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Lentera Perawat
Published by Sekolah Tinggi Ilmu Kesehatan Al-Ma'arif Baturaja
ISSN : 27222837     EISSN : 28301846     DOI : -
Core Subject : Health,
Health Professions Nursing Public Health
Lentera Perawat is intended to be the journal for publishing articles reporting the results of research on Health Science field especially Nursing and Midwifery, Public Health as well as with their development through interdisciplinary and multidisciplinary approach
Arjuna Subject : Profesi Kesehatan - Profesi Kesehatan (Lain-Lain)
Articles 401 Documents
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Association between nurses’ caring behaviors and patient satisfaction in inpatient wards of a hospital in South Tangerang city: A cross-sectional study Vebry Haryati Lubis; Devi Andriani; Siti Nurhaliza Rahmawati
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.v7i3.810

Abstract

Background: Nursing care extends beyond clinical procedures to include interpersonal, psychological, social, and emotional support. Preliminary observations in the study setting indicated that patients generally perceived technical aspects of care positively, while gaps remained in emotional interaction and psychosocial support. Objective: To examine the association between nurses’ caring behaviors and patient satisfaction among inpatients at a hospital in South Tangerang City in 2026. Methods: This quantitative correlational study used a cross-sectional design. A total of 67 inpatients from class II and III wards were selected using purposive sampling. Nurses’ caring behaviors were assessed using the Caring Behavior Inventory (CBI-24), while patient satisfaction was assessed using SERVQUAL. Data were summarized descriptively and the association between caring behavior and patient satisfaction was tested using the chi-square test. Results: Most respondents were in the 18–59-year age category (88.1%) and were female (67.2%). More than half rated nurses’ caring behavior as low (52.2%), and 56.7% reported dissatisfaction with the services received. Among SERVQUAL dimensions, empathy had the highest dissatisfaction, with 42 of 67 respondents (62.7%) reporting dissatisfaction. Nurses’ caring behavior was significantly associated with patient satisfaction (p < 0.001). Patients who perceived low caring behavior had higher odds of reporting dissatisfaction than those who perceived high caring behavior (OR = 8.80; 95% CI: 2.91–26.63). Conclusion: Nurses’ caring behavior was significantly associated with patient satisfaction in the studied inpatient wards. Because of the cross-sectional design, the finding should be interpreted as an association rather than a causal relationship.        
Factors associated with the utilization of the mobile national health insurance online queue system at community health center: A cross-sectional study Komariah Komariah; Akhmad Dwi Priyatno; Dianita Ekawati
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.v7i3.824

Abstract

Background: The use of the National Health Insurance (M-JKN) mobile online queue system aims to improve the efficiency, safety, and quality of health services. However, it is often hindered by network errors or patients’ lack of proficiency in using the system. Analysis of the utilization of the M-JKN mobile online queue system remains under-researched. Objective: This study aims to analyze the utilization of the M-JKN online queue system at the Mekarsari Community Health Center in Banyuasin Regency. Methods: This study uses a quantitative approach, with a cross-sectional design from the population of all patient visits from January to December, totaling 4,030 patients, and uses accidental sampling. The research sample used questionnaires for 98 (ninety-eight) respondents from March to April 2026. The analysis tests used were univariate, bivariate, and multivariate analyses with logistic regression tests. Results: The research results showed that age with a p-value of 0.098 (p > 0.05), gender p-value 0.098 (p > 0.05), ease of use p-value 1.000 (p > 0.05), user attitude p-value 0.147 (p > 0.05), intention to use p-value 0.780 (p > 0.05), and user satisfaction p-value 0.659 (p > 0.05) were not related to the use of the M-JKN online queue. Education level had a p-value of 0.004 (p < 0.05) OR = 9.42 95% CI = 1.597–21.308, and perceived usefulness p-value 0.004 (p < 0.05) OR = 9.20 95% CI = 1.54–8.79 were related to the use of the M-JKN online queue. Multivariate analysis identified the education level aspect OR = 5.83; 95% CI = 1.597–21.308; p = 0.008 as the dominant factor associated with the utilization of the M-JKN Online Queue . Conclusion: The conclusion of this study is that service quality dimensions, particularly educational level and perceived usefulness, play a significant role in increasing the utilization of the online queue system. It is recommended that the community health center focus on these two dimensions to enhance the utilization of the M-JKN online queue system.
The utilization of robotic technology as a support for rehabilitative nursing care in stroke patients with impaired physical mobility: A scoping review Indra Frana Jaya KK; Aris Citra Wisuda; M Agung Akbar; Afrida Pratiwi; Agusdiman Saputra; Ahmad Zulfikri; Arif Billah Pangestu Idil Adha; Ayu Andira; Ayu Safitriyana
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.v7i3.883

