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I Ketut Andika Priastana
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Babali Nursing Research
Published by Babali Health
ISSN : 27766993     EISSN : 27215989     DOI : https://doi.org/10.37363/bnr
Core Subject : Health,
Nursing
The Babali Nursing Research provides a forum for original research and scholarship about health care delivery, organisation, management, workforce, policy and research methods relevant to nursing, midwifery and other health related professions. The BNR aims to support evidence informed policy and practice by publishing research, systematic and other scholarly reviews, critical discussion, and commentary of the highest standard. The journal particularly welcomes studies that aim to evaluate and understand complex health care interventions and health policies and which employ the most rigorous designs and methods appropriate for the research question of interest. The journal also seeks to advance the quality of research by publishing methodological papers introducing or elaborating on analytic techniques, measures, and research methods.
Arjuna Subject : Keperawatan - Keperawatan (Lain-Lain)
Articles 12 Documents
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Search results for , issue "Vol. 6 No. 3 (2025): July" : 12 Documents clear
Legal Analysis of the Implementation of the Ten Steps to Successful Breastfeeding in Government Regulation Number 28 of 2024 to Support the Exclusive Breastfeeding Program in Indonesia Dolesgit, Ni Made Garnis; Parsa, I Wayan; Astuti, Ika Widi; Winata, I Gede Sastra
Babali Nursing Research Vol. 6 No. 3 (2025): July
Publisher : Babali Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37363/bnr.2025.63471

Abstract

Introduction: Efforts to advance the welfare of Indonesian society require the development of quality human resources. However, health issues such as stunting and obesity in children can hinder these aspirations, partly due to suboptimal breastfeeding from birth. Although there has been a significant increase in exclusive breastfeeding, there are still obstacles in its implementation, such as a lack of family support and violations of the International Code of Marketing of Breastmilk Substitutes. This study aims to analyze the implementation of the Ten Steps to Successful Breastfeeding (TSSB) advocated by WHO and UNICEF in Government Regulation Number 28 of 2024 to support the Exclusive Breastfeeding program in Indonesia.Method: This study used a descriptive-analytical method with a normative juridical approach, referring to Government Regulation Number 28 of 2024 concerning the Implementation Regulation of Law Number 17 of 2023 concerning health.Result: Almost all TSSB and all the rules of the International Code of Marketing of Breastmilk Substitutes have been included in the articles to subsequently serve as protection against inappropriate promotion of formula milk for infants and to achieve Exclusive Breastfeeding.Conclusion: It is necessary to immediately create specific follow-up regulations regarding the safe provision and administration of donor breast milk for infants in healthcare institutions and a sustainable data monitoring and management system.
Internal and External Factors Influencing Nurses' Compliance in Risk of Fall Prevention Procedures Gunawan, Arif Candra; Wijaya, Dodi; Ardiana, Anisah
Babali Nursing Research Vol. 6 No. 3 (2025): July
Publisher : Babali Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37363/bnr.2025.63474

Abstract

Introduction: Nursing care is the most essential element in health services. Professional nurses must provide safe, effective services and participate in maintaining patient safety. Safety for patients is essential because it can increase the value of professionalism. The research aims to analyze internal and external factors regarding nurses' compliance in implementing Standard Operating Procedures to prevent the risk of falls.Methods: This research used an analytical observational design with a cross-sectional approach using a sample of 107 respondents from two hospitals in Jember.Results: The results showed that internal factors influenced nurse compliance in implementing SOP for patients at risk of falling (p-value 0.045). Regarding external factors, it was found that compliance in implementing SOP for patients with fall risk did not have a significant effect (p-value 0.948).Conclusion: Continuous training, effective supervision, and work environment support are important to increase nurses' compliance in implementing SOPs to prevent falls. This research recommends strengthening hospital training and supervision strategies to increase nurse compliance, ultimately improving overall patient safety.
Organizational Culture and Personality on Lecturer Performance: The Role of Burnout as a Mediator Meilyaningsih, Ni Made Dwi; Martini, I.A Oka
Babali Nursing Research Vol. 6 No. 3 (2025): July
Publisher : Babali Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37363/bnr.2025.63490

