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INDONESIA
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 matters and readiness in disaster training: a descriptive qualitative study on nurses’ willingness to respond Kimin, Amelia; Nurachmah, Elly; Putri, Arcellia Farosyah; Gayatri, Dewi; Lestari, Fatma; Afriyanti, Yati; Supartono, Basuki; Sujianto, Untung
Jurnal Ners Vol. 21 No. 1 (2026): VOLUME 21 ISSUE 1 (FEBRUARY 2026)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v21i1.78266

Abstract

Introduction: The increasing frequency and impact of disasters requires nurses to be adequately prepared and willing to respond. Previous studies have suggested that knowledge and skills alone are insufficient predictors of willingness to respond. This study aimed to explore factors influencing nurses’ willingness to respond to disasters beyond knowledge and skills and to identify strategies to enhance this willingness through disaster training. Methods: A qualitative descriptive study design was used. Data were collected from May to July 2020 through semi-structured interviews (n = 9) and focus group discussions (n = 10) involving nurses with earthquake response experiences in Indonesia. The participants were recruited using purposive and snowball sampling. Data were analyzed manually following Doyle’s qualitative descriptive approach to generate codes, categories, and themes. Results: Two major themes were identified: (1) dilemma in family matters, consisting of professional commitment, family safety, and family support; and (2) readiness to respond, including unprepared feelings and the role of disaster training. Family well-being emerged as a prerequisite for deployment, while realistic and simulation-based disaster training was perceived as essential for strengthening psychological readiness. Conclusions: Nurses’ willingness to respond to disasters is influenced not only by their knowledge and skills, but also by family related considerations and psychological preparedness. Disaster training programs should integrate family preparedness components and realistic simulation-based learning to enhance nurses’ readiness and willingness to respond effectively.
Influence of clinical learning environment on caring and advocacy among Omani undergraduate nursing students: a cross-sectional survey Valdez, Glenn Ford D.; Nashwan , Abdulqadir J.; Inocian , Ergie Pepito; Cayaban , Arcalyd Rose R.; Turingan , Oscar M.; Al Nasiri, Yusra
Jurnal Ners Vol. 21 No. 1 (2026): VOLUME 21 ISSUE 1 (FEBRUARY 2026)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v21i1.78493

Abstract

Introduction: Nursing students gain clinical skills and shape professional behaviors through ongoing education. As Oman updates its nursing education to match healthcare demands, examining how clinical environments impact students' compassion and advocacy is vital. This study assessed the effect of clinical settings on undergraduate nursing students' caring and advocacy behaviors. Methods: This cross-sectional, quantitative study used adapted tools, including an author-developed nursing student advocacy (NSA) scale, the clinical learning environment inventory (CLEI-42), and the caring behaviors inventory-24 (CBI-24). Stratified sampling based on university, year, and age selected 461 Bachelor of Science in Nursing students, proportional to each subgroup (CL.95, CI-0.5). Descriptive and inferential statistics, such as Pearson ’scorrelation, were used to assess the relationships among demographics, clinical learning environment, caring behaviors, and advocacy behaviors. Results: The primary study variables in the clinical learning environment, caring behavior inventory, and nursing advocacy scale showed a significant correlation between the clinical learning environment and caring behaviors  (r=0.388, p<0.001) and a significant correlation between the clinical learning environment and nursing advocacy and right-seeking behaviors (r=0.634, p<0.001). Conclusions: A considerable positive moderate relationship exists between the clinical learning environment and caring behaviors, and a substantial positive moderate relationship exists between nursing advocacy and caring behavior.
Perceived health status and self‑esteem in relation to health‑related quality of life among adolescents living in orphanages: a multi‑institutional study Ispriantari, Aloysia; Agustina, Rismia; Auwalu Ibrahim, Zainab
Jurnal Ners Vol. 21 No. 1 (2026): VOLUME 21 ISSUE 1 (FEBRUARY 2026)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v21i1.78649

