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INDONESIA
FUNDAMENTAL AND MANAGEMENT NURSING JOURNAL
Published by Universitas Airlangga
ISSN : 23552662     EISSN : 26564610     DOI : 10.20473/fmnj.v3i2.21720
Core Subject : Health, Science, Education,
Decision Sciences, Operations Research & Management Education Nursing
The scope of this journal includes, but is not limited to the research results of: Nursing journal Nursing science Fundamental of nursing Management in Nursing Fundamental and Management Nursing Journal accepts submission from all over the world. All accepted articles will be published on an open access basis and will be freely available to all readers with worldwide visibility and coverage.
Arjuna Subject : Keperawatan - Kepemimpinan dan Menejemen
Articles 85 Documents
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Risk and Protective Factors of Self-Harm and Suicide in Adolescents in The Era of Society 5.0: A Systematic Review Trihaningsih Puji Astuti; Nurul Hidayati; Fauzi Tsanifiandi; Rr Dian Tristiana
Fundamental and Management Nursing Journal Vol. 7 No. 2 (2024): OCTOBER 2024
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/fmnj.v7i2.55677

Abstract

Introduction: Suicide and self-harm have been ranked as the fourth leading causes of mortality among adolescent population. Preventive interventions are necessary due to the rising prevalence. The aimed of this study was to identify the risk and protective factors of self-harm and suicidal behavior among adolescents in the era of society 5.0. Methods: This study was a literature review. Published, English articled were retrieved from Scopus, Web of Science, PubMed, and CINAHL databases, limited to the last five years from 2018 to 2023. The specific keywords used to search for articles were ("Self-harm" OR "Self-injurious behavior" OR "Self-destructive behavior") AND suicid* AND (adolescent OR youth OR teenager). Results: Eleven (n=11) articles were synthesized and resulted based on thematic analysis of eleven articles, five risk factors and three protective factors for self-harm and suicidal behavior in adolescents were found. Five risk factors consist of family dysfunction, experience of being a victim of bullying, history of self-harm, maladaptive coping and having a history of mental disorders. Meanwhile, three protective factors for prevention are family support and attachment, school support and positive activities. Conclusions: The rapid influence of technology in the era of society 5.0 which was triggering self-harm and suicide behaviors can be suppressed with a strong support system in adolescents. Family, education, and peers play crucial roles in fostering adolescents' emotional well-being. Considering both risk and protective factors, Further examination is to deeply understand adolescents engage in self-harm and suicide is warranty.
The Determinants Factors of Personal Mastery Among Clinical Nurse Practitioners in Indonesia Kornelis Nama Beni; Nursalam Nursalam; M Hasinuddin; Diah Priyantini; Daviq Ayatulloh
Fundamental and Management Nursing Journal Vol. 7 No. 2 (2024): OCTOBER 2024
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/fmnj.v7i2.46185

Abstract

Introduction: Human resources of nursing who have low personal mastery have an impact on the quality and productivity of nursing services. Several factors have been studied to be associated with the low personal mastery of nurses. The purpose of this study was to analyze the factors that’s influencing personal mastery improvement of clinical nurse practitioners in a hospital. Methods: This study applied cross sectional design with 120 respondents through cluster sampling technique in one of Surabaya Hospital. Data were collected using the personal mastery factors questionnaire that has been tested for validity and reliability. The variable included training and development, leadership, attitudes, competencies, motivation, personal values, job design and personal mastery of nurses. Data were analyzed using multiple linear regression. Results: The result showed that competence, personal values and job design factors partially influenced the personal mastery (p = 0.006), (p = 0.001), (p = 0.005). Training and development, leadership, attitude and motivation have not influenced on personal mastery (p = 0.871), (p = 0.352), (p = 0.900), (p = 0.312). Simultaneously development and training, leadership, attitudes, competencies, motivation, personal values and job design factors was influenced the personal mastery of nurses' (p = 0.000). The influenced independent’s variable on personal mastery of clinical nurse practitioners is 58.1%. Conclusions: Personal mastery of clinical nurse practitioners was increased by improving the competence, strengthening of the personal values and design a good job. Further studies are warrant to examine other factors that can improve nurses' personal mastery such as organizational culture, reward systems that affect the performance of clinical nurse practitioners.
Adaptation and Validation of the Indonesian Version of the Instrument to Measure Nursing Students' Attitudes Toward Clinical Duties Suis Galischa Wati; Vania Dewintaputri
Fundamental and Management Nursing Journal Vol. 7 No. 2 (2024): OCTOBER 2024
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/fmnj.v7i2.55128

