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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 315 Documents
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Effect of emergency nursing training course on emergency nurses' performance at Al Aqsa Martyrs Hospital in the Gaza Strip Omar Mohammed Khattab; Noor Hassan Abu Meghisaib; Eyad Samir El Bayary; Sameh Ismail Abu Ajwa; Basim Alnajjar; Ansam alshafey; Ekrami Abu Amra; Yousif Alzinati; Ahmed Abo shoga
Nursing and Health Sciences Journal (NHSJ) Vol. 6 No. 2 (2026): June 2026
Publisher : KHD-Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/nhsj.v6i2.573

Abstract

Emergency nurses in protracted conflict zones require updated competencies to manage high-acuity presentations under severe resource constraints. This study evaluated the impact of a structured training program on clinical knowledge and procedural performance. A one-group pretest–posttest design was used with 82 emergency nurses at Al Aqsa Martyrs Hospital in the Gaza Strip. The intervention combined didactic instruction with manikin-based simulations across 14 core emergency modules. Knowledge was measured via a validated 30-item multiple-choice examination, while practical competence was assessed using a standardized observational checklist. Paired t-tests analyzed score differentials. Post-intervention data revealed statistically significant improvements across all domains (p < 0.001). Mean knowledge scores increased by 40.1%, and practical performance improved by 43.8%. The most substantial gains occurred in basic/advanced life support, trauma assessment, airway management, and shock resuscitation. Subgroup analyses indicated that nurses aged ≤30 years and those without prior formal emergency training achieved the greatest relative improvement. Simulation-enhanced training substantially elevates emergency nursing competencies in resource-limited, high-stress environments. Integrating standardized simulation into continuous professional development is essential to sustain clinical readiness and optimize acute care delivery in conflict-affected healthcare systems.
Difficulties experienced by healthcare professionals in the COVID-19 pandemic, determination of perceived stress status and quality of life Pınar Tekinsoy Kartın
Nursing and Health Sciences Journal (NHSJ) Vol. 6 No. 2 (2026): June 2026
Publisher : KHD-Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/nhsj.v6i2.601

Abstract

The COVID-19 pandemic imposed unprecedented occupational and psychological burdens on frontline healthcare workers. This study evaluated the challenges, perceived stress levels, and health-related quality of life among personnel operating in high-exposure clinical settings. A descriptive cross-sectional design was employed, enrolling 280 healthcare workers from pandemic wards and intensive care units at a Turkish tertiary hospital. Participants completed validated instruments measuring perceived stress, multidimensional quality of life, and self-efficacy. Inferential statistical analyses were conducted to examine interrelationships among occupational stressors and psychosocial wellbeing. Results indicated that the majority of participants experienced moderate-to-high stress, with pronounced disparities observed across gender and professional roles. Perceived stress exhibited a significant negative correlation with overall quality of life and all domain scores. Additionally, lower self-efficacy was strongly associated with diminished physical and psychological wellbeing. Female personnel and administrative support staff consistently demonstrated the highest stress levels and lowest quality-of-life outcomes. These findings highlight the urgent need for institution-wide integration of mental health frameworks and optimized workforce management. Implementing structured psychological support, equitable scheduling, and targeted resilience interventions, particularly for vulnerable subgroups, is essential to preserve frontline workforce capacity and mitigate long-term psychosocial consequences during future public health emergencies.
The relationship between fluid restriction compliance and quality of life in chronic kidney failure patients undergoing hemodialysis Putri Yunitasari; Murtaqib Murtaqib; Rondhianto Rondhianto; Farida Nur Qomariyah
Nursing and Health Sciences Journal (NHSJ) Vol. 6 No. 2 (2026): June 2026
Publisher : KHD-Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/nhsj.v6i2.649

