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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 282 Documents
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Acupuncture as a Therapeutic Intervention for Alleviating Pain Associated with Knee Osteoarthritis in the Elderly Suptika Strisanti, Ida Ayu; Ida Ayu Anom Rastiti; Kadek Buja Harditya; I Dewa Ayu Agra Darmawati; Komang Rosa Tri Anggaraeni
Babali Nursing Research Vol. 6 No. 1 (2025): January
Publisher : Babali Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37363/bnr.2025.61450

Abstract

Introduction: Osteoarthritis is a common joint disease associated with aging, with knee osteoarthritis (KOA) affecting both elderly men and women in Indonesia. KOA is a major cause of disability and immobility, significantly impacting the quality of life of the elderly. Acupuncture is frequently used as a complementary and alternative medicine therapy to alleviate pain associated with KOA. This study aims to investigate the effect of acupuncture in relieving KOA-related pain in the elderly. Method: A pre-experimental study with a one-group pre-post-test design was conducted, involving 30 elderly respondents from the Payangan Desa hamlet, selected using purposive sampling. Data were collected using an observation sheet and the Comparative Pain Scale to evaluate pain levels. All respondents provided informed consent before participating in the study. The Wilcoxon Signed Rank Test was used to analyze and interpret the results. Result: Before the intervention, 9 respondents (30.0%) reported moderate knee pain, 10 (33.3%) reported severe pain, and 9 (30.0%) reported very severe pain. After the intervention, pain levels decreased significantly: 4 respondents (13.3%) reported no pain, 14 (46.7%) experienced mild pain, and 12 (40.0%) had moderate pain. The change in pain levels was statistically significant (p < 0.05). The median pain score decreased from Md = 5.50 before the intervention to Md = 2.00 after, with a z-value of -4.53 and r = 0.58. Conclusion: Acupuncture therapy is effective in alleviating pain levels among elderly individuals suffering from KOA-related pain, with no observed negative side effects. Acupuncture is a promising, safe, and effective alternative medicine for elderly patients with KOA.
The Determining Factors of Quality of Life in Chronic Kidney Disease Patients with Hemodialysisin Hospitals: A Literature Review Wahyuni, Ni Wayan Sri; Kamaryati, Ni Putu; Rismawan, Made; Suantika, Putu Inge Ruth
Babali Nursing Research Vol. 6 No. 1 (2025): January
Publisher : Babali Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37363/bnr.2025.61454

Abstract

Introduction: Patients with chronic renal failure undergoing hemodialysis often experience a decline in quality of life. This decline is due to challenges in accepting their condition, the physical and emotional impact of treatment, and significant lifestyle changes. Maintaining or improving quality of life is essential for these patients to manage their condition effectively and live well. Methods: This study employed a literature review design, adhering to the PRISMA checklist for study selection. The review utilized five journal databases: ScienceDirect, EBSCO, PubMed, Neliti, and Google Scholar, with keywords aligned with MeSH terms: "quality of life," "chronic renal failure," "determinants," and "hemodialysis." The inclusion criteria encompassed articles published between 2015 and 2024 in English or Indonesian. A total of 15 eligible articles were included in the analysis. Results: The literature review identified several factors influencing the quality of life in hemodialysis patients. These included demographic factors such as age, gender, and education; clinical aspects like hemodialysis duration, medication adherence, complications, and comorbidities; psychological factors such as depression; and social determinants like family support and income. Nutritional status and hemoglobin levels were also significant contributors. Conclusion: This study identified several factors affecting the quality of life of hemodialysis patients, including hemodialysis duration, medication adherence, age, gender, education, occupation, family support, nutritional status, depression, hemoglobin levels, and comorbidities. Future research should explore additional factors not covered in this review to understand better the most influential determinants of quality of life in patients with chronic kidney failure.
Ethical Dilemma in Diabetes Wound Care: A Literature Review Zainudin, Harsah Bahtiar; Susanto, Tantut
Babali Nursing Research Vol. 6 No. 1 (2025): January
Publisher : Babali Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37363/bnr.2025.61455

