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Dina Rasmita
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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 128 Documents
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An Integrated Holistic Approach Using Music Therapy and Hypnotherapy to Reduce Anxiety in Pregnant Women for Childbirth Preparation Octavia, Yunida Turisna; Inggrit Puspita Sari; Eva Kartika Hasibuan; Sri Purwanti
Caring: Indonesian Journal of Nursing Science Vol. 7 No. 2 (2025): Vol 7 No 2 2025 Caring: Indonesia Journal of Nursing
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/ijns.v7i2.22851

Abstract

The maternal mortality rate in North Sumatra in 2023 remained high at 78.82 per 100,000 live births. Anxiety during late pregnancy, with a prevalence of 18.2–24.6%, increases the risk of maternal and neonatal complications. Although non-pharmacological interventions such as music therapy and hypnotherapy are widely used, evidence regarding the effectiveness of their combined application remains limited. This study aimed to evaluate the effectiveness of integrating hypnotherapy and music therapy in reducing anxiety among pregnant women.  A quasi-experimental design with intervention and control groups without randomization was conducted. The study involved 30 pregnant women in their second to third trimesters selected using purposive sampling (intervention group n=15; control group n=15). The intervention consisted of four sessions of guided hypnotherapy relaxation accompanied by slow-tempo classical instrumental music over a two-week period, with each session lasting 35–40 minutes. Anxiety levels were measured using the Hamilton Rating Scale for Anxiety (HRS-A) before and after the intervention, and data were analyzed using the paired t-test. The results showed a significant reduction in anxiety scores in the intervention group, decreasing from 27.07 to 15.20 (p<0.001), while the control group showed no significant change (30.33 to 30.00; p=0.96). The reduction in anxiety was attributable to the intervention. The integration of hypnotherapy and music therapy was effective in reducing anxiety prior to childbirth and demonstrated better outcomes than the control group. This approach can be recommended as a comprehensive non-pharmacological intervention in prenatal care programs. Keyword: Music therapy, Hypnotherapy, Pregnancy, Anxiety, Childbirth
Understanding Barriers to Continuous Ambulatory Peritoneal Dialysis: A Qualitative Study from Health Professionals’ Perspectives Mailani, Fitri; Huriani, Emil; Zulfiqar, Yevri; Rahmiwati; Setiawan
Caring: Indonesian Journal of Nursing Science Vol. 7 No. 2 (2025): Vol 7 No 2 2025 Caring: Indonesia Journal of Nursing
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/ijns.v7i2.22856

Abstract

The declining number of end-stage renal disease (ESRD) patients who opt for Continuous Ambulatory Peritoneal Dialysis (CAPD) as a renal replacement therapy is influenced by several factors, including high infection rates, limited patient and family knowledge, and restricted access to CAPD services. However, research exploring the perspectives of healthcare professionals, such as dialysis nurses and nephrologists, on this phenomenon remains limited. This study aimed to explore the perspectives of dialysis nurses and nephrologists regarding barriers to CAPD utilization. A qualitative descriptive design was employed, using semi-structured interviews with 12 participants, including 10 dialysis nurses and 2 nephrologists at a tertiary hospital in West Sumatra, Indonesia. Data were analyzed using Colaizzi’s seven-step method. Five major themes emerged: (1) Weak coordination, unsupportive policies, and limited expertise; (2) Infection risk as the primary challenge in CAPD; (3) Ineffective patient and family education in CAPD care; (4) Psychological barriers to accepting CAPD therapy; and (5) Determinants of patient decision-making in choosing CAPD, and 15 Sub-themes. This study highlights the barriers that patients face when choosing CAPD as a renal replacement therapy. Unsupportive policies, increased infection risks, and inadequate educational systems were identified as key challenges that require urgent evaluation and improvement. Strengthening these aspects is crucial to ensure optimal care for patients who opt for CAPD. Keyword: Indonesia, Nephrologist, Nurse Perspective, Peritoneal Dialysis, Qualitative Study  
Multimedia Health Education for Community Health Cadres: Promoting Cervical Cancer Awareness and Prevention Endar Timiyatun; Eka Oktavianto; Woro Ispandiyah
Caring: Indonesian Journal of Nursing Science Vol. 7 No. 2 (2025): Vol 7 No 2 2025 Caring: Indonesia Journal of Nursing
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/ijns.v7i2.22962

