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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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Factors Influencing Patient Perception of Clinical Laboratory Services: A Cross-Sectional Study Hidayat, Afif Wahyudi; Setianingsih, Lyliana Endang; Hutagaol, Emmelia Kristina
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.v8i1.456

Abstract

Background: Hospital clinical laboratories are essential for diagnosis, treatment monitoring, and clinical decision-making, and increasingly contribute to hospital revenue. However, in contrast to high-income settings where laboratory service quality has been more extensively studied, there is still limited empirical evidence from low- and middle-income countries (LMICs), including Indonesia, on how structural and process-related aspects of private hospital clinical laboratory services shape patient perceptions. This study aimed to analyze factors associated with patient perceptions of clinical laboratory services. Methods: This quantitative cross-sectional study. A total of 114 consecutively recruited patients completed the Clinical Laboratory Service Perception Questionnaire (CLSPQ), a 22-item validated instrument covering education level, physical environment (laboratory room, cleanliness of rooms and toilets, waiting area comfort), service processes (waiting time, availability of tests, clarity of information), and overall perception of laboratory services. Data were analyzed using chi-square tests and multiple logistic regression to identify independent predictors of positive patient perceptions (p < 0.05). Results: In multivariable analysis, higher education level, bright and hygienic laboratory rooms, comfortable and clean waiting areas, clear information about laboratory services, very clean laboratory rooms, clean and odorless toilets, shorter waiting times, and availability of all required laboratory tests were independently associated with positive patient perceptions of clinical laboratory services (all p < 0.001). Laboratory cleanliness showed the strongest association with positive perceptions, followed by toilet cleanliness and shorter waiting times. Conclusion: Physical environmental conditions and key service delivery processes are major determinants of how patients perceive clinical laboratory services in this LMIC private hospital. Prioritizing low-cost improvements in cleanliness, waiting room comfort, queue management, and clarity of information within continuous quality improvement programmes may substantially enhance patient satisfaction and strengthen the professional image of hospital laboratories in similar resource-limited settings.
Effectiveness of Video and Leaflet Educational Media on Postpartum Mothers’ Knowledge and Attitudes Toward Exclusive Breastfeeding: A Quasi-Experimental Study Manjorang, Novita Andriani Br.; Sembiring, Ninsah Mandala Putri; Yun, Deby Cyntia; Hutasoit, Naomi; Heriani, Siska
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.v8i1.467

Abstract

Background: Exclusive breastfeeding (EBF) is essential to reduce infant morbidity and mortality, yet EBF coverage in Indonesia remains suboptimal, partly due to limited maternal knowledge and less supportive attitudes. Comparing educational media such as video and leaflets is important to identify effective and scalable approaches for postpartum breastfeeding counseling. To determine the effectiveness of video media and leaflet media in improving postpartum mothers’ knowledge and attitudes toward exclusive breastfeeding. Methods: This quasi-experimental two-group pretest–posttest study was reported in line with the TREND guideline for nonrandomized evaluations. Participants were recruited using purposive sampling from postpartum mothers and allocated into two nonrandomized intervention groups (video vs leaflet; 30 per group). Inclusion criteria were postpartum mothers ≤6 weeks, willing to participate, able to communicate in Bahasa Indonesia, and (for video group) having smartphone access to view the material; exclusion criteria included cognitive/psychological disorders or inability to complete the session. Knowledge and attitude were assessed using validated questionnaires before and immediately after a standardized 30-minute education session. Data were analyzed using SPSS version 25; within-group changes were tested with paired-samples t-tests, and effect sizes were calculated using Cohen’s d. Results: Both interventions significantly improved knowledge and attitude scores (p<0.001). In the video group, knowledge increased from 50.67±9.59 to 89.77±7.27 (Cohen’s d=3.93), and attitude increased from 48.53±10.23 to 85.37±5.56 (Cohen’s d=3.56). In the leaflet group, knowledge increased from 49.60±10.13 to 88.00±6.75 (Cohen’s d=3.89), and attitude increased from 48.17±10.29 to 85.53±6.25 (Cohen’s d=3.31). Conclusion: Video and leaflet education were both highly effective in improving postpartum mothers’ knowledge and attitudes toward EBF, with very large effect sizes in both groups; video showed a slightly larger effect on attitudes. Integrating video and leaflets into routine postpartum counseling may strengthen EBF promotion in primary care settings.
The Effect of Tempeh Dietary Intake on Blood Glucose Levels in Prediabetics Rotua, Manuntun; Sriwiyanti, Sriwiyanti
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.v8i1.469

