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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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The effect of oukup therapy on breastfeeding self-efficacy and breast milk adequacy among postpartum mothers Henny Nurul Syafika Br Sitepu; Marta Armita Silaban; Siti Nurmawan Sinaga; Rosti Sinaga; Dia Astami
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.v9i7.4182

Abstract

Background: The exclusive breastfeeding coverage rate in North Sumatra Province reached only 57.27%, remaining below the national target of 60%. Breastfeeding failure is often attributed to low maternal self-confidence and postpartum fatigue. Oukup is a traditional practice of the Karo people rooted in local wisdom believed to restore a mother’s stamina after childbirth and provide comfort. Purpose: To determine the effect of Oukup on breastfeeding self-efficacy and the adequacy of breast milk flow among breastfeeding mothers at the Simalingkar Community Health Center. Method: A quantitative, quasi- experimental design with pre-test and post-test measurements was employed. The sample consisted of 40 breastfeeding mothers in the postpartum period, selected via purposive sampling and divided into two groups: intervention group and control group. Data were collected using questionnaires and observation sheets. Results: Wilcoxon test results for the intervention group showed that all participants experienced an increase in breastfeeding self-efficacy (BSE) scores from 42.35% to 56.75% and an improvement in breast milk flow adequacy from 7.35% to 13.80%, with a significant p-value of 0.001 (p < 0.05). Conclusion: Oukup steam therapy, a traditional Karo practice, was found to enhance breastfeeding self‑efficacy and improve breast milk flow among postpartum mothers. While promising as a culturally rooted complementary intervention, its broader application requires validation through larger, randomized, multi‑site studies with longer follow‑up.
Optimization of parents’ skills in using portable pulse oximeter for early detection hypoxemia in toddlers with ARI Dwi Intan Sastri; Juliana Munthe; Marliani Marliani; Emma Dosrian Maya Simanjuntak; Melanie Melanie
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.v9i7.4257

Abstract

Background: Acute respiratory infection (ARI) particularly pneumonia, remain a leading cause of morbidity and mortality among toddlers globally and nationally. Hypoxemia is a life threatening complication of ARI that requires early, objective identification. Portable pulse oximeters provide a rapid, on-invasive method for oxygen saturation (SpO2) monitoring at home, yet parental operational skill is often inadequate. Purpose: To explore targeted educational interventions to optimize parental proficiency in early detection of respiratory distress among toddlers with ARI. Method: This quantitative quasi-experimental study utilized a one-group pretest-posttest design involving 40 parents of toddlers with ARI at Kampung Baru Public Health Center, Medan, in 2026, selected via total sampling. Practical skills were measured using an 11 item observation checklist before and after interactive demonstration training. Data were analyzed using univariate statistics and the bivariate non-parametric Wilcoxon signed ranks test. Results: Prior to intervention, 95.0%(n=38) of participants exhibited poor skills (mean score). The Wilcoxon test Z= -3.177 and p=<0.05. Conclusion: The demonstration method significantly optimizes parents’ skills in operating portable pulse oximeters for early hypoxemia detection in toddlers with ARI.
Diagnostic accuracy of urine-based HPV DNA testing for cervical cancer screening: A systematic literature review Firdaus Cahya Saputra; Dwi Sarwani Sri Rejeki; Siwi Pramatama Mars Wijayanti
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.v9i7.4261

