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Java Nursing Journal
Published by Global Indonesia Healthcare
ISSN : -     EISSN : 29884152     DOI : https://doi.org/10.61716/jnj.v1i2
Core Subject : Health,
Health Professions Medicine & Pharmacology Nursing
nursing science, nursing management principles, nursing policy, Nursing Ethics, health care, nursing education, and nursing practice in Asian communities worldwide to a broad international audience. Article Review in Nursing, Medical surgery nursing, Nursing Anesthesia, advanced nursing, Complementary Nursing, Community Nursing, Pediatric Nursing, Basic nursing, Psychiatric nursing, Maternity Nursing, Nursing Management, Gerontology Nursing, Oncology Nursing, Law Nursing, and Informatic Nursing.
Arjuna Subject : Keperawatan - Keperawatan (Lain-Lain)
Articles 11 Documents
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Search results for , issue "Vol. 4 No. 1 (2026): November - February" : 11 Documents clear
Trends in HIV Infections and AIDS Cases in Tokyo: Considerations for Prevention Strategies Kashiwagi, Yoshiyuki
Java Nursing Journal Vol. 4 No. 1 (2026): November - February
Publisher : Global Indonesia Health Care (GOICARE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61716/jnj.v4i1.127

Abstract

Background: Human immunodeficiency virus (HIV) infection is a global public health challenge. In Japan, transmission among men who have sex with men (MSM) continues to dominate the pandemic. Purpose: This study examined trends in newly reported HIV infections and acquired immunodeficiency syndrome (AIDS) cases in Tokyo in fiscal year (FY) 2024, focusing on demographic characteristics, transmission routes, and testing patterns to inform future preventive strategies. Methods: We conducted a retrospective descriptive analysis of open-access surveillance data and official records from public health centers and municipal HIV counselling/testing services in the Tokyo Metropolitan area. The data included reported HIV infections, AIDS cases, and testing performance in 2024. Results: In FY2024, Tokyo reported 228 HIV and 62 AIDS cases (total: 290), the second-lowest annual total in the past decade. Sexual contact accounted for 80.0% of the transmissions, of which 69.3% were MSM. Approximately 70% of HIV cases occurred in individuals aged 20–39 years, while 80% of AIDS cases occurred in those aged 30–59 years. The HIV positivity rate has declined to 0.31%, the lowest in the past decade, coinciding with recovery in testing volumes post-COVID-19 and an upsurge in testing associated with a concurrent syphilis outbreak. Notably, HIV testing among men aged ≥60 years increased by 23% compared with pre-pandemic lows, although the positivity rates remained stable. Conclusion: Although HIV incidence in Tokyo has fallen over the decade, AIDS case counts have stayed stable or risen, highlighting the need for earlier diagnosis and treatment. Prevention should prioritize MSM, engage older adults seeking testing, expand targeted community-based outreach, and strengthen sex education addressing same-sex transmission risks. Relevance to clinical practice: Findings support nurse-led, competent prevention in Tokyo: prioritize MSM and older adults; expand community testing/counseling, promote self-initiated screening, accelerate linkage to ART, and improve PrEP access and inclusive sex education
The Effect of Progressive Muscle Relaxation (PMR) on Pain in Breast Cancer Patients in the Outpatient Clinic Sharla Rahma Danty, Annisa; Maryuni, Sri; Antoro, Budi
Java Nursing Journal Vol. 4 No. 1 (2026): November - February
Publisher : Global Indonesia Health Care (GOICARE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61716/jnj.v4i1.131

