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Exploration of emotional and psychosocial responses following initial HIV Diagnosis: A qualitative study Untung Sujianto; Ikhwan Amirudin; Azizati Salmas Marsiami; Achmad Fauji
Lentera Perawat Vol. 7 No. 3 (2026): July - September
Publisher : School of Health Sciences Al-Ma'arif

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52235/lp.v7i3.715

Background: Receiving an initial HIV diagnosis is often accompanied by profound emotional disruption, psychosocial uncertainty, stigma-related concerns, and challenges in disclosure and early treatment engagement. Although previous studies have examined HIV adherence, stigma, and treatment outcomes, limited evidence describes the immediate emotional and psychosocial responses experienced by newly diagnosed adults during the first months of HIV care, particularly in local healthcare settings in Indonesia. Objective: This study aimed to explore emotional and psychosocial responses following an initial HIV diagnosis among individuals receiving early HIV care in urban and rural healthcare facilities in Pringsewu, Lampung Province, Indonesia. Methods: A qualitative descriptive design was used. Participants were recruited purposively from healthcare facilities providing HIV counseling, testing, and antiretroviral therapy services. Fifteen adults diagnosed with HIV within one to seven months before data collection participated in face-to-face, in-depth semi-structured interviews. Data were collected in private rooms to ensure confidentiality and emotional safety. Interviews were audio-recorded, transcribed verbatim, and analyzed using thematic analysis. Trustworthiness was strengthened through participant validation, audit trail documentation, reflective notes, team discussions, and the use of representative quotations. Results: Thematic analysis generated three major themes. The first theme, emotional shock and personal crisis after HIV diagnosis, reflected participants’ disbelief, fear of death, uncertainty about the future, guilt, and self-blame. The second theme, stigma and fear of social reactions, described fear of family rejection, concealment of HIV status as self-protection, workplace concerns, and internalized stigma. The third theme, early adaptation and emerging hope for survival, showed gradual acceptance, reliance on support from healthcare providers or significant others, and commitment to antiretroviral therapy. These findings indicate a transition from emotional crisis and social fear toward early coping, acceptance, and treatment commitment. Conclusion: Newly diagnosed individuals experience complex emotional and psychosocial responses during the early phase of HIV care. Integrating stigma reduction, emotional counseling, accurate health information, and supportive care into HIV services may strengthen adaptation, disclosure readiness, and long-term treatment engagement among people newly diagnosed with HIV.

Analysis of health workforce preparedness in enhancing community resilience to flood disasters: A literature review Novrikasari Novrikasari; Febri Adriati; Akma Listiana; Riyanti Riyanti; Risa Mundari; Muhlisin Muhlisin
Lentera Perawat Vol. 7 No. 2 (2026): April - June
Publisher : School of Health Sciences Al-Ma'arif

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52235/lp.v7i2.794

Background: Floods are one of the most common hydrometeorological disasters in Indonesia and have a significant impact on public health. In this context, the preparedness of healthcare workers is a key factor in strengthening community resilience in the face of disaster situations. This study aims to analyze the preparedness of healthcare workers in enhancing community resilience to floods through a literature review approach. Methods: A systematic literature search was conducted using the PubMed, ScienceDirect, and Google Scholar databases covering the years 2020–2025. A total of 864 articles were identified in the initial stage. After removing duplicates and screening based on titles and abstracts, 69 articles were selected that met the criteria for further review in the full-text stage. Next, 15 articles were selected based on the inclusion criteria, namely: studies focusing on the preparedness of health workers in the context of disasters, related to floods or hydrometeorological disasters, original research articles, and available in full text in Indonesian or English. Results: The study results were synthesized thematically, yielding four main themes: individual preparedness of healthcare workers, encompassing knowledge, attitudes, and skills; support from healthcare facilities and systems, including infrastructure and resource readiness; cross-sectoral coordination in disaster management; and community education focused on strengthening resilience. These four themes contribute to enhancing the community’s adaptive capacity, accelerating emergency response, and reducing post-disaster health impacts. Conclusion: In conclusion, strengthening healthcare workers’ preparedness through continuous training, disaster simulations, and integrated policy support is essential for enhancing community resilience against flood disasters.

