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Nursing and Health Sciences Journal (NHSJ)
Published by KHD Production
ISSN : 27985059     EISSN : 27985067     DOI : https://doi.org/10.53713/nhs.v1i1.1
Core Subject : Health, Science,
Biochemistry, Genetics & Molecular Biology Dentistry Health Professions Medicine & Pharmacology Nursing Public Health
Nursing and Health Sciences Journal (NHSJ) is peer-reviewed and open access international journal which published by KHD Production, to accommodate researchers and health practitioners publishing their scientific articles. NHSJ accepts original papers, review articles, short communications, case reports and letters to the editor in the fields of nursing, midwifery, public health, pharmacy, medicine, nutrition, and allied health sciences. NHSJ is published four times a year, March, June, September, and December.
Arjuna Subject : Keperawatan - Keperawatan (Lain-Lain)
Articles 15 Documents
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Search results for , issue "Vol. 5 No. 3 (2025): September 2025" : 15 Documents clear
Experience of diabetes patients in preventing its complications Hisni, Dayan; Asri Nurani, Intan
Nursing and Health Sciences Journal (NHSJ) Vol. 5 No. 3 (2025): September 2025
Publisher : KHD-Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/nhsj.v5i3.497

Abstract

It is necessary to explore the experience of diabetes patients in preventing its complications since Indonesia has many cultural beliefs and practices that influence the prevention of DM complications. A limited number of studies have discussed it. The study aimed to explore the experiences of diabetes patients in preventing its complications. A descriptive qualitative study was conducted in Indonesia between December 2022 and April 2023. Fifteen participants with DM were included. Purposive sampling was used, and data were collected through in-depth interviews, observations, and the writing of field notes. The data were analyzed by thematic analysis using NVivo 12 software. Four themes emerged from the data analysis: (1) inadequate self-care practice related to misconception about DM and its complications; (2) self-awareness, intention, and motivation as basic to change the behaviors; (3) optimal holistic support is needed from family and health workers; (4) inadequate of education program provided by health workers to prevent DM complications. This is the first study to display that cultural beliefs and knowledge strongly influenced the experience of preventing DM complications. Internal and external environments also contributed to the experience of preventing DM complications. This study offers new insights for nurses in Indonesia and will assist them in designing a nursing intervention involving cultural aspects for diabetic patients.
Prevalent clinical symptoms, comorbidities, and treatment outcomes among COVID-19 patients in Abuja, Nigeria Elizabeth Musili Joseph-Shehu; A. N. Wojuola; Hamina Dathini
Nursing and Health Sciences Journal (NHSJ) Vol. 5 No. 3 (2025): September 2025
Publisher : KHD-Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/nhsj.v5i3.510

Abstract

Comorbidities are medical conditions that coexist with the disease of interest but are unrelated in causality or aetiology to the primary diagnosis. Until recently, the influence of these coexisting medical conditions on the outcome of care for patients with specific disease conditions has often been ignored. This study aims to determine the prevalent clinical presentation, comorbidities, and treatment outcomes among COVID-19 patients in Abuja, Nigeria. The retrospective study design was employed to select 1056 COVID-19 patients from the three selected isolation centres in Abuja. Results indicate that the most prevalent clinical presentation was dry cough, 960 (91.2%), shortness of breath, 677 (64.3%), and fever, 615 (58.2%). Significant comorbidities in the overall population were Diabetes with Hypertension, with a frequency of 165 out of 547; Hypertension alone represented 123 out of 547, and diabetes alone 96 out of 547. Regarding the outcome of care, cumulatively, of the 1056 patients that participated in this study, 123 (11.6%) mortality was recorded while the cumulative survival rate was 933 (88.4%). Furthermore, the result indicates that mortality among patients with diabetes and hypertension was highest at 45 (4.3%), followed by patients with diabetes alone at 25 (2.4%). Within fatal cases, an estimated 98.1% had the presence of one or more comorbidities. There is a significant relationship (p-value ≤ 0.01) between the prognosis of COVID-19 patients with comorbidities and those without comorbidities. Therefore, awareness, education, and lifestyle modification are advocated for those at risk of COVID-19.
Expertise in action: The role and reception of advanced practice nurses in clinical settings Aygul, Nagihan Sim; Senyuva, Emine
Nursing and Health Sciences Journal (NHSJ) Vol. 5 No. 3 (2025): September 2025
Publisher : KHD-Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/nhsj.v5i3.536

