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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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Bridging the Gap: Assessing Nurses' Safe Handling and Administration of Chemotherapeutic Drugs in a Tertiary Health Facility, Benin City, Nigeria Uzezi Josiah; Timothy A. Ehwarieme; Hope Uzezi
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.v8i1.70019

Abstract

Introduction: The safe handling and administration of chemotherapeutic drugs require specialized knowledge and skills to ensure patient safety and minimize occupational risks. Despite global guidelines, context-specific evidence on nurses’ competencies in tertiary health facilities in Benin City remains limited. This study aimed to assess nurses’ knowledge and practices regarding safe chemotherapy handling and administration. Methods: A descriptive cross-sectional study was conducted among 278 randomly selected nurses in a tertiary hospital. Data were collected using a validated structured questionnaire. Descriptive statistics summarized the data, and multiple logistic regression was used to examine associations at a 5% significance level using IBM SPSS version 28.0. Results: Among participants, 17% had poor knowledge, 63% had fair knowledge, and only 20% demonstrated good knowledge. Regarding practice, 51% exhibited poor practice. Key factors supporting safe chemotherapy handling included training and certification (mean = 3.94), incident encounters (mean = 3.73), protocol adherence (mean = 2.93), and use of personal protective equipment (mean = 2.82). Logistic regression analysis showed that being female (OR = 4.90; 95% CI: 0.23–3.54; p = 0.479), aged 18–34 years (OR = 7.03; 95% CI: 0.06–8.28; p = 0.298), and holding a bachelor’s degree (OR = 7.69; 95% CI: 0.05–7.10; p = 0.174) were associated with higher odds of better practice, although these were not statistically significant. Conclusions: Nurses demonstrated moderate knowledge but suboptimal practices in chemotherapy handling, indicating critical competency gaps. Strengthening training, protocol adherence, and institutional policies is essential to improve safe chemotherapy administration.
Effectiveness of Health Education Role Play Method and Audio-Visual Methods of Skills First Aid Syncope Among Senior High-School Students Berlian Yuli Saputri; Aesthetica Islamy; Anis Murniati
Fundamental and Management Nursing Journal Vol. 8 No. 2 (2025): OCTOBER 2025
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/fmnj.v8i2.55771

Abstract

Introduction: Delays and errors in providing first aid to victims experiencing syncope can significantly increase the risk of complications and even mortality. Syncope requires immediate, appropriate intervention, making first aid skills essential for students. This study aimed to compare the effectiveness of the roleplay method and the audiovisual method in improving students’ skills in providing first aid for syncope. Methods: This study employed a quasi-experimental design with a nonequivalent group posttest-only approach. The population consisted of all 442 students in Class X at SMAN 1 Kedungwaru, Tulungagung, Indonesia. Using purposive sampling with specific inclusion and exclusion criteria, 71 students were recruited. Participants were divided into two groups: the roleplay group (n = 35, Class X-1) and the audiovisual group (n = 36, Class X-2). The independent variable was the health education method, while the dependent variable was the level of syncope first aid skills. Data were collected using an observation checklist, with a Content Validity Index (CVI) of 0.86, confirming its validity. Data analysis was performed using the Mann–Whitney U test. Results: The demographic characteristics showed comparable distributions between groups. In the roleplay group, 49% (n = 17) of students demonstrated good skills, whereas in the audiovisual group, the majority 47% (n = 17) achieved only moderate skill levels. The Mann–Whitney test yielded a p-value of 0.001 (< 0.05), indicating a significant difference between the two methods. Conclusions: Roleplay is more effective than audiovisual because respondents have the opportunity to practice directly so they learn and see more clearly.
Efficacy of Mulberry Leaf (Morus alba L.) Mask in Reducing Acne Vulgaris among Vocational School Students Avivatuz Zahroh Sifatun; Elly Rustanti; Fakhrun Nisa' Fiddaroini
Fundamental and Management Nursing Journal Vol. 8 No. 2 (2025): OCTOBER 2025
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/fmnj.v8i2.70669

