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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 957 Documents
 92   93   94   95   96 
Exploring work stress, job satisfaction, and their associated factors among psychiatric nurse practitioners in Taiwan: A cross-sectional study Chiu-Lien Lin; Yohana Yobelina; Kuei-Ying Wang
Jurnal Ners Vol. 21 No. 3 (2026): VOLUME 21 ISSUE 3 (AUGUST 2026)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v21i3.66624

Abstract

Introduction: This study aimed to examine the factors associated with work stress and job satisfaction among PNPs in Taiwan. Methods: This cross-sectional study used convenience sampling to recruit 200 PNPs with over six months of work experience. Data were collected using a demographic questionnaire, the Nursing Stress Scale (NSS), and the Misener Nurse Practitioner Job Satisfaction Scale (MNPJSS). Statistical analyses included descriptive statistics, independent-samples t-tests, one-way analysis of variance (ANOVA), Pearson’s correlation coefficients, and stepwise regression analysis. Results: A total of 145 valid responses were analyzed ( response rate: 72.5 %). Work stress showed a significant negative correlation with job satisfaction among PNPs (r = −0.438, p < 0.001). Stepwise regression analysis indicated that work stress, team collaboration, monthly salary, and shift duty significantly predicted job satisfaction, jointly explaining 32% of the variance (p < 0.001). Among these predictors, work stress accounted for 19.2% of the variance (R² = 0.192, p < 0.001). The descriptive results showed that PNPs reported low overall work stress (M = 2.76, SD = 0.86), with personal reaction being the most prominent stress dimension. Job satisfaction was moderately positive (M = 4.01, SD = 0.61), with coworker relationships receiving the highest ratings. Conclusions: Work-related stress is an important predictor of job satisfaction among PNPs. Therefore, understanding the factors associated with the job satisfaction is beneficial to both PNPs and medical institutions.
Nurses’ experiences of providing palliative care in the intensive care unit: A qualitative study Tintin Sukartini; Yulis Setiya Dewi; Herdina Mariyanti; Virmala Ramoo; Kanchana Gudari; Muhammad Fikri Alfaruq; Adinda Nurul Hamidah; Yumna Raihanatu
Jurnal Ners Vol. 21 No. 3 (2026): VOLUME 21 ISSUE 3 (AUGUST 2026)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v21i3.72918

Abstract

Introduction: Intensive care unit (ICU) nurses play a central role in palliative care. However, there is a lack of qualitative evidence about the experiences of nurses providing palliative care in the ICU, especially in developing healthcare systems such as Indonesia. This study aimed to qualitatively explore the experiences of nurses providing palliative care in the ICU. Methods: This study used a qualitative research design. Nurses who worked in the ICU were selected using a purposive sampling method, and the inclusion criterion was that they had worked for more than one year in the ICU. In-depth semi-structured interviews were conducted with 15 ICU nurses about their experiences, and the data were analyzed using thematic analysis. Results: The data were analyzed using thematic analysis, which generated six main themes that reflected the experiences of palliative care by ICU nurses. The themes were further categorized into operational categories such as hospital support for palliative care practice, expectation for future palliative care practices, work satisfaction, family involvement in palliative care, palliative care practice in the ICU, and challenges in palliative care practice. This study also presents a conceptual tree model that summarizes the findings. Conclusions: This study highlights the need for more institutional support, better training, and structured protocols for the better implementation of palliative care in the ICU. Addressing these factors may facilitate improved patient-centered care and assist nurses and families involved in the palliative care process.
Evaluating the impact of school-based and community interventions on childhood obesity in Malaysia: A systematic review Johari daud makajil; Mohd Firdaus Mohd Hayati
Jurnal Ners Vol. 21 No. 3 (2026): VOLUME 21 ISSUE 3 (AUGUST 2026)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v21i3.73061