Abstract

Background: Breast cancer is a common disease that often causes chronic pain, which negatively impacts patients' quality of life. Progressive Muscle Relaxation (PMR) is a non-pharmacological intervention that has the potential to reduce pain levels through progressive muscle relaxation. Purpose: This study aims to determine the effect of PMR administration on the pain quality of breast cancer patients in the outpatient clinic of Dr. H. Abdul Moeloek Regional General Hospital, Bandar Lampung Methods: The method used was quantitative with a pre-experimental design, specifically a pre-test-post-test design. The population consisted of 490 patients, with a sample of 18 respondents selected using purposive sampling. The research was conducted from February 9 to March 10, 2025, at the Dr. H. Abdul Moeloek Bandar Lampung Regional General Hospital Polyclinic Results: The results showed a decrease in the average pain scale from 5.17 before the intervention to 2.39 after PMR administration. The Wilcoxon test produced a p-value of 0.000, indicating a significant effect of PMR on pain reduction in breast cancer patients Conclusion: This study supports the use of Progressive Muscle Relaxation as an effective non-pharmacological therapy to reduce pain in breast cancer patients, thereby improving their quality of life and comfort during treatment Relevance to clinical practice: Nurse-led progressive muscle relaxation can be integrated into outpatient breast cancer care as a brief, low-cost adjunct that may lower pain intensity, enhance comfort, and support individualized nonpharmacologic symptom management.
Association between Community Nurse Engagement and Dengue Prevention Practices among Households: Evidence from a Cross-Sectional Study Souza, Mariana; Pedro Almeida, João; Beatriz Carvalho, Ana
Java Nursing Journal Vol. 4 No. 1 (2026): November - February
Publisher : Global Indonesia Health Care (GOICARE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61716/jnj.v4i1.134

Abstract

Background: Dengue remains a major urban health burden in Brazil, with persistent transmission and widening social gradients, while evidence on whether community nurse engagement improves household prevention practices is limited. Purpose: This study aimed to estimate the association of community nurse engagement with household dengue-prevention practices among adults in Family Health Strategy micro-areas. Methods: We conducted a cross-sectional study in Ribeirão Preto, Brazil (January 1–March 30, 2025) among 543 adults (18–65 years) residing ≥6 months. Nurse engagement was a standardized composite (visit frequency/duration, content breadth, responsiveness). The outcome was a household dengue-prevention practice score (0–100), with adequate practice defined as ≥70. Modified Poisson regression with robust variance estimated adjusted prevalence ratios, adjusting for environmental, climatic, housing, infrastructure, and sociodemographic factors, with prespecified dose–response and SES interaction; missing data were imputed (m=20). Results: Among 543 participants (57.1% female; mean age 39.8 years), 48.4% achieved “adequate” practices. Higher engagement was associated with a greater probability of adequate practices (aPR 1.13, 95% CI 1.01–1.26). Compared with low engagement, high engagement showed aPR 1.21 (95% CI 1.05–1.39) with a linear trend. Effects were stronger in low-SES households (aPR per SD 1.22, 95% CI 1.06–1.41) than in high-SES households (1.05, 0.92–1.20). Results were consistent across sensitivity analyses. Conclusion: Community nurse engagement is associated with better household dengue-prevention practices. Findings support standardized nurse-led home visits paired with basic environmental fixes in similar urban settings and motivate multicentre longitudinal or pragmatic implementation studies to evaluate durability, equity, and cost-effectiveness. Relevance to clinical practice: Community nurse engagement was associated with better household dengue-prevention practices, with stronger effects in low-SES households.
The Effect of Combination of Benson Relaxation and Natural Sounds on Pain Levels in Postoperative Section Caesarea Dyah Triwulan; Emiliani Elsi Jerau; Suci Khasanah
Java Nursing Journal Vol. 4 No. 1 (2026): November - February
Publisher : Global Indonesia Health Care (GOICARE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61716/jnj.v4i1.143

Abstract

Background: Patients who undergo cesarean sections typically experience postoperative pain, which can cause stress, hinder movement, and delay recovery. Pain can be managed through pharmacological and non-pharmacological therapies, one of which is the combination of Benson Relaxation and natural sounds. Purpose: To evaluate the effect of combining Benson relaxation and natural sounds on pain levels in patients after cesarean section at Bunda Arif Purwokerto Mother and Child Hospital. Methods: A single-group pre-test design was used, with 32 participants selected randomly. Pain was measured using a Numerical Rating Scale (NRS) before and after the intervention. Pain was reassessed after a 15-minute intervention. Results: Before the intervention, the majority of participants reported moderate pain (31 participants, 96.9%). After the intervention, the majority reported mild pain (30 participants, 93.8%). The Wilcoxon signed-rank test yielded a p-value of 0.001 (<0.05), suggesting the combination of Benson relaxation and natural sounds significantly reduces pain. Conclusion: This combination technique is effective as a complementary therapy for pain management following cesarean section. Relevance to clinical practice: This simple 15-minute intervention can be integrated into routine post-cesarean nursing care to reduce pain and promote comfort. It is low-cost, non-invasive, and easy to deliver, supporting early mobilization and recovery while potentially reducing reliance on analgesics and related side effects.
Designing and Reporting Survival Analyses in Nursing Research: A Consensus Guideline and Checklist (STaRN-Survival) Covering Time-Dependent Covariates, Competing Risks, RMST, and Multistate Models Villanueva, Maria Laisa D.; Reyes-Santiago, Fatima; Ploysong, Natcha; Kittipanya, Siriporn
Java Nursing Journal Vol. 4 No. 1 (2026): November - February
Publisher : Global Indonesia Health Care (GOICARE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61716/jnj.v4i1.152

