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Jurnal NERS
Published by Universitas Airlangga
ISSN : 18583598     EISSN : 25025791     DOI : -
Core Subject : Health,
Nursing
The scope of this journal includes studies that intend to examine and understand nursing health care interventions and health policies which utilize advanced nursing research. The journal also committed to improve the high quality research by publishing analytic techniques, measures, and research methods not exception to systematic review papers.
Arjuna Subject : -
Articles 921 Documents
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Family skill development for attention deficit hyperactivity disorder behavior problem alleviation model in at-risk preschool children: a mixed methods study Khamenkan, Kanokjun; Homchampa, Pissamai
Jurnal Ners Vol. 19 No. 1 (2024): FEBRUARY 2024
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v19i1.49069

Abstract

Introduction: Attention Deficit Hyperactivity Disorder is the most prevalent childhood mental health problem. This study examined families caring for children with ADHD and created a model to alleviate behavior problems in at-risk preschoolers. Methods: This exploratory sequential mixed-methods study comprised two phases. Phase 1 included a qualitative retrospective survey that examined family experiences in caring for ADHD children. This involved in-depth interviews with 14 family caregivers (FCGs) and utilized thematic content analysis. Phase 2 involved creating, implementing, and evaluating a family skill development model using a quasi-experimental design. Thirty FCG- ADHD at-risk preschool child dyads, utilizing services at two Child Development Clinics, were paired and equally divided into experimental and control groups. Data analysis used repeated measures ANOVA and covariances (ANCOVA). Results: The study FCGs reported that family-child interactions and positive parenting alleviated the ADHD at-risk preschool child's behavior problems. The Family Skill Development for ADHD Behavior Problem Alleviation Model was constructed and validated. Results from within-group comparisons showed significant improvements in the experimental group, with reduced behavior problems (p<0.05, ηp2=0.28) in ADHD at-risk children, improved caregiver behaviors to alleviate the child's behavior problems (p<0.01, ηp2=0.37), and enhanced family functions (p< 0.001, ηp2=0.42). Conclusions: The model significantly aids families in alleviating behavior problems in ADHD at-risk children, improving family functions and caregivers' efforts to address the children's behavioral issues. It is a promising parental intervention model for fostering healthy families and reducing behavior problems in ADHD-at-risk preschool children in northeastern Thailand and similar contexts.
Good health literacy leads to better quality of life and medication adherence among hemodialysis patients Mailani, Fitri; Febriyana, Indah; Rahman, Dally; Sarfika, Rika; Muliantino, Mulyanti Roberto
Jurnal Ners Vol. 19 No. 1 (2024): FEBRUARY 2024
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v19i1.49247

Abstract

Introduction: The research aimed to investigate the correlation between health literacy levels, medication adherence, and quality of life among hemodialysis patients with chronic kidney disease. Methods: The research employed a cross-sectional design. A random sample of 164 hemodialysis patients from two hemodialysis facilities in Padang, Indonesia, was collected between May and June 2023. Inclusion criteria were patients undergoing hemodialysis twice a week and aged over 18 years. Patients who experienced a decrease in consciousness and memory disorders such as dementia were excluded from this study. The questionnaires used to measure variables in this study were the demographic data questionnaire, the HLS-EU-Q16 health literacy questionnaire, the MMAS-8 medication adherence questionnaire, and the KDQOL-36 quality of life questionnaire for chronic kidney disease patients. Results: The high health literacy group (N = 73) exhibited a markedly superior quality of life compared to those in the mid-level (N = 48) and low-level (N = 43) health literacy groups. Multiple regression analysis revealed that, of the three components of health literacy, health promotion has the greatest influence on patients' quality of life, contributing 25.1%, while the aspect of healthcare has the greatest influence on medication adherence, contributing 43.3%. Conclusions: Health literacy is essential in improving medication adherence and the patient's quality of life in a more optimal direction. Healthcare professionals should create plans for tailored and customized health information with the goal of providing patients with the knowledge about critical components they need to manage chronic kidney disease.
Low-birth-weight scorecard for early prevention: the accuracy for predicting low-birth-weight infants based on maternal risk factor Utami, Sri; Susilaningrum, Rekawati
Jurnal Ners Vol. 19 No. 1 (2024): FEBRUARY 2024
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v19i1.49729

