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NurseLine Journal
Published by Universitas Jember
ISSN : 25407937     EISSN : 2541464X     DOI : 10.19184
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Focus and scopes of the journal including: Medical and surgical nursing (Adult) Emergency and critical nursing Gerontological nursing Family health nursing Mental health nursing Maternity nursing Nursing leadership and management Complementary and alternative medicine in nursing Education in nursing
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Articles 37 Documents
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BODYWEIGHT SQUAT EXERCISE AS AN EFFECTIVE INTERVENTION TO ENHANCE MUSCLE STRENGTH IN OLDER ADULTS Fitriani, Aidah; Sutria, Eny; Rasmawati, Rasmawati; sumarmi, sumarmi; Ngoc, Vu Thi
NurseLine Journal Vol. 11 No. 1 (2026): May 2026
Publisher : Program Studi Ilmu Keperawatan Universitas Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19184/nlj.v11i1.60000

Abstract

Background: Aging is associated with a significant decline in muscle mass and strength, which increases the risk of falls among older adults. One strategic approach to address this issue is bodyweight squat training, which targets lower extremity muscle strength, balance, and functional ability in older adults. This study aimed to analyze the effect of bodyweight squat training on muscle strength in older adults. Methods: This quantitative study employed a pre-experimental design using a one-group pre-test and post-test approach. A total of 63 older adults were recruited using a purposive sampling technique. Muscle strength was assessed using the Five Times Sit-to-Stand Test (FTSST). Data were analyzed using the paired sample t-test. Results: The findings demonstrated a significant improvement in muscle strength following bodyweight squat training (p = 0.001). The mean FTSST completion time decreased from 12.51 seconds at baseline to 10.86 seconds after the intervention. Conclusion: The reduction in FTSST completion time indicates that bodyweight squat training is effective in improving muscle strength in older adults. This exercise can be recommended as a routine physical activity to enhance muscle strength and reduce the risk of falls.
Effect of Surgical Mask Use on Oxygen Saturation During Cycling Exercise Among Healthy Adults Sutono, Sutono; Setiyarini, Sri; Achmad, Bayu Fandhi; Kusumawati, Happy Indah; Yuliandari, Kurnia Putri; Hafild, Fanti Aldesia; Ayusti, Anisa Okta; Wulandari, Putri Aulia
NurseLine Journal Vol. 11 No. 1 (2026): May 2026
Publisher : Program Studi Ilmu Keperawatan Universitas Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19184/nlj.v11i1.60001

Abstract

Abstract Background: Cyclists are often exposed to elevated air pollution, and face masks have been suggested as a means to reduce inhalation of harmful pollutants. However, concerns persist that surgical mask use during cycling may reduce oxygen saturation. Aim: This study aimed to examine the effect of wearing a surgical mask on oxygen saturation during cycling among healthy adults. Methods: This quasi-experimental study used a one-group pretest–posttest design with convenience sampling and included 42 participants who cycled while wearing a surgical mask. Oxygen saturation was measured before and after cycling, and intervention effects were analyzed using a linear mixed model with Bonferroni adjustment to control for participant characteristics. Results: Mean oxygen saturation decreased slightly from 96.7% (SD = 1.4) before cycling to 96.1% (SD = 2.2) after cycling, but the difference was not statistically significant (p = .149). A linear mixed-effects analysis with a Bonferroni adjustment confirmed that neither time nor participant characteristics had a significant effect on oxygen saturation. Conclusions: Wearing a surgical mask while cycling did not cause a significant reduction in oxygen saturation among healthy individuals, suggesting that its use during moderate-intensity cycling is physiologically safe.
NURSES’ PERCEPTIONS OF SPIRITUAL CARE Amal, A.Adriana; Risnah, Risnah; Hidayah, Nur; rifky, muh; yusuf, saldi; Sumarmi, Sumarmi; Mbukwane, Gcinile
NurseLine Journal Vol. 11 No. 1 (2026): May 2026
Publisher : Program Studi Ilmu Keperawatan Universitas Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19184/nlj.v11i1.60002