Abstract

Background: Stroke frequently causes persistent mobility impairment and dependence. Robotic rehabilitation offers intensive, repetitive, and measurable practice, but its integration with rehabilitative nursing care remains insufficiently mapped. Objective: To map robotic technologies used for adult stroke survivors with impaired physical mobility, summarize functional outcomes, and identify implications and evidence gaps for rehabilitative nursing care. Methods: A scoping review guided by PRISMA-ScR was conducted. PubMed, Scopus, ScienceDirect, ProQuest, CINAHL, Google Scholar, and Wiley Online Library were searched for peer-reviewed primary studies published in English from January 2019 to May 2026. Eligible studies involved adult stroke survivors, evaluated a robotic rehabilitation technology, and reported mobility- or function-related outcomes. Data were charted and synthesized descriptively. Results: Twenty-seven studies were charted. Technologies included robot-assisted gait-training systems, lower-limb exoskeletons, end-effector devices, upper-limb robotic systems, robotic hand devices, soft robotic gloves, and socially assistive robots. Reported benefits primarily concerned gait, balance, limb motor function, coordination, activities of daily living, and independence. Findings were heterogeneous, and robotic interventions were not consistently superior to intensive conventional rehabilitation. Nursing relevance centered on readiness and mobility assessment, fall-risk management, monitoring of physiological and activity tolerance, education, motivation, and evaluation of nursing-sensitive functional outcomes. Few studies explicitly evaluated nurses' roles or integration with the nursing process. Conclusion: Robotic technology is a promising adjunct to interdisciplinary stroke rehabilitation but should not replace conventional therapy or therapeutic human interaction. Nursing-led implementation research is needed to establish safety protocols, competency requirements, workflow models, patient-selection criteria, and nursing-sensitive outcomes.
Determinants of patient satisfaction in the emergency department: A Structural Equation Modeling–Partial Least Squares (SEM-PLS) analysis Wiwin Meiriana; Arie Wahyudi; Nurul Fitriah
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.v7i3.885

Abstract

Background: Patient satisfaction is an important indicator of hospital service quality. In emergency departments (EDs), patient experiences occur under high urgency and uncertainty. At Lahat Regional General Hospital, quality indicators have shown favorable performance, while complaints remain related to waiting time, staff communication, service certainty, and facility comfort, suggesting a gap between internal quality indicators and users’ experiences. Objective: To analyze the associations of demographic characteristics and SERVQUAL dimensions on patient satisfaction in the Emergency Department of Lahat Regional General Hospital. Methods: A quantitative cross-sectional study was conducted in the Emergency Department of Lahat Regional General Hospital from March to May 2026. A total of 395 adult patients were recruited using convenience sampling after completing their ED care and meeting the eligibility criteria. The instrument was a performance-only adaptation of SERVQUAL consisting of 20 service-quality items and 3 satisfaction items. Data were analyzed using SPSS and SmartPLS 4. SEM-PLS assessment included outer loading, AVE, Composite Reliability, Cronbach’s Alpha, Fornell–Larcker, VIF, R², f², Q² Predict, SRMR, and 5,000-subsample bootstrapping. Results: Tangibles (β=0.230; p<0.001), reliability (β=0.241; p=0.001), assurance (β=0.241; p<0.001), and empathy (β=0.202; p=0.001) were positively and significantly associated with patient satisfaction. Responsiveness (β=0.095; p=0.072), age (β=−0.032; p=0.610), sex (β=−0.026; p=0.672), and education (β=0.149; p=0.069) did not show significant associations. The model yielded R²=0.730, Q² Predict=0.691, and SRMR=0.055. Reliability and assurance had the same highest path coefficient (β=0.241), whereas tangibles had the largest effect size (f²=0.125). Based on the path coefficient, followed by the effect size, reliability was identified as the most dominant factor associated with patient satisfaction. Conclusion: Patient satisfaction in the Emergency Department was significantly influenced by tangibles, reliability, assurance, and empathy. Reliability was the strongest determinant, indicating that improving service consistency, accuracy, adherence to standard operating procedures, and dependable healthcare delivery should become priorities for quality improvement initiatives.
Factors associated with a composite outcome measure of the Motor Gigi innovation at community health center: A cross-sectional study Nia Trisna; Arie Wahyudi; Lilis Suryani
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.v7i3.893