Abstract

Introduction: Increasing academic positions indicate that lecturers fulfill the Tri Dharma of Higher Education. The high demands placed on lecturers and the discrepancy between reality and expectations often make lecturers feel stressed and uncomfortable for a long time, leading to burnout. The lack of research on burnout in lecturers makes it important to conduct research. This research aims to look at the mediating role of burnout in the relationship between organizational culture and lecturer performance, and the relationship between personality and lecturer performance.Methods: This research uses a quantitative approach with the research subjects being lecturers in the nursing study program in Bali. The total research sample was 163 lecturers taken using total sampling techniques. The research instrument used is a questionnaire on lecturer performance evaluation. Data analysis employs the SEM-PLS model using Smart PLS 4.0.Results: The research findings show that burnout cannot mediate the relationship between organizational culture and lecturer performance. Meanwhile, burnout can partially mediate the relationship between personality and lecturer performance.Conclusion: Lecturer performance is influenced by personality, however exhaustion can reduce or enhance this effect. This study emphasizes the need for an organizational culture that encourages and regulates burnout to enhance lecturer effectiveness.
Legal and Ethical Analysis of The Implementation of Informed Consent in Medical Practice in Indonesia Dewi, Gusti Ayu Made Purnama; Adiatmika, I Putu Gede
Babali Nursing Research Vol. 6 No. 3 (2025): July
Publisher : Babali Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37363/bnr.2025.63491

Abstract

Introduction: Implementing informed consent in medical practice in Indonesia is fundamental to protecting patients' rights, but it is not quite enough to answer the law’s power. Research This analyzes the legal and ethical aspects of the application of informed consent in medical practice in Indonesia, with a review of applicable laws and regulations and principles of the underlying bioethics.Methods: This study used a normative juridical and qualitative descriptive approach to analyze legal and ethical aspects of informed consent in medical practice. Data were obtained from 15 secondary sources, including laws, academic literature, and court decisions, and analyzed qualitatively. Source triangulation linking legal, health, and bioethical perspectives was applied to ensure validity. The study aims to contribute theoretically and practically to improving informed consent policy and practice.Results: Research results show that although the regulation related to informed consent is sufficiently comprehensive, there are still challenges in its implementation, such as a lack of understanding of the patient, limitations in the time doctors have to give adequate information, and aspects of culture that influence the decision-making process in medical care.Conclusion: Improvement in socialization, education for power medical and patient, and strengthening of the regulations are required to ensure informed consent can be obtained and applied effectively and fairly in medical practice in Indonesia.Keywords: word; another word; lower case except names
A Systematic Review of Educational Interventions to Improve Self-Care Behaviors in Hypertensive Patients Ni Ketut Erawati; I Gede Putu Darma Suyasa; I Kadek Nuryanto; Ni Made Manik Elisa Putri
Babali Nursing Research Vol. 6 No. 3 (2025): July
Publisher : Babali Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37363/bnr.2025.63496

Abstract

Introduction: Hypertension remains one of the most prevalent non-communicable diseases worldwide, including in Indonesia. Due to its often asymptomatic nature, the condition is frequently neglected by patients, increasing the risk of complications and negatively impacting their quality of life. While pharmacological treatment is essential, hypertension management is closely tied to self-care practices, which remain a persistent challenge. One strategy to improve self-care behavior in hypertensive patients is through education. This study aims to systematically review the effectiveness of various educational interventions in enhancing self-care behavior among hypertensive patients.Methods: This study employed the PRISMA Flowchart for article selection across three databases—ScienceDirect, PubMed, and Google Scholar—with inclusion criteria limited to articles published between 2021 and 2025. Of 394 initially identified articles, 15 met the inclusion criteria after PRISMA-based screening.Results: The review analyzed 15 studies comprising diverse educational interventions, including group-based education sessions, video-assisted learning, digital and mobile health (mHealth) tools, individualized counseling, and community-based programs. These interventions significantly improved key aspects of self-care, such as medication adherence, dietary regulation, physical activity, stress management, and regular blood pressure monitoring.Conclusion: This systematic review demonstrates that a wide range of educational interventions effectively enhance self-care behaviors among hypertensive patients. Tailoring interventions to patient needs and utilizing technology may further improve outcomes. These findings underscore the importance of incorporating structured education into hypertension management strategies.
The Relationship between Body Mass Index (BMI) and Gestational Diabetes Mellitus (GDM) Muarrofah; Rahmawati, Anita; Afifah, Nur Asiyah
Babali Nursing Research Vol. 6 No. 3 (2025): July
Publisher : Babali Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37363/bnr.2025.63502

