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Journal of Nursing Science Update
Published by Universitas Brawijaya
ISSN : 28297075     EISSN : 28290003     DOI : https://doi.org/10.21776/ub.jik
Core Subject : Health,
Health Professions Nursing
Journal of Nursing Science Update (JNSU) [formerly known as Jurnal Ilmu Keperawatan: Journal of Nursing Science] is a media to share scientific studies about nursing published by the Department of Nursing, Faculty of Health Science, Universitas Brawijaya. This journal covered basic nursing sciences, pediatric nursing, medical surgical nursing, maternity nursing, emergency nursing, mental health nursing, community nursing, family nursing, gerontic nursing, and nursing, and health policy. This journal is delimited into topics related to original research, reviews, case studies, and letter to the editor, which contribute to the development of the nursing scientific field. We aim to promote the development of nursing research into clinical evidence in practice. Our audience is the national and international nursing community, educators, health professionals, policymakers, and interested public members worldwide.
Arjuna Subject : Keperawatan - Keperawatan (Lain-Lain)
Articles 6 Documents
 1 
Search results for , issue "Vol. 13 No. 2 (2025): November" : 6 Documents clear
Integrating Swanson’s Caring Theory into Discharge Planning Education: Effects on Patient Satisfaction in Postoperative Care Pradini, Septi Wahyu; Putra, Kuswantoro Rusca; Kapti, Rinik Eko
Journal of Nursing Science Update (JNSU) Vol. 13 No. 2 (2025): November
Publisher : Department of Nursing, Faculty of Health Sciencce, Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.jik.2025.013.02.03

Abstract

The patient's beliefs have been shown to influence their ability to perform self-care in a manner that minimizes post-operative complications. Patient satisfaction with the quality of discharge planning education is also a factor that can influence patient acceptance to undergo post-operative care at home. Patients who are dissatisfied with the nurses' information and instructions are likely to demonstrate noncompliance postoperatively. The integration of the Swanson Theory of Caring approach into discharge planning education has the potential to enhance patient satisfaction. The objective of this study was to analyze the effect of discharge planning education utilizing the Swanson Theory of Caring approach on increasing patient satisfaction in post-operative care. The quasi-experimental study employed a non-randomized pretest-posttest control group design. The study's participants were 78 patients, who were divided into two groups: a control group and an intervention group. The control group received discharge planning education according to standard operating procedures. The intervention group received discharge planning education with the Swanson Theory of Caring approach. The results of the Wilcoxon signed-rank test demonstrate a p-value of 0.00, indicating a high degree of statistical significance. The mean increase in satisfaction for the treatment group was 6.06, with a p-value of 0.00. The mean increase in satisfaction for the control group was 3.16, with a p-value of 0.00. The findings suggest that patient satisfaction levels in the treatment group surpassed those observed in the control group. The present study finds that education on discharge planning utilizing the Swanson Theory of Caring approach is associated with increased patient satisfaction in postoperative care.
Determinants of Quality of Life Among Hypertensive Patients Sya'id, Achmad; Tursina, Hella Meldy
Journal of Nursing Science Update (JNSU) Vol. 13 No. 2 (2025): November
Publisher : Department of Nursing, Faculty of Health Sciencce, Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.jik.2025.013.02.01

Abstract

Hypertension significantly affects patients' quality of life; however, awareness of its contributing factors remains inadequate. This study elucidates the determinants influencing the quality of life among patients with hypertension. A cross-sectional observational study was conducted involving 100 hypertension patients at the Patrang Jember Health Centre, utilizing quota sampling. The quality of life was assessed using the EuroQol five-dimensional three-level (EQ-5D-3L) instrument. Relationships between demographic variables and quality of life were analysed using chi-square tests, with statistical significance established at p<0.05. Among the participants, 67% reported experiencing a poor quality of life. The majority of subjects were aged 50 to 70 years (58%), male (51%), employed (70%), possessed a higher level of education (54%), had health insurance (63%), and reported no complications (73%). Statistical analysis revealed significant associations between quality of life and the presence of complications (p=0.000), employment status (p=0.001), educational attainment (p=0.000), and health insurance coverage (p=0.000). No significant relationships were identified with age (p=0.059) or gender (p=0.388). In conclusion, the presence of complications, employment status, educational attainment, and health insurance coverage significantly influence the quality of life in patients with hypertension. These findings underscore the need to develop targeted interventions that address modifiable factors to enhance patient outcomes and overall well-being.
Barriers to Tuberculosis Case Detection in Private Clinics in Indonesia : A Thematic Analysis Ritonga, Imelda Liana; Handiyani, Hanny; Nursasi, Astuti Yuni; Eryando, Tris
Journal of Nursing Science Update (JNSU) Vol. 13 No. 2 (2025): November
Publisher : Department of Nursing, Faculty of Health Sciencce, Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.jik.2025.013.02.02

