Malahayati Nursing Journal
type: channel
description: Nama Jurnal: Manuju : Malahayati Nursing Journal Initials: Manuju Online ISSN: 2655-4712 Print ISSN: 2655-2728 Editor in Chief: Prof. Dr. Sudjarwo, MS Frekuensi: Setiap Bulan Publisher: Universitas Malahayati Lampung MANUJU : Malahayati Nursing Journal merupakan jurnal yang memiliki fokus utama pada hasil penelitian dan ilmu-ilmu di bidang kesehatan yang dikembangkan dengan pendekatan interdispliner dan multidisiplin. Proses penerimaan naskah selalu terbuka setiap waktu, naskah yang sudah disubmit oleh penulis akan direview oleh reviewer yang memiliki track record jurnal internasional bereputasi. MANUJU : Malahayati Nursing Journal telah menggunakan Open Journal System sejak pertama kali terbit pada tahun 2019 dimana penulis, editor, dan reviewer bisa memantau proses naskah secara online. MANUJU: Malahayati Nursing Journal Terakreditasi SINTA 3 No: 295/C/C3/KPT/2026.
publisher: Universitas Malahayati Lampung
language: id-ID
publication name: Malahayati Nursing Journal
issn: 2655-2728
copyright: Hak Cipta Atas seluruh artikel yang dipublikasikan dalam jurnal MANUJU: Malahayati Nursing Journal tetap dipegang oleh penulis. Semua artikel dapat digunakan dibawah lisensi Creative Commons Attribution-ShareAlike 4.0 International License
items: Prevalensi Gangguan Tidur Pada Anak Usia Prasekolah di Kecamatan Kuningan
items: Gambaran Klinis, Karakteristik, dan Perawatan Hipomineralisasi Molar Kedua Sulung : Tinjauan Pustaka
items: Factors Related to Health Management and Infectious Diseases in Correctional Institution Inmates
items: Gambaran Kualitas Tidur Nelayan di Pantai Pangandaran
items: Pengaruh Mobilisasi Dini dan Perawatan Luka Terhadap Penurunan Intensitas Nyeri dan Penyembuhan Luka Pasca Operasi Sectio Caesarea di RSU Setio Husodo
items: Tren Global Penelitian Pendidikan Cardiopulmonary Resuscitation (CPR) Pada Mahasiswa dan Pelajar: Analisis Bibliometrik
items: Asuhan Akupunktur Pada Klien Sinusitis di Rumah Sehat “Ah” Bekasi
items: Pengetahuan Hand Hygiene dan Faktor-Faktor yang Memengaruhinya pada Perawat di Rumah Sakit: A Scoping Review
items: Gambaran Tingkat Kepatuhan Perawat dalam Implementasi Enam Sasaran Keselamatan Pasien: A Systematic Literature Review
items: Pengetahuan Perawat tentang Skrining Disfagia Dalam Deteksi Dini Resiko Aspirasi: Kajian Literatur
items: Faktor Determinan Waiting Time di IGD Hospital Nasional Guido Valadares
items: Identifikasi Faktor yang Mempengaruhi Penerapan Safety Surgery Cheklist : Narative Review
items: Hubungan Perilaku Hidup Bersih dan Sehat (Phbs) dengan Kejadian Diare Pada Anak Usia Sekolah di SD Negeri Subangjaya 2 Kota Sukabumi Wilayah Kerja UPTD Puskesmas Sukabumi
items: Peran Vitamin C sebagai Terapi Adjuvan pada Pengobatan Tuberkulosis Paru: Tinjauan Sistematis
items: Prevalensi Methicillin-Resistant Staphylococcus Aureus (Mrsa) pada Pasien Impetigo: Suatu Tinjauan Sistematik
items: Hubungan Peran Petugas Kesehatan Terhadap Kepatuhan Ibu Hamil Dalam Mengonsumsi Tablet Tambah Darah (TTD) Di Wilayah Kerja UPTD Puskesmas Selabatu Kota Sukabumi
items: Pengaruh Aktivitas Fisik Terhadap Penurunan Berat Badan Usia Pertengahan yang Mengalami Obesitas di Tatanan Keluarga: Scoping Review
items: Penerapan Program Partnership with Parents Terhadap Kontinuitas Perawatan Anak dengan Stunting
items: Aplikasi Tindakan Keperawatan Pada Pasien Congestive Heart Failure (CHF) Dengan Masalah Keperawatan Hipervolemia
items: Kompetensi Kepemimpinan Digital dan Pengaruhnya Terhadap Burnout Serta Work-Life Balance Pada Perawat Generasi Milenial di Ruang Maternal RS Hermina Jatinegara
items: Hubungan Dukungan Sosial dengan Kepuasan Hidup Lansia di Wilayah Kerja Puskesmas Pajang Kota Surakarta
items: Hubungan Pengetahuan dengan Keikutsertaan Melakukan Inspeksi Visual Asam Asetat Wanita Usia Subur di Puskesmas Selemadeg Barat
items: Optimalisasi Strategi Manajemen Diri Program Care, Love and Be Healty Kidney (CLBK) dalam Meningkatkan Self-Efficacy Pasien Penyakit Ginjal Kronis Stadium V di RSUD Harapan dan Do’a Kota Bengkulu
items: Analisis Motivasi Kerja Tenaga Perawat di RSD DR. A. DADI TJOKRODIPO
items: Tren Insidensi Influenza A di Asia Tenggara dalam 10 Tahun Terakhir (2015–2025): Scoping Review
items: Pola Resistensi Karbapenem di Rumah Sakit Umum Daerah Kota Mataram
items: Strategi Manajemen Stres Kerja Perawat, Dalam Meningkatkan Produktivitas Kerja di Kamar Bedah Rumah Sakit Siloam Manado
items: Dampak Aplikasi Mobile Health (Mhealth) Terhadap Perilaku dan Outcome Kesehatan Ibu Hamil: Tinjauan Sistematis
items: Hubungan Tingkat Kecemasan dan Kemandirian dalam Activity Daily Living (ADL) Terhadap Kualitas Hidup Lansia Hipertensi di Jakarta Timur
items: Gambaran Pengetahuan dan Praktik Pemenuhan Gizi Seimbang pada Remaja Perempuan
items: Pengaruh Akupresur di Titik St 36, Sp 8, Li 4 Pada Akseptor Kb Iud dengan Dismenore di Puskesmas Wajak Kabupaten Malang
items: Efek Akupunktur Pada Lansia dengan Carpal Tunnel Syndrome: Studi Kasus di Kota Surakarta
items: Manajemen Stres Pengasuhan Pada Orang Tua yang Memiliki Anak Berkebutuhan Khusus (Literature Review)
items: Dampak Pelatihan Elektrokardiogram Pada Kemampuan Perawat: Kajian Literatur Review
items: Evidance Base Nursing Latihan Penguatan Otot untuk Keseimbangan Tubuh Pada Pasien Diabetisi 2
items: The Effect Ofjuice Red Guava and Juice Pineapple Consumption on Hemoglobin Levels in Postpartum Women in The Service Area Puskesmas Purwokerto Selatan
items: Gambaran Perilaku Kader Pos Pelayanan Terpadu Balita dalam Deteksi Dini Stunting di Desa Sebatu Kecamatan Tegalalang Kabupaten Gianyar
items: Determinan Persalinan Sectio Caesarea di RS Bhayangkara Polda DIY
items: Implementasi Sistem Rujukan Terintegrasi (Sisrute) di RSUD Dr. Soedarso
items: Pengaruh Alat Muscle Relaxer Massage dan Kombinasinya dengan Relaksasi Otot Progresif Pada Stres dan Kadar Gula Darah Pasien Diabetes Mellitus Tipe 2

