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Hidayat Arifin
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Pediomaternal Nursing Journal
Published by Universitas Airlangga
ISSN : 23551577     EISSN : 26564629     DOI : 10.20473/pmnj
Core Subject : Health,
Nursing
Pediomaternal Nursing Journal is a scientific media periodically published twice a year that contains scientific articles on health and nursing specifically related to the topic of child and maternity nursing. This journal as a medium for writers from students, lecturers, and researchers to be able to publish scientific work and the results of the latest research to support progress in the field of maternity nursing and children. This journal, which was first published in 2012, is managed by the Maternity and Pediatric Nursing Department under the Faculty of Nursing and published by Universitas Airlangga. The Pediomaternal Nursing Journal began to switch to the online journal system starting in 2019.
Arjuna Subject : Keperawatan - Maternity and Midwifery
Articles 195 Documents
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Implementation of pediatric nursing documentation quality audit : a mixed method study Neneng Sundari; Suni Hariati; Rini Rachmawaty
Pediomaternal Nursing Journal Vol. 12 No. 2 (2026): VOLUME 12 NO 2 JULY 2026
Publisher : Universitas Airlangga

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Abstract

Introduction: Pediatric nursing records are riskier due to limited patient communication, requiring audits to improve care and detect standard deviations. Although nursing documentation has been widely studied, most research has focused on general barriers such as workload, time constraints, staffing shortages, lack of appropriate formats, and inadequate perceptions of the discharge planning process. However, the implementation of nursing documentation in pediatric units, which have their own unique complexities, and research examining documentation practices within the clinical, developmental, and safety complexities remains very limited. Objective: This study aims to identify the implementation of quality audits of pediatric nursing documentation. Methods: This study employed a concurrent mixed-method design. Qualitative data were obtained through semi-structured interviews with eight participants selected purposively and were analyzed using thematic analysis with the assistance of Open Code software version 4.2. Meanwhile, a total of 260 medical records were selected using accidental sampling and evaluated using the D-Catch instrument with descriptive statistical analysis. Results: The study findings indicated that none of the three hospitals had policies related to the implementation of nursing documentation quality audits. A total of 260 medical records were audited of the 75 medical records at the National General Hospital, 82.7% were categorized as complete in almost all aspects of the medical record structure; of the 83 medical records at the Regional General Hospital, 43.4% were categorized as complete; and of the 102 medical records at the Teaching Hospital, only 17.6% were categorized as partially complete. The results of interviews with eight participants identified six main themes: (1) auditors' perceptions of the quality audit of nursing documentation, (2) audit planning, (3) audit implementation, (4) audit result evaluation, (5) audit result control, and (6) improvement of audit results. Conclusion: The lack of director-endorsed policies in hospitals limits the implementation of pediatric nursing documentation audits. Differences in documentation accuracy emphasize the need for auditors to possess strong comprehension and conduct thorough planning to improve nursing care quality efficiently. Keywords: nursing audit; nursing documentation; pediatric nursing
Multifactorial determinants of cervical cancer treatment success Tutik Rahayu; Yuni Sufyanti Arief; Mira Triharini; Chong Mei Chan; Sri Wahyuni; Intan Rismatul Azizah; Apriliani Yulianti Wuriningsih; Hernandia Distinarista; Maria Silveira de Jesus
Pediomaternal Nursing Journal Vol. 12 No. 2 (2026): VOLUME 12 NO 2 JULY 2026
Publisher : Universitas Airlangga

