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STIKes Patria Husada Blitar JALAN SUDANCO SUPRIADI NO 168 KOTA BLITAR - EAST JAVA - INDONESIA
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Jurnal Ners dan Kebidanan (Journal of Ners and Midwifery)
Published by STIKes Patria Husada Blitar
ISSN : 2355052X     EISSN : 25483811     DOI : -
Core Subject : Health,
Health Professions Nursing Public Health
Jurnal Ners dan Kebidanan (Journal of Ners and Midwifery) published by STIKes Patria Husada Blitar. Published three times in a year, its in April, August and December. Jurnal Ners dan Kebidanan (Journal of Ners and Midwifery) only receive original manuscripts related to science development and have not been published in domestic and foreign journals. The content of the manuscripts can be in the form of research results to support the progress of science, education and nursing practice and professional midwifery.
Arjuna Subject : Keperawatan - Keperawatan (Lain-Lain)
Articles 20 Documents
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Search results for , issue "vol 13 no 2 (2026)" : 20 Documents clear
Foot-Ankle Exercise Effective to Increase Ankle Brachial Index (ABI) and Foot Sensitivity in Type 2 Diabetes Mellitus Patients Anggi Jamiyanti; Vina Vitniawati; Sri Mulyati Rahayu
Journal of Ners and Midwifery Vol 13 No 2 (2026)
Publisher : STIKes Patria Husada Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26699/jnk..v13i2.ART.p136-146

Abstract

Diabetes mellitus is a chronic metabolic disease often associated with complications such as peripheral arterial disease and neuropathy, increasing the risk of diabetic foot ulcers. Foot-ankle exercises are a non-pharmacological intervention believed to improve vascular circulation and nerve sensitivity. However, limited studies have evaluated their combined effects on the Ankle Brachial Index (ABI) and foot sensitivity. This study aimed to determine the effectiveness of foot-ankle exercises on ABI and foot sensitivity in patients with type 2 diabetes mellitus. A quasi-experimental design with a pretest-posttest control group was conducted at a Public Health Center, Bandung. Seventeen participants were selected from the Prolanis program through purposive sampling. The intervention group performed foot-ankle exercises three times per week for two weeks, while the control group received only educational booklets. ABI was measured using a vascular Doppler, and foot sensitivity was assessed with a 10-gram monofilament. The data were analyzed using paired t-tests and Wilcoxon signed-rank tests. The results showed a significant increase in right ABI (from 95.86 to 115.43; p = 0.018), while left ABI did not significantly improve (p = 0.128). Foot sensitivity increased significantly on both the right (from 4.29 to 6.86; p = 0.027) and left feet (from 5.14 to 7.57; p = 0.043). Foot-ankle exercises significantly improve peripheral circulation (right ABI) and foot sensitivity in patients with type 2 diabetes. Future research is encouraged to further explore the long-term effects of foot-ankle exercises and to examine the impact of combining these exercises with other management approaches.
Scoping Review: The Role of Family Emotional Support in Reducing the Risk of Baby Blues among Postpartum Mothers Fitrio Deviantony; Wahyu Dini Candra Susila; Salwa Nirwanawati; Robby Prihadi Aulia Erlando
Journal of Ners and Midwifery Vol 13 No 2 (2026)
Publisher : STIKes Patria Husada Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26699/jnk..v13i2.ART.p147-159

Abstract

The postpartum period is a sensitive transitional phase that may triggeremotional changes known as baby blues syndrome. This scoping reviewaims to explore and map the existing scientific evidence regarding the roleof family emotional support in reducing the risk of baby blues amongpostpartum mothers. Following the PRISMA-ScR guidelines, acomprehensive literature search was conducted on PubMed andScienceDirect databases for articles published between 2020 and 2025. Outof 331 identified articles, 10 open-access primary studies met the inclusioncriteria and were analyzed narratively. he results indicate that emotionalsupport from close family members, particularly husbands and parents, playsa significant role in helping mothers adapt psychologically. Key barriers tooptimal support include social stigma surrounding maternal mental health,weak family communication, and a lack of standardized screening protocolsin healthcare facilities. Conversely, crucial facilitators include active spousalinvolvement in infant care, family-centered psychoeducation, and theutilization of digital health platforms. In conclusion, family emotionalsupport serves as a vital protective factor that strengthens maternalpsychological resilience and prevents the progression of baby blues intopostpartum depression. Based on these findings, it is suggested thathealthcare frameworks formally integrate family-based education intopostnatal care, provide continuous empathetic communication training forhealthcare providers, and strengthen community-based peer supportinitiatives.
Intention-Based Transcultural Family Empowerment Model for Complementary Feeding Practices: A Structural Equation Modeling Approach Agusta Dian Ellina; Novian Mahayu Adiutama; Yudisa Diaz Lutfi Sandi; Wardah Fauziah; Dewi Rahayu Ningsih; Esti Andarini; Sandi Alfa Wiga Arsa; Nuridha Fauziyah
Journal of Ners and Midwifery Vol 13 No 2 (2026)
Publisher : STIKes Patria Husada Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26699/jnk..v13i2.ART.p126-135

