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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 270 Documents
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Analysis of multidrug-resistance tuberculosis distribution in Indonesia 2021–2023 Aavinia Kapugu; Fima Lanra Fredrik Gerarld Langi; Angela Fitriani Clementine Kalesaran
Malahayati International Journal of Nursing and Health Science Vol. 9 No. 1 (2026): Volume 9 Number 1
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v9i1.1909

Abstract

Background: Multidrug-resistant tuberculosis (MDR-TB) is a major obstacle to tuberculosis eradication worldwide. MDR-TB cases are a form of tuberculosis resistant to two main drugs, isoniazid and rifampin. Purpose: To (1) determine trends in the pattern of changes in the number of MDR-TB cases, (2) identify the distribution of MDR-TB cases in Indonesia by time and region (province), and (3) identify clusters based on incidence rates and population density. Method: An observational ecological study using aggregate provincial-level data. MDR-TB case data was obtained from the Indonesian Ministry of Health for 2021–2023. The analysis was conducted descriptively, spatially, and cluster-wise. The spatial epidemiology approach included the creation of thematic maps (choropleth maps), temporal trend analysis, Standardized Incidence Ratio (SIR), and hierarchical cluster analysis using the Ward method. Results: There was an increase in MDR-TB cases in almost all provinces during 2021–2023. After adjusting for population (rate), the provinces with the highest risk were DKI Jakarta, North Maluku, Gorontalo, and North Sulawesi. Spatial analysis showed significant hotspots in West Java and Banten, while other provinces were classified as low risk. Based on clusters, DKI Jakarta formed a separate cluster with the highest rate and density. The distribution of MDR-TB in Indonesia is uneven, with an increase in national cases and concentration of risk in several regions. Conclusion: A spatial-based approach is essential for planning more targeted interventions. These findings indicate that the distribution of MDR-TB in Indonesia is uneven, with an increase in national cases and concentration of risk in certain provinces, so these areas need to be prioritized in MDR-TB control.
Effectiveness of complementary food formulated from soybean seed coat and milkfish flour in supporting weight gain among young children Lindawati; Yunita Sari; Cucuk Kunang Sari; Bangun Wijanarko; Dewi Indah Sari
Malahayati International Journal of Nursing and Health Science Vol. 9 No. 1 (2026): Volume 9 Number 1
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v9i1.2027

Abstract

Background: Child undernutrition remains a significant concern in Indonesia, particularly during the complementary feeding period when inadequate dietary quality may impair optimal growth. Purpose: To evaluate the short-term effectiveness of a complementary feeding formulation composed of soybean seed coat flour and milkfish flour in supporting weight gain among children aged 9–12 months. Method: A quasi-experimental one-group pretest–posttest design was conducted among 20 children, with 16 included in the final analysis after excluding dropouts and outliers. Participants received 125 ml of the formulated complementary food daily for nine consecutive days. Body weight was assessed before and after the intervention. Results: Due to non-normal data distribution (Shapiro–Wilk p < 0.05), the Wilcoxon Signed Rank Test was applied. Seven children demonstrated weight gain, seven showed no change, and two experienced slight weight loss. Despite positive tendencies, the overall change was not statistically significant (Z = −1.727; p = 0.08). Factors such as short intervention duration, inconsistent caregiver adherence, concurrent intake of ultra-processed foods, and minor illnesses likely contributed to limited measurable changes. Conclusion: Although not statistically significant, the nutrient-rich formulation shows potential for longer-term application, especially in low-resource settings. Extended duration studies with larger sample sizes are recommended.
Financial impact of Indonesia’s standardized inpatient class policy on hospital performance: A systematic review Riska Rosita; Antin Okfitasari
Malahayati International Journal of Nursing and Health Science Vol. 9 No. 1 (2026): Volume 9 Number 1
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v9i1.2321

