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
Effect Of An Animated Prenatal Education Video On Intrauterine Father Attachment: A Pilot Pretest-Posttest Study Ika Parmawati; Firly Sofia Hanum; Ukke Yuristian; Salsabilla Aryuna Tantra; Elsi Dwi Hapsari; Ayyu Sandhi
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.v8i1.24848

Abstract

Father-fetus attachment affects maternal and fetal health, yet few interventions enhance it. Although relaxation, music, and fetal visualitation based education is recommended, evidence remains limited. Structured three-segment animated prenatal education (maternal changes, fetal development, and attachment strategies) remains rarely implemented for expectant fathers. This study aimed to determine the effect of an animated video-based prenatal health education intervention on intrauterine father–fetus attachment among expectant fathers. A pre-experimental one-group pretest-posttest study was conducted among 41 expectant fathers recruited through consecutive sampling from two primary health centers. Attachment was measured using the Intrauterine Father Attachment Scale (Cronbach’s α = 0.939). Normality was assessed using the Shapiro–Wilk test. Pre-post differences were analyzed using the Wilcoxon Signed Rank Test, and associations with participant characteristics were examined using correlation and group comparison tests as appropriate (p<0.05). Although the median intrauterine father attachment score increased from pretest to posttest [69.00 (IQR 61.50–74.00) vs 70.00 (IQR 64.00–78.50)], the difference was not statistically significant (p = 0.069). The animated video intervention did not significantly improve intrauterine father–fetus attachment. Further studies using more interactive or multi-component interventions are warranted. Keyword: Intrauterine Father Attachment, Paternal Behavior, Health Education,  Video-Audio Media, Pregnancy
Quality of Nursing Work Life and Nursing Job Performance in Medan, Indonesia Mula Tarigan; Dani Syahfitri; Siti Khadijah Nasution
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.v8i1.25168

Abstract

Nursing Quality of Work Life (QNWL) and nursing job performance are important variables for nurses in functioning within nursing organizations. However, empirical evidence examining the relationship between these variables remains scarce in North Sumatra Province, particularly in Medan. This study aimed to assess the relationship between QNWL and nursing job performance at Chairuddin Panusunan Lubis Hospital, Indonesia. This correlational study design involved a total sample of 62 nurses working in inpatient units. The instruments used were the QNWL and nursing work performance questionnaire. The frequency distribution, percentage, and Pearson correlation test were used for data analysis. The findings showed that QNWL and nursing job performance were predominantly in the moderate category. There was a significant and positive relationship between QNWL and nursing job performance (p < 0.001 and r = 0.670), indicating that higher QNWL is associated with better nursing performance. Therefore, maintaining and improving QNWL is essential to enhance nursing job performance, enabling nurses in hospital settings to deliver high-quality care and achieve optimal and safe patient outcomes.  Keyword: Nursing Work Life, Job Performance, Work Environment, Hospital                                                                                                                                                
Nurses' Experiences of Burnout in the Emergency Room of a Hospital in Medan, Indonesia: A Descriptive Phenomenological Study Setiawan Setiawan; Sarifa Aini
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.v8i1.25178