Abstract

Background: Rediabetes is a high-risk metabolic condition that precedes type 2 diabetes mellitus and is associated with increased morbidity. Dietary intervention plays a critical role in glycemic control. Tempeh, a traditional fermented soybean product, contains bioactive compounds such as isoflavones and high-quality protein that may improve glucose metabolism. However, evidence on its effectiveness in prediabetic populations remains limited. This study aimed to evaluate the effect of daily tempeh consumption on blood glucose levels among individuals with prediabetes. Methods: A comparative pre-experimental study with a pretest–posttest control group design was conducted at Mohammad Hoesin Hospital, Palembang. A total of 60 participants with prediabetes were randomly assigned to intervention (n=30) and control (n=30) groups. The intervention group received 250 g/day of tempeh for 14 days, while the control group followed a regular diet. Blood glucose levels were measured before and after the intervention. Data were analyzed using paired and independent t-tests with a significance level of p<0.05. Results: Baseline characteristics between groups were comparable (p>0.05). The intervention group showed a significant reduction in mean blood glucose levels from 139.83±16.52 mg/dL to 104.30±13.11 mg/dL (p<0.001), while the control group also showed a smaller decrease from 137.83±14.87 mg/dL to 121.93±13.09 mg/dL (p<0.001). The mean reduction was significantly greater in the intervention group (35.53 mg/dL) compared to the control group (15.90 mg/dL), with a statistically significant between-group difference (p<0.001). Conclusion: Daily consumption of 250 g tempeh for 14 days significantly reduces blood glucose levels in individuals with prediabetes. Tempeh may serve as an effective dietary strategy for glycemic control and prevention of diabetes progression.
Village Midwives’ Experiences with Maternal Emergency Management and Digital Health Systems: A Phenomenological Study in Rural Indonesia Margaretha, Sumarti Endah Purnamaningsih Maria; Urrahman, Dhiya; Chrisnawati; Marwanta, Y. Yohakim; Baiquni, Fahmi
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.v8i1.471

Abstract

Background: Maternal and neonatal mortality remain significant challenges in low- and middle-income countries, particularly in rural Indonesia, where village midwives serve as the first responders to obstetric emergencies. Despite numerous digital health initiatives, fragmented systems and poor usability often hinder timely emergency management. This study aimed to explore the lived experiences, challenges, and expectations of community midwives in designing an effective maternal–neonatal emergency digital application in Tanah Laut District, South Kalimantan, Indonesia. Methods: This qualitative study employed a Husserlian descriptive phenomenological approach. Ten active village midwives were recruited through purposive sampling; inclusion required at least one year of experience, while those unable to attend or refusing participation were excluded. Data were collected in August 2024 through a focus group discussion (FGD) lasting 120 minutes. Data were analyzed using Colai zzi’s phenomenological analysis method, and reporting followed the COREQ guideline. Results: Five interrelated themes emerged: (1) Maternal emergencies as multidimensional crises, (2) Informal communication as the real emergency network, (3) Fragmented and burdensome reporting systems, (4) Digital and infrastructural barriers in rural practice, and (5) Expectations for an integrated, user-friendly digital solution. These themes progress conceptually from the initial crisis experience, through the mobilization of informal networks due to systemic barriers, culminating in user-driven expectations for digital design. Conclusion: The study highlights midwives’ resilience amid digital fragmentation. Policymakers and developers should adopt participatory co-design approaches involving midwives to ensure the usability and sustainability of maternal emergency digital systems
Exploring the Lived Spiritual Needs of Individuals with Schizophrenia: A Phenomenological Study Informing Holistic Mental Health Care Kuncoro, Bambang; Rachmat, Nur; Hidayati, Betty
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.v8i1.473

