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Jurnal Ners
Published by Universitas Pahlawan Tuanku Tambusai
ISSN : -     EISSN : 25802194     DOI : 10.31004
Core Subject : Health,
Health Professions Medicine & Pharmacology Nursing
Fokus Jurnal Ners meliputi bidang kajian riset keperawatan diantaranya Keperawatan Medikal Bedah, Keperawatan Maternitas, Keperawatan Gawat Darurat, Keperawatan Anak, Keperawatan Lansia, Keperawatan Jiwa, Keperawatan Keluarga, Keperawatan Masyarakat, Manajemen Keperawatan dan Terapi Komplementer yang dapat menunjang tindakan keperawatan Jurnal Ners dikelola dan diterbitkan oleh Program Studi Keperawatan Fakultas Ilmu Kesehatan (FIK) Universitas Pahlawan Tuanku Tambusai Jurnal Ners adalah pengembangan dari Jurnal Program Studi Keperawatan STIKes Tuanku Tambusai yang mulai melakukan publikasi cetak tahun 2012 seiring dengan perubahan bentuk Institusi menjadi Universitas Pahlawan
Arjuna Subject : Keperawatan - Keperawatan (Lain-Lain)
Articles 2,731 Documents
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Hubungan Teknik Menyusui Amubida Terhadap Puting Lecet di Puskesmas Kombos Kota Manado Asti Ananta Korompot; Meinita Wulansari; Lisa Ardiningtyas
Jurnal Ners Vol. 10 No. 1 (2026): JANUARI 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i1.52462

Abstract

Exclusive breastfeeding coverage in Manado City remains low. Data from the Manado City Health Office in 2024 show that Kombos Health Center recorded a 42.4% coverage rate, down from 48.1% in the previous year. This study aimed to determine the relationship between the AMUBIDA breastfeeding technique and the occurrence of cracked nipples among breastfeeding mothers at Kombos Health Center, Manado City, in 2025. This research used a quantitative method with a cross-sectional design. The population consisted of 95 breastfeeding mothers, and 49 respondents were selected using purposive sampling. Data were collected using observation sheets on AMUBIDA technique practice and nipple condition, then analyzed using the Chi-square test with a significance level of ɑ = 0.05. The results showed that 71.4% of mothers applied the AMUBIDA technique, and 63.3% did not experience cracked nipples. The Chi-square test revealed a significant relationship between the AMUBIDA technique and cracked nipples (p = 0.000 < 0.05). It can be concluded that the AMUBIDA breastfeeding technique effectively reduces the incidence of cracked nipples. Health workers are encouraged to strengthen education and training on the AMUBIDA technique to support maternal comfort and the success of exclusive breastfeeding.
Optimalisasi Peningkatan Kunjungan Posyandu Lansia di Puskesmas Kerinci Kanan Kabupaten Siak Dea Sari; Ahmad Satria Efendi; Handry Handry
Jurnal Ners Vol. 10 No. 3 (2026)
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i3.53263

Abstract

The growing elderly population and their complex health needs require optimized elderly integrated health post services as key promotive and preventive efforts at the primary care level. In Kerinci Kanan Health Center, Siak Regency, elderly attendance at the posyandu remains low, resulting in inadequate health monitoring. This residency aimed to analyze contributing factors and develop effective intervention strategies. A qualitative case study design was applied from October 13–30, 2025. Participants were selected purposively, including the Head of the Health Center, elderly program officers, health cadres, and older adults. Data were obtained through direct observation, in-depth interviews, and review of program reports. Data validity was ensured through source and method triangulation and member checking. Analysis employed the USG method to determine priority problems and fishbone analysis to explore root causes, supported by thematic analysis. Findings revealed that low attendance was influenced by limited elderly knowledge, lack of family support, accessibility barriers, inadequate human resources and facilities, and suboptimal health education and cadre empowerment. Recommended interventions included strengthening health education, improving cadre capacity, enhancing service flow, and reinforcing multisectoral collaboration. In conclusion, optimizing elderly posyandu attendance requires a comprehensive and context-specific approach focusing on education, accessibility, service quality, and cadre involvement
Faktor-Faktor Yang Mempengaruhi Kepatuhan Perilaku Pencegahan Malaria Pada Ibu Hamil Berdasarkan Pendekatan Teori Health Belief Model (HBM) Selina Boseren; Hermayani Hermayani; Inggrit Rita Uli Manik; Peny Wena Betsy Maran; Leny Krey; Selpiana Toanapa
Jurnal Ners Vol. 10 No. 3 (2026)
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i3.53825