Abstract

Burnout is a chronic state of physical and emotional exhaustion experienced by nurses as a result of prolonged exposure to work-related stress, particularly in high-demand environments such as emergency departments. Although quantitative data on its prevalence are available, the lived experiences and personal meanings that emergency nurses associate with burnout within Indonesia’s cultural and institutional context remain poorly understood. The purpose of this study was to phenomenologically explore the experiences of burnout among nurses in the emergency room of a hospital in Medan, Indonesia. The study used a descriptive phenomenological approach. Ten nurses were selected using a purposive sampling technique. Data were collected through face-to-face, in-depth interviews using an interview guide. Methodological trustworthiness was ensured through the application of explicit reflexive bracketing, prolonged engagement, and member-checking procedures. The interview transcripts were systematically analyzed using Colaizzi’s seven-step descriptive phenomenological method. The findings revealed five themes related to nurses experience on burnout in an emergency room: 1) receiving pressure and negative attitudes from patients and families, 2) undergoing high workloads and minimal appreciation, 3) experiencing negative feelings and low motivation, 4) facing internal obstacles and barriers, and 5) managing sources of stress and improving self-quality. The findings of this study indicate that burnout is a complex experience that affects nurses’ physical and emotional well-being, while also influencing their work motivation and sense of professional meaning. Hospital management should establish structured psychological support systems, ensure objective workload redistribution, and implement clear workplace violence prevention policies to protect nurses’ well-being and maintain the quality of patient care. Keyword: Burnout, Descriptive Phenomenology, Emergency Room, Nurse, Hospital
The Relationship Between Laboratory Learning and Nursing Students' Self-Confidence During Preceptorship Rika Endah Nurhidayah; Erniyati; Reisy Tane; Cholina Trisa 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.v8i1.25401

Abstract

The gap between classroom knowledge and clinical practice remains a problem in nursing professional education. This gap creates a fear of making mistakes and a lack of self-confidence in nursing students. Laboratory learning is expected to be a solution that makes students more confident in providing health care. This correlational research design aims to analyze the relationship between laboratory learning and nursing students' self-confidence during clinical practice. The population in this study were all final-year students of the Faculty of Nursing, University of North Sumatra, totaling 196 students. The sample size was determined using the Slovin formula with α=0.05, resulting in a sample size of 132 students. The sample was selected randomly. The instrument used was developed based on theory, then validity and reliability tests were conducted to ensure its content was appropriate and suitable for use. The research data were analyzed using Spearman correlation due to the non-normal distribution of the data. The results of the data analysis showed a significant relationship between laboratory learning and student self-confidence. The coefficient value was positive (+0.417), which means that the better the laboratory learning, the higher the students' self-confidence, with a moderate strength of relationship. Keyword: Laboratory Learning, Nursing Students' Self-Confidence, Preceptorship
Factors Associated with Job Satisfaction and Self-Efficacy Among Nurses in Community Health Centers: A Cross-Sectional Study in Tanjungpinang City Nur Meity Sulistia Ayu; Zuraidah; Tri Arianingsih; Ernawati; Tri Arianingsih
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.v8i1.24841

Abstract

Low levels of nurse’s job satisfaction and self-efficacy may reduce productivity, increase occupational stress, compromise the quality of patient care, and contribute to turnover intention. Identifying factors associated with job satisfaction and self-efficacy is therefore essential for strengthening nursing workforce management and improving healthcare outcomes. This study aimed to examine factors associated with job satisfaction and self-efficacy among nurses working in community health centers in Tanjungpinang City. A quantitative cross-sectional study was conducted among 92 nurses selected from a population of 120 using proportionate stratified random sampling based on the Slovin formula with a 5% margin of error. Data were collected using validated structured questionnaires and analyzed using Spearman’s rank correlation test. Among the 92 respondents, 70 (76.1%) reported high job satisfaction, while 67 (72.8%) demonstrated high self-efficacy. Interpersonal relationships (p < 0.001, r = 0.670) and social support (p = 0.001, r = 0.550) were significantly associated with job satisfaction, whereas workload was not significantly associated with job satisfaction (p = 0.904, r = −0.022). Verbal persuasion (p = 0.009, r = 0.447) and personal experience (p < 0.001, r = 0.690) were significantly associated with nurses’ self-efficacy. Organizational and psychological resources play a crucial role in enhancing nurses’ job satisfaction and self-efficacy. Nursing managers should prioritize evidence-based human resource management strategies that strengthen organizational support, enhance positive interpersonal relationships, expand mentoring and constructive feedback mechanisms, and promote continuous competency-based professional development to improve nurses’ performance. Keyword: Job Satisfaction, Self-efficacy, Nurses, Community Health Centers
Clarifying Nursing as a Discipline: The Case for Nursology Cyruz Tuppal
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.v8i1.25437

