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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 16 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.

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