cover
Contact Name
Yuyun Setyorini
Contact Email
-
Phone
-
Journal Mail Official
litbangpolteksolo@gmail.com
Editorial Address
-
Location
Kota surakarta,
Jawa tengah
INDONESIA
JKG (Jurnal Keperawatan Global)
ISSN : 25280120     EISSN : 25805916     DOI : 10.37341
Core Subject : Health,
Merupakan jurnal yang menyediakan forum untuk bertukar ide tentang teori, metodologi dan isu-isu mendasar yang terkait dengan dunia keperawatan dan pendidikan keperawatan .
Arjuna Subject : -
Articles 152 Documents
Toward an Empowerment-Based Nursing Framework for Managing Multimorbidity in Older Adults Argi Virgona Bangun; Minerva B. De Ala; Marietta Fabros; Marcus Ochoa
JKG (JURNAL KEPERAWATAN GLOBAL) (JKG) Jurnal Keperawatan Global Volume 11 Number 2 Year 2026
Publisher : Poltekkes Kemenkes Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37341/jkg.v11i2.1403

Abstract

Background: Population aging presents major challenges for healthcare systems, particularly in managing the complex needs of older adults with multiple chronic conditions (multimorbidity). This study explores behavioral, cognitive, and contextual factors influencing how older adults navigate complex treatment regimens, with the goal of developing an empowerment-based nursing framework. Methods: This sequential explanatory mixed-methods study involved 127 older adults with chronic conditions in the quantitative phase and 9 participants in the qualitative phase. In-depth semi-structured interviews were conducted with the qualitative subsample and analyzed using thematic analysis, generating codes and themes related to the contextual dynamics of health decision-making. Findings from both phases were integrated to develop an empowerment-based nursing framework, grounded in patient autonomy, shared decision-making, and relational support, aimed at strengthening older adults' capacity to manage multimorbidity effectively.I Results: Quantitative findings revealed that belief about medicine (β = 0.561, p = 0.001), health literacy (β = 0.219, p = 0.025), and perceived social support (β = 0.288, p = 0.001) significantly influenced care-related behaviours. The integration of findings underscored the need for tailored health education, supportive family engagement, emotionally responsive communication, and culturally accessible nursing care. Conclusion:Older adults managing multimorbidity make care-related decisions based on a complex interplay of beliefs, literacy, emotional readiness, and social context. Nurses must adopt a holistic, empowerment-based approach that strengthens both medical understanding and relational support. The proposed framework offers direction for nursing practice and policy to improve adherence, autonomy, and quality of care in geriatric populations.
Fishbowl Health Education Improved Mothers’ Knowledge of Recurrent Acute Respiratory Infection Prevention in Toddlers Eka Diana Permatasari; Arif Rakhman; Rizky Rakhma Hidayah; Nurhakim Yudhi Wibowo
JKG (JURNAL KEPERAWATAN GLOBAL) (JKG) Jurnal Keperawatan Global Volume 11 Number 2 Year 2026
Publisher : Poltekkes Kemenkes Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37341/jkg.v11i2.1366

Abstract

ABSTRACT Background: Recurrent acute respiratory infections (ARI) remain a common health problem in early childhood and are closely associated with inadequate maternal knowledge of preventive practices. Fishbowl education is an interactive group learning method in which a small inner circle actively discusses a topic while the outer circle observes and provides feedback. This study aimed to examine the effect of fishbowl-based health education on mothers’ knowledge regarding the prevention of recurrent ARI among toddlers. Methods: A quasi-experimental study with a pretest-posttest control group design was conducted in Kertayasa Village, Central Java, Indonesia. Sixty mothers of toddlers with a history of recurrent ARI were assigned to an intervention group receiving fishbowl-based health education (n = 30) or a control group receiving lecture-based education (n = 30) through lottery allocation. Mothers’ knowledge was measured using a validated and reliable questionnaire. Data were analyzed using the Wilcoxon signed-rank test and the Mann-Whitney U test. Results: Knowledge increased significantly in the intervention group after fishbowl-based education (p < 0.001). Posttest scores in the intervention group were also significantly higher than those in the control group (p < 0.001), indicating that the fishbowl method was more effective than the lecture method. Conclusion: Fishbowl-based health education significantly improved mothers’ knowledge regarding recurrent ARI prevention among toddlers and may be a useful strategy for community health promotion.