Association between nurses’ perceptions of head nurse leadership style and their performance in nursing care delivery: A cross-sectional study Indra Frana Jaya KK; Maria Regina; Jamal Jamal; Frisa Anesia Amalah; Ayu Andira; Dedek Puspasari
Lentera Perawat Vol. 7 No. 3 (2026): July - September
Publisher : School of Health Sciences Al-Ma'arif

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52235/lp.v7i3.804

Background: Nurses’ performance in delivering nursing care is a key indicator of hospital service quality. Ward head leadership may shape nurses’ work behavior through direction, motivation, supervision, and feedback. However, evidence regarding how nurses’ perceptions of head nurse leadership relate to nursing care performance in specific inpatient units remains limited. Objective: This study aimed to examine the association between nurses’ perceptions of head nurse leadership style and their performance in nursing care delivery in an inpatient ward. Methods: A quantitative correlational study with a cross-sectional design was conducted in the eighth-floor inpatient ward of RSUD Siti Fatimah in 2026. A total of 17 staff nurses were recruited using total sampling. Nurses’ perceptions of head nurse leadership style were measured using a leadership style questionnaire adapted from Nursalam, while nursing care performance was assessed using a 20-item nursing performance questionnaire adapted from Bakri. Data were analyzed using descriptive statistics and Spearman’s rank correlation with a significance level of α = 0.05. Results: Most respondents perceived the head nurse’s leadership style as good (n = 12; 70.6%), and most demonstrated good performance in nursing care delivery (n = 13; 76.5%). Among nurses with good leadership perceptions, 91.7% reported good nursing care performance. Spearman’s rank correlation showed a statistically significant positive association between nurses’ perceptions of head nurse leadership style and nursing care performance (r = 0.587; p = 0.013), indicating a moderate correlation. Conclusion: Nurses who perceived the head nurse’s leadership style more positively tended to report better performance in delivering nursing care. These findings suggest that effective ward-level leadership may support nursing care quality through clear direction, supervision, motivation, and constructive feedback. Strengthening leadership practices among head nurses is therefore important to enhance staff nurses’ performance and maintain the quality of inpatient nursing care.

Effect of a combined woolwich massage, acupressure, and Breastfeeding Exclusive Self Training (BEST) for moms e-book intervention on ineffective breastfeeding: A case study Eni Folendra Rosa; Rita Kamalia; Rosdiana Rosdiana; Nelly Rustiati
Lentera Perawat Vol. 7 No. 3 (2026): July - September
Publisher : School of Health Sciences Al-Ma'arif

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52235/lp.v7i3.761

Background: Ineffective breastfeeding may be associated with an inadequate breast milk supply, suboptimal infant latch, breast pain, maternal anxiety, and limited access to understandable breastfeeding information. An approach combining physical stimulation and digital education may provide comprehensive support for mothers experiencing breastfeeding difficulties. Objective: This case study aimed to describe the implementation of a combined Woolwich massage, acupressure, and BEST for MOMS e-book intervention among mothers experiencing ineffective breastfeeding. Methods: A descriptive case study design was employed involving two breastfeeding mothers with infants aged 0–1 month in Sekarjaya Village, East Baturaja District, Indonesia. The intervention was delivered over six visits and comprised breastfeeding education using the BEST for MOMS e-book, demonstration and guided practice of Woolwich massage, and acupressure at the CV17 and ST18 points. Data were collected through maternal nursing assessments, observations of breastfeeding practices and outcomes, procedural checklists, and the Breastfeeding Self-Efficacy Scale–Short Form. The data were analyzed descriptively by comparing each participant’s condition before and after the intervention. Results: Following six visits, both participants demonstrated improvements in breastfeeding status. Infant feeding frequency increased from 5–6 times to more than eight times per day, while urination frequency increased from 4–5 times to eight times per day. Breast milk flow and infant latch also improved. The infants appeared calmer after feeding, whereas maternal breast pain and anxiety decreased. The participant who initially experienced more pronounced breast swelling and pain required a longer period of adaptation. Conclusion: The combination of Woolwich massage, acupressure, and education through the BEST for MOMS e-book may be implemented as a supportive intervention for mothers experiencing ineffective breastfeeding. Studies involving larger samples, comparison groups, and standardized outcome measurements are required to determine the effectiveness of this combined intervention.

