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INDONESIA
JURNAL PENDIDIKAN KEPERAWATAN INDONESIA
Published by Universitas Pendidikan Indonesia
ISSN : 25410024     EISSN : 24773743     DOI : -
Core Subject : Health,
Nursing Public Health
Jurnal Pendidikan Keperawatan Indonesia(JPKI) merupakan sarana pengembangan dan publikasi karya ilmiah bagi para peneliti, dosen dan praktisi keperawatan dan kesehatan. JPKI adalah jurnal cetak dan elektronik dengan sistem open access journal. JPKI menerbitkan artikel-artikel dalam lingkup keperawatan dan kesehatan secara luas namun terbatas terutama bidang pendidikan keperawatan. Artikel harus merupakan hasil penelitian, studi kasus, hasil studi literatur, konsep keilmuan, pengetahuan dan teknologi yang inovatif dan terbaharu dalam lingkup ilmu keperawatan baik dalam skala nasional dan internasional. Artikel akan ditelaah secara peer review oleh mitra bestari dari berbagai institusi.
Arjuna Subject : -
Articles 243 Documents
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Nursing-LED and Nursing Supported Interventions to Enhance Resilience Among Vulnerable Populations in Post-Disaster Settings: A Scoping Review Putri, Aliza Zulpa; Afriyani, Firda; Pujowati, Pujowati; Fazriyyah, Yuni Fuji; Sari, Puput Antika; Sujana, Wendi; Jalaludin, Andi Mohamad; Saputri, Baiq Dara Wulandari; Supriyansah, Gumilar; Meyzabellah, Meriem; Nurdin, Irpan Muhamad; Wardaya, Wildan Akhmad Ihza; Kosasih, Cecep Eli; Trisyani, Yanny; Minh, Vo Hoang
Jurnal Pendidikan Keperawatan Indonesia Vol 12, No 1 (2026): Volume 12, Nomor 1, Juni 2026
Publisher : Universitas Pendidikan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.17509/jpki.v12i1.100092

Abstract

Introduction:  Increasing global disasters due to climate change have caused severe health crises, especially for vulnerable groups like older adults, people with disabilities, and those with chronic diseases. This study was conducted to map nursing interventions designed to enhance the resilience of vulnerable populations. Methods:  This study used scoping review following Arksey and O’Malley and PRISMA-ScR guidelines. The eligibility were structured using the PCC (Population, Concept, Context) framework. A systematic search was executed for original English articles that published between 2016-2026 and written in english from databases including PubMed, Scopus, and EBSCOhost. Study selection was performed independently by two reviewer, and data extraction utilized a standardized charting form. Methodological quality was evaluated using the Joanna Briggs Institute (JBI) Critical Appraisal Checklists. Results:  A total of 275 articles were identified from three databases through the literature search. After screening, 15 final articles were included in the current review. The synthesis categorized interventions into two primary domains: (1) Physical Domain, comprising chronic disease management and self-management support, household emergency preparedness, and community healthcare outreach to navigate disaster-affected terrain; and (2) Psychological Domain, encompassing community-based psychosocial and trauma skills programs (e.g., SOLAR, CBDMHI), digital-based psychosocial interventions, and self-efficacy-focused education. Findings indicate that nurses function as critical care coordinators and community mobilizers. However, the synthesis reveals significant evidence gaps regarding the long-term sustainability of these interventions, the limited representation of populations with "layered vulnerabilities," and the need for standardized resilience metrics. Conclusion: Nursing-led interventions are paramount for sustainable resilience by integrating physical domain support with psychosocial and digital-based care. These strategies effectively leverage nursing roles as coordinators and community mobilizers, though future efforts must prioritize longitudinal implementation and policy integration to ensure long-term recovery for vulnerable populations
Psychosocial, Behavioral, and Spiritual Determinants of Quality of Life in Chronic Kidney Disease: A Path Analysis Study Fauzi, Achmad; Ahmedy, Fatimah; Payus, Alvin Oliver; Daud, Maryama Bte Ag.; Reniyah, Reniyah
Jurnal Pendidikan Keperawatan Indonesia Vol 12, No 1 (2026): Volume 12, Nomor 1, Juni 2026
Publisher : Universitas Pendidikan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.17509/jpki.v12i1.83087