Abstract

Background: Nursing time-to-event outcomes drive bedside and managerial decisions, yet many reports ignore time-varying exposures and competing risks, obscuring absolute benefits and harms. Robust estimands (cumulative incidence, RMST) and appropriate models are needed to quantify “how much,” “by when,” and “through which pathway” change occurs in routine care. Purpose: This study aimed to test the association of infection status, device exposure, and an early nurse-led care bundle with recovery and adverse events among inpatients. Methods: Prospective Philippine cohort (Feb–Mar 2025) enrolled 116 adults after exclusions. Baseline infection/comorbidity recorded; device exposure time-varying; early bundle ≤24h. Outcome: recovery with death/discharge competing. Used Aalen–Johansen, Cox, or Fine–Gray, RMST, sensitivity analyses. Results: Among 116 participants (49.1% female; comorbidity ≥ 3: 32.8%), recovery by 60 days was 67.2% overall, lower with baseline infection (54.3%) than without (74.5%); adverse-event risk was 18.1% overall and higher with infection (28.4% vs 12.8%). Infection was associated with slower recovery (cause-specific HR 0.68, 95% CI 0.52–0.89) and higher adverse events (sHR 1.71, 1.18–2.48). Time-dependent device exposure was unfavorable (HR 0.74, 0.56–0.97; sHR 1.52, 1.04–2.23). Early bundles improved recovery (HR 1.36, 1.08–1.72) and yielded ~+2.1 event-free days by day 50–55; findings were robust in sensitivity analyses. Conclusion: Infection control, device stewardship, and early standardized nursing bundles are timely, modifiable levers that accelerate recovery and reduce harms. Reporting absolute risks and RMST alongside hazards supports actionable, equitable improvement in inpatient nursing care. Relevance to clinical practice: These findings support prioritizing early nurse-led bundles, strict infection control, and device stewardship to shorten recovery time, reduce adverse events, and guide bedside and managerial decisions using absolute risks and RMST.
Large Language Model–Assisted Interpretation of Neuropathic Pain and Sleep Patient-Reported Outcomes in Diabetes: Assessing the Clinical Quality of ChatGPT-4 Edga, Arnold Conrad; Ellia, Olivia Ava; Patch, Kevin; Alexa, Charlotte
Java Nursing Journal Vol. 4 No. 1 (2026): November - February
Publisher : Global Indonesia Health Care (GOICARE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61716/jnj.v4i1.155

Abstract

Background: Digital transformation in diabetes care is accelerating the use of electronic patient-reported outcomes (ePRO) and large language models (LLMs). Evidence remains limited on whether ChatGPT-4 can feasibly analyze neuropathic pain and sleep problems from ePRO data in adults with diabetes. Purpose: This study evaluated the feasibility and quality of ChatGPT-4 when analyzing neuropathic pain and sleep-related ePROs in adults with diabetes. Methods: We conducted a single-centre feasibility study in routine practice using daily and weekly ePROs on neuropathic pain and sleep from adults with diabetes. ChatGPT-4, prompted with distinct clinical personas, generated narrative summaries. A multiprofessional panel rated accuracy, completeness, safety, empathy, and clinical usefulness, and we calculated descriptive statistics and inter-rater reliability coefficients. Results: Across 180 evaluated responses, 71% met the predefined adequacy threshold, with a mean global quality score of 7.1±1.4/10. Safety, accuracy, and clinical usefulness showed the highest ratings, whereas completeness was more variable. Inter-rater reliability for global scores was high (ICC=0.82). Persona framing significantly influenced domain-specific ratings (p<0.05) and higher scores for the physician than nurse personas on several clinically critical items. Conclusion: ChatGPT-4 appears feasible as an ePRO analysis tool for neuropathic pain and sleep problems in diabetes, warranting multicentre implementation studies evaluating clinical outcomes, patient experience, and workload effects under governance. Relevance to clinical practice: ChatGPT-4 can rapidly summarize diabetes ePROs on neuropathic pain and sleep to support triage, flag safety concerns, and streamline documentation, provided that clinician oversight, persona-standardized prompting, and appropriate governance are in place in routine care.
Peppermint Outperforms Lavender for Post-Cesarean Nausea: A Randomized Controlled Trial José, Paola Maria; Valentina, Charlotte Amelia; Chloe , Harper Evelyn
Java Nursing Journal Vol. 4 No. 1 (2026): November - February
Publisher : Global Indonesia Health Care (GOICARE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61716/jnj.v4i1.156