Abstract

Advanced Practice Nurses (APNs) play a crucial and expanding role in modern healthcare by improving patient care quality and outcomes through their specialized knowledge and evidence-based practice. This study aims to explore the expectations and perceptions of both physicians and patients regarding APN services within clinical settings, based on their direct experiences. A phenomenological descriptive qualitative design was employed to capture the lived experiences of participants. Data was collected through semi-structured, face-to-face interviews and analyzed using thematic content analysis to identify key patterns and themes. The analysis revealed four primary themes: the utilization of specialized knowledge and skills, effective communication, problem-solving capabilities, and the importance of increasing the number of APNs working in clinical environments. Participants consistently reported that APN services contributed positively to care quality and patient satisfaction. Patients especially emphasized the need for APNs to apply their advanced expertise in practice and expressed a strong desire for greater APN availability in clinical settings. These findings highlight the essential role of APNs in enhancing healthcare delivery and suggest that healthcare institutions should actively support the growth and integration of APN roles to further improve patient outcomes and clinical effectiveness.
Management of mechanical ventilators in intensive care unit patients from a nursing perspective Debora Vitória Maria de Souza Florencio; Heitor Bezerra do Nascimento; Vivianne Soares Domingos da Silva; Maria da Conceição Cavalcanti de Lira; Augusto Cesar Barreto Neto; Milton Cezar Compagnon
Nursing and Health Sciences Journal (NHSJ) Vol. 5 No. 3 (2025): September 2025
Publisher : KHD-Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/nhsj.v5i3.538

Abstract

The Intensive Care Unit (ICU) requires continuous monitoring and advanced technologies, such as mechanical ventilation, to support critically ill patients. Proper management of this resource is essential for the quality of care provided. This study aims to evaluate managing patients undergoing mechanical ventilation in an intensive care unit. This cross-sectional, quantitative prevalence study involves nursing professionals working in adult intensive care units at the Hospital das Clínicas of the Federal University of Pernambuco, in Recife, Brazil. Data collection was carried out through three questionnaires: the first consisted of sociodemographic data of the participants, while the second and third were developed based on the sector’s Standard Operating Protocol for mechanical ventilation and COFEN Resolution No. 639/2020, respectively. ICU nurses demonstrated a prevalence of good knowledge about mechanical ventilation of 28% (95% CI: 10.4-45.6), with a higher prevalence of women (84.0%) compared to men (16.0%). The prevalence of good knowledge regarding Resolution 639/2020 was 52% (95% CI: 33.5-70), while 48% of the nurses showed poor knowledge. Regarding skin color, 69.2% of Black and Brown nurses demonstrated good ethical knowledge, while 30.8% had regular or poor knowledge. The results of this study indicate that nurses' proficiency in managing mechanical ventilators and patients remains inadequate.
Prevalence and factors associated with compassion fatigue among public health professionals Samaniego, Bernadette; Michael Anthony Samaniego; Kristine Joy Ricafort-Acera
Nursing and Health Sciences Journal (NHSJ) Vol. 5 No. 3 (2025): September 2025
Publisher : KHD-Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/nhsj.v5i3.539