Abstract

Introduction: Babies with low birth weight (LBW) have a risk of complications and health problems. One of the efforts to prevent LBW births is to detect risk factors in pregnant women. This study aimed to test the accuracy of an early LBW detection scorecard based on maternal risk factors. Methods: The research design used was observational analytical. The sample in this study was 177 mothers who were registered and delivered at hospitals and public health centers in Surabaya and were selected using a purposive sampling method. The research instruments used were LBW scorecard, maternal medical records, and baby's scale. The accuracy of the scorecard was measured with Mann-Whitney test, and Receiver Operating Characteristic (ROC) curve. Results: The LBW scorecard which was based on maternal factors analysis can significantly predict LBW births (p = 0.000). Based on the ROC curve analysis, it was known that the early detection scorecard has a cut-off point of 3.5, and an accuracy of 88.70%, which indicated that the scorecard has high accuracy in predicting LBW. Conclusions: The LBW early detection scorecards is  able accurately to predict the incidence of LBW births. Through analysis and calculation of maternal risk factor, it can be seen whether the mother is at risk of giving birth to a LBW or normal weight baby. Early detection of LBW can improve services for at-risk babies, resulting in a positive impact on their health outcomes.
Spiritual needs throughout childbirth: a cross-sectional study among working women at the largest university in Brunei Adnan, Ahmad Shamil Haji Mohd; Rahman, Hanif Abdul; Sharbini, Sharimawati; Abdul-Mumin, Khadizah H.
Jurnal Ners Vol. 19 No. 3 (2024): AUGUST 2024
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v19i3.49897

Abstract

Introduction:  This study evaluates spiritual needs throughout childbirth of women who are working in higher education setting. Methods: Healthcare professionals have fundamental roles in ensuring the spiritual needs of women throughout childbirth are met. This concurs with the World Health Organization’s definition of health that holistically comprises of physical/biological, psychological/mental, social and spiritual aspects. This study evaluates spiritual needs throughout childbirth of women who are working in higher education setting. Results: A total 80 female staff participated in the study. Three out of the five domains of the spiritual needs scale were found to be the most frequently addressed as interpreted from the mean score. These are: “Finding meaning and purpose” 4.2 (0.6) followed by “Religious needs” 4.1 (0.7) and “Seeking peace” 4.0 (0.6).  Those aged 40 and above scored 4.3 (0.8), which is significantly higher (P = 0.048) for “Finding meaning and purpose” compared to other age groups. Those who had four or more children had significantly higher spiritual needs for “Finding meaning and purpose” 4.2 (0.6) and “Seeking peace” 4.4 (0.7) compared to those having one to three children. Conclusions: The findings of this study suggest that spiritual needs are essential during childbirth. “Finding meaning and purpose” and “Seeking peace” were identified to be the most common spiritual needs during childbirth. As women age and have more children, their spiritual needs increase. This study contributes positively toward the improvement of care, particularly spiritual aspects where evidence is scarce. Keywords: Assessment, Brunei, Childbirth, Women, Spiritual
Adherence to antiretroviral therapy, CD4 count, viral load and opportunistic infections in people with HIV/AIDS: a cross-sectional study Nursalam, Nursalam; Sukartini, Tintin; Misutarno, Misutarno; Priyantini, Diah
Jurnal Ners Vol. 19 No. 1 (2024): FEBRUARY 2024
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v19i1.49958

Abstract

Introduction: Globally, antiretroviral therapy (ART) has been successful in reducing the death rate due to human immunodeficiency virus (HIV). Different conditions in Indonesia mean the death rate due to HIV/AIDS is still high. The problem lies in the low compliance with ART. This study aimed to analyze the correlation between ART adherence with number of CD4, the opportunistic infection (OI) and viral load in PLHIV. Methods: A quantitative survey with cross-sectional approach was conducted between August – September 2022. As many as 375 PLHIV were recruited and agreed to give consent as research respondents. All respondents completed a questionnaire about ART adherence, OI and had blood taken to check CD4 count and viral load. Analyses were performed using Chi-squared test SPSS version 21 with significance level p<0.05. Results: A significant relationship was shown between ART adherence and OI (p value= 0.000 with <0.05). The respondents who reported adherence in ART also showed asymptomatic OI. The analysis also showed that ART adherence had significant relationship with CD4 count (p value= 0.000 with <0.05) and viral load (p value= 0.000 with <0.05), respectively. Respondents   adherent to taking ART had better level of CD4 and suppressed viral load in the body. Conclusions: Adherence of antiretroviral therapy is the important factor contributing to the immune status of PLHIV, which has an impact on reducing CD4 count and suppressing viral load, thereby preventing the emergence of OI.
Leadership competencies and managerial competencies of nurse managers in Kuala Lumpur Hospital, Malaysia Chin, Mary; Balang, Rekaya Vincent; Wider, Walton; Tanucan, Jem Cloyd M.; Sim, Hui Yen; Janjuy, Chamaipron
Jurnal Ners Vol. 19 No. 3 (2024): AUGUST 2024
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v19i3.49986

