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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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Footwear preferences among emergency and outpatient nurses: Implications for preventing work-related musculoskeletal disorders Fitria, Nita; Karisa, Putri; Oktaviana, Mariska; Salimah, Yasmin; Lailannufa, Zannuba; Azzahra, Shifa Leviyanti; Apriandini, Septiani Nur; Sulaeman, Nadila Afifah
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/jpns158

Abstract

Background: Nurses engage in physically demanding activities that increase the risk of work-related musculoskeletal disorders (WRMSDs). Appropriate footwear selection is an important preventive strategy. Objective: This study aimed to identify and compare footwear preferences between nurses working in the emergency installation (EI) and outpatient installation (OI). Methods: A descriptive quantitative study was conducted with a population of 158 nurses from a public hospital in Indonesia, comprising 93 EI nurses and 65 OI nurses. Using purposive sampling, 125 nurses participated. Data were collected through a structured questionnaire and analyzed descriptively. Results:The most frequently selected footwear characteristics were comfort and cushioning (108 nurses, 44.4%), appropriate size (106 nurses, 41.6%), and durability for daily activities (104 nurses, 35.3%). Notable differences emerged between groups. Outpatient installation (OI) nurses placed greater emphasis on design (43.3%), cushioning (87.9%), weather resistance (65.2%), and foot protection (65.2%) compared with emergency installation (EI) nurses (33.3%, 84.7%, 59.3%, and 62.7%, respectively). Conversely, EI nurses demonstrated a stronger preference for high-quality, higher-priced footwear (72.4%) than OI nurses (47.2%). Conclusion: Nurses prioritize footwear that fits well, is comfortable, cushioned, safe, durable, and reasonably priced. While cushioning and comfort emerged as the most important factors overall, differences in preferences between EI and OI nurses highlight the need for occupational health policies that consider unit-specific requirements. Promoting appropriate footwear may help reduce WRMSD risk and improve nurse well-being.
Implementing Kolcaba’s comfort theory for pain management in a patient with tongue cancer: A case report Karisa, Putri; Fitria, Nita
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/jpns159

Abstract

Background: Tongue cancer is often associated with severe pain, further complicated when accompanied by comorbidities such as pulmonary tuberculosis. Persistent pain, worsened by continuous coughing, contributes to swallowing and speech difficulties, ultimately diminishing quality of life and resulting in poor prognosis. Objective: This case report aimed to explore the effectiveness of nursing care guided by Kolcaba’s Comfort Theory in alleviating pain in a patient with tongue cancer. Case Presentation: A 58-year-old man with tongue cancer, suspected lung metastasis, and pulmonary tuberculosis experienced severe chronic pain (VAS 9/10). Nursing care was structured according to Kolcaba’s framework, addressing physical, psychospiritual, environmental, and sociocultural comfort needs across the stages of relief, ease, and transcendence. Interventions included pharmacological therapy with morphine and non-pharmacological strategies such as foot massage and local honey application to the wound site. Pain was regularly assessed using the visual analog scale. Following interventions, the patient reported reduced pain intensity (VAS 7/10). Comfort levels improved, with physical comfort progressing from relief to ease, psychospiritual comfort from ease to transcendence, and environmental and sociocultural aspects maintained at the transcendence stage Conclusion: Nursing care based on Kolcaba’s Comfort Theory effectively contributed to pain reduction and enhanced comfort in this patient with tongue cancer. Integrating pharmacological and non-pharmacological interventions within a holistic nursing framework may offer practical strategies for managing complex cancer-related pain and improving quality of life.
Workplace violence against nurses and the challenge of underreporting: A literature review Serlina, Serlina; Melastuti, Erna; Wahyuningsih, Indah Sri
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/jpns162

