Jurnal Keperawatan Padjadjaran
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Caring behavior and its impact on patient safety activities: Investigating the role of safety competency
No full textBackground: Patient safety is a critical component of healthcare. Caring behavior among nurses is hypothesized to enhance patient safety activities. However, the relationship between caring behavior and patient safety activities, particularly the moderating role of patient safety competency, remains underexplored.
Purpose: This study aims to examine the influence of caring behavior on patient safety activities, while assessing the moderating role of patient safety competency.
Methods: This study employed Structural Equation Modeling (SEM) to analyze the relationship between caring behavior and patient safety activities. A total of 154 nurses from a private hospital in Tangerang participated. The caring behavior inventory (CBI) was used to assess the nurses' caring behaviors across four subscales: respectful communication, ensuring human presence, communication with a positive disposition, and professional knowledge and skills. The safety nursing activities scale evaluated comprehensive patient safety activities across eight subcategories, such as communication, operations, and risk management. The Patient Safety in Nursing Education Questionnaire (PaSNEQ) was employed to assess patient safety competency, comprising three subdomains: basic patient safety competency, clinical analysis and action effectiveness, and error prevention strategies and additional training.
Results: The analysis showed that caring behaviour significantly influenced patient safety activities (T-value = 7.70, p < 0.05). Patient safety competency did not significantly moderate this relationship (T-value = 1.21).
Conclusions: Caring behavior significantly improves patient safety, although increased patient safety competency does not show significant moderation effects. Future research should explore alternative moderators and emphasize interventions that foster caring behaviour to strengthen patient safety outcomes
Comprehensive approaches to suicide prevention in undergraduate students: A scoping review of psychological, social, and institutional strategies
No full textBackground: Diabetic foot ulcers (DFUs) remain a significant clinicalchallenge, requiring precise classification systems to aid prognosis and treatment planning. The Wagner classification is widely used but offers limited detail on specific wound characteristics, while the SHID (Suriadi, Haryanto, Imran, Defa) system provides a more comprehensive evaluation but lacks validation.
Purpose: This study was designed to evaluate and compare the predictive validity of the Wagner and SHID classification systems in forecasting DFU healing outcomes.
Methods: A prospective cohort study was conducted at Kitamura Clinic and Doctor Soedarso Pontianak Hospital between August 2021 and July 2022, involving 89 DFU patients. Both systems were evaluated based on sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV), and likelihood ratios. Predictive validity was determined using receiver operating characteristic (ROC) curve analysis and the Youden index.
Results: A cut-off grade of >2 provided optimal predictive value for both systems. The SHID classification demonstrated a sensitivity of 92%, specificity of 62%, PPV of 27.5%, and NPV of 98%, while the Wagner classification showed a sensitivity of 58%, specificity of 77%, PPV of 28%, and NPV of 92.2%. Positive likelihood ratios were 2.4 for SHID and 2.5 for Wagner. ROC analysis yielded an area under the curve (AUC) of 0.786 (95% CI: 0.69–0.87) for SHID and 0.703 (95% CI: 0.60–0.80) for Wagner. The Youden index was higher for SHID (0.540) compared to Wagner (0.349). Conclusion: Although both systems are effective for predicting DFU healing within 12 weeks, SHID’s superior AUC and Youden index suggest greater clinical utility in screening and managing DFUs.
Keywords: diabetic foot ulcer; sensitivity, specificity, wound classification, wound healing predictio
Strategies to enhance the integration of health services, education, research and community engagement within the Nursing Center Model
No full textThe Nursing Center (NC) Model is an innovative approach that integrates community engagement, education, research, and community health care services. We have identified a conceptual framework for a client-centered, service-learning-oriented nursing curriculum that revitalizes community health nursing and improves services through integrated practice and research. The six stages of integration approaches include preparation, orientation, working, pre-termination, termination, and adoption. Implementing these strategies can enhance the quality of nursing services, nursing graduates, and the health of people in the community. To improve outcomes for all stakeholders involved, the Academic Health System (AHS) may also incorporate the NC model within the system
Advancing emergency care: A 20-year bibliometric analysis of prehospital airway suction research
No full textBackground: Prehospital airway suction is a critical intervention for maintaining airway patency in emergencies, especially in trauma, cardiac arrest, or airway obstruction. Despite its clinical significance, research on its effectiveness, device innovation, and procedural outcomes remains underrepresented compared to other airway management practices.
Purpose: This study systematically maps the scientific landscape, research trends, and thematic structures of prehospital airway suction, identifying clusters, gaps, and future directions.
Methods: A bibliometric analysis was conducted using Publish or Perish to retrieve articles from Scopus and PubMed (2005–2025) with the keyword “prehospital airway suction.” Data were analysed using VOSviewer for co-occurrence of terms in titles and abstracts, producing network, overlay, and density visualisations.
