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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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Effect of intensive animal-source protein support on weight recovery in infants aged 6–12 months with weight faltering: A quasi-experimental study Anjelita Patricia Gulo; Bella Desa Ria Mahulae; Dwi Sri Amanda; Grace Erika Nami Sidabutar; Debora Paninsari
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.v9i7.4333

Abstract

Background: Weight faltering in infancy is an early growth disorder associated with an increased risk of subsequent stunting. Globally, 149.2 million children under five years of age (22.2%) were affected by stunting and 45.4 million by wasting in 2020. In Indonesia, the prevalence of stunting among children under five was 21.6% in 2022. Inadequate animal-source protein intake remains common among infants aged 6–12 months, with reported inadequacy rates of 73.9%–82.8%. A preliminary survey in Tanjung Gusta Village, Medan City, found that 73.3% of infants with weight faltering had undernutrition based on the weight-for-length indicator. Purpose: To evaluate the effectiveness of intensive support for animal-source protein provision in accelerating weight recovery among infants aged 6–12 months with weight faltering in Tanjung Gusta Village, Medan City, Indonesia. Method: A quasi-experimental study using a pretest–posttest control group design was conducted among 60 infants aged 6–12 months with weight faltering. Participants were recruited using purposive sampling and allocated into an intervention group (n=30) and a control group (n=30). The intervention was implemented for 12 weeks from April to June 2026. Anthropometric measurements were assessed before and after the intervention. Statistical analyses included the paired-samples t-test, Wilcoxon signed-rank test, and Mann–Whitney U test. Results: Maternal adherence to the animal-source protein intervention reached 83.3%. In the intervention group, mean body weight increased from 6.16±0.29 kg at baseline to 7.23±0.31 kg after the intervention. The mean weight-for-age Z-score (WAZ) improved from −2.63±0.59 to −1.25±0.55 (p<0.001). Changes in body weight, body length, WAZ, and weight-for-length Z-score were significantly greater in the intervention group than in the control group (p<0.001). Conclusion: Intensive support for animal-source protein provision was effective in promoting weight recovery and improving nutritional status among infants aged 6–12 months with weight faltering. This approach may be considered as a potential intervention strategy within primary health-care services to support growth recovery in infants at risk of growth faltering.
Caring culture in interprofessional collaboration in hospitals: A scoping review Fauziah Nilam; Risnah Risnah; Musdalifah Mukhtar; Widya Amraeni
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.v9i7.4343

Abstract

Background: Interprofessional Collaboration (IPC) is essential for managing the complexity of hospital care, yet its effectiveness depends on organizational culture and the quality of interprofessional relationships. Prior literature has largely examined communication, leadership, or caring separately, leaving the structural role of caring culture in IPC insufficiently mapped. Purpose: To map evidence on the role of caring culture in hospital IPC and identify its facilitators, barriers, and implications. Method: This scoping review followed the Arksey and O'Malley framework, Levac's refinements, and PRISMA-ScR guidance. PubMed/MEDLINE, Scopus, CINAHL, Google Scholar, and Portal Garuda/SINTA were searched for publications from 2021–2025. Of 1,240 initial records, 320 titles/abstracts were screened, 80 full texts assessed, and 55 articles charted through structured extraction and thematic synthesis. Results: Seven theme clusters emerged, led by effective communication/SBAR (21.8%), organizational culture, trust, and collaborative leadership (18.2%), and specific clinical settings and other themes (16.4%). Regional variation, professional hierarchy, resource constraints, and inconsistent outcomes were also reported. The novelty lies in mapping caring culture as a structural enabler linking organizational context, communication, and IPC practice. Conclusion: Caring culture may support IPC, but the relationship cannot yet be interpreted causally and requires empirical testing.
Readiness for transition from partograph to who labour care guide: A narrative review Sri Wahyuni; Nabila Nabila Zahwa; Devi Karina Aisyah; Gina Satria; Khairiyah Khairiyah; Ratna Sari
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.v9i7.4347

