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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 215 Documents
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RISK FACTORS FOR DIABETES MELLITUS AND THEIR ASSOCIATION WITH BLOOD GLUCOSE LEVELS IN ADOLESCENTS Sister, Freshy Moonyk; Mardiyani, Ridha; Wuriani, Wuriani; Haryanto, Haryanto; Hastuti, Lidia; Pratama, Kharisma; Amrullah, Syahid
Jurnal Persatuan Perawat Nasional Indonesia (JPPNI) Vol 10, No 3 (2025)
Publisher : Persatuan Perawat Nasional Indonesia (JPPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32419/jppni.v10i3.622

Abstract

The onset of Diabetes Mellitus (DM) among adolescents worldwide has been increased. Objective: This study aimed to analyze risk factors associated with DM among adolescents including family history, tobacco consumption, blood pressure, blood glucose levels, Body Mass Index (BMI), and physical activity. Method: This cross-sectional study included  211 individuals selected through simple random sampling. Data were obtained using a questionnaire to risk factors of DM (family history, tobacco consumption).  Random Capillary Blood Glucose (RCBG) was measured by glucometer. BMI Z score was calculated using growth standard for adolescents. Blood pressure was determined by automatic monitor in accordance with the American Academy of Pediatrics (AAP) hypertension clinical guidelines. Physical activity were assessed using Physical Activity Questionnaire for Adolescent (PAQ-A).  Then, analysis was carried out using the Spearman rank rho statistical test. Results: Among 211 adolescents, most were normoglycemic (79.6%), low physical activity (78.2 %), obesity (17.5 %), and having elevated blood pressure (46.0%). There was no significant relationship between family history of diabetes, smoking habits, blood pressure, BMI, physical activity and blood glucose levels (p > 0.05). Discussions: Although there was no significant relationship was found, however, the presence of multiple risk factors indicates that early metabolic risk may already exist, while the prediabetes phase in adolescents often remains unrecognized. Conclusion: These findings emphasize the importance of early preventive strategies and lifestyle interventions to reduce future metabolic risk. Future research is required to identify other risk factors of DM.Keywords : Adolescents, diabetes mellitus, glucose, risk factors
FAKTOR YANG BERHUBUNGAN DENGAN KUALITAS HIDUP PADA PASIEN DENGAN GANGGUAN PENGELIHATAN Helda Fitria Wahyuni; Nanda Chaerunisa; Dewanti Widya Astari
Jurnal Persatuan Perawat Nasional Indonesia (JPPNI) Vol 10, No 3 (2025)
Publisher : Persatuan Perawat Nasional Indonesia (JPPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32419/jppni.v10i3.738

