The Indonesian Nursing Journal is committed to the principles of Open Access to ensure the global exchange of knowledge. All articles published in this journal are licensed under the Creative Commons Attribution 4.0 International (CC BY 4.0) license. Under this license, users are free to: • Share: Copy and redistribute the material in any medium or format. • Adapt: Remix, transform, and build upon the material for any purpose, even commercially. Under the following terms: Attribution: You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use. This licensing framework ensures that authors retain copyright while allowing the public to utilize the research to the fullest extent possible, fostering innovation and collaboration in the field of nursing and healthcare. Creative Commons Attribution 4.0 International License © 2024 Indonesian Nursing Journal. Published by Politeknik Negeri Subang.
The relationship between social support and happiness among older adults at Puskesmas Walenrang, South Sulawesi
Background: Happiness is an important indicator of successful aging among older adults. However, many older adults experience decreased well-being due to loneliness, declining health, and reduced social interaction. Social support from family, peers, and the community plays a crucial role in maintaining psychological well-being and happiness in later life. In primary healthcare settings such as Puskesmas Walenrang, South Sulawesi, understanding the influence of social support is essential to improve elderly care services. Purpose: This study aimed to analyze the relationship between social support and happiness among older adults at Puskesmas Walenrang, South Sulawesi. Methods: A quantitative cross-sectional study was conducted involving 80 older adults aged ≥60 years selected using a purposive sampling technique. Data were collected using validated questionnaires measuring perceived social support and happiness levels. Statistical analyses included descriptive statistics, Sperman correlation to determine the relationship and influence between social support and happiness. Results: The findings showed a significant positive relationship between social support and happiness among older adults (r = 0.62; p = 0.001). Participants who received higher levels of emotional, instrumental, and informational support reported higher happiness levels and better psychological well-being. Older adults with strong family and community support also experienced lower levels of loneliness and emotional distress. Social support was identified as a significant predictor of happiness. Conclusion: Social support plays a vital role in enhancing happiness among older adults. Strengthening family involvement and community-based support programs through primary healthcare services is essential to improve the quality of life of older adults. These findings highlight the importance of nursing interventions focused on family engagement, psychosocial support, and community participation to promote healthy and successful aging among older adults.
Copyright (c) 2026 Putri Pamungkas, Nurul Baslia https://creativecommons.org/licenses/by/4.0
The effect of a combination of 40°c warm compress and handgrip exercise on spasm, pain, and anxiety in patients undergoing percutaneous coronary intervention
Background: Percutaneous Coronary Intervention (PCI) is an invasive procedure that often causes spasm, pain, and anxiety in patients, which can affect comfort and the smoothness of the procedure. Non-pharmacological interventions such as warm compresses and handgrip exercise have the potential to improve perfusion and reduce discomfort during the procedure. Purpose: To determine the effect of a combination of a 40°C warm compress and handgrip exercise on reducing spasm, pain, and anxiety, as well as improving perfusion index in patients undergoing Percutaneous Coronary Intervention (PCI). Methods: This study used a quasi-experimental design with a control group. A total of 30 respondents were divided into two groups: 15 in the intervention group and 15 in the control group. The intervention group received a combination of a 40°C warm compress and handgrip exercise, while the control group received standard care. Data were collected using spasm observation sheets, a perfusion index measurement tool, pain scales, and anxiety questionnaires. Data analysis was performed using the Wilcoxon and Mann–Whitney tests. Results: The findings showed that the combination of warm compress and handgrip exercise significantly reduced spasm, pain, and anxiety (p= 0.001< 0.05), and significantly increased the perfusion index (p= 0.000 < 0.05) compared to the control group. Patients in the intervention group demonstrated better physiological and psychological responses during the procedure Conclusion: The combination of a 40°C warm compress and handgrip exercise is an effective non-pharmacological intervention to reduce spasm, pain, and anxiety, while improving perfusion in patients undergoing PCI. This intervention can be recommended as a supportive nursing strategy to enhance patient comfort and procedural outcomes.
