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Tantut Susanto
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INDONESIA
Journal of Rural Community Nursing Practice
Published by Al-Hijrah Indonesia
ISSN : 29868424     EISSN : 29867401     DOI : https://doi.org/10.58545/jrcnp
Core Subject : Health, Science, Social,
Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health Social Sciences
Journal of Rural Community Nursing Practice (JRCNP) is a scientific journal managed by the Community, Family & Elderly Health Studies with Evidence Based Science Indonesia (EBSINA) in collaboration with the professional organization Indonesian Community Health Nurses Association (IPKKI) East Java Province. JRCNP publishes articles from literature review studies, empirical research results, program evaluations, and case reports that focus on health and nursing practice in communities and families in rural areas. This journal also accepts commentaries who review articles that have been published in the last three issues that have been published. JRCNP is published in March and September. Meanwhile, JRCNP also accepts editorials for writers specially invited as guest editors in this journal issue. JRCNP also publishes articles related to developments in nursing practice and education in rural area communities, theory development, methodological innovations, legal, ethical, and public policy issues in rural community health, and the history of rural community health and nursing worldwide.
Arjuna Subject : Keperawatan - Community and Home Care
Articles 10 Documents
 1 
Search results for , issue "vol. 4 no. 2 (2026): september" : 10 Documents clear
Riding the TIDES: Community Health Adaptation to Flooding in Bulacan Aron James Ching Tuazon; Regie De Jesus; Sheila Jhoy Querido; Trinity Anjhelene Pantaleon Nicerio; Carla Morada Prado
Journal of Rural Community Nursing Practice Vol. 4 No. 2 (2026): September
Publisher : Al-Hijrah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58545/jrcnp.v4i2.911

Abstract

Background: Flooding represents more than an environmental issue; it poses a profound threat to livelihoods and psychological well-being. For families living in chronically flood-prone areas, it has become a constant fight for survival. Purpose: Although previous studies have examined flood adaptation and disaster resilience, limited research has explored how residents themselves perceive, experience, and adapt to flood-related health challenges through their own visual narratives. To address this gap, this study sought to explore the community health adaptation strategies of barangay residents, the challenges they face, and their aspirations for a healthier, more resilient future. Methods: Using a qualitative photovoice design, 17 purposively selected flood-affected residents documented lived experiences through photographs discussed in semi-structured interviews and focus group discussions. Data underwent inductive thematic analysis. Trustworthiness was ensured through member checking, triangulation, reflexivity, audit trails, and peer debriefing, and code-recoding procedures. Results: The core theme, Riding the TIDES, captured the dynamic process of adapting, persevering, and striving toward resilience amidst flooding. Five themes emerged: (1) Trussed Boundaries of Inundation, (2) Iterative Pathways of Acclimatization, (3) Dialogues of Meaning-Making, (4) Emerging Consciousness of Needs and Aspirations, and (5) Shared Agency and Sustained Solidarity. Conclusion: The findings reveal that adaptation to chronic flooding transcends physical survival and encompasses resilience-building, meaning-making, and collective empowerment. The study contributes a participant-driven understanding of how chronic flood exposure fosters a nuanced form of toxic resilience, in which adaptive capacities coexist with enduring structural vulnerabilities and aspirations for systemic change.
Impact of a Structured Family Empowerment Program on Self-Efficacy and Quality of Life among Diabetes Caregivers: A Repeated-Measures Quasi-Experimental Study Setyoadi Setyoadi; Dina Dewi Sartika Lestari Ismail; Annisa Wuri Kartika; Shinta Amalia
Journal of Rural Community Nursing Practice Vol. 4 No. 2 (2026): September
Publisher : Al-Hijrah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58545/jrcnp.v4i2.786

