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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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Body mass index as the main predictor for length of stay in COVID-19 patients with mild and moderate symptoms: a cross-sectional study in COVID-19 emergency hospital in Indonesia Nadhiroh, Siti Rahayu; Fitria, Anisa Lailatul; Hasugian, Armedy Ronny; Triyono, Erwin Astha; Nugroho, Nono Tri; Sinatrya, Alfadhila Khairil; Majid, Hazreen B Abdul
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.v19i2.53973

Abstract

Introduction: COVID-19 emerged as a novel global health crisis. While it has since been downgraded from its status as a public health emergency of international concern, the virus persists as a global health challenge. This study was aimed to analyze the predictors of LoS in COVID-19 patients based on nutritional status and patient characteristics data. Methods: Participants of this study were the COVID-19 patients with mild to moderate symptoms who registered in COVID-19 Emergency Hospital, East Java, Indonesia. This study involved 2850 patients   extracted from medical records for further analysis. Body mass index (BMI) was generated following the standard formula measured on the first day of hospitalization. LoS was determined by the number of days of hospitalization. The Chi-square automatic interaction detection (CHAID) algorithm was employed for model building. Results: Most participants were overweight (34.6%) and obese (17.2%). Only a few participants were hospitalized with comorbidities such as hypertension (11.6%) and diabetes mellitus (4.1%). The predictive model of LoS indicated that BMI was the main predictor of COVID-19 LoS, with higher BMI showed to prolong the LoS of mild to moderate symptoms patients. Other than BMI, gender and symptoms were also indicated as COVID-19 LoS predictors. Conclusions: Nutritional status is one of the predictors of LoS in COVID-19 patients. Having higher BMI tends to prolong the LoS, especially in male and having fever. LOS was also seen among those with lower BMI less than 18.5, in patients who had cold and flu.
Initiation of self-care practices in heart failure patients: a phenomenological study Suharsono, Tony; Ulya, Ikhda; Yona , Sri; Siswanto , Bambang Budi
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.v19i2.54096

Abstract

Introduction: The incidence of heart failure continues to rise with advancing age, unabated by advancements in healthcare technology. Patients with heart failure are required to manage their care independently at home for the remainder of their lives. This study aimed to delve into the experiences of heart failure patients regarding self-care management at home. Methods: Nineteen patients with heart failure were chosen through purposive sampling and thorough interviews were conducted to collect their self-care treatment experiences. Content analysis was carried out to scrutinize the acquired data. Results: The analysis revealed four themes: patients' perception of heart failure diagnosis, efforts in self-care, readiness for self-care, and adoption of new healthy behaviors in heart failure. Eight categories were formulated within these themes, including "transitioning into a heart failure patient;” "recognizing the need for self-care;” "seeking information and heart failure therapy;” "facilitators and barriers in seeking information regarding self-care;” "social support and belief in engaging in self-care at home;” "self-confidence in engaging in self-care at home;” "efforts to develop self-care strategies;” and "engaging in new healthy behaviors as heart failure patients independently.” Conclusions: Patients become aware of the necessity for self-care upon experiencing discomfort due to symptoms resulting from their heart failure. Family support and the patient's belief system play pivotal roles in initiating self-care practices at home. Nurses should provide support to patients in fostering self-care practices within their homes.
The effect of therapeutic regimen education on improving the self-efficacy in cancer patients undergoing haemodialysis: a quasi-experimental study Susilowati, Indah; Nuraini, Tuti; Gayatri, Dewi; Afiyanti, Yati
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.v19i3.54116

Abstract

Introduction: Cancer treatments often comes with varying adverse effects on both functional and physiological status of cancer patients, such as reduced kidney function, necessitating haemodialysis. The aim of this study was to determine the effect of therapeutic regimen education on the treatment self-efficacy of cancer patients undergoing haemodialysis. Methods: This study used a quasi-experimental method, involving 136 participants divided into control and intervention groups. The intervention group was given therapeutic regimen education that lasted for 4 weeks. The self-efficacy score was measured before and after intervention in both groups. Pre- and post-intervention scores were measured using the Chronic Kidney Disease Self-Efficacy instrument (r = 0.845). Paired t-test and independent t-test were used, respectively. Results: The results show that the patients who received therapeutic regimen education had significant increases in self-efficacy scores (p < 0.001). The mean (SD) score for all sub-variables increased after treatment: autonomy, from 15.07 (4.29) to 26.50 (1.74); personal integrity, from 11.63 (3.92) to 23.68 (2.59); problem-solving, from 10.66 (3.98) to 18.85 (0.82); and seeking social support, from 7.13 (2.38) to 14.06 (1.62). From the statistical test results, a significant difference in each dimension of self-efficacy was found between before and after treatment (p < 0.001). When the post test scores between intervention and control were compared, it showed significant different between them (p < 0.001). Conclusions: Therapeutic regimen education can increase treatment self-efficacy in cancer patients undergoing haemodialysis treatment, which can affect the patient’s healing process. Keywords: cancer patients, haemodialysis, self-efficacy, therapeutic regimen education
Developing a parental empowerment model to prevent health risk behaviors among adolescents in East Java, Indonesia Krisnana, Dr. Ilya; Rachmawati, Praba Diyan; Kurnia, Iqlima Dwi; Wahyuni, Lutfi; Rithpo, Pratuma
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.v19i2.54203

