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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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Nurses’ compliance with the five moments of hand hygiene and healthcare-associated infections I Gusti Ngurah Aryana; Ni Luh Putu Inca Buntari Agustini; I Ketut Alit Adianta; Putu Noviana Sagitarini; I Gede Putu Darma Suyasa
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.v8i11.1692

Abstract

Background: Adherence to the five moments of hand hygiene in hospital settings plays a crucial role in preventing healthcare-associated infections (HAIs). Despite the widespread dissemination and acceptance of these guidelines, nurses’ compliance rates remain suboptimal in many healthcare institutions. Numerous factors have been identified as influencing nurses’ adherence to the five moments of hand hygiene. Purpose: To identify factors associated with nurses' compliance with the five moments of hand hygiene in reducing healthcare-associated infections. Method: This study employed a quantitative, non-participatory observational design using a cross-sectional correlational approach. A total of 334 nurses from Prof. Dr. I.G.N.G. Ngoerah General Hospital were recruited as participants. Data were collected through structured questionnaires and analyzed using univariate, bivariate, and multivariate statistical methods. Results: Overall, the compliance rate of nurses with the five moments of hand hygiene was 62.0%. The main factors significantly associated with compliance included the type of treatment room (p = 0.007; AOR = 2.116; 95% CI: 1.225–3.656), belief (p = 0.001; AOR = 16.596; 95% CI: 4.726–58.279), and glove use (p = 0.001; AOR = 5.957; 95% CI: 3.430–10.340). Conclusion: The key determinants affecting compliance with the five moments of hand hygiene include nurses’ beliefs, the use of gloves, and the type of treatment room. Beyond the variables examined in this study, additional predictors such as patient conditions, stress levels, workload, and socio-cultural influences may also contribute to variations in nurses’ adherence to the five moments of hand hygiene.
Student experiences of nursing education in shaping character: A phenomenological study Edison Kabak
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.v8i11.1895

Abstract

Background: Character building is an important aspect of nursing education to produce competent and ethical professional nurses. Nursing education emphasizes not only technical skills but also the development of moral values and leadership. Purpose: To explore the experiences of nursing students in shaping character through nursing education. Method: A phenomenological approach was used by conducting in-depth interviews with ten nursing students. The data were analyzed thematically to identify the experiences and processes of character formation. Results: Show that the formation of partisipants character is a dynamic process involving four main aspects: clinical practice experience, self-reflection, social interaction and organizational activities, and internalization of moral and ethical values. Practical experience builds responsibility and decision-making, self-reflection increases professional awareness, social interaction hones communication and leadership skills, while moral values become the ethical foundation. Conclusion: Nursing education must integrate practice, reflection, social interaction, and moral values to form students who are competent as well as characterful and ethical.
Resilience and stigma among children with HIV, tuberculosis, and stunting: A literature review Najmah Najmah; Ajeng Fathia Nurqanita; Ullya Fitri Samsuri; Sasyi Friska Nindiyanti; Marieska Verawaty; Iwan Stiabudi; Sari Andajani
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.v8i11.1913

Abstract

Background: Health-related stigma is a social phenomenon closely linked to inequality and marginalization. Children living with HIV, tuberculosis (TB), and stunting are particularly vulnerable to intersecting forms of stigma, including discrimination related to illness, poverty, and family background. These overlapping stigmas often restrict social participation, affect mental well-being, and hinder access to health services, thereby reinforcing cycles of vulnerability. Purpose: This literature review aims to synthesize existing evidence on the manifestations of stigma and resilience among children affected by HIV, TB, and stunting within the Indonesian and broader Asian contexts. Method: A literature review was conducted using databases including Google Scholar, PubMed, and ScienceDirect. Articles published between 2019 and 2024 were screened based on predefined inclusion criteria. Eighteen relevant studies were selected and analyzed using a thematic approach to identify recurring patterns related to stigma and resilience. Results: The findings indicate that stigma operates across multiple levels. At the intrapersonal level, caregivers often experience self-stigma, shame, and psychological distress, which negatively influence health-seeking behaviors. At the interpersonal level, children encounter social exclusion, peer discrimination, and community stigma that reduce their quality of life. At the structural level, stigmatizing attitudes among some health workers and discriminatory practices within health systems create barriers to equitable care. These forms of stigma are frequently intensified by socioeconomic factors such as poverty and limited educational access. Conclusion: Stigma affecting children with HIV, TB, and stunting is a multi-dimensional issue shaped by personal, social, and structural determinants. Addressing this problem requires comprehensive strategies, including community education, strengthening family and social support, and ensuring that health services are delivered in a non-discriminatory and child-centered manner.
Incidence and determinant factors of delirium in children in the PICU: A systematic review Hermin Mardiana; Mega Hasanul Huda; Nani Nurhaeni; Nur Agustini
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.v8i11.1977

