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Caring : Indonesian Journal of Nursing Science
Published by Universitas Sumatera Utara
ISSN : -     EISSN : 26857162     DOI : https://doi.org/10.32734/ijns
Core Subject : Health,
Nursing
Caring: Indonesian Journal of Nursing Science (IJNS) is an international nursing journal published by the Faculty of Nursing, Universitas Sumatera Utara, Indonesia. IJNS is a peer reviewed journal and welcomes scientific works from nurses, academics, and practitioners in their works.
Arjuna Subject : Keperawatan - Keperawatan (Lain-Lain)
Articles 110 Documents
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The Effect of Feeding Rules Counseling with Flipcharts on Maternal Knowledge about Overcoming Feeding Difficulties During MP-ASI Dwi Karina Ariadni; Farida Linda Sari Siregar; Eqlima Elfira; Harahap, Riska Novita
Caring: Indonesian Journal of Nursing Science Vol. 6 No. 2 (2024): Caring: Indonesian Journal of Nursing Science
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/ijns.v6i2.17785

Abstract

Feeding dificulties are the frequent problem encountered in infants aged 6-24 months, and one of which is mothers' knowledge in feeding practices. Therefore, providing counseling on feeding rules to mothers is crucial to address the feeding difficulties in infants. Feeding rules are basic eating guidelines designed to train internal eating regulation and provide a structured feeding schedule. The media used is flipchart. This Research is conducted to analyze the effect of counseling on feeding rules using a flipchart on mothers' knowledge in addressing feeding difficulties during complementary feeding (MP-ASI). This is a quantitative Research with a pre-experimental one-group pre-posttest design. A purposive sampling is used to collect data from 69 respondents who meet inclusion criteria: mother with infants aged 6-24 months experiencing feeding difficulties in Lama Village, Hamparan Perak Subdistrict, Deli Serdang Regency. The findings reveal that counseling on feeding rules using a flipchart has a significant effect on mothers' knowledge in addressing feeding difficulties during complementary feeding (MP-ASI), as indicated by the Paired T-Test statistical test with a p-value of 0.000 (<0.05). It is expected that mothers with infants having feeding problems are able to perform feeding rules to address the feeding issues. Furthermore, the results of the Research are expected to serve as an evaluation for healthcare workers to enhance counseling on feeding rules in the community.
Risk and Protective Factors of Anxiety in Nurses During the COVID-19 Pandemic: A Systematic Review Eka Wahyuni, Sri; Budi Anna Keliat; Herni Susanti; Besral
Caring: Indonesian Journal of Nursing Science Vol. 6 No. 2 (2024): Caring: Indonesian Journal of Nursing Science
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/ijns.v6i2.17828

Abstract

The COVID-19 pandemic has significantly impacted nurses, exposing them to challenges that have affected their overall well-being. Most nurses have experienced psychosocial problems, including anxiety. This study aims to identify the protective and risk factors associated with anxiety among nurses during the COVID-19 pandemic. A systematic review was used as a method in this study. Eight databases were used Science Direct, PubMed, CINAHL, Embase, ProQuest, Scopus, Taylor & Francis, and JSTOR. The literature search was conducted using keywords derived from the Medical Subject Headings (MeSH) framework. The search terms included: Nurses OR "staff nurses" OR "healthcare professionals", AND "factors associated with anxiety" OR "risk factors" OR "protective factors", AND "COVID-19" OR "COVID-19 pandemic". The data were further analyzed by critically assessing the quality of the articles using the JBI and CASP checklists. The research articles included in the review were cross-sectional studies published between 2020 and 2022, written in English, available in full text, and specifically focused on protective and risk factors for anxiety. A risk of bias assessment was conducted using the Joanna Briggs Institute quality assessment checklist. A total of 33 articles were reviewed, revealing two primary themes of protective and risk factors: internal and external factors. Internal factors included variables such as age and gender, while external factors encompassed aspects such as hospital status. Based on the findings, it is recommended that hospitals implement mental health and psychosocial support interventions as promotive and preventive efforts to improve the nurses' psychological well-being.
The Effect of Mental Health Education on Teenagers’ Capacity for Early Detection of Mental Health Daulay, Wardiyah; Safira, Annisa
Caring: Indonesian Journal of Nursing Science Vol. 6 No. 2 (2024): Caring: Indonesian Journal of Nursing Science
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/ijns.v6i2.18009

