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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 197 Documents
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Exploring family emotions in do-not-resuscitate (DNR) decision-making for hospitalized patients: A systematic review Siagian, Nur Aima; Putri, Yossie Susanti Eka; Daulima, Novy Helena Catharina; Chandra, Yudi Ariesta; Panjaitan, Ria Utami
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 11 (2026): Volume 8 Number 11
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i11.988

Abstract

Background: End-of-life decision-making, particularly Do-Not-Resuscitate (DNR) decisions for critically ill patients in hospital care, is an extremely difficult and often traumatic issue. This process has a profound impact on the mental health of families, causing anxiety, depression, stress, and even post-traumatic stress disorder (PTSD). There is currently little literature that thoroughly explores the diverse and profound emotional landscape, such as fear, optimism, well-being, and challenges experienced by families during the DNR decision-making process. Purpose: To examine the various emotions experienced by family members during the DNR decision-making process for patients hospitalised in hospital. Understanding these emotional experiences is crucial for improving support interventions, reducing conflict, and avoiding adverse psychological effects on families and healthcare providers. Method: A systematic review (SR) design was used in this study to evaluate and synthesise existing qualitative evidence on the emotional experiences of families. This design was chosen because it provides a better understanding of the family situation. To ensure its relevance to current clinical practice, this review used the PRISMA guidelines and the PICO framework. The publications included were published between 2020 and 2025 and were retrieved from electronic databases such as PubMed, SAGE, and Clinicalkey Nursing. Nine studies in the qualitative synthesis included 28 primary studies that were evaluated, most of which were qualitative or used mixed methods, conducted in several countries (such as the US, Australia, Taiwan, and Chile). The focus of the analysis was to find patterns, similarities, and differences in emotional experiences. Results: Families' experiences with DNR decisions are characterised by significant psychological stress. When families are faced with discussions about Goals of Care (GoC), they often feel unprepared, confused, and shocked. This situation is often exacerbated by time pressure. Families experience the deepest emotions, namely guilt and fear of making the wrong decision, with the family's main goal being to ‘do everything right so there are no regrets’. Conclusion: The DNR process is complex, dynamic, and emotional. This study shows that healthcare professionals must not only provide medical information but also acknowledge, validate, and assist families in coping with their emotional issues. To improve the quality of end-of-life care, clinical practice must shift to a more family-centred and friendly communication model that explicitly addresses the complex emotional dynamics that families face during difficult times in their lives.
Effectiveness of CBT in reducing anxiety to adolescents: A systematic literature review Jayanti, Sarah Indah; Putri, Yossie Susanti Eka; Susanti, Herni
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 10 (2025): Volume 8 Number 10
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i10.1172

Abstract

Background: Anxiety disorders in adolescents are a growing global concern, with the World Health Organisation (WHO) reporting a prevalence of over 10% worldwide. In Indonesia, 15.6% of adolescents experience anxiety symptoms, which impact their social, academic, and emotional development. Cognitive Behavioural Therapy (CBT) has been proven effective in reducing anxiety, but evidence regarding its effectiveness in adolescents requires further synthesis. Purpose: To examine the effectiveness of CBT in reducing anxiety to adolescents. Methods: A systematic review was conducted of 10 studies (2013–2025) using databases such as ScienceDirect, Scopus, and Google Scholar. Inclusion criteria included randomised controlled trials (RCTs), quasi-experimental studies, and articles focusing on adolescents aged 10–19 years. The JBI was used as a critical appraisal tool to assess risk of bias, and data were synthesised thematically. Results: CBT significantly reduced anxiety symptoms in adolescents in various studies (p < 0.05). School-based CBT and internet-based CBT (iCBT) demonstrate equivalent effectiveness to traditional methods, with results persisting at follow-up (6–12 months). However, brief CBT interventions show limitations in terms of non-inferiority compared to standard protocols. Poorer outcomes are associated with inadequate adaptation of CBT techniques to developmental stages. Conclusion: CBT is an effective intervention for anxiety in adolescents, especially when integrated into school programmes or digital platforms. Adapting CBT to developmental stages and ensuring long-term monitoring are essential to maximise impact. Recommendations include expanding access to CBT in resource-limited settings and improving health policies to prioritise adolescent mental health.
"Yopilano" Method (Yoga, Pilates, And Hypnotherapy) exercise: Association of labour and childbirth Etty, Christina Roos; Anita, Surya; Siahaan, Julia; Enjelika, Rut
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 10 (2025): Volume 8 Number 10
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i10.1424

