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Nurona Azizah
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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 250 Documents
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The Relationship Between Sedentary Lifestyle and Body Mass Index (BMI) in Students at ITSK RS Dr Soepraoen Malang Jufiya, Mayang; Mashitah, Musthika Wida; Aminah, Tien
Journal of Nursing Science Update (JNSU) Vol. 13 No. 1 (2025): May
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.2025.013.01.08

Abstract

A sedentary lifestyle is characterized by a consistent lack of physical activity, which is associated with an increased risk of being overweight and obese. Students often exhibit low levels of physical activity due to academic obligations, which can potentially lead to an increase in their body mass index (BMI). This study aims to examine the relationship between sedentary lifestyle levels and BMI among students at ITSK Dr Soepraoen Hospital in Malang. This study employed a cross-sectional design utilizing quantitative methods. Sampling was conducted through purposive sampling, involving 575 active students across levels 1 to 4. Data were collected using the Sedentary Behaviour Questionnaire (SBQ) in conjunction with BMI measurements. The data analysis was performed using the Chi-Square test. The findings indicated a statistically significant relationship between sedentary lifestyle levels and BMI (p = 0.037). The prevalence of overweight was documented at 11.6% within the low sedentary group, rising to 16.3% in the moderate sedentary group and ultimately reaching 25.2% in the high sedentary group. These results suggest that, despite the statistical significance of the relationship, a sedentary lifestyle remains a considerable factor influencing students' nutritional status. In conclusion, it is essential to implement promotional initiatives that enhance students' awareness of the importance of physical activity in reducing the risk of overweight.
Evaluation of the “Sepekan” Application Utilization by the Gresik District Government Kholifah, Anik Nur; Indarto, Tomi; Samsi, Nur; Widiyawati, Wiwik; Mulyani, Endah; Musfara, Deah Dwi
Journal of Nursing Science Update (JNSU) Vol. 13 No. 1 (2025): May
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.2025.013.01.12

Abstract

Improvements in the utilization of the Sepekan application within the Gresik Regency are crucial to determining the extent of its proper implementation. This study aims to assess the usage of the "SEPEKAN" application, specifically regarding user discipline, in submitting final reports for completed activities. Sepekan is a web-based application designed to provide services to the Gresik community, particularly students, in connection with internship programs in the Gresik Regency. The sampling method employed in this study was total sampling. The respondents' ages ranged from 19 to 88 years, with the most significant representation coming from self-employed individuals, totalling 453 respondents. Subsequent analyses indicated a significant relationship between the purpose of using the website and user discipline, with a p-value of 0.00. Several facilitating factors or triggers for indiscipline were identified, notably variations in gender and age, which correlate with different levels of discipline. The results revealed that male users exhibited greater discipline compared to their female counterparts. At the same time, adolescents demonstrated higher levels of discipline among SEPEKAN users, although discipline also persisted among older individuals. Furthermore, there is a pressing need for enhanced communication, including cautionary messages through the web or stricter regulations for the timely submission of BAPPEDA files, to ensure the continuity of relevant agency agendas.
The Employment Status and Sense of Powerlessness in Communities Affected by Industrial Activities Widiyawati, Wiwik; Laily , Nadhirotul; Sukaris, Sukaris; Mulyani, Endah; Widiharti, Widiharti; Sari, Diah Ratna
Journal of Nursing Science Update (JNSU) Vol. 13 No. 1 (2025): May
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.2025.013.01.11

Abstract

Helplessness is a phenomenon that can impact individuals across all age groups, including both the young and the elderly. Specifically, adolescents and adults often experience feelings of helplessness due to their perceived limitations in accessing education, employment, and economic opportunities. This study employs a quantitative methodology with a cross-sectional design aimed at preventing the onset of psychological disorders among individuals residing in the industrially affected regions. Data collection was executed through a questionnaire distributed via Google Forms. The study's population comprised 1,580 individuals from the industrial area of Driyorejo District in Gresik Regency. A statistically significant p-value of 0.00 (p < 0.05) was obtained, demonstrating a correlation between feelings of helplessness and employment status. Furthermore, both internal and external factors contribute to the emergence of helplessness among civil servants. Therefore, governmental authorities must devise and implement strategies to mitigate mental health disorders that may arise among residents adversely affected by industrial operations.
Reducing Anxiety Through Education: A Systematic Review of Health Education for Hospitalized Tuberculosis Patients Rizal, Imam Kurniawan; Waluyi=o, Agung; Maria, Riri; Yona, Sri
Journal of Nursing Science Update (JNSU) Vol. 13 No. 1 (2025): May
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.2025.013.01.04

Abstract

Anxiety is a common psychological issue experienced by patients undergoing hospitalization, particularly those diagnosed with tuberculosis (TB), due to prolonged treatment periods and fear of stigma. As much as health education has been proposed as a potential intervention, research conducted so far is limited and varies in study methodology, and thus it's difficult to make conclusions. Further, there is no synthesized evidence regarding the impact of formal health education on anxiety among hospitalized TB patients, particularly where there is cultural diversity. This study aims to review the effect of health education interventions on anxiety levels in  TB patients. A systematic review was conducted using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Literature was identified through PubMed, Scopus, and ProQuest databases.  Inclusion criteria: RCTs or quasi-experimental studies involving pulmonary TB patients, evaluating the effect of health education on anxiety compared to other psychological interventions. Fifteen articles met the eligibility criteria and were included for analysis. The reviews summarized between 2019 and 2024 consistently showed that health education significantly reduces anxiety in hospital-admitted TB patients. This review update encapsulates the up-to-date evidence, expanding on the earlier work by adding recent evidence, mentioning varied forms such as single sessions, multimedia gadgets, and culturally sensitive materials. The findings highlight the importance of integrating health education as part of comprehensive TB care to address psychological distress and improve treatment outcomes.
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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