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Psychiatry Nursing Journal (Jurnal Keperawatan Jiwa)
Published by Universitas Airlangga
ISSN : 26563894     EISSN : 26564637     DOI : http://dx.doi.org/10.20473/pnj.v1i1.12302
Core Subject : Health,
Health Professions Nursing Public Health
Psychiatry Nursing Journal is a scientific journal that includes research results in the field of nursing or related health professions: Mental Care Holistic Nursing Family Care Psychosocial Care The Psychiatry Nursing Journal receives all research articles related to the latest issues and trends in mental health care that includes the latest developments in mental health care both clinically and practically, education and training, issues related to mental care professional care, management approaches , development policies, issues in clinical scope and ethics.
Arjuna Subject : Keperawatan - Kesehatan Mental Fisiatri
Articles 92 Documents
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EFFECT OF NURSE-LED INTERVENTIONS IN REDUCING POST-TRAUMATIC STRESS DISORDER SYMPTOMS IN INPATIENTS: A SYSTEMATIC REVIEW Fahriye Oflaz; Nevra Didem Kılınç
Psychiatry Nursing Journal (Jurnal Keperawatan Jiwa) Vol. 8 No. 1 (2026): March 2026
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/pnj.v8i1.74955

Abstract

Introduction: Post-traumatic stress disorder (PTSD) is a significant mental health concern among hospitalized patients, particularly those who experience critical illness or surgical interventions. Nurses, who are closely involved in patient care, are well-positioned to deliver supportive interventions that may mitigate PTSD symptoms. This systematic review aimed to evaluate the effectiveness of nurse-led interventions in reducing PTSD symptoms among inpatients. Method: A comprehensive search of databases was conducted, and seven randomized controlled trials were included, involving 979 participants across various inpatient settings. The interventions varied in content, delivery format, and timing, and included strategies such as logotherapy-based conversations, ICU diaries, and structured psychological consultations Results: Five studies indicated interventions were not effective in reducing PTSD symptoms, while two found them effective. The overall certainty of evidence was low due to methodological limitations, small sample sizes, and outcome variability. Conclusions: S Current evidence doesn't support the standalone effectiveness of nurse-led interventions for PTSD. Future efforts must focus on rigorous, theory-based designs and addressing the underlying need for more mental health training and better team integration for nurses.
THE ROLE OF EMOTION REGULATION IN FAMILY RESILIENCE FOR CAREGIVERS OF PATIENT WITH SCHIZOPHRENIA CONSIDERING CAREGIVING BURDEN Armelia Dewi Ni Nyoman; Rizky Fitryasari; RR. Dian Tristiana
Psychiatry Nursing Journal (Jurnal Keperawatan Jiwa) Vol. 8 No. 1 (2026): March 2026
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/pnj.v8i1.75860

Abstract

ABSTRACT Introduction: Caregivers of schizophrenia patients face emotional, physical, and social stress that can weaken family resilience. Their mental health is often at risk, causing distress and unstable emotion regulation. These factors may harm care quality, highlighting need to support caregivers’ mental health and emotion regulation. Method: A systematic review of quantitative studies was conducted. Relevant full-text articles were sourced from five databases: ProQuest, Science direct, Sage Journals, and Taylor & Francis database inception to April 2025. Articles used from 2020 to 2025. Searching for articles or journals uses keywords and Boolean operators. Bias was assessed with Joanna Briggs Institute (JBI) tool. We followed the protocols and rules of Preferred Reporting Items for Systematic Reviews (PRISMA) guidelines. Results: A total of 1.567 article were found. There were 10 relevant papers found in the literature search. Total of 2.007 participants age 18 to 85 years, from 7 countries, families caring for a family member with a diagnosis of schizophrenia. The majority of studies (n=10) reported that family resilience is influenced by several factors, including sociodemographic characteristics, educational background, stigma, economic conditions, physical health status, psychosocial factors especially particularly adaptive coping strategies and the quality of the caregiver with patient relationship. Conclusions: This review highlights that emotion regulation, particularly through adaptive strategies like cognitive reappraisal and positive coping, plays a key role in enhancing family resilience among caregivers of individuals with schizophrenia. Strengthening emotional regulation can reduce caregiver burden and improve overall psychological well-being. Keyword: emotion regulation; resilience; family caregiver; schizophrenia; burden
STRESS LEVELS AND COPING MECHANISMS IN FAMILIES OF PEOPLE WITH MENTAL DISORDER Lusfin Lusfin; Nurlaila Fitriani
Psychiatry Nursing Journal (Jurnal Keperawatan Jiwa) Vol. 8 No. 1 (2026): March 2026
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/pnj.v8i1.76881