Abstract

Background: Family caregivers play a critical role in supporting patients with type 2 diabetes mellitus (T2DM); however, prolonged caregiving responsibilities may negatively affect caregivers’ self-efficacy and quality of life. Strengthening caregiver empowerment through self-efficacy-oriented interventions may improve caregivers’ confidence, coping ability, and overall well-being. Purpose: This study aimed to examine the effectiveness of a self-efficacy-based family empowerment intervention in improving caregiver self-efficacy and quality of life among family caregivers of patients with T2DM. Methods: A quasi-experimental pre-test–post-test control group design with repeated measurements was conducted in community-based primary healthcare centers in Malang City, Indonesia. A total of 64 family caregivers were recruited and allocated to either the intervention group (n = 32) or the control group (n = 32). The intervention group received the “Berdaya DM” program, a structured family empowerment intervention delivered over four weekly sessions focusing on diabetes care, caregiver support strategies, stress management, and self-efficacy enhancement, whereas the control group received standard diabetes education routinely provided by the primary healthcare centers. Outcome measurements were conducted at baseline, immediately after completion of the intervention (post-test 1), and eight weeks after baseline (post-test 2). Caregiver self-efficacy was assessed using the General Self-Efficacy Scale (GSES), and quality of life was measured using the WHOQOL-BREF. Data were analyzed using repeated-measures ANOVA to examine the effects of time, group, and time-by-group interaction. Results: Caregiver self-efficacy and quality of life improved more markedly in the intervention group than in the control group across repeated measurements. At post-test 2, mean self-efficacy scores were 32.37 ± 3.77 in the intervention group and 27.37 ± 3.77 in the control group, corresponding to a between-group mean difference of 5.00 points. Mean quality-of-life scores were 77.14 ± 7.04 and 67.14 ± 7.04, respectively, yielding a between-group mean difference of 10.00 points. Significant time-by-group interaction effects were observed for self-efficacy (F = 73.92, p < 0.001, partial η² = 0.54) and quality of life (F = 82.41, p < 0.001, partial η² = 0.57), indicating large intervention effects over time. Conclusion: The self-efficacy-based family empowerment intervention effectively improved caregiver self-efficacy and quality of life among family caregivers of patients with T2DM. Integrating caregiver-centered empowerment programs into primary healthcare services may strengthen sustainable diabetes management and caregiver well-being.
Adaptation, Burnout, and Retention Among Migrant Nurses: A Scoping Review Rosi Granada; Ahsan Ahsan; Fransiska Imavike Fevriasanty; Retno Lestari
Journal of Rural Community Nursing Practice Vol. 4 No. 2 (2026): September
Publisher : Al-Hijrah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58545/jrcnp.v4i2.867

Abstract

Background: International nurse migration is an important component of global health workforce mobility. Migrant nurses may encounter challenges when entering new healthcare systems, including differences in language, culture, organizational systems, professional expectations, and communication patterns. Purpose: This scoping review aimed to map evidence on adaptation, burnout, and retention-related outcomes among migrant nurses and to identify associated factors. Methods: The review followed Joanna Briggs Institute methodology and was reported according to the PRISMA extension for Scoping Reviews (PRISMA-ScR). Literature published from 2020 to 2026 was searched in PubMed, Scopus, ScienceDirect, ProQuest, Wiley Online Library, and SAGE Journals. Studies involving migrant nurses and examining at least one core concept were eligible. Results: Twenty studies were included: 7 qualitative, 11 quantitative, and 2 mixed-methods studies. Four domains were mapped: adaptation and professional integration; work environment, burnout, and occupational stress; retention and turnover; and the interrelationship among these domains. Language and communication, organizational support, workload, discrimination, interpersonal relationships, professional recognition, career development, and working conditions were recurrent factors. Conclusions: Adaptation, occupational well-being, and retention were interconnected and influenced by individual, organizational, sociocultural, and structural factors. Retention strategies should consider language and orientation support, healthy work environments, burnout prevention, and professional development. These findings may also have implications for community and rural nursing workforce planning in both destination and source countries.
Body Mass Index, Physical Activity, and Physical Balance among Community-Dwelling Older Adults in A Rural Balinese Village: A Cross-Sectional Study Putu Wira Kusuma Putra; Ni Komang Matalia Gandari; Meriana Barreto Amaral
Journal of Rural Community Nursing Practice Vol. 4 No. 2 (2026): September
Publisher : Al-Hijrah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58545/jrcnp.v4i2.935

