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Nursing Genius Journal
Published by PT. Nursing Genius Care
ISSN : 3046854X     EISSN : 3047230X     DOI : -
Core Subject : Health,
Health Professions Nursing Public Health
The Nursing Genius Journal (NGJ) is a journal that encompasses all fields of nursing, including Basic Nursing, Medical-Surgical Nursing, Pediatric Nursing, Emergency Nursing, Gerontological Nursing, Community Nursing, Family Nursing, Mental Health Nursing, Maternity Nursing, Nursing Management, Nursing Education, and Complementary Nursing. The Nursing Genius Journal (NGJ) welcomes Original Research Articles, Literature Reviews, and Case Studies utilizing quantitative, qualitative, or mixed-method approaches.
Arjuna Subject : Keperawatan - Advanced and Specialised Nursing
Articles 100 Documents
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Spiritual Needs Among Adults Receiving Hemodialysis: ADescriptive Study Using SNAP Maulana, Moch; cindyka, sophya; rahma, rahma; cahyana, atma; ariesta, mutiara; tantri, magrina; dwi, wa ode; Nazaruddin, Nazaruddin; cici, cici
Nursing Genius Journal Vol. 3 No. 2 (2026): Nursing Genius Journal Vol. 3 No. 2 April 2026
Publisher : PT. Nursing Genius Care

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.65874/ngj/v3.i2.2026.1

Abstract

Background: Hemodialysis can challenge meaning, hope, relationships, and religious practice, making spiritual assessment relevant to holistic nursing. Purpose: To describe psychosocial, spiritual, and religious needs among adults receiving hemodialysis using the Spiritual Needs Assessment for Patients. Methods: A descriptive cross-sectional study used the 23-item Spiritual Needs Assessment for Patients (SNAP). Available-case frequencies and percentages were reported because denominators differed across demographic variables and SNAP domains in the retained dataset. Results: Psychosocial needs were high in 33 of 60 participants (55.0%). Spiritual needs were high in 33 of 67 valid responses (49.3%), while religious needs were most often moderate (30/62; 48.4%). Sex, education, and age variables also had different valid denominators. Conclusion: Participants reported substantial psychosocial, spiritual, and religious needs. The inconsistent denominators require raw-data verification, but the pattern supports routine spiritual assessment and individualized nursing care that respects each patient's beliefs and preferences.  
Health-Related Quality of Life Among Patients with Advanced-Stage Lung Cancer Receiving Palliative Care: A Descriptive Study Using EORTC QLQ-C30 Inang; Siskamayanti, Marsya; Winalda, Pretty Queen Dwirahmah; Septiani, Nabila; S, Syahruni Aulia; Nurrabiul Awal Hasilun , Laode Ahmad; Halmawati; Nazaruddin; Dina, Hasnia
Nursing Genius Journal Vol. 3 No. 2 (2026): Nursing Genius Journal Vol. 3 No. 2 April 2026
Publisher : PT. Nursing Genius Care

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.65874/ngj/v3.i2.2026.7

Abstract

Background: Advanced lung cancer produces substantial symptom, functional, psychological, and social burden, making health-related quality of life a central palliative-care outcome. Purpose: To describe health-related quality-of-life categories among patients with advanced-stage lung cancer receiving palliative care.Methods: A descriptive cross-sectional study included 72 patients. Quality of life was assessed using the EORTC QLQ-C30 framework used in the original study and summarized using locally recorded categories. Frequencies and percentages described participant characteristics and quality-of-life status. Results: Poor quality of life was recorded in 54 participants (75.0%), fair quality of life in 13 (18.1%), moderate quality of life in 5 (6.9%), and no participant was classified as good. Most participants were aged 46–60 years (69.4%) and male (58.3%). Conclusion: Poor quality of life predominated. Palliative nursing should prioritize multidimensional symptom assessment, functional support, psychological care, communication, and family support. Standard EORTC domain scoring should be reported if raw data are available.
Family Caregiver Adaptation After Stroke: A Descriptive Study Using Roy's Adaptation Model Nabillah, Iin; Ningsi, Sulistia; Rachmad, Aiska; Andika, Andika; Sinta, Pristiana; Srirahayu, Annizha; Nazaruddin, Nazaruddin
Nursing Genius Journal Vol. 3 No. 2 (2026): Nursing Genius Journal Vol. 3 No. 2 April 2026
Publisher : PT. Nursing Genius Care

