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Makhfudli
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INDONESIA
Journal of Vocational Nursing
Published by Universitas Airlangga
ISSN : 27750280     EISSN : 27227251     DOI : https://doi.org/10.20473
Core Subject : Health,
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
PERCEPTION OF CULTURAL COMPETENCE OF ICU NURSES: A CROSSSECTIONAL STUDY Titis Mustikowati Danasari; Yulis Setiya Dewi; Wikan Purwihantoro Sudarmadji
Journal of Vocational Nursing Vol. 7 No. 1 (2026): MAY 2026
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jovin.v7i1.83098

Abstract

Introduction: Delivering nursing care in intensive care units has numerous challenges, one of which pertains to cultural concerns. Cultural views of nurses can obstruct the provision of holistic nursing care. This study seeks to identify characteristics related to views of cultural competency among ICU nurses. Methods: This study employed a descriptive-analytic strategy utilizing a cross-sectional approach. The study sample consisted of 208 respondents, chosen using purposive sampling. Data were collected via a questionnaire and analyzed through binomial logistic regression at a significance level of p<0.05. Results: The perception of cultural competence among ICU nurses was significantly connected with age (p = 0.008), gender (p=0.038), and both career and competency level (p=0.031). Perceptions of cultural competency among ICU nurses were often inadequate. Gender was the predominant variable. Conclusions: ICU nurses with a positive sense of cultural competency influence the enhancement of nursing care implementation and quality
HOUSEHOLD, INSTITUTIONAL, AND COMMUNITY DETERMINANTS ASSOCIATED WITH DENGUE PREVENTION PREPAREDNESS Anisa A. Jamito; Randy Ian F. Gallego; Shiennah L. Jamesula
Journal of Vocational Nursing Vol. 7 No. 1 (2026): MAY 2026
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jovin.v7i1.87263

Abstract

Introduction: Dengue fever remains a persistent public health concern in the Philippines, considering the latest statistical data on recurrent outbreaks despite the present sustained efforts of various health agencies. It is therefore crucial to understand household-level preparedness and its associated sociobehavioral determinants to evaluate dengue prevention efforts in high-risk communities. Methods: This study employed a cross-sectional descriptive-correlational design among 125 household representatives in Barangay Singao, Kidapawan City, Philippines, using total enumeration sampling. Data were collected using a validated and reliable researcher-developed questionnaire (CVR = 0.7–0.9; Cronbach’s alpha = 0.85). In this study, household, institutional, and community determinants, which included household-level preventive capacity, local government health response, and community engagement, were examined in relation to dengue prevention preparedness across three domains: mosquito habitat management, mosquito bite prevention, and dengue transmission management. Descriptive statistics and Pearson's chi-square tests were utilized in the data analysis. Results: Households demonstrated generally high levels of dengue prevention preparedness across all three domains, particularly in mosquito habitat management and dengue transmission management. Household-level preventive capacity showed significant associations with all preparedness domains (p < 0.001). The prevention of mosquito bites (p = 0.032) and the control of dengue transmission (p = 0.010) were substantially correlated with local government health response, except for mosquito habitat management. Only mosquito habitat management was substantially correlated with community engagement (p = 0.047). Conclusions: The findings of this study indicate that household-level preventive capacity is consistently associated with dengue prevention preparedness, while institutional and community determinants show domain-specific and limited associations.
PHYSICAL AND PSYCHOLOGICAL SYMPTOMS OF MENOPOUSE IN WOMEN WITH A HISTORY OF HORMONAL CONTRACEPTIVE USE: A DESCRIPTIVE ANALYTICAL STUDY Lailatul Fadliyah; Anestasia Pangestu Mei Tyas; Emuliana Sulpat; Amellia Mardhika; Anis Nur Laili; Yusfina Modesta Rua
Journal of Vocational Nursing Vol. 7 No. 1 (2026): MAY 2026
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jovin.v7i1.88000

