Jurnal Keperawatan Padjadjaran
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The relationship between the current knowledge’s satisfaction of disaster preparedness and the practice of family emergency planning
No full textBackground: Since the 2020 version, the content of family emergency planning (FEP) has been included in the Indonesian Maternal and Child Health (MCH) handbook. However, there is still limited information on whether pregnant women, especially those who are living in disaster-prone areas like Yogyakarta Province, practice it in their day-to-day lives.
Purpose: to analyse the relationship between the current knowledge’s satisfaction of disaster preparedness and the practice of FEP among pregnant women based on the MCH handbook.
Methods: A quantitative descriptive survey with a cross-sectional design was applied in this study. Data collection was conducted between March and September 2024 using three questionnaires, which included demographic data, current knowledge’s satisfaction with disaster preparedness, and practice of FEP. The samples were 277 pregnant women. Data were analysed with a chi-square test and Cramer’s V test
Results: Most of respondents reported of having quite satisfied (43.32%) with their current knowledge of disaster preparedness. As many as 135 respondents (48.73%) reported practicing FEP, but only 35.56% of them completed the practice. There is a significant relationship between the satisfaction of current knowledge about disaster preparedness with the practice of FEP, but the association is weak (p=0.04, Cramer’s V=0.04).
Conclusions: The current knowledge’s satisfaction with disaster preparedness and the practice of FEP has a significant relationship, but the association is weak. Policymakers need to develop disaster preparedness and FEP strategies based on the findings in the field and the identification of barriers. Health care professionals should improve pregnant women’s FEP and ensure that they practice it in their daily lives through various activities such mobile reminders, group education, and integration into digital platforms.
Posterior communicating artery aneurysm presenting as isolated oculomotor palsy: The role of rapid identification, intervention, and multidisciplinary care - A case study
No full textBackground: Posterior communicating artery (PCOM) aneurysms are the prevalent type of aneurysm with high rupture risks. Isolated oculomotor nerve (CN III) palsy is a key symptom warranting heightened awareness in primary care. Given the need for advanced imaging, early referral is paramount. This study highlights the significance of prompt identification, targeted intervention, and comprehensive management in optimizing patient outcomes.
Case: A 58-year-old woman presented with isolated CN III palsy. The patient underwent rapid referral to tertiary care with magnetic resonance angiography (MRA) and digital subtraction angiography (DSA), revealing an aneurysm in the PCOM. Subsequently, coiling was performed to achieve complete occlusion. The procedure resulted in significant neurological recovery, with restoration of CN III function. Post-coiling, the patient receives close nurse monitoring, incorporating fall management and comprehensive education before discharge. CN III palsy is one of the unique-noticeable presentations of PCOM aneurysms, though symptoms may include facial pain, occasional headaches, and migraines. Coiling was chosen due to its less invasiveness and was recommended for posterior circulation aneurysms. Blood pressure control is essential to prevent aneurysm formation, rupture, and recurrence. Regular imaging follow-ups were needed to ensure long-term outcomes.
Conclusion: PCOM aneurysm care involves a multidisciplinary approach. Rapid identification, early referral, immediate occlusion, and comprehensive rehabilitative programs were mandatory to improve patient outcomes
Effectiveness of create sensitivity model on glycemic control and quality of life among patients with type 2 diabetes
No full textBackground: Type 2 diabetes significantly affects patients' quality of life (QOL). The "Create Sensitivity" model, integrating cognitive restructuring, patient discharge planning, self-care, and hope cultivation, offers a holistic approach to address these patients' psychological and emotional challenges.
Purpose: This quasi-experimental study aimed to evaluate the effectiveness of the "Create Sensitivity" treatment model in improving glycemic control and quality of life in patients with type 2 diabetes compared to standard care.
Methods: Seventy adults with type 2 diabetes were randomly assigned to either the "Create Sensitivity" intervention group (n=35) or a standard care control group (n=35). The intervention consisted of 12 weekly 2-hour group sessions. HbA1c levels, mean blood glucose, and QOL scores were measured at baseline and 12 weeks post-intervention. Data were analyzed using ANOVA with a significance level of p<0.05.
Results: The "Create Sensitivity" intervention group showed significant improvements in HbA1c levels (8.7% to 5.88% vs. 8.03% to 7.71%, p<0.001), mean blood glucose levels (203.25 mg/dL to 122.12 mg/dL vs. 184.05 mg/dL to 175.02 mg/dL, p<0.001), and quality of life scores (31.63 to 58.54 vs. 37.14 to 39.8, p<0.001) compared to the control group receiving standard care, with large effect sizes for all outcomes.
Conclusions: The "Create Sensitivity" program effectively improved glycemic control and QOL in patients with type 2 diabetes. Integrating psychological and behavioural strategies into diabetes management may enhance patient outcomes. Further research is needed to assess long-term impacts and broader applicability
Self-efficacy, drug side effects, and nurse communication: Factors related in chemotherapy adherence for breast cancer patients
No full textBackground: Chemotherapy is a crucial therapy for breast cancer patients, and its success heavily depends on patient compliance. However, despite extensive in the impact of Non-compliance, there is still limited understanding of the specific factors influencing chemotherapy adherence among breast cancer patients, highlighting the need to re identify these contributing factors.