Abstract

Background: Delirium in children admitted to the Pediatric Intensive Care Unit (PICU) is an acute neuropsychiatric complication associated with increased morbidity, mortality, length of stay, and long-term neurocognitive impairment. Its incidence ranges from 17–65.6% and exceeds 90% in infants. Various determinant factors including young age, developmental delay, mechanical ventilation, benzodiazepine sedation, metabolic disturbances, physical restraints, and severity of illness have been identified in previous studies. Purpose: To identify the incidence and determinant factors of delirium in children hospitalized in the PICU. Method: A systematic review design with narrative synthesis following PRISMA 2020 guidelines was employed. Literature searches were conducted in PubMed, Scopus, Web of Science, and Google Scholar. Study selection followed PICOS criteria, and methodological quality was assessed using the Joanna Briggs Institute (JBI) Critical Appraisal Checklist. Due to heterogeneity in delirium assessment tools, populations, and effect sizes, analysis was conducted using a narrative synthesis approach. Results: Eight studies met the inclusion criteria. The most consistent determinant factors of delirium included developmental delay (OR 3.34–4.20), mechanical ventilation (OR 3.7–6.02), benzodiazepine use (OR 2.89–5.05), high PRISM/PIM scores, hypoxia, metabolic disturbances (OR 3.73), and the use of physical restraints (OR 4.67–5.86). PICU length of stay increased the risk of delirium by 1.1 times for each additional day. Conclusion: Delirium in children in the PICU is a multifactorial condition influenced by biological, clinical, pharmacological, and environmental factors. Prevention efforts should include early detection, routine screening using validated instruments, minimization of high-risk sedation, optimization of ventilation management, environmental modifications to support sleep patterns, and family involvement.
Effectiveness and implementation challenges of short-course all-oral BPaL and BPaLM regimens for drug-resistant tuberculosis: A systematic literature review Fikria Adiputri; Rani Sauriasari; Dewi Danawati
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.v8i11.1998

Abstract

Background: Drug-resistant tuberculosis (TB-RO), including MDR and XDR forms, remains a major global health burden due to prolonged, toxic, and often ineffective conventional regimens. The introduction of short-course all-oral therapies BPaL (bedaquiline, pretomanid, linezolid) and BPaLM (with moxifloxacin) has offered a promising alternative, with evidence of superior efficacy, safety, and patient adherence. However, implementation across countries continues to face challenges, including limited access to pretomanid, insufficient laboratory capacity, and scarce evidence for special populations. Purpose: To synthesize global evidence on the effectiveness, implementation challenges, and supporting factors associated with BPaL and BPaLM regimens for drug-resistant tuberculosis. Method: A Systematic Literature Review (SLR) following the PRISMA protocol was conducted to identify, screen, and include relevant studies published from 2016–2024. Data sources consisted of clinical trials, operational studies, cost-effectiveness analyses, bibliometric reviews, and qualitative stakeholder assessments. Thematic analysis was applied to summarize findings on treatment outcomes, adverse effects, operational barriers, and socio-economic influences that shape implementation across different health system contexts. Results: Regimens BPaL and BPaLM demonstrated high treatment success rates ranging from 84% to 97.6%, with rapid sputum culture conversion. Linezolid-related toxicities—such as neuropathy and myelosuppression—were common but manageable through dose adjustment and active monitoring. Cost-effectiveness analyses indicated up to a 25% reduction in per-patient expenditure compared with conventional regimens. Supporting factors included patient-centred care, psychosocial support, strengthened pharmacovigilance, and international technical collaboration. Key barriers comprised limited pretomanid access, inadequate laboratory capacity for drug-susceptibility testing, variable readiness of health systems, and limited evidence in special populations (children, pregnant women, and extrapulmonary TB cases). Conclusion: The global adoption of BPaL and BPaLM regimens marks a significant advancement in the treatment of drug-resistant tuberculosis by enabling shorter, safer, and more cost-effective therapy with consistently high treatment success and improved operational feasibility across diverse settings.
Self-efficacy with self-management among patients with diabetes mellitus Trina Kurniawati; Eka Budiarto; Nur Intan Kusuma
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.v8i11.2150