Abstract

Introduction: Chronic Kidney Disease (CKD) is a progressive, irreversible condition that impairs physical, psychological, and social functioning, reducing patients’ quality of life (QoL). While factors like treatment adherence, social support, coping, and spirituality have been linked to QoL, few studies have explored their interrelationships in low- and middle-income countries. Objective: This study examined the direct and indirect associations among psychosocial, behavioral, and spiritual factors and quality of life among patients with chronic kidney disease undergoing maintenance hemodialysis in Indonesia using a hypothesized path model. Methods: A cross-sectional study was conducted with 300 adult CKD patients from three hemodialysis centers in Jakarta, selected via consecutive sampling. QoL (KDQOL-36™), social support, treatment adherence, self-efficacy, health literacy, coping strategies, and spiritual well-being were assessed using validated instruments. Path analysis was performed using AMOS version 24, with model fit evaluated using CFI, TLI, RMSEA, and SRMR. Significance was set at p .05. Results: The model showed good fit (CFI = 0.945, TLI = 0.927, RMSEA = 0.057, SRMR = 0.048). Treatment adherence had the strongest direct effect on QoL (β = 0.31, p .001), followed by coping strategies (β = 0.24) and spiritual well-being (β = 0.22). Social support, self-efficacy, and health literacy indirectly influenced QoL through treatment adherence. The highest total effect on QoL was from treatment adherence (β = 0.31), followed by coping (β = 0.24), spirituality (β = 0.22), and social support (β = 0.18). Conclusion: QoL in CKD patients is influenced by treatment adherence, coping, spirituality, and psychosocial support. Holistic, culturally sensitive interventions integrating education, psychological support, and spiritual care are essential to improve outcomes in resource-limited settings.
Academic Stress, Digital Distraction, and Academic Procrastination in Generation Z Nursing Students: A Longitudinal Study of the Protective Role of Resilience Hadinata, Dian; Chaidar, Muhammad; Latifah, Riza Arisanti; Salsabila, Rana
Jurnal Pendidikan Keperawatan Indonesia Vol 12, No 1 (2026): Volume 12, Nomor 1, Juni 2026
Publisher : Universitas Pendidikan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.17509/jpki.v12i1.97900

Abstract

Introduction: Generation Z nursing students face substantial academic demands alongside continuous smartphone engagement, which may be associated with digital distraction and academic procrastination. Although associations between academic stress and procrastination have been reported, the longitudinal role of problematic smartphone use as an indicator of digital distraction and the buffering role of resilience remain underexplored.Objective: This study examined longitudinal associations among academic stress, digital distraction operationalized through problematic smartphone use, and academic procrastination in Generation Z nursing students and explored resilience as a protective factor.Methods: A three-wave longitudinal survey was conducted among undergraduate nursing students in West Java, Indonesia. Measures included PSS-10, Smartphone Application-Based Addiction Scale (SABAS), PASS, and CD-RISC-10 at baseline, 4 weeks, and 8 weeks. Of 368 participants, 342 completed all waves (retention 92.9%; mean age 20.34 ± 1.71 years; 79.5% female). Data were analyzed using structural equation modeling with cross-lagged panel and moderation analysis.Results: At baseline, academic stress was positively associated with digital distraction (r = .41, p .001) and procrastination (r = .46, p .001), while digital distraction was associated with procrastination (r = .49, p .001). Resilience was negatively associated with stress (r = −.38, p .001) and procrastination (r = −.34, p .001). Model fit was acceptable (CFI = .93–.94, TLI = .92–.93, RMSEA = .047–.049, SRMR = .041–.043). Higher academic stress was associated with subsequent digital distraction (β = .32, p .001) and procrastination (β = .21, p = .004). Indirect associations were significant (β = .12, 95% CI [.07, .18]). Resilience was associated with lower procrastination (β = −.24, p .001) and moderated the stress–procrastination association (β = −.18, p = .002).Conclusion: Academic stress was longitudinally associated with academic procrastination, directly and through digital distraction operationalized as problematic smartphone use. Higher resilience was associated with lower procrastination and a weaker stress–procrastination association
Web-Based ECG Learning Applications and Their Potential Contribution to Basic Trauma and Cardiac Life Support Competencies: A Scoping Review Halimah, Nur; Agustini, Ni Luh Putu Inca Buntari; Wahyunadi, Ni Made Dewi; Sanjana, I Wayan Edi
Jurnal Pendidikan Keperawatan Indonesia Vol 12, No 1 (2026): Volume 12, Nomor 1, Juni 2026
Publisher : Universitas Pendidikan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.17509/jpki.v12i1.93154

