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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 15 Documents
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Search results for , issue "Vol. 8 No. 7 (2025): Volume 8 Number 7" : 15 Documents clear
Factors influencing nurses’ readiness in natural disaster emergency response Fibriyanti, Efi; Madyaningrum, Ema; Alim, Syahirul
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 7 (2025): Volume 8 Number 7
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i7.947

Abstract

Background: The response phase is crucial in a disaster, nurses at community health center play a strategic role in disaster response phase preparedness; however, the factors that influence the level of nurse preparedness in the disaster response phase have not been widely studied. Purpose: To identify factors contributing to nurse preparedness during the disaster response phase. Method: A quantitative multicenter study using a cross-sectional design was conducted involving nurses from 27 primary healthcare centers located in disaster-prone regions. Convenience sampling was used to recruit 225 nurses, with data collection taking place between February and March 2023. Instruments included a demographic questionnaire and the Emergency Preparedness Information Questionnaire (EPIQ). Data were analyzed using multivariate logistic regression. Results: A total of 50.9% of nurses had low preparedness. Factors associated with preparedness in the response phase include education level (p=0.002), years of service (p=0.049), training (p=0.001), and disaster experience of serving in disaster (p=0.001). The logistic regression analysis identified the dominant factors in increasing preparedness, which include disaster training (20.6%), professional education level (5.16%), 11-20 years of service (1.39%), male gender (1.34%), and experience of serving in disaster (1.16%). Nurses who have received disaster training have higher preparedness compared to those with BTCLS and BLS training. This predictor is identified to improve response phase preparedness. Nurses can be given disaster training to improve preparedness. Conclusion: The average level of nurse preparedness was categorized as low. The most dominant factor influencing nurse preparedness in the natural disaster response phase was disaster training.
Silent threat in early pregnancy: A case of spontaneous heterotopic pregnancy with tubal rupture Oktama, Nizan Dani; Fakhrizal, Edy
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 7 (2025): Volume 8 Number 7
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i7.968

Abstract

Background: Heterotopic pregnancy (HP) is a rare but potentially life-threatening condition characterized by the coexistence of intrauterine and extrauterine pregnancies. While its incidence in natural conception is estimated at 1 in 30,000 cases, the risk increases considerably with the use of assisted reproductive technologies. Because its symptoms often mimic those of ectopic pregnancy, HP remains a diagnostic challenge, particularly in patients without recognized risk factors. Purpose: To highlight the silent yet serious threat of spontaneous heterotopic pregnancy in early gestation, illustrated by a case of tubal rupture in a natural conception. Method: A descriptive case report of a 43-year-old multigravida woman who presented at 7 weeks of gestation with sudden lower abdominal pain and clinical features of intra-abdominal hemorrhage. Diagnostic evaluation included ultrasonography and laboratory investigations, followed by an emergency laparotomy. Results: Ultrasound imaging revealed two intrauterine gestational sacs along with free fluid in the pouch of Douglas. Laboratory tests indicated anemia (hemoglobin 8.1 g/dL) and marked leukocytosis. Emergency laparotomy confirmed a ruptured right fallopian tube with massive intraperitoneal bleeding. The patient underwent right salpingectomy, left tubectomy, and intrauterine curettage at her request. Her postoperative recovery was uneventful, and she was discharged in good condition after two days. Conclusion: This case underscores the diagnostic difficulty of heterotopic pregnancy in spontaneous conceptions. The presence of an intrauterine pregnancy may create false reassurance, masking a concurrent ectopic gestation. Clinicians should consider HP in the differential diagnosis of any reproductive-aged woman with abdominal pain, regardless of conception method, to prevent life-threatening maternal complications.
Autonomy in cardiac patients: A concept analysis Ardani, Madia Yuni; Awaludin, Sidik
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 7 (2025): Volume 8 Number 7
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i7.971