Abstract

Introduction: Childhood obesity is an increasing public health concern in Malaysia, contributing to long-term risks, such as type 2 diabetes, hypertension, cardiovascular disease, and reduced quality of life. School- and community-based interventions have been implemented to improve dietary practices, physical activity, and behavioral changes among children and adolescents. This systematic review aimed to evaluate the impact of school- and community-based interventions on childhood obesity in Malaysia. Methods: This systematic review followed the PRISMA 2020 guidelines. The literature search was updated in June 2026 and covered PubMed, Scopus, and Web of Science for studies published from January 2014 to December 2024. Eligible studies involved Malaysian children and adolescents aged 5–18 years and examined school- or community-based obesity prevention or management interventions. Methodological quality was assessed using Joanna Briggs Institute tools, and findings were synthesized narratively. Results: Twenty studies met the inclusion criteria of this review. School-based interventions commonly combine nutrition education, structured physical activity, and behavioral support, whereas community-based approaches involve family participation, digital tools, and environmental support. Multi-component programmes showed improvements in BMI or BMI-for-age z-score, dietary behavior, physical activity, and sedentary time, particularly when reinforced by parents or through digital platforms. However, variations in intervention duration, outcome measures, and implementation fidelity Conclusions: School- and community-based interventions show potential for reducing childhood obesity risk in Malaysia. Future programs should apply standardized outcome measures, longer follow-ups, culturally appropriate strategies, and multisectoral collaborations to strengthen sustainability and scalability.
Effect of a family-centered remote nursing intervention on home blood pressure variability in hypertensive adults: A quasi-experimental study Risnah Risnah; Anwar Hafid; Ahmad Jamaluddin; Abdullah Fitrah; Muhammad Irwan; Harmawati Harmawati
Jurnal Ners Vol. 21 No. 3 (2026): VOLUME 21 ISSUE 3 (AUGUST 2026)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v21i3.75906

Abstract

Introduction: Blood pressure variability (BPV) has not been sufficiently addressed in community-based interventions. In Indonesia, where family members often play an important role in health-related decision-making and self-management, a family centered approach may provide a contextually appropriate strategy for improving blood pressure control and addressing BPV in patients with hypertension. Methods: A quasi-experimental study with repeated measures was conducted among 200 hypertensive adults aged 30–65 years, living with family caregivers. Participants were allocated to the intervention and control groups based on the catchment areas of public health centers, with two public health centers designated as intervention sites and one as a control site. The 12-week intervention included nurse-led virtual coaching, educational content, and digital engagement. Analysis of variance (ANOVA) and generalized estimating equations (GEE) were used to evaluate the changes within and between groups over time. Results: The intervention group showed a significant decrease in systolic blood pressure variability (BPV) with systolic BPV decreasing from 11.4 ± 2.2 to 9.8 ± 1.9 mmHg, whereas the control group showed minimal change. Similar improvements were observed in systolic and diastolic blood pressure variability, assessed using the coefficient of variation (CV). The reduction in blood pressure variability over the 12-week follow-up was significantly greater in the intervention group than in the control group (p < 0.01). The GEE analysis further confirmed significant changes. Conclusions: Family centered remote nursing is an effective and scalable approach for reducing BPV in hypertensive populations. Further investigation is warranted to explore the underlying mechanisms.
Determinants of 30-day readmission among patients with heart failure: A case-control study Fakrul Ardiansyah; Azhari Baedlawi; Hieronimus Amandus; Kusmini Suprihatin; Kurnia Rahma Syarif; Vitria Wuri Handayani
Jurnal Ners Vol. 21 No. 3 (2026): VOLUME 21 ISSUE 3 (AUGUST 2026)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v21i3.77188

Abstract

Introduction: Patients with Heart Failure (HF) frequently experience hospital readmission within 30 days following discharge. This study aimed to determine the factors associated with 30-day all-cause readmission among patients with HF in three Indonesian provinces (West Kalimantan, East Java, and South Sulawesi). Methods: This study used a retrospective, unmatched case-control design with data obtained from medical records archived from January 2022 to December 2023. A total of 300 patients (150 cases and 150 controls) were selected from three government hospitals that represented the western, central, and eastern regions of Indonesia and variations in HF prevalence based on national health survey data. Cases were patients with HF readmitted within 30 days of index discharge, and controls were patients with HF not readmitted within 30 days. Multivariable logistic regression was performed to identify independent predictors. Results: In the final model, comorbidity (≥3 conditions) was independently associated with 30-day readmission (AOR, 2.49; 95% CI, 1.16–5.34; p = 0.019). Protective factors included education level (AOR = 0.369; 95% CI = 0.066–0.774; p = 0.008), better functional class New York Heart Association (NYHA) I-II (AOR = 0.136; 95% CI = 0.066-0.278; p = 0.0001), and absence of edema (AOR = 0.072; 95% CI = 0.035–0.147; p = 0.0001). These protective effects corresponded to 63.1%, 86.4%, and 92.8% lower readmission risks, respectively. Conclusions: Comorbidity was the dominant risk factor for 30-day readmission among patients with HF. These findings highlight the importance of comprehensive comorbidity management and discharge planning in reducing early readmission.
Family empowerment model through logo therapy and psychoeducation to improve disaster preparedness among women in Indonesia: A quasi-experimental study Renidayati Renidayati; Tasman Tasman; N. Rachmadanur; Nurlelasari Harahap
Jurnal Ners Vol. 21 No. 3 (2026): VOLUME 21 ISSUE 3 (AUGUST 2026)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v21i3.85905

