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Indonesian Journal of Global Health Research
Published by Global Health Science Group
ISSN : 27149749     EISSN : 27151972     DOI : https://doi.org/10.37287/ijghr
Core Subject :
Indonesian Journal of Global Health Research is a open access, peer reviewed and refereed international journal. Indonesian Journal of Global Health Research aim to publish original research paper devoted to various area of all health sciences. Indonesian Journal of Global Health Research provides a forum for sharing timely and up-to-date publication of scientific research, health care and promoting the development of nursing, public health, community, environmental and occupational health. The journal publishes original research papers of health sciences. High priority will be given to articles on public, nursing, adolescent, community, environmental and occupational health, pharmaceutical technology, social pharmacy, traditional medicine, pharmacology, and so on.
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Articles 1,005 Documents
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The Effect of Superior and Inferior Extremity Point Acupuncture Therapy on Improving Daily Living Activities in Stroke Patients Dodik Hartono; Rizka Yunita; Erna Handayani
Indonesian Journal of Global Health Research Vol. 8 No. 4 (2026): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v8i4.2021

Abstract

Stroke is a pathological condition that occurs due to the interruption or reduction of blood flow to certain parts of the brain. This condition can be caused by two main mechanisms: blockage of cerebral blood vessels or the sudden rupture of blood vessels in the brain. As a result, there is a significant decrease in the supply of oxygen and nutrients to the affected brain tissue. One of the common symptoms of stroke is weakness on one side of the body, known as hemiparesis, which leads to difficulties in performing activities of daily living (ADL). This study aimed to analyze the effect of acupuncture therapy (at superior and inferior extremity points) on improving activities of daily living (ADL) in stroke patients at the Holistic Nursing Therapy Clinic in Probolinggo. The research method used was a pre-experimental design with a one-group pre-test and post-test approach. The sample consisted of 91 respondents, selected using accidental sampling from May to June 2025. The research instrument used was the Barthel Index questionnaire sheet, with a validity value of r > (0,4438) and a reliability test of (0,884). The intervention was administered three times per week, with each session lasting one hour, for four weeks. Data were analyzed using the Wilcoxon test. The results showed that before the acupuncture therapy intervention, most respondents were in the moderate category (42 respondents, 46.2%). After the intervention, respondents were mostly in the independent and mild categories, each with 39 respondents (42.9%). The statistical analysis indicated that there was a significant effect of acupuncture therapy (at superior and inferior extremity points) on improving activities of daily living (ADL) in stroke patients, with a p-value of 0.001 (p = 0.001 < α = 0.05). Acupuncture therapy has a positive impact on patients’ physical condition, including improving muscle strength in extremities that were weakened due to stroke. It may also enhance blood flow and oxygenation to the brain, promote neuroplasticity and nerve regeneration, and ultimately improve the ability to perform activities of daily living.
Factors Influencing the Level of Depression in Post-Hysterectomy Women Ni Nyoman Wariyanti; Ni Wayan Septarini; Ni Putu Widarini
Indonesian Journal of Global Health Research Vol. 8 No. 4 (2026): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v8i4.2025

Abstract

Hysterectomy is one of the most commonly performed gynecological procedures to treat various conditions such as uterine fibroids, endometriosis, and malignancies. Although it can improve physical health, this procedure may lead to psychological impacts, particularly depression. So, hysterectomy can lead to depression influenced by biopsychosocial factors such as body image, social stigma, and family support, so analyzing factors associated with depression, particularly body image, among post-hysterectomy women at Sanjiwani General Hospital helps identify risks and improve psychological care for these patients. Based on this, this study aims to analyze factors associated with depression, particularly body image, among post-hysterectomy women at Sanjiwani General Hospital, Gianyar. This study used an analytical observational design with a cross-sectional approach. The sample consisted of 58 post-hysterectomy women selected using purposive sampling technique. Data were collected using the Multidimensional Body-Self Relations Questionnaire–Appearance Scales (MBSRQ-AS) to measure body image and the Depression Anxiety Stress Scale (DASS-21) to assess depression. Validity and reliability testing of these instruments were conducted prior to the study, showing that all items were valid (r-count > r-table) and reliable with a Cronbach’s alpha value > 0.70. Data analysis was performed descriptively, using the Chi-square test for bivariate analysis, and logistic regression for multivariate analysis with a significance level of 5%. Most respondents did not experience depression (67.2%), while 24.1% experienced mild depression and 8.6% experienced moderate depression. Bivariate analysis showed that body image (p=0.001), social stigma (p=0.006), and family support (p=0.002) were significantly associated with depression. Comorbidities were not significantly associated (p=0.054). Multivariate analysis showed that body image was the dominant factor influencing depression (p=0.048; OR=2.958; 95% CI: 1.011–8.658). Body image, social stigma, and family support are factors associated with depression among post-hysterectomy women, with body image being the most dominant factor.
Determinants of Discharge Planning Implementation Ellis Siti Suhartini; Harif Fadhillah; Eni Widiastuti; Muhammad Hadi
Indonesian Journal of Global Health Research Vol. 8 No. 4 (2026): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v8i4.2036

