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Journal of Applied Nursing and Health
Published by Lembaga Chakra Brahmanda Lentera
ISSN : 26671609     EISSN : 28093208     DOI : 10.55018
Core Subject : Health, Science,
Biochemistry, Genetics & Molecular Biology Chemistry Dentistry Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Nursing Public Health Veterinary
Journal of Applied Nursing and Health (JANH) (Prefix DOI: 10.55018) has published its first volume with p-ISSN: 2657-1609 (SK LIPI: 0005.26571609/JI.3.1/SK.ISSN/2019.05) in 2019 and e-ISSN: 2809-3208 (SK LIPI 005.28093208/K.4/SK.ISSN/2021.12) in 2021. JANH is a health journal that publishes scientific papers for nurses, health academics, and other health practitioners. This journal is published regularly in June and December every year. The Journal of Applied Nursing and Health (JANH) is a peer-reviewed scientific journal. JANH hopes to be able to contribute to increasing evidence-based knowledge in the realm of nursing and health, JANH hopes to be useful and used by the community to improve a better quality of life which in turn has the potential and impact on the advancement of knowledge in nursing and health practice. All JANH papers have a solid, critical, and scientifically sound scientific, evidence, theoretical or philosophical basis in their approach.
Arjuna Subject : Profesi Kesehatan - Profesi Kesehatan (Lain-Lain)
Articles 311 Documents
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Effectiveness of Mind–Body–Based Psychoeducation in Strengthening Midwives’ Role and Enhancing Breastfeeding Self-Efficacy Among Postpartum Mothers: A Quasi-Experimental Study Manullang, Rasmi; Tarigan, Imarina; Nainggolan, Anna Waris; Aruan, Lasria Yolivia; Sianipar, Yesica Geovany; Damanik, Lira Agnes Monica; Siahaan, Sastra Amelia
Journal of Applied Nursing and Health Vol. 7 No. 3 (2025): Journal of Applied Nursing and Health
Publisher : Chakra Brahmanda Lentera Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55018/janh.v7i3.423

Abstract

Background: Breast milk is the best nutrition for babies and has long-term benefits for both mother and child health. A critical factor in successful breastfeeding is breastfeeding self-efficacy (BSE), a mother's confidence in her ability to breastfeed. Methods: This quasi-experimental study employed a pre-test and post-test design with a control group and purposive sampling. The sample comprised 60 postpartum mothers: 30 in the intervention group and 30 in the control group. The intervention involved using the PIANA application for four weeks. Statistical tests were performed using SPSS 26 for univariate and bivariate data analysis. Outcomes were measured using the Wilcoxon and Mann-Whitney U tests to assess whether psychoeducation could increase postpartum mothers' confidence in breastfeeding. Results: Bivariate analyses of the variables were conducted using statistical tests after the application, namely the Midwife's Role variable (p = 0.023), the Psychoeducation variable (p = 0.032), and the BSE variable (p = 0.012). The results of the bivariate analysis of the three variables showed that the Midwife's Role with BSE psychoeducation positively affected postpartum mothers' confidence in breastfeeding. Conclusion: Psychoeducational applications using a mind-body approach have been shown to improve breastfeeding self-efficacy in postpartum mothers. Optimizing the role of midwives through this medium can serve as an effective, flexible educational tool to support postpartum mothers in achieving breastfeeding success.
Effectiveness Of Pisbro Cookies In Improving Hemoglobin Levels Among Pregnant Women: A Quasi-Experimental Study S, Damayanty; Siregar, Erin Padilla; Siagian, Hazizah Sabilah; Kalira, Aurel Sessfy
Journal of Applied Nursing and Health Vol. 7 No. 3 (2025): Journal of Applied Nursing and Health
Publisher : Chakra Brahmanda Lentera Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55018/janh.v7i3.432