Exploring the use of the transtheoretical model in psychiatric nursing counseling for women with schizophrenia experiencing intimate partner violence: A clinical case study from Indonesia Prasetyo Aji Nugroho; Somporn Rungreangkulkij; Muliantika Muliantika
Lentera Perawat Vol. 7 No. 3 (2026): July - September
Publisher : School of Health Sciences Al-Ma'arif

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52235/lp.v7i3.769

Background: Intimate partner violence (IPV) is a major global public health concern associated with severe psychological consequences, particularly among women with pre-existing mental disorders. Survivors with chronic mental illness often experience complex psychological challenges that may hinder recovery and increase vulnerability to repeated abuse. However, structured psychiatric nursing approaches addressing survivors’ readiness for behavioral change remain limited. Objective: This study aimed to explore the application of the Transtheoretical Model of Change within psychiatric nursing counseling for women with schizophrenia experiencing intimate partner violence. Methods: A qualitative clinical case study design was employed involving two female participants with schizophrenia receiving psychiatric nursing care in Indonesia. Data were collected through clinical observation, nursing assessments, therapeutic communication, counseling session documentation, and nursing care records. Counseling interventions were implemented using experiential and behavioral strategies aligned with the stages of change framework. Data were analyzed using thematic content analysis focusing on patterns of psychological responses, coping processes, and behavioral changes observed during counseling.. Results: Clinical observations indicated that experiential strategies, including consciousness raising, self-reevaluation, and dramatic relief, were associated with increased recognition of abusive experiences and reduced self-blaming responses. Behavioral strategies such as self-liberation, reinforcement management, and counterconditioning were observed alongside the development of adaptive coping behaviors, emotional regulation, and greater engagement in daily functioning. Participants demonstrated individual variations in readiness for change throughout the counseling process. Conclusion: Transtheoretical Model may provide a useful framework for tailoring psychiatric nursing counseling according to survivors’ readiness for change and clinical context. However, findings should be interpreted cautiously given the qualitative case study design and small number of participants. Further research involving larger samples and standardized outcome measures is needed to strengthen understanding of stage-based counseling approaches among survivors of intimate partner violence with chronic mental illness.

Nursing management strategies for optimizing SBAR-based bedside handover implementation in an inpatient unit I Dewa Ayu Rai Netrawati; Frieda Panjaitan; Ratri Ermawati; Samuel M Simanjuntak
Lentera Perawat Vol. 7 No. 3 (2026): July - September
Publisher : School of Health Sciences Al-Ma'arif

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52235/lp.v7i3.783

Background: Bedside handover is a clinical communication strategy that supports continuity of care, patient safety, and patient involvement. The initial assessment in the inpatient unit showed an implementation rate of 68%, nurse–patient interaction during handover of only 33%, non-standardized documentation, and the absence of an SBAR-based bedside handover SOP that consistently involved patients. Objective: This article aimed to evaluate nursing management strategies for optimizing SBAR-based bedside handover implementation in an inpatient unit at a hospital in Jakarta. Methods: This quality improvement study used a pre–post evaluation approach and involved 20 inpatient nurses, including 13 diploma-prepared nurses and 7 professional nurses. The initial assessment included observation, brief interviews, document review, and one FGD with unit nurses. The intervention was implemented through baseline assessment, development of an SBAR-based SOP and documentation format, socialization, training and simulation, appointment of handover champions, supervision, and three monthly audit cycles from August to October 2025. Data were analyzed descriptively. Results: Bedside handover implementation increased from 68% in August to 77% in September and 90% in October. At baseline, patient interaction during handover was 33%, form uniformity was 82%, 50% of nurses reported documentation difficulties, and leadership during handover was documented in 27% of observations. The background and assessment components improved but remained inconsistently communicated. Conclusion: Nursing management strategies involving procedure standardization, training, documentation, handover champions, supervision, and continuous audit contributed to improved SBAR-based bedside handover. Further strengthening of background, assessment, and patient involvement is required to ensure that improved compliance is accompanied by better clinical communication quality.

Family caregivers’ experience in providing home-based palliative care: A descriptive phenomenological study Karolin Adhisty; Mutia Nadra Maulida; Siti Sarahdeaz F; Zesi Aprilia
Lentera Perawat Vol. 7 No. 3 (2026): July - September
Publisher : School of Health Sciences Al-Ma'arif

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52235/lp.v7i3.784

Background: Families, as a vital part of palliative care, need to be identified and their roles and functions explored in order to improve patients’ quality of life at home following hospitalisation. Objective: This study aims to identify the current situation regarding patient care at home. Methods: The method used in this study was a qualitative approach employing a descriptive-phenomenological methodology. informants were selected based on purposive sampling criteria, with a total of nine informants. Interviews were conducted using a semi-structured interview technique, in the Sakatiga Village Health Center. Results: The results of this study indicate that experiences of caring for palliative care patients vary; families, as a vital part of patient care, must be able to provide care for patients, even though family carers are likely to face various challenges, such as a lack of knowledge regarding care provision. The findings further examine the conditions of care provided at home, including: the assessment of the patient’s and family’s condition; the patient’s complaints regarding their condition; the family’s feelings towards the patient’s condition; the family’s coping mechanisms; dilemmas in meeting the patient’s care needs; and medical information required to understand the patient’s condition. Conclusion: The results of this study indicate that families in providing palliative care need a forum to discuss, talk, and express their feelings while providing patient care at home. This is necessary because apart from being an important part of care, families are also required to always be able to carry out their functions optimally.

