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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 180 Documents
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Health literacy and TB-related stigma among nurses in Jayapura, Papua: A cross-sectional study Sinaga, Eva; Batticaca, Fransisca; Suyanto, Agnes Angelita
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 1 (2025): Volume 8 Number 1
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i1.658

Abstract

Background: Tuberculosis (TB) remains a significant global and national health concern. In Papua, the TB treatment success rate has yet to reach national targets. One of the key barriers to achieving this goal is the stigma surrounding TB patients. Purpose: To identify the relationship between TB-related health literacy and nurse stigma at Abepura Regional Hospital. Method: A quantitative correlational study was carried out between April and June 2024, involving 125 purposively selected nurses from Abepura Regional Hospital. Data collection was conducted using a TB literacy questionnaire and a TB-Related Stigma questionnaire. The data were analyzed using univariate analysis and the Chi-square test. Results: Most respondents were female, non-Papuan, in early or late adulthood, held a bachelor's degree, and had 5-20 years of work experience. The majority were civil servants without prior TB-related training and were assigned to the Emergency and Pulmonary Rooms. While most respondents demonstrated good TB-related literacy, nearly 40% exhibited stigma toward TB patients. No significant correlation was found between TB health literacy and nurses' stigma. Conclusion: Despite possessing sufficient TB knowledge, nurses still exhibited a high level of stigma toward TB patients. Enhancing awareness and understanding among nurses and the community is essential through health promotion initiatives and strengthening the role of community and religious leaders.
The principle of justice and the image of the nursing profession in society: A concept analysis Mufimah, Mufimah; Kamaludin, Ridlwan
Malahayati International Journal of Nursing and Health Science Vol. 7 No. 12 (2025): Volume 7 Number 12
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v7i12.660

Abstract

Background: The ethical principle of justice in nursing is often interpreted differently by patients and nurses. This principle does not function in isolation but rather complements other ethical values, leading to challenges in various situations. A common issue is the public perception of discrimination against patients utilizing the National Health Insurance, which affects the nursing profession’s image. Purpose: To establish a clear definition of the principle of justice in relation to the public perception of the nursing profession. Method: A concept analysis approach based on Avant’s framework was employed, utilizing online databases (PubMed and Google Scholar) with the keywords ‘justice,’ ‘professional image,’ and ‘nurse.’ Literature published between 2003 and 2023 was reviewed. Results: The concept analysis identified a conceptual and operational definition of justice concerning the nursing profession’s image. The study outlined the attributes, antecedents, consequences, and empirical indicators associated with nurses’ professional image. Conclusion: The operational definition of the nursing profession’s image in society refers to the public’s perception of the overall impression of nurses' behavior, which is deliberately shaped.
The relationship of family support with the quality of life of hypertension in the elderly Almaini, Almaini; Sumarni, Titin; Khoirini, Fatimah; Hartoyo, Mugi
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 1 (2025): Volume 8 Number 1
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i1.661

Abstract

Background: Hypertension is one of the most prevalent chronic diseases among the elderly, significantly affecting their quality of life. In Rejang Lebong, the prevalence of hypertension is 30.71%, with over 60% of the elderly population affected. Health-Related Quality of Life (HRQoL) in elderly individuals with hypertension includes physical, psychological, and social aspects. Family support is a form of interpersonal relationship characterized by attitudes, actions, and acceptance among family members. Families in Rejang Lebong often exhibit a patriarchal structure. Purpose: To examine the relationship between family support and the quality of life of elderly individual swith hypertension. Method: A cross-sectional approach, specially focusing on observational study. The study took place from July-August 2024, in Rejang Lebong, Bengkulu. The independent variable was family support the dependent variables is quality of life. Using purposive sampling and Lemeshow formula, 87 respondent were selected, who met specific inclusion and exclusion criteria. The analysis proceeded with a univariate test to determine the frequency distribution of respondents characteristics, followed by bivariate analysis using spearman rank test. Results: Family support respondents were mostly categorized as high 43 (49.4%) and had a moderate quality of life 64 (73.6%) and significance value (Sig.) <0.05. Conclusion: Indicates most respondent had high family support and moderate quality of life. There is a significant relationship between family support and all domains of quality of life in the elderly with hypertension.
The indoor air quality and the occurrence of sick building syndrome among employees in the central surgery building of hospital X, Bandung Hefnita, Hefnita; Budiyono, Budiyono; Suhartono, Suhartono
Malahayati International Journal of Nursing and Health Science Vol. 7 No. 12 (2025): Volume 7 Number 12
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v7i12.663

