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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 375 Documents
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Fluid restriction adherence and interdialytic weight gain associated with intradialytic mean arterial pressure among hemodialysis patients Astri Zeini Wahida; Rima Novianti Utami
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.v9i5.3721

Abstract

Background: Intradialytic mean arterial pressure (MAP) status is one of the most common cardiovascular indicators among patients with chronic kidney disease undergoing maintenance hemodialysis. Poor adherence to fluid restriction and excessive interdialytic weight gain (IDWG) are considered major contributors to hemodynamic alterations during dialysis sessions. Purpose: To examine the factors associated with intradialytic mean arterial pressure (MAP) among patients receiving maintenance hemodialysis. Method: An analytical cross-sectional study was conducted among patients with chronic kidney disease undergoing maintenance hemodialysis at a hospital in Indonesia. A total of 136 participants were recruited through a total sampling approach. Adherence to fluid restriction was measured using the Fluid Control in Hemodialysis Patients Scale (FCHPS), a 28-item instrument rated on a 5-point Likert scale, which demonstrated high internal consistency (Cronbach’s α = 0.88). Interdialytic weight gain (IDWG) was calculated as the percentage increase in body weight relative to the preceding post-dialysis dry weight. Intradialytic blood pressure was assessed using the mean arterial pressure (MAP) recorded two hours after initiation of dialysis. Data analysis was performed using multiple linear regression to examine associations between adherence and clinical outcomes. Results: Descriptive analysis showed a mean IDWG of 3.67% of dry body weight, a mean fluid restriction adherence score of 42.70, and a mean intradialytic MAP of 102.44 mmHg. Multiple linear regression demonstrated that interdialytic weight gain was positively associated with intradialytic MAP (β = 0.282, p = 0.001), whereas adherence to fluid restriction was negatively associated (β = −0.245, p = 0.003). Together, these variables explained 15.1% of the variance in intradialytic MAP (F = 13.000, p < 0.001). Conclusion: Adherence to fluid restriction and interdialytic weight gain are important variables associated with mean arterial pressure stability in patients undergoing maintenance hemodialysis. Continuous nursing education and behavioral interventions aimed at improving fluid management are essential to reduce the risk of acute cardiovascular complications in this patient population.
Recovery strategies to optimize range of motion and activities of daily living following total knee replacement in Saudi Arabia: A narrative review Irma Liana Putri; Edy Soesanto; RNgt Amin Samiasih
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.v9i5.3810

Abstract

Background: Knee osteoarthritis is highly prevalent among older adults in Saudi Arabia, with reported estimates ranging from 41% to 79%, and Total Knee Replacement (TKR) remains the definitive surgical treatment once conservative management fails. However, the long-term success of TKR depends heavily on structured post-operative rehabilitation, since surgical correction alone does not guarantee functional recovery. Purpose: This narrative review synthesizes current clinical evidence on recovery strategies following TKR, with particular emphasis on Range of Motion (ROM) progression, early mobilization, and Activities of Daily Living (ADL) recovery, while also considering the specific functional demands of the Saudi Arabian clinical context, including the high knee-flexion range required for Islamic prayer (Salah). Method: This narrative review followed the SANRA (Scale for the Assessment of Narrative Review Articles) guideline. A structured search of PubMed, MEDLINE, CINAHL, Scopus, PEDro, and Google Scholar was conducted for literature published between 2015 and 2026 using combinations of the terms "total knee replacement," "range of motion," "activities of daily living," and "rehabilitation." After screening against pre-defined inclusion and exclusion criteria, 16 peer-reviewed sources addressing TKR rehabilitation, ROM, ADL, and enhanced recovery protocols were retained for narrative synthesis. Results: Three clinically oriented themes emerged: (1) early, structured rehabilitation protocols, including Enhanced Recovery After Surgery (ERAS) pathways and progressive passive-to-active ROM exercises, which reduce arthrofibrosis and accelerate functional recovery; (2) standardized outcome measurement using goniometry, the Barthel Index, and the WOMAC index to monitor ROM, pain, and ADL independence; and (3) rehabilitation targets adapted to the Saudi Arabian context, particularly the 130°-140° flexion range required for prostration during prayer, alongside strengthening exercises, gait training, and adherence support. Conclusion: Early, structured, and culturally responsive rehabilitation is central to optimizing ROM and ADL outcomes after TKR in Saudi Arabia. Clinicians should prioritize early mobilization, individualized ROM targets that account for religious and cultural practice, and standardized outcome tracking, while future prospective studies should quantify long-term functional recovery in Saudi TKR populations.
Psychosocial factors associated with anemia among pregnant women attending a community health center Epi Putriani Zebua; Ariska Fauzianty; Juliyanti Pasaribu; Azrina Fetta Tanjung; Nova Isabella Mariance Br Napitupulu
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.v9i5.3898

