Indonesian Nursing Journal of Education and Clinic (INJEC - Association of Indonesian Nurses Education Center, AINEC)
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MEN’S HEALTH IN INDONESIA: BREAKING THE SILENCE
Full text linkIndonesia is burdened with the steadily increasing chronic diseases, and men are quietly bearing much of it. Despite this, men’s health remains an underpresented and under- addressed topic in both clinical practice and public health policy. This oversight contributes to disparities in life expectancy and lack health professional’s attention to their general health and well-being (Handayani et al., 2021; Mboi et al., 2022). A notable example is the underreported of cases of erectile dysfunction (ED)—a condition that is widely regarded as a significant marker of underlying cardiovascular disease (Hackett, G., 2018; Rakovac Tisdall et al., 2018). Despite its clinical significance, ED is often overlooked due to cultural taboos, limited provider training, overcrowding patients, and the absence of structured indications in the available guidelines (Hadisuyatmana et al., 2025).Our recent qualitative research sheds light on this silent burden. Interviews with men diagnosed with T2DM in several regions of Indonesia revealed a strong desire for support, yet an equally strong fear of judgment or dismissal (Hadisuyatmana et al., 2021).“I won’t go to a Puskesmas if I can avoid it. It’s always full of people and there is a very long queue.”“The Puskesmas was always busy, there will not be sufficient time for us to consult with the doctor.”This silence is echoed in the voices of healthcare professionals working at the frontlines in Puskesmas (Indonesia’s public health centers), who often feel ill-equipped to manage such issues despite their clinical relevance (Hadisuyatmana et al., 2025).“Personally, no patient has ever come to me for erectile dysfunction, and we’ve never asked them about it either,” – A nurse.“Based on my personal experience, they never asked us about ED,” – A doctor.This dual discomfort among patients and providers represents a critical gap in Indonesia’s primary healthcare system. Sexual health is not a luxury; it is a vital aspect of holistic care. ED, in particular, is not only a quality-of-life concern but often an early warning sign of cardiovascular complications. Unfortunately, sexual health is not currently covered under Indonesia’s national health insurance scheme (BPJS), leaving men with limited options and structured support for seeking care.“We told him to get his blood pressure as normal as possible and make his lifestyle healthier to prevent his ED from getting worse,” – A nurse (Hadisuyatmana et al., 2025).Fortunately, the Indonesian Ministry of Health has recently acknowledged the consequences of longstanding neglect of men’s health, including men’s poor quality of health and shorter average life expectancy compared with women (Yang J., 2021). This disparity is not purely biological; it reflects systemic neglect, and potentially causing Indonesia to fail to upholding its commitment to health equity as articulated in Sustainable Development Goal (SDG) No. 3: “Ensure healthy lives and promote well-being for all at all ages.”The Ministry’s recent recognition of this issue can be seen as a positive sign—marking a future direction for research, policy development, and service improvement to ensure health for all citizens and a better Indonesia. The attention can be interpreted as an opportunity, indicating a pathway forward for innovation in health services and greater equity in care.However, this moment must also be viewed through a sceptical lens. As researchers, we bear the responsibility to ensure that such acknowledgements do not become rhetorical statements. Pioneering research and development must begin now, grounded in action, evidence, and accountability.Policy and system-level reforms are urgently needed, including: Integration of men’s sexual health into chronic disease management guidelines,particularly within the Ministry of Health’s T2DM protocols.Structured training for primary care providers to discuss men’s health and sexual dysfunction with sensitivity and clinical confidence.Public health campaigns that reduce stigma and encourage men to seek help early before complications arise.Inclusion of men’s health in national health indicators, ensuring equitable planning and resource allocation.Without deliberate attention to men’s unique health needs, we risk delivering incomplete care and worsening gender-based health inequities. Silence is not neutral—it is harmful. These emerging concerns drive the need to build a responsive, inclusive, and empathetic health system. Now is the time to break the silence on men’s health in Indonesia
THE EFFECTIVENESS OF BENSON RELAXATION TECHNIQUE AND SLOW DEEP BREATHING ON SLEEP QUALITY IN POST-CARDIAC SURGERY PATIENTS
