Jurnal Keperawatan Komprehensif (JKK)
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Parental Knowledge and the Incidence of Acute Respiratory Infections in Toddlers: A Cross-Sectional Study at Cilandak Health Center,
Full text linkBackground: Acute Respiratory Infection (ARI) is a leading cause of morbidity and mortality in children under five years, particularly in low- and middle-income countries. In Indonesia, ARI continues to contribute significantly to the disease burden in toddlers. One critical factor influencing ARI incidence is the level of parental knowledge regarding prevention and early detection of symptoms.
Objective: This study aimed to determine the relationship between parental knowledge and the incidence of ARI in toddlers in the working area of Cilandak Health Center, South Jakarta.
Methods: This study applied a correlational analytic design with a cross-sectional approach. A total of 77 respondents were selected using accidental sampling, consisting of parents with toddlers. Data were collected using structured questionnaires to assess the level of parental knowledge and the incidence of ARI in their children. Statistical analysis used Pearson correlation to test the relationship between variables.
Results: The study found that 70.1% of parents had low knowledge about ARI, and 71.4% of toddlers had experienced ARI. The correlation test showed a very strong and significant negative relationship between parental knowledge and ARI incidence (p = 0.001; r = -0.906), indicating that higher knowledge levels are associated with lower ARI incidence in toddlers.
Conclusion: There is a significant inverse relationship between parental knowledge and the incidence of ARI in toddlers. Enhancing parental knowledge through health education may help reduce the burden of ARI among young children
The Relationship Between Peer Social Support and Anxiety in Final Year Students Who Are Writing Their Thesis
Full text linkBackground: The demands of completing a final project, coupled with an individual\u27s lack of preparedness, can give rise to psychological problems such as anxiety, stress, and depression. Factors influencing anxiety include social support, trust, and modeling. Among these, peer social support plays a particularly significant role in the academic environment.
Objective : This study aimed to examine the relationship between peer social support and anxiety among final-year students preparing their undergraduate thesis in the Nursing Study Program.
Methods: This study employed a quantitative research design with a cross-
sectional approach. A total of 110 final-year students were selected using stratified random sampling. Data were collected using standardized questionnaires: the Hamilton Rating Scale for Anxiety (HRS-A) to measure anxiety levels and the Peer Social Support Scale to assess peer social support. Data were analyzed using univariate and bivariate techniques, with the chi-square test applied to determine the relationship between variables.
Results: The results of the study showed that out of 110 respondents, 10 (9.1%) had panic anxiety, 30 (27.3%) were severe, 20 (18.2%) were mild, and 24 (21.8%) had no anxiety. Peers were found to be 28 (25.5%) low, 53 (48.2%) moderate, and 29 (26.4%) high. The results of the relationship analysis obtained a P value of 0.0001 (α <0.05), which shows that there is a relationship between peer social support and anxiety.
Conclusion: Based on the results of research and discussion regarding the Relationship between Peer Social Support and Anxiety in final-year students Who Are Writing Their Thesis in the Nursing Study Program (S-1), Faculty of Health Science and Technology, Jenderal Achmad Yani Universit
The Effectiveness of Brogandi (A Combination of Broccoli and Centella Asiatica) on Cognitive Function Among Nursing Students
No full textAims: This study aimed to evaluate the effectiveness of Brogandi, a combination of Broccoli and Centella asiatica, in improving the cognitive function of nursing students.
Methods: A quasi-experimental pre- and post-test design was conducted involving 40 nursing students, who were divided into an intervention group (n = 20) and a control group (n = 20). Cognitive function was assessed using the Trail Making Test-B (TMT-B), Visual Recall, and Backward Digit Span. The intervention group received Brogandi supplementation at a dosage of 1000 mg twice daily for 14 days, while the control group did not receive any supplementation. Statistical analysis was performed to compare pre- and post-test results between the groups.
Results: The intervention group exhibited significant improvements in cognitive performance across all tests compared to the control group. TMT-B and Backward Digit Span scores in the intervention group improved significantly (p < 0.001), and Visual Recall also showed a significant enhancement (p = 0.001). In contrast, the control group did not demonstrate significant changes in any cognitive test (p ≥ 0.248).
