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Yosafat Febri Setiawan
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journal.anh@gmail.com
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Kwadungan Permai, Distric of Ngasem-Purwoasri, Kediri, East Java Province, Indonesia, southeast Asia
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Jawa timur
INDONESIA
Journal of Applied Nursing and Health
ISSN : 26671609     EISSN : 28093208     DOI : 10.55018
Core Subject : Health, Science,
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.
Articles 379 Documents
Association Between Hemoglobin Levels, Duration of Hemodialysis, and Mental Health Outcomes in CKD Patients: A Cross-Sectional Study Mardiyah, Adiyati; Julianti, Erna; Zulkifli, Zulkifli; Giovana, Lyah; Raharjo, Dian Tri
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.v8i1.339

Abstract

Background: Chronic kidney disease (CKD) is a global health problem that can progress to end-stage renal failure requiring hemodialysis. Patients on long-term hemodialysis often experience anemia and mental health problems, yet evidence from Indonesia and other LMICs on the relationship between clinical factors and mental health remains limited. This study aims to analyze the association between hemodialysis duration and hemoglobin levels with mental health and emotional role functioning in hemodialysis patients. Methods: This quantitative study used a cross-sectional design. A consecutive sampling method was used, involving 75 patients undergoing hemodialysis from hospitals across Bangka Island between June and August 2024. Inclusion criteria are undergoing hemodialysis twice a week, and exclusion criteria are experiencing sudden shortness of breath and being in unstable or emergency conditions during data collection. Independent variables are years on hemodialysis and hemoglobin; dependent variables are the Mental Health and Role Emotional domains of the SF-36. The SF-36 questionnaire is a valid instrument used in patients undergoing hemodialysis to study physical activity and rehabilitation. Data analysis included univariate analysis to determine the mean and standard deviation, as well as bivariate analysis using the Pearson correlation test using SPSS Version 26. Results: The mean score for the Mental Health (MH) domain was 59.22, and for the Role Emotional (RE) domain, it was 30.67, indicating that patients undergoing hemodialysis had relatively low scores in both domains. A significant correlation was found between years on hemodialysis and hemoglobin levels with mental health and role emotional scores  (P =0,0001) (P value < 0,05). Conclusion: Mental health and role emotional issues in patients with CKD undergoing hemodialysis are still understudied, which negatively affects their quality of life. Healthcare professionals need to conduct comprehensive assessments that consider not only the physical but also the mental health and emotional role aspects of these patients. Many patients undergoing hemodialysis have poor mental health and emotional functioning. Factors such as years on hemodialysis and hemoglobin levels are associated with improvements in these domains.
Prehospital Determinants of Death-on-Arrival Among Emergency Department Patients at Waluyo Jati Kraksaan Hospital, Indonesia Kusyairi, Achmad; Nusantara, Ana Fitria; Yuniarsih, Bidriah
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.v8i2.501

Abstract

Background: Death on Arrival (DOA) refers to patients who arrive at the hospital with no signs of life and are declared dead without resuscitation because death has already occurred. Many DOA cases are potentially preventable through timely and appropriate prehospital emergency care. This study aimed to identify determinants associated with DOA among patients presenting to the Emergency Department of Waluyo Jati General Hospital, Kraksaan, Probolinggo, Indonesia. Methods: A quantitative analytical study with a cross-sectional design was conducted using secondary data from medical records of 70 DOA patients admitted between January and December 2024. Total sampling was employed to include all eligible cases. Independent variables comprised prehospital care, first responder capability, and type of initial case. Multivariable logistic regression was performed to determine factors independently associated with DOA, with results reported as odds ratios (ORs) and 95% confidence intervals (CIs). Results: Inappropriate prehospital care was identified in 95.7% of cases, while 92.8% of patients did not receive assistance from a competent first responder. Multivariable logistic regression demonstrated that inappropriate prehospital management was the only independent predictor significantly associated with DOA (OR = 3.50, 95% CI = 1.29–9.48, p = 0.014). First responder capability and type of initial case were not independently associated with DOA after adjustment. Conclusion: Inadequate prehospital management is the principal determinant associated with DOA. Strengthening prehospital emergency medical services, improving response time and treatment quality, and enhancing first responder competency are critical strategies to reduce preventable prehospital mortality and improve emergency care outcomes
Exploring Reproductive Health Education Needs and Barriers Among Adolescent Girls with Disabilities: A Qualitative Study Agustini, Ni Komang Tri; Sagitarini, Putu Noviana; Diyu, Ida Ayu Ningrat Pangruating
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.v8i1.506

