Journal of Vocational Nursing
This journal specifically welcomes research that aims to evaluate and understand complex care interventions that use the most appropriate design and methods for interesting research questions. Journal Scope: Fundamental Nursing Focuses on the knowledge that shapes the understanding of paradigms, the nursing profession, and the concepts of human growth and development and an understanding of several nursing theories. Nursing Management Focusing on operational Management, Management of nursing care. Medical Surgical Nursing Focusing on the concepts and principles of medical medical nursing background of the application of nursing science and technology in meeting the needs of adult clients who experience physiological changes with or without structural disorders, for example: respiratory system, cardiovascular system, digestive system, urinary system, endocrine system, tropical disease problems , innervation, musculoskeletal, integumentary systems, and male immunity and reproduction. Emergency Nursing Focusing on the concepts and principles of emergency nursing given to urgent and critical patients. Emergency services provide services to deal with emergency conditions experienced by patients and provide nursing care to deal with patient and family anxiety—the principle of emergency nursing management : Maintain airway and provide ventilation, do resuscitation when needed. Assess airway injuries and obstructions, Control bleeding and its consequences, Evaluation and recovery of cardiac output. Community Nursing Focusing on the basic concepts of health and community nursing, health programs / government policies in addressing priority health problems in Indonesia, community nursing care and issues related to issues and trends in community health problems in the context of major health services with an emphasis on improving health, preventing disease and health care. Occupational Health Nursing Focusing on the basic concepts of health and community nursing, health programs / government policies in addressing priority health problems in Indonesia, community nursing care and issues related to issues and trends in community health problems in the context of major health services with an emphasis on improving health, preventing disease and health care. Mental Health Nursing Focusing on nursing efforts in primary, secondary, and tertiary prevention of clients with bio-psycho-socio-spiritual problems and mental health disorders, individual therapeutic relationships in the family context, therapeutic modalities of nursing, mental health / nursing issues and trends in Indonesia and the role of nurses and prevention of mental health / nursing problems. Geriatrics and Gerontology Nursing Focusing on the concept of gerontik nursing which includes the provision of nursing care, carrying out advocacy, and work to improve the ability of elderly independence, prevent and minimize disability and support the death process with dignity. The scope of service in the elderly includes: 1. Institutional-based elderly health services 2. Community-based health services Family Nursing Focuses on the concept of family nursing which includes the role of the family describing a set of interpersonal behaviors, traits and activities related to individuals in certain positions and situations. Maternity Nursing Focusing on understanding the concepts and theories of maternity nursing and government policies in improving the health of women of childbearing age, pregnant women, mothers of birth, mothers after childbirth, and their babies up to 40 days in normal conditions their families. Pediatric Nursing Focusing on optimizing child growth through a comprehensive approach to solving biopsychosocial problems in a healthy range of illnesses and acute, chronic and life threatening conditions. Nursing Education Nursing education includes instruction in topic areas. These are nursing assessment, nursing diagnosis, and nursing care planning. In the United States, nursing students learn through traditional classroom and lab instruction. Nursing education also involves clinical rotations and simulation, throughout their schooling, to develop care planning and clinical reasoning. Nursing Ethics Bioethics, Clinical Ethics / Clinical Ethics, Nursing Ethics / Nursing Ethics Nursing Law and Policy Covering all aspects related to health (physical, spiritual and social health as a whole)
Articles
214 Documents
FRONT MATTER OCTOBER 2025
MATTER, FRONT
Journal of Vocational Nursing Vol. 6 No. 2 (2025): OCTOBER 2025
Publisher : Universitas Airlangga
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FRONT MATTER OCTOBER 2025
BACK MATTER OCTOBER 2025
MATTER, BACK
Journal of Vocational Nursing Vol. 6 No. 2 (2025): OCTOBER 2025
Publisher : Universitas Airlangga
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EFFECTIVENESS OF MENTAL HEALTH TRAINING'S ON COMMUNITY LEADERS' ATTITUDES OF PEOPLE WITH MENTAL DISORDERS: A QUASI EXPERIMENT
Yosua Aldrin Kaligis
Journal of Vocational Nursing Vol. 7 No. 1 (2026): MAY 2026
Publisher : Universitas Airlangga
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DOI: 10.20473/jovin.v7i1.70535
Introduction: As a mental health service, community leaders' involvement will aid in the detection and reporting of mental illnesses in the community, assisting in the provision of unambiguous answers to health issues in the community. The significance of leaders in changing the way the community views mental health cannot be overstated. This study aims to ascertain how community leaders' perceptions of people with mental illness evolve following their training and health education. Methods: Using a pre-test and post-test design with a control group, this study was quasi-experimental. Using the Community Attitudes Survey and stratified random sampling, the sample consisted of 84 respondents in total. The Mental Illness Questionnaire. We conduct mental health training daily, followed by a two-week evaluation. Results: According to the study's findings, the intervention group's mean attitude score 24.95, while the control group's was 23.97. Additionally, the intervention group's post-mental health training score was 27.32, while the control group's rating was 25.10. Both the intervention group and the control group had 0.000 (p < 0.05) attitudes, indicating that mental health training had an impact on both groups. With a value of 0.000 (p < 0.05), the difference test results likewise revealed a significant attitude difference. Community leaders develop the capacity to take on a particular mindset. Conclusions: There is an influence on the attitudes of community leaders toward people with mental illness when receiving health education.
