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Jurnal Persatuan Perawat Nasional Indonesia (JPPNI)
Published by Dewan Pengurus Pusat Persatuan Perawat Nasional Indonesia
ISSN : 25031376     EISSN : 25498576     DOI : http://dx.doi.org/10.32419/jppni.v4i3
Core Subject : Humanities, Health, Education,
Humanities Education Health Professions Nursing Public Health
Jurnal Persatuan Perawat Nasional Indonesia (JPPNI) merupakan jurnal resmi Persatuan Perawat Nasional Indonesia (PPNI). Jurnal Persatuan Perawat Nasional Indonesia ini merupakan jurnal dengan peer-review yang diterbitkan secara berkala setiap 4 bulan sekali (April, Agustus, Desember), berfokus pada pengembangan keperawatan di Indonesia. Tujuan diterbitkan JPPNI adalah untuk mewujudkan keperawatan sebagai suatu profesi yang ditandai oleh kegiatan ilmiah yaitu kegiatan penelitian yang dilakukan oleh perawat di Indonesia, dikomunikasikan melalui media jurnal yang dikelola oleh organisasi profesi, dan didistribusikan ke kalangan perawat, pemangku kepentingan, dan masyarakat.
Arjuna Subject : Keperawatan - Fundamental dan Ketrampilan
Articles 15 Documents
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Search results for , issue "vol 11, no 2 (2026)" : 15 Documents clear
Diabetic Foot Risk and Ulcer Burden Among Community- Dwelling Adults With Diabetes: A Multisite Study Saldy Yusuf; Muhammad Hidayat; Andi Muhammad Fiqri Muslih Djaya; Sitti Nurhadijah; Muhamad Zulfiqar; Muhammad Alif; Arjuna Ramli; Takdir Tahir
Jurnal Persatuan Perawat Nasional Indonesia (JPPNI) Vol 11, No 2 (2026)
Publisher : Persatuan Perawat Nasional Indonesia (JPPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32419/jppni.v11i2.940

Abstract

ObjectiveThe extent of clinical issues related diabetic foot risk  within the community remains undetermined. This study, therefore, aims to examine the prevalence of diabetic foot neuropathy and associated clinical problems in a community context.MethodsA multisite cross-sectional study was conducted in 2025 among adults with diabetes mellitus (DM) enrolled in the Prolanis program across four public health centers. A total of 130 eligible participants were included and completed standardized interviews and diabetic foot assessments. Diabetes-related foot conditions and Diabetic peripheral neuropathy (DPN) assessed by a certified wound care nurse using monofilament test. Diabetes-related foot conditions were assessed using a standardized diabetic foot examination protocol conducted by certified wound care. Data were analyzed and summarized descriptively; associations with neuropathy status were tested using appropriate bivariate tests.ResultsThe mean age of participants was 54.97 ± 8.42 years. Neuropathy was identified in 80.16% of respondents. The most common clinical diabetic foot problems were onychomycosis (68.85%), dry skin (54.92%), dirty skin (40.98%), claw toe deformity (33.61%), hammer toe deformity (31.97%), and ingrown nails (28.69%).  Significant associations with neuropathy status were observed for onychomycosis (p = 0.026), ingrown nails (p = 0.041), hammer toe deformity (p = 0.010), callus (p = 0.026), and corns (p = 0.041) than those without neuropathy.ConclusionThis epidemiological study highlights the substantial burden of DPN and multiple diabetic foot problems among community-dwelling patients with DM enrolled in the Prolanis program, with onychomycosis, hammer toe, claw toe, dry skin, and poor foot hygiene identified as the most prevalent conditions.KeywordsCommunity-dwelling adults, diabetic foot ulcer, diabetic peripheral neuropathy, foot problem
The Effect of Combined Qur’anic Murottal and Dhikr Therapy on Postoperative Pain in Patients Undergoing Coronary Artery Surgery Tri Endah Pangastuti; Eska Riyanti; Nelly Yardes; Wartonah Wartonah; Santa Manurung; Ace Sudrajat; Nadhia Elsa Silviani; Dewi Lusiani
Jurnal Persatuan Perawat Nasional Indonesia (JPPNI) Vol 11, No 2 (2026)
Publisher : Persatuan Perawat Nasional Indonesia (JPPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32419/jppni.v11i2.901