Abstract

Background: One of the main complications of diabetes is diabetic foot ulcer (DFU), which often requires intensive care and involves collaboration between various disciplines. In managing diabetic foot ulcers, several ethical dilemmas arise regarding autonomy, beneficence, non-maleficence, and justice. This review of the literature aims to examine ethical dilemmas in the care of diabetic wounds. Methods: A literature review was conducted to analyze articles published over the last five years (2019–2024). The analysis involved a detailed review of healthcare workers' ethical dilemmas, particularly nurses, in managing diabetic wounds. Results: Nurses are crucial in addressing ethical dilemmas in diabetic wound care. They must have a comprehensive knowledge of diabetic wounds, including their pathophysiology, complications, and treatment options. Nurses must also have strong decision-making skills, allowing them to analyze situations, weigh various factors, and make appropriate decisions. Furthermore, they must maintain effective relationships with patients and their families. Conclusion: Ethical dilemmas in wound care present complex and multidimensional challenges. Nurses must possess adequate knowledge, skills, and support to navigate these situations effectively. By doing so, they can provide high-quality, dignified care to patients while protecting their well-being.
Social and Cultural of Stigma For Children With Stunting: A Literatur Review Hisyam, Badrul Nurul; Susanto, Tantut
Babali Nursing Research Vol. 6 No. 1 (2025): January
Publisher : Babali Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37363/bnr.2025.61456

Abstract

Background: Children living with stunting face unique challenges influenced by social and cultural factors. Social stigmas arising from traditional cultures, norms, and beliefs exacerbate families' access to health services and negatively impact children's mental and emotional well-being. This literature review aims to identify factors related to social and cultural stigma affecting children with stunting within communities. Methods: This study employed a literature review design, utilizing a selection and evaluation process guided by the PRISMA protocol and checklist. The inclusion criteria included articles discussing the impact of socio-cultural stigma on stunting, qualitative or quantitative studies published between 2016 and 2024, and articles written in English or Indonesian with full access. The exclusion criteria comprised non-relevant articles focused solely on medical aspects without an association to stigma and literature presented only as general reviews without empirical data. Results: Social, cultural, and economic factors, including poverty, low parental education levels, and gender role disparities, contribute to the prevalence of stunting among children. The stigma associated with stunting negatively affects children's overall health. These children often experience discrimination and social isolation due to their physical condition, further impacting their mental well-being. Conclusion: Social and cultural stigmas are significantly related to stunting among children in Indonesia. Therefore, culturally sensitive and community-based approaches should be integrated into health services to reduce stigma within communities.
The Effectiveness of ROMATIF Therapy (Mirror Therapy and Positive Affirmation) on Strength of Muscle and Self-acceptance in Post Stroke Patients Arlinda Arsa, Putu Sintya; Fuadiati, Lie Liana; Rinawaty, Desy
Babali Nursing Research Vol. 6 No. 1 (2025): January
Publisher : Babali Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37363/bnr.2025.61457

Abstract

Introduction: Stroke is a neurological condition in which some brain cells die due to a disruption of cerebral blood flow caused by a blockage or rupture of blood vessels. In stroke patients, muscle weakness typically occurs on one side of the body, a condition known as hemiparesis. This condition can lead to impaired self-acceptance. This study aims to determine the effectiveness of a combined therapy, namely mirror therapy and positive affirmations, referred to as ROMATIF therapy(Mirror Therapy and Positive Affirmations). Methods: This study used a quasi-experimental design with a one-group pretest-posttest approach. The sample consisted of 35 post-stroke patients, selected using purposive sampling. The inclusion criteria were patients aged 21–74 years who were compos mentis and experiencing upper limb hemiparesis after a stroke. The instruments used in this study included a muscle strength observation sheet and a self-acceptance questionnaire. Statistical analysis was performed using the Wilcoxon test. Results: The results showed that pre- and post-treatment self-acceptance yielded an Asymp. Sig. (2-tailed) or p-value of 0.001 < α, while pre- and post-treatment muscle strength also yielded a p-value of 0.001 < α. This indicates that H1 is accepted, meaning there was a significant difference before and after ROMATIF therapy. Conclusion: Nurses can empower patients to undertake these therapies independently, promoting self-management and engagement in their care
The Relationship Between Work Environment Factors, Communication, And Teamwork with The Implementation of Patient Safety Culture: A Literature Review Agustini, Ni Luh Putu Inca Buntari; Wahyuni, Ni Komang Sri; Mahaputra, I Nyoman Arya; Putri, Ni Made Manik Elisa
Babali Nursing Research Vol. 6 No. 1 (2025): January
Publisher : Babali Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37363/bnr.2025.61463