Abstract

Introduction: Health-related quality of life (HRQoL) reflects the physical, mental, and social well-being of adolescents. Individuals in orphanages are often exposed to stress, which may undermine their HRQoL. This study aimed to explore the HRQoL of adolescents living in orphanages and to examine the roles of perceived health status, self-efficacy, and demographic factors. Methods: A multi-center cross sectional study with convenience sampling was conducted to recruit 238 adolescents aged 13-18 years from 16 orphanages in Malang City, Indonesia. Data were obtained using the KIDSCREEN-27 Child and Adolescent Version, Perceived Health Status, and Rosenberg Self-Esteem Questionnaires. Stata 16.0 was used to conduct descriptive statistics, Pearson correlations, and hierarchical linear regressions. Results: The mean total HRQoL score was 94.4±12.7, with the highest sub‑scale score in peers and social support (3.8±0.7) and the lowest in physical well-being (3.2±0.7). Perceived health status (8.9±1.8) and self-esteem (29.1±3.5) were both positively associated with HRQoL (r=0.31 and r=0.48, respectively; p<0.001), whereas the two variables were not correlated with each other (r=0.09, p>0.05). In the parsimonious regression model, perceived health status (β=3.19, p<0.001) and self-esteem (β=0.97, p<0.001) together explained 30% (R²=0.30) of the variance in HRQoL; inclusion of demographic characteristics increased the explained variance to only 31% and none reached statistical significance. Conclusions: These findings suggest that perceived health status and self-esteem are determinants of HRQoL in adolescents living in orphanages. Nurses should prioritize routine assessments and implement interventions that strengthen self-esteem and perceived health status to improve HRQoL among adolescents living in orphanages.
Effectiveness of virtual reality positive self-talk on changes in brain wave activity among patients with breast cancer undergoing chemotherapy: a randomized controlled trial Harahap, Ikhsanuddin Ahmad; Nasution, Azizah; Harahap, Urip; Ardinata, Dedi
Jurnal Ners Vol. 21 No. 1 (2026): VOLUME 21 ISSUE 1 (FEBRUARY 2026)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v21i1.78907

Abstract

Introduction: Patients with breast cancer undergoing chemotherapy often experience pain, cognitive impairments, and changes in brainwave activity. This study evaluated the efficacy of Virtual Reality Positive Self-Talk (VR-PST) on changes in brain wave activity in breast cancer patients undergoing chemotherapy. Methods: A single-blind randomized controlled clinical trial was conducted involving 92 patients with breast cancer undergoing chemotherapy, who were randomly assigned to the VR-PST intervention group (n = 46) and the control group (n = 46). Participants in the VR-PST group received five intervention sessions conducted over a two-week period, consisting of structured cognitive self-talk presented in a virtual reality environment (VR-PST), while the control group received standard care. Brain wave activities in both groups were measured using the Muse 2 electroencephalographic (EEG) device before and after the intervention. Results: There were shifts in brain waves from delta to alpha waves in both groups, indicating relaxation; however, the VR-PST group showed a more dominant increase in beta waves. The VR-PST group demonstrated a trend toward greater cognitive activation; however, Fisher’s Exact Test showed that the difference between the groups was not statistically significant (p = 0.052). Conclusions: Although the difference was not statistically significant, the observed trend of increased beta-wave activity in the VR-PST group suggests a possible enhancement of cognitive activation. However, this finding should be interpreted with caution, and further studies are required to confirm this effect.
Effects of digitally delivered mindfulness-based interventions in reducing burnout in healthcare workers: a systematic review and meta-analysis of randomized controlled trials Riu, Silvia Dewi Mayasari; Hadi, Muhammad; Talibo, Norman Alfiat; Taplo, Yusti Muzdalifah; Tonapa, Santo Imanuel
Jurnal Ners Vol. 21 No. 1 (2026): VOLUME 21 ISSUE 1 (FEBRUARY 2026)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v21i1.79809