Abstract

Background: Adolescents with disabilities remain among the most marginalized populations in accessing reproductive health services. Structural inaccessibility, social stigma, and limited awareness among health providers perpetuate inequities that compromise their reproductive rights and well-being. This study aims to explore the reproductive health service needs, experiences, and barriers faced by adolescents with disabilities to inform the development of inclusive and responsive reproductive health programs. Methods: A qualitative exploratory design was employed. Data were collected through in-depth interviews and focus group discussions with adolescents with various disabilities, their parents or caregivers, and key health workers. A total of 12 participants were purposively selected to represent diverse disability types and socio-demographic backgrounds. The Consolidated Criteria for Reporting Qualitative Research (COREQ) was applied in this research. Thematic analysis was conducted using an inductive coding approach to identify emerging patterns related to accessibility, service experience, and social attitudes. Results: Four interrelated themes emerged from the analysis: (1) Limited access and barriers to reproductive health information; (2) Sociocultural stigma and silences surrounding sexuality; (3) Unmet educational and emotional needs; (4) Strategies and aspirations for inclusive reproductive health education. This theme indicated that adolescent girl with disabilities face significant structural and information barriers that limit their ability to access accurate and accessible reproductive health information, thereby increasing their vulnerability to misinformation and unmet health needs. Conclusion: Adolescents with disabilities face multiple and intersecting barriers to accessing reproductive health services. Addressing these challenges requires systemic transformation through disability-sensitive training for health providers and a rights-based, inclusive education that reduces stigma and improves access.
Effectiveness of a Positive Deviance–Based Educational Intervention on Children’s Self-Esteem for Bullying Prevention: A Quasi-Experimental Study Wahyuni, Retno; Marliani, Marliani; Lusiatun, Lusiatun; Japar, Abdul; Pangaribuan, Ingka Kristina; Manurung, Herna Rinayanti; Adethia, Kismiasih; Fathahilah, Bunga Dwi; Sinaga, Intan Putri; Dalimunthe, Juwita Rantika
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.v8i1.520

Abstract

Background: Bullying is a critical school issue rooted in low self-esteem, which serves as a major vulnerability factor for children. This study aims to analyze the role of Positive Deviance (PD) education in improving children’s self-esteem as a bullying prevention strategy. Methods: A quantitative quasi-experimental pretest–posttest control group design was employed. The population consisted of grade VI students at SD Negeri 101893 Bangun Rejo, with a total sample of 58 students, divided into an experimental (n=29) and a control (n=29) group. Sampling involved identifying "positive deviants"—children who successfully overcame bullying risks—to develop the PD education module. Variables measured included knowledge, self-esteem (SE), and Positive Deviance Bullying behavior (PB) as dependent variables, collected via validated instruments. Ethical clearance was ensured throughout the procedure, and data were analyzed using Paired and Independent t-tests. Results: Most respondents were aged 11–12 years, and the experimental group had a higher proportion of females (65.5%). The experimental group showed significant improvements in knowledge (p=0.0001), self-esteem (p=0.043), and behavior (p=0.034). Independent t-test results confirmed significant differences between the experimental and control groups for knowledge (p=0.013), self-esteem (p=0.037), and behavior (p=0.024), indicating the intervention's effectiveness. Conclusion: Positive Deviance education effectively enhances children’s self-esteem, providing a vital psychological foundation for bullying prevention. It is recommended that future programs adopt a whole-school approach involving teachers and parents to support long-term behavioral change and sustainability.
Patient Safety Culture Based on Empowerment Structure with Employee Job Satisfaction at Abdoel Wahab Sjahranie Samarinda Hospital Puspitasari, Dwi Ida; Suwanto, Suwanto; Supriyatno, Andik; Aidillah, Muhammad Rafli; Gunawan, Muhammad Henry; Hartati, Dwi; Oktaviyanti, Wahyu; Sirait, Yusnita; Jumrana, Jumrana; Supardi, Supardi
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.v8i2.528