Abstract

Background: Workplace violence (WPV) against nurses is a critical global concern that negatively affects nurse well-being, professional performance, and patient safety. Despite its widespread occurrence, WPV is consistently underreported. This persistent gap between high incidence and low reporting limits accurate surveillance, weakens institutional responses, and delays the development of effective prevention strategies. Objective: To identify the reasons behind the low reporting rate of WPV among health workers, especially nurses Design: Literature review. Data Sources: Scopus, Google Scholar, and Taylor & Francis databases were searched using the keywords “Workplace Violence,” “Healthcare Workers,” and “Nurses.” Review Process: Inclusion criteria comprised articles that discussed WPV prevalence and reporting behaviors and dated from 2020 onward. Screening of titles, abstracts, and full texts was performed, followed by detailed analysis of eligible studies. Results: Eleven studies from 10 Asian countries were included, with sample sizes ranging from 11 participants in a qualitative study to more than 20,000 registered nurses. Across settings, workplace violence was widespread, with prevalence rates ranging from 13.6% to nearly 90%. Despite this high occurrence, reporting remained limited. Personal barriers to reporting included fear of negative consequences, shame, guilt, and the perception that violence is an unavoidable part of nursing practice. Organizational barriers included unclear or inconvenient reporting procedures, lack of training, absence of system privacy, limited managerial support, and mistrust in reporting mechanisms. Collectively, these factors reinforced underreporting and contributed to unsafe work environments for nurses. Conclusion: Underreporting of WPV among nurses persists due to both individual and organizational barriers. Addressing this issue requires supportive reporting systems, training on WPV management, and fostering a non-punitive safety culture. Without targeted interventions, unsafe work environments will persist, compromising both nurse well-being and quality of patient care.
Self-efficacy, social support, and their relationship to treatment adherence in pulmonary tuberculosis: A cross-sectional study Heltty, Heltty; Masriwati, Siti; Yati, Mimi; Saltar, La Ode; Dina, Hasniah
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/jpns167

Abstract

Background: Tuberculosis (TB) remains a leading global health problem, with high morbidity and mortality. Adherence to long-term treatment regimens is essential to eradicate Mycobacterium tuberculosis and prevent drug resistance, yet many patients face psychosocial barriers that reduce adherence Objective: To examine the association of self-efficacy and social support with treatment adherence among patients with pulmonary TB. Methods: This cross-sectional study was conducted in the Outpatient Department of Kendari City Hospital, Indonesia, from April to June 2024. Using consecutive sampling, 88 patients with pulmonary TB aged 20 to 50 years who were undergoing treatment and met inclusion criteria were enrolled. Self-efficacy was assessed using the General Self-Efficacy Scale, social support with the Multidimensional Scale of Perceived Social Support, and treatment adherence with the 8-item Morisky Medication Adherence Scale. Associations were analyzed using chi-square tests and multiple linear regression. Results: Among 88 participants, 63.6% demonstrated high adherence, 63.6% reported good self-efficacy, and 63.6% reported high social support. Self-efficacy was positively associated with treatment adherence (r=0.265; p=0.024). Similarly, social support was positively associated with adherence (r=0.263; p=0.025). Regression analysis indicated that social support had the greatest influence on adherence (B=0.257; p=0.013), explaining 13.6% of the variance in adherence when combined with self-efficacy. Conclusion: Self-efficacy and social support are significant predictors of treatment adherence in pulmonary TB patients. Nursing interventions that enhance patient confidence and mobilize family and community support may improve adherence and optimize TB treatment outcomes
Perioperative nursing care for cochlear implantation in children with congenital ear malformations: A case study Febryandy, Valentino; Fadly, A. Rizal
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/jpns168

Abstract

Background: Cochlear implantation in children with congenital ear malformations presents unique perioperative challenges due to anatomical variations. Comprehensive perioperative care is essential for optimal outcomes, yet literature on nursing management for these complex cases remains limited. Objective: To document the perioperative nursing approach for cochlear implantation in a pediatric patient with congenital ear malformation and establish evidence-based protocols for similar cases. Case: A 9-year-old child diagnosed with bilateral profound sensorineural hearing loss with Mondini malformation (incomplete partition) underwent left cochlear implantation. The patient had previously undergone right cochlear implantation two years prior with successful outcomes. Perioperative management included comprehensive preoperative assessment with special attention to craniofacial anomalies, intraoperative monitoring for cerebrospinal fluid leakage and facial nerve function, and postoperative care focusing on pain management, infection prevention, and family education. Despite anatomical challenges, the procedure was successfully completed with 10 of 12 electrodes functioning properly, and the patient was discharged on postoperative day two without complications. Conclusion: Successful cochlear implantation in children with congenital ear malformations requires a multidisciplinary approach with specialized perioperative nursing care. This case demonstrates that with proper preoperative planning, intraoperative vigilance, and comprehensive postoperative management, good functional outcomes can be achieved despite complex anatomical challenges. Standardized protocols for perioperative care in these cases can significantly improve patient safety and surgical outcomes.
Psychosocial approach using storytelling therapy to reduce hospitalization-related anxiety in preschool children Firdaus Panghegar, Fernando; Khadijah, Siti; Rohaya, Nizla
The Journal of Palembang Nursing Studies Vol. 4 No. 3 (2025): September 2025
Publisher : Palembang MediRose Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55048/jpns173