Abstract

ObjectiveThis study aimed to examine the effect of a combination of Qur’anic murottal recitation and dhikr therapy on pain intensity among patients following coronary heart disease surgery.MethodsA quantitative pre-experimental study using a one-group pretest–posttest design was conducted involving 20 postoperative cardiac surgery patients selected through purposive sampling.  Data were collected from postoperative day 1 to day 5 in 2025 at a cardiac surgical ward of a referral hospital in Indonesia.  All participants continued receiving standard analgesic therapy according to clinical protocols.  To minimize pharmacological bias, the intervention was administered consistently two hours after routine analgesic administration.  The intervention consisted of listening to Surah Ar-Rahman murottal recitation for 15 minutes followed by guided dhikr for 5 minutes.  Pain intensity was measured using the Numeric Rating Scale (NRS).  Data were analyzed using descriptive statistics and the Wilcoxon Signed Rank Test with a significance level of p < 0.05.ResultsThe mean pain score significantly decreased from 4.15 ± 1.29 before the intervention to 3.00 ± 1.25 after the intervention (p = 0.001). Most respondents experienced a shift from moderate pain to mild pain following therapy.ConclusionThe combination of Qur’anic murottal and dhikr therapy is effective as a complementary nursing intervention for reducing postoperative pain in patients undergoing coronary heart disease surgery and may be integrated into clinical nursing practice alongside standard analgesic management.KeywordsComplementary therapy, coronary heart disease, dhikr, murottal, postoperative pain
Organizational Culture, Leadership Characteristics, Job Satisfaction, and Organizational Commitment Among Nurses in Indonesian Private Hospitals Harif Fadhillah; Eni Widiastuti; Mustikasari Mustikasari; Frima Lestari Simanjuntak; Dian Nahdawati
Jurnal Persatuan Perawat Nasional Indonesia (JPPNI) Vol 11, No 2 (2026)
Publisher : Persatuan Perawat Nasional Indonesia (JPPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32419/jppni.v11i2.993

Abstract

ObjectiveTo examine the associations of organizational culture, leadership characteristics, and job satisfaction with organizational commitment among nurses in Indonesian private hospitals.MethodsA cross-sectional correlational study was conducted among 100 registered nurses recruited through purposive sampling from three Indonesian private hospitals.  Organizational culture, leadership characteristics, job satisfaction, and organizational commitment were measured using the Organizational Culture Assessment Instrument (OCAI), Multifactor Leadership Questionnaire (MLQ), Job Satisfaction Survey (JSS), and Organizational Commitment Questionnaire (OCQ), respectively. Data were analyzed using descriptive statistics, Pearson's correlation, and multiple linear regression.ResultsHierarchy culture had the highest mean score, although the difference from clan culture was minimal. Leadership characteristics and several job satisfaction domains demonstrated significant positive correlations with organizational commitment. In the multiple linear regression analysis, leadership characteristics (β = 0.292, p = 0.001) and communication satisfaction (β = 0.372, p < 0.001) were independently associated with organizational commitment after adjustment for other study variables. Organizational culture dimensions were not independently associated with organizational commitment.ConclusionLeadership characteristics and communication satisfaction were significantly associated with organizational commitment among nurses in Indonesian private hospitals. These findings highlight the potential importance of supportive leadership and effective workplace communication in fostering organizational commitment.  Further studies using longitudinal designs are warranted to confirm these associations.KeywordsJob satisfaction, leadership characteristics, nurses, organizational commitment, organizational culture
Burnout Dimensions Among Emergency Nurses in Post-Pandemic East Kalimantan: A Cross-Sectional Study Arsyawina Arsyawina; Hilda Hilda; Hesti Prawita Widiastuti; Joko Sapto Pramono; Rispiyandi Rispiyandi
Jurnal Persatuan Perawat Nasional Indonesia (JPPNI) Vol 11, No 2 (2026)
Publisher : Persatuan Perawat Nasional Indonesia (JPPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32419/jppni.v11i2.939