Abstract

Gangguan penglihatan merupakan masalah kesehatan global yang memengaruhi sekitar 285 juta jiwa dan berdampak pada fungsi fisik, psikologis, sosial, serta lingkungan penderita. Namun, bukti mengenai gambaran kualitas hidup faktor yang berhubungan dengan gangguan penglihatan berat di Indonesia masih terbatas, khususnya di rumah sakit rujukan nasional.  Tujuan penelitian: mendeskripsikan kualitas hidup pasien rawat inap dengan gangguan pengelihatan berat dan menganalisis faktor yang berhubungan dengan kualitas hidup dilihat dari karakteristik demografi pasien.  Metode: Penelitian deskriptif kuantitatif dengan desain cross-sectional dilakukan pada Januari–Juni 2024 pada 100 pasien rawat inap dengan gangguan penglihatan berat (visus ≤ 3/60 pada kedua mata) yang dipilih menggunakan purposive sampling. Kriteria inklusi meliputi usia ≥ 12 tahun, mampu berkomunikasi, dan bersedia menjadi responden, sedangkan eksklusi adalah visus > 3/60, gangguan mental berat, dan kondisi kritis. Data dikumpulkan menggunakan kuesioner karakteristik demografi dan instrumen WHOQOL-BREF versi Indonesia, kemudian dianalisis secara univariat dan bivariat menggunakan uji chi-square. Hasil: Sebanyak 87% responden memiliki kualitas hidup rendah. Rata-rata skor domain kesehatan fisik berada pada kategori buruk, sedangkan domain psikologis, hubungan sosial, dan lingkungan berada pada kategori cukup. Analisis bivariat menunjukkan tidak terdapat hubungan bermakna antara karakteristik demografi (usia, jenis kelamin, pendidikan, pekerjaan, dan status pernikahan) dengan kualitas hidup (p > 0,05). Diskusi: Penelitian ini menunjukkan bahwa mayoritas pasien dengan gangguan penglihatan berat memiliki kualitas hidup rendah, terutama secara fisik, sehingga diperlukan intervensi keperawatan yang memfokuskan rehabilitasi fisik dan dukungan psikososial. Kesimpulan: Mayoritas pasien dengan gangguan penglihatan berat memiliki kualitas hidup rendah, terutama pada domain kesehatan fisik, terlepas dari karakteristik demografi mereka. Hasil ini menegaskan perlunya intervensi keperawatan spesifik yang menitikberatkan pada rehabilitasi fisik dan penguatan dukungan psikososial untuk meningkatkan kualitas hidup pasien gangguan penglihatan. Kata Kunci: gangguan penglihatan, kualitas hidup, perawat, WHOQOL-BR Factors Correlated with Quality of Life among Patients with Visual Impairment  ABSTRACTVisual impairment is a global health problem affecting approximately 285 million people and has significant impacts on physical, psychological, social, and environmental aspects of individuals’ lives. However, evidence regarding the quality of life and related factors among patients with severe visual impairment in Indonesia remains limited, particularly in national referral hospitals. Objective: to describe the quality of life of inpatients with severe visual impairment and analyze factors related to quality of life seen from the demographic characteristics of patients.  Methods: This quantitative descriptive study used a cross-sectional design and was conducted from January to June 2024. A total of 100 hospitalized patients with severe visual impairment (visual acuity ≤3/60 in both eyes) were selected using purposive sampling. Inclusion criteria included patients aged ≥12 years, able to communicate, and willing to participate, while exclusion criteria included visual acuity >3/60, severe mental disorders, and critical conditions. Data were collected using a demographic characteristics questionnaire and the Indonesian version of the WHOQOL-BREF instrument. Data were analyzed using univariate and bivariate analyses with the Chi-square test. Results: A total of 87% of respondents had a low quality of life. The average score for the physical health domain was categorized as poor, while the psychological, social relationship, and environmental domains were categorized as moderate. Bivariate analysis showed no significant correlation between demographic characteristics (age, sex, education level, occupation, and marital status) and quality of life (p > 0.05). Discussion: The findings indicate that most patients with severe visual impairment experience a low quality of life, particularly in the physical health domain. These results highlight the need for nursing interventions that focus on physical rehabilitation and psychosocial support. Conclusion: Most patients with severe visual impairment have a low quality of life, especially in the physical health domain, regardless of their demographic characteristics. These findings emphasize the importance of specific nursing interventions focusing on physical rehabilitation and strengthening psychosocial support to improve the quality of life of patients with visual impairment.Keywords: visual impairment, quality of life, nurses, WHOQOL-BREF
DAMPAK PERAN PERAWAT PRAKTIK MAHIR/ADVANCED PRACTICE NURSES DALAM PELAYANAN KESEHATAN PRIMER: A SCOPING REVIEW Diah Ratri Larasati; Suriadi Jais
Jurnal Persatuan Perawat Nasional Indonesia (JPPNI) Vol 10, No 3 (2025)
Publisher : Persatuan Perawat Nasional Indonesia (JPPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32419/jppni.v10i3.710