Abstract

Background: Spirituality has increasingly been recognized as an important dimension of recovery in severe mental illness. However, qualitative understanding of the lived spiritual needs of individuals with schizophrenia remains limited, particularly in Low- and Middle-Income Countries (LMICs). This study aimed to explore the lived spiritual needs of individuals with schizophrenia and examine their significance within recovery-oriented mental health care. Methods: This qualitative study employed van Manen’s interpretive phenomenology grounded in Heideggerian philosophy. Seven participants diagnosed with schizophrenia according to the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) and International Classification of Diseases, Tenth Revision (ICD-10; F20.x) were recruited using purposive sampling. Inclusion criteria included clinical stability, living with family, and the ability to communicate verbally. Exclusion criteria included acute psychotic exacerbation and severe cognitive impairment interfering with communication. Data were collected through face-to-face semi-structured interviews (40–60 minutes; mean 52 minutes), supported by field notes. Data saturation was achieved when no new codes emerged in the final interviews. Data were analyzed using an interpretive phenomenological approach guided by van Manen, supported procedurally by Miles and Huberman’s interactive model for data organization. This study adhered to the Consolidated Criteria for Reporting Qualitative Research (COREQ). Results: Three major themes emerged: (1) Transcendence (inner peace, actualization of trust, hope, forgiveness, religious doctrine); (2) Sense of Existence (social support and usefulness); and (3) Personal Values (gratitude and search for meaning). Spirituality functioned as an existential integration mechanism facilitating emotional regulation, identity reconstruction, and recovery-oriented meaning-making. Conclusion: Spiritual needs play a central role in recovery processes among individuals with schizophrenia. Integrating culturally sensitive spiritual assessment into psychiatric services may strengthen holistic and recovery-oriented mental health care in LMIC contexts.
Minahasa Culture, Family Support, Health Worker Support, Self-Efficacy, and Knowledge Associated with Self-Care Behavior among Hypertensive Patients: A Cross-Sectional Study Ismail, Dina Dewi Sartika Lestari; Pelealu, Christina Yunitha; Supriati, Lilik
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.v8i1.481

Abstract

Background: Hypertension is a leading cause of stroke and cardiovascular disease, and its high prevalence in Indonesia remains difficult to control. Evidence on how psychosocial and cultural factors, including Minahasa local culture, influence self-care is still limited. This study examined the effects of knowledge, self-efficacy, family support, health worker support, and Minahasa culture on self-care behavior among hypertensive patients in Southeast Minahasa Regency. Methods: A quantitative correlational cross-sectional study was conducted among 165 hypertensive patients recruited by consecutive purposive sampling from the outpatient clinic of a general hospital in Southeast Minahasa. Data were collected using validated questionnaires, and associations between predictors and self-care behavior were analyzed using multiple linear regression (p < 0.05). Results: Self-efficacy (β = 0.381; p < 0.001) and family support (β = 0.329; p < 0.001) had significant positive effects on self-care behavior. Knowledge (β = –0.009; p = 0.895), health worker support (β = –0.065; p = 0.643), and Minahasa culture (β = 0.127; p = 0.405) showed no significant direct effects. The model explained 34.7% of variance in self-care behavior (R² = 0.347). Conclusion: Self-efficacy and family support are the main determinants of self-care behavior, whereas knowledge, health worker support, and Minahasa culture do not exert significant direct effects. These findings indicate that local cultural values alone do not automatically improve self-care and may act indirectly through family and psychosocial pathways. Hypertension programs should prioritize strengthening self-efficacy and mobilizing family support, and future longitudinal studies should test culturally grounded, family-centered interventions
Cultural Beliefs and Pregnancy Care among the Dayak Kenyah Community in East Kutai, Indonesia: An Ethnographic Study Meihartati, Tuti; Ringgit, Ringgit; Sumiati, Sumiati; Abiyoga, Aries
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.v8i1.482