The effectiveness of the Youth-Oriented Mental Health Education Program (Y-MIND) school-based psychoeducational program in improving mental health literacy and reducing psychological distress among adolescents in Klaten, Indonesia: A quasi-experimental study Astri Wahyuningsih; Lusiana Ambarsari; Leni Prasetiyani; Indah Yunita Khairunisa
Lentera Perawat Vol. 7 No. 3 (2026): July - September
Publisher : School of Health Sciences Al-Ma'arif

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52235/lp.v7i3.792

Background: Adolescent mental health is a major public health concern, including in Indonesia, where many cases remain undetected and untreated. Limited mental health literacy may contribute to poor help-seeking behavior and adverse mental health outcomes. Psychoeducation is a promising school-based strategy to address these challenges. Objective: This study aimed to evaluate the effectiveness of the Youth-Oriented Mental Health Education Program (Y-MIND) in improving mental health literacy and reducing psychological distress among adolescents. Methods: A quasi-experimental pretest–posttest control group design was conducted among 70 eleventh-grade students at SMA Muhammadiyah 1 Klaten, Indonesia. Participants were selected using proportional stratified random sampling and assigned to an intervention group (n = 35) and a control group (n = 35). The intervention group received the four-session Y-MIND psychoeducational program. Mental health status was assessed using the Self-Reporting Questionnaire-20 (SRQ-20), and mental health literacy was measured using the Multicomponent Mental Health Literacy Measure (MMHLM). Data were analyzed using the Wilcoxon signed-rank test and Mann–Whitney U test. Results: The proportion of participants without psychological distress increased from 45.7% to 91.4% in the intervention group, compared with 60.0% to 62.9% in the control group. High mental health literacy increased from 5.7% to 74.3% in the intervention group. Between-group analysis showed significantly greater improvements in psychological distress (p = 0.001) and mental health literacy (p < 0.001) in the intervention group compared with the control group. Conclusion: The Y-MIND program effectively improved mental health literacy and reduced psychological distress among adolescents. School-based psychoeducation may be an effective strategy for promoting adolescent mental health.

Association between sleep quality and pre-hemodialysis blood pressure among patients undergoing hemodialysis: A cross-sectional study Robiatul Adawiyah; Dwi Soelistyoningsih; Achmad Rifai; Wira Daramatasia; Angernani Trias Wulandari
Lentera Perawat Vol. 7 No. 3 (2026): July - September
Publisher : School of Health Sciences Al-Ma'arif

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52235/lp.v7i3.798

Background: Chronic kidney disease (CKD) is an ailment of kidney function that develops gradually and in advanced stages requires long-term hemodialysis therapy. Sleep disturbances are common among patients due to both physiological and psychological factors. Pourer sleep quality may elevate the sympathetic nervous system's responsiveness, disrupt fluid balance, and contribute to elevated blood pressure, particularly pre-hemodialysis blood pressure, which reflects the patient’s hemodynamic status prior to dialysis initiation. Objective: This study aimed to assess the association between sleep quality and pre-hemodialysis blood pressure, including systolic and diastolic, in patients undergoing hemodialysis. Methods: This research utilized a quantitative, cross-sectional methodology that was conducted in September 2025 at the Hemodialysis Unit of Universitas Muhammadiyah Malang Hospital, among 80 patients selected using purposive sampling, undergoing routine hemodialysis for at least three months at Universitas Muhammadiyah Malang Hospital, who were conscious and able to communicate verbally. The Pittsburgh Sleep Quality Index (PSQI) questionnaire was utilized to assess quality of sleep, whereas pre-hemodialysis blood pressure including systolic and diastolic measurements was weighed prior to the dialysis procedure using a standard sphygmomanometer. Data were evaluated using the Spearman Rank test, with an established significance threshold of p <0.05. Results: Of the total respondents, 42 (52.5%) had good sleep quality, while 38 (47.5%) experienced poor sleep quality. The median pre-hemodialysis blood pressure was 130/80 mmHg, indicating stage 1 hypertension. Statistical assessment disclosed a significant association between quality of sleep and pre-hemodialysis blood pressure category (p = 0.014) with a weak positive correlation (r = 0.274), revealing that poorer sleep quality was associated with higher blood pressure category, although the effect size was small. Conclusion: Sleep quality is significantly associated with blood pressure in patients of pre-hemodialysis. Poorer sleep quality leads to be collaborated with higher blood pressure. However, the weak correlation (r = 0.274) suggests that sleep quality is one of several contributing factors to blood pressure variability in this population. These verdicts highlight the significance of assessing and managing sleep quality as part of comprehensive care in hemodialysis patients.