Abstract

Background: The normal labor process is often influenced by psychological and physical factors in pregnant women. The YOPILANO method (Yoga, Pilates, and Hypnotherapy) is believed to enhance relaxation, strengthen pelvic muscles, and improve mental readiness to support normal delivery. Purpose: To determine the effect of implementing the YOPILANO method on the likelihood of normal delivery among third-trimester pregnant women. Method: A descriptive quantitative with quasi-experimental specially focusing on case control group. The study took place from June to October 2025 in Deli Serdang, Medan. The independent variables studied were yoga, pilates, and hypnotherapy, while the dependent variable was labour and childbirth. Using purposive sampling and taro yamene formula 24 participants were selected divided into 2 group included case and control group, 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 control group, most participants did not receive the yopilano intervention, namely 8 people (66.7%). The Chi-square test results show a p-value of 0.040, which means that there is a statistically significant relationship between the practice of Yopilano and the occurrence of normal delivery at a significance level of 5% (p < 0.05). Conclusion: Pregnant women who follow the yopilano practice have a greater chance of experiencing normal delivery compared to pregnant women who do not follow the practice. A value of 6.0 for the crude odds ratio (OR) indicates that pregnant women who practice yopilano are six times more likely to experience normal delivery than those who do not practice yopilano.
Combining infusion warmer and automatic infusion pressure bag to stabilize blood pressure and body temperature in caesarean section Raden Roro, Brilianti Chrisnajayantie; Sulistyowati, Dina Indrati Dyah; Suharsono, Suharsono; Pujiastuti, Raden Rara Sri Endang; Hartati, Lucia Endang
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 10 (2025): Volume 8 Number 10
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i10.1464

Abstract

Background: Patients undergoing caesarean section (CS) with spinal anaesthesia are at risk of hypotension and hypothermia due to peripheral vasodilation and decreased venous return. These conditions may be exacerbated by the administration of room-temperature intravenous fluids (21–23°C) and manual pressure infusion. Using a fluid warmer can help prevent hypothermia, while an automatic infusion pressure bag can accelerate fluid delivery, potentially maintaining blood pressure and body temperature stability. However, these interventions have not yet been studied as a combined approach. Purpose: To evaluate the effect of using a fluid warmer in combination with an automatic infusion pressure bag on blood pressure and body temperature in patients undergoing caesarean section. Method: This quasi-experimental study used a pre-test and post-test with control group design and included 64 patients undergoing CS, divided into intervention and control groups. The intervention group received warmed fluids (37–39°C) administered through an automatic infusion pressure bag from the sign-in phase until discharge from the recovery room. Measurements were taken at four time points: preoperatively during sign-in, intraoperatively at 15 and 30 minutes after anaesthesia induction, and postoperatively 15 minutes in the recovery room. Results: There was no statistically significant difference in blood pressure between groups (p > 0.05), although a small clinical effect was observed (ηp² = 0.01–0.06). Body temperature showed statistically and clinically significant differences at all measurement points (p < 0.05, ηp² > 0.14), indicating a strong effect of the intervention. Conclusion: The use of a fluid warmer combined with an automatic infusion pressure bag is clinically effective in maintaining blood pressure stability and statistically and clinically effective in stabilizing body temperature during caesarean section procedures.
Exploring staff and procedural factors affecting patient safety in the operating room Yahya, Yahya; Fadhillah, Harif; Widiastuti, Eni; Hadi, Muhammad; Nawangwulan, Rahayu
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 10 (2025): Volume 8 Number 10
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i10.1466