Abstract

Background: Cervical cancer remains a major global health challenge, particularly in low- and middle-income countries where screening uptake is limited. Clinician-collected cervical HPV testing is the current reference standard, yet conventional sampling procedures are often invasive, uncomfortable, and stigmatized, reducing acceptability among under-screened women. Urine-based HPV DNA testing has therefore emerged as a promising non-invasive alternative. Purpose: To critically synthesize and appraise existing evidence on the diagnostic accuracy of urine-based HPV DNA testing—specifically its sensitivity, specificity, and concordance—as well as the methodological factors influencing these metrics, in comparison with clinician-collected cervical HPV DNA samples for cervical cancer screening. Method: This systematic review, conducted in accordance with PRISMA 2020 guidelines, synthesized evidence from PubMed, Scopus, and ScienceDirect published between 2016 and 2026. Thirty eligible studies were included from 455 identified records, all evaluating the diagnostic accuracy of urine-based HPV DNA testing compared with clinician-collected cervical samples. Results: Findings revealed moderate-to-high concordance, with sensitivity ranging from 44% to over 95% and consistently high specificity. Superior diagnostic performance was observed in studies employing first-void urine collection and validated PCR-based assays, while methodological heterogeneity in collection procedures, preservation methods, and assay platforms remained evident. Conclusion: Urine-based HPV DNA testing offers a feasible, non-invasive approach to expand cervical cancer screening, particularly for under-screened populations. However, methodological standardization and large-scale validation are essential before adoption as a primary screening strategy.
Determinants of palliative care implementation in the end-of-life phase: A systematic literature review Kadek Leni; Ni Luh Putu Inca Buntari Agustini; I Nyoman Arya Maha Putra; Ni Kadek Sriasih
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.v9i7.4267

Abstract

Background: End-of-life palliative care depends on interacting determinants that have not been examined within a single theoretical framework. Purpose: To identify and synthesize the determinants of end-of-life palliative care implementation and to interpret them using Social Cognitive Theory. Method: This systematic literature review (PRISMA 2020; PEO framework) searched PubMed, Scopus, Web of Science, CINAHL, and Google Scholar, supplemented by Cochrane CENTRAL and PROSPERO, on 12 July 2026 for English-language original research published from 2020. Study quality was appraised with JBI, CASP, or MMAT tools, and findings were synthesized narratively (SWiM). Results: Of 420 records, 17 studies (16 independent samples) were included. Knowledge was suboptimal (64.5%–75% correct). Core competence was the strongest predictor of practice in one multicenter study (β = 0.656), in-service training was associated with better practice (β = 0.26, p = .006), and 73%–82% of professionals in four studies lacked formal training. In one Dutch study, 44% of patients and 24% of families had not discussed stopping curative treatment. Confidence in the findings was low to moderate. Conclusion: Individual, educational, and communication determinants appear to interact within organizational and family contexts, but the evidence is small and largely cross-sectional; longitudinal and interventional studies are needed.
From connection to confidence: Factors supporting successful online lactation peer support for postpartum mothers Eva Berliana; Yusari Asih; Nurlaila Nurlaila; Marlina Marlina; Indah Trianingsih
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.v9i7.4271

Abstract

Background: Breastfeeding self-efficacy is an important determinant of mothers’ confidence in initiating and maintaining breastfeeding. Postpartum mothers may experience breastfeeding difficulties and require accessible, responsive, and continuous support. Online lactation peer support provides an opportunity to connect mothers with peers while facilitating access to breastfeeding information and emotional support. However, the factors that support successful online peer support, particularly in relation to maternal breastfeeding self-efficacy, remain insufficiently understood. Purpose: To examine the improvement in breastfeeding self-efficacy following an online lactation peer support intervention and to identify key factors that may support its successful implementation among postpartum mothers. Method: A quantitative one-group pretest–posttest design was conducted among 25 postpartum mothers. Participants received an online lactation peer support intervention designed to provide breastfeeding-related information, peer interaction, emotional support, and opportunities to discuss breastfeeding difficulties. Breastfeeding self-efficacy was assessed before and after the intervention using the Breastfeeding Self-Efficacy Scale–Short Form (BSES-SF). Pretest and posttest scores were compared using an appropriate paired statistical test. Results: The mean breastfeeding self-efficacy score increased from 49.3 ± 8.1 before the intervention to 68.7 ± 7.4 after the intervention, representing a mean increase of 19.4 points. The improvement was statistically significant (p < 0.001). The findings indicate that accessible peer interaction, responsive breastfeeding support, emotional reassurance, relevant information, and continuity of support may contribute to the successful implementation of online lactation peer support and strengthening maternal breastfeeding confidence. Conclusion: Online lactation peer support was associated with a significant improvement in breastfeeding self-efficacy among postpartum mothers. A maternal-centered model integrating accessibility, peer connection, responsive support, relevant information, and professional facilitation may strengthen the potential of online peer support as a component of continuing postpartum breastfeeding care.
The effectiveness of leaflet media education on mother’s knowledge of complete basic vaccination for toddlers at community health center Sri Elvi Yesya; Juliana Munthe; Ade Rachmat Yudiyanto; Ruth Febiyola Hutahaean; Aisah Mora Nasution
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.v9i7.4285