Abstract

Introduction: A key component of quality management in the healthcare industry is the patient safety culture, which involves initiatives to prevent and reduce the likelihood of patient harm or injury during medical care. This literature review aims to explore the relationship between the implementation of a patient safety culture and factors such as work environment, communication, and teamwork. Method: This review was based on an analysis of published articles presenting findings from previous research. Using the search terms “patient safety culture” AND “factors” AND “work environment” AND “communication” AND “teamwork,” articles were retrieved from PubMed, ScienceDirect, and additional sources in Bahasa. A total of 17 articles met the inclusion criteria. The analysis employed a critical review approach to assess the strengths and limitations of the included studies, ensuring a comprehensive understanding of the current research landscape in this field. Result: The primary factors influencing a strong patient safety culture include teamwork, effective communication between supervisors and nursing staff as well as between departments, a supportive work environment, adequate nursing staff, and access to high-quality resources. Conclusion: Hospital management should prioritize improving patient safety culture through effective staff training programs, fostering clear and efficient communication, promoting teamwork, and ensuring a well-supported work environment.
Implementation of the “CANTIK” (Preventing Anemia with Acupressure Techniques and Consuming Blood Supplement Tablets) in Adolescent Girls to Prevent Stunting Rastiti, Ida Ayu Anom; Strisanti, Ida Ayu Suptika
Babali Nursing Research Vol. 6 No. 1 (2025): January
Publisher : Babali Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37363/bnr.2025.61464

Abstract

Introduction: The study explores the connection between anemia in adolescent girls and the risk of stunting in their future children. To prevent this, researchers developed the CANTIK program, which combines acupressure techniques and iron supplementation. The aim is to evaluate the program's effectiveness in improving hemoglobin levels and preventing anemia in adolescent girls. Method: A pre-experiment with a one-group pretest-post-test design was conducted to evaluate the effect of acupressure and blood supplement tablets on hemoglobin levels. The study involved 33 second-year adolescent girls from SMAN 3 Denpasar, selected through stratified random sampling from 149. Participants met the criteria of having menstruation and being healthy. Hemoglobin levels were measured before and after the one-month intervention using a hemoglobin meter, with results analyzed using a paired t-test. Result: The average age of participants was 16, with most having a normal BMI (54.40%), not being at risk of chronic energy deficiency (72.70%), and having regular (81.82%) and normal-length periods (93.94%). The study showed a significant increase in hemoglobin levels from pre-intervention (Mean = 11.60, SD = 1.27) to post-intervention (Mean = 12.51, SD = 1.11) with a p-value of 0.001. The mean increase was 0.97, with a 95% confidence interval. Additionally, compliance with blood supplement tablet consumption rose from 0% to 97.0% after one month. Conclusion: Blood supplement tablet consumption and acupressure significantly increased adolescent girls' hemoglobin levels. Applying acupressure as a complementary therapy to increase hemoglobin levels is highly recommended.
Factors Associated with Anxiety Among Nurses During The Omicron Variant COVID-19 Outbreak Wijaya, I Made Agus Budi; Swarjana, I Ketut; Rahayuni, I Gusti Ayu Rai; Mahaputra, I Nyoman Arya
Babali Nursing Research Vol. 6 No. 1 (2025): January
Publisher : Babali Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37363/bnr.2025.61469