Prevalensi Gangguan Tidur Pada Anak Usia Prasekolah di Kecamatan Kuningan
type: item
description: ABSTRACT The preschool period is an important developmental stage that requires adequate sleep to support physical growth, cognitive development, and emotional regulation in children. However, previous studies have shown that sleep disturbances among preschool children remain relatively high and may be influenced by environmental factors and pre-sleep habits. This study aimed to describe the sleep patterns of preschool-aged children in Kuningan District. A quantitative study with a descriptive approach was conducted. The sample consisted of 211 parents or guardians of kindergarten children who were selected using a proportionate stratified random sampling technique. Data were collected using the Indonesian version of the Children’s Sleep Habits Questionnaire (CSHQ) based on parental reports during the past week and were analyzed using univariate analysis. The results showed that the majority of children (86.7%) met the criteria for sleep disturbance based on a CSHQ score >41. Nevertheless, most children had a conducive sleep environment (70.6%), while the use of gadgets before bedtime was most frequently reported in the occasional category (49.3%). The average bedtime was 20.34, with a total sleep duration of approximately 10 hours within a 24-hour period. It can be concluded that most preschool children met the criteria for sleep disturbance despite having a relatively conducive sleep environment and sleep duration that remained within the recommended range. These findings highlight the importance of parental attention and the role of health professionals in promoting healthy sleep habits to support optimal sleep quality in children. Keywords: Preschool Children, Sleep Patterns, Sleep Disturbance. ABSTRAK Masa prasekolah merupakan periode perkembangan penting yang memerlukan pemenuhan kebutuhan tidur yang adekuat untuk mendukung pertumbuhan fisik, perkembangan kognitif, serta regulasi emosi anak. Namun, berbagai penelitian menunjukkan bahwa gangguan tidur pada anak…
creator: Salma Nur Aullya
creator: Adelse Prima Mulya
creator: Nenden Nur Asriyani Maryam
rights: ##submission.copyrightStatement##
date: 2026-07-01
publication date: 2026-07-01
volume: 8
number: 7
starting page: 1
ending page: 11
doi: 10.33024/mnj.v8i7.25364

Gambaran Klinis, Karakteristik, dan Perawatan Hipomineralisasi Molar Kedua Sulung : Tinjauan Pustaka
type: item
description: ABSTRACT Hypomineralized Second Primary Molar (HSPM) is a qualitative systemic enamel defect resulting from structural developmental disturbances during the formation of the second primary molar's enamel. This condition is characterized by demarcated enamel opacities affecting one or more teeth, with varies prevalence between countries ranging from 0% to 41%. HSPM is clinically significant as it serves as a strong predictor for Molar Incisor Hypomineralization (MIH) in permanent dentition, with affected children facing a five-fold higher risk. This literature review aims to provide a comprehensive overview of the clinical features, and diagnosis of HSPM to facilitate early clinical detection. Clinically feature of HSPM varies from cream to yellow-brown demarcated opacities, post-eruptive enamel breakdown (PEB), atypical caries, and acute hypersensitivity, which can significantly diminish the patient's quality of life. Diagnosis typically fol lows the European Academy of Paediatric Dentistry (EAPD) criteria of MIH or HSPM. Teeth affected by HSPM are five times more likely to develop dental caries compared to normal teeth therefore a comprehensive early diagnosis and early treatment is needed to prevent progressive tooth destruction and improve oral health outcomes in pediatric patients. Management strategies range from non-invasive preventive measures, such as fluoride application and Casein Phosphopeptide-Amorphous Calcium Phosphate (CPP-ACP), to restorative treatments using resin composites or full-coverage crowns for severe cases. Keywords: Hypomineralized Second Primary Molar (HSPM), Enamel Defects, Pediatric Dentistry, Early Diagnosis. ABSTRAK Molar Kedua Sulung Hipomineralisasi (Hypomineralized Second Primary Molar/HSPM) merupakan defek email sistemik secara kualitatif yang diakibatkan oleh gangguan perkembangan struktural selama proses pembentukan email gigi molar kedua sulung. Kondisi ini ditandai dengan adanya opasitas email yang berbatas jelas pada satu ata…
creator: Jihan Syahrani
creator: Enrita Dian Rahmadini
creator: Sri Ratna Laksmiastuti
rights: ##submission.copyrightStatement##
date: 2026-07-01
publication date: 2026-07-01
volume: 8
number: 7
starting page: 12
ending page: 26
doi: 10.33024/mnj.v8i7.25242

Factors Related to Health Management and Infectious Diseases in Correctional Institution Inmates
type: item
description: ABSTRACT Prisoners often suffer from HIV, TB, and scabies. In 2019, 51% of prisoners were infected with HIV, 7,972 prisoners had TB in 2020, and 76.9% had scabies in 2022. High population density, low socioeconomic status, poor sanitation, promiscuous sexual behavior, and misdiagnosis are the causes of infectious diseases among inmates. This necessitates a comprehensive health management program to address infectious disease issues. To determine the factors related to health management and infectious diseases, namely HIV, TB, and scabies, among inmates in correctional facilities. This study used a quantitative method with a cross-sectional design. Data analysis was performed using frequency and Spearman's tests for correlation. The study was conducted in the Correctional Facility from December 2025 to February 2026 with a population of all inmates. The study sample consisted of 245 respondents. The majority of respondents were male, numbering 221 (90.2%), with the highest level of education being 118 (48.2%), length of detention being 118 (48.2%), and normal blood pressure being 237 (96.0%). There was a significant relationship between health management and length of detention (p=0.015), HIV (p=0.004), TB (p=0.003), and scabies (p=0.001). In addition, there was a relationship between HIV and highest level of education (p=0.000) and blood pressure (p=0.030). There was a relationship between scabies and TD (p=0.039). Health management in correctional facilities needs to be strengthened in a comprehensive and coordinated manner, with nurses playing a role in implementing an integrated promotive, preventive, curative, and rehabilitative approach, as well as cross-sector collaboration, in order to reduce the risk of infectious diseases and improve the quality of life of inmates. Keywords: Correctional Facilities, Disease management, HIV, Scabies, TB Abstrak Warga binaan pemasyarakatan (WBP) sering mengalami HIV, TB, Skabies. Prevelensi tahun 2019 sebanyak 51% orang terke…
creator: Marsela Riska Raswandaru
creator: Rosiana Eva Rayanti
creator: Hermina Gaudia Kembarimop Mangguwop
rights: ##submission.copyrightStatement##
date: 2026-07-01
publication date: 2026-07-01
volume: 8
number: 7
starting page: 27
ending page: 40
doi: 10.33024/mnj.v8i7.25313

Gambaran Kualitas Tidur Nelayan di Pantai Pangandaran
type: item
description: ABSTRACT Sleep quality is an important factor in maintaining health and occupational safety, particularly among workers with high physical demands and irregular work patterns such as fishermen. Fishermen often experience intensive physical activity, exposure to marine environmental conditions, and work patterns that may affect rest time. In fishing communities with a one-day fishing system, fishing activities are conducted almost daily with relatively short sailing durations, which may influence sleep patterns. However, studies specifically describing sleep quality among fishermen with this work pattern remain limited. This study aims to describe the sleep quality of fishermen in Pangandaran Beach using the Pittsburgh Sleep Quality Index (PSQI) instrument along with its components. This study employed a quantitative descriptive design with fishermen in Pangandaran Beach as the study population. A total of 126 respondents were selected using simple random sampling. Sleep quality was measured using the Indonesian version of the PSQI and analyzed descriptively. The results showed that most respondents had poor sleep quality, accounting for 117 individuals (92.9%), while only 9 respondents (7.1%) had good sleep quality. However, most respondents subjectively perceived their sleep quality as fairly good. The respondents’ sleep patterns were characterized by relatively short sleep latency and adequate sleep efficiency, but with short sleep duration. Commonly reported sleep disturbances included body pain, waking up at night, nocturia and daytime sleepiness during daily activities. These findings indicate that most fishermen in Pangandaran have suboptimal sleep quality, which may affect their health and alertness at work. Keywords: Sleep, Sleep Quality, Fishermen. ABSTRAK Kualitas tidur merupakan aspek penting dalam menjaga kesehatan dan keselamatan kerja, terutama pada pekerja dengan tuntutan fisik tinggi dan pola kerja tidak teratur seperti nelayan. Nelayan sering mengha…
creator: Shintya Furi Hastuti
creator: Irman Somantri
creator: Setiawan Setiawan
rights: ##submission.copyrightStatement##
date: 2026-07-01
publication date: 2026-07-01
volume: 8
number: 7
starting page: 41
ending page: 53
doi: 10.33024/mnj.v8i7.25292