Abstract

Stunting remains a major public health concern in Indonesia, particularly among children aged 6–24 months. The quality of complementary feeding is strongly influenced by cultural norms and family dynamics. This study aimed to validate a previously developed transcultural care-based family empowerment model by integrating “intention” as a mediating factor in behavioral change. A cross-sectional study was conducted involving 530 families in Kediri, East Java, Indonesia. Data were collected using structured questionnaires and analyzed through Structural Equation Modeling–Partial Least Squares (SEM-PLS). The findings revealed that “intention” served as a robust mediator between family empowerment and complementary feeding quality (β = 0.45; p < 0.001), with an R² value of 0.69. These results underscore that nutritional behavior within families is shaped not only by knowledge and cultural values but also by psychological intention to act. The expanded model—an intention-based transcultural family empowerment framework—enhances behavioral predictability and broadens the application of transcultural care theory in community nursing contexts. Future research is recommended to apply longitudinal or intervention-based designs to examine changes in family intention over time and their impact on child nutrition outcomes. Expanding the application of this model to other health behaviors and cultural settings may further strengthen its theoretical and practical relevance in community nursing and public health contexts.
Reducing Blood Pressure and SRAS Scores in Preoperative CDL Patients Through Alternate Nostril Breathing Exercise (ANBE) Asni Hasaini; Muhlisoh
Journal of Ners and Midwifery Vol 13 No 2 (2026)
Publisher : STIKes Patria Husada Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26699/jnk..v13i2.ART.p160-172

Abstract

Patients diagnosed with CKD often experience changes in both physiological and psychological responses. Alternate Nostril Breathing Exercise (ANBE) has been reported to influence cardiorespiratory and autonomic functions, as well as to reduce anxiety and stress scores.  The objective of the study was to analyze the effectiveness of ANBE on the stability of physiological and psychological responses in preoperative patients undergoing CDL insertion at Ratu Zalecha Hospital, Martapura. The study employed a quasi-experimental design with a Pretest-Posttest Control Group Design. The total sample size was 30. The instruments used included an observation sheet and the Zung Self-Rating Anxiety Scale questionnaire. The tool required to measure blood pressure is the Omron HEM-7120 digital sphygmomanometer. The data were analyzed univariately with frequency distribution and bivariately with paired t-test and independent t-test. Data were analyzed using univariate and bivariate methods. The result revealed a significant difference in systolic blood pressure between the control group and the intervention group, with a mean ± SD of 179.6±28.45 in the intervention group and 154 ±15.96 in the control group. Similarly, there was a significant difference in diastolic blood pressure between the two groups, with a mean ± SD of 102.47 ± 10.41 in the intervention group and 91.40 ± 7.82 in the control group. In conclusion, ANBE has the potential to serve as a method for managing preoperative stress and physiological responses (such as blood pressure).It is recommended that nurses in inpatient or pre-operative rooms are encouraged to provide brief training and assistance in performing Alternate Nostril Breathing Exercise to pre-operative patients.
The Combined Impact of Sholawat Syifa and Oxytocin Massage in Lowering Postpartum Mothers’ Anxiety Levels Dewi Andariya Ningsih; Ika Lailatul Fajriah; Hayatul Rohimah; Dwi Margareta Andini
Journal of Ners and Midwifery Vol 13 No 2 (2026)
Publisher : STIKes Patria Husada Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26699/jnk..v13i2.ART.p173-182

Abstract

Mothers frequently experience anxiety during the postpartum period due to physical and psychological changes after childbirth and the demands of adapting to a new maternal role. If left unmanaged, postpartum anxiety may impair maternal mental health, interfere with breastfeeding, and delay recovery. Non-pharmacological interventions, such as oxytocin massage and reciting the Syifa' prayer, have been proposed as safe and supportive approaches to reducing anxiety. This study aimed to evaluate the effectiveness of combining oxytocin massage and Syifa' prayer in reducing anxiety among postpartum mothers. A quasi-experimental study with a two-group pretest-posttest design was conducted. Thirty respondents were selected using simple random sampling and assigned to either an intervention group or a control group. Anxiety levels were measured using the PASS questionnaire. The intervention group received oxytocin massage combined with Syifa' prayer following a standardized protocol for 12 consecutive days. Data were analyzed using the Wilcoxon signed-rank test to compare pre- and post-intervention anxiety levels within each group, while the Mann-Whitney test was used to compare post-intervention anxiety levels between groups. The results showed a descriptive reduction in anxiety scores among mothers in the intervention group; however, no statistically significant difference was found between the intervention and control groups (p = 0.389; p > 0.05). Although the combined intervention did not demonstrate a significant effect during the short intervention period, it remains a safe, simple, and culturally acceptable complementary therapy that supports holistic midwifery care. Future studies should involve larger samples, longer intervention periods, and control potential confounding variables, such as socioeconomic status, family support, and religious commitment, to better evaluate the intervention's effectiveness.
The Impact of Digital Animated Flipbook on Knowledge and Adherence to Iron Supplementation: A Pre-Experimental Study Among Anemic Adolescent Girls Indah Putri Ramadhanti; Desri Nova H; Kholilah Lubis; Debby Ratno Kustanto; Aini Mulia Hidayat
Journal of Ners and Midwifery Vol 13 No 2 (2026)
Publisher : STIKes Patria Husada Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26699/jnk..v13i2.ART.p183-194