Abstract

Nursing science has developed into a multifaceted field that integrates empirical, theoretical, and humanistic knowledge. Despite its intellectual development, questions remain regarding the conceptual clarity of its disciplinary identity, which is often positioned as an applied health science rather than an autonomous field of inquiry. In response to these ongoing debates, nursology has been proposed as a conceptual reframing that seeks to articulate the ontological, epistemological, and methodological foundations of nursing more explicitly. This paper aims to explore the conceptual and philosophical basis of nursology as a proposed disciplinary reframing of nursing science through philosophical inquiry and theoretical synthesis. A philosophical–theoretical approach was employed using conceptual analysis, disciplinary critique, and integrative synthesis. Canonical works in philosophy of science, phenomenology, hermeneutics, ethics, and caring science were critically examined to explore the conceptual foundations of nursology. The analysis identified four interrelated conceptual dimensions disciplinary differentiation, caring ontology, epistemological coherence, and methodological pluralism that collectively provide a philosophical framework for understanding nursology as a proposed conceptual orientation for nursing science rather than as an empirically established independent discipline. This paper argues that nursology may offer a coherent philosophical framework for clarifying nursing's disciplinary identity and strengthening the theoretical integration of research, education, and practice. Further scholarly dialogue and empirical inquiry are warranted to examine the usefulness and applicability of this conceptual perspective. Keywords: Caring Ontology, Integrative Epistemology, Methodological Pluralism, Nursology, Nursing Science
Adolescent Barriers to Understanding Cancer Information:A Qualitative Study Dina Rasmita; Dewi Elizadiani Suza; Dwi Karina Ariadni
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.v8i1.25785

Abstract

Cancer-related information is widely accessible to adolescents through schools, families, social media, and their surrounding environment. However, adequate understanding has not necessarily been produced by increased access to information. In this study, adolescents' experiences of the barriers that are encountered in the accessing and understanding of cancer-related information were aimed to be explored. A qualitative study with a descriptive phenomenological approach was conducted. Eighteen Grade XII students from SMK Negeri 14 Medan were purposively selected and were participated in semi-structured interviews. The data were analysed manually using Colaizzi's phenomenological method. Three main themes were identified by the analysis: (1) difficulty in the understanding of complex and diverse cancer information; (2) difficulty in the filtering and prioritising of large volumes of cancer information; and (3) difficulty in the coping with uncertainty before an adequate understanding of cancer was developed. These barriers were associated with fragmented and limited information, unfamiliar medical terminology, communication that was not tailored to adolescents' level of understanding, the broad scope of cancer-related topics, challenges in the prioritising of information, confusion in the distinguishing between symptoms, prevention, and treatment, and the perception of cancer as an inevitable death sentence. It is suggested by the findings that cancer information for adolescents should be communicated using clear, age-appropriate language, be presented progressively, be tailored to their lived experiences, be delivered by trusted sources, and be designed with consideration for adolescents' psychological needs. Valuable insights for the development of school-based cancer education programmes and adolescent-centred nursing interventions are provided by these findings.                                                                                                           Keywords: Cancer, Health literacy, Health information, Teenagers
Warm-Water Foot Soaking with Epsom Salt and Lower-Extremity Somatosensory Function after Ischemic Stroke: A Quasi-Experimental Controlled Study Millatina; Dwight Mahaputera Marulitua Hutapea; Elis Anggeria
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.v8i1.25988