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Introduction: The success of cervical cancer treatment is not solely determined by medical procedures but is also influenced by individual and external factors such as patient knowledge, family support, peer group involvement, and the role of health professionals. These factors enhance treatment adherence and patient participation during therapy. Objective: This study aimed to analyze the multifactorial roles of individual and external factors in the success of cervical cancer treatment. Methods: A quantitative, cross-sectional study was conducted in 2024 at XX General Hospital, Semarang, involving 135 cervical cancer patients. Data were collected from the cervical cancer patients using a validated and authorized questionnaire; independent variables included knowledge, family support, peer groups, and health professionals. The dependent variable was treatment success, defined as patients receiving at least one session of cancer treatment, including chemotherapy, surgery, radiotherapy, or chemoradiation, measured through self-reported confirmation of treatment received. Data were analyzed through univariate, bivariate (Somers'd test), and multivariate analyses using ordinal logistic regression. Results: Most patients had good knowledge (58.5%), good family support (57%), strong peer group support (58.5%), and adequate support from health professionals (53.3%). A total of 58.3% of respondents reported high treatment success. Bivariate analysis revealed strong, statistically significant associations between each independent variable and treatment success (P-value<.001; r=.881–.968). Multivariate analysis indicated that the four variables simultaneously influenced 81.5% of treatment success variation (R² = .815). Conclusion: Knowledge, family involvement, peer support, and health services, particularly by nurses, significantly contribute to the success of cervical cancer treatment in women. Integrating educational and social support interventions is essential for improving treatment outcomes, as these interventions enhance patients' adherence to therapy, promote self management, reduce treatment-related anxiety, and facilitate the early detection of complications, ultimately leading to better quality of life and overall treatment effectiveness. Keywords: cervical cancer; family support; knowledge; peer group
Analysis of factors influencing mothers’ ability to care for premature infants at home based on health promotion model theory Rinik Eko Kapti; Nurona Azizah; Chui Ping Lei; Yuni Sufyanti Arief; Mira Triharini; Ari Damayanti Wahyuningrum
Pediomaternal Nursing Journal Vol. 12 No. 2 (2026): VOLUME 12 NO 2 JULY 2026
Publisher : Universitas Airlangga

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Abstract

Introduction: Premature infants need adequate care both during hospitalization and at home. However, mothers have relatively low capabilities in caring for premature infants. Objective: This study aimed to determine the factors influencing mothers' ability to care for premature infants at home. Methods: This study used a descriptive-analytic design with a cross-sectional approach and was conducted in the Greater Malang area (Malang Regency, Malang City, and Batu City). A total of 188 mothers were obtained using a convenience sampling technique. Inferential analysis was performed using Partial Least Squares (PLS) structural equation modelling. Results: Infant factors, particularly infant characteristics and birth weight, were the most significant factors influencing support from partners, peers, and health workers. Support was identified as the strongest factor associated with maternal commitment, which consisted of strategic commitment and caregiving action. Commitment subsequently was the most significant factor that influenced mothers' ability to care for premature infants at home, which consisted of nutrition fulfillment, infection prevention, recognition of danger signs, and stimulating development, with an R-square value of .582. The model explained 58.2% of the variance in maternal caregiving ability, indicating moderate to strong predictive power. Conclusion: Mothers caring for premature infants require strengthening in cognitive and affective aspects. Healthcare workers should consider infant and maternal factors when developing interventions to improve mothers' ability to care for premature infants at home. Keywords: ability; health promotion model; mother; premature infants
Analysis of z-score nutritional indices and their association with stunting risk factors among toddlers aged 36–59 months Hurun Ain; Faizul Hasan; Fitriana Kurniasari Solikhah
Pediomaternal Nursing Journal Vol. 12 No. 2 (2026): VOLUME 12 NO 2 JULY 2026
Publisher : Universitas Airlangga

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Abstract

Introduction: Understanding the determinants of stunting is essential for setting priorities in developing evidence-based policies that improve child well-being and reduce its prevalence. Objective: This study aimed to analyze Z-score nutritional indices and their relationship with stunting risk factors among toddlers aged 36–59 months. Methods: This study employed a cross-sectional design. The study population consisted of 453 toddlers, from which a sample of 82 participants was determined using Yamane's formula. Samples were selected using a simple random sampling technique. The research was conducted in the catchment area of the Ardimulyo Community Health Center, Wonorejo Village, Singosari District, Malang Regency, Indonesia. Data were analyzed using the non-parametric Spearman's rank correlation test. Results: The findings revealed that most toddlers were not breastfed immediately after birth, the majority did not receive exclusive breastfeeding, and most mothers had only completed elementary education. A substantial proportion of toddlers had height-for-age Z-scores in the "short" category (≥ -3.0 to -2.0). Statistical analysis demonstrated that three factors were significantly associated with the Z-score index: (1) breastfeeding history, (2) sex, and (3) parental income. Conclusion: These findings indicate that, beyond birth weight and infectious diseases, other factors such as breastfeeding practices, gender, and socioeconomic conditions were significantly associated with stunting among toddlers. Further studies are recommended to explore additional contributing factors and to design targeted, context-specific interventions to prevent stunting in early childhood. Keywords: risk factors; stunting; toddlers; Z score index
The effect of rebozo technique on fetal head descent in singleton cephalic pregnancies at 36–40 weeks of gestation Kusila Devia Rahayu; Setyowati Setyowati; Ermiati Ermiati; Ira Kartika; Taufik Hamzah
Pediomaternal Nursing Journal Vol. 12 No. 2 (2026): VOLUME 12 NO 2 JULY 2026
Publisher : Universitas Airlangga