Full text linkIntroduction: Patients recovering from cardiac surgery often experience pain, anxiety, and sleep disturbances. The Benson Relaxation Technique, a muscle relaxation method that influences the hypothalamus and reduces sympathetic and parasympathetic activity, has shown positive effects on respiratory function, heart rate, and cardiac workload, ultimately promoting better sleep quality.The purpose of this study was to assess the effectiveness of the Benson Relaxation Technique combined with slow deep breathing exercises in improving sleep quality among patients following cardiac surgery.Methods: This quasi-experimental study involved 50 post-cardiac surgery patients, divided into two groups: 25 in the intervention group and 25 in the control group. The intervention group practiced the Benson Relaxation Technique combined with slow deep breathing exercises, performed three times. Sleep quality was assessed using the GSQS (Groningen Sleep Quality Scale) questionnaire. Data were analyzed using an independent t-test with SPSS software.Results: Statistical analysis showed a significant improvement in sleep quality in the intervention group, with a p-value of 0.001. The independent t-test yielded a p-value of 0.002 and a mean difference of 0.960 between the intervention and control groups, indicating a meaningful effect of the relaxation technique on sleep quality.Conclusion: The Benson Relaxation Technique combined with slow deep breathing is effective in improving sleep quality among post-cardiac surgery patients. This non-pharmacological intervention can be recommended as a supportive therapy during recovery to enhance patient well-being and accelerate healing
Effectiveness of Virtual Care Reality 360o on Suction and Oxygen Administration Skills with Precaution Standards for Nursing Students
Full text linkBackground: Current learning methods continue to develop, nursing students need effective learning methods to improve students' abilities and skills in achieving competencies, one of which is fulfilling human needs: oxygenation. Virtual care reality in 3600 video can be a real and concrete alternative learning method solution for students.Method: This research aims to determine the effect of virtual care reality in 3600 videos on skills in fulfilling basic human needs: oxygenation in nursing students. The research used a quasi experimental pre-post test design using a control group. The intervention group was given treatment in the form of Virtual Care Reality in video 3600 (VCR 3600) for 15 minutes at least three times in each video. VCR 3600 contains material about fulfilling basic human needs for oxygenation including suction, use of nasal cannulas, masks (Non-Rebreathing Mask/NRM and Rebreathing Mask/RM). Post-test measurements were carried out two weeks after the VCR 3600 intervention was carried out for the internalization phase first. The benefit of this research is that it is hoped that the VCR 3600 will be able to improve skills in fulfilling basic human needs: oxygenation in nursing studentsResults: The results of this study show that respondents are aged 18 - 20 years, with a median value of 19 years. The gender of the respondents was mostly female, the majority of respondents had never studied suction, the majority of respondents had never had experience studying material about administering oxygen therapy. The mean skills of suctioning and oxygen administration of respondents after the intervention in the intervention and control groups both increased. The results of further analysis showed that there was no significant difference in skills after the intervention between the intervention group and the control group (p value < 0.05).Conclusion: The results of the study showed that there was an increase in the skills of respondents after the intervention regarding suction and administering oxygen with standard precautions. Although there is no statistical effect of the VCR 3600 method on suctioning and oxygenation skills, the use of this method has the opportunity to increase students' knowledge and be used as a variation of practical learning methods
A Survey Of Post Immunization Affairs (AEFI) Of Astrazeneca Vaccine In The Community In The Work Area of Sedayu II Puskesmas, Bantul, Yogyakarta
No full textIntroduction: Coronavirus Disease 2019 (COVID-19) was announced by WHO as a pandemic. To prevent COVID-19, the government is seeking to provide a COVID-19 vaccine. Using vaccines is relatively safe but cannot be separated from the side effects of the vaccine, which are called AEFIs. AEFIs have symptoms such as pain, redness, swelling at the injection site, nausea and vomiting, fatigue, influenza, fever, muscle and joint pain, headache and serious allergic reactions.Method: This research is a type of descriptive analytic research with a survey approach. The samples of the research 95 people with method is purposive sampling. The instrument used in this study is the COVID-19 vaccine AEFI questionnaire, with the analysis used is univariate analysis.Results: The AEFIs that emerged after the AstraZeneca vaccine was administered to the community in the Public Health Center Sedayu II Bantul were mild local AEFIs with swelling, pain, redness and itching at the injection site. Systemic mild AEFI with symptoms of fever, headache, joint pain, arm muscle weakness and fatigue. Severe AEFI showed symptoms of arm muscle paralysis and severe allergic reactions. Other AEFIs with symptoms of insomnia and sleepiness.Conclusions: There was an AEFI after the AstraZeneca vaccination was carried out in the community in the Public Health Center Sedayu II Bantul. Health workers/nurses are expected to increase their knowledge and increase the attention of health workers/nurses to develop appropriate intervention strategies and participate in vaccination training to deal with AEFIs that occur in the community
