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INDONESIA
Journal of Evidence - Based Nursing and Public Health
Published by Institute for Advanced Science, Social, and Sustainable Future
ISSN : -     EISSN : 30482615     DOI : https://doi.org/10.61511/jevnah.v1i1.2024
Core Subject : Health,
Nursing Public Health
Aims: JEVNAH aims to advance nursing practice and public health by publishing research that rigorously applies evidence-based methodologies. The journal seeks to enhance patient care and community health through high-quality studies that inform effective interventions, improve safety and quality of care, and guide public health strategies. Focus: The journal focuses on integrating evidence-based approaches to address critical issues in nursing and public health. It emphasizes research that informs clinical practice, enhances patient safety, improves educational programs, and supports public health initiatives. The journal aims to provide actionable insights that drive improvements in both individual patient care and broader public health outcomes. Scope: This journal seeks to publish a broad range of scholarly articles, including: 1. Evidence-Based Nursing Practices: Research on effective nursing interventions, clinical trials, and strategies that enhance patient care and improve nursing practices through empirical evidence. 2. Public Health Strategies: Studies on public health initiatives, disease prevention, and health promotion that utilize evidence-based approaches to improve population health and address public health challenges. 3. Patient Safety and Quality Improvement: Research focused on improving patient safety, reducing medical errors, and advancing quality of care through evidence-based innovations and protocols. 4. Nursing Education and Training: Studies on the effectiveness of educational programs and training in nursing, aimed at enhancing skills and ensuring the application of evidence-based practices in diverse settings. 5. Health Outcomes and Patient Experiences: Research examining how evidence-based nursing and public health practices impact patient outcomes and experiences, with a focus on improving patient-centered care. 6. Interdisciplinary Approaches: Research on collaborative models involving nursing and public health professionals, emphasizing the integration of evidence-based practices to achieve comprehensive and effective care.
Arjuna Subject : Keperawatan - Keperawatan (Lain-Lain)
Articles 32 Documents
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Socio-demographic and environmental determinants of hepatitis: A preventive behaviors in densely populated urban communities Fadillah Rodhatul Jannah; Kholis Ernawati; Roni Hidayat; Rifda Wulansari
Journal of Evidence-based Nursing and Public Health Vol. 3 No. 1: (February) 2026
Publisher : Institute for Advanced Science, Social, and Sustainable Future

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61511/jevnah.v3i1.2026.2260

Abstract

Background: Urban hepatitis A outbreaks in Indonesia highlight the need to understand preventive behaviors beyond biomedical factors. This study applies Green's health behavior theory to examine demographic, behavioral, and environmental determinants of hepatitis A preventive in an urban Jakarta community. The purpose of this study is to identify and analyze the relationship between individual characteristics and preventive behaviors toward Hepatitis A, in order to provide evidence-based recommendations for effective public health interventions. Methods: This study conducted a cross-sectional analytic study among residents aged 15–45 years using a validated questionnaire. Variables included knowledge, attitudes, and information exposure alongside demographics. Data were analyzed with chi-square tests for categorical associations. Findings: Older age, female gender, higher education, employment, better knowledge, positive attitudes, and information exposure were associated with practicing hepatitis A preventive behaviors (e.g., safe water/food handling, hand hygiene) (p < 0.05). The survey in the Kemayoran District showed a high level of compliance in hand washing and clean water use, but inconsistent practices still occurred in relation to thorough cooking of food and technical understanding of the virus etiology. The results of the study identified a significant gap between knowledge and behavior, where moderate attitudes and incomplete health literacy hindered the transition from general awareness to consistent protective actions. Conclusion: Predisposing (knowledge, attitudes), enabling (access to clean water/sanitation), and reinforcing factors (community and health-worker support) jointly predict preventive practices. Findings inform culturally responsive, nurse-led community interventions in low-resource urban settings. Novelty/Originality of this article: This article addresses the gap that most studies in Indonesia have focused only on biomedical or knowledge-based aspects. The study provides a culturally relevant framework for targeted public health interventions in urban communities by integrating demographic, behavioral, and environmental factors.
Spatial autocorrelation analysis of tuberculosis incidence: Identifying geographical clusters and socio-environmental risk factors Agtika Yasyfa Nur Azizah
Journal of Evidence-based Nursing and Public Health Vol. 3 No. 1: (February) 2026
Publisher : Institute for Advanced Science, Social, and Sustainable Future