Abstract

Background: Many women undergoing cesarean delivery still experience early postoperative nausea and vomiting, even with standard preventive measures. There is limited direct comparative evidence regarding the efficacy of inhaled essential oils when used in addition to routine care, making it unclear which common oil is most effective. Purpose: This study compared the effects of inhaling peppermint versus lavender on postoperative nausea and vomiting within 24 hours in women who had a C-section. Methods: We conducted an RCT at an obstetric center (March–May 2025) enrolling 124 adults; those with essential-oil allergy or unable to consent were excluded. Participants used personal aromasticks with 100% peppermint or 100% lavender at scheduled and as-needed times. The primary outcome was 24-hour PONV. Adjusted regression models estimated risk ratios controlling for age, BMI, parity, prior PONV/motion sickness, anesthesia, opioid/antiemetic use, surgery duration, and blood loss, with prespecified sensitivity, subgroup, and time-to-event analyses. Results: Among 124 participants (mean age ≈31 years), composite PONV occurred in 28.2% (peppermint) versus 45.2% (lavender). Peppermint was associated with lower composite PONV (aRR 0.62, 95% CI 0.41–0.92) and reduced vomiting/retching (aRR 0.50, 95% CI 0.25–0.99) and rescue antiemetic use (aRR 0.57, 95% CI 0.36–0.90). Nausea severity was lower (VAS Δ −0.90; RINVR Δ −1.6), and time to first rescue was prolonged (HR 0.58, 95% CI 0.36–0.94). Results were consistent across sensitivity and subgroup analyses, indicating robustness. Conclusion: Peppermint inhalation significantly reduced early postoperative nausea and vomiting in women after C-sections compared to lavender. This suggests peppermint could be widely adopted in similar obstetric settings, warranting further large-scale studies on its long-term effectiveness, safety, cost, equity, and optimal administration. Relevance to clinical practice: Peppermint aromastick inhalation is a low-cost, nurse-deliverable adjunct to prophylaxis that reduces early PONV and rescue antiemetic use after cesarean delivery, improving comfort and potentially shortening recovery and hospital stay.
Impact of Tele-Anesthesia Nursing Competence on the Quality of Preoperative Assessment in Elective Surgery Rangi, Ethan James; Harrington, Olivia Mae
Java Nursing Journal Vol. 4 No. 1 (2026): November - February
Publisher : Global Indonesia Health Care (GOICARE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61716/jnj.v4i1.157