Abstract

Introduction: Parental empowerment in monitoring adolescents plays a crucial role in preventing health-risk behaviors. This research aimed to develop a model of parental empowerment against the prevention of health risk behavior (PE-HRB) in adolescents based on the theory of health promotion model. Methods: The research design used was an explanative survey method. The research population was parents who have adolescent children in East Java and able to access online questionnaires. Consecutive sampling obtained a large sample of 704 respondents from July - September 2020. Questionnaires were distributed online using the online Zoho platform and distributed to parents. The data analysis used a smart PLS (Partial Least Squares) statistical test with significance level T>1.96. Results: Personal factors positively and significantly influenced cognition and affect (T=2.82;p=0.005). Cognition and affection variables influence on parental empowerment (T=5.19; p=<.001). Cognition and affection have no effect on preventive behavior (T=1.49; p=.135). Parental empowerment is an important point in shaping preventive behavior. Conclusions: Empowerment is a factor that significantly affects the formation of parental behavior without going through commitment variables. Parental involvement in adolescents' academic and personal lives is an important aspect to prevent health-risk behavior in adolescents. Cognition and affection variables cannot directly form preventive behavior but must go through parental empowerment pathways to form preventive behavior. Parental empowerment has no effect on commitment, but commitment affects prevention behavior. Empowering parents is a topic that can be used as material in health education in primary health services.
Critical care nurses' perceptions toward withdrawal of life-sustaining treatments: a phenomenology study Alabd, Ibrahim Ahmd; Mohammad, Sahar Yassien; Ameen, Dalia Ali
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.v19i3.54320

Abstract

Introduction: Withdrawing life-sustaining measures involves complex legal and ethical considerations, and few healthcare providers have received specialized training in this area. This study explored critical care nurses' perceptions of withdrawing life-sustaining treatment. Methods: A qualitative phenomenological design was used, a purposive sample of 15 individuals of both sexes for nurses working in the ICU for at least six months. The study was conducted in seven critical care units at four hospitals at Ain Shams University. The data collection process involved audio recordings of semi-structured open-ended interviews and the data were analyzed based on Tesch’s method. Results: Study results revealed that the sample age ranged from 24 to 38 and ranged from 1 year to 14 years working in ICU at various levels starting from nursing staff to head nurses. Critical care nurses' perceptions were reflected through four main themes and related subthemes. The main themes that shaped nurses' perceptions were attitudes toward withholding and withdrawing life-sustaining treatments, ethical perceptions, beliefs impact, and legal framework. Conclusions: Nurses face difficult experiences influencing their perceptions of life-sustaining treatment withdrawal, emphasizing the importance of policy guidance to prevent decisions based only on beliefs. Therefore, further qualitative and quantitative studies are required. Keywords: life-sustaining treatments, Perceptions, qualitative design, themes, withdrawal
The predictor of non-suicidal self-injury behavior among adolescents: a cross-sectional study Iswanti, Dwi Indah; Lai, Lee-Lee; Saifudin, I Made Moh. Yanuar; Kandar, Kandar; Dewi, Rian Kusuma; Cahyaningrum, Dessy Dwi
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.v19i2.54610

Abstract

Introduction: Non-Suicidal Self-Injury (NSSI) among adolescents is a prevalent issue in Indonesia. Comprehensive understanding of NSSI is essential for uncovering the factors that trigger and predispose adolescents to such behavior. This knowledge serves as a foundation for crafting targeted nursing interventions to address and mitigate NSSI among this vulnerable population. This study aimed to identify determinant factors contributing to the occurrence of Non-Suicidal Self-Injury behavior in adolescents. Methods: The study employed a cross-sectional approach conducted between October and December 2023, with 570 respondents selected through simple random sampling. Socio-demographic, precipitating, and predisposing factors were measured using a checklist sheet. The Self-Harm Inventory (SHI) instrument was utilized to assess NSSI. Data analysis involved Pearson correlation and multiple regression to examine the relationships between variables. Results: The study revealed significant relationships among five variables. Gender (p-value = 0.004), bullying (p-value = 0.002), disappointment (p-value = 0.001), sharing place (p-value = 0.002), and communication pattern (p-value = 0.010) were identified as factors associated with Non-Suicidal Self-Injury behavior in adolescents. On the other hand, personality (p-value = 0.174), environment (p-value = 0.260), coping mechanism (p-value = 0.458), and parenting style (p-value = 0.054) showed no association with Non-Suicidal Self-Injury behavior. Conclusions: The findings underscore the significance of disappointment and the absence of a supportive environment in influencing NSSI. This highlights important considerations for healthcare professionals, educators, and policymakers. Strategies should encompass comprehensive approaches, early detection, and targeted interventions to foster supportive environments and address the complex nature of NSSI among adolescents.
Meta-analysis of the prevalence of restless leg syndrome and associated risk factors in chronic kidney disease patients Aini, Nur; Janitra, Fitria Endah; Putri, Alfiani Rahmi; Fauk, Nelsensius Klau; Arifin, Hidayat
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.v19i2.54993