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61511/jevnah.v3i1.2026.2568

Abstract

Background: Indonesia ranks second as the country with the highest number of tuberculosis cases in the world. The three most populous provinces on the island of Java (West Java, East Java, and Central Java) contribute the most TB cases in Indonesia. The Provincial Health Offices of West Java, East Java, and Central Java have data on tuberculosis incidence and influencing risk factors, but most of the data is processed manually and presented in tables and graphs. Spatial and mapping approaches can be used to visualize the distribution of tuberculosis incidence and its risk factors. Method: This study used an ecological study design with a spatial approach. The population in this study consisted of 100 districts/cities in the provinces of West Java, East Java, and Central Java. The data used were aggregated from annual publications issued by the health offices and the central statistics agencies of the three provinces for the period 2024. Findings: The tuberculosis case notification rate distribution in the three regions of Java Island exhibited positive spatial autocorrelation. Three independent variables had negative spatial autocorrelation with the TB CNR, namely the percentage of poor people, the percentage of households with access to proper sanitation, and the percentage of livable houses. Meanwhile, population density is the only variable that has positive spatial autocorrelation with TB CNR.  Conclusion: TB prevention, case finding, and intervention can adopt and modify the policy implications of these spatial analysis results by considering the conditions of each region. Originality of this article: This study applies spatial analysis using Moran's Index and LISA approaches in the regions of West Java, East Java, and Central Java, as well as its use of variables such as BPJS Health insurance ownership, access to proper sanitation, and livable housing, which have not been widely studied in previous research.
Association between access to water, sanitation, and hygiene (WASH) practices and stunting among children under five: A systematic review and meta-analysis Ananda Fadila Nisa; Cesa Septiana Pratiwi; Warsiti
Journal of Evidence-based Nursing and Public Health Vol. 3 No. 1: (February) 2026
Publisher : Institute for Advanced Science, Social, and Sustainable Future

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61511/jevnah.v3i1.2026.2595

Abstract

Background: Stunting is a chronic malnutrition condition that leads to impaired growth and development, primarily caused by inadequate water, sanitation, and hygiene (WASH) conditions. This study aims to systematically review and meta-analyze the association between WASH factors and stunting in children under five. Methods: This meta-analysis was conducted using the PICO research question. The study population involves children aged 0 to 59 months to analyze how unimproved water, sanitation, and hygiene compare with improved practices in affecting stunting outcomes. Relevant articles were systematically retrieved from several databases including PubMed, BMC, ScienceDirect, and Springer Link, with inclusion criteria focusing on cross-sectional and longitudinal studies published between 2020 and 2025. All gathered data were subsequently synthesized and analyzed using the Review Manager 5.4 application to ensure a rigorous evaluation of the research findings. Findings: Meta-analysis included 6 studies from Indonesia and Ethiopia. The risk of stunting increased with unimproved sanitation (aOR = 1.33; 95% CI = 1.20–1.48; p < 0.00001), unimproved hygiene (aOR = 1.16; 95% CI = 0.73–1.84; p = 0.530) unimproved water (aOR = 1.10; 95% CI = 0.94–1.29; p = 0.250) increased the risk of stunting, but it was statistically not significant. Conclusion: Unimproved water, sanitation and hygiene increase the risk of stunting. Novelty/Originality of this article: This study provides a separated evaluation of water, sanitation, and hygiene factors using evidence from 2020–2025 to clarify specific WASH-related determinants contributing to stunting among children under five.
Stunting incidence factors based on environmental health and economic status perspectives: A narrative review Dewi Astuti
Journal of Evidence-based Nursing and Public Health Vol. 3 No. 1: (February) 2026
Publisher : Institute for Advanced Science, Social, and Sustainable Future