Abstract

Background: Autonomy is a crucial aspect of cardiac patient care, which involves complex medical decisions and necessitates the patient's active participation. The appropriate application of the principles of autonomy can enhance the quality of care and patient satisfaction in managing chronic heart disease. Purpose: To refine the concept of autonomy, analyze it in depth, and formulate an operational definition. Methods: The analysis approach is based on the Avant concept, which was obtained from online databases namely Science Direct, PubMed, and Google Scholar using keywords “Autonomy Concept” AND “Heart”. Results: The concept analysis identified key attributes, including independent decision-making, independence, freedom, and the ability to think logically. Conclusion: The analysis reveals that the independence of heart patients is influenced by their understanding of their health status, the role of their family, and the role of medical personnel in providing accurate and precise information.
Investigating the causes of occupational diseases among fishermen Rahmawati, Eka Muftiana; Roga, Anderias Umbu; Ruliati, Luh Putu; Bale, Jefri; Berek, Noorce Christiani
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 7 (2025): Volume 8 Number 7
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i7.973

Abstract

Background: The informal sector, characterized by its lack of structure, formality, and legal recognition, often receives inadequate attention regarding occupational health. In Indonesia, over 60% of the population resides in coastal areas, with the majority working as fishermen. Due to the inherently high-risk nature of fishing at sea, fishermen are frequently exposed to unpredictable ocean conditions, making them susceptible to various work-related health issues, including musculoskeletal disorders, dermatitis, keratopathy, and barotrauma. Purpose: To investigate the factors linked to the occurrence of occupational diseases among fishermen. Method: A descriptive correlational, specially focusing on cross-sectional method. The study took place in December 2024 in Kupang City. The independent variable was knowledge, duration of work, unsafe behaviors, and unsafe working conditions. The dependent variable included the incidence of occupational diseases. Using random sampling and Lameshow formula 89 respondents were selected who meet specific inclusion and exclusion criteria. The analysis proceeded with a univariate test to determine the frequency distribution of respondent’s characteristics, followed by bivariate analysis using chi-square test. Results: The study found significant associations between length of work and occupational diseases (p = 0.011), and between behavior and occupational diseases (p = 0.001), while knowledge and environmental conditions showed no significant effects. Conclusion: Occupational diseases result from multifactorial determinants, including exposure duration, behavior, and environmental conditions. For informal workers such as fishermen, government involvement in risk management and safety governance is essential. Preventive measures should focus on skill development, occupational safety culture, proper use of protective equipment, health education, and access to health insurance.
Management of pregnancy-associated breast cancer: A case series and review of multidisciplinary treatment approaches Fadilla, Fania Pancar; Febriani, Febriani
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 7 (2025): Volume 8 Number 7
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i7.976

Abstract

Background: Pregnancy-associated breast cancer (PABC) refers to breast cancer identified either during gestation or within the first year following childbirth. Managing PABC presents distinct clinical complexities, as it necessitates a careful balance between effective maternal therapy and ensuring fetal safety. Purpose: This case series seeks to detail the clinical characteristics, diagnostic procedures, and treatment approaches utilized in managing PABC. Method: We report multiple cases involving pregnant women diagnosed with breast cancer at different stages of gestation. Information was gathered regarding clinical presentation, gestational age at diagnosis, types and timing of treatment interventions (such as surgery and chemotherapy), as well as maternal and fetal outcomes. Results: The cases underscore the critical role of early detection and a multidisciplinary team approach. Treatment strategies were tailored according to gestational age and cancer stage. Chemotherapy was generally administered without significant complications during the second and third trimesters, and surgical procedures were planned to prioritize both maternal and fetal health. Conclusion: Effective management of PABC demands close coordination between oncology and obstetrics teams. With appropriate planning and individualized care, it is possible to treat breast cancer during pregnancy without substantially endangering fetal health.
Implementation of village fund allocation in reducing stunting in children Noviyanti, Rini; Abdullah, Asnawi; Ali, Marlizar
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 7 (2025): Volume 8 Number 7
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i7.982