Abstract

Discharge planning a day prior to discharge is vital for care continuity. TThis study aims to analyze the determinants of nursing service quality, including nurse competence, knowledge, motivation, and role perception. A descriptive correlational study with a cross-sectional design was conducted involving 110 associate nurses in the inpatient ward using a total sampling technique. Data were collected using structured questionnaires and observation checklists. Prior to data collection, the instruments were tested for validity and reliability. The validity test results indicated that all questionnaire items were valid, while the reliability test showed good internal consistency with Cronbach’s alpha values greater than 0.70 for each variable. Data were analyzed using multiple linear regression to determine the influence of nurse competence, knowledge, motivation, and role perception on the quality of nursing services.. The observation results showed a very high compliance rate (90.9 percent). The analysis proved that competence, knowledge, and nurse roles were not significant. Nurse motivation was proven to be the only dominant factor influencing the compliance level. In conclusion, intrinsic motivation determines nurse performance amidst competence and procedural homogeneity.
The Effect of Nursing Supervision on the Quality of Interprofessional Collaboration Among Nurses in Inpatient Wards Anih Anih; Muhammad Hadi; Naryati Naryati; Harif Fadhillah
Indonesian Journal of Global Health Research Vol. 8 No. 4 (2026): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v8i4.2038

Abstract

Interprofessional Collaboration (IPC) is essential for improving healthcare quality and patient safety in inpatient settings. This study aimed to analyze the effect of nursing supervision on IPC quality in inpatient wards. A quasi-experimental design was used with intervention and control groups, each consisting of 20 nurses with total sampling. IPC quality was measured five times (p1–p5) using an IPC instrument. The intervention group received structured nursing supervision, while the control group did not receive any intervention. The data were analyzed using descriptive and inferential statistics with multivariate analysis with GLM. The results showed a significant and consistent increase in IPC scores in the intervention group from the first to the fifth measurement, whereas the control group showed only a slight improvement. Multivariate analysis yielded a p-value of 0.001, indicating a statistically significant difference between the two groups. In conclusion, nursing supervision significantly improves the quality of Interprofessional Collaboration in inpatient wards.
Strategic Plan for the Development of A Nursing Care Dashboard as A Clinical Decision Support Tool Devy Feby Febyola Siahaan; Vivianti Fraliana Lesnussa; Ika Chandra Nuryana; Erenda Pratiwi; Rina Ainurrahmah; Ibnu Malik; Rr Tutik Sri Hariyati
Indonesian Journal of Global Health Research Vol. 8 No. 4 (2026): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v8i4.2039

Abstract

The advancement of information technology has driven the transformation of data-based nursing systems through the utilization of nursing care dashboards to support clinical decision-making. This study aimed to analyze the development of a nursing system based on a nursing care dashboard in supporting clinical decision-making at Hospital A Tangerang. This study employed a case study design with an exploratory approach through observation, interviews, and document review. The respondents in this study consisted of 20 participants, including 10 nurse managers and 10 staff nurses working in inpatient units. The data were analyzed using SWOT, Internal Factor Evaluation (IFE), External Factor Evaluation (EFE), Internal - External (IE) Matrix, and TOWS. The results showed that the system was in a growth and build position with an IFE score of 2.88 and an EFE score of 3.06. Key strengths include integrated data availability, nursing staff competency, and management commitment, while weaknesses include limited analytical capability, suboptimal system integration, and underutilization of the dashboard in clinical decision-making. Strategic development focuses on optimizing dashboard utilization, enhancing nurses' digital competencies, and strengthening system integration. The development of a nursing dashboard-based system has the potential to improve the quality and timeliness of clinical decision-making and enhance nursing care quality.
Literature Review: Analysis of Factors Influencing the Performance of Health Care Workers Elfrida Jesika; Zairin Noor; Fauzie Rahman; Rosihan Adhani; Neka Erlyani
Indonesian Journal of Global Health Research Vol. 8 No. 2 (2026): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v8i2.2070

