cover
Contact Name
Teguh Pribadi
Contact Email
teguh@malahayati.ac.id
Phone
+6282282204653
Journal Mail Official
nursing@malahayati.ac.id
Editorial Address
Jalan Pramuka No.27 Kemiling Bandar Lampung -Indonesia.
Location
Kota bandar lampung,
Lampung
INDONESIA
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,
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
Articles 375 Documents
Evaluation of midwifery education curricula: A systematic review of models, outcomes, and quality indicators Anastasya Angelia Soekardy; Ari Indra Susanti
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.v9i6.4090

Abstract

Background: The transformation of maternal and neonatal care encourages midwifery education to develop a curriculum that focuses not only on content but also on achieving graduate competencies that meet global standards and the needs of midwifery practice. Curriculum evaluation is necessary to assess the alignment between learning design, implementation, and the education quality assurance system. Purpose: To systematically review the curriculum model, implementation results, and quality indicators in the evaluation of midwifery education. Method: A systematic literature review was employed, referring to the PRISMA 2020 guidelines. Article searches were conducted through PubMed, Scopus, ScienceDirect, Google Scholar, and Wiley Online Library. Of the 1,390 articles found, 15 studies met the inclusion criteria and were analyzed using narrative synthesis. Methodological quality was independently assessed by two reviewers using study-specific appraisal criteria Results: Competency-based curricula were widely implemented through the integration of simulation, midwifery continuity of care, student-centered learning, and International Confederation of Midwives (ICM) standards. Implementation of these curricula contributed to improved clinical skills, Objective Structured Clinical Examination (OSCE) scores, critical thinking, self-confidence, and student readiness for practice. Curriculum quality is influenced by alignment with standards, faculty competency, clinical facilities, supervision, and institutional quality assurance. Conclusion: Competency-based curriculum evaluation plays an important role in improving the quality of midwifery education and graduate readiness.
Determinants of miscarriage among pregnant women at Haji Hospital, Medan City, North Sumatra Province Juwita Febriani Pakpahan; Ika Damayanti Sipayung; Nurlela Pasaribu; Elsa Simanjuntak; Elestra Natalia Butarbutar
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.v9i6.4146

Abstract

Background: Miscarriage (recorded as “abortion” in hospital medical records) is a major health issue among pregnant women and can contribute to maternal morbidity and mortality. Hemorrhage resulting from miscarriage complications is a primary factor in maternal deaths. Purpose: To analyze the determinants of miscarriage among pregnant women at Haji Hospital, Medan City. Method: A quantitative approach with an observational, cross-sectional design was employed. The study population consisted of all pregnant women registered in the medical records at Haji Hospital, Medan City, in 2026. A sample of 64 pregnant women was selected based on inclusion and exclusion criteria, and data were analyzed using the Chi-Square test. Results: The results showed a p-value of 0.004 (p < 0.05); thus, the alternative hypothesis (Ha) was accepted and the null hypothesis (Ho) was rejected. This indicates a significant relationship of age on the occurrence of miscarriage among pregnant women at Haji Hospital, Medan City, North Sumatra. Conclusion: There is a significant relationship regarding the determinants of miscarriage among pregnant women at Haji Hospital, Medan City, North Sumatra Province.
The relationship between family support and self-care management among patients with hypertension Ady Waluya
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.v9i6.4192

Abstract

Background: Hypertension is a non-communicable disease that requires long-term management. Effective hypertension control involves not only pharmacological treatment but also self-care management practices, including medication adherence, physical activity, dietary regulation, blood pressure monitoring, and stress management. Family support is considered an important factor that may influence patients’ ability to perform self-care behaviors. Purpose: To determine the relationship between family support and self-care management among patients with hypertension. Method: A quantitative correlational design with a cross-sectional approach. The study population consisted of patients with hypertension at the Baros Public Health Center, Sukabumi. A total sampling technique was applied, involving 86 respondents. Data were collected using questionnaires measuring family support and self-care management. Data analysis was performed using the Spearman’s rho correlation test. Results: The majority of respondents received good family support (n=69; 80.2%) and demonstrated good self-care management (n=64; 74.4%). The Spearman’s rho correlation test showed a statistically significant relationship between family support and self-care management among patients with hypertension (p < 0.001; r = 0.878). Conclusion: Family support is significantly associated with self-care management among patients with hypertension. Strengthening family involvement through health education and hypertension management programs may support patients in improving self-care practices and maintaining better disease control.
Effect of the Fun Dialysis program on intradialytic anxiety in patients with chronic kidney disease: A quasi-experimental study Yani Nurhayani; Asep Novi Taufiq Firdaus; Yuniko Febby Husnul Fauzia
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.v9i6.4225

