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Malahayati International Journal of Nursing and Health Science
Published by Universitas Malahayati
ISSN : 26209152     EISSN : 26214083     DOI : https://doi.org/10.33024/minh.v7i10
Core Subject : Health,
Health Professions Nursing Public Health
Malahayati International Journal of Nursing and Health Science is a peer-reviewed journal and provides a platform to publish areas of nursing and health science. The journal also seeks to advance the quality of research by publishing papers introducing or elaborating on new methods in nursing and health science, subject areas for publication include nursing and health science core
Arjuna Subject : Keperawatan - Keperawatan (Lain-Lain)
Articles 11 Documents
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Search results for , issue "Vol. 8 No. 12 (2026): Volume 8 Number 12" : 11 Documents clear
Nursing leadership training: A scoping review Yanthi, Kadek Ayu Purnama; Eka, Ni Gusti Ayu; Manalu, Enjelika Putri; Paiuk, Erica Dorelia; Sinurat, Kyela Friska Br
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 12 (2026): Volume 8 Number 12
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i12.1630

Abstract

Background: Nursing leadership training is essential for preparing nurses to lead teams, make strategic decisions, and adapt to rapidly evolving healthcare environments. Despite its critical role, the effectiveness of leadership programs is often undermined by various challenges, including limited institutional support, high workload demands, resource constraints, and cultural or psychological barriers. These issues can impact program outcomes and the long-term development of nursing leadership capacity. Purpose: To explore the design and implementation challenges of nursing leadership training programs. Method: This scoping review followed the Joanna Briggs Institute (JBI) guideline. Searching was conducted using three databases including Medline (Ebsco), ScienceDirect (Elsevier), and PubMed. Inclusion and exclusion criteria guided study selection. Data from 14 peer-reviewed articles published between 2021 and 2024 were extracted and synthesized using content analysis and descriptive statistics. Results: Four major themes were identified organizational barriers, individual barriers, non-interventional programs, and interventional programs each with sub-themes. Effective leadership interventions have emerged across several forms: mentorship, simulation, empowerment programs, and structured curricula. Conclusion: Nursing leadership training must shift from conceptual frameworks to evidence-based, context-specific interventions. Strengthening organizational infrastructure, promoting inclusivity, and enhancing program clarity and evaluation are critical for building effective, scalable, and sustainable leadership pathways in nursing.
Lifestyle interventions for blood pressure reduction and hypertension prevention in adolescents: A systematic review Siregar, Hasbunsyah; Permatasari, Henny; Nursasi, Astuti Yuni
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 12 (2026): Volume 8 Number 12
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i12.1686

Abstract

Background: Hypertension in adolescents is an emerging public health concern, often linked to poor lifestyle habits formed early in life. Lifestyle interventions have been recommended as first-line, non-pharmacological strategies for blood pressure control and hypertension prevention. Purpose: To evaluate the effectiveness of lifestyle interventions in reducing blood pressure and preventing hypertension among adolescents. Method: A systematic literature review was conducted on June 30, 2025, using the PICO framework. Databases searched included PubMed, Sage Journals, ScienceDirect, and Google Scholar. Keywords included Lifestyle Interventions, Hypertension, and Adolescents. Inclusion criteria were original studies (RCTs, cohort, quasi-experimental) focusing on adolescents with lifestyle-based interventions. Articles in English or Indonesian were included if full-text was available and outcomes reported changes in blood pressure, BMI, or lifestyle practices. Results: The reviewed studies consistently demonstrated that lifestyle interventions such as increased physical activity, dietary modification, and health education effectively reduced both systolic and diastolic blood pressure. Several interventions also resulted in improved BMI, physical fitness, and healthier lifestyle practices.  Multicomponent and early interventions, particularly those implemented in schools and supported by family or community involvement, showed the most promising results. However, some adolescents with severe obesity or resistant hypertension may require complementary medical treatment. Conclusion: Lifestyle interventions are effective, scalable, and evidence-based strategies for lowering blood pressure and preventing hypertension in adolescents. These findings support their integration into public health initiatives aimed at reducing long-term cardiovascular risk from an early age.
Intervention strategies to improve adherence to the five pillars of diabetes management among patients with type 2 diabetes mellitus: A literature review Megawati, Putu Vera; Agustini, Ni Luh Putu Inca Buntari; Megayanti, Sri Dewi; Sari, Ni Made Candr Citra
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 12 (2026): Volume 8 Number 12
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i12.1690

