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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 326 Documents
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Urban environmental determinants of respiratory health: The role of air pollution, housing conditions, and green open space Tuti Yelvianti; Muhammad Fachri; Nurmalia Lusida
Malahayati International Journal of Nursing and Health Science Vol. 9 No. 3 (2026): Volume 9 Number 3
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v9i3.3211

Abstract

Background: Rapid urbanization has increased exposure to multiple environmental stressors including air pollution, inadequate housing, and limited access to green open spaces, all of which adversely affect respiratory health. Understanding the interplay of these factors is essential for developing evidence-based urban health policies. Purpose: To synthesize evidence on the determinants of urban environments — specifically air pollution, housing conditions, and green open spaces — and their effects on respiratory health outcomes. Method: This study employed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) methodology. Literature searches were conducted using keywords "urban environment", "air pollution", "housing", "green space", and "respiratory health" across databases. A total of 15 articles published between 2022 and 2025 met the inclusion criteria. Results: Evidence consistently demonstrates that exposure to PM2.5, NO2, and traffic-related air pollutants is significantly associated with reduced lung function and increased incidence of asthma, COPD, and acute respiratory infections. Poor housing conditions — particularly overcrowding, dampness, and inadequate ventilation — exacerbate respiratory disease burden. Access to green open spaces was associated with protective respiratory effects. Conclusion: Urban environmental determinants collectively and interactively shape respiratory health. Integrated urban planning that reduces air pollution, improves housing standards, and expands green infrastructure is critical for respiratory health promotion in rapidly growing cities.
Hustle culture and stress levels among start-up employees in the industry 4.0 era An Nissa Aulia Rahmi; Jojor Putrini Sinaga; Ita Armyanti
Malahayati International Journal of Nursing and Health Science Vol. 9 No. 3 (2026): Volume 9 Number 3
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v9i3.3239

Abstract

Background: The emergence of industry 4.0 in Indonesia has transformed various aspects of life, including employment systems and workplace dynamics. This industrial revolution integrates humans, machines, and internet-based technologies into production processes through innovative methods. Along with the rapid growth of start-up companies, new work patterns have emerged, including a culture of excessive productivity known as hustle culture, which may affect workers’ mental health. Purpose: To analyze the relationship between hustle culture and stress levels among start-up employees in the industry 4.0 era. Method: A literature review approach was employed analyzing 7 scientific journals on hustle culture, occupational stress, and employment transformation in the industry 4.0 era. Relevant articles were selected and reviewed to identify the impact of hustle culture on workers’ stress levels and mental well-being. Results: The hustle culture was associated with increased stress levels among workers. High job demands, pressure for extreme productivity, and imbalance between work and personal life were identified as major contributing factors to work-related stress, burnout, depression, and reduced psychological well-being. Conclusion: Hustle culture has a significant impact on workers’ stress levels in the industry 4.0 era. Organizations should implement effective work stress management and create a supportive work environment that promotes work–life balance and mental well-being. These efforts may reduce the negative effects of occupational stress while improving productivity, job satisfaction, and employee retention.
The effectiveness of telemedicine in improving the timeliness and quality of referrals for non-communicable diseases in the archipelagic settings: A scoping review Diana Yulias; Arlina Dewi
Malahayati International Journal of Nursing and Health Science Vol. 9 No. 4 (2026): Volume 9 Number 4
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v9i4.2738

