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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 957 Documents
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Determinants of missed nursing care: the role of teamwork and job satisfaction among Malaysian nurses Zamzaliza Abdul Mulud; Norfidah Mohamad; Nur Shazwaniza Yahya
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.v21i3.89174

Abstract

Introduction: Multiple studies have found that missed nursing care (MNC) is related to the characteristics of nurses, the level of teamwork, and nurses' job satisfaction. This study aimed to determine the relationship between nurses' characteristics, teamwork, job satisfaction, and missed nursing care (MNC) among nurses at a public hospital in Malaysia. Methods: This cross-sectional study used the MISSCARE and Nursing Teamwork Surveys (NTS) and involved 260 nurses from three departments in a Malaysian public hospital. Descriptive analysis and inferential statistics were conducted to measure the research objectives of this study. Results: The most frequently missed nursing care activity was patients’ two-hourly turning (M=2.89, SD=0.96), and the least commonly reported MNC was blood glucose monitoring (M=1.30, SD=0.62). The most frequently reported reason for MNC was emotional and physical exhaustion (M=3.23, SD=0.92), whereas the least commonly reported reason was the unavailability of the unit manager (M=2.27, SD=0.99). Hierarchical multiple regression showed that demographic and work-related variables explained 11.4% of the variance in the data. Adding teamwork and satisfaction significantly improved the model, explaining 29.7% of the variance (R2 Change = 0.183, p < 0.001). In the final model, teamwork (β = -0.378, p < 0.001) and satisfaction with the current position (β = -0.19, p = 0.001) were the strongest predictors. Conclusions: Higher levels of teamwork and job satisfaction are associated with reduced missed nursing care. Consequently, healthcare organizations should prioritize strategies that strengthen team dynamics and the work environment to improve patient safety and care quality.
Work environment, burnout, and turnover intention among Indonesian nurses: A cross-sectional study Makhfudli Makhfudli; Rifky Octavia Pradipta; Yati Afiyanti; Mei Chan Chong; Ferry Efendi; Gading Ekapuja Aurizki
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.v21i3.89717

Abstract

Introduction: Nurses play a vital role in healthcare services, but various challenges make them consider leaving the profession, leading to nursing shortages both nationally and globally. However, studies exploring the factors influencing this intention remain very limited. This study aimed to investigate factors associated with nurses' turnover intentions, focusing on work environment and burnout. Methods: This study employed a cross-sectional design involving 252 nurses in Indonesia who had been working for at least six months, selected using non-probability sampling. Data were collected using a sociodemographic form, the Practice Environment Scale of the Nursing Work Index (PES-NWI), the Copenhagen Burnout Inventory (CBI), and the Turnover Intention Scale (TIS-6). Statistical analysis was conducted using the Chi-square test and logistic regression analysis, with α = 0.05. Results: 41.3% of participants intended to leave the nursing profession. Factors significantly associated with the turnover intentions were age: <30 (AOR=6.851; 95% CI=1.908-24.601; p=0.003) and 30-40 (AOR=3.017; 95% CI=1.214-7.499; p=0.017); region of origin: Java (AOR=4.276; 95% CI=1.296-14.107; p=0.017); highest education: bachelor’s (AOR=3.391; 95% CI=1.413-8.139; p=0.006); work experience: 2-4 years (AOR=8.828; 95% CI=1.792-43.477; p=0.007) and ≥5 years (AOR=6.806; 95% CI=1.047-44.224; p=0.045); work environment: poor (AOR=5.032; 95% CI=1.133-22.344; p=0.034); and burnout: moderate (AOR=3.064; 95% CI=1.304-7.198; p=0.01) and severe (AOR=12.741; 95% CI=3.940-41.198; p<0.001). Conclusion: This study underscores the importance of targeted retention strategies that address nurses’ diverse needs throughout their careers. Initiatives should focus on enhancing supportive work environments and addressing the various challenges nurses face at different career stages.
Why has God forsaken me? Understanding the spiritual struggles of older adults with tuberculosis: A descriptive phenomenological study Saidah Rauf; Santi Aprilian Lestaluhu; Sri Eny Setyowati; Bustanul Arifin
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.v21i3.90862

Abstract

Introduction: Tuberculosis (TB) remains a major global public health burden, with an estimated 10.7 million cases worldwide in 2024 and approximately 1.23 million deaths attributed to it. Older adult patients often experience spiritual distress that may influence their health behavior and treatment adherence. This study aimed to explore the lived spiritual experiences of older adults diagnosed with TB in the Maluku region of Indonesia. Methods: This qualitative study employed a Husserlian descriptive phenomenological approach involving 12 older adults diagnosed with TB. The study was conducted in primary healthcare facilities in Ambon City and Southeast Maluku Regency, two areas with a high number of reported TB cases in Maluku Province. Data were collected using in-depth semi-structured interviews and analyzed using Colaizzi’s method. Results: Four main themes emerged: 1) initial emotional responses to a TB diagnosis, 2) spiritual roles in the healing process, 3) prayers and worship in TB treatment, and 4) spiritual values for resilience. Conclusions: These findings underscore the significance of integrating culturally sensitive spiritual support into TB care for older adults. Future studies should examine changes in spiritual coping and resilience across treatments and evaluate culturally appropriate spiritual care interventions in diverse religious groups.
Development and feasibility evaluation of web-and mobile-based application for recurrent diabetic foot ulcer risk assessment in primary health center Haryanto Haryanto; Wien Fitrian Roshandi; Kharisma Pratama; Elvira Panjaitan; Patimah Abdul Wahab
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.v21i3.91235