Abstract

Background: Diabetes mellitus is a metabolic disease that is a global problem, with the number of sufferers increasing annually. Adherence to the five pillars of diabetes management is the cornerstone of preventing and reducing morbidity and mortality from diabetes. Purpose: To analyze how to improve adherence in type 2 diabetes patients in implementing the five pillars of diabetes management. Method: The research method used a literature review approach to map and identify interventions for implementing the 5 pillars of diabetes management. Results: The study found 20 articles describing interventions for people with diabetes mellitus through educational and informational delivery mechanisms. The types of interventions included: mobile phone application interventions, physical exercise interventions, audiovisual interventions, flipchart interventions, and peer leader interventions. Conclusion: Five types of interventions improve adherence in patients with type II diabetes mellitus to implementing the 5 pillars of diabetes management.
Successful resolution of a tuberculous bronchopleural fistula presenting as recurrent pneumothorax in an atypical host: A case report Aristia, Lintang Briliana; Subianto, Aries
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 12 (2026): Volume 8 Number 12
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i12.1750

Abstract

Background: Secondary spontaneous pneumothorax (SSP) occurs in approximately 1-1.5% active tuberculosis (TB) cases, frequently progressing to a bronchopleural fistula (BPF) with a 2.89-fold increased risk. TB remains the primary etiology of SSP in high-burden regions like Indonesia, causing 46.15% of cases. Purpose: To describe the clinical presentation, diagnostic challenges, and successful multimodal management of a tuberculous bronchopleural fistula presenting as recurrent pneumothorax in an atypical host. Method: This descriptive analytic research used a case study approach involving a 43-year-old man patient with left-sided Secondary Spontaneous Pneumothorax attributed to underlying pulmonary tuberculosis at the Achmad Yani Surabaya Islamic Hospital. Data were collected through interviews, observation, physical examinations, medical records, and diagnostic documentation, using a head-to-toe assessment format. Data analysis was conducted concurrently with data collection, comparing findings with existing theories to support discussion and intervention recommendations. The analysis was narrative and observational, aiming to interpret the patient’s condition in relation to theoretical knowledge. Results: This case uniquely highlights tuberculous SSP in an immunocompetent host, underscoring the critical need for a high index of suspicion for TB, even without classic constitutional symptoms. Conservative therapy became innefective due to a persistent air leak which strongly indicated a BPF, a recognized complication in 69.2% of similar cases. This finding justified escalation to surgical management, aligning with international guidelines. The integrated multimodal management strategy proved crucial for a successful outcome. Conclusion: Active TB must be considered a primary differential diagnosis for SSP in endemic settings, regardless of typical clinical presentation. A persistent BPF demands definitive surgical intervention. The combination approach of ATT followed by VATS wedge resection and pleurodesis represents a highly effective and conclusive management strategy for these challenging cases.
The impact of digital interventions on stress levels in caregiver of people with mental disorders: A systematic literature review Utami, Ima Safitri Puji; Yusuf, Ahmad; Tristiana, Rr Dian
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 12 (2026): Volume 8 Number 12
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i12.1784