Abstract

Introduction: The roles of nurse managers are crucial to the success of healthcare organizations, requiring specific skills and competencies. Accordingly, nurse managers are expected to possess leadership and management skills. Therefore, it is essential to investigate the relationship between leadership and managerial competencies among hospital nurse managers. This study seeks to determine the impact of three different leadership competencies, namely administrative skill, interpersonal skill, and conceptual skill, on the managerial competencies of nurse managers at Kuala Lumpur Hospital. Methods: This cross-sectional quantitative study adopted Northouse’s (2019) leadership competencies questionnaires and Mind Tool’s (2018) management skills assessment tool. A total of 247 participants, all of whom were nurse managers at the Kuala Lumpur Hospital, Malaysia, were recruited for this study. Multiple regression analysis was used to test the hypothesis. Results: The findings revealed that nurse managers at Kuala Lumpur Hospital possessed high levels of all three leadership skills and managerial competencies. However, the only significant predictor of managerial competencies among the respondents is the conceptual skill of leadership (beta = 0.820, p < 0.01). Conclusions: This study emphasizes conceptual skills (cognitive abilities, analytical reasoning, and decision-making) in predicting managerial competencies among nurse managers. Developing these skills is critical for effective leadership and smooth healthcare organization operations. Keywords: administrative skill, conceptual skill, interpersonal skill, leadership competencies, mental health
The development of an islamic nursing care model to improve patient satisfaction Ardian, Iwan; Nursalam, Nursalam; Ahsan, Ahsan; Haiya , Nutrisia Nu'im; Azizah , Intan Rismatul
Jurnal Ners Vol. 19 No. 1 (2024): FEBRUARY 2024
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v19i1.50026

Abstract

Introduction: This study aimed to the development of an Islamic nursing care model to improve patient satisfaction. Methods: Cross-sectional design random sampling technique on 134 respondents, consisting of patients and nurses in the surgical inpatient room, internal medicine inpatient room, and postpartum and gynecology inpatient rooms, using simple random techniques. The variables of this study were the nursing factors, Islamic nursing care, and patient satisfaction and were collected using questionnaire. The data were collected using questionnaire in December 2021 at Islamic Hospital, Indonesia, and processed using a Smart Partial Least Squares (SmartPLS) analysis and Sommers' correlation test. Results: The Sommers' test results show significant relationship between nursing factor (nurse knowledge, nurse's attitude, nurse competence, nurse personality) and patient satisfaction; nurse knowledge (p=0.000); nurse attitude (p=0.000); nurse competence (p=0.000); nurse personality (p=0.000; α<0.05). SmartPLS test results show the nurse factor with Islamic nursing care has a strong significant influence (p value 0.000; β value 0.539; t value> 1.96). Then for Islamic nursing care with patient satisfaction, it has a very strong significant effect (p value 0.000; β value 0.753; t value> 1.96). Conclusions: Islamic nursing care as a mediator of nurse factors with patient satisfaction can be described in this study model because Islamic nursing care is a real form of care by nurses that is felt by the patient and the application of Islamic values so that the form of nursing care makes patients feel satisfied.
Experiences of nurses involved in air ambulance service: A qualitative study Wang, Kuei-Ying; Hu, Fang-Wen; Yu, Shu-Chen; Lin, Yohana Yobelina; Han, Chien-Ying
Jurnal Ners Vol. 19 No. 1 (2024): FEBRUARY 2024
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v19i1.50175