Abstract

Background: Maternal health during pregnancy, childbirth, and the postpartum period serves as one of the key indicators of community well-being. Various studies have emphasized that cultural practices exert a significant influence on maternal care across different communities. This study aims to explore and analyze cultural beliefs and pregnancy care among the Dayak Kenyah community in East Kutai, Indonesia. Methods: This qualitative ethnographic study used purposive sampling with maximum variation. Data were gathered from 10 informants (6 pregnant women, 2 traditional leaders, 2 healthcare providers) through in-depth interviews and field notes. Analysis followed Braun and Clarke’s thematic approach. The study adheres to SRQR reporting guidelines to ensure rigor. Results: Five interpretive themes emerged: (1) Cultural Practices and Beliefs, involving dietary and behavioral taboos to protect against supernatural risks; (2) Traditional and Social Support, where traditional birth attendants (TBAs) provide physical and diagnostic assurance; (3) Integration with Formal Healthcare, highlighting midwives as cultural mediators; (4) Healthcare Quality Improvement, focusing on cultural competency to reduce stigma; and (5) Service Expectations, emphasizing a need for home-based care. Conclusion: Maternal care among the Dayak Kenyah is a hybrid process where ancestral rituals and clinical services coexist. Success in improving outcomes depends on integrating traditional practices with formal systems through culturally sensitive approaches.
Effect of Postoperative Methylprednisolone on Swelling and Pain After Mandibular Third Molar Surgery: A Randomized Controlled Trial Tanumiharja, Leonardo Jaya Setiadi; Situmorang, Gabriella Debora Alvionita; Sumaji, Borman; Lesmana, Dian
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.v8i1.483

Abstract

Background: Pain and swelling are common inflammatory complications following mandibular third molar surgery. Corticosteroids are widely used to control postoperative inflammation and improve patient comfort. However, evidence regarding the effectiveness of low-dose postoperative methylprednisolone, particularly at an 8 mg dose, remains limited, especially in low- and middle-income countries (LMICs). This study aimed to evaluate the effectiveness of an 8 mg dose of methylprednisolone on postoperative pain intensity and facial swelling following surgery. Methods: This study employed a parallel-group, two-arm randomized controlled trial design conducted in accordance with the CONSORT guidelines. A total of 30 patients who met the inclusion criteria were randomly assigned to either the intervention group (8 mg methylprednisolone) or the control group (standard care), with 15 participants in each group. The independent variable was methylprednisolone administration, while the dependent variables included pain intensity measured using the Visual Analog Scale (VAS) and facial swelling. Outcome assessments were performed on postoperative days 1, 3, and 7. Statistical analyses were used for independent t-tests. Results: Pain intensity was lower in the methylprednisolone group than in the control group at all postoperative time points, with large between-group effect sizes observed on day 1 (p = 0.003; Cohen’s d = 1.42), day 3 (p = 0.020; Cohen’s d = 1.36), and day 7 (p = 0.007; Cohen’s d = 1.18). Facial swelling also differed between groups, showing a lower degree of swelling in the methylprednisolone group during postoperative days 1–3 (p = 0.029; Cohen’s d = 0.98) and days 3–7 (p = 0.002; Cohen’s d = 0.87), indicating consistently large effects across outcomes. Conclusion: Low-dose methylprednisolone is statistically and clinically effective in reducing postoperative pain and swelling following surgery and may be integrated as a safe and cost-effective adjuvant therapy in postoperative dental care.
Nurse Competence, Work Environment, and Patient Safety: The Mediating Role of Bedside Handover in Indonesia: A Cross-Sectional Study Kaparang, Sova Nova; Putra, Kuswantoro Rusca; Kapti, Rinik Eko
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.v8i1.484