Abstract

Background: Gestational Diabetes Mellitus (GDM) is a growing metabolic complication in pregnancy, affecting 1 in 6 births globally. In Indonesia, obesity prevalence among women of reproductive age reached 26.7% in 2022, with local studies in East Java reporting GDM rates as high as 27.4%. Methods: This cross-sectional study involved 42 pregnant women at Puskesmas Jelakombo, Jombang , in December 2024. Participants were selected using purposive sampling based on gestational age ≥24 weeks and complete OGTT results. The study used weight and height measurements to calculate Body Mass Index (BMI) and Oral Glucose Tolerance Test (OGTT) results to diagnose Gestational Diabetes Mellitus (GDM). These tools helped determine if there is a link between BMI and GDM risk in pregnant women. BMI was categorized using WHO standards , and GDM was diagnosed using the 2013 WHO OGTT criteria . Data were analyzed using the chi-square test. Results: Of the participants, 57.1% were diagnosed with GDM. Among them, 45.2% were overweight and 11.9% were obese. Statistical analysis showed a significant association between BMI and GDM risk: p = 0.00052; OR = 8.6; 95% CI: 2.4–30.8. Conclusion: Higher BMI is strongly linked to increased GDM risk. This highlights the importance of routine BMI screening and nutritional counseling during antenatal care, especially in primary healthcare settings with limited access to specialized services.
Vascular Access Management in Inpatients Based on the Vessel Health and Preservation Model Manik, Marisa; Sitorus, Fiolenty; S, Yulia; Kaburito, Aryanto; Rizal, Nurochman; Cicilia; Amelia, Gita; Yelti, Stevanie; Astari, Dian; Anesta, Haidy
Babali Nursing Research Vol. 6 No. 3 (2025): July
Publisher : Babali Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37363/bnr.2025.63505

Abstract

Introduction: Maintaining vascular access is a complex process that involves various clinical factors, the competence of healthcare staff—particularly nurses—and the products used in treatment. Administering drug and fluid therapy through the intravenous route is intricate and carries significant risks of complications. Therefore, the Vessel Health and Preservation (VHP) model approach is crucial for administering effective therapy. To date, no studies have been conducted on comprehensive vascular access management in Indonesia. This study aimed to describe vascular access management in inpatient care using the VHP Model.Methods: Using an accidental sampling technique, the study employed a descriptive design, with 224 nurses from two private hospitals in Indonesia serving as respondents. The instrument was an observation sheet, and data collection was conducted on 224 vascular access installations in patients, based on observations made in March 2024. The data were analyzed using descriptive statistics.Results: Vascular access management, including the four quadrants in the VHP model, is critical to apply because phlebitis complications still occurred in 17 (7.59%) of 224 cases, and only 181 (80.80%) of intravenous access insertions were successful on the first puncture.Conclusion: These results indicate the need for ongoing nurse education and training in vascular access management. The complexity of administering drug and fluid therapy through the intravenous route, with a reasonably high risk of complications, requires an approach model that can be used in administering therapy through the intravenous route.
Beyond the Stigma: Leveraging Education and Empathy for Effective Tuberculosis Care Wahyuningsih, Aries; Probandari, Ari; Sumardiyono; I Wayan Gede Artawan Putra; Firmanda, Giovanni Iga
Babali Nursing Research Vol. 6 No. 3 (2025): July
Publisher : Babali Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37363/bnr.2025.63485