Copyright (c) 2026 Mira Dwi Lantasary, Dr. Yenny Puspitasari, S.Kep.,Ns.,M.Kes , Dr. Agusta Dian Ellina, S.Kep., Ners., M.Kep. https://creativecommons.org/licenses/by/4.0
The relationship between nurses’ therapeutic communication and anxiety levels among patients receiving their first chemotherapy session: A cross-sectional study
Background: Patients receiving their first chemotherapy session often experience anxiety due to uncertainty about treatment procedures, side effects, and physical changes. Nurses' therapeutic communication is considered an essential intervention to provide emotional support and reduce anxiety. Purpose: This study investigated the relationship between nurses' therapeutic communication and anxiety in patients who received first chemotherapy session. Method: This quantitative cross-sectional study was conducted from August to December 2025. Seventy-five first-time chemotherapy patients were recruited using inclusion and exclusion criteria. Data were collected using a 10-item Therapeutic Communication Questionnaire and the Hamilton Anxiety Rating Scale (HARS). Univariate and bivariate analyses were performed using the Chi-square test at p < 0.05. Result: Among 75 patients completed the questionnaire, the findings showed that most respondents experienced high levels of therapeutic communication (76%) and had no anxiety (66.7%). The bivariate analysis demonstrated a significant correlation between therapeutic communication of nurses and anxiety levels among first chemotherapy session patients (p = 0.004). Conclusion: There is a significant relationship between nurses' therapeutic communication and anxiety in first-time chemotherapy patients. Effective therapeutic communication was associated with lower anxiety levels. Strengthening nurses' therapeutic communication skills may serve as an effective strategy to reduce anxiety and support nurse-led consultations prior to first treatment sessions.
Copyright (c) 2026 Kiki Deniati, Lina Indrawati, Dinda Bunga https://creativecommons.org/licenses/by/4.0
The effect of AI-assisted nursing care on digital health literacy, symptom management, and continuity of care among pulmonary outpatients: A quasi-experimental study at Bhayangkara Surabaya Hospital
Background: Pulmonary outpatients often experience recurrent respiratory symptoms requiring continuous support. Limited consultation time, increasing digital health use, and the need for symptom monitoring highlight the importance of AI-assisted nursing care in outpatient pulmonary services. Purpose: This study analyzed the effect of AI-assisted nursing care on digital health literacy, symptom management, and continuity of care among pulmonary outpatients at Bhayangkara Surabaya Hospital. Methods: A quasi-experimental study with a two-group pretest-posttest design involved 70 pulmonary outpatients (35 intervention, 35 control). The intervention group received AI-assisted nursing care; the control group received standard care. Data were collected using the Digital Health Literacy Instrument, a symptom management questionnaire, and the Nijmegen Continuity Questionnaire. Analysis used paired t-test, Wilcoxon Signed-Rank Test, independent t-test, and Mann-Whitney U Test. Results: The intervention group showed significantly greater improvements than the control group. Digital health literacy was significantly higher (t = 9.11, p < 0.001), symptom management improved significantly (Z = −7.84, p < 0.001), and continuity of care differed significantly between groups (t = 8.99, p < 0.001). Change scores were substantially greater in the intervention group, particularly for continuity of care (18.95 vs. 2.26), with small effect sizes across all outcomes. Conclusion: AI-assisted nursing care can strengthen digital nursing support for pulmonary outpatients. Integrating structured digital education, chatbot interaction, symptom tracking, reminders, and nurse monitoring improves digital health literacy, symptom management, and continuity of care in outpatient pulmonary services.