Pengaruh Mobilisasi Dini dan Perawatan Luka Terhadap Penurunan Intensitas Nyeri dan Penyembuhan Luka Pasca Operasi Sectio Caesarea di RSU Setio Husodo
type: item
description: ABSTRACT Cesarean section is a surgical procedure that often causes postoperative problems such as pain and impaired wound healing. Poorly managed pain can hinder early mobilization, daily activities, and delay the recovery process, while suboptimal wound healing may increase the risk of infection. Therefore, non-pharmacological interventions such as early mobilization and structured wound care are needed. This study aimed to analyze the effect of early mobilization and wound care on reducing pain intensity and accelerating wound healing in post-cesarean section patients at Setio Husodo General Hospital, Kisaran. This study used a pre-experimental design with a quasi-group pretest-posttest approach involving control and intervention groups. The population consisted of all post-cesarean section mothers totaling 137 individuals, with a sample of 102 respondents selected using purposive sampling technique. Data were analyzed using Paired Sample t-test and Independent Sample t-test. The results showed that early mobilization and wound care had a significant effect on reducing pain intensity and accelerating wound healing with a p-value < 0.05. The intervention group showed faster pain reduction and better wound healing compared to the control group. Conclusion early mobilization and structured wound care are proven to be effective in reducing pain intensity and accelerating wound healing in post-cesarean section patients, and therefore should be optimally implemented in healthcare practice. Keywords: Early Mobilization, Wound Care, Pain Intensity, Wound Healing, Cesarean Section. ABSTRAK Operasi sectio caesarea merupakan tindakan pembedahan yang sering menimbulkan masalah pasca operasi berupa nyeri dan gangguan penyembuhan luka. Nyeri yang tidak tertangani dengan baik dapat menghambat mobilisasi, aktivitas sehari-hari, serta memperlambat proses pemulihan, sedangkan penyembuhan luka yang tidak optimal dapat meningkatkan risiko infeksi. Oleh karena itu, diperlukan interve…
creator: Indah Almaidah
creator: Rahmania Ambarika
creator: Yuli Peristiowati
rights: ##submission.copyrightStatement##
date: 2026-07-01
publication date: 2026-07-01
volume: 8
number: 7
starting page: 54
ending page: 75
doi: 10.33024/mnj.v8i7.25343

Tren Global Penelitian Pendidikan Cardiopulmonary Resuscitation (CPR) Pada Mahasiswa dan Pelajar: Analisis Bibliometrik
type: item
description: ABSTRACT Cardiopulmonary resuscitation (CPR) education for university students is an important strategy to increase bystander CPR rates and reduce mortality due to cardiac arrest. As global attention to CPR education increases, the number of scientific publications in this field continues to grow. However, comprehensive mapping of research developments through bibliometric analysis is still limited. This study aims to analyze trends, characteristics, and research focus on CPR education for university students using a bibliometric approach. Bibliometric analysis was conducted on articles indexed in the Scopus database for the period 2015–2025. The search used keywords (TITLE-ABS-KEY (cpr) AND TITLE-ABS-KEY (student)) with limitations on the fields of medicine and nursing, article document type, and English language. A total of 529 articles that met the inclusion criteria were analyzed using Scopus, MapChart, and VOSviewer to map publication trends, country distribution, and research keyword networks. The number of publications showed a significant increase after 2017. Research contributions were dominated by developed countries, particularly the United States and European countries, while participation from developing countries was still limited. Keyword analysis identified a research focus on CPR training, students, and education, as well as the development of innovative learning methods such as simulation, serious games, and virtual reality. Research on CPR education for university students and pupils continues to grow, with a trend toward technology-based learning approaches. Further research opportunities are open in the context of developing countries and on aspects of the implementation and sustainability of CPR competencies. Keywords: CPR Training, Students, Medical Education. ABSTRAK Pendidikan cardiopulmonary resuscitation (CPR) pada mahasiswa dan pelajar merupakan strategi penting untuk meningkatkan angka bystander CPR serta menurunkan mortalitas akibat hen…
creator: Dea Salamiah
creator: Azizah Khoiriyati
rights: ##submission.copyrightStatement##
date: 2026-07-01
publication date: 2026-07-01
volume: 8
number: 7
starting page: 76
ending page: 85
doi: 10.33024/mnj.v8i7.25345

Asuhan Akupunktur Pada Klien Sinusitis di Rumah Sehat “Ah” Bekasi
type: item
description: ABSTRACT Sinusitis is an inflammation of the paranasal sinus mucosa, frequently accompanied by symptoms such as nasal congestion, excessive nasal discharge, sneezing, and headaches, particularly in the frontal region. The management of sinusitis can be conducted through both pharmacological and non-pharmacological approaches, including acupuncture therapy. Acupuncture is known to alleviate sinusitis symptoms by improving Qi circulation, reducing inflammation, and enhancing immune system function. This study aims to determine the benefits of acupuncture care for a client with sinusitis at "AH" Healthy House, Bekasi. The research was conducted as a single case study over six therapy sessions involving a 45-year-old female participant who had been experiencing sinusitis for three weeks. Data collection techniques included observation (Wang), inquiry (Wen), listening and smelling (Wen), and palpation (Qie), in accordance with Traditional Chinese Medicine standards. The selection of acupuncture points was based on the Wind-Cold attack on the Lung syndrome, with therapeutic principles aimed at expelling wind-cold and restoring the Lung's Qi-disseminating function. Evaluation results showed a gradual improvement in the patient's condition after six sessions. Symptoms of nasal congestion, sneezing, excessive discharge, and frontal headaches significantly decreased and eventually disappeared by the sixth session. Furthermore, improvements in tongue and pulse conditions indicated that Lung Qi function had returned to normal. In conclusion, acupuncture care can provide significant benefits in reducing sinusitis symptoms and improving patient comfort in daily activities. Keywords: Sinusitis, Acupuncture Therapy, Wind-Cold. ABSTRAK Sinusitis merupakan peradangan pada mukosa sinus paranasal yang sering disertai dengan gejala hidung tersumbat, sekret hidung berlebihan, bersin, serta nyeri kepala terutama pada daerah frontal. Penatalaksanaan sinusitis dapat dilakukan secara farmako…
creator: Yanti Angela Wisudha
creator: Puspo Wardoyo
creator: Chantika Mahadini
creator: Amal Prihartono
rights: ##submission.copyrightStatement##
date: 2026-07-01
publication date: 2026-07-01
volume: 8
number: 7
starting page: 86
ending page: 96
doi: 10.33024/mnj.v8i7.25355

Pengetahuan Hand Hygiene dan Faktor-Faktor yang Memengaruhinya pada Perawat di Rumah Sakit: A Scoping Review
type: item
description: ABSTRACT Hand hygiene is one of the measures proven to be effective in reducing HAIs. In this case, adequate knowledge among nurses is essential to enhance compliance. Previous studies have found variations in the level of hand hygiene knowledge among healthcare workers. However, there have not been many studies that specifically map the level and factors related to hand hygiene knowledge among nurses. This study aimed to map the level and factors related to hand hygiene knowledge among nurses. This study used a scoping review method based on the PRISMA flow diagram, utilizing secondary data from PubMed, Scopus, and the Cochrane Library. The inclusion criteria used were articles with a primary research design, using a sample of nurses in hospitals, discussing hand hygiene knowledge, published between 2020-2025 in reputable international journals, and written in English. A total of 17 articles were included, with the majority using a cross-sectional design. The review found varying levels of knowledge. The majority of articles showed a moderate level of knowledge (47.05%), followed by a high level of knowledge (41.17%), and a small proportion with a low level of knowledge (11.76%). Furthermore, these variations were influenced by gender, profession, age, work experience, education level, training experience, and work department. The study found that knowledge levels varied and were influenced by individual, service, and policy factors. These findings confirm that hospitals need to implement policies to improve hand hygiene knowledge through ongoing training programs to prevent HAIs and ensure patient safety. Keywords: HAIs, Hand hygiene, Knowledge, Nurse. ABSTRAK Hand hygiene merupakan salah satu upaya yang terbukti efektif untuk mengurangi HAIs. Dalam hal ini, perawat perlu memiliki pengetahuan yang baik agar dapat meningkatkan kepatuhan hand hygiene. Studi terdahulu mendapati adanya variasi tingkat pengetahuan hand hygiene pada tenaga kesehatan. Namun, belum banyak…
creator: Putri Utami
creator: Hasniatisari Harun
creator: Bambang Aditya Nugraha
rights: ##submission.copyrightStatement##
date: 2026-07-01
publication date: 2026-07-01
volume: 8
number: 7
starting page: 97
ending page: 115
doi: 10.33024/mnj.v8i7.25357

