cover
Contact Name
Dina Rasmita
Contact Email
dinarasmita@usu.ac.id
Phone
-
Journal Mail Official
dinarasmita@usu.ac.id
Editorial Address
Jl. Prof. T Maas No. 3 Padang Bulan Medan 20155
Location
Kota medan,
Sumatera utara
INDONESIA
Caring : Indonesian Journal of Nursing Science
ISSN : -     EISSN : 26857162     DOI : https://doi.org/10.32734/ijns
Core Subject : Health,
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.
Articles 150 Documents
Self-Leadership and Nurses Competence in Infection Prevention and Control in Hospital: Self-Leadership and Nurses Competence Marcellina Putri S; Diah Arruum
Caring: Indonesian Journal of Nursing Science Vol. 8 No. 1 (2026): Vol 8 No 1 2026 Caring: Indonesia Journal of Nursing Science
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/ijns.v8i1.23232

Abstract

Infection Prevention and Control (IPC) is a core competency for nurses in hospital. However, several instances of infections caused by suboptimal nursing competencies in IPC are still observed, which can lead to patient safety issues. Nurse self-leadership is one way to enhance nursing competencies in IPC. This study aims to identify the relationship between self-leadership and nursing competencies in infection prevention and control in hospital. The research design used a descriptive correlation approach with a simple random sampling technique. The study was 98 nurses. This study was conducted using the Pearson correlation coefficient (r). The results of the study showed that nurse self-leadership was in the moderate category with a mean value of 3.06, and nursing competencies in infection prevention and control were also in the moderate category, with a mean value of 63.79. The study found a significant relationship between self-leadership and nursing competencies in infection prevention and control, with a r = 0.385, p-value 0.000 (< 0.05), indicating a weak relationship. The component of self-leadership that scored the highest was behavior-focused strategies. In conclusion, higher self-leadership among nurses is associated with better nursing competencies in IPC. It is recommended that ward managers develop the self-leadership skills and competencies of nurses in infection prevention and control through structured training programs. Improving self-leadership skills can enhance nursing competencies. Keyword: Hospital, Humans, Leadership, Patient Safety, Research Design
Predictors of Diabetes Self-Management Behaviors among Patients with Type 2 Diabetes Mellitus in Aceh, Indonesia Riski Amalia; Nani Safuni; Aulia Kamal; Anda Kamal; Asrizal; Sri Agustina; Fiona Desi Amelia; Tri Nur Handayani
Caring: Indonesian Journal of Nursing Science Vol. 8 No. 1 (2026): Vol 8 No 1 2026 Caring: Indonesia Journal of Nursing Science
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/ijns.v8i1.23287

Abstract

Patients managing Type 2 Diabetes Mellitus (T2DM) themselves are still key to reducing morbidity, mortality, and complications. T2DM blood sugar regulation is affected by several internal and environmental factors. This research aims to investigate the extent of factors related to self-management techniques in T2DM patients in Aceh Province, Indonesia. This study employed a cross-sectional predictive correlational design and was conducted in a subdistrict of Banda Aceh. This research sample has used the G*Power program, which indicated that there were 118 T2DM patients. This study utilized a purposive sampling technique. The Diabetes Self-Management Questionnaire (DSMQ), the Diabetes Mellitus Self-Efficacy Scale (DMSES), and the RAND Health Support Questionnaire (RAND SF-36). IBM SPSS Statistics 27 was used to perform the study's multiple linear regression analysis. The findings of this study showed that greater participation in the T2DM management education program was significantly associated with improved self-management behaviors (β = 0.326, p < 0.0001). In contrast, lower levels of family support (β = -0.184, p = 0.030) and self-efficacy (β = -0.172, p = 0.048) were negatively associated with T2DM self-management. The findings of this study showed that greater participation in the T2DM management education program was significantly associated with improved self-management behaviors (β = 0.326, p < 0.0001). In contrast, lower levels of family support (β = -0.184, p = 0.030) and self-efficacy (β = -0.172, p = 0.048) were negatively associated with T2DM self-management behaviors. For this research, a continuous T2DM self-management education program for families and counselor nurses is recommended. Keyword: Family Support, Self-Efficacy, Self-Management, T2DM
Stigma Experienced by Families of Children with Autism Spectrum Disorder in Urban Areas: A Phenomenological Study Cau Kim Jiu; Sri Ariyanti
Caring: Indonesian Journal of Nursing Science Vol. 8 No. 1 (2026): Vol 8 No 1 2026 Caring: Indonesia Journal of Nursing Science
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/ijns.v8i1.23599