Copyright (c) 2026 Heri Nur Cahyanto, S.Kep., Ns., M.T, Dr. Agustin, S.Kep., Ns., M.Kes, Novita Ana Anggraini, S.Kep., Ns., M.Kep., Ph.D, Dr. Prima Dewi K., S.Kep., Ns., M.Kes, Dr. Atik Setiawan W., S.Kep., Ns., M.Kep https://creativecommons.org/licenses/by/4.0
Association between blood glucose levels and elective surgery delays in type II diabetes mellitus patients
Background: Diabetes Mellitus (DM) is a chronic metabolic disorder characterized by hyperglycemia, which poses significant risks during the perioperative period. Elevated blood glucose levels are often associated with surgical complications, leading to the postponement of elective procedures. Purpose: This study aims to analyze the relationship between preoperative blood glucose levels and the delay of elective surgery in patients with Type II DM. Methods: A cross-sectional study was conducted among 100 patients with Type II Diabetes Mellitus undergoing elective surgery at Dr. La Palaloi Maros Hospital. The patients were selected using simple random sampling. Preoperative blood glucose levels were analyzed in relation to surgical readiness using the chi-square test. Results: The study found that 21% of patients experienced surgery delays, all delayed cases occurred among patients with preoperative blood glucose levels >200 mg/dL, while no delays were observed among patients with blood glucose levels below 200 mg/dL. Overall, 79.0% of patients proceeded with surgery as scheduled, whereas 21.0% experienced postponement due to uncontrolled hyperglycemia. Most respondents were aged 18–40 years (54%) and female (58%). A statistically significant relationship was found between blood glucose levels and elective surgery delays (p < .001). Conclusion: Preoperative blood glucose level is associated with elective surgery delays. Strict glycemic control before surgery is essential to reduce delays and improve perioperative patient safety.
Copyright (c) 2026 M. Alfian Rajab, S.Kep., Ns., M.Kep, Rindani Claurita Toban, S.Kep., Ns., M.N.Sc, Lukman Sartika, Mulyati, S.Kep., Ns., M.Kep, Irnawati AR, S.Kep https://creativecommons.org/licenses/by/4.0
Maternal health literacy and anxiety among pregnant women receiving antenatal care: A cross-sectional study
Background: Anxiety during pregnancy can affect maternal well-being and engagement with antenatal care. Maternal health literacy may help women understand pregnancy-related changes, evaluate health information, and make appropriate decisions, but its association with anxiety remains underexplored in Indonesian antenatal care settings. Purpose: This study examined the association between maternal health literacy and anxiety among pregnant women receiving routine antenatal care. Method: A cross-sectional correlational study was conducted among 140 pregnant women attending primary maternal healthcare facilities in Central Java, Indonesia. Participants were recruited using consecutive sampling. Maternal health literacy was measured using the Indonesian version of the 48-item Maternal Health Literacy Inventory in Pregnancy, while anxiety was assessed using the Indonesian version of the Generalized Anxiety Disorder-7 scale. Descriptive statistics summarized participant characteristics and study variables. The association between maternal health literacy and anxiety was analyzed using Spearman’s rank correlation test. Result: The mean maternal health literacy score was 177.3 ± 21.4, and the mean anxiety score was 6.8 ± 4.5. Most participants reported minimal or mild anxiety, while 23.6% experienced moderate-to-severe anxiety. Maternal health literacy was negatively correlated with anxiety scores (Spearman’s rho = -0.412; p < 0.001). Conclusion: Higher maternal health literacy was associated with lower anxiety among pregnant women. Antenatal care should help women not only receive pregnancy information but also interpret and use it confidently. Longitudinal and intervention studies are needed to test whether nurse-led literacy and digital education programs can reduce anxiety during pregnancy
Copyright (c) 2026 Ns. Anggie Pradana Putri, S.Kep., M.A.N., Ph.D., Ns. Ady Irawan. AM, MM., M. Kep., Sp. Kep.K, Lilik Hanifah, S.ST., M.Kes., M.Keb. https://creativecommons.org/licenses/by/4.0
Effect of a digital family disaster plan e-book on earthquake preparedness among anesthesia nursing students
Background: Indonesia, part of the Pacific Ring of Fire, experiences significant seismic activity. The Special Region of Yogyakarta is particularly susceptible to earthquake hazards, emphasizing the need to strengthen disaster preparedness awareness. A digital family disaster plan (FDP) was designed as an educational resource to guide families during earthquakes. Purpose: This study aims to examine the effect of the digital Family Disaster Plan (FDP) on the earthquake preparedness of second semester anesthesia students at Universitas 'Aisyiyah Yogyakarta (UNISA). Methods: This study employed a one-group pretest–posttest pre-experimental design and was analyzed using the Wilcoxon signed-rank test. The sample consisted of 64 second semester anesthesia students from Universitas 'Aisyiyah Yogyakarta, selected through random sampling. Data collection was conducted using a preparedness questionnaire. Results: Female respondents constituted the majority (59.4%). Baseline assessment showed 87.5% were unprepared prior to the intervention. After exposure to the digital FDP, 89.1% were classified as prepared. The Wilcoxon signed-rank test showed a statistically significant improvement in preparedness scores (p < 0.001), indicating the intervention was associated with improved disaster preparedness. Conclusion: The Digital Family Disaster Plan E-book intervention was associated with improved earthquake preparedness scores among second-semester anesthesia students at UNISA. However, this study was limited using a pre-experimental one-group design; therefore, future studies using randomized controlled trials are recommended to confirm the effectiveness of digital Family Disaster Plan interventions.