Abstract

Introduction: Electrocardiogram (ECG) interpretation is essential for recognising shockable rhythms, life-threatening arrhythmias, and ischemia in basic trauma and cardiac life support (BTCLS). Although digital ECG learning tools are increasingly implemented, their contribution to BTCLS-related competencies has not been comprehensively mapped, particularly in low- and middle-income countries (LMICs).Objective: To map and synthesise evidence on web-based ECG learning applications used to improve competencies relevant to BTCLS, including knowledge, interpretation accuracy, confidence, usability, and resuscitation-related performance.Methods: This scoping review followed the PRISMA-ScR guideline. Searches were conducted in PubMed, ScienceDirect, and Google Scholar for peer-reviewed studies published in English or Indonesian between January 2019 and December 2024. Eligibility was guided by the Population–Concept–Context framework and included healthcare learners and professionals using web-based, mobile, or digital ECG learning tools in emergency, cardiovascular, or life-support education. Two reviewers independently performed study selection, data extraction, and quality appraisal using RoB 2 and Joanna Briggs Institute tools. Findings were synthesised narratively through thematic analysis.Results: Of 1,243 records identified, 18 studies were included. Study designs comprised randomised controlled trials, quasi-experimental, mixed-methods, observational, and usability studies across diverse settings. Web-based ECG applications consistently improved ECG knowledge and interpretation accuracy, with several interventions outperforming traditional lectures. Participants also reported increased confidence, engagement, and positive user experience. Methodological quality was generally moderate to good, although limited long-term follow-up and direct BTCLS outcome assessment were noted.Conclusion: Web-based ECG learning applications enhance ECG-related competencies and are feasible across settings, including LMICs. Future studies should integrate ECG learning into BTCLS simulations and evaluate effects on real-world resuscitation performance
Self-Management in Breast Cancer Survivorship: A Scoping Review of Patient Needs, Barriers, and Facilitators Anggraini, Dian; Herdiman, Herdiman
Jurnal Pendidikan Keperawatan Indonesia Vol 12, No 1 (2026): Volume 12, Nomor 1, Juni 2026
Publisher : Universitas Pendidikan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.17509/jpki.v12i1.91193

Abstract

Introduction: Breast cancer is a global health issue causing significant physical, emotional, and social burdens. Self-management is crucial in breast cancer care, but challenges such as healthcare access, emotional struggles, and financial difficulties could hinder its effectiveness.   Objective: This scoping review aims to systematically explore the evidence about self-management in breast cancer care by identifying needs, barriers, and facilitators on its implementation. Materials and Methods: Using the Joanna Briggs Institute (JBI) framework, a comprehensive search was conducted across PubMed and Google Scholar for studies published between January 1st, 2019 and March 4th, 2025. The focus was on adult breast cancer patients, with studies addressing self-management needs, challenges, or supportive factors. Data were extracted and analysed using a critical interpretive synthesis approach. Results: The review included 14 studies, highlighting that breast cancer survivors face diverse needs, such as managing physical symptoms, accessing emotional support, finding reliable information, and building social connections. Key challenges included limited access to healthcare, emotional distress, and financial constraints. Supportive factors such as digital health tools, peer support networks, and personalized care strategies were found to improve self-management outcomes. Digital health innovations, such as mobile apps and online platforms, showed promise in enhancing patient engagement and treatment adherence. Conclusion: The review emphasizes the significance of personalized, technology-supported, and socially connected self-management strategies in breast cancer care, suggesting future research should focus on inclusive, culturally sensitive interventions.
MMAS-8-Guided Nurse-Pharmacist Collaborative Education to Improve Medication Adherence and Blood Pressure Control in Patients with Hypertension: A Case Study Tarihoran, Dame Elysabeth Tuty Arna Uly; Makagiansar, Yul Andrias; Anggraini, Dian; Saragih, Ita Daryanti
Jurnal Pendidikan Keperawatan Indonesia Vol 12, No 1 (2026): Volume 12, Nomor 1, Juni 2026
Publisher : Universitas Pendidikan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.17509/jpki.v12i1.90173