Abstract

Adolescence represents a critical developmental stage during which individuals are highly vulnerable to mental health challenges. Early detection of mental health issues enables adolescents to identify and mitigate potential mental disorders at an initial stage. Mental health education plays a pivotal role in equipping teenagers with the knowledge and skills necessary for early detection. This study aims to evaluate the impact of mental health education on adolescents' knowledge and capacity to engage in early detection of mental health issues, with a focus on students at SMK Swasta Abdi Nusantara. The research adopts a pre-experimental approach using a one-group pretest-posttest design. The study sample comprises 70 respondents, selected through a total sampling technique. Data were analyzed using the Wilcoxon Signed Rank Test, yielding a p-value of 0.000 < 0.05. The findings indicate a significant effect of mental health education on adolescents’ knowledge and ability to conduct early detection of mental health issues. These results underscore the importance of mental health education programs in schools. Community health workers, particularly mental health nurses, are encouraged to optimize mental health initiatives by integrating education programs into school settings, thereby contributing to the prevention of mental disorders among adolescents.
Analysis of Determinant Factors Affecting the Behavior of Intensive Care Nurses about Ventilator-Associated Pneumonia (VAP) Bundle Care Nani Andriani; Nurhidayah, Rika Endah; Amira Permatasari Tarigan
Caring: Indonesian Journal of Nursing Science Vol. 6 No. 2 (2024): Caring: Indonesian Journal of Nursing Science
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/ijns.v6i2.18050

Abstract

Ventilator-associated pneumonia (VAP) commonly arises due to the use of invasive endotracheal tubes, which facilitate the entry of bacteria into the respiratory system. VAP typically develops after a patient has been on mechanical ventilation for more than 48 hours. This study aims to analyze the determinant factors influencing the behavior of intensive care unit (ICU) nurses regarding VAP management at a General Hospital in Medan, Indonesia. The study employed a quantitative research approach with a survey design, involving 56 ICU nurses. The results of the multivariate analysis indicated significant p-values for the variables of education (p = 0.014), length of work experience (p = 0.004), and training (p = 0.013), demonstrating their collective influence on ICU nurses’ behaviors toward implementing VAP bundle care. Among these factors, the availability of facilities emerged as the most significant determinant, with the highest odds ratio (OR = 3.486). Nurses who had received training were 3.486 times more likely to exhibit appropriate behavior when providing VAP bundle care interventions compared to those who had not undergone such training. Based on these findings, it is recommended that every ICU nurse enhance their skills and knowledge through comprehensive training programs on VAP bundle care.
Reducing Pain in Children with Cancer Using A Combination of Benson Relaxation and Peppermint Essential Oil Aromatherapy Yuli Astuti; Sutiawati, Dewi Nur; Uum Safari
Caring: Indonesian Journal of Nursing Science Vol. 6 No. 2 (2024): Caring: Indonesian Journal of Nursing Science
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/ijns.v6i2.18725

Abstract

Childhood cancer is a chronic disease that often causes significant pain. This pain may result from the disease itself or from procedures necessary for treatment. In addition to pharmacological therapies, non-pharmacological approaches can be utilized to alleviate pain in children with cancer. Benson Relaxation is a non-pharmacological technique that can help reduce pain through deep breathing exercises accompanied by the repetition of positive words aligned with the child's faith. Another non-pharmacological therapy, peppermint oil aromatherapy, is known for its calming properties, which can reduce pain and promote comfort. This study aims to evaluate the combined effect of Benson Relaxation and peppermint oil aromatherapy on pain reduction in children with cancer. Employing a quantitative research design, the study utilized a quasi-experimental approach with a group pre-test and post-test design. The sample consisted of 15 children aged 6 years and older, selected using purposive sampling. Pain levels were measured using a Numeric Rating Scale (NRS) over the course of one week. Data analysis was performed using the Wilcoxon Test, and the results demonstrated a significant effect of the combined intervention in reducing pain levels, with a p-value of 0.001 (p < 0.05). These findings suggest that Benson Relaxation combined with peppermint oil aromatherapy is an effective holistic, non-pharmacological intervention for reducing pain in children with cancer during treatment. It is recommended that this intervention be considered as part of comprehensive care strategies for pediatric cancer patients.
Mitigation of Environmental Exposure, Pollutants, and Endocrine Disruptors to Reproductive Health: A Literature Review Nur Afidarti; Open Darnius; Diah Lestari Nasution; Evi Indriani Br Karo
Caring: Indonesian Journal of Nursing Science Vol. 7 No. 1 (2025): Vol. 7 No. 1 (2025): Caring: Indonesian Journal of Nursing Science
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/ijns.v7i1.20009

