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An Idea Nursing Journal
Published by PT.Mantaya Idea Batara
ISSN : -     EISSN : 29618592     DOI : 10.53690
Core Subject : Health,
Health Professions Medicine & Pharmacology Nursing Public Health
journal that publishes material on health development and other research of health. This INJ provides the ideal platform for the discussion of more sophisticated other research and Health practice for authors and readers world wide. The priorities are originality and excellence.
Arjuna Subject : Keperawatan - Keperawatan (Lain-Lain)
Articles 113 Documents
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Palliative Care Needs among Patients with End-Stage Kidney Disease: A Descriptive Observational Study Fitriani Fitriani; Juwita Moreen Toar; Al Ihksan Agus; Rizka Wahyuni
An Idea Nursing Journal Vol. 5 No. 01 (2026)
Publisher : PT.Mantaya Idea Batara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53690/inj.v5i01.771

Abstract

Background: End-stage kidney disease (ESKD) represents an increasing health burden in Indonesia, with affected individuals experiencing complex needs that substantially diminish quality of life. Objective: aimed to identify palliative care needs among end-stage kidney disease patients undergoing hemodialysis. Methods: This cross-sectional study was conducted at a hemodialysis center in North Sulawesi in 2024. Respondents were selected using purposive sampling. The Sociodemographic Questionnaire and the Supportive and Palliative Care Indicators Tool (SPICT) were employed to collect sociodemographic data and identify potential palliative care needs. Univariate analysis was performed to examine palliative care needs among ESKD patients. Results: A total of 150 participants were included. Almost all respondents were identified as needing palliative care, with the majority presenting two general indicators and two clinical indicators. Conclusion: Nearly all patients with end-stage kidney disease undergoing haemodialysis are identified as having palliative care needs. This finding suggests the need to integrate routine palliative care assessment and services into patients with end- stage kidney disease, especially those in haemodialysis care to ensure comprehensive and patient-centered management of physical, psychosocial, and spiritual needs.
Factors Associated with Parenting Stress in Parents of Children: A Cross-Sectional Study Yersi Ahzani; Nur Agustini; Allenidekania Allenidekania; Fajar Tri Waluyanti; Harjoedi Adji Tjahjono
An Idea Nursing Journal Vol. 5 No. 01 (2026)
Publisher : PT.Mantaya Idea Batara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53690/inj.v5i2.775

Abstract

Abstrak: Background: Type 1 Diabetes requires complex lifelong care, increasing parental stress. The COVID-19 pandemic exacerbated this burden through disrupted healthcare, limited social support, and financial strain, particularly in Indonesia, where evidence on influencing factors remains limited. Methods: Cross-sectional research with consecutive sampling was conducted in the Family Association of Diabetes Sufferers in Children and Adolescents Indonesia. This study involved 136 parents who met the inclusion criteria. Multivariate linear regression analysis was performed to identify the relationship between parental characteristics and situational factors on parenting stress. A standard questionnaire and a self-administered questionnaire were used in this research. Results: The analysis demonstrated significant relationships between several variables and parenting stress. Specifically, economic status (p=0.006), marital status (p=0.031), healthcare system challenges during COVID-19 pandemic (p=0.000), social support (p=0.003), and coping mechanisms for children’s illness (p=0.047) were significantly associated with the frequency of parenting stress. Additionally, there were significant relationships between economic status (p=0.000), health care system challenges during the COVID-19 pandemic (p=0.001), and social support (p=0.015) with parenting stress based on parental difficulties. Conclusions: This study identified that parents’ coping mechanisms for managing their child’s illness and the availability of social support are critical factors influencing parenting stress. Notably, higher levels of social support were associated with lower parenting stress. These findings underscore the importance of integrating social support networks and targeted nursing interventions to alleviate parental stress and improve caregiving outcomes. Keywords: Parenting stress, Type 1 diabetes, COVID-19 pandemic, Cross-sectional study.
Qualitative Item Development for a Nurses’ Caring Behavior Scale in Patients Undergoing Chemotherapy for Cancer Yulta Kadang; Sri Marnianti Irnawan; Irna Megawati; Kusrini S Kadar; Ariyanti Saleh
An Idea Nursing Journal Vol. 5 No. 01 (2026)
Publisher : PT.Mantaya Idea Batara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53690/inj.v5i01.809