Abstract

Introduction: Natural disasters in Indonesia disproportionately affect vulnerable groups, particularly women and families in high-risk areas. Despite improvements in infrastructure and emergency response, psychosocial preparedness at the household level remains limited, which is an important gap in social psychiatry and community resilience. This study aimed to evaluate the effectiveness of a Family Empowerment Model combining logotherapy and psychoeducation in enhancing disaster preparedness among women in Pasaman Regency, Indonesia. Methods: In this quasi-experimental study (n = 68), participants were assigned to two intervention groups: (1) logotherapy only, and (2) logotherapy plus psychoeducation. The intervention consisted of five weekly sessions that integrated meaning-centered therapy and disaster education. Preparedness was assessed pre- and post-intervention across five domains: knowledge and attitude, early warning awareness, emergency planning, policy understanding, and resource mobilization. Results: Both intervention groups showed significant improvements (p < 0.001) across all domains. Both intervention groups showed improvements in disaster preparedness following the intervention, with larger descriptive score changes observed in the combined intervention group. Conclusions: The integration of logotherapy with psychoeducation significantly strengthens psychosocial readiness and practical preparedness in households in disaster-prone communities. This culturally responsive and gender-sensitive model aligns with the journal’s focus on community psychiatry and offers a scalable approach to inclusively reduce disaster risks. Its applicability may extend to other vulnerable populations, such as older adults and people with disabilities.
Emotion regulation-based interventions for self-harm, psychological and spiritual well-being: A systematic review Purbo Asmoro Widagdo; Meidiana Dwidiyanti; Anggorowati Anggorowati
Jurnal Ners Vol. 21 No. 3 (2026): VOLUME 21 ISSUE 3 (AUGUST 2026)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v21i3.86127

Abstract

Introduction: Self-harm and non-suicidal self-injury (NSSI) are major mental health concerns, particularly among adolescents and young adults. Emotion dysregulation is increasingly recognized as a core mechanism underlying self-harming behavior; however, evidence on emotion regulation-based interventions and their effects on psychological and spiritual well-being remains fragmented. Methods: This systematic review followed the PRISMA 2020 guidelines and was registered in PROSPERO (CRD420251232299). Searches were conducted in PubMed, PsycINFO, Scopus, and Web of Science for empirical intervention studies published from January 2015 to May 2025. Eligibility was structured using the Population, Intervention, Comparator, and Outcomes framework. Study quality was appraised using design-appropriate tools, including the RoB 2, ROBINS-I, and Joanna Briggs Institute checklists. A narrative synthesis was conducted because of clinical and methodological heterogeneity. Results: The strongest and most consistent evidence was found for dialectical behavior therapy-based and emotion regulation-focused interventions. These approaches generally reduce NSSI frequency, self-harm, suicidal behaviors, and emotion dysregulation. Adolescent studies most strongly supported dialectical behavior therapy for adolescents and internet-delivered emotion regulation individual therapy, whereas adult studies mainly supported emotion regulation group therapy and dialectical behavior therapy skills training. Psychological outcomes improved but remained heterogeneous, whereas spiritual well-being was rarely measured directly. Conclusions: Emotion regulation-based interventions may support mental health nursing care for self-harm prevention, psycho-education, safety planning, and follow-up. Stronger trials with standardized psychological and spiritual outcomes are needed.
Development and initial psychometric evaluation of nurturing care knowledge and attitude scales among mothers of hospitalized children Suprihatiningsih Suprihatiningsih; Ayyu Sandhi; Sri Hartini; Lely Lusmilasari; Novi Rohmawati; Yelstria Ulina Tarigan; Fitri Haryanti
Jurnal Ners Vol. 21 No. 3 (2026): VOLUME 21 ISSUE 3 (AUGUST 2026)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v21i3.89005