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.65874/ngj/v3.i2.2026.12

Abstract

Background: Stroke frequently creates abrupt and sustained caregiving demands that may disrupt family roles, self-concept, physical well-being, and interpersonal relationships.Purpose: To describe family caregiver adaptation across the four modes of Roy’s Adaptation Model among relatives caring for stroke patients.Methods: A descriptive cross-sectional study included 70 family caregivers selected through purposive sampling. Demographic characteristics, family support, and adaptive responses in physiological, self-concept, role-function, and interdependence modes were summarized using frequencies and percentages. Results: Low family support was reported by 38 caregivers (54.3%). Maladaptive responses were most frequent in role function (34/70; 48.6%), followed by physiological (32/70; 45.7%), interdependence (30/70; 42.9%), and self-concept (28/70; 40.0%) modes. Conclusion: Substantial maladaptation was present across all four modes, especially role function. Family nursing should assess caregiver role strain, physical burden, self-concept, and relational support as distinct but interacting domains.
Quality of Life Among People Living With HIV in Kendari: A Descriptive Study Arsyika, Nabila Nur; Fatima, Siti; Bintang, Adel; Safitri, Inang; Usman, Dian Fadillah; Anugrah, Reza; Premasari, Januar Eka; Nazaruddin; Kalza, Lade Albar
Nursing Genius Journal Vol. 3 No. 2 (2026): Nursing Genius Journal Vol. 3 No. 2 April 2026
Publisher : PT. Nursing Genius Care

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.65874/ngj/v3.i2.2026.19

Abstract

Background: People living with HIV may experience persistent physical symptoms, stigma, psychological distress, social disruption, and spiritual concerns despite advances in antiretroviral therapy. Quality of life is a multidimensional patient-reported outcome that complements viral suppression. Objective: To describe quality of life among people living with HIV recruited in Kendari City. Methods: A descriptive cross-sectional study included 58 participants recruited through closed community or peer-support networks using an anonymous online questionnaire. Quality of life was measured with the 31-item WHOQOL-HIV BREF and summarized using the study’s recorded overall categories: poor, moderate, and good. Demographic characteristics were summarized using frequencies and percentages. No inferential analysis was performed. Results: Poor quality of life was reported by 33 participants (56.9%), moderate quality of life by 14 (24.1%), and good quality of life by 11 (19.0%). Most participants were male (36/58; 62.1%), aged 20–29 years (42/58; 72.4%), and not married (47/58; 81.0%). Marital status was not reported for 6 participants (10.3%). Conclusion: Poor quality of life predominated in this sample. HIV nursing should integrate symptom assessment, mental-health screening, stigma-sensitive communication, adherence support, and social and spiritual care while avoiding assumptions based on sex or marital status. Domain-level WHOQOL-HIV BREF reanalysis is recommended to identify specific priorities.
Anxiety Severity Among Patients With Multidrug-Resistant Tuberculosis Receiving Palliative Care in Kendari: A Descriptive Study miftahul, ismi; Salbar, Putri; Kurnia Ramadhani, Bintang; Dita, Narni; Kurniawan, M. Feri; Mutmaina, Zahra; Nazaruddin; Arie Lestari, Sari
Nursing Genius Journal Vol. 3 No. 2 (2026): Nursing Genius Journal Vol. 3 No. 2 April 2026
Publisher : PT. Nursing Genius Care

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.65874/ngj/v3.i2.2026.26

Abstract

Background: Multidrug-resistant tuberculosis involves prolonged treatment, adverse effects, social stigma, and uncertainty that can generate substantial psychological distress. Purpose: To describe anxiety severity among patients with advanced multidrug-resistant pulmonary tuberculosis receiving palliative-oriented care.Methods: A descriptive cross-sectional study included 61 patients selected through purposive sampling. Anxiety was measured with the Indonesian Hospital Anxiety and Depression Scale-Anxiety subscale and summarized using established score categories.Results: Moderate anxiety was most frequent (25/61; 41.0%), followed by mild anxiety (18/61; 29.5%), severe anxiety (10/61; 16.4%), and normal scores (8/61; 13.1%). Thus, 57.4% had moderate-to-severe anxiety. Conclusion: Anxiety was common and often clinically meaningful. MDR-TB nursing should integrate psychological screening, therapeutic communication, symptom management, adherence support, and referral pathways within comprehensive care.
Self-Care and Sleep Quality Among Chronic Kidney Disease Patients Undergoing Hemodialysis: A Descriptive Study danu, luh; salsa, salsa; Nova, Nova; Dila, Dila; Hikmah, Hikmah; Nurmawati, Nurmawati; Nazaruddin, Nazaruddin; Lisnawati, Lisnawati
Nursing Genius Journal Vol. 3 No. 3 (2026): Nursing Genius Journal Vol. 3 No. 3 July 2026
Publisher : PT. Nursing Genius Care