Abstract

Background: Referral systems in island regions often experience delays and inaccuracies in non-communicable disease (NCD) cases due to geographic barriers and limited resources. Telemedicine (tele-triage/teleconsultation) has the potential to accelerate referral decisions and improve the quality of clinical information between facilities. Purpose: To map the evidence related to telemedicine in supporting the referral process for non-communicable disease cases in areas with limited access. Outcomes and supporting implementation are reported. Method: A scoping review was employed based on the PCC (Population, Concept, Context) framework. A literature search was conducted on PubMed, Scopus, ScienceDirect, and Google Scholar for Indonesian or English-language articles published in the period 2019–2025. The selection process followed the PRISMA-ScR guidelines through screening stages of titles, abstracts, and full texts. Source quality assessment was carried out descriptively in accordance with the objectives of the scoping review without excluding studies based on risk of bias. The selection and assessment process were carried out by two reviewers independently, with differences resolved through discussion. Data synthesis was carried out narratively. Results: Of the 354 articles identified, 10 studies met the inclusion criteria. Telemedicine was reported to expedite the referral process through triage and remote specialist consultation. Key findings include 81.8% of patients recommended for referral were referred within ≤48 hours after a tele-ECG consultation, a mean specialist response time of 4 days for the eConsult service, and a 25.4-day reduction in outpatient waiting time in the quantitative study. Improved referral quality was primarily related to the completeness of clinical data and the accuracy of referral decisions. However, effectiveness is influenced by infrastructure readiness, coordination between facilities, and human resource competency. Conclusion: Telemedicine has been used in various forms to support the referral process, but evidence remains limited and scattered across specific settings.
Adherence to antihypertensive medication and hypertensive emergencies Yunita Aisah Putri; Shinta Arini Ayu; Ricko Dwi Haryanto
Malahayati International Journal of Nursing and Health Science Vol. 9 No. 4 (2026): Volume 9 Number 4
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v9i4.3060

Abstract

Background: Hypertension is a non-communicable disease with a high prevalence and potential to cause serious complications, including hypertensive emergencies. One of the important factors in preventing this condition is adherence to antihypertensive medication. Purpose: To determine the relationship between adherence to antihypertensive medication and the incidence of hypertensive emergencies. Method: A quantitative design with a correlational analytic approach and cross-sectional design was employed. The sample consisted of 109 respondents selected using accidental sampling technique. Data were collected using questionnaires and analyzed using Chi-Square test with a significance level of 0.05. Results: Most respondents had low adherence to antihypertensive medication (67.9%). The majority did not experience hypertensive emergencies (68.8%), while 31.2% experienced such events. Statistical analysis showed a p-value of 0.001 (p < 0.05), indicating a significant relationship between medication adherence and hypertensive emergencies. Conclusion: Higher adherence to antihypertensive medication reduces the risk of hypertensive emergencies. Efforts are needed to improve adherence through education, routine monitoring, and strengthening the role of healthcare workers.
Adolescent childbirth in the service area of Walelagama Primary Health Center, Jayawijaya Regency: A phenomenological study Nuriati Sarlota Auparai; Rosmin Mariati Tingginehe; Arius Togodly
Malahayati International Journal of Nursing and Health Science Vol. 9 No. 4 (2026): Volume 9 Number 4
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v9i4.3086

Abstract

Background: Early-age childbirth remains an important reproductive health problem because it increases maternal, neonatal, psychosocial, educational, and social risks, particularly in geographically isolated communities. Purpose: To explore women’s lived experiences, family and community perceptions, socio-cultural conditions, educational and socioeconomic contexts, and access to reproductive health information and services related to early-age childbirth. Method: A qualitative phenomenological design was used. Informants were selected purposively and consisted of women who gave birth before the age of 20 years, husbands or family members, health workers, and community figures. Data were collected through in-depth interviews supported by field notes and were analyzed thematically using data reduction, data display, and conclusion drawing. Results: Five themes emerged: difficult childbirth experiences, normalization of early-age childbirth, shifting socio-cultural influences, limited education and economic readiness, and restricted access to reproductive health information and maternal health services. Conclusion: Early-age childbirth in this setting is shaped by interconnected individual, family, socio-cultural, economic, and health-service factors. Community-based reproductive health education, stronger family involvement, and culturally sensitive adolescent-friendly maternal health services are needed to reduce early-age childbirth.
Early nursing assessment of overt shock in encephalitis: A case report Nurul Anisa; Flaviliant Nurul; Asep Kartiwa; Ayu Prawesti Priambodo; Ristina Mirwanti
Malahayati International Journal of Nursing and Health Science Vol. 9 No. 4 (2026): Volume 9 Number 4
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v9i4.3111