Abstract

Background: Anemia during pregnancy remains a major public health problem because it increases the risk of adverse maternal and fetal outcomes. Psychosocial factors, including husband's support, adherence to iron supplementation, self-efficacy, and maternal knowledge, may influence anemia prevention behaviors. Purpose: To analyze the association between psychosocial factors and the incidence of anemia among pregnant women in the Sentosa Baru Community Health Center working area. Method: A quantitative cross-sectional study was conducted among 64 pregnant women selected using total sampling. Data on psychosocial factors were collected using validated questionnaires, while hemoglobin levels were obtained from medical records or maternal health books. Data were analyzed using Chi-square tests and multiple logistic regression. Results: Of the 64 respondents, 46 (71.9%) experienced anemia. Bivariate analysis demonstrated significant associations between husband's support (p=0.002), iron supplementation adherence (p=0.004), self-efficacy (p=0.001), knowledge (p=0.001), and anemia incidence. Multiple logistic regression identified husband's support (adjusted OR=8.273; 95% CI: 2.037–23.814; p<0.05), iron supplementation adherence (adjusted OR=5.938; 95% CI: 1.784–19.759; p<0.05), self-efficacy (adjusted OR=0.087; 95% CI: 0.020–0.389; p<0.05), and maternal knowledge (adjusted OR=8.273; 95% CI: 2.408–28.416; p<0.05) as significant factors associated with anemia. Conclusion: Psychosocial factors are significantly associated with anemia among pregnant women. Strengthening family support, improving adherence to iron supplementation, enhancing self-efficacy, and increasing maternal knowledge should be integrated into anemia prevention programs during pregnancy.
Nurses’ knowledge and attitudes associated with nutrition education for malnutrition prevention in patients with chronic obstructive pulmonary disease Erisca Carolina Tesalonike; Agung Waluyo; Denissa Faradita Aryani
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.v9i5.3911

Abstract

Background: Malnutrition is one of the major complications among patients with chronic obstructive pulmonary disease (COPD) due to increased energy requirements and chronic systemic inflammation. This condition may worsen respiratory function, increase the risk of exacerbations, and reduce patients’ quality of life. Nutritional education plays an important role in preventing malnutrition; however, its implementation by nurses remains suboptimal. Purpose: To identify the relationship between nurses’ knowledge and attitudes and the implementation of nutritional education for malnutrition prevention among patients with COPD. Method: A cross-sectional study was conducted among 65 respondents providing nursing care to patients with COPD at Dr. H. Abdul Moeloek Regional General Hospital, Lampung, using a total sampling technique. Data were analyzed using Spearman’s correlation test and multiple linear regression. Results: There was a significant relationship between knowledge and the implementation of nutritional education (r=0.443, p<0.001), as well as between attitude and the implementation of nutritional education (r=0.718, p<0.001). No significant relationships were found between age, gender, educational level, length of employment, history of nutrition training, or experience in providing care for patients with COPD and the implementation of nutritional education (p>0.05). Attitude was identified as the variable most strongly associated with the implementation of nutritional education. Conclusions: Nurses’ knowledge and attitudes were significantly associated with the implementation of nutritional education as an effort to prevent malnutrition among patients with COPD. Attitude was the most dominant factor associated with the implementation of nutritional education.
Clean and healthy living behaviors are associated with hypertension prevention and control: A systematic review Thalhah Bin Isman; Armanto Makmun; Nikmawati Nikmawati
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.v9i5.3940

Abstract

Background: Hypertension is one of the most prevalent non-communicable diseases and a major risk factor for cardiovascular complications. Most individuals with hypertension are asymptomatic, and is therefore commonly described as a silent killer. Clean and Healthy Living Behavior (PHBS) is a promotive and preventive approach that plays an important role of Clean and Healthy Living Behavior (PHBS) in hypertension prevention and control. Purpose: To identify the role of Clean and Healthy Living Behavior (PHBS) in the prevention and control of hypertension based on evidence from previous studies. Method: A systematic review method by searching scientific articles from bibliographic sources including Google Scholar, PubMed, ResearchGate, Elsevier, and NCBI. The article selection process was conducted systematically through identification, screening, eligibility assessment, and narrative synthesis. A total of 15 relevant articles published between 2019 and 2026 were included in the review. Results: The findings indicated that the implementation of PHBS, including healthy dietary patterns, salt intake restriction, regular physical activity, smoking cessation, weight management, stress control, routine health examinations, and medication adherence, was associated with lower hypertension risk and better blood pressure control. Furthermore, health education, PHBS promotion, and community-based interventions contributed to improving knowledge, attitudes, and healthy lifestyle practices among the community, thereby reducing the risk of cardiovascular complications. Conclusion: Clean and Healthy Living Behavior (PHBS) is potentially important non-pharmacological strategy for both preventing hypertension and achieving long-term blood pressure control. Integrating PHBS into primary healthcare systems significantly lowers the risk of cardiovascular complications. Suggestion: Multidisciplinary collaboration, community empowerment, and sustainable health promotion strategies should be strengthened within primary care. Additionally, future research utilizing longitudinal and interventional designs is required to assess the long-term efficacy of PHBS programs across diverse populations.
Emergency nursing triage and rapid management of suspected acute coronary syndrome: A systematic review Kafi Pangki Suwito; Abil Rudi
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.v9i5.3948

