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Hidayat Arifin
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The Journal of Palembang Nursing Studies
Published by Palembang MediRose Publisher
ISSN : 28278496     EISSN : 28278100     DOI : https://doi.org/10.55048/jpns.v1i1
Core Subject : Health,
Nursing
The Journal of Palembang Nursing Studies (JPNS) is a scholarly platform that has been designed to accommodate scientific works for researchers, lecturers, and nursing students. JPNS platform was started in January 2022. JPNS was designed using worldwide references that focus on the field of nursing with a particular emphasis on achievements in the Asian area. The focus of the JPNS includes nursing study with the scope of evidence-based practice in nursing, medical-surgical nursing, critical care, emergency, and disaster nursing, maternity and pediatric nursing, community and mental health nursing, management in nursing, fundamental nursing, nursing theory, and nursing policy.
Arjuna Subject : Keperawatan - Advanced and Specialised Nursing
Articles 81 Documents
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Maternal perceptions of developmental stimulation for stunted toddlers: A phenomenological study in remote Indonesian islands Suyani, Suyani; Asniar, Asniar; Marthoenis, Marthoenis
The Journal of Palembang Nursing Studies Vol. 3 No. 3 (2024): September 2024
Publisher : Palembang MediRose Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55048/jpns137

Abstract

Background: Developmental stimulation is a shared responsibility among family members and is essential for children to achieve age-appropriate developmental milestones. However, limited evidence exists on how mothers perceive this crucial issue, particularly those with stunted toddlers. Objective: This study aimed to explore maternal perceptions of providing developmental stimulation to stunted toddlers living on the remote islands of Indonesia and how these perceptions influence their children’s growth and development.Methods: A descriptive phenomenological design was employed, involving eight mothers of stunted toddlers residing in the unique context of the remote islands in Karimun District, Riau Islands Province, Indonesia. Data were collected using demographic data sheets, interview guides, field notes, and audio recordings. The data were analyzed using Miles and Huberman’s method.Results: Two main themes emerged: (1) child development was perceived in terms of intelligence, speech, and play; and (2) concerns regarding developmental issues. Two main themes emerged: (1) child development was perceived in terms of intelligence, speech, and play; and (2) concerns regarding developmental issues.Conclusions: The findings revealed gaps in maternal understanding of child development among mothers of stunted toddlers. It is recommended that the heads of Community Health Centers and relevant stakeholders implement early detection and intervention strategies, provide health education on child development, and enhance the capacity of village health volunteers and parents to monitor toddler development. These efforts are crucial for improving the well-being and future of stunted toddlers and should be part of a comprehensive strategy.
Zinc oxide–chitosan dressing for grade IV pressure ulcers post-debridement with complications: A case report Putri Noor Kholisoh Purnama Wati; Nursiswati; Hasniatisari Harun
The Journal of Palembang Nursing Studies Vol. 3 No. 3 (2024): September 2024
Publisher : Palembang MediRose Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55048/jpns138

Abstract

Background: Pressure ulcers require appropriate management to prevent complications and reduce mortality. Several factors can delay wound healing, including diabetes mellitus, malignancies, inadequate nutrition, hypoalbuminemia, anemia, and immobility. Therefore, selecting the appropriate wound dressing is crucial. Zinc oxide and chitosan dressings have been shown to enhance wound healing and promote tissue epithelialization.Objective: To evaluate the outcomes of zinc oxide and chitosan dressing application in a patient with a grade IV pressure ulcer following surgical debridement and presenting with multiple complicating factors.Case: This case study involved the application of zinc oxide and chitosan dressings in a patient with a grade IV pressure ulcer post-surgical debridement. During the first month, the treatment was combined with antimicrobial dressings. Dressings were changed every 2 to 3 days. Ulcer severity was assessed using the National Pressure Ulcer Advisory Panel criteria, and healing progress was measured with the Pressure Ulcer Scale for Healing.Conclusion: The pressure ulcer showed progressive improvement over 8 months. However, complete healing was not achieved due to several complicating factors that delayed the healing process, including comorbidities, immobility, inadequate nutrition, urinary catheter use, the severity of the ulcer, anemia, and hypoalbuminemia
Strength behind the mask: Supporting resilience in healthcare workers Janitra, Fitria Endah; Nguyen, Trung
The Journal of Palembang Nursing Studies Vol. 3 No. 3 (2024): September 2024
Publisher : Palembang MediRose Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55048/jpns146