Abstract

Chronic kidney disease (CKD) necessitates stringent fluid restriction during hemodialysis to prevent volume overload, yet its direct impact on patient-reported outcomes remains inadequately characterized in regional healthcare settings. This study investigated the association between adherence to fluid restriction and health-related quality of life (HRQoL) among maintenance hemodialysis patients. A cross-sectional design was utilized with 84 participants systematically selected via simple random sampling from a cohort of 160 at a regional Indonesian referral hospital in January 2026. Fluid compliance and HRQoL were quantified using the validated Fluid Control and Dietary Compliance Questionnaire (FCDCQ) and Kidney Disease Quality of Life-36 (KDQOL-36), respectively, and bivariate relationships were evaluated using Spearman’s rank-order correlation, following institutional ethical approval. Most respondents demonstrated satisfactory fluid compliance and reported moderate overall HRQoL. Statistical analysis revealed a significant positive correlation between fluid restriction adherence and HRQoL (ρ = 0.348, p < 0.001), indicating that greater compliance is associated with improved patient-reported well-being. However, the modest effect size underscores the multifactorial nature of wellness in end-stage renal disease. Fluid management constitutes a critical, modifiable behavioral determinant of HRQoL. Integrating structured, nurse-led adherence counseling and continuous psychological support into routine dialysis care can simultaneously optimize clinical stability and psychosocial adaptation. Longitudinal studies employing objective monitoring technologies are recommended to validate causal pathways and refine comprehensive patient management frameworks.
Effect of a nurse-led four-pillar diabetes management program on HbA1c in adults with type 2 diabetes Ida Zuhroidah; Mokh. Sujarwadi; Mukhammad Toha; Nurfika Asmaningrum; Dimas Hadi Prayoga; Nadia Rohmatul Laili; Fatimah Zahra
Nursing and Health Sciences Journal (NHSJ) Vol. 6 No. 2 (2026): June 2026
Publisher : KHD-Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/nhsj.v6i2.668

Abstract

The relative contributions of individual components of multimodal diabetes management to glycemic control remain unclear in real-world primary care settings. This observational pre–post study enrolled 100 adults with type 2 diabetes in a 12-week, nurse-led four-pillar program integrating patient education, physical activity guidance, dietary counseling, and medication adherence monitoring. Multiple linear regression examined the simultaneous associations between behavioral predictors and changes in HbA1c (ΔHbA1c). Mean HbA1c reduction was 2.72 ± 1.25% (95% CI: 2.48–2.96), exceeding the clinically meaningful threshold (>0.5%). The regression model was statistically significant (F(4,95) = 5.16; p = 0.0008; R² = 0.178). Medication adherence independently predicted ΔHbA1c (unstandardized B = 0.327; standardized β = 0.216; p = 0.023), whereas diabetes knowledge, physical activity, and dietary adherence were non-significant (p > 0.05). A structured, nurse-coordinated four-pillar program achieved substantial short-term glycemic improvement among adults with type 2 diabetes, with medication adherence emerging as the strongest behavioral predictor. While comprehensive, multidimensional care remains essential for sustainable self-management, systematic adherence monitoring may optimize metabolic outcomes in routine clinical practice. Causal inference is limited by the observational pre–post design and potential residual confounding; future randomized controlled trials with extended follow-up and objective adherence measures are warranted to clarify component-specific effects and long-term sustainability
Nurses' perceptions of professional nursing service quality in hospital inpatient units: A qualitative study Bernadetta Eka Noviati; Stefanus Bolano Adhisakti; Theresia Cindyana Beatrice; Novi Puspitasari
Nursing and Health Sciences Journal (NHSJ) Vol. 6 No. 2 (2026): June 2026
Publisher : KHD-Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/nhsj.v6i2.674

Abstract

High-quality nursing care is fundamental to patient satisfaction and healthcare outcomes, yet frontline providers’ perspectives on service delivery remain critically underexplored. This study explored nurses’ perceptions of professional nursing service quality in hospital inpatient units in Yogyakarta, Indonesia. Employing a qualitative phenomenological design, data were gathered through in-depth interviews and focus group discussions with 21 head and clinical nurses possessing over one year of inpatient experience. Transcripts were analyzed using systematic thematic analysis. Five interrelated themes emerged: (1) strategic leadership and management by head nurses, (2) targeted strategies for service enhancement, (3) critical reliance on adequate human resources and physical infrastructure, (4) systematic efforts to align clinical practice with established quality standards, and (5) structured complaint management to optimize patient satisfaction. Findings reveal that leadership effectiveness, resource adequacy, standardized protocols, and responsive feedback mechanisms fundamentally mediate service quality. Nurses perceive professional care quality as a multidimensional construct shaped by managerial support, infrastructural capacity, workforce competence, and transparent grievance resolution. Healthcare administrators must prioritize leadership development, strategic infrastructure investment, and formalized complaint systems to sustain high-quality inpatient care. Future research should employ mixed-methods designs that triangulate nurses’ experiential insights with objective clinical indicators, such as patient safety incidents and fall risk metrics, to develop comprehensive, evidence-based quality improvement frameworks.
Adherence to anti-tuberculosis medication and nutritional status among children with pulmonary tuberculosis: A cross-sectional study Anita Sulistyawati; Peni Perdani Juliningrum; Nuning Dwi Merina; Ira Rahmawati; Eka Afdi Septiyono
Nursing and Health Sciences Journal (NHSJ) Vol. 6 No. 2 (2026): June 2026
Publisher : KHD-Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/nhsj.v6i2.676