Conclusion: The bioactive compounds in Brogandi —sulforaphane, asiaticoside, vitamin C, and vitamin E—are believed to contribute to its neuroprotective and neuroplasticity-enhancing effects. These findings suggest that Brogandi is a promising nutritional intervention for improving cognitive function, particularly in college students with high academic demands. Further research with larger and more diverse samples is needed to confirm these results and explore potential mechanisms
Knowledge, Attitude, and Practice Toward Infection Prevention Strategies Pre- and Post-COVID-19 Among Nursing Students: A Systematic Review
No full textAims: COVID-19 (Coronavirus Disease 2019) has significantly impacted infection control, highlighting the vulnerabilities of the global healthcare system. This study evaluates measurable outcomes and barriers in nursing students\u27 knowledge, attitudes, and practices, and barriers to infection prevention before and after COVID-19.
Method: systematic review, with the Preferred Reporting Items for Systematic Reviews and Meta-analysis (PRISMA) registered on PROSPERO: CRD42022322706. Using the PICO framework for article selection: Population (involving nursing students), Intervention/exposure (infection control or prevention), Compare and Outcome (knowledge, attitudes, and practice). We searched nine databases from March to June 2022, with inclusion criteria for full-text articles published in English from 2012 to 2022. The study quality used The Joanna Briggs Institute (JBI) Critical Appraisal tool and the National Institutes of Health (NIH). PICO synthesis for analysis.
Results: Of 3,030 articles, only 15 met the criteria for inclusion: Cross-sectional (12/15, 80%), Descriptive study (2/12, 13%), and pre-post study (1/15, 6.67%). Infectious disease (4/15, 26.6%) and All disaster events (4/15, 26.6%), with the condition: pre-COVID-19 (11/15,73.3%), and during COVID-19 (4/15, 26.6%). The five themes were: (1) nursing students\u27 knowledge level regarding infection control standards, (2) nursing students\u27 attitudes towards infection control standards, (3) nursing students\u27 practice on infection control standards, (4) factors affecting infection control in nursing students, (5) roles of nursing schools and hospitals in infection control.
Conclusion: Nursing students showed increased knowledge, but gaps in attitudes and practice remain. Future efforts should develop standardized infection prevention curricula, integrate social media training, and strengthen academic-healthcare partnerships
Relationship Between Work Motivation and Nurse Performance in the Hemodialysis Unit at RSPAU Dr. Suhardi Hardjolukito Yogyakarta
No full textBackground: Nurses play a pivotal role as the frontline human resources in delivering quality health services. Optimal nursing performance directly influences patient outcomes and organizational success. Motivation is a crucial internal drive that enhances nurse performance, yet its role in specialized settings like hemodialysis units remains underexplored.
Objective: This study aimed to examine the relationship between work motivation and nurse performance in the Hemodialysis Room at the Air Force Central Hospital (RSPAU) Dr. Suhardi Hardjolukito Yogyakarta.
Methods: A quantitative correlational design with a cross-sectional approach was employed. A total of 24 nurses working in the hemodialysis unit were recruited through total sampling. Data collection utilized validated questionnaires measuring work motivation (intrinsic and extrinsic factors) and performance dimensions. Spearman rank correlation analysis was used to examine the relationship between variables.
Results: The majority of nurses (83.3%) demonstrated good work motivation, and 95.8% exhibited good performance. Spearman rank analysis revealed a positive, moderate, and statistically significant relationship between work motivation and nurse performance (r = 0.466, p = 0.022).
Conclusion: There is a significant positive relationship between work motivation and nurse performance. Strengthening motivational factors could serve as a strategic lever to enhance nurse performance, particularly in high-demand clinical environments like hemodialysis units
SmartBreastfeed: Effectiveness of a Digital Intervention in Reducing Postpartum Fatigue and Enhancing Breastfeeding Motivation
No full textBackground: Postpartum fatigue is a highly prevalent condition affecting up to 88% of mothers in the early postpartum period, negatively influencing maternal well-being and breastfeeding outcomes. In Indonesia, fatigue contributes to low exclusive breastfeeding rates, which remain below national and WHO targets. Digital health solutions offer promising opportunities to provide continuous breastfeeding support; however, existing applications are predominantly infant-focused and rarely address maternal psychosocial needs such as fatigue and motivation.