Abstract

Somatosensory impairment after ischemic stroke can reduce lower-extremity sensitivity, impair balance, and increase fall risk. Evidence for warm-water foot soaking with Epsom salt remains limited. To evaluate its association with lower-extremity somatosensory function after ischemic stroke. This non-randomized quasi-experimental pretest–posttest controlled study included 66 participants allocated sequentially to an intervention group (n = 33) or usual-care control group (n = 33). Somatosensory function was assessed using the sensory domain of the Fugl-Meyer Assessment for the Lower Extremity. The intervention comprised soaking the feet in 5 L of water at 40 °C with 250 g Epsom salt for 20 minutes, three times weekly for four weeks. Wilcoxon signed-rank and Mann–Whitney U tests were used. Median scores increased from 7.00 to 8.00 in the intervention group (p < .001) and remained 7.00 in the control group (p = .157). The between-group difference was significant (p = .038; r = 0.256). The intervention was associated with modest improvement. Non-random allocation and the absence of a warm-water-only arm prevent conclusions about efficacy or a salt-specific effect. Keywords: Complementary therapy, Epsom salt, Ischemic stroke, Somatosensory function, Warm-water foot soaking    
Medication Adherence by Pill Count Method and Changes in Mean Arterial Pressure Among Community Members with Hypertension: A Pre-Experimental Study Ikhsanuddin; Elnika Saragih; Nur Asnah Sitohang; Mula Tarigan; Lilis Nuriyanti Tambun
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.v8i1.23315

Abstract

Poor medication adherence contributes to inadequate blood pressure control and increases the risk of hypertension-related complications. The pill count method using a pill box is a simple, objective, and low-cost strategy for monitoring medication adherence in community settings. Therefore, this study aimed to evaluate medication adherence using the pill count method and explore the association with short-term changes in mean arterial pressure (MAP). A pre-experimental one-group pretest–posttest study was conducted among 33 hypertensive patients. Medication adherence was monitored for seven consecutive days using a pill box. Systolic blood pressure (SBP), diastolic blood pressure (DBP), and MAP were measured before and after the observation period, then collected data were analyzed with the Wilcoxon Signed-Rank test. A total of 28 participants (84.8%) showed high medication adherence, with a median adherence of 100% (IQR: 86–100). Significant reductions were observed in SBP (median change: −3.0 mmHg, p = 0.014), DBP (−3.0 mmHg, p = 0.006), and MAP (−3.3 mmHg, p = 0.006). However, these reductions were modest over the seven-day observation period. High medication adherence was followed by modest short-term reductions in blood pressure parameters.  These findings should be regarded as exploratory rather than confirmatory and should not be interpreted as evidence of a causal relationship because of the pre-experimental design. Nevertheless, the pill count method appears to be a practical, objective, and low-cost approach for monitoring medication adherence in community-based hypertension management. Keyword: Hypertension, Medication Adherence, Pill Count Method, Mean Arterial Pressure
A Systematic Review of Delayed Umbilical Cord Clamping to Reduce Anemia among Newborn Infants Restuning Widiasih; Yulia Kurniawati; Ermiati Ermiati; Dinda Apriliani; Yasmina Suryadi; Ardyanti Syafitri; Tosin Popoola
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.v8i1.24683

Abstract

Prolonged umbilical cord clamping during labour is one method to prevent anaemia in neonates; however, limited research on this treatment exists. This review aims to comprehensively assess the effects of delayed umbilical cord cutting and clamping on the anemia status of neonates. The review methodology employs a systematic review of the PubMed, CINAHL, and ScienceDirect databases. Keywords, inclusion and exclusion criteria are explicitly defined; the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) is used to examine article selection, and critical assessment is conducted using JBI for randomised controlled trials (RCTs). A total of 11 papers from various countries were selected. The analytical results indicate that umbilical cord clamping and cutting enhance placental transfusion, augment iron reserves, diminish the risk of baby anaemia, increase red blood cell flow, and improve cardiopulmonary adaption. This measure diminishes and averts the occurrence of anemia in babies. Restricted implementation and evaluation of the efficacy of this measure in developing and multicultural nations, such as Indonesia. The socialisation and integration of this action within health services enhances the health of newborns. Keyword: Anemia, Delayed cord clamping, Newborn