Abstract

Pediatric tuberculosis remains a critical global health challenge, with suboptimal treatment outcomes frequently mediated by concurrent malnutrition and inconsistent medication compliance. The present study systematically investigated the association between anti-tuberculosis medication adherence and nutritional recovery among children diagnosed with pulmonary tuberculosis. An analytic cross-sectional design was employed, enrolling 106 pediatric patients selected via stratified random sampling from high-burden primary healthcare facilities. Medication adherence was quantified using standardized compliance metrics, while nutritional status was classified according to age-stratified anthropometric indices. Bivariate relationships were rigorously evaluated using Kendall’s tau-b. Results demonstrated a statistically significant, moderate positive association between adherence and nutritional status (r = 0.415, p < 0.001). The majority of participants (61.3%) exhibited high adherence, with 82.1% situated in the continuation phase of therapy (months 3–6). During this period, 88.7% of children attained optimal nutritional classification, wherein higher compliance consistently correlated with favorable anthropometric trajectories. Collectively, these findings robustly confirm that sustained adherence to antitubercular regimens is significantly associated with enhanced nutritional recovery in pediatric pulmonary TB. Consequently, integrating structured adherence counseling, caregiver empowerment, and routine nutritional screening into standardized clinical pathways is imperative to optimize therapeutic efficacy, accelerate somatic growth, and mitigate long-term developmental sequelae in vulnerable pediatric populations in resource-constrained settings.
The Impact of a Structured Physical Exercise Program on Physical Function and Quality of Life among Patients with Chronic Kidney Disease Undergoing Hemodialysis Friska Ernita Sitorus; Alprindo Sembiring Meliala; Hariati Hariati; Jekson Martiar Siahaan; Rostiodertina Girsang; Bahtera Bindavid Purba; Putri Ayu Yessy Ariecha; Nurul Aini Siagian; Peny Ariani; Tetty Junita Purba; Elmina Tampubolon
Nursing and Health Sciences Journal (NHSJ) Vol. 6 No. 2 (2026): June 2026
Publisher : KHD-Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/nhsj.v6i2.677

Abstract

Chronic kidney disease is a progressive condition characterized by a permanent decline in kidney function and requires renal replacement therapy, one of which is hemodialysis. Patients with chronic kidney disease undergoing hemodialysis often experience decreased physical function and quality of life due to activity limitations, fatigue, and psychological impacts. One non-pharmacological therapy that can be applied to address these problems is a physical exercise program. This study aims to determine the effect of a physical exercise program on physical function and quality of life among patients with chronic kidney disease undergoing hemodialysis at Sembiring General Hospital Deli Tua in 2026. This study used a quasi-experimental design using a one-group pretest–posttest approach. Sampling was conducted using a purposive sampling technique, resulting in a total sample of 54 respondents. Data analysis was performed using the Wilcoxon test with a significance level of α=0.05. The results showed that the mean score of physical function before the intervention was 54.56 and increased to 57.50 after the intervention. Similarly, the mean score of quality of life increased from 56.83 before the intervention to 58.93 after the intervention. The Wilcoxon test analysis revealed a p-value of 0.000<α=0.05 for both physical function and quality of life. The conclusion shows that the physical exercise program had a significant effect on improving physical function and quality of life among patients with chronic kidney disease undergoing hemodialysis at Sembiring General Hospital Deli Tua in 2026. It is recommended that physical exercise program can be implemented for patients with chronic kidney disease to enhance their physical function and quality of life.
Treatment compliance and quality of life in hemodialysis patients: A cross-sectional study highlighting the ceiling effect in a high-adherence population Melva Epy Mardiana Manurung; Parulian Dormaida Gultom; Tumpal Manurung; Baharuddin J. E. A. Togatorop; Agustina Sonatha Rumahorbo
Nursing and Health Sciences Journal (NHSJ) Vol. 6 No. 2 (2026): June 2026
Publisher : KHD-Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/nhsj.v6i2.679

