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TANJUNGPURA JOURNAL OF NURSING PRACTICE AND EDUCATION
Published by Universitas Tanjungpura
ISSN : -     EISSN : 2745858X     DOI : -
Core Subject : Health, Science,
Health Professions Immunology & microbiology Nursing Public Health
Tanjungpura Journal of Nursing Practice and Education (TJNPE) is an open access international journal (e-journal) which publishes the scientific works for nurse practitioners and researchers. The focus and scopes of the journal include adult nursing, emergency nursing, gerontological nursing, community nursing, mental health nursing, pediatric nursing, maternity nursing, nursing leadership and management, Complementary and Alternative Medicine (CAM) in nursing and education in nursing. The TJNPE Editorial team welcome and invite researchers from around the world to submit their papers (original research article, systematic review, and case study) for publication in this journal. All papers are published as soon as they have been accepted. The articles of this journal are published every six months, that is on June and December (2 issues per year), and developed by the Department of Nursing, Faculty of Medicine, Tanjungpura University.
Arjuna Subject : Keperawatan - Keperawatan (Lain-Lain)
Articles 100 Documents
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Peran Perawat dalam Manajemen Stroke Berbasis Bukti: Suatu Tinjauan Literatur Nurfianti, Arina
Tanjungpura Journal of Nursing Practice and Education Vol. 7 No. 2 (2025): November
Publisher : Department of Nursing, Faculty of Medicine, Universitas Tanjungpura

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26418/tjnpe.v7i2.102321

Abstract

The incidence of stroke continues to increase globally, requiring the involvement of a multidisciplinary team to achieve optimal clinical outcomes. Within this collaboration, nurses play a central role throughout all stages of stroke care. This study aims to present a series of current evidence-based practices in stroke management from a multidisciplinary perspective, with particular emphasis on the role and contribution of nurses. This article serves as a reference for the current development of nursing care for stroke patients. This review article outlines recent evidence-based approaches in stroke management, focusing on the role of nurses and nursing practices across the continuum of care. The review summarizes nursing practices from the pre-hospital stage to rehabilitation, including acute interventions, clinical assessments, and nurses’ roles in detecting complications and supporting patient recovery. This review underscores the importance of interprofessional collaboration and the application of guideline-based nursing practices to improve stroke outcomes. It also highlights the expanding role of nurses in supporting comprehensive stroke management.
ANALYSIS OF SERVICE QUALITY ON OUTPATIENT PATIENT SATISFACTION: LITERATURE REVIEW Prawira, Ricky; Saputra, Dikki
Tanjungpura Journal of Nursing Practice and Education Vol. 7 No. 2 (2025): November
Publisher : Department of Nursing, Faculty of Medicine, Universitas Tanjungpura

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26418/tjnpe.v7i2.96590

Abstract

Background: Healthcare quality is an essential pillar of modern healthcare systems, directly impacting patient satisfaction. This article comprehensively analyzes the influence of the service quality dimension on outpatient satisfaction in hospitals. Through a systematic literature review of various international studies, it was found that there is a strong positive relationship between patient-perceived service quality and their satisfaction levels. The SERVQUAL model, with its five dimensions (tangibles, consent, responsiveness, assurance, and empathy), has proven to be a dominant framework for improving shared care. However, patient perceptions of these dimensions vary contextually, with a combination of expectations and perceptions being the primary drivers of dissatisfaction. Long waiting times and ineffective communication also significantly impact patient satisfaction. Therefore, improving service quality requires a holistic approach that focuses not only on technical improvements but also on managing patient expectations, enhancing staff communication skills, optimizing administrative processes, and addressing staff well-being. Recommendations include the implementation of digital systems, patient-centered training, and information transparency to create a more satisfying outpatient experience and foster patient loyalty.
PENGARUH VIDEO EDUKASI TERHADAP PENGETAHUAN PENYALAHGUNAAN NARKOBA PADA REMAJA DAERAH PERBATASAN DI SMAN 1 SELUAS PROVINSI KALIMANTAN BARAT Bravana, Novi Meta; Maulana, M. Ali; Pramana, Yoga; Luthfi, Muhammad; Adiningsih, Berthy Sri Utami
Tanjungpura Journal of Nursing Practice and Education Vol. 7 No. 2 (2025): November
Publisher : Department of Nursing, Faculty of Medicine, Universitas Tanjungpura