Abstract

ObjectiveThis study examined burnout dimensions and their associations with demographic and professional characteristics among emergency nurses in East Kalimantan, Indonesia, during the post-pandemic transition period.MethodsA quantitative descriptive-analytic cross-sectional study was conducted in December 2022 in the emergency department of a Coronavirus Disease 2019 (COVID-19) referral hospital in East Kalimantan. Seventy-one full-time emergency nurses were recruited through total population sampling.  Burnout was measured using the Maslach Burnout Inventory–Human Services Survey, and demographic and professional data were collected using a structured questionnaire. Data were analyzed using descriptive statistics and Spearman’s rank correlation.ResultsMost participants reported low emotional exhaustion (83.10%), while high depersonalization was found in 45.07% and low personal accomplishment in 94.36%. Age showed weak negative correlations with emotional exhaustion (r = -0.257, p = 0.031), depersonalization (r = -0.324, p = 0.006), and reduced personal accomplishment (r = -0.320, p = 0.006).  Length of employment showed weak negative correlations with depersonalization (r = -0.261, p = 0.028) and reduced personal accomplishment (r = -0.266, p = 0.025).  Gender, marital status, and education level were not significantly correlated with burnout dimensions.ConclusionRoutine multidimensional burnout monitoring and targeted professional support are recommended for emergency nurses.Keywords:Burnout, emergency nurses, post-pandemic 
Perceived the Impact of the COVID-19 Pandemic on Women Living with Human Immunodeficiency Virus in Indonesia: A Qualitative Descriptive Study Rita Ismail; Sri Yona; Elly Nurachmah; Kathleen Norr; Joachim Voss
Jurnal Persatuan Perawat Nasional Indonesia (JPPNI) Vol 11, No 2 (2026)
Publisher : Persatuan Perawat Nasional Indonesia (JPPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32419/jppni.v11i2.969

Abstract

Background The COVID-19 pandemic in Indonesia has greatly affected women living with HIV (WLWH).ObjectiveThis study explored the impact of the COVID-19 pandemic on WLWH.MethodsThe study design was qualitative descriptive. A total of 11 WLWH participated in the study.  Data collection was conducted in four cities in Indonesia including Tangerang, Jakarta, Mojokerto, and Samarinda.  Semi-structured interviews with WLWH who actively received antiretroviral therapy (ART) for at least 6 months prior to the pandemic were conducted via telephone and face to face.  Data were analyzed using content analysis.ResultsMost of them were 35-45 years old, married, completed high school, and housewives.  Five themes emerged including perceived vulnerability and adaptive ART adherence; the economic impacts of the pandemic; spousal and peer support for art continuity; impact on daily life and well-being; resilience through faith and acceptance of “takdir” (God and Destiny).ConclusionDespite socioeconomic and psychosocial challenges, participants described maintaining ART continuity through adaptive clinic procedures, personal routines, spousal or peer support, and religious coping. These findings suggest that flexible, culturally sensitive, and family-aware nursing approaches may help support WLWH during future healthcare disruptions.KeywordsAdherence, COVID-19 pandemic, Indonesia, women living with HIV
Nursing Service Quality and Outpatient Satisfaction at Community Health Centers: A Cross-Sectional Study in Pekalongan Nur Izzah; Elva Firnanda; Eka Budiarto
Jurnal Persatuan Perawat Nasional Indonesia (JPPNI) Vol 11, No 2 (2026)
Publisher : Persatuan Perawat Nasional Indonesia (JPPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32419/jppni.v11i2.911

