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Journal of Nursing Science Research
Published by Institut Citra Internasional
ISSN : -     EISSN : 30628865     DOI : https://doi.org/10.33862/jnsr.v1i1.426
Core Subject : Health,
Nursing
The Journal of Nursing Science Research is intended to carry out the dissemination of original and quality research on various topics in the field of nursing. The aim of this journal is to share, develop, facilitate findings related to Nursing Science. The scope of the journal includes literature studies, case studies, research articles related to Nursing Science. The Journal of Nursing Science Research accepts articles in the fields of nursing science including: holistic nursing and complementary therapies; pediatric nursing; maternity nursing; medical surgical nursing; critical nursing; emergency nursing; psychiatric nursing; community nursing; gerontic nursing; family nursing; and nursing management.
Arjuna Subject : Keperawatan - Keperawatan (Lain-Lain)
Articles 30 Documents
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CASE REPORT: PENERAPAN SELF-MANAGEMENT KEPERAWATAN UNTUK MENCEGAH KEKAMBUHAN PADA PASIEN HIPERTENSI KRONIS Prima Trisna Aji; Arief Sofyan Baidhowy; Zuniyati; Elinda Rizkasari
Journal Of Nursing Science Research Vol. 2 No. 2 (2025): Journal of Nursing Science Research
Publisher : Institut Citra Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33862/crfdhr36

Abstract

Background: Chronic hypertension is one of the most prevalent non-communicable diseases contributing significantly to global morbidity and mortality. Recurrent episodes frequently occur due to low patient adherence to self-management practices, resulting in poor blood pressure control. Objective: To report the implementation of a self-management-based nursing intervention aimed at preventing relapse among patients with chronic hypertension in a community setting. Method: This single-case report employed the nursing process approach encompassing assessment, diagnosis, planning, implementation, and evaluation. Medication adherence was measured using the Morisky Medication Adherence Scale (MMAS-8). The two-week intervention included education, training in self-monitoring of blood pressure, reinforcement of medication adherence, low-salt diet modification, light physical activity, and deep-breathing relaxation exercises. Results: The findings indicated a significant improvement in self-management ability, evidenced by a reduction in blood pressure from 160/100 mmHg to 130/80 mmHg and an increase in MMAS-8 score from 5 (low) to 8 (high). The patient also demonstrated full adherence to the therapeutic regimen, with the disappearance of dizziness complaints and improved sleep quality. Clinical implications: These results highlight the essential role of nurses in facilitating education-based and self-monitoring-centered self-management to prevent relapse in chronic hypertension. This approach can be integrated into community nursing practice programs as a sustainable strategy for chronic disease control.
DEVELOPMENT OF THE CITRA NURSING MODULE (COMMUNICATION THROUGH INTERACTIVE THERAPEUTIC  AND REFLECTIVE STORYTELLING APPROACH) TO REDUCE ANXIETY IN HOSPITALIZED PRESCHOOL CHILDREN Citra Suraya; Aris Citra Wisuda; Tukimin bin Sansuwito; Regidor III Dioso
Journal Of Nursing Science Research Vol. 2 No. 2 (2025): Journal of Nursing Science Research
Publisher : Institut Citra Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33862/dwasha29

