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Journal of Nursing Education & Practice (JNEP)
Published by Mitra Publikasi Ilmiah Press
ISSN : 27989623     EISSN : 27989496     DOI : 10.53801/jnep
Core Subject : Health, Education,
Education Nursing Public Health
Journal Of Nursing Education & Practice focuses its article in the field of nursing, which is the branch of health sciences. The scope of this journal articles are: Medical and Surgical Nursing Emergency Maternity And Pediatric Nursing Psychiatric Family and Community Nursing Geriatric Nursing Education and Management in Nursing
Arjuna Subject : Keperawatan - Nurse Assisting
Articles 114 Documents
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Hubungan Antara Tingkat Depresi dengan Penurunan Kognitif pada Lansia: The Relationship Between Depression Levels and Cognitive Decline in the Elderly Debi Nely Manurung; Maria Susila Sumartingsih; Roza Indra Yeni; Ricky Riyanto Iksan
Journal of Nursing Education and Practice Vol. 5 No. 2 (2026): Journal of Nursing Education and Practice
Publisher : MPI Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53801/jnep.v5i2.519

Abstract

Introduction: Elderly individuals are vulnerable to depression and cognitive decline, which can impair memory, orientation, and daily functioning, reducing quality of life. Family and community support help mitigate these effects.Objectives: This study examined the relationship between depression and cognitive decline in elderly patients at Hospital X.Method: A cross-sectional study included 55 elderly respondents selected purposively from 121 patients. Depression was measured using the Geriatric Depression Scale Short Version (GDS-SV), and cognitive function using the Mini-Mental State Examination (MMSE). Bivariate analysis with Chi-Square tested the association between depression and cognitive function.Results: Most elderly with mild to moderate depression had normal cognitive function, while those with severe depression predominantly exhibited cognitive impairment. The relationship between depression level and cognitive function was statistically significant (p = 0.004).Conclusion: Depression levels are significantly associated with cognitive decline in the elderly. Early detection of depression and cognitive stimulation are essential to prevent further cognitive deterioration. Interventions should include family- and community-based psychosocial support, cognitive stimulation, counseling, and emotional guidance. Family presence, such as living with children or relatives, serves as a protective factor for emotional stability and cognitive function. Healthcare professionals should integrate depression screening, family education, and cognitive interventions into elderly care plans to improve quality of life and independence.
Analisis Praktik Keperawatan Berbasis Bukti Efektivitas Latihan Range Of Motion Aktif Terhadap Pencegahan Kontraktur pada Lansia Pasca Stroke: Evidence-Based Nursing Practice Analysis of the Effectiveness of Active Range of Motion Exercises on Contracture Prevention in Post-Stroke Elderly Rizky Yanuarika Saputri; Maria Susila Sumartiningsih
Journal of Nursing Education and Practice Vol. 5 No. 2 (2026): Journal of Nursing Education and Practice
Publisher : MPI Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53801/jnep.v5i1.520

Abstract

Background: Stroke is a neurological disease that causes motor impairment, hemiparesis, and immobility in patients, particularly the elderly. This mobility impairment can trigger joint contractures if not properly managed.Objectives: This study aimed to assess the effectiveness of active Range of Motion (ROM) exercises in preventing contractures in post-stroke elderly.Research Methods: This study used an Evidence-Based Nursing (EBN) approach with a quasi-experimental pretest-posttest design. The sample consisted of eight post-stroke elderly, divided into intervention and control groups. The intervention group received regular active ROM exercises, while contracture assessments were conducted before and after the intervention. Statistical analysis was used to assess significant differences between groups.Results: All respondents experienced contractures, with 50% being categorized as mild and 50% as severe. After the intervention, 50% of respondents no longer experienced contractures, 25% remained mild, and 25% remained severe. The mean contracture score decreased from 2.50 to 1.25, with a standard deviation decreasing from 0.577 to 0.500. Intergroup analysis showed a significant difference (p = 0.017; p < 0.05), indicating that active ROM exercises were effective in reducing contracture rates.Conclution: The conclusion of this study is that active ROM exercises are effective in preventing and reducing contractures in post-stroke elderly.
Hubungan Kondisi Spiritual Dengan Tingkat Kualitas Hidup Lansia Hipertensi: The Relationship Between Spiritual Condition and Quality of Life Level of Elderly Hypertensive Patients Wati Wulandari; Rima Berlian Putri; Roza Indra Yeni; Ricky Riyanto Iksan
Journal of Nursing Education and Practice Vol. 5 No. 2 (2026): Journal of Nursing Education and Practice
Publisher : MPI Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53801/jnep.v5i2.517