Abstract

Introduction: This study aimed to conduct an initial psychometric evaluation of knowledge and attitude instruments, modified from existing validated community-based Nurturing Care instruments, measuring maternal knowledge and attitudes  Methods: A methodological study with a cross-sectional psychometric validation design was conducted in three consecutive phases: (1) modifications of the instrument and content validation, (2) construct validation, and (3) assessment of reliability. A total of 105 mothers of children aged 6–59 months were recruited from the tertiary pediatric ward in Yogyakarta, Indonesia. To evaluate content validity, the Item-level Content Validity Index (I-CVI) and Content Validity Ratio (CVR) were computed. Knowledge items were evaluated for item discrimination using point-biserial correlation, and the attitude construct was evaluated using Confirmatory Factor Analysis (CFA) under a four-factor model.  Results: The tools demonstrated excellent content validity (I-CVI = 1.00, CVR = 1.00, and S-CVI/Ave = 1.00). The knowledge instrument comprised 16 items and demonstrated adequate item-level discrimination, with 14 of the 16 items showing point-biserial correlations (rpb = 0.319–0.547) and a KR-20 of 0.646. The attitude instrument comprised 20 items and, following model revision, showed partial support for the hypothesized four-factor structure (χ²/df = 1.867, SRMR = 0.048, CFI = 0.874, TLI = 0.837, RMSEA = 0.091), with excellent internal consistency (Cronbach's alpha = 0.885). Conclusions: The instruments provide preliminary psychometric evidence to address an important measurement gap in pediatric nursing regarding maternal knowledge and attitudes towards Nurturing Care during child hospitalization, and they require further validation in larger and more diverse samples.
Development and content validation of a risk-based self-assessment tool for improving food safety compliance in home-based enterprises in Indonesia Miftahul Munir; Endah Nurul Kumarijati; Ririh Yudhastuti; Soedjajadi Keman
Jurnal Ners Vol. 21 No. 3 (2026): VOLUME 21 ISSUE 3 (AUGUST 2026)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v21i3.89088

Abstract

Introduction: This study aimed to design and assess the content validity of a risk-based self-assessment instrument for IRTPs to independently monitor their food-safety practices. Methods: A modified version of the Research and Development (R&D) process was adapted to conduct this study in three phases. Phase 1 involved identifying strategic issues for intervention based on 115 IRTPs' audit results and E. coli risk analysis. Phase 2 involved drafting the instrument, followed by focus group discussions (FGDs) with multi-stakeholder participants. Phase 3 involved assessing the content validity of the instrument across 28 items by a two-member expert panel consisting of a Food Safety Expert from the local health authority and a senior public health academic. Results: Issues identified in The problem-identification process revealed 10 critical areas of concern, including basic sanitation, storage management, and employee hygiene. An intervention module was developed, consisting of a diagnostic checklist and solution guide. The instrument demonstrated high expert-rated content validity (mean CVI = 0.95) and a high percentage agreement among experts (95%). Conclusions: This study produced a preliminary Self-Assessment Instrument with high expert-rated content validity for use as a public health intervention tool to support internal food safety monitoring and may help promote a food safety culture among informal-sector producers. Field reliability, usability among IRTP owners, and outcome validity against bacteriological contamination require further testing.
Perceptions of non-communicable disease risk and its association with digital health application acceptance among pregnant women in Indonesia: A cross-sectional study Hilmi Yumni; Endah Suprihatin; Hepta Nur Anugrahini
Jurnal Ners Vol. 21 No. 3 (2026): VOLUME 21 ISSUE 3 (AUGUST 2026)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v21i3.89154

Abstract

Introduction: This study aimed to describe pregnant women's perceptions of digital NCD symptom monitoring and its relationship with digital health application acceptance. Methods: This cross-sectional study aimed to examine the association between pregnant women's perception of non-communicable disease (NCD) risk and their perception of digital health application acceptance in urban Indonesia. Data were collected using a validated questionnaire assessing the frequency of use and perceived effectiveness on a 5-point Likert scale. All indicators were valid (r > 0.361, based on the pilot sample of n = 30), and the instrument demonstrated high reliability in the main study (Cronbach's alpha: 0.923 for NCD perception and 0.975 for application perception). Data were analyzed using descriptive statistics, bivariate analysis, and simple linear regression. Results: Perception of NCD risk was significantly associated with the use of digital health applications (β = 0.863; p < 0.001). Most respondents (93.2%) reported using health apps, although 18% experienced technical difficulties. The coefficient of determination (Adjusted R² = 0.742) indicated that NCD risk perception explained 74.2% of the variance in digital health application perception. Conclusions: Stronger perceptions of NCD risk increased the likelihood of using digital health applications. Digital-based symptom monitoring has the potential to support the early detection of pregnancy complications related to NCDs. Clinical outcome data were unavailable due to incomplete medical records.

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