Copyright (c) 2026 Ririn Zuhairini S.Kep.,Ns., M.N.Sc., Praditia Triwibowo, Ellyda Septiani Pramita, S.Kep., Ns., M.Med.Ed, Gatot Suparmanto, S.Kep.,Ns.,M.Sc, Triyas Singgih Pambudi, S.Kep., Ns., M.NSc, Cahaya Nugraheni, S.Tr. Kep.,M.Tr.Kep https://creativecommons.org/licenses/by/4.0
Implementing the BBOK package via auricular acupressure and health education to reduce weight and BMI in adolescents with obesity: An evidence-based nursing report
Background: Adolescent obesity is a growing health concern with physical and psychological complications. This Evidence-Based Nursing Practice (EBNP) analyzed the effectiveness of the BBOK (Optimal Body Weight) package, combining auricular acupressure and health education, in reducing body weight (BW) and body mass index (BMI) among adolescents with obesity. Methods: Using an EBNP approach, auricular acupressure and health education interventions were implemented over six weeks. Nine adolescents aged 13–19 years with obesity from RW 01, 02, and 05, Rawasari Village, Cempaka Putih District Health Center, were selected based on inclusion criteria. Interventions included health education on obesity, nutrition, physical activity, sleep, and stress management, plus auricular acupressure using vaccaria seeds at the hunger point. Evaluations measured BW, BMI, and knowledge, attitudes, and behaviors before and after intervention. Results: Paired Sample T-Test analysis showed significant reductions in body weight (MD = 0.68; p = 0.000) and BMI (MD = 0.25; p = 0.000). Significant improvements were also observed in knowledge (MD = 4.78; p = 0.000), attitudes (MD = 2.44; p = 0.026), and healthy behaviors (MD = 10.67; p = 0.000). Conclusion: The BBOK package was associated with significant improvements in body weight, BMI, and healthy lifestyle behaviors among adolescents with obesity. While these findings suggest potential as a community nursing strategy, the modest magnitude of weight and BMI reduction, small sample size, and absence of a control group warrant cautious interpretation. Further controlled studies are needed to validate these findings.
Copyright (c) 2026 Istiqomah, S.Kep.,Ns.,M.Kep, Dr. Syamsul Anwar, M.Kep.,Sp.Kep.Kom, Ns. Ninik Yunitri, M.Kep.,Sp.Kep.J.,Ph.D https://creativecommons.org/licenses/by/4.0
Association between community empowerment and malaria prevention behaviors among communities in the Working Area of Iwur Public Health Center
Background: Malaria remains a major public health challenge in remote Indonesian regions like Iwur due to limited healthcare access. Persistent transmission is driven by low community awareness, poor environmental management, and inadequate preventive practices. Community empowerment offers a sustainable strategy to enhance local engagement and strengthen local capacity. An innovative empowerment model is essential at Iwur Public Health Center (Puskesmas Iwur) to optimize prevention efforts and reduce the disease burden. Purpose: This study aimed to develop and evaluate the effectiveness of a Community Empowerment Model for malaria prevention in the Iwur Public Health Center working area. Methods: A quantitative cross-sectional study was conducted among community members in malaria-endemic villages within the Puskesmas Iwur working area. Participants were selected using purposive sampling. Data were collected using a structured questionnaire assessing community empowerment and malaria prevention behaviors. Descriptive statistics and Pearson correlation analysis were performed to examine the association between community empowerment and malaria prevention behavior, with statistical significance set at p < 0.05. Results: The findings showed a statistically significant positive correlation between community empowerment and malaria prevention behavior (r= 0.58, p < 0.001). Higher levels of community empowerment were associated with better malaria prevention practices among community members, suggesting that community participation, health literacy, and self-reliance are important factors associated with malaria prevention in endemic areas. Conclusion: The Community Empowerment Model effectively strengthens community participation and malaria prevention practices. Integrating empowerment-based interventions into primary healthcare programs is recommended to support sustainable malaria control and reduce incidence in endemic communities.
