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INDONESIA
Indonesian Nursing Journal
Published by Politeknik Negeri Subang
ISSN : 29887577     EISSN : 29887623     DOI : -
Core Subject : Health,
Nursing
INJ (Indonesian Nursing Journal) is an open access scientific journal with frequency of publication is two issues per year (January and July), INJ published theoretical and empirical peer-reviewed articles, which contribute to advance the understanding of phenomena related to all aspects of nursing education and nursing care. INJ includes contributions, but not limited to, in the following fields: Medical-Surgical Nursing, Emergency Nursing, Pediatric Nursing, Emergency Nursing, Maternity Nursing, Psychiatric Nursing, Gerontological Nursing, Management Nursing, Family Nursing and Nursing in Community.
Arjuna Subject : Keperawatan - Keperawatan (Lain-Lain)
Articles 52 Documents
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The effect of AI-assisted nursing care on digital health literacy, symptom management, and continuity of care among pulmonary outpatients: A quasi-experimental study at Bhayangkara Surabaya Hospital Heri Nur Cahyanto; Agustin Agustin; Novita Ana Anggraini; Prima Dewi K; Atik Setiawan W
Indonesian Nursing Journal Vol. 4 No. 1 (2026): July 2026
Publisher : Politeknik Negeri Subang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31962/inj.v4i1.26

Abstract

Background: Pulmonary outpatients often experience recurrent respiratory symptoms requiring continuous support. Limited consultation time, increasing digital health use, and the need for symptom monitoring highlight the importance of AI-assisted nursing care in outpatient pulmonary services. Purpose: This study analyzed the effect of AI-assisted nursing care on digital health literacy, symptom management, and continuity of care among pulmonary outpatients at Bhayangkara Surabaya Hospital. Methods: A quasi-experimental study with a two-group pretest-posttest design involved 70 pulmonary outpatients (35 intervention, 35 control). The intervention group received AI-assisted nursing care; the control group received standard care. Data were collected using the Digital Health Literacy Instrument, a symptom management questionnaire, and the Nijmegen Continuity Questionnaire. Analysis used paired t-test, Wilcoxon Signed-Rank Test, independent t-test, and Mann-Whitney U Test. Results: The intervention group showed significantly greater improvements than the control group. Digital health literacy was significantly higher (t = 9.11, p < 0.001), symptom management improved significantly (Z = −7.84, p < 0.001), and continuity of care differed significantly between groups (t = 8.99, p < 0.001). Change scores were substantially greater in the intervention group, particularly for continuity of care (18.95 vs. 2.26), with small effect sizes across all outcomes. Conclusion: AI-assisted nursing care can strengthen digital nursing support for pulmonary outpatients. Integrating structured digital education, chatbot interaction, symptom tracking, reminders, and nurse monitoring improves digital health literacy, symptom management, and continuity of care in outpatient pulmonary services.
Implementing the BBOK package via auricular acupressure and health education to reduce weight and BMI in adolescents with obesity: An evidence-based nursing report Istiqomah Istiqomah; Syamsul Anwar; Ninik Yunitri
Indonesian Nursing Journal Vol. 4 No. 1 (2026): July 2026
Publisher : Politeknik Negeri Subang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31962/inj.v4i1.27

Abstract

Background: Adolescent obesity is a growing health concern with physical and psychological complications. This Evidence-Based Nursing Practice (EBNP) analyzed the effectiveness of the BBOK (Optimal Body Weight) package, combining auricular acupressure and health education, in reducing body weight (BW) and body mass index (BMI) among adolescents with obesity. Methods: Using an EBNP approach, auricular acupressure and health education interventions were implemented over six weeks. Nine adolescents aged 13–19 years with obesity from RW 01, 02, and 05, Rawasari Village, Cempaka Putih District Health Center, were selected based on inclusion criteria. Interventions included health education on obesity, nutrition, physical activity, sleep, and stress management, plus auricular acupressure using vaccaria seeds at the hunger point. Evaluations measured BW, BMI, and knowledge, attitudes, and behaviors before and after intervention. Results: Paired Sample T-Test analysis showed significant reductions in body weight (MD = 0.68; p = 0.000) and BMI (MD = 0.25; p = 0.000). Significant improvements were also observed in knowledge (MD = 4.78; p = 0.000), attitudes (MD = 2.44; p = 0.026), and healthy behaviors (MD = 10.67; p = 0.000). Conclusion: The BBOK package was associated with significant improvements in body weight, BMI, and healthy lifestyle behaviors among adolescents with obesity. While these findings suggest potential as a community nursing strategy, the modest magnitude of weight and BMI reduction, small sample size, and absence of a control group warrant cautious interpretation. Further controlled studies are needed to validate these findings.
Association between community empowerment and malaria prevention behaviors among communities in the Working Area of Iwur Public Health Center Januarius Utimkesan; Yuly Peristiowati; Ratna Wardani
Indonesian Nursing Journal Vol. 4 No. 1 (2026): July 2026
Publisher : Politeknik Negeri Subang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31962/inj.v4i1.29

