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Arif Setia Sandi
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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 114 Documents
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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.
The Relationship Between Knowledge Levels and Behavior with Anxiety Among Families of Stroke Patients Anggie Stiexs; Kurniasari, Septi; Erwin, Tubagus; Nurhartanto, Adhi; Lestari, Ika; Agata, Annisa
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.v4i1.164

Abstract

Background: Stroke remains a major cause of disability in Indonesia, and families provide essential care, yet evidence linking caregiver knowledge and caregiving behaviour to anxiety is limited Purpose: This study aimed to test associations between caregiver knowledge, caregiving behaviour, and anxiety among families of stroke patients. Methods: In a cross-sectional study at RSUD Abdul Moeloek, Indonesia (June 12, 2023), we enrolled 73 caregivers of stroke inpatients. Knowledge and behaviour were classified as good, fair, poor, and positive or negative. Anxiety was measured in categories. Associations were tested with chi-square. Results: Among 73 caregivers, knowledge was good in 21.9%, fair in 50.7%, and poor in 27.4%; 61.6% reported positive behaviour. Anxiety was reported sometimes by 8.2%, part of the time by 80.8%, and almost all of the time by 11.0%. Anxiety was associated with knowledge (p=0.023) and behaviour (p=0.001). Conclusion: Caregiver anxiety was frequent and significantly related to caregiver knowledge and behaviour. Findings support nurse-led screening plus structured education and skills coaching during inpatient care and discharge transitions. Relevance to clinical practice: Caregiver anxiety was common in families of hospitalised stroke patients and was linked to lower knowledge and negative caregiving behaviour. Nurse-led screening, teach-back education, and brief skills coaching (mobility, ADLs, medications, warning signs), followed by early follow-up, may reduce distress and strengthen safe transitional care

Page 12 of 12 | Total Record : 114

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