Purpose: This study aims to identify the determinant factors related to chemotherapy adherence among breast cancer patients at the West Sumatera Provincial Hospital.
Methods: This study is a quantitative research with a cross-sectional design. An accidental sampling technique was used, with a total of 81 patients. Bivariate analysis was conducted using the chi-square test (p < 0.05), and multivariate analysis was performed using Multiple Logistic Regression.
Results: The results showed that 61.7% of patients had good compliance. Factors associated with compliance included good self-efficacy, low knowledge, feeling bothered by the side effects of chemotherapy drugs, and effective nurse interpersonal communication. Multivariate analysis revealed that self-efficacy and drug side effects had a significant relationship with compliance (p < 0.05). Drug side effects were the most significant factor (OR = 12.223, 95% CI: 1.371 to 109.015, p < 0.05).
Conclusion: The findings of this study highlight the importance of managing drug side effects and enhancing self-efficacy through patient education and improved nurse interpersonal communication. These measures are expected to improve the quality of nursing care and patient outcomes
Direct and indirect effects of stress, health literacy, social media use, and self-efficacy on diabetes prevention behaviors in youth: A path analysis
No full textValidating a mobile application for anemia prevention: Insights from expert feedback on AneMia_Prev®
No full textBackground: Anemia remains a critical public health issue among adolescents, particularly in developing countries such as Indonesia. Poor nutritional knowledge and limited awareness of anemia-related symptoms, etiology, and prevention exacerbate this condition. Mobile health (mHealth) technologies have the potential to address these gaps through accessible, engaging, and scalable education tools. This study aimed to validate the content of AneMia_Prev®, a mobile application designed as an educational tool to enhance adolescent knowledge on the prevention of anemia.
Methods: A Delphi technique was employed involving two rounds of expert panel review. Twelve experts with clinical and academic backgrounds in nursing and public health evaluated the content of AneMia_Prev® based on relevance, clarity, layout, illustrations, language, and motivational features. The Content Validity Index (CVI) and modified kappa statistics were used to assess inter-rater agreement and content adequacy. Data were collected through an online survey using a 17-item validated questionnaire.
Results: In the first round, all 17 items achieved excellent content validity with I-CVI values ranging from 0.87 to 1.00 and kappa values above 0.87. Following minor expert recommendations, a revised version of the application was re-evaluated, resulting in unanimous ratings of excellence (I-CVI = 1.00; kappa > 0.92 for all items). Experts emphasized the application’s innovation, relevance, and potential to promote anemia awareness among adolescents.
Conclusion: AneMia_Prev® demonstrated excellent content validity and is considered suitable for educational interventions targeting anemia prevention among adolescents. Future research is recommended to assess semantic validation, cognitive impact, and learning outcomes among adolescent users to further refine the tool and evaluate its effectiveness in real-world settings
Cross-Culture Adaptation and Validation of Indonesian version of CRAFFT Substance Abuse Screening Test among adolescents
No full textBackground: Substance abuse among adolescent in Indonesia remains public health problem. The CRFFT is the most widely utilized high-risk drug screening tool. Its use in different countries and contexts shows its enormous potential. Although the CRAFFT has been utilized on occasion by professionals and researchers in Indonesia, no psychometric tests have been conducted to ensure that it works reliably in our country.
Objectives: This study aimed to examine the psychometric performance of the CRAFFT screening tool among Indonesian adolescents.
Methods: Eighty adolescents aged 15–18 years, recruited from a drug rehabilitation facility in West Java, Indonesia, participated in the research. The CRAFFT instrument underwent a four-step translation and adaptation process. Content validity was assessed using Aiken’s V index. The factorial structure of the instrument was explored through exploratory factor analysis (EFA) and subsequently verified with confirmatory factor analysis (CFA). Internal consistency reliability was evaluated using the Kuder–Richardson 20 (KR-20) coefficient.
Results: CRAFTT CVI was 0.80–1.00 with the factor loadings for each of the three scales in the CRAFTT was 0.65–0.88. The results of the confirmatory factor analysis (CFA) for CRAFFT were as follows: I2 = 64.11, p-value = 0.121, and df = 78. Pearson correlation coefficients for the six different subscales ranged from 0.450 to 0.637. KR-20 coefficient of CRAFFT was 0.767. Corrected Homogeneity Index (CHI) ranged from 0.314 to 0.580.