Abstract

Background: Hospitalization often triggers significant anxiety in preschool children due to unfamiliar environments, separation from parents, and invasive procedures. Interactive and therapeutic communication approaches are essential to support children’s emotional stability during care. Objective: This study aimed to develop and evaluate the CITRA Nursing Module (Communication through Interactive Therapeutic and Reflective Storytelling Approach) as an intervention to reduce hospitalization anxiety in preschool children. Methods: This research employed a Research and Development design using the ADDIE model. The module was developed through literature review, expert validation, and preliminary observations, then tested on 46 hospitalized preschool children at Siti Khadijah Islamic Hospital Palembang between February and July 2025. Anxiety levels were measured before and after the intervention using a validated anxiety instrument for preschoolers. Paired statistical tests were used to determine intervention effectiveness. Results: The CITRA module was effective in reducing hospitalization anxiety. Post-intervention scores showed a significant decrease, indicating improved emotional comfort and coping abilities. Feedback from nurses and parents confirmed the module’s feasibility, practicality, and acceptability in clinical practice. Conclusion: The CITRA Nursing Module is an effective intervention for reducing hospitalization anxiety in preschool children. Its implementation has the potential to strengthen therapeutic communication and support child-centered hospitalization practices. Further research with a larger and more diverse population is recommended to enhance the generalizability of the findings.
DEVELOPMENT OF THE ARIS MODULE (ANXIETY AND DEPRESSION REDUCTION THROUGH ISLAMIC SPIRITUAL CARE) FOR CHRONIC ILLNESS NURSING PRACTICE Aris Citra Wisuda; Citra Suraya; Tukimin bin Sansuwito; Atma Deviliawati; Santi Rosalina; Heriziana Hz; Yofa Anggriani Utama
Journal Of Nursing Science Research Vol. 2 No. 2 (2025): Journal of Nursing Science Research
Publisher : Institut Citra Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33862/y6z49f93

Abstract

Anxiety and depression are common psychological problems experienced by patients with chronic illnesses, potentially worsening their clinical condition and quality of life. Nursing interventions that integrate an Islamic spiritual approach are considered to have the potential to enhance psychological calmness when coping with long-term disease. This study aimed to develop and assess the effectiveness of the ARIS Module (Anxiety and Depression Reduction through Islamic Spiritual Care) as a nursing intervention guideline to address anxiety and depression among patients with chronic illnesses. The study employed a Research and Development (R&D) design using the ADDIE model, which includes needs analysis, design, content development, implementation in nursing practice, and evaluation. Effectiveness testing was conducted through a quasi-experimental pretest–posttest design involving 140 chronic illness patients who received care from January 2025 to July 2025 at Siti Khadijah Islamic Hospital Palembang. The Hamilton Anxiety Rating Scale (HARS) and the Beck Depression Inventory-II (BDI-II) were used as measurement instruments. The findings revealed that the implementation of the ARIS Module significantly reduced anxiety and depression levels (p < 0.05) compared to pre-intervention scores. Patients also reported improved spiritual comfort and emotional support from nurses. This module was considered feasible, practical, and relevant for use in nursing practice focused on holistic care. The study recommends broader implementation of the module across various nursing services and the development of training programs to enhance nurses’ competencies in spiritual care.
FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN STRES KELUARGA DALAM MERAWAT PENDERITA HIPERTENSI Nadila Cesar Wuri; Ardiansyah; Tasya Anggraini
Journal Of Nursing Science Research Vol. 2 No. 2 (2025): Journal of Nursing Science Research
Publisher : Institut Citra Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33862/36qsqh82

Abstract

Family stress is a psychological and emotional response that arises due to pressure during caring for family members with chronic diseases including hypertension. This study aims to determine the factors associated with family stress in caring for patients with hypertension. This study used a cross-sectional design and data analysis techniques using the Chi-square test, with a sample of 106 respondents taken by purposive sampling from all families caring for patients with hypertension in the Girimaya Community Health Center Working Area in 2025. The results showed that factors significantly associated with family stress were financial burden (ρ = 0.000), level of knowledge (ρ = 0.000), employment status (ρ = 0.010), duration of illness (ρ = 0.000), and complications (ρ = 0.007). The conclusion of this study is that financial burden, level of knowledge, employment status, duration of illness, and complications in Hypertension patients have a relationship with the level of family stress in caring for Hypertension patients in the Girimaya Community Health Center Working Area in 2025. It is hoped that patient families can increase their knowledge about Hypertension management through health education, while the community health center can expand health promotion programs for families/caregivers. This study is also expected to be a reference for educational institutions and a basis for developing further research with a wider range of variables.
DETERMINAN KEPATUHAN SELF-MANAGEMENT PADA PASIEN HIPERTENSI DI PELAYANAN KESEHATAN PRIMER Prima Trisna Aji; Marta Tania Gabriel Ching Cing; Elinda Rizkasari
Journal Of Nursing Science Research Vol. 3 No. 1 (2026): Journal of Nursing Science Research
Publisher : Institut Citra Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33862/1emn8545