Abstract

Background: Patient safety culture and structural empowerment are organizational factors that play an important role in improving the quality of service and job satisfaction of hospital employees. Although the relationship between the two variables has been extensively researched, empirical evidence examining their effect simultaneously on job satisfaction at referral hospitals in Indonesia is still limited. This study aims to analyze the relationship between patient safety culture and structural empowerment with employee job satisfaction at Abdoel Wahab Sjahranie Samarinda Hospital. Methods: This study is a quantitative research with a cross-sectional analytical design. The number of samples was 232 hospital employees with proportional sampling procedures from various service units. Patient safety culture was measured using the Hospital Survey on Patient Safety Culture (HSOPSC), structural empowerment using the Conditions of Work Effectiveness Questionnaire-II (CWEQ-II), and job satisfaction using the McCloskey/Mueller Satisfaction Scale (MMSS). Data analysis was carried out descriptively and bivariately using Pearson correlation analysis with a significance level of 5% using SPSS software. Results: There was a positive relationship between patient safety culture and employee job satisfaction (r = 0.675; p < 0.001). Structural empowerment had a significant positive relationship with employee job satisfaction (r = 0.821; p < 0.001). The correlation coefficient value shows that structural empowerment has a stronger relationship with job satisfaction than patient safety culture. Conclusion: Patient safety culture and structural empowerment are significantly related to employee job satisfaction. Strengthening a culture of patient safety, supportive leadership, and increased access to information, resources, support, and professional development opportunities needs to be a hospital management strategy to improve job satisfaction and service quality.
Bridging the Gap Between Care and Expectation: Patient Satisfaction with Postoperative Pain Management in a Surgical Ward — A Mixed-Methods Study Kartika, Imelda Rahmayunia; Rezkiki, Fitria Nola; Febrina, Cory; Papa, Dahlia Permata
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.v8i2.537

Abstract

Background: Patient satisfaction is an important indicator of healthcare quality and reflects patients’ perceptions of whether healthcare services meet their expectations. Effective postoperative pain management is essential for optimal recovery and patient satisfaction; however, gaps between clinical practice and patient expectations remain underexplored, particularly in surgical wards. Methods: This study employed an explanatory sequential mixed-methods design conducted in a surgical ward of a tertiary hospital in West Sumatra, Indonesia, from January to July 2024. The quantitative phase involved 190 postoperative patients recruited using accidental sampling. Patient satisfaction with postoperative pain management was assessed using a structured modified questionnaire from NOC (Nursing Outcomes Classification), which was analyzed descriptively. Quantitative data were analyzed using descriptive and inferential statistics, including independent t-tests and one-way Analysis of Variance (ANOVA). The qualitative phase included 8 purposively selected participants who participated in in-depth interviews to explore experiences and perceptions related to postoperative pain management. Qualitative data were analyzed using thematic analysis of interview transcripts and field notes. Quantitative and qualitative findings were integrated during the interpretation stage. Ethical approval was obtained, and informed consent was secured from all participants. Results: Quantitative findings showed that 53.2% of respondents (n = 190) reported being moderately satisfied with postoperative pain management. The mean satisfaction level indicated a moderate level of satisfaction. Inferential analyses showed that satisfaction scores differed significantly across age groups (p = 0.017), whereas no significant differences were observed according to sex (p = 0.839) or educational level (p = 0.168). Qualitative analysis identified three major themes: (1) experiences of postoperative pain, (2) postoperative pain management practices, and (3) perceptions of patient satisfaction. Integration of findings revealed that although overall satisfaction was reported, patients expressed unmet expectations regarding individualized pain relief, timely pain control, and communication with healthcare professionals. Conclusion: While most patients reported satisfaction with postoperative pain management, important gaps remain between patient expectations and clinical practice.  Patient satisfaction with postoperative pain management was associated with age but not with sex or educational level. Qualitative findings further demonstrated that effective communication, individualized care, and patient comfort were central experiences shaping patient satisfaction. These findings highlight the importance of combining patient-centered care with effective pain management strategies to improve postoperative care quality.
Association Between Nurses’ Compliance With Adult Early Warning Score Implementation and Inpatient Survival: A Cross-Sectional Study Faizatiwahida, Novia; Hemu, Viky Noviani; Rondhianto, Rondhianto; Setioputro, Baskoro; Yunanto, Rismawan Adi; Haristiani, Ruris; Fadilah, Superzeki Zaidatul
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.v8i1.595

