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IJNP (Indonesian Journal of Nursing Practices)
Published by Universitas Muhammadiyah Yogyakarta
ISSN : 25484249     EISSN : 2548592X     DOI : 10.18196/ijnp
Core Subject : Health,
Dentistry Nursing
IJNP (Indonesian Journal of Nursing Practices) is a bilingual journal published by Universitas Muhammadiyah Yogyakarta, PPNI (Persatuan Perawat Nasional Indonesia) and AIPNEMA (Asosiasi Institusi Penyelenggara Pendidikan Ners Muhammadiyah). IJNP is published semi-annual (June and December) since 2011. This journal before named Muhammadiyah Journal of Nursing with ISSN print 2356-1114. Then, since 2016, this journal changed to IJNP (Indonesian Journal of Nursing Practices) with ISSN online 2548-592X and ISSN print 2548-4249.
Arjuna Subject : -
Articles 381 Documents
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Learning Culture from the Perspective of the Successful Indonesian Nurse Competency Examination Hidayat, Syaifurrahman; Hannan, Mujib; Huzaimah, Nailiy; Suprayitno, Emdat; Mumpuningtias, Elyk Dwi; Putri, Prestasianita; Wijayanti, Agnes Erida; Manuel da Silva, Adão
IJNP (Indonesian Journal of Nursing Practices) Vol. 8 No. 2 (2024): December
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/ijnp.v8i2.22426

Abstract

Background: The Indonesian Nurse Competency Examination (INCE) is a strategic component that determines the output of nursing graduate students. The varied geographical conditions of the various islands in Indonesia can influence access and quality of education, causing students to have a more inclusive perspective. The learning culture of Indonesian nursing students is unique and generally carries over to higher education, notably nursing profession education.Objective: The purpose of the study is to explain the learning culture model from the perspective of the success of the nurse competency examination and the relationship between learning culture and the success of the nurse competency examination.Methods: A qualitative and quantitative combination research (mixed method) with a sequential-exploratory design was employed. Stage 1 used descriptive qualitative methods. While data collecting used structured interviews, the sampling technique utilized snowball with (n=9), and data analysis used Sandelowski content analysis. Stage 2 was an observational analytical design with a retrospective approach involving 74 nursing students at Wiraraja University who lived in the Indonesian student area. Data analysis then employed the Structural Equation Model (SEM) test to find variables that significantly influence the success of INCE.Results: Stage-1 produced three themes: Theme-1: background of the learning environment concerning facilities utilization and searching strategy for learning resources; Theme-2: learning activities including learning styles, learning motivation, and self-confidence and abilities; Theme-3: learning habits comprising learning methods, concentration, and repeating the learning material. In stage 2, the result revealed that learning environment background (p=0.031), learning activities (p=0.021), and study habits (p=0.028) were significantly related to the success of the INCE on students.Conclusion: The learning culture of Indonesian students from the perspective of success in the INCE is formed starting from the pre-graduate level and continuing at the higher and professional levels.
Medical Play on Children's Anxiety and Pain during Peripheral Intravenous Cannulation Kencana, Sri Rosma; Wanda, Dessie; Lestari, Ayu Widya
IJNP (Indonesian Journal of Nursing Practices) Vol. 9 No. 1 (2025): June
Publisher : Universitas Muhammadiyah Yogyakarta

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Abstract

Background: Insertion of peripheral intravenous cannulation during hospitalization can cause anxiety and pain in preschool children. Anxiety in children due to the installation of peripheral intravenous cannulation can result in fear, discomfort, and non-cooperation, which can have a bad impact on the child's psychological and physiological condition. Unresolved pain can result in traumatic experiences for children. One distraction technique that can be applied to overcome anxiety and pain is medical play. Objective: The research aimed to analyze the effect of medical play on anxiety and pain in preschool-aged children when undergoing peripheral intravenous cannulation. Methods: This research used a quasi-experimental pre and post-test with a control group design involving 31 control group respondents and 31 intervention respondents. The respondent selection was carried out using consecutive sampling techniques. Univariate and bivariate data analysis used dependent and independent t-tests. Results: The results of the study showed that there was a difference in the average anxiety score with a value of p= 0.001 in the intervention and control groups. There was no difference in mean pain scores with a p-value of 0.528 in the intervention and control groups. There was no relationship between respondent characteristics and anxiety and pain when installing peripheral intravenous cannulation. Conclusion: This study recommends that medical play can reduce anxiety in preschool children when peripheral intravenous cannulation is installed.
A Descriptive Qualitative Study of Nurses’ Experience in Providing Anxiety First Aid to Patients with Cancer Sari, Febriana Sartika; Setyorini, Yuyun; Pieters, Sabine; Sumardino, Sumardino
IJNP (Indonesian Journal of Nursing Practices) Vol. 9 No. 1 (2025): June
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/ijnp.v9i1.23802