Bed Side Teaching and Case Study on Knowledge and Skill about Triage among Nursing Studentsin Emergency Unit: A Comparative Study
No full textIntroduction: Clinical learning experiences in the emergency unit is needed to improve the knowledge and skill of nursing students. Bedside teaching and case study were suitable methods, however, there were inconsistent findings from previous studies. The study aimed to compare the effectiveness of the bed site teaching and case study on the knowledge and skills of nursing students in the emergency unit.Method: This study was a quasi-experimental design with two groups pretest and a posttest involving 80 respondents with 40 respondents in each group based on inclusion criteria in emergency units. The respondents were random sampling assigned into groups and received bedside teaching and case study methods per group. The knowledge about triage and clinical performances checklist were used as instruments. Data were analyzed using a descriptive statistic, Mann Whitney Test, and the Wilcoxon rank test by SPSS. Results: The findings found that there was a statistically significant difference in knowledge about triage and skill from baseline to Week 4 in the BST group and the Case study group (p< .001 and p< .001, respectively). Additionally, the study found a statistically significant difference in knowledge about triage and skill between groups at Week 4 (p< .001 and p< .001, respectively).Conclusion: The finding can utilize as one of the best learning methods in nursing practice to enhance student's knowledge and clinical performances in the hospital. It is needed to study in different units in a clinical setting for future study.
The effect of aerobic virtual‐reality‐based exercise on restless legs syndrome, sleep quality, and quality of life among patients undergoing hemodialysis
Full text linkBackground: Virtual reality (VR) therapy for hemodialysis (HD) patients can improve physical function, maintain patient compliance, and have a positive effect on functional capacity, strength, and health-related quality of life. Nevertheless, the utilization of this treatment for HD patients remains restricted, particularly in the context of Indonesia where its development has yet to be established.Objectives: the primary objective of this research attempt was to determine the effect of aerobic exercise using virtual reality technology on restless legs syndrome, sleep quality, and quality of life in patients undergoing hemodialysis therapy. Methods: The present study employs a quasi-experimental design with a two-group pretest-posttest design. The inclusion criteria for this study include of patients with HD who are over the age of 20, have been undergoing hemodialysis for a minimum of 6 months, exhibit cooperative behavior and compositional awareness, and express a willingness to participate as respondents. The KDQOL-SF, IRLSG Scale, and PSQI were used to measure study outcome.Results: There were 95 people that could have participated, but only 75 ended up doing so due to exclusions and dropouts. The intervention significantly decreased RLS score and improved sleep quality, but quality of life did not increase significantly. In the control group, RLS score did not decrease significantly, sleep quality did not improve, and quality of life did not increase significantly.Conclusion: Intradialytic aerobic exercise supported with virtual reality may have additional effects in RLS, sleep quality, and quality of life. Further research is needed to assess the effect of VR-based intervention, both alone and when combined with other therapies
TERBAIC (Team-Based Learning And Hypnocaring) As A Strategy To Enhance Self-Efficacy In Facing The Indonesian Nursing Competency Exam
Full text linkIntroduction: Nursing Law states that nursing students must undergo the National Competency Exam at the end of their education process. Competency testing is a process to assess knowledge, skills, and attitudes in accordance with professional standards. Strategies are needed to help students pass the competency exam. This study aims to determine whether TERBAIC is effective in improving students' self-efficacy.Method: This research is a quasi-experimental study with a post-test only nonequivalent control group design. The population consists of final-year nursing students, and the sample size in this study is 32 for the intervention group and 25 for the control group. Statistical tests used are the Wilcoxon test and Mann-Whitney test.Results: The study results indicate differences in self-efficacy before and after receiving TBL (p-value 0.00), differences in self-efficacy before and after receiving TERBAIC (p-value 0.00), and no significant difference in students' self-efficacy in facing the Indonesian National Competency Exam after receiving TBL and TERBAIC (p-value 0.887).Conclusion: TERBAIC is proven effective in enhancing self-efficacy in facing the Indonesian National Competency Exam
Analysis of the Intensity of Access to Pornography on Social Media and Teenagers' Social Interactions with Peers