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61511/jevnah.v3i1.2026.2601

Abstract

Background: Stunting is when a child's height or length is shorter than their age due to chronic malnutrition and repeated infections occurring during the first 1,000 days of life. According to data from the Ministry of Health, Indonesia's stunting rate was 19.8% in 2024, despite the Indonesian government's target of reducing stunting prevalence by 14% by that year. The persistently high prevalence of stunting has profound implications for the Indonesian nation. This study examines the factors contributing to stunting from the perspective of environmental health and economic status in Indonesia. Methods: This study used a narrative literature review on method based on previous studies sourced from PubMed, Scopus, Google Scholar, Science Direct, and MEDLINE published from January 2021 to October 2025, as well as reports on the results of the SSGI and SKI data from 2021 to 2024. Findings: This study focuses on the multifactorial causes of stunting related to Indonesia's environmental health and economic status. The availability of clean water, inadequate sanitation and latrines, and low economic conditions can cause stunting. Stunting requires a multisectoral strategy focusing on maternal and child nutrition, environmental health, and improving economic status. Conclusion: The evidence presented could guide policy development strategies and targeted interventions to prevent stunting, especially from an environmental health perspective, and improve economic status to prevent stunting in Indonesia. Novelty/Originality of this article: This study highlights the relationship between stunting incidence factors based on an environmental health and economic status perspective in Indonesia. The narrative review offers a holistic perspective in understanding the complexity of stunting factors and designing more effective intervention strategy policies and guidelines.
The policies and strategies for prevent and control non-communicable diseases: A bibliometric analysis of global research trends Itsnatur Rizkiyah Apriliyanti; Yosua Darmadi Kosen
Journal of Evidence-based Nursing and Public Health Vol. 3 No. 1: (February) 2026
Publisher : Institute for Advanced Science, Social, and Sustainable Future

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61511/jevnah.v3i1.2026.3120

Abstract

Background: Reducing premature mortality from non-communicable diseases (NCDs) is a key target of the Sustainable Development Goals (SDGs). This study aimed to map global research trends about policies and strategies for the prevention and control of NCDs using a bibliometric approach. Methods: A bibliometric analysis was conducted using the Scopus database. Articles published in English between 1 January 2023 and 6 November 2025 were retrieved. Bibliometric networks of authors, institutions, countries, sources, keywords, and co-cited references were analyzed and visualized using VOSviewer. Findings: A total of 555 articles were included. The field is dominated by collaborative networks of authors and institutions from high-income countries, particularly the United States, the United Kingdom, Australia, and Iran. The Lancet and other leading journals in public health and medicine formed the main co-citation hubs. Frequently co-occurring keywords highlighted policy implementation, health systems, risk factors, health promotion, and prevention and control strategies for major NCDs. Conclusion: Global research on NCD policies and strategies is increasing, yet remains concentrated in high-income settings. Future studies should prioritize implementation and evaluation of NCD policies in low- and middle-income countries, integration of digital health technologies, development of context-specific risk-based strategies, and assessments of policy impacts on health and economic inequalities. Novelty/Originality of this article: This study provides one of the first up-to-date bibliometric overviews (2023–2025) of global publications on NCD prevention and control policies and strategies, offering evidence-based directions for future research and policymaking.
Mapping environmental contamination of carbon footprints and health impact from the breastmilk substitutes consumption in Southeast Asia: A scoping review Kusmayra Ambarwati; Andini Pramono
Journal of Evidence-based Nursing and Public Health Vol. 3 No. 1: (February) 2026
Publisher : Institute for Advanced Science, Social, and Sustainable Future

