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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 7 Documents
 1 
Search results for , issue "Vol. 7 No. 2 (2026): April" : 7 Documents clear
The Relationship Between Patients’ Perceptions of Nurses’ Therapeutic Communication with Service Satisfaction and Self-Care Levels Among Inpatients Kusuma, Erik; Kurniawan, Dicky Endrian; Kurnianto, Syaifuddin; Widianto, Eko Prasetya; Wibowo, Suhendra Agung; Paraswati, Mareta Deka
Babali Nursing Research Vol. 7 No. 2 (2026): April
Publisher : Babali Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37363/bnr.2026.72534

Abstract

Introduction: Nurses’ therapeutic communication is a key element in enhancing patients’ experiences during hospitalization; however, its simultaneous impact on service satisfaction and self-care remains underexplored, particularly in regional hospitals in Indonesia. This study aims to analyze the relationship between patients’ perceptions of nurses’ therapeutic communication and their service satisfaction and self-care levels among inpatients.Methods: A cross-sectional analytical study was conducted on 110 patients at the inpatient ward of a type C hospital. Data were collected using the Nurse–Patient Communication Questionnaire (NPCQ; 15 items), a validated 7-item modified Patient Satisfaction Questionnaire (PSQ-18), and the Self-Care Ability Scale (SCAS; 12 items). Spearman’s correlation and simple linear regression analyses were performed, with statistical significance set at p < 0.05.Results: Patients reported high perceptions of therapeutic communication (mean = 48.2/60), high service satisfaction (mean = 28.6/35), and moderate to high self-care ability (mean = 36.8/48). Therapeutic communication demonstrated a strong positive correlation with service satisfaction (r = 0.68, p < 0.001) and a moderate-to-strong correlation with self-care (r = 0.59, p < 0.001). Regression analysis revealed that therapeutic communication explained 45% of the variance in satisfaction and 34% of the variance in self-care. Notably, while respect and information clarity scored highest (means = 3.6–3.8), patient involvement in care decisions was the lowest-rated dimension (mean = 2.7).Conclusion: Therapeutic communication serves as a dual-impact clinical competency that enhances both emotional satisfaction and functional self-care. These findings call on hospital administrators and nursing educators to institutionalize communication training as a core, measurable component of nursing practice, not as a soft skill, especially in resource-constrained settings.
STRATEGIES FOR ACHIEVING OPEN DEFECATION FREE (ODF) VILLAGES IN BALI PROVINCE Ni Made, Kasturiani; Ni Putu, Pandawani; I Made, Wahyu Wijaya
Babali Nursing Research Vol. 7 No. 2 (2026): April
Publisher : Babali Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Background: The availability of safe and adequate sanitation can reduce high infant and under-five mortality rates. Access to sanitation in Bali Province reached 97.12% in 2021; however, the achievement of Open Defecation Free (ODF) villages remained very low at only 45.5%, below the national average of 48.7%. Even by the second quarter of 2022, out of 716 villages/ward, only 330 (46.09%) had achieved ODF status. Accordingly, this study was conducted to determine strategies for achieving ODF villages in Bali Province. Method: The study used a cross-sectional design. It was exploratory in nature, examining internal and external conditions in the form of strengths and weaknesses (internal factors) as well as opportunities and threats (external factors). These strategic factors were analyzed using a SWOT model. Results: The presence of rewards/incentives for ODF villages and an STBM monitoring system were showed significant strengths (score 0.63). The main weakness factor was the lack of cross-sectoral coordination (score 0.52). The highest-scoring opportunity factor was the triggering of behavior change and health promotion by community health centers (Puskesmas) (score 0.67), while the most significant threat factor was the limited availability of clean water facilities (score 0.73). Conclusion: Strategies for achieving ODF villages include: strengthening programs through regulations, budget allocation, monitoring-evaluation systems, cross-sectoral collaboration, sanitation technology development, capacity building of potential human resources, integration of STBM with other priority programs, one of which is the Settlement Sanitation Development Program. Keywords: Open Defecation Village, Bali Province, SWOT Model
The Effect of Transdermal Application of Ananas comosus Peel Extract on Lowering Blood Pressure: A Randomized Controlled Trial Palupi, Eva Riantika Ratna; Sandi, Yudisa Diaz Lutfi; Rahmawati, Rahmi
Babali Nursing Research Vol. 7 No. 2 (2026): April
Publisher : Babali Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37363/bnr.2026.72548