Abstract

Background: Introduced by World Health Organization (WHO) in 2020, the Labour Care Guide (LCG) is an evidence-based successor to the conventional partograph that combines systematic maternal and fetal monitoring with woman-centered intrapartum care. Its successful implementation depends on both clinical validity and health-worker readiness. Purpose: To synthesize evidence on the transition from the conventional partograph to the WHO LCG, determinants of health-worker readiness, and their relevance to independent midwifery practice in Indonesia, particularly Aceh. Method: A narrative literature review synthesized literature on LCG development and implementation, limitations of the conventional partograph, health-worker readiness, and factors influencing adoption of new clinical tools. Literature was thematically synthesized around the rationale for LCG transition, implementation evidence, readiness determinants, and the Indonesian and Acehnese context. Results: The conventional partograph has limitations due to rigid assumptions about labour progression and inconsistent use. Evidence supports the LCG’s feasibility and potential clinical value, including reduced unnecessary obstetric interventions. Implementation depends on provider readiness, including knowledge, attitudes, resources, training, and organizational support, while evidence among independently practicing midwives remains limited. Conclusion: Successful transition depends on provider knowledge, attitudes, training, resources, supervision, and organizational support. Evidence on LCG readiness among independent midwives in Indonesia and Aceh remains limited, highlighting the need for context-specific research.
Development and validation of a telemonitoring-based self-management care model for patients with hypertension Eldawati Eldawati; Abdul Gowi; Muhammad Taufik Syastra
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.v9i7.4425

Abstract

Background: Hypertension requires continuous self-management to achieve optimal blood pressure control. Telemonitoring can support home blood pressure monitoring and continuous self-management, but previous interventions have varied in their components and healthcare professional support. Purpose: To develop and validate a telemonitoring-based Self-Management Care Model and evaluate its effectiveness in improving blood pressure among patients with hypertension. Method: This developmental study included platform design, validation by three experts, performance testing, usability testing involving 30 potential users, evaluation, and refinement. The implementation stage used a two-group pretest-posttest design involving 128 patients with hypertension, comprising 64 intervention and 64 control participants. The intervention group used the platform for two months, while the control group received standard hypertension lifestyle education through brochures. Blood pressure was assessed at T0, T1, and T2. Effectiveness was analyzed using Difference-in-Differences with an intention-to-treat approach. Results: In the intervention group, systolic blood pressure decreased from 145.60 ± 11.32 mmHg to 140.60 ± 10.11 mmHg, with a mean reduction of 5.01 mmHg (p < 0.001), while diastolic blood pressure decreased from 95.21 ± 10.35 mmHg to 86.35 ± 9.32 mmHg, with a mean reduction of 8.45 mmHg (p < 0.001). Control-group changes were not significant. DID showed differences in systolic blood pressure at T1 (2.57, 95% CI: 1.32–5.52) and T2 (4.34, 95% CI: 2.44–7.36), and diastolic blood pressure at T1 (2.13, 95% CI: 1.57–4.68) and T2 (3.57, 95% CI: 1.89–6.60). Conclusion: The model demonstrated potential effectiveness in improving blood pressure control and provides a structured approach to long-term hypertension management.
Effectiveness of various rehabilitation exercises for improving muscle strength in patients with stroke: A literature review Ni Kadek Devi Kumarayanti; I Gede Putu Darma Suyasa; I Kadek Nuryanto; Ni Wayan Kesari Dharmapatni
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.v9i7.4441

Abstract

Background: Muscle weakness is frequent after stroke and can restrict daily functioning, independence, and long-term recovery. The rehabilitation approaches used to address weakness differ considerably in type and dose, making direct comparison difficult. Purpose: To identify studies of exercise-based rehabilitation that directly measured muscle strength and to describe features shared by interventions with favorable findings. Method: A PICO-guided structured narrative literature review was undertaken. Due to resource constraints, searches were restricted to PubMed, ScienceDirect, and Springer Nature for English full-text controlled and quasi-experimental studies published from January 2017 through April 2026. Screening and data extraction were completed by one reviewer, and findings were summarized narratively. No formal critical appraisal, risk-of-bias assessment, or meta-analysis was undertaken due to substantial clinical and methodological heterogeneity across the included studies. Results: Nine studies with a combined sample of 595 participants met the criteria. The interventions included passive range of motion (ROM), resistance or strengthening exercise, sit-to-stand practice, cylindrical gripping, sling-supported shoulder exercise, bilateral computer-game training, upper-limb cycle ergometry, and Erigo robotic tilt-table exercise. Some studies demonstrated significant between-group benefits, whereas others reported only within-group improvement or incomplete comparative statistics. Conclusion: Exercise-based rehabilitation appears to have potential for improving muscle strength after stroke; however, restricted database coverage, high rates of unretrieved full texts (64% of sought reports), single-reviewer procedures, and the absence of formal critical appraisal limit certainty. The available evidence is hypothesis-generating rather than definitive and does not establish one exercise type as superior.
Perceptions and participation in the family planning program among couples of reproductive age Erlina Erlina; Juda Julia Kristiarini; Istri Yuliani; Hargianti Dini; Cipta Pramana
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.v9i7.4532