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Abstract

Introduction: Descent of the fetal head into the birth canal is a crucial sign of readiness for normal delivery. In a singleton pregnancy with cephalic presentation, failure of the fetal head to descend into the birth canal by 36-40 weeks of gestation can make normal delivery difficult. In the third trimester of singleton pregnancies with cephalic presentation, the Rebozo technique can be used as a non-pharmacological nursing intervention to facilitate the descent of the fetal head into the birth canal. Objective: The purpose of this study was to evaluate the effectiveness of the Rebozo technique influences the fetus's head entering the birth canal during 36-40 weeks of gestation. Methods: This study utilized a quasi-experimental pre and post-test design involving 44 participants, evenly split into intervention and control groups, focused on pregnant women in a community health center in Bandung Regency, West Java Province, Indonesia. Non-probability purposive sampling was used; the inclusion criteria consisted of pregnant women aged 36-40 weeks, with cephalic presentation, height over 145 cm, and healthy pregnancies. The Rebozo technique, which includes the shifting and shaking the apple techniques, was applied to the intervention group twice a week over two weeks. This was conducted by maternity nurses and health workers during prenatal care classes at a community health service center in West Java, Indonesia. Head descent was assessed via abdominal palpation using the fifth palpation method, with data analyzed through the Mann-Whitney U test. Results: The analysis revealed a statistically significant increase in fetal head descent after employing the Rebozo technique (P-value=.001, P-value<.05). These results indicate a significant difference between the control and intervention groups (Z = -5.425; P-value=.001). Thus, the Mann-Whitney U test demonstrates that the Rebozo technique affects the descent of the fetal head in pregnant women at 36 to 40 weeks of gestation. Conclusion: Maternity nursing interventions using the Rebozo technique help accelerate the descent of the fetal head into the birth canal during singleton pregnancies with cephalic presentation. Health workers can apply this technique in the third trimester to prepare for a normal delivery. Keywords: birth canal; fetal position; head descent; normal delivery; nursing intervention
Parent-adolescent communication and self-reported sexual health risk behaviour among adolescent girls: a cross-sectional study Ririn Harini; Elsa Risma Hidayah; Yuni Sufyanti Arief; Mira Triharini
Pediomaternal Nursing Journal Vol. 12 No. 2 (2026): VOLUME 12 NO 2 JULY 2026
Publisher : Universitas Airlangga

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Introduction: Parent–adolescent communication correlates with reduced adolescent sexual health risk, but Indonesian cultural taboos around sexuality complicate parent-child dialogue. Objective: To examine unadjusted associations between five communication dimensions (openness, support, positivity, empathy, equality) and self-reported sexual health risk behaviour among adolescent girls in East Java, Indonesia. Methods: This cross-sectional study (STROBE-reported) surveyed 159 girls aged 13–15 at Public Junior High School Lamongan (July 26–27, 2022), using validated scales for communication quality (40 items, α = .89) and risk behaviour (15 items, α = .86). Communication scores were analysed continuously via Spearman correlation and dichotomised at the median for cross-tabulation. Given only 13 at-risk participants, sparse tables were assessed with Fisher's exact tests, reporting crude odds ratios (ORs) with 95% CIs. Results: Most participants (91.8%) reported no risk behaviour. Risk prevalence among those with poor communication ranged from 15.0% (support) to 69.2% (equality), versus 1.3–3.6% among those with good communication. Good communication rates varied by dimension: equality (91.8%), positivity (88.1%), empathy (86.8%), openness (79.9%), support (49.7%). All five dimensions were negatively associated with risk behaviour (P-value = −.268 to −.456; P-value = .001 for support, P-value < .001 for others). Crude ORs ranged from 12.0 (95% CI 3.4–42.4, openness) to 79.9 (95% CI 17.1–373.0, equality), though wide confidence intervals reflect the small at-risk sample. Conclusion: Better parent–adolescent communication was associated with lower risk-behaviour prevalence, but the cross sectional, unadjusted, single-school design with sparse outcomes precludes causal claims. Findings may inform sexual health promotion strategies, interpreted cautiously given limited generalisability. Keywords: adolescent girls; family communication; parent–adolescent communication; sexual health risk behaviour
Psychosocial correlates of exclusive breastfeeding among mothers in Tuban Regency, Indonesia: a cross-sectional study Umu Qonitun; Nurus Safa'ah; Miftahul Munir; Ilmiatus Qoyimah; Erna Eka Wijayanti
Pediomaternal Nursing Journal Vol. 12 No. 2 (2026): VOLUME 12 NO 2 JULY 2026
Publisher : Universitas Airlangga

