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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.
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Articles 940 Documents
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BACK MATTER VOL 21 ISSUE 1 Jurnal Ners, Admin
Jurnal Ners Vol. 21 No. 1 (2026): VOLUME 21 ISSUE 1 (FEBRUARY 2026)
Publisher : Universitas Airlangga

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Abstract

Relationship between father involvement, adolescent stress, and smoking behavior in Indonesia: A cross-sectional study Zata Ismah; Fatma Indriani; Rizky Indah Syahfitri; Citra Cahyati Nst; Rahmatusyifa Rahmatusyifa; Ikrimah Nafilata; Zaharuddin Zaharuddin; Cholila Shinta Jatisari
Jurnal Ners Vol. 21 No. 2 (2026): VOLUME 21 ISSUE 2 (MAY 2026)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v21i2.73199

Abstract

Introduction: Adolescents experiencing fatherlessness often reported feelings of emotional deprivation and a lack of affection and quality time with their fathers compared to their peers. Some adolescents resorted to smoking as a coping mechanism. Therefore, this study aimed to examine the relationships between father involvement, adolescent stress, and smoking behavior, and the path model linking these variables. Methods: This cross-sectional study was conducted among high school adolescents in Medan City, Indonesia. A total of 1,221 adolescents were selected using cluster random sampling. Data on father involvement, stress, and smoking behavior were collected using questionnaires. The data were analyzed using chi-square tests and path analysis. Results: Adolescents in the fatherless group showed higher levels of severe stress compared to those with positive father involvement, particularly among females and early adolescents. Severe stress was also associated with higher smoking behavior both males and females, particularly among late adolescents. Lower father involvement was significantly associated with increased stress (β=-0.12, p<0.0001).) and smoking behavior (β=-0.11, p<0.0001). Stress was associated with smoking behavior and potentially mediated the association between father involvement and smoking behavior (R² = 0.02). Conclusions: Father involvement was associated with adolescent psychological well-being, while stress was potentially associated with smoking behavior. These associations differed according to age and sex, with females and early adolescents experiencing low father involvement showing a higher risk of severe stress, whereas late adolescents with severe stress were more likely to engage in heavy smoking.
Effectiveness of a 90-day local food-based supplementary feeding program in improving nutritional status among undernourished toddlers: A pre-experimental study Anindya Amanda Damayanti; Fayik Nisaul Balad Rosadi; Rana Aulia Farah Kamila; Shafeeq Abiyoga Fawrestu; Raafi Haidar Arrasyid; Nisriinaa Saarah Nuur Nabiilah; Titik Kuntari; Utami Utami; Dwi Cahyanti
Jurnal Ners Vol. 21 No. 2 (2026): VOLUME 21 ISSUE 2 (MAY 2026)
Publisher : Universitas Airlangga

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Introduction: This study aimed to evaluate the effectiveness of this program in improving anthropometric outcomes in stunted or wasted toddlers. Methods: We conducted a pre-experimental study with a one-group pretest-posttest design without a control group in the Plupuh sub-district, Sragen District, Central Java. The sample consisted of 163 stunted or wasted toddlers enrolled in a 90-day PMT program. Nutritional status was determined using Z-scores calculated using the WHO Anthro application. Weight and length/height were measured at baseline and repeated every four weeks until the end of the 90-day intervention period. Data were analyzed using paired t-tests, and effect sizes were calculated using Cohen’s d. Results: After the intervention, the mean weight increased by 1.53 kg and the mean height by 1.33 cm (p < 0.05). The Z-scores for weight-for-age, height-for-age, weight-for-height, and BMI-for-age improved significantly across all age groups (p < 0.05). Changes in nutritional status were observed in 50.92% of respondents based on weight-for-age measurements. The distribution curves for all the indices shifted toward the reference population. The intervention had a medium effect on weight gain (Cohen's d = 0.631) and a small effect on height gain (Cohen's d = 0.181). Conclusions: A 90-day supplementary feeding program using locally sourced foods significantly improved the weight and height of undernourished toddlers. Program sustainability requires strengthening family and community involvement through nutrition education and training in local food processing.
Effect of nursing guidelines on clinical outcomes among patients undergoing cardiac catheterization Mai Mohamed Ali; Hanan Sobieh Sobieh; Sara Fathy Mahmoud; Dena Mohamed Maarouf
Jurnal Ners Vol. 21 No. 2 (2026): VOLUME 21 ISSUE 2 (MAY 2026)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v21i2.78167