Abstract

Background: Patients with cancer undergoing chemotherapy experience complex physical and psychological problems that require comprehensive nursing care. Nurses’ caring behaviors are important in improving the quality of care provided to patients. However, existing instruments for measuring caring behaviors remain limited, particularly those grounded in Swanson’s Theory of Caring. Therefore, this study aimed to develop conceptual domains and generate items to measure nurses’ caring behaviors toward patients with cancer receiving chemotherapy. Objective: To develop a new conceptual framework in the form of domains and produce statement items through a qualitative approach. Methods: This study used a phenomenological approach as the first phase of an instrument development study. In-depth interviews were conducted with 10 participants receiving chemotherapy, selected through purposive sampling. The interviews were recorded and transcribed digitally, and the data were analyzed using content analysis in NVivo 10 to identify codes, categories, and themes to develop conceptual domains and item statements. Results: A total of 33 statement items were developed from five main domains. The first domain was respect for culture (5 items); the second, information provision (6 items); the third, responsiveness (7 items); the fourth, competence (9 items); and the fifth, overall motivation (6 items). Conclusion: This study generated five domains, comprising 33 positive and negative statement items, that will be used in the questionnaire to measure cancer patients undergoing chemotherapy's perceptions of nurses' behavior.
Analysis of Clinical Nurses’ Happiness Levels Using the Oxford Happiness Questionnaire in a Hospital Risnawati Risnawati; Julida Julida
An Idea Nursing Journal Vol. 5 No. 01 (2026)
Publisher : PT.Mantaya Idea Batara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53690/inj.v5i01.782

Abstract

Background: Nurses’ happiness is a critical determinant of job satisfaction and quality of care. Adverse working conditions, shift schedules, and heavy workloads can diminish nurses’ happiness. Objective: Identifying the level of happiness and its primary contributing factors among clinical nurses is therefore essential. Methods: This study utilized a descriptive quantitative approach with the Oxford Happiness Questionnaire. Seventy-three clinical nurses from five inpatient wards at Hasanuddin University Hospital in Makassar were selected through purposive sampling. Results: Most respondents reported a very high level of happiness (87.7%), while 12.3% reported a high level. The most significant contributing aspect was the perception that "life is rewarding" (97.3%), followed by "happy memories" (94.5%) and being "pleased with life" (93.2%). Factors associated with higher happiness included the absence of additional employment, effective time management, higher education level, marital status, and higher income. Conclusion: Clinical nurses in inpatient wards at Hasanuddin University Hospital predominantly experience very high levels of happiness, with the perception of a meaningful life emerging as the most influential factor. Both individual and organizational factors contribute to these outcomes. Hospitals should sustain and strengthen supportive work environments by managing workloads, facilitating career development, and providing psychological support programs. Future research should incorporate additional variables, such as burnout and social support, and employ more comprehensive research designs.
Digital Health Education Based on Huyula Gorontalo Local Wisdom for Stunting Prevention Rachmawaty Hunawa; Dewi Suryaningsi Hiola; Nurdiana Djamaluddin
An Idea Nursing Journal Vol. 5 No. 2 (2026)
Publisher : PT.Mantaya Idea Batara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53690/inj.v5i2.788

Abstract

Background: Stunting is a nutritional issue that can adversely affect physical growth, cognitive development, and long-term health outcomes. Adolescents and prospective brides represent a critical target group, as their knowledge and attitudes significantly influence maternal and child health Objective: To evaluated the effectiveness of “Huyula Gorontalo,” a digital transformation grounded in local wisdom, as an educational medium to improve knowledge and attitudes regarding stunting prevention among adolescents and prospective brides Methods: A quantitative approach was employed, utilizing a quasi-experimental design with a pre-test and post-test one-group method. Data were collected using validated questionnaires measuring knowledge and attitudes related to stunting prevention. The sample comprised 67 adolescents and prospective brides, selected through accidental sampling in the Tilango Public Health Center area, Gorontalo. The intervention consisted of digital health education based on the local cultural concept of “Huyula,” which emphasizes cooperation, collective responsibility, and community support. Results: Indicated a significant improvement in participants’ knowledge and attitudes following the intervention. The mean knowledge score increased from 2.3881 to 2.9403 (p = 0.000), and the proportion of participants with good knowledge rose from 44.8% to 94.0%. Attitudes also improved, with the mean score increasing from 1.8209 to 1.9701 (p = 0.001), and the percentage of respondents with positive attitudes rising from 82.1% to 97.0%. Conclusion: The “Huyula Gorontalo” digital transformation approach effectively enhanced knowledge and attitudes toward stunting prevention. This strategy has the potential to support sustainable health education among adolescents and prospective brides.
Quality of Life Among Patients with Diabetes Mellitus Receiving Insulin Therapy Imelda Sirait; Adriani Natalia M; Juwita Moreen Toar
An Idea Nursing Journal Vol. 5 No. 2 (2026)
Publisher : PT.Mantaya Idea Batara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53690/inj.v5i2.790