Abstract

Introduction: Mental disorders affect individuals mentally, emotionally, and socially, with families often serving as the primary caregivers responsible for patient care. This role frequently induces stress in families due to stigma, financial burdens, and role changes. Unmanaged stress can negatively impact both patient care and family well-being. Effective coping strategies are crucial to help families manage stress. However, research on the stress levels and coping mechanisms of families of individuals with mental disorders in South Sulawesi, particularly in Makassar, remains limited. Method: This study used a descriptive quantitative method. The instruments used include the Perceived Stress Scale and Brief Cope questionnaire. The sample for this study consisted of 210 respondents selected through purposive sampling. The data were analyzed using SPSS version 26. Results: The results of this study show that the majority of respondents are in the adult age group (19–59 years), with most being female (73.8%). The largest proportion of respondents are from the Bugis ethnic group (41%) and are Muslim (91%). Most respondents have a high school education (44.3%), are unemployed (46.7%), and are married (71%). The majority of respondents have an income below the regional minimum wage (Rp 3,642,321). The relationship of respondents to the patients with mental disorders is mostly that of a mother (29.5%), with most respondents living with the patient (84.8%) and using BPJS as the payment method (86.7%). The average duration of the family member's mental disorder is 8.1 years. The stress level experienced by families of patients with mental disorders is mostly moderate (84.8%), followed by mild stress (14.3%) and severe stress (1%). All respondents use adaptive coping mechanisms (100%). Conclusions: the majority of families of patients with mental disorders at RSKD Dadi experience a moderate level of stress, with all respondents using adaptive coping mechanisms. Future research is recommended to use more comprehensive data collection methods, such as in-depth interviews and observations, to gain a deeper understanding of the experiences of families in caring for patients with mental disorders
THE RELATIONSHIP BETWEEN SELF-EFFICACY AND FAMILY RESILIENCE IN PARENTS OF CHILDREN WITH DISABILITIES Reliani Reliani; Indah Setiyowati; Anis Rosyiatul Husna; Chlara Yunita Prabawati; Diah Priyantini; Siswanto Agung Wijaya
Psychiatry Nursing Journal (Jurnal Keperawatan Jiwa) Vol. 8 No. 1 (2026): March 2026
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/pnj.v8i1.88434

Abstract

Introduction: Parents raising a child with disabilities experience a range of complex physical, psychological, social, and economic challenges. Internal psychological factors, particularly self-efficacy, often influence a parent's ability to cope with these difficulties. Higher levels of self-efficacy improve a family's capacity to adapt to and recover from the stress of caregiving, a concept known as family resilience. This study aims to explore the relationship between self-efficacy and family resilience among parents of children with disabilities. Method: This study employed a quantitative correlational design with a cross-sectional approach. The study population consisted of 59 parents of children with disabilities, selected using total sampling. Data were collected using a modified self-efficacy questionnaire based on Bandura’s theory and a family resilience questionnaire adapted from Walsh’s model. Data analysis was conducted using Spearman Rank correlation with a significance level of α = 0.05. Results: The findings indicated that the majority of respondents exhibited high self-efficacy (94.9%) and high family resilience (96.6%). A very strong positive correlation was identified between self-efficacy and family resilience (r = 0.809; p < 0.001). Conclusion: The study reveals a strong link between self-efficacy and family resilience in parents of children with disabilities. It underscores the need to enhance parental self-efficacy to boost family resilience when facing caregiving challenges.
THE EXPERIENCES OF ELDERLY FACING LONELINESS AND THE MEANING OF LIFE IN KARATUNG I VILLAGE, MANGANITU DISTRICT Yeanneke Liesbeth Tinungki; Nansy Delia Pangandaheng
Psychiatry Nursing Journal (Jurnal Keperawatan Jiwa) Vol. 8 No. 2 (2026): September 2026
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/pnj.v8i2.66243