Abstract

Background: Complete basic vaccination remains suboptimal in Indonesia. Coverage in North Sumatra was only 32.7%, far below the national average. In the working area of Community Health Center Medan Area Selatan, several antigens—including polio 3 and booster doses—had not reached full coverage among 430 targeted infants in 2025. Low maternal knowledge and misconceptions about side effects contribute to incomplete vaccination. Purpose: To analyze the effect of leaflet-based health education on mothers’ knowledge regarding complete basic vaccination for toddlers in Medan Area Selatan, North Sumatra, in 2026. Method: A pre-experimental one-group pretest–posttest design was applied to 40 mothers of children aged 0–12 months, recruited through total sampling. Knowledge was measured using a 20-item questionnaire before and after leaflet-based education. Data were analyzed with the Wilcoxon Signed Rank Test. Results: Respondents were mostly aged 25–30 years (40%), with higher education (55%). The mean knowledge score increased from 10.63 (SD=1.580) to 16.64 (SD=1.564). All participants showed improvement, with Wilcoxon results indicating significance (Z=-5.970, p<0.05). Conclusion: Leaflet-based health education significantly improved maternal knowledge of complete vaccination. Leaflets are recommended as effective, affordable, and reusable tools in primary health care.
Behavioural and self-management in hypertension: A scoping review Eulalia Marcia de Lima Amaral; Abdul Wakhid
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.v9i7.4286

Abstract

Background: Despite strong guideline support for non-pharmacological hypertension management, evidence on the behavioural and self-management strategies most consistently implemented and reported across original studies remains fragmented. Purpose: To map behavioural and self-management strategies for adult hypertension, identify well-researched approaches, and highlight underrepresented populations and intervention delivery models requiring further investigation. Method: A scoping review was conducted following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews (PRISMA-ScR) framework. Original research articles published in English between 2016 and 2026 that examined behavioural and self-management interventions for adults with hypertension were systematically identified, screened, and mapped. Results: Twenty-nine original studies from 19 countries were included. The interventions were predominantly digital or mobile health (mHealth) coaching, dietary counselling, and stress-management approaches. Multicomponent interventions combining professional support with digital delivery demonstrated the most consistent improvements in blood pressure outcomes. Discussion: The findings indicate that professionally supported, multicomponent digital interventions may provide a promising approach to improving blood pressure control and supporting self-management among adults with hypertension. However, substantial variation in intervention components, delivery models, and study populations limits direct comparison across studies. Conclusion: Future research should prioritise longer follow-up periods, standardised intervention reporting, and adaptation of behavioural and self-management interventions to low-resource settings to improve their applicability and sustainability.
Association between pregnant women’s satisfaction with antenatal care services and attendance at the Tutun Sehati program: A cross-sectional study Eva Ulina Lompohta Pinem; Srilina Br Pinem; Henny Rista; Nur Ainun Baru Sitepu; Bekti Pratiwi
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.v9i7.4294

Abstract

Background: The global maternal mortality ratio (MMR) was estimated at 197 per 100,000 live births in 2023. High-quality antenatal care (ANC) is essential for reducing maternal morbidity and mortality. In North Sumatra, only 80.32% of pregnant women completed six ANC visits (K6). Satisfaction with ANC services may influence adherence to recommended ANC visits. A preliminary survey at Tutun Sehati Primary Clinic indicated the need for further investigation of this relationship. Purpose: To assess the quality of ANC services and the level of satisfaction among pregnant women and to determine the associations between ANC service quality, maternal satisfaction, and adherence to ANC visits at Tutun Sehati Primary Clinic in 2026. Method: This quantitative study employed a cross-sectional design. The sample comprised 53 pregnant women from a population of 113. The sample size was determined using the Slovin formula with a 10% margin of error, and participants were recruited using accidental sampling. Data were collected using the SERVQUAL questionnaire, which was adopted in full from Sianipar et al. (2025). Data were analyzed using univariate analysis with frequency distributions and bivariate analysis using the Chi-square test. Results: Of the 53 respondents, 35 (66.0%) rated the quality of ANC services as good, while 36 (67.9%) reported a high level of satisfaction. The Chi-square test demonstrated a statistically significant association between ANC service quality and adherence to ANC visits (p < 0.001), as well as between pregnant women's satisfaction and adherence to ANC visits (p = 0.003). Conclusion: ANC service quality and pregnant women's satisfaction were significantly associated with adherence to ANC visits. These findings highlight the importance of maintaining and improving the quality of ANC services and patient satisfaction to support adherence to the recommended K6 ANC schedule.
Digital reproductive health literacy and sexually transmitted infection prevention among female adolescents Sarah Rafika Lathifah; Annasari Mustafa; Heny Astutik; Ari Kusmiwiyati
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.v9i7.4313

