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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 307 Documents
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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

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

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.
Study of Health Seeking Behavior of Tourists In Lovina Tourism Area Ni Nyoman Mestri Agustini
Babali Nursing Research Vol. 7 No. 3 (2026): July
Publisher : Babali Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37363/bnr.2026.73552

Abstract

Introduction: The condition of tourists who travel on tours of course sometimes experience pain events, both trauma and non-traumatic cases. Various patterns of seeking health care can be an option for tourists. This relates to the case or condition of tourists, the availability of health insurance to the types of health services available in the tourist area. This study aims to determine the health seeking behavior of tourists in the Lovina tourist area. Method: This study uses a descriptive observational research method, a cross-sectional study approach. Results: The results of the study showed that 10% of tourists had experienced an incident of pain while traveling. The selection of health seeking behavior found predisposing factors such as information possessed (knowledge), recommendations from other people (trust), supporting factors, namely health service facilities and completeness of tools and drugs as well as driving factors that include the professionalism of health workers, as well as the ability to communicate in foreign languages. Conclusion: In the future, cooperation and quality improvement from all stakeholders who play a role in tourism health is very much needed.
Students' Perceptions of Interprofessional Education (IPE) Implementation Regarding the Application of Safety Culture in Hospitals Gusti Ayu Krisma Yuntari; Eka Arimbawa; Komang Yogi Triana
Babali Nursing Research Vol. 7 No. 3 (2026): July
Publisher : Babali Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37363/bnr.2026.73563

Abstract

Introduction: Patient safety is an important indicator of healthcare quality, and patient safety incidents remain common, including in clinical education settings involving health students. Ineffective communication and poor collaboration among healthcare professionals may contribute to these incidents. Interprofessional Education (IPE) has been introduced in clinical education to improve collaboration, communication, and understanding among students from different health professions. However, evidence regarding students’ perceptions of the role of IPE in supporting patient safety culture during clinical practice remains limited. Therefore, this study aimed to determine the relationship between students’ perceptions of IPE and the implementation of patient safety culture in hospitals. Methods: This study employed a quantitative cross-sectional design. The study population consisted of health profession students undertaking clinical practice at Sanjiwani Regional Hospital, Gianyar. A total of 100 respondents were selected using purposive sampling. Data were collected using a structured questionnaire measuring students’ perceptions of IPE and patient safety culture. The independent variable was students’ perception of IPE, while the dependent variable was patient safety culture implementation. Data were analyzed using binary logistic regression. Results: The results showed that both negative professional identity (P = 0.002; OR = 9.24; 95% CI = 2.33–36.61) and positive professional identity (P = 0.016; OR = 6.12; 95% CI = 1.39–26.91) were significantly associated with patient safety culture implementation (P < 0.05), whereas other variables showed no significant association (P > 0.05). Conclusion: This study indicates that students’ perceptions of IPE are associated with the implementation of overall patient safety culture in hospitals. Strengthening interprofessional communication and collaboration during clinical education may help support a stronger patient safety culture among health profession students.
Electronic Health Record Acceptance Among Healthcare Workers: A TAM/UTAUT-Based Scoping Review Risky Kusumawardhani; Muhamad Zulfatul A'la; Iis Rahmawati
Babali Nursing Research Vol. 7 No. 3 (2026): July
Publisher : Babali Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37363/bnr.2026.73575

Abstract

Background: EHR acceptance among healthcare workers is a critical determinant of successful digital health transformation. Systematic mapping of EHR acceptance determinants, particularly the roles of digital literacy and nurse characteristics within TAM/UTAUT frameworks over the past five years, remains limited. Methods: A scoping review design was chosen to map heterogeneous TAM/UTAUT evidence rather than to pool effect sizes. Following JBI methodological guidance and reported per PRISMA-ScR, a systematic search across three databases (PubMed, Scopus, SpringerLink) identified 1,682 articles; after database-specific filters, 172 articles were identified for screening. Following deduplication (n=10), title/abstract screening (n=109 excluded), and full-text eligibility assessment (n=38 excluded), 15 articles were included in the final synthesis with JBI critical appraisal. Results: Synthesis yielded three key findings: (1) perceived usefulness (PU) and perceived ease of use (PEOU) were identified as consistent cross-contextual predictors across all 15 studies (100%); (2) digital literacy demonstrated the largest effect sizes in this literature (ISL is associated with PEOU, β=0.782); and (3) individual characteristics and organizational factors functioned as contextual moderators. Only 4 of 15 studies (26.7%) exclusively targeted nurses. Conclusion: Despite nurses being the largest EHR user group, only 26.7% of studies focused exclusively on nurses, underscoring the need for TAM-SEM research integrating digital literacy and nurse characteristics in the Indonesian context.
Conceptualization, Dimensions, and Measurement of Research Readiness Among Clinical Nurses in Hospital Settings: A scoping review Priambada Prayogi; Lia Kartika
Babali Nursing Research Vol. 7 No. 3 (2026): July
Publisher : Babali Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37363/bnr.2026.73579