Abstract

Introduction: Cardiac catheterization is considered the gold standard for the diagnosis and management of cardiac diseases; however, post-procedural complications pose a significant clinical challenge affecting patient outcomes. A notable gap exists in the availability of locally adapted nursing guidelines within the Egyptian healthcare context. Therefore, this study aimed to evaluate the effectiveness of structured, evidence-based nursing guidelines in improving patient knowledge and reducing complications among patients undergoing cardiac catheterization. Methods: A quasi-experimental pretest–posttest design was conducted at Beni-Suef University Hospital, Egypt, involving 130 patients (65 per group) selected through purposive sampling. Eligibility criteria included patients aged 20–60 years, hemodynamically stable, and undergoing diagnostic or therapeutic cardiac catheterization. The study group received structured nursing guideline sessions, while the control group received standard hospital care. Data were analyzed using descriptive and inferential statistics, with significance set at p < 0. 05. Results: Regarding the primary outcome, there was a statistically significant reduction (p < 0.01) in post-catheterization complications — both early (within 24 hours) and late (after 24 hours) in the study group compared to the control group, immediately and at two weeks post-procedure. Regarding the secondary outcome, a statistically significant improvement (p < 0.01) was observed in patients' total level of knowledge and self-care practices related to cardiac catheterization care in the study group compared to the control group following nursing guidelines implementation. Conclusions: The implementation of evidence-based nursing guidelines significantly enhanced patients’ knowledge, reduced post-procedural complications, and promoted faster recovery after cardiac catheterization.
Women cardiovascular awareness and health literacy among university workers: A cross-sectional study Mulyanti Roberto Muliantino; Qorifa Azzahra; Esthika Ariani Maisa; Fitri Mailani; Yuanita Ananda; Chung-Ying Lin
Jurnal Ners Vol. 21 No. 2 (2026): VOLUME 21 ISSUE 2 (MAY 2026)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v21i2.78241

Abstract

Introduction: Cardiovascular disease (CVD) is a major cause of female mortality worldwide. However, there is a paucity of research on women’s cardiovascular awareness, with a potential lack of health literacy being a contributing factor. This study aimed to analyze the association between health literacy and cardiovascular awareness among university workers. Methods: This cross-sectional, quantitative study recruited 288 female university employees using quota sampling method. Cardiovascular awareness was the dependent variable and was obtained using The Attitudes and Beliefs about Cardiovascular Disease (ABCD) Risk Questionnaire. Health literacy was the independent variable and was assessed using the European Health Literacy Study Questionnaire (HLS-EU-Q16). Pearson’s correlation test, independent t-test, analysis of variance, and multivariate linear regression test were used for data analysis (significance level at p < 0.05). Results: The mean cardiovascular awareness score was 52.74 (SD = 5.556), and the mean health literacy score was 14.32 (SD = 2.593). After controlling for potential confounding factors, health literacy remained significantly associated with women’s cardiovascular awareness (B = 0.578, SE = 0.125, β = 0.270, p < 0.001), indicating a modest effect size. Higher health literacy was associated with greater cardiovascular awareness among female university employees. Conclusions: Health literacy was significantly associated with awareness of CVD risk among women. Interventions that focus on improving health literacy have the potential to elevate awareness of CVD risk in this demographic.
Effect of video-based fine motor stimulation education on maternal independence in supporting child development: A quasi-experimental study Ria Setia Sari; Fitri Handayani Handayani
Jurnal Ners Vol. 21 No. 2 (2026): VOLUME 21 ISSUE 2 (MAY 2026)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v21i2.78881