Copyright (c) 2026 Januarius Utimkesan, Dr. Yuly Peristiowati, S.Kep.,Ns.,M.Kes, Dr. Ratna Wardani, S.Si.,MM https://creativecommons.org/licenses/by/4.0
Effect of feeding frequency on total bilirubin reduction and body temperature changes among neonates with jaundice receiving blue led phototherapy at Marthen Indey TNI-AD Hospital, Jayapura
Background: Hyperbilirubinemia in neonates requires prompt intervention to prevent neurological complications. Blue LED phototherapy is a primary treatment, yet its effectiveness relies on hydration and feeding frequency to facilitate bilirubin excretion. Phototherapy also carries a risk of altering body temperature, necessitating close monitoring. Purpose: This study analyzed the effect feeding frequency and blue LED phototherapy with total bilirubin reduction and body temperature changes among neonates with jaundice. Methods: A quasi-experimental pretest-posttest comparison group study involved 80 neonates selected through purposive sampling. Respondents were divided into high feeding frequency (10 times/24 hours, n=40) and low feeding frequency (6 times/24 hours, n=40) groups. Total bilirubin levels and body temperature were measured before and after 24-hour therapy. Analyses included the Wilcoxon Signed Rank Test and Mann-Whitney U Test. Results: Neonates had a mean gestational age of 38.79 ± 1.10 weeks, and birth weight of 2749.7 ± 166.3 g. Baseline total bilirubin (15.52 ± 0.31 mg/dL) and body temperature (36.75 ± 0.09°C) were comparable between groups. Both groups showed significant bilirubin reduction (p < 0.001). The high-frequency group demonstrated significantly greater reduction (median change 5.95 mg/dL) than the low-frequency group (3.40 mg/dL; p < 0.001, r = 0.62). Temperature changes within both groups were significant (p < 0.001) but remained clinically normal, with no between-group difference (p = 0.176, r = 0.14). Conclusion: Higher feeding frequency was associated with greater bilirubin reduction without adverse temperature effects. However, the quasi-experimental design limits causal inference. Clinical protocols should emphasize frequent feeding and temperature monitoring for safe, optimal treatment.
Copyright (c) 2026 Sumiyati, S.Kep.,Ns, Dr. Yuli Peristiowati, S. Kep., Ns., M.Kes, Dr. Ratna Wardani, S. Si., MM https://creativecommons.org/licenses/by/4.0
Implementation of the posbindu PTM program by community nurses in early detection of diabetes and hypertension in rural villages
Background: The increasing prevalence of non-communicable diseases (NCDs), particularly diabetes mellitus and hypertension, poses a significant health challenge in Indonesia. Early detection through Posbindu PTM (Integrated Non-Communicable Disease Health Post) is essential to prevent complications. Community nurses play a vital role in organizing and sustaining this program, especially in rural and remote regions such as Subang Regency, West Java. Purpose: To describe the implementation of the Posbindu PTM program by community nurses in the early detection of diabetes and hypertension in rural villages within the Kalijati Health Center area, Subang Regency, West Java. Methods: This quantitative descriptive study involved 90 adult participants aged 18 years and older who attended Posbindu PTM activities at Kalijati Health Center, Subang Regency, West Java, between January and March 2024. Data were collected through structured questionnaires and secondary data from screening records. Descriptive analysis was performed using SPSS version 27, focusing on coverage, participation, and outcomes of early detection activities. Of the 90 participants recruited, 82 were included in the final analysis; 8 were excluded due to incomplete data. Results: Among 82 participants, 58.9% were female and 41.1% were male, with a mean age of 47.6 years (SD = 12.3). Screening results indicated that 21.1% had elevated fasting blood glucose levels (≥126 mg/dL), and 34.4% had high blood pressure (≥140/90 mmHg). Nurse involvement in Posbindu PTM was reported as active by 82% of respondents, particularly in health education and screening. However, challenges included irregular attendance, limited diagnostic equipment, and lack of follow-up visits. Conclusion: The study highlights the crucial contribution of community nurses in detecting early-stage diabetes and hypertension through Posbindu PTM. Strengthening nurse capacity, ensuring equipment availability, and enhancing community participation are recommended to optimize program sustainability in rural areas