Abstract

Introduction: Tuberculosis (TB) remains a major global health issue, with stigma continuing to hinder effective prevention, diagnosis, and treatment. Stigma can discourage patients from seeking care, adhering to treatment, and engaging with healthcare providers. This systematic review aims to identify stigma-related issues in TB and explore practical strategies to reduce stigma.Methods: A scoping literature search was conducted for studies published between 2012 and 2024  using ProQuest, PubMed, and ScienceDirect databases. Articles were selected based on predefined inclusion and exclusion criteria, and the review followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. The Joanna Briggs Institute (JBI) methodology was used for critical appraisal and synthesis.Results: A total of 15 articles were included in the final analysis. The findings indicate that key strategies to reduce TB stigma include health education to correct misconceptions, promoting empathy, and non-discriminatory attitudes among healthcare providers. Educational interventions raise awareness and dispel myths, while empathetic care fosters trust and reduces negative perceptions. Cultural understanding enhances communication and patient engagement. Despite these efforts, TB-related stigma remains pervasive and continues to be a barrier to effective care.Conclusion: The review concludes that current interventions are insufficient and that sustained, targeted strategies focusing on education, empathy, and cultural competence are essential to reduce stigma and improve TB outcomes. A long-term commitment to these approaches is critical to advancing TB control efforts globally.
Unveiling Patient Satisfaction: Analysis of Factor Influencing Patient-Centered Care At Bunda Margonda Hospital Putra, Putu Agus Sujana; Susanti, NLP Dina; Rismawan, Made; Kusuma, Made Dian Shanti
Babali Nursing Research Vol. 6 No. 3 (2025): July
Publisher : Babali Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37363/bnr.2025.63495

Abstract

Introduction: The Patient-Centered Care (PCC) model aims to improve the quality of healthcare services by upholding human dignity and recognizing each patient’s individuality, regardless of nationality, ethnicity, skin color, age, gender, political beliefs, religion, or social status. This study aimed to identify key factors influencing patient satisfaction with healthcare services based on PCC principles, specifically comparing patients with BPJS and non-BPJS payment statuses.Methods: This quantitative study employed a cross-sectional design. A total of 315 respondents who had been hospitalized for more than 24 hours at Bunda Margonda Hospital were selected through convenience sampling. Data were collected using the PPE-15 questionnaire and analyzed using descriptive statistics, Chi-square tests, and logistic regression.Results: Among BPJS patients, satisfaction was significantly influenced by gender (p = 0.029), marital status (p = 0.023), education (p = 0.020), and length of treatment (p = 0.025). In the non-BPJS group, age (p = 0.029) and marital status (p = 0.024) were significant factors. Logistic regression analysis revealed that length of stay was the most influential factor for BPJS patients (aOR = 2.3; p = 0.023), whereas marital status was the primary factor for non-BPJS patients (aOR = 1.3; p = 0.024).Conclusion: A shorter length of hospital stay is positively associated with higher satisfaction among BPJS patients, while marital status significantly influences satisfaction among non-BPJS patients. These findings highlight the need for tailored approaches in delivering patient-centered care based on payment status and demographic characteristics.
Bibliometrik Analysis of Self Care in Patient with Type 2 Diabetes Mellitus Murni, Weny; Ernawati
Babali Nursing Research Vol. 6 No. 3 (2025): July
Publisher : Babali Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37363/bnr.2025.63499

Abstract

IntroductionType 2 Diabetes Mellitus is a chronic metabolic disorder with a high global prevalence and a significant risk of complications. The management of this condition heavily relies on effective self-care practices. However, many patients face challenges in implementing self-care due to limited knowledge, inadequate skills, and insufficient social support. The study aimed to employ a Bibliometric analysis to provide a comprehensive overview of the scientific development related to self-care behaviors among patients with Type 2 Diabetes Mellitus. Methods: This study employed a quantitative descriptive method with a bibliometric approach, analyzing scientific publications retrieved from the Scopus database for the period 2021–2025. The search keywords (TITLE-ABS-KEY: "self-care" AND "patient" AND "type 2 diabetes mellitus") yielded 55 articles, which were analyzed using VOSviewer software to map keyword co-occurrence patterns, topic density, and publication trends. Results: The network visualization revealed 179 terms grouped into nine thematic clusters, with dominant terms such as “patient,” “self-care,” “intervention,” and “self-efficacy.” The overlay visualization indicated a shift from conventional educational approaches toward using digital technologies and psychosocial strategies (e.g., smartphone applications, motivation, and self-regulation models). The density visualization identified underexplored areas such as rural contexts, digital technology, and behavior-based approaches, highlighting opportunities for innovative research. Conclusion: This study demonstrates that the topic of self-care in patients with Type 2 Diabetes Mellitus is rapidly evolving, with a growing trend toward interdisciplinary approaches and personalized care. Future research is recommended to explore digital health technologies, psychosocial models, and interventions tailored to the patients' cultural and social contexts

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