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Introduction: Exclusive breastfeeding rates remain suboptimal in Indonesia despite well-documented benefits for infant and maternal health. Multiple psychosocial factors influence a mother's ability to sustain exclusive breastfeeding for six months. Objective: To examine associations between spousal support, healthcare provider support, coping mechanisms, and self-efficacy with exclusive breastfeeding practice among Indonesian mothers. Methods: Using purposive sampling, this cross-sectional study enrolled 150 mothers from Tuban Regency, East Java, with infants aged 0–6 months. Data were collected using validated questionnaires measuring spousal support, healthcare provider support, coping mechanisms, and breastfeeding self-efficacy. Exclusive breastfeeding was defined as providing only breast milk, without any supplemental food or liquid, for a minimum of four months postpartum. Spearman rank correlation (r) tests were used to examine associations between each independent variable and exclusive breastfeeding practice. Results: The majority of participants (72.0%) were aged 26–35 years, held senior high school qualifications (46.0%), and were full-time homemakers (82.0%). Strong-to-very-strong positive correlations were observed for all predictors: healthcare provider support (P-value<.001, r = .923), self-efficacy (P-value<.001, r = .901), spousal support (P-value<.001, r = .847), and coping mechanisms (P-value<.001, r = .634). Conclusion: Spousal support, healthcare provider support, adaptive coping mechanisms, and maternal self-efficacy are each significantly associated with exclusive breastfeeding practice. Interventions targeting these modifiable psychosocial factors—through family education, professional support programs, and maternal empowerment initiatives—may meaningfully improve exclusive breastfeeding rates in similar low-resource settings. Keywords: breastfeeding; health personnel; psychological adaptation; self efficacy; social support
Mrs-preemie model: innovative nursing intervention to improve maternal and preterm infant outcomes Nopi Nur Khasanah; Yeni Rustina; Dessie Wanda; Sutanto Priyo Hastono; Iskim Luthfa
Pediomaternal Nursing Journal Vol. 12 No. 2 (2026): VOLUME 12 NO 2 JULY 2026
Publisher : Universitas Airlangga

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Introduction: Mothers of preterm infants are particularly susceptible to emotional distress, which may impair bonding and hinder optimal infant growth. Nurses hold a critical position in supporting both maternal and infant outcomes through structured interventions. Objective: This study aimed to evaluate the effectiveness of the Mrs-Preemie model, an innovative nursing intervention, on reducing maternal stress, enhancing mother-infant bonding, and improving weight gain in preterm infants. Methods: A mixed-methods exploratory sequential design was employed, using purposive sampling. The qualitative phase involved 24 mothers and 13 nurses to identify care needs, followed by expert panel validation with four professionals. In the quantitative phase, 66 mother-father-preterm infant triads participated. The intervention group received the Mrs Preemie model, which comprised four modules implemented over four weeks; the control group received standard care. Outcomes included maternal stress and bonding scores, and infant weight, assessed at baseline, week two, and week four. Confounding variables were statistically controlled. Results: Thirteen themes emerged to guide the model's development. Statistically significant differences were found between the intervention and control groups over time for maternal stress (P-value=.001), mother-infant bonding (P-value=.001), and infant weight (P-value=.013). After four weeks, the intervention group showed significantly reduced maternal stress (P-value<.001), improved bonding (P-value=.002), and greater infant weight gain (P-value<.001). Improvements in maternal outcomes emerged by week two, while infant weight gain was evident by week four. Conclusion: The Mrs-Preemie model demonstrates effectiveness as an innovative nursing intervention to improve maternal psychological well-being and preterm infant development. Integrating it into neonatal nursing is recommended. Keywords: mother-child relations; premature infants; psychological stress; weight gain
Development of a diarrhea management model based on health belief model and symptom management theory to improve mothers’ ability in home-based care of under-five children Mariyam Mariyam; Yuni Sufyanti Arief; Makhfudli Makhfudli; Nuzul Qur'aniati; Ilya Krisnana
Pediomaternal Nursing Journal Vol. 12 No. 2 (2026): VOLUME 12 NO 2 JULY 2026
Publisher : Universitas Airlangga