Abstract

Introduction: This review aimed to synthesize the evidence on the effectiveness of dMBIs in reducing burnout, depression, and mindfulness among healthcare workers. Methods: A systematic review and meta-analysis of randomized controlled trials (RCTs) were conducted according to the PRISMA 2020 guidelines. Six databases were searched through June 25, 2025. Eligible studies evaluated dMBIs among healthcare workers with burnout as a primary or secondary outcome. Standardized mean differences (SMDs) were pooled using a random-effects model. The risk of bias was assessed using the Cochrane Risk of Bias tool, version 2.0. Results: Nine RCTs were included, with 1,603 participants contributing to the analyzable data. dMBIs reduced emotional exhaustion (SMD = −0.34; 95% CI: −0.60 to −0.07) and depersonalization (SMD = −0.31; 95% CI: −0.55 to −0.07), and increased personal accomplishment (SMD = 0.48; 95% CI: 0.16 to 0.80). The dMBIs also improved mindfulness (SMD = 0.44; 95% CI: 0.07 to 0.82) and reduced depressive symptoms (SMD = −0.20; 95% CI: −0.37 to −0.03). The heterogeneity was moderate to high, and most studies were at a high risk of bias. Conclusions: dMBIs may improve burnout, mindfulness, and depression in healthcare workers, and their flexible digital format may support their use in workplace wellness programmes. However, the heterogeneity was moderate to high, and most trials were at a high risk of bias; therefore, the findings should be interpreted cautiously. Further high-quality trials are needed to confirm these effects and to identify the best delivery formats and engagement strategies.
Factors associated with caregiver ability to support medication adherence among people with mental disorders: a multivariate cross-sectional study Andriani, Andriani; Yusuf, Ah; Fitryasari, Rizki; Basrah, Miftahul Jannah; Arsyad, Dian Sidik; Hariati, Suni; Erfina, Erfina; Nurmaulid, Nurmaulid; Kadar, Kusrini S.
Jurnal Ners Vol. 21 No. 1 (2026): VOLUME 21 ISSUE 1 (FEBRUARY 2026)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v21i1.80610

Abstract

Introduction: This study aimed to identify family, caregiver, patient, nurse, and healthcare service factors associated with caregivers’ ability to support medication adherence among relatives with mental disorders. Methods: This cross-sectional study was conducted between February and June 2024 at seven community health centers (Puskesmas) in Makassar, Indonesia. Purposive sampling was used to recruit 155 caregivers. Questionnaires were validated prior to data collection. Bivariate associations were examined using the chi-square test, and factors associated with caregivers’ ability to support medication adherence were analyzed using multivariate logistic regression. Results: The multivariate model was statistically significant (model χ²  =  42.87, p < 0.001; Nagelkerke R² = 0.32). In bivariate analyses, the caregiver’s ability to support patients’ medication adherence was associated with family functioning, caregiver factors (gender, stress, motivation, knowledge), patient factors (relapse frequency, severity level), and nurse psychological factors. In the multivariate analysis, family economic status (AOR = 0.22, 95% CI = 0.07–0.69, p = 0.010), family functioning (AOR  =  2.58, 95% CI = 1.19–5.58, p = 0.016), caregiver motivation (AOR = 0.29, 95% CI = 0.12–0.73, p = 0.008), and caregiver knowledge (AOR = 0.40, 95% CI = 0.16–0.96, p = 0.041) remained significantly associated with caregiver ability to support medication adherence. Conclusions: These results suggest that family factors and caregiver psychosocial preparedness play critical roles in facilitating adherence-related caregiving practices. Strengthening family functioning and caregiver motivation and knowledge may improve support for medication adherence.
Determinants of functional limitations in basic and instrumental daily activities among older adults living in rural settings: a cross-sectional study Suyasa, I Gede Putu Darma; Agustini, Ni Luh Putu Inca Buntari; Sutini, Ni Kadek
Jurnal Ners Vol. 21 No. 1 (2026): VOLUME 21 ISSUE 1 (FEBRUARY 2026)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v21i1.83252

