Jurnal Keperawatan Terapan

The Relationship Between Family Support And Patient Resilience In Bullying Insidents At The Sub Specialist Clinic For Children And Adolescent In Rsj. Dr. Radjiman Wediodiningrat Lawang

2025-10-21T03:45:36+00:00

Bullying is the psychological or physical suppression that harms someone who has less power which can have a negative impact. Bullying resilience is the process of adaptating and coping someone who experiences negative treatment from others in order to be able to escape from a stressful circumstance. Family support can help someone experience the negative effects of bullying and strengthen resilience because of the importance of patients with bullying to recover from their condition. This study aims to determine the relationship between family support and patient resilience in bullying incidents at The Sub Specialist Clinic for Children and Adolescent in RS Radjiman Wediodiningrat Lawang. The method used was observational and a cross-sectional approach with purposive sampling techniques with a total of 47 families and patients with bullying events. Results: The p-value (0.942) was greater than alpha (0.05), indicating that there was no significant relation between family support and patient resilience to bullying events. In addition, pearson's product moment (r) correlation coefficient of 0.011 indicates a very low level of link between family support and resilience levels. It concludes that a weak relationship in the form of changes in family support has a weak impact on patient resilience bullying events and insignificant relationships.

The Impact of Leadership Training on Nurse Satisfaction and Healthcare Outcomes in Management Clinics: A Cross-Sectional Study

2025-08-06T05:55:04+00:00

Abstrak: Kepemimpinan efektif berperan penting dalam meningkatkan kualitas pelayanan kesehatan dan kepuasan tenaga kesehatan. Namun, akses terhadap pelatihan kepemimpinan bagi perawat di klinik manajemen masih terbatas. Penelitian potong lintang ini melibatkan 100 perawat dari 10 klinik manajemen di Indonesia. Data dikumpulkan melalui kuesioner terstruktur yang telah divalidasi (Cronbach’s alpha = 0,89) dan dianalisis menggunakan uji chi-square serta odds ratio (OR) dengan interval kepercayaan 95%. Hanya 44% perawat yang pernah mengikuti pelatihan kepemimpinan. Analisis menunjukkan bahwa perawat yang mengikuti pelatihan memiliki peluang lebih besar mengalami outcome positif, dengan OR tertinggi pada persepsi manajer suportif (OR = 6,00; 95% CI: 2,68–13,40), diikuti kolaborasi tim (OR = 5,45), kualitas pelayanan (OR = 5,17), dan kepuasan kerja (OR = 4,21), semua signifikan secara statistik (p < 0,05). Pelatihan kepemimpinan secara signifikan meningkatkan kepuasan kerja, dinamika tim, dan kualitas pelayanan. Program pelatihan perlu diintegrasikan ke dalam pengembangan profesional berkelanjutan bagi semua perawat.

The Effect Of OSIS Empowerment On Knowledge And Attitude Towards Consuming Balanced Nutritional Food At SMK Plus Almaarif Singosari, Malang Regency

2025-10-08T08:20:06+00:00

Adolescent dietary behavior today tends to favor fast food and unhealthy diet trends, leading to imbalanced nutritional status. In 2023, the prevalence of malnutrition among adolescents in Indonesia was 7.6% for thin and severely thin, 12.1% overweight, and 4.1% obese. In East Java, adolescent overweight prevalence reached 13.3%, exceeding the national rate. In Malang Regency, the Health Office reported in 2022 that 19.7% of male and 32.9% of female adolescents were obese. This issue of imbalanced nutritional status is also found at SMK Plus Almaarif, due to the absence of a healthy school canteen and students’ low level of understanding regarding balanced nutrition. This study aimed to determine the effect of OSIS empowerment on students’ knowledge and attitudes toward consuming balanced nutritious food at SMK Plus Almaarif Singosari, Malang Regency The research used a quantitative method with a pre-experimental design (one group pre-test and post-test). A total of 60 students from grades X and XI were selected using purposive sampling. The intervention was carried out through seven empowerment steps involving OSIS members as educational agents. The implementation of OSIS empowerment successfully established GENZI Cadres and showed a significant effect of the empowerment intervention on improving students’ knowledge and attitudes, with both showing statistical significance (p = 0.001). OSIS empowerment proved to be statistically effective in enhancing students’ knowledge and attitudes regarding the consumption of balanced nutritious food at SMK Plus Almaarif Singosari.