Abstract

Stunting is a chronic nutritional problem in toddlers influenced by various family factors. Maternal knowledge, parenting styles, and family income are thought to play a significant role in stunting. This study aims to synthesize scientific evidence regarding the relationship between these three factors and stunting in toddlers. This literature review analyzed case control articles published between 2022–2026 from PubMed, ScienceDirect, and Google Scholar based on inclusion criteria. The keywords used in the literature search for English-language journals included "health workers," "performance," "rewards," "leadership," "work skills," and "work environment." These keywords were combined using the Boolean operators AND and OR to obtain articles relevant to the research topic. The search was performed using the format "health workers" AND "performance" AND ("rewards" OR "leadership" OR "work skills" OR "work environment"). Meanwhile, similar keywords were used in national journals, namely "health workers," "performance," "rewards/awards," "leadership," "work skills," and "work environment," which were also combined using the Boolean operators AND and OR to broaden and focus the search results according to the research objectives. From 33,754 then narrowed down using keywords, 14 research articles were obtained. Fourteen articles were systematically reviewed. Most studies reported that low maternal knowledge increased stunting risk through inappropriate feeding practices, poor hygiene, and limited use of health services. Inadequate parenting practices significantly elevated stunting risk, particularly related to feeding, childcare, and growth monitoring. Low family income was also identified as a strong determinant because it affects the ability to provide nutritious food, proper sanitation, and access to healthcare. Some studies found no significant association due to other dominant variables such as maternal education and birth weight. These findings emphasize the importance of nutrition education for families alongside community health support delivered consistently through integrated programs at primary healthcare level and household environments sustainably and collaboratively across sectors locally. Knowledge, parenting, and income are interconnected factors influencing stunting, requiring comprehensive interventions.
The The Influence of Educational Level, Employment Status, and Knowledge on Anxiety among Family Planning Acceptors Yuniarty Yuniarty; Bobby Indra Utama; Elly Usman
Indonesian Journal of Global Health Research Vol. 8 No. 2 (2026): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v8i2.2073

Abstract

Family planning is an effort to regulate the number and spacing of births through the use of contraception in order to achieve family welfare and control population growth. However, anxiety remains a barrier to contraceptive use, often related to fear of insertion procedures and potential side effects, which may increase the dropout rate among acceptors. Therefore, this study aimed to analyze the influence of educational level, employment status, and knowledge on anxiety levels among family planning acceptors. This study employed a quantitative design with a cross-sectional approach involving 100 family planning acceptors selected through purposive sampling. Respondents were recruited during scheduled Posyandu activities and selected based on inclusion and exclusion criteria. Data were collected using structured questionnaires administered through face-to-face guided interviews by the researchers. The data were analyzed using univariate, bivariate, and multivariate methods with ordinal logistic regression. The results showed that most respondents were aged 36–50 years (58.0%), had three children (38.0%), and used three-month injectable hormonal contraception (23.0%). The majority of respondents had a low educational level (84.0%), were unemployed (62.0%), possessed high knowledge levels (57.0%), and did not experience anxiety (48.0%). Bivariate analysis showed significant associations between employment status p = 0.047 and knowledge level p = 0.025 with anxiety levels, while educational level was not significantly associated with anxiety levels p = 0.544. Multivariate analysis indicated that knowledge was the most dominant factor OR = 3.27, followed by employment status OR = 2.86. In conclusion, employment status and knowledge were significantly associated with anxiety levels among family planning acceptors, whereas educational level was not. Health workers, including midwives, are expected to improve education regarding contraceptive methods by providing accurate and comprehensive information to reduce anxiety levels. Midwives should also involve family and social support systems and facilitate open communication regarding complaints during contraceptive use, enabling acceptors to manage anxiety more adaptively.
Analysis of Factors that Have A Role in Improving Quality of Nursing Services in Inpatient Care Neti Rusmilaningrum; Harif Fadhillah; Eni Widiastuti; Muhammad Hadi
Indonesian Journal of Global Health Research Vol. 8 No. 4 (2026): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v8i4.2081