Copyright (c) 2026 Minanton, S.Kep., Ns., M.Kep, Nuridha Fauziyah, M.Kep, Habsyah Saparidah Agustina, M.Kep, Novian Mahayu Adiutama, M.Kep, Wardah Fauziah, M.Kep, Achmad Vindo Galaresa, S.Kep., Ns., M.Kep https://creativecommons.org/licenses/by/4.0
Patients' knowledge and attitudes regarding the prevention of diabetes mellitus complications at the internal medicine polyclinic
Background: Diabetes mellitus (DM) is a chronic disease that requires effective management to maintain the patient's quality of life. Preventing DM complications necessitates adequate knowledge and a positive attitude, thereby helping patients avoid the complications associated with the disease. Purpose: This study aims to determine the relationship between patients' knowledge and attitudes and efforts to prevent diabetes mellitus (DM) complications at the Internal Medicine Outpatient Clinic of Raden Mattaher Regional General Hospital (RGH), Jambi. Method: This study employed an analytical survey method with a cross-sectional approach. The study population consisted of patients with diabetes mellitus, with a sample size of 84 respondents. Data collection was conducted using a questionnaire, and statistical analysis was performed using the Chi-square test at a 95% confidence level (0.05). Result: The study found a significant relationship between knowledge and the prevention of diabetes mellitus complications (p-value = 0.000). Attitude also showed a significant relationship with the prevention of diabetes mellitus complications (p-value = 0.000). Conclusion: Adequate knowledge and positive attitudes will enable patients to effectively engage in efforts to prevent diabetes complications; given that diabetes is a chronic disease capable of causing complications affecting all bodily organs, prevention is essential. Future researchers are encouraged to further explore knowledge and attitudes regarding the prevention of diabetes complications, and healthcare providers should assist in improving patient knowledge and attitudes to prevent complications associated with the disease.
Copyright (c) 2026 Ns. Zikran, S.Kep., M.Kep., Ns. Lisa Rizky Amalia, S.Kep., M.Kep., Ns. Muthmainnah, S.Kep., M.Kep. https://creativecommons.org/licenses/by/4.0
The influence of post-resuscitation debriefing and clinical learning environment on CPR quality and resuscitation self-efficacy among emergency department healthcare workers
Background: CPR quality and resuscitation self-efficacy are critical for successful cardiac arrest management. Structured debriefing and supportive learning environments are hypothesized to enhance these outcomes. Purpose: This study aimed to evaluate the associations between post-resuscitation debriefing and the clinical learning environment with CPR quality and resuscitation self-efficacy. Methods: A quasi-experimental study with a one-group pretest-posttest design was conducted at the Emergency Department of Undata Hospital. All eligible healthcare workers (n = 51) were recruited using total sampling. Data on post-resuscitation debriefing, clinical learning environment, CPR quality, and resuscitation self-efficacy were collected using validated questionnaires and observation sheets. Bivariate analysis was performed using Spearman's rank correlation test. Multiple linear regression analysis was conducted to identify predictors of CPR quality and resuscitation self-efficacy, controlling for age, work experience, and profession. Statistical significance was set at p < 0.05. Results: Post-resuscitation debriefing was significantly associated with CPR quality (rho = 0.412, p = 0.003) and resuscitation self-efficacy (rho = 0.523, p < 0.001). The clinical learning environment was also significantly associated with CPR quality (rho = 0.456, p = 0.001) and resuscitation self-efficacy (rho = 0.389, p = 0.005). Multiple linear regression analysis identified post-resuscitation debriefing as the strongest predictor of CPR quality (beta = 0.398, p = 0.002) and resuscitation self-efficacy (beta = 0.467, p < 0.001), after controlling for confounding variables. Conclusion: Structured post-resuscitation debriefing and a positive clinical learning environment are significantly associated with improved technical skills and professional confidence among healthcare workers. Implementing standardized debriefing may be an effective strategy for enhancing resuscitation performance in emergency settings.