Abstract

Background: Population aging in Indonesia has been accompanied by a rising burden of falls among older adults, and rural villages carry much of this burden while having the least access to geriatric rehabilitation services. Impaired physical balance is a modifiable precursor of falling, yet nutritional status and habitual activity have rarely been examined together in rural Balinese communities. Purpose: To examine the relationship of body mass index and physical activity with physical balance among community-dwelling older adults in Gulingan Village, Mengwi Sub-district, Badung Regency, Bali, Indonesia. Methods: An analytical cross-sectional study was conducted between February and March 2026 among 248 older adults aged 60 years and over, recruited by purposive sampling from the village register of integrated health posts for older people. Nutritional status was expressed as body mass index calculated from measured weight and height, and classified with Asia-Pacific cut-off points. Habitual activity was measured with the Physical Activity Scale for the Elderly, and physical balance with the Timed Up and Go test. Associations were tested with the Spearman rank correlation. Results: Mean age was 71.60 years (standard deviation 7.46) and 134 respondents (54.0%) were women. Obesity class 1 was the most frequent nutritional category (85 respondents; 34.3%); 166 respondents (66.9%) had a low level of habitual activity; and 126 respondents (50.8%) were classified as high risk of falling. A higher body mass index category was associated with poorer physical balance (r = 0.848; p < 0.001), and a lower level of physical activity was likewise associated with poorer physical balance (r = 0.725; p < 0.001). Conclusions: Nutritional status and habitual activity were both strongly associated with physical balance in this rural older population, and both are modifiable. Nurses working in village settings should combine routine measurement of weight, height, and activity level with performance-based balance screening and cadre-delivered balance training within existing integrated health posts for older people.
A Pilot Evaluation of Educational Game Media on Pregnant Women’s Knowledge and Readiness for Safe Childbirth Nila Trisna Yulianti; Heni Elmiani Sari; Endras Amirta Hanum
Journal of Rural Community Nursing Practice Vol. 4 No. 2 (2026): September
Publisher : Al-Hijrah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58545/jrcnp.v4i2.948

Abstract

Background: Interactive digital education may strengthen childbirth preparation by presenting clinically relevant information in an engaging and repeatable format. Purpose: This study evaluated the effectiveness of educational game media in improving pregnant women’s knowledge and readiness for safe childbirth. Methods: A quasi-experimental one-group pretest–posttest study was conducted with 35 pregnant women receiving antenatal care in Balikpapan, Indonesia. Knowledge was measured with five dichotomous items, and childbirth readiness with five Likert-type items. Descriptive statistics, validity and reliability screening, Shapiro–Wilk tests, paired t-tests, Wilcoxon signed-rank sensitivity tests, effect-size analysis, and Spearman correlation were applied. Results: Mean knowledge increased from 2.43 (standard deviation 0.95) to 3.54 (standard deviation 0.92), with a mean change of 1.11 points and p < .001. Mean readiness increased from 15.46 (standard deviation 2.12) to 21.31 (standard deviation 1.88), with a mean change of 5.86 points and p < .001. Wilcoxon tests confirmed significant improvements in both outcomes. The mean game-use score was 22.49/25, and the association between game-use score and post-intervention readiness was not significant. Internal consistency was limited across the three brief scales. Conclusions: The educational game was associated with significant short-term improvements in knowledge and childbirth readiness. It may complement antenatal education, although the one-group design, small sample, and limited internal consistency of the instruments require cautious interpretation and further controlled validation.
The Effect of Diabetes Self-Management Education Using Audiovisual Media on Self-Efficacy Among Patients with Type 2 Diabetes Mellitus: A Quasi-Experimental Study at an Indonesian Puskesmas Nandang Jamiat Nugraha; Zelfira Latifah Dewi; Perla Yualita; Dhika Dharmansyah; Fatimah Sham
Journal of Rural Community Nursing Practice Vol. 4 No. 2 (2026): September
Publisher : Al-Hijrah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58545/jrcnp.v4i2.950

Abstract

Background: Self-efficacy is a critical determinant of dietary adherence and self-care among patients with type 2 diabetes mellitus (T2DM). In Indonesian primary care, the pandemic disrupted face-to-face Posbindu (Integrated Health Development Post) services, limiting opportunities for structured diabetes education and leaving many patients with suboptimal self-management capacity. Purpose: To examine the effect of Diabetes Self-Management Education (DSME) delivered through audiovisual media on self-efficacy among patients with T2DM at a community health centre (Puskesmas) in Bandung, Indonesia. Methods: A quasi-experimental pre-test-post-test with non-equivalent control group design design was used. Sixty-six patients with T2DM enrolled in the Prolanis programme at a Puskesmas in Bandung were recruited through total sampling and allocated equally to an intervention group (n=33) receiving DSME via a 20-minute audiovisual programme covering the four pillars of diabetes management, and a control group (n=33) receiving usual care. Self-efficacy was measured using the Diabetes Management Self-Efficacy Scale (DMSES). Within-group changes were analysed using the Wilcoxon signed-rank test, and change scores (post-test minus pre-test) were compared between groups using the Mann-Whitney U test, with effect sizes and 95% confidence intervals reported for all primary outcomes. Results: Mean self-efficacy in the intervention group rose from 61.79 (SD=15.68) to 76.64 (SD=7.98) post-intervention (mean change +14.85; p<0.001), with 66.7% reaching the high category. The control group showed no significant change (65.03 to 66.55; p=0.366). The proportion with low self-efficacy in the intervention group fell from 18.2% to 0%. The improvement was significantly greater in the intervention group than in the control group (Mann-Whitney U=761.5, p=0.005, r=0.34; Cohen's d=0.77, 95% CI 0.27 to 1.27). Conclusions: Audiovisual DSME was associated with a significant within-group increase in self-efficacy among patients with T2DM in an Indonesian primary-care setting, and the improvement was significantly larger than under usual care. Given the quasi-experimental, single-site, urban, and short-term design, the intervention should be considered potentially adaptable, rather than directly transferable, to rural and peri-urban community health settings, and it warrants formal evaluation in those settings before wider adoption.
Fostering Screen-Free Emotion Regulation in Generation Alpha: An Age-Stratified Focus Group Study of Developmental Shifts in Tantrum Management Salwa Nirwanawati; Luthfah Naily Faradisa; Ellanda Rima Ervyanna; Rondhianto Rondhianto; Hasanah Pairoh
Journal of Rural Community Nursing Practice Vol. 4 No. 2 (2026): September
Publisher : Al-Hijrah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58545/jrcnp.v4i2.956