Abstract

Introduction: Teenager girls often experience acne due to hormonal changes. This condition not only affects their appearance but also lowers self-confidence and impacts their mental health. This study aims to determine the effect of the natural mulberry leaf mask formula (Mours alba L). on acne vulgaris in female students of Vocational School in Jombang, Indonesia. Methods: The research design used was a One-Group Pre-Experimental, Pre-Test-Post-Test. This study involved 65 students, with a sample of 20 respondents selected through Quota Sampling. Data were collected using observation sheets and analyzed with SPSS 25 using the Wilcoxon Test. Results: Before therapy, 15 respondents (75%) experienced moderate acne vulgaris. After therapy, 15 respondents (75%) experienced mild acne vulgaris. Statistical analysis showed a significance value of 0.000 < α (0.05). Conclusions: Regular use of a natural mulberry leaf mask is beneficial for acne healing. Mulberry leaves contain vitamins A, C, and E, alkaloids, and flavonoids, which act as antibacterials, reduce inflammation, and reduce oxidative stress. This formula can be used as an alternative treatment for acne vulgaris.
Quiet Quitting of The Nurses: An Integrative Literature Review Sisinyana Hannah Khunou
Fundamental and Management Nursing Journal Vol. 8 No. 2 (2025): OCTOBER 2025
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/fmnj.v8i2.70992

Abstract

Introduction: The concept of quiet quitting (QQ) gained widespread attention following its popularization on social media’s app ‘TikTok’ in 2022 and has since been recognized as a prevalent phenomenon among nurses and other healthcare professionals. To that effect, literature has alluded to the most concerning dire consequences. The study aimed to synthesize studies on QQ among nurses and suggest measures that can be used to alleviate this phenomenon. Methods: The study applied five steps of the integrative literature review, guided by Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. The review encompassed research articles peer-reviewed and published between 2022 and 2025, in the following databases: Cumulative Index to Nursing and Allied Health Literature EBSCOhost, Education Resources Information Center, Google Scholar, Medline, Psych INFO, Science Direct and Pub Med. Included articles were written in English, published in 2020 to 2025, in peer-reviewed journals, and participants were nurses. Results: Nine articles were ultimately reviewed and revealed three main themes factors contributing to QQ among nurses, including organizational and individual factors and supportive supervision; Consequences of QQ among nurses affected patient care and human resources; Measures that could be used by nurse managers to reduce QQ among nurses. Conclusions: This study revealed interrelated factors that contribute to QQ dire impact of QQ on nurses. Nurse managers and policymakers need to be aware of this phenomenon and urgently put holistic, robust mitigating measures to ensure that working conditions are favourable and there is a balance in nurses’ work lives.
The Perceived Facilitators and Barriers of Research Production among Members of an Online Research Community of Practice Nabeel Al Amiri; Khaled Al Qawasmeh; Shimol Johnson; Rania Alayli
Fundamental and Management Nursing Journal Vol. 8 No. 2 (2025): OCTOBER 2025
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/fmnj.v8i2.71214

Abstract

Introduction: Nurses, a vast portion of the healthcare workforce, have made a low contribution to achieving healthcare organizational visions and strategies in producing research. The study aimed to identify the facilitators and barriers to research production among members of a community of practice (CoP). Methods: This study utilized a descriptive qualitative research design, conducting a focus group discussion. Those members were provided with education, mentorship, and support over 12 months from January 2023 to January 2024. h a convenience sample of 21 members from the targeted CoP. Results: The online CoP provided members with several opportunities to compensate for any deficit in the existing individual, social, and organizational support system. However, the study highlighted several barriers to research among the community members, including individual factors, i.e., time limitations and lack of member’s knowledge and expertise, social factors, i.e., lack of collaboration among colleagues, and organizational factors, i.e., lack of organization and unit support, resources, and workload. Conclusions: The study revealed satisfactory progress in the members' research projects and recommended extending their learning and training period. The study suggests extending the members' education and training period, including psychological preparation, and providing them with additional skills such as persuasion, negotiation, and interpersonal skills to overcome existing research barriers. Moreover, further studies are required to assess the long-term impact, for example, after one or two years of the online CoP on members' research productivity. Further research to explore the facilitators and barriers of research production among CoP members in various contexts.
The Influence of Classic Music Therapy on Learning Concentration in School-Age Children Aura Lailatul Febriani Krisvianti Putri; Widiharti Widiharti; Diah Fauzia Zuhroh; Diah Jerita Eka Sari
Fundamental and Management Nursing Journal Vol. 8 No. 2 (2025): OCTOBER 2025
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/fmnj.v8i2.72463

