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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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Introduction Situation Background Assessment Recommendation (ISBAR) Checklist to Improve Nurses’ Handover Quality Yulianti, Lena; Putra, Kuswantoro Rusca; Lilik Supriati; Utami, Yulian Wiji; Aat Djanatunisah; Winda Yuniarsih
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.2025.62476

Abstract

Background: Patient transfer between hospital units, especially from the Emergency Department (ED) to the High Care Unit-Intensive Care Unit (HCU-ICU), carries a high risk of adverse events due to communication failures during handover. The Introduction, Situation, Background, Assessment, Recommendation (ISBAR) checklist is a structured communication tool designed to enhance handover quality but is underutilized in written patient transfer. This study aimed to evaluate the effectiveness of the ISBAR checklist in improving the quality of nurse handovers during ED to HCU-ICU patient transfers. Method: A pre-experimental study with a one-group pre-posttest design was conducted, in which ED nurses used the ISBAR checklist during patient handovers. Forty HCU-ICU nurses assessed the quality of the ED nurse handovers using the Handover Evaluation Scale (HES) questionnaire. A paired sample t-test was used to analyze the differences in handover quality before and after implementation. Result: The ISBAR checklist significantly improved nurses’ handover quality, with a p-value of 0.000 (p < 0,05). The effectiveness of the ISBAR checklist was analyzed using an N-gain score, resulting in a moderate improvement level of 0.34 (0.3 ≤ g ≥ 0.7). Conclusion: The ISBAR checklist is an effective tool for improving nurse handover quality in patient transfers. Hospitals should adopt ISBAR as a standardized handover protocol to enhance patient safety and continuity of care and establish a minimally interruptive environment during handover. Further research should explore long-term implementation and integration into electronic health records.
School-Based Intervention to Enhance Parent-Adolescent Sexual Communication: A Literature Review Rachmawati, Annisa; Widyatuti; Sari, Indah Permata; Permatasari, Henny
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.2025.62478

Abstract

Introduction: Sexual communication between parents and adolescents positively impacts the prevention of premarital sexual behaviour. School-based intervention is a promising approach. This review aims to identify school-based interventions that enhance parent-adolescent sexual communication and assess the quality of the studies. Methods: This literature review followed the PRISMA protocol. Four databases—PubMed, ProQuest, Scopus, and Taylor & Francis—were searched using the keywords “adolescent,” “school-based intervention,” and “parent-adolescent communication.” Inclusion criteria were school-based interventions targeting students and evaluating parent-adolescent sexual communication. Studies involving certain medical conditions and LGBTQ groups were excluded. Results: Eight studies were included from 3854 articles. Interventions targeted students from sixth to 11th grade and involved parents. Various methods were used, including lectures, group discussions, role plays, demonstrations, and art-based activities. Some programs were integrated into school subjects, while others utilized technology. Parental involvement was facilitated through assignments that required collaboration between students and their parents. Additionally, several studies organized dedicated sessions or parenting classes for parents. Conclusion: School-based interventions that involve parents and use diverse delivery methods can effectively improve parent-adolescent sexual communication. However, most studies were conducted in the United States, several were over ten years old, and some had limited methodological quality, which may affect the applicability of findings. Schools are recommended to integrate reproductive health content, especially that which fosters parent-adolescent sexual communication, into existing curricula. Additionally, combining student and parent education through joint assignments or organizing parenting classes may enhance the impact of such interventions.
The Effect of Lavender Aromatherapy on Nausea and Vomiting in Pregnant Women in First Trimester of Pregnancy Sagitarini, Putu Noviana; Darmawati, I Dewa Ayu Agra; Agustini, Ni Komang Tri; Sari, Ni Made Candra Citra
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.2025.62482

