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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 270 Documents
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The effect of neuropathy exercises on decreasing the value of 10-gr monofilament in patients with Type 2 Diabetes Mellitus Bakara, Derison Marsinova Bakara; Fatimah Khoirini; Kurniyati
Nursing and Health Sciences Journal (NHSJ) Vol. 5 No. 2 (2025): June 2025
Publisher : KHD-Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/nhsj.v5i2.504

Abstract

The most common chronic complication in people with type 2 diabetes mellitus is diabetic peripheral neuropathy (DPN). DPN can occur in one in five people with type 2 diabetes mellitus. This study aims to see the effect of neuropathy exercises on assessing symptoms of DPN using 10-gr monofilament. Methods: This research was quantitative research with a Pretest-Posttest one-group design approach, which aimed to see the effect of neuropathy exercises on reducing the assessment of symptoms of DPN using 10-gr monofilament. The intervention carried out for people with type 2 diabetes mellitus was neuropathy exercises. In the pretest, Type 2 diabetes mellitus patients were assessed for symptoms of DPN using 10-gr monofilament. Then, neuropathy exercise intervention was given to the left and right legs, carried out daily for 15 minutes for 6 weeks. In the posttest, symptoms of DPN were assessed on the left and right foot using 10-gr monofilament. Results: The study showed that neuropathy exercises reduced the value of DPN symptoms in the left and right legs using 10-gr monofilament. Before the neuropathy exercise intervention, the value of neuropathy symptoms using 10-gr monofilament was Mean ± SD 10.42 ± 12.877; after the neuropathy exercise intervention, the value of neuropathy symptoms using 10 gr monofilament was 9.88 ± 2.904 with a value of p=0.01. Neuropathy exercises can be done as an alternative measure for the treatment of symptoms of DPN using 10-gr monofilament in patients with type 2 diabetes mellitus. It is recommended that neuropathy exercises be one of the protocols for reducing hyperglycemia and reducing complications of type 2 diabetes mellitus, such as symptoms of DPN.
Alpha and theta wave activation through pure crystal vibration on reducing anxiety in post-stroke patients with sleep disorders Ida Zuhroidah; Mokh. Sujarwadi; Mukhammad Toha
Nursing and Health Sciences Journal (NHSJ) Vol. 5 No. 2 (2025): June 2025
Publisher : KHD-Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/nhsj.v5i2.505

Abstract

Post-stroke patients often experience anxiety and sleep disorders that can hinder the recovery process. Improvement in sleep quality increases with decreasing anxiety; activation of alpha and theta waves can reduce anxiety. This study evaluates the effectiveness of pure crystal vibration waves in activating alpha and theta waves in decreasing anxiety, which has implications for improving sleep quality in post-stroke patients. This study used a quasi-experimental design with a pretest-posttest control group design. The sample consisted of 30 post-stroke patients divided into two groups. Pure crystal vibration wave therapy intervention was given 30 minutes per day for 2 weeks in the treatment group; the control group was not given intervention. Anxiety was measured using the Hamilton Anxiety Rating Scale (HARS), and sleep quality was calculated using the Pittsburgh Sleep Quality Index (PSQI). Data were analyzed using paired t-tests and independent t-tests. There was a significant decrease in anxiety scores (p = 0.001) and an increase in sleep quality (p = 0.001) in the intervention group compared to the control group. The frequency of pure crystal vibration waves effectively activates alpha and theta waves to indicate decreased anxiety, which has implications for improving the sleep quality of post-stroke patients.
Effectiveness of TB cadre refreshment on increasing cadre knowledge regarding TB patient contact investigation activities Yulanda Irma Tiara; Miranda Gracia Salsabila; M. Nur Khamid; Choiria Firdatul Ulfah
Nursing and Health Sciences Journal (NHSJ) Vol. 5 No. 2 (2025): June 2025
Publisher : KHD-Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/nhsj.v5i2.514