Abstract

Introduction: Nurses undertaking air ambulance service encounter environmental, equipment, and personnel limitations during their work. Moreover, they must cope with various types of injuries and illnesses, as well as changes in patient conditions. These factors pose a significant pressure on nurses. Currently, there is a lack of qualitative research on the experiences of nurses performing air ambulance tasks. The purpose of this study is to explore the experiences of nurses undertaking air ambulance service, with a focus on capturing their personal perceptions regarding this field of work. Methods: Twelve nurses were selected using purposive sampling, and semi-structured interviews were conducted to collect data. Content analysis was used to analyze the data. Results: The analysis identified three major themes: "Ambiguous and risky emergency missions," "Challenges during air transfer," and "Nurses' personal limitations.” Eight categories were formulated within these themes, including "Mission uncertainty," "Urgency of medical conditions," "Hazards at high altitude," "Cabin environment limitations," "Inadequate equipment," "Incomprehensive operating mechanisms," "Physical discomfort," and "Recognition of professional shortcomings." Conclusions: Improving the performance and well-being of nurses engaged in air ambulance services necessitates the implementation of a psychological adaptation program. This includes the utilization of psychological stress assessment tools or engaging in role-playing activities. Successful patient rescues demand the establishment of comprehensive standard operating procedures, involving an interprofessional team. Supporting nurses in adeptly managing challenges during air ambulance services requires an expanded scope of education and training, facilitated through initiatives like situational simulation and similar approaches.
Self-efficacy, intention, and attitude toward human papillomavirus vaccination among urban females in indonesia: a cross-sectional study Samaria, Dora; Desmawati, Desmawati; Mawaddah, Fauziah; Mizka, Nevin Zhasmin; Dwinova, Raras
Jurnal Ners Vol. 19 No. 2 (2024): MAY 2024
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v19i2.50595

Abstract

Introduction: Women's choice to undergo vaccination against the Human Papillomavirus (HPV) is shaped by a multitude of factors. This study seeks to investigate the differences of intentions and attitudes toward the HPV vaccine and its effect size among women categorized into three groups based on their level of self-efficacy. Methods: As many as 441 respondents were selected using the consecutive sampling method. The samples were divided into three groups based on their level of self-efficacy (low, medium, and high). The research employed a cross-sectional design from 13 May to 15 June 2023 in the working area of Public Health Centers located in Jakarta by implementing individual home visits. The research instruments comprised the Self-Efficacy Scale for HPV vaccination, the Intentions to Receive the HPV Vaccine Questionnaire, and the Attitude of HPV, Cervical Cancer, and Vaccine HPV Questionnaire; all were declared valid and reliable. The Kruskal-Wallis Test, the Tukey HSD Post Hoc Test, and the Epsilon Squared Test were performed to examine intention and attitude based on the type of self-efficacy and the effect size found. Results: Significant differences were observed in intention (p<0.001) and attitude (p<0.001) among the three self-efficacy groups, demonstrating relatively robust effect sizes (attitude: ε2=0.109, p<0.001; intention: ε2=0.159, p<0.001). Conclusions:The research demonstrated discernible discrepancies in intention and attitude across the three sample groups distinguished by their self-efficacy levels. It is advisable to design interventions focusing on health promotion that highlight the diverse needs and characteristics of different groups of women.
Determinants of parents’ readiness for face-to-face learning among elementary school children during the new normal Kurnia, Iqlima Dwi; Arief, Yuni Sufyanti; Rachmawati, Praba Diyan; Krisnana, Ilya; Istiqomah, Yutri; Ananta , Syafira Dwi; Pratuma , Rithpho
Jurnal Ners Vol. 19 No. 3 (2024): AUGUST 2024
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v19i3.50630

Abstract

Introduction: This study aimed to identify factors influencing the readiness of parents with elementary school-age children for face-to-face learning using the Health Promotion Model (HPM). Methods: This was a cross-sectional study. The study population consisted of parents of elementary school students in Surabaya. A purposive sampling method was used to select 395 respondents. The independent variables included motivation, parental knowledge, perceived benefits, perceptions of barriers, self-efficacy, interpersonal factors, situational factors, and commitment. The dependent variable was parental behavior in face-to-face learning readiness. Data were collected using a validated and reliable questionnaire. Data analysis was conducted using a logistic regression test, with a significance level of α ≤ 0.05. Results: Most parents were 37 years old, and children in the 5th grade of elementary school. Most of the parents' motivation was in the sufficient category (57%). The parents’ knowledge of COVID-19 was good (66.8%). Most parents had a good perception of benefits (68.4%), and the perception of barriers was sufficient (59.7%). Good self-efficacy was observed in only 49% of cases, and interpersonal and situational factors accounted for 99.7% and 100%, respectively. Meanwhile, regarding parental readiness for face-to-face learning, the majority exhibited good behavior (96.2%). The factors that influenced parental behavior in face-to-face learning readiness were parental knowledge (0.010), perceived benefits (0.019), and commitment (0.029). Conclusions: Good knowledge, perceived benefits, and parental commitment are factors that influence parents' readiness to participate in face-to-face learning.  Keywords: COVID-19, face-to-face learning, good health and well-being, Health promotion model (HPM), parents

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