Copyright (c) 2026 Marintas, S.Kep.,Ns., Dr. Prima Dewi K, S.Kep., Ns., M.Kes, Dr. Nurdina, S.Pd., MM,, Dr. Nurwijayanti, S.Pd., M.Kes, Dr. Yuly Peristiowati, S.Kep., Ns., M.Kes https://creativecommons.org/licenses/by/4.0
Implementation of an integrated leaflet and video education program (LEAVIN): A quality improvement initiative in perioperative nursing
Background: Preoperative anxiety affects a substantial proportion of surgical patients and may compromise psychological readiness and physiological stability before anaesthesia. Pre-anaesthesia counselling at a Regional Public Hospital in East Jakarta was previously delivered verbally without structured visual or audiovisual educational media. Purpose: This study describes the development of an integrated leaflet and video pre-anaesthesia education (LEAVIN), accessible via a quick-response (QR) code, and reports the preliminary effect of its implementation on preoperative anxiety. Method: This was a quality-improvement initiative using a one-group pre-test–post-test design without a comparison group, conducted at the preoperative preparation unit of a Regional Public Hospital in East Jakarta, from February to April 2026. A needs assessment using items adapted from the Amsterdam Preoperative Anxiety and Information Scale (APAIS) was conducted among 21 patients. Educational content on anaesthesia procedures, pre-anaesthesia preparation, possible side effects, and a deep-breathing relaxation technique was developed, validated by an anaesthesiologist and peer nurses, and packaged as a leaflet and a QR-code-linked video. The intervention was delivered to 12 patients, whose anxiety was assessed before and after education using the Numeric Rating Scale for Anxiety (NRS-A). Result: At baseline, 52.4% of patients feared anaesthesia, 61.9% reported persistent worry about anaesthesia, and 52.4% wanted more information. Following LEAVIN education, anxiety decreased in 7 of 12 patients (58.3%), while 5 patients (41.7%) reported no change. Conclusion: Integrated leaflet and video education was feasible within routine perioperative nursing care and was associated with reduced preoperative anxiety in most evaluated patients. Larger controlled studies with validated instruments are needed to confirm its effectiveness.
Copyright (c) 2026 Ns. Hafid, S.Kep, Dr. Ridlwan Kamaluddin, S.Kep., Ns., M.Kep, Murdiyana Ahmad, S.Kep https://creativecommons.org/licenses/by/4.0
Audiovisual atraumatic care and cooperative behavior among hospitalized children: A case study
Background: Hospitalization is a stressful experience for children, often causing fear, anxiety, crying, and uncooperative behavior during nursing procedures. Children may perceive hospitals as threatening, particularly during invasive procedures. Audiovisual distraction is a recognized non-pharmacological atraumatic care approach to reduce distress in hospitalized children. Purpose: This study aimed to describe audiovisual atraumatic care implementation and its effect on cooperative behavior in hospitalized children. Method: This descriptive case study was conducted in the pediatric ward of RSUP Fatmawati Hospital, Jakarta, Indonesia, from March 7–12, 2022. Two children aged 3 and 10 years experiencing hospitalization-related stress were selected through purposive sampling. Data were collected via direct observation and interviews. Cooperative behavior was evaluated using an observation sheet adapted from Harsono (2006), assessing crying, refusal, facial expression, eye contact, willingness to follow instructions, and verbal responses. The intervention consisted of watching cartoons for 15 minutes and playing online games for 10 minutes, delivered twice daily for three consecutive days. Data were analyzed descriptively. Results: Before the intervention, cooperative behavior scores were 2 and 1 for Case 1 and Case 2. After three days, both cases achieved scores of 4. Observations revealed reduced crying, improved eye contact, calmer expressions, and better acceptance of nursing procedures. Given the descriptive, two-case nature of this study, findings should be interpreted cautiously, and larger studies are needed. Conclusion: Both cases showed improved cooperative behavior following audiovisual atraumatic care. Larger studies are necessary to validate these findings and establish this intervention's benefits in pediatric nursing.