Abstract

Background: Generation Alpha is growing up in a device-saturated environment where device-dependent tantrum soothing is an early entry point into later screen and behavioral addiction, since poor childhood self-regulation predicts addiction decades later. Purpose: As part of developing a Javanese local wisdom parenting framework, this needs-assessment phase compared caregiver experiences with toddler and preschooler tantrums. By identifying key developmental targets for self-regulation, the study provides an empirical foundation to inform future local wisdom based interventions as an alternative to gadget-dependent soothing. Methods: This qualitative descriptive study used two age-stratified focus group discussions with reflexive thematic analysis. Participants were 16 purposively sampled caregivers in Jember, Indonesia: 8 caregivers of toddlers (1.5-3 years) and 8 of preschoolers (3.1-4.5 years), with audio-recorded, group-coded transcripts. Results: Analysis yielded four toddler themes and five preschool themes, synthesized into five comparative themes spanning emotion regulation, gadgets as control versus instant soother, meaningful-activity substitution, nutritional fulfillment, and parent-child dynamics, revealing a continuum from externally regulated, gadget-assisted soothing toward child-initiated coping, negotiated screen use, and egalitarian communication. Conclusions: Tantrum-management strategies shift from externally regulated soothing toward dialogic, autonomy-supportive approaches. Community and family health nurses should stage self-regulation counseling by developmental phase and operationalize the findings from this study as an initial, evidence-based reference point for a future local-wisdom family nursing strategy during home visits, supporting an addiction-free Generation Alpha.
Social Ecological Model Analysis of Individual, Family, Peer, and Digital Environment Factors Associated with Cyberbullying Behavior among Adolescents Nurhayati Nurhayati; Anita Apriliawati; LiLy Herlina; Rohana Rohana; Danny Des Kartyko Lakoro
Journal of Rural Community Nursing Practice Vol. 4 No. 2 (2026): September
Publisher : Al-Hijrah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58545/jrcnp.v4i2.967

Abstract

Background: Globally, the incidence of cyberbullying remains considerably high. In Indonesia, approximately 45% of adolescents have experienced cyberbullying. The impact of cyberbullying can trigger mental health problems among adolescents who have experienced it. Objective: To develop a comprehensive understanding of cyberbullying behavior among adolescents through a social ecological model analysis integrating individual, family, peer, and digital environment factors. Methods: This study employed a quantitative design with a cross-sectional approach. Sampling was conducted using the proportional random sampling technique, with a sample size of 284 respondents calculated using the Slovin formula. Data collection was carried out from February to March 2026. Results: The findings showed a significant association between individual, family, peer, and digital environment factors and cyberbullying behavior (p < 0.05). In the multivariate analysis, peer and digital environment factors remained significantly associated with cyberbullying behavior. The peer factor had an adjusted odds ratio of 2.644 (95% CI: 1.583–4.415; p < 0.000), while the digital environment factor had an adjusted odds ratio of 3.102 (95% CI: 1.881–5.117; p < 0.000). Based on the adjusted odds ratio values, the digital environment factor showed the strongest association with cyberbullying behavior in the final model. Conclusions: The social ecological approach is highly relevant for explaining cyberbullying as a multidimensional phenomenon. These findings are expected to serve as a basis for developing effective and contextual interventions.
The Impact of Animation Videos Demonstrating the Heimlich Manoeuvre on Mothers’ Proficiency in Assisting Choking Toddlers: A Preliminary Study Moch. Maftuchul Huda; Rashidi Ahmad; Wahyu Sri Astutik; Kushariyadi Kushariyadi
Journal of Rural Community Nursing Practice Vol. 4 No. 2 (2026): September
Publisher : Al-Hijrah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58545/jrcnp.v4i2.986