Abstract

Introduction: Loneliness is a personal experience, and everyone responds to it differently. Among the various problems that arise, loneliness affects the meaning of life for the elderly. The meaning of life is very important because it gives a person a special value that makes it worthy of being a goal in life. Loneliness causes psychiatric problems that are more dominant than physical problems. Method: This research used a qualitative method with a phenomenological approach. The sample consisted of 15 elderly participants who met the following criteria: aged ≥ 60 years, spouse deceased ≥ 2 years ago, able to communicate well, and willing to be a research respondent. The research variables were the experience of facing loneliness and the experience of the meaning of life among the elderly in Karatung I Village, Manganitu District. Data were collected using in-depth interview guidelines and field notes and were analyzed using Colaizzi's thematic analysis. Results: The results generated two themes: (1) the experience of facing loneliness, characterized by difficulty living without a partner, feelings of great loss toward the partner, and coping through physical activities and support from children and family; and (2) the meaning of life, reflected in the prolonged and difficult process of accepting life after losing a spouse and adapting to life without a partner. Conclusions: The experience of elderly people facing loneliness and the meaning of life is difficult and hard.
EXPLORING THE ROLE PERFORMANCE OF PSYCHIATRIC AND MENTAL HEALTH CLINICAL NURSE SPECIALISTS IN CLINICAL SETTINGS: A QUALITATIVE STUDY Prasetyo Nugroho; Somporn Rungreangkulkij; Nichapatr Phutthikhamin; Muliantika Muliantika
Psychiatry Nursing Journal (Jurnal Keperawatan Jiwa) Vol. 8 No. 2 (2026): September 2026
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/pnj.v8i2.72069

Abstract

Introduction: The role performance of Psychiatric and Mental Health Clinical Nurse Specialists (PMH-CNS) remains unclear in many healthcare systems, particularly in Indonesia. This study aimed to explore the role performance of PMH-CNS in clinical settings, focusing on their clinical roles, responsibilities, challenges, and career development in Indonesia. Method: This study employed a qualitative design with a phenomenological approach. A total of five PMH-CNS were recruited using purposive sampling from five different hospitals in Indonesia. Inclusion criteria included having 6 months to 6 years of experience and actively providing mental health services. Data were collected through semi-structured, in-depth interviews conducted via Zoom, lasting 45–60 minutes. The interview guide consisted of open-ended questions exploring clinical roles, responsibilities, and challenges. Data were analyzed using thematic analysis following Creswell & Poth. Data saturation was achieved when no new themes emerged. Results: Three themes were identified: (1) barriers to perform PMH-CNS roles, (2) challenges in role performance, and (3) career development pathways. PMH-CNS performed advanced clinical roles, consultation, education, and interprofessional collaboration. However, role implementation was hindered by multiple responsibilities, unclear role boundaries, and limited institutional support. Conclusions: PMH-CNS play a significant role in delivering advanced mental health care. However, role clarity, policy support, and structured career development are essential to optimize their contribution in clinical settings.
DETERMINANTS OF PHYSICAL RESTRAINT USE AMONG NURSES: A REGRESSION ANALYSIS OF KNOWLEDGE, ATTITUDES, AND PERSPECTIVES AT MATHARI HOSPITAL Tobias Otieno Ogola; Miriam Caroline A. Wagoro
Psychiatry Nursing Journal (Jurnal Keperawatan Jiwa) Vol. 8 No. 2 (2026): September 2026
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/pnj.v8i2.86914