Abstract

Introduction: Poor adherence to antihypertensive medication remains a major challenge in hypertension management and may contribute to uncontrolled blood pressure and preventable complications. Structured education guided by medication adherence assessment may help patients understand their treatment and improve medication-taking behavior. Objective: This case study aimed to describe the implementation of MMAS-8-guided nurse-pharmacist collaborative education to improve medication adherence and blood pressure control in patients with hypertension. Methods: This study used a descriptive case study design involving five patients with hypertension in the working area of Cimandala Primary Health Center, Bogor, Indonesia. The intervention consisted of structured education delivered collaboratively by nurses and pharmacists over 14 days. Medication adherence was assessed using the Morisky Medication Adherence Scale-8 (MMAS-8), while blood pressure was measured before and after the intervention. Results: Before the intervention, four patients had medium medication adherence and one patient had low adherence. After the intervention, all patients achieved high adherence with MMAS-8 scores of 8. Mean systolic blood pressure decreased from 153 mmHg to 139 mmHg, and mean diastolic blood pressure decreased from 95 mmHg to 88 mmHg. Patients also reported improved understanding of hypertension management, increased motivation to take medication regularly, and stronger family support. Conclusion: MMAS-8-guided nurse-pharmacist collaborative education was associated with improved medication adherence and better blood pressure control among patients with hypertension. This approach may be considered a practical, patient-centered strategy to support hypertension management in primary healthcare settings
Barriers and Facilitators to Inclusive Healthcare for Children with Developmental Disabilities: A Qualitative Study of Caregiver and Healthcare Provider Perspectives Rahmadani, Elsi; Miniharianti, Miniharianti; Ningsih, Dewi Aprilia
Jurnal Pendidikan Keperawatan Indonesia Vol 12, No 1 (2026): Volume 12, Nomor 1, Juni 2026
Publisher : Universitas Pendidikan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.17509/jpki.v12i1.97969

Abstract

Introduction: Children with developmental disabilities frequently require long-term, multidisciplinary, and family-centered healthcare services. However, caregivers often encounter structural, logistical, communication, and professional barriers when accessing healthcare services for their children. Understanding both barriers and facilitators from caregiver and healthcare provider perspectives is essential for improving inclusive healthcare.Objective: This study aimed to explore barriers and facilitators to inclusive healthcare for children with developmental disabilities from the perspectives of caregivers and healthcare providers.Methods: A qualitative descriptive study was conducted using individual semi-structured interviews with 36 participants, consisting of 20 caregivers and 16 healthcare providers. Participants were recruited purposively from hospitals, rehabilitation centers, and community health facilities. Interviews were conducted individually, audio-recorded, transcribed verbatim, and analyzed using inductive thematic analysis. Recruitment continued until thematic saturation was achieved, defined as the point at which no new codes, categories, or themes emerged across consecutive interviews.Results: Six themes were identified: structural constraints within healthcare systems, accessibility and logistical barriers, communication dynamics between caregivers and healthcare providers, professional competency and training gaps, caregiver resilience and advocacy, and collaborative community-based support systems. Key barriers included limited specialized services, long waiting times, transportation difficulties, complex referral pathways, and insufficient provider training. Facilitators included caregiver advocacy, interdisciplinary collaboration, peer support networks, and community-based support systems.Conclusion: Inclusive healthcare for children with developmental disabilities requires system-level improvements in healthcare infrastructure, referral coordination, provider training, family-centered communication, and community-based support. Strengthening these areas may improve equitable healthcare access, particularly in resource-constrained settings
Self-Efficacy and Resilience as Mediators of the Relationship Between Social Support and Relapse Tendency Among Individuals with Substance Use Disorder in Indonesia Yanuarti, Tuty; Triaswati, Rusmai; Mohd Daud, Mohd Nazri Bin; Ahmedy, Fatimah
Jurnal Pendidikan Keperawatan Indonesia Vol 12, No 1 (2026): Volume 12, Nomor 1, Juni 2026
Publisher : Universitas Pendidikan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.17509/jpki.v12i1.96098