Abstract

Background: Encephalitis can quickly progress to a life-threatening, multisystem seizure, accompanied by septic shock, disseminated intravascular coagulation (DIC), and severe respiratory failure. In such conditions, early detection by nurses is essential to recognize clinical deterioration and support timely intervention. Purpose: To analyze the contribution of early detection of nursing in recognizing overt shock in young adult patients with encephalitis who experience complications of septic shock and DIC. Method: The study used a descriptive case report design on a 22-year-old male patient who was treated in the emergency unit and intensive care unit of a tertiary referral hospital in March–April 2026. Data were obtained retrospectively from medical records, nursing records, laboratory results, radiological examinations, blood gas analysis, and therapy documentation. Results: Preliminary findings showed severe hemodynamic instability with blood pressure of 65/36 mmHg, pulse of 128 times/minute, respiratory rate of 29 times/minute, and lactate of 7.47 mmol/L. During treatment, progressive thrombocytopenia, coagulation disorders, decreased neurological status, and refractory hypoxemia were found. Mechanical ventilation and pronation position increased oxygen saturation from 84% to 98%, while lactate levels decreased to 2.26 mmol/L after intensive administration. Conclusion: Continuous nursing monitoring plays a role in accelerating resuscitation, vasopressor administration, ventilation support, and multidisciplinary coordination. Early detection of nursing plays an important role in recognizing overt shock, monitoring multisystem deterioration, and improving clinical stabilization and patient safety.
Nursing students’ lived experiences of multicultural nursing education: A phenomenological study Edison Kabak
Malahayati International Journal of Nursing and Health Science Vol. 9 No. 4 (2026): Volume 9 Number 4
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v9i4.3139

Abstract

Background: Cultural diversity in healthcare necessitates that nursing students possess the ability to comprehend the diverse values, beliefs, and practices of patients. Understanding how nursing students experience multicultural education is important for developing cultural competence, effective communication, and culturally sensitive professional attitudes. Purpose: To explore nursing students’ lived experiences and their interpretation of multicultural nursing education. Method: A qualitative approach with a phenomenological design. A total of 12 diploma nursing students were selected by purposive sampling as participants. Data were collected through semi-structured in-depth interviews and analyzed phenomenologically through the process of meaning identification, thematic grouping, and experiential interpretation. Results: The results of the study produced five main themes, namely cultural awareness as the basis for learning, experience of adaptation to cultural differences, the role of lecturers in learning, communication challenges in clinical practice, and the formation of professional attitudes based on cultural sensitivity. The findings suggest that the meaning of multicultural nursing education is formed through classroom learning experiences and clinical practice. Conclusion: Multicultural nursing education plays an important role in shaping students' cultural competencies, including awareness, adaptability, communication, and professional attitudes. The integration of multicultural learning in the curriculum is necessary to prepare students to deal effectively with the diversity of patients.
Sleep duration, sleep quality, and academic functioning among public health students at a university in North Sulawesi Freysi Heidy Mantiri; Fima Lanra Fredrik Gerarld Langi; Oksfriani Jufri Sumampouw
Malahayati International Journal of Nursing and Health Science Vol. 9 No. 4 (2026): Volume 9 Number 4
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v9i4.3145

Abstract

Background: Sleep is a fundamental biological need and is one of the main determinants of physical health, cognitive function, and psychosocial well-being. In young adults, including students, sleep patterns often undergo changes due to academic demands, lifestyle, and environmental factors, consequently, insufficient sleep duration and poor sleep quality are common health problems among university students. Neurophysiological mechanisms that link sleep to learning and memory capacity have been widely explained: certain sleep phases support memory consolidation and information processing critical for short- and long-term learning. Purpose: To examine the associations of sleep duration and sleep quality with academic functioning, while assessing academic stress as a potential mediator and physical activity as a potential confounder. Method: An observational study with a cross-sectional approach was employed to evaluate the relationship between sleep duration and sleep quality with the academic function of students at a single time point, taking into account the role of academic stress and health behavior based on the Directed Acyclic Graph (DAG) causal framework and reported in accordance with STROBE guidelines. Results: The relationship between sleep duration and sleep quality with academic function differs according to the type of indicator, where sleep quality is positively associated with motivation to learn (subjective indicators), but does not show significant association with GPA as an objective indicator after multivariate analysis. In addition, there was no meaningful link between sleep and academic stress, and physical activity was not proven to be the main potential confounder that explains sleep relation to objective academic achievement. Overall, sleep has a stronger association on the subjective aspects of academic experience than objective results, and academic stress does not act as a significant mediator, so relationship between sleep and academic functioning are complex and nonlinear. Conclusion: Overall, sleep duration and sleep quality have a stronger association on the subjective aspects of academic functioning such as motivation to learn than objective achievement (GPA), without a significant role of academic stress as mediator or physical activity as the main potential confounder, so that the relationship is complex and nonlinear.
Play-based interventions for reducing blood pressure among older adults with hypertension: A narrative literature review Syarifah Ayni Harahap; Yufitriana Amir; Siti Rahmalia Hairani Damanik
Malahayati International Journal of Nursing and Health Science Vol. 9 No. 4 (2026): Volume 9 Number 4
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v9i4.3213