Abstract

Introduction: Menopause is associated with a range of somatic and psychological symptoms that may be influenced by prior exposure to exogenous sex hormones. This study aimed to examine the association between a history of hormonal contraceptive use and the severity of physical and anxiety-related psychological symptoms among menopausal women. Methods: This cross-sectional analytical study enrolled 88 menopausal women aged 45–55 years from the Lamongan Community Health Center using purposive sampling. The Menopause Rating Scale (MRS) was used to assess somatic and urogenital symptom severity, while the Hamilton Anxiety Rating Scale (HARS) was used to quantify anxiety symptoms. Its use is reported here as a measure of anxiety rather than a broad index of all psychological complaints. Results: This study showed that 28.4% of menopausal women experienced severe physical complaints, 30.7% mild complaints, 26.1% no complaints, and the remaining 11.4% moderate complaints. Psychological complaints were mild in 27.3% of respondents, moderate in 11.4%, severe in 10.2%, and 39.8% reported no psychological complaints. The results of the statistical test, with a significance value of p = 0.029 (< 0.05), indicate that there is a relationship between a history of hormonal contraceptive use and psychological complaints in menopausal women. Conclusions: This study showed that 28.4% of menopausal women experienced severe physical complaints, 30.7% mild complaints, 26.1% no complaints, and the remaining 11.4% moderate complaints. Psychological complaints were mild in 27.3% of respondents, moderate in 11.4%, severe in 10.2%, and 39.8% reported no psychological complaints. The results of the statistical test, with a significance value of p = 0.029 (< 0.05), indicate that there is a relationship between a history of hormonal contraceptive use and psychological complaints in menopausal women.
STORYTELLING-BASED EDUCATION IN DIABETIC FOOT CARE: A SYSTEMATIC REVIEW OF SELF-EFFICACY AND RISK Anih Kurnia; Betty Suprapti; Teti Agustin; Jabarul Ikrom Rahmantara; Rochmanah Suhartati
Journal of Vocational Nursing Vol. 7 No. 1 (2026): MAY 2026
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jovin.v7i1.88021

Abstract

Introduction: Diabetic Foot Ulcer (DFU) is a serious complication of Type 2 Diabetes. It is often caused by poor self-management and low health literacy. Traditional education often fails to change patient behavior because it lacks emotional engagement. Storytelling offers a narrative approach to address this issue. It can improve understanding and increase patient involvement in their own care. This systematic review evaluates the effectiveness of storytelling and narrative-based interventions for individuals with T2DM. It specifically focuses on improving self-efficacy, risk perception, and foot-care behaviors to prevent diabetic foot ulcers. Methods: This systematic review followed the PRISMA 2020 guidelines. Searches were conducted in PubMed, CINAHL, Web of Science, and Google Scholar for studies published between 2024 and 2026. Ten studies, including randomized controlled trials and mixed-methods designs, met the inclusion criteria. Data were extracted systematically and synthesized thematically. Results: Storytelling interventions—including digital narratives, AI-assisted media, and culturally adapted tools—consistently outperformed conventional education. Findings show significant improvements in self-efficacy, motivation, and foot-care adherence. Some studies also reported better glycemic control. Key mechanisms for behavioral change included emotional engagement with characters and the internalization of health risks. Conclusions: Storytelling is a superior educational strategy for DFU prevention compared to traditional methods. Integrating culturally adapted narratives into community nursing can enhance patient empowerment and long-term self-management. This approach effectively strengthens patient engagement and supports lasting behavioral change.
RELATIONSHIP BETWEEN NURSE RESPONSE TIME AND HEMODYNAMIC VALUES IN PATIENTS WITH HYPOVOLEMIC SHOCK Ahmad Hasan Basri; Ony Suhandhi; Abdul Manan
Journal of Vocational Nursing Vol. 7 No. 1 (2026): MAY 2026
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jovin.v7i1.88147

Abstract

Introduction: Response time for nurses in the emergency department is critical because delays in treating patients with hypovolemic shock can significantly worsen the patient’s condition within minutes, leading to reduced perfusion that causes irreversible tissue damage, more severe complications, and even death. Nurses’ response times for patients arriving at the ED may be slow because their attention is divided while performing procedures not only on new patients but also on those waiting for inpatient beds in the ED. With a rapid response time, it is expected that patients with hypovolemic shock in the ED can be treated promptly and their hemodynamic parameters stabilized. Methods: This study employed a quantitative approach with a cross-sectional design. With a population of 30 individuals using non-probability purposive sampling, 28 respondents participated in this study, which was conducted from October 30 to November 30, 2024, in the ED of Ibnu Sina Regional General Hospital in Gresik. The independent variable was nurse response time, while the dependent variable was hemodynamic values. Spearman’s rank correlation test was used to determine the significance level (α < 0.05), with p < 0.05 indicating a significant relationship. Results: Data analysis using Spearman’s rank correlation test yielded a p-value of < 0.05 (p = 0.000; α < 0.05), indicating a significant relationship between nurses’ response time and hemodynamic values in patients with hypovolemic shock. Conclusions: The findings of this study can provide insights and recommendations for hospital management in their efforts to improve the quality of care.
THE ASSOCIATION BETWEEN FAMILY SUPPORT AND PHYSICAL ACTIVITY ENGAGEMENT IN TYPE 2 DIABETES PATIENTS AT PRIMARY CARE LEVEL Iswatun Iswatun; Endah Sri Wijayanti; Khotibul Umam; Joko Susanto; Anih Kurnia; Jabarul Ikrom Rahmantara
Journal of Vocational Nursing Vol. 7 No. 1 (2026): MAY 2026
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jovin.v7i1.88467