Abstract

Introduction: Hypertension is a common chronic condition among older adults that can negatively affect their quality of life. In addition to physical factors, psychosocial and spiritual aspects play an important role in helping older adults adapt to their condition. A well-developed spiritual state is associated with better coping mechanisms, emotional stability, and a more positive outlook on life.Objective: This study aimed to determine the relationship between spiritual condition and quality of life among elderly patients with hypertension.Methods: This study used a quantitative analytical observational design with a cross-sectional approach. The population consisted of elderly patients with hypertension, and respondents were selected using a purposive sampling technique based on predetermined inclusion criteria. Data were collected using standardized instruments to measure spiritual well-being and quality of life. Data analysis was conducted using univariate and bivariate methods, and the relationship between variables was tested using the Chi-square test with a predetermined level of significance.Results: The findings indicated that most elderly respondents with better spiritual conditions tended to have better quality of life. Statistical analysis showed a significant relationship between spiritual condition and quality of life, indicating that higher levels of spirituality are associated with improved perceptions of well-being among elderly patients with hypertension.Conclusion: There is a significant relationship between spiritual condition and quality of life among elderly patients with hypertension. These findings emphasize the importance of integrating spiritual assessment and interventions into nursing care as part of a holistic approach to improve the overall well-being of elderly patients.
Studi Kasus : Asuhan Keperawatan Menyusui Tidak Efektif Pada Postpartum dengan Terapi Pijat Laktasi : Case Study: Ineffective Nursing Care for Breastfeeding in Postpartum with Lactation Massage Therapy Intan Nurlaila; Dwining Handayani; R.A. Helda Puspitasari; Bagus Dwi Cahyono
Journal of Nursing Education and Practice Vol. 5 No. 2 (2026): Journal of Nursing Education and Practice
Publisher : MPI Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53801/jnep.v5i2.470

Abstract

Introduction: The postpartum period is a critical phase for mothers in providing optimal nutrition through breastfeeding. However, ineffective breastfeeding remains a common problem, characterized by inadequate milk production, poor infant attachment, maternal anxiety, fatigue, and difficulties in positioning the infant during feeding. These conditions may interfere with successful breastfeeding and reduce maternal confidence. Lactation massage is a nonpharmacological intervention that may stimulate oxytocin secretion, enhance milk flow, and improve breastfeeding effectiveness.Objective: This study aimed to describe the implementation of nursing care using lactation massage therapy in a postpartum patient experiencing ineffective breastfeeding.Method: This study employed a case study approach involving one postpartum patient diagnosed with ineffective breastfeeding at RSUD dr. R. Soedarsono Pasuruan. Data were collected through interviews, observation, physical examination, and documentation. Nursing interventions included breastfeeding education and lactation massage therapy applied to the neck, shoulders, scapula, back, and breast areas for 15–20 minutes daily over three consecutive days. Evaluation focused on breastfeeding effectiveness indicators, including milk flow, infant attachment, maternal positioning during breastfeeding, infant urination frequency, sucking strength, maternal comfort, and confidence.Result: Following three days of intervention, improvements were observed in several indicators of breastfeeding effectiveness. Breast milk flow became smoother, infant attachment and positioning improved, sucking strength increased, and infant urination frequency rose from five to nine times per day. In addition, maternal anxiety and fatigue decreased, while comfort and confidence in breastfeeding improved. By the third day, the nursing problem of ineffective breastfeeding was considered resolved.Conclusion: Lactation massage combined with breastfeeding education was associated with improved breastfeeding effectiveness in this postpartum patient. This intervention may be considered a supportive nonpharmacological nursing strategy to promote successful breastfeeding and maternal well-being during the postpartum period.
Hubungan Status Gizi dan Perilaku Pencegahan Demam Berdarah Dengue dengan Derajat Infeksi pada Anak: The Relationship between Nutritional Status and Dengue Fever Prevention Behavior with the Degree of Infection in Children Premita Novi Komalasari; Susaldi; Yeni Koto
Journal of Nursing Education and Practice Vol. 5 No. 1 (2026): Journal of Nursing Education and Practice
Publisher : MPI Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53801/jnep.v5i1.322

