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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 379 Documents
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Effect of Low-Cost CPR Pillow Training on Adolescents’ Willingness to Perform Bystander CPR: A Quasi-Experimental Study Lukman, Lukman; Wijaya, Sapondra; Susmini, Susmini; Wibowo, Wahyu Dwi Ari; Ningsih, Nurna; Soewito, Bambang
Journal of Applied Nursing and Health Vol. 8 No. 2 (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.v8i2.677

Abstract

Background: Despite increasing CPR education initiatives, evidence regarding the effectiveness of low-cost CPR Pillow simulation in improving adolescents' willingness to perform bystander CPR remains limited. This study aimed to evaluate the effect of CPR Pillow training on scout members' willingness to perform CPR in Lubuklinggau City, South Sumatera, Indonesia. Methods: This quantitative quasi-experimental study followed a non-equivalent control group pretest-posttest design in line with TREND principles. Seventy-two scout members aged 15–17 years who had never received CPR training were selected by random sampling and allocated to intervention and control groups. The intervention group received three sessions of classical teaching combined with CPR Pillow simulation over two months, while the control group received classical CPR training using leaflets only. Willingness to perform CPR was measured using a 30-item questionnaire with Cronbach's alpha of 0.85 and analyzed using paired and independent t-tests. Results: The intervention group demonstrated a greater increase in willingness scores than the control group, with mean scores improving from 42.50 ± 7.00 to 86.90 ± 5.60. The control group also improved, from 42.30 ± 6.90 to 84.20 ± 5.90. The between-group difference in score change was statistically significant (t = 2.398, p < 0.001). Conclusion: Low-cost CPR Pillow training significantly improved adolescents’ willingness to perform bystander CPR compared with leaflet-based training. This approach may be a practical and scalable strategy for school and scout CPR education in low-resource settings.
Independent Determinants of Stunting Among Children Under Five Years: A Case-Control Study Using Multivariable Analysis Islamiyati, Islamiyati; Sadiman, Sadiman; Khasanah, Sapta Aprilia; Wibowo, Wahyu Dwi Ari
Journal of Applied Nursing and Health Vol. 8 No. 2 (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.v8i2.681

Abstract

Background: Stunting is a chronic growth disorder caused by long-term nutritional deficiencies and repeated infections during the first 1,000 days of life. This study aimed to identify independent determinants of stunting among children under five years in the Yosomulyo Community Health Center, Metro City, Lampung, Indonesia. Methods: An analytical observational study with an unmatched retrospective case-control design was conducted from May 6 to May 30, 2025. A total of 76 children (38 cases and 38 controls) were selected using purposive sampling. Data were collected through structured interviews and verified using Maternal and Child Health (MCH) handbooks and health records to minimize recall bias. Statistical analysis was performed using IBM SPSS Statistics version 26. Bivariate analysis was conducted using the Chi-square test, and multivariate analysis was performed using multiple logistic regression with the backward likelihood ratio method. Results: Showed that maternal anemia during pregnancy, exclusive breastfeeding, history of diarrhea, and low birth weight (LBW) were independent determinants of stunting. Maternal anemia during pregnancy was associated with stunting (AOR = 2.76; 95% CI: 1.25–6.10; p = 0.001), exclusive breastfeeding (AOR = 4.86; 95% CI: 1.80–13.10; p = 0.001), history of diarrhea (AOR = 3.42; 95% CI: 1.54–7.61; p = 0.003), and low birth weight (AOR = 2.01; 95% CI: 1.10–3.67; p = 0.010). Conclusion: stunting is influenced by both prenatal and postnatal factors, particularly maternal nutrition during pregnancy, infant feeding practices, and early-life health conditions. Strengthening maternal nutrition programs, promoting exclusive breastfeeding, preventing low birth weight, and controlling childhood infections are essential strategies for stunting prevention. Future research using larger multi-center prospective designs is recommended to confirm these findings and strengthen causal inference.
Technology, Governance, and Workforce Management in Hospitals: A Scoping Review of Human Resource Management Evidence Oktaviyanti, Herlina; Aini, Qurratul
Journal of Applied Nursing and Health Vol. 8 No. 2 (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.v8i2.685