Abstract

Background: Anemia in pregnancy remains a major cause of maternal complications, low birth weight, and stunting. Although iron–folic acid supplementation is widely implemented, there is a lack of culturally appropriate, food-based interventions using locally available ingredients that can sustainably improve hemoglobin levels in low-resource settings. This gap highlights the need for innovative, community-adaptable nutritional interventions that complement existing programs. The objective was to evaluate the effectiveness of Pisbro cookies (banana–broccoli cookies) in improving hemoglobin levels among pregnant women with anemia. Methods: This study used a quasi-experimental two-group pretest–posttest design and followed the TREND reporting guideline. A purposive sampling method was used to recruit 40 pregnant women with mild–moderate anemia from the Sentosa Baru Health Centre, Medan. Inclusion criteria included: (1) confirmed anemia based on Hb examination, (2) gestational age 12–36 weeks, (3) willingness to participate for 30 days, (4) adherence to Fe tablet consumption. Exclusion criteria included pregnancy complications, chronic illness, allergies to ingredients, and incomplete follow-up. The intervention group received 5 Pisbro cookies/day for 30 days, while the control group received routine antenatal care without additional intervention. Hemoglobin levels were measured at baseline and after 30 days using a calibrated hemoglobin meter. Data were analyzed using an independent t-test at α = 0.05. Results: The intervention group showed an increase in mean hemoglobin levels from 9.56 ± 0.48 g/dL to 9.79 ± 0.51 g/dL, while the control group decreased from 9.62 ± 0.47 g/dL to 9.40 ± 0.50 g/dL. The difference between groups was statistically significant (p = 0.019), indicating a positive effect of Pisbro cookies on maternal hemoglobin levels. Conclusion: Pisbro cookies were effective in improving hemoglobin levels among pregnant women with anemia. As a low-cost, culturally acceptable food-based intervention using locally available ingredients, Pisbro has potential to complement maternal nutrition programs and support anemia and stunting prevention efforts.
Development of a Community-Based Early Warning System (EWS) Model For Stunting Prevention in Nutritional Status Among Children Under Five Years Hastuti, Apriyani Puji; Wahyusari, Shinta; Servitia, Aldila Eka
Journal of Applied Nursing and Health Vol. 7 No. 3 (2025): Journal of Applied Nursing and Health
Publisher : Chakra Brahmanda Lentera Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55018/janh.v7i3.449

Abstract

Background: Stunting is one of the problems in the context of the triple burden of disease. Growth conditions below standard indicate growth obstacles in the child. This research aims to analyse the factors that influence EWS and to evaluate the application of the EWS model in improving nutritional status in toddlers. The purpose of the study is to develop an EWS for nutritional status in children. Methods: This research used an explanatory design to determine EWS; quasi-experimental sampling was randomised (multistage random design) with 180 respondents in stage 1 and 38 respondents in stage 2—inclusion criteria: mothers who have children and are raising their own child.  The research was conducted in the public health sector of Malang Regency. Data collection will be done using a questionnaire for each variable. Data analyzed with Partial Least Square, Wilcoxon Signed Rank Test, and Mann Whitney  The results of this study showed that determining factors of EWS were body weight (X1.3), height (X1.4), birth length (X1.6), history of infection (X1.7), minimal weight gain (X1. 11), participation in integrated health service (X2.2), history of maternal infection (X3.2), birth interval (X3.3), land use (X4.2), food hygiene (X5.2), complementary feeding (X6. 1), responsive feeding (X6.2).. Results: The EWS model's effectiveness is associated with minimal weight gain in children (ρ<0.001), but not with nutritional status (ρ=1.000) or upper arm circumference (ρ=0.207). Conclusion: It is hoped that the development of this model can be an intervention with an integrated approach to improve the minimal weight gain which in the long term may enhance nutritional status.of children under five.
Flexible Work Shift Policy, Burnout, and Performance among Hospital Administrative Staff: A Cross-Sectional Correlational Study Jannah, Miftahul; Zebua, Arianus
Journal of Applied Nursing and Health Vol. 7 No. 3 (2025): Journal of Applied Nursing and Health
Publisher : Chakra Brahmanda Lentera Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55018/janh.v7i3.464