Abstract

Background: Patients with chronic kidney disease (CKD) undergoing hemodialysis often experience anxiety due to long-term therapy, activity restrictions, and concerns about complications. The fun dialysis program is a nonpharmacological intervention that combines humor therapy, interactive games, and rewards to create a more enjoyable hemodialysis environment. Purpose: To analyze the effect of the fun dialysis program on anxiety levels among CKD patients undergoing hemodialysis. Method: A quasi-experimental study with a pretest-posttest control group design was conducted on 66 hemodialysis patients, consisting of 33 in the intervention group and 33 in the control group. The intervention group participated in the fun dialysis program for 8 cycles (4 weeks), while the control group received routine care. Anxiety levels were measured using the State-Trait Anxiety Inventory (STAI) and analyzed using the Mann–Whitney test. Results: Severe anxiety in the intervention group decreased from 42.4% to 18.2%, while mild anxiety increased from 42.4% to 60.6%. In the control group, severe anxiety increased from 27.3% to 33.3%. There was a significant difference between the two groups (p = 0.018). Conclusion: The fun dialysis program is effective in reducing anxiety among chronic kidney disease patients undergoing hemodialysis and has the potential to be implemented as a safe, low-cost, nonpharmacological nursing intervention.
Maternal factors associated with placenta previa at Medan Haji Hospital, North Sumatra Jesyca Syahrani; Khairunnisa Situmorang; Zulfa Zahira; Dian Nirmala; Ida Adriany Pungkut
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.v9i6.4247

Abstract

Background: Maternal mortality resulting from obstetric complications, including hemorrhage due to placenta previa, remains a significant challenge in achieving the SDGs. Various maternal risk factors are believed to influence the occurrence of this placental implantation malposition. Purpose: To determine the relationship between maternal age, parity, history of cesarean delivery, history of curettage. Method: This cross-sectional study used secondary medical record data from 39 pregnant women at Medan Haji Hospital, North Sumatra, during 2021–2025. Total sampling was applied. Maternal age, parity, cesarean section history, and curettage history were analyzed for their association with placenta previa using the Chi-square or Fisher’s exact test at α = 0.05. Results: Four maternal variables demonstrated a statistically significant association with placenta previa incidence: Maternal Age: p = 0.003, Parity: p = 0.001, Prior Cesarean Section: p = 0.002, Prior Curettage: p = 0.003. Conclusion: Advanced maternal age, high parity, and a history of uterine procedures (cesarean section or curettage) are major risk factors for placenta previa, likely due to uterine structural changes affecting normal implantation. Healthcare facilities should implement targeted early screening and enhanced prenatal monitoring for patients presenting with these risk factors.
Fluid perfusion monitoring in pediatric AML with tumor lysis syndrome and AKI Dewi Hayati; Siti Nuraeni; Caswandi Caswandi; Medya Aprilia Astuti; Titin Sutini; Anita Apriliawati
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.v9i6.4248