Abstract

Background: Coronary heart disease (CHD) is a major cause of morbidity and mortality worldwide. Timely triage and rapid management in the emergency department (ED) are essential to improve clinical outcomes and reduce the risk of serious complications. However, uncertainty remains regarding the effectiveness and implementation of various triage strategies across different healthcare settings. Purpose: To systematically analyze the literature on triage strategies and rapid management of patients with coronary heart disease (CHD) in the emergency department (ED). Method: A systematic literature review (SLR) was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Literature published between 2022 and 2025 was retrieved from Scopus, ScienceDirect, Google Scholar, and DOAJ to synthesize the available scientific evidence. Results: The review showed that triage and emergency management strategies for CHD have undergone substantial innovation, particularly through the development of advanced diagnostic tools such as high-sensitivity troponin biomarkers, clinical scoring systems including the Marburg Heart Score and EDICAS, early imaging modalities such as computed tomography coronary angiography and point-of-care ultrasound, and the integration of artificial intelligence and telecardiology. These approaches improved diagnostic accuracy and workflow efficiency. Their implementation substantially shortened resuscitation and reperfusion times, increased successful rescue rates, improved left ventricular ejection fraction, and reduced door-to-balloon time, thereby contributing to lower mortality and morbidity. Nevertheless, implementation remains constrained by disparities in care associated with sex, race, socioeconomic status, limited trained personnel, healthcare facilities, and the absence of internationally standardized protocols. Conclusion: The findings suggest that recent advances in CHD triage and rapid management provide substantial clinical benefits by improving diagnostic accuracy, treatment efficiency, and patient outcomes. However, continued efforts are needed to address implementation challenges and healthcare disparities to achieve more equitable and effective emergency care.
Transformational leadership, quality of work life, and organizational outcomes in healthcare Stepvia Stepvia; Oscar Jayanagara
Malahayati International Journal of Nursing and Health Science Vol. 9 No. 6 (2026): Volume 9 Number 6
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v9i6.1567

Abstract

Background: Physicians’ performance is a fundamental determinant of healthcare quality, patient safety, and organizational effectiveness. Increasing workloads, workforce shortages, occupational stress, and organizational challenges have heightened the need for effective strategies to improve physician performance. Quality of Work Life (QWL) and transformational leadership are widely recognized as important organizational factors associated with employee well-being, job satisfaction, and performance in healthcare settings. Purpose: To synthesize the existing evidence on the relationships among Quality of Work Life, transformational leadership, physician performance, and organizational outcomes, with particular attention to the influence of cultural context, gender, and communication. Method: A literature review was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA 2020) guidelines. Relevant articles published between 2002 and 2025 were identified through PubMed, Scopus, ScienceDirect, and Google Scholar. Studies examining QWL, transformational leadership, physician performance, or organizational outcomes in healthcare settings were considered eligible. Seventeen studies that met the inclusion criteria were analyzed using a narrative synthesis approach. Results: The findings indicated that higher QWL was consistently associated with better physician performance, greater job satisfaction, lower burnout, and improved healthcare service quality. Transformational leadership was positively associated with employee engagement, organizational commitment, and organizational effectiveness, whereas laissez-faire leadership was generally associated with less favorable organizational outcomes. Cultural context, gender, and communication also emerged as important factors influencing the relationships between leadership, QWL, and organizational performance. Conclusion: Integrating QWL initiatives with transformational leadership practices may represent an effective organizational strategy for improving physician performance and healthcare outcomes. Healthcare organizations should prioritize supportive work environments, equitable compensation, employee participation, effective communication, and leadership development while considering cultural and organizational contexts to promote sustainable organizational performance.
Occupational safety and health knowledge is associated with personal protective equipment usage behavior among field workers at PT X Gita Shafa Ulayya Muhlisin; Nova Mega Rukmana; Nurul Aziza
Malahayati International Journal of Nursing and Health Science Vol. 9 No. 6 (2026): Volume 9 Number 6
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v9i6.3848