Abstract

Background: Patient safety remains a major global concern, especially in low- and middle-income countries (LMICs) where resource limitations and communication gaps contribute to preventable harm. Although bedside handover is recognized as a strategy to enhance transparency and safety culture, few studies have examined its mediating role between nurse competence, work environment, and patient safety. Methods: This cross-sectional study, conducted in accordance with STROBE guidelines, involved 258 inpatient nurses selected through proportionate stratified random sampling from four hospitals in North Sulawesi, Indonesia. Eligible participants had at least one year of experience and were actively involved in bedside handover. Validated instruments the Nurse Competence Scale (NCS), Area of Worklife Survey (AWS), Nursing Handoff Competency Scale (NHCS), and Safety Care Activity Scale (SCAS), were used. Structural Equation Modeling with Partial Least Squares assessed measurement validity and structural relationships. Results: All instruments met recommended validity and reliability standards, and the sample primarily comprised early-career female nurses. Structural modeling showed that both nurse competence and the work environment were positively associated with bedside handover, which in turn demonstrated a strong relationship with patient safety. Bedside handover partially mediated the influence of nurse competence and fully mediated the influence of the work environment on patient safety. Conclusion: Bedside handover serves as a central mechanism linking individual capabilities and organizational conditions to safer patient outcomes. Strengthening competency development, promoting fairness and teamwork, and standardizing bedside handover practices may offer practical, low-cost pathways to improve patient safety in LMIC contexts
Patient Satisfaction with Outpatient Pharmaceutical Services Under the National Health Insurance Scheme in Indonesia: A Cross-Sectional Study Hurit, Hermanus Ehe; Putri, Andini Adinda; Bachri, Nurjannah
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.v8i1.485

Abstract

Background: The utilization of Indonesia’s National Health Insurance Scheme has increased. However, evidence on patient satisfaction with pharmaceutical services under national health insurance schemes in low- and middle-income countries, particularly using the SERVQUAL framework, remains limited. This gap is important, as Indonesia’s National Health Insurance Scheme patient characteristics may shape perceptions of service quality and inform targeted service improvement strategies. This study aimed to analyze the relationship between Indonesia’s National Health Insurance Scheme patient characteristics and satisfaction with outpatient pharmaceutical services. Methods: A quantitative cross-sectional study was conducted and reported in accordance with the STROBE guidelines. The study involved Indonesia’s National Health Insurance Scheme outpatients at the Pharmacy Installation of Dr. Suyoto Hospital, Jakarta, in 2023, who met the inclusion criteria (aged ≥18 years, received pharmaceutical services, and provided informed consent). Data were collected using a SERVQUAL questionnaire assessing five dimensions of service quality: tangible, reliability, responsiveness, assurance, and empathy. Patient characteristics (gender, age, education, and occupation) were analyzed as independent variables, while satisfaction served as the dependent variable. Associations were examined using Spearman’s rank correlation test. Results: Significant and strong correlations were found between patient satisfaction and age (ρ = 0.71; p < 0.001) as well as education level (ρ = 0.70; p < 0.001). Gender and occupation demonstrated statistically significant but weak associations with satisfaction. Conclusion: Satisfaction with outpatient pharmaceutical services among Indonesia’s National Health Insurance Scheme patients is significantly associated with specific demographic characteristics, particularly age and education. These findings underscore the importance of patient-centered service improvement strategies, with an emphasis on enhancing responsiveness and pharmaceutical communication to improve the quality of Indonesia’s National Health Insurance Scheme services sustainably.

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