Abstract

Background: Anxiety is one of the most common problems experienced by preschool children during hospitalization. This condition is concerning because it may negatively affect the healing process. Play therapy is recognized as an effective strategy to reduce anxiety, yet limited research has examined the use of storytelling therapy, particularly through fables, which provide strong stimulation to alleviate fear and anxiety. Objective: This study aimed to analyze the effect of storytelling play therapy on the anxiety levels of preschool-aged children during hospitalization. Methods: A quasi-experimental design with a one-group pre-test–post-test approach was employed. A purposive sampling technique was used, resulting in a total of 31 preschool participants. Anxiety was measured using the Hamilton Anxiety Rating Scale (HARS) observation sheet. Data were analyzed using the Wilcoxon test with IBM SPSS version 26. Results: The mean age of participants was 3.97 years. The average pre-test anxiety score was 25.23, while the average post-test score was 14.61, with a mean reduction of 10.62 points. Hypothesis testing revealed a statistically significant difference (p < 0.001). Conclusion: Storytelling play therapy effectively reduced anxiety among hospitalized preschool children. This intervention may be recommended as a non-pharmacological approach in pediatric nursing practice. Nurses are encouraged to integrate storytelling therapy into hospital services as part of holistic care that addresses both physical and psychological needs.
Understanding sexuality and social support among post-mastectomy breast cancer patients: A qualitative study in Indonesia Wulandari, Shenda Maulina; Rahmawati, Apriana; Arifin, Hidayat
The Journal of Palembang Nursing Studies Vol. 4 No. 3 (2025): September 2025
Publisher : Palembang MediRose Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55048/jpns176

Abstract

Background: Breast cancer is the most prevalent cancer among women worldwide. Mastectomy, a standard treatment, often leads to profound physical and psychological changes that can affect women's sexuality and their need for social support. Objective: This study explored how post-mastectomy breast cancer patients in Indonesia perceive their sexuality and the social support they receive during recovery. Methods: A qualitative phenomenological design was employed. Fifteen women who had undergone mastectomy were recruited through purposive sampling. Data were collected using semi-structured interviews and analyzed using Van Manen's phenomenological approach, with NVivo 12 Plus used for data management. Results: Six major themes emerged: (1) sex and gender perceptions remained stable despite physical changes; (2) sexual identity and femininity were preserved; (3) participants consistently identified as heterosexual, in line with their premorbid orientation; (4) intimacy was shaped by partner support and body acceptance; (5) reproductive limitations were acknowledged, particularly among older women; and (6) social support from family, peers, and healthcare providers was critical for emotional adjustment and sexual well-being. Conclusion: Despite altered body image, most participants maintained a strong sense of femininity and sexual identity. Emotional, instrumental, and informational support from spouses, children, communities, and healthcare professionals facilitated positive adaptation. Integrating sexuality-focused counseling and involving families in post-mastectomy care are recommended to promote holistic recovery.
Dual role conflict, family support, and stress levels among nursing students in a recognition of prior learning program Rachelita, Kezia; Sinaga, Mei Rianita Elfrida; Thojampa, Somsak
The Journal of Palembang Nursing Studies Vol. 4 No. 3 (2025): September 2025
Publisher : Palembang MediRose Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55048/jpns178