Abstract

Background: The effective allocation of village funds has become a strategic approach to addressing stunting in rural communities. By investing in health, nutrition, sanitation, and educational programs, villages aim to improve maternal and child health outcomes, increase community awareness, and reduce the prevalence of stunting among children. Purpose: To analyze the implementation of village fund allocation in reducing stunting rates Method: A descriptive qualitative approach, specifically focusing on exploratory study. The study took place December 2024 - January 2025, in Peudada District, Aceh. Using total sampling 2 participants were selected, contributor informant inquired head of the stunting locus and head stunting reduction acceleration team. Data collection was carried out using in-depth interviews. The data were analysed using thematic analysis technique. Results: Village Funds have been instrumental in reducing stunting through programs targeting sanitation, supplementary food (PMT), Posyandu activities, direct cash assistance (BLT), and early childhood education (PAUD). Monitoring and evaluation by cadres and village midwives through home visits have improved children’s nutritional status and access to sanitation. Village cadres and officials, supported by the Stunting Committee (Komting), coordinate planning, budgeting, supervision, and community collaboration. Despite challenges such as budget constraints, uneven facility access, and low participation, strengthening coordination, diversifying programs, and applying innovative education methods are essential for sustainable stunting reduction, emphasizing the synergy between health and education sectors. Conclusion: Village officials contribute through budget planning, supervising cadres, and forming stunting committees to increase participation. Programs such as supplementary feeding, sanitation improvements, house rehabilitation, and PAUD have effectively reduced stunting and improved community quality of life.
Effectiveness cognitive behavioral therapy in reducing psychological stress and increasing medication compliance in pulmonary tuberculosis patients: A systematic review Matanari, Tety Nikasia; Rekawati, Etty; Nursasi, Astuti Yuni; Permatasari, Henny
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 7 (2025): Volume 8 Number 7
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i7.989

Abstract

Background: Tuberculosis not only affects the physical condition of sufferers but also causes psychological problems such as anxiety and depression in tuberculosis patients. These psychological disorders will have an impact on treatment that is still undergoing treatment. The efforts that can be given are non-pharmacological therapy, namely Cognitive Behavioral Therapy (CBT), this therapy is carried out by changing the wrong way of thinking about the disease experienced by the patient. Purpose: To determine the effectiveness of Cognitive Behavioral Therapy (CBT) in reducing psychological stress and increasing medication compliance in pulmonary tuberculosis patients. Method: A systematic review with article selection guided by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. The systematic review process begins with the formulation of clinical questions relevant to the topic. Before this, the authors establish PICOS criteria, which stand for: P (problem, patient, or population), I (intervention, prognostic factor, or exposure), C (comparison or control), O (outcome), and S (study design). For this article, P: Patients diagnosed with pulmonary tuberculosis who experience psychological stress, I: Cognitive Behavioral Therapy (CBT), C: Standard care or conventional treatment without CBT, O: Reduction in psychological stress (levels of stress, anxiety, or depression), S: Randomized Controlled Trials. The article search was conducted systematically using the keywords: "Tuberculosis" AND "Cognitive Behavioral Therapy” AND “Cognitive Therapy” AND “Medication Adherence” AND “Medication Compliance” AND “Psychological“AND “Depression” AND “Anxiety”. Results: This study shows that Cognitive Behavioral Therapy (CBT) is effective in reducing psychological stress and increasing medication compliance in pulmonary tuberculosis patients. Conclusion: CBT is effective in increasing medication adherence in pulmonary tuberculosis patients.
Refractory hyperglycemia in a geriatric patient with diabetic ketoacidosis: A critical care nursing case report Pranata, Yodha; Winara, Winara; Rizkianti, Intan; Maryam, Nina; Prawesti, Ayu
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 7 (2025): Volume 8 Number 7
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i7.1005