Abstract

Anemia remains a significant public health problem among adolescent girls in Indonesia, with low adherence to weekly iron-folic acid supplementation (IFAS) programs. Innovative educational strategies are needed to improve both knowledge and adherence to supplementation. This study aimed to examine the effect of CEMARA animated flipbook education on knowledge and weekly iron supplement adherence among anemic adolescent girls. A pre-experimental one-group pretest-posttest design was used. The study involved 68 ninth-grade anemic girls from SMPN 03 Bukittinggi, Indonesia. Consecutive sampling was applied to recruit participants. The intervention consisted of the CEMARA animated flipbook, which was delivered over one month. During this period, the girls also received weekly monitoring of their iron tablet intake. Knowledge and adherence were measured using structured questionnaires, both of which had acceptable reliability (Cronbach's alpha = 0.812 for knowledge and 0.803 for adherence). Data analysis was performed using the Wilcoxon signed-rank test and Spearman's rank correlation test. The mean knowledge score increased from 12.90 ± 2.306 to 19.13 ± 1.683 (p < 0.001). The mean adherence score increased from 3.56 ± 1.028 to 5.84 ± 1.016 (p < 0.001). However, the correlation between knowledge improvement and adherence was weak and not statistically significant (r = 0.171; p = 0.162). CEMARA animated flipbook education significantly improved knowledge and weekly iron supplement adherence among anemic adolescent girls. However, increased knowledge was not significantly associated with adherence, indicating that behavioral and contextual factors may also influence supplementation practices.
Emotional Intelligence as a Predictor of Clinical Decision-Making Ability among Nursing Students in Aceh, Indonesia Irfanita Nurhidayah; Yullyzar; Nani Safuni; Rahmawati
Journal of Ners and Midwifery Vol 13 No 2 (2026)
Publisher : STIKes Patria Husada Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26699/jnk..v13i2.ART.p192-204

Abstract

In nursing practice, clinical decision-making is a critical competency that students must possess to ensure patient safety and the quality of nursing care. This process is influenced not only by cognitive abilities but also by emotional intelligence, which helps students remain objective when facing complex and high-pressure clinical situations. Although various studies have examined the relationship between the two, the results obtained remain inconsistent. Therefore, this study aims to analyze the relationship between emotional intelligence and clinical decision-making among students in the Professional Nursing Program using a descriptive correlational design and a cross-sectional approach. A total of 107 students from three nursing education institutions in Banda Aceh were selected as participants using consecutive sampling. Emotional intelligence was measured using the Schutte Self-Report Emotional Intelligence Test, while clinical decision-making ability was measured using the Clinical Decision-Making in Nursing Scale. Data analysis was performed using Spearman’s correlation test. The results of the study indicate a positive and significant relationship between emotional intelligence and clinical decision-making (r=0.259; p= 0.007). Among all dimensions of emotional intelligence, Understanding of Emotion showed the strongest and most significant relationship with all components of clinical decision-making (p = 0.001), whereas the dimensions of Utilisation of Emotion and Regulation of Emotion did not show a significant relationship. Emotional intelligence plays a role in supporting clinical decision-making abilities among students in the Professional Nursing Program. Therefore, the development of emotional intelligence needs to be integrated into nursing education to support the improvement of students’ clinical decision-making abilities.
Risk Factors of Sexual Behavior Related to Sexually Transmitted Infections among Male Adolescents in Sidoarjo Regency Iryani Yuni Yastutik; Ani Margawati; Zahroh Shaluhiyah; Ayun Sriatmi
Journal of Ners and Midwifery Vol 13 No 2 (2026)
Publisher : STIKes Patria Husada Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26699/jnk..v13i2.ART.p205-217