Abstract

Background: Poorly controlled diabetes mellitus increases the risk of serious complications, making effective self-care management essential. Self-care behaviors are influenced by multiple factors, with self-efficacy recognized as a key psychological component affecting an individual’s capacity to manage chronic illnesses such as diabetes. Purpose: To examine the association between self-efficacy and self-care management among patients with diabetes mellitus. Method: A correlational study with a cross-sectional design was conducted using purposive sampling. A total of 36 respondents were included. Data were collected using the Diabetes Management Self-Efficacy Scale (DMSES) and the Summary of Diabetes Self-Care Activities (SDSCA). Statistical analysis was performed using the Pearson correlation test. Results: The analysis revealed a statistically significant relationship between self-efficacy and self-care management in patients with diabetes mellitus (p = 0.014). Conclusion: Lower levels of self-efficacy among individuals with diabetes mellitus significantly hinder the implementation of effective self-care management. Insufficient confidence in managing their condition leads patients to act inconsistently with recommended health behaviors. Consequently, strengthening self-efficacy and motivation is essential to improve adherence to diabetes management.
The effect of Physalis Angulata l. (Ciplukan) fruit extract on preeclamptic trophoblast cell cultures on TGF-β and TNF-α levels Sie Ernawati; I Gusti Ayu Ratih Parmita; Harry Kurniawan Gondo; Kuntaman Kuntaman; Nisye Pricilya Apriani Paembonan
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.v8i11.2251

Abstract

Background: Preeclampsia is a pregnancy complication characterized by hypertension, proteinuria, and dysfunction of other organs, which can endanger both the mother and the fetus. Due to its complex pathophysiology involving inflammatory and immunological processes, exploration of alternative therapies with anti-inflammatory potential is needed. Physalis angulata L. (ciplukan) is known to contain bioactive compounds that may modulate inflammatory mediators. Purpose: To evaluate the effectiveness of parental holding as a non-pharmacological intervention in reducing pain and anxiety responses in children undergoing invasive hospital procedures, particularly among critically ill pediatric patients Method: This study evaluated the effects of ciplukan fruit extract on TGF-β and TNF-α levels in preeclamptic trophoblast cell cultures. Trophoblast cells were isolated from placentas of patients with preeclampsia and treated with various doses of ciplukan fruit extract. Levels of TGF-β and TNF-α were measured using the ELISA method Results: The implementation of parental holding during invasive procedures was associated with a reduction in children’s pain responses and anxiety levels. Children who received parental holding showed calmer behavior, reduced distress, and improved cooperation during procedures such as IV insertion and injections compared to those who did not receive the intervention. Conclusion: Parental holding is an effective non-pharmacological intervention for reducing pain and anxiety in children undergoing invasive hospital procedures. This approach can be safely applied, particularly in critically ill children, to improve comfort and support family-centered care in pediatric settings.
Health locus of control is associated with medication adherence among outpatients with type 2 diabetes mellitus in Jakarta, Indonesia Dita Ayu Setiya Wati; Wilda Fauzia
Malahayati International Journal of Nursing and Health Science Vol. 9 No. 5 (2026): Volume 9 Number 5
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v9i5.2287