Abstract

Health education related to cervical cancer is essential for community empowerment, with community health cadres playing a pivotal role in delivering health education at the grassroots level. The use of appropriate educational media has been shown to effectively enhance community knowledge. This study aimed to analyze the effectiveness of educational modules and videos in improving cadres’ knowledge and skills in delivering health education on cervical cancer prevention. This quasi-experimental study employed a one-group pretest–posttest design involving 25 community health cadres. The intervention comprised two 90-minute cadre training sessions. The first session included a lecture followed by a question-and-answer discussion, while the second session involved a health education demonstration. Educational videos and modules were used as instructional media. Knowledge data were collected using a structured questionnaire, whereas skills data were assessed using a standardized observation checklist. Data were analyzed using the Wilcoxon signed-rank. The results showed that knowledge score increased from 48.00 (pretest) to 94.00 (posttest), with a mean difference of 46.00 (p < 0.05). Similarly, the mean skills score improved from 37.20 (pretest) to 87.20 (posttest), with a mean difference of 50.00 (p < 0.05). Educational modules and videos are effective media for enhancing the knowledge and skills of community health cadres in providing health education on cervical cancer prevention. Their use should be integrated into training programs to strengthen cervical cancer prevention efforts at the community level. Keyword: Cervical cancer, Health education, Cadres, Module, Video, Prevention
Empowering Grandmothers through Educational Media: A Quasi-Experimental Study on Stunting Prevention in Yogyakarta, Indonesia Eka Oktavianto; Endar Timiyatun; Woro Ispandiyah
Caring: Indonesian Journal of Nursing Science Vol. 7 No. 2 (2025): Vol 7 No 2 2025 Caring: Indonesia Journal of Nursing
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/ijns.v7i2.22963

Abstract

Stunting remains a major public health issue in Indonesia, with multifactorial causes. Grandmothers play a central role in childcare and decision-making within families. Effective educational media are needed to improve knowledge and caregiving practices in family settings. This study aimed to examine the effectiveness of educational modules and videos in improving grandmothers’ knowledge and skills in providing health education for stunting prevention. A one-group pretest–posttest quasi-experimental design was conducted among 25 grandmothers who lived with or near their grandchildren. The educational media (module and video) were first validated by experts. The materials included comprehensive information on the definition, causes, signs, symptoms, impacts, and prevention of stunting, as well as methods and techniques for delivering effective health education. Data were collected using knowledge and skill assessment tools, and analyzed using the Wilcoxon signed-rank test due to non-normal data distribution. The results showed that mean knowledge score of grandmothers significantly increased from 69.6 (pretest) to 94.4 (posttest), with a mean difference of 24.8, Z-score = -4.391, p-value = 0.000 (p < 0.001). Similarly, the mean skill score in delivering health education improved from 50.20 (pretest) to 84.80 (posttest), with a mean difference of 34.6, Z-score = -4.298, p value = 0.000 (p < 0.001). Educational modules and videos are effective in improving grandmothers’ knowledge and skills in providing health education for stunting prevention. Integrating family-centered educational tools into community health programs may strengthen family support and contribute to reducing stunting prevalence. Keyword: Stunting, Grandmother, Health education, Educational module, Video
Patient Perceptions on The Role of Nurses in Discharge Planning for Post-Neurosurgery Patients: A Qualitative Study Br Ginting, Liani; Nasution, Ali Napiah; Anggeria, Elis
Caring: Indonesian Journal of Nursing Science Vol. 7 No. 2 (2025): Vol 7 No 2 2025 Caring: Indonesia Journal of Nursing
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/ijns.v7i2.22998

Abstract

Nurses play a vital role and bear primary responsibility in discharge planning due to their constant interaction with patients and families. Research on discharge planning in Indonesia, particularly for post-neurosurgery patients, is still limited and rarely explored in depth, especially using a qualitative approach. Through a qualitative approach, this study was able to reveal the perceptions, challenges, and strategies of nurses that are often not seen in quantitative data.  This study aims to analyse the role of nurses in discharge planning for families of patients who have undergone neurosurgery. This study employed a descriptive qualitative approach using phenomenological methods. The number of participants or informants based on saturation data or redundancy concepts can generally be achieved using purposive techniques. In-depth interviews were used in data collection. The data analysis process in this study used Colaizzi's approach. This study produced nine themes based on the Modified Concept of Meleis' Transitional Nursing Theory and Roy's Adaptive Nursing Model Theory. including medical education, clarity of information, involving the family, addressing concerns, support for access to follow-up services, follow-up support, patient/family readiness, post-discharge challenges, recommendations for services. The impact of discharge planning carried out by nurses prior to discharge home results in patients and their families being prepared to carry out nursing actions at home. Nurses should always be mindful of their role in the discharge planning process because quality discharge planning is not merely an “administrative procedure before discharge,” but rather a strategic investment. Keyword: Patient Discharge Planning, Neurosurgery Procedure, Nursing Role
Family Experience in Supporting Diabetes Self-Management Practice: A Qualitative Study Tarigan, Mula; Sairomaito Harahap; Siti Zahara Nasution; Evi Karota Bukit; Dharma Lindarto; Dewi Frintiana Silaban
Caring: Indonesian Journal of Nursing Science Vol. 7 No. 2 (2025): Vol 7 No 2 2025 Caring: Indonesia Journal of Nursing
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/ijns.v7i2.23251