Abstract

Introduction: This study investigated factors influencing physical restraint use among nurses at Mathari Hospital, Kenya, focusing on knowledge, attitudes, and perspectives as potential determinants. Method: A descriptive cross-sectional study was conducted among 52 nurses directly involved in patient care. Data were collected using a self-administered semi-structured questionnaire assessing knowledge, attitudes, perspectives, and physical restraint use. Descriptive statistics summarized participant characteristics and study variables, while bivariate analysis and linear regression examined relationships between predictors and restraint use. Results: Most nurses demonstrated knowledge of physical restraints and their purpose (92.3%), and 78.8% knew different restraint types. However, only 11.5% reported knowledge of formal necessity assessment before applying restraints. Regression findings indicated that knowledge did not significantly predict physical restraint use (p = 0.059). Attitudes, however, significantly predicted restraint use (p = 0.044). The positive regression coefficient showed that nurses with more favorable attitudes toward restraints were more likely to report higher restraint use scores. Conclusions: Attitudes, rather than knowledge, emerged as the key determinant of physical restraint use among nurses at Mathari Hospital. The findings suggest that increasing knowledge alone may not reduce restraint use. Instead, interventions should address underlying attitudes and decision-making processes. Continuous professional development, targeted training on restraint assessment, promotion of non-restraint alternatives, and reinforcement of ethical psychiatric nursing practices are recommended. These measures could improve patient safety, support evidence-based care, enhance clinical judgment, and encourage more appropriate restraint-related decisions overall.
COGNITIVE CONFLICT AMONG NURSING STUDENTS EXPERIENCING QUARTER-LIFE CRISIS: A PHENOMENOLOGICAL STUDY Ridwan Sofian; Ratna Wulandari; Annastasya Wijaya
Psychiatry Nursing Journal (Jurnal Keperawatan Jiwa) Vol. 8 No. 2 (2026): September 2026
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/pnj.v8i2.89943

Abstract

Introduction: Final-year students often face a gap between idealistic expectations and academic reality, triggering Quarter-Life Crisis (QLC). This study explores cognitive conflict among nursing students facing this clash. Method: A qualitative study using an Interpretative Phenomenological Analysis (IPA) approach was conducted at a health sciences institution in East Java, Indonesia. Six female nursing students aged 22–23 years in their seventh semester were selected through purposive sampling based on the inclusion criterion of experiencing all seven characteristics of Quarter-Life Crisis (QLC). The all-female composition of the participants provided a relatively homogeneous sample, allowing for an in-depth exploration of subjective experiences among individuals with similar characteristics. Data were collected through semi-structured, in-depth interviews lasting 50–70 minutes. Results: Analysis generated five overarching themes. First, “When Expectations Turn into Despair” reflected cognitive dissonance arising from the discrepancy between idealistic expectations and challenging academic realities. Second, “Stranded in a Harbor I Did Not Choose” described a loss of personal autonomy resulting from parental dominance in decision-making. Third, “Hating Myself for Every Failure” reflected a maladaptive internal attribution pattern characterized by negative self-labeling. Fourth, “When Fear Paralyze Every Step” illustrated decision-making paralysis driven by intolerance of uncertainty. Fifth, “The Future as a Corridor Without an End” represented future disorientation and existential anxiety. Conclusions: QLC experienced by all participants represented an existential crisis rooted in the discrepancy between expectations and reality, loss of autonomy, destructive thought patterns, decision-making paralysis, and future disorientation. decision-making support is needed to help students navigate and cope with this crisis.
ASSOCIATIONS BETWEEN NOMOPHOBIA AND SLEEP DISTURBANCE, SOCIAL INTERACTION, AND COGNITIVE FUNCTION AMONG ADOLESCENTS: A CROSS-SECTIONAL STUDY Nisa Dewanti; Widya Nurcahyaningtyas; Nina Rizka Rohmawati; Nima Eka Nur Rahmania; Riza Iraningtyas; Tamara Nur Budiarti; Farhan Ardiansyah
Psychiatry Nursing Journal (Jurnal Keperawatan Jiwa) Vol. 8 No. 2 (2026): September 2026
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/pnj.v8i2.91285