PEER TO PEER EMPOWERMENT: HOW PEER EDUCATION AFFECTS TEEN ATTITUDES TOWARD PREVENTING UNWANTED PREGNANCY
Nur Maziyah Hurin'in;
Tri Yunita Fitria Damayanti;
Nur Cholila
Journal of Vocational Nursing Vol. 7 No. 1 (2026): MAY 2026
Publisher : Universitas Airlangga
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DOI: 10.20473/jovin.v7i1.71048
Introduction: Cases of juvenile delinquency in the era of the Industrial Revolution 4.0 are increasingly prevalent and attracting attention. Adolescent sexual behavior poses various risks, including sexually transmitted diseases (STDs), unwanted pregnancies (UP), abortion, school dropout, and moral issues among adolescents. This study aims to analyze the effect of peer education on adolescents’ attitudes toward preventing unwanted pregnancy. Methods: This study employed a pre-experimental design with a one-group pretest–posttest approach. The population consisted of 89 ninth-grade female students in a junior high school. The sample sizewas determined using the Lemeshow formula, resulting in 70 participants selected through simple random sampling. The independent variable was pregnancy prevention education. Data were analyzed using the Wilcoxon test with the assistance of SPSS software. Results: At a significance level of α = 0.05, the result of Asymp. Sig. (2-tailed) = 0.000 (< 0.05) indicates a significant effect of peer group health education on adolescents’ attitudes toward preventing unwanted pregnancy. Conclusions: Peer health education significantly influences adolescents’ positive attitudes toward preventing unwanted pregnancy. Future research is recommended to develop digital-based educational methods and explore the integration of artificial intelligence.
EFFECT OF BUBBLE-BLOWING BREATHING THERAPY ON OXYGENATION IN BRONCHOPNEUMONIA: A QUASI-EXPERIMENT STUDY
Novita Setianingsih;
Nafisatun Nisa;
Siti Lestari;
Sri Hartini M. A.
Journal of Vocational Nursing Vol. 7 No. 1 (2026): MAY 2026
Publisher : Universitas Airlangga
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DOI: 10.20473/jovin.v7i1.71213
Introduction: Bronchopneumonia is a common cause of lower respiratory infections in children and often leads to impaired oxygenation and breathing difficulties. There is an urgent need for non-invasive, child-friendly interventions to support respiratory recovery in hospitalized children. This study aimed to evaluate the effectiveness of a modified breathing intervention, specifically bubble-blowing therapy, on oxygenation outcomes in children with bronchopneumonia. Methods: A quasi-experimental one-group pretest–posttest design was employed, involving 31 children diagnosed with bronchopneumonia, selected through purposive sampling at SMC Telogorejo Hospital. The intervention consisted of a 10-minute session of modified pursed-lips breathing combined with bubble blowing. Oxygenation was assessed by measuring respiratory rate (RR), heart rate (HR), and oxygen saturation (SpO₂) before and after the intervention. Paired t-tests were used for statistical analysis, with significance set at p ≤ 0.05. Results: Post-intervention findings showed significant improvements: the mean RR decreased from 28.7 to 24.13 breaths/min, HR decreased from 122.87 to 112.90 beats/min, and SpO₂ increased from 95.16% to 99.23% (all p = 0.000). Conclusions: Bubble-blowing breathing therapy, a playful adaptation of pursed-lips breathing, significantly improved respiratory rate, heart rate, and oxygen saturation in children with bronchopneumonia. These findings suggest that this approach may serve as a simple and engaging method to enhance short-term oxygenation in pediatric care. Further studies incorporating control groups and longer follow-up periods are needed to confirm these findings and explore long-term effects.