Abstract

Background: Holistic nursing care includes spiritual dimensions that are essential to patient well-being. However, spiritual nursing care is still not optimally implemented in daily clinical practice. Many nurses experience challenges in providing spiritual care, such as lack of training, psychological barriers, and minimal institutional support. Objectives: This study aimed to examine nurses' perceptions of spiritual nursing care in inpatient wards at a hospital. Method: This study used a quantitative descriptive design and was conducted at Haji Hospital Makassar. A total of 81 inpatient ward nurses were selected using stratified random sampling. The instrument used was the Indonesian version of the Spiritual Care-Giving Scale (SCGS), which has been validated for validity (CVI > 0.8) and reliability (Cronbach’s Alpha = 0.97). Data analysis was conducted descriptively across five domains of perception: attributes, perspectives, definitions, attitudes, and values in spiritual care. Results: Overall, nurses had a positive perception of spiritual nursing care, with an average total SCGS score of 5.51. The domain with the highest score was “defining spiritual care” (mean = 5.56), reflecting nurses' understanding that spiritual care is an empathetic, culturally sensitive, and patient-centered process. The lowest score was found in the domain of “spiritual service values” (mean = 5.48), indicating that the internalization of broader spiritual values beyond religious practices remains limited. Psychological barriers and conceptual confusion between spirituality and religiosity were also identified. Conclusion: Although nurses recognize the importance of spiritual care, there remains a gap in the internalization of its values and their implementation in clinical practice. Structured training, cultural competency enhancement, and institutional support are needed to improve nurses' readiness and competence in providing meaningful spiritual nursing care. Keywords: spiritual care, nurses’ perceptions, spirituality, professional competence
EFFECTIVE COMMUNICATION OF THE SBAR METHOD AND PATIENT SAFETY CULTURE OF COMMUNITY HEALTH CENTERS IN SURABAYA Huda, Nuh; Irawandi, Dedi; Aulisna, Farda
NurseLine Journal Vol. 11 No. 1 (2026): May 2026
Publisher : Program Studi Ilmu Keperawatan Universitas Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19184/nlj.v11i1.60004

Abstract

Background: Effective communication is a key component for nurses in achieving patient safety in accordance with established standards at health centers. Community Health Centers in Surabaya have implemented a patient safety program to support this goal. Methods: This study aimed to examine the relationship between effective communication using the SBAR method and patient safety culture in community health centers in Surabaya. An analytical descriptive design with a cross-sectional approach was employed. A total of 36 respondents were selected using a probability sampling method, specifically simple random sampling. The study variables included SBAR-based communication and patient safety culture. Data were collected using the SBAR questionnaire and the Hospital Survey on Patient Safety Culture developed by the Agency for Healthcare Research and Quality (AHRQ). Data were analyzed using Spearman’s rho correlation test. Results: The findings showed that 52.8% of respondents practiced moderately effective communication, while 47.2% demonstrated effective communication. In terms of patient safety culture, 63.9% of respondents reported a moderately good level, and 36.1% reported a good level. Conclusion: A significant relationship was identified between effective communication using the SBAR method and patient safety culture in community health centers (ρ = 0.048; r = 0.331). Effective SBAR communication can therefore serve as a strategy to strengthen and improve patient safety culture within health centers. Keywords: Communication; patient safety culture; SBAR
EXPLORING FACTORS TO SUCCESSFUL EXCLUSIVE BREASTFEEDING IN PRIMIPAROUS YOUNG MOTHERS IN SAMARINDA: A QUALITATIVE STUDY Wahyuni, Tri; Hakim, Lukman; Ernawati, Rini; Andriani, Dwi Astri
NurseLine Journal Vol. 11 No. 1 (2026): May 2026
Publisher : Program Studi Ilmu Keperawatan Universitas Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19184/nlj.v11i1.60007