Abstract

Background: Malaria remains a major public health challenge in remote Indonesian regions like Iwur due to limited healthcare access. Persistent transmission is driven by low community awareness, poor environmental management, and inadequate preventive practices. Community empowerment offers a sustainable strategy to enhance local engagement and strengthen local capacity. An innovative empowerment model is essential at Iwur Public Health Center (Puskesmas Iwur) to optimize prevention efforts and reduce the disease burden. Purpose: This study aimed to develop and evaluate the effectiveness of a Community Empowerment Model for malaria prevention in the Iwur Public Health Center working area. Methods: A quantitative cross-sectional study was conducted among community members in malaria-endemic villages within the Puskesmas Iwur working area. Participants were selected using purposive sampling. Data were collected using a structured questionnaire assessing community empowerment and malaria prevention behaviors. Descriptive statistics and Pearson correlation analysis were performed to examine the association between community empowerment and malaria prevention behavior, with statistical significance set at p < 0.05. Results: The findings showed a statistically significant positive correlation between community empowerment and malaria prevention behavior (r= 0.58, p < 0.001). Higher levels of community empowerment were associated with better malaria prevention practices among community members, suggesting that community participation, health literacy, and self-reliance are important factors associated with malaria prevention in endemic areas. Conclusion: The Community Empowerment Model effectively strengthens community participation and malaria prevention practices. Integrating empowerment-based interventions into primary healthcare programs is recommended to support sustainable malaria control and reduce incidence in endemic communities.
The influence of post-resuscitation debriefing and clinical learning environment on CPR quality and resuscitation self-efficacy among emergency department healthcare workers Marintas Marintas; Prima Dewi Dewi; Nurdina Nurdina; Nurwijayanti Nurwijayanti; Yuly Peristiowati
Indonesian Nursing Journal Vol. 4 No. 1 (2026): July 2026
Publisher : Politeknik Negeri Subang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31962/inj.v4i1.30

Abstract

Background: CPR quality and resuscitation self-efficacy are critical for successful cardiac arrest management. Structured debriefing and supportive learning environments are hypothesized to enhance these outcomes.  Purpose: This study aimed to evaluate the associations between post-resuscitation debriefing and the clinical learning environment with CPR quality and resuscitation self-efficacy.  Methods: A quasi-experimental study with a one-group pretest-posttest design was conducted at the Emergency Department of Undata Hospital. All eligible healthcare workers (n = 51) were recruited using total sampling. Data on post-resuscitation debriefing, clinical learning environment, CPR quality, and resuscitation self-efficacy were collected using validated questionnaires and observation sheets. Bivariate analysis was performed using Spearman's rank correlation test. Multiple linear regression analysis was conducted to identify predictors of CPR quality and resuscitation self-efficacy, controlling for age, work experience, and profession. Statistical significance was set at p < 0.05. Results: Post-resuscitation debriefing was significantly associated with CPR quality (rho = 0.412, p = 0.003) and resuscitation self-efficacy (rho = 0.523, p < 0.001). The clinical learning environment was also significantly associated with CPR quality (rho = 0.456, p = 0.001) and resuscitation self-efficacy (rho = 0.389, p = 0.005). Multiple linear regression analysis identified post-resuscitation debriefing as the strongest predictor of CPR quality (beta = 0.398, p = 0.002) and resuscitation self-efficacy (beta = 0.467, p < 0.001), after controlling for confounding variables.  Conclusion: Structured post-resuscitation debriefing and a positive clinical learning environment are significantly associated with improved technical skills and professional confidence among healthcare workers. Implementing standardized debriefing may be an effective strategy for enhancing resuscitation performance in emergency settings.
Issue Information Novian Mahayu Adiutama
Indonesian Nursing Journal Vol. 4 No. 1 (2026): July 2026
Publisher : Politeknik Negeri Subang

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

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Association between blood glucose levels and elective surgery delays in type II diabetes mellitus patients Alfian Rajab; Rindani Toban; Lukman Sartika; Mulyati Mulyati; Irnawati Irnawati
Indonesian Nursing Journal Vol. 4 No. 1 (2026): July 2026
Publisher : Politeknik Negeri Subang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31962/inj.v4i1.37