Abstract

Introduction: Restless legs syndrome (RLS) presents as a sleep-related issue in individuals with chronic kidney disease (CKD), contributing to heightened sleep disturbances and diminished quality of life. Consequently, this meta-analysis was conducted to assess the prevalence of RLS among CKD patients. Methods: A comprehensive search for articles published between inception and September 2023 was conducted across CINAHL, Cochrane, Embase, Ovid-MEDLINE, PubMed, Scopus, and Web of Science databases. A Comprehensive Meta-Analysis (CMA) software version 3.0 with random effects models was used for pooled prevalence and prediction interval analysis. Heterogeneity was assessed using the I2 test and Cochran's Q-statistic. The quality of the studies was evaluated using Hoy's risk of bias. Additionally, moderator analyses were performed to investigate variations in the prevalence estimates among the included studies. Results: A total of 97 studies were included in this meta-analysis with 315,875 participants. The pooled prevalence of RLS among CKD patients was 25% (95%CI: 20% to 32%). In terms of the demographic breakdown, the prevalence of RLS was nearly comparable in adults and children/adolescents at 25% and 21%, respectively. The prediction interval indicated a potential future RLS prevalence ranging from 1% to 88%. Notably, iron and phosphorus levels emerged as significant moderating factors influencing the prevalence of RLS. Conclusions: Roughly 25% of individuals with chronic kidney disease (CKD) encounter restless legs syndrome (RLS). It is imperative to foster collaboration among healthcare professionals to facilitate proactive management and early assessment of RLS, thereby enhancing the overall quality of life for CKD patients.
Caregiving experiences among parents of children with physical and intellectual disabilities: a qualitative systematic review Mundakir, Mundakir; Choliq, Idham; Sukadiono, Sukadiono; Fitriyani, Vika Ramadhana; Firman, Firman
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.v19i3.55282

Abstract

Introduction: This study aimed to identify caregiver experiences encountered by parents of children with physical and intellectual disabilities. Methods: The study used a systematic review method with the guidelines of Enhancing Transparency in Reporting the Synthesis of Qualitative Research (ENTREQ) and PRISMA 2020. The review focused on parents caring for children with physical and intellectual disabilities. The literature was searched for relevant studies from five electronic databases including PubMed, CINAHL, Web of Science (core collection), Cochrane, and Scopus. This systematic review examined 14 articles out of a total of 63,400 articles found. The study used a thematic analysis method to analyze the study. Results: Providing care for children with physical and intellectual disabilities requires addressing a variety of challenges. It is critical to have a comprehensive understanding of these intricacies to ensure that families receive the necessary support and interventions. Our synthesis identified seven themes: (1) gendered and emotional experiences, (2) compromising quality of life: physical and psychological impact, (3) lack of knowledge about disabilities, (4) lack of social support, (5) stigma, (6) uncertain future of the recipient, and (7) unavoidable caregiving responsibility. Conclusions: The results of this study provide recommendations that health professionals and researchers further explore these challenges and strive to build a supportive and inclusive environment that recognizes the unwavering dedication of parents and prioritizes the optimal care and development of children with disabilities. Keywords: children, disability, parent, qualitative systematic review
Perceived implementation of patient safety compliance among nursing supervisors in military hospitals: a descriptive qualitative study Setiawati, Deni; Setyowati , Setyowati; Hariyati, Rr. Tutik Sri; Mediawati, Ati Surya; Hidayanto, Achmad Nizar; Putro, Prasetyo Adi Wibowo
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.v19i2.55321

Abstract

Introduction: Patient safety incidents remain high in Indonesia and are a significant responsibility of nursing supervisors working in military hospitals. The purpose of this study was to explore the understanding and perception of nursing supervisors in implementing patient safety compliance in military hospitals. Methods: A descriptive qualitative approach was conducted with nursing supervisors at a military hospital through in-depth interviews. A total of 25 nursing supervisors from military hospitals participated in the interviews. The content analysis was employed to analyze the interview data. Results: Five themes were identified in this study: patient safety as our responsibility, implementation in practice, support in safety initiatives, barriers to safety goals, and tech-driven safety efficiency. Conclusions: The findings underscore that an in-depth understanding by nursing supervisors is critical to fostering appropriate behavior, particularly in achieving patient safety goals. Nursing supervisors articulated expectations for improvements in healthcare quality. As healthcare professionals, nursing supervisors must grasp the significance of a patient safety approach and be adept at executing it to enhance the quality of care, which will, in turn, lead to better healthcare outcomes.
Navigating the global nursing shortage: collaborative strategies for education and mobility Sommers, Christine L.
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.v19i1.55397

Abstract

Navigating the Global Nursing Shortage: Collaborative Strategies for Education and Mobility

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