Abstract

Tujuan Penelitian: menganalisis dampak peran perawat praktik mahir (advance practice nurse/APN) dalam pelayanan kesehatan primer terhadap mutu, efisiensi, dan akses layanan. Metode: Scoping review ini mengikuti pedoman PRISMA-ScR dengan pertanyaan PCC (population, concept, context). Pencarian literatur dilakukan secara sistematis di PubMed, Proquest, dan Science Direct dengan kriteria inklusi; artikel berbahasa Inggris, terbit pada tahun 2020 hingga Mei 2025, open access dengan subjek komunitas/masyarakat, membahas dampak perawat praktik mahir (APN) di layanan kesehatan primer. Jenis penelitian kualitatif maupun kuantitatif (RCT, quasi-eksperimen, deskriptif). Artikel disaring dengan Mendeley, dinilai menggunakan The Joanna Briggs Institute (JBI) appraisal tools, dianalisis secara deskriptif dan tematik, lalu data dikelompokkan berdasarkan dampak APN terhadap mutu, efisiensi, dan akses layanan. Hasil: Dari 8 artikel terpilih, ditemukan dampak peran APN dalam layanan primer ialah adanya peningkatan efektivitas waktu pelayanan, kualitas perawatan, kepuasan pasien, dan efisiensi biaya. Meskipun waktu klasifikasi DRAFT triase meningkat, hal ini berdampak positif terhadap ketepatan dan keselamatan pasien. Diskusi: Perawat praktik mahir (APN) berperan penting dalam meningkatkan mutu, efisiensi, dan akses layanan kesehatan primer melalui pengelolaan penyakit secara mandiri dan kolaboratif serta melalui pendekatan holistik. APN juga meningkatkan kepuasan pasien, efektivitas waktu pelayanan, serta pengelolaan terapi yang efektif. Simpulan: Temuan ini mendukung bahwa APN dapat meningkatkan kualitas layanan primer sehingga memperkuat sistem kesehatan primer. Untuk itu, diperlukan regulasi, pelatihan, dan integritas dalam tim kesehatan primer secara holistik dan berkelanjutan sehingga peran APN dapat lebih optimal.Kata Kunci: peran, perawat praktik mahir, pelayanan primerThe Impact of Advanced Practice Nurses in Primary Health Care Services: A Scoping Review ABSTRACTObjective: This study aimed to analyze the impact of the role of Advanced Practice Nurses (APNs) in primary health care services on quality of care, efficiency, and access to health services. Methods: This scoping review followed the PRISMA-ScR guidelines and used the PCC framework (Population, Concept, Context). A systematic literature search was conducted in PubMed, ProQuest, and ScienceDirect. The inclusion criteria were English-language articles published between 2020 and May 2025, open-access publications, studies involving community populations, and articles examining the impact of Advanced Practice Nurses in primary health care settings. Both qualitative and quantitative studies were included, such as randomized controlled trials (RCTs), quasi-experimental studies, and descriptive studies. Articles were screened using Mendeley and critically appraised using the Joanna Briggs Institute (JBI) appraisal tools. The data were analyzed using descriptive and thematic approaches, and the findings were categorized based on the impact of APNs on quality, efficiency, and access to health services. Results: Eight articles met the inclusion criteria. The findings indicate that the involvement of APNs in primary health care services contributes to improved service time effectiveness, higher quality of care, increased patient satisfaction, and greater cost efficiency. Although the triage classification process required more time, it resulted in improved accuracy and enhanced patient safety. Discussion: Advanced Practice Nurses play a significant role in improving the quality, efficiency, and accessibility of primary health care services through both independent and collaborative disease management, as well as through a holistic approach to patient care. Their involvement also contributes to higher patient satisfaction, more effective service delivery, and improved therapeutic management. Conclusion: The findings support the role of Advanced Practice Nurses in enhancing the quality of primary health care services and strengthening primary health care systems. Therefore, appropriate regulations, professional training, and strong integration within primary health care teams are necessary to optimize the role of APNs in a sustainable and holistic manner.Keywords: role, advanced practice nurses, primary health care services
LIMB-RAISING INTERVENTION TO MANAGE PAIN AND IMPROVE POST-PCI PATIENT COMFORT IN INTENSIVE CARE UNIT Regita Indah Tiyasningrum; Denissa Faradita Aryani; Juliana G. E. P Massie
Jurnal Persatuan Perawat Nasional Indonesia (JPPNI) Vol 10, No 3 (2025)
Publisher : Persatuan Perawat Nasional Indonesia (JPPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32419/jppni.v10i3.758