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.65874/ngj/v3.i3.2026.32

Abstract

Background: Chronic kidney disease (CKD) requires complex self-care, and hemodialysis-related symptoms may disrupt sleep quality. Both self-care and sleep quality are important patient-reported outcomes in holistic nursing.Objective: To describe self-care and sleep quality among CKD patients undergoing hemodialysis in a hemodialysis unit in Kendari City, Indonesia. Methods: A descriptive cross-sectional study included 71 adults receiving hemodialysis, selected through purposive sampling. Self-care was assessed using the CKD Self-Care Scale (CKD-SCS), and sleep quality was assessed using the Pittsburgh Sleep Quality Index (PSQI). Data were analyzed univariately using IBM SPSS Statistics, and frequencies and percentages were reported. Results: The majority of respondents were female (45/71; 63.4%), had a college education (35/71; 49.3%), and were aged 20–25 years (47/71; 66.2%). Good self-care was recorded in 39 participants (54.9%), moderate self-care in 21 (29.6%), and poor self-care in 11 (15.5%). Good sleep quality was recorded in 37 participants (52.1%), moderate in 19 (26.8%), and poor in 15 (21.1%). Conclusion: Most CKD patients undergoing hemodialysis reported good self-care and good sleep quality. However, nearly half of the participants had moderate or poor outcomes in each domain. Orem's Self-Care Deficit Nursing Theory supports individualized assessment of therapeutic self-care demands and rest-related needs. Nursing assessment should address both treatment self-management and sleep-related symptoms.
Quality of Life Among Patients with Stage V Chronic Kidney Failure from a Palliative Care Perspective: A Descriptive Study Mandaya, Alya Idhany Ribiyanti; Dyah Ayu Hardiyanti; Fahrez Keyla Syahfitri; St.Fatimah Azzahra M.Halulanga; Tegar Alamsyah; Nazaruddin; La Ode Ardiansyah; Utanul Aulia Ridwan
Nursing Genius Journal Vol. 3 No. 3 (2026): Nursing Genius Journal Vol. 3 No. 3 July 2026
Publisher : PT. Nursing Genius Care

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.65874/ngj/v3.i3.2026.40

Abstract

Background: Stage 5 chronic kidney disease and maintenance hemodialysis affect physical functioning, psychological well-being, social participation, and environmental quality of life.Purpose: To describe quality of life among adults with stage 5 chronic kidney disease receiving hemodialysis.Methods: A descriptive cross-sectional study included 60 adults receiving hemodialysis. Quality of life was assessed using the WHOQOL-BREF and summarized according to the study's recorded overall categories. Participant characteristics and quality-of-life categories were analyzed descriptively.Results: Thirty-five participants (58.3%) had poor quality of life, 15 (25.0%) moderate quality of life, and 10 (16.7%) good quality of life. Most participants were older than 65 years (65.0%), not working (65.0%), married (86.7%), and 73.3% received hemodialysis twice weekly.Conclusion: Poor quality of life predominated. Nursing assessment should address symptom burden, psychological distress, social resources, and environmental barriers in addition to dialysis adequacy. Domain-level WHOQOL-BREF reporting and longitudinal analyses are recommended.
Depressive Symptoms Among Adults Receiving Maintenance Hemodialysis: A Descriptive Cross-Sectional Study Muhammad Abim Rifqi Tri Putra; Wulandari; Shinta Amelia Hidayat; Laela Irma Yanti; Yusni; Siti Nur Zakina; Nazaruddin; Wa Ode Aisa Zohaira
Nursing Genius Journal Vol. 3 No. 3 (2026): Nursing Genius Journal Vol. 3 No. 3 July 2026
Publisher : PT. Nursing Genius Care