Abstract

Family participation plays a vital role in the success of diabetes self-management (DSM). In Indonesia, family-centered care is culturally embedded, yet limited research has explored how families experience and interpret their roles in supporting self-management among patients with type 2 diabetes mellitus (T2DM). This study aimed to explore family experiences in supporting diabetes self-management practices among patients with T2DM in Medan, Indonesia. A descriptive phenomenological approach was employed. Twelve family members who cared for T2DM patients at Chairuddin Panusunan Lubis Hospital were recruited using purposive sampling. Data were collected through in-depth interviews and field notes from February to May 2025. Colaizzi’s seven-step analysis method guided data analysis to extract significant statements and formulate themes. Credibility was ensured through member checking, dependability via team discussion, and confirmability through audit trails. Five interrelated themes emerged: (1) controlling diet, (2) arranging physical training (3) administering medications, (4) emotional support, and (5) utilization of health care facilities. These themes reflected how families act as emotional motivators, behavioral supervisors, and coordinators of care to strengthen patients’ adherence and self-efficacy. Family involvement was not limited to instrumental assistance but extended to emotional reinforcement and facilitation of healthcare access. Family engagement forms the backbone of effective DSM, integrating physical, emotional, and social support. Strengthening family-based interventions is essential to enhance adherence, glycemic control, and quality of life among patients with T2DM. Keyword: Family Experience, Diabetes Self-Management, Family Support, Qualitative Study, Indonesia
Integrating Caring and Self-Leadership to Enhance Nurses’ Motivation in Hospital Settings: A Systematic Literature Review Rizafni, Arieny; Rr. Tutik Sri Hariyati; Enie Novieastari; Trevino A. Pakasi; Akbar Nur
Caring: Indonesian Journal of Nursing Science Vol. 7 No. 2 (2025): Vol 7 No 2 2025 Caring: Indonesia Journal of Nursing
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/ijns.v7i2.23293

Abstract

Nurses’ motivation is a critical determinant of quality of care, professional engagement, and workforce retention. While self-leadership and caring leadership have been widely examined as separate constructs, the integration of caring values into self-leadership practices referred to here as caring-based self-leadership has not been systematically synthesized. This systematic review aims to identify, evaluate, and synthesize empirical evidence on caring-based self-leadership and its relationship with nurse motivation in hospital settings.  Acomprehensive literature search was conducted in PubMed, Scopus, ScienceDirect, CINAHL, and Google Scholar for peer-reviewed articles published between 2015 and 2025 in English or Indonesian. The review followed PRISMA 2020 guidelines, and methodological quality was appraised using the Joanna Briggs Institute (JBI) critical appraisal tools. A total of 1,245 records were identified; 132 full-text articles were assessed, and 17 studies met the inclusion criteria. Three main themes emerged: (1) self-leadership enhances intrinsic motivation through self-regulation and goal setting; (2) caring or engaging leadership provides organizational support that strengthens nurses’ motivation; and (3) psychological and organizational mediators/moderators (e.g., job resources, calling, affective commitment) shape these relationships. Substantial heterogeneity was observed across study design, measures and cultural contexts. Caring-based self-leadership promotes nurses’ intrinsic motivation and engagement through cognitive, emotional, and organizational mechanisms, offering a humanistic foundation for leadership development and quality improvement in nursing practice.   Keyword: Self-leadership, Caring Leadership, Nurse Motivation, Intrinsic Motivation
Impact of Sociodemographic Factors on the Early Initiation of Complementary Feeding in Padang City, Indonesia Hermalinda Herman; Deswita; Ira Mulya Sari; Arif Rohman Mansur
Caring: Indonesian Journal of Nursing Science Vol. 7 No. 2 (2025): Vol 7 No 2 2025 Caring: Indonesia Journal of Nursing
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/ijns.v7i2.23490

Abstract

The World Health Organization (WHO) recommends introducing complementary foods at six months of age, while continuing breastfeeding up to two years or beyond. However, early or delayed initiation remains common, contributing to nutritional problems in developing countries. This study aimed to assess the prevalence of timely initiation of complementary feeding (CF) and identify sociodemographic factors associated with early introduction of complementary feeding among mothers of infants aged 6-23 months in Padang, Indonesia. A cross-sectional study was conducted among 244 mothers of infants aged 6–24 months. Data were collected using structured questionnaires covering sociodemographic characteristics and the time for introduction ofcomplementary feeding. Statistical analysis was performed using SPSS version 25, descriptive statistics described the prevalence of timely initiation, bivariate logistic regression assessed the relationship between sociodemographic factors and early initiation of CF. Most mothers (89.8%) initiated complementary feeding at the recommended age of 6–8 months, 9.0% introduced foods before six months, and 1.2% after eight months. Early initiation was significantly associated with maternal education level (p = 0.006), and grandmothers as source information (p = 0.010), where mothers with lower education were more likely to introduce foods prematurely (AOR = 3.39, 95% CI: 1.02–11.32). Mothers who received information from grandmothers were more likely to introduce CF on time (AOR = 2.73, 95% CI: 1.06–6.98). The study highlights the importance of education and family influence on infant feeding practices and recommends strengthening health education for mothers, especially those with lower education, to improve adherence to CF guidelines. Keyword: Early weaning, Complementary feeding, Maternal educational status, Socioeconomic factors, Grandparents

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