Abstract

Malaria merupakan ancaman serius bagi ibu hamil, terutama di daerah endemis, karena dapat menyebabkan komplikasi maternal dan perinatal. Penelitian ini bertujuan menganalisis faktor-faktor yang memengaruhi kepatuhan perilaku pencegahan malaria pada ibu hamil berdasarkan pendekatan Health Belief Model (HBM) di wilayah kerja Puskesmas Sumberker. Penelitian menggunakan desain kuantitatif observasional dengan pendekatan cross-sectional terhadap 45 responden ibu hamil yang dipilih secara purposive sampling. Data dikumpulkan melalui kuesioner dan dianalisis secara bivariat menggunakan uji regresi logistik sederhana. Hasil menunjukkan bahwa hanya Self-Efficacy (Efikasi Diri) yang memiliki hubungan signifikan dengan kepatuhan perilaku pencegahan malaria (COR = 13,33; p = 0,037). Artinya, ibu hamil dengan efikasi diri tinggi memiliki peluang 13 kali lebih besar untuk patuh dalam mencegah malaria dibandingkan yang efikasi dirinya rendah. Sementara itu, dimensi HBM lainnya yaitu Perceived Susceptibility, Perceived Severity, Perceived Benefits, dan Cues to Action tidak menunjukkan hubungan statistik yang signifikan (p > 0,05), kemungkinan karena keterbatasan sampel, homogenitas respons, serta kesenjangan antara persepsi dan tindakan nyata. Temuan ini menegaskan bahwa efikasi diri merupakan kunci utama dalam mendorong kepatuhan perilaku pencegahan malaria pada ibu hamil. Oleh karena itu, intervensi kesehatan sebaiknya tidak hanya fokus pada peningkatan pengetahuan, tetapi juga pada penguatan rasa percaya diri, keterampilan praktis, dan dukungan sosial agar perilaku pencegahan dapat dilakukan secara konsisten dan berkelanjutan.
Efektivitas Kompres Rimpang Jahe Merah (Zingiber Officinale Var Rubrum) Terhadap Intensitas Nyeri Akut Pasien Artritis Gout Evi Sara Hotmauli Br Manullang; Dudut Tanjung; Dedi Ardinata
Jurnal Ners Vol. 10 No. 1 (2026): JANUARI 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i1.54410