Abstract

Background: The prevalence of SBS (Sick Building Syndrome) among employees working in hospitals ranges from 21% to 80%, which is higher compared to other places. SBS has become an issue due to poor indoor air quality, including at Hospital X in Bandung. Purpose: To analyze the relationship between indoor air quality and the incidence of Sick Building Syndrome among workers in the Central Surgery Building of Hospital X, Bandung. Method: An analytical observational study with a cross-sectional design. The study population consisted of 105 permanent employees of the Central Surgery Unit. A sample of 91 workers was selected using random sampling. Inclusion criteria were permanent employment and working >7 hours a day, while exclusion criteria included employees on leave, sick, or unavailable. Data were collected through observation using instruments such as a thermohygrometer to measure temperature and humidity, a lux meter for lighting, a sound level meter for noise, and an anemometer for ACH (Air Changes per Hour), following the standards of the Ministry of Health Regulation No. 2 of 2023. Additionally, interviews were conducted using a questionnaire containing questions about SBS symptoms to gather data on the occurrence of SBS. Data analysis used Chi-square and logistic regression at a 95% confidence level and an alpha of 0.05. Results: The study results indicated that the indoor air quality did not meet the required standards: temperature (77.3%), humidity (86.4%), lighting (63.6%), noise (0%), bacterial count (63.3%), fungal count (77.3%), and ACH (63.3%). There was a significant relationship between temperature, humidity, and ACH with the occurrence of SBS (p=0.001; p=0.003; p=0.031). However, there was no significant relationship between lighting, bacterial count, and fungal count with SBS (p=0.181; p=0.264, p=0.066). Conclusion: Temperature, humidity, and ACH are variables that are associated with the occurrence of SBS.
The risk of malignancy index (RMI) in diagnosis of ovarian malignancy: A case report Sembiring, Daniel Anugrahta; Razali, Renardy Reza
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 1 (2025): Volume 8 Number 1
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i1.664

Abstract

Background: Ovarian cancer is among the deadliest gynecological cancers, with nearly 70% of cases identified at an advanced stage. It is the fourth most common cause of cancer-related deaths in women. While early detection significantly improves ovarian cancer outcomes, the disease often presents no symptoms in its early stages, resulting in delayed diagnosis and worsened prognosis. Achieving an accurate initial diagnosis in women with ovarian cancer is essential for ensuring early, correct treatment and reducing the risk of overtreatment. Clinically, various methods are available to assess ovarian malignancy risk, including the Risk of Malignancy Index (RMI). Purpose: To demonstrate the use of the RMI score to differentiate between benign and malignant ovarian tumors. Method: The case of Mrs. LKS, a 34-year-old woman who had experienced abdominal distension and related symptoms for one year, was analyzed in detail. The patient underwent multiple diagnostic evaluations, including a physical exam, ultrasound, abdominal CT scan, and histopathological analysis. The RMI, a well-established malignancy risk assessment tool, was employed. The initial evaluation of ovarian malignancy risk primarily considered ultrasound results, menopausal status, and serum CA-125 levels, with an RMI score above 200 indicating a high risk of ovarian cancer. Surgical procedures performed included a total hysterectomy, omentectomy, appendectomy, and ascitic fluid drainage. Results: The patient’s main issue was a gradually worsening abdominal distension over the past year, accompanied by lower abdominal pain, nausea, and significant weight loss. Physical examination and imaging revealed a heterogeneous cystic mass in the abdomen, suggesting a malignant ovarian cyst, along with the presence of ascites. The RMI score exceeded 200, indicating a high risk of ovarian malignancy. The patient underwent a laparotomy, which included a total hysterectomy, omentectomy, and appendectomy, leading to a postoperative diagnosis of stage III B ovarian cancer. Despite the intervention, the prognosis remained poor (dubia ad malam) due to the advanced stage at diagnosis. Conclusion: The RMI calculation serves as a valuable and reliable method for guiding diagnostic, management, and treatment decisions for patients with benign and malignant ovarian masses.
How leadership style, motivation, and workload impact the performance of healthcare workers in Indonesia Stepvia, Stepvia; Imtiyaaz, Siti Luluiyah; Nurfadhila, Sherly; Essyta, Innge
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 1 (2025): Volume 8 Number 1
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i1.665