Abstract

Background: Choking caused by a foreign object entering the mouth is a critical emergency requiring immediate intervention; a delay in providing aid risks airway obstruction, leading to oxygen deprivation that can result in permanent brain damage, disability, or death. Choking incidents frequently affect children aged 1 to 2 years. Many mothers are unaware of the correct way to handle a choking, such as performing the Heimlich manoeuvre. Purpose: To evaluate the effect of animation videos demonstrating the Heimlich manoeuvre on mothers' proficiency in assisting choking toddlers. Methods: Utilizing a quasi-experimental research design, based on the G*Power formula, a sample size of 40 respondents was determined using simple random sampling, divided into a treatment group of 20 respondents and a control group of 20 respondents mothers with toddlers. Maternal proficiency was measured using validated and reliable questionnaires and observation sheets. The intervention involved watching the video twice daily over four consecutive days, with each session lasting two minutes and seventeen seconds. Results: A significant difference in proficiency (knowledge, attitudes, and skills) (p < 0.001). A difference in proficiency between the treatment and control groups (p < 0.001), with a mean rank for the treatment groups (30.50) and the control groups (10.50). Conclusions: The animated videos are a valuable tool for enhancing mothers' proficiency in managing choking incidents, offering a practical alternative for improving prevention and intervention skills.
The Relationship Between Self-Efficacy and Antiretroviral Medication Adherence Among People Living with HIV: A Cross-Sectional Study at CAKAP WPA Turen Foundation Tri Nurhudi Sasono; Nia Agustiningsih; Galuh Kumalasari; Lintang Puspita Prabarini; Ainun Hurrotaini; Lailatul Kodriyah; Ella Mayasari; Zahrah Saad
Journal of Rural Community Nursing Practice Vol. 4 No. 2 (2026): September
Publisher : Al-Hijrah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58545/jrcnp.v4i2.1008

Abstract

Background: Antiretroviral (ARV) therapy is essential for people living with HIV(PLHIV) to control viral replication and maintain long-term health. However, maintaining adherence to ARV therapy remains a challenge. Self-efficacy, defined as an individual's confidence in their ability to perform health-related behaviors, may play an important role in maintaining consistent adherence to ARV medication. Purpose: This study aimed to determine the relationship between self-efficacy and adherence to ARV medication among people living with HIV at Yayasan Cahaya Kasih Peduli WPA Turen, Malang Regency, Indonesia. Methods: This study used a quantitative descriptive-analytic design with a cross-sectional approach. The study involved 70 PLHIV selected using purposive sampling. Data were collected using a self-efficacy questionnaire and an ARV medication adherence questionnaire. Self-efficacy was categorized as high or low based on the instrument's predetermined cut-off score, while ARV adherence was categorized as adherent or non-adherent based on the adherence instrument's predetermined cut-off score. Data were analyzed using univariate and bivariate analyses, with statistical significance set at p≤0.05. Results: Of the 70 respondents, 48 (68.6%) had high self-efficacy and 22 (31.4%) had low self-efficacy. A total of 52 respondents (74.3%) were adherent to ARV therapy, while 18 (25.7%) were non-adherent. Among respondents with high self-efficacy, 42 (87.5%) were adherent and 6 (12.5%) were non-adherent, compared with 10 (45.5%) adherent and 12 (54.5%) non-adherent among those with low self-efficacy. Statistical analysis demonstrated a significant relationship between self-efficacy and ARV adherence (p=0.001). Respondents with high self-efficacy had seven times greater odds of adhering to ARV therapy than those with low self-efficacy (OR=7.00; 95% CI=2.20–22.28). Conclusions: Self-efficacy was significantly associated with ARV medication adherence among PLHIV at Yayasan Cahaya Kasih Peduli WPA Turen. Strengthening self-efficacy through continuous counseling, education, peer support, and community-based assistance may support sustained adherence to ARV therapy. Further longitudinal and intervention studies are recommended to determine the effectiveness of self-efficacy-based approaches in improving long-term ARV adherence.

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