Abstract

Parents of a child with Autism Spectrum Disorder (ASD) may be stigmatized as families are sometimes penalised by behaviours that are different from those displayed by usually developing children. Such stigma may be link to emotional difficulties, social isolation and experienced lower family quality of life, further emphasising the need to consider the form of stigma and the factors influencing them in their context. The purpose of this qualitative phenomenological study was to make an exploration of the types of stigma that families raising children with ASD in Urban settings experience. Participants: Qualitative data were drawn from semi-structured face-to-face interviews (N = 28) of parents, siblings and grandparent(s) at home, school and a therapy center. The analysis was carried out using qualitative content analysis and the validity of the data was established through prolonged engagement, triangulation, member checking and consultation with experts. It found 5 stigma themes: Physical, internal, public, cultural and label. In summary, urban families with children diagnosed with ASD are faced with multiple persistent forms of stigma that affect their emotional health and sense of social wellbeing. Hence, there is an imminent need for intensive public education, culturally appropriate awareness drives and increased advocacy from health care providers to reduce stigmas and change social dynamics in a favourable manner. Keyword: Autism Spectrum Disorder, Family Stigma, Urban Population, Phenomenology
The Influence of Health Education on Knowledge about Sleep Hygiene in the Elderly: A Quasi-Experimental Study Lufthiani Anwar; Siti Zahara Nasution; Alfi Syahrin Siregar
Caring: Indonesian Journal of Nursing Science Vol. 8 No. 1 (2026): Vol 8 No 1 2026 Caring: Indonesia Journal of Nursing Science
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/ijns.v8i1.23709

Abstract

Sleep disturbances are common among older adults and are often associated with inadequate knowledge of sleep hygiene, resulting in poor sleep quality and reduced well-being. This study aimed to determine the effect of health education on knowledge regarding sleep hygiene among elderly individuals in Hamlet III, Selemak Village, Hamparan Perak Subdistrict, Deli Serdang Regency. A quasi-experimental study using a one-group pretest-posttest design was conducted among 40 elderly participants selected through total sampling. Data were collected using a structured questionnaire consisting of 20 items assessing sleep hygiene knowledge before and after intervention. The intervention consisted of one 45-minute health education session using lectures, discussion, and leaflet media. Data were analyzed using the Wilcoxon signed-rank test. Before intervention, knowledge levels were categorized as good (5%), fair (75%), and poor (20%). After intervention, good knowledge increased to 47.5%, while fair knowledge reached 52.5%. Median knowledge scores increased from 11 to 16. Statistical analysis showed a significant improvement after intervention (Z = -4.692; p < 0.001), with a large effect size (r = 0.74). Health education was effective in improving sleep hygiene knowledge among older adults. Routine educational programs are recommended to promote healthy sleep behaviors in the elderly. Keyword: Health education, Sleep hygiene, Elderly, Knowledge
The Multidimensional Role of Family Members in Dietary Supervision for Hypertension Patients: A Descriptive Phenomenological Study Wirda Faswita; Eqlima Elfira
Caring: Indonesian Journal of Nursing Science Vol. 8 No. 1 (2026): Vol 8 No 1 2026 Caring: Indonesia Journal of Nursing Science
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/ijns.v8i1.23765

Abstract

Long-term dietary regulation, characterized by the reduction of sodium and fat intake along with increased fiber consumption, serves as a crucial non-pharmacological component for controlling blood pressure in patients with hypertension. Therefore, this study aims to identify and analyze the various dimensions of the family's role in dietary supervision for members suffering from hypertension. The study procedures were carried out at UPT Puskesmas Medan Sunggal (July-August 2025) using a qualitative design with a descriptive phenomenology approach. The participants (n=8) were selected using a purposive sampling method. Data from semi-structured interviews were analyzed using Colaizzi’s seven-step method, involving transcription, significant statement extraction, and thematic formulation. The results showed that the family's role was divided into 3 interconnected main categories. First, the family as a practical supervisor and food environment modifier, where members actively limited the use of salt, oil, and flavor enhancers during cooking and controlled the availability of fast food at home. Second, the family as motivation and emotional coping supporter, where members provided encouragement, reminded the patient using gentle language, and helped the patient cope with the frustration associated with dietary changes. Third, as a behavior model and informal educator, where members collectively adopted healthier eating patterns (low salt), preventing the patient from feeling isolated, and proactively provided nutritional information. These results recommend the empowerment of families by the primary health center to improve communication skills and the preparation of healthy meals that are acceptable to hypertensive patients. Keyword: Dietary Supervision, Family Members, Hypertension, Role  
Health Workers' Competence in Home Blood Pressure Measurement-Based Hypertension Management in a Remote Border Region of Indonesia Pius AL Berek; Maria Paula Marla Nahak; Maria Fatimah W. A. Fouk
Caring: Indonesian Journal of Nursing Science Vol. 8 No. 1 (2026): Vol 8 No 1 2026 Caring: Indonesia Journal of Nursing Science
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/ijns.v8i1.24192