Abstract

Background: Anxiety is a crucial issue in patients with cancer. Excessive and undetectable anxiety in cancer patients will contribute to the worsening of cancer patients' conditions. Therefore, nurses play a crucial role in providing anxiety first aid for cancer patients. Objective: The purpose of the study is to explore nurses’ experience in delivering anxiety first aid to patients with cancer. Method: This study utilized a descriptive qualitative design and reported following COREQ. The study was conducted in a public hospital in Surakarta, Indonesia. It included sixteen oncology nurses selected using a purposive sampling technique. Five head nurses participated in the focus group discussion, while the other eleven primary nurses conducted in-depth interviews. The focus group discussion lasted approximately 90 minutes, while each nurse's in-depth interview lasted approximately 60 minutes. The data analysis used the Colaizzi method. Results: The study indicated five themes, including 1) factors that cause anxiety, 2) psychosocial interventions for anxiety first aid, 3) peer support, 4) healthcare constraints, and 5) expectations for improving healthcare quality. Conclusion: The study highlighted factors that cause anxiety, psychosocial interventions for anxiety, first aid, peer support, treatment constraints, and expectations for improvement of health care services. To improve healthcare services for patients with cancer, it is important to establish a digital-based mental health support system, such as a friendly digital platform that serves as an instrument for healthcare providers to conduct timely and precise screenings and manage anxiety, thereby alleviating the burden of nurses' already considerable workloads.
Sexual Needs Among Patients with Cancer: A Systematic Literature Review Karundeng, Riven; Afiyanti, Yati; Waluyo, Agung
IJNP (Indonesian Journal of Nursing Practices) Vol. 9 No. 1 (2025): June
Publisher : Universitas Muhammadiyah Yogyakarta

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Abstract

Background: Both cancer and its treatments have profound effects on sexuality. Sex, sexuality, and intimacy hold equal importance for cancer patients as they do for individuals without cancer. Discussions surrounding sexuality are often not viewed as urgent or essential and may even be considered taboo in certain cultural contexts. The quality-of-life issues have become secondary to the primary goal of curing cancer, with little emphasis on addressing intimacy-related problems. This study aims to identify the effective interventions for addressing the sexual needs of patients with cancer. Method: This is a systematic literature review. A thorough literature review in three data bases including PubMed, Science Direct and Sage was conducted.. The article analysis process used the PRISMA method. Results: 10 articles were reviewed that met the criteria, and the articles used randomized controlled trials, quasi-experimental studies, and cross-sectional methods. Conclusion: Cancer and its treatment can cause various physical and psychological changes that can significantly impact the patient's sexual function. The interventions that address the sexual needs of cancer patients, such as psychosexual support, sexual psychoeducation, sexual communication, and social support, are an important need for cancer patients to overcome their sexual problems, to adapt, to maintain intimacy, and to improve their quality of life. Sexual needs are an important aspect that must be addressed and managed comprehensively in the management of cancer patient care to improve their quality of life.
The Relationship between Health Promotion Perceptions and Family Empowerment in Anemia Prevention during Pregnancy Mira Triharini; Sylvia Dwi Wahyuni; Ni Ketut Alit Armini; Elida Ulfiana; Zurinda Dwi Nur Lailiyaturrohmah; Ananda Amalia Ramadhani
IJNP (Indonesian Journal of Nursing Practices) Vol. 9 No. 2 (2025): December
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/ijnp.v9i2.24474