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26418/tjnpe.v7i2.102114

Abstract

Latar Belakang: Penyalahgunaan narkoba masih menjadi masalah serius di kalangan remaja, terutama di wilayah perbatasan yang memiliki akses informasi terbatas. Rendahnya pengetahuan mengenai bahaya narkoba membuat remaja rentan terjerumus pada penyalahgunaan narkoba. Tujuan: Mengidentifikasi pengaruh video edukasi terhadap pengetahuan penyalahgunaan narkoba pada remaja daerah perbatasan di SMAN 1 Seluas Provinsi Kalimantan Barat. Metode: Penelitian ini menggunakan desain pra-eksperimen dengan pendekatan one group pretest-posttest. Sampel berjumlah 30 responden. Data dikumpulkan menggunakan kuesioner, dan intervensi dilakukan melalui pemutaran video edukasi berdurasi 4 menit 13 detik. Analisis data menggunakan uji Wilcoxon Signed Rank Test. Hasil: Sebelum edukasi, (75,7%) responden memiliki pengetahuan kurang dan (23,3%) cukup. Setelah edukasi, pengetahuan meningkat menjadi (16,7%) baik, (53,3%) cukup, dan (30%) kurang. Uji Wilcoxon menunjukkan p-value = 0,000 (p < 0,05). Kesimpulan: Video edukasi efektif meningkatkan pengetahuan karena menyajikan informasi visual-audio yang mudah dipahami dan penggunaan bahasa sederhana serta bahasa daerah (Dayak Bakati) membantu menarik perhatian remaja.
KOMBINASI INTERVENSI POSISI HIGH FOWLER, PURSED LIPS BREATHING, DAN TERAPI AKUPRESUR TERHADAP PENURUNAN TINGKAT SESAK NAPAS PADA PASIEN EFUSI PLEURA DENGAN CKD STAGE V: STUDI KASUS Murtilita, Murtilita
Tanjungpura Journal of Nursing Practice and Education Vol. 7 No. 2 (2025): November
Publisher : Department of Nursing, Faculty of Medicine, Universitas Tanjungpura

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26418/tjnpe.v7i2.105236

Abstract

Latar Belakang: Efusi pleura merupakan manifestasi klinis yang umum pada pasien Chronic Kidney Disease (CKD) Stage V akibat kelebihan beban cairan dan hipoalbuminemia, yang memicu sesak napas (dispnea). Metode: Laporan kasus ini mendeskripsikan intervensi keperawatan komprehensif pada seorang laki-laki berusia 69 tahun (Tn. H) dengan diagnosis Efusi Pleura dan CKD Stage V. Intervensi yang diberikan adalah kombinasi posisi High Fowler (30-45°), Pursed Lips Breathing (PLB), dan akupresur pada titik LU1, LU7, dan LU9 selama 3 hari berturut-turut (3x24 jam). Hasil: Saat pengkajian awal, pasien menunjukkan dispnea berat (RR: 25 x/menit, penggunaan otot bantu napas). Setelah intervensi kombinasi selama 3 hari, terjadi perbaikan signifikan pada status pernapasan; RR menurun menjadi 18 x/menit, suara napas lebih bersih, dan pasien melaporkan penurunan sesak napas secara subjektif. Kesimpulan: Integrasi posisi High Fowler, PLB, dan akupresur memberikan efek sinergis dalam mengoptimalkan ekspansi paru dan mengurangi beban kerja pernapasan pada pasien CKD dengan efusi pleura.
CHILDHOOD WOUNDS, ATTACHMENT STYLES AND ADULT INTIMACY: A NARRATIVE REVIEW Adiningsih, Berthy Sri Utami; Rahman, Ainun Najib Febrya
Tanjungpura Journal of Nursing Practice and Education Vol. 7 No. 2 (2025): November
Publisher : Department of Nursing, Faculty of Medicine, Universitas Tanjungpura

