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ProNers
Published by Universitas Tanjungpura
ISSN : -     EISSN : 25989014     DOI : http://dx.doi.org/10.26418/jpn.v6i2
Core Subject : Health,
Nursing
This Journal aims to improve nursing science development, especially in nursing education by publishing scientific papers from researchers, lecturers, and practitioners of nursing and health professional both on a national and international.
Arjuna Subject : Keperawatan - Keperawatan (Lain-Lain)
Articles 21 Documents
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Barriers and Facilitators To Patient-Centered Care In Nursing Leadership Practice: A Systematic Review Matsum, Iwan; Maelani, Ina; Hapsari, Shindi
ProNers Vol. 10 No. 2 (2025): December
Publisher : Universitas Tanjungpura

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26418/jpn.v10i2.96406

Abstract

Background: Patient-centered care (PCC) represents the gold standard in healthcare delivery. Nursing leadership plays a critical role in implementing PCC; however, organizational barriers remain insufficiently explored. Methods: This systematic review employed the SPIDER framework (Sample, Phenomenon of Interest, Design, Evaluation, Research Type). Academic databases searched included PubMed, ScienceDirect, and Google Scholar, with articles published between 2020 and 2025. Results: Three key themes emerged from the analysis. The first theme encompasses barriers, including toxic leadership (57%), rigid hierarchical structures (50%), and high workloads (63%). The second theme relates to facilitating factors, consisting of transformational leadership (79%) and interprofessional collaboration (86%). The third theme involves technological support, reflected in the utilization of Electronic Health Records (EHR) and digital feedback tools (71%). Conclusion: Transforming nursing leadership to support PCC requires deconstructing hierarchical structures, strategic resource allocation, and implementing simulation-based communication training.
The Relationship Between Maternal Knowledge of Exclusive Breastfeeding and Stunting Incidence Among Children Aged 12-59 Months Alfajri, Ridho Fadila; Fitriangga, Agus; Rachmadi, Fidi
ProNers Vol. 10 No. 2 (2025): December
Publisher : Universitas Tanjungpura

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26418/.v10i2.101732

Abstract

Background: Stunting remains a major public health challenge, influenced by multiple factors including maternal knowledge about exclusive breastfeeding. Understanding this relationship is essential for improving child nutritional outcomes. Objective: To determine the association between maternal knowledge of exclusive breastfeeding and the incidence of stunting among children aged 12-59 months in the working area of Saigon Community Health Center, Pontianak. Methods: A cross-sectional study was conducted involving 48 children aged 12-59 months. Maternal knowledge was assessed using a structured questionnaire and categorized into low, moderate, and high levels. Child height was measured using standardized anthropometric procedures, and height-for-age z-scores (HAZ) were calculated using WHO Growth Standards. Stunting was defined as HAZ < -2 SD. Data were analyzed using the Chi-square test with a significance level of α = 0.05. Results: Of the 48 children, 46 were classified as stunted. The Chi-square test indicated no statistically significant association between maternal knowledge of exclusive breastfeeding and stunting incidence (p = 0.203). Conclusion: Maternal knowledge regarding exclusive breastfeeding was not significantly associated with stunting in this study population. Further research with larger sample sizes and multivariate analysis is recommended to explore additional contributing factors.
Childhood Wounds, Attachment Styles and Adult Intimacy: A Narrative Review Adiningsih, Berthy Sri Utami; Rahman, Ainun Najib Febrya
ProNers Vol. 11 No. 1 (2026): June
Publisher : Universitas Tanjungpura