OUTCOMES OF CVD PATIENTS WITH T2DM AND CKD IN THE ICU: A 3-MONTH RETROSPECTIVE COHORT STUDY
Harisa Mardiah;
Tasya Epifania Sembiring;
Rahayu Septiarini;
Akhmad Hidayat;
Rahmawati Rahmawati
Journal of Vocational Nursing Vol. 7 No. 1 (2026): MAY 2026
Publisher : Universitas Airlangga
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DOI: 10.20473/jovin.v7i1.72647
Introduction: Cardiovascular disease (CVD) is a leading global cause of death, often complicated by comorbid type 2 diabetes mellitus (T2DM) and chronic kidney disease (CKD), known collectively as Cardiovascular–Renal–Metabolic (CaReMe) conditions. These comorbidities significantly increase mortality and ICU burden, yet their combined impact on outcomes in intensive care remains underexplored. Despite their high prevalence, especially in critically ill patients, limited studies have focused on this triad in ICU settings. This study aims to address this gap by evaluating outcomes of ICU-admitted CVD patients with T2DM and CKD. Methods: A retrospective cohort study was conducted over three months in the ICU of Bidadari Batubara Hospital. Data from 86 CVD patients with T2DM and CKD were analyzed. Using purposive sampling, clinical data were retrieved from medical records. Statistical tests assessed associations between comorbidities and in-ICU mortality. Results: The study found high mortality rates in patients with CVD and comorbid T2DM and CKD. Patients with both conditions had a 64.9% mortality rate, a 2.07-fold increased risk of mortality compared to those with T2DM only (31.3%) (95% CI: 0.96-4.44), and a 1.53-fold increased risk compared to those with CKD only (42.4%) (95% CI: 0.96-2.43). A significant association was found between outcomes of CVD patients and comorbidities (p<0.001), with a positive correlation. Conclusions: Previous studies emphasize the impact of comorbidities on CVD outcomes; this study confirms that T2DM and CKD significantly increase ICU mortality, justifying targeted interventions to mitigate risk and improve outcomes in critically ill CVD patients.
AI CHATBOT FOR HEALTH EDUCATION BY NURSES: PATIENT ACCURACY AND ACCEPTANCE
Erik Kusuma;
Dicky Edrian Kurniawan;
Bagus Dwi Cahyono;
Ainul Fitriyah
Journal of Vocational Nursing Vol. 7 No. 1 (2026): MAY 2026
Publisher : Universitas Airlangga
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DOI: 10.20473/jovin.v7i1.72820
Introduction: AI-based chatbots are increasingly used in healthcare to deliver automated patient education due to their ability to provide instant responses and process large volumes of data. Despite their potential, concerns regarding accuracy, patient trust, and regulatory issues continue to limit their full integration into clinical practice. This systematic review evaluates the accuracy, acceptance, and effectiveness of chatbots in supporting nurse-led education. Methods: Adhering to PRISMA guidelines, a systematic search of five databases (2019–2024) identified 17 relevant studies. Data extraction focused on study design, chatbot interventions, evaluation metrics, and key findings. Results: The analysis revealed that chatbot accuracy ranged from 60% to 90%, with rule-based systems (92%) outperforming machine learning models (83%). Patient acceptance was moderate: 68% of users expressed willingness to use chatbots, but only 42% fully trusted their recommendations. Trust increased by 30% when chatbot responses were validated by healthcare professionals. Conclusions: AI chatbots can effectively address routine inquiries and reduce nurses’ workload; however, their limited emotional intelligence and contextual adaptability reduce their effectiveness compared to nurse-led education. Key challenges remain in terms of accuracy, trust, and regulation. Future research should focus on personalization, AI–human collaboration, and the development of ethical frameworks to ensure safe and effective implementation.
MANAGEMENT OF POSTNATAL DEPRESSION WITH SADABUSAGA APPROACH
Riska Dwi Candrawati
Journal of Vocational Nursing Vol. 7 No. 1 (2026): MAY 2026
Publisher : Universitas Airlangga
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DOI: 10.20473/jovin.v7i1.75474
Introduction: Postnatal depression (PND) is a psychological disorder commonly experienced by mothers during the first year after giving birth. This condition is associated with an increased risk of suicide, which is one of the leading causes of postnatal death. It requires psychotherapy as well as group and family support. Therefore, this study aims to determine the effect of the SADABUSAGA (Love and Support Mothers Together with Family) family intervention approach on PND in Indragiri Hulu District. Methods: This study used a pretest–posttest control group design. It was conducted from February to May 2025 on 30 postpartum mothers within one year after childbirth in Indragiri Hulu District, divided into 15 participants in the experimental group and 15 in the control group. Results: The average depression score in the experimental group before the intervention was 15.8 and decreased to 7.2 after the intervention. In the control group, the average score decreased from 10.6 to 9.7. The p-value from the independent t-test was 0.00 (<0.05), confirming that the SADABUSAGA family intervention significantly reduced depression in postpartum mothers. Conclusions: Family support, especially from husbands, parents, and in-laws through the SADABUSAGA approach, can help prevent and manage PND in postpartum mothers.