Abstract

Artritis gout akut merupakan kondisi inflamasi persendian yang disebabkan oleh kelainan metabolisme purin, di mana terjadi pengendapan kristal monosodium urat (MSU) di sendi, ditandai dengan rasa nyeri parah yang datang secara mendadak, disertai bengkak, kemerahan, serta keterbatasan gerak sendi. Selain pengobatan farmakologi seperti obat antiinflamasi nonsteroid (NSAID), pendekatan nonfarmakologi berupa kompres bubuk rimpang jahe merah (Zingiber officinale var. rubrum) menunjukkan efek yang mampu mengurangi hiperalgesia pada penderita inflamasi sendi, termasuk kasus artritis gout. Penelitian ini bertujuan menguji efektivitas gabungan kompres bubuk jahe merah dengan NSAID dibandingkan penggunaan NSAID tunggal terhadap tingkat intensitas nyeri pada pasien artritis gout. Metode penelitian menerapkan desain True Experimental Design pendekatan Randomized Controlled Trial (RCT), dilaksanakan di Rumah Sakit Royal Prima Medan pada periode Oktober hingga November 2025. Populasi penelitian meliputi pasien nyeri akut artritis gout sebanyak 74 responden, dipilih melalui random sampling, kemudian dibagi secara acak menjadi kelompok intervensi (37 responden) dan kelompok kontrol (37 responden). Analisis data dilakukan dengan uji paired t-test dan independent sample t-test. Hasil penelitian mengindikasikan adanya perbedaan signifikan dalam penurunan intensitas nyeri antara kelompok intervensi dan kontrol dengan nilai signifikansi (p) = 0,001 (p < 0,05), di mana kelompok intervensi menunjukkan pengurangan nyeri lebih tinggi daripada kelompok kontrol. Kombinasi kompres bubuk jahe merah dan NSAID terbukti efektif dalam menekan skala nyeri akut pada pasien artritis gout.
Studi Fenomenologi Pengalaman Pasien Penyakit Ginjal Kronik dalam Menjalani Hemodialisis Risa Nurhayati; Sri Wahyuni; Bayhakki Bayhakki; Nurul Huda; Erika Erika
Jurnal Ners Vol. 10 No. 3 (2026)
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i3.55799

Abstract

Introduction: Each patient has a different experience undergoing hemodialysis, depending on individual perceptions, social support, and self-care abilities. This study aims to explore the experiences of chronic kidney disease patients undergoing hemodialysis. Methods: This is a qualitative study with a phenomenological approach. The researcher used a purposive sampling technique to select eight informants for the participants, and analyzed using Colaizzi thematic analysis. Data validity was tested to increase trustworthiness through triangulation, member checking, dependability, confirmability, and transferability. Results: This study yielded three themes: 1) initial response to hemodialysis, 2) the process of accepting hemodialysis, and 3) motivation for regular hemodialysis. Conclusion: Nurses need to actively introduce coping strategies, involve families, and integrate medical and psychological aspects to support patient compliance and resilience
Lean Management Analysis in the Emergency Department of RSAL Dr. R. Oetojo Sorong to Reduce Mortality among Appendicitis Surgery Patients Indra Widjayanto; Cicilia Windiyaningsih; Ahdun Trigono
Jurnal Ners Vol. 10 No. 3 (2026)
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i3.56430

Abstract

This study analyzes the implementation of lean management in the emergency room of Dr. R. Oetojo Sorong Naval Hospital to identify obstacles (waste) and its effectiveness in reducing the mortality rate of appendicitis patients. The method used was qualitative descriptive, involving 31 informants through in-depth interviews, observation, and documentation. The results of the study identified four main types of waste before the intervention: waiting, inventory, transportation/motion, and defects. The implementation of lean strategies, such as the establishment of a Satellite Pharmacy Depot, the use of Handy Talkies, and the application of the Alvarado Score as a substitute for ultrasound, proved to be effective in significantly reducing waiting times. The average waiting time from arrival to the decision to operate (door-to-incision) was successfully reduced from 3–6 hours to less than 60 minutes, even reaching 30 minutes in critical cases. The study concluded that lean management contributes significantly to patient safety by keeping treatment within the golden period, thereby preventing fatal complications such as sepsis. Although optimization in the emergency department has been achieved, systemic improvements in downstream units such as operating rooms are essential to ensure the sustainability of overall service efficiency.
Pengaruh Mutu Pelayanan Terhadap Kepuasan Pasien Serta Implikasinya Terhadap Minat Kunjungan Ulang di Puskesmas Kabupaten Lumajang Hestilah Putri Setiyorini; Vip Paramarta
Jurnal Ners Vol. 10 No. 3 (2026)
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i3.57363

