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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 180 Documents
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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.
Family support with self-care management in hypertension patients: A correlation study Hikayati, Hikayati; Maulida, Mutia Nadra; Listari, Vike
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.v8i7.1053

Abstract

Background: Self-care management can be very helpful in reducing the risk of hypertension complications, but the fact is that there are still many people with hypertension who are currently unable to do self-care management. Many patients are not routine in controlling blood pressure, do not take medication regularly, and do not apply a healthy lifestyle. One of the success factors of hypertension self-care management is family support. Purpose: to determine the relationship between family support and self-care management in patients with hypertension. Method: This type of research is quantitative research with a cross sectional design. The sample in this study amounted to 60 respondents who were selected using the nonprobability sampling method with purposive sampling techniques. The data was tested using the spearman rank correlation statistical test. Results: The results of the study found that there was a significant relationship between family support and self-care management in patients with hypertension in the working area of the Kenten Health Center Palembang City with a p-value of 0.000 (p-value < 0.05). The correlation coefficient between family support and self-care management is 0.459 (quite strong). Conclusion: Family support significantly influences sufferers in improving self-care management to maintain their health status.
Home care services for elderly patients with chronic diseases: A narrative literature review Haidar, Muhammad; Chayati, Nur
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.v8i7.1144

Abstract

Background: Comprehensive and continuous health services are provided to individuals and families in their place of residence to improve, maintain, or restore health, increase independence, and minimize the impact of disease. In Indonesia, the number of elderly people is increasing. Health services for older people should be a priority, along with the increasing number of elderly people. In terms of health services, older people need help. In addition, the elderly are more susceptible to various diseases, including degenerative and chronic diseases. Purpose: To determine the description of home health services for elderly patients with chronic diseases. Method: This study searched the following bibliographic databases to identify potentially relevant documents: Scien Direct, Pubmed, and MDPI publications in 2020-2024. Findings from the studies were extracted and compiled, guided by the Joanna Briggs Institute (JBI). Literature review using the Scien Direct, Pubmed, and MDPI databases. Keywords: "Home Care, Home Care Service and Home Care Nursing". A total of 1,176 articles were obtained. The final result obtained six articles that met the review requirements Results: The results of the study show that home health services use more technology to help the elderly who are experiencing chronic diseases. Home care services for the elderly with chronic diseases can be further developed by conducting more focused research on specific chronic diseases using systematic literature reviews with a larger number of studies to see the latest trends in research on home care services for the elderly with chronic diseases. Conclusion: Based on the results of research on six analyzed references, it states that home care services currently use more technology to help the elderly who are experiencing chronic diseases, although not all of them do.
Designing a training program on quality improvement and patient safety for nursing students Hadiyanto, Hendri; Lutiyah, Lutiyah; Nery, Mary Ann C.
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.v8i7.1418

Abstract

Background: Patient safety is a fundamental component of healthcare, aimed at delivering care that is effective, efficient, and free from harm. With the increasing complexity of medical procedures and treatments, prioritizing patient safety is essential to minimize errors and adverse outcomes. Such efforts are not only vital for enhancing patient health but also for fostering public trust in healthcare services. Purpose: To design a training program focusing on quality improvement and patient safety for nursing students. Method: An exploratory sequential mixed-method design was employed, comprising three phases. The initial phase utilized a qualitative approach through semi-structured interviews with nursing students to gather in-depth insights. The second phase involved the development of an intervention program based on the qualitative findings, specifically tailored to improve quality and patient safety competencies. The third phase focused on expert validation of the developed program. Results: The qualitative analysis revealed five key themes: (1) Prioritizing Patient Safety, (2) Ensuring Accuracy in Patient Care, (3) The Importance of Infection Control, (4) Training as a Core Practice Component, and (5) The Need for Interdisciplinary Collaboration. Based on these themes, a 12-month training program was designed. Quantitative validation yielded favorable results, with an Item Content Validity Index (I-CVI) of 0.80, a Universal Agreement (UA) score of 0.80 (classified as Good), and an Average Agreement (AA) score of 0.81 (also classified as Good). Conclusion: A robust quality and patient safety framework encompasses various critical components, including the establishment of a safety culture, identification of potential risks, and the implementation of preventive strategies to reduce harm. Suggestions: Healthcare organizations, educators, and providers should adopt structured, time-bound strategies to enhance patient safety and care quality. These should include continuous training initiatives, biannual competency evaluations, and the application of quality improvement methodologies, accompanied by systematic monitoring and reporting of progress.
Modified breathing relaxation in OSCE participants: A randomized controlled trial Nurhilmiah, Tia; Alamsyah, Azhar; Suryadin, Asep
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.v8i7.1425