Abstract

Background: Diabetes Mellitus (DM) is a chronic metabolic disorder characterized by hyperglycemia, which poses significant risks during the perioperative period. Elevated blood glucose levels are often associated with surgical complications, leading to the postponement of elective procedures. Purpose: This study aims to analyze the relationship between preoperative blood glucose levels and the delay of elective surgery in patients with Type II DM. Methods: A cross-sectional study was conducted among 100 patients with Type II Diabetes Mellitus undergoing elective surgery at Dr. La Palaloi Maros Hospital. The patients were selected using simple random sampling. Preoperative blood glucose levels were analyzed in relation to surgical readiness using the chi-square test. Results: The study found that 21% of patients experienced surgery delays, all delayed cases occurred among patients with preoperative blood glucose levels >200 mg/dL, while no delays were observed among patients with blood glucose levels below 200 mg/dL. Overall, 79.0% of patients proceeded with surgery as scheduled, whereas 21.0% experienced postponement due to uncontrolled hyperglycemia. Most respondents were aged 18–40 years (54%) and female (58%). A statistically significant relationship was found between blood glucose levels and elective surgery delays (p < .001). Conclusion: Preoperative blood glucose level is associated with elective surgery delays. Strict glycemic control before surgery is essential to reduce delays and improve perioperative patient safety.
Maternal health literacy and anxiety among pregnant women receiving antenatal care: A cross-sectional study Anggie Pradana Putri; Ady Irawan.AM; Lilik Hanifah
Indonesian Nursing Journal Vol. 4 No. 1 (2026): July 2026
Publisher : Politeknik Negeri Subang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31962/inj.v4i1.47

Abstract

Background: Anxiety during pregnancy can affect maternal well-being and engagement with antenatal care. Maternal health literacy may help women understand pregnancy-related changes, evaluate health information, and make appropriate decisions, but its association with anxiety remains underexplored in Indonesian antenatal care settings. Purpose: This study examined the association between maternal health literacy and anxiety among pregnant women receiving routine antenatal care. Method: A cross-sectional correlational study was conducted among 140 pregnant women attending primary maternal healthcare facilities in Central Java, Indonesia. Participants were recruited using consecutive sampling. Maternal health literacy was measured using the Indonesian version of the 48-item Maternal Health Literacy Inventory in Pregnancy, while anxiety was assessed using the Indonesian version of the Generalized Anxiety Disorder-7 scale. Descriptive statistics summarized participant characteristics and study variables. The association between maternal health literacy and anxiety was analyzed using Spearman’s rank correlation test. Result: The mean maternal health literacy score was 177.3 ± 21.4, and the mean anxiety score was 6.8 ± 4.5. Most participants reported minimal or mild anxiety, while 23.6% experienced moderate-to-severe anxiety. Maternal health literacy was negatively correlated with anxiety scores (Spearman’s rho = -0.412; p < 0.001). Conclusion: Higher maternal health literacy was associated with lower anxiety among pregnant women. Antenatal care should help women not only receive pregnancy information but also interpret and use it confidently. Longitudinal and intervention studies are needed to test whether nurse-led literacy and digital education programs can reduce anxiety during pregnancy
Effect of feeding frequency on total bilirubin reduction and body temperature changes among neonates with jaundice receiving blue led phototherapy at Marthen Indey TNI-AD Hospital, Jayapura Sumiyati Sumiyati; Yuli Peristiowati; Ratna Wardani
Indonesian Nursing Journal Vol. 4 No. 1 (2026): July 2026
Publisher : Politeknik Negeri Subang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31962/inj.v4i1.48