Objective: To evaluate the effectiveness of the SmartBreastfeed mobile application in reducing postpartum fatigue and enhancing breastfeeding motivation among mothers during the first six weeks after childbirth.
Methods: A quasi-experimental pretest–posttest control group design was employed among 64 postpartum mothers recruited from two urban health facilities. Participants were assigned to either the intervention group using SmartBreastfeed for four weeks or the control group receiving standard education through leaflets. Postpartum fatigue and breastfeeding motivation were assessed using validated Indonesian versions of the Postpartum Fatigue Scale (PFS) and Breastfeeding Motivation Scale (BFMS). Data were analyzed using paired t-tests and ANCOVA with significance set at p < 0.05.
Results: Mothers using SmartBreastfeed experienced a significantly greater reduction in fatigue scores compared with controls (Δ = -13.5 ± 5.2 vs. -4.1 ± 3.8; p < 0.001). The intervention group also demonstrated significant improvements in breastfeeding motivation—including increased intrinsic (p < 0.001) and extrinsic motivation (p = 0.02), and reduced amotivation (p = 0.01). ANCOVA showed the intervention as the strongest predictor for improved outcomes, with medium-to-large effects (partial η² = 0.09–0.27).
Conclusion: SmartBreastfeed effectively reduced postpartum fatigue and enhanced breastfeeding motivation through personalized digital support integrating self-monitoring, educational modules, reminders, and motivational messaging. This user-centered innovation shows potential to complement community maternal health programs and improve breastfeeding success in Indonesi
Reimagining Nursing Competency Evaluation: Clinical Assessors’ Readiness and Adaptation to Digital Assessment Systems in a Provincial Hospital Setting
No full textBackground: Clinical competency assessment is a core component of nursing governance and professional development. In many Indonesian hospitals, competency evaluations remain predominantly paper-based, resulting in administrative inefficiencies and limited data traceability. The implementation of the SICAKEP (Sistem Informasi dan Pencatatan Keperawatan) digital application at RSUD Welas Asih, West Java, represents an important step toward modernizing assessment processes; however, assessors’ experiences during this transition have not been fully explored.
Objective: This study aimed to explore the lived experiences of clinical nurse assessors in conducting manual and digital (SICAKEP-based) competency assessments in a provincial teaching hospital in West Java, Indonesia.
Methods: A qualitative descriptive phenomenological design grounded in a constructivist paradigm was employed. Four certified clinical nurse assessors with experience in both manual and digital assessments were recruited using purposive and snowball sampling. Data were collected through in-depth semi-structured interviews, brief observations, and document reviews between March and May 2025. Data analysis followed Colaizzi’s seven-step method, supported by reflexive journaling and member checking to enhance credibility.
Results: Five themes emerged: adaptation to new assessment roles, multidimensional implementation barriers, constraints related to time and readiness, competency assessment as a driver of professionalism and quality, and transformation from manual to digital systems. Digital assessment improved efficiency and transparency but required stronger digital literacy and infrastructure support.
Conclusion: Digital competency assessment represents a meaningful advancement in nursing governance, though sustained institutional support is essential to optimize its implementatio
Subarachnoid Block Anesthesia as a Predictor of Perioperative Hypothermia in Cesarean Deliveries: A Clinical Study
No full textBackground: Hypothermia, defined as a decrease in core body temperature below normal levels, is a common perioperative complication in patients undergoing surgical procedures, including cesarean section (CS). Subarachnoid Block (SAB) anesthesia has been identified as a contributing factor due to its thermoregulatory effects.
Objective: This study aimed to evaluate the impact of SAB regional anesthesia on the occurrence of perioperative hypothermia in patients undergoing cesarean section.
Methods: A pre-experimental study with a pretest-posttest design was conducted involving 60 cesarean section patients receiving SAB anesthesia at Al Fuadi General Hospital, Binjai. Body temperature measurements were taken before and after SAB administration. Data were analyzed using paired sample t-tests.