Abstract

Background: Evidence on hospital human resource management (HRM) remains fragmented, particularly regarding technology integration, public–private differences, and the management of non-clinical staff. This scoping review mapped the available evidence to identify key themes and research gaps in these areas. Methods: This scoping review was guided by the Arksey and O’Malley framework and reported in line with PRISMA-ScR. The review used the PCC framework (Population: hospital HRM stakeholders; Concept: technology integration, public-private HRM differences, and non-clinical workforce management; Context: hospitals and healthcare facilities). Searches were conducted in PubMed, Scopus, and Web of Science for English-language empirical studies published from 2020 to 2025. Eligible studies were qualitative, quantitative, or mixed-methods; non-empirical articles, non-English publications, studies before 2020, and studies outside healthcare-facility settings were excluded. After screening 487 records, removing 75 duplicates, assessing 57 full texts, and excluding 42 reports, 15 studies were included. Data were charted by author, year, country, design, focus, and key findings, then synthesized thematically. Results: Five themes emerged from thematic synthesis: HRM as a strategic capability; technology-enabled HRM; motivation and retention of non-clinical staff; public-private differences in HRM practices; and the relationship between HRM, service quality, and patient satisfaction. The evidence suggested that digital tools can improve monitoring, coordination, and decision-making, but implementation depends on organizational readiness and available resources. Public hospitals were generally constrained by bureaucracy and limited flexibility, whereas private hospitals were more adaptable. Research on non-clinical staff remained limited, especially regarding career pathways, retention strategies, and unit-level HR practices. Conclusion: Hospital HRM is shifting from an administrative function to a strategic, technology-supported system that influences service quality and organizational performance. This review contributes a consolidated map of evidence on digital HRM integration, public-private differences, and non-clinical workforce management, while showing that these areas remain underexplored. Future studies should prioritize comparative designs, stronger theoretical.
Effect of Spinach Extract Supplementation Combined with Iron Tablets on Hemoglobin Concentration among Pregnant Women: A Quasi-Experimental Study Hernawati, Yeti; Korihah, Haerani; Setiawan, Deris Riandi
Journal of Applied Nursing and Health Vol. 8 No. 2 (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.v8i2.691

Abstract

Background: Anemia during pregnancy remains a significant maternal health problem, primarily associated with reduced hemoglobin concentration. Although iron tablet supplementation is a standard intervention in antenatal care, its effectiveness may be enhanced through complementary nutritional strategies. However, limited evidence exists regarding the effectiveness of spinach extract supplementation combined with iron tablets as an adjunct to routine iron supplementation among pregnant women. Therefore, this study aimed to evaluate the effect of spinach extract supplementation on hemoglobin concentration in pregnant women. Methods: This quasi-experimental pretest–posttest two-group study with a control group was reported in accordance with the Transparent Reporting of Evaluations with Nonrandomized Designs (TREND) guideline. A total of 60 pregnant women were selected using purposive sampling and allocated to either the intervention or control group through nonrandom assignment based on existing antenatal care groupings. The intervention group received spinach extract supplementation combined with iron tablets combined with iron tablets, while the control group received iron tablets only for 14 days. Hemoglobin concentration was measured at baseline and after the intervention using an EasyTouch GCHb hemoglobin meter. Data were analyzed using paired-samples t-tests and independent-samples t-tests. Results: Hemoglobin concentration increased significantly in both groups after the intervention. At baseline, there was no significant difference in mean hemoglobin concentration between the intervention and control groups. After the intervention, the intervention group had a significantly higher mean hemoglobin concentration than the control group. The mean hemoglobin change was 1.12 ± 0.32 g/dL in the intervention group and 0.76 ± 0.33 g/dL in the control group. The between-group difference in hemoglobin change was 0.36 g/dL (95% CI: 0.19–0.53; p < 0.001), with a large effect size (Cohen’s d = 1.11). Conclusion: Spinach extract supplementation combined with iron tablets may provide an effective complementary strategy for improving hemoglobin concentration among pregnant women. However, further randomized studies with larger sample sizes and longer follow-up periods are recommended to confirm these findings.
Effectiveness Of HF-Care Educational Media on Self-Care Among Patients with Heart Failure: A Quasi-Experimental Amalia, Irma Nur; Ardianti, Putri Yudhi; Setiawan, Deris Riandi; Daryaman, Usan
Journal of Applied Nursing and Health Vol. 8 No. 2 (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.v8i2.694