Abstract

Introduction: Clinical nurses are increasingly expected to engage in research and evidence-based practice to improve patient outcomes, care quality, and clinical decision-making. However, research readiness among clinical nurses remains inconsistently defined and measured, particularly in hospital settings. This scoping review aimed to map the conceptualization, dimensions, and measurement of research readiness among clinical nurses in hospital settings. Methods: A scoping review was conducted following Joanna Briggs Institute guidance and reported using PRISMA-ScR. The protocol was registered in the Open Science Framework. Searches were conducted in PubMed, Google Scholar, and ScienceDirect in March 2026. Eligible studies included English-language publications from 2016 to 2026 that examined research readiness or related constructs, including research capacity, research competence, research engagement, organizational readiness, and evidence-based practice readiness among nurses or healthcare professionals relevant to nursing practice. Study selection was managed using Covidence. Data were extracted using a structured matrix and synthesized descriptively and thematically. Results: Fifteen studies were included. Four themes were identified: conceptualization, dimensions, measurement and assessment, and barriers and facilitators of research readiness. Research readiness was conceptualized as a multidimensional and multilevel construct involving individual capability, organizational support, and behavioral research engagement. Measurement approaches varied, with most studies assessing related constructs rather than research readiness directly. Common barriers included workload, limited time, insufficient research skills, lack of mentorship, and weak organizational support. Conclusion: Further conceptual refinement and context-sensitive measurement tools are needed to strengthen research readiness among clinical nurses.
Physical, Psychological Dynamics, and Supportive Care Experiences among Breast Cancer Survivors After Completing Therapy Lina Anisa Nasution; Ida Ayu Md Vera Susiladewi; I Ketut Dian Lanang Triana
Babali Nursing Research Vol. 7 No. 3 (2026): July
Publisher : Babali Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37363/bnr.2026.73581

Abstract

Introduction: Despite high survival rates, breast cancer survivors face complex physical and psychological residual effects post-therapy. Post-treatment care often falls short, leaving survivors with inadequate home-based self-care resources. This study interpreted the lived experiences, health problems, and supportive care needs of breast cancer survivors after primary therapy.  Methods: This qualitative study utilized an interpretive phenomenological approach. Purposive sampling was used to recruit four female survivors (aged 47–54, stages II/IV) at an oncology referral hospital in Bandung, Indonesia. Semi-structured interview data collected from May to June 2023 were analyzed using van Manen’s framework.  Results: Six core themes emerged: (1) post-therapy physical issues (gastrointestinal disturbances, peripheral neuropathy, chronic fatigue); (2) psychological distress (emotional vulnerability, fear of recurrence); (3) unmet supportive demands (clinical and healthy lifestyle information); (4) crucial support networks (spouses, family, peer communities); (5) existential realization (spirituality, acting as patient motivators); and (6) altered sexuality and body image distress post-mastectomy.  Conclusion: Primary therapy completion does not end a survivor's healthcare trajectory due to persistent bio-psycho-social-spiritual fractures. These findings underscore the critical need for oncology nursing to develop structured, culturally sensitive, and multidimensional Survivorship Care Plans to enhance self-care autonomy and quality of life.
Implementation Risks and Mitigation Strategies for Electronic Medical Records in Hospitals: A Literature Review Ida Ayu Indira Sarasija Kamajaya; Wachyu Sulistiadi
Babali Nursing Research Vol. 7 No. 3 (2026): July
Publisher : Babali Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37363/bnr.2026.73586

Abstract

Background: The implementation of Electronic Medical Records (EMRs) has become an essential component of digital transformation in healthcare organizations. EMRs have the potential to improve healthcare quality, patient safety, service efficiency, and data accessibility. However, previous reviews primarily focused on EMR adoption, benefits, or implementation barriers, whereas comprehensive evidence synthesizing implementation risks and corresponding mitigation strategies remains limited. Therefore, understanding these risks and identifying appropriate mitigation strategies are crucial for successful implementation. Method: This study employed a narrative literature review approach to identify and synthesize evidence regarding the risks and mitigation strategies associated with EMR implementation in hospital settings. A total of 1,542 records were retrieved from the PubMed, Scopus, ProQuest, and ScienceDirect databases for articles published between 2016 and 2026. Study selection followed the PRISMA 2020 guidelines. Articles were screened against predefined inclusion and exclusion criteria, and 15 eligible studies were analyzed using a narrative synthesis approach. Results: The findings revealed five major categories of risks associated with EMR implementation: human resource risks, documentation and data quality risks, technology and infrastructure risks, information security risks, and organizational and governance risks. The most frequently reported challenges were user resistance, inadequate training, incomplete documentation, limited interoperability, and insufficient organizational support. The effective mitigation strategies identified across the studies included continuous training programs, change management initiatives, infrastructure enhancement, data quality assurance mechanisms, cybersecurity measures, and strong governance frameworks. Conclusion: EMR implementation involves multidimensional risks that require a comprehensive risk management approach. Integrating technical, human-centered, and organizational mitigation strategies across hospital managers, policymakers, and healthcare organizations can improve system adoption, enhance patient safety, and support sustainable digital transformation in healthcare organizations.

Page 31 of 31 | Total Record : 307

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