Gambaran Tingkat Kepatuhan Perawat dalam Implementasi Enam Sasaran Keselamatan Pasien: A Systematic Literature Review
type: item
description: ABSTRACT Patient safety is a global health priority, with nurses playing a crucial role in implementing the Six Patient Safety Goals (SPSG). However, nurse compliance levels vary significantly across different contexts and dimensions of SPSG.This systematic literature review aimed to analyze the level of nurse compliance in implementing the Six Patient Safety Goals based on current scientific evidence (2020-2025). A systematic literature review was conducted using Scopus and Web of Science databases with keywords "nurse compliance," "patient safety goals," and "six international patient safety goals." Inclusion criteria were primary articles, published 2020-2025, indexed in Scopus/WoS, focusing on nurse compliance with SPSG. Eleven articles met the criteria and were analyzed using thematic analysis techniques. Nurse compliance levels toward SPSG varied between 39%-95% across different dimensions. Goal 1 (Patient Identification) showed the highest compliance (86-95%), while Goal 6 (Fall Prevention) showed the greatest implementation complexity. Main barriers included human resource limitations (69%), lack of continuous training (58%), high workload (52%), and inadequate infrastructure (45%). Supporting factors included positive safety culture, transformational leadership, and effective incident reporting systems. Nurse compliance with SPSG is influenced by multifactorial interactions at individual, unit, and organizational levels. Comprehensive evidence-based interventions are needed to improve implementation fidelity and reduce adverse events. Keywords: Implementation Science, Nurse Compliance, Patient Safety, Six Patient Safety Goals, Systematic Review. ABSTRAK Keselamatan pasien merupakan prioritas kesehatan global, dengan perawat memainkan peran krusial dalam implementasi Enam Sasaran Keselamatan Pasien (SPSG). Namun, tingkat kepatuhan perawat bervariasi signifikan di berbagai konteks dan dimensi SPSG. Tujuan: Systematic literature review ini bertujuan untuk meng…
creator: Sumadniati Sumadniati
creator: Raden Ahmad Dedy Mardani
creator: Zul Hendri
rights: ##submission.copyrightStatement##
date: 2026-07-01
publication date: 2026-07-01
volume: 8
number: 7
starting page: 116
ending page: 127
doi: 10.33024/mnj.v8i7.25358

Pengetahuan Perawat tentang Skrining Disfagia Dalam Deteksi Dini Resiko Aspirasi: Kajian Literatur
type: item
description: ABSTRAK Disfagia merupakan komplikasi yang sering terjadi pada pasien dengan gangguan neurologis, khususnya stroke, dan menjadi penyebab utama aspirasi serta pneumonia aspirasi yang berdampak pada peningkatan morbiditas, mortalitas, dan lama rawat inap. Deteksi dini disfagia melalui skrining direkomendasikan untuk meningkatkan keselamatan pasien. Perawat memiliki peran penting dalam skrining disfagia, namun variasi tingkat pengetahuan perawat dapat memengaruhi efektivitas deteksi dini risiko aspirasi. Literature review ini bertujuan untuk mengkaji dan mensintesis bukti ilmiah mengenai pengetahuan perawat tentang skrining disfagia dalam deteksi dini risiko aspirasi. Literature review dilakukan terhadap jurnal nasional dan internasional bereputasi yang dipublikasikan pada periode 2020–2025. Penelusuran dilakukan melalui basis data PubMed, Scopus, CINAHL, Science Direct, ProQuest, dan Google Scholar. Artikel diseleksi berdasarkan kriteria inklusi yang berfokus pada pengetahuan perawat, skrining disfagia, dan risiko aspirasi. Data dianalisis menggunakan kerangka PICOT dan disintesis secara naratif. Sebanyak 20 artikel dianalisis. Sebagian besar studi observasional menunjukkan bahwa pengetahuan perawat tentang skrining disfagia berada pada kategori rendah hingga sedang, terutama pada aspek identifikasi risiko aspirasi, prosedur skrining, dan pendokumentasian. Tingkat pengetahuan yang lebih baik berkaitan dengan tingkat pendidikan yang lebih tinggi, pengalaman klinis, bekerja di unit neurologi atau perawatan intensif, serta pengalaman mengikuti pelatihan disfagia. Studi intervensi menunjukkan bahwa edukasi terstruktur, pelatihan berbasis video, program berbasis kompetensi, dan implementasi skrining disfagia berbasis perawat secara signifikan meningkatkan pengetahuan, efikasi diri, dan praktik skrining perawat. Pengetahuan perawat tentang skrining disfagia masih belum optimal di berbagai setting pelayanan kesehatan. Penguatan pendidikan berkelanjutan, standardisasi protoko…
creator: Maria Priliantari Ayu Kusumo Wardhani
creator: Maria Astrid
rights: ##submission.copyrightStatement##
date: 2026-07-01
publication date: 2026-07-01
volume: 8
number: 7
starting page: 128
ending page: 141
doi: 10.33024/mnj.v8i7.25367

Faktor Determinan Waiting Time di IGD Hospital Nasional Guido Valadares
type: item
description: ABSTRACT Waiting time is an important indicator in assessing the quality of services in the Emergency Department (ED). Excessive waiting time may lead to delays in patient treatment, reduced patient satisfaction, and increased risk to patient safety. Several factors may influence waiting time in emergency services, including the availability of facilities and infrastructure, administrative processing time, and laboratory examination time. Hospital Nacional Guido Valadares, as a national referral hospital, also faces challenges in managing patient waiting times in the Emergency Department. This study aimed to analyze the influence of facilities and infrastructure, administrative processing time, and laboratory examination time on patient waiting time in the Emergency Department of Hospital Nacional Guido Valadares. This research employed a quantitative research design with a cross-sectional approach. The population consisted of patients receiving services in the Emergency Department, with a total sample of 115 respondents selected using purposive sampling. Data were collected using structured questionnaires and analyzed using logistic regression statistical analysis to determine the influence of each independent variable on patient waiting time. The results showed that most respondents perceived the availability of facilities and infrastructure and the administrative process as generally adequate, although several service constraints still contributed to delays in patient care. Logistic regression analysis indicated that facilities and infrastructure did not have a statistically significant effect on waiting time (p = 0.365). Similarly, administrative processing time did not show a statistically significant influence (p = 0.100; Exp(B) = 4.582), although patients experiencing slower administrative processes tended to have a higher probability of longer waiting times. In contrast, laboratory examination time showed a statistically significant effect on patient waiting…
creator: Noelio Auxilio Pedro Martins
creator: Prima Dewi Kusumawati
creator: Agusta Dian Ellina
rights: ##submission.copyrightStatement##
date: 2026-07-01
publication date: 2026-07-01
volume: 8
number: 7
starting page: 142
ending page: 154
doi: 10.33024/mnj.v8i7.25384

Identifikasi Faktor yang Mempengaruhi Penerapan Safety Surgery Cheklist : Narative Review
type: item
description: ABSTRACT The Surgical Safety Checklist (SSC) is globally recognized for its ability to reduce mortality rates and postoperative complications. However, its effectiveness is often hindered by low actual compliance, administrative burdens, and cultural resistance within the operating room. Innovations such as AI based VoiceCheck technology are emerging as solutions to overcome physical and documentation barriers. This study aims to identify the factors influencing compliance variability, evaluate the effectiveness and implementation barriers of the SSC in enhancing patient safety, and analyze the influence of organizational culture, managerial support, and the integration of AI based digital innovations (VoiceCheck) on staff compliance levels in the operating theater. This study employs a narrative review method to synthesize qualitative and quantitative data. The analysis focuses on key themes by reviewing recent studies regarding safety culture, administrative interventions, and technological innovations in perioperative procedures. The analysis reveals that compliance with SSC forms is significantly influenced by senior leadership support and the establishment of a culture characterized by open communication (psychological safety). The study identifies a substantial discrepancy between administrative compliance in medical documentation (89%) and actual verbal implementation in practice (47%), a phenomenon often attributed to increased workload and the necessity of multitasking. The use of AI-enhanced VoiceCheck technology (specifically the Whisper V3 model) demonstrated remarkable precision (94.8%) and maintains sterility through handsfree functionality, although challenges regarding environmental noise persist. Furthermore, proactive patient participation and the customization of checklists for specific specialties have been shown to increase patient ownership and emotional security. The success of the SSC is not merely a matter of paperwork; it is the result of s…
creator: Risfi Ariyanti
creator: Novita kurniasari
rights: ##submission.copyrightStatement##
date: 2026-07-01
publication date: 2026-07-01
volume: 8
number: 7
starting page: 155
ending page: 181
doi: 10.33024/mnj.v8i7.25383