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61511/jevnah.v3i1.2026.3128

Abstract

Background: In Southeast Asia, breastmilk substitutes (BMS) have quickly turned into a widely accepted social practice. But the health and environmental effects are not thoroughly examined. BMS producers and manufacturers, through their industrial processes, packaging waste, and transportation, are the major contributors to ecological degradation, while formula feeding brings health risks for infants. Methods: This scoping review was performed in accordance with the PRISMA-ScR guidelines and brought together results from 23 articles published in reputable journals between 2015 and 2025. The databases explored were PubMed, Scopus, Cochrane Library, Google Scholar, and Crossref. Data was gathered, and the latter was done through the Joanna Briggs Institute tools, and then it was analyzed thematically. Findings: There is a clear link between BMS production and consumption, and major environmental impacts resulting from these 3-MCPD, glycidyl esters are examples of chemical contaminants; microplastics and large amounts of GHG emissions are also included (3–6 kg CO₂-eq per kg product). Water and energy use are augmented due to formula preparation, and the disposal of materials has worsened plastic pollution in urban rivers. Health investigations pointed out that babies on a formula diet are more exposed to infections.  Economists' forecasts have also pointed to avoidable health and environmental costs arising from reduced breastfeeding, and these are found to be considerable. Conclusion: The use of BMS has a detrimental effect on both mankind and nature, while breastfeeding is still the most eco-friendly and health-producing feeding technique.  Novelty/Originality: Besides being the first study to establish BMS consumption with environmental contamination, carbon footprints, and health outcomes in Southeast Asia, this review also redefined infant feeding as an issue of planetary health.
The impact of heatwaves on the incidence of heatstroke in the elderly and children: An environmental health epidemiological study Fadilah Habibul Hamda; Citta Zahra Primalia; Yolanda Safitri; Soraya Permata Sujana
Journal of Evidence-based Nursing and Public Health Vol. 3 No. 2: (August) 2026
Publisher : Institute for Advanced Science, Social, and Sustainable Future

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61511/jevnah.v3i2.2026.2625

Abstract

Background: The latest report from the Intergovernmental Panel on Climate Change (IPCC) shows that heatwaves have increased over the past 50 years. Heatstroke is a life-threatening condition defined by a failure in heat dissipation, resulting in a body core temperature of more than 40 °C (104 °F) and associated with neurological disorders, ranging from mild changes in mental status to coma. Methods: This study uses the systematic literature review (SLR) method and follows the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines. The review is structured using the PECO framework based on four main components: participants (human), exposure (heatwave), comparator (elderly and children) and the outcomes (heatstroke). Findings: Exposure to heatwaves has been shown to significantly affect vulnerable groups such as the elderly and children, where the elderly group is the most affected due to various factors, including organ dysfunction and congenital diseases that worsen the situation. Conclusion: In the future, it is necessary to strengthen mitigation effort related to extreme weather forecasts, enabling communities to adjust their outdoor activities. Novelty/Originality of this article: The novelty of this article is to describe how the heatstroke impact the vulnerable group of elderly and children.
Socioeconomics overview of fruits and vegetables consumption among population aged > 5 years: A further analysis of Indonesia Health Survey 2023 Nilasari
Journal of Evidence-based Nursing and Public Health Vol. 3 No. 2: (August) 2026
Publisher : Institute for Advanced Science, Social, and Sustainable Future

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61511/jevnah.v3i2.2026.3219

Abstract

Background: Low consumption of fruits and vegetables is estimated the cause of 1.7 million (2.8%) deaths and 16 million (1.0%) globally. In Indonesia, the behavior of the population >10 years of age is to less consume fruits and vegetables, which is above 90%. This study aims to show the socio, economics consumption of fruits and vegetables in the Indonesian based on several characteristics. Methods: The data analyzed is the result of the Indonesia Health Survey (SKI) 2023. The research was an observational study with a cross-sectional design, non-interventional. The data analyzed is data on fruit and vegetable consumption, along with the reasons why people do not consume them. Findings: The analysis showed that (≥60%), based on all the characteristics studied, consumed 1-2 portions of fresh fruit/and/or vegetables per day. The most people who consumed ≥ 5 portions of fresh fruit/and/or vegetables per day in a week were public servants (6.7%) with completed education levels D1/D2/D3/PT (6.0%). There are (18.4%) more people aged 5-9 years compared to other age groups who do not consume fresh fruit/and/or vegetables per day of the week. Conclusion: Socio economic factors, including income, education, and occupation, significantly influence these consumption patterns. The biggest reason for not consuming fresh fruit is no fruits (stock/price) and vegetables are disliked. Indonesian fruit and vegetable consumption is low in the context of balanced nutrition. Novelty/Originality of this article: This study provides a comprehensive national-level analysis of fruit and vegetable consumption patterns among the Indonesian population using the SKI 2023 data. It highlights variations in consumption according to socio-demographic and economic characteristics and identifies key reasons for non-consumption, including availability, affordability, and preference. These findings provide important evidence for developing targeted nutrition interventions to address socio-economic and behavioral barriers to adequate fruit and vegetable consumption in Indonesia.
The effectiveness of stress management psychoeducation for reducing work stress among employees Salsabila
Journal of Evidence-based Nursing and Public Health Vol. 3 No. 2: (August) 2026
Publisher : Institute for Advanced Science, Social, and Sustainable Future