Abstract

Introduction: School-aged children are in the developmental stage of concrete operational thinking, where they begin to think logically and solve problems in a structured way. However, many children at this stage still experience difficulties in subjects which often requires high levels of concentration and problem-solving skills. This study aims to determine the effect of classical music therapy on learning concentration in school-aged children. Methods: This study employed a quasi-experimental design with a non-equivalent control group design. Population consisted of 42 school-aged children, a sample of 38 was obtained using a non-probability sampling. Classical music therapy was used as the independent variable, while learning concentration served as the dependent variable. Learning concentration was measured before and after the intervention. Data were analyzed using the Wilcoxon signed-rank test to determine the effect intervention. Results: The results of the Wilcoxon statistical test yielded a ρ value of 0.00, which is smaller than the predetermined significance level (α = 0.05). This finding indicates that classical music therapy has a statistically significant effect on improving learning concentration in school-aged children. The outcome supports the notion that classical music stimulates cognitive, focus, and learning atmosphere. Conclusions: This study concludes that classical music therapy has a significant positive influence on learning concentration. The intervention was shown to enhance students’ ability to maintain focus and sustain attention during learning activities, suggesting that classical music supports environment for academic engagement. Results reinforce the importance of innovative educational interventions that address cognitive, emotional, and environmental factors in the learning process.
Relationship between Structural Empowerment of Nurses, Managerial Experience, and Resistance to change: A cross-sectional study Omar Ghazi Baker
Fundamental and Management Nursing Journal Vol. 8 No. 2 (2025): OCTOBER 2025
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/fmnj.v8i2.73689

Abstract

Introduction: Nurses play a critical role in healthcare systems and are central to organizational effectiveness. Building resilient organizations requires engaging nurses in decision-making and enhancing their autonomy, often achieved through structural empowerment and empowering leadership. This study aimed to examine the relationship between structural empowerment, years of managerial experience, and resistance to change among nurses in leadership roles. Methods: A cross-sectional descriptive correlational design was employed, involving 148 nurses in formal or acting leadership positions, including nursing managers, head nurses, and supervisors, at a university hospital in Riyadh. Participants were selected using convenience sampling. Data were collected using the Conditions for Work Effectiveness Questionnaire II (CWEQ-II) and the Resistance to Change (RTC) scale. Statistical analyses included descriptive statistics, Pearson correlation, ANOVA, and multiple regression. Results: Perceived structural empowerment significantly explained variation in resistance to change (p = 0.042), indicating that higher perceived structural empowerment was associated with lower resistance to change. In contrast, years of experience did not show a significant association with resistance to change (p = 0.109). Conclusions: Structural empowerment plays a key role in reducing resistance to change among nurse leaders by enhancing access to information, resources, and support. These findings underscore the importance of empowerment-based leadership strategies to promote adaptability in dynamic healthcare environments. Future studies should include diverse settings and examine additional organizational factors to improve generalizability.
Nurse Responsiveness and Empathy as Predictors of Patient Loyalty: A Cross-Sectional Study in Hospital Care Settings Dhina Widayati; Diana Rachmania
Fundamental and Management Nursing Journal Vol. 8 No. 2 (2025): OCTOBER 2025
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/fmnj.v8i2.77252