Abstract

Hypertension is a major global health problem with increasing prevalence and remains a leading cause of morbidity and mortality due to cardiovascular diseases. Self-management adherence plays a crucial role in blood pressure control; however, it remains suboptimal in primary healthcare settings. This study aimed to analyze the determinants of self-management adherence among hypertensive patients in primary healthcare. A quantitative study with a cross-sectional design was conducted involving 100 respondents selected through purposive sampling. Data were collected using structured questionnaires, including the Hypertension Self-Care Activity Level Effects (H-SCALE) to assess self-management adherence, as well as instruments measuring knowledge, family support, and self-efficacy. Data analysis was performed using univariate, bivariate (Chi-square test), and multivariate (logistic regression) analyses. The results showed that age (p=0.021), education level (p=0.015), duration of hypertension (p=0.032), knowledge (p=0.001), family support (p=0.002), and self-efficacy (p<0.001) were significantly associated with self-management adherence. Multivariate analysis revealed that self-efficacy was the most dominant factor influencing adherence (OR=4.67; p<0.001). In conclusion, self-management adherence among hypertensive patients is influenced by individual, social, and psychological factors, with self-efficacy as the primary determinant. Therefore, nursing interventions should focus on enhancing self-efficacy, improving health education, and involving family support to optimize hypertension management.
HUMAN RESOURCE MANAGEMENT PRACTICES INFLUENCING NURSES' TURNOVER INTENTION: A NARRATIVE REVIEW AND CONCEPTUAL FRAMEWORK Huy Hoang Doan; Thi My Linh Tran
Journal Of Nursing Science Research Vol. 3 No. 1 (2026): Journal of Nursing Science Research
Publisher : Institut Citra Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33862/khvx9k13

Abstract

Nurse turnover remains a critical workforce challenge, yet predictors of nurses' turnover intention are typically examined as isolated factors rather than as components of an integrated human resource management (HRM) system. This narrative review synthesizes conceptual and empirical evidence on how HRM practices influence nurses' turnover intention and proposes a conceptual framework for nursing management. A theory-informed narrative review was conducted on peer-reviewed studies retrieved from Scopus, PubMed, and Web of Science Core Collection (January 2015 to October 2025), combining nursing workforce terms, HRM-related practices, and turnover-related outcomes. Sources were screened for relevance to HRM practices, turnover or retention outcomes, and conceptual or empirical contribution; 76 sources were retained for thematic synthesis, comprising 68 empirical and review studies and 8 foundational theoretical works identified through citation chaining. The review identifies three interrelated pathways through which HRM practices shape turnover intention: a workload–resource pathway, in which staffing adequacy, workload, and practice environment drive burnout and withdrawal cognition; a support–attachment pathway, in which nurse manager support, trust, and psychological safety strengthen commitment; and a growth–sustainability pathway, in which professional development, recognition, fair rewards, and work–life balance sustain motivation and career commitment. Integrating job demands–resources theory, social exchange theory, psychological contract theory, and the ability–motivation–opportunity framework, the review departs from variable-centred turnover models by reframing fragmented predictors as a bundled HRM retention system. The proposed framework guides healthcare leaders in designing supportive, fair, and sustainable work systems to reduce turnover intention and improve workforce stability, particularly in resource-constrained healthcare settings.  
PRECISION HOLISTIC NURSING CARE FOR CARDIOVASCULAR DISEASE: ENHANCING PSYCHOLOGICAL WELL-BEING, SPIRITUAL HEALTH, AND CLINICAL OUTCOME Aris Citra Wisuda; Citra Suraya; Dilgu Meri; Atma Deviliawati; Santi Rosalina; Heriziana Hz
Journal Of Nursing Science Research Vol. 3 No. 1 (2026): Journal of Nursing Science Research
Publisher : Institut Citra Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33862/zpcac092