Abstract

Healthcare professionals are integral to the effective operation of health systems. Despite their commitment, many experience persistent stress, burnout, and emotional exhaustion. Although resilience is frequently perceived as an individual characteristic, it is equally influenced by organizational support and workplace conditions. This editorial underscores the necessity of redefining resilience as a systemic responsibility. By fostering environments that cultivate resilience, healthcare systems not only safeguard their workforce but also improve patient outcomes and the overall efficacy of health systems.
Family support and quality of life among stunted preschool-aged children: A cross-sectional study Handayani, Fitri; Anwar, Syamsul; Sutini, Titin
The Journal of Palembang Nursing Studies Vol. 4 No. 2 (2025): May 2025
Publisher : Palembang MediRose Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55048/jpns106

Abstract

Background: Stunting remains a major public health problem that not only impairs physical growth but also compromises children’s emotional, social, and cognitive development, ultimately reducing quality of life. Families play a critical role in the prevention and management of stunting by providing adequate caregiving, ensuring proper nutrition, and facilitating access to healthcare services. Understanding the association between family support and quality of life is essential for guiding effective interventions. Objective: This study aimed to examine the correlation between family support and quality of life among preschool children with stunting. Methods: A cross-sectional design with a quantitative approach was applied, involving 66 parents or caregivers of preschool children aged 36–72 months diagnosed with stunting. Respondents were selected using purposive sampling. Family support was measured across emotional, instrumental, appreciation, and informational domains, while children’s quality of life was assessed using standardized questionnaires. Data were analyzed using chi-square tests and multivariate logistic regression to identify potential confounding factors. Results: The analysis demonstrated a significant relationship between family support and quality of life (p < 0.001). Children from families providing strong support were 65.9 times more likely to experience good quality of life compared with those from families with inadequate support. Multivariate analysis revealed parental education as a confounding factor (p = 0.011), with higher educational attainment contributing to stronger family support and improved child outcomes. Conclusions: Strengthening family support and improving parental education are crucial strategies to enhance the quality of life of stunted preschool children
Perceptions of workplace violence among victimized nurses: A phenomenological study in a remote island of Indonesia Al Kautsarina , Vara; Asniar, Asniar; Kamil, Hajjul
The Journal of Palembang Nursing Studies Vol. 4 No. 1 (2025): January 2025
Publisher : Palembang MediRose Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55048/jpns139

Abstract

Background: Workplace violence (WPV) is a serious occupational hazard that can undermine nurses’ professionalism, increase stress, and contribute to a toxic work environment. Repeated exposure to WPV is particularly concerning as it can diminish motivation, reduce job satisfaction, and negatively affect the quality of care. In hospitals located on remote small islands, where frequent interpersonal encounters are inevitable due to limited staffing and close community ties, the challenges faced by WPV-victimized nurses can be even more complex. Objective: This study aimed to explore how nurses working in a remote island hospital perceive and experience WPV Methods: A descriptive phenomenological approach was employed to capture the lived experiences of nurses at Sabang City Hospital who had experienced WPV. Participants were selected purposively. Data were collected using demographic questionnaires, semi-structured in-depth interviews, field notes, and audio recordings. The interviews explored the nature of WPV incidents, emotional and psychological impacts, and expectations for organizational support. Data were analyzed thematically to identify patterns and shared meanings. Results: Three key themes emerged: (1) perceiving WPV as a source of sadness, distress, and long-lasting trauma; (2) recognizing WPV as encompassing both verbal (insults, threats) and non-verbal (intimidation, neglect) forms; and (3) expecting more active roles from superiors and hospital management, including prevention, immediate intervention, and post-incident support. Conclusion: Nurses’ varied perceptions of WPV reflect the urgent need for structured prevention strategies and responsive management interventions. Strengthening organizational policies and support mechanisms is critical to safeguarding nurses’ well-being and fostering a safe, respectful workplace.
Evaluating communication skills of undergraduate healthcare students in Malaysia Ruslan, Rusila; Abdullah, Siti Nur Dini
The Journal of Palembang Nursing Studies Vol. 4 No. 1 (2025): January 2025
Publisher : Palembang MediRose Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55048/jpns141