Abstract

The quality of nursing care is a crucial aspect of the global health system, as nurses comprise the largest health workforce and are on the front lines of patient care. The quality of nursing care in hospitals is also influenced by several factors, such as leadership, organizational culture, burnout, and work motivation..This research aims to identify factors (leadership, organizational culture, burnout and motivation) that play a role in improving the quality of nursing services in the Inpatient Ward of Jakarta Harbor Hospital. The method used was a quantitative analytical research design with a cross-sectional approach. The research sample consisted of 100 health workers selected using total sampling techniques. The research sample consisted of 100 health workers selected using a total sampling technique. The dependent variable was the quality of nursing services, while the independent variables were leadership, organizational culture, burnout, and motivation. The research instruments used in this study had been tested for validity and reliability prior to data collection. The validity test results showed that all questionnaire items were valid, while the reliability test demonstrated good internal consistency with Cronbach’s alpha values greater than 0.70 for all variables..Data analysis was carried out bivariately using the chi-square test and multivariately using multiple logistic regression. The results of multiple logistic regression showed that the most dominant factor was the leadership variable with a p-value of 0.000 and an OR value of 153.415. The conclusion is that there is a relationship between leadership and motivation variables and the quality of nursing services in inpatient care at Pelabuhan Jakarta Hospital.
The Effect of Peer Group Education on Blood Pressure Control in Patients with Hypertension: Literature Review Masri Rahayu Putri; Reni Zulfitiri; Bayhakki Bayhakki
Indonesian Journal of Global Health Research Vol. 8 No. 4 (2026): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v8i4.2082

Abstract

Hypertension is a chronic disease with a high prevalence and is a major cause of global morbidity and mortality. Low medication adherence and inadequate patient knowledge are the main factors contributing to uncontrolled blood pressure. Peer group–based education has become one of the effective approaches to improving understanding, motivation, and health behavior changes among patients with hypertension. This review aims to comprehensively examine the effect of peer group education on hypertension control, including blood pressure, medication adherence, and lifestyle changes in patients with hypertension. This literature review used the PRISMA 2020 approach. Article searches were conducted through online databases including PubMed, ScienceDirect, and Google Scholar within the 2020–2025 publication period. The inclusion criteria comprised randomized controlled trials (RCTs), quasi-experimental, and experimental studies investigating peer group education interventions in adult patients with hypertension. A total of 7 articles published between 2022–2025 that met the inclusion criteria were critically appraised and analyzed descriptively and narratively to identify the effectiveness of peer group education interventions among patients with hypertension. The findings showed that peer group education significantly contributed to reducing blood pressure, improving medication adherence, and enhancing health behaviors such as dietary patterns, physical activity, and self-management. This intervention also improved patients' knowledge, motivation, and self-efficacy in managing hypertension. Peer group education is an effective intervention for hypertension control because it can improve adherence, promote healthier lifestyles, and reduce blood pressure.
The Effect of Transformational Leadership on the Quality of Nurses' Interprofessional Collaboration in Inpatient Wards Syahrir Aprizal; Muhammad Hadi; Naryati Naryati; Harif Fadhlillah
Indonesian Journal of Global Health Research Vol. 8 No. 4 (2026): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v8i4.2084

Abstract

The quality of healthcare services is influenced by healthcare workers' ability to perform effective interprofessional collaboration (IPC). Transformational leadership of head nurses plays an important role in improving communication, coordination, and teamwork among healthcare professionals in inpatient wards. This study aimed to analyze the effect of transformational leadership of head nurses on the quality of interprofessional collaboration among staff nurses in hospital inpatient wards. This study used a quasi-experimental design with a non-equivalent control group design. The sample consisted of 50 respondents, including 25 participants in the intervention group and 25 in the control group selected using purposive sampling. The intervention group received supervision and transformational leadership reinforcement for one month. The instruments used were transformational leadership and PINCOM-Q questionnaires, which were valid and reliable with Cronbach's Alpha values of 0.912 and 0.894, respectively. The data were analyzed using General Linear Model Repeated Measure (GLM-RM). The mean transformational leadership score in the intervention group increased from 139.84 to 179.64, while the control group remained relatively stable. Multivariate analysis showed a significant difference in the intervention group (p=0.002; Partial Eta Squared=0.349). The mean IPC score in the intervention group increased from 62.56 to 71.80 with significant results (p=0.010; Partial Eta Squared=0.281). GLM-RM analysis demonstrated a significant effect of the intervention on transformational leadership (F=120.745; p<0.001) and IPC (F=7.543; p=0.008). Supervision and transformational leadership reinforcement were effective in improving transformational leadership among head nurses and the quality of interprofessional collaboration among staff nurses in hospital inpatient wards.

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