Copyright (c) 2026 Ns.Hemma Siti Rahayu.,M.Kep, Suci Nurjanah.,S.Kep.,Ns.M.Kep, Ns.Putri Mahardika.,M.Kep, Sari Artauli Lumban Toruan, M.Biomed., Gilar Wisnu Hardi, S.Ft., M.T., Berlian Kusuma Dewi, S.Kep., Ns., M.S., Hj. Winani, S.Kep., Ners., M.Kep, Bachtiar Efendi, S.Kep.,Ns.,M.H., Ns. Syariefah H. Waliulu,S.Kep.,M.Kep, Muthahharah, S.Kep., Ns., M.Kep, ⁠Ine adelia https://creativecommons.org/licenses/by/4.0
Copyright (c) 2026 Novian Mahayu Adiutama https://creativecommons.org/licenses/by/4.0
Nurse-led intervention to improve quality of life and reduce rehospitalization in heart failure patients: A scoping review
Introduction: Heart failure (HF) remains a major global health problem, characterized by high morbidity and mortality rates. HF imposes a substantial burden on healthcare systems due to high rates of hospitalizations and the need for intensive medical care. Nurse-led interventions have been increasingly recognized for their potential to improve patient outcomes across various healthcare settings Objectives: This article aims to evaluate the effectiveness of a nurse-led intervention to improve the quality of life and reduce readmission rates in patients with heart failure. Methods: This study used the PRISMA-ScR (Preferred Reporting Elements for Systematic Reviews and Meta-Analyses) framework. Searches for primary studies in any language were conducted in electronic databases such as PubMed, ScienceDirect, EBSCO, and Scopus. The search began on July 30, 2025, and was updated on August 28, 2025. Articles were assessed using the Cochrane Risk of Bias Scale (ROB 2.0). Results: Five articles were included in this scoping review. Nurses provide tailored education that promotes medication adherence, lifestyle modification, and symptom monitoring, which together enhance self-care behavior and patient empowerment. Nurse-led interventions appear most effective at enhancing QoL, while their impact on rehospitalization depends on the intervention’s timing, duration, and intensity. Nurse-led interventions should be integrated into routine HF management, particularly during transitional care following hospital discharge, when patients are most vulnerable to readmission Conclusion: Nurse-led interventions improve QoL and show potential to reduce rehospitalization among HF patients.
Copyright (c) 2026 Tobi Pitora, S.Kep., Ners., M.Kep, Rahmawati Dian Nurani, S.Kep., Ners., M.Kep, Dewin Safitri, S.Kep., Ners., M.Kep, Devi Harmita, S.Tr.Kep., Ners., M.Kep, Arthanti Latifah, S.Kep., Ners https://creativecommons.org/licenses/by/4.0
Mobile and electronic applications of resuscitation documentation: A systematic literature review
Background: Accurate and timely documentation during in-hospital cardiac arrest (Code Blue) is essential for patient safety and quality improvement; however, paper-based documentation is frequently incomplete and delayed. Purpose: This study aimed to evaluate the effectiveness of digital and electronic resuscitation documentation tools in improving documentation completeness, timing accuracy, and adherence to resuscitation algorithms compared with paper-based methods. Method: A systematic literature review was conducted using databases including Scopus, PubMed, ProQuest, and ScienceDirect, covering studies published from 2016 to 2025. Study quality was assessed using the JBI Critical Appraisal Tools. A total of ten studies were included, comprising six randomized controlled trials, three quasi-experimental studies, and one cross-sectional study. Two studies additionally incorporated qualitative components as part of a mixed-methods design. Results: Digital systems such as CPReCoder and NeRD demonstrated higher documentation completeness and more accurate time stamping. Cognitive aid–based applications, including Guiding Pad, Code Blue Leader, and PediAppRREST, improved guideline adherence, reduced critical errors, and lowered cognitive workload among resuscitation team leaders. However, most evidence was derived from simulation-based studies. Conclusion: Digital resuscitation documentation systems show strong potential to enhance documentation quality and resuscitation performance. Effective implementation requires user-centered design, adequate training, integration with electronic health records, and further validation through real-world clinical settings to support nursing practice and patient safety.
Copyright (c) 2026 Putu Ita Purwanti Diansari, S.Kep., Ns, Dr. Sidik Awaludin, M.Kep., Ns., Sp.Kep.MB https://creativecommons.org/licenses/by/4.0