Abstract

Background: Acute Myeloid Leukemia (AML) in children may be accompanied by severe complications, including hyperleukocytosis, Tumor Lysis Syndrome (TLS), and Acute Kidney Injury (AKI), which increase the risk of impaired tissue perfusion, multiorgan dysfunction, and mortality. This combination of complications is rarely reported and requires intensive nursing monitoring to facilitate early detection of clinical deterioration. Purpose: This case report aims to describe the clinical course and nursing management using a Fluid Perfusion Monitoring Bundle and to formulate monitoring recommendations for similar pediatric onco-hematologic emergencies. Case Study: A 15-year-old boy was referred with hyperleukocytosis and suspected acute leukemia following progressive weakness, fever, decreased appetite, and weight loss. Laboratory findings revealed a leukocyte count of 118,000/µL, hemoglobin of 5.2 g/dL, platelet count of 87,000/µL, and 74% peripheral blasts, accompanied by hyperuricemia, electrolyte disturbances, and elevated urea and creatinine levels of 194 mg/dL and 4.84 mg/dL, respectively. Immunophenotyping confirmed AML. The patient was diagnosed with AML complicated by hyperleukocytosis, spontaneous TLS, stage 3 AKI, and suspected leukostasis, requiring intensive care in the Pediatric Intensive Care Unit (PICU). Discussion: Impaired peripheral tissue perfusion was identified as the priority nursing problem due to hyperleukocytosis and leukostasis, further aggravated by severe anemia, TLS, and stage 3 AKI. The Fluid Perfusion Monitoring Bundle, comprising systematic monitoring of hemodynamic status, peripheral perfusion, oxygenation, fluid balance, urine output, renal function, and electrolytes, facilitated early detection of clinical deterioration and supported timely nursing and collaborative interventions. Conclusion: The Fluid Perfusion Monitoring Bundle supports structured monitoring and early detection of changes in tissue perfusion, fluid balance, and renal function in children with AML, TLS, and stage 3 AKI, thereby contributing to optimized nursing care and the prevention of clinical deterioration.
Meaning, dimensions, and implications of spiritual leadership for service managers in nursing services: An integrative literatur review Muh Aksa; Nur Hidayah; Syamsiah Rauf; Arief Bangsawan Aldo
MIN Vol. 9 No. 7 (2026): Volume 9 Number 7
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/min.v9i7.3985

Abstract

Background: Spiritual leadership integrates spiritual, moral, and humanitarian values to promote healthcare workers’ well-being and improve nursing service quality. Purpose: This study aimed to synthesize scientific evidence on the meaning, dimensions, and implications of spiritual leadership in nursing services. Method: An integrative literature review was conducted using the framework developed by Whittemore and Knafl, comprising problem identification, literature search, data evaluation, and data analysis and synthesis. Literature searches were performed in PubMed, ScienceDirect, and Google Scholar using the keywords “spiritual leadership,” “nursing,” “nurse manager,” and “healthcare,” guided by the PRISMA 2020 framework. Articles published between 2020 and 2026 were selected according to predefined inclusion and exclusion criteria. Results: Of the 15,274 records initially identified, 25 articles met the eligibility criteria and were analyzed using thematic synthesis. Three major themes emerged: (1) the meaning of spiritual leadership in nursing services, characterized by meaningful work, spiritual values, and human relationships; (2) its core dimensions, including vision, hope/faith, and altruistic love, supported by spiritual, emotional, and social competencies; and (3) its implications for nursing service managers, including improved caring behaviors, work engagement, job satisfaction, organizational commitment, spiritual well-being, and nursing care quality. Conclusion: Spiritual leadership may foster meaningful work environments, positive organizational cultures, and high-quality nursing services. Its implementation may strengthen nursing service managers’ capacity to lead healthcare services in a humanistic and sustainable manner.
Spiritual care integration in palliative nursing: A scoping review of barriers, intervention characteristics, and implications for Islamic healthcare contexts Syur Hasriati Jufri; Muh. Anwar Hafid; Ilhamsyah Ilhamsyah; Nur Hidayah; Andi Mappanganro
MIN Vol. 9 No. 7 (2026): Volume 9 Number 7
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/min.v9i7.3995

Abstract

Background: Spiritual care is internationally recognised as a core dimension of palliative nursing, yet its integration into routine clinical practice remains inconsistent, particularly in Muslim-majority and non-Western settings where culturally responsive frameworks are lacking. Purpose: To systematically map evidence on spiritual care integration in palliative nursing, focusing on multi-level barriers, intervention characteristics across cultural contexts, and implications for Islamic healthcare settings. Method: A scoping review was conducted using the Arksey and O'Malley framework, the JBI methodology, and the PRISMA-ScR guidelines. Four databases, PubMed, Scopus, DOAJ, and Europe PMC, were searched in May 2026 for studies published between January 2015 and May 2026 in English or Indonesian. Results: Thirty‑seven studies were included. Barriers to integrating spiritual care emerged at individual, organizational, and system levels, with inadequate documentation, unclear role definitions, and limited institutional support as the most persistent challenges. While universal principles of spiritual care were consistently reflected, effective interventions varied across religious, cultural, and healthcare contexts. The synthesis highlights contextual adaptation as essential for translating universal principles into meaningful practice, particularly within Muslim‑majority healthcare settings. Conclusions: Integrating spiritual care into palliative nursing requires not only individual competence but also organizational readiness, interdisciplinary collaboration, and sensitivity to patients’ religious and cultural contexts. This review introduces a conceptual framework that situates contextual adaptation as the link between universal principles of spiritual care and their clinical application, thereby supporting culturally responsive practice and guiding future model development.
Cardiorespiratory fitness for emergency nursing performance: Association with initial response time and clinical decision-making performance Fika Indah Prasetya; Turiman Turiman; Lutfi Mukhofi; Yuly Abdi Zainurridha; Harry Irfan Tonny; Priyo Sasmito
MIN Vol. 9 No. 7 (2026): Volume 9 Number 7
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/min.v9i7.4065