Abstract

Background: Breast milk is the best food for babies, as it contains the optimal nutritional content. The WHO emphasizes the importance of exclusive breastfeeding for the first six months to support infant growth and development, without any additional food. The Quran, in Surah Al-Baqarah, verse 233, recommends breastfeeding for two years for mothers who wish to establish a sufficient milk supply for their babies. Providing exclusive breastfeeding requires strong efforts from the mother as well as support from her partner, family, and health workers. Objective: This study aims to explore and understand the factors that contribute to mothers' success in exclusively breastfeeding their children. Method: Qualitative research was conducted among 12 primiparous mothers in Samarinda who successfully breastfed their infants. Data collection involved in-depth interviews and observations with first-time mothers who had successfully breastfed their babies, aged 6-12 months, followed by thematic analysis. Result: Four themes emerged: knowledge about exclusive breastfeeding, support system, religious beliefs, and economic factors. Exclusive breastfeeding was successful in all respondents. Mothers' knowledge of exclusive breastfeeding, support from their partners and health workers, understanding of the Quran, and family economic factors were the determinants of successful breastfeeding. Conclusion: There were many factors to successful breastfeeding among young mothers with their first infant. The specific findings on the success of exclusive breastfeeding, including an understanding of the meaning of Al-Baqarah 233 in relation to the perfection of breastfeeding. Specific and appropriate interventions for primiparous mothers are needed to support the success of providing exclusive breastfeeding.
Analysis of Determinants of Hypertension Potential Stroke Incidence in Health Center Work Areas in Manggarai Regency Wea, Lidwina
NurseLine Journal Vol. 11 No. 1 (2026): May 2026
Publisher : Program Studi Ilmu Keperawatan Universitas Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19184/nlj.v11i1.60010

Abstract

Background: Stroke is still the leading cause of death for sufferers. One of the risk factors for stroke is hypertension. Hypertension remains the most prevalent disease among people in Pagal, Cibal District, Manggarai. The most effective way to reduce the burden of stroke is to know the risk factors other than hypertension such as age, family history of stroke, diabetes mellitus, cholesterol levels, smoking, weight, physical activity, and history of heart disease. Objectives: This study aims to identify factors associated with stroke risk, which can inform strategies to improve overall health and reduced the risk of stroke. Method: This study is a quantitative descriptive study, conducted in the working area of ​​the Pagal Health Center, Manggarai Regency. A total of 60 respondents, consisting of 19 men and 41 women, who are hypertensive patients, were involved. Respondents were identified using inclusion criteria. The sample selection approach used was purposive, namely the selection of samples by considering certain criteria such as being 45-59 years old or pre-elderly age who experience hypertension. The questionnaire assessed stroke risk factors consisting of 9 indicators. The researcher conducted univariate tests of the participants' characteristics and risk factors for stroke for the data analysis stage. The bivariate analysis was conducted using the Kendall's Tau b test to identify the factors that contribute to the risk of stroke and to identify the most influential factors through multivariate analysis using the ANOVA test. Results: The study found that the age risk factor, defined as being over 55 years old, has a score of 2 (high risk) and was present in 28 respondents (46.7%). From the results of the study, it was found that out of 60 respondents, there were 23 respondents (38.3%) who were at moderate risk and 5 respondents (8.3%) who were at high risk of stroke. Conclusion: Respondent characteristics (age and physical activity) are risk factors for stroke in patients with hypertension at the Pagal Health Center. Identification of health behaviors that can be changed remains an important element in preventing stroke, such as maintaining a lifestyle. This study contributes to nursing science, particularly in developing preventive measures for stroke. It enables stroke patients to identify and understand factors that can be anticipated.
APPLICATION OF WARM BLANKET AND CLOTH IN REDUCING POSTOPERTAIVE HYPOTHERMIA IN POST-CESAREAN MOTHERS: EVIDENCE FROM MATERNITY NURSING PRACTICE Fatmawati, Lilis; Umam, Esa Rosyida; Rizka Laily, Nurul Fahmi; Nurhayati, Lilik; Savage, Eileen
NurseLine Journal Vol. 11 No. 1 (2026): May 2026
Publisher : Program Studi Ilmu Keperawatan Universitas Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19184/nlj.v11i1.60013