Abstract

Background: The Motor Gigi innovation is a child-friendly dental reminder system combining control cards, miniature motorcycle stickers, and educational videos to encourage scheduled follow-up visits. This study examined factors associated with the composite outcomes of the Motor Gigi innovation among children receiving dental care. Methods: A cross-sectional study was conducted at Pajar Bulan Community Health Center, Muara Enim Regency, Indonesia, from February to June 2026. A total of 104 child–parent dyads were recruited. Data on oral hygiene behavior, parental knowledge, family support, dental follow-up compliance, and Motor Gigi composite outcomes were collected using questionnaires, interviews, clinical observation sheets, control cards, and clinic registers. Associations were analyzed using the Chi-square or Fisher’s exact test, followed by multiple logistic regression. Results: Of the 104 participants, 57.7% had favorable composite outcomes, 95.2% demonstrated good oral hygiene behavior, 95.2% had parents with good knowledge, 93.3% received adequate family support, and 96.2% complied with scheduled follow-up visits. Oral hygiene behavior (p = 0.007), parental knowledge (p = 0.007), family support (p = 0.003), and dental follow-up compliance (p = 0.013) were significantly associated with the Motor Gigi composite outcome. Child sex was not significantly associated with the outcome (p = 0.938). The multivariable model produced unstable estimates because of sparse data and complete separation; therefore, no independent dominant factor could be identified. Conclusion: Oral hygiene behavior, parental knowledge, family support, and dental follow-up compliance were associated with the Motor Gigi composite outcome. However, these findings should be interpreted cautiously because the predictors partially overlapped with the composite outcome and the cross-sectional design precluded causal inference. Future studies should use independent outcome measures, larger samples, and longitudinal or quasi-experimental designs.
Nurse-led education for adults receiving maintenance hemodialysis: A scoping review Fermata Sari; Elsa Sylvia; Neny Nursahaza; Ayu Prasweti Priambodo; Anastasia Anna; Indra Frana Jaya KK
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.v7i3.905

Abstract

Background: Adults receiving maintenance hemodialysis manage complex treatment schedules, medicines, vascular access, and dietary and fluid restrictions. Nurse-led education may support these tasks, but intervention formats and reported outcomes are heterogeneous. Objective: To map the characteristics, delivery methods, educational components, and reported outcomes of nurse-led education for adults receiving maintenance hemodialysis. Methods: Original quantitative, qualitative, or mixed-methods studies published in English from 2020 through 2026 were eligible when adults receiving maintenance hemodialysis were included and nurses led or coordinated the educational intervention. PubMed, ScienceDirect, CINAHL, and ProQuest were searched. The source records did not preserve a defensible database-specific last-search date. Study characteristics, intervention content and delivery, outcomes, and authors’ reported findings were charted and synthesized descriptively. The number of independent reviewers and pilot-testing of the charting form were not documented in the source records. Results: Of 245 records identified, 45 duplicates were removed, 200 records were screened, 40 full-text reports were assessed, and 9 studies were included. Interventions used individualized education, teach-back with booklets, theory-informed education, the 5A model, telephone or SMS follow-up, counseling, and hierarchical nurse-led management. Studies most often reported knowledge, self-management, treatment adherence, dietary or fluid management, quality of life, and hospitalization. Most studies reported improvement in at least one outcome, although designs, intervention intensity, measures, and follow-up varied. Conclusion: Nurse-led education for hemodialysis was delivered through diverse, often individualized and longitudinal approaches. The mapped evidence suggests potentially useful strategies for routine nursing practice, but this scoping review does not establish comparative effectiveness. Future research should report intervention components and outcomes consistently and use robust controlled designs with longer follow-up.
Nurse–patient communication and inpatient satisfaction: A narrative review Yeyen Iscasari; Dewi Purnamawati
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.v7i3.906