Abstract

Background: The Family Planning (FP) Program is a government initiative aimed at controlling population growth, improving reproductive health, and promoting healthy and quality families. However, participation among couples of reproductive age (CRA) in the working area of Kuta Baharu Public Health Center, Aceh Singkil Regency, remains suboptimal. This condition may be associated with perceptions, knowledge, family support, and other factors related to participation. Purpose: This study aimed to analyze the association between perceptions and participation levels among couples of reproductive age in the Family Planning Program and to explore factors underlying their participation. Method: This study employed a mixed-methods approach using a sequential explanatory design. The quantitative phase used a cross-sectional design involving 305 respondents selected through proportionate stratified random sampling. Data were analyzed using univariate analysis, bivariate analysis with the Chi-square test, and multivariate analysis using logistic regression. The qualitative phase involved in-depth interviews with purposively selected informants to provide further explanations for the quantitative findings. Results: Overall, 64.3% of respondents had favorable perceptions, while 61.6% demonstrated a high level of participation in the Family Planning Program. A significant association was found between perceptions and participation among couples of reproductive age (p < 0.001). Perception was the strongest factor associated with participation (OR = 4.218), followed by family support (OR = 3.942) and knowledge (OR = 2.735). Qualitative findings indicated that fear of contraceptive side effects and inadequate partner support were the main barriers to participation. Conclusion: Favorable perceptions were significantly associated with higher participation and represented the strongest factor associated with participation in the Family Planning Program. Increasing participation requires culturally appropriate education, strengthened family support, and greater involvement of community and religious leaders.
Empathy-based therapeutic communication and patient satisfaction: A scoping review Yenni Ekawati; Nur Hidayah; Syamsiah Rauf; Nur Inayah
MIN Vol. 9 No. 8 (2026): Volume 9 Number 8
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/min.v9i8.4156

Abstract

Background: Empathy-based therapeutic communication is an essential component of patient-centered healthcare, contributing to therapeutic relationships, trust, care experiences, and patient satisfaction. Although evidence of the benefits of empathic communication continues to grow, findings remain dispersed across clinical settings and have not been comprehensively mapped. Purpose: To identify and map forms of empathy-based therapeutic communication and their reported associations with patient satisfaction across healthcare settings. Method: This scoping review was conducted in accordance with the Joanna Briggs Institute (JBI) methodology and reported following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews (PRISMA-ScR). A literature search was conducted in Scopus, PubMed, and Google Scholar for articles published between 2020 and 2026. Study selection was guided by the Population–Concept–Context (PCC) framework. Data were extracted, charted, and synthesized descriptively to map study characteristics, forms of empathy-based therapeutic communication, and reported outcomes. Results: A total of 28 articles met the inclusion criteria and were included in the final synthesis. The findings identified several forms of empathy-based therapeutic communication, including nurse–patient communication, patient-centered communication, shared decision-making, empathic physician–patient communication, family-inclusive communication, and structured communication models such as AIDET. Overall, the included studies reported that empathic, responsive, and patient-centered communication was associated with greater patient satisfaction, increased trust in healthcare professionals, stronger therapeutic relationships, greater patient involvement in decision-making, and more positive care experiences. Conclusion: Empathy-based therapeutic communication appears to be an important component of patient-centered healthcare and is associated with positive patient satisfaction outcomes across diverse healthcare settings. The findings highlight the need to develop more standardized approaches to empathy-based therapeutic communication and to conduct further research examining their implementation and effectiveness across different clinical contexts.
Mapping the evidence on spiritual care in clinical nursing practice: A scoping review Nurhikmah Nurhikmah; Risnah Risnah; Wahdaniah Wahdaniah; Andi Mappanganro
MIN Vol. 9 No. 8 (2026): Volume 9 Number 8
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/min.v9i8.4269