Abstract

Abstract: Diabetes Mellitus (DM) is a chronic disease with a continuously increasing prevalence both globally and nationally. Patients with DM who undergo insulin therapy often face various challenges—physical, psychological, and social—that may affect their quality of life. This study aims to describe the quality of life of patients with DM who use insulin.This study employed a descriptive qualitative design with a total of 108 respondents. The respondents’ characteristics included age, educational level, duration of illness, and gender. Quality of life was measured based on physical, psychological, and social dimensions.The results showed that the majority of respondents were aged 19–59 years (76.9%), had a senior high school education (39.8%), had been diagnosed with DM for less than one year (56.5%), and were female (74.1%). Most respondents had a moderate quality of life (97.2%), while only 2.8% had a good quality of life.These findings indicate that although insulin therapy is the primary treatment in DM management, patients’ quality of life remains suboptimal. Factors such as productive age, early stage of the disease, and female predominance contribute to this condition. In addition, psychological aspects such as diabetes-related distress and social limitations also influence patients’ quality of life. In conclusion, the quality of life of patients with DM using insulin is influenced by the interaction of biological, psychological, and social factors. Therefore, comprehensive and holistic nursing interventions are required, including self-management education, psychological support, and strengthening family support to improve patients’ quality of life.
Community Cultural Values and Control of Non-Communicable Disease Risk Factors: A Cross-Sectional Study Try Ayu Patmawati; Aris Wawomeo; Irwan Budiana; Pius Kopong Tokan; Rif'atunnisa Rif'atunnisa; Aldiana Astuti; Petrus Belamirnus; Kusmiyati Kusmiyati
An Idea Nursing Journal Vol. 5 No. 01 (2026)
Publisher : PT.Mantaya Idea Batara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53690/inj.v5i01.810

Abstract

Background: Lack of knowledge about diseases, suboptimal quality of services, low awareness of risk factors, and low compliance with prevention measures are problems that arise in efforts to control Non-Communicable Diseases (NCDs) in various developing countries worldwide, including Indonesia. Perceptions that are not in accordance with health science can worsen the risk factors for non-communicable diseases, which are currently a major public health problem Objective: to identify which values and cultures should be preserved, negotiated, and even changed. Methods:study is descriptive-analytical, with a cross-sectional design, to analyze community cultural values as a means of controlling non-communicable diseases. This study was conducted in Wologai village, with 79 respondents. Data were analyzed using SPSS 25 software with Spearman's Rank Correlation Coefficient . Results: Community perceptions and behaviors were significantly associated with efforts to control non-communicable disease risk factors (p-value <0.05), whereas traditional medicine, stigma and health, and community ritual and spiritual practices were not (p-value >0.05). Conclusion: Public perception and behavior contribute to NCD risk factor control but are not the primary determinants. Therefore, attention is needed to consider other factors that may also influence the success of NCD risk factor control in the community.
The Risk Factor of Hypertension in Bali: Data Study of Indonesia Basic Health Survey 2018 I Nyoman Purnawan; Nyoman Suarjana
An Idea Nursing Journal Vol. 5 No. 01 (2026)
Publisher : PT.Mantaya Idea Batara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53690/inj.v5i01.816