Abstract

Background: Hypothermia is a condition where there is a decrease in core body temperature ≤ 36 ℃. Management to overcome hypothermia is pharmacotherapy and non-pharmacotherapy. Objectives: This study is to determine the effectiveness of Warmer blankets and cloth blankets on increasing body temperature in postoperative Sectio Caesarea patients who experience hypothermia. Method: This type of research is a quasi experiment (Two group pre test post test design). Sampling was carried out in the recovery room of Semen Gresik Hospital. The sampling technique used purposive sampling with a total sample size of 92 people, divided into 2 groups, namely the Warmer blanket intervention group of 46 people and wool blankets of 46 people, with each intervention time for 60 minutes and evaluation of body temperature measurements every 15 minutes. This research instrument uses standard operating procedures (SOP for the use of warmer balnket, SOP for giving wool blankets, body temperature observation sheets, and SOP for measuring body temperature. Body temperature assessment criteria are divided into 3, namely low body temperature ≤ 35.9 ℃ given a value of 1; normal body temperature 36 ℃-37.9 ℃ given a value of 2; and high body temperature ≥ 38 ℃ given a value of 3. Data were analyzed with the Mann Whitney U test. Results: The results of statistical tests with the Wilcoxon and Mann whitney U test obtained a 2 tailed sign value p = 0.000 (<0.05) which means there is a difference in effectiveness between Warmer blankets and cloth blankets. Conclusion:. Warmer Blanket is more effective in increasing the body temperature of postoperative Sectio Caesarea patients who experience hypothermia compared to cloth blankets.
THE INFLUENCE OF HEALTH EDUCATION ON HEALTH LITERACY, EMOTIONS, AND COPING OF ELEMENTARY SCHOOL STUDENTS: PRE-EXPERIMENTAL DESIGN Sukaesih, Nunung Siti; Sopiah, Popi; Lindayani, Emi; Pramajati, Hikmat; Hudaya, Ahmad Purnama; Lindasari, Sri Wulan; Faozi, Akhmad
NurseLine Journal Vol. 11 No. 1 (2026): May 2026
Publisher : Program Studi Ilmu Keperawatan Universitas Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19184/nlj.v11i1.60017

Abstract

ABSTRACT Background: Deaths from non-communicable diseases are increasing in low and middle income countries. Developing school-based health education interventions and programs is one way to improve health literacy skills and abilities from an early age. This program is important for children because increasing literacy skills and abilities in children can predict increasing physical and mental health status and plays an important role in forming healthy habits in children Objectives: The aim of this study was to determine the effect of structured health education on children's health literacy, cognitive, emotional and behavioral, as well as mood and coping. Method: This study was conducted using a pre-experimental design (group intact comparison) with repeated measurements (pre-test and post-test) involving the intervention group and the control group. Elementary school students in grades 4-5 as many as 80 students in the intervention group and 88 students in the control group using several research instruments, namely Health Literacy for Adolescent Tools (HLAT-8), Pediatric Symptom Checklist- 17 (PSC-17), Mood and Feelings Questionnaire -Self report (MFQ-Self). Results: The interaction of health literacy (F(1,166) = 108.3, p < .001, emotional state (F(1,166) = 51.22, p < 0.001), and coping (F(1,166) = 68.71, p < .001). between time and group was significant. This indicates that changes in health literacy, emotioanal state, and coping mechanism scores from pre-test to post-test differet between the intervention and control groups, thus concluding that the intervention was effective in improving health literacy compared to the control group. Conclusion: So it can be concluded that health education using audiovisual media can improve literacy skills in children, improve emotional conditions and reduce the risk of depression in children with good coping. Keywords: Coping; Emotion; Health education; Health literation; Student; Children
BEYOND NUTRITION: INTEGRATING EDUCATIONAL PSYCHOLOGY, INCLUSIVE EDUCATION, AND NURSING PERSPECTIVES ON FEEDING CHALLENGES IN CHILDREN WITH AUTISM Wijayaningsih, Lanny; Widiastuti, Ajeng A; Kriswandani; Indarini, Endang; Eryani, Salwa A
NurseLine Journal Vol. 11 No. 1 (2026): May 2026
Publisher : Program Studi Ilmu Keperawatan Universitas Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19184/nlj.v11i1.60022