Abstract

Background: Effective communication is a cornerstone of safe and high-quality patient care, influencing clinical outcomes, patient satisfaction, and trust in healthcare providers. Inadequate communication skills among healthcare professionals have been linked to preventable adverse events, delayed treatment, and diminished therapeutic relationships. Early development of communication competencies during undergraduate training is therefore essential to prepare future healthcare professionals for patient-centered practice. Objective: This study aimed to assess the communication skills of undergraduate healthcare students at the International Islamic University Malaysia (IIUM), Kuantan, Pahang, and to examine whether demographic factors influence these skills. Methods: A descriptive cross-sectional survey was conducted from March to April 2024 among 197 undergraduate students from medicine, nursing, pharmacy, dentistry, and allied health faculties. Communication skills were measured using the validated Self-Efficacy 12 (SE-12) questionnaire. Fisher’s exact and chi-square tests were applied to evaluate associations between communication skills and demographic variables including age, gender, year of study, and faculty affiliation.Results: More than half of the participants (54.8%) demonstrated good communication skills, whereas 45.2% exhibited poor skills, reflecting the need for curriculum strengthening. No significant associations were observed between communication skills and demographic characteristics (p?>?0.05), suggesting that factors beyond sociodemographics—such as teaching methods, learning opportunities, and personal experiences—may be more influential. Conclusion: Communication proficiency among healthcare undergraduates is not determined by demographic factors. Integrating comprehensive, experiential communication training into healthcare curricula could enhance competencies, improve patient safety, and foster more effective provider-patient relationships. Future research should explore additional determinants to guide targeted educational interventions.
Translation and validation of the Indonesian version of the seek counseling inventory for adolescents Juniarni, Lia; S Kanathasan, Jayasree; Nallappan, Devi
The Journal of Palembang Nursing Studies Vol. 4 No. 1 (2025): January 2025
Publisher : Palembang MediRose Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55048/jpns144

Abstract

Background: Adolescents in Indonesia encounter a range of psychological and social challenges, including stress, anxiety, and academic pressures. However, cultural stigma and traditional beliefs often hinder their willingness to access mental health services. Reliable and culturally appropriate assessment tools are essential to evaluate adolescents’ readiness to seek counseling and to identify barriers that may prevent timely intervention. Objective: This study aimed to translate and culturally adapt the Seek Counseling Inventory (SCI) into Indonesian and to evaluate its psychometric properties, ensuring its suitability for use among Indonesian adolescents. Methods: A systematic cross-cultural adaptation process was conducted, involving forward translation, back-translation, expert panel review, and pretesting. Content validity was assessed by a panel of five experts using Aiken’s V, while construct validity was examined through Confirmatory Factor Analysis (CFA). The study recruited 435 high school students aged 13–18 years through convenience sampling. Reliability was evaluated using Cronbach’s alpha. Results: The Indonesian version of the SCI demonstrated strong content validity, with Aiken’s V scores ranging from 0.80 to 1.00. CFA results indicated an acceptable model fit (TLI = 0.976, CFI = 0.947, RMSEA = 0.051), supporting the instrument’s structural validity. Internal consistency was good, with a Cronbach’s alpha of 0.822, indicating stable and coherent measurement of counseling attitudes. Conclusions: The Indonesian SCI is a valid and reliable tool for assessing counseling attitudes among adolescents. Its application can guide culturally sensitive mental health programs, enhance early identification of support needs, and contribute to reducing stigma toward counseling in Indonesia.
Knowledge and preventive practices regarding breast cancer among nursing students in Northern Mexico: A cross-sectional correlational study Cervera Baas, Maria Eugenia; Barajas Sánchez, Julio; Gutierrez Torres, Karina; Feliciano Domínguez , Efren
The Journal of Palembang Nursing Studies Vol. 4 No. 1 (2025): January 2025
Publisher : Palembang MediRose Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55048/jpns148

Abstract

Background: Breast cancer is one of the most prevalent non-communicable diseases and a leading cause of morbidity and mortality among women worldwide. It is characterized by the uncontrolled proliferation of malignant breast cells, leading to tumor growth and potential metastasis to distant organs. Early detection and preventive behaviors, such as breast self-examination (BSE), are critical in reducing disease burden. Objective: This study aimed to examine the relationship between breast cancer knowledge and preventive practices among nursing students in northern Mexico. Methods: A cross-sectional, correlational study was conducted from January to February 2024, involving 118 Bachelor of Nursing students aged 18 years or older. Participants were selected through simple random sampling. Data were collected using a structured, self-administered questionnaire assessing sociodemographic characteristics, attitudes toward BSE, and knowledge of breast cancer. The instrument demonstrated acceptable internal consistency (Cronbach’s ? = 0.632). Data were analyzed using SPSS version 23, with descriptive statistics summarizing participant characteristics and Spearman’s rank-order correlation assessing the association between knowledge and preventive measures. Statistical significance was set at p < 0.05. Results: The majority of participants were female (82%), with a mean age of 21.9 years. Most respondents demonstrated awareness of breast cancer and early detection methods; however, regular BSE practice was reported by only 33%. A moderate, statistically significant correlation was observed between knowledge and preventive measures (rs = 0.57, p = 0.001). Conclusion: Findings highlight the need for targeted educational interventions in nursing curricula to strengthen knowledge and reinforce preventive practices, ultimately enhancing early detection and improving patient outcomes.
Determinants of diabetic ulcer prevention behavior among patients with diabetes mellitus: Application of the theory of planned behavior Sholihin, Sholihin; Nadhifah, Eva Luthfiyatun; Surya Putri, Novita
The Journal of Palembang Nursing Studies Vol. 4 No. 1 (2025): January 2025
Publisher : Palembang MediRose Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55048/jpns149