Abstract

Background: The adult Early Warning Score (EWS) is an essential instrument for early detection of a patient's deteriorating clinical condition. However, the effectiveness of EWS depends on nurses' compliance with its implementation. Non-compliance with EWS implementation can hinder early detection of patients' conditions and affect patient survival. This study aims to analyze the relationship between adult EWS implementation compliance and inpatient survival status. However, the evidence on the effect of compliance with EWS implementation on patient survival in real inpatient settings remains limited. This study aimed to examine the association between nurses’ compliance with adult EWS implementation and inpatient survival status. Methods: This study used an observational, cross-sectional design and was reported according to the STROBE guidelines. The research sample comprised 188 patients selected using a phased sampling technique (cluster sampling followed by simple random sampling). Data were obtained from the medical records of inpatients who met the inclusion and exclusion criteria. The independent variable in this study was compliance with the Early Warning System (EWS), while the dependent variable was the patient's survival status. Statistical analysis was carried out using Fisher's Exact test. Results: A total of 188 patients were analyzed, with 173 patients (92%) surviving and 15 patients (8%) dying. In the group that did not comply with the Early Warning System (EWS), there were 6 deaths (16.7%) and 30 patients survived (83.3%), while in the group that did comply with the Early Warning System (EWS), there were 9 deaths (5.9%) and 143 patients survived (94.1%). There was a significant association between EWS compliance and inpatient survival status (p = 0.044). Patients with EWS adherence had a higher chance of survival than non-compliant patients (OR = 3.18; 95% CI: 1.06–9.54). Conclusion: The implementation of EWS that is compliant plays an essential role in detecting early deterioration of patient conditions and improving patient survival and safety.
How Do Older Adults Experience Depression and Social Isolation in Nursing Homes? A Descriptive Phenomenological Study Azizah, Lilik Ma’rifatul; Akbar, Amar; Zainuri, Imam; Khotijah, Siti
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.v8i1.607

Abstract

Background: Depression and social isolation are common psychosocial problems among older adults living in nursing homes. Institutional living may intensify feelings of loneliness, loss of meaningful roles, and emotional withdrawal, which can negatively affect psychological well-being and quality of life. Understanding the lived experiences of older adults is essential to inform holistic nursing care. This study aimed to explore the lived experiences of depression and social isolation among older adults residing in nursing homes. Methods: A qualitative study using a descriptive-phenomenological approach and following COREQ guidelines was conducted. Using purposive sampling, 15 potential participants were approached; 12 participants met the inclusion criteria (aged ≥60, residing ≥3 months, and GDS score ≥5) and completed the study, while 3 declined due to health fatigue. Data were collected through in-depth, face-to-face interviews and analyzed using the Colaizzi method to identify essential themes. Ethical approval was obtained before data collection, and data collection continued until data saturation was achieved at the 12th participant. Results: Six major themes emerged: Feeling forgotten and abandoned; Living among others yet feeling alone; Loss of role and identity; Emotional withdrawal and silence; Longing for meaningful connection; and Searching for acceptance and inner peace. Conclusion: Depression and social isolation are deeply rooted in perceived loss and unmet emotional needs. Practical implications include the need for psychosocial nursing interventions that prioritize meaningful interpersonal communication and family engagement strategies.
Maternal Sadness in the Context of Developmental Disabilities: A Cross-Sectional Study of Autism, Down Syndrome, and Intellectual Disability Jiu, Cau Kim; Ariyanti, Sri; Wahyuni, Tri; Usman, Usman; Solikhah, Solikhah
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.v8i1.624