Abstract

Background: Indonesia’s National Health Insurance system has introduced the Standardized Inpatient Class policy to reduce service disparities and improve equity and quality of inpatient care. However, compliance with standardized inpatient requirements entails substantial infrastructure and operational costs that may affect hospital financial performance. Purpose: To systematically examine how the implementation of the Standardized Inpatient Class policy influences hospital financial performance in Indonesia. Method: A systematic literature review was conducted following the PRISMA 2020 guidelines. Articles published between 2014 and 2025 were identified from Scopus, PubMed, and Google Scholar using predefined keywords related to standardized inpatient care, health financing, and hospital performance. Quality appraisal was conducted using the Joanna Briggs Institute (JBI) Critical Appraisal Tools. Eligible studies were screened using inclusion and exclusion criteria and synthesized using narrative thematic analysis. Results: Twelve studies met the inclusion criteria. The findings indicate that Standardized Inpatient Class implementation increases capital investment and operational costs, reduces bed capacity in some hospitals, and creates mismatches between reimbursement rates and actual service costs. Financial impacts vary by hospital ownership and location, with public and rural hospitals experiencing greater financial strain. Conclusion: While the Standardized Inpatient Class policy promotes equity and service quality, its implementation poses significant financial challenges for hospitals. Policy refinement, reimbursement adjustment, and targeted financial support are essential to ensure hospital financial sustainability.
Factors influencing nursing students’ decisions to specialize in mental health: The role of educational, professional, and personal experiences Pim Cuijpers; Marit M van Buuren; Koen Nieman
Malahayati International Journal of Nursing and Health Science Vol. 9 No. 1 (2026): Volume 9 Number 1
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v9i1.2354

Abstract

Background: A significant global shortage of mental health nurses exists. Additionally, compared to other nursing specialities, mental health nursing has been determined to be less popular at University Medical Center Utrecht of Applied Sciences. Purpose: a better understanding of what influences second-year nursing students' choice to minor in mental health. Method: Survey-based quantitative methodology was used. The sample consisted of 177 second-year nursing students pursuing bachelor's degrees. Results: Multiple linear regression revealed that four factors—students' interest in mental health care, teachers' knowledge of the topic, previous internships in mental health care, and the experience of a close relative with mental health concerns—were significantly connected with the decision to minor in mental health. Conclusion: The findings indicate that choosing a child or adolescent with mental health issues as a focus of care is relatively uncommon. Moreover, the decision to work with this population was not associated with all themes identified in previous qualitative studies. Several variables were excluded from the analysis due to limited conceptual clarity or insufficient understanding. Overall, the observed effect sizes were modest.
Academic stress and stress management strategies among undergraduate nursing students Moussa Sarr; Ousmane Diallo
Malahayati International Journal of Nursing and Health Science Vol. 9 No. 1 (2026): Volume 9 Number 1
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v9i1.2374

Abstract

Background: In order to handle their academic obligations and reduce stress, students needed to have effective coping techniques. In order to plan interventions, nurse educators are suggested to assess the stress level of the nursing program because various nursing students have varying amounts of stress and coping mechanisms. Purpose: To investigate the variations in nursing undergraduates' academic stress and coping mechanisms. Method: Undergraduate nursing students made up the population of the descriptive study, which employed a cross-sectional approach. Census sampling was used, and the stress coping style survey and the stress related to school questionnaire were the instruments used to gather data. For inferential analysis, ANOVA was used, and the results were presented as means and standard deviations. Results: Age group differences in peer stress were significant (p = 0.004). Male respondents have lower mean academic stress than female respondents, with the exception of peer stress. There was a significant gender difference in the mean academic stress for peers and teachers (p = 0.04 and 0.02, respectively). Academic stress ranges from 300 to 400 on average, with the exception of group study. Active problem dealing had the highest mean score across all age groups. There is no appreciable difference in stress coping mechanisms among all the variables. Male respondents have a greater mean stress coping style than female respondents when it comes to active emotional coping and active issue coping, with significant differences of p = 0.011 and 0.045, respectively. The 500-level respondents have the highest mean stress coping style across all metrics when compared to respondents from other levels. Conclusion: When creating therapies to lessen academic stress among undergraduate nursing students, lower age groups should be taken into consideration. Female students require more attention than male students. Students at the 300 and 400 levels should be given more attention than those at lower levels. Additionally, students should be taught a variety of coping strategies, where to apply them, and the consequences of each, regardless of their age, gender, or academic standing.
The effect of training program toward hand hygiene compliance among registered nurses in a private hospital in Klang Valley Kogilah Krishnan; Annamma Kunjukunju; Aini Ahmad; Puan Nurhanisah Chakari
Malahayati International Journal of Nursing and Health Science Vol. 9 No. 1 (2026): Volume 9 Number 1
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v9i1.2381