Abstract

Risky sexual behavior among male adolescents contributes substantially to the increasing incidence of sexually transmitted infections (STIs). Understanding the associated determinants is essential for developing effective prevention strategies. This study analyzed factors associated with risky sexual behavior related to STIs among male adolescents in Sidoarjo Regency. An analytical cross-sectional study was conducted among the population of 10,980 and took 9,160 male adolescents aged 15–24 years in Sidoarjo Regency as the sample. Data were collected using structured questionnaires and analyzed using Chi-square tests with a significance level of 0.05. A total of 14.8% of respondents reported risky sexual behavior. Most respondents had poor knowledge (68.3%), negative attitudes (56.9%), perceived limited school involvement in reproductive health education (52.3%), and reported no peer influence (72.4%). Significant associations were found between risky sexual behavior and age (p<0.001), education level (p<0.001), knowledge (p<0.001), attitudes (p<0.001), peer influence (p<0.001), and school role (p=0.025). Risky sexual behavior among male adolescents is influenced by demographic, cognitive, and environmental factors. Strengthening comprehensive reproductive health education through schools and peer-based interventions is essential to reduce risky sexual behavior and prevent STIs.
Nurse-Physician Collaboration in Mitigating Workload-Induced Burnout and Turnover Intention: A Scoping Review of Adaptive Risk Pathways Muhammad Hafidh Taqiuddin; Ati Surya Mediawati; Hana Rizmadewi Agustina; Muhammad Afiif Aziz; Windu Santoso; Sri Sudarsih; Reni Afriana; Vica Cahya Ningrum
Journal of Ners and Midwifery Vol 13 No 2 (2026)
Publisher : STIKes Patria Husada Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26699/jnk..v13i2.ART.p218-231

Abstract

Burnout and turnover intention threaten hospital workforce stability and patient safety. Workload is an established contributor, but how nurse–physician collaboration may interrupt this pathway across hospital contexts remains unclear. This scoping review followed Joanna Briggs Institute methodology, the Population–Concept–Context framework, and PRISMA-ScR guidance. PubMed, Scopus, and EBSCOhost were searched from database inception to 19 May 2026, with eligibility restricted to English-language peer-reviewed empirical studies published in 2022–2026. Of 576 records identified, seven studies were included after screening. The data were charted and interpreted using the Roy Adaptation Model. The seven studies (N = 51,711) identified staffing shortages, high patient acuity, time pressure, administrative and electronic health record burden, and crisis-related disruption. Collaboration involved relational coordination, shared goals, mutual respect, shared decision-making, mentorship, and peer support. Supportive collaboration was associated with job satisfaction, well-being, and intention to stay, whereas weak or unsupported collaboration coincided with burnout, moral injury, fatigue, and turnover intention. Collaboration may reduce uncertainty, distribute clinical responsibility, and strengthen collective coping; however, its protective value depends on staffing adequacy, responsive leadership, and work-system support. Nurse–physician collaboration may mitigate adverse workforce outcomes but cannot substitute for safe staffing and organizational support. Hospitals should integrate workload reduction with structured interprofessional communication, shared governance, mentoring, and peer support. Longitudinal and intervention studies are needed to test mediation and moderation effects.
The Family and Health Workers Support Role to Undergo Triple Elimination Screening in Pregnant Women based on The Health Belief Model Perspevtive Erika; Iskandar Muda
Journal of Ners and Midwifery Vol 13 No 2 (2026)
Publisher : STIKes Patria Husada Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26699/jnk..v13i2.ART.p232-240

Abstract

Triple Elimination testing is an important strategy to prevent the transmission of HIV, syphilis, and hepatitis B from mother to child. However, currently the coverage of check-ups for pregnant women is still not optimal. This study aimed to explore the role of family and health worker’s support in strengthening pregnant women's decisions to undergo Triple Elimination tests based on Health Belief Model perspective. This study used a qualitative design with a descriptive approach. Seven pregnant mothers were selected using purposive sampling in the working area of Sidomulyo Health Center, Pekanbaru City. Data were collected through in-depth interviews using semi-structured guidelines and manually analysed using the Directed Content Analysis method. The analysis produced one main theme, which is the role of family and healthcare support as reinforcing factors in pregnant women's decision-making, consisting of two subthemes: family support as a decision booster and healthcare support as a booster of pregnant women's confidence. Family support comes in the form of attention, motivation, accompaniment, and emotional reinforcement, while healthcare providers offer education, counselling, and therapeutic communication that increase confidence and reduce doubts regarding Triple Elimination checks. Family and healthcare support are important factors that reinforce a pregnant woman's decision to undergo Triple Elimination check-ups by boosting confidence, a sense of security, and understanding of the benefits of early detection. Antenatal services need to optimize family involvement, especially the husband, and enhance education and therapeutic communication by healthcare workers to increase pregnant women's participation in Triple Elimination check-ups

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