Abstract

Women's reproductive health faces escalating threats from environmental pollutants, including airborne particulate matter (PM2.5 and PM10), endocrine-disrupting chemicals (EDCs), heavy metals, and microplastics. These pervasive agents, found in air, food, water, and consumer products, are associated with hormonal imbalances, menstrual irregularities, infertility, adverse pregnancy outcomes, and long-term reproductive dysfunction. This literature review synthesizes current evidence on environmental exposures, specifically focusing on pollutants and EDCs impacting reproductive health. Adhering to the PRISMA framework, articles published between 2020 and 2024 were systematically identified from databases such as PubMed, ScienceDirect, and Google Scholar. Manual selection based on predefined inclusion criteria ensured the relevance and recency of included studies. Findings consistently demonstrate that air pollutants (PM2.5 and PM10) correlate with reduced ovarian reserve and altered estradiol levels. EDCs, such as Bisphenol A (BPA) and phthalates, are linked to early puberty, endometriosis, and infertility. Heavy metals influence age at menarche and menopause, as well as critical pregnancy outcomes like birth weight. Furthermore, microplastics and nanoplastics have been shown to impair placental function and elevate oxidative stress. These cumulative findings underscore the urgent need for comprehensive risk mitigation strategies, encompassing environmental education, behavioral modifications, clinical screening, and policy reform. Nurses are uniquely positioned to play a critical role in promoting reproductive health through education, early detection of environmental risks, and advocacy for safer community environments.
Adherence to Oral Antidiabetic Drugs among Outpatients with Type 2 Diabetes Mellitus Tarigan, Mula; Windi Afrilia Sinaga
Caring: Indonesian Journal of Nursing Science Vol. 7 No. 1 (2025): Vol. 7 No. 1 (2025): Caring: Indonesian Journal of Nursing Science
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/ijns.v7i1.20275

Abstract

Type 2 diabetes mellitus (T2DM) patients are often required to adhere to oral antidiabetic drugs (OADs) prescribed by healthcare professionals for maintaining optimal blood glucose levels. Therefore, this study aims to assess adherence to OADs among outpatients with T2DM. A descriptive cross-sectional design was used, involving 32 participants selected through convenience sampling at Adam Malik General Hospital in Medan, North Sumatra, Indonesia. Data collection was conducted in July 2024, and descriptive statistics were used to analyze adherence levels and sociodemographic characteristics. The results showed that the majority of participants were under 60 years of age (68.8%), male (65.6%), had completed high school education (59.4%), were employed (71.9%), and had a monthly household income below the regional minimum wage (65.6%). In addition, more than 50% had been living with diabetes for five years or longer (53.1%), were covered by national health insurance (90.6%), resided in urban areas (62.5%), and had no diabetes-related complications (81.3%). The mean adherence score to OADs was 6.66 (SD ±1.20), with moderate adherence being the most common (56.3%), followed by high (28.1%) and low levels (15.6%). The results also showed that only a limited number of T2DM patients exhibit optimal adherence to their treatment regimens. This shows the need for healthcare providers and relevant stakeholders to develop targeted interventions and support systems aimed at enhancing medication adherence among diabetic patients.
Community Knowledge about Antibiotics and the Role of Inter Professionals in Providing Health Education Nurhidayah, Rika Endah; Sitanggang, Della Safitri; Ally Abdullah Ally
Caring: Indonesian Journal of Nursing Science Vol. 7 No. 1 (2025): Vol. 7 No. 1 (2025): Caring: Indonesian Journal of Nursing Science
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/ijns.v7i1.20302

