Jurnal Keperawatan Terapan

The Relationship Between Family Roles and the Independence of Activities of Daily Living (ADL) in Elderly

Citra Suryani — 2025-12-10

The elderly represent the final stage in the human life cycle, marked by a natural aging process. This process leads to various physical, mental, spiritual, and psychosocial changes that affect the independence and health of the elderly. A decline in their independence is a critical indicator of health problems in the elderly, particularly in Activities of Daily Living (ADL), such as eating, bathing, walking, using the toilet, and dressing. The family plays a crucial role in developing, preventing, adapting to, and addressing health and independence issues in the elderly. This study employed an observational analytic design with a cross-sectional approach and an accidental sampling technique, involving 61 respondents. The research instruments included questionnaires to measure family roles and the Barthel Index. Data analysis was conducted using the chi-square correlation test with SPSS IBM version 25. The results showed that 36.10% of the elderly with good family support were in the independent ADL category, 1.6% had mild independence, and none were in the moderate category. The chi-square statistical test revealed a p-value = 0.000, indicating a significant relationship between family roles and the independence of ADL in the elderly in Sumberagung Village, Selorejo District, Blitar Regency. Family roles are one of the key factor influencing the quality of life of the elderly by maintaining their independence and improving their physical, emotional, and social well-being. Active family involvement is essential in maintaining elderly independence. Programs such as family training can be implemented to enhance the role of families in sustainably supporting elderly ADL independence.

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

Nurul Huda — 2025-08-06

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

Talitha Syahla Aulia — 2025-11-25

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

Lisa Octavia — 2025-11-25

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

Aisyah Nur Octa Paraga — 2025-11-25

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.

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

Rina Mustikasari — 2025-11-26

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.

Analysis Of Nurses' Workload And Stress And Its Relationship To Work-Life Balance Perioperative Nurses

Hikmatul Zainiyah — 2025-12-04

Workload and stress for nurses in hospitals, especially in operating rooms, are conditions that require special attention. This is important because nurses working in operating rooms face high work demands, which can cause stress. If not managed properly, this stress can have a negative impact on nurses' performance and work-life balance. Objective: This study aims to analysis the relationship between workloads and work-related stress with the quality of work-life balance among perioperative nurses at Lavalette Hospital in Malang. Methodology: This study employs a correlational design with a cross-sectional approach. The study population consists of all perioperative nurses at Lavalette Hospital in Malang, using total sampling involving 34 respondents. Data analysis used the Spearman's rank correlation test. Research results: There was a significant relationship between workload and work-life balance with a p-value of 0.001 (< 0.05) and a correlation coefficient of r = -0.535 (strong relationship). Similarly, there was a significant relationship between work stress and work-life balance with a p-value of 0.002 (< 0.05) and r = -0.514 (strong relationship). The negative correlation indicates that the higher the workload and work stress experienced, the lower the level of work-life balance among perioperative nurses. Conclusions and Recommendations: Ongoing efforts are needed from nurses to enhance their competencies, implement effective time management, and optimize work stress management. For healthcare institutions, it is recommended to regularly enhance nurses' capacity through training, provide performance- based rewards, and establish effective communication regarding career progression

The Relationship Nurse Characteristics and Critical Thinking Ability in Caring for Mentally Disordered Patients with Comorbidities at RSJ Dr. Radjiman Wediodiningrat Lawang

Yunita - Fitrianingrum — 2025-12-04

Mental disorders with comorbidities are complex, chronic, and debilitating conditions that lead to complications. Critical thinking ability play an important role in caring for mental disorder patients with comorbidities to resolve complex situations and ensure continuity of care provided. The characteristics of nurses are likely influenced by their critical thinking skills. This study aims to determine the relationship between nurse characteristics and critical thinking skills in caring for mental disorder patients with comorbidities at RSJ Dr. Radjiman Wediodiningrat Lawang. This correlation research employs a cross sectional study approach, with a total of 35 nurses who work in the Physical Inpatient Room (B). The instrument used in this research was a questionnaire. Based on the results of bivariate analysis using non-parametric Spearman rank test, it was found that the characteristics of age, gender, education, employment status, marital status and training had no relationship with critical thinking abilities. The characteristics of work experience have a significant relationship with critical thinking abilities, and the strength of the relationship is moderate, while the direction of the relationship is negative. For future researchers, to be able to research other factors that influence critical thinking skills in clinical nurses by using different research approaches or instruments.

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

Irni Fuzi Wijayanti — 2025-11-17

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

Barriers To Accessing Jobs For People With HIV: A Systematic Review

Ossi Dwi Prasetio — 2025-11-21

Abstract: Background: People living with HIV/AIDS (PLHIV) often experience health, social, and economic challenges, as well as daily challenges in self-care and meeting their social, economic, and psychological needs. People living with HIV/AIDS (PLHIV) often face barriers to employment due to stigma and discrimination, as well as health factors such as fatigue.

Objective: This study aims to identify barriers facing people living with HIV/AIDS (PLHIV) in accessing employment.

Methods: Systematic reviews were identified in four electronic databases published between 2019 and 2024. The quality of the reviewed studies was assessed using the Critical Appraisal Skills Program. Data were extracted by the researchers and analyzed using thematic analysis.

Results: This review included twelve eligible studies. The review found that stigma, support, environment, and empowerment were both solutions and barriers to employment for people living with HIV/AIDS (PLHIV). Providing support, eliminating stigma, providing a positive environment, and empowering people living with HIV/AIDS (PLHIV) can improve their quality of life and meet their primary needs. Conclusion: Barriers to accessing employment experienced by PLHIV can be controlled through environmental empowerment by forming a support group.