Full text linkThe adolescent is someone aged 10-18 years. Adolescents have characteristics, and one of the characteristics that arises in adolescents is the emergence of fantasies about sexual activity (pornography) so at this time adolescents begin to access pornography, previous research stated that as many as 82.2% of adolescents are often exposed to pornography via electronics. Adolescents who have reached addiction to pornography will have one of the signs, namely difficulties in social interaction. To determine the relationship between the intensity of access to pornography on social media and the social interaction of adolescents with peers at SMA Z Jakarta in 2023. Methods: Research with a quantitative approach to the cross-sectional design. The research sample is Z Jakarta High School students for the 2022/2023 academic year as many as 98 teenagers. The sampling technique is simple random sampling. Retrieval of individual characteristic questionnaire data (personality type questionnaire, interaction questionnaire with parents), pornography access intensity questionnaire, and social interaction of adolescents with peers that are valid and reliable. Data analysis using chi-squares test. Results: The results showed that 75.5% of respondents had low-intensity access to pornography on social media, and 54.1% of respondents had high interaction with peers. Data analysis using the chi-square test found that there was a relationship between the two variables with ρ-Value = 0.010. The level of access to pornography will affect the good or bad of someone's interaction. Conclusion: The results of the study suggest that adolescents can demonstrate wise behavior in using social media in order to avoid negative behavior, and to be able to increase positive behavior in socializing or interacting with peers
READINESS FOR INTERPROFESSIONAL EDUCATION AND COLLABORATION AMONG NURSING STUDENTS
Full text linkIntroduction: Effective healthcare delivery requires complex collaboration among all professionals involved, including nurses. Patient care in clinical settings relies heavily on teamwork between health workers across disciplines. One strategy to strengthen such collaboration is Interprofessional Education and Collaboration (IPE-C), which prepares students to work effectively in interprofessional teams. Assessing students’ readiness for IPE-C is essential for integrating it into health education programs. This study aimed to assess nursing students’ readiness to engage in IPE-C during their educational experience.Methods: This mixed-method study involved 659 nursing students from levels I to IV of the undergraduate nursing program and the professional nursing program at ITEKES Bali. Data were collected between June and August 2023 using a modified version of the Readiness for Interprofessional Learning Scale (RIPLS). Quantitative data were analyzed using the Kruskal-Wallis test to compare readiness levels across groups. Qualitative data were analyzed thematically.Results: Quantitative findings showed that students in Levels I and II had the highest overall competency scores (mean score = 4). There were statistically significant differences among the five student groups regarding competencies related to negative professional identity, positive professional identity, and roles and responsibilities (p 0.05). Qualitative analysis identified three major themes: (1) uncertainty about the role and responsibilities of the nursing profession, (2) fear of making mistakes, and (3) eagerness to experience IPE-C in future clinical practice.Conclusion: Nursing students demonstrate readiness to engage in IPE-C during their academic training, though variations exist in specific competencies. To support this readiness, nursing curricula should incorporate interprofessional education as a dedicated subject, offering both theoretical and practical exposure at the academic level
FACTORS ASSOCIATED WITH KNOWLEDGE, ATTITUDES, AND PRACTICES OF EVIDENCE-BASED PRACTICE (EBP) AMONG UNDERGRADUATE NURSING STUDENTS
Full text linkIntroduction: Applying evidence-based practice (EBP) is a key competency in delivering high-quality nursing care. Understanding the factors that influence EBP among nursing students is essential for enhancing their readiness to apply EBP in clinical settings. This study aimed to identify factors associated with the knowledge, attitudes, and practices of EBP among undergraduate nursing students.Methods: A cross-sectional survey was conducted with 90 undergraduate nursing students at the School of Nursing, Health Polytechnic of Surakarta, Ministry of Health, Indonesia. Data were collected using demographic questionnaires and the Student Evidence-Based Practice Questionnaire (S-EBPQ) via Google Forms. Statistical analyses included Pearson's test, t-test, and ANOVA for normally distributed data, and Spearman rank, Wilcoxon, and Kruskal–Wallis tests for non-normally distributed data. Data normality was assessed using the Kolmogorov–Smirnov test.Results: The overall mean S-EBPQ score was 4.98 ± 1.3. Subscale scores were as follows: acquiring and reviewing evidence (4.82 ± 1.1), sharing and applying evidence (5.1 ± 1.2), attitude towards EBP (5.1 ± 1.6), and EBP practice (4.99 ± 1.2). Factors significantly associated with students' EBP knowledge, attitudes, and practices included knowledge of how to access databases, frequency of EBP-related reading, and understanding of nursing research (p < 0.05).Conclusion: Undergraduate nursing students’ engagement with EBP is significantly influenced by their ability to access databases, their frequency of reading EBP materials, and their understanding of nursing research. Educational strategies that strengthen these areas may enhance EBP competence in nursing education