Hubungan Perilaku Hidup Bersih dan Sehat (Phbs) dengan Kejadian Diare Pada Anak Usia Sekolah di SD Negeri Subangjaya 2 Kota Sukabumi Wilayah Kerja UPTD Puskesmas Sukabumi
type: item
description: ABSTRACT School-age children are vulnerable to infectious diseases, including diarrhea, which remains a health problem in Indonesia. Diarrhea is a condition characterized by loose or watery bowel movements, usually three or more times in 24 hours. The high incidence of diarrhea is closely linked to the low level of Clean and Healthy Living Behaviors (PHBS). To determine the relationship between clean and healthy living behaviors (PHBS) and the incidence of diarrhea among school-age children at Subangjaya 2 Elementary School, Sukabumi City. This study used a quantitative approach with a cross-sectional design. The sample consisted of 109 respondents, selected using a total sampling technique. Data were collected through a questionnaire that had been tested for validity and reliability, covering 13 PHBS items and diarrhea occurrences in the past three months. Data were analyzed bivariately using the Chi-Square test with a significance level of α = 0.05. The results showed that the majority of respondents had good PHBS behaviors (57.8%) and did not experience diarrhea (59.6%). Despite this, 40.4% of students still experienced diarrhea. Statistical test results showed a significant relationship between PHBS and the incidence of diarrhea (p-value = 0.003). Students with poor PHBS practices were shown to have a higher risk of diarrhea compared to students who implemented PHBS effectively. There is a significant relationship between clean and healthy living behaviors (PHBS) and the incidence of diarrhea in school-aged children. Keywords: Clean and Healthy Living Behavior, Diarrhea, School-Aged Children. ABSTRAK Anak usia sekolah merupakan kelompok yang rentan terhadap penyakit infeksi, salah satunya diare yang masih menjadi masalah kesehatan di Indonesia. Diare merupakan kondisi dimana seseorang buang air besar dengan konsistensi lembek atau cair, biasanya tiga kali atau lebih dalam 24 jam. Tingginya kejadian diare tidak terlepas dari rendahnya penerapan Perilaku Hidup Ber…
creator: Muh. Diki Azhari
creator: Ghulam Ahmad
creator: Yohan Frans Unmehopa
rights: ##submission.copyrightStatement##
date: 2026-07-01
publication date: 2026-07-01
volume: 8
number: 7
starting page: 182
ending page: 190
doi: 10.33024/mnj.v8i7.25382

Peran Vitamin C sebagai Terapi Adjuvan pada Pengobatan Tuberkulosis Paru: Tinjauan Sistematis
type: item
description: ABSTRACT Pulmonary tuberculosis (TB) remains a significant global health problem with high morbidity and mortality rates, particularly in developing countries. Although standard anti-tuberculosis drug (OTT) therapy is effective in treating TB, slow sputum clearance and persistent bacterial load remain challenges to successful therapy. Nutritional factors, particularly vitamin C, are known to play a role in the immune response and control of oxidative stress in chronic infections such as tuberculosis. This study aims to demonstrate the benefits of vitamin C supplementation as an adjunct therapy in patients with pulmonary tuberculosis, based on current scientific evidence. This study is a systematic review, compiled according to the 2020 PRISMA guidelines. A literature search was conducted using PubMed and Google Scholar data for articles published between January 2022 and August 2024. Inclusion criteria were determined using the PICOS framework and included randomized clinical trials, quasi-experimental studies, observational studies, and cross-sectional studies. Six studies met the inclusion criteria and were analyzed narratively. The review results indicate that vitamin C supplementation at a dose of 500–1000 mg per day as an adjunct to standard anti-tuberculosis therapy has the potential to accelerate sputum conversion and reduce bacterial load compared with standard therapy alone. Furthermore, low vitamin C levels have been found to correlate with disease severity and delayed sputum conversion. Several in vitro studies have also demonstrated a synergistic effect between vitamin C and certain anti-tuberculosis drugs in enhancing bactericidal activity. Overall, vitamin C has potential as an adjuvant therapy in the treatment of pulmonary tuberculosis. However, larger randomized clinical trials are needed to establish more standardized recommendations for use in clinical practice. Keywords: Vitamin C, Pulmonary Tuberculosis, Adjuvant Therapy, Sputum Conversion, Oxida…
creator: Andi Arista Fausiah
creator: Edward Pandu Wiriansya
creator: Harry Akza Putrawan
rights: ##submission.copyrightStatement##
date: 2026-07-01
publication date: 2026-07-01
volume: 8
number: 7
starting page: 191
ending page: 201
doi: 10.33024/mnj.v8i7.25392

Prevalensi Methicillin-Resistant Staphylococcus Aureus (Mrsa) pada Pasien Impetigo: Suatu Tinjauan Sistematik
type: item
description: ABSTRACT Antimicrobial resistance is a major global health threat, with methicillin-resistant Staphylococcus aureus (MRSA) being a major pathogen in skin infections. MRSA is not only found in healthcare facilities but is also increasingly common in community-acquired infections. Impetigo is a common superficial skin infection that is often managed empirically without microbiological testing. Although Staphylococcus aureus is the primary causative agent, specific studies on MRSA in impetigo remain limited. This study aims to evaluate the prevalence of MRSA in patients with impetigo through a systematic review. This study is a systematic review based on the PRISMA 2020 guidelines. A literature search was conducted in PubMed, the Cochrane Library, EBSCO, ScienceDirect, and Google Scholar. Observational studies reporting the prevalence of MRSA in impetigo were included. Study quality was assessed using the Joanna Briggs Institute Critical Appraisal Checklist, and the analysis was descriptive. This study found that six studies met the inclusion criteria. The prevalence of MRSA varied widely, ranging from 0% to 100%. The highest prevalence was found in the context of community outbreaks, while other studies showed lower rates. Overall, the methodological quality of the studies was good, with a low to moderate risk of bias. It can be concluded that MRSA is a cause of impetigo with prevalence varying across regions. These findings underscore the importance of considering MRSA in the etiology of impetigo, as well as the need for monitoring antibiotic resistance and utilizing local epidemiological data for appropriate empirical therapy. Keywords: MRSA, Impetigo, Prevalence, Antimicrobial Resistance, Staphylococcus Aureus. ABSTRAK Resistensi antimikroba merupakan ancaman utama kesehatan global, dengan Methicillin-Resistant Staphylococcus aureus (MRSA) sebagai patogen penting pada infeksi kulit. MRSA tidak hanya ditemukan di fasilitas kesehatan, tetapi juga semakin sering pada …
creator: Asyifa Nuriazahra
rights: ##submission.copyrightStatement##
date: 2026-07-01
publication date: 2026-07-01
volume: 8
number: 7
starting page: 202
ending page: 216
doi: 10.33024/mnj.v8i7.25399

Hubungan Peran Petugas Kesehatan Terhadap Kepatuhan Ibu Hamil Dalam Mengonsumsi Tablet Tambah Darah (TTD) Di Wilayah Kerja UPTD Puskesmas Selabatu Kota Sukabumi
type: item
description: ABSTRACT During pregnancy, adequate nutritional intake is essential; however, an imbalance between plasma volume and red blood cells often leads to anemia. One of the main preventive strategies is the consumption of iron supplements, yet adherence among pregnant women remains suboptimal. The role of healthcare workers as educators, communicators, motivators, facilitators, and counselors is an important reinforcing factor in improving adherence. This study aimed to determine the relationship between the role of healthcare workers and pregnant women’s adherence to iron supplement intake in the working area of Selabatu Community Health Center (UPTD Puskesmas), Sukabumi City. This study used a correlational design with a cross-sectional approach. The population consisted of all pregnant women who received iron supplements in the working area of UPTD Puskesmas Selabatu, with a total sample of 67 respondents selected using total sampling. Data were collected using a healthcare worker role questionnaire (Guttman scale) and the MMAS-8 adherence questionnaire. Data were analyzed using univariate and bivariate analysis with the Chi-Square test. The results showed that among respondents with active healthcare worker involvement, the majority were adherent to iron supplement intake (44 respondents; 84.6%), while 8 respondents (15.4%) were non-adherent. In contrast, all respondents without healthcare worker involvement were non-adherent (15 respondents; 100%). The Chi-Square test showed a p-value of 0.001 (p < 0.05), indicating a significant relationship. There is a significant relationship between the role of healthcare workers and pregnant women’s adherence to iron supplement intake in the working area of Selabatu Community Health Center (UPTD Puskesmas), Sukabumi City. Keywords: Adherence, Anemia, Healthcare Worker Role, Iron Supplement Intake, Pregnant Women. ABSTRAK Masa kehamilan memerlukan asupan gizi optimal, namun peningkatan volume plasma yang tidak seimbang dengan sel…
creator: Amanda Aditya Pratiwi
creator: Susilawati Susilawati
creator: Reni Suherman
rights: ##submission.copyrightStatement##
date: 2026-07-01
publication date: 2026-07-01
volume: 8
number: 7
starting page: 217
ending page: 228
doi: 10.33024/mnj.v8i7.25433