Abstract

Background: Variable quality of pre-anaesthetic assessment in nurse-led tele-preoperative clinics remains a major safety concern in secondary hospitals, while evidence on tele-nursing anaesthesia competence to improve documentation quality is limited. Purpose: This study aimed to examine the association between tele-nursing anaesthesia competence and pre-anaesthetic assessment quality in adults undergoing elective surgery Methods: In a cross-sectional study at a nurse-led tele-preoperative assessment clinic in New Zealand, we enrolled 120 elective surgical patients; tele-nursing competence was scored, documentation quality audited, and linear mixed-effects models adjusted for patient and nurse covariates Results: Among 120 participants (mean age 62 years; 54% women; 38% ASA III–IV), higher tele-nursing competence was associated with better documentation quality (adjusted mean difference 1·8 points on a 0–20 scale; 95% CI 1·0–2·6). Nurses with formal telehealth training achieved the highest scores, and sensitivity analyses produced similar estimates. Conclusion: Tele-nursing anaesthesia competence appears central to high-quality pre-anaesthetic assessment in tele-preoperative clinics. Findings support structured nurse training, credentialing, and multicentre evaluation of impact, sustainability, and cost-effectiveness. Relevance to clinical practice: Strengthening tele-nursing anaesthesia competence can improve the completeness and reliability of pre-anaesthetic documentation, supporting safer risk stratification and timely escalation in secondary hospitals. Implement structured telehealth training, competency-based credentialing, and routine documentation audits to standardize assessments and reduce perioperative safety gaps.
Nurse-Led Digital Perioperative Care to Improve Wound Healing, Pain, and Mobilisation After Caesarean Section in Ethiopia: A Randomised Control Trial Egor, Dorian Einar; Carlos, Boryslaw; Carmen, Elen Britta
Java Nursing Journal Vol. 4 No. 1 (2026): November - February
Publisher : Global Indonesia Health Care (GOICARE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61716/jnj.v4i1.158

Abstract

Background: Post-caesarean wound complications and slow recovery remain a major burden in low-resource maternity settings, while evidence on nurse-led digital perioperative care to improve wound healing is limited. Purpose: This study aimed to test the effect of a nurse-led app-based perioperative programme on post-caesarean wound healing among Ethiopian women. Methods: In a randomised controlled trial at Yanet General Hospital, Ethiopia (2024), we enrolled 148 women undergoing elective caesarean section, randomised to standard care versus standard care plus C-Care with dietary support; the primary outcome was WH-PAT score at day 14. Results: Among 148 randomised women, 62.2% in the C-Care group versus 40.5% in standard care achieved complete wound healing by day 14 (risk difference 21.6%, 95% CI 6.1–37.1); mean WH-PAT scores were higher in the intervention group, and early pain and time to mobilisation were significantly improved. Conclusion: A nurse-led app-based perioperative programme improved key recovery outcomes after elective caesarean section in this low-resource setting. Finding support for integrating digital nursing follow-up into post-caesarean care pathways and testing scalability. Relevance to clinical practice: This study shows that a nurse-led, app-based perioperative programme can be integrated into routine caesarean care to improve wound healing, pain, and mobilisation. Obstetric nurses can use C-Care to standardise education, monitor recovery remotely, triage high-risk women earlier, and extend evidence-based care beyond discharge.
Concept Analysis of the Neuro-ischaemic Phenotype: Integrating Diabetic Peripheral Neuropathy and Peripheral Artery Disease for Diabetic Foot Ulcer Risk Stratification Burhan, Asmat; Susanti, Indah
Java Nursing Journal Vol. 4 No. 1 (2026): November - February
Publisher : Global Indonesia Health Care (GOICARE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61716/jnj.v4i1.161

Abstract

Background: Diabetic foot disease remains a major cause of ulceration and amputation, yet neuropathy and peripheral arterial disease are often assessed separately, limiting consistent identification of neuro-ischaemic risk. Purpose: To analyze the concept of the neuro-ischaemic phenotype in diabetic foot ulceration based on the method introduced by Walker and Avant Methods: In a Walker and Avant concept analysis of published literature from PubMed, Embase, Scopus, and Web of Science from November 2020 to 2025, we extracted concept uses, defining attributes, antecedents, consequences, and empirical referents for neuro-ischemic DFU. Boundaries were refined using model, borderline, related, and contrary cases, then synthesised into an operational framework. Results: The analysis defined the phenotype as coexisting loss of protective sensation and objectively confirmed lower-limb ischaemia. Five defining attributes were identified, including silent progression and the need for dual-domain measurement. A tiered minimum dataset was proposed, utilizing the ankle-brachial index, toe-based measures, and Doppler waveform, to reduce misclassification and guide escalation pathways. Conclusion: An integrated neuro-ischaemic phenotype closes single-domain gaps and enables standardised DFU risk stratification. It supports nursing-led triage and referral pathways and requires prospective validation for clinical outcomes. Relevance to clinical practice: Neuro-ischaemic DFU triage: nurses pair Loss of Protective Sensation (LOPS) screening with perfusion tests (ABI plus toe indices or Doppler) to stratify risk, speed early vascular review, tailor offloading/infection surveillance, and standardise communication.

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