Abstract

Background: Flexible work shift policies are increasingly adopted to promote employee well-being and productivity. However, empirical evidence regarding their impact on burnout and job performance among non-medical hospital staff in Indonesia remains limited, creating a gap in understanding how such policies function in this context. This study aimed to analyse the effects of flexible work-shift policies on burnout and performance among administrative staff at Medan Adventist Hospital. Methods: A cross-sectional correlational design was used, following the STROBE reporting guideline, involving 50 administrative employees selected through saturated sampling. Instruments included the Flexible Work Shift Questionnaire, Maslach Burnout Inventory, and a performance questionnaire based on Robbins’ theory. All tools demonstrated acceptable validity and reliability. Data analysis employed Pearson correlation with a significance level of p < 0.05, accompanied by effect size (r²) calculations. Results: Flexible work shifts were negatively associated with burnout (r = –0.512, p = 0.001, r² = 0.26) and positively associated with performance (r = 0.628, p < 0.001, r² = 0.39). Burnout also showed a negative correlation with performance (r = –0.473, p = 0.002, r² = 0.22).. Conclusion: Flexible work shift policies significantly reduce burnout and enhance job performance. These findings highlight the value of structured, well-supervised flexibility as an evidence-based HR strategy that supports employee well-being and strengthens hospital operational quality.
Determinants of Emergency Department Length of Stay Using the Time Frame Emergency Care Model: A Retrospective Study Sompie, Lydia Maryendi; Lestari, Retno; Suryanto, Suryanto
Journal of Applied Nursing and Health Vol. 7 No. 3 (2025): Journal of Applied Nursing and Health
Publisher : Chakra Brahmanda Lentera Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55018/janh.v7i3.472

Abstract

Background: Timely management in the emergency department (ED) is critical for patient safety and quality of care. Prolonged Length of Stay (LOS) in the ED, often linked to delays in patient processing, can lead to poor outcomes, particularly in high-risk populations. This study aims to explore the time-related factors influencing LOS using the Time Range Guidance Model. Methods: A retrospective cross-sectional study was conducted, analysing 377 patient records from June to August 2025. Data were extracted from electronic medical records (EMR), focusing on time intervals for initial assessment, review/consultation, and transfer phases. Multivariate regression was used to identify the factors influencing LOS. Results: The review/consultation time (β = 0.3, p < 0.001) and transfer waiting time (β = 0.356, p < 0.001) were significant predictors of LOS. The model explained 22.6% of the variability in LOS (Adjusted R² = 0.226). Initial assessment time did not significantly correlate with LOS (r = 0.045, p = 0.321). Conclusion: Delays in the review/consultation and transfer phases have a greater impact on ED LOS than the initial assessment. These findings suggest that optimizing these phases can improve ED efficiency and patient outcomes, particularly in resource-constrained settings such as Indonesia.
Improving Social Interaction Competence in Incarcerated Adolescents Through Group Therapy: A Quasi-Experimental Study Manurung, Idawati; Amperaningsih, Yuliati
Journal of Applied Nursing and Health Vol. 8 No. 1 (2026): Journal of Applied Nursing and Health
Publisher : Chakra Brahmanda Lentera Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55018/janh.v8i1.325

Abstract

Background: Social interaction competence is essential for the successful rehabilitation of juvenile offenders. However, empirical evidence on structured group therapy targeting social interaction competence among incarcerated adolescents in low-resource correctional settings remains limited. This study aimed to evaluate the efficacy of a module-based group therapy intervention in improving social competence and to identify the environmental factors influencing these outcomes. Methods: A quasi-experimental pretest-posttest with control group study was conducted with 80 adolescents (primarily aged 16–17). The intervention group (n=44) received a structured group therapy program, while the control group (n=36) received standard institutional care. Data were analyzed using paired t-tests, independent samples t-tests, and multivariate regression to identify predictors of social competence. Data were collected using a questionnaire and a validated social interaction scale (Cronbach’s alpha = 0.905). Results: The intervention group demonstrated a statistically significant improvement in social interaction scores, increasing from 54.64±15.43 to 63.45±12.65 (p < 0.05), with a medium-to-large effect size (Cohen’s d = 0.62). Conversely, the control group showed no significant change (p > 0,05, d = 0.42). Multivariate analysis revealed that while age was a positive predictor of competence (beta = -0.20, p < 0.05), the length of detention emerged as a notable negative factor (beta = -0.36, p < 0.05), suggesting a "prisonization" effect where social skills erode over time. Conclusion: Structured group therapy significantly enhances social interaction competence and serves as a vital buffer against the social decay associated with prolonged incarceration. These findings underscore the necessity of early, module-based interventions within correctional rehabilitation programs to counteract the restrictive nature of the prison environment.
TERPATRI (Forgiveness Therapy and Gayatri Mantra–Based Spiritual Intervention) on Resilience among Sexual Harassment Survivors: A Quasi-Experimental Study Wardana, Ketut Eka Larasati; Juniantari , Putu Wahyu Sri
Journal of Applied Nursing and Health Vol. 8 No. 1 (2026): Journal of Applied Nursing and Health
Publisher : Chakra Brahmanda Lentera Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55018/janh.v8i1.409