Abstract

Introduction: Nursing students' attitudes toward clinical rotation education, play an important role in increasing their motivation to achieve goals, alertness, and ability to capture complex information. A positive attitude tends to encourage students to improve the quality and effectiveness of learning. While negative attitudes tend to decrease motivation, student interaction, attendance, and respect for staff in the clinic. The attitude toward clinical duties is a widely used instrument to identify nursing students' attitudes during clinical rotation learning which is available in English. Therefore, this study aims to adapt this instrument into an Indonesian version, so that a valid and reliable instrument is obtained. Methods: This was a descriptive quantitative study carried out in February-March 2023, through the stages of forward translation, synthesis, backward translation, expert review, and instrument testing based on Beaton's cross-cultural adaptation framework. This study involved 33 nursing clinical rotation students, using a Consecutive sampling technique. The Correlation validity was tested using Pearson Product Moment with 95% CI (p=0.05) and Cronbach alpha was used to identify the internal consistency. Results: The mean I-CVI and S-CVI/Ave of the instrument was 1.00. The results showed that 19 of the 25 question items tested had an r-count larger than the r-table (>0.344). The internal consistency test using Cronbach alpha showed a value of α = 0.916. Conclusions: The Indonesian version of the attitude towards clinical duties instrument with 19 questions has good content validity with excellent internal consistency value.
Nurses’ Knowledge, Attitude, and Practice of Implementing Heart Failure Management Guidelines Racheal C. Jideofor; Jefferson S. Galanza
Fundamental and Management Nursing Journal Vol. 7 No. 2 (2024): OCTOBER 2024
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/fmnj.v7i2.60627

Abstract

Introduction: Heart failure presents a global concern with significant morbidity and mortality rates. In Nigeria, Heart failure has become prevalent, with patients exhibiting inadequate self-care due to nurses' limited knowledge of management guidelines, lack of motivation to utilize clinical practice guidelines, and difficulties implementing management guidelines that incorporate patient education. The study analyzed the nurses' level of knowledge, degree of attitude, and extent of practicing education on heart failure management guidelines. Also, the relationship between nurses' knowledge and practice in implementing heart failure management guidelines. Methods: This quantitative study employed a descriptive-correlational survey design. Purposive sampling was employed to select two government-owned hospitals in northeast Nigeria. A stratified random sampling technique was utilized to recruit two hundred twenty (220) nurse respondents.  A self-made survey questionnaire was utilized to gain more extensive information from respondents. Data were analyzed using descriptive statistics and Spearman's correlation. Results: The results showed nurses' insufficient knowledge (Mean 14.5 ± 2.91) of heart failure management guidelines, favorable attitude (mean 4.37 ± 0.43), and high extent of practice (mean 4.16 ± 0.66). Furthermore, a very weak, no significant negative correlation was discovered between knowledge and practice of Heart Failure management guidelines. Conclusions: Nurses showed positive attitudes toward heart failure patient care, yet inconsistently engaged in patient education despite recognizing its benefits. The absence of a relationship between nurses' knowledge and practice of patient education underscores the need to address factors impeding patient education.
Head Ward Nurse Core Competencies: A Mixed-Method Study Fabio Mozzarelli
Fundamental and Management Nursing Journal Vol. 8 No. 1 (2025): APRIL 2025
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/fmnj.v8i1.45371

Abstract

Introduction: Head ward nurses (HWNs) play a critical role in healthcare organizations by coordinating ward activities, managing staff, and ensuring quality care delivery. Identifying and structuring their core competencies is essential for improving performance and supporting strategic workforce development. This study aimed to identify, map, and grade HWNs’ core competencies using the Balanced Scorecard (BSC) framework. Methods: A mixed-method study with an exploratory sequential design was conducted in the surgical department of the Azienda Unità Sanitaria Locale (AUSL) of Piacenza, Italy. The qualitative phase informed the development of a survey administered to a convenience sample of healthcare professionals, including physicians, nurses, assistants, and therapists, representing 39% of the eligible population. Additionally, all nurse ward managers in the department were included in the quantitative phase (100% of the target population). Results: The BSC framework enabled the identification, organization, and measurement of HWNs’ competencies across key performance domains. It facilitated alignment with strategic priorities, supported the development of a balanced competency profile, and enabled the grading and evaluation of skills within professional practice. Conclusions: Mapping and grading HWNs’ core competencies using the BSC model provides a structured approach to clarify professional roles, enhance performance, and support competency-based evaluation. This framework offers a valuable tool for leadership development and workforce planning. Future research should validate this model in diverse healthcare settings and examine its impact on organizational outcomes, staff performance, and patient care quality.
Improving Nurse Job Satisfaction in The Handover Process by The Documentation-Based SWITCH Handover Method Ika Suhartanti; Anndy Prastya; Mujiadi Mujiadi
Fundamental and Management Nursing Journal Vol. 8 No. 1 (2025): APRIL 2025
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/fmnj.v8i1.47980