NURSING STUDENTS’ KNOWLEDGE REGARDING POST-MASTECTOMY EXERCISES IN ONCOLOGY UNITS AT THE UNIVERSITY – SUDAN
Aish Yousif Omer Alhussein;
Omnia Hamed Alamin Idriss;
Omnia Adel Ahmed Hussin;
Amira Ibrahim Shames al Deen Mattar;
Omaima Mohammed Abdallha Mohammed;
Amna Awad Mohammed Ali;
Ashraf Aldaw Oteiba Hammad;
Alaa Amer Omar Abobakr;
Sulafa Ali Salama Elehaimir
Journal of Vocational Nursing Vol. 7 No. 1 (2026): MAY 2026
Publisher : Universitas Airlangga
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DOI: 10.20473/jovin.v7i1.79689
Introduction: Breast cancer has one of the highest incidence and mortality rates among malignancies in women worldwide. Mastectomy, the surgical removal of breast tissue, remains a common treatment modality for breast cancer, and post-mastectomy exercises are essential for preventing complications such as lymphedema, improving mobility, and enhancing recovery in breast cancer patients. This study aims to assess nursing students’ knowledge regarding post-mastectomy exercises at the University of Health Sciences. Methods: This descriptive exploratory cross-sectional study assessed the knowledge of 100 nursing students at the University of Health Sciences regarding post-mastectomy exercises. Data were collected using a self-administered questionnaire and analyzed using SPSS version 20. Results: The students demonstrated an average knowledge level of 63% regarding lymphedema and post-mastectomy exercises. Second-year students exhibited the highest proportion of good knowledge (76.9%), substantially exceeding third-year (62.5%) and fourth-year students (37.7%). This finding challenges the effectiveness of a linear curriculum model and supports the need for a spiral curriculum, in which key concepts are revisited at progressively deeper levels throughout the program. The main barriers to learning were limited clinical exposure (53%) and lack of educational materials (46%), indicating that practical training requires review, development, and technical enhancement to achieve its intended goals. Conclusions: Nursing students’ knowledge of post-mastectomy exercises is inadequate, and both educational and clinical training designs require urgent revision. Innovative, reinforced, and interactive approaches are essential to equip future nurses with the competencies needed for effective post-mastectomy care.
SEXUAL AWARENESS AND ITS ASSOCIATION WITH HIV/AIDS PREVENTION ATTITUDES AND SEXUAL BEHAVIOR AMONG ADOLESCENTS
Devi Permata Sari;
Sri Sat Titi Hamranani;
Arlina Dhian Sulistyowati
Journal of Vocational Nursing Vol. 7 No. 1 (2026): MAY 2026
Publisher : Universitas Airlangga
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DOI: 10.20473/jovin.v7i1.81060
Introduction: Adolescence is a transitional phase marked by rapid changes that are not yet matched by mature decision-making skills. Peer influence increases the likelihood of risky behaviors, including unsafe sexual practices. This is exacerbated by low levels of sexual literacy, limited awareness of reproductive health, and a lack of comprehensive sexuality education. According to a report by the United Nations Programme on HIV and AIDS (UNAIDS), approximately 1.9 million adolescent girls and young women aged 15–24 are living with HIV worldwide. This research attempts to examine sexual awareness and attitudes toward HIV/AIDS prevention and sexual behavior. Methods: The research methodology applied was a quantitative correlation study using a cross-sectional approach, involving 150 high school students in Klaten Regency, with a simple random sampling technique. The research instruments included the Sexual Awareness Questionnaire (SAQ), an HIV/AIDS prevention attitude questionnaire, and a sexual behavior questionnaire. Data analysis was performed using Kendall’s Tau test. Results: The results showed that most respondents were aged 15–18 years, with a mean age of 16.87 years. The majority were male (54.7%) and lived with their parents (97.3%). Most respondents demonstrated a moderate level of sexual awareness (72.7%), while attitudes toward HIV/ AIDS risk-reduction measures were predominantly inadequate (51.3%). Nevertheless, the majority reported engaging in safer sexual practices (91.3%). Conclusions: The results indicated no statistically significant association between sexual health awareness and attitudes toward HIV/AIDS prevention (p = 0.237). However, sexual health awareness was significantly associated with sexual behavior (p = 0.009; π = 0.209), suggesting a potential link between awareness and behavioral outcomes.