Pengaruh Aktivitas Fisik Terhadap Penurunan Berat Badan Usia Pertengahan yang Mengalami Obesitas di Tatanan Keluarga: Scoping Review
type: item
description: ABSTRACT Midlife obesity is a health issue that increases the risk of non-communicable diseases and reduces quality of life. Physical activity plays an important role in weight control, but its effectiveness is influenced by the immediate environment, particularly the family. Family structure contributes to shaping active living behaviors and the sustainability of lifestyle changes. This scoping review aims to map the scientific evidence regarding the influence of physical activity on weight loss in middle-aged individuals experiencing obesity within a family setting. A scoping review was conducted based on the Arksey and O'Malley framework. Literature search was conducted thru PubMed, Scopus, and Google Scholar for articles from the last ten years. Inclusion criteria include studies on middle-aged individuals with obesity, physical activity interventions, weight loss outcomes, and family involvement. Data were analyzed descriptively and narratively. The review findings indicate that regular physical activity with moderate intensity to a combination of aerobic and strength training is effective in reducing weight in middle-aged individuals. Family-based approaches have proven to be more effective than individual approaches. Physical activity has a positive impact on weight loss in middle-aged individuals with obesity, especially when supported by family structure. A family-based approach is recommended in efforts to prevent and manage obesity at the family and community levels. Keywords: Physical Activity, Obesity, Middle Age, Weight Loss, Family Setting. ABSTRAK Obesitas pada usia pertengahan merupakan masalah kesehatan yang meningkatkan risiko penyakit tidak menular dan menurunkan kualitas hidup. Aktivitas fisik berperan penting dalam pengendalian berat badan, namun efektivitasnya dipengaruhi oleh lingkungan terdekat, khususnya keluarga.Tatanan keluarga berkontribusi dalam membentuk perilaku hidup aktif dan keberlanjutan perubahan gaya hidup. Scoping review ini be…
creator: Iwan Shalahuddin
creator: Udin Rosidin
creator: Theresia Eriyani
creator: Sandra Pebrianti
rights: ##submission.copyrightStatement##
date: 2026-07-01
publication date: 2026-07-01
volume: 8
number: 7
starting page: 229
ending page: 253
doi: 10.33024/mnj.v8i7.25549

Penerapan Program Partnership with Parents Terhadap Kontinuitas Perawatan Anak dengan Stunting
type: item
description: ABSTRACT Stunting is a growth disorder where a child's height falls below the age-standardized average due to prolonged malnutrition and recurrent infections. This condition demands special attention through continuous care that actively involves the family. This study aims to analyze the effect of the Partnership With Parents (PWP) program on the continuity of care for stunted children. This study used a quantitative approach with a quasi-experimental one-group pretest-posttest design was employed. The sample consisted of 35 mothers whose children were undergoing stunting treatment at UPT Puskesmas Saigon, Pontianak. Data were collected using a continuity of care questionnaire covering information, management, and relational dimensions. The Wilcoxon signed-rank test (α = 0.05) and effect size analysis were used. The PWP program significantly affected continuity of care across all dimensions (p < 0.05). Effect sizes indicated very strong influences, with the highest in the management dimension (r = 0.965), followed by relational (r = 0.921) and information (r = 0.912) dimensions. The PWP program effectively improves continuity of care for stunted children by enhancing parents' ability to understand information, manage care, and build relationships with health workers. Keywords: Partnership with Parents, Continuity of Care, Stunting, Family-Centered Care. ABSTRAK Stunting merupakan kondisi tinggi badan anak yang berada di bawah rata-rata usianya akibat kekurangan gizi berkepanjangan dan infeksi berulang. Kondisi ini memerlukan perhatian khusus melalui perawatan berkelanjutan dengan keterlibatan aktif keluarga. Penelitian ini bertujuan menganalisis pengaruh program Partnership With Parents(PWP) terhadap kontinuitas perawatan anak stunting. Metode Penelitian menggunakan pendekatan kuantitatif dengan desain kuasi-eksperimen one-group pretest-posttest. Sampel berjumlah 35 ibu dengan anak stunting yang sedang menjalani perawatan di UPT Puskesmas Saigon, Pontianak. Pengump…
creator: Lydia Moji Lautan
creator: Yustina Riki Nazarius
creator: Fransiska Romina
rights: ##submission.copyrightStatement##
date: 2026-07-01
publication date: 2026-07-01
volume: 8
number: 7
starting page: 254
ending page: 266
doi: 10.33024/mnj.v8i7.25648

Aplikasi Tindakan Keperawatan Pada Pasien Congestive Heart Failure (CHF) Dengan Masalah Keperawatan Hipervolemia
type: item
description: ABSTRACT Congestive Heart Failure (CHF) is a heart condition in which the heart fails to pump blood to adequately supply the body's cells with nutrients and oxygen. A common symptom and major problem in CHF is edema in the legs, with an incidence reaching 80% of CHF patients. Edema in CHF patients can lead to a major nursing problem, hypervolemia. Therefore, a nursing plan is needed to address fluid balance. The purpose of this study was to describe the application of nursing care to CHF patients. The research method used was a case study design and the number of respondents was two patients who met the criteria for clients experiencing hypervolemia in CHF. The results showed that the problem of hypervolemia was partially resolved for 3 days in both patients, indicated by a significant decrease in edema, significant improvement in blood pressure, and increased urine output. Conclusion: With hypervolemia management, fluid balance will improve. Keywords: Nursing Action Aplication, Congestive Heart Failure, Hypervolemia. ABSTRAK Congestive Heart Failure/Gagal Jantung Kongestif adalah salah satu kondisi jantung dimana jantung mengalami kegagalan dalam memompa darah guna mencukupi sel-sel tubuh akan nutrient dan oksigen secara adekuat. Gejala yang sering muncul dan menjadi masalah utama dari penyakit CHF adalah edema pada kaki, dengan persentase kejadian mencapai 80% dari total pasien CHF). Edema yang timbul pada pasien CHF dapat menyebabkan masalah keperawatan utama yaitu hipervolemia. Oleh karena itu, perlu rencana keperawatan untuk mengatasi keseimbangaan cairan dapat meningkat. Tujuan penelitian ini adalah menggambarkan aplikasi keperawatan pada pasien CHF. Metode penelitian yang digunakan dengan desain studi kasus dan jumlah reponden dua pasien dengan kriteria klien yang mengalami hIpervolemia pada CHF. Hasil penelitian menunjukkan masalah hipervolemia selama 3 hari teratasi sebagian pada kedua pasien yang ditandai dengan edema cukup menurun, tekanan darah cukup mem…
creator: Tati Karyawati
creator: Ahmad Zakiudin
creator: Muhammad Ragil Bahtiar
rights: ##submission.copyrightStatement##
date: 2026-07-01
publication date: 2026-07-01
volume: 8
number: 7
starting page: 267
ending page: 276
doi: 10.33024/mnj.v8i7.23770

Kompetensi Kepemimpinan Digital dan Pengaruhnya Terhadap Burnout Serta Work-Life Balance Pada Perawat Generasi Milenial di Ruang Maternal RS Hermina Jatinegara
type: item
description: ABSTRACT The development of digital technology in the era of Industrial Revolution 4.0 has had a major impact on various sectors, including the health sector. This study was conducted with the purposes to analyze the influence of digital leadership competencies on burnout and work-life balance in millennial generation nurses in the Maternal Ward of Hermina Jatinegara Hospital. The study design used in this study was a quantitative approach with a cross-sectional design. The sampling technique used was total sampling. Therefore, the number of respondents in this study was 70. Data analysis used univariate and bivariate analyses. The results showed that there was a significant influence between digital leadership competency and the level of burnout in millennial generation nurses in the Maternal Ward of Hermina Jatinegara Hospital. The second result of this study is that there is a significant influence of digital leadership competency and work-life balance in millennial generation nurses in the Maternal Ward of Hermina Jatinegara Hospital. The findings highlight that good digital competence by nurses can make them more adaptive to developments in the healthcare system, thereby reducing the risk of burnout and maintaining a better work-life balance. Keywords: Burnout, Digital Leadership Competencies, Millennial Generation Nurses, Work-Life Balance. ABSTRAK Perkembangan teknologi digital di era Revolusi Industri 4.0 telah memberikan dampak besar pada berbagai sektor, termasuk sektor kesehatan. Penelitian ini dilakukan dengan tujuan untuk menganalisis pengaruh kompetensi kepemimpinan digital terhadap burnout dan keseimbangan kerja-hidup pada perawat generasi milenial di Ruang Maternal Rumah Sakit Hermina Jatinegara. Penelitian ini merupakan penelitian kuantitatif dengan desain cross-sectional. Teknik pengambilan sampel yang digunakan adalah total sampling. Sehingga, jumlah responden dalam penelitian ini adalah 70 orang. Analisis data menggunakan analisis univariat dan b…
creator: Junita Maratur Silitonga
creator: Ria Oktiffany Anugrahwati
creator: Nadia Oktiffany Putri
rights: ##submission.copyrightStatement##
date: 2026-07-01
publication date: 2026-07-01
volume: 8
number: 7
starting page: 277
ending page: 289
doi: 10.33024/mnj.v8i7.25405