Abstract

Background: Mothers of children with special needs are vulnerable to emotional challenges; however, specific emotional responses such as sadness remain underexplored in the literature. This study aimed to describe the levels of sadness among mothers of children with Autism Spectrum Disorder (ASD), Down syndrome, and intellectual disabilities. Methods: A cross-sectional descriptive study was conducted between July and December 2025 involving 62 mothers recruited through purposive sampling. Data were collected using a self-reported questionnaire consisting of 15 Likert-scale items measuring sadness levels. Scores ranged from 0 to 60 and were categorized into four levels. Data were analyzed using descriptive statistics, ANOVA, and chi-square tests with a significance level of p < 0.05. Results: The majority of respondents reported moderate to high levels of sadness. The highest mean sadness score was observed among mothers of children with ASD (M = 49.30), followed by Down syndrome (M = 48.67), both indicating high levels. In contrast, mothers of children with intellectual disabilities reported moderate levels (M = 44.25). There was a significant difference in sadness levels across disability types (p = 0.001). Bivariate analysis showed that maternal education, occupation, family income, and type of disability were significantly associated with sadness levels (p < 0.05), whereas maternal age, child’s age, and gender were not (p > 0.05). Conclusion: Sadness is a prevalent emotional response among mothers of children with special needs, with variations across disability types and socioeconomic factors. These findings highlight the importance of targeted psychosocial support to improve maternal well-being.
Association between Educational Level and Nomophobia and Its Mental, Physical, and Social Health Implications: A Cross-Sectional Study Wiyatno, Eko Rustamaji; Wijayanti, Dyah; Dinarwiyata, Dinarwiyata
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.v8i2.639

Abstract

Background: Nomophobia has emerged as a growing public health concern due to excessive smartphone dependence and its adverse effects on mental, physical, and social well-being. Although various interventions have been developed to address Nomophobia, evidence regarding the influence of educational background on Nomophobia and its associated health consequences remains limited. This study examined the association between educational background and nomophobia and its mental, physical, and social health outcomes. Methods: A cross-sectional study was conducted among 392 participants, purposively recruited from individuals with diploma- to doctoral-level educational attainment. Nomophobia was assessed using a modified version of the Nomophobia Questionnaire (NMP-Q), with responses converted from a 7-point to a 3-point Likert scale. Because the NMP-Q does not assess physical and social health outcomes, additional self-reported questionnaires were developed to measure these domains. Data were analyzed using multinomial logistic regression using IBM SPSS Statistics version 23, with statistical significance set at p < 0.05. Results: Nomophobia was observed across all educational levels (p < 0.001). Educational background was significantly associated with the mental (p = 0.017), physical (p = 0.001), and social (p = 0.014) health consequences of Nomophobia. Furthermore, higher educational attainment was significantly associated with a lower likelihood of experiencing Nomophobia and its related mental, physical, and social health problems (p < 0.001). Conclusion: Educational background was significantly associated with nomophobia and its mental, physical, and social health consequences. Individuals with higher educational attainment were less likely to experience Nomophobia and its adverse health outcomes. These findings highlight the importance of integrating digital health literacy and responsible smartphone-use education into health promotion strategies to reduce the burden of Nomophobia across diverse educational groups.