Abstract

Pendahuluan: Penyakit infeksi dengue timbul secara akut dan dapat memburuk, serta sering berakibat fatal apabila terlambat tertangani, faktor yang mempengaruhi morbiditas dan mortalitas DBD di berbagai negara antara lain prilaku pencegan, status gizi dan derjat infeksi.Tujuan: Penelitian ini untuk mengetahui Hubungan Status gizi dan perilaku pencegahan demam berdarah dengue dengan derajat infeksi pada anak di Rumah Sakit Amira tahun 2024.Metode: Kuantitatif analitik korealsi dengan pendekatan cross sectional, yaitu jenis penelitian yang menekankan waktu pengukuran atau observasi data variabel dependen dan independen hanya satu kali pada satu saat. Dengan sample 58 orang.Hasil: berdasarkan variabel status gizi dengan derjat infeksi di dapatkan hasil analisis uji Chi square dapat dikatakan memiliki hubungan jika P-value < 0,05 dan diperoleh hasil nilai   P value = 0,042 < 0,05. Maka H0 ditolak dan HA diterima. Berdasarkan hasil variabel Perilaku Pencegahan dengan derajat infeksi dengue adalah analisis uji Chi square dapat dikatakan memiliki  hubungan jika P-value < 0,05 dan diperoleh hasil nilai Pvalue = 0,005 < 0,05. Maka H0 ditolak dan HA diterima.Kesimpulan: Ada hubungan antara perilaku pencegahan demam berdarah dengan derajat infeksi. sehingga dapat dikatakan bahwa ada hubungan antara status gizi dengan derajat infeksi.
Hubungan Fungsi Komite Keperawatan Subkomite Mutu Profesi Terhadap Pengetahuan Perawat Pelaksana Terkait Asuhan Keperawatan 3S (SDKI, SIKI, dan SLKI) : The Relationship between the Function of the Nursing Committee and the Professional Quality Subcommittee on the Knowledge of Implementing Nurses Regarding 3S Nursing Care (SDKI, SIKI, and SLKI) Deni Candra Yulianto; Sancka Stella G. Sihura; Solehudin
Journal of Nursing Education and Practice Vol. 5 No. 1 (2026): Journal of Nursing Education and Practice
Publisher : MPI Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53801/jnep.v5i1.448

Abstract

Pendahuluan: Komite keperawatan melalui subkomite kredensial, mutu, dan etik memiliki peran penting dalam menjaga kompetensi, etika, serta konsistensi penerapan standar asuhan keperawatan. Namun, berbagai penelitian menunjukkan bahwa kualitas dokumentasi asuhan keperawatan masih rendah, bahkan secara global kurang dari 50%. Rendahnya kualitas dokumentasi dipengaruhi oleh tingginya beban kerja, keterbatasan pengetahuan perawat, serta kurangnya supervisi. Kondisi serupa juga terjadi di Indonesia, dimana capaian dokumentasi pada tahap pengkajian, diagnosis, perencanaan, hingga evaluasi masih belum optimal. Implementasi standar asuhan keperawatan 3S (SDKI, SIKI, dan SLKI) terbukti mampu meningkatkan mutu dokumentasi dan pemahaman perawat terhadap proses keperawatan. Oleh karena itu, peran komite keperawatan, khususnya subkomite mutu profesi, sangat penting dalam mendukung peningkatan pengetahuan perawat serta penerapan standar asuhan keperawatan yang terstruktur dan berkualitas.Tujuan: Penelitian ini bertujuan untuk mengetahui hubungan fungsi komite keperawatan subkomite mutu profesi dengan tingkat pengetahuan perawat pelaksana terkait asuhan keperawatan SDKI, SIKI, dan SLKI.Metode: Penelitian ini menggunakan pendekatan kuantitatif dengan desain cross-sectional. Sampel penelitian berjumlah 45 perawat yang dipilih menggunakan teknik total sampling dari populasi 66 perawat. Data dikumpulkan menggunakan kuesioner yang telah diuji validitas dan reliabilitasnya. Analisis data dilakukan secara univariat dan bivariat untuk melihat hubungan antara fungsi subkomite mutu profesi dengan tingkat pengetahuan perawat.Hasil: Hasil penelitian menunjukkan tidak terdapat hubungan signifikan antara karakteristik responden dengan tingkat pengetahuan perawat. Namun, terdapat hubungan signifikan antara fungsi Subkomite Mutu Profesi dengan tingkat pengetahuan perawat.Kesimpulan: Fungsi Subkomite Mutu Profesi berhubungan dengan tingkat pengetahuan perawat terkait penerapan asuhan keperawatan berbasis SDKI, SIKI, dan SLKI.
Analisis Gaya Kepemimpinan Yang Efektif Terhadap Kinerja Karyawan Generasi Z (Gen Z) Di Rumah Sakit Umum Aulia Berdasarkan Key Performance Indicator (KPI) Tahun 2023–2024: Analysis of Effective Leadership Styles on the Performance of Generation Z (Gen-Z) Employees at Aulia General Hospital Based on the Key Performance Index (KPI) in 2023–2024 Alfira Pangestika; Tri Budi Wahyuni Rahardjo; Haidar Istiqlal; Bachtiar Fanani
Journal of Nursing Education and Practice Vol. 4 No. 4 (2025): Journal of Nursing Education and Practice
Publisher : MPI Press

