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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 15 Documents
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Search results for , issue "Vol. 6 No. 4 (2025): October" : 15 Documents clear
Integrating the MERDEKKA Intervention into Palliative Care for Tuberculosis Patients: A Mixed-Methods Study Astuti, Ni Luh Seri; Rismayanti, I Dewa Ayu; Pratama, Aditha Angga
Babali Nursing Research Vol. 6 No. 4 (2025): October
Publisher : Babali Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37363/bnr.2025.64523

Abstract

Introduction: In Indonesia, pulmonary tuberculosis causes more than 95% of mortality. WHO has established a target for treating tuberculosis that is aligned with Asta Cita 4, which specifies that Indonesia would be TB-free by 2030. Palliative care does not only mean end-of-life care. Methods: mixed methods sequential explanatory design. Quantitative data was first collected using a one-group pre- and post-test design, and the qualitative analysis using in depth interview. Merdekka Intervention using RESPECT instrument and 80 sample in pre post test. also 15 participant to explore the experience after doing MERDEKKA intervention. Result: The majority of respondents (35.8%) were aged 62 to 72, largely male (96.1%), and had completed junior high school (43.5%). The majority of respondents were farmers (48.7%), had tuberculosis in their family (96.1%), and had been on treatment for at least 6 months. The MERDEKKA intervention had a substantial impact on TB patients' knowledge and attitudes, with a p-value of 0.001 for knowledge and 0.003 for attitudes. The effect size value was larger than 1.0, indicating a very powerful influence. Patients' experiences after the MERDEKKA intervention are described in three themes: Developing good trust between the patient and the nurse, providing proper and necessary care, and being enthusiastic about healing within six months Conclusion: The palliative care model, including the MERDEKKA intervention, is critical in the care of TB patients. Even though it is not in the terminal phase, its presence in the initial phase of therapy can improve the patient's health in all aspects of need.
Analysis of Factors Affecting Response Time in the Management of Heart Attacks Based on Pecalang (Buleleng Skilled Ambulance Officers) Made Martini; Aryawan
Babali Nursing Research Vol. 6 No. 4 (2025): October
Publisher : Babali Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37363/bnr.2025.64524

Abstract

Background: A heart attack is commonly caused by acute coronary syndrome, which may be asymptomatic yet lead to sudden cardiac arrest, particularly outside a hospital setting. Ambulance personnel serve as frontline responders in delivering lifesaving interventions. This study analyzed the factors influencing ambulance response time in heart attack cases in Buleleng. Methods: A mixed-method design was applied in Buleleng Regency, simultaneously integrating quantitative and qualitative strands. This study involved 110 ambulance officers selected purposively from hospitals and community health centers across Buleleng. The qualitative strands involved 10 key informants. Quantitative variables included personnel experience, training, travel time, type of ambulance, and communication delay. Data were collected using structured questionnaires and complemented by interviews and FGDs for qualitative insights. Quantitative data were analyzed using correlation and regression tests, while qualitative data were thematically analyzed. Results: Personnel experience (r = –0.197; p = 0.039) significantly reduced response times, highlighting the importance of clinical competence acquired in the field. Training (r = 0.104; p = 0.278) enhanced service quality but showed limited direct impact without continuous practice and operational support. Travel time (r = 0.672; p < 0.001) emerged as the primary delay factor, influenced by distance, traffic, and road conditions. Type of ambulance (r = –0.235; p = 0.014) also affected mobilization efficiency, while communication barriers (r = 0.844; p < 0.001; OR = 0.002) were the strongest determinant of delays. Conclusion: Reducing ambulance response times requires systemic improvements in communication, fleet readiness, operational management, and infrastructure, beyond individual competence alone.
Pharmacists' and Type 2 Diabetes Mellitus Patients' Perceived Barriers to Insulin Therapy at Hospital: A Qualitative Study Suastini, Ni Made; Gayatri, Ni Putu Ayu Deviana
Babali Nursing Research Vol. 6 No. 4 (2025): October
Publisher : Babali Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37363/bnr.2025.64525