Abstract

Background: Hand hygiene is the most effective way to prevent hospital-acquired infections (HAI). Although the percentage of the HAI performance indicator target was still less than 5%, this study was carried out to reinforce hand hygiene compliance among registered nurses to increase the quality of nursing services. Purpose: To determine the effect of a training program on hand hygiene compliance among registered nurses in a private hospital. Method: This study used a quantitative quasi-experimental design based on an experimental group (single group) among 48 registered nurses from A&E, ICU, OT, PAED, LR, O&G, hemodialysis, and medical-surgical services working in KPJ Sentosa Hospital. The researcher used an audit monitoring pre and post-training to observe an opportunity to perform their hand hygiene practice, adapted from WHO as validated tools in this study. The 5-moment of hand hygiene before touching a patient, before clean/aseptic procedures, after body fluid exposure or risk, after touching a patient, and after touching the patient's surroundings, besides seven steps of hand hygiene compliance were included in this study determine the effect of training program's on hand hygiene compliance among registered nurses. Results: The mean percentage of hand hygiene compliance in the post-test (M = 6.85) after the intervention was significantly higher than before the intervention (M = 6.63). Additionally, the significant (2-tailed) value is 0.020. A p-value <.0.020 was considered statistically significant. Conclusion: Therefore, continuous training programs should continue to enhance the hand hygiene compliance rate among healthcare workers, and the impact will reduce hospital-acquired infections and establish the hospital’s image well in the community.
Gender, hypertension duration, and self-management behavior in adult patients Ayuk Cucuk Iskandar; Fitriani Fitriani
Malahayati International Journal of Nursing and Health Science Vol. 9 No. 1 (2026): Volume 9 Number 1
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v9i1.2462

Abstract

Background: Self-management behavior plays an important role in controlling hypertension and preventing complications. Evidence in the adult population still needs to be strengthened regarding sociodemographic factors such as gender and the duration of having hypertension in influencing variations in self-management behavior. Purpose: To analyze the correlation between gender and duration of hypertension with self-management behavior in adult patients with hypertension. Method: This quantitative study uses a cross-sectional analytical approach, involving 287 adult patients with hypertension registered at six primary healthcare facilities on Tarakan Island, using quota sampling techniques. Data on respondent characteristics, including age, gender, and duration of hypertension, were collected using a general demographic characteristics questionnaire, while self-management behavior was measured using the Hypertension Self-Management Behaviors Questionnaire. Data analysis to determine correlation using the chi-square statistical test, with a significance level of p<0.05. Results: The majority of respondents are female, and more than half have had hypertension £ 3 years. There is a significant correlation between gender and self-management behavior (p=<0.001), with the majority of women exhibiting moderate self-management behavior. Conversely, no significant relationship was identified between the duration of hypertension and self-management behavior (p=0.150). Conclusions: There is a significant relationship between gender and self-management behavior, indicating that gender differences contribute to chronic disease management behavior, particularly in hypertension. Furthermore, the non-significance of the duration of hypertension indicates that the length of illness is not always accompanied by improved self-management behaviors. Nurses and other health professionals need to consider gender differences when designing education and support programs to optimize self-management behaviors in adult patients with hypertension.
The effect of mindfulness intervention on anxiety among patients with coronary heart disease prior to cardiac catheterization Desi Rusiana Alfiani; Irna Nursanti; Wati Jumaiyah; Hayatun Naimah; Dedi Dedi
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.v8i11.1975