Abstract

Home Blood Pressure Measurement (HBPM), although strongly recommended for optimizing hypertension control and identifying white-coat and masked hypertension, remains suboptimally implemented in rural and resource-constrained border settings, primarily due to limited competence among frontline health workers. This study aimed to assess health workers’ competence related to HBPM-based hypertension management in a remote border region of Indonesia. A cross-sectional study was conducted among 331 health workers, including nurses, midwives, physicians, pharmacists, and allied health professionals. A validated 21-item questionnaire assessed three HBPM knowledge domains: fundamental concepts, clinical benefits, and technical implementation. Data were analyzed using descriptive statistics, chi-square tests, and multivariate logistic regression. Overall, 58.0% of participants demonstrated good HBPM-related knowledge. Knowledge scores were highest in the clinical benefits domain, while technical implementation showed the lowest performance. Only 14.8% correctly identified differences between home and clinic blood pressure values, and 26.6% recognized the need to discard first-day readings. Nurses (AOR = 3.5; 95% CI: 1.07–11.53) and midwives (AOR = 5.1; 95% CI: 1.44–18.15) were significantly more likely to have good knowledge compared to other professions. Gender and education level were not significant predictors. Although general awareness of HBPM among health workers was adequate, substantial gaps in technical knowledge persist. Strengthening practical HBPM training, particularly for nurses and midwives as frontline providers, is essential to improve hypertension management in underserved border regions. Keyword: Border region, Health workers, Home blood pressure measurement, Hypertension, Low-resource settings  
Effectiveness of the PRI Model (Psycho-Religious Intervention) in Improving the Psychological Well-Being of Cancer Patients: A Randomized Controlled Trial Priyanto Priyanto; Weni Hastuti
Caring: Indonesian Journal of Nursing Science Vol. 8 No. 1 (2026): Vol 8 No 1 2026 Caring: Indonesia Journal of Nursing Science
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/ijns.v8i1.24590

Abstract

Cancer imposes a heavy psychological burden that significantly reduces patients’ quality of life; however, conventional psychosocial interventions often overlook the need for spiritual coping, which is of vital importance to patients in religious cultures. This study aims to examine the effectiveness of the Psycho-Religious Intervention (PRI) Model, which combines psychological education with spiritual practices such as contemplative prayer, on the psychological well-being (PWB). This study employed a single-blind, parallel-group, pre-posttest Randomized Controlled Trial (RCT) design, involving 60 homogeneous cancer patients recruited into the intervention (n=30) and control (n=30) groups. The intervention group received the PRI Model delivered over four days (two sessions per day), while the control group received standard care. The data were analyzed using independent t-test and paired t-test. The results of the study show that the PRI Model significantly improved the total PWB score (p=0.010). The intervention group recorded an average increase of 15.54 points, whilst the control group rose by only 3.74 points, representing a 14.03% increase in the total PWB score compared with the control group. The PRI model demonstrated superiority across five of the six PWB dimensions, with the greatest impact observed in the Autonomy dimension (19.41%, p=0.001), accompanied by significant improvements in the Positive Relationships, Self-Acceptance, Environmental Mastery and Life Purpose dimensions. This study provides strong evidence that the PRI Model is an effective, culturally sensitive intervention for enhancing the psychological well-being of cancer patients. Consequently, the PRI Model is recommended for validation as a standard approach in psycho-oncology care. Keyword: Cancer, Psychological Well-Being, Psycho-Religious Intervention, Randomized Control Trial
Sakura and Shifting Tides: Exploring the Deskilling and Upskilling Experiences of Indonesian Nurses in Post-COVID-19 Japan Ria Utami Panjaitan; Achir Yani S Hamid; Wako Asato; Yudi Ariesta Chandra; Andrio Adibowo Muktiwibowo; Henny Permatasari; Mohamad Yusup; Azimatul Aliyah
Caring: Indonesian Journal of Nursing Science Vol. 8 No. 1 (2026): Vol 8 No 1 2026 Caring: Indonesia Journal of Nursing Science
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/ijns.v8i1.24761

