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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 634 Documents
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Determinants of Health Worker Performance at West Sidoarjo Regional Hospital Hary Indah Fibriany; Sentot Imam; Yuly Peristiowati; Agus Khoirul Anam; Andi Andi Hayyun Abiddin
Journal of Ners and Midwifery Vol 13 No 1 (2026)
Publisher : STIKes Patria Husada Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26699/jnk..v13i1.ART.p064-073

Abstract

Recently, health workers who have poor performance or fall below expectations have been targeted, especially health workers. One of the causes is the level of discipline of health workers, which is still lacking. The objective of this study was to analyze the influence of work discipline, compensation, employee status, and organizational commitment on the performance of health workers at West Sidoarjo Regional Hospital. This study was quantitative research with independent variables consisting of work discipline, compensation, health worker status, organizational commitment, and health worker performance as the dependent variable. The population in this study was health workers at Sidoarjo Barat Regional Hospital, totaling 289 people. Through a simple random sampling technique, a sample of 168 respondents was obtained. This research was conducted from February to April 2025 at Sidoarjo Barat Regional Hospital, East Java, Indonesia. A questionnaire was used to collect data. Data were analyzed using multiple linear regression. This study showed the influence of work discipline on the performance of health workers, obtaining a t-count value of 5.828 with a significant value of 0.004 < 0.05. On the other hand, the influence of compensation on the performance of health workers obtained a t-count value of 131.529 with a significant value of 0.000 < 0.05. However, the influence of employee status on the performance of health workers obtained a t-count value of -0.766 with a significant value of 0.445 < 0.05, and the influence of organizational commitment on the performance of health workers obtained a t-count value of 4.865 with a significant value of 0.003 < 0.05. Work discipline, compensation, employee status, and organizational commitment are combined simultaneously; they will affect the performance of health workers, but if the variables are separated one by one and then linked to the influence on the performance of health workers, then there is one variable that statistically does not affect.
Nurse Educators’ Perceptions of Teaching Strategies for Promoting Student-Centered and Self-Directed Learning in Gaunteng Province, South Africa Portia Morwa Lydia Sithole; Kholofelo Matlhaba
Journal of Ners and Midwifery Vol 13 No 1 (2026)
Publisher : STIKes Patria Husada Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26699/jnk..v13i1.ART.p051-063

Abstract

Introduction: The South African Nursing Council mandates that nursing education foster students' ability to identify their own learning needs and acquire the knowledge and skills necessary for competent, independent practice. The learning environment and teaching strategies employed by nurse educators are critical in facilitating student learning and achieving academic goals. This study explored nurse educators’ perceptions of various teaching strategies used to promote student-centeredness and self-directed learning in a nursing education context. Methods: A qualitative, explorative, descriptive, and contextual design was employed. Twelve nurse educators teaching theory courses in the first to third years of a Regulation 171 nursing programme were purposively sampled. Data were collected through individual semi-structured interviews until saturation was reached. Transcribed data were analyzed using Tesch’s eight-step thematic analysis. Results: Three main themes emerged: (1) commonly used teaching strategies, (2) perceived effects of preferred strategies, and (3) factors influencing the selection and use of teaching strategies. Each theme included multiple categories and sub-categories describing the educators’ experiences. Conclusions: The findings highlight key teaching strategies and influencing factors that support student-centered and self-directed learning. Addressing identified challenges is essential to improve nursing education and enhance student outcomes.
Sugar-Sweetened Beverage Consumption, Contributing Factor, and Weight Outcomes in Adolescents: A Scoping Review Erma Wahyu Mashfufa; Nur Aini; Ollyvia Freeska Dwi Martha; Imam Fahril
Journal of Ners and Midwifery Vol 13 No 1 (2026)
Publisher : STIKes Patria Husada Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26699/jnk..v13i1.ART.p001-027

Abstract

High consumption of sugar-sweetened beverages (SSBs) is strongly associated with adolescent obesity and related conditions, including type 2 diabetes and cardiovascular disease. This pattern is driven by easy access, low cost, and aggressive marketing, especially in developing countries. Understanding the determinants of SSB intake and its effects on weight is essential for guiding public health strategies. This study aims to explore evidence on SSB consumption, its contributing factors, and its relationship with weight-related outcomes among adolescents. A scoping review was conducted using PubMed, Scopus, Embase, MEDLINE (Ovid), and Web of Science, with additional manual searches via Google Scholar. Keywords included “Adolescents,” “Sugar-Sweetened Beverages,” and “Obesity.” Studies were included if they involved adolescents consuming SSBs. A total of 34 studies with 218,767 adolescent participants were analyzed. SSB consumption varied and was influenced by factors such as availability at home and school, peer influence, and health knowledge. High intake was consistently linked to increased obesity risk, with frequent consumers showing higher BMI. Reducing SSB access at home and school, along with improving awareness, emerged as important strategies to limit adverse health impacts. Elevated SSB consumption among adolescents is closely linked to overweight and obesity. Targeted interventions, including early screening, educational initiatives for adolescents and parents, and policies restricting availability in schools and communities, are needed to reduce intake and associated health risks.
Determinants of Adolescents Pregnancy and the Incidence of Stunting in Children 24-59 Months of Age Didien Ika Setyarini; Reni Wahyu Triningsih; Hening Ryan Aryani; Dwi Estuning Rahayu
Journal of Ners and Midwifery Vol 13 No 1 (2026)
Publisher : STIKes Patria Husada Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26699/jnk..v13i1.ART.p093-105

Abstract

Adolescent pregnancy is a significant public health issue that can lead to various adverse outcomes, including stunting in children. This study aims to investigate the determinants of adolescent pregnancy and their association with the incidence of stunting in children aged 24-59 months at Poncokusumo Health Center, Malang Regency. The research employs a cross-sectional design, collecting primary data through interviews and secondary data from the Puskesmas Poncokusumo. The study includes 93 mothers of stunted toddlers with a history of adolescent pregnancy. The sampling technique used purposive sampling. Data were analyzed by chi-square.The analysis reveals significant relationships between educational level economic status, knowledge, the role of healthcare providers, and family support with the incidence of stunting, while employment status shows no significant correlation. The findings suggest that targeted interventions addressing these determinants could mitigate stunting rates among children born to adolescent mothers. Further research should explore the psychosocial impacts and long-term outcomes for these children, as well as the effectiveness of existing healthcare interventions
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.

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