Results: From 90 relevant publications, 71 (78.89%) directly addressed prehospital airway suction. Five thematic clusters emerged: (1) airway devices and preparation, (2) healthcare providers and prehospital procedures, (3) suction effectiveness and safety, (4) advanced techniques such as Suction-Assisted Laryngoscopy and Airway Decontamination (SALAD), and (5) clinical outcomes and evaluations. Overlay visualisation revealed a recent research shift (2020–2025) toward portable device innovation, advanced suction methods, and simulation-based training. The most cited work was Prekker et al. (2014), cited 79 times.
Conclusion: This first bibliometric study on prehospital airway suction highlights priorities in procedural standardisation, portable and efficient device development, effective suction techniques, and enhanced simulation-based training. The findings offer a reference for future research targeting specific populations, extreme emergencies, and the integration of emerging technologies
Technology and mental healthcare: Benefits and challenges for future directions in mental health nursing
No full textIn mental healthcare, significant advances have been made in technologies that assess, diagnose, treat, monitor, promote, and enhance mental health and well-being. These innovations offer flexible, personalized support, lower access barriers, and provide valuable insights into individual and population mental health. Technology has significantly transformed the delivery of psychiatric nursing services, making them more accessible, efficient, and personalized. Nurses should know that individuals with mental health issues may not have access to these technologies. They should have the choice to use these solutions, which should complement—not replace—existing services and not divert resources from other essential care. Significant challenges include data privacy, leaks, and misuse. Regulatory issues arise from a lack of clear, specific rules to safeguard data and promote ethical use of technology. It is also important to create suitable regulatory frameworks for users, professionals, and developers, and involve potential users, families, and caregivers in development and regulation
The self–directed learning readiness and self–efficacy of nursing students in synchronous learning: A cross–sectional study
No full textBackground: Beyond the pandemic, synchronous online learning was found to be a reliable approach in undergraduate nursing education. The students' self-directed learning readiness and online self-efficacy are key to the successful implementation of this approach. Readiness determines the learner’s needs based on contextual education, while efficacy refers to the students' confidence when completing online learning tasks.
Purpose: The current study aims to investigate the relationship between self-directed learning readiness and self-efficacy among undergraduate nursing students.
Methods: A descriptive correlational study was carried out to measure the undergraduate nursing students’ readiness and efficacy using the Self-Directed Learning Readiness (SDLR) Scale and the Online Learning Self-Efficacy Scale. Upon completing data collection using a web-based survey, univariate descriptive and bivariate analysis with Pearson correlation were conducted.
Results: A total of 188 undergraduate nursing students participated in this study with an average age of 20.12 years old. The majority of nursing students (72.9%) within the program had a moderate SDLR level, while the mean (SD) SDLR was 149.95 (±12.24). Similarly, moderate self-efficacy was reported by the present study participants. The self-efficacy subscale of strength was categorized as high, while moderate levels of generality and magnitude were interpreted from the findings. The bivariate statistical analysis indicated a significant correlation between SDLRS and online self-efficacy (r=0.298, p<0.001). SDLR had significant correlations with each online self-efficacy subscale, including strength (r=0.259, p<0.001), generality (r=0.259, p<0.001), and magnitude (r=0.259, p<0.001).
Conclusions: In synchronous learning, the undergraduate nursing student’s SDLR was found to have a positive relationship with self-efficacy. Provisioning the students’ individual learning skills is necessary to enhance their readiness and consequently improve their acquisition of the educational outcomes
Mental health and home life in the early phase of marriage: An evaluation of early married and non-early married women
No full textMotivation and self-efficacy as key factors influencing self-care in hypertensive adults: A cross-sectional study in Indonesia
No full textIntroduction: Self-care is crucial for enhancing life quality and and preventing cardiovascular, renal, and vascular complications in individuals with hypertension. However, self-care among patient’s hypertension remains suboptimal. Our research aimed to identify the determinants of self-care practice among hypertensive patients in Indonesia.
Methods: A survey that was cross-sectional. It carried out among 209 adults with hypertension attending community health centers in Central Java, Indonesia. Self-care behaviors, motivation, self-efficacy, and knowledge were assessed using the validated Hypertension Self-Care Profile (HBP-SCP) and Hypertension Knowledge-Level Scale (HKLS). Chi-square and multivariable logistic regression tests were used to evaluate the data.
Results: Bivariate analysis revealed significant correlation between self-care behavior and motivation (p<0.001), self-efficacy (p<0.001), and history of hypertension in the family
(p=0.018). No significant associations were observed for age, gender, education, occupation, body mass index, blood pressure, or knowledge (all p>0.05). Multivariable analysis demonstrated that motivation (OR=2.22, 95% CI=1.10–4.45, p=0.025) and self-efficacy (OR=7.84, 95% CI=3.99–15.39, p<0.001) were independent determinants of good self-care.