Abstract

Cardiovascular disease is a major cause of morbidity and is frequently accompanied by psychological and spiritual distress, adversely affecting clinical stability, treatment adherence, and quality of life. Precision Holistic Nursing Care, an individualized nursing approach integrating psychological support, Islamic spiritual care, clinical education, relaxation therapy, hemodynamic monitoring, and therapeutic assistance tailored to patient needs, may help address these multidimensional challenges. This study aimed to examine changes in psychological, spiritual, and clinical outcomes following the implementation of Precision Holistic Nursing Care among patients with cardiovascular disease. Aquasi-experimental pretest–posttest study without a control group was conducted at Siti Khadijah Islamic Hospital Palembang from January to April 2026. Forty-four patients were recruited through purposive sampling. Anxiety, depression, and spiritual well-being were assessed using the Hamilton Anxiety Rating Scale (HARS), Beck Depression Inventory-II (BDI-II), and Spiritual Well-Being Scale (SWBS). Clinical outcomes included blood pressure, pulse rate, respiratory rate, sleep quality, and treatment adherence. Data were analyzed using paired t-tests (p < 0.05). Following the intervention, anxiety scores decreased from 28.91 ± 5.84 to 18.77 ± 4.96 (p < 0.001; d = 1.74), while depression scores declined from 22.45 ± 6.18 to 14.36 ± 5.21 (p < 0.001; d = 1.39). Spiritual well-being improved, with spiritual calmness increasing from 38.6% to 84.1% and confidence in coping with illness from 43.2% to 79.5%. Clinical indicators also improved, including blood pressure (152.6 ± 14.8 to 139.4 ± 12.7 mmHg), pulse rate (96.2 ± 10.5 to 84.7 ± 8.9 beats/minute).
NURSE-LED PREDICTIVE PERFORMANCE OF INTEGRATED PEWS–TRIAGE SYSTEMS IN PEDIATRIC EMERGENCY DETECTION Citra Suraya; Aris Citra Wisuda; Rinda Suciarti
Journal Of Nursing Science Research Vol. 3 No. 1 (2026): Journal of Nursing Science Research
Publisher : Institut Citra Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33862/6x214241

Abstract

Delayed detection of pediatric emergencies in emergency departments may increase the risk of clinical deterioration, intensive care admission, and mortality. The integration of the Pediatric Early Warning Score (PEWS) with nursing-based triage systems has emerged as a strategic approach to improve the accuracy of identifying emergency conditions in children. This study aimed to analyze the predictive performance of Nurse-Led Integrated PEWS–Triage Systems in detecting pediatric emergency conditions. A prospective analytical observational design was conducted at RS Islam Siti Khadijah Palembang from January to March 2026. A total of 48 pediatric patients were recruited using consecutive sampling. Data were collected through direct nurse observation during triage assessment using the Integrated PEWS–Triage instrument, including respiratory, cardiovascular, neurological, and triage category parameters.  Instrument validity was tested using Pearson Product Moment correlation (r > 0.361), and reliability showed a Cronbach’s alpha of 0.87.Data were analyzed using sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV), and Receiver Operating Characteristic (ROC) analyses. The findings revealed that the Nurse-Led Integrated PEWS–Triage Systems demonstrated a sensitivity of 85.0%, specificity of 78.6%, PPV of 73.9%, NPV of 88.5%, and an Area Under the Curve (AUC) ROC value of 0.87, indicating good predictive performance in detecting pediatric clinical deterioration. However, the relatively small sample size represents a study limitation and the findings should therefore be interpreted cautiously. Nurse-Led Integrated PEWS–Triage Systems have the potential to serve as effective early detection tools to support clinical decision-making and optimize pediatric emergency nursing response.  
COMPARATIVE STUDY OF EFFLEURAGE AND PETRISSAGE MASSAGE ON HEADACHE INTENSITY IN HYPERTENSION Risdayanti Raharjeng; Aris Citra Wisuda; Raden Surahmat; Mujahidin; Citra Suraya
Journal Of Nursing Science Research Vol. 3 No. 1 (2026): Journal of Nursing Science Research
Publisher : Institut Citra Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33862/gazxm502