Abstract

Introduction: Diabetes Mellitus (DM), often referred to as the silent killer, is one of the most common chronic diseases. Type 2 Diabetes Mellitus is characterized by insulin resistance. Physical activity can reduce the risk of complications in patients with type 2 diabetes mellitus. Family support plays a crucial role in enhancing patients’ engagement in physical activity. This study aimed to analyze the relationship between family support and physical activity engagement among patients with type 2 diabetes mellitus at the Deket Health Center, Lamongan Regency. Methods: This study employed a correlational quantitative design with a cross-sectional approach. The research was conducted in March 2023. The population consisted of 59 patients with type 2 diabetes mellitus, with a sample of 51 respondents selected using a consecutive sampling technique. The independent and dependent variables were family support and physical activity, respectively. Data were collected using a family support questionnaire and the Global Physical Activity Questionnaire (GPAQ), which consists of 16 items (P1–P16). Data were analyzed using the Spearman correlation test. Results: The findings indicated that most respondents had good family support and engaged in high levels of physical activity. The Spearman correlation test showed a value of r = 0.574 (indicating a strong relationship) and p = 0.000 (p ≤ 0.05). Conclusions: There is a significant relationship between family support and physical activity engagement among patients with type 2 diabetes mellitus at the Deket Health Center, Lamongan Regency. It is recommended that patients with type 2 diabetes mellitus increase their level of physical activity.
CASE STUDY OF ACUTE PAIN WITH ANTERIOR COMMUNICATING ANEURYSM IN ELDERLY PATIENTS IN THAILAND Septian Galuh Winata; Chlara Yunita Prabawati; Mariyatul Kiptiyah; Diah Priyantini
Journal of Vocational Nursing Vol. 7 No. 1 (2026): MAY 2026
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jovin.v7i1.88920

Abstract

Introduction: Acute pain in older adults requires comprehensive assessment because it may affect physical function, emotional comfort, and recovery, particularly after neurological conditions such as anterior communicating artery aneurysm. This case study aimed to analyze pain assessment, nursing diagnosis, and non-pharmacological nursing interventions in an elderly patient with acute pain after anterior communicating artery aneurysm surgery. Methods: A descriptive case study was conducted at Srinagarind Hospital, Khon Kaen University, Thailand. One elderly postoperative patient was selected using purposive sampling based on the presence of acute pain following anterior communicating artery aneurysm surgery. Pain was assessed using the PQRST assessment, Numeric Rating Scale (NRS), DOLOPLUS, and Short-Form McGill Pain Questionnaire (SF-MPQ). Non-pharmacological pain management was provided through relaxation and guided imagery as complementary nursing interventions. Results: The PQRST assessment showed that the pain was related to the aneurysm condition and was described as pressure and throbbing pain in the frontal head area, occurring after waking and during continuous activity. The NRS score was 8/10 on the first postoperative day, indicating severe pain, and decreased to 5/10 after non-pharmacological intervention, indicating moderate pain. The DOLOPLUS score was 14, suggesting significant pain with potential interference in daily activities and comfort. The SF-MPQ score was 12, indicating moderate pain involving both sensory and affective dimensions. Based on these findings, the nursing diagnosis was acute pain related to physiological injury agents. Conclusions: Comprehensive pain assessment using multiple instruments helped nurses identify the intensity, characteristics, behavioral expression, and sensory-affective aspects of pain in an elderly postoperative patient.
THE RELATIONSHIP BETWEEN SOCIAL SUPPORT AND ADHERENCE TO CHEMOTHERAPY TREATMENT IN BREAST CANCER PATIENTS: UNCERTAINTY AS MEDIATOR Susilo Harianto; Dewi Maryam; Hafna Ilmy Muhalla; Emuliana Sulpat; Cucuk Rahmadi Purwanto; Fanni Okviasanti
Journal of Vocational Nursing Vol. 7 No. 1 (2026): MAY 2026
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jovin.v7i1.89382