Abstract

Compassion fatigue (CF) is a recognized occupational hazard among healthcare professionals, particularly in resource-constrained public health settings. This study aimed to determine the prevalence of CF and its associated factors among public health professionals in Aurora Province, Philippines. A descriptive, cross-sectional design was employed, using stratified random sampling with proportional allocation. Data were collected from 121 participants—including physicians, nurses, midwives, and medical technologists—through demographic and occupational questionnaires and the Professional Quality of Life Scale (ProQOL version 5). Results revealed high levels of compassion satisfaction (CS), low to average levels of burnout (BO), and average levels of secondary traumatic stress (STS), culminating in moderate levels of CF. At the same time, CS showed no significant correlation with CF (ρ = –0.114, p = 0.214), both BO (ρ = 0.856, p < .001) and STS (ρ = 0.892, p < .001) were strongly associated with CF. Job satisfaction emerged as a protective factor across all dimensions. These findings underscore the emotional resilience of public health professionals and highlight the need for targeted interventions addressing workload, rest, and job fulfillment. This study contributes context-specific evidence to inform the development of mental health strategies and policy for frontline healthcare workers in low-resource environments.
An overview of family management in the care of children with cancer Nadya, Ahsana; Asniar, Asniar; Febriana, Dara
Nursing and Health Sciences Journal (NHSJ) Vol. 5 No. 3 (2025): September 2025
Publisher : KHD-Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/nhsj.v5i3.541

Abstract

Effective family management can enhance a family's ability to cope with illness, maintain psychological stability, and support treatment outcomes. However, this has not yet been explored explicitly among families caring for children with cancer in the Province of Aceh. This study aims to analyze the characteristics of family management in caring for children with cancer, to provide a basis for designing appropriate nursing interventions to enhance family caregiving practices. This quantitative study employed a cross-sectional design, involving a total sample of 62 mothers and 30 fathers. Participants were families of children with cancer residing in various cities across Aceh Province who were receiving treatment in Banda Aceh. Data collection took place from March to April 2025. A non-probability, purposive sampling technique was employed, and quantitative data were collected using the Family Management Measure (FaMM). The results indicated that fathers reported higher scores compared to mothers across nearly all subscales of family management, including Child’s Daily Life (3.867), Condition Management Ability (3.455), Condition Management Effort (3.483), Family Life Difficulty (3.576), and View of Condition Impact (4.017). In contrast, mothers demonstrated slightly higher scores on the Parental Mutuality subscale (3.772). The results suggest that fathers tend to have a more positive perception than mothers regarding most dimensions of family management, including the child’s daily life, the ability and effort to manage the condition, and the perceived impact of the illness on family life. However, mothers showed a slightly higher perception of parental collaboration.
Utilization of the PCR technique for identifying post-surgical infections at Rzgari Hospital in Erbil Khorsheed, Shler
Nursing and Health Sciences Journal (NHSJ) Vol. 5 No. 3 (2025): September 2025
Publisher : KHD-Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/nhsj.v5i3.544

Abstract

Contaminated surgical wounds have emerged as a significant problem in many healthcare settings, leading to prolonged hospitalization and increased treatment costs. One of the primary purposes of this research was to analyze the types of microorganisms present in all collected samples from post-surgical wounds and to assess their antimicrobial susceptibility. PCR was applied as a reliable diagnostic tool to identify the isolated microbial agents. Specimens included 110 wound swabs collected from patients aged between 10 and 55 years who had recently undergone various surgical procedures at Rzgari Hospital in Erbil, Iraq. The bacterial isolates were identified using traditional microbiological approaches, and all isolates were subjected to antibiotic resistance testing performed on all isolated species. PCR was employed to differentiate between the microbial species. The results revealed the presence of several bacterial species in surgical wound sites, with the following prevalence rates: E. coli (35.9%), S. aureus (27.8%), P. aeruginosa (24.3%), Acinetobacter spp. (9.9%), and Enterobacter spp. (9.1%). The predominant isolates demonstrated Susceptibility testing to vancomycin and amikacin. ERIC-PCR analysis was applied to 9 S. aureus and 17 E. coli isolates, revealing four distinct genetic profiles, indicating considerable genetic diversity. DNA fingerprinting images were obtained for both species. The results of this study underscore the critical role of precise microbial identification and antibiotic susceptibility testing in effectively managing postoperative wound infections. The outcomes of this research could enhance infection control strategies and support improved clinical care for patients undergoing surgery.
The effectiveness of spiritual education on the uncertainty of illness in hemodialysis patients Rauzah, Miftahul; Husna, Cut; Syarif, Hilman
Nursing and Health Sciences Journal (NHSJ) Vol. 5 No. 3 (2025): September 2025
Publisher : KHD-Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/nhsj.v5i3.548