Abstract

Background: One of these discomforts that occurs in the first trimester is nausea and vomiting. It’s occurs continuously without proper treatment can interfere with the mother's activities. One of the managements to reduce emesis gravidarum non-pharmacologically is administering lavender aromatherapy. The purpose of this study was to determine the effect of administering lavender aromatherapy to nausea and vomiting in pregnant women in their first trimester. Methods: The type of this research was a pre-experimental design using one group pre-test and post-test design. The research location was in Serangan Village, South Denpasar III Public Health Center Work Area. The sampling method was consecutive sampling. The study involved 24 respondents. The data collection instruments used were the Numeric Rating Scale for measuring nausea and vomiting, and the SOP for administering lavender aromatherapy. The data analysis utilized univariate analysis and bivariate analysis using Wilcoxon Rank Test. Results: Most of the respondents before being administered with lavender aromatherapy experienced nausea and vomiting in the moderate category, namely 79.2%. After lavender aromatherapy administration, it was found about 62.5%. pregnant women had a mild nausea and vomiting category. There was a difference in the score of nausea and vomiting in the first trimester of pregnant women before and after being administered with lavender aromatherapy with a p-value = 0.000. Conclusion: The administration of lavender aromatherapy can reduce nausea and vomiting in pregnant women. Health workers can consider using lavender aromatherapy as a complementary therapy in treating nausea and vomiting in pregnant women in the first trimester.
Differences in Eating Behavior of School Children Based on Nutritional Status Purnama, Ni Luh Agustini; Teju, Selly Omega Dila; Wahyuni, Lusia Dwi Sri
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.2025.62483

Abstract

Introduction: School-age children begin to develop eating behaviors that are independent of parents. Children have the freedom to do activities outside more signs of parental supervision and often eat unhealthy foods such as sweet snacks or light meals. The problem of school children's nutrition is a double burden, in addition to the problem of malnutrition at the same time the problem of overnutrition is increasing. The purpose of this study was to identify differences in eating behavior of school children based on nutritional status. Methods: The research design used was comparative. The research subjects were 137 students at elementary school of Pagerwojo Buduran Sidoarjo who met the inclusion criteria. Eating behavior was measured using the Children's Eating Behavior Questionnaire (CEBQ). Children's nutritional status was assessed based on the weight-for-height indicator (BW/TB) compared to the Z-score standard. Results: The results showed that 71.5% of school-age children had a tendency of eating behavior   food approach. A total of 59.9% were in normal nutritional (Z-score IMT/U).  The mean value in the food avoidance dimension shows the highest value in thinness and the lowest value in obese. Kruskal-Wallis test showed that there was a difference in the average score of approach behavior between the four categories of children's nutritional status (p=0.027). There is a difference in the average score of food aviodance behavior between the four categories of children's nutritional status (0.007). Conclusion: There are differences in eating behavior in children with undernutrition, good nutrition, overnutrition and obesity.
Development of A Nursing Care Documentation Module Based on SDKI, SLKI, SIKI (3S) Astutik, Emi Eliya; Budiman, M. Elyas Arif; Amrullah, Achmad Efrizal; Yuwanto, Mahmud Ady
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.2025.62489

Abstract

Backgroud: Nursing documentation is an important aspect of the nursing care workflow. Ineffective nursing documentation practices have been reported to negatively impact patient outcomes and health worker efficiency. Providing training for nurses will create positive attitudes and improve nurses' knowledge of nursing documentation. The purpose of this study was to determine the effectiveness of documentation training based on SDKI, SLKI and SIKI (3S) on the the quality of documentation of independent practice nurses. Method: The research design used in this study was a pre-experiment with a one group pre-test-post-test design. The population was independent practice nurses with a sample size of 63 nurses recruited using the total sampling technique. The instrument used is a checklist of nursing care documentation. The data analysis test uses the calculation of the Wilcoxon Paired test. Result: The results showed that the quality of nursing documentation before the intervention was in the less good category at 77.8% and the quality of documentation after the intervention was in the good category at 70.3%. Wilcoxon test results show a p value of 0.000 which indicates that there is an effect of documentation training based on SDKI, SLKI and SIKI (3S) on the quality of documentation of independent practice nurses. Conclusion: Nursing care documentation training helps improve documentation practices in the nurse's independent practice area and improve the quality of nursing services.
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.

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