Abstract

Background: Communication is a core process of inpatient nursing care, yet the literature uses heterogeneous definitions, instruments, clinical settings, and professional scopes. This heterogeneity makes it difficult to determine which communication attributes are most consistently associated with patient satisfaction and whether observational associations are being interpreted too causally. Objective: To synthesize evidence on the association between nurse–patient communication and inpatient satisfaction. Methods: A focused narrative review was conducted and reported with reference to the Scale for the Assessment of Narrative Review Articles (SANRA). PubMed, ScienceDirect, DOAJ, Google Scholar, Garuda, and official Indonesian regulatory portals were searched for English- and Indonesian-language material published mainly from 2015 to 2026; seminal theory was retained. The search was updated on 2 September 2026. Adult inpatient studies examining nurse–patient, therapeutic, or patient-centered communication in relation to satisfaction were prioritized. Fifteen focal empirical studies were extracted and synthesized. Results: Most focal studies reported that clearer information, empathy, respectful interaction, active listening, opportunities to ask questions, responsiveness, and consistent messages were associated with higher satisfaction or related patient-experience outcomes. Trust, understanding, reassurance, and perceived service quality were recurrent explanatory pathways. However, the evidence was predominantly cross-sectional, definitions and measures varied, and a Kenyan study of patients with chronic life-limiting illness did not demonstrate higher satisfaction following patient-centered communication. Accordingly, causality and effect magnitude remain uncertain. Conclusion: Better perceived nurse–patient communication is generally associated with higher inpatient satisfaction, but the evidence does not justify a universal causal claim. Hospitals should standardize patient-centered communication, teach-back, and interdisciplinary message consistency while evaluating outcomes with validated instruments. Prospective multicenter and intervention studies are required.
Factors associated with antenatal care utilization among national health insurance participants in North Maluku: An analysis of BPJS Kesehatan sample data Adelya Agustin; Fitri Indrawati; Anik Setyo Wahyuningsih
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.v7i3.915

Abstract

Background: Maternal mortality remains a public health concern in North Maluku. Antenatal care (ANC) is essential for early risk detection, but the utilization recorded in health insurance claims may vary according to participant and healthcare-system characteristics. Objective: To analyze factors associated with recorded ANC utilization among National Health Insurance (JKN) participants in North Maluku using BPJS Kesehatan Sample Data. Methods: This cross-sectional secondary-data study used the 2025 BPJS Kesehatan Sample Data, with healthcare claims from 2021–2024. Total sampling included 179 eligible JKN participant–delivery episodes. Recorded ANC utilization was defined as the number of unique primary healthcare facility service dates coded Z32–Z36 within 280 days before an indexed delivery coded O80–O84 and was categorized as <4 or ≥4 visits. Participant and facility characteristics were analyzed using Chi-square or Fisher’s exact tests and binary logistic regression. Results: Of 179 observations, 113 (63.13%) had <4 recorded ANC visits and 66 (36.87%) had ≥4 visits. Residential area (p=0.049), type of primary healthcare facility (p<0.001), and facility region (p=0.035) were associated with ANC utilization in bivariate analysis. In the adjusted model, only the facility-type code remained statistically significant. For each one-level increase in the dataset code (community health center=1, primary clinic=2, general practitioner=3, network facility=4), the adjusted odds of ≥4 recorded visits were 3.55 times higher (adjusted OR=3.550; 95% CI: 1.826–6.901; p<0.001). This estimate should be interpreted cautiously because the categories are not clinically ordinal and several cells were small. Conclusion: Among JKN participants included in the 2025 BPJS Kesehatan Sample Data who met the study algorithm, recorded ANC utilization was associated with facility characteristics. The findings describe claim-recorded utilization and should not be generalized to all pregnant women in North Maluku or interpreted as evidence of causal effects or clinical ANC completeness.
Association of patients’ perceptions of nurses’ roles and nurse-provided psychosocial support with quality of life among people living with HIV: A cross-sectional study Rizaldi Emi; Untung Sujianto; Elfira Husna; Dwi Apriadi; Erian Fatria; Habibah Muchtar
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.v7i3.927