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26418/jpn.v11i1.104986

Abstract

Background: Early traumatic experiences, including neglect, abandonment, or emotional distress, have repeatedly proven in research to have a major impact on an individual’s attachment behaviours in adulthood. These childhood painful experiences might appear in adult relationships as insecure attachment styles (anxious, avoidant, or disorganized/fearful attachment) and influence how they build intimacy with other people. Method: This narrative review was reported in accordance with the Scale for the Assessment of Narrative Review Articles (SANRA). A structured search of two databases, Google Scholar and ScienceDirect, used the keywords “childhood wound AND attachment styles AND adult intimacy” and “childhood wound AND adult intimacy” for articles published between 2010 and 2025. Records were screened in sequential stages, with additional sources identified from the reference lists of relevant articles; 7 primary studies met the inclusion criteria. Because only two databases were searched, the search was not exhaustive, and no formal risk-of-bias appraisal was undertaken. Results: 7 (seven) included articles originate from Asia, North America, and Oceania, consisting of 6 (six) quantitative articles and 1 (one) qualitative article published in 2010 (n=1), 2014 (n=1), 2019 (n=1), 2020 (n=1), 2023 (n=1), and 2024 (n=2). Three themes were identified through thematic synthesis: (1) psychological issues and the role of health professionals; (2) relationship quality; and (3) impact on the parenting role. Transforming insecure attachment into secure attachment requires routine screening for adverse childhood experiences (ACEs) and attachments, followed by trauma-informed, attachment-informed therapies and self-regulation improvement. Conclusion: Further research on the connection between childhood wounds, attachment styles, and adult non-romantic intimacy needs to be explored more, including the validation and generalisation of interventions recommended from previous studies.
Oxygenation Management In A Subarachnoid Hemorrhage Patient With Impaired Gas Exchange In The Intensive Care Unit: A Case Report Karto, Gustiasih; Ramdani, Wawan Febri
ProNers Vol. 11 No. 1 (2026): June
Publisher : Universitas Tanjungpura

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26418/jpn.v11i1.110740

Abstract

Background: Subarachnoid hemorrhage (SAH) is a neurological emergency that is often accompanied by impaired gas exchange due to decreased consciousness and compromised airway protection, requiring intensive care and mechanical ventilation. Respiratory nursing care plays an important role in maintaining oxygenation and preventing secondary brain injury in SAH patients. Objective: To describe the outcomes of nursing care in an SAH patient with impaired gas exchange in the Intensive Care Unit (ICU). Methods: This study is a descriptive case report, reported in accordance with the CARE (CAse REport) guideline, with a critical care nursing approach. The subject was a 70-year-old female patient with a medical diagnosis of traumatic SAH treated in the ICU of a private hospital in Yogyakarta from 6 to 12 December 2025. Data were obtained through comprehensive nursing assessment, clinical observation, neurological and respiratory monitoring, and review of medical records. Nursing care was delivered using the Indonesian Nursing Diagnosis, Outcome, and Intervention Standards (SDKI, SLKI, and SIKI), focusing on the diagnosis of impaired gas exchange. Results: The patient experienced significant impaired gas exchange in the early phase, requiring FiO₂ up to 60%. After systematic respiratory nursing care and ventriculoperitoneal (VP) shunt placement, gradual improvement occurred: the FiO₂ requirement decreased to 30%, the patient transitioned to spontaneous breathing, and oxygenation stabilised without severe respiratory complications, although neurological improvement remained limited. In this single case, gas-exchange stabilisation coincided with systematic respiratory nursing care and with ventriculoperitoneal (VP) shunt placement; a causal contribution of nursing care specifically cannot be established from one patient. Conclusion: In this single ICU case, systematic oxygenation management structured with SDKI, SLKI, and SIKI accompanied the stabilisation of gas exchange. Because the improvement occurred alongside VP shunt placement, tracheostomy, and extensive pharmacotherapy, these findings are hypothesis-generating and should not be read as evidence that nursing care alone prevents secondary brain injury.
Oxygenation Monitoring With A Ventilator In An Intracerebral Hemorrhage Patient In The Intensive Care Unit Fuziananto, Erwin; Ramdani, Wawan Febri
ProNers Vol. 11 No. 1 (2026): June
Publisher : Universitas Tanjungpura

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26418/jpn.v11i1.110742

Abstract

Background: Intracerebral hemorrhage (ICH) is a neurological emergency with a high risk of causing secondary brain injury due to hypoxia and impaired ventilation. Oxygenation with mechanical ventilation is an important part of intensive nursing care to maintain oxygenation and cerebral tissue perfusion. Objective: To analyse the role of oxygenation with a ventilator in the nursing care of patients with intracerebral hemorrhage in the intensive care unit (ICU). Methods: This report is a descriptive case report, prepared in accordance with the CARE (CAse REport) guideline. The subject was one patient with a diagnosis of intracerebral hemorrhage treated in the ICU. Data were collected through nursing observation, a vital-signs monitoring sheet, and documentation of medical and nursing therapy during care. Data were analysed descriptively by relating clinical findings and nursing interventions to the literature. Results: Monitoring showed that, during a course that also included craniotomy, tracheostomy, and pharmacotherapy, the patient’s respiratory and hemodynamic status remained relatively stable. During care, no signs of severe hypoxia were found, and the patient’s condition was relatively stable with close monitoring. Conclusion: In this single case, oxygenation with a ventilator was an important component of intensive nursing care, delivered alongside concurrent surgical and pharmacological management; because it was one patient, the specific contribution of the ventilator or of nursing care cannot be isolated.
The Effect of Music Therapy (Mozart) on Hallucination Frequency in Patients with Auditory Hallucinations at A Mental Hospital Novarianty, Cici; Priyono, Djoko; Usman, Usman
ProNers Vol. 10 No. 1 (2025): June
Publisher : Universitas Tanjungpura