Abstract

Background: Hypertension is a common health problem among older adults and requires both pharmacological and non-pharmacological management. Play-based activities may provide cognitive, psychological, social, and physical benefits, but their effects on blood pressure remain unclear. Purpose: To summarize evidence on play-based interventions and their potential effects on blood pressure and related health outcomes among older adults. Method: A narrative literature review was conducted using Google Scholar, PubMed, and ScienceDirect. Studies published between 2018 and 2026 were screened using predefined eligibility criteria. Thirteen articles were included and synthesized descriptively. Results: The majority of respondents had adequate knowledge (69%), negative attitudes (56%), and good management (78%). Bivariate testing showed a significant relationship between knowledge and management of primary dysmenorrhea (p = 0.027) and attitudes and management of primary dysmenorrhea (p = 0.000). The review results showed that most studies used pre-experimental and quasi-experimental designs. The types of play therapy found were puzzle games and ball throwing. Of the 13 articles, eight discussed puzzle therapy, with seven demonstrating effective results in improving cognitive function and reducing stress, and two articles demonstrating reduced blood pressure. Meanwhile, five articles discussed ball-throwing therapy, with four articles demonstrating increased physical activity and reduced anxiety, and two articles demonstrating reduced blood pressure. The instruments used included the MMSE, HARS, a sphygmomanometer, and observation sheets. Conclusion: Play-based interventions may support cognitive, psychological, and physical well-being among older adults. However, current evidence is insufficient to confirm their effectiveness in reducing blood pressure, particularly for intergenerational interventions involving preschool children.
Effectiveness of booklet and digital education media on parents’ ability to care for children with leukemia undergoing chemotherapy: A systematic literature review Khansa Rizki Syukrina; Yufitriana Amir; Reni Zulfitri
Malahayati International Journal of Nursing and Health Science Vol. 9 No. 4 (2026): Volume 9 Number 4
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v9i4.3234

Abstract

Background: Leukemia is the most common childhood cancer and requires prolonged chemotherapy, which often causes side effects that must be managed at home. Parents play a crucial role in supporting treatment adherence and symptom management; however, inadequate knowledge and caregiving skills remain significant challenges. Health education using booklet and digital media has been increasingly implemented to improve parental caregiving competence. Purpose: To compare the effectiveness of booklet and digital education media in improving parents’ ability to care for children with leukemia undergoing chemotherapy. Method: A systematic literature review was conducted following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) framework. Literature searches were performed in PubMed, ScienceDirect, and Google Scholar databases. Articles published between 2021 and 2025 in English were included if they evaluated educational interventions using booklet or digital media for parents or caregivers of children with leukemia. A total of 65 records were identified, and 11 studies met the inclusion criteria for final analysis. Results: The eleven studies evaluated various educational interventions using booklet-based and digital media among parents and caregivers of children with leukemia. Several studies reported improvements in caregiver knowledge, readiness, self-efficacy, symptom management, and caregiving skills following educational interventions. Digital media demonstrated advantages in accessibility, interactivity, and continuous support, whereas booklet-based education facilitated information retention and repeated learning. Conclusion: The findings suggest that both booklet-based and digital educational media may contribute to improving parental knowledge, readiness, and caregiving skills in caring for children with leukemia undergoing chemotherapy. However, the effectiveness of these interventions varied across studies due to differences in study design, intervention characteristics, and outcome measures. A combination of booklet and digital educational media may provide complementary benefits in supporting parental education and home-based care. Suggestion: Healthcare providers may consider integrating both booklet-based and digital education media as a complementary approach when delivering health education to parents of children with leukemia undergoing chemotherapy. Such an approach may combine the advantages of information retention offered by booklets with the accessibility and interactivity of digital platforms. Future research should evaluate the long-term effectiveness of hybrid educational interventions using rigorous study designs and explore the development of culturally appropriate, interactive, and user-friendly digital platforms to enhance parental engagement, caregiving competence, and home-based care outcomes.

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