Abstract

Background: Anemia in pregnancy is a major health issue with serious impacts. Family health promotion perception enhances understanding of anemia prevention during pregnancy and strengthens family empowerment to actively engage in supportive actions. However, there is limited research on how perceptions of family health promotion influence family empowerment in the prevention of anemia. Objective: To analyze the correlation between health promotion perceptions and family empowerment in preventing anemia during pregnancy Method:  This study used a descriptive correlational design. The sample consisted of 150 families of pregnant women who received antenatal care at Klampis Ngasem and Pacar Keling Health Centers in East Java, Indonesia, recruited through a consecutive sampling method. The independent variable was health promotion perception, while the dependent variable was family empowerment. The relationship between the variables was examined using Spearman’s Rho and Chi-Square statistical tests.    Result: Significant associations were found between dimensions of health promotion perceptions and family empowerment. Perceived susceptibility, perceived benefits, perceived barriers, and perceived self-efficacy were significantly associated with all three dimensions of family empowerment (motivation, cognitive, and personal traits) (p < 0.05). However, perceived severity did not show a significant association with any dimension of family empowerment (p > 0.05). Conclusion: Strengthening health promotion perceptions, especially perceived susceptibility, benefits, barriers, and self-efficacy within families, can enhance their motivation, cognition, and personal traits. Health professionals are encouraged to involve families in antenatal education and promote positive health perceptions to improve support for preventing anemia during pregnancy.
Self-Management Levels and Blood Pressure Status in Patients with Hypertension: A Cross Sectional Study Rosyid, Fahrun Nur; Prakoso, Teguh Tri; Safitri, Lisa Novia; Rahman, Ahmad Fadhlur; Sugiharto, Sh
IJNP (Indonesian Journal of Nursing Practices) Vol. 9 No. 1 (2025): June
Publisher : Universitas Muhammadiyah Yogyakarta

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Abstract

Background: Risk factors for hypertension-related complications include smoking, eating an unhealthy diet high insugar, salt, and fat, consuming fewer vegetables and fruits, being obese, being physically inactive, drinking alcohol,and feeling overwhelmed with self-management responsibilities.Objective: The study aims to examine the correlation between self-management levels and blood pressure statusamong hypertensive patients.Methods: The study employed a cross-sectional study design. The study was conducted in the Purwosari CommunityHealth Center in Surakarta. We used purposive sampling to select study participants from the population. TheHypertension Self-Management Behavior Questionnaire (HSMBQ) and a sphygmomanometer were used to measureself-management levels and blood pressure status.Results: 100 patients with hypertension participated in this study. The results show that participants are mostly aged56 – 60 years old, female (66%), and almost 50% of participants have senior high school education. 51% of participantsare categorized as having poor levels of self-management and uncontrolled hypertension. There is a statisticallysignificant correlation between self-management levels and blood pressure status (p = 0.001). The correlationbetween self-management levels and blood pressure status was 0.897, indicating a high degree of correlation.Conclusions: The study concludes that self-management levels determine the blood pressure status of hypertensiveindividuals. Community nurses strongly recommend intensive health education among hypertensive individuals.
Impact of Nutrition Counseling on Weight Changes in Children (Aged 1-5 Years) Ari Nofitasari; Islaeli Islaeli; Hasniah Dina; Dedi Krismiadi; Wa Ode Aisa Zoahira
IJNP (Indonesian Journal of Nursing Practices) Vol. 9 No. 2 (2025): December
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/ijnp.v9i2.24838

Abstract

Background: Despite various government programs aimed at improving nutrition, malnutrition remains a major problem in the Waara Community Health Centers area. Earlier studies have primarily examined causes such as poor nutrition, childcare practices, and infections, but have rarely investigated the impact of counseling interventions on toddlers’ weight. A 2023 preliminary survey by researchers at Waara Health Centers found 65 children under five suffering from malnutrition. Objective: This study aimed to evaluate the effect of nutritional counseling on weight changes in toddlers from Mantobua Village, Lohia District, Muna Regency. Method:  Using a pre-experimental one-group pretest-posttest design, mothers of malnourished toddlers received nutrition counseling over five sessions in one month. Sessions covered toddler nutritional needs, balanced menus, meal preparation, harmful foods to avoid, and common nutritional problems. Toddler weights were measured before and after the intervention using a hanging scale by the researchers. A total of 65 mothers participated. Data analysis was done with the paired sample t-test.    Result: The counseling led to a significant increase in toddlers’ weight, supported by a p-value of 0.000, indicating a strong statistical difference (p < 0.05). Conclusion: Nutritional counseling significantly affects weight gain in children under five. Future studies should consider long-term monitoring to evaluate lasting effects on nutritional status.
Assessment of Loneliness Among the Elderly in Selected Regions in Indonesia: Basis for the Mental Health Awareness Development Program Nurjanah, Vausta; Intening, Vivi Retno
IJNP (Indonesian Journal of Nursing Practices) Vol. 9 No. 1 (2025): June
Publisher : Universitas Muhammadiyah Yogyakarta