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26418/tjnpe.v7i2.104989

Abstract

Latar belakang: Pengalaman traumatis di usia dini, termasuk pengabaian, penelantaran, atau stres emosional, telah berulang kali terbukti dalam penelitian memiliki dampak besar pada perilaku keterikatan individu di masa dewasa. Pengalaman menyakitkan masa kanak-kanak ini mungkin muncul dalam hubungan dewasa sebagai gaya keterikatan yang tidak aman (keterikatan cemas, menghindar, atau keterikatan campuran) dan mempengaruhi bagaimana mereka membangun keintiman dengan orang lain. Metode: Tinjauan naratif ini dilakukan menggunakan basis data Google Scholar dan ScienceDirect dengan kata kunci “childhood wound AND attachment styles AND adult intimacy” dan “childhood wound AND adult intimacy”. Artikel yang diterbitkan antara tahun 2010 dan 2025 diekstraksi dan dianalisis. Sumber tambahan ditambahkan saat meninjau referensi artikel yang relevan. Total 7 artikel memenuhi kriteria inklusi. Hasil: 7 (tujuh) artikel yang disertakan berasal dari Asia, Amerika Utara, dan Oceania yang terdiri dari 6 (enam) artikel kuantitatif dan 1 (satu) artikel kualitatif yang terbit pada 2010 (n=1), 2014 (n=1), 2019 (n=1), 2020 (n=1), 2023 (n=1) dan 2024 (n=2). Tiga tema disimpulkan dalam diskusi, yaitu isu psikologis dan peran profesional kesehatan, kualitas hubungan serta dampak pada peran sebagai orangtua. Skrining rutin terkait adverse childhood experiences (ACEs) dan attachments, diikuti dengan intervensi trauma-informed, attachment-informed dan peningkatan regulasi diri perlu dilakukan untuk mengubah insecure attachment menjadi secure attachment. Kesimpulan: Penelitian lanjutan tentang hubungan antara trauma masa kanak-kanak, gaya keterikatan, dan intimasi dewasa non-romantis perlu dieksplorasi lebih lanjut, termasuk pembuktian dan generalisasi intervensi yang direkomendasikan dari studi terdahulu.
PENGALAMAN KELUARGA DALAM MENGASUH BALITA STUNTING BALITA DI SAMBAS Simanjuntak, Daddy Deo Gilbert Pamungkas; Rahmawati, Nadia; Mita, Mita
Tanjungpura Journal of Nursing Practice and Education Vol. 8 No. 1 (2026): May
Publisher : Department of Nursing, Faculty of Medicine, Universitas Tanjungpura

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26418/tjnpe.v8i1.95027

Abstract

Background: Stunting cases occur worldwide, with many toddlers in various countries experiencing stunting and chronic malnutrition. Data from the United Nations Children's Fund (UNICEF) in 2020 showed that 22% of all children globally, or approximately 149.2 million children, suffered from stunting. According to the Indonesian Nutritional Status Study (SSGI), the prevalence of stunted toddlers in Indonesia was 24.4% in 2021. In 2021, West Kalimantan ranked seventh nationally with a stunting prevalence rate among toddlers of 29.8%. Sambas Regency is one of the districts with the highest number of stunting cases in West Kalimantan, with as many as 5,500 stunted toddlers. Objective: To explore the experiences of families in caring for stunted toddlers in Sambas Regency. Methods: This research is a qualitative study using a phenomenological approach. Five participants were involved in this study, selected using purposive sampling. Data were collected through in-depth interviews. Results: The study identified seven themes: sources of information, feelings, challenges in child care, support for child care, difficulties related to children’s eating, food selection for children, and sources of water for consumption. Conclusion: Eating difficulties among children were found to be one of the main contributing factors to stunting in this study. Parenting style is a crucial factor in children's growth and development. It is essential to implement good parenting practices so that children receive adequate nutrition for optimal growth and to prevent stunting. A limitation of this study is that the researcher led the participants toward the options being asked and did not brief the research assistant before conducting interviews.
DRAWSHEET-ASSISTED REPOSITIONING FOR LATERAL POSITIONING IN CRITICALLY ILL PATIENTS: A SYSTEMATIC REVIEW Prawira, Ricky; Siregar, Yaumil Hafsani; Saputra, Dikki
Tanjungpura Journal of Nursing Practice and Education Vol. 8 No. 1 (2026): May
Publisher : Department of Nursing, Faculty of Medicine, Universitas Tanjungpura

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

Abstract

Background: Critically ill patients in intensive care units (ICUs) frequently experience prolonged immobility due to sedation, mechanical ventilation, and hemodynamic instability. Regular repositioning, particularly lateral positioning, is a key nursing intervention to prevent complications such as pressure injuries, impaired ventilation, and circulatory disturbances. Drawsheet-assisted repositioning is commonly used to facilitate safe patient handling; however, evidence regarding its effectiveness in ICU settings remains scattered. Objective: This systematic review aimed to evaluate current evidence regarding the effectiveness of drawsheet-assisted repositioning in facilitating lateral positioning among critically ill patients and its impact on repositioning efficiency, nurse workload, and patient safety outcomes. Methods: This systematic review followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA 2020) guidelines. A comprehensive search was conducted in PubMed, Scopus, CINAHL, and ProQuest databases for studies published between January 2013 and December 2024. Search terms included combinations of “drawsheet,” “patient repositioning,” “lateral positioning,” “ICU,” and “critically ill.” Eligible studies included original research conducted in critical care settings that evaluated repositioning interventions using drawsheets or similar repositioning aids. Two independent reviewers performed study screening, data extraction, and methodological quality assessment using the Joanna Briggs Institute (JBI) critical appraisal tools. Results: Eleven studies met the inclusion criteria, including randomized controlled trials, quasi-experimental studies, and observational studies. Evidence suggests that drawsheet-assisted repositioning improves repositioning efficiency, enhances positioning accuracy, and reduces physical workload among nurses. Several studies also indicated potential contributions to pressure injury prevention through improved pressure redistribution and safer patient handling techniques. Conclusion: Drawsheet-assisted repositioning appears to be a practical and cost-effective strategy for supporting safe lateral positioning in critically ill patients. While current evidence suggests benefits for both patients and healthcare workers, further high-quality randomized trials are needed to establish its direct impact on clinical outcomes such as pressure injury incidence and ICU length of stay.
Managing Fluid Overload in Chronic Kidney Disease: A Nursing Case Report Pitora, Tobi; Farisianah, Issy; Al Fatih, Hudzaifah; Okatiranti
Tanjungpura Journal of Nursing Practice and Education Vol. 8 No. 1 (2026): May
Publisher : Department of Nursing, Faculty of Medicine, Universitas Tanjungpura