Abstract

Background: Heart Failure (HF) remains a major cause of morbidity, mortality, and recurrent hospitalization, often associated with inadequate self-care. Although educational interventions can support HF self-management, evidence on HF-Care educational media in the Indonesian healthcare context remains limited. This study evaluated the effectiveness of HF-Care educational media on self-care among patients with heart failure. Methods: A two-week quasi-experimental two-group pretest–posttest study following the TREND guideline was conducted at an Indonesian military teaching hospital in Bandung. Forty-six patients with HF were recruited using purposive sampling and allocated to an intervention group or control group, with 23 participants in each group. The intervention group received HF-Care educational media in addition to usual care, while the control group received usual care only. Self-care was measured using the Self-Care of HF Index Version 7.2. Data were analyzed using descriptive statistics, paired-samples t-tests, and independent-samples t-tests. Results: Self-care improved in both groups, with greater improvement in the intervention group. The intervention group had significantly higher posttest self-care scores than the control group, with a mean difference of 27.00 points (95% CI: 21.80–32.20; p < 0.001) and a very large effect size (Cohen’s d = 3.14).. Conclusion: HF-Care educational media may serve as an effective evidence-based nursing intervention to improve self-care among patients with heart failure. Future multicenter studies with larger samples, randomized designs, and longer follow-up are needed to confirm its sustainability and broader applicability.
Comparative Performance of TIMI and GRACE Scores for Predicting Mortality and MACE in Acute Coronary Syndrome Winoto, Fajar Prasetyo; Wihastuti, Titin Andri; Yuliatun, Laily
Journal of Applied Nursing and Health Vol. 8 No. 2 (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.v8i2.695

Abstract

Background: TIMI and GRACE scores are widely used for prognostic risk stratification in acute coronary syndrome (ACS), yet comparative evidence across ACS subtypes, settings, follow-up periods, and outcomes remains heterogeneous. This scoping review mapped evidence comparing TIMI and GRACE scores for predicting mortality and MACE in patients with ACS or suspected ACS. Methods: This scooping review followed the PRISMA-ScR guidelines, the PCC framework, and the Arksey and O’Malley approach. Searches were conducted in ProQuest, Scopus, and CINAHL using Boolean search terms related to TIMI, GRACE, ACS, mortality, and MACE. Eligible studies were empirical quantitative studies comparing TIMI and GRACE for predicting mortality and MACE in adults with ACS. Records were screened, full texts were assessed, data were recorded using a standardized form, and findings were synthesized narratively based on outcomes and clinical settings. Results: A total of 187 records were identified, 45 duplicates were removed, 142 records were screened, 44 full-text reports were assessed, and 12 studies were included. Studies were published between 2022 and 2025 and included at least 12,039 participants from China, Lithuania, India, Turkey, Spain, Pakistan, and Iran. For mortality, GRACE more consistently demonstrated stronger discrimination than TIMI, particularly in NSTEMI, broader AMI cohorts, and STEMI patients undergoing reperfusion or PCI. For MACE, findings were more heterogeneous; GRACE generally performed better in confirmed NSTE-ACS and STEMI PCI cohorts, whereas TIMI showed comparable or sometimes higher discrimination than GRACE in undifferentiated emergency chest pain populations. Conclusion: The comparative performance of TIMI and GRACE depends on ACS phenotype, clinical context, and outcome definition. GRACE appears more robust for mortality prediction, while TIMI retains practical value as a simple bedside tool, especially in rapid triage contexts. Future studies should standardize MACE definitions, reporting metrics, and subgroup analyses across ACS populations.
Effectiveness, Benefits, Determinants, and Limitations of Early Mobilization After General Anesthesia: A Scoping Review Dermawan, Candra; Rondhianto, Rondhianto; Wijaya, Dodi
Journal of Applied Nursing and Health Vol. 8 No. 2 (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.v8i2.698