Abstract

Aims: This study examined whether transdermal application of Ananas comosus peel extract could effectively reduce blood pressure in elderly hypertensive patients within a primary health care setting. Methods: A randomized controlled trial was conducted at Primary Health Centre involving 86 elderly with hypertension. After exclusion and dropout, 64 participants completed the study (32 in intervention group, 32 in control group). The intervention group received daily transdermal application of Ananas comosus peel extract, while the control group received no active treatment, over seven consecutive days. Blood pressure was measured each morning and evening. Between-group differences were tested with independent t-tests; within-group changes with paired t-tests. Results: Baseline demographic and clinical characteristics did not differ significantly between groups (p > 0.05). No significant differences in systolic blood pressure (SBP), diastolic blood pressure (DBP), or mean arterial pressure (MAP) were observed between groups during Days 1–3. By Day 4, the intervention group showed significantly greater reductions in SBP (p= 0.005), DBP (p= 0.034), and MAP (p= 0.014), with progressively larger differences through Day 7 (all p< 0.001). Within the intervention group, SBP, DBP, and MAP decreased significantly from baseline to Day 7 (p< 0.001), whereas the control group exhibited minimal, non-significant changes. Conclusion: Transdermal application of Ananas comosus peel extract produced a statistically significant and time-dependent reduction in blood pressure starting from Day 4, with continued improvement until one week. These findings support its potential as a non-pharmacological adjunct in managing essential hypertension among older adults
Effectiveness of Mulligan Natural Apophyseal Glides as an Adjunct to Conventional Physiotherapy in Recreational Surfers with Non-Specific Low Back Pain: A Randomized Study Putra, I Putu Yudi Pramana; M. Widnyana; Utama, A.A Eka Septian; Winaya, I Made Niko; Sutyawan, I Wayan Eka
Babali Nursing Research Vol. 7 No. 2 (2026): April
Publisher : Babali Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37363/bnr.2026.72554

Abstract

Background: Non-specific low back pain (NSLBP) commonly affects recreational surfers and leads to functional limitations; however, conventional physiotherapy often focuses on symptom relief, leaving a gap in addressing underlying biomechanical dysfunctions. Evidence on the added value of Mulligan’s Natural Apophyseal Glides (NAGs) in this population remains limited. Methods: This experimental study used a randomized pretest–posttest two-group design conducted at a physiotherapy clinic in Bali (2024). A total of 32 male surfers aged 30–40 years with NSLBP were selected using purposive sampling and allocated into two groups (n=16 each). The independent variables were conventional physiotherapy and conventional physiotherapy combined with Mulligan’s NAGs and ultrasound therapy, while the dependent variable was functional ability measured using the Modified Oswestry Disability Index (MODI). Interventions were administered three times per week for three months. Data were analysed using paired sample t-tests (within-group) and independent t-tests (between-group). Results: Both groups demonstrated improvement; however, the group receiving additional Mulligan’s NAGs showed greater reduction in MODI scores (31.13% ± 3.341) compared to the conventional group (29.09% ± 2.731), with a statistically significant difference (p = 0.002). Conclusion: The addition of Mulligan’s NAGs is more effective in improving functional outcomes in NSLBP. Clinically, nurses and rehabilitation providers should consider integrating biomechanical-based interventions alongside conventional therapy to optimize patient recovery.
Teaching the integrated management of neonatal and childhood illness: experiences of Lesotho nurse educators: Original Research Shelile, Mpho Z.; Qhobela, ‘Malihaelo C.; Masakoane, Reentseng Christina
Babali Nursing Research Vol. 7 No. 2 (2026): April
Publisher : Babali Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37363/bnr.2026.72555