Abstract

Background: Hyperbilirubinemia in neonates requires prompt intervention to prevent neurological complications. Blue LED phototherapy is a primary treatment, yet its effectiveness relies on hydration and feeding frequency to facilitate bilirubin excretion. Phototherapy also carries a risk of altering body temperature, necessitating close monitoring. Purpose: This study analyzed the effect feeding frequency and blue LED phototherapy with total bilirubin reduction and body temperature changes among neonates with jaundice. Methods: A quasi-experimental pretest-posttest comparison group study involved 80 neonates selected through purposive sampling. Respondents were divided into high feeding frequency (10 times/24 hours, n=40) and low feeding frequency (6 times/24 hours, n=40) groups. Total bilirubin levels and body temperature were measured before and after 24-hour therapy. Analyses included the Wilcoxon Signed Rank Test and Mann-Whitney U Test. Results: Neonates had a mean gestational age of 38.79 ± 1.10 weeks, and birth weight of 2749.7 ± 166.3 g. Baseline total bilirubin (15.52 ± 0.31 mg/dL) and body temperature (36.75 ± 0.09°C) were comparable between groups. Both groups showed significant bilirubin reduction (p < 0.001). The high-frequency group demonstrated significantly greater reduction (median change 5.95 mg/dL) than the low-frequency group (3.40 mg/dL; p < 0.001, r = 0.62). Temperature changes within both groups were significant (p < 0.001) but remained clinically normal, with no between-group difference (p = 0.176, r = 0.14). Conclusion: Higher feeding frequency was associated with greater bilirubin reduction without adverse temperature effects. However, the quasi-experimental design limits causal inference. Clinical protocols should emphasize frequent feeding and temperature monitoring for safe, optimal treatment.
Effect of a digital family disaster plan e-book on earthquake preparedness among anesthesia nursing students Ririn Zuhairini; Praditia Triwibowo; Ellyda Septiani Pramita; Gatot Suparmanto; Triyas Singgih Pambudi; Cahaya Nugraheni
Indonesian Nursing Journal Vol. 4 No. 1 (2026): July 2026
Publisher : Politeknik Negeri Subang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31962/inj.v4i1.60

Abstract

Background: Indonesia, part of the Pacific Ring of Fire, experiences significant seismic activity. The Special Region of Yogyakarta is particularly susceptible to earthquake hazards, emphasizing the need to strengthen disaster preparedness awareness. A digital family disaster plan (FDP) was designed as an educational resource to guide families during earthquakes. Purpose: This study aims to examine the effect of the digital Family Disaster Plan (FDP) on the earthquake preparedness of second semester anesthesia students at Universitas 'Aisyiyah Yogyakarta (UNISA). Methods: This study employed a one-group pretest–posttest pre-experimental design and was analyzed using the Wilcoxon signed-rank test. The sample consisted of 64 second semester anesthesia students from Universitas 'Aisyiyah Yogyakarta, selected through random sampling. Data collection was conducted using a preparedness questionnaire. Results: Female respondents constituted the majority (59.4%). Baseline assessment showed 87.5% were unprepared prior to the intervention. After exposure to the digital FDP, 89.1% were classified as prepared. The Wilcoxon signed-rank test showed a statistically significant improvement in preparedness scores (p < 0.001), indicating the intervention was associated with improved disaster preparedness. Conclusion: The Digital Family Disaster Plan E-book intervention was associated with improved earthquake preparedness scores among second-semester anesthesia students at UNISA. However, this study was limited using a pre-experimental one-group design; therefore, future studies using randomized controlled trials are recommended to confirm the effectiveness of digital Family Disaster Plan interventions.
Patients' knowledge and attitudes regarding the prevention of diabetes mellitus complications at the internal medicine polyclinic Zikran Zikran; Lisa Rizky Amalia; Muthmainnah Muthmainnah
Indonesian Nursing Journal Vol. 4 No. 1 (2026): July 2026
Publisher : Politeknik Negeri Subang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31962/inj.v4i1.69

Abstract

Background: Diabetes mellitus (DM) is a chronic disease that requires effective management to maintain the patient's quality of life. Preventing DM complications necessitates adequate knowledge and a positive attitude, thereby helping patients avoid the complications associated with the disease. Purpose: This study aims to determine the relationship between patients' knowledge and attitudes and efforts to prevent diabetes mellitus (DM) complications at the Internal Medicine Outpatient Clinic of Raden Mattaher Regional General Hospital (RGH), Jambi. Method: This study employed an analytical survey method with a cross-sectional approach. The study population consisted of patients with diabetes mellitus, with a sample size of 84 respondents. Data collection was conducted using a questionnaire, and statistical analysis was performed using the Chi-square test at a 95% confidence level (0.05). Result: The study found a significant relationship between knowledge and the prevention of diabetes mellitus complications (p-value = 0.000). Attitude also showed a significant relationship with the prevention of diabetes mellitus complications (p-value = 0.000). Conclusion: Adequate knowledge and positive attitudes will enable patients to effectively engage in efforts to prevent diabetes complications; given that diabetes is a chronic disease capable of causing complications affecting all bodily organs, prevention is essential. Future researchers are encouraged to further explore knowledge and attitudes regarding the prevention of diabetes complications, and healthcare providers should assist in improving patient knowledge and attitudes to prevent complications associated with the disease.

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