Abstract

Introduction: Recent data show that Indonesia ranks fifth in the world for diabetes mellitus (DM). An increase in insulin use accompanies the increasing prevalence of DM. However, several barriers to insulin use remain among patients and healthcare professionals, impacting blood glucose control. This study explored perceptions of barriers to insulin therapy among T2DM patients and hospital pharmacists. Methods: This research was a qualitative study. The recruitment of participants used a consecutive sampling method. Eighteen in-depth interviews were conducted with T2DM patients, and nine were conducted with hospital pharmacists at a private hospital. Thematic analysis was used to generate findings in this research. Results: Barriers faced by patients in insulin therapy include fear and anxiety, insulin use practices, and misconceptions about insulin. Meanwhile, the results of the barriers faced by pharmacists on providing education and consultation on insulin therapy included patient, facility, and system barriers. These factors can impact insulin therapy and target outcomes in T2DM patients. Conclusion: Barriers from the patient and pharmacist perspectives are very important to assess, so that comprehensive therapy in the form of collaboration between health workers and patients can be implemented to achieve the target outcomes for T2DM patients.
Impact of Social Interaction and FOMO on Adolescent Mental Health in the Digital Age Diwyami, Ni Putu; Widyandari, Ni Made Ayu Sukma; Narlianti, Ni Putu Veny
Babali Nursing Research Vol. 6 No. 4 (2025): October
Publisher : Babali Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37363/bnr.2025.64528

Abstract

Background: Social interaction in the digital era shapes adolescents' mental well-being. While online platforms promote social connection, they also increase exposure to cyberbullying, social pressure, and Fear of Missing Out (FOMO), which may lead to psychological distress. This study investigated how social interaction and FOMO simultaneously affect adolescents' mental health in Bali. Methods: This cross-sectional study examined the relationship between social interaction, FOMO, and adolescent mental health among 345 adolescents aged 10–18 in Bali Province. Participants were active social media users recruited through consecutive sampling. Data were collected using a validated 106-item Likert-scale questionnaire (Cronbach's α = 0.968) and analyzed using logistic regression with a significance level of p < 0.05. Results: Multivariate analysis showed that poor face-to-face interaction (AOR = 9.75; 95% CI: 4.99–19.03; p = 0.036), high online interaction (AOR = 17.10; 95% CI: 8.51–33.99; p = 0.001), and identified FOMO status (AOR = 6.13; 95% CI: 3.36–11.16; p = 0.018) were significantly associated with higher psychological distress among adolescents. Conclusion: A combination of reduced in-person social interaction, excessive online engagement, and FOMO substantially increases the risk of mental health problems in adolescents. Limited offline interaction restricts emotional support and social validation, while high online activity and FOMO contribute to anxiety, social comparison, and feelings of exclusion. These findings highlight the importance of promoting balanced social interaction and digital literacy in the digital age to support adolescent mental health.
Care and Technology Collaboration for Health: Upgrading Prevention of Chronic Complications through Family Empowerment (CATCH-UP) Widyandari, Ni Made Ayu Sukma; Udayani, Ni Wayan; Wardana, Ida Ayu Fla Aganta; Sa'diyah, Isty Nur Khalimatus
Babali Nursing Research Vol. 6 No. 4 (2025): October
Publisher : Babali Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37363/bnr.2025.64529

Abstract

Introduction: Chronic diseases such as chronic kidney disease (CKD), diabetes mellitus, and hypertension are major contributors to morbidity and mortality worldwide, particularly in Indonesia, where they impose significant healthcare burdens. Suboptimal patient self-care, often due to limited digital literacy and inadequate family support, exacerbates disease progression and complications. This study aimed to evaluate the effectiveness of a family-centered, technology-assisted empowerment program in improving digital health literacy, self-care behaviors, and family empowerment among CKD patients undergoing hemodialysis. Methods: A quasi-experimental design involving 60 families allocated into intervention and control groups was employed. Data were collected at two time points—baseline and after the 4-week intervention—using standardized questionnaires for digital literacy (eHEALS), self-care behaviors (SDSCA-CKD), and family empowerment (FES). Baseline data were collected during an initial face-to-face enrollment session, while post-intervention data were collected using secure digital forms. Statistical analyses included paired and independent t-tests and Pearson correlation. Results: The intervention group showed significant improvements in digital health literacy (mean increase = 8.21; p < 0.001), self-care behaviors (mean increase = 16.65; p < 0.001), and family empowerment (mean increase = 1.79; p < 0.001), with strong positive correlations between between family empowerment and self-care (r = 0.257; p = 0.047) and between digital literacy and family empowerment (r = 0.455; p < 0.001). Conclusion: The CATCH-UP model is an effective approach to enhancing self-care and preventing complications in chronic disease management through empowered family engagement and digital literacy enhancement.

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