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61511/jevnah.v3i2.2026.3235

Abstract

Background: Environmental work stress has been recognized as a major contributor to reduced psychological well-being among employees. Increased workload, job pressure, and organizational changes may elevate stress responses that negatively affect mental health. This study aims to examine the effectiveness of stress management psychoeducation in reducing work stress among employees. Psychoeducation is designed to improve awareness, coping skills, and behavioral strategies for handling workplace stressors. Methods: This study used a pre-experimental approach with a One Group Pretest Posttest Design involving 20 employees as participants. Work stress was measured using the perceived stress scale (PSS) before and after the intervention. Data were analyzed using Wilcoxon Signed-Rank Test to evaluate differences in stress levels across time. Findings: The findings indicate a significant reduction in perceived work stress after the psychoeducation program (p < 0.05), supporting the premise that improved knowledge and coping strategies contribute to better mental health outcomes. The results also align with the stress and coping theory, confirming that effective cognitive appraisal and coping mechanisms can mitigate stress responses in workplace settings. Conclusion: The findings provide preliminary evidence that stress management psychoeducation may contribute to reducing perceived work stress among employees. However, the absence of a control group, the small sample size, and the short-term assessment period require cautious interpretation. Future studies should employ controlled and longitudinal designs to strengthen causal inference. Novelty/Originality of this article: This study contributes empirical evidence on the application of stress management psychoeducation as a practical intervention for reducing perceived work stress in an organizational setting, particularly by integrating psychoeducation with stress and coping principles to strengthen employees’ coping strategies.
The impact of food affordability and essential services on child stunting in Kalimantan M. Bambang Uswatul Firdaus; Yosua Darmadi Kosen
Journal of Evidence-based Nursing and Public Health Vol. 3 No. 2: (August) 2026
Publisher : Institute for Advanced Science, Social, and Sustainable Future

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61511/jevnah.v3i2.2026.3256

Abstract

Background: Child stunting remains a major public health issue in Indonesia, particularly in Kalimantan, where high food prices, poverty, and limited access to water, sanitation, and hygiene (WASH) intersect. This study investigates how the affordability of nutrient-rich foods, income inequality, and environmental health affect child growth outcomes. Methods: A quantitative cross-sectional analysis was conducted using 2024 provincial data from 5 provinces of Kalimantan. Key variables included stunting prevalence, food prices, affordability indices, poverty rate, Gini ratio, and WASH access. Nutritional affordability was assessed using the Cost of Nutrient Adequacy (CoNA) framework, calculated as the cost per 1,000 kilocalories and per 10 grams of protein. Statistical analyses were applied using STATA 18 included Spearman’s correlation and robust Ordinary Least Squares (OLS) regression with HC3 standard errors and 1,000 bootstrap resamples. Findings: Results showed that affordability and improved WASH access are associated with reduced stunting, while higher poverty and inequality are linked to increased stunting. The interaction between affordability and inequality diminished the protective effect of affordability (β = +2.83, p = 0.03), accounting for 78% of the variance. These results demonstrate that both economic and infrastructural equity are critical determinants of child nutrition outcomes. Conclusion: This study presents a provincial application of the CoNA framework in Indonesia, integrating affordability, inequality, and WASH indicators within a unified econometric model to elucidate regional disparities in stunting. Novelty/Originality of this article: This study applying the Cost of Nutrient Adequacy (CoNA) framework at the provincial level in Indonesia and integrating food affordability, economic inequality, and WASH access within a unified econometric model to identify multidimensional determinants of stunting and inform evidence-based, equity-oriented public health strategies for vulnerable populations.

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