Abstract

Background: Cardiovascular disease remains a leading global health burden, with Coronary Heart Disease (CHD) accounting for nearly half of cases. Cardiac catheterization, widely performed in Indonesia, is vital for diagnosis and treatment but often provokes significant anxiety, potentially affecting hemodynamic stability. Mindfulness-based interventions have shown effectiveness in reducing psychological distress, enhancing emotional regulation, and improving patient resilience. However, evidence on their application in Indonesian pre-catheterization patients is limited, underscoring the need for context-specific research to optimize holistic care. Purpose: To examine the effect of mindfulness intervention in reducing anxiety prior to cardiac catheterization. Method: A quasi-experimental non-equivalent control group design was employed to examine mindfulness therapy effects among coronary heart disease patients scheduled for cardiac catheterization at Tarakan Hospital, Jakarta. A purposive sample of 32 respondents (16 intervention, 16 control) was analyzed using univariate, t-tests, and ANCOVA, with validity, reliability, homogeneity, and normality tests ensuring methodological rigor. Results: In the intervention group, the mean anxiety score dropped from 24.94 before treatment to 16.44 afterward, with statistical testing producing a p‑value of 0.000, signifying a significant impact of mindfulness. Likewise, the control group showed a reduction in average anxiety scores from 25.13 pre‑treatment to 20.88 post‑treatment, and analysis also yielded a p‑value of 0.000, indicating a significant change in anxiety levels within this group. Conclusion: Mindfulness intervention proved to be effective in reducing anxiety among patients with coronary heart disease prior to cardiac catheterization.
Maternal perceptions and preventive behaviors in school-age children during the pandemic Azmi, Lut Fika Daru; Haryanti, Fitri; Lusmilasari, Lely
Malahayati International Journal of Nursing and Health Science Vol. 9 No. 2 (2026): Volume 9 Number 2
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v9i2.1973

Abstract

Background: Although COVID-19 is no longer at its peak, its influence on preventive practices remains relevant, especially for families with school-age children. In children, the incident is not as high as in adults, but is increasing all the same. The preventive behaviour of children is strongly linked to that of the mother. Cognitive reinforcement (perception) is a factor that influences behaviour. In this case, the recognition is divided into four parts: perceived susceptibility, severity, benefits, and barriers. Purpose: To elucidate the relationship between perception and the behavior of mothers who have school-age children related to COVID-19 prevention. Method: We adopted a cross-sectional design with a sample of 110 mothers who have school-age children (8–11 years) using the consecutive sampling technique. Moreover, we questionnaire to measure the perceptions of these mothers in COVID-19 prevention, the result of a modified ARI-Questionnaire and a questionnaire on Mother's Behavior in Prevention of COVID-19. Data analysis was performed using Spearman Rho'. Results: There was a relationship between the perception and behavior of mothers related to COVID-19 prevention as evidenced by a p = 0.001 with a close relationship (r) of 0.194. Other factors that influenced the behavior of mothers in COVID-19 prevention included the educational level of the mother, and the number of the childrens. Conclusion: Changes in mothers’ behavior is influenced by several factors: perception, number of children, income and highest educational level of the mother, and the gender of the child. COVID-19 prevention will be more optimal if the perception of the mother is good, and the mother has a low perception of barriers.
Risk factors for hospital readmission of children patients with pneumonia: A systematic review Christanty, Christanty; Huda, Mega Hasanul; Nurhaeni, Nani; Waluyanti, Fajar Tri
Malahayati International Journal of Nursing and Health Science Vol. 9 No. 2 (2026): Volume 9 Number 2
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v9i2.2032

Abstract

Background: Readmission is an undesirable event influenced by various conditions. While readmission risk factors in pneumonia patients have been widely studied in adults, evidence in children remains limited. Purpose: To identify various risk factors on the rate of hospital readmissions in children with pneumonia. Method: Systematic search following PRISMA guidelines was conducted in PubMed Central, ScienceDirect, Scopus, ProQuest, Wiley, and Google Scholar databases and search engines from inception until September 2025. We used the Joanna Briggs Institute Critical Appraisal Checklist to assess the quality of published studies until they were concluded. Results: Readmission rates in children with pneumonia range from 7% to 16% within 30 to 90 days after hospital discharge. Age risk factors consistently show that younger age (infants to toddlers) significantly increases the risk of childhood pneumonia readmission. Besides that, comorbid conditions and chronic conditions are strong predictors of readmission. Conclusions: Young age and specific chronic comorbid conditions were found to be significant risk factors for hospital readmission among pneumonia patients.

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