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.65874/ngj/v3.i3.2026.50

Abstract

Background: Chronic kidney disease (CKD) is a progressive and irreversible decline in kidney function requiring hemodialysis. Depression is the most common psychological comorbidity in hemodialysis patients, significantly impairing quality of life, treatment adherence, and clinical outcomes. Palliative care offers a holistic approach to addressing physical, psychological, social, and spiritual suffering in this population. Objective: To describe the level of depression among CKD patients undergoing hemodialysis therapy within a palliative care context. Methods: A quantitative descriptive study with a cross-sectional approach included 50 respondents selected through simple random sampling. Depression was assessed using the Beck Depression Inventory-II (BDI-II). Data were analyzed univariately using IBM SPSS Statistics, and frequencies and percentages were reported. Results: The majority of respondents experienced severe depression (27/50; 54.0%), followed by moderate depression (9/50; 18.0%), and minimal/no depression (14/50; 28.0%). No respondents experienced mild depression. Most participants were male (33/50; 66.0%), aged 20–35 years (28/50; 56.0%), had senior high school education (31/50; 62.0%), and were unmarried (34/50; 68.0%). The most common duration of hemodialysis was 1 month (20/50; 40.0%), and hypertension was the most common comorbidity (18/50; 36.0%). Conclusion: Severe depression predominated among CKD patients undergoing hemodialysis within palliative care. These findings underscore the urgency of routine psychological assessment and integration of palliative care principles, including depression screening, emotional support, and interdisciplinary collaboration, into nephrology nursing practice.
The Effect of Family Education Through WhatsApp Group on Knowledge of Care for Family Members with Diabetes Mellitus febriani, Sri alya; Lisnawati, Lisnawati; Tasman, Tasman
Nursing Genius Journal Vol. 3 No. 3 (2026): Nursing Genius Journal Vol. 3 No. 3 July 2026
Publisher : PT. Nursing Genius Care

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.65874/ngj/v3.i3.2026.68

Abstract

Background : Diabetes mellitus is a chronic disease requiring continuing self-management and support from family members. Family knowledge is relevant to the ability to provide appropriate support at home, while WhatsApp groups offer an accessible channel for structured health education. Objective : To assess changes in family knowledge regarding care of family members with diabetes mellitus before and after a one-week education program delivered through a WhatsApp group in the working area of Abeli Community Health Center, Kendari City. Methods​ : A quantitative pre-experimental one-group pretest-posttest study was conducted from May 5 to May 31, 2026. Sixty-nine family members were selected using purposive sampling. Knowledge was measured using a 23-item Diabetes Knowledge Questionnaire adapted to the family-care context. Educational materials were delivered once daily for seven consecutive days. The Wilcoxon signed-rank test was used for paired pre-post scores. Results : The mean knowledge score increased from 14.45 (SD 4.378) to 18.78 (SD 3.761), with a mean paired increase of 4.33 (SD 4.129). The median increased from 15.00 (IQR 6) to 20.00 (IQR 6). Sixty-one participants (88.4%) had higher posttest scores, three (4.3%) were unchanged, and five (7.2%) had lower scores. The Wilcoxon test showed a significant pre-post difference (Z = -6.150, p < 0.001), with r = 0.74. Conclusion : A statistically significant short-term improvement in family knowledge was observed after the seven-day WhatsApp-group education. Because there was no control group, the finding represents a within-group pre-post change rather than definitive evidence of a causal or sustained intervention effect.
Factors Associated With Non-Prescription Antibiotic Use in Rural Indonesia: A Cross-Sectional Study Nabila Ramadhani; Lisnawati, Lisnawati; Yuhadi, Asfani
Nursing Genius Journal Vol. 3 No. 3 (2026): Nursing Genius Journal Vol. 3 No. 3 July 2026
Publisher : PT. Nursing Genius Care

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.65874/ngj/v3.i3.2026.58

Abstract

Background: Non-prescription antibiotic use is an important driver of inappropriate antimicrobial exposure and may accelerate antimicrobial resistance. In rural settings, community knowledge, medicine availability, and socioeconomic barriers to professional care can interact to shape antibiotic-use decisions. Purpose: To examine the associations of antibiotic knowledge, antibiotic-access score category, and socioeconomic status with non-prescription antibiotic use among adults in Balasari Village, Bombana Regency, Indonesia. Methods: An analytical cross-sectional study included 71 adults selected by simple random sampling from an eligible village sampling frame of 87 residents. Structured questionnaires assessed non-prescription antibiotic use, knowledge, access, and socioeconomic status. Sparse 3 x 2 tables were analyzed using two-sided Fisher-Freeman-Halton exact tests, with Cramer's V and 95% confidence intervals as effect-size measures. Results: Fifty-three participants (74.6%; 95% CI 63.4%-83.3%) reported non-prescription antibiotic use. Knowledge (p < .001; V = .578, 95% CI .330-.801), antibiotic-access score category (p < .001; V = .551, 95% CI .301-.772), and socioeconomic status (p < .001; V = .555, 95% CI .306-.777) were significantly associated with use. Conclusion: Non-prescription antibiotic use was common and showed substantial unadjusted associations with the three examined factors. Community nursing strategies should combine antibiotic literacy, timely access to professional care, pharmacy engagement, and strengthened antimicrobial-stewardship regulation. Causal and independent effects cannot be inferred from this cross-sectional study.

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