Abstract

Introduction: The increasing use of smartphones among adolescents has raised concerns about the physical and mental impact of nomophobia. However, research on how levels of nomophobia affect sleep quality, social interactions, and cognitive function is limited. This study aims to examine the differential relationship between nomophobia and sleep disturbances, social interactions, and cognitive function in adolescents. Method: A cross-sectional study was used for this study. Simple random sampling was used with 387 adolescents in Sidoarjo City, Indonesia. Nomophobia and other variables were measured using a questionnaire. Descriptive statistics, chi-square tests, and ordinal logistic regression are used to analyzed to assess the relationships between variables. Results:  Using severe nomophobia as the reference category, adolescents with no, mild, and moderate nomophobia had significantly lower odds of experiencing more severe sleep disturbances and cognitive impairment (p<0.05). For social interaction, mild and moderate nomophobia were significantly associated with lower odds of impaired social interaction compared with severe nomophobia (p<0.05), whereas the difference between no nomophobia and severe nomophobia was not statistically significant (p=0.081). The ordinal logistic regression model was statistically significant and met the proportional odds assumption. Conclusions: There are differences in the relationship between nomophobia and sleep disturbances, social interactions, and cognitive function. The relationship between nomophobia and social interactions is more complex than that between sleep disturbances and social interactions. The results of this study emphasize the need to understand the impact of nomophobia on adolescents across multiple dimensions.
THE RELATIONSHIP BETWEEN ANXIETY LEVEL AND INSOMNIA AMONG VOCATIONAL HIGH SCHOOL STUDENTS: A CROSS-SECTIONAL STUDY Mundakir Mundakir; Mochamad Sakti Raharjo; Reliani Reliani; Aries Chandra Ananditha; Diah Priyantini; Daviq Ayatulloh
Psychiatry Nursing Journal (Jurnal Keperawatan Jiwa) Vol. 8 No. 2 (2026): September 2026
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/pnj.v8i2.93533

Abstract

Introduction: Anxiety and insomnia were common health concerns among adolescents and could affect concentration, emotional regulation, learning readiness, and daily functioning. Vocational high school students might have been particularly vulnerable because they faced both academic demands and competency-based practical training.  Method: This analytic cross-sectional study was conducted in September 2022 at a public vocational high school in East Java, Indonesia. A total of 162 grade XII students were selected using stratified random sampling. The independent variable was anxiety level, which was measured using the Hamilton Anxiety Rating Scale, while the dependent variable was insomnia severity, which was assessed using the KSPBJ Insomnia Rating Scale. Descriptive statistics and the Spearman rank correlation test were used for data analysis. Results: Most participants were aged 17 years (54.3%) and were male (52.5%). Moderate anxiety was reported by 107 students (66.0%), followed by mild anxiety in 42 students (25.9%) and no anxiety in 13 students (8.0%). Mild insomnia was reported by 114 students (70.4%), moderate insomnia by 46 students (28.4%), and no insomnia by 2 students (1.2%). Anxiety level was significantly associated with insomnia severity (r = 0.215; p = 0.006). Conclusions: Anxiety level was significantly and positively associated with insomnia severity among vocational high school students, although the strength of the relationship was weak. This finding indicated that students with higher anxiety levels tended to report greater insomnia severity, suggesting that anxiety and sleep problems might have represented interconnected student health concerns that warranted attention in school-based health assessments.

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