Abstract

Background: Victims of sexual abuse often experience long-term psychological impacts such as trauma, emotional distress, and reduced resilience. Although various interventions exist, most focus on cognitive and behavioral approaches and lack integration of culturally relevant spiritual aspects. Therefore, this study evaluates the effectiveness of TERPATRI—an integration of forgiveness therapy and Gayatri Mantra spirituality—in improving resilience among victims of sexual abuse. Methods: This study used a pre-post quasi-experimental design with a control group. Participants were recruited using purposive sampling techniques, involving 64 victims of sexual abuse (32 in the intervention group and 32 in the control group). The inclusion criteria for this study were female victims of sexual abuse who were able to stand, open their mouths, hear, and communicate in Balinese and Indonesian. Meanwhile, the exclusion criteria for this study were victims of sexual abuse who had mental disorders, victims under the age of 5, and victims who were illiterate and did not have strong witnesses for this study. The main outcome variable was psychological resilience, which was measured using the Brief Resilience Scale (BRS). The analysis was performed using a paired t-test, with a significance level set at p < 0.05. Results: The intervention group showed a significant increase in resilience after participating in TERPATRI, with average scores increasing from pre-intervention to post-intervention. The paired t-test showed a statistically significant difference (p < 0.001), accompanied by a large effect size (Cohen's d > 0.80), indicating a substantial increase in resilience compared to the initial condition and the control group. Conclusion: TERPATRI has been proven effective in improving the resilience of sexual abuse victims. The integration of forgiveness therapy with Gayatri Mantra spirituality shows potential as a culturally and contextually sensitive mental health intervention, especially in communities with a strong spiritual background. This approach has the potential to be developed as a complementary intervention in psychological recovery services for victims of sexual violence.
Effectiveness of Honey Soy Milk on Hemoglobin Improvement among Adolescent Girls with Menstrual Anemia: A Quasi-Experimental Study Yuniza, Yuniza; Ginanjar, Marwan Riki; Ulaa, Mar’atun; Williams, Brett
Journal of Applied Nursing and Health Vol. 8 No. 1 (2026): Journal of Applied Nursing and Health
Publisher : Chakra Brahmanda Lentera Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55018/janh.v8i1.430

Abstract

Background: Anemia is a common health problem among adolescent girls, primarily due to iron deficiency and blood loss during menstruation. Honey contains bioactive compounds beneficial to health, including the improvement of metabolism and hematological status. This study aims to determine the effect of honey soy milk on hemoglobin (Hb) levels among adolescent girls with menstrual anemia. Methods: This quantitative study employed a quasi-experimental design with one group pretest–posttest, conducted at an educational institution in Indonesia. A total of 25 adolescent girls with menstrual anemia were selected using purposive sampling based on inclusion and exclusion criteria. The intervention consisted of administering 200 mL of honey soy milk twice daily for 5 consecutive days during menstruation. Hemoglobin levels were measured in g/dL using an EasyTouch GCHb digital analyzer before and after the intervention. Data analysis followed the Transparent Reporting of Evaluations with Nonrandomized Designs (TREND) guidelines. Results: The mean hemoglobin level before the intervention was 11.15 ± 1.72 g/dL, and after the intervention, it increased to 12.92 ± 1.87 g/dL. Statistical testing showed a significant difference (p < 0.001), indicating that honey soy milk effectively improved Hb levels among participants. Conclusion: Honey soy milk is effective in increasing hemoglobin levels in adolescent girls with menstrual anemia. These findings support the use of functional foods as an adjunctive strategy in anemia prevention and management programs for adolescents
Effectiveness of Citrus sinensis Aromatherapy and Nature Sound Therapy on Pain, Vital Signs, and Postoperative Nausea and Vomiting: A Quasi-Experimental Study Ariningpraja, Rustiana Tasya; Fatma, Endah Panca Lydia; Lestari, Retno; Hidayati, Laely; Febriano, Luis Figo
Journal of Applied Nursing and Health Vol. 8 No. 1 (2026): Journal of Applied Nursing and Health
Publisher : Chakra Brahmanda Lentera Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55018/janh.v8i1.446