Abstract

Background: Early mobilization after general anesthesia is a key component of Enhanced Recovery After Surgery (ERAS) programs that improves postoperative recovery. However, evidence on its effectiveness, limitations, and implementation remains inconsistent across surgical settings. Therefore, this scoping review aimed to map and synthesize the available evidence on the effectiveness, benefits, limitations, and factors influencing the implementation of early mobilization after general anesthesia. Methods: This scoping review followed the Arksey and O'Malley methodological framework and was reported in accordance with the PRISMA-ScR guidelines. Literature searches were conducted in Scopus, PubMed, ScienceDirect, and SpringerLink databases for studies published between 2022 and 2026. A total of 312 records were initially identified. Following duplicate removal, studies underwent title, abstract, and full-text screening based on predefined inclusion and exclusion criteria. Eligible studies included primary research articles involving adult patients undergoing general anesthesia and evaluating early mobilization in perioperative or postoperative settings, whereas review articles, editorials, case reports, and studies unrelated to early mobilization or general anesthesia were excluded. Data were systematically charted using a standardized extraction form, and findings were synthesized using thematic analysis to identify key themes related to effectiveness, benefits, determinants, and limitations of early mobilization. Results: From 312 records initially identified, 250 studies remained after duplicate removal and underwent title and abstract screening. Following full-text assessment, 12 studies met the inclusion criteria and were included in the final synthesis. Thematic synthesis generated four major themes: (1) clinical effectiveness of early mobilization, including improvements in physical function, pain reduction, shortened length of stay, and decreased postoperative complications; (2) physiological and pharmacological determinants influencing mobilization readiness; (3) neurocognitive determinants affecting patients’ ability to participate safely in mobilization; and (4) organizational and healthcare system factors influencing implementation. The review also identified important literature gaps, including the lack of a standardized operational definition of early mobilization, substantial heterogeneity in intervention timing and outcome measures, and limited evidence regarding long-term recovery outcomes. Conclusion: This scoping review suggests that early mobilization after general anesthesia improves postoperative outcomes, including ADL, pain, LOS, and complications. However, evidence remains limited by indirect findings and variability across studies. Future research should evaluate standardized interventions and long-term outcomes in diverse healthcare settings.
Efficacy and Safety of Intralesional Hyaluronic Acid versus Control or Verapamil in Acute-Phase Peyronie’s Disease: A Systematic Review Jundi, Abdur Rahman Faqih Al; Danarto, Raden; Budiono, Nur
Journal of Applied Nursing and Health Vol. 8 No. 2 (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.v8i2.704

Abstract

Background: Acute-phase Peyronie’s disease (PD) is challenging to treat because management is often delayed until the stable phase. Evidence for conservative therapies remains limited, and no previous systematic review has specifically evaluated intralesional hyaluronic acid (HA). This systematic review evaluates the efficacy and safety of intralesional HA compared with control or verapamil in acute-phase PD. Methods: This review was conducted in accordance with the PRISMA 2020 guidelines and registered. Six databases (PubMed, ProQuest, SAGE Journals, EBSCOhost, EuropePMC, and Wiley Online Library) were searched from inception, and trial registries were screened for ongoing studies. Two reviewers independently screened titles, abstracts, and full texts against pre-specified PICOS eligibility criteria, with disagreements resolved by a third reviewer. Eligible prospective trials (randomised and non-randomised) reported on penile curvature, plaque size or volume, erectile function (International Index of Erectile Function, IIEF), penile pain (Visual Analogue Scale, VAS), or patient-reported outcomes. Risk of bias was assessed in duplicate using the Cochrane Risk of Bias 2.0 (RoB 2.0) tool for randomised and the Risk Of Bias In Non-randomised Studies of Interventions (ROBINS-I) tool for non-randomised studies, and the certainty of evidence was rated using GRADE. Results: The search identified 287 records; after duplicate removal, 193 were screened and 23 full texts assessed, of which four prospective studies (two randomised controlled trials and two non-randomised prospective studies; 582 patients) met the inclusion criteria. The two RCTs were rated at low overall risk of bias (RoB 2.0) and the two non-randomised studies at moderate overall risk of bias (ROBINS-I), mainly owing to confounding and participant selection. Intralesional HA was associated with improvements in penile curvature (reductions of approximately 4.6–9.5° versus control or verapamil, including a 9.01° [46.1%] reduction versus an untreated control), plaque size or volume (up to a 93.7% reduction in plaque volume versus progressive growth in untreated patients), and erectile function (IIEF gains of approximately 1.0–3.8 points). HA showed a favourable safety profile with no major adverse events. However, several outcomes—including plaque-size reduction and IIEF change in some trials—did not reach statistical significance over verapamil, and the evidence base is small and clinically heterogeneous. Conclusion: Intralesional HA is a potentially effective, non-surgical option for acute-phase PD, yielding improvements in curvature, plaque size, pain, and erectile function with an excellent safety profile. However, the overall certainty of evidence is limited by the small number of included studies, methodological heterogeneity, and short follow-up; findings should therefore be interpreted with caution. Large-scale, multicentre RCTs with standardised protocols, extended follow-up, and evaluation of combination therapies (e.g., with phosphodiesterase-5 inhibitors) are required before HA can be integrated into clinical guidelines.
Effectiveness of Digital Sound Therapy (DST) in Reducing Postoperative Pain Intensity Among Adult Surgical Patients Ariani, Sri Purwanti; Ernawati, Ernawati; Yuhansyah, Yuhansyah; Rapika, Rapika
Journal of Applied Nursing and Health Vol. 8 No. 2 (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.v8i2.705