Abstract

Introduction: Maintaining the functional capacity of older adults is essential to support independence, particularly in rural areas. Understanding the factors contributing to the reduced ability to perform activities of daily living (ADLs) and instrumental activities of daily living (IADLs) is essential for developing effective gerontological nursing strategies. This study identified the predictors of ADL and IADL impairment among older adults residing in rural communities. Methods: This cross-sectional study involved 318 older adults selected through simple random sampling. The Barthel Index and Lawton IADL Scale were used to measure ADL and IADL abilities. The Geriatric Depression Scale was used to assess depressive symptoms, whereas difficulties in vision, hearing, and communication were evaluated using the Washington Group Short Set. Chi-square tests and logistic regression were used to examine the associations and predictors. Results: ADL and IADL disabilities were identified in 4.4% and 10.1% of the respondents, respectively. Communication difficulties were a strong predictor of both ADL and IADL disabilities (AOR = 13.72; 95% CI = 3.26–57.76, p < 0.001 and AOR = 7.07; 95% CI = 2.34–21.34, p < 0.001). Depressive symptoms increased the risk of ADL disability (AOR = 4.17; 95% CI = 1.24–14.05, p = 0.021), and adults aged ≥ 75 years showed higher odds of IADL impairment (AOR = 4.39; 95% CI = 1.89–10.16, p < 0.001). Conclusions: Challenges in communication and depressive affect functional capacity among rural older adults. Maintaining independence and improving daily functioning by implementing early identification and intervention targeting communication and mental health are essential.
Predictive performance and statistical calibration of the TRISS method in patients with traumatic brain injury: a retrospective data analysis EL HADDAD, SALAMA; EL CHAAL, RACHID; Hmamouche, Oualid Mohammed; Bennani , Bahia; El Faiz, Mohammed Chaoui
Jurnal Ners Vol. 21 No. 1 (2026): VOLUME 21 ISSUE 1 (FEBRUARY 2026)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v21i1.86367

Abstract

Introduction: Major trauma is a leading cause of death, particularly in young adults. The Trauma and Injury Severity Score (TRISS) is commonly used for mortality prediction, but its performance in patients with head trauma, especially in non-Western populations, remains unclear. The applicability of the TRISS, validated on North American cohorts, in different healthcare settings and injury patterns, such as those in North Africa, has not been thoroughly assessed. This study evaluated the predictive performance of the TRISS for hospital mortality in a cohort of Moroccan patients with traumatic brain injury. (TBI). Methods: A single-center retrospective study was conducted at Hassan II University Hospital in Fez, Morocco, over 24 months (January 2022 to December 2023), including 133 patients. The TRISS score was calculated using the Revised Trauma Score (RTS), Injury Severity Score (ISS), and age. The primary endpoint was all-cause mortality, and model performance was assessed through ROC curve analysis and calibration using graphical methods. Owing to the modest sample size, formal calibration tests were not emphasized. Results: The mortality rate was 27.8%. The TRISS demonstrated modest discriminative ability (AUC = 0.654). Although the specificity was high, the sensitivity was very low, resulting in a high false-negative rate (83.8%). Calibration analysis showed paradoxical mortality in the highest predicted survival group, indicating a significant miscalibration. Conclusions: The TRISS method displayed limited predictive performance in the TBI cohort, largely owing to its low sensitivity. This underscores the need for population-specific validation and development of more accurate predictive models to improve patient triage and outcomes.
Promoting language competence among international nursing staff in Germany in everyday practice Jurnal Ners, Admin
Jurnal Ners Vol. 21 No. 1 (2026): VOLUME 21 ISSUE 1 (FEBRUARY 2026)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v21i1.88573

Abstract

FRONT MATTER VOL 21 ISSUE 1 Jurnal Ners, Admin
Jurnal Ners Vol. 21 No. 1 (2026): VOLUME 21 ISSUE 1 (FEBRUARY 2026)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar

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