Abstract

Introduction: The SWITCH handover method in the operating room has traditionally been conducted verbally without standardized documentation. Effective handover is critical in perioperative settings, where accurate and timely communication is essential for patient safety. This study aimed to evaluate the effect of implementing a documentation-based SWITCH handover method on nurses’ job satisfaction during the handover process. Methods: A pre-experimental one-group pretest–posttest design was used. The independent variable was the implementation of the documentation-based SWITCH handover method, while the dependent variable was nurses’ job satisfaction. The study population included all surgical nurses working in the operating room, with total sampling applied to 41 eligible respondents. Data were collected using a structured questionnaire assessing job satisfaction before and after the intervention. Paired t-test analysis was conducted to determine differences between pretest and posttest scores. Results: Following the implementation of the documentation-based SWITCH handover method, the number of satisfied nurses increased, with no respondents reporting dissatisfaction. The mean job satisfaction score improved from 65.98 (pretest) to 70.12 (posttest). Statistical analysis showed a significant difference between pretest and posttest scores (p = 0.005; α = 0.05), indicating that the intervention had a positive effect on nurses’ job satisfaction. Conclusions: The documentation-based SWITCH handover method significantly improves nurses’ job satisfaction in the operating room. Ongoing training and standardization of handover practices are recommended to enhance communication quality and support better clinical performance. Future research should employ controlled designs with larger samples to confirm these findings and assess long-term outcomes.
The Relationship Between the Implementation of Islamic Values and Patient Loyalty in Inpatient Rooms Arrum Arrifani Alkhaidar; Nurul Hikmatul Qowi; Masunatul Ubudiyah
Fundamental and Management Nursing Journal Vol. 8 No. 1 (2025): APRIL 2025
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/fmnj.v8i1.60498

Abstract

Introduction: Patient loyalty is an important indicator of healthcare quality and organizational competitiveness. Integrating healthcare services with patients’ spiritual and religious values may contribute to greater satisfaction and loyalty. This study aimed to examine the relationship between the implementation of Islamic values in inpatient nursing care and patient loyalty. Methods: A correlational study with a cross-sectional design was conducted among 100 hospitalized patients selected through consecutive sampling over two weeks. Data were collected using the Islamic Service Questionnaire and the Patient Loyalty Questionnaire. The relationship between the implementation of Islamic values and patient loyalty was analyzed using the Spearman rank-order correlation test. Results: Most patients perceived the implementation of Islamic values by nurses as moderate (66%), while 70% demonstrated a moderate level of loyalty. Statistical analysis showed a significant positive relationship between the implementation of Islamic values and patient loyalty (p = 0.009; rₛ = 0.260). Although the correlation was weak, the findings suggest that better integration of Islamic values in nursing care is associated with higher patient loyalty. Conclusions: The implementation of Islamic values in nursing care is positively associated with patient loyalty among hospitalized patients. Addressing patients’ spiritual needs, creating a care environment that reflects Islamic principles, and providing adequate worship facilities may enhance patient experiences and encourage loyalty. These findings highlight the importance of culturally and spiritually sensitive care in healthcare settings. Further research is recommended to investigate the long-term effects of faith-based care models on patient satisfaction, loyalty, and healthcare outcomes across diverse hospital environments.
Analysis Knowledge of Spiritual Care and HbA1c Among Individual Living with Diabetes Mellitus Dwi Agustina; Ratna Sari Dewi; Johari Daud Makajil
Fundamental and Management Nursing Journal Vol. 8 No. 1 (2025): APRIL 2025
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/fmnj.v8i1.62597