Abstract

Background: Postoperative pain remains one of the most common complications experienced by patients after surgery and may delay recovery, increase the risk of complications, and prolong hospitalization. Non-pharmacological interventions are increasingly recommended as complementary approaches to postoperative pain management. Despite growing evidence supporting audio-based interventions for pain management, evidence regarding the effectiveness and clinical implementation of Digital Sound Therapy (DST) among postoperative patients in Indonesian hospitals remains limited. Therefore, this study aimed to evaluate the effectiveness of Digital Sound Therapy (DST) in reducing postoperative pain intensity among adult surgical patients. Methods: A quasi-experimental pretest–post-test control group study was conducted and reported according to the TREND guidelines. Sixty postoperative patients were selected through purposive sampling and assigned to an intervention group (n = 30) and a control group (n = 30). The independent variable was Digital Sound Therapy (DST), whereas the dependent variable was postoperative pain intensity. Pain intensity was measured using the Numeric Rating Scale (NRS) four hours after surgery (pretest) and immediately after a 20–30-minute Digital Sound Therapy (DST) intervention (post-test). The control group received standard postoperative nursing care without additional audio therapy. Data were analysed using the Wilcoxon Signed-Rank Test. Results: Baseline demographic characteristics showed that most participants in the intervention group were aged 19–44 years (73.4%), female (63.3%), employed in the private sector (56.7%), and had completed senior high school education (46.6%). Before the intervention, 30.0% of patients reported mild pain, 53.3% moderate pain, and 16.7% severe pain. Following Digital Sound Therapy (DST), the proportion of patients reporting mild pain increased from 30.0% to 86.7%, while moderate pain decreased from 53.3% to 13.3%, and severe pain was eliminated. In contrast, most patients in the control group continued to experience moderate pain (70.0%) after the second assessment. The reduction in postoperative pain intensity following Digital Sound Therapy (DST) was statistically significant (p = 0.005). Conclusion: Digital Sound Therapy (DST) effectively reduces postoperative pain intensity and should be considered as a complementary component of multimodal postoperative pain management in nursing practice. Further multicenter studies with larger sample sizes are recommended to confirm its effectiveness and support broader clinical implementation
Internet Addiction and Depressive Symptoms Among High School Students: A Cross-Sectional Study Ardiyanti, Yulia; Fauziah, Hesti Fathan Nurfais; Sulastri, Sulastri; Dwilestari, Fuji; Safira, Puspita Dinda; Yuliana, Alvi Ratna
Journal of Applied Nursing and Health Vol. 8 No. 2 (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.v8i2.706

Abstract

Background: Internet addiction has become an emerging public health concern among adolescents and has been associated with adverse mental health outcomes, including depressive symptoms. However, limited evidence is available regarding the association between internet addiction and depressive symptoms among Indonesian high school students. Therefore, this study examined the association between internet addiction and depressive symptoms among high school students. Methods: This analytical cross-sectional study, reported according to the STROBE guidelines, was conducted among 81 Grade XI students at a State Senior High School 1, Kendal Regency, Indonesia, from June to August 2025. Internet addiction was assessed using the Internet Addiction Test (IAT) and depressive symptoms were assessed using the the Patient Health Questionnaire-9 (PHQ-9). Data were analyzed using Spearman's rank correlation test. Results: Most participants were female (56.8%) and aged 17 years (58.0%). The mean IAT score was 47.52 ± 15.43, while the mean PHQ-9 score was 8.96 ± 5.64, indicating predominantly mild internet addiction and mild depressive symptoms. Internet addiction showed a moderate positive correlation with depressive symptoms (r = 0.512, p < 0.001). Conclusion: Internet addiction was positively associated with depressive symptoms among adolescents. These findings provide preliminary evidence that may inform future school-based digital wellness and adolescent mental health initiatives

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