Abstract

Introduction: The COVID-19 pandemic, especially the Omicron variant, has had a broad impact on human life, especially on the economic and health aspects, including for nurses working on the front lines who are at risk of experiencing anxiety. This study aims to identify factors related to nurses' anxiety towards the Omicron variant of COVID-19. Methods: This study was conducted in Bangli Regency, Bali, Indonesia. The sampling technique used was snowball sampling with a sample size of 311 nurses. The instrument used was a questionnaire filled out by respondents via Google Forms. The analysis was univariate, bivariate (Chi-square test), and multivariate (multiple logistic regression). Results: The results of this study found that 25.7% of respondents experienced anxiety towards the Omicron variant of COVID-19. Perception and completeness of Personal Protective Equipment (PPE) were significantly related to nurses' anxiety towards the Omicron variant of COVID-19. On the contrary, the work environment and history of comorbidities did not affect anxiety. Conclusion: The factors that most influence the level of nurses' anxiety are perception and use of personal protective equipment (PPE).
Analysis of Factors Affecting the Implementation of Discharge Planning by Nurses in the Inpatient Ward: A Literature Review Wahyu, I Made Yudi; Susanti, Ni Luh Putu Dina; Negara, I Gusti Ngurah Made Kusuma; Rahyanti, Ni Made Sri
Babali Nursing Research Vol. 6 No. 1 (2025): January
Publisher : Babali Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37363/bnr.2025.61472

Abstract

Introduction: Suboptimal discharge planning is a global issue that contributes to high patient readmission rates and increases the burden on healthcare systems. Effective discharge planning is essential to ensure the continuity of patient care after leaving the hospital, including follow-up care and maintaining the patient's health status. The purpose of this literature review is to identify the factors affecting the implementation of discharge planning by nurses in inpatient wards. Methods: This study employed a literature review design. Articles were selected according to the PRISMA guidelines. Inclusion criteria were established to ensure the selection of eligible articles: publications between 2017 and 2024, written in English or Indonesian. The literature review was conducted using three journal databases: ScienceDirect, PubMed, and Google Scholar. Keywords were adjusted to align with the Medical Subject Heading (MeSH) terms, including “influencing factors,” “discharge planning,” “discharge planning implementation by nurses,” and “hospitalization room.” Results: A total of 17 articles were reviewed. Overall, eight factors were identified as influencing the implementation of discharge planning by nurses in inpatient wards. These factors include knowledge, attitude, motivation, personnel, involvement and participation, communication, time, and agreements and consensus. Conclusion: The factors influencing the implementation of discharge planning include medical staff, involvement and participation, communication, time, agreements, consensus, knowledge, attitude, and motivation. These factors are interconnected and significantly impact the quality of discharge planning, ultimately affecting patient satisfaction and health outcomes after discharge.
The Impact of Diet on Psychosis: A Survey of Nursing Students' Knowledge and Confidence in Providing Dietary Guidance and Education to Psychiatric Patients Burton, Richard; Sanchez, Paola
Babali Nursing Research Vol. 6 No. 2 (2025): April
Publisher : Babali Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37363/bnr.2025.62413

Abstract

Introduction: This study delves into the critical realm of dietary guidance and education for psychiatric patients, with a particular emphasis on individuals afflicted by schizophrenia and associated psychosis. Main objective was to survey senior nursing students to gauge their attitudes, knowledge, and beliefs regarding diet and nutrition in psychosis. Researchers also wanted to evaluate their confidence levels in providing education regarding dietary considerations for individuals diagnosed with schizophrenia. Methods: This research study design was descriptive, which included a survey approach. Participants were recruited from the Bachelor of Science in Nursing (BSN) program who were in their final semester of the program, all senior nursing students. Sample was chosen for convenience. Analysis was done using descriptive statistics. Results: Participants expressed moderate to low confidence levels in their ability to provide accurate education and dietary guidance. Attitudes and beliefs varied among respondents. Participants reported low confidence levels in their knowledge about diet and mental health disorders. Conclusions: The study revealed that nursing students valued diet and mental health treatment. However, the identified gaps in confidence levels, particularly in providing accurate information and discussing diet with clients who have psychosis, suggest the need for targeted educational interventions in nursing curricula.

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