Hubungan Dukungan Sosial dengan Kepuasan Hidup Lansia di Wilayah Kerja Puskesmas Pajang Kota Surakarta
type: item
description: ABSTRACT The final stage of human development is the elderly phase, during which individuals experience comprehensive changes across physical, psychological, and social domains. Life satisfaction constitutes a critical component of overall well-being, with social support identified as a key determinant influencing satisfaction in later life. The present study aims to examine the association between social support and life satisfaction among older adults. This research employed a quantitative approach with a descriptive correlational design. A probability sampling technique with a proportional method was utilized, yielding a total of 102 respondents. Data collection was conducted using MPSS and SWLS. Data were analyzed through univariate and bivariate techniques, with statistical testing performed using the chi-square test. The findings revealed a significant p-value of 0,001 (p<0,05), indicating rejection of the null hypothesis. These results demonstrate a significant association between social support and life satisfaction among older adults, suggesting that greater social support contributes to higher levels of life satisfaction an overall well-being. Keywords: Social Support, Life Satisfaction, Elderly. ABSTRAK Masa perkembangan terakhir dalam hidup manusia yaitu pada masa lanjut usia yang secara keseluruhan terjadi perubahan fisik, mental maupun sosial. Kepuasan hidup merupakan komponen penting bagi kesejahteraan hidup manusia, faktor dukungan sosial jadi salah satu yang dapat memengaruhi kepuasan hidup pada masa lansia. Penelitian ini memiliki tujuan utama untuk mengetahui ada tidaknya hubungan antara dukungan sosial dengan kepuasan hidup pada lansia. Penelitian ini berupa penelitian kuantitatif dengan metode yaitu deskriptif korelatif. Teknik sampling yang digunakan pada penelitian ini adalah probability sampling dengan menggunakan pendekatan proportional sampeldengan total jumlah sampel penelitian sebanyak 102 responden. Data penelitian dikumpulkan dengan men…
creator: Rifani Hikmah Fatikhah
creator: Supratman Supratman
rights: ##submission.copyrightStatement##
date: 2026-07-01
publication date: 2026-07-01
volume: 8
number: 7
starting page: 290
ending page: 299
doi: 10.33024/mnj.v8i7.22569

Hubungan Pengetahuan dengan Keikutsertaan Melakukan Inspeksi Visual Asam Asetat Wanita Usia Subur di Puskesmas Selemadeg Barat
type: item
description: ABSTRACT Cervical cancer is the most common cancer in Indonesia due to late detection of the disease. The last IVA socialization was conducted before the COVID-19 Pandemic. The number of WUS was 5,123 people, while only 248 people performed VIA examinations. This study was conducted in March - April 2025. The purpose of the study was to determine the relationship between knowledge and participation in conducting acetic acid visual inspection in women of childbearing age. This research design is analytic observational using cross sectional research design. Data collection in this study by distributing questionnaires. The population was 5,123 women of childbearing age. Respondents were 38 women of childbearing age using the correlative analysis formula. Purposive sampling method. The research instrument used a questionnaire. Data analysis using univariate and bivariate. The results showed that most of the knowledge of women of childbearing age in conducting visual inspection of acetic acid was sufficient as many as 22 people (57.9%). Most of the knowledge of women of childbearing age following visual inspection of acetic acid as many as 20 people (52.6%). Chi-square test results obtained p value: 0.003 (<0.05). The study concluded that there was a relationship between knowledge and participation in conducting visual inspection of acetic acid of women of childbearing age. Health services and health workers, especially midwives, should always strive to optimize IVA early detection services. Keywords: Participation, Visual Acetic Acid, Women of Child-Bearing Age. ABSTRAK Kanker serviks merupakan kanker terbanyak di Indonesia disebabkan terlambatnya deteksi dini penyakit. Sosialisasi mengenai IVA terakhir dilakukan sebelum Pandemi COVID-19. Jumlah WUS sebanyak 5.123 orang, sedangkan yang melakukan pemeriksaan IVA hanya 248 orang. Penelitian ini dilakukan pada bulan Maret - April 2025. Tujuan penelitian untuk mengetahui hubungan pengetahuan dengan keikutsertaan melakukan i…
creator: Ayu Somandariani
creator: Asep Arifin Senjaya
creator: Gusti Ayu Tirtawati
rights: ##submission.copyrightStatement##
date: 2026-07-01
publication date: 2026-07-01
volume: 8
number: 7
starting page: 300
ending page: 312
doi: 10.33024/mnj.v8i7.22574

Optimalisasi Strategi Manajemen Diri Program Care, Love and Be Healty Kidney (CLBK) dalam Meningkatkan Self-Efficacy Pasien Penyakit Ginjal Kronis Stadium V di RSUD Harapan dan Do’a Kota Bengkulu
type: item
description: ABSTRACT Stage V chronic kidney disease (CKD) is a progressive condition that requires renal replacement therapy, such as hemodialysis. Patients often experience physical and psychosocial challenges that can lower their self-efficacy, which is their confidence in managing their disease. Therefore, effective self-management strategies are needed to improve self-efficacy. This study aims to test the effectiveness of the Care, Love, and Be Healthy Kidney (CLBK) program in improving the self-efficacy of CKD patients. This study aims to test the effectiveness of the Care, Love, and Be Healthy Kidney (CLBK) program in improving the self-efficacy of Stage V CKD patients. This study used a quasi-experimental approach with a pre-post-test design with a control group. The sample consisted of 34 Stage V CKD patients undergoing hemodialysis at Harapan and Do'a Regional Hospital in Bengkulu City. The CLBK program was implemented for one month, with eight sessions for the intervention group, while the control group received standard care. The instrument used was the Chronic Kidney Disease Self-Efficacy (CKD-SE) questionnaire. The average self-efficacy score before the intervention in the control group was 170.29 with a standard deviation of 19.61. The average self-efficacy score after the intervention in the control group was 170.88 with a standard deviation of 19.27. Statistical tests yielded a p-value of 0.018 (p < 0.05). The average self-efficacy score before the CLBK self-management intervention in the intervention group was 178.18 with a standard deviation of 25.09, and the average self-efficacy score after the CLBK self-management intervention was 213.14 with a standard deviation of 17.68. Statistical tests yielded a p-value of 0.000 (p < 0.05). Self-management of the care, love and be healthy kidney (CLBK) program can increase the self-efficacy of CKD patients and is more effective than the control group. Keywords: Hemodialysis, Self-Management Of CLBK, Self-Efficacy. ABST…
creator: Yatimah yatimah
creator: Yayat Suryati
creator: Asep Badrujamaludin
rights: ##submission.copyrightStatement##
date: 2026-07-01
publication date: 2026-07-01
volume: 8
number: 7
starting page: 313
ending page: 327
doi: 10.33024/mnj.v8i7.22639