Abstract

Background: Healthcare professionals, including doctors, specialists, and dentists, play a critical role in providing high-quality services to patients. Various factors affect the competencies and performance of these medical personnel, notably leadership style, motivation, and workload. Purpose: To investigate how leadership style, work motivation, and workload influence the performance of healthcare workers in Indonesia in 2024.  Method: A quantitative-analytic approach, employing cross-sectional data from a sample of 98 respondents. Results: Leadership style (r=0.59; p < 0.01) and work motivation (r=0.61; p < 0.01) had a significant positive impact on individual performance. Workload (r=0.63; p > 0.05) did not significantly affect performance levels within the scope of this study. Conclusion: Leadership style and work motivation play an important role in enhancing the performance of healthcare workers.
Performance of artificial intelligence in detecting bone fractures in radiographic results: A systematic literature review Nurifin, Stevany
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 1 (2025): Volume 8 Number 1
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i1.666

Abstract

Background: Artificial intelligence (AI), is currently very widely used in various lines of human life, including in the health sector. In radiology, the role of AI has begun to be involved in the interpretation of radiological imaging results with the aim of making radiological diagnosis more efficient. Purpose: To assess the performance of artificial intelligence in detecting human bone fractures on radiological imaging results. Method: A systematic literature review method using the PUBMED search application with a publication period of the last 5 years using search queries ("artificial intelligence" OR "machine learning" OR "deep learning") AND ("bone fracture detection" OR "fracture detection" OR "bone injury detection") AND ("X-ray" OR "radiograph") AND ("sensitivity" OR "diagnosis speed "OR" cost efficiency). Results: There are 27 articles showing that the use of AI in the field of radiology has been widely used in various countries, not only for X-ray radiology imaging, but also for CT Scan and MRI imaging applied to various fractures and its speed and effectiveness have also been compared for diagnosis using human radiology personnel. Conclusion: Artificial intelligence methods have a fairly good ability to identify human fractures in radiological images, which can help doctors avoid misdiagnosis and speed up the time to establish a diagnosis.
Demographic factors and marital status: Do they really influence the quality of nursing work life? Kurniasih, Yuni; Melinda, Dina; Ramdhani, Wawan Febri
Malahayati International Journal of Nursing and Health Science Vol. 7 No. 12 (2025): Volume 7 Number 12
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v7i12.715

Abstract

Background: Quality of Nursing Work Life (QNWL) is a crucial factor influencing nurses' well-being and performance. Although demographic factors, including marital status, are often considered determinants of QNWL, research findings on their impact remain inconsistent. Purpose: To assess whether demographic factors and marital status, have a significant impact on the Quality of Nursing Work Life (QNWL) among nurses. Method: A cross-sectional design involving 72 nurses working in inpatient care units. Data were collected using a validated QNWL questionnaire and analyzed using Spearman’s rank correlation test to evaluate the relationship between marital status and QNWL. Results: The majority of nurses reported their QNWL as "Good" (93.1%), while a small proportion rated it as "Excellent" (6.9%). Spearman’s correlation analysis indicated no significant relationship between marital status and QNWL (r = 0.152, p = 0.203, p > 0.05). This suggests that marital status is not a determining factor in nurses' quality of work life. Conclusion: Marital status does not significantly affect QNWL. Other factors, such as work environment, workload, shift system, and organizational support, are likely to have a greater influence. Further research is recommended to explore additional factors to develop more targeted strategies for improving nurses' quality of work life.
The role of health literacy in enhancing health promotion efforts: A systematic review Rohani, Tuti
Malahayati International Journal of Nursing and Health Science Vol. 7 No. 12 (2025): Volume 7 Number 12
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v7i12.716