Abstract

Chronic kidney disease is a progressive condition that requires long-term treatment with hemodialysis. Routine and invasive hemodialysis not only has an impact on the physical aspects of the patient, but also causes psychological, social, and spiritual uncertainty of illness. Uncertainty of illness related to health conditions requires adaptation to changes during the hemodialysis process, including negative psychosocial impacts. Spiritual education consisted of belief and the power of prayer, dzikir (remembrance of Allah) therapy, and enhancing healing motivation. This study aimed to examine the effectiveness of spiritual education in reducing the uncertainty of illness among hemodialysis patients. A quasi-experimental design with a pretest-posttest control group design was employed. The sample comprised 68 respondents divided equally into an intervention and a control group, with 34 respondents/group. The instrument used to measure uncertainty of illness was the Mishel Uncertainty of Illness Scale (MUIS-C, comprising 22 items in a five-point Likert scale. Data analyzed using an independent t-test and a Mann-Whitney U-test. The study results showed a significant difference in the score uncertainty of illness by using spiritual education in hemodialysis patients between the intervention and control groups, with mean ranks of 45.76 and 23.24 (p<0.001), respectively. Interventional spiritual education through an Islamic-based approach showed a significant effect in reducing the uncertainty of illness in hemodialysis patients. These findings suggest that spiritual education may be implemented in nursing interventions to reduce the uncertainty of illness among patients undergoing hemodialysis and may serve as a valuable component in the holistic care of chronic illness.
The influence of e-leaflet media in improving the skills of toddler Posyandu cadres Syarifudin; Oktia Woro Kasmini Handayani; Chatila Maharani
Nursing and Health Sciences Journal (NHSJ) Vol. 5 No. 3 (2025): September 2025
Publisher : KHD-Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/nhsj.v5i3.549

Abstract

Primary health service transformation implementation focuses on a lifecycle approach with promotive and preventive efforts and brings health services closer to cadres through Posyandu. Good integration of Primary Services requires efforts to improve the skills of posyandu cadres through E-Leaflet media. This study aims to determine the influence of e-leaflet media on improving toddler posyandu cadres' skills. This study used a quasi-experimental design with a one-size-fits-all posttest without a control group. The sample amounted to 43 posyandu cadres. The sampling technique is simple random sampling—data analysis with the Wilcoxon test. The p-value on the respondents' skills before and after being given the e-leaflet media was (p=0.001). There was a significant increase in skills after being given the e-leaflet media to the cadres of the Posyandu for toddlers. This statistically significant outcome confirms the efficacy of digital learning resources in strengthening frontline community health worker capabilities.
Analysis of workload, work environment, and work stress on nurse performance Widiyantoro, Arif; Purba, Jenny Marlindawani; Mido Ester Sitorus
Nursing and Health Sciences Journal (NHSJ) Vol. 5 No. 3 (2025): September 2025
Publisher : KHD-Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/nhsj.v5i3.551

Abstract

The decline in nurse performance significantly affects the service image of a hospital in the community. Poor nursing services lead to a lack of public confidence in the hospital's capabilities. The low quality of nursing services can be caused by many factors, such as the quality of nurses' working lives and burnout syndrome. High work handled by a few human resources will only result in a high workload and increased work stress. A conducive work environment not only helps nurses control stress but also allows them to improve their performance. Researchers aim to analyze the workload, work environment, and work stress on the performance of nurses. The number of samples used was 141 nurses who were willing to be respondents and not in a state that could affect data collection. The dependent variable is nurse performance, and the independent variables are workload, work environment, and work stress. Data was analyzed using the Chi-Square Analysis method with the SPSS 19.0 for Windows program. The results showed that the workload variable did not affect nurse performance, with a p-value of 0.513; the work environment variable affected nurse performance, with a p-value of 0.013; the work stress variable did not affect nurse performance, with a p-value of 0.484. The results indicate that the work environment is the only factor significantly associated with nurse performance among the variables examined. These findings suggest that interventions to improve nurse performance should prioritize optimizing the work environment. Work workload and work stress, as measured in this study, may not require targeted adjustments for performance enhancement.

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