Abstract

Introduction: Patient loyalty serves as an important indicator in evaluating the overall quality of nursing services within hospital settings. Loyalty reflects a crucial determinant of hospital competitiveness and sustainability. This study aims to analyze the relationship between nurse responsiveness, empathy, and patient loyalty in the hospital service environment. Methods: This quantitative cross-sectional study involved 62 patients as respondents using accidental sampling techniques. Patient in the ward patients admitted to the ward during January. Data were collected through questionnaires to measure nurses' responsiveness and empathy through patient perceptions, as well as the Patient Loyalty Questionnaire (PLQ), which includes dimensions of attitudinal loyalty, behavioral loyalty, word of mouth, and recommendation intentions. Data were analyzed using Spearman correlation and Ordinal Logistic Regression. Results: Patient perceptions of nurse responsiveness showed that more than half (66.1%) were in the good category. Similarly, patient perceptions of nurse empathy showed that more than half (71%) were in the good category. Some patients (54.9%) had high loyalty. Analysis of the relationship between responsiveness and loyalty (p=0.001 and r=0.69) and between empathy and loyalty (p=0.001 and r=0.59). Both results indicate that responsiveness and empathy are related to loyalty with the strength of the relationship in the strong category. Conclusions: Nurses' responsiveness and empathy are important factors influencing patient loyalty. Hospital management needs to develop training programs to strengthen nurses' skills in responding to patient needs quickly and effectively, as well as work systems that support nurses' quick, responsive, and timely responses in interacting with patients, so that patients feel satisfied and become loyal.
Enhancing Nursing Care through Electronic-Based Handover in Hospital Settings: A Systematic Review Enniq Mazayudha; Daviq Ayatulloh; Diah Priyantini; Nursalam Nursalam
Fundamental and Management Nursing Journal Vol. 9 No. 1 (2026): APRIL 2026
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/fmnj.v9i1.56501

Abstract

Introduction: Handover is a critical nursing responsibility involving the structured transfer of essential patient information, accountability, and continuity of care between healthcare providers. In nursing practice, ineffective or unstructured handover communication has been consistently associated with sentinel events, adverse outcomes, and preventable medical errors, thereby compromising patient safety. Methods: The systematic review approach uses the Cochrane approach and journal sources from several databases including Scopus, Pubmed, BMJ, BMC, NCBI, ProQuest, Science Direct in the last 5 years. This article searched using keyword handover, electronis, SBAR and nursing care. Boolean operators in the search process using AND and OR. Data analysis of review using narrative analysis based on The Joanna Briggs Instritute for Critical Appraisal Tools. Results: Overall, the reviews consist of 15 articles. In this review, this electronic-based handover makes the delivery of information more structured, efficient and effective so that it can reduce ME (Medication Error), improve patient safety. Conclusions: The application of this electronic-based handover makes the delivery of information more effective, efficient and structured, to reduce sentinel events, medical errors, improve patient safety and improve the quality of nursing care.
Democratic Head Nurse Leadership and Interprofessional Collaboration in Hospital Settings: A Cross-Sectional Study Nur Mukarromah; Berliana Hanifah Alisya; Abdul Aziz Alimul Hidayat; Puji Rahayu; Diah Priyantini
Fundamental and Management Nursing Journal Vol. 9 No. 1 (2026): APRIL 2026
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/fmnj.v9i1.65758

Abstract

Introduction: Effective nurse–doctor collaboration is fundamental to delivering high-quality hospital care. However, interprofessional collaboration often remains suboptimal due to hierarchical dynamics and limited managerial competence among nurse leaders. This study examined the influence of head nurses’ leadership style, particularly democratic leadership, on nurse–doctor collaboration in hospital settings. Methods: a cross-sectional correlational study was conducted at a regional general hospital in Indonesia, with data collected in April 2023. A total of 49 respondents were recruited using purposive sampling. Leadership style was assessed using the Multifactor Leadership Questionnaire (MLQ–5X Rater Form, 45 items), while nurse–doctor collaboration was measured with the Jefferson Scale of Attitudes toward Physician–Nurse Collaboration (JSAPNC, 15 items). Content validity was established through expert judgment (CVI = 0.87), and reliability testing demonstrated good internal consistency (Cronbach’s α = 0.82 for MLQ; α = 0.85 for JSAPNC). Data were analyzed using the Chi-square test with a significance level of p < 0.05. Results: In major (69.4%) respondents perceived their head nurse’s leadership style as democratic. Additionally, 61.2% reported good nurse–doctor collaboration. Statistical analysis revealed a significant association between democratic leadership style and nurse–doctor collaboration (p < 0.001). Conclusions: Democratic leadership among head nurses is significantly associated with stronger nurse–doctor collaboration. Enhancing democratic leadership competencies may promote more effective interprofessional teamwork and contribute to improved quality of care in hospital settings.

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