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Abstract

Introduction: Leadership styles appropriate for Generation Z employees require distinct approaches compared to those used with previous generations. As individuals who actively drive organizational and corporate development, Gen-Z employees currently within their most productive age range necessitate adaptive and effective leadership strategies. Objectives: This study aims to analyze the influence of effective leadership styles on the performance of Gen-Z employees at RSU Aulia, measured through the Key Performance Index (KPI) for the years 2023–2024. Method: A quantitative method with an associative approach was employed, using a cross-sectional design. A total of 150 Gen-Z employees (born between 1995 and 2010) participated in the study by completing a structured questionnaire. Result: The findings indicate that transformational and situational leadership styles yield the most positive impact on the KPI performance of Gen-Z employees. Conversely, autocratic and participative leadership styles were found to be relatively less effective within this demographic. Hypothesis testing revealed that the calculated F-value (2.683) exceeded the F-table value (0.874), indicating a statistically significant influence of leadership style (Variable X) on employee performance. The coefficient of determination (R²) was 0.085, suggesting that leadership styles accounted for 8.5% of the variance in employee performance, with the remaining 91.5% influenced by other factors. Conclution: The study concludes that transformational and situational leadership styles should be prioritized by RSU Aulia’s management to enhance Gen-Z employee performance. Furthermore, integrating coaching leadership approaches is recommended to support the fast-paced responsiveness and adaptability characteristic of Gen-Z employees.
Evaluasi Sistem Informasi Layanan Pendaftaran Rawat Jalan Terhadap Pasien Dengan Pemakai Mobile Jkn : Evaluation of the Outpatient Registration Service Information System for Patients Using Mobile JKN Windi Swesti Harsono; Alih Germas Kodyat; Dicky Yulius Pangkey; Bachtiar Fanani
Journal of Nursing Education and Practice Vol. 5 No. 1 (2026): Journal of Nursing Education and Practice
Publisher : MPI Press

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Abstract

Introduction: The implementation of digital health information systems has become an important strategy to improve the efficiency and quality of health services. One of the innovations introduced in Indonesia is the Mobile JKN application, which enables patients to access various administrative services, including online outpatient registration. RSU Aulia has implemented an online registration system through the Mobile JKN application; however, many patients still prefer conventional registration by coming directly to the hospital and taking queue numbers manually. This condition indicates that the utilization of the application has not yet been optimal. Several factors may influence the use of digital health services, including system quality, information quality, and service quality.Objectives: This study aims to analyze the effect of system quality, information quality, and service quality on the utilization of the Mobile JKN application for outpatient registration services.Method: This study used a quantitative approach with a cross-sectional design. The research involved 150 outpatients who had used the Mobile JKN application. Data were collected using structured questionnaires based on the DeLone and McLean Information System Success Model, covering system quality, information quality, service quality, and application utilization. Sampling was conducted using accidental sampling. Data analysis included univariate analysis, Spearman’s rho correlation test for bivariate analysis, and multiple logistic regression for multivariate analysis.Result: The results showed that most respondents assessed the system quality, information quality, and service quality of the Mobile JKN application as good, with a high level of application utilization. Bivariate analysis indicated significant relationships between system quality, information quality, and service quality with the utilization of the Mobile JKN application. Multivariate analysis revealed that system quality and service quality were the most influential factors in determining application utilization, while information quality was not a significant predictor after controlling for other variables.Conclution: The utilization of the Mobile JKN application in outpatient registration is influenced primarily by system quality and service quality. Improving system performance and service support is essential to enhance the effectiveness of digital health service utilization.
Analisis Mekanisme dan Tingkat Keparahan Potensi Interaksi Obat Pada Pasien Diabetes Melitus Rawat Inap: Analysis of the Mechanism and Severity of Potential Drug Interactions in Hospitalized Diabetes Mellitus Patients Teguh Wibowo; Julia Totong; Imam Syafi’i
Journal of Nursing Education and Practice Vol. 5 No. 1 (2026): Journal of Nursing Education and Practice
Publisher : MPI Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53801/jnep.v5i1.461