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26418/jpn.v11i1.110743

Abstract

Background: Hallucination is a disturbance of sensory perception without external stimuli, involving all sensory systems and occurring while the individual’s consciousness is intact. There are several forms of hallucination, including visual, auditory, tactile, gustatory, and olfactory. Auditory hallucination is a perceptual disturbance in which the client perceives something that is not actually occurring. Hallucinations can be managed with pharmacological and non-pharmacological therapy; one effective non-pharmacological therapy is listening to classical music (Mozart). Objective: To determine the effect of music therapy (Mozart) on hallucination frequency in patients with auditory hallucinations at the West Kalimantan Provincial Mental Hospital. Methods: This quantitative study used a quasi-experimental pretest-posttest control group design with 32 respondents. The instrument was a questionnaire of two items on hallucination frequency, adapted from the signs and symptoms of hallucination questionnaire in Wahyuni (2010), itself adapted from the Psychotic Symptom Rating Scale (PSYRATS) developed by Haddock et al. (1991) in Kingdon & Turkington (2008). Data were analysed using the paired t-test. Results: After music therapy (Mozart) was given to patients with auditory hallucinations, a change in hallucination frequency was shown by the paired t-test (p<0.0001). Conclusion: There is an effect of music therapy (Mozart) on hallucination frequency in patients with auditory hallucinations at the West Kalimantan Provincial Mental Hospital. Therefore, music therapy (Mozart) can be recommended to help reduce hallucination frequency in patients with auditory hallucinations.
The Effectiveness of Pursed Lip Breathing and Diaphragmatic Breathing on Dyspnea in Asthma Patients in The Emergency Department of M.M. Dunda Limboto Hospital Ahmad, Abdul Rahman; Maryadi, Maryadi
ProNers Vol. 10 No. 2 (2025): December
Publisher : Universitas Tanjungpura

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26418/jpn.v10i2.110837

Abstract

Background: Asthma is a chronic inflammatory disease of the airways characterized by bronchial hyperresponsiveness, which often results in shortness of breath. If not managed appropriately, this condition may lead to an increased respiratory rate and decreased oxygen saturation. In addition to pharmacological therapy, breathing exercises such as pursed lip breathing and diaphragmatic breathing are commonly used as non-pharmacological interventions to support the management of dyspnea in asthma patients. Objective: This study aimed to determine the effectiveness of pursed lip breathing and diaphragmatic breathing in reducing shortness of breath among asthma patients in the Emergency Department of M.M. Dunda Limboto Hospital. Methods: A case study design was applied involving one asthma patient experiencing dyspnea. The interventions were administered for 5–10 minutes, and respiratory rate and oxygen saturation were measured before and after the intervention. Results: The results showed a reduction in respiratory rate from 28 breaths per minute to 25 breaths per minute, along with an improvement in oxygen saturation from 93% to 95%. Conclusion: These findings indicate that pursed lip breathing and diaphragmatic breathing are effective in reducing dyspnea and improving oxygen saturation in patients with asthma.
The Effect of Foot Reflexology Therapy on Reducing Menstrual Pain Scores in Adolescents Khoirunnisa, Fazana; Timiyatun, Endar; Nurhayati, Pipin; Isnaeni, Yeni
ProNers Vol. 10 No. 2 (2025): December
Publisher : Universitas Tanjungpura