Abstract

Background: Health literacy is one of the most important factors in improving the quality of life of the community. However, in developing countries such as Indonesia, most people have low levels of health literacy, especially in rural areas. This causes inadequate public health management, so the level of community literacy must be considered when designing health promotion programs. Purpose: To investigate the role of health literacy in enhancing health promotion efforts. Method: A systematic literature review study in the context of cervical cancer prevention promotion using techniques based on the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). This study used the PICOS framework (Population = General, Intervention = Health promotion, Comparison = Using a comparison group and not using a comparison group, Outcome = Health Literacy, and Study Design = Various research approaches, experimental studies, mixed methods, randomized controlled trials (RCTs), longitudinal multicentric prospective intervention studies, included in the study design). Results: Health literacy plays an important role in health promotion in various countries according to the literature analyzed. The health literacy rate in China increased from 6.48% to 23.1%. The majority of university students in Portugal have limited literacy levels. According to studies conducted in South Korea and Ethiopia, there is a relationship between health information orientation and health behavior. Children and pregnant women in Lithuania and Thailand experienced significant improvements in their health competencies as a result of parental health literacy and participation in special programs. These findings highlight the importance of health literacy improvement strategies implemented at the local level. Conclusion: Health promotion programs tailored to an individual’s health literacy level have been shown to be more effective in increasing community understanding and encouraging behavior changes that support long-term well-being. Suggestion: Additional research is needed to determine the most effective strategies or approaches that can be used to address health literacy gaps across communities, especially in areas with low health literacy.
Analysis in the Directly Observed Treatment Short-course (DOTS) Strategy implementation in children with pulmonary tuberculosis in Mataram-Indonesia: A qualitative study Saimi, Saimi; Ariyanti, Ayu Deny; Karjono, Muhammad; Khalik, Lalu Abdul
Malahayati International Journal of Nursing and Health Science Vol. 7 No. 12 (2025): Volume 7 Number 12
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v7i12.718

Abstract

Background: Tuberculosis is a global health problem, especially in children. Handling child TB cases in Mataram City, in 2022 there will be 184 TB cases in children and in 2023 there will be an increase of 310 cases. Reporting records experienced treatment failure of 43.7%, this condition indicates the phenomenon of implementing the DOTS program in the treatment of TB patients in children. Purpose: To analyse the implementation of the Directly Observed Treatment Shortcourse (DOTS) programme in the treatment of children with pulmonary tuberculosis. Method: Qualitative research with an exploratory descriptive design conducted on children with pulmonary tuberculosis in Mataram City. The sources of data and information were 13 informants consisting of: Persons in charge of the TB program at the Health Service, Hospitals, namely pediatricians, Community Health Center TB program holders, Medicine Drinking Supervisors and families of TB sufferers. In-depth interview methods and data analysis through reduction and triangulation, as well as document searches to record and report the implementation of DOTS program activities, including identification and diagnosis, classification and staging of TB, treatment of pediatric TB, treatment, monitoring and evaluation, prevention and education, handling side effects, and drug-resistant TB (TB-RO). Results: The implementation of the DOTS program in handling TB in children is still not in accordance with the SOP. Active screening of new case detection rates is still low, the readiness of professionals in identification and diagnosis, classification and staging of pediatric TB have not run optimally, the implementation process is carried out with a tiered referral system, the logistics of tools and drugs often occur out of stock, TB-RO and drug allergies are found to not be handled properly. Public compliance in treatment is still low and stigmatization is high in society. The government's commitment to handling pulmonary TB patients in children has not been implemented properly. Conclusion: The implementation of the Directly Observed Treatment Short-course (DOTS) program has not been optimal. The government's commitment to handling TB cases in children has many obstacles and challenges, limited professional human resources, running out of medicines, high absenteeism of TB patients, and high stigmatization of TB disease in society.

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