Abstract

Introduction: In recent years, the prevalence of breast cancer has increased globally, including in Indonesia. Despite its high prevalence, patient adherence to treatment remains low. Social support is known to be one of the factors that can increase patient adherence. Although many studies have explained the relationship between social support and adherence in breast cancer patients, the underlying mechanism remains unclear. The aim of this study was to examine the relationship between social support and patient adherence using uncertainty as a mediator. Methods: A descriptive and correlational survey was conducted in a regional hospital in Surabaya, Indonesia. A convenience sample of 165 Indonesian breast cancer patients voluntarily participated in the study and responded to a set of questionnaires, including a socio-demographic questionnaire, the Social Support Scale (SSS), the ShortForm Mishel Uncertainty in Illness Scale (SF-MUIS), and the Morisky Medication Adherence Scale (MMAS8). Results: The results revealed that breast cancer patients with higher social support found it easier to undergo treatment, resulting in better adherence. Patients who experienced higher social support had reduced uncertainty through improved subjective perceptions and reduced evaluations of the severity of stressful illness events. In addition, uncertainty significantly mediated the relationship between social support and patient adherence. Conclusions: These findings indicate that social support for breast cancer patients improves patient adherence. Moreover, healthcare providers can help breast cancer patients
PLAYFUL PURSED-LIP BREATHING: PINWHEEL AND BUBBLE TECHNIQUES ON PULSE RATE, RESPIRATION, AND OXYGEN SATURATION IN TODDLER BRONCHOPNEUMONIA: A CASE REPORT Triya Yestika Saleha; Novi Enis Rosuliana; Lia Herliana; Lusiana Dewi Savitri
Journal of Vocational Nursing Vol. 7 No. 1 (2026): MAY 2026
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jovin.v7i1.89582

Abstract

Introduction: Bronchopneumonia is a lower respiratory tract infection affecting the bronchioles and alveoli, causing inflammation, increased heart rate, shortness of breath, and decreased oxygen saturation. Pursed-Lip Breathing (PLB) can help improve breathing efficiency and increase oxygen levels. Purpose: To describe nursing care and the effects of modified PLB techniques (pinwheel and bubbles) on pulse rate, respiratory rate, and oxygen saturation in toddlers with bronchopneumonia. Methods: The study used a case report design in the form of participatory observation. Sampling was carried out using purposive sampling based on the diagnosis of bronchopneumonia with respiratory disorders, involving only two patients, in accordance with the characteristics of case reports that focus on comparing specific cases. Results: There were observable changes after the intervention in pulse rate, respiratory rate, and oxygen saturation. First, the average decrease in pulse rate in patient 1 was 12.67 beats/minute, while in patient 2 it was 9.33 beats/minute, resulting in a difference of 3.34 beats/minute. Second, the average decrease in respiratory rate in patient 1 was 5.67 breaths/minute, while in patient 2 it was 3.33 breaths/minute, resulting in a difference of 2.34 breaths/minute. Third, the average increase in oxygen saturation in patient 1 was 3.33%, while in patient 2 it was 1.33%, resulting in a difference of 2%. During the PLB intervention, the patients appeared calmer, showed reduced restlessness, and demonstrated more cooperative responses. Conclusions: There were changes in pulse rate, respiratory rate, and oxygen saturation after PLB was applied in toddler patients. PLB is recommended as a nonpharmacological method to improve breathing, reduce dyspnea, and increase comfort in children.
AN OVERVIEW OF THE LEVEL OF IMPOSTOR PHENOMENON AMONG PROFESSIONAL NURSING STUDENTS AT THE FACULTY OF NURSING, UNIVERSITAS PADJADJARAN Argalita Restu Wigasantri; Taty Hernawaty; Setiawan Setiawan
Journal of Vocational Nursing Vol. 7 No. 1 (2026): MAY 2026
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jovin.v7i1.89625

Abstract

Introduction: The Impostor Phenomenon (IP) is a psychological condition in which individuals doubt their abilities and fear being exposed as frauds despite their achievements. This study aims to describe the level of IP among professional nursing students at Universitas Padjadjaran. Methods: This quantitative descriptive study used a cross-sectional approach. The population consisted of 142 professional nursing students from the Jatinangor and Pangandaran campuses. Data were collected from 108 respondents (response rate: 76%) selected through a total sampling technique. The Clance Impostor Phenomenon Scale (CIPS) was used to measure impostor feelings. This instrument consists of 20 items using a 5-point Likert scale (total score range: 20–100). The CIPS has been previously validated in the Indonesian context with a high reliability coefficient (Cronbach’s alpha = 0.87). Data were analyzed using univariate analysis to determine the frequency distribution and percentages of impostor levels. Results: The findings showed that the majority of respondents (59.3%) experienced a high level of Impostor Phenomenon, with an average score of 62.43. In terms of specific indicators, perfectionism had the highest average score of 3.28 (65.7%), followed by self-doubt at 3.26 (65.3%), both falling into the high category. Conversely, the social comparison indicator showed the lowest level (average score = 2.76 or 55.3%). Conclusions: Most professional nursing students experience high levels of IP, indicating a discrepancy between their actual competence and self-perception. Educational institutions should implement structured psychological support, such as mentoring and peer-support groups, to enhance students' professional confidence and clinical readiness.