Abstract

Penelitian ini bertujuan menganalisis pengaruh mutu pelayanan terhadap kepuasan pasien serta implikasinya terhadap minat kunjungan ulang pada puskesmas di Kabupaten Lumajang. Penelitian ini dilatarbelakangi oleh pentingnya mutu pelayanan sebagai faktor yang dapat membentuk kepuasan pasien dan mendorong pasien untuk kembali menggunakan layanan kesehatan yang sama. Penelitian menggunakan pendekatan kuantitatif dengan rancangan survei analitik. Data dikumpulkan dari 200 responden yang dipilih dengan teknik purposive sampling dan dianalisis menggunakan Partial Least Squares Structural Equation Modeling dengan SmartPLS. Variabel yang diteliti meliputi mutu pelayanan, kepuasan pasien, dan minat kunjungan ulang yang diukur menggunakan kuesioner skala Likert lima poin. Hasil penelitian menunjukkan bahwa mutu pelayanan berpengaruh positif dan signifikan terhadap kepuasan pasien dan minat kunjungan ulang. Kepuasan pasien juga berpengaruh positif dan signifikan terhadap minat kunjungan ulang. Selain itu, kepuasan pasien terbukti memediasi secara signifikan hubungan antara mutu pelayanan dan minat kunjungan ulang. Temuan ini menegaskan bahwa peningkatan mutu pelayanan di puskesmas perlu diarahkan untuk membentuk pengalaman pasien yang memuaskan agar dapat memperkuat kecenderungan pasien untuk kembali berkunjung.
Persepsi dan Pengalaman Pasien Terhadap Mutu Pelayanan dan Kinerja Pegawai di Puskesmas Walelagama Kabupaten Jayawijaya Lorina Lorina; Arius Togodly; Novita Medyati; Paula Nancy Lefaan; Dolfinus Y. Bouway; Wahyuti Wahyuti
Jurnal Ners Vol. 10 No. 3 (2026)
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i3.57473

Abstract

Mutu pelayanan kesehatan menjadi indikator utama dalam menilai kualitas Puskesmas sebagai fasilitas kesehatan tingkat pertama. Tingginya pemanfaatan layanan di Puskesmas Walelagama Kabupaten Jayawijaya belum diimbangi dengan sumber daya manusia, sarana prasarana, dan sistem pelayanan yang memadai, sehingga menimbulkan kesenjangan antara standar dan pengalaman pasien. Penelitian ini bertujuan menganalisis persepsi dan pengalaman pasien terhadap mutu pelayanan serta kinerja pegawai. Pendekatan kualitatif dengan desain deskriptif eksploratif digunakan, dengan informan pasien, tenaga kesehatan, dan kepala puskesmas yang dipilih melalui purposive sampling. Data diperoleh melalui wawancara mendalam dan observasi, kemudian dianalisis menggunakan model Miles dan Huberman dengan triangulasi sumber dan metode. Hasil menunjukkan pengalaman pasien relatif positif, terutama pada aksesibilitas dan alur pelayanan. Dimensi SERVQUAL menilai tangible, responsiveness, assurance, dan empathy baik, sedangkan reliability masih lemah. Kinerja pegawai dinilai cukup baik, namun terkendala kedisiplinan dan beban kerja. Hambatan lain berupa keterbatasan tenaga kesehatan, sarana prasarana, serta perbedaan bahasa yang memengaruhi efektivitas komunikasi. Secara keseluruhan mutu pelayanan tergolong baik, tetapi membutuhkan penguatan pada aspek kehandalan, ketersediaan sumber daya, dan komunikasi.
Asisten Protokol Berbasis AI dalam Ultrasonografi Dasar Panggul: Pengembangan dan Evaluasi Awal Kepatuhan dan Efisiensi Alur Kerja Helwini Istiqomah; Diyah Fatmasari; Ahmad Hariri; Siti Masrochah; Gatot Murti Wibowo
Jurnal Ners Vol. 10 No. 3 (2026)
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i3.57519