Abstract

Background: The prevalence of hypertension among individuals aged 15 years and older in Bali has increased in recent years. Objective: This study analyzed risk factors for hypertension in Bali using data from the 2018 Indonesian Basic Health Survey Methods: A quantitative, cross-sectional design was employed, utilizing secondary data from the 2018 survey. The sample included 14,494 respondents aged 15 years and above in Bali Province, of whom 2,290 had hypertension. Data were analyzed using univariate and bivariate methods, including chi-square tests, with Odds Ratios (OR) and 95% Confidence Intervals (CI) calculated Results: The prevalence of hypertension was found to be 18%. Comorbidities significantly associated with hypertension included stroke (OR=8.44), cardiovascular disease (OR=2.49), arthritis (OR=2.28), and cancer (OR=1.64). Sociodemographic factors such as low education level and marital status were also associated with hypertension. Behavioral factors included low physical activity, alcohol consumption, obesity, and overweight status. Obesity emerged as a dominant risk factor (OR = 3.38). Conclusion: The findings indicate that hypertension in Bali is influenced by comorbidities, sociodemographic characteristics, behavioral factors, and body mass index. Prevention and control strategies should focus on health promotion, early detection, and the adoption of healthy lifestyle modifications.
Factors Associated with Stress, Anxiety, and Depression Patients in Hospitall Abdul Rahman; Rizka Wahyuni; Wahyu Endang Setyowati; Dwi Heppy Rochmawati; Iskim Luthfa
An Idea Nursing Journal Vol. 5 No. 2 (2026)
Publisher : PT.Mantaya Idea Batara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53690/inj.v5i2.846

Abstract

Background: Psychological distress, encompassing stress, anxiety, and depression, constitutes a significant public health concern globally and is especially prevalent among psychiatric patients. Objective: to identify factors associated with stress, anxiety, and depression among psychiatric patients receiving treatment at RSKD Dadi Makassar, South Sulawesi Province, Indonesia. Methods: This quantitative cross-sectional study included 40 psychiatric patients receiving mental health services at RSKD Dadi Makassar between January and February 2026. Participants were selected through purposive sampling. Data collection utilized the Depression Anxiety Stress Scale-21 (DASS-21) questionnaire. Descriptive statistics summarized participant characteristics and levels of psychological distress. Chi-square tests assessed associations between demographic characteristics, family support, and psychological distress. Statistical significance was defined as p < 0.05. Result: Most participants were aged 26–35 years (30.0%) and male (57.5%). Moderate levels of stress, anxiety, and depression were reported by 37.5%, 35.0%, and 40.0% ofparticipants, respectively. Family support was significantly associated with depression (p= 0.021); patients with poor or no family support exhibited more severe depressive symptoms. Age was significantly associated with stress (p = 0.034), with severe stress more prevalent among patients over 45 years. Gender was significantly associated with anxiety (p = 0.028), as female patients had a higher prevalence of severe anxiety than male patients. Conclusion: Enhancing family involvement, implementing routine psychological screening, and providing targeted psychosocial interventions may improve mental health outcomes for psychiatric patients.
Homecare Utilization Funnel among Discharged Patients at University of Airlangga Hospital Elita Novriana Enisa; Djazuly Chalidyanto; Muhammad Ardian Cahya Laksana; Pipit Festi Wiliyanarti
An Idea Nursing Journal Vol. 5 No. 2 (2026)
Publisher : PT.Mantaya Idea Batara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53690/inj.v5i2.854

Abstract

Background: Although homecare is increasingly recognized as an extension of hospital services, limited evidence exists on the operational pathway from identifying potential patients to the actual utilization of homecare following discharge. Objective: to audit the promotion and utilization funnel of Universitas Airlangga Hospital homecare services among discharged patients from July 2025 to March 2026. Methods: This retrospective descriptive operational audit examined aggregate secondary data from daily homecare operational reports at Universitas Airlangga Hospital between July 2025 and March 2026. The daily report served as the unit of analysis rather than individual patients. Variables included the number of potential homecare patients, documented offer status, willingness responses, realized visits, service-unit origin, and service-category mentions. Data were analyzed descriptively using frequencies, percentages, and utilization ratios Result: Over 181 reporting days, 1,007 potential homecare patients and 235 realized homecare visits were identified, corresponding to 23.3 visits per 100 potential patients. In 2025, documented offer status was available for 121 of 656 potential patients (18.4%), of whom 97 (80.2%) had been offered homecare services. Among those offered, 2 (2.1%) were willing to order the service, 94 (96.9%) were still considering, and 1 (1.0%) declined at initial contact. Offer-response variables were not available in the 2026 reporting format. Physiotherapy or medical rehabilitation accounted for the largest proportion of service-category mentions (60.6%), followed by physician or specialist visits (16.5%). Conclusion: Homecare services at Universitas Airlangga Hospital exhibited substantial post-discharge demand; however, incomplete documentation limited the ability to observe the utilization funnel. Implementing a standardized homecare dashboard integrated with discharge planning could enhance monitoring, follow-up, and evaluation of homecare service utilization.

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