Abstract

Background: Refractory hyperglycemia in diabetic ketoacidosis (DKA) presents a critical challenge in geriatric patients due to multifactorial physiological and clinical complexities. Early recognition and integrated management are essential, with critical care nursing as a pivotal component. Purpose: This case report aims to describe and analyze the multifactorial causes of refractory hyperglycemia in a geriatric DKA patient, highlighting the importance of early detection, comprehensive correction, and collaborative nursing roles. Method: A descriptive analytic approach was employed to examine the clinical course of a 75-year-old woman with DKA and persistent hyperglycemia. Data were collected from direct patient observation, systematic physical examinations, laboratory assessments, imaging, and multidisciplinary clinical records. Daily therapeutic interventions and patient responses were meticulously documented. Results: Persistent hyperglycemia resulted from several interacting factors: the impact of glucocorticoids on glycemic control, effects of severe pulmonary infection on insulin resistance, the role of electrolyte disturbances in exacerbating hyperglycemia, the relationship between heart failure and diuretic use, the impact of malnutrition and sarcopenia on insulin resistance, and the need for an integrated therapeutic approach. Each factor contributed to increased insulin resistance and complicated glycemic control. Conclusion: Optimal management of refractory hyperglycemia in elderly DKA patients requires early identification and simultaneous correction of underlying factors, supported by intensive critical care nursing and multidisciplinary collaboration.
Enhancing patient safety outcomes through SBAR communication: A systematic review Kosim, Nanang; Saimi, Saimi
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 7 (2025): Volume 8 Number 7
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i7.1046

Abstract

Background: SBAR (Situation, Background, Assessment, Recommendation) is a structured communication framework designed to facilitate the logical and efficient transfer of information among healthcare professionals. This method supports the identification, assessment, and management of patient risks. Ineffective communication is a leading contributor to patient safety incidents; therefore, implementing structured communication like SBAR is essential for enhancing the quality and safety of healthcare delivery. Purpose: To explore and analyze the impact of SBAR communication on improving the effectiveness of patient safety within healthcare settings. Method: A systematic review approach in accordance with the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines. A thorough search was conducted across multiple scholarly databases—Scopus, PubMed, ScienceDirect, and Google Scholar—using the keywords: "SBAR AND communication AND healthcare AND facilities." Results: The implementation of SBAR enhances healthcare workers’ communication competencies, fosters a safer and more reassuring environment for patients, and contributes positively to the overall quality of care. Conclusion: SBAR is a communication tool that promotes timely, accurate, complete, and clear information exchange, thereby supporting the effectiveness of patient safety practices in healthcare services.
Analysis of factors contributing to low vaccination coverage among school-aged children Dewi, Silviani; Mustopa, Mustopa; Husna, Elfira; Asra, Fauzi; Fatria, Erian; Fahmi, Asrul; Nursanti, Irna
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 7 (2025): Volume 8 Number 7
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i7.1050

Abstract

Background: The School-Age Children Immunization Month program is an annual national vaccination initiative targeting school-aged children in Indonesia. However, a decline in vaccination coverage has been observed in recent years, influenced by both internal and external factors. Key contributing variables include maternal knowledge, maternal attitudes, cultural beliefs, and the roles of healthcare workers, teachers, and parents. Purpose: To analyze the factors most significantly associated with low vaccination coverage among elementary school children. Method: A quantitative, cross-sectional design was employed. A total of 142 respondents—mothers of elementary school students in grades 1, 2, and 5—were selected using simple random sampling. Data were collected using a structured questionnaire. Statistical analyses included univariate analysis, bivariate analysis using the chi-square test, and multivariate analysis using logistic regression. Results: Five variables met the criteria for inclusion in the multivariate analysis (p < .25): maternal knowledge, maternal attitude, cultural beliefs, the role of healthcare workers, and the role of parents. Logistic regression analysis identified the parental role as the most significant predictor of vaccination coverage (p = .000; OR = 2.234), indicating that children were more than twice as likely to be vaccinated when parental involvement was strong. Conclusion: Parental involvement emerged as the most influential factor affecting vaccination uptake among elementary school children. Strengthening parental support and engagement is crucial to improving vaccination coverage in school-based programs.

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