Abstract

Background: Postoperative recovery in the early hours after surgery is often accompanied by pain, vital-sign fluctuations, and postoperative nausea and vomiting (PONV). Complementary therapies such as Citrus sinensis aromatherapy and nature sound therapy have been used as adjuncts to pharmacological management; however, evidence on their combined effects on multiple recovery indicators in the early postoperative period remains limited. This study evaluated the effectiveness of these interventions compared with standard postoperative care. Methods: Three-group pretest–posttest quasi-experimental study was conducted in two hospitals using purposive sampling. Participants were conscious and hemodynamically stable adult patients 8–12 hours after surgery. Patients with chronic pain, hearing impairment, or olfactory dysfunction were excluded. Based on G*Power analysis (f = 0.25, α = 0.05, power = 0.80), 30 participants per group were required; therefore, 32 were recruited per group. Interventions were provided 8–12 hours post-surgery alongside standard care: Citrus sinensis aromatherapy (25 minutes) and nature sound therapy (30 minutes). Outcomes included pain intensity (Numeric Rating Scale), vital signs, and PONV severity (4-point scale). Data were analyzed using repeated-measures ANOVA in SPSS version 26. Results: Both Citrus sinensis aromatherapy and nature sound therapy showed significant improvements in pain, vital-sign stability, and reduced PONV severity compared with the control condition (p < 0.05). No adverse effects were observed. Aromatherapy demonstrated a moderate effect on PONV reduction, while nature sound therapy showed a large effect on pain reduction and vital-sign stabilization. Conclusion: Citrus sinensis aromatherapy and nature sound therapy are safe adjunctive interventions that may enhance early postoperative recovery by improving symptom burden and supporting physiological stability, with strong potential for integration into sensory-based postoperative comfort protocols.
Effect of Citrus Sinensis Aromatherapy on Pain and Anxiety Among Hemodialysis Patients: A Quasi-Experimental Study Ariningpraja, Rustiana Tasya; Fatma, Endah Panca Lydia; Lestari, Retno
Journal of Applied Nursing and Health Vol. 8 No. 1 (2026): Journal of Applied Nursing and Health
Publisher : Chakra Brahmanda Lentera Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55018/janh.v8i1.447

Abstract

Background: Pain is a common problem in hemodialysis patients and is often accompanied by anxiety. Aromatherapy is a simple, low-cost complementary intervention, but evidence in hemodialysis patients is still limited and inconclusive. Citrus sinensis essential oil is of particular interest because its major bioactive components are analgesic and anxiolytic agents. The purpose of this study was to determine the effect of citrus sinensis aromatherapy on pain and anxiety in hemodialysis patients. Methods: A quasi-experimental design with a control group included 50 hemodialysis patients (25 control and 25 intervention) selected by purposive sampling at the Bangil Health Centre in Pasuruan City. Eligible patients were ≥ 18 years old, have good sense of smell, on routine hemodialysis. Pain was measured using the Numeric Rating Scale (NRS) and anxiety using the Generalized Anxiety Disorder-7 (GAD-7)—data analyzed with a paired t-test. The intervention was given twice a week for 30 minutes. Ethical clearance was obtained. Results: In the intervention group, mean pain score decreased from 6.2 ± 1.1 to 3.4 ± 1.0, and anxiety scores decreased significantly (both p < 0.001), while changes in the control group were not significant. Between-group comparisons showed a greater reduction in pain and anxiety in the intervention group (p < 0.05). Conclusion: The Citrus sinensis aromatherapy was effective to reduce on pain scale and anxiety level in chronic kidney disease patients undergoing hemodialysis. These findings suggest that citrus sinensis aromatherapy can be considered as a simple complementary nursing intervention to improve comfort and psychological well-being during hemodyalisis period.

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