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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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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
Relationship between Motivation and Caring Behavior in Indonesian Nurses Judha, Mohamad
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.2025.63500

Abstract

Introduction: The number of nurses has increased from year to year. Since 2016, there have been 300,000 nurses, which continues to grow. This large number has not had an impact on Health Development. A survey in five major cities in Indonesia stated that some nurses do things that are considered unsympathetic. Therefore, this study analyzed the relationship between motivation and caring behavior.Methods: Researchers used a quantitative research method by analyzing the relationship between 2 variables. A sample of 400 nurses from 5 cities in Indonesia, representing several nursing competencies, were asked to answer a validated questionnaire. This study has received ethical approval number SPUP_2023_0026_SR_MJ.Results: Some situations, such as things that cause motivation to care, motivation to behave in caring for patients, show significant results with a p value <0.005. Several factors can increase caring attitudes towards patients, but there are also obstacles in showing quality caring behavior caused by caring attitudes and empathy towards patients.Conclusion: Every professional behavior is always accompanied by motivation, meaning that providing work motivation to subordinates is necessary so that they are willing to work seriously to achieve organizational goals. For that, every nurse who works uses something that can encourage motivation.
Social Isolation and Its Impact on the Health Status of Older People in the Community: A Narrative Review Suyasa, I Gede Putu Darma
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.2025.63501

Abstract

Introduction: Older people often face multifaceted challenges encompassing physical, psychological, and social dimensions. Among these, social isolation is a significant concern, frequently resulting from age-related degenerative changes, the loss of loved ones, or abandonment by family members. Numerous studies have indicated that social isolation can adversely affect the health and well-being of older people. However, comprehensive syntheses of recent research examining the impact of social isolation on the health status of community-dwelling older people remain limited and insufficiently explored. This study aimed to identify and summarize the latest findings regarding social isolation's impact on older people's health status.Methods: This narrative review design used databases PubMed, Science Direct, and EBSCOhost. Keywords include "social isolation" OR "loneliness" AND "older people". Literature selection was carried out non-systematically and analyzed descriptively.Results: Our search found 87 articles; 11 met the inclusion criteria. Most studies were from China (4), the United States (3), and others from England, Brazil, and Colombia. Key finddings indicated that older people living with social isolation have a high risk of depression, cognitive decline, dementia, Alzheimer's disease, changes in biochemical parameters in blood glucose and triglycerides, physical weakness and disability, difficulties in ADL and IADL, disorders, low self-assessment of health, risk of falls, low utilization of health care facilities, poor emotional well-being, and higher risk of death.Conclusion: Social isolation has been shown to have a very negative impact on the health status of older people. Community nurses need to enhance the implementation of home visit programs to support socially isolated older people better. Future research should focus on conducting longitudinal and intervention-based studies to investigate the causal relationships between social isolation and health outcomes.
Analysis of Risk Factor and Mortality Among Acute Coronary Syndrome Patient: A Retrospective Cohort Study Laksono, Bayu Budi
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.2025.64479

Abstract

Background: Acute coronary syndrome is the leading cause of death worldwide related to degenerative lifestyle-associated processes. The factors contributing to these cases are interconnected. Understanding these factors is essential for improving patient outcomes and tailoring treatment strategies.  This study aimed to explore demographic risk factors, medical history, and cardiopulmonary conditions that may contribute to mortality among acute coronary syndrome patients. Method: This study is a Survey/Observational study with a retrospective Cohort approach. The population of this study was all medical record data of patients with Acute Coronary Syndrome (ACS) who were treated at Lavalete Hospital – Malang from January to December 2023, with 76 patients' medical records in total.  The total sampling technique was obtained in this study, then analysed by STATA 17 at the (α<0.05) significant level. Result: It found that education level was a significant factor affecting mortality, with less educated individuals having a higher risk of death (P < 0.01). Meanwhile, demographic factors such as age, gender, and marital status showed no significant correlation with mortality. Conditions such as acute pulmonary oedema (P=0.02) and pneumonia (P=0.00) proved to be significant risk factors for mortality. In contrast, other conditions, such as cardiomegaly, pulmonary congestion, pleural effusion, and atherosclerosis, had no significant impact. Conclusion:  This study highlights acute pulmonary oedema and pneumonia as significant risk factors for mortality. Future studies should aim to include larger sample sizes and consider longitudinal data to better understand the complex relationships between medical history and mortality.
Integrative Emotional Resilience Model to Improve Blood Pressure Control of Hypertensive Patients: A Phenomenological Study Sukarmin; Soesanto, Edy; Elly Nurachmah; Sri Yona; Dewi Gayatri; Ratna Aryani
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.2025.64481

Abstract

Introduction: Emotional states significantly influence blood pressure among hypertensive patients. This study explores the impact of Islamic spiritual practices and emotional resilience in managing hypertension. Methods: We conducted in-depth interviews with 20 Muslim participants using a qualitative transcendental phenomenological approach. Result: Analysis revealed five primary themes: 1) Suppression of anger through Islamic teachings; 2) Enhanced resilience through religious practices; 3) Improvement in mental relaxation via prayer and dhikr; 4) Physical management to alleviate stress-related symptoms; 5) Socio-cultural activities fostering mental stability. Discussion: The findings suggest that Islamic spiritual practices contribute to emotional resilience by providing coping mechanisms that reduce psychological stress, a known factor in elevated blood pressure. Integrating spiritual, physical, and socio-cultural dimensions creates a holistic approach that supports better hypertension control. This model highlights the importance of culturally and spiritually tailored interventions in chronic disease management. Conclusion: Integrating Islamic spiritual, physical, and socio-cultural approaches enhances hypertension management and patient well-being.
Policy, Place, and Promotion: Predictors of Early Smoking in a Rural Health Setting Hidayat, Useng; Indasah, Indasah; Puspitasari, Yenny; Mochamad Salman Hasbyalloh
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.2025.64509

Abstract

Introduction: Adolescent smoking continues to pose a major public health challenge, with the WHO reporting that nearly 22% of adolescents globally have tried smoking, and national data in Indonesia showing prevalence rates among junior high school students exceeding 10%. Early initiation not only increases the risk of long-term nicotine dependence but also disrupts physical and psychosocial development. This study analyzed the influence of smoke-free policy implementation, availability of smoking places, and exposure to cigarette advertisements on early smoking behavior among junior high school adolescents in the Tanjungsiang Health Center working area. Methods: A cross-sectional design was used with 101 randomly selected respondents, and data were collected using a validated questionnaire. Results: The findings revealed that most respondents were 14 years old and in grade VIII, with moderate smoking behavior as the dominant category. Stricter smoke-free area (KTR) implementation significantly reduced smoking behavior, while designated smoking places showed only a weak association.  In contrast, cigarette advertisement exposure showed no significant association. Conclusion: These results underscore the critical role of policy enforcement in curbing adolescent smoking. Strengthening KTR enforcement, particularly in schools and community environments, represents a practical strategy to prevent early initiation and promote healthier adolescent development in rural settings.

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