Abstract

Background: Stress occurs when external demands exceed an individual’s coping resources. Nursing students enrolled in the Recognition of Prior Learning (RPL) program, who balance employment and academic responsibilities, are particularly vulnerable to dual role conflict, which may result in fatigue, pressure, and time management difficulties. Conversely, family support is a critical protective factor that helps individuals cope during challenging periods. Objective: This study examined the relationship between dual role conflict, family support, and stress levels among RPL nursing students. Methods: A quantitative, correlational, cross-sectional design was employed. The study included all 94 RPL nursing students through total sampling. Data were collected using the Dual Role Conflict Scale, the Perceived Social Support–Family (PSS-FA), and the Perceived Stress Scale-10 (PSS-10). Data analysis included frequency distribution, Somers’ d test, and ordinal logistic regression. Results: Of the 94 participants, most were female (75.5%), aged 26–53 years (58.5%), employed in hospitals (92.6%), and had 10–12 years of work experience (26.6%). Nearly half experienced low dual role conflict (44%), most reported good family support (93.6%), and the majority experienced moderate stress (62.8%). Multivariate analysis showed a significant relationship between dual role conflict and family support with stress levels (p < 0.001). The strength of the association, as indicated by Nagelkerke’s pseudo R², was 26.6%. Conclusions: Dual role conflict and family support were significantly associated with stress levels among RPL nursing students. Educational institutions should provide counseling services, stress management programs, and academic support tailored to the needs of working students. Further studies are recommended to explore additional factors influencing stress, such as peer support and individual coping strategies.
Association between smoking habits and lung function among adult smokers: A cross-sectional study in public health Hermanto, Andrik; Masroni, Masroni; Melana, Leonard Ivan T.; Yufenanda, Michelle Mayang
The Journal of Palembang Nursing Studies Vol. 4 No. 3 (2025): September 2025
Publisher : Palembang MediRose Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55048/jpns182

Abstract

Background: Smoking is a major risk factor for impaired lung function. Continuous exposure to cigarette smoke in adulthood contributes to a progressive decline in lung capacity, which may lead to chronic respiratory diseases and other serious health complications. While previous studies have used indirect tools such as smokelyzers, limited research has applied spirometry to directly evaluate lung function among smokers in community health settings. Objective: This study aimed to analyze the relationship between smoking habits and lung function, measured using spirometry, among adult smokers. Methods: A cross-sectional design was conducted in a public health center. Smoking behavior was assessed using the Glover-Nilsson Smoking Behavioral Questionnaire (GN-SBQ), while lung function was measured with spirometry. Data were analyzed using the Spearman rank correlation test. Results: The study included 50 adult respondents with a mean age of 40.8 ± 11.1 years. Most participants demonstrated strong smoking behavior, with 41 respondents (69.5%) categorized as very strong and 24 respondents (40.7%) categorized as moderate. Spirometry results indicated a significant negative correlation between smoking behavior and lung function (p = 0.010; r = –0.360). These findings suggest that greater smoking intensity is associated with reduced lung capacity, reflecting the harmful cumulative effects of tobacco exposure. Conclusion: Smoking habits were significantly associated with decreased lung function among adult smokers. This highlights the need for preventive efforts, including health education, routine lung function screening, and smoking cessation programs in public health settings to mitigate long-term respiratory complications.
Effectiveness of mindfulness-based audio-visual interventions on self-efficacy in childbirth readiness among high-risk pregnant women Aisyah Nur Fitri; Misrawati, Misrawati; Erika, Erika; Hasan, Haliza
The Journal of Palembang Nursing Studies Vol. 4 No. 3 (2025): September 2025
Publisher : Palembang MediRose Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55048/jpns189

Abstract

Background: High-risk pregnancies in women under 20 or over 35 years are commonly associated with low self-efficacy, leading to anxiety, poor coping, and inadequate childbirth readiness. Few studies have targeted interventions to directly improve self-efficacy, and mindfulness delivered through audiovisual media represents a promising yet underutilized approach to enhance psychological preparedness in this population. Objective: To evaluate the effectiveness of an audiovisual mindfulness intervention on self-efficacy in high-risk pregnant women preparing for childbirth. Methods: A quasi-experimental pre-test–post-test control group design was conducted among 66 third-trimester pregnant women, purposively assigned to experimental (n = 33) and control (n = 33) groups. The intervention was delivered via the MIESRA application, providing audiovisual mindfulness exercises to promote maternal–fetal bonding and psychological well-being. The experimental group received three 15-minute sessions over seven days, while the control group received standard antenatal care. Self-efficacy was measured using a validated scale and analyzed with Wilcoxon, dependent t-test, and independent t-test.  Results: The mean self-efficacy score in the experimental group increased from 63.36 (SD = 5.18) to 67.82 (SD = 3.93), while the control group showed only a slight increase from 64.33 (SD = 6.44) to 64.55 (SD = 6.14). Statistical analysis confirmed a significant improvement in the experimental group compared with controls (p = 0.012). Participants receiving mindfulness reported feeling calmer, more confident, and better prepared for childbirth. Conclusion: Audiovisual mindfulness intervention effectively improved self-efficacy among high-risk pregnant women. Integrating such tools into antenatal care may empower vulnerable mothers, foster resilience, and enhance psychological readiness for childbirth.

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