THE EFFECT OF WARM NECK COMPRESS APLICATION ON REDUCING HEADACHE INTENSITY IN ELDERLY PATIENTS WITH HYPERTENSION

2025-11-17T02:46:20+00:00

Degenerative diseases that remained a global issue included hypertension. One of the signs and symptoms of hypertension was headache caused by vascular damage throughout the peripheral blood vessels. Warm compresses were one method of pain management for increase muscle relaxation, thus enhancing circulation and boosting the supply of oxygen and nutrients to the tissues. This study aimed to determine the effect of warm neck compress aplication on reducing headache intensity in elderly patients with hypertension. This study used a pre-experimental design with a one-group pretest-posttest approach. The sample consisted of 30 elderly individuals with hypertension. The dependent variable was headache intensity and the independent variable was the application of warm compresses. The measuring instrument used was the pain intensity assessment instrument Wong-Baker FACES Foundation, 2016. Data analysis was conducted using the Wilcoxon signed-rank test. There was a significant the effect of warm neck compress aplication on reducing headache intensity in elderly patients with hypertension (p=0.000<0.05), as evidenced by the results showing that before the intervention, the majority of patients experienced severe pain (60%), and after the intervention the majority experienced mild pain (60%). Therefore, warm compresses could be recommended as supportive therapy in the management of hypertension in the elderly.

THE RELATIONSHIP BETWEEN LEVEL OF SMARTPHONE ADDICTION AND AGGRESSIVE BEHAVIOR IN ADOLESCENTS

2025-10-08T08:04:34+00:00

Adolescents are the biggest users of smartphone in accessing the internet, spending at least 3 hours more in using smartphone. This phenomenon has caused adolescents addicted to smartphone. Addictive behavior of smartphone in adolescents has a serious impact on health, such as tendency of aggressive behavior. This study aims to determine the relationship between the level of smartphone addiction and aggressive behavior in adolescents. This study employs quantitative research with a cross-sectional approach. The study included 245 adolescents, with data collection techniques using multistage sampling. The data was collected using the Smartphone Addiction Scale Short Version (SAS-SV) questionnaire and the Buss Perry Aggression Questionnaire (BPAQ) with the Spearman Rank correlation test. The results of data analysis obtained a p-value (0.001) < ? (0.05) and r = 0.210, with a positive relationship direction which means that the higher the level of smartphone addiction is, the higher the aggressive behavior in adolescents is. The study concludes that there is a relationship between the level of smartphone addiction and aggressive behavior. This study recommends that further researchers are expected to examine other factors or efforts aimed at reducing the level of addiction to smartphones and efforts to reduce aggressive behavior, especially for adolescents.

Risk Factors of Sleep Quality in Critically Ill Patients: A Scoping Review

2025-10-09T01:14:15+00:00

Background: Sleep is a psychological need that is often neglected in critically ill patients. Many factors contribute to poor sleep quality in critically ill patients. Current risk factors for sleep quality need updating. Objectives: To map the risk factors affecting sleep quality in critically ill patients. Methods: Scoping review was conducted on online databases, including ScienceDirect, Scopus, PubMed, and Google Scholar. There were 16 relevant studies published from 2018 to May 2023 that met the eligibility criteria. Article screening was carried out by two researchers, any differences of opinion were resolved by consensus. Outcomes: Sixteen studies identified premorbid, disease-related, and ICU-related factors (environmental, pharmacological, and respiratory & ventilation) as risk factors for sleep quality in critically ill patients. Noise, light exposure, nursing interventions are factors related to the ICU environment that are most commonly reported as disturbing. Conclusion: This review complements previous circulation systems to help nurses categorize patients who are at greatest risk for poor sleep quality according to PADIS guidelines, as well as assist nurses in developing multi-intervention programs that can improve sleep quality in critically ill patients.

Keywords: Critically ill; sleep disorders; sleep quality