Abstract

ObjectiveTo analyze the quality of nursing services and its relationship with outpatient satisfaction at the Community Health Center(Puskesmas).MethodsThis study employed a descriptive-correlative design with a cross-sectional approach. Data were collected using a quota sampling technique. The sample consisted of 96 outpatients at the general clinic of Puskesmas X, Pekalongan City. The research instruments included a nursing service quality questionnaire and a patient satisfaction questionnaire. Data were analyzed using the Chi-Square test.ResultsThe findings indicated that 55.21% of respondents perceived the quality of nursing services as good, and 54.17% reported being satisfied with the services. The analysis yielded a p-value of 0.001 (p < 0.05), signifying a significant correlation between the quality of nursing services and outpatient satisfaction. Respondents who received nursing care were 9.9 times more likely to be satisfied with the nursing care provided at community health center outpatient clinics.ConclusionThere is a significant relationship between the quality of nursing services and outpatient satisfaction at the public health center.  Consequently, policies and rigorous monitoring-evaluation of the implementation of standard operating procedures (SOPs) for nursing care are essential.KeywordsNurses, patient satisfaction, quality of nursing services
Implementation of Coloring and Puzzle Play Therapy to Reduce Hospitalization Anxiety in Preschoolers: A Case Study Diah Ayu Agustin; Shofiyyul Izhan; Ika Melasari; Bambang Sucipto
Jurnal Persatuan Perawat Nasional Indonesia (JPPNI) Vol 11, No 2 (2026)
Publisher : Persatuan Perawat Nasional Indonesia (JPPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32419/jppni.v11i2.930

Abstract

Deterioration in physical condition, environmental changes, medical treatment, loss of control over activities can cause anxiety in preschool children hospitalized with bronchopneumonia. The aim of the study: to determine the results of the application of puzzle and coloring therapy in 2 children who experienced anxiety during hospitalization. Method: Descriptive case study. Coloring therapy in patient 1 (N) and puzzle therapy in patient 2 (A) was carried out once a day for 30 minutes, for three days of treatment. Anxiety was measured before and after therapy using a questionnaire based on the Facial Image Scale (FIS). Results: Coloring therapy is effective in reducing anxiety levels from very severe to moderate. Puzzle therapy is also proven to be effective in reducing anxiety levels from severe to mild. Conclusion: Nurses play a crucial role as care providers, educators, and collaborators in applying puzzle and coloring therapy to reduce anxiety in hospitalized preschool children through appropriate play spaces and materials, accompanying the child, monitoring responses after play, and collaborating with parents and healthcare team members.
Patterns of Sibling Relationships and Levels of Depression among Adolescents in East Jakarta Ardianingtyas Nurul Pratama; Mustikasari Mustikasari
Jurnal Persatuan Perawat Nasional Indonesia (JPPNI) Vol 11, No 2 (2026)
Publisher : Persatuan Perawat Nasional Indonesia (JPPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32419/jppni.v11i2.948

Abstract

BackgroundAdolescents require support from those closest to them when facing psychosocial challenges related to identity formation; such support helps prevent failures that could lead to depression. Beyond parents, siblings serve as a primary source of support, as positive sibling relationships tend to lower depression levels compared to situations marked by constant conflict between them.ObjectiveThis study aims to analyze the relationship between sibling relationship patterns and levels of depression among adolescents in East Jakarta.MethodsA quantitative descriptive study with a cross-sectional design on an age group in East Jakarta, Indonesia. Four hundred forty five adolescents were participated in study that selected with probability sampling using cluster sampling.  Sibling relationship quality was measured using the Sibling Relationship Questionnaire (SRQ). Level depression was measured using the Children’s Depression Inventory (CDI). The data were analyzed using univariate and bivariate methods, the ANOVA statistical test was used for bivariate analysis.ResultsThe findings indicate that adolescents exhibit a “warmth” relationship pattern (M = 36.25) and mild levels of depression (60.2%). There is a significant relationship between warmth (F = 33.803, p < 0.001) and conflict (F = 4.565, p = 0.033) relationship patterns with depression levels.ConclusionAs the mean score for sibling relationship patterns increases, depression levels become less severe. Therefore, adolescents are encouraged to develop healthy sibling relationships as a supportive aspect of their self-exploration. Further research is recommended to examine the relationship between sibling relationships and other psychosocial issues among adolescents.Keywords:Adolescents, depression, sibling relationship 
Indonesian Beck Depression Inventory Adaptation and Validation Among Nursing Students: A Cross-Sectional Study Dian Sari; Dian Fitria; Irna Kartina; Retno Lestari; Andi Buanasari; Indah Putri Ramadhanti; Siti Mutia Kosassy
Jurnal Persatuan Perawat Nasional Indonesia (JPPNI) Vol 11, No 2 (2026)
Publisher : Persatuan Perawat Nasional Indonesia (JPPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32419/jppni.v11i2.921