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Introduction: Diarrhea remains a leading cause of mortality in children under five, often exacerbated by suboptimal home-based management and inaccurate maternal symptom evaluation. Objective: This study aims to develop and analyze a diarrhea management model based on the Health Belief Model (HBM) and Symptom Management Theory (SMT) to improve mothers' ability to care for under-five children at home. Methods: A quantitative study using a structural equation modeling (SEM) approach was conducted. Data were collected from 130 mothers of under-five children using structured questionnaires. Inclusion criteria were mothers of under-five children with acute diarrhea without dehydration or with mild to moderate dehydration; primary caregivers; and able to read and write. Exclusion criteria included mothers with hearing or visual impairments and mothers of children with comorbid conditions. The sampling was conducted using a non-probability sampling technique, specifically purposive sampling. The exogenous variables included maternal, child, environmental, and healthcare provider factors, while symptom experience and belief-based management served as mediating variables. Results: Symptom experience was directly influenced by maternal factor (t=5.254, P-value<.001), child factor (t=1.989, P-value<.001), environmental factor (t=5.185, P-value<.001), and healthcare provider factor (t=2.605, P-value=.046). Symptom experience significantly triggered belief-based management (t=10.530, P-value<.001), with symptom evaluation being the strongest indicator (t=34.116). Ultimately, belief-based diarrhea management showed a strong positive influence on mothers' ability to care for under-five children at home (t=18.027, P-value<.001). Conclusion: Maternal caregiving competence is significantly improved when diarrhea management protocols are integrated with health belief constructs. Interventions should prioritize enhancing mothers' internal health beliefs and clinical symptom evaluation skills rather than focusing solely on knowledge transfer. Keywords: diarrhea; health belief model; mothers; pediatric nursing; symptom assessment
Determinants of inadequate energy intake among stunted children Sylvie Puspita; Irwanto; Yuni Sufyanti Arief; Widati Fatmaningrum
Pediomaternal Nursing Journal Vol. 12 No. 2 (2026): VOLUME 12 NO 2 JULY 2026
Publisher : Universitas Airlangga

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Introduction: Stunting is a chronic growth disorder caused by prolonged inadequate nutrition and recurrent infections. Insufficient energy intake is a key factor contributing to impaired growth among stunted children. Objective: This study aimed to analyse the determinants associated with inadequate energy intake among stunted children and to compare these factors between tuberculosis and non-tuberculosis groups. Methods: An analytical observational study with a cross-sectional design was conducted among 80 stunted children aged 12–59 months in Jombang Regency, Indonesia. Participants were selected using consecutive sampling from community health centers. Data on child and maternal characteristics were collected using structured questionnaires and verified with the Maternal and Child Health Handbook. Stunting status was determined using height-for-age z-scores (HAZ) based on WHO standards. Energy intake was assessed using two non-consecutive 24-hour dietary recalls and categorized as adequate (≥80% RDA) or inadequate (<80% RDA). Data were analysed using the Kruskal–Wallis test with a significance level of P-value<.05. Results: Most children were aged >24 months (68.7%), female (58.7%), and had normal birth weight (72.5%). A total of 57.5% had adequate energy intake, while 42.5% were classified as inadequate. Significant determinants of energy intake included age (P-value<.001), birth weight (P-value=.004), maternal anemia during pregnancy (P-value=.037), and antenatal care (ANC) history (P-value=.005). No significant associations were found for gender (P-value=.991) and tuberculosis status (P-value=.653). Conclusion: Inadequate energy intake among stunted children is significantly influenced by both child and maternal factors. Strengthening maternal nutrition, improving ANC utilization, and promoting appropriate feeding practices are essential to support optimal energy intake and child growth. Keywords: anemia; energy intake; growth disorders; pregnant mothers; tuberculosis

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