Abstract

Introduction: This study aimed to develop and evaluate the feasibility of a secure, reliable, and user-friendly web- and mobile-based application, the Indonesia Diabetic Foot Ulcer Recurrence Assessment Tool (INDIFURUTO), for assessing the risk of recurrent diabetic foot ulcers. Methods: A system development and feasibility evaluation study was performed. The INDIFURUTO web- and mobile-based application was developed based on validated clinical risk factors and expert opinions. The feasibility evaluation comprised three components: (1) inter-rater reliability testing among 30 patients with previously healed diabetic foot ulcers at the Sei Durian Primary Health Center, West Kalimantan, Indonesia, using Cohen's kappa between two independent raters; (2) an application-layer security (vulnerability) assessment performed by an accredited cybersecurity institution using OWASP ZAP; and (3) usability evaluation among 41 multidisciplinary healthcare professionals using the validated Post-Study System Usability Questionnaire (PSSUQ). Results: Inter-rater reliability testing demonstrated near-perfect agreement (Cohen’s kappa = 0.96), indicating a high assessment consistency. No high- or critical-severity vulnerabilities were observed. Three medium-severity and three low-severity vulnerabilities were identified during the security assessment; all were remediated and successfully rechecked. Usability testing showed favorable scores across all PSSUQ dimensions (System Usefulness: 1.74 ± 0.63, Information Quality: 1.91 ± 0.68, Interface Quality: 2.17 ± 0.79, and Overall: 1.90 ± 0.66), indicating high user satisfaction and good system usability. Conclusions: These findings support the potential to enhance standardized, nurse-led RDFU risk assessment in Primary Health Center settings and inform future large-scale implementation and effectiveness studies.
Differential effects of peer-assisted learning and animated video instruction on domain-specific electrocardiogram interpretation skills: A quasi-experimental study Ni Luh Putu Inca Buntari Agustini; I Gede Putu Darma Suyasa; Ni Made Dewi Wahyunadi; I Wayan Edi Sanjana; Idyatul Hasanah
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.v21i3.91357

Abstract

Introduction: Electrocardiogram (ECG) interpretation competency remains a challenge in nursing education due to the complexity of waveform analysis and clinical reasoning. Innovative instructional strategies are needed to enhance students’ clinical competencies. This study aimed to compare the effectiveness of peer-assisted learning (PAL) and animated video instruction (AVI) in enhancing ECG interpretation competency among nursing students. Methods: A quasi-experimental non-equivalent pretest-posttest trial was conducted among 110 sixth-semester nursing students in Indonesia, who were assigned to two groups: PAL and AVI. The two groups were given the same instructional content and time, but they differed in terms of learning style. ECG interpretation competency was assessed using a validated 11-item checklist. Wilcoxon signed-rank tests were used to compare the data within a group, and Mann-Whitney U tests were used to compare the data between groups. Effect sizes were calculated to determine the magnitude of the differences. Results: Both teaching strategies enhanced the ECG interpretation skills of the students. The Wilcoxon signed-rank test results for the PAL group showed a significant improvement in competency scores (Z = -6.458, p < 0.001), with an extremely large effect size (r = 0.87). In the same manner, the AVI group also showed a significant increase (Z = -6.450, p < 0.001), with a very large effect size (r = 0.87). Conclusions: PAL improved overall ECG interpretation competency and specific components more than AVI (p < 0.05). Nursing educators should prioritize PAL, with animated videos as supplementary learning tools.
Integrated health belief model- symptom management theory diarrhea management module on maternal and toddler outcomes: A quasi-experimental study mariyam mariyam; Yuni Sufyanti Arief; Makhfudli Makhfudli; Nuzul Qur'aniati; Ilya Krisnana
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.v21i3.92060

Abstract

Introduction: This study evaluated the effectiveness of an integrated Health Belief Model (HBM)-Symptom Management Theory (SMT) diarrhea management module in improving mothers' home-based caregiving capabilities and toddlers' health status. Methods: This quasi-experimental study used a non-equivalent control group design involving 72 mothers and their toddlers with diarrhea, with 36 participants in the intervention group and 36 in the control group, recruited sequentially from two public health centers in Semarang, Indonesia. The intervention group received a 12-week HBM-SMT-based module delivered in four sessions: socialization, externalization, combination, and internalization. Maternal caregiving capabilities were evaluated as pre and post-intervention, while toddler clinical outcomes were descriptively tracked as a secondary trend. Data were analyzed using the Wilcoxon signed-rank test, Mann-Whitney U test, and Spearman's rho correlation analysis. Results: The intervention group showed significant improvements in maternal caregiving capabilities, including in condition monitoring (∆ mean = 13.94), meeting basic needs (∆ mean = 25.94), and infection prevention (∆ mean = 13.61) (all p <0.001), whereas no significant changes were observed in the control group. Toddlers in the intervention group had shorter mean diarrhea duration (4.88 vs 6.38 days), an increase in normal nutritional status (from 61.1% to 80.6% vs. a decline from 63.9% to 50.0% in control), and a higher proportion of intact skin integrity without irritation (94,4% vs. 61.1% post-intervention). Conclusions: The integrated HBM-SMT module enhanced maternal caregiving capabilities and improved clinical outcomes in toddlers with diarrhea.
Developing youth leadership through living labs: lessons from nursing students in promoting mental health across generations Khadizah H. Abdul-Mumin
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.v21i3.97788

Abstract

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