Abstract

Background: The increasing number of patients with type 2 diabetes each year indicates that early and sustained diabetes management is essential, particularly adherence to antidiabetic medication. Medication adherence in patients can be influenced by various factors, one of which is health locus of control. Purpose: To determine the relationship between health locus of control and medication adherence among outpatients with type 2 diabetes mellitus. Method: A cross-sectional design was applied. Participants were recruited through purposive sampling, yielding a total of 103 respondents. Data were collected using structured questionnaires and analyzed with descriptive statistics and Spearman’s rho correlation test. Results: Analysis revealed a significant correlation between health locus of control dimensions and medication adherence. The chance health locus of control dimension demonstrated the strongest association, with a moderate correlation coefficient (r = 0.453, p = 0.001). Internal health locus of control showed a weaker correlation (r = 0.296, p = 0.004), while the powerful others dimension also exhibited a weak correlation (r = 0.296, p = 0.002). Conclusion: Among the three dimensions, chance health locus of control showed the largest observed correlation with medication adherence, showing a moderate correlation with medication adherence. These findings suggest that interventions should prioritize enhancing patients’ awareness of controllable health factors to strengthen adherence to antidiabetic therapy.
Islamic religiosity, self-concept, and quarter-life crisis among undergraduate health sciences students Fajriyah Nur Afriyanti; Eneng Erna Purnama; Tati Suryati; Rian Agus Setiawan; Achirman Achirman
Malahayati International Journal of Nursing and Health Science Vol. 9 No. 5 (2026): Volume 9 Number 5
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v9i5.3428

Abstract

Background: The quarter-life crisis (QLC), typically occurring during emerging adulthood, represents a prolonged emotional struggle that may lead to adverse outcomes such as stress, anxiety disorders, and depression. Purpose: To examine the correlation between Islamic religiosity and self-concept with QLC among undergraduate students. Method: A quantitative correlational design with a cross-sectional approach was employed, involving 82 students. Data were collected using structured questionnaires and analyzed through univariate and bivariate techniques, with Spearman’s rank correlation applied. Results: The majority of respondents were 21 years old (52.43%), female (82.93%), and enrolled in public schools (79.27%). Most demonstrated moderate Islamic religiosity (70.73%), particularly in spiritual experiences (mean = 37.41). All students reported a positive overall self-concept, with role performance (97.56%) being the strongest dimension. Statistical analysis revealed no significant relationship between Islamic religiosity and QLC (p = 0.152, r = –0.160). However, a significant negative correlation was found between self-concept and QLC (p = 0.001, r = –0.440). While religiosity components such as spiritual experiences, consequences, and worship practices were moderately expressed, they did not significantly influence QLC. In contrast, negative aspects of self-concept—including body image, ideal self, self-esteem, role performance, and personal identity—were significantly associated with QLC. Conclusion: Self-concept was moderately and inversely associated with quarter-life crisis, whereas Islamic religiosity was not significantly associated with quarter-life crisis. The cross-sectional design does not establish causality.
Emotion dysregulation and childhood trauma are not significantly associated with NSSI scar cognition among Indonesian emerging adults Tiara Annisya Ni'am; Rr Dwi Astuti
Malahayati International Journal of Nursing and Health Science Vol. 9 No. 5 (2026): Volume 9 Number 5
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v9i5.3610

Abstract

Background: Non-Suicidal Self-Injury (NSSI) represents a significant public health issue among emerging adults globally and in Indonesia, heavily framed as a byproduct of emotional and developmental vulnerabilities. Purpose: To examine whether emotion dysregulation and childhood trauma were individually and jointly associated with NSSI scar cognition among Indonesian emerging adults. Method: Utilizing a cross-sectional correlational design. Data were collected online via Google Forms using a purposive sampling technique based on specific inclusion criteria from 105 emerging adults aged 18–30 with a history of NSSI within the last 6 months. Instruments included the Non-Suicidal Self-Injury Scar Cognition Scale (NSSI-SCS), Difficulties in Emotion Regulation Scale–18 (DERS-18), and Childhood Trauma Questionnaire–Short Form (CTQ-SF). Data were analyzed using multiple linear regression and Pearson product-moment correlation. Results: The multiple regression analysis revealed no significant simultaneous relationship between emotion dysregulation, childhood trauma, and NSSI scar cognition (R = 0.117, R² = 0.014, F = 0.712, p = 0.493). Furthermore, no significant relationship was found partially between emotion dysregulation and NSSI (r = 0.070, p = 0.239) or between childhood trauma and NSSI (r = -0.101, p = 0.153), indicating that all proposed hypotheses were not supported. Conclusion: Emotion dysregulation and childhood trauma were not significantly associated with NSSI scar cognition in this sample. These findings should be interpreted cautiously because of the cross-sectional design, nonprobability sampling, and modified measurement instruments.

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