Abstract

Background: Quality of life is an important outcome of long-term HIV care and is shaped by clinical, psychological, social, and health-service factors. Nurses are positioned to support people living with HIV (PLHIV) through care coordination, education, counselling, advocacy, and psychosocial support, yet evidence on these service-related factors remains limited in West Sumatra, Indonesia. Objective: To examine the associations of patients’ perceptions of nurses’ roles and nurse-provided psychosocial support with quality of life among PLHIV receiving outpatient HIV care. Methods: This single-centre analytical cross-sectional study was conducted at the Serunai Clinic, Dr. Achmad Mochtar Regional General Hospital, Bukittinggi, Indonesia, from 7 March to 7 April 2026. Total sampling included 80 PLHIV. Quality of life was measured using the Indonesian WHOQOL-HIV BREF; patients’ perceptions of nurses’ roles and nurse-provided psychosocial support. Associations were examined using Pearson’s chi-square test and a two-predictor binary logistic model in which each nursing-related exposure was adjusted only for the other; demographic, clinical, and psychosocial confounders were not included. Results: Among 80 participants, 42 (52.5%) rated nurses’ roles as inadequate, 45 (56.3%) rated nurse-provided psychosocial support as inadequate, and 43 (53.8%) had poor quality of life. Adequate nurses’ roles were associated with higher odds of good quality of life (OR=738.00; 95% CI 64.21–8482.70; p<0.001), as was adequate psychosocial support (OR=85.33; 95% CI 18.95–384.33; p<0.001). In the two-predictor logistic model, nurses’ roles remained associated with quality of life (AOR=262.61; 95% CI 19.28–3577.91; p<0.001), and psychosocial support also remained associated (AOR=18.60; 95% CI 1.43–241.95; p=0.026). Conclusion: Patients’ perceptions of nurses’ roles and nurse-provided psychosocial support were strongly associated with quality of life. Strengthening therapeutic communication, counselling, and person-centred biopsychosocial care is warranted, alongside larger studies that adjust for clinical and psychosocial confounders.
Hospital foodservice attributes associated with inpatient satisfaction: A cross-sectional study Maya Arisandi; Arie Wahyudi; Gema Asiani
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.v7i3.987

Abstract

Background: Hospital foodservice contributes to nutritional care and patient experience. Local complaints concerning food presentation, utensil cleanliness, menu variety, meal temperature, and staff interactions indicated a need to examine which service attributes were associated with inpatient satisfaction. Objective: To examine associations between seven hospital foodservice attributes and inpatient satisfaction. Methods: This analytical cross-sectional study was conducted from 6 to 13 April 2026. Ninety-nine inpatients who had been hospitalized for at least two days were recruited by quota sampling and interviewed using a structured SERVQUAL-informed questionnaire. Service-attribute scores and satisfaction scores were dichotomized at their respective sample medians. Dissatisfaction was the modeled outcome. Associations were estimated using chi-square tests, crude odds ratios (ORs), and multivariable logistic regression with adjusted odds ratios (AORs) and 95% confidence intervals (CIs). Results: Sixty-eight participants (68.7%) were satisfied. All seven service attributes were associated with dissatisfaction in bivariable analyses (p<0.05). In the final multivariable model, poor food presentation (AOR=35.159; 95% CI: 6.101-202.604), poor utensil cleanliness (AOR=48.325; 95% CI: 5.342-437.185), inadequate menu variety (AOR=9.500; 95% CI: 1.486-60.755), and poor food safety and hygiene (AOR=8.780; 95% CI: 1.599-48.224) remained associated with dissatisfaction. Utensil cleanliness had the largest AOR; however, the wide CIs indicate low precision. Conclusion: Perceived foodservice attributes were associated with inpatient satisfaction, but the cross-sectional design does not establish causality. The magnitude of the adjusted estimates should be interpreted cautiously because the sample was small, quota sampling was used, and the model may be unstableequired.

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