Abstract

Introduction: Diabetes mellitus (DM) is a metabolic disease represented by hypoglycemia due to abnormalities in insulin secretion, insulin action, or both. Normal blood glucose levels influence the healing process for DM complications. Reducing blood glucose levels can be achieved by releasing the hormone endorphin, secreted when the patient is calm and comfortable. One way to achieve self-calm is by getting spiritual care. Spiritual care is a process of healing by fulfilling spiritual needs. The objective assessment of DM is seen in hematological parameters, one of them is Glycate Haemoglobin (HbA1c). This study to identifying the analysis between the knowledge of spiritual care and HbA1c assessment. Methods: This was a quantitative research correlation analysis design using person correlation. The dependent variable is the patient's knowledge of spiritual care, while the independent variable is HbA1C levels. The sample is 32 from 115 DM patients with new cases in RSUD Cibinong, Bogor 2022. questionnaire used to collect the knowledge of spiritual care and HbA1c assessment was taken at the same time. Results: The results showed that the majority were female (68.8%), aged 56-65 years (46.9%), knowledge level high category (56.3%), and HbA1c levels were normal (81.3%.) Bivariate analysis has significant results in identifying the relationship between the knowledge of spiritual care and HbA1c levels in DM patients (p-value 0.02). Conclusions: This study concludes that spirituality care can influence HbA1c assessment to a normal level. Spirituality care could be non-pharmacological therapy for DM patients.
The Relationship Between Parenting Patterns and Moral Development of Preschool-Aged Children Eliza Zihni Zatihulwani
Fundamental and Management Nursing Journal Vol. 8 No. 1 (2025): APRIL 2025
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/fmnj.v8i1.62999

Abstract

Introduction: Parenting style is a consistent approach used by parents to educate, guide, and discipline children, which can influence children's moral development. This study aimed to analyze the relationship between parenting style and the moral development of preschool-aged children. Methods: A correlational study with a cross-sectional design was conducted involving 32 parents of preschool children aged 4–6 years, selected through purposive sampling from a population of 35 respondents. Data on parenting styles and children's moral development were collected using questionnaires and analyzed using the Chi-Square test. Results: The majority of parents applied a democratic parenting style (59.4%), while most children demonstrated good moral development (53.2%). Statistical analysis revealed a significant relationship between parenting style and children's moral development (p = 0.011; p < 0.05). Children raised with democratic parenting tended to exhibit better moral development compared to those raised with other parenting styles. Conclusions: Parenting style plays an important role in shaping the moral development of preschool-aged children. Democratic parenting, characterized by warmth, responsiveness, and appropriate boundaries, appears to support positive moral growth, including empathy, moral understanding, and prosocial behavior. The findings emphasize the need to promote supportive parenting practices and encourage future research to develop educational and intervention programs aimed at enhancing children's moral development through effective parenting approaches.
Effect of Slow Deep Breathing on Lung Function Among Individuals with Multi-Drug-Resistant Tuberculosis (MDR-TB) at a Regional General Hospital in Indonesia Nur Hafizah; Widiharti Widiharti; Widya Lita Fitrianur; Ernawati Ernawati
Fundamental and Management Nursing Journal Vol. 8 No. 1 (2025): APRIL 2025
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/fmnj.v8i1.64288

Abstract

Introduction: Multi-Drug-Resistant Tuberculosis (MDR-TB) often leads to impaired lung function. Slow deep breathing is a commonly used non-pharmacological intervention to improve respiratory function, but previous findings have been inconsistent. This study aimed to evaluate the effect of slow deep breathing exercises on lung function among individuals with MDR-TB. Methods: A quasi-experimental study with a pre-test and post-test design was conducted at the MDR-TB Polyclinic of Ibnu Sina General Hospital, Gresik, Indonesia. From a population of 294 patients, 35 participants were selected based on inclusion and exclusion criteria. Slow deep breathing exercises were administered according to a standardized procedure. Lung function was measured using calibrated spirometry before and after the intervention. Data were analyzed using the McNemar test. Results: Before the intervention, 54.3% of participants had normal lung function, while 45.7% had abnormal lung function. After the intervention, the proportion of participants with normal lung function increased to 65.7%, while those with abnormal lung function decreased to 34.3%. However, statistical analysis showed no significant effect of slow deep breathing on lung function (p = 0.125; p > 0.05). Conclusions: Slow deep breathing exercises did not significantly improve lung function in individuals with MDR-TB. The lack of significant findings may be influenced by other factors, such as ongoing pharmacological treatment, regular physical activity, and adherence to therapy, which may have contributed more substantially to changes in lung function. Further studies with larger sample sizes, longer intervention periods, and more rigorous experimental designs are recommended to better evaluate the effectiveness of slow deep breathing in this population.

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