Abstract

Background: In today’s digital age, people can easily access information—particularly regarding reproductive health—through various digital platforms. Sexually transmitted infections (STIs) are caused by pathogens such as bacteria, viruses, or parasites that are transmitted between people through bodily fluids. For adolescents, puberty marks a transitional phase accompanied by significant physical and psychological changes. This period can sometimes lead to risky sexual behavior, which increases the potential for the transmission of sexually transmitted infections. Most adolescents today have ample access to the internet to obtain information about reproductive health. Purpose: To analyze the relationship between digital reproductive health literacy and STI prevention behaviors among female adolescents. Method: A correlational design with a cross-sectional approach was employed. The study population consisted of 156 female students in grades 10 and 12, from which a sample of 114 students was selected using proportional stratified random sampling. Data were collected via questionnaires and analyzed using the bivariate Fisher’s exact test. Results: Students’ digital reproductive health literacy was mostly in the moderate category (52.6%), while the absolute majority demonstrated good STI prevention behaviors (97.4%). The significance test yielded a p-value of 0.603 (p-value >0.05), meaning the null hypothesis (H0) was accepted. Therefore, there is no significant association between digital reproductive health literacy and STI prevention behaviors among these female adolescents. Conclusion: Digital reproductive health literacy was not significantly associated with STI prevention behaviors in this study. The findings suggest that digital reproductive health literacy alone may not explain variations in STI prevention behavior, while other contextual factors may also be relevant and warrant further investigation.
AI mindset transformation needs assessment for early warning system integration among emergency nurses Ambo Anto; Faisal Faisal; Suparman Suparman; Asih Luklu Susiati; Natasya Natasya
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.v9i7.4327

Abstract

Background: The increasing complexity of emergency care and the persistent challenges in early hypovolemic shock detection highlight the need for innovative approaches to support clinical decision-making. The integration of artificial intelligence (AI) and Early Warning Systems (EWS) requires not only technological readiness but also transformation in nurses’ mindset, knowledge, and clinical culture. Purpose: To assess emergency nurses’ needs for AI mindset transformation through EWS integration and explore the role of scientific clinical culture in supporting future AI implementation in emergency nursing practice. Method: An exploratory mixed-methods design with a convergent approach involving 164 emergency nurses from hospital emergency departments. Quantitative data were collected using a structured questionnaire assessing perceptions of AI, EWS utilization, scientific clinical culture, and professional development needs. Qualitative data were obtained through open-ended questions. Quantitative data were analyzed using descriptive statistics, while qualitative data were analyzed using thematic analysis. The findings from both approaches were integrated to provide a comprehensive interpretation. Results: The findings indicated substantial needs for AI mindset transformation among emergency nurses was categorized as high. The highest priority needs included strengthening collaboration among nurses, researchers, and hospital management; improving EWS training; increasing nurse participation in innovation development; and implementing practice-based learning. Participants demonstrated positive attitudes toward AI and acknowledged its potential to support clinical decision-making and emergency response. However, gaps remained in AI literacy, practical experience, and decision-support competencies. Qualitative findings revealed challenges in early hypovolemic shock detection, the need for continuous competency development, and the importance of collaborative innovation. The integrated findings identified scientific clinical culture, EWS integration, professional development, and stakeholder collaboration as essential components for AI readiness among emergency nurses. Conclusion: This study provides empirical evidence for the development of a Living Lab-based AI-enhanced EWS model to strengthen emergency nursing practice and support early hypovolemic shock detection.

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