Abstract

Indonesia ranks second globally in tuberculosis (TBC) cases after India, with Jember Regency being one of the regions in East Java with a high TBC incidence. Health cadres play a key role in TBC control through early detection, public education, and monitoring treatment adherence. A refreshment program was implemented to update cadre knowledge and strengthen their capacity. This study aims to evaluate the effectiveness of the cadre refreshment program in increasing knowledge about TBC in Jember Regency. This research employs a pre-experimental design with a one-group pretest-posttest design approach. The sample consisted of 41 health cadres selected purposively. Data were collected using questionnaires before and after the training and then analyzed using the paired t-test with a significance level 0.05. The study revealed a significant increase in cadre knowledge after participating in the training. The average pretest score was 14.9, rising to 18.9 in the posttest. The paired t-test showed a p-value of 0.001 (p < 0.05), indicating a meaningful difference in knowledge before and after the intervention. The cadre refreshment program effectively enhances cadre understanding of TBC in the Jember Regency. These findings are expected to serve as a foundation for the Health Office to optimize continuous cadre training to strengthen TBC control at the community level.
The relationship of parent-child interaction on the academic stress among early adolescents Puspita, Luh Mira; Uttamaningdyah, Ni Putu Aryadewi; Utami, Kadek Cahya; Devi, Ni Luh Putu Shinta
Nursing and Health Sciences Journal (NHSJ) Vol. 5 No. 2 (2025): June 2025
Publisher : KHD-Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/nhsj.v5i2.523

Abstract

Early adolescents are particularly susceptible to academic stress, which can adversely impact their mental well-being in educational settings. Parental influence plays a significant role in contributing to this stress. This study examines the relationship between parent-child interactions and academic stress among early adolescents in Denpasar City. The research was conducted at SD Negeri 8 Padangsambian, employing a quantitative correlational methodology with a sample size of 77 respondents selected through total sampling. The study utilized the Parent-Child Interaction Questionnaire (PACHIQ-R) and the Educational Stress Scale for Adolescents (ESSA) as measurement instruments. The Pearson correlation test was applied, yielding a p-value of 0.419 (p<0.05), indicating that the null hypothesis could not be rejected. Consequently, no significant relationship was found between parent-child interaction and academic stress in early adolescents in Denpasar City. It is recommended that schools implement learning evaluations and offer counseling sessions to mitigate academic stress and assess students' conditions.
The Indonesian health legal system provides legal protection for pharmacists in pharmaceutical practice Shaumy, Rindwita Vania; Tri Umiana Soleha; Citra Yuliyanda Pardilawati
Nursing and Health Sciences Journal (NHSJ) Vol. 5 No. 2 (2025): June 2025
Publisher : KHD-Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/nhsj.v5i2.526

Abstract

Implementing Law No. 17 of 2023 on health has significantly changed the Indonesian health legal system, including legal protection for pharmacists. The enactment of Health Law No. 17/2023 represents a pivotal advancement in Indonesia’s health legal framework, particularly in addressing gaps in legal protection for pharmacists amid evolving healthcare practices. This study aims to analyze the impact of these regulations on the legal protection of pharmacists in pharmaceutical practice, both conventionally and electronically. The method used is a literature review of various legal sources, scientific literature, and relevant laws and regulations. It is assisted by the Publish or Perish (PoP) application for qualitative analysis. The results of the discussion show that although this law has provided a clearer legal basis for the practice of pharmacists, such as authority in services, the right to stop services under certain conditions, and regulation of the distribution of hard drugs, there are still shortcomings in implementation and strict legal sanctions. Pharmaceutical cases still occur frequently, including in electronic services and misuse of hard drugs, indicating that the existing legal protection has not been entirely adequate. While Law No. 17/2023 provides a foundational legal framework, its impact is constrained by ambiguities in operational protocols and lenient sanctions. This study concludes that Law No. 17 of 2023 is a positive first step in strengthening the legal position of pharmacists but needs to be accompanied by further technical regulations and consistent law enforcement so that legal protection can be maximized.
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.

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