Abstract

Background: Occupational Safety and Health (OSH) knowledge may influence workers’ compliance with Personal Protective Equipment (PPE) use by increasing awareness of workplace hazards and risks. In Lampung Province, 887 occupational accidents, including 13 fatalities, were recorded in 2025. Preliminary observations at PT X also indicated that approximately five workers did not use PPE optimally and consistently. This highlights the need to strengthen PPE compliance to reduce occupational accident risks. Purpose: To analyze the relationship between Occupational Safety and Health (OSH) knowledge and Personal Protective Equipment (PPE) usage behavior among field workers at PT X in 2026. Method: This quantitative study used a cross-sectional design involving 50 field workers selected through total sampling. Data were collected using validated and reliable questionnaires. Univariate and bivariate analyses were performed using the Chi-Square test. Results: Most respondents had poor OSH knowledge (32; 64%) and poor PPE usage behavior (27; 54%). A significant relationship was found between OSH knowledge and PPE usage behavior (p = 0.005; OR = 5.720). Workers with good OSH knowledge were 5.720 times more likely to demonstrate good PPE usage behavior than those with poor knowledge. Conclusion: OSH knowledge was significantly associated with PPE usage behavior among field workers at PT X. Strengthening OSH knowledge through training, education, and supervision may improve PPE compliance and workplace safety.
The use of digital patient handover systems in managing nurses' workload and patient safety: A scoping review Jusnah Jusnah; Hasnah Hasnah; Muthaharah Muthaharah
Malahayati International Journal of Nursing and Health Science Vol. 9 No. 6 (2026): Volume 9 Number 6
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v9i6.3885

Abstract

Background: Digital transformation in healthcare has accelerated the implementation of digital patient handover systems as an effort to improve the quality of communication, patient safety, and the efficiency of nursing services. These systems were developed to address various limitations of conventional handover, which risk causing information loss, miscommunication, and an increased administrative workload for nurses. Purpose: To identify and synthesize the scientific evidence regarding the use of digital patient handover systems in managing nurses’ workload and their impact on communication quality, patient safety, and continuity of care. Method: A scoping review was conducted following the PRISMA-ScR guidelines. A literature search was performed in the Scopus, PubMed, and Google Scholar databases for articles published between 2021 and 2026. Of the 148 articles identified, 22 met the inclusion criteria after undergoing deduplication, screening, and eligibility assessment. JBI critical appraisal tools were used to assess methodological quality. Data were extracted and analyzed using a thematic descriptive approach. Results: Four major themes emerged from the synthesis: improving the quality of handover communication, enhancing patient safety, optimizing digital nursing documentation, and managing nursing workload and staffing needs. The synthesis indicated that the use of electronic nursing handover, electronic medical records, and Situation, Background, Assessment, and Recommendation (SBAR)-based communication applications can facilitate more structured information transfer, improve documentation quality, enhance patient safety, and support more effective management of nursing workload and workforce resources. Conclusion: Digital patient handover systems contribute positively to improving communication quality, patient safety, documentation effectiveness, and the management of nurses’ workload. The success of their implementation is influenced by organizational readiness, system quality, and users’ digital competencies.
Supervision models in infection prevention and control programs: A scoping review Sumarni Sumarni; Huriati Huriati; Nur Hidayah; Rasdiana Rahim
Malahayati International Journal of Nursing and Health Science Vol. 9 No. 6 (2026): Volume 9 Number 6
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v9i6.3895

Abstract

Background: Infection Prevention and Control (IPC) is essential for reducing Healthcare-Associated Infections (HAIs) and improving patient safety. Effective supervision is crucial for ensuring healthcare workers’ compliance with IPC practices. However, evidence on IPC supervision models remains fragmented. Purpose: To map supervision models used in IPC programs across healthcare facilities. Method: A scoping review was conducted using Scopus, PubMed, and Google Scholar for studies published in 2020–2026. Of 194 records identified, 24 articles were included and analyzed using thematic synthesis in accordance with PRISMA-ScR. Methodological quality was assessed using the Joanna Briggs Institute (JBI) critical appraisal tools. Results: Four supervision models were identified: direct (n = 9), technology-based (n = 3), peer-led (n = 5), and interprofessional (n = 7). Direct supervision was the most frequently reported and was associated with improved hand hygiene compliance, PPE use, and IPC practices. Conclusion: Direct and interprofessional supervision were the most frequently reported models. Supervision that combines direct performance monitoring with interprofessional collaboration may strengthen IPC implementation and support healthcare quality and patient safety.

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