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Abstract

Background: Loneliness is a mental health problem in many countries worldwide. Older people who live alone and are separated from their children, grandkids, and close caretakers are more likely to experience loneliness for a number of reasons. Programs that increase awareness of mental health difficulties, especially for older people, are vital because this danger exists in developing countries like Indonesia as well. Prior to the application of mental health nursing interventions, research on loneliness in older people is required. Objective: The purpose of this study was to evaluate loneliness among older people and create program ideas for increasing mental health awareness that Indonesia can use. Method:  This study employed a descriptive-analytic approach, and the UCLA version 3 loneliness evaluation was used to gauge the loneliness of 257 senior respondents in Yogyakarta and Palembang. Older adults who met the following requirements were eligible to participate in this study: they had to be over 60, cooperative, willing to participate as research subjects, and not feel threatened by the gravity of answering the questionnaire. Elderly persons with disabilities, older adults with disorders, and older adults who encounter complaints during the research procedure that make it impossible for them to continue as respondents are the inclusion criteria in this study.    Result: Most respondents had low levels of loneliness (30.7%), fairly high levels (30%), moderate levels (21.8%), and high levels (17.5%). One alternative initiative for raising mental health awareness and helping lonely older adults is Cerita, Silaturahmi, Lakukan hobby. Conclusion: Based on the study's findings, the researcher suggests Cerita, Silaturahmi, Lakukan hobby as an older mental health awareness program package that might be implemented in Indonesia.
The Impact of WhatsApp-Based Psychoeducation on Psychological Distress in Advanced Cancer Patients: A Quasi-Experimental Study Nurul Huda; Riga Opri Sandrelly; Triva Septi; Erika; Made Satya Nugraha Gautama
IJNP (Indonesian Journal of Nursing Practices) Vol. 9 No. 2 (2025): December
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/ijnp.v9i2.24849

Abstract

Background: Psychoeducation has been shown to be an effective method for assisting patients with cancer by alleviating their psychological symptoms, particularly psychological distress. While the use of WhatsApp in medical settings to improve patient health outcomes is increasing, evidence supporting its effectiveness in patient education is limited. Purpose: This study aimed to investigate whether education via WhatsApp could influence psychological distress in patients with advanced cancer undergoing chemotherapy. Method:  A quasi-experimental pre-post study design was employed at a referral cancer hospital in Indonesia. Sixty-six patients with advanced cancer were selected through purposive sampling and divided into an intervention group (n = 33) and a control group (n = 33). The intervention group received psychoeducational support via WhatsApp and participated in nurse-assisted online sessions for two weeks, while the control group received no intervention. The Distress Thermometer was used to measure distress levels at the baseline and one week post-intervention. Data were then analyzed using t-tests.    Result: The paired sample t-test revealed a significant reduction in psychological distress in the intervention group (Mean difference = 0.909; 95% CI = 1.133 to 0.685; P < 0.001). In comparison, no significant change was observed in the control group (Mean difference = 0.242; 95% CI = 0.658 to -0.174; P = 0.244). Conclusion: The findings affirm that WhatsApp-based psychoeducational interventions play a crucial role in reducing psychological distress among patients with advanced cancer. Future research with extended follow-up periods is suggested to further assess the intervention's long-term effectiveness.
Health Belief Model: Determinants of Hypertension Dietary and Medication: A Structural Equation Modeling Analysis Andayani, Sri Astutik
IJNP (Indonesian Journal of Nursing Practices) Vol. 9 No. 2 (2025): December
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/ijnp.v9i2.24965

Abstract

Introduction: Hypertension is a major global public health problem and a key modifiable risk factor for cardiovascular disease, stroke, and kidney failure, with prevalence increasing with age. However, adherence to dietary recommendations and antihypertensive medication remains suboptimal, contributing to poor disease control. Method:  This study used a cross-sectional observational analytic design, which explains the relationship between variables through hypothesis testing. A total of 222 participants were recruited using a proportional cluster random sampling method. Descriptive statistics were used to summarize the data, and partial least squares structural equation modeling (PLS-SEM) analysis was employed to evaluate the measurement and structural models proposed by the HBM, as well as to identify the relationships between HBM variables.    Results: The results showed that the independent variables contributed 54.9% to diet and medication adherence behavior, and the model had a good fit. There was a significant relationship between perceived barriers and self-efficacy on diet and medication adherence behavior in patients with hypertension. Conclusion: Patients require guidance, support, and information from healthcare workers to understand the importance of adhering to medication prescriptions. Health care providers should realize that patients with hypertension should be educated on how to manage their disease.

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