Abstract

ABSTRACT Background: Feeding difficulties are among the most prevalent challenges experienced by children with autism spectrum disorder (ASD), often manifesting in sensory sensitivities, food selectivity, rapid eating, and emotional reactivity during mealtimes. While previous studies have predominantly emphasized clinical and therapeutic approaches, the intersection of feeding behaviors with educational and nursing perspectives remains underexplored. Objectives: This study aimed to explore the patterns of feeding difficulties in children with autism and to examine their implications for educational and nursing practices. Methods: A qualitative descriptive design was employed, involving seven parents of children with autism. Data were collected through structured questionnaires and in-depth interviews, enabling the integration of observable feeding behaviors with parental experiences. Results: The findings revealed that sensory sensitivity and selective eating were the most dominant challenges, leading to restricted food repertoires and nutritional risks. Rapid eating behaviors raised concerns for digestion, nutrient absorption, and choking hazards. Emotional responses to food varied across children, ranging from minimal distress to significant tantrums, underscoring the heterogeneous nature of feeding difficulties. These challenges intersect with self-regulation, executive functioning, and socio-emotional adjustment, thereby influencing children’s readiness to learn and classroom participation. Conclusion: Feeding difficulties in children with autism are multidimensional, affecting nutritional health, learning readiness, and socio-emotional development. The study highlights the need to integrate educational psychology, inclusive education, and nursing perspectives in addressing feeding-related challenges. School nurses play a pivotal role in early detection, health education, and interdisciplinary collaboration with teachers and parents to create inclusive and supportive mealtime routines, ultimately improving both educational outcomes and quality of life for children with autism. Keywords: Autism Spectrum Disorder; Feeding Difficulties; Inclusive Education; School Nursing; Educational Psychology
Determinants of TB Treatment Failure in Pasuruan: A Mixed-Methods Spatial Study Ida Zuhroidah; Isna Qadrijati; Harsini
NurseLine Journal Vol. 11 No. 1 (2026): May 2026
Publisher : Program Studi Ilmu Keperawatan Universitas Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19184/nlj.v11i2.60040

Abstract

Introduction: Pulmonary tuberculosis (TB) remains one of the leading causes of death from infectious diseases and poses a serious threat to global health. Indonesia ranks second after India in the TB burden. In Pasuruan City, TB cases continue to increase, indicating a persistent public health problem. Objective: This study aimed to analyze the distribution of pulmonary TB cases and identify factors associated with treatment failure. Method: This study employed a mixed-methods design with a descriptive-analytical approach conducted in Pasuruan City from 2020 to 2024. Distribution of pulmonary TB cases were obtained from secondary data from reports of Pasuruan City Health Office, including TB case reports and treatment outcomes. Primary data were collected from 42 patients with treatment failure using structured questionnaires to assess demographic, clinical, and behavioral factors. In-depth interviews were conducted with 15 purposively selected participants to explore contextual factors influencing treatment adherence. Environmental observations were also performed in high-incidence areas to assess housing density, ventilation, and sanitation conditions. Quantitative data were analyzed using descriptive statistics, Chi-square tests, and binary logistic regression, while qualitative data were analyzed using thematic analysis. Results: TB cases increased from 590 in 2020 to 898 in 2023, with a slight decrease in 2024 (893 cases), while drug-resistant TB remained relatively stable. Cases were concentrated in high-burden areas, including Trajeng, Gadingrejo, and Kebonagung. Non-adherence to medication (OR: 3.2), comorbid diabetes mellitus (OR: 2.1), and limited access to health services (OR: 2.5) were identified as significant risk factors for treatment failure. Family support, economic conditions, and transportation influence patient behavior in adherence to TB treatment. Conclusion: Pulmonary TB in Pasuruan City is increasing and spatially clustered in high-risk areas. Behavioral, clinical, and access-related factors influence treatment failure.

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