Maternal risk of chronic energy deficiency based on mid-upper arm circumference and low birth weight among term singleton births: A retrospective record-based study in Lampung, Indonesia Lara Putri Upatesa; Anita Anita; Rilyani Rilyani
Lentera Perawat Vol. 7 No. 3 (2026): July - September
Publisher : School of Health Sciences Al-Ma'arif

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52235/lp.v7i3.800

Background: Low birth weight remains a major neonatal health concern. Mid-upper arm circumference (MUAC) is routinely used in Indonesia to screen pregnant women for risk of chronic energy deficiency (CED), but its association with low birth weight among term births requires careful interpretation. Objective: To examine the association between maternal risk of CED based on antenatal MUAC and low birth weight among term singleton births at Dr. H. Abdul Moeloek Regional General Hospital, Lampung, Indonesia. Methods: This retrospective record-based analytic study included 93 term singleton mother-infant pairs selected consecutively from 178 eligible delivery records from January to August 2025. Maternal risk of CED was defined as the most recent documented antenatal MUAC <23.5 cm; MUAC >=23.5 cm was classified as not at risk. Low birth weight was defined as birth weight <2,500 g. Sample adequacy was reassessed using a single-proportion approach with 95% confidence, an expected proportion of 0.50, 7.5% precision, finite-population correction, and 5% allowance for incomplete records, producing a minimum of 92 records. Pearson chi-square and crude odds ratio (OR) with 95% confidence interval (CI) were calculated. Results: Forty infants (43.0%) had low birth weight, and 20 mothers (21.5%) were at risk of CED. Low birth weight occurred in 18 of 20 mothers at risk of CED (90.0%) and in 22 of 73 mothers not at risk (30.1%). Maternal risk of CED was associated with low birth weight (p < 0.001; crude OR = 20.864; 95% CI = 4.455-97.718). The wide CI indicates substantial uncertainty in the magnitude of the estimate. Conclusion: Maternal risk of CED based on MUAC was associated with low birth weight among term singleton births. The finding supports consistent antenatal MUAC screening, but it should be interpreted as an unadjusted hospital-based association that requires confirmation in larger studies with standardized MUAC timing and multivariable adjustment.

Home Page

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Reviewer

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Contact Name
M. Agung Abar

Contact Email
magungakbar24@gmail.com

Phone
+6281377994124

Journal Mail Official
lenteraperawat@stikesalmaarif.ac.id

Editorial Address
Jl. Dr. M. Hatta No.687-B, Sukaraya, Kec. Baturaja Timur, Kabupaten Ogan Komering Ulu, Sumatera Selatan

Location
Kab. ogan komering ulu,

Sumatera selatan

INDONESIA

Abstract

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Abstract

Home Page

OAI Link

Editorial Team

Contact

Reviewer

Google Scholar

Contact Name M. Agung Abar

Contact Email magungakbar24@gmail.com

Phone +6281377994124

Journal Mail Official lenteraperawat@stikesalmaarif.ac.id

Editorial Address Jl. Dr. M. Hatta No.687-B, Sukaraya, Kec. Baturaja Timur, Kabupaten Ogan Komering Ulu, Sumatera Selatan

Location Kab. ogan komering ulu, Sumatera selatan INDONESIA

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Contact Name
M. Agung Abar

Contact Email
magungakbar24@gmail.com

Phone
+6281377994124

Journal Mail Official
lenteraperawat@stikesalmaarif.ac.id

Editorial Address
Jl. Dr. M. Hatta No.687-B, Sukaraya, Kec. Baturaja Timur, Kabupaten Ogan Komering Ulu, Sumatera Selatan

Location
Kab. ogan komering ulu,

Sumatera selatan

INDONESIA