Abstract

Background: Informal caregivers of people with mental disorders (ODGJ) often experience complex and multidimensional burdens, including psychological stress, emotional exhaustion, and limited access to professional support. With technological advances, digital interventions have begun to be utilized as an innovative approach to alleviate caregiver burden. However, evidence regarding the effectiveness and characteristics of these interventions remains scattered and has not been systematically analyzed. Purpose: To systematically review and analyze the effectiveness and characteristics of digital interventions in alleviating the psychological burden of informal caregivers of people with mental disorders Method: A systematic review using PRISMA guidelines. Articles were searched using three databases: PubMed, ScienceDirect, and Scopus. A total of 332,609 articles were identified (PubMed n = 27,118; ScienceDirect n = 305,460; Scopus n = 31), then selected based on inclusion and exclusion criteria. The variables analyzed were digital interventions (web, mobile, or a combination) and caregiver psychological outcomes (stress, anxiety, and depression levels). The research instrument used the PICO framework. The analysis was conducted using thematic qualitative methods. Each article was assessed using the JBI critical appraisal tools. Results: Twelve articles met the inclusion criteria and were of good methodological quality. Results indicated that most digital interventions—whether mobile app-based, web-based, or telehealth-based—were effective in reducing caregiver stress, improving mental well-being, and enhancing caregiving skills. Technology-based interventions were generally well-received and considered practical and flexible, although not all were proven superior to traditional approaches. Conclusion: Digital interventions have a positive impact on caregivers of patients with mental illness in terms of psychological aspects and caregiving competency. Policy support and integration of digital services into the mental health system are important recommendations for the future.
The influence of service quality, physician communication, and patient trust on outpatient satisfaction in hospitals Kingwijati, Syahriza Naufal; Sharma, Jessica; Poernomo, Sinta; Bhoki, Florida
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 12 (2026): Volume 8 Number 12
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i12.1896

Abstract

Background: Patient satisfaction is a key indicator of hospital service quality and is influenced by service quality, doctor–patient communication, and patient trust, particularly in outpatient care. Purpose: To analyze the effects of service quality, doctor communication, and patient trust on outpatient satisfaction based on patients' experiences in hospitals. Method: Quantitative cross-sectional study involved 182 participants who had used outpatient services and were asked to rate one hospital they had previously visited. Data were collected using a Likert-scale questionnaire measuring service quality, doctor communication, patient trust, and patient satisfaction, and were analyzed using Partial Least Squares–Structural Equation Modeling (PLS-SEM) with SmartPLS 4.1 through evaluation of the measurement and structural models. Results: The model yielded an R² of 0.711 for patient satisfaction, a Q² of 0.449, and a Goodness of Fit of 0.679. Service quality (β=0.458; p<0.001), doctor communication (β=0.304; p=0.001), and patient trust (β=0.175; p=0.039) had positive and statistically significant effects on patient satisfaction, with service quality being the most dominant predictor. Conclusion: These findings highlight the importance of improving service quality, strengthening doctor, patient communication, and fostering patient trust to enhance patient satisfaction.
Recognizing Poland syndrome at birth: Chest wall and hand manifestations Kasminata, Laysa; Sihotang, Jojor
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 12 (2026): Volume 8 Number 12
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i12.1943

Abstract

Background: Poland syndrome is a rare congenital anomaly defined by unilateral agenesis or hypoplasia of the sternocostal head of the pectoralis major, with possible involvement of the pectoralis minor and variable ipsilateral chest wall and upper-limb abnormalities, including syndactyly. The presentation is typically unilateral, more often affecting the right hemithorax, while bilateral involvement is uncommon. Purpose: To report a neonatal case of Poland syndrome and describe the clinical manifestations and early management to support timely intervention and appropriate care planning. Method: A case study was conducted at Dumai Hospital involving a preterm neonate delivered to a 27-year-old woman (G2P1A0) at 27 weeks of gestation who presented with uterine contractions and stable vital signs. Prenatal ultrasonography was performed prior to delivery. After birth, the neonate underwent a structured physical examination focusing on the chest wall and upper extremities to identify congenital anomalies, followed by initial stabilization and referral based on clinical findings. Results: The patient was a female preterm neonate with findings consistent with Poland syndrome, including unilateral absence of the pectoralis major and pectoralis minor on the affected side and ipsilateral hand syndactyly. The infant was referred to the perinatology unit for ongoing monitoring and multidisciplinary management, while the mother received routine postpartum care according to hospital protocol. Conclusion: Poland syndrome may be recognizable at birth through unilateral thoracic muscle absence with ipsilateral limb anomalies, requiring careful newborn examination and early coordinated care.
Subcutaneous endometriosis associated with adenomyosis: A complex multidisciplinary surgical case Wulandari, Riza; Saputra, Nicko Pisceski Kusika; Lubis, Munawar Adhar
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 12 (2026): Volume 8 Number 12
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i12.1944