Abstract

In Indonesia, private clinics have emerged as an alternative healthcare option, even for individuals enrolled in the National Health Insurance program. According to the National Tuberculosis Program, these clinics are also responsible for detecting tuberculosis (TB). However, the ability of these clinics to manage TB patients has not been extensively studied. This study explores the factors that facilitate or hinder healthcare workers (HCWs) at these clinics from detecting TB early on. A qualitative descriptive-interpretative approach was employed. Thirteen HCWs from three clinics, one HCW from a district public healthcare center, and a local TB program supervisor (Wasor TB—deputy supervisor of the Tuberculosis Program) were selected via purposive sampling, resulting in a total of 15 participants. Data were collected through in-depth interviews conducted from April to July 2023 and analyzed using thematic analysis. Three main themes with eight sub-themes emerged: (1) inadequate support from clinic managers for TB services, (2) substandard early TB detection competency among clinical staff, and (3) insufficient support from the external TB network for clinics’ early detection efforts. Improving TB services in private clinics, especially early detection, is essential to achieving the Indonesian government’s goal of eliminating TB by 2030. This can be achieved by reassessing roles and establishing effective collaborative partnerships between clinic leaders and staff and the external TB network.
Handover Using the Introduction, Situation, Background, Assessment, and Recommendation (ISBAR) Checklist Improves Nurses’ Self-Efficacy Yulianti, Lena; Putra, Kuswantoro Rusca; Supriati, Lilik; Utami, Yulian Wiji
Journal of Nursing Science Update (JNSU) Vol. 13 No. 2 (2025): November
Publisher : Department of Nursing, Faculty of Health Sciencce, Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.jik.2025.013.02.04

Abstract

Handover is a crucial aspect of patient transfer to ensure patient safety and reduce adverse events. The Introduction, Situation, Background, Assessment, and Recommendation (ISBAR) method is a standardized communication approach recommended to improve handover quality. Nurses require adequate self-efficacy not only to deliver handover information but also to receive it effectively to ensure continuity of care. Continuity of patient treatment is associated with improved patient outcomes and reduced length of hospital stay. This study aimed to evaluate the effectiveness of a modified ISBAR checklist, adapted from the existing patient transfer form and developed by the researcher, in improving nurses’ self-efficacy during patient transfers from the Emergency Department (ED) to the High Care Unit and Intensive Care Unit (HCU–ICU). A pre-experimental study using a one-group pretest–posttest design was conducted. Ten ED nurses applied the modified ISBAR checklist during handovers to HCU–ICU nurses. A total of 40 nurses working in HCU and ICU settings participated as respondents. Nurses’ self-efficacy was measured using the General Self-Efficacy Scale before and after implementation of the ISBAR checklist. The results showed a statistically significant improvement in nurses’ self-efficacy following the use of the ISBAR checklist (p = 0.000; p < 0.05), based on Wilcoxon test analysis. The effectiveness analysis yielded an N-gain score of 0.388, indicating a moderate level of effectiveness. In conclusion, the ISBAR checklist effectively enhances nurses’ self-efficacy during inter-unit handover, supporting structured communication, continuity of care, and safer patient transfers in high-acuity clinical settings.
The Use of the Oswestry Disability Index (ODI) and Nordic Body Map (NBM) in the Assessment of Low Back Pain Among Office Employees Suryadinata, Rivan Virlando; Pande, Gek Made Cempaka Priyanka
Journal of Nursing Science Update (JNSU) Vol. 13 No. 2 (2025): November
Publisher : Department of Nursing, Faculty of Health Sciencce, Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.jik.2025.013.02.06

Abstract

Low back pain is a common health problem experienced by office workers. Poor posture and ergonomic habits can result in low back pain. Low back pain can be assessed using the Oswestry Disability Index (ODI) and Nordic Body Map (NBM) questionnaires. Different assessment results for individual workers can lead to delays in early detection and treatment, which can reduce productivity. This study aims to determine the differences between the ODI and NBM in assessing low back pain (LBP) in office employees. The research method used was observational with a cross-sectional design. The respondents were office workers aged 25–60 years with no history of spinal trauma. The study included 120 participants, selected using purposive sampling. The assessment was carried out using ODI and NBM questionnaires. Furthermore, a chi-square test will be used to analyze the data obtained and determine the difference in the assessments of the two questionnaires. The results indicate no significant difference between the two questionnaires' ratings (p=0.142). Therefore, it can be concluded that the two questionnaires are similar in their assessment of the risk of low back pain in office workers, although several factors remain unassessed.
ACT Care: A Mobile Acceptance and Commitment Therapy Intervention to Improve Quality of Life in Breast Cancer Patients Trishinta, Sirli Mardianna; Wahidyanti Rahayu Hastutiningtyas; Cantika Previana
Journal of Nursing Science Update (JNSU) Vol. 13 No. 2 (2025): November
Publisher : Department of Nursing, Faculty of Health Sciencce, Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.jik.2025.013.02.05

Abstract

Breast cancer patients often experience psychological distress, such as anxiety, stress and decreased quality of life, due to treatment processes and physical changes. Addressing these challenges requires holistic nursing care that integrates physical, emotional, and psychosocial aspects. In line with the Astra Cita mission to improve community well-being through science and technology, this study developed the ACT Care Application, based on Acceptance and Commitment Therapy (ACT), to support breast cancer patients in managing psychological distress through mindfulness and self-acceptance. The application provides self-assessment, structured mindfulness exercises, reflective journaling, self-acceptance modules, and virtual community support. This study employed a Research and Development (R&D) design, using the ADDIE model (Analysis, Design, Development, Implementation, Evaluation). A purposive sample of 30 breast cancer patients in Indonesia participated. Data were collected using a pretest–posttest design with the WHOQOL-BREF questionnaire. Patients used the ACT Care application for four weeks, and effectiveness was analyzed using the Wilcoxon signed-rank test. The results showed a significant improvement in the quality of life of breast cancer patients after using the ACT Care application. The mean WHOQOL-BREF score increased from 58.4 to 72.9 (P < 0.001), indicating improvements across physical, psychological, social, and environmental domains. This study provides preliminary support for the efficacy of technology-based nursing intervention to improve psychological well-being among breast cancer women. Considering these limitations, there is a need for further research to explore the benefit of ACT Care within specific cultural settings and cultures to ensure that this approach has larger applicability and acceptability.

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