Abstract

BackgroundThe Beck Depression Inventory (BDI) is widely used to assess depressive symptoms; however, its validity among Indonesian nursing students has not been established.ObjectiveThe objective of this study to translate the BDI into Bahasa Indonesia and evaluate its psychometric properties among Indonesian nursing students.MethodsThe study followed the framework of adaptation and validation of instrument scale by Sousa and Rojjanasrirat. A total of 709 nursing students in Indonesia were participated with eligible criteria: actively enrolled; no history of mental health disorder and not currently on routine medication prescribed by a psychiatrist. Validity testing included exploratory and confirmatory factor analyses (EFA and CFA), concurrent validity, and assessment of ceiling and floor effects. Reliability was assessed using Cronbach’s alpha.ResultsEighteen items were retained. Internal consistency was high (Cronbach’s alpha = 0.914). EFA supported a three-factor structure: Negative Attitude, Somatic Symptoms, and Impaired Performance with factor loadings  0.376 to 0.684 (KMO= 0.946; Bartlett’s test p < 0.001). CFA demonstrated acceptable model fit. Ceiling and floor effects were minimum (7.7% amd 0.01%, respectively). Concurrent validity showed a strong correlation with the DASS-21 with depression subscale (r = 0.72, p < 0.001).ConclusionThe 18-item Indonesian BDI is a valid and reliable instrument for assessing depression severity among Indonesian nursing students and can be recommended for assessing depression among nursing students.KeywordsDepression, mental health, nursing student, reliability, validity
Prevalence and Associated Factors of Cognitive Frailty in Indonesian Community-Dwelling Older Adults Anung Ahadi Pradana; Rohayati Rohayati; Siriluk Winitchayothin; Nga Thi Thuy Nguyen; Joni Siahaan; Divine Grace Cas Domingo; Shinta Silaswati
Jurnal Persatuan Perawat Nasional Indonesia (JPPNI) Vol 11, No 2 (2026)
Publisher : Persatuan Perawat Nasional Indonesia (JPPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32419/jppni.v11i2.1009

Abstract

ObjectiveTo provide insights into the prevalence and associated factors of cognitive frailty among older adults in Bekasi, Indonesia.MethodsA total of 308 community-dwelling older adults in Bekasi, Indonesia participated in this cross-sectional study. Demographic data and various measurement tools, including the Mini Nutritional Assessment (MNA), Barthel Index, Lawton Instrumental Activities of Daily Living (IADL) Score, and World Health Organization Quality of Life (WHOQOL) assessment, were employed to evaluate health status. Binary logistic regression analysis was used to identify the cognitive frailty-associated factors.ResultsThe prevalence of cognitive frailty in Indonesia was found to be 8.44%. Factors significantly associated with cognitive frailty in this Indonesian cohort included marital status, lifestyle choices, the presence of comorbid conditions, history of serious illness, fall incidents, reduced physical performance, nutritional status, levels of depression, and self-reported quality of life.ConclusionTo our knowledge, this represents the first investigation into cognitive frailty within this population. The findings are significant, offering empirical evidence regarding the prevalence of cognitive frailty within the Indonesian population.KeywordsCognitive frailty, community-dwelling, older adults, prevalence

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