Abstract

Background: Spiritual care is an essential component of holistic nursing; however, its implementation in clinical practice remains suboptimal due to limited nursing competencies, inadequate training, and a lack of evidence-based standard operating procedures (SOPs). Purpose: To map the available evidence to inform the development of the Spiritual Integrated Nursing Procedure (SPIRIT CARE NURSE) SOP for clinical nursing practice. Method: A scoping review was conducted using the framework developed by Arksey and O’Malley and guided by the PRISMA-ScR reporting guidelines. Literature searches were performed in PubMed, Scopus, CINAHL, Web of Science, ProQuest, BMC Nursing, Garuda, SINTA, and Google Scholar for articles published between 2022 and 2026. A total of 45 eligible articles were included and analyzed thematically. Results: The synthesis identified seven themes related to spiritual care implementation: nurses’ competencies, intervention effectiveness, education and training, implementation barriers, organizational support, the development of models and instruments, and the integration of spirituality into holistic nursing. The included studies reported that spiritual care may contribute to improved quality of life, psychological comfort, spiritual well-being, coping abilities, and patient-centered care. However, implementation remains challenged by limited standardized procedures, inadequate training, and insufficient organizational support. Conclusion: The findings highlight the need to develop an evidence-based SPIRIT CARE NURSE SOP to support the systematic, measurable, holistic, and patient-centered implementation of spiritual care in clinical nursing practice.
Human factors and ergonomics strategies in cardiopulmonary resuscitation: A systematic review of rescuer fatigue and CPR quality outcomes Ni Wayan Sukerti; Ni Luh Putu Inca Buntari Agustini; Ni Luh Dwi Indrayani; I Wayan Edi Sanjana
MIN Vol. 9 No. 8 (2026): Volume 9 Number 8
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/min.v9i8.4353

Abstract

Background: High-quality cardiopulmonary resuscitation (CPR) is physically and cognitively demanding, while rescuer fatigue can reduce chest-compression performance. Human Factors and Ergonomics (HFE) provides a systems-based approach integrating posture, workload, teamwork, technology, and the clinical environment. Purpose: To synthesize primary evidence regarding the effects of HFE-informed CPR education and performance strategies on rescuer fatigue and CPR quality. Method: This systematic review followed the PRISMA 2020 guidelines. PubMed, ScienceDirect, SpringerLink, and Google Scholar were searched for peer-reviewed primary studies published between January 2020 and December 2025. Eligible studies examined at least one HFE component and reported fatigue, CPR-quality, or team-performance outcomes. Twenty primary studies were included, critically appraised using design-appropriate Joanna Briggs Institute tools, and narratively synthesized because of methodological heterogeneity. Results: Real-time feedback, ergonomically appropriate positioning, workload management, planned compressor rotation, effective leadership, and team-based simulation generally improved compression depth, compression rate, chest-compression fraction, and team coordination. Conversely, prolonged chest compressions, suboptimal posture, forward leaning, personal protective equipment, and demanding patient positions increased rescuer fatigue. Nevertheless, evidence directly evaluating a comprehensive HFE-based CPR training program specifically for nurses remained limited. Conclusion: HFE-informed strategies can improve immediate CPR performance, strengthen team coordination, and support fatigue management. However, a standardized nurse-focused HFE training program should be evaluated through robust multicenter clinical studies assessing fatigue, CPR quality, skill retention, musculoskeletal effects, and patient-centered outcomes.
Exploring the implications of national health insurance claim disputes for hospital cash flow in the fourth quarter: A qualitative study in Indonesia Siti Aulia Lestari; Sali Setiatin
MIN Vol. 9 No. 8 (2026): Volume 9 Number 8
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/min.v9i8.4368

Abstract

Background: Claim disputes within Indonesia’s National Health Insurance (JKN) system, administered by BPJS Kesehatan, represent a significant challenge in the healthcare reimbursement process. Unresolved or disputed claims may delay reimbursement to hospitals, potentially disrupting cash flow and affecting their financial stability. Purpose: To analyze the impact of BPJS Kesehatan claim disputes on the cash flow of Hospital X during the fourth quarter of 2025. Method: A qualitative descriptive case study was conducted. Data were collected through in-depth semi-structured interviews with two key informants, a hospital claim verifier and a finance officer, supplemented by a review of BAHV documents and claim dispute recapitulation records for the fourth quarter of 2025. Data were analyzed using the Miles and Huberman interactive model, comprising data reduction, data display, and conclusion drawing and verification. Results: A total of 871 disputed claims valued at IDR 5,474,454,400 were identified. The disputes involved medical factors requiring further verification, discrepancies in diagnosis and procedure coding, and incomplete supporting documentation. Delays in resolving disputed claims were associated with delayed reimbursement and cash inflows, reduced availability of funds for hospital operations, and increased pressure on short-term liquidity. Conclusion: BPJS Kesehatan claim disputes affected hospital cash flow through delays in reimbursement and reduced availability of operational funds. Strengthening internal claim verification, coding accuracy, documentation completeness, and coordination among relevant units may help reduce claim disputes and support stable hospital cash flow.

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