Abstract

Acute coronary syndrome is a circulatory emergency resulting from reduced oxygen supply to the coronary arteries and may lead to myocardial infarction. However, evidence regarding non-pharmacological nursing interventions remains limited, indicating a significant gap in clinical and nursing knowledge. Objective: This case report aimed to analyze nursing care using the case study method and limb-raising intervention. Methods: Treatment was carried out for 3 days for a patient (61 years old) with a perioperative medical diagnosis of MI-NSTEMI with post-treatment in the ICU. Revascularization with PCI is necessary in some high-risk ACS cases. The problem of pain and comfort is one of the main nursing problems for patients. Untreated pain can reduce the quality of care, disrupt hemodynamics, and increase hospital length of stay. The limb-raising intervention was applied to the patient by elevating the hand 30ᵒ in the area of the stab wound and compression.  Results:Hemodynamic parameters, such as blood pressure, pulse frequency, oxygen saturation, and body temperature, were always stable. The patient often experiences tachypnea during treatment. The patient's pain scale during treatment was measured using NRS. Discussion: Limb raising can reduce pain because elevation and immobilization at the puncture site lower the nociceptor threshold.  Conclusion: The limb-raising intervention successfully reduced pain at the post-PCI puncture site from moderate pain (4/10) to no pain (0/10). Other factors evaluated the absence of swelling and the patient’s greater comfort with the method used.Keywords: Acute Coronary Syndrome, Comfort, Pain, Percutaneous Coronary Intervention
EFISIENSI BIAYA DAN KETENAGAAN MELALUI KEBIJAKAN SENTRALISASI KEPERAWATAN Siti Nurlaelah; Anisah Anisah; Hendra Firmansyah; Arcellia Farosyah Putri; Ariyanto Ariyanto; Manggarsari Manggarsari; Riris Ocktryna Silitonga; Sihawastuti Sihwastuti
Jurnal Persatuan Perawat Nasional Indonesia (JPPNI) Vol 10, No 3 (2025)
Publisher : Persatuan Perawat Nasional Indonesia (JPPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32419/jppni.v10i3.699

Abstract

Tujuan penelitian: Artikel ini bertujuan untuk mendiskusikan aplikasi teori resource mobilization dalam proses diseminasi kebijakan sentralisasi keperawatan. Konsep kunci dari teori tersebut menggarisbawahi bahwa keberhasilan implementasi kebijakan ditentukan oleh kemampuan mengelola sumber daya. Selain itu hasil sebuah kebijakan dapat diukur secara objektif, seperti efisiensi biaya dan ketenagaan. Metode: Proses diseminasi kebijakan sentralisasi keperawatan berlangsung selama enam bulan sejak bulan Mei sampai Desember 2024. Pihak yang terlibat terdiri atas berbagai pemangku kepentingan mulai dari perawat, nurse leader, para kepala instalasi, team leader, asisten manajer, manajer tim kerja dan jajaran direksi rumah sakit. Implementasi kebijakan dilakukan melalui tiga tahapan, yaitu premobilisasi, mobilisasi, dan posmobilisasi. Evaluasi dilakukan dengan mengukur efisiensi tenaga dan biaya. Hasil: Proses mobilisasi tenaga keperawatan sebagai salah satu kebijakan sentralisasi meningkatkan efisiensi biaya, menambah tempat tidur tanpa penambahan tenaga perawat, meningkatkan volume operasi (87%), dan menurunkan jumlah operasi elektif yang dibatalkan (0,29%). Diskusi: Dalam proses mobilisasi tenaga perawat, ada dua hal utama yang perlu menjadi pertimbangan, yaitu kompetensi dan keterlibatan aktif. Kesimpulan: Luaran dari sebuah kebijakan sangat bergantung pada proses diseminasi kebijakan tersebut ke pihak-pihak terkait. Keterlibatan aktif dan dini memiliki dampak positif terhadap luaran kebijakan.Kata Kunci: kebijakan, ketenagaan, manajemen, perawat, sentralisasi Cost and Workforce Efficiency Through A Nursing Centralization Policy ABSTRACTObjective: This article discusses the application of resource mobilization theory in the dissemination process of a nursing centralization policy. The key concept of this theory emphasizes that successful policy implementation depends on the effective management of available resources. Policy outcomes can also be measured objectively, including cost and workforce efficiency. Methods: The dissemination process of the nursing centralization policy took place over six months, from May to December 2024. The process involved various stakeholders, including staff nurses, nurse leaders, heads of clinical units, team leaders, assistant managers, work team managers, and members of the hospital board of directors. Policy implementation followed three stages: premobilization, mobilization, and postmobilization. Evaluation focused on measuring workforce and cost efficiency. Results: The mobilization of nursing staff as part of the centralization policy improved cost efficiency, increased bed capacity without adding additional nursing personnel, raised the surgical volume by 87%, and reduced the rate of cancelled elective surgeries to 0.29%. Discussion: Two main factors require attention during the mobilization of nursing personnel, namely professional competence and active engagement. Conclusion: Policy outcomes depend strongly on how the policy is disseminated to relevant stakeholders. Early and active engagement contributes positively to the effectiveness of policy implementation.Keywords: policy, workforce, management, nurses, centralization

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