Abstract

Background: Patient safety in the operating room is a critical concern in healthcare delivery. While the Surgical Safety Checklist (SSC) improves safety outcomes, variability persists due to workforce characteristics, work motivation, and adherence to Standard Operating Procedures (SOP). Purpose: To examine associations between staff characteristics, motivation, and SOP compliance with patient safety quality in the operating room, and to identify the most influential factor. Method: A cross-sectional study of all 42 operating room healthcare workers (total sampling). Data were collected through Likert-scale questionnaires and analyzed using Chi-Square tests and multiple logistic regression. Results: Education level (p = 0.024), motivation (p = 0.000), and SOP compliance (p = 0.000) were significantly associated with patient safety quality. SOP compliance was the strongest determinant (OR = 234.770; p = 0.001). Conclusion: Adherence to SOP—especially the SSC—is the dominant factor influencing patient safety quality. Interventions should prioritize continuous SOP education, oversight, and cultivation of a robust patient safety culture.
Factors related to nurses continuous professional development in hospitals: A scoping review Sari, Maria Anita; Eka, Ni Gusti Ayu; Manalu, Enjelica Putri; Pajuk, Erica Dorelia; Siraut, Keyla Friska Br
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 10 (2025): Volume 8 Number 10
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i10.1471

Abstract

Background: Continuing Professional Development (CPD) is a key strategy to support lifelong learning and improve nursing practice. Despite its recognized importance, CPD implementation in hospital settings remains inconsistent and often faces various challenges. Understanding the factors that influence nurses’ participation in CPD is essential to enhance its effectiveness and sustainability. Purpose: To identify factors related to the continuing professional development of nurses in hospitals. Method: A scoping review using the PRISMA-ScR guidelines. A systematic search was conducted in PubMed, MEDLINE, and Science Direct for articles published between 2020 and 2025. A total of 16 studies were included, comprising quantitative, qualitative, and mixed-method designs. Thematic analysis was conducted to identify key themes. Results: Three main themes emerged: motivation and barriers to participation, CPD implementation and outcomes, and impact of working conditions. Internal motivation, financial incentives, and professional growth were key drivers, while fatigue, cost, and scheduling issues were major barriers. Nurses’ perceptions of CPD were shaped by training relevance, accessibility, and effectiveness. Workload, leadership support, and organizational culture significantly influenced engagement. Conclusion: CPD implementation among nurses is shaped by motivational factors, nurse’s perceptions conduct by CPD implementation and outcome, and workplace conditions. To enhance participation and effectiveness, healthcare institutions must adopt holistic strategies that address individual needs, ensure program relevance, and foster supportive environments.
The role of parental embrace in children's pain management during invasive procedures: A systematic review Aronggear, Nona Mulyani; Allenidekania, Allenidekania; Nurhaeni, Nani; Adawiyah, Robiyatul
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 10 (2025): Volume 8 Number 10
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i10.1483

Abstract

Background: Children undergoing invasive procedures in hospitals, such as IV insertion or injection, often experience significant pain and anxiety, especially in critically ill children. Non-pharmacological interventions such as parental holding have been studied as an effective approach in reducing children's pain responses during procedures. Purpose: To analyze the scientific evidence regarding the role of parental holding in pain management in children during invasive procedures, including in critically ill children. Method: A search was conducted through PubMed, Scopus, and ScienceDirect databases following PRISMA guidelines. Inclusion criteria included RCT design, population of children undergoing invasive procedures, parental holding intervention, and outcomes in the form of pain intensity and/or anxiety. A total of 1,324 articles were identified, while 8 studies met the criteria and were analyzed narratively. Results: Showed that parental holding is effective in reducing children's pain and anxiety, as well as increasing emotional comfort for both children and parents. Despite its proven benefits, implementation of this intervention is still limited in clinical practice and lacks standardized guidelines, especially in pediatric intensive care units. Conclusion: Parental hugs have been shown to be effective in reducing procedural pain in infants and children during invasive procedures.
The effect acupressure therapy on breast milk volume in postpartum mothers Diniarti, Fiya; Rahmawati, Diyah Tepi; Ahmed, Idris Adewale
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 10 (2025): Volume 8 Number 10
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i10.1489