Conclusions: Motivation and self-efficacy are key determinants of hypertension self-care behaviors among Indonesian adults. Interventions should prioritize strengthening motivation and building self-efficacy through motivational interviewing, skills training, and structured follow-up by nurses and other healthcare professionals
Lived experiences of domestic violence among Minangkabau women: A phenomenological study
No full textObjective: This study aimed to explore the lived experiences of women who have faced domestic violence, focusing on the causes of the violence, its impact on their health, and the decision-making processes they undertook in response. Method: This study used a phenomenological study approach. The inclusion criteria were women from the Minangkabau tribe, aged 18-40, married or previously married, and with children. Participant recruitment was conducted through the Pusat Pelayanan Terpadu Pemberdayaan Perempuan dan Anak/ Integrated Service Center for the Empowerment of Women and Children) and the Women’s Crisis Center (WCC) “Nurani Perempuan”, based on predetermined inclusion criteria. Data collection continued until thematic saturation was reached. Nine women were involved. In-depth interviews and field notes were transcribed verbatim, and theme analysis was performed using the seven-step Collaizzi technique. Results: Four themes emerged from the data: (1) failure to resolve family conflict; (2) physical and psychological despair; (3) inability to make decisions; (4) need for external support. Participants’ experiences reflect the erosion of traditional protective systems due to cultural shifts, economic dependence, and societal pressures. Conclusions: The study highlights that unresolved family conflict, poor health outcomes, and limited decision-making power shape women's vulnerability to domestic violence. Strengthening community-based support and culturally sensitive interventions is recommended to empower women and reduce the risk of domestic violence
Factors impacting decreased basic immunization coverage in infants: Risk of dangerous diseases
No full textBackground: The data reveal a consistent decrease in the overall immunization coverage for babies in Kota Pariaman over a span of four years. Specifically, the coverage rates were recorded as 81.8% in 2018, 78.6% in 2019, 55.7% in 2020, and 66.7% in 2021.
Purpose: The aim of this study is to identify the factors that contribute to the decrease in the achievement of complete basic immunization among children in Kota Pariaman.
Methods: The present study used the quantitative research method with a cross-sectional design. The study sample comprised of mothers with infants aged 12 months residing in Pariaman City. A purposive sampling method was employed to choose a total of 154 participants. The research was carried out between March 2022 and October 2022. Univariate analysis describes variable frequency, bivariate examines relationships using chi-square (p<0.05) and multivariate employs logistic regression, identifying influential variables.
Results: Key findings include a lack of knowledge (40.3%), non-supportive attitudes of mothers (56.5%), mistrust by mothers (42.9%), limited access to health resources (52.6%), and inadequate family support (48.1%). There was significant support from healthcare workers (94.2%) and moderate backing from community leaders (56.5%). Significantly, a noteworthy association was observed between knowledge (p < 0.05), attitudes (p < 0.05), and family support (p < 0.05), and the successful attainment of fundamental vaccinations.
Conclusions: Factors leading to the decreased rate of complete basic immunization for infants in Kota Pariaman include attitude, family support, and knowledge. As a remedy, local governments and health workers are urged to proactively provide health education on the significance of full basic immunization for infants. This preventive measure is paramount in safeguarding against severe acute illnesses, benefiting both the child and the broader communityLatar Belakang: Memastikan anak mendapatkan imunisasi dasar yang komprehensif merupakan kebutuhan mendasar bagi tumbuh kembangnya, dan dipengaruhi oleh berbagai faktor predisposisi, pemungkin, dan penguat.Tujuan: Penelitian ini bertujuan untuk mengetahui faktor-faktor yang menyebabkan belum terpenuhinya angka imunisasi dasar lengkap di wilayah operasional Puskesmas Kota Pariaman.
Metode: Penelitian ini menggunakan pendekatan penelitian kuantitatif dengan desain cross sectional. Populasi penelitian terdiri dari ibu-ibu yang memiliki bayi berusia 12 bulan dengan teknik purposive sampling untuk memilih sampel sebanyak 154 partisipan. Penelitian dilakukan antara Maret 2022 dan Oktober 2022.Hasil: Studi ini mengungkapkan beberapa temuan kunci: kurangnya pengetahuan ibu yang signifikan (40,3%), sikap ibu yang tidak mendukung (43,5%), kepercayaan ibu yang tidak memadai (42,9%), keterjangkauan sumber daya kesehatan yang terbatas (47,4%), dukungan keluarga yang tidak memadai (48,1%), dukungan kuat dari petugas kesehatan (94,2%), dan dukungan moderat dari tokoh masyarakat (56,5%). Selain itu, penelitian tersebut menemukan korelasi penting antara pengetahuan, sikap, dukungan keluarga, dan keberhasilan imunisasi dasar.Kesimpulan: Faktor utama yang berpengaruh nyata terhadap pencapaian imunisasi dasar lengkap diidentifikasi sebagai berikut: 1) sikap, dengan nilai Exp (B) sebesar 9,159; 2) dukungan keluarga, dengan nilai Exp(B) sebesar 5.606; dan 3) pengetahuan, dengan nilai Exp(B) sebesar 4.008. Sangat disarankan agar para profesional dari berbagai disiplin ilmu, baik di bidang kesehatan maupun non-kesehatan, berkolaborasi untuk mengadvokasi pentingnya imunisasi dasar lengkap pada bayi, sehingga dapat mencegah penyakit yang mengancam jiwa