Abstract

Introduction: Despite the development of the Integrated Management of Neonatal and Childhood Illness (IMNCI) strategy to reduce child morbidity and mortality and promote optimal child growth and development in low- and middle-income countries, preventable childhood deaths remain a significant public health concern. Evidence suggests that IMNCI is not consistently implemented in clinical practice, partly due to gaps in the pre-service preparation of healthcare providers. Aim: to explore nurse educators’ experiences of teaching the IMNCI strategy in nurse training institutions in Lesotho. Methods: The study adopted a descriptive qualitative design to gain an in-depth understanding of nurse educators’ experiences of teaching the IMNCI strategy. Data were collected through face-to-face interviews and analyzed using Braun and Clarke’s thematic analysis approach, with ethical principles observed throughout the study. Data saturation was achieved after interviewing 12 nurse educators.  Results: Three themes emerged from the analysis: the benefits of teaching IMNCI, challenges of teaching IMNCI, and measures to improve teaching of IMNCI. Findings indicate that while IMNCI facilitates the use of diverse pedagogical methodologies, a lack of educator orientation remains a barrier. Consequently, most nurse educators advocate for the formal integration of IMNCI into nursing curricula to standardize its implementation. Conclusion: Teaching IMNCI promotes competency-based learning, clinical decision-making, counseling skills, and rational drug use among nursing students in Lesotho. However, effective teaching is hindered by limited curriculum time, inadequate simulation, inconsistent availability of guidelines, weak clinical integration, and insufficient IMNCI knowledge among educators, nurses, and preceptors, underscoring the need to strengthen IMNCI training.
Implementation of the Community-Based Total Sanitation (STBM) Partnership Program, Pillar 4, in the Working Area of Public Health Center I, North Denpasar Saraswati, Anak Agung Sagung Ratu Putri; Cempaka, Pande Putu Ayu Rissa; Arisanthi, Gusti Agung Ayu Nanda
Babali Nursing Research Vol. 7 No. 2 (2026): April
Publisher : Babali Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37363/bnr.2026.72569

Abstract

Introduction: In 2025, Denpasar City recorded the highest waste volume in Bali, averaging 1.005 tons per day. Overall, Bali is in a waste emergency with a total daily output of 3.436 tons, of which 64,86% is organic waste. Implementing the fourth pillar of STBM is one solution to addressing domestic waste by involving active community participation. The study aimed to determine the implementation of the partnership for STBM pillar 4 in the working area of Puskesmas I North Denpasar. Methods: This study employed a descriptive quantitative approach with the STBM verification data collection method. The population comprised all households in North Denpasar. Sampling was conducted in 5 sub-districts, encompassing 16 banjars. The samples were taken from 40 households. Results: 76.8% of households have not managed their waste. Meanwhile, only 23.3% of households have managed their waste. The presentation results for the four criteria for good and correct waste management are 67.25% of households have maintained a clean home environment by not allowing waste to be scattered. A total of 54.25% of families have closed, sturdy, and easy-to-clean trash cans, yet about half still lack adequate waste disposal facilities. 55.75% of families have implemented safe waste management practices. Only 35.5% of families have sorted their waste. Conclusion: The implementation of STBM pillar 4 in the Puskesmas I North Denpasar working area is still not optimal. The success of this pillar is not only about the availability of trash bins; it also requires a more comprehensive approach that fosters active community participation through partnership programs in waste sorting and management
Analysis of High Body Mass Index (BMI) and Workplace Fatigue as Risk Factors for Needle Stick Injury Incidents Nurse at Bali Mandara Regional General Hospital Maheri, Ni Luh Maya; Duana, Made Kerta; Suarjana, Ketut
Babali Nursing Research Vol. 7 No. 2 (2026): April
Publisher : Babali Publisher

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Abstract

Background: Hospital environments pose a high risk of occupational accidents, with needle stick injuries (NSIs) being among the most prevalent, especially among nursing staff. At Bali Mandara Regional General Hospital, 47 NSI cases were reported between January 2022 and July 2025, highlighting a serious occupational health concern. Objective: This study aims to analyze the correlation between Body Mass Index (BMI) and workplace fatigue as risk factors for Needle Stick Injury (NSI) incidents among nurses at Bali Mandara Regional General Hospital. Methods: An analytical observational study with a cross-sectional design was conducted in February 2026. A sample of 199 nurses was selected using simple random sampling. Data were collected through questionnaires covering respondent characteristics, BMI measurements, and the Fatigue Assessment Scale (FAS). Data analysis involved Chi-square tests for bivariate analysis and logistic regression for multivariate analysis. Results: The study found that 17.1% of respondents had experienced an NSI. Statistical analysis showed no significant correlation between BMI and NSI incidents (p = 0.695). However, a significant correlation was found between workplace fatigue and NSI incidents (p < 0.001). Nurses experiencing fatigue were 7.17 times more likely to suffer from an NSI compared to those without fatigue (OR = 7.17; 95% CI = 2.817–18.295). Conclusion: Workplace fatigue is a significant risk factor for needle stick injuries among nurses at Bali Mandara Regional General Hospital, whereas BMI does not show a significant impact. Management should prioritize fatigue mitigation strategies and occupational safety training to reduce the prevalence of NSI.

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