Abstract

Background: Academic examinations, especially practical exams such as OSCE, often trigger high levels of anxiety among nursing students. Anxiety arises from environmental pressure, limited time, and strict regulations, which negatively affect students’ performance. Non-pharmacological interventions, particularly breathing relaxation techniques combined with spiritual elements, are considered effective to reduce anxiety before examinations. Purpose: To identify the effect of modified deep breathing relaxation techniques with dzikr on the anxiety levels of nursing students facing OSCE at Muhammadiyah University of Sukabumi. Method: This research was a randomized control trial with parallel group design. A total of 36 nursing students were recruited and divided equally into intervention and control groups using simple random sampling. The intervention group received modified deep breathing relaxation combined with dzikr prior to OSCE, while the control group did not receive the intervention. Anxiety was measured using the Zung Self Anxiety Scale (ZSAS) before and after the OSCE. Data were analyzed using Shapiro-Wilk, Levene test, paired t-test, independent t-test, and Cohen’s d. Results: The findings showed a significant reduction in anxiety in the intervention group, with the mean score decreasing from 66.72 to 53.72 (p = 0.000). Conversely, the control group experienced an increase in anxiety, from 43.17 to 48.39 (p = 0.017). The difference between groups was statistically significant (p = 0.049) with a medium effect size (0.682). Conclusion: Modified deep breathing relaxation combined with dzikr is effective in reducing anxiety among OSCE participants. Nursing education institutions are encouraged to apply this technique as part of routine preparation to help students manage anxiety before practical examinations.
The role of self-efficacy, social and economic support on the quality of life of cancer patients undergoing chemotherapy: A systematic review Sugo, Maria Evarista; Afiyanti , Yati; Allenidekania, Allenidekania; Gayatri , Dewi
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.v8i7.1479

Abstract

Background: Indonesia is currently facing a triple disease burden, including a rise in chronic illnesses such as cancer, which significantly impacts patients' quality of life. Chemotherapy affects not only physical health but also psychological, social, and spiritual well-being. Factors such as self-efficacy, social support, and economic status are believed to strongly influence the quality of life among cancer patients undergoing chemotherapy. Purpose: To examine the effects of self-efficacy, social support, and economic conditions on the quality of life of cancer patients receiving chemotherapy. Method: A systematic review was conducted by searching articles published between 2015 and 2025 across PubMed, ScienceDirect, and Scopus using relevant keywords. Studies included randomized controlled trials, cohorts, case-control, and quasi-experimental designs that explored the relationship between the selected variables and patient quality of life. Ten articles met the inclusion criteria and were analyzed. Results: From a total of 453,025 articles identified, only 10 met the eligibility criteria. Findings consistently indicate that higher self-efficacy, strong social support, and stable economic conditions are positively correlated with improved quality of life in cancer patients undergoing chemotherapy. Conclusion: Enhancing self-efficacy, providing adequate social support, and addressing economic challenges can significantly improve cancer patients’ quality of life. A holistic, integrated approach that includes psychosocial and spiritual care is essential. Nurses and healthcare professionals play a crucial role in delivering these interventions, supported by appropriate policies and education to strengthen global cancer care systems.

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