Abstract

Treatment compliance is widely considered important for maintaining patient well-being, although although quality of life may be influenced by factors beyond consistently high treatment compliance. This study investigated the association between treatment compliance and quality of life among patients with chronic kidney disease receiving maintenance hemodialysis in a secondary hospital setting in Indonesia. A cross-sectional study was conducted involving 56 patients recruited consecutively from the hemodialysis unit of Djasamen Saragih Regional Hospital, North Sumatra. Treatment compliance was evaluated using the End Stage Renal Disease Adherence Questionnaire (ESRD-AQ), while The Kidney Disease Quality of Life Short Form (KDQOL-SF) was used to evaluate patient quality of life. Because the variables were not normally distributed, data analysis was performed using Spearman’s rank correlation. Most participants demonstrated high treatment compliance (94.6%), while quality of life was predominantly moderate (83.9%). No statistically significant association was identified between treatment compliance and quality of life (rs = 0.073, 95% CI −0.19 to 0.33, p = 0.611), indicating a negligible association despite high compliance levels. This finding may be explained by a ceiling effect resulting from uniformly high compliance. These findings suggest that psychosocial and contextual influences may play a larger role in determining quality of life than treatment compliance alone. Therefore, improving patient well-being may require nursing strategies that address psychosocial conditions as well as treatment compliance
Effectiveness of home blood pressure measurement–based hypertension management training among healthcare workers' competencies Pius Almindu Leki Berek; Maria Fatimah W. A. Fouk; Christian Jay S Orte
Nursing and Health Sciences Journal (NHSJ) Vol. 6 No. 2 (2026): June 2026
Publisher : KHD-Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/nhsj.v6i2.681

Abstract

Hypertension control remains suboptimal in low- and middle-income countries, partly due to limited healthcare worker (HCW) competency in implementing Home Blood Pressure Measurement (HBPM) in primary care. This study aims to evaluate the effectiveness of a structured HBPM-based training program in improving HCW competency in Indonesia's remote border region. A quasi-experimental pretest/posttest control-group design was conducted among 149 HCWs from 41 primary health centers. Participants were allocated to intervention (n=74) or control (n=75) groups based on geographic catchments. The intervention comprised a standardized two-day face-to-face training integrating didactic instruction, simulation, and hands-on practice. Competency was assessed using a validated multi-domain instrument covering knowledge, technical skills, and clinical interpretation. The intervention group demonstrated significant competency improvement (pre: 74.97±13.97; post: 90.09±10.85; mean difference: 15.12, 95% CI: 11.89–18.36; p<0.001; Cohen's d=1.08), exceeding gains in the control group (mean difference: 6.22, 95% CI: 3.06–9.38; Cohen's d=0.45; between-group p<0.001). Technical skills showed the greatest improvement, while interpretive competencies improved modestly. Structured, face-to-face HBPM training significantly enhances HCW competency in resource-limited border settings. Integrating such programs into continuing professional development frameworks may strengthen primary care capacity for hypertension management in similarly underserved contexts.
Interleukin 10 gene promoter polymorphism –819 T/C modulates IL-10 levels independently of PGE2 in multibacillary leprosy Fitriyanti; Lipinwati; Attiya Istarini; Tia Wida Ekaputri; Niken Irfa Nastiti; I Made Dwi Mertha Adnyana; Rini Pratiwi
Nursing and Health Sciences Journal (NHSJ) Vol. 6 No. 2 (2026): June 2026
Publisher : KHD-Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/nhsj.v6i2.684

Abstract

The IL-10 –819 T/C promoter polymorphism influences cytokine production in leprosy, yet its functional interplay with serum IL-10 and prostaglandin E2 (PGE2) in Indonesian populations remains undefined. This study investigated its association with multibacillary (MB) leprosy susceptibility and systemic mediator levels. In a case–control design, 35 MB patients and 35 healthy controls from Banyuasin Regency, South Sumatra, were enrolled. PCR-RFLP was used for genotyping, and ELISA was used to quantify serum IL-10 and PGE2. Genotype and allele frequencies did not differ between groups (OR = 1.121; 95% CI: 0.439–2.863; p = 0.811), indicating no susceptibility effect. Serum IL-10 was significantly elevated in patients (median 2.15 pg/mL) versus controls (1.23 pg/mL; p = 0.033). Within cases, IL-10 exhibited a C-allele dose-dependent gradient (TT: 3.82; CT: 4.96; CC: 16.20 pg/mL), though statistically underpowered (H = 0.452; p = 0.798). PGE2 showed no intergroup differences (p = 0.142), nor correlations with genotype (p = 0.915) or IL-10 (rₛ = −0.057; p = 0.639). The IL-10 –819 T/C variant does not predict MB susceptibility but, in a pathogen-context-dependent manner, functionally amplifies IL-10 production. This genetic effect operates independently of systemic PGE2 regulation, highlighting distinct immunomodulatory pathways and supporting the CC genotype as a potential biomarker of immune-suppression severity.

Page 31 of 32 | Total Record : 315

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