Abstract

Ultrasonografi dasar panggul (PFUS) merupakan modalitas pencitraan yang sangat bergantung pada operator, di mana variasi dalam akuisisi citra, urutan prosedur, dan dokumentasi dapat menurunkan reliabilitas diagnostik serta reproduksibilitas hasil. Meskipun protokol terstandar tersedia, implementasi konsisten secara real-time masih menjadi tantangan. Tujuan: Penelitian ini bertujuan mengembangkan dan mengevaluasi awal protocol-guidance assistant sebagai sistem pendukung alur kerja terstruktur dalam pemeriksaan PFUS. Penelitian menggunakan pendekatan Research and Development dengan model 4D yang dimodifikasi hingga tahap Define, Design, dan Develop. Sistem dirancang sebagai alat berbasis kecerdasan buatan yang menerjemahkan protokol menjadi panduan prosedural bertahap, kontrol alur sequence-lock, dan dokumentasi terstruktur. Evaluasi menggunakan desain one-group pretest-posttest pada 50 sonografer. Variabel yang diukur meliputi kepatuhan protokol dan waktu pemeriksaan. Uji kelayakan dilakukan melalui validasi pakar dengan koefisien Aiken’s V, serta analisis data menggunakan uji Wilcoxon Signed-Rank. Sistem menunjukkan validitas isi sangat tinggi (Aiken’s V ≥ 0,98). Kepatuhan meningkat signifikan, dengan penurunan protocol loss dari 16,7% menjadi 0,0%, serta waktu pemeriksaan menurun dari 80,84 menjadi 44,40 menit (p < 0,05). Protocol-guidance assistant menunjukkan kelayakan awal yang kuat dalam meningkatkan kepatuhan protokol dan efisiensi pemeriksaan PFUS.
The Influence Of Health Education About The Danger Of Smoking The Knowledge, Attitudes And Behavior Of Adolescent At Smpn 12 Bekasi In 2025 Yulia Agustina; Tia Jesica
Jurnal Ners Vol. 10 No. 3 (2026)
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i3.57520

Abstract

Background: Health education is a crucial effort to curb smoking by increasing adolescents' understanding and awareness of the harmful effects of smoking. Through appropriate counseling, it is hoped that adolescents will develop positive attitudes and healthy lifestyles, thereby creating a smoking-free young generation. Cigarettes are a leading cause of premature death, which is preventable. Various studies have proven that the toxic substances in cigarettes are extremely harmful to health. To date, smoking remains a serious problem in Indonesia. Although some people are aware of the negative health impacts of smoking, many still choose to smoke. Adolescents aged 13–19 are among the most vulnerable groups because they are at a developmental stage with various complex issues. Health education plays a crucial role in raising awareness and expanding public knowledge about ways to maintain and improve health, both for themselves, their families, and their surroundings. Research Objective: To determine the effect of health education about the dangers of smoking on the knowledge, attitudes, and behavior of adolescents at SMPN 12 Bekasi City. Research Method: This research is a quantitative, descriptive-analytical study using a quasi-experimental design. This study employed a pre-test and post-test design approach. Intervention: Health education on the dangers of smoking will be provided through lectures using LCD screens and PowerPoint (PPT) presentations. The sampling technique used in this study was random sampling with 125 respondents. Research Results: The knowledge data before and after the study showed a distribution of 0.000 (p-value <0.05), and the attitude data before and after the study showed a distribution of 0.000 (p-value <0.05). The behavior data before and after health education on the dangers of smoking showed a value of α = 0.010 (p-value <0.05), indicating a significant effect between health education on the dangers of smoking on the knowledge, attitudes, and behavior of students at SMPN 12 Bekasi in 2025. Conclusions: There is a significant effect between health education on the dangers of smoking on the knowledge, attitudes, and behavior of students at SMPN 12 Bekasi in 2025. The results of this study are expected to inform the development of a health promotion socialization program aimed at increasing knowledge and preventing the increase in the number of adolescent smokers.

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