Abstract

Background: Abdominal wall endometriosis is an uncommon extrapelvic form of endometriosis, most often developing at a previous gynecologic surgical scar. Patients typically report cyclical pain with or without a palpable mass, and diagnosis is frequently delayed because the presentation can mimic hernia, granuloma, lipoma, or desmoid tumor. Purpose: To describe the clinical presentation, imaging findings, perioperative optimization, surgical management, and histopathological confirmation of abdominal wall endometriosis coexisting with adenomyosis in a patient with significant medical comorbidities. Method: A case report was performed in a 45-year-old multiparous woman with a five-year history of progressive lower abdominal pain that worsened during menstruation and localized to a prior surgical scar. Pelvic ultrasonography identified adenomyosis and a 6.9 × 3.9 cm hypoechoic lesion in the anterior abdominal wall, raising suspicion of subcutaneous endometriosis. Results: Surgical exploration showed a lesion extending through the subcutaneous tissue and fascia, with focal involvement of the rectus muscle. Complete excision was achieved after preoperative optimization, and the postoperative course was uneventful. Histopathological examination of two specimens (9 × 6 × 4 cm and 5 × 2 × 1 cm) demonstrated fibrocollagenous tissue, adipose tissue, and skeletal muscle infiltrated by endometrial glands, confirming abdominal wall endometriosis. Conclusion: Abdominal wall endometriosis should be considered in women presenting with cyclical pain at a surgical scar. Imaging supports assessment of lesion extent and surgical planning, while histopathology remains essential to confirm the diagnosis and to exclude rare malignant transformation.
Nurses’ experiences of learning tasks in career development: A phenomenological study Kabak, Edison
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 12 (2026): Volume 8 Number 12
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i12.1991

Abstract

Background: Learning assignments are an important strategy in increasing the capacity and career path of nurses, but this process often leads to role changes, academic pressures, and professional identity dynamics that are not fully understood. Purpose: To examine the meaning of the experience of nurses undergoing learning tasks in career development. Method: A phenomenological approach by involving twelve nurses who had completed a learning task. Data was collected through in-depth interviews and thematically analyzed to uncover consistent patterns of experiences among participants. Results: Five themes emerged: competency and career development through learning tasks, institutional and mentor support, emotional responses to academic pressure and dual roles, evolving professional values and identity, and work–family–study balance challenges. Overall, learning tasks support both technical growth and reflective professional maturity. Conclusion: Assignments are transformative experiences that provide career development opportunities, but require policy support and ongoing mentoring for nurses to be able to go through this process optimally.
The effect of progressive muscle relaxation on the psychological burden of caregivers of patients with diabetes mellitus Khasanah, Uswatun; Putri, Yossie Susanti Eka; Mustikasari, Mustikasari; Susanti, Herni
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 12 (2026): Volume 8 Number 12
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i12.1993

Abstract

Background: Type 2 Diabetes Mellitus (DM) is a chronic disease that not only affects patients but also places a significant psychological burden on their families as caregivers. This burden can take the form of stress, anxiety, depression, physical exhaustion, and decreased quality of life. Purpose: To determine the Progressive Muscle Relaxation (PMR) technique in reducing the psychological burden on caregivers of patients with DM type 2. Method: A descriptive qualitative approach, specifically focusing on exploratory study. The study took place April 2025, in Batutulis, Bogor. Using total sampling 2 participants were selected, contributor informant inquired Mr. W as caregiver and Mrs. U patients with diabetes mellitus type 2. Data collection in this study was done through triangulation, which combines several data sources, methods, and theories to increase the validity of the results. For data collection, it was conducted using indepth interviews were conducted with open-ended questions with questionnaire. The data were analysed using thematic analysis technique to identify important information and understand the core meaning of each data. Results: There was a decrease in psychological burden after the PMR intervention, as evidenced by a decrease in family questionnaire scores. Data collection was conducted through interviews, observation, and documentation. Conclusion: Progressive Muscle Relaxation has been shown to reduce the psychological burden on caregivers of patients with chronic illnesses, including diabetes. This intervention can be used as a supporting strategy for community nursing services to improve caregiver mental well-being.

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