Abstract

Background: Emergency department (ED) nurses must respond quickly and make accurate clinical decisions in life-threatening situations. Although technical skills and experience are known to influence emergency performance, the role of cardiorespiratory fitness has received limited attention, especially among Indonesian emergency nurses. Purpose: To determine the relationship between cardiorespiratory fitness, response time, and clinical decision-making performance among ED nurses. Method: This cross-sectional correlational study included all 28 ED nurses at Jember Klinik Hospital using total sampling. Cardiorespiratory fitness was measured with the Harvard Step Test and estimated VO₂max. Response time was assessed during a standardized in-hospital cardiac arrest simulation as the interval from scenario completion to the first chest compression. Clinical decision-making performance was evaluated using a standardized vignette based on the American Heart Association 2020 cardiac arrest algorithm. Spearman rank correlation was used, with p < 0.05 considered significant. Results: Most nurses had good cardiorespiratory fitness (42.9%), optimal response time (53.6%), and good clinical decision-making performance (50.0%). Cardiorespiratory fitness was significantly associated with faster response time (r = –0.612; p = 0.001), indicating that fitter nurses initiated emergency actions more rapidly. A significant positive association was also found between cardiorespiratory fitness and clinical decision-making performance (r = 0.584; p = 0.001), suggesting that higher fitness levels were linked to better performance during the cardiac arrest simulation. Conclusion: Cardiorespiratory fitness was significantly associated with faster emergency response and better clinical decision-making performance among ED nurses. These findings suggest that fitness assessment and structured physical conditioning programs should be considered in occupational health and professional development strategies to strengthen emergency care quality and patient safety.
Post-cataract surgery infection prevention and postoperative care: A scoping review Ni Putu Sri Rahayu Dirantini; I Ketut Swarjana; Ni Luh Dwi Indrayani; I Gusti Agung Tresna Wicaksana
MIN Vol. 9 No. 7 (2026): Volume 9 Number 7
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/min.v9i7.4111

Abstract

Background: Post-cataract surgery infections, particularly endophthalmitis, are rare but potentially vision-threatening complications. Postoperative care and patient education are essential for infection prevention and early detection. However, evidence on infection postoperative care remains fragmented across different aspects. Purpose: To summarize research findings on post-cataract surgery infections, care strategies, and factors affecting post-cataract surgery patients. Method: A scoping review was conducted following PRISMA-ScR using the Population, Concept, and Context (PCC) framework. The population included patients undergoing cataract surgery or having undergone cataract surgery, the concept focused on Postoperative infection, Infection prevention, Postoperative self-care, Education, Medication adherence, Follow-up, and Endophthalmitis and the context included Home-care, Hospital discharge, Outpatient, and Community settings. A literature search was conducted using MeSH terms in PubMed, keywords in ScienceDirect, and other relevant sources. Studies published between February 2016 and January 2026 were considered. Eligible studies were English-language, full-text original research articles. Narrative reviews, integrative reviews, scoping reviews, systematic reviews, and meta-analyses were excluded. Results: The search retrieved 2,413 articles (1.645 from PubMed and 768 from ScienceDirect). Following PRISMA screening, nine articles were included in the final review. The included studies examined infection prevention, infection incidence, patient-level determinants, patient knowledge, medication adherence, and discharge education to support postoperative cataract care. Conclusion: Comprehensive postoperative care may improve adherence, self-care, and clinical outcomes after cataract surgery. Further research is needed to strengthen the evidence and identify effective infection prevention strategies.