Abstract

Introduction: Fine motor developmental delays among children under five remain a public health concern in Indonesia, including in Tangerang Regency. Adequate caregiver stimulation plays an important role in supporting optimal child development; however, many mothers still have limited independence in implementing appropriate stimulation activities. This study aimed to examine the association between video-based fine motor stimulation education and maternal independence in supporting early childhood development. Methods: A quasi-experimental pretest–posttest control group study involved 42 mothers of toddlers (21 intervention; 21 control) recruited from a community health post in Tangerang Regency, Indonesia. The intervention consisted of video-based education demonstrating age-appropriate fine motor stimulation activities. Maternal independence was assessed using an observation checklist adapted from Denver II developmental indicators. Observer training and inter-rater agreement procedures were conducted to ensure measurement reliability. Data were analyzed using the Wilcoxon signed-rank test and Mann–Whitney U test. Results: Maternal independence scores increased significantly in the intervention group (Z = −3.845; p < 0.001; r = 0.84, large effect). The control group showed a non-significant trend toward change (Z = −1.633; p = 0.102). Between-group comparison demonstrated a significant difference in change scores (U = 24.000; p < 0.001). Conclusions: Video-based educational interventions were associated with improvements in maternal independence in providing fine motor stimulation and may support community-based early childhood development programs.
Predictors of physical, psychological, and social vulnerability of cardiovascular emergencies prevention in disaster-prone communities: A cross-sectional study Riza Fikriana; Dedi Kurniawan; Al Afik
Jurnal Ners Vol. 21 No. 2 (2026): VOLUME 21 ISSUE 2 (MAY 2026)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v21i2.79911

Abstract

Introduction: Cardiovascular emergencies are the leading cause of death worldwide. In disaster-prone areas, this condition can increase because people are at risk of experiencing stress due to disasters. This study aimed to analyze the predictors of physical, psychological, and social vulnerability factors for the prevention of cardiovascular emergencies. Methods: This was a cross-sectional study. A total of 150 respondents with high-risk criteria for cardiovascular diseases and living in disaster-prone areas in West Sumbawa, Indonesia, were selected using the accidental sampling technique. The variables in this study were human resource preparedness, infrastructure readiness, availability of policy systems, access system readiness, and physical, psychological, and social vulnerability. Data were collected via questionnaires and analyzed using Fisher’s exact test and binary logistic regression (α<0.05). Results: Economic status and social support from health workers and family members were associated with all vulnerability domains. Good economic status was significantly related to reduced physical (OR=0.075;95% CI=0.023–0.250) and social vulnerability (OR=0.052;95% CI=0.011–0.250), while low economic status was related to increased psychological vulnerability (OR=2.459;95% CI=1.022–5.917). Health worker support was a critical protective factor against physical vulnerability (OR=0.042;95% CI=0.004–0.476), and family support strongly mitigated social vulnerability (OR=0.080;95% CI=0.018–0.352). Conclusions: Socioeconomic stability and interpersonal support systems are related to reducing health vulnerability in cardiovascular emergencies. Interventions should prioritize strengthening household economic resilience, enhancing family based psychosocial support, and integrating trained health workers into disaster preparedness frameworks to improve cardiovascular outcomes in pregnant women.
Nursing challenges and system-level barriers to hypertension management in geographically isolated and disadvantaged areas: A mixed-methods systematic review Resti Tito Villarino
Jurnal Ners Vol. 21 No. 2 (2026): VOLUME 21 ISSUE 2 (MAY 2026)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v21i2.81249

Abstract

Introduction: Hypertension control remains critically low in geographically isolated and disadvantaged areas (GIDAs), where nurses are the primary healthcare providers. Despite growing evidence on hypertension interventions, fragmentation in recognizing barriers specific to nursing practice in GIDAs persists. This review synthesizes the nursing challenges and system-level barriers to hypertension management in GIDAs. Methods: A mixed-methods systematic review following the PRISMA 2020 guidelines searched five databases (Scopus, PubMed, Web of Science, CINAHL, and ScienceDirect) from January 1, 2010, to January 31, 2025. Quality appraisal was performed using the MMAT version 2018. Thematic analysis was performed following Braun and Clarke. Results: Of 2,294 records, 33 studies met the inclusion criteria. Most (78.8%) were from LMICs, predominantly South Asia (n = 10) and Sub-Saharan Africa (n = 9). Quality appraisal rated 15 studies (45.5%) as high-quality, 17 (51.5%) as moderate, and 1 (3.0%) as low. Five interrelated domains were identified: (1) geographic isolation and transport burden (27/33); (2) fragmented health systems and insurance barriers (23/33); (3) low health literacy and limited self-management (21/33); (4) culturally incongruent interventions (17/33); and (5) limited implementation and scalability (15/33). Task-shifting and nurse-led partnerships achieved systolic blood pressure reductions of 5–12 mmHg and improved medication adherence, yet they remain underutilized in GIDA settings. Conclusions: Nursing practice is central to addressing hypertension inequities in GIDAs. Strengthening community-based nursing, integrating cultural adaptation, and expanding implementation research are crucial for equitable hypertension management.
Psychometric evaluation of the indonesian version of the holistic nursing competence scale (HNCS) Maria Silvana Dhawo; Maria Frani Ayu Andari Dias; Muhammad Rifa'at
Jurnal Ners Vol. 21 No. 2 (2026): VOLUME 21 ISSUE 2 (MAY 2026)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v21i2.81471

