Vol 9, No 2 (2026): JOURNAL EDUCATIONAL OF NURSING(JEN)
Publisher : STIKes RSPAD RSPAD Gatot Soebroto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37430/jen.v9i2.387

Abstract

AbstractToddler nutritional status is an important indicator in assessing the success of early childhood growth and development. This study aims to describe the nutritional status of toddlers aged 12-60 months based on anthropometric measurements in the Kaligondang Community Health Center working area. The study used a descriptive analytical design with a total sampling technique on all toddlers aged 12-60 months totaling 374 respondents. The data used were secondary data including age, gender, weight, height, and nutritional status of toddlers. Nutritional status assessment was carried out using the weight for age (BW/A), height for age (H/A), and weight for height (BW/H) index based on WHO standards. The results showed that the majority of toddlers had normal nutritional status in the BW/A indicator of 322 children (86.1%), normal BW/A were 346 children (92.5%), and good nutritional BW/H were 313 children (83.7%). Nutritional problems still identified included 34 children (9.1%) being underweight, 28 children (7.5%) being stunted, 21 children (5.6%) being wasted, and 10 children (2.7%) being overweight. Most toddlers (237 children) experienced either a stable weight or a decrease in weight. It was concluded that the nutritional status of toddlers was generally good, but growth monitoring and nutritional interventions still need to be continuously improved in the local community.
The Effect of Health Education on PCOS Using Video Media on the Knowledge of First-Year Female Students in the S1 Nursing Study Program at STIKes RSPAD Gatot Soebroto Dinda Aryanti; Siti Rochanah; Laela Larasati
JOURNAL EDUCATIONAL OF NURSING(JEN) Vol 9, No 2 (2026): JOURNAL EDUCATIONAL OF NURSING(JEN)
Publisher : STIKes RSPAD RSPAD Gatot Soebroto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37430/jen.v9i2.354

Abstract

Polycystic Ovary Syndrome (PCOS) is one of the hormonal disorders commonly occurring in women of reproductive age, including female students. Knowledge about PCOS is very important so that female students can recognize signs, symptoms, and early prevention of complications. However, the basic knowledge of first-year students is generally still low, requiring effective education methods. The research design used a pre-experimental approach with a one-group pretest-posttest design and a sample of 65. Results from the Kolmogorov-Smirnov normality test showed a p-value of 0.200 > 0.05, indicating normally distributed residuals. The hypothesis test using the Simple Paired T-test yielded a p-value of 0.001 < 0.05, accepting H1. Conclusion: Health education using video media proved effective in increasing knowledge among female students at STIKes RSPAD Gatot Soebroto.
The Relationship Between Medical Record Quality and Nursing Care Quality Ricky Riyanto Iksan riyanto iksan; Amika Rois amika rois; ‎ Meliana; Supriyanto Supriyanto Supriyanto
JOURNAL EDUCATIONAL OF NURSING(JEN) Vol 9, No 2 (2026): JOURNAL EDUCATIONAL OF NURSING(JEN)
Publisher : STIKes RSPAD RSPAD Gatot Soebroto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37430/jen.v9i2.370

Abstract

This study aims to analyze the relationship between the quality of medical records and the quality of nursing care in the inpatient ward of a hospital. Method: This study used a quantitative design with a cross-sectional approach. The study sample consisted of 86 patient medical records selected using a purposive sampling technique. The instruments used were medical record quality observation sheets based on the aspects of completeness, accuracy, timeliness, and readability, as well as nursing care quality audit sheets based on nursing process standards (assessment, diagnosis, intervention, implementation, and evaluation). Data analysis was performed using the chi-square test with a significance level of 0.05. Results: The results showed that most medical records were in the good category (62.8%) and the quality of nursing care was also in the good category (65.1%). The results of statistical tests showed a significant relationship between the quality of medical records and the quality of nursing care (p-value = 0.003; p < 0.05). The better the quality of medical records, the better the quality of nursing care provided. Conclusion: There is a significant relationship between the quality of medical records and the quality of nursing care. Improving the quality of medical record documentation can support the improvement of the quality of nursing services. Hospitals are advised to improve supervision and training related to nursing documentation to ensure optimal service quality. 

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