Abstract

Introduction: Substance abuse has been a public health concern, and even after detoxification treatment, the relapse rate is still high. Objectives: To explore relationship between self-efficacy, resilience and social support with relapse tendency in substance use disorder in Indonesia. Methods: The study employed a cross-sectional design and was conducted at a rehabilitation hospital in Jakarta, Indonesia. In order to be eligible for the study, participants had to be at least 18 years old, have normal and stable cognitive states, and have been diagnosed with a substance use disorder in the last year by experienced psychiatrists. The study variables were measured using a psychological questionnaire of relapse tendency, a self-administered social support survey, a bidimensional resilience scale, and self-efficacy. Also, 5,000 bootstrap samples with 95% CIs were used to assess the significance of the potential moderating effects. Results: Of 200 sample, there were 120 males and 80 females, mean age was 37.56 (SD=5.89). Descriptive analysis showed social support (71.2 ± 23.45), self-efficacy (7.03 ± 3.49), resilience (55.5 ± 17.66), relapse tendency (39.7 ± 15.28). Social support was negatively associated with relapse tendency (r = −0.689, p 0.001). Mediation analysis showed significant indirect associations through self-efficacy and resilience. The indirect pathway through self-efficacy accounted for 13.50% of the total effect, the pathway through resilience accounted for 12.69%, and the sequential pathway through self-efficacy and resilience accounted for 11.72%. Bootstrap confidence intervals for all indirect effects did not include zero, indicating statistical significance. Conclusions: Self-efficacy and resilience are the most important factors in the relationship between social support and the likelihood of relapse in patients with substance use disorders. Social support was associated with lower relapse tendency, and this association was partially explained by self-efficacy and resilience. Longitudinal studies are required to confirm the proposed mediation pathways.
Family-Based Digital Storytelling to Support Daily Diabetic Foot Self-Care: A Narrative Review Kurnia, Anih; Said, Faridah Mohd; Karmakar, Mahuya; Fitriana, Lisna Anisa
Jurnal Pendidikan Keperawatan Indonesia Vol 12, No 1 (2026): Volume 12, Nomor 1, Juni 2026
Publisher : Universitas Pendidikan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.17509/jpki.v12i1.96394

Abstract

Introduction: Diabetic foot complications require sustained self-care behaviours and effective educational strategies within community and family nursing contexts. Objective: This review aimed to synthesise evidence on family-based digital storytelling as a nursing education strategy to support daily diabetic foot self-care Methods: : A narrative review was conducted using searches of PubMed, ScienceDirect, and Google Scholar. Relevant peer-reviewed articles published between 2020 and 2025 were analysed using narrative thematic synthesis guided by nursing theoretical perspectives. Results: Ten studies were included. .Five themes emerged: family co-regulation,, narrative meaning-making, emotional activation, procedural guidance, and behavioural continuity. Combined, family involvement and narrative learning consistently sustained daily self-care behaviours. Conclusion: Family-based digital storytelling ensures daily diabetic foot care continuity through emotional and relational engagement. Mechanistically, nursing curricula should integrate narrative digital competencies, while community nurses can adopt this scalable method as a standardized clinical protocol to replace traditional, low-adherence pamphlets
Maternal Sensitivity and Its Association with Cognitive and Socio-Emotional Development in Infants: A Cross-Sectional Study Srinatania, Dewi; Sansuwito, Tukimin Bin; Ahmed, Idris Adewale
Jurnal Pendidikan Keperawatan Indonesia Vol 12, No 1 (2026): Volume 12, Nomor 1, Juni 2026
Publisher : Universitas Pendidikan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.17509/jpki.v12i1.83171

Abstract

Background: The first six months of life represent a critical period for brain development and emotional regulation in infants. Maternal sensitivity plays a vital role in shaping early cognitive and socio-emotional outcomes. However, empirical research examining this association in Southeast Asian populations, particularly during the early infancy stage, remains limited.Objective: This study aimed to examine the relationship between maternal sensitivity and both cognitive and socio-emotional development among infants aged 0 to 6 months in Bandung, Indonesia.Methods: A cross-sectional design was employed involving 120 mother-infant dyads recruited from urban and semi-urban maternal and child healthcare centers. Maternal sensitivity was assessed through structured observation using the Maternal Behavior Q-Sort (MBQS) – Short Version. Infant development was measured using the Ages and Stages Questionnaire, Third Edition (ASQ-3), focusing on the communication and personal-social domains. Data were analyzed using descriptive statistics, Pearson’s correlation, multiple linear regression, and path analysis. Model fit was evaluated using chi-square, RMSEA, CFI, and TLI indices.Results: Maternal sensitivity was positively correlated with infant cognitive (r = 0.42, p = 0.001) and socio-emotional (r = 0.38, p = 0.002) scores. Regression analysis confirmed that maternal sensitivity significantly predicted developmental outcomes even after adjusting for maternal education, infant age, and parity. Path analysis showed strong direct effects of maternal sensitivity on development and indirect effects via maternal education. The model demonstrated good fit (χ² = 2.45, RMSEA = 0.041, CFI = 0.981, TLI = 0.965).Conclusion: Maternal sensitivity is a key factor influencing early developmental outcomes in infants. These findings highlight the need for early identification and supportive interventions within pediatric and maternal health services to foster responsive caregiving and optimize developmental trajectories.

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