Abstract

Hypertension is frequently accompanied by headache symptoms that may reduce patient comfort and quality of life. Massage therapy is one of the non-pharmacological interventions used to reduce headache intensity in patients with hypertension. This study aimed to analyze the comparative effectiveness of effleurage and petrissage massage techniques on headache intensity among hypertensive patients at Sumaja Makmur Primary Health Center in 2026. This study employed a quasi-experimental design with a pretest–posttest two-group approach. A total of 170 respondents were selected using purposive sampling and divided into an effleurage group (n=85) and a petrissage group (n=85). Headache intensity was measured using the Numeric Rating Scale (NRS) before intervention and 15 minutes after the massage intervention. Data were analyzed using Wilcoxon and Mann–Whitney tests with a significance level of p<0.05. The results showed significant reductions in headache intensity in both groups after intervention (p=0.000). The effleurage group demonstrated greater reductions in headache scores compared with the petrissage group. Comparative analysis also indicated significant differences in effectiveness between the two massage techniques in reducing headache intensity among hypertensive patients (p<0.05). Effleurage and petrissage massage techniques were effective complementary nursing interventions for reducing headache intensity among patients with hypertension. Effleurage massage tended to produce greater reductions in headache intensity compared with petrissage massage.
COMPARATIVE EFFECTIVENESS OF SEFT AND PMR ON SLEEP QUALITY AMONG PRE-ELDERLY PATIENTS WITH HYPERTENSION Sofiani; Yofa Anggriani Utama; Aris Citra Wisuda; Raden Surahmat; Citra Suraya; Risdayanti Raharjeng
Journal Of Nursing Science Research Vol. 3 No. 1 (2026): Journal of Nursing Science Research
Publisher : Institut Citra Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33862/5ddznh06

Abstract

Hypertension remains one of the major global public health problems and is frequently associated with sleep disturbances that negatively affect quality of life and cardiovascular health. Poor sleep quality among hypertensive patients is closely related to increased sympathetic nervous system activity, psychological stress, and impaired physiological relaxation mechanisms. Non-pharmacological interventions such as Spiritual Emotional Freedom Technique (SEFT) and Progressive Muscle Relaxation (PMR) have increasingly been used to improve relaxation and sleep quality among patients with hypertension. This study aimed to analyze the comparative effectiveness of SEFT and PMR interventions on sleep quality among pre-elderly patients with hypertension at Makarti Mulya Primary Health Center, Ogan Komering Ilir. This study employed a quasi-experimental design using a pretest–posttest two-group approach. A total of 56 respondents were selected using purposive sampling and divided into the SEFT group (n=28) and PMR group (n=28). Sleep quality was measured using the Pittsburgh Sleep Quality Index (PSQI) before and after intervention. Data were analyzed using Wilcoxon and Mann–Whitney tests with a significance level of p<0.05. The results demonstrated significant improvements in sleep quality in both groups. In the PMR group, good sleep quality increased from 35.7% to 71.4% (p=0.002), while in the SEFT group it increased from 25% to 78.6% (p=0.000). Mann–Whitney analysis showed no significant difference in effectiveness between SEFT and PMR interventions (p=0.541). In conclusion, both SEFT and PMR effectively improved sleep quality among pre-elderly patients with hypertension safely and non-pharmacologically

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