Abstract

This qualitative study explored the deskilling and upskilling experiences of Indonesian nurses working in Japan during the post-COVID-19 period, with particular relevance on professional adaptation and evolving health system needs and labor demands. An exploratory qualitative design was adopted with 41 Indonesian nurses providing care in hospitals and long-term care facilities in Chiba, Meguro, Saitama and Yokohama. Data were collected during 2023 through face-to-face semi-structured interviews. Data were analysed using Braun and Clarke's six-phase inductive thematic analysis. The analysis generated seven interrelated themes: (1) deskilling experiences, (2) upskilling and reskilling strategies, (3) post-COVID-19 workplace changes, (4) bilateral cooperation dynamics, (5) cultural and professional adaptation, (6) career transition planning, and (7) perceived benefits of working in Japan. Deskilling emerged as a dominant issue, driven by occupational downgrading, restricted clinical practice, and regulatory barriers. Yet people put into action adaptive behaviours such as: informal learning; training attendance and skill reconstruction attempts. Deskilling thus appears not as a simple linear decline but rather as a hybrid phenomenon influenced both by structural factors linked to business performance and individual actions connected to the nature of work itself. These have policy implications for the design of clinical bridging programs, with structured pre-departure preparation in Japan integrated with medical Japanese language training; clinical skill maintenance under supervision in host institutions; and re-licensure pathways for returnee Indonesian nurses. Keyword: Deskilling; Upskilling; Migrant Nurses; Career Transition; Post-COVID-19; Japan–Indonesia Cooperation
Nurses’ Perspectives on Challenges to Parental Compliance in Childhood Tuberculosis Therapy: A Clinical Study at Prof. Dr. Chairuddin P. Lubis Hospital, University of Sumatra Utara: Strategies for Improving Treatment Adherence Dewi Elizadiani Suza; Hulwana Husna; Nur Afi Darti; Mahnum Lailan Nasution; Dina Rasmita
Caring: Indonesian Journal of Nursing Science Vol. 8 No. 1 (2026): Vol 8 No 1 2026 Caring: Indonesia Journal of Nursing Science
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/ijns.v8i1.24769

Abstract

Parental adherence is critical to the successful treatment of pediatric pulmonary tuberculosis (TB) and the prevention of drug resistance. This study explored nurses’ perspectives on barriers to parental adherence in the management of childhood TB. A qualitative phenomenological approach was employed. Semi-structured, in-depth interviews were conducted with 10 nurses who had at least five years of experience in pediatric TB care at Prof. Dr. Chairuddin P. Lubis Hospital, Universitas Sumatera Utara. Participants were recruited through purposive and snowball sampling techniques. Data were analyzed using Colaizzi’s thematic analysis framework. Three major themes emerged: challenges in the clinical management of pediatric TB, barriers to treatment adherence, and nursing interventions to address treatment obstacles. Nurses described emotional burden, fear of infection, complex treatment regimens, workload pressures, limited parental health literacy, socioeconomic difficulties, stigma, and premature discontinuation of treatment when children showed clinical improvement. Effective management of pediatric TB requires family-centered nursing approaches, clear communication, psychosocial support, and multidisciplinary collaboration. Improving nurse-to-patient ratios and strengthening nurses’ communication competencies may enhance parental adherence and contribute to better long-term treatment outcomes. Keyword: Parental Compliance, Pediatric Pulmonary Tuberculosis, Multi-Drug Resistance, Health Education, Tuberculosis
Coping Strategies in Managing Multiple Roles for Sandwich Generation Nurses: A Phenomenological Study Utari Wardhani; Galuh Eka Safitri; Umi Eliawati
Caring: Indonesian Journal of Nursing Science Vol. 8 No. 1 (2026): Vol 8 No 1 2026 Caring: Indonesia Journal of Nursing Science
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/ijns.v8i1.24846

Abstract

Sandwich generation nurses are known to experience considerable psychological pressure due to the dual responsibilities at home, alongside economic demands and heavy professional workloads. These overlapping roles often create time constraints and increased stress, underscoring the importance of effective coping strategies to maintain mental well-being. Therefore, the present study aimed to explore the coping strategies used by sandwich generation nurses to manage multiple roles. A qualitative phenomenological method was adopted, involving 10 sandwich generation nurses working at a Private Hospital in Batam. The participants were selected using the snowball sampling technique. Data were collected through in-depth interviews and reviewed using thematic content analysis. The entire analysis process identified four main themes. This included (1) managing competing professional and family responsibilities, (2) searching for interpersonal and institutional support, (3) engaging in restorative self-care activities, alongside (4) cultivating meaning and positive reframing. Occupational and emotional challenges were addressed through adaptive coping strategies that promoted emotional regulation, resilience, and psychological stability. Additionally, the results showed that effective coping strategies played a crucial role in maintaining nurses' mental well-being. The cultivation of gratitude and the maintenance of a positive mindset have evolved as significant strategies for helping sandwich generation nurses adapt to the pressures of multiple role demands. Future studies are recommended to inform the development of targeted policies and interventions to enhance the well-being of sandwich generation nurses. Keyword: Coping skills, Role conflict, Resilience, Self-care, Hospitals