Abstract

Background: Diabetes mellitus is a chronic metabolic disorder that frequently requires combination therapy, which may increase the risk of drug interactions. These interactions can influence the safety and effectiveness of pharmacological treatment, especially in hospitalized patients who often experience multiple comorbid conditions and receive various medications simultaneously.Objective: This study aimed to analyze the potential drug interactions in hospitalized patients with diabetes mellitus.Methods: This study applied a descriptive analytic approach with a retrospective design using medical record data. The analysis focused on identifying potential drug interactions based on prescribed medications. The potential interactions were evaluated using a drug interaction database to determine their mechanisms and severity levels.Results: The findings indicate that hospitalized patients with diabetes mellitus commonly receive multiple medications due to the presence of comorbid diseases. The use of combination therapy increases the possibility of potential drug interactions. Most interactions identified were related to pharmacodynamic and pharmacokinetic mechanisms. In terms of severity, moderate interactions were more frequently observed compared with other categories. These interactions mainly occurred among antidiabetic agents and medications used to treat accompanying conditions.Conclusion: Potential drug interactions among hospitalized patients with diabetes mellitus are relatively common due to the complexity of therapy and the presence of comorbidities. Careful monitoring of medication therapy and collaboration among healthcare professionals are important to ensure safe and effective treatment and to minimize the risk of adverse drug interactions.
Penerapan Imajinasi Terbimbing Terhadap Tingkat Kecemasan pada Pasien Folikular Limfoma di RSUP X: Studi Kasus: Application of Guided Imagery to Anxiety Levels in Follicular Lymphoma Patients at RSUP X: A Case Study Desty Greselly; Sriyati
Journal of Nursing Education and Practice Vol. 5 No. 3 (2026): Journal of Nursing Education and Practice
Publisher : MPI Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53801/jnep.v5i3.485

Abstract

Introduction: Follicular lymphoma is a subtype of non-Hodgkin lymphoma characterized by an indolent and chronic disease course that may lead to significant physical and psychological burdens, including anxiety, particularly in patients undergoing long-term treatment. Anxiety in cancer patients can negatively affect quality of life, highlighting the need for safe and effective non-pharmacological nursing interventions. Objective: This case report aimed to describe the application of guided imagery therapy as part of nursing care in a patient with follicular lymphoma experiencing anxiety. Methods: A descriptive case study was conducted on a single patient diagnosed with follicular lymphoma at Dr. Sardjito General Hospital, Yogyakarta, Indonesia. Nursing care was delivered through the nursing process, including assessment, nursing diagnosis, intervention, implementation, and evaluation. Guided imagery therapy was administered for 20 minutes per session over three consecutive days. Anxiety levels were measured using the Hospital Anxiety and Depression Scale-Anxiety (HADS-A) before and after the intervention. Results: A 74-year-old female patient presented with an initial HADS-A score of 12, indicating moderate to severe anxiety. After three sessions of guided imagery therapy, the HADS-A score decreased to 5, indicating a normal range. In addition to score reduction, the patient reported improved relaxation and reduced anxiety symptoms. However, these changes should be interpreted cautiously as a single-case outcome potentially influenced by other factors such as family support and adaptation to hospitalization. Conclusion: The application of guided imagery therapy in this case was associated with a reduction in anxiety levels in a patient with follicular lymphoma. This finding suggests that guided imagery may serve as a supportive nursing intervention for anxiety management in cancer patients. Nevertheless, the results are not generalizable, and further studies with larger samples and stronger designs are needed.

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