Abstract

Introduction: The global demand for high-quality care requires valid, holistic instruments, especially in developing healthcare systems such as Indonesia, where existing tools are often fragmented. This study aimed to translate, culturally adapt, and validate the Indonesian version of the Holistic Nursing Competence Scale by evaluating its psychometric properties. Methods: This study employed a cross-sectional descriptive design, sampling 208 registered nurses with a minimum of two years’ experience from adult inpatient wards across Kalimantan Island. The instrument underwent rigorous forward-backward translation and expert review, achieving excellent content validity (S-CVI/UA = 0.99). Results:Data factorability was confirmed by a high Kaiser-Meyer-Olkin (KMO) value of 0.962 and a significant Bartlett’s test (p < 0.001). Exploratory Factor Analysis (EFA) extracted a robust three-factor structure, accounting for 69.1% of the total variance. These factors were identified as Competence in Professional Nursing Practice, Leadership and Professional Development, and Self-Reflection and Personal Growth. The Indonesian HNCS demonstrated high internal consistency, with Cronbach’s alpha coefficients of 0.981, 0.953, and 0.872 for factors 1, 2, and 3, respectively. Conclusions: The Indonesian version of the HNCS is a valid and highly reliable instrument, providing a standardized, contextually relevant framework for accurately measuring holistic nursing competence and addressing a critical national measurement gap.
Patterns of musculoskeletal discomforts across sedentary and dynamic working activity types: An occupational health nursing approach Dr. Ni Luh Dwi Indrayani; Chi-Jane Wang; I Gede Putu Darma Suyasa; Pande Putu Ida Oktaviani; Apiradee Pimsen; Ni Luh Putu Inca Buntari Agustini
Jurnal Ners Vol. 21 No. 2 (2026): VOLUME 21 ISSUE 2 (MAY 2026)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v21i2.82136

Abstract

Introduction: This study investigated the pattern of musculoskeletal disorders (MDs), including their prevalence and determinants among sedentary and dynamic workers, and analyzed working posture across various job characteristics. Methods: A total of 100 factory workers were recruited for this cross-sectional study. A self-reported Nordic Musculoskeletal Questionnaire was used to confirm the affected body parts, and observational analysis was performed using the Rapid Entire Body Assessment. Descriptive statistics and chi-square (χ²) tests were used. Results: Results showed that 89% of workers reported at least one musculoskeletal symptom in the past 12 months, with discomfort in the neck (52%), lower back (51%), and shoulder (48%) as the most affected regions. Office personnel exhibited higher proportions of discomfort in the wrist (38%), thighs (28%), and ankle and feet (32%) than dynamic workers (p < 0.01). Significant differences across occupational groups were identified in all body regions, with the largest effects in the wrist (χ² = 17.38, p < 0.001), thigh (χ² = 26.53, p < 0.001), and knee (χ² = 11.64, p < 0.01). Female sex (χ² = 4.86, p < 0.05), irregular exercise (χ² = 8.53, p < 0.01), and shorter work duration (χ² = 5.10, p < 0.05) were associated with a higher prevalence of MDs. Conclusions: Dynamic workers exhibited higher ergonomic risk scores, particularly for trunk and leg postures compared to static workers. This study concludes that ergonomic redesign and occupational health nursing interventions based on occupational demands are essential to minimize musculoskeletal disorder risks and promote musculoskeletal well-being.

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