Conclusion: The results of this study demonstrate that the CRAFFT instrument can serve as a practical and effective tool for identifying substance use issues among adolescents in Indonesia. Further investigations are recommended to examine its sensitivity and specificity in order to establish stronger evidence for the validity of the CRAFFT within this population
Challenges in clinical training for professional nurse students: A qualitative study
No full textIntroduction: Clinical training is a cornerstone of nursing education, equipping students with the practical competencies required for professional practice. However, professional nursing students often face significant obstacles, including limited supervision, communication barriers, emotional strain, and resource constraints that hinder their clinical learning. Despite these concerns, few studies in Indonesia have systematically explored these challenges, creating a gap in understanding the specific contextual factors shaping clinical training experiences. Objective: This study aimed to explore the challenges experienced by professional nursing students during clinical training in Indonesia. Methods: A qualitative descriptive study was conducted using semi-structured interviews with 25 professional nursing students from accredited nursing programs in Indonesia. Data collection occurred between March and June 2025 to provide temporal context. Participants were purposively sampled to ensure diverse experiences. Thematic analysis followed Braun and Clarke’s six-step framework, and NVivo software supported data management. Trustworthiness was ensured through credibility, dependability, confirmability, and transferability strategies. Results: Analysis revealed five central themes: (1) Inadequate clinical supervision, characterized by limited instructor availability and insufficient feedback; (2) Communication barriers, including hierarchical dynamics, medical jargon, and language differences; (3) Emotional and psychological strain, stemming from high workloads and performance anxiety; (4) Resource constraints, such as limited access to modern tools and simulation facilities; and (5) Interpersonal challenges, involving peer competition and difficulties in collaborative learning. These issues were further influenced by Indonesia’s cultural and institutional context.
Conclusion: Overcoming these barriers requires a holistic strategy encompassing improved student-to-instructor ratios, enhanced communication training, stress management initiatives, investment in educational resources, and fostering positive peer relationships. Institutional dedication to these interventions is critical to advancing clinical training outcomes and cultivating competent nursing professionals
“Hope amidst uncertainty”- parents’ experiences during their children stayed in pediatric intensive care unit with respiratory failure: A qualitative phenomenology study
No full textBackground: The hope of parents was vital, especially in the context of children’s high risk of mortality due to respiratory failure.
Purpose: To discover how parents hoped with children who had respiratory failure in pediatric intensive care unit of a general hospital located in northeastern, Thailand.
Method: This qualitative research method was based on Heideggerian hermeneutic phenomenology. Participants were purposively chosen. A semi-structured interview guide was used to keep focus during the interviews. The 12 participants were recruited by the principle of data saturation. Lifeworld’s approach of van Manen concept used for data analysis. Lincoln and Guba’s criteria were used in approaching trustworthiness.
Results: This study found 8 main themes: Lived body: 1) Blaming my lateness, hopefully recovery. 2) Comforting myself, come to terms with the truth (Tum jai). Lived space: 3) Floating in the dark, death was imminent, hopefully hospital discharge. Lived Time: 4) Waiting was torturous, every second counts. Lived relation: 5) Requiring humanized care. 6) Hoping holy things help my child heal. Lived things: 7) Enduring excruciating pain with life-saving devices. 8) Keeping a phone close at hand but not wanting to hear its call.
Conclusion: Parents depended on hope as the way to cope with uncertainty and the possibility of death. Nurses should support parents in coping with guilt, uncertainty, and despair by fostering holistic approaches, humanized care, enhanced communication, effective pain management and promoting family centered care.
The application of nursing diagnoses in Intensive Care Units: A scoping review of clinical indicators and patient outcomes
No full textIntroduction: Nursing diagnoses are essential in Intensive Care Units (ICUs) for guiding decisions, prioritizing care, and improving outcomes. However, inconsistent terminology and documentation burdens hinder their effective implementation and evaluation. The aimed of this study was to examine the application of nursing diagnoses in ICUs, exploring their relationships with clinical indicators, patient outcomes, and the impact of standardized diagnostic frameworks on nursing practice.
Methods: This scoping review followed PRISMA-ScR guidelines We searched PubMed, CINAHL, Scopus, and Web of Science from 2019 to 2024. Studies examining nursing diagnoses in ICU settings were included. The reviewers independently screened 527 records, with nineteen full-text articles assessed for eligibility, resulting in thirteen included studies.
Results: Thirteen studies with diverse methodologies from multiple countries were analyzed. Four key themes emerged: 1) Clinical indicators linked to specific nursing diagnoses, particularly respiratory conditions where impaired spontaneous ventilation was associated with dyspnea, fever, fatigue, and cough; 2) Implementation processes for nursing diagnoses, including electronic health records and nurse-delivered thoracic ultrasound that enhanced clinical decision-making; 3) Diagnostic validation and prevalence studies highlighting the importance of standardized frameworks for accurate diagnosis; and 4) Interventions that improved nursing practice and patient outcomes, including the institutionalization of nursing processes and development of electronic care plans.
Conclusion: Standardized nursing diagnoses optimize ICU patient care by providing a structured approach to assessment, intervention planning, and outcome evaluation. Technology integration and consistent terminology enhance diagnostic accuracy and intervention effectiveness. Future research should focus on validating these frameworks across diverse ICU settings and patient populations to establish best practices for implementation