Abstract

Background: Breast milk is the main source of food for the growth and development of infants.  The lack of breast milk is one of the obstacles to the adequate utilization of this substancei. One of the treatments that can help address this issue is acupressure. Purpose: To determine the effect of acupressure theraphy on breast milk volume in postpartum mothers. Method: A descriptive quantitative with quasi-experimental specially focusing on pretest-posttest control group. The study took place from April to May 2025 in Bengkulu. The independent variables studied were acupressure therapy, while the dependent variable was breast milk volume. Using accidental sampling and slovin formula 30 participants were selected divided into 2 group included intervention and control group, 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 mann whitney test. Results: The intervention group had a mean value (Mean±SD) of 10.5±8.3, while the control group showed a lower value of 6.33±4.3. The statistical test produced a p-value of 0.004, which means that there was a significant difference between the two groups (p < 0.05). Conclusion: That acupressure intervention was more effective in increasing breast milk volume than standard care in the control group.
Understanding discharge planning for post-cardiac catheterization and post-stroke clients Fitriani, Dewi; Handoyo, Lukman; Yudiatma, M. Firman
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 10 (2025): Volume 8 Number 10
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i10.1505

Abstract

Background: Clients who have undergone cardiac catheterization and stroke treatment often require comprehensive preparation before being discharged from the hospital. Discharge planning plays a crucial role in ensuring continuity of care, improving patient understanding, and preventing recurrence or complications. In urban hospital settings, the complexity of care pathways, time limitations, and the absence of standardized procedures may affect the effectiveness of discharge planning for these high-risk clients. Purpose: To explore nurses’ experiences in implementing discharge planning for post-cardiac catheterization and post-stroke clients in urban hospitals. Method: A qualitative design using a descriptive phenomenological approach. Participants were nurses involved in the care of post-cardiac catheterization and post-stroke clients. Data were collected through in-depth interviews and analyzed thematically to capture the meaning of nurses’ lived experiences in discharge planning implementation. Results: Several key issues influencing discharge planning were identified. Patient admission pathways shaped the structure of discharge planning, with elective cases allowing more systematic education than emergency cases. Time constraints, particularly in CITO cases, led to rushed education. Nurses emphasized the need for visual educational media to improve patient understanding, while patient and family non-compliance remained a major challenge. The absence of specific SOPs, unstructured multidisciplinary collaboration, and the lack of written education forms and systematic checklists were identified as critical gaps in supporting post-discharge care. Conclusion: Discharge planning for post-cardiac catheterization and post-stroke clients in urban hospitals has not yet been implemented in a comprehensive and standardized manner. Its practice remains largely dependent on individual initiative, with limitations in structured education, interprofessional coordination, and systematic doc Suggestion: Strengthening the role of nurses as discharge planning coordinators, supported by standardized guidelines, structured education, and improved multidisciplinary collaboration, is recommended to enhance the effectiveness of discharge planning in urban hospital settings.
Occupational health and safety management: The use of personal protective equipment (PPEs) in Indonesian mechanical workshop Aziza, Nurul; Listina, Febria; Mariantari, Regina Putri
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 10 (2025): Volume 8 Number 10
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i10.1540

Abstract

Background: A work accident occurs when an incident occurs during an industrial or related work process and results in the loss of time, property, or life. A work accident is an undesirable and often unpredictable event. Every year there are almost a thousand times more non-fatal work accidents than fatal work accidents. Purpose: To examine how the implementation of the use of Personal Protective Equipment (PPE) by workshop mechanics. Method: This type of research is descriptive qualitative. Data were collected through in-depth interviews with five informants: one key informant, one source informant, and three supporting informants. Each interview was conducted in one day, with a duration of no more than 30 minutes per respondent, using data analysis triangulation. Results: PT X has not implemented the use of PPE optimally, as it has not issued warnings or sanctions to its mechanics. The mechanics are also not yet aware of the importance of using complete PPE in carrying out their work. PT X has not conducted monitoring and evaluation of PPE. Conclusion: The ineffectiveness of the implementation of the use of PPE at PT X is due to the absence of strict regulations and sanctions given to mechanics, the lack of availability of PPE in various sizes for mechanics so that mechanics are less comfortable wearing all-size PPE. It is hoped that PT can enforce strict rules regarding PPE in the company, provide complete PPE and conduct monitoring and evaluation of the implementation of PPE.

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