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26418/tjnpe.v8i1.108078

Abstract

Background: Chronic kidney disease (CKD) is a major contributor to the global disease burden. Kidney failure can also lead to various other complications, such as swelling due to fluid retention, anemia, infections, cardiovascular disorders, cognitive impairment, and metabolic and endocrine disorders. Objective: To determine the effectiveness of rinsing with boiled water on thirst in kidney failure patients undergoing a fluid restriction program. Method: A case report on an 81-year-old woman with a medical diagnosis of stage IV chronic kidney disease in the Anggrek B Ward of the Bandung City General Hospital. The client complained of swelling in the lower extremities accompanied by pain in the upper abdomen. The swelling occurred due to excess fluid volume. The author established a focused diagnosis of hypervolemia. Implementation was carried out using an Evidence-Based Practice approach through the application of fluid restriction by rinsing the mouth with boiled water. Result: The analysis indicatedthat rinsing the mouth with boiled water is effective in reducing thirst in patients with chronic kidney disease, supports adherence to fluid restriction programs, and can be used as a self-care nursing intervention at home to alleviate symptoms of hypervolemia in patients with chronic kidney disease.
Optimizing Recovery Through Early Mobilization After Herniorrhaphy: A Case Report Aldira, Nadya; Pitora, Tobi; Puspita Ningrum, Tita; Okatiranti
Tanjungpura Journal of Nursing Practice and Education Vol. 8 No. 1 (2026): May
Publisher : Department of Nursing, Faculty of Medicine, Universitas Tanjungpura

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26418/tjnpe.v8i1.110766

Abstract

Hernia remains a disease with increasing incidence worldwide and is commonly treated with surgical procedures. In the postoperative period, wound pain is common, leading to immobilization and the risk of pain; therefore, early mobilization is necessary to prevent this. The purpose of this scientific study was to determine the application of early mobilization in pain management in patients after herniorrhaphy surgery. This study used a case report method with a patient, a 72-year-old man diagnosed with a left scrotal hernia. The patient complained of postoperative wound pain and felt unable to move 6 hours after the procedure. The authors determined the primary diagnosis as decreased physical mobility related to pain. Implementation was carried out using an evidence-based practice approach, with early mobilization delivered according to established standards. The results showed that early mobilization effectively reduced pain intensity from an initial score of 6 to 3. Furthermore, there was a gradual increase in the patient's ability to sit, stand, and walk with assistance for at least 24 hours. Analysis showed that the patient's mobility capacity increased significantly after the implementation of early mobilization.
Description of Anxiety and Stress Levels of Chronic Kidney Failure Patients in the Hemodialysis Room of Dr. Soedarso Hospital Ardila, Marsyah; Pramana, Yoga; Sulistyawati, Ririn Afrian; Mita; Lekatompessy, Roland
Tanjungpura Journal of Nursing Practice and Education Vol. 8 No. 1 (2026): May
Publisher : Department of Nursing, Faculty of Medicine, Universitas Tanjungpura

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26418/tjnpe.v8i1.111098

Abstract

The purpose of this study is to describe the levels of anxiety and stress among patients with chronic kidney failure undergoing hemodialysis at Dr. Soedarso General Hospital. This research is a quantitative study using a descriptive, cross-sectional design. The sampling technique used was non-probability purposive sampling, with a total sample of 129 respondents. Data were collected using the Zung Self-Rating Anxiety Scale (ZSAS) to measure anxiety and the Perceived Stress Scale-10 (PSS-10) to measure stress among patients in the hemodialysis unit. The results showed that 120 respondents (93%) had normal anxiety levels and 9 respondents (7%) had mild anxiety, while 74 respondents (57.4%) experienced mild stress, 53 respondents (41.1%) moderate stress, and 2 respondents (1.6%) severe stress. Anxiety and stress are real problems experienced by CKD patients undergoing hemodialysis; therefore, healthcare professionals need to pay special attention to these issues in order to help patients adapt to the chronic illness they are facing.

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