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26418/jpn.v10i2.110861

Abstract

Background: Dysmenorrhea is commonly experienced by most teenagers during menstruation, it causes discomfort and can interfere with daily activities. Handling of dysmenorrhea can be done in 2 ways, namely pharmacologically (drugs) and non pharmacologically. One of the management efforts to reduce menstrual pain (dysmenorrhea) non pharmacologically is with foot reflexology therapy. Objective: To determine the effect of foot reflexology therapy on reducing menstrual pain scores (dysmenorrhea) in adolescents at MA MAFAZA Bantul. Method: This study used a pre experimental design with one group pretest and posttest design and did not have a comparison group (control). The population of this study were all adolescents who experienced primary dysmenorrhea at MA MAFAZA Bantul. The sampling technique used was accidental sampling with a sample size of 20 female students. The instrument used to measure menstrual pain was the Numerical Rating Scale (NRS). The data analysis method used the Wilcoxon test. Results: The average menstrual pain score in female students before being given foot reflexology therapy was 3.70, higher than the average value after being given reflexology massage therapy, which was 1.00. There was a decrease in the average pain score of 2.70. The results of the Wilcoxon test obtained a p value < 0.001. Based on these results, the p value <0.05 indicates that there is a significant difference before and after being given foot reflexology therapy. Conclusion: There is an effect of foot reflexology therapy on reducing menstrual pain scores (dysmenorrhea) in adolescents at MA MAFAZA Bantul.
The Effect of Grandmother-Led Health Education on Mothers' Attitudes Toward Stunting Prevention: A One-Group Pretest–Posttest Study Oktavianto, Eka; Timiyatun, Endar; Ispandiyah, Woro
ProNers Vol. 11 No. 1 (2026): June
Publisher : Universitas Tanjungpura

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26418/jpn.v11i1.110873

Abstract

Background: Children's physical and cognitive development are negatively impacted by stunting, a chronic nutritional problem. Stunting prevention is greatly aided by family support, especially when it comes to mothers' views as primary caregivers toward proper childcare and nutrition. One promising family-based strategy for enhancing maternal attitudes toward stunting prevention is grandmother-led health education. Objective: This study aimed to examine the effect of grandmother-led health education on mothers' attitudes toward stunting prevention. Methods: This quantitative pre-experimental study employed a one-group pretest–posttest design involving 25 grandmothers and 25 mothers living in the same household. Grandmothers participated in two 90-minute structured training sessions on stunting prevention before delivering a standardized 90-minute face-to-face health education session supported by an educational video covering stunting definition, risk factors, consequences, infant feeding, balanced nutrition, exclusive breastfeeding, and growth monitoring. Grandmothers' competency was assessed through structured questioning and direct observation using predefined competency criteria before they were allowed to conduct the educational sessions. Mothers' attitudes were measured using a validated and reliable questionnaire before and immediately after the intervention. Data were analyzed using the Wilcoxon signed-rank test. Results: The mean maternal attitude score increased from 62.30 before the intervention to 90.20 after the intervention, representing a mean improvement of 27.90 points. The Wilcoxon Signed-Rank Test indicated a statistically significant difference between pretest and posttest scores (Z = −4.235, p < 0.001). Conclusion: Grandmother-led health education using educational video media significantly improved mothers' attitudes toward stunting prevention. Integrating grandmothers into family-based health promotion programs may strengthen maternal engagement in stunting prevention and contribute to improving child nutritional outcomes.
The Relationship Between Diet and Blood Sugar Levels among Older Adults with Diabetes Mellitus at Simpang Tiga Community Health Center, Pekanbaru Murliana, Murliana; Ezalina, Ezalina; Saputra, Candra; Zul’Irfan, M.
ProNers Vol. 10 No. 1 (2025): June
Publisher : Universitas Tanjungpura

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26418/jpn.v10i1.111143

Abstract

Background: Diabetes mellitus is a metabolic disorder characterized by elevated blood sugar levels. Diet, the regulation of the amount, type, and schedule of food intake, is an important factor influencing the nutritional status and blood sugar control of older adults with diabetes mellitus. Objective: To examine the relationship between diet and blood sugar levels among older adults with diabetes mellitus at Simpang Tiga Community Health Center, Pekanbaru City. Methods: A quantitative study with a correlational, cross-sectional design was conducted. The sample comprised 81 older adults with diabetes mellitus who sought treatment at Simpang Tiga Community Health Center, Pekanbaru City, from 7 May to 1 June 2024, selected through accidental sampling. Diet was assessed using a dietary questionnaire, and blood sugar was measured using a glucometer. Data were analyzed using the chi-square test. Results: Most respondents had a good diet (54, 66.7%), while most had abnormal blood sugar levels (49, 60.5%). The chi-square test indicated a significant relationship between diet and blood sugar levels among older adults with diabetes mellitus (p < 0.001), with an odds ratio of 35.0. This estimate is unstable because only one respondent had a poor diet with a normal glucose level, so it should be interpreted with caution. Conclusion: Diet was significantly associated with blood sugar levels among older adults with diabetes mellitus at Simpang Tiga Community Health Center. Because the design was cross-sectional, this association does not establish that diet determines blood sugar levels, and the direction of the relationship could run either way. A healthy, balanced diet is an important component of blood sugar control, and dietary education for older adults should be strengthened.

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