Abstract

Background: Diabetic ulcer is a common and serious complication of diabetes mellitus (DM), often leading to disability and reduced quality of life. Its incidence increases when patients lack adequate knowledge and skills for prevention. Understanding the behavioral determinants of ulcer prevention is essential for targeted nursing interventions. Objective: To identify determinants of diabetic ulcer prevention behavior among patients with DM based on the Theory of Planned Behavior (TPB). Methods: This cross-sectional study involved 39 patients with DM enrolled in the Puskesmas Klatak Prolanis program, selected through purposive sampling. Data were collected using a TPB-based questionnaire adapted to diabetic ulcer prevention indicators, encompassing attitudes, subjective norms, perceived behavioral control, intentions, and preventive behaviors. Data analysis was performed using Chi-square tests in IBM SPSS 23, with a significance level of ? = 0.05. Results: Most respondents demonstrated positive attitudes (56.4%), low subjective norms (56.4%), low perceived behavioral control (56.4%), and low intentions (53.8%). Preventive behavior was predominantly in the fair category (69.2%). Chi-square analysis revealed significant associations between preventive behavior and attitudes (p = 0.004), subjective norms (p = 0.025), perceived behavioral control (p = 0.028), and intentions (p = 0.046). Conclusion: Attitudes, subjective norms, perceived behavioral control, and intentions significantly influence diabetic ulcer prevention behaviors in patients with DM. Nursing interventions should integrate TPB-based strategies to strengthen positive attitudes, enhance perceived control, and foster supportive social environments, thereby improving preventive practices. Routine early detection of diabetic ulcer signs should be prioritized to reduce the risk of severe complications.
Fluid restriction adherence in hemodialysis patients using the ESRD-AQ: A multicenter study Hidayati, Wahyu; Ermawati, Eli; Firdaus, Iftinan Nida; Lestariningsih, Lestariningsih; Kristina, Tri Nur
The Journal of Palembang Nursing Studies Vol. 4 No. 1 (2025): January 2025
Publisher : Palembang MediRose Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55048/jpns155

Abstract

Background: Patients with chronic kidney disease (CKD) undergoing hemodialysis must adhere to fluid intake restrictions to prevent fluid accumulation, which can lead to complications such as edema, hypertension, and cardiovascular events. Excess intravascular and interstitial fluid volume contributes to fluid overload, a major risk factor for morbidity and mortality in this population. Objective: To describe adherence to fluid restriction among CKD patients receiving hemodialysis and identify common barriers to adherence. Methods: This descriptive survey study was conducted from January to June 2021 at two hospitals. A total of 129 CKD patients undergoing hemodialysis were recruited through purposive sampling. Inclusion criteria were age ?18 years, receiving routine hemodialysis for at least 3 months, and ability to communicate verbally. Fluid restriction adherence was assessed using the End-Stage Renal Disease Adherence Questionnaire (ESRD-AQ), previously validated and culturally adapted. Descriptive statistics summarized adherence patterns and patient characteristics. Results: Most participants were male, in late adulthood, had completed college, were unemployed, had been on hemodialysis for approximately 5 years, and underwent treatment twice weekly. Overall, 66% adhered to fluid restrictions, with 36.4% reporting following restrictions all the time. However, 62.8% indicated barriers to adherence, including lack of interest, inability to control fluid intake, and not understanding how to follow the restriction. Conclusion: While most CKD patients complied with fluid restrictions, a substantial proportion faced challenges that could undermine long-term outcomes. Continuous education, motivational support, and individualized counseling are essential to improve adherence. Future research should explore the association between adherence, fluid overload, and clinical outcomes.

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