Results: Prior to the administration of SAB anesthesia, the majority of patients (91.7%) exhibited normal body temperature, with a mean pretest temperature of 36.8°C (±0.3172). Following SAB administration, all patients (100%) developed hypothermia, with a mean posttest body temperature of 34.9°C (±0.4873), reflecting an average temperature decrease of 1.9°C. Statistical analysis indicated a significant effect of SAB anesthesia on the incidence of perioperative hypothermia (p = 0.000, p < 0.05).
Conclusion: The administration of SAB regional anesthesia significantly increases the risk of perioperative hypothermia in cesarean section patients. Preventive strategies in clinical practice should include continuous monitoring of patient body temperature before, during, and after SAB administration to enable early detection and intervention, thereby reducing hypothermia-related complications
The Effect of the TEMAN SETIA Program Intervention on Immunosuppressant Medication Adherence in Post-Kidney Transplant Patients at RSCM Jakarta
No full textAims: Chronic Kidney Disease (CKD) poses a significant global health challenge, with an increasing number of kidney transplantations in Indonesia. The success of kidney transplants hinges on adherence to immunosuppressant medications to prevent organ rejection. Non-adherence among post-transplant patients can lead to infections, graft loss, or a return to dialysis. This study evaluated the impact of the TEMAN SETIA program on adherence to immunosuppressant medications among post-kidney transplant patients at Dr. Cipto Mangunkusumo National Referral Hospital (RSCM) in Jakarta.
Methods: A pre-post-test design with a control group was utilized. The sample included 28 post-transplant patients meeting inclusion criteria. The TEMAN SETIA program provided patient mentoring to improve adherence. Adherence was assessed before the intervention, one month after, and two weeks post-intervention using a validated questionnaire. Data were analysed using t-tests and repeated measures ANOVA.
Results: The control and intervention groups were comparable in demographic and clinical characteristics, though the intervention group had more non-working participants. The program significantly improved adherence (Cohen’s d = 1.97) and knowledge (Cohen’s d = 1.99). While family support increased in both groups, differences were not significant (Cohen’s d = 1.02). A significant group-by-time interaction (F (1.246, 26) = 7.394, p = 0.007, η² = 0.221) demonstrated greater adherence improvements over time in the intervention group.
Discussion: The findings demonstrate that the TEMAN SETIA program is an effective intervention for enhancing medication adherence and knowledge among post-transplant patients. The structured mentoring approach provided patients with the necessary support and education to improve their adherence behaviors. Although family support increased in both groups, the changes were not statistically significant, highlighting the need for further exploration of the role of familial involvement in adherence programs
Conclusion: The TEMAN SETIA program effectively enhanced medication adherence and knowledge in post-transplant patients. This structured intervention offers a promising strategy to improve outcomes and reduce risks of organ rejection
Unveiling Spousal Challenges and Expectations in Caring for Elderly Dementia Patients in Indonesia
No full textAims: Dementia is a progressive, terminal condition causing cognitive decline and dependency on caregivers, often spouses. Spousal caregivers face unique challenges, including physical, emotional, social, and financial burdens. However, limited research in Indonesia has explored the lived experiences, challenges, and expectations of spousal caregivers for elderly dementia patients.
Objective: This study aims to uncover the challenges and expectations of spousal caregivers for elderly dementia patients in Bekasi, Indonesia, to inform tailored support interventions.
Methods: Using a qualitative descriptive phenomenology approach, in-depth semi-structured interviews were conducted with 10 spousal caregivers. Participants were selected purposively, meeting inclusion criteria such as caregiving duration of over six months. Data were analyzed systematically through thematic analysis, validated via peer review and participant feedback.
Results: Two main themes emerged: (1) Optimal conditions expected of a partner, including hopes for condition improvement and miraculous recovery; and (2) Improving self and family conditions, involving desires to maintain caregiving responsibilities, avoid burdening children, and foster harmonious household relationships. Participants emphasized the importance of societal and governmental support for dementia care.
Conclusion: Spousal caregivers in Indonesia face significant challenges yet maintain optimistic expectations for their partners and families. This highlights the need for community-based monitoring systems and tailored interventions to reduce caregiver burden and improve dementia care quality