Abstract

Antibiotics are drugs to prevent or kill infections caused by bacteria. Antibiotics are not drugs that are freely available for consumption, therefore they should not be used carelessly. The use of antibiotics that is not in accordance with the rules can cause resistance to antibiotics. This study aims to identify the knowledge of the community in Kampung Mudik Village, Barus District and the role of health workers to prevent the effects of resistance to antibiotics. Methods: This study focused on the community in Kampung Mudik Village, Barus District. This study is a descriptive study. The sampling technique used a probabilistic technique with a margin of error of 5%. The number of respondents was 146 community. The result of study indicate that the level of community knowledge about antibiotics varies: most community (58.2%) have high knowledge, (28.8%) have sufficient knowledge, and (13%) have low knowledge. All community (100%) have used antibiotics, but the majority of community (79.5%) do not know the side effects of using antibiotics that are consumed carelessly. This study found that most community already have good knowledge about the use of antibiotics, but many community still do not know the side effects if they take antibiotics not according to instructions. Therefore, it is suggested that the community needs to be given proper education through inter-professional collaboration to avoid the effects of antibiotic resistance.
Sexual Risk Behaviors Among Men Who Have Sex with Men (MSM) Using Pre-Exposure Prophylaxis (PrEP): A Systematic Review -, Mahraniy; Putri, Yossie Susanti Eka; Susanti, Herni; Chandra, Yudi Ariesta
Caring: Indonesian Journal of Nursing Science Vol. 7 No. 1 (2025): Vol. 7 No. 1 (2025): Caring: Indonesian Journal of Nursing Science
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/ijns.v7i1.20381

Abstract

According to 2023 global estimates, approximately 39.9 million individuals were living with HIV (Human Immunodeficiency Virus), with 1.3 million new infections reported. Men who have sex with men (MSM) continue to represent a key population at heightened risk. When used consistently, pre-exposure prophylaxis (PrEP) has been shown to reduce the risk of HIV transmission by more than 90%. Stigma, limited awareness, and concerns about reduced condom use hinder its effectiveness. This review examines whether PrEP increases or decreases sexual risk behaviors, such as unprotected anal intercourse, among MSM to inform better HIV prevention strategies. Search in PubMed and ScienceDirect identified 585 records, with 26 studies meeting the inclusion criteria after screening and quality assessment using the CASP checklist. Out of these, 14 high-quality articles, including cohort, cross-sectional, and randomized controlled trials, were analyzed. Studies focused on MSM aged 15 and older using PrEP, excluding non-MSM populations, qualitative reports, and reviews. Two reviewers independently screened and extracted the data, resolving the discrepancies through discussion. A narrative synthesis examined patterns of sexual risk behavior and PrEP impact. Subsequently, PrEP significantly reduces HIV transmission but is linked to risk compensation behaviors, such as decreased condom use and increased high-risk sexual activities. Social and cultural factors, including stigma and familism, influence adherence to safe practices. Comprehensive interventions integrating PrEP with education, Sexually Transmitted Infection (STI) screening, and psychosocial support are essential. Governments and health providers should prioritize expanding PrEP access, improving adherence support, and integrating condom promotion to achieve greater HIV prevention impact on MSM communities.                                                                                                                                                                
The Experience of Pediatric Nurses Caring for Tuberculosis Children from Different Ethnic Groups in the New Normal Life: Pediatric nurses Suza, Dewi Elizadiani; Setiawan; Diah Arruum
Caring: Indonesian Journal of Nursing Science Vol. 7 No. 1 (2025): Vol. 7 No. 1 (2025): Caring: Indonesian Journal of Nursing Science
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/ijns.v7i1.20384

Abstract

The cases of Tuberculosis (TB) children in Indonesia increased in 2023 due to the impact of the new normal life. This increase was attributed to delayed immunization, poor nutrition, restrictions on activities, and disruptions to treatment services. The new normal life also affected the increasing number of TB children, in addition to certain ethnic beliefs and culture, causing a significant rise in hospitalized patients and deaths. Therefore, this study aims to explore the experience of pediatric nurses in caring for TB children from various ethnic groups during the new normal life. This study used a phenomenological method, consisting of 12 nurses working in a pediatric ward who were interviewed in an isolated room. The purposive sampling method was used to collect data through semi-structured and in-depth interviews. Data analysis was carried out using the 7-step Colaizzi method. The results showed that a total of 5 themes were identified, namely 1) nurses challenged by patients condition, 2) focus on safety care, 3) the influence of local culture in TB treatment, 4) differences in perceptions of TB between nurses as well as parents, and 5) understanding the perceptions of ethnic beliefs and culture of parents towards the disease. There are still challenges that pediatric nurses must overcome in providing care to patients in hospitals. The results could serve as initial data for developing guidelines or protocols incorporating a cultural competency method, thereby minimizing differences in the provision of nursing care for children with TB.

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