Analisis Motivasi Kerja Tenaga Perawat di RSD DR. A. DADI TJOKRODIPO
type: item
description: ABSTRACT Work motivation is a psychological drive that influences the direction, intensity, and persistence of a person in performing work to achieve certain goals. The level of work motivation among nurses at DR A. Dadi Tjokrodipo Hospital is not yet satisfactory. This quantitative analytical study used a cross-sectional design with a closed-ended questionnaire (G-form) as the measurement tool. The study sample consisted of 94 respondents, the data were analyzed using Smart PLS 3.0. The results showed that there was a direct effect of hospital policy (Path Coefficient 0.092, t-statistic 2.026, p-value 0.043), compensation (Path Coefficient 0.156, t-statistic 2.949, p-value 0.003), working conditions (Path Coefficient 0.211, t-statistic 2.056, p-value 0.040) on work motivation. There is a direct effect of hospital policy (Path Coefficient 0.139, t-statistic 2.463, p-value 0.014), compensation (Path Coefficient 0.616, t-statistic 7.977, p-value 0.000), working conditions (Path Coefficient 0.238, t-statistic 2.705, p-value 0.007), on responsibility. There is an indirect effect of hospital policy (Path Coefficient 0.062, t-statistic 2.219, p-values 0.027), compensation (Path Coefficient 0.276, t-statistic 4.188, p-value 0.000), working conditions (Path Coefficient 0.107, t-statistic 2.354, p-value 0.019) on work motivation through responsibility. Hospital management needs to pay attention to promotion procedures being carried out openly and transparently, salaries commensurate with workload, creating smooth communication between departments, creating motivation and opportunities for development, so that nurse job satisfaction can be better realized. Keywords: Hospital Policy, Compensation, Working Conditions, Responsibility, Motivation. ABSTRAK Motivasi kerja adalah dorongan psikologis yang mempengaruhi arah, intensitas, dan ketekunan seseorang dalam melakukan pekerjaan untuk mencapai tujuan tertentu. Tingkat motivasi kerja tenaga perawat di RSD DR A,Dadi Tjokrodipo be…
creator: Gilang Agusman
creator: Samino Samino
creator: Usastiawaty Usastiawaty
rights: ##submission.copyrightStatement##
date: 2026-07-01
publication date: 2026-07-01
volume: 8
number: 7
starting page: 328
ending page: 348
doi: 10.33024/mnj.v8i7.22707

Tren Insidensi Influenza A di Asia Tenggara dalam 10 Tahun Terakhir (2015–2025): Scoping Review
type: item
description: ABSTRACT Influenza A is an emerging and re-emerging infectious disease with pandemic potential, contributing significantly to global morbidity and mortality. Southeast Asia is considered a hotspot due to high population density, cross-border mobility, live poultry markets, intense human–animal interactions, and tropical–subtropical climate conditions. Despite the 2009 H1N1 pandemic demonstrating its pandemic potential, a comprehensive synthesis of Influenza A incidence in Southeast Asia over the past decade (2015–2025) remains limited. To synthesize available evidence on the incidence, circulation patterns, and epidemiological trends of Influenza A in Southeast Asia from 2015 to 2025 within the context of Global Health Security. A scoping review was conducted in 2025 following PRISMA guidelines. Literature searches were performed in PubMed, ScienceDirect, Google Scholar, DOAJ, and official WHO FluNet/GISRS databases for the period 2015–2025. Eligible sources included peer-reviewed articles and official surveillance reports in English or Indonesian focusing on Influenza A in Southeast Asia. Editorials, opinion papers, and studies conducted outside the region were excluded. Eight studies met the inclusion criteria. Influenza A circulates year-round in Southeast Asia, with seasonal peaks during high humidity and rainfall periods. Thailand experiences two annual peaks, while Laos shows a late rainy-season peak. Periodic shifts occur between A(H1N1) pdm09 and A(H3N2) due to viral evolution and population immunity. Influenza B also demonstrates alternating Victoria and Yamagata lineage patterns in several countries. Influenza activity significantly declined during 2020–2021 due to COVID-19 non-pharmaceutical interventions, followed by a rebound in 2022–2023, particularly among young children with immunity gaps. Influenza A remains a persistent and dynamic public health threat in Southeast Asia, characterized by year-round circulation and shifting subtype dominance. Streng…
creator: Sulhiani Anggraini
creator: Nila Febriana Iswara
creator: Muthia Cenderadewi
rights: ##submission.copyrightStatement##
date: 2026-07-01
publication date: 2026-07-01
volume: 8
number: 7
starting page: 349
ending page: 359
doi: 10.33024/mnj.v8i7.26602

Pola Resistensi Karbapenem di Rumah Sakit Umum Daerah Kota Mataram
type: item
description: ABSTRACT Carbapenems are critical last-resort antibiotics for multidrug-resistant Gram-negative infections. Rising resistance threatens patient outcomes and health system resilience, particularly in low- and middle-income countries (LMICs) with limited surveillance and stewardship. This study assessed carbapenem resistance patterns at H. Moh. Ruslan Regional Public Hospital, Mataram, Indonesia. This study aims to describe cases of carbapenem antibiotic resistance in a public hospital in Mataram. Method a retrospective cross-sectional study analysed microbiology laboratory records from January 2023 to December 2024. Bacterial isolates from blood, urine, sputum, pus, and other specimens underwent disk diffusion susceptibility testing. Resistance rates were compared between years. Result a total of 2,478 isolates were analyzed (2023: n = 1,163; 2024: n = 1,315). Overall carbapenem resistance increased from 12.4% in 2023 to 14.1% in 2024. The highest resistance was observed in Acinetobacter sp. (25.7% to 34.3%), followed by Pseudomonas aeruginosa (17.4% to 18.4%), Klebsiella pneumoniae (8.4% to 9.3%), and Escherichia coli (4.7% to 6.0%). Conclusion increasing carbapenem resistance among key Gram-negative pathogens calls for urgent action to reinforce antimicrobial stewardship, guide empirical therapy, and strengthen infection prevention and control. Sustained local surveillance will be essential to preserve carbapenems as vital last-resort agents. Keywords: Antibiotic Susceptibility, Antimicrobial Resistance, Carbapenem Resistance, Indonesia. ABSTRAK Karbapenem adalah antibiotik terakhir yang kritis untuk infeksi Gram-negatif yang resisten terhadap banyak obat. Meningkatnya resistensi mengancam hasil pengobatan pasien dan ketahanan sistem kesehatan, terutama di negara-negara berpendapatan rendah dan menengah (NBRM) dengan pengawasan dan pengelolaan antibiotik yang terbatas.Studi ini menilai pola resistensi karbapenem di Rumah Sakit Umum Daerah H. Moh. Ruslan, Mataram, I…
creator: Rifky Arafahtul huda
creator: Mutia Cenderadewi
creator: Rohani Rohani
rights: ##submission.copyrightStatement##
date: 2026-07-01
publication date: 2026-07-01
volume: 8
number: 7
starting page: 360
ending page: 368
doi: 10.33024/mnj.v8i7.25307

Strategi Manajemen Stres Kerja Perawat, Dalam Meningkatkan Produktivitas Kerja di Kamar Bedah Rumah Sakit Siloam Manado
type: item
description: ABSTRACT Background Operating room nurses work in a high-pressure environment characterized by complex procedures, time demands, and significant patient safety risks. These conditions may lead to work stress that can affect nurses’ productivity. Therefore, effective stress management strategies are required to maintain performance and perioperative service quality. Objective,This study aimed to explore in depth the work stress management strategies of nurses in improving productivity in the Operating Room Unit of Siloam Hospital Manado. Methods, This study employed a qualitative design with a phenomenological approach. Four informants were selected purposively, consisting of a recovery nurse, operating assistant nurse, instrument nurse, and in-charge nurse. Data were collected through in-depth interviews, observations, and documentation, and analyzed using thematic analysis. Results,Four major themes emerged: (1) experiences of work stress caused by high workload, time pressure, and patient safety responsibilities; (2) the impact of stress on productivity including decreased concentration, physical fatigue, and disrupted team performance; (3) individual stress management strategies through emotional, social, spiritual, and problem-focused coping; and (4) organizational support through supportive leadership, team briefings, and task distribution. Work stress among operating room nurses is a multidimensional phenomenon affecting work productivity. Adaptive coping strategies and organizational support play crucial roles in managing stress and maintaining nurses’ performance. Keywords: Work Stress, Operating Room Nurses, Stress Management, Work Productivity, Phenomenology. ABSTRAK Perawat kamar bedah merupakan tenaga kesehatan yang bekerja pada lingkungan dengan tingkat tekanan tinggi, kompleksitas tindakan, serta risiko keselamatan pasien yang besar. Kondisi tersebut berpotensi menimbulkan stres kerja yang dapat memengaruhi produktivitas perawat. Oleh karena itu, diper…
creator: Amelia Magdalena Kawengian
rights: ##submission.copyrightStatement##
date: 2026-07-01
publication date: 2026-07-01
volume: 8
number: 7
starting page: 369
ending page: 380
doi: 10.33024/mnj.v8i7.25391

Dampak Aplikasi Mobile Health (Mhealth) Terhadap Perilaku dan Outcome Kesehatan Ibu Hamil: Tinjauan Sistematis
type: item
description: ABSTRACT The use of mobile health (mHealth) is increasingly emerging as an innovative strategy for improving maternal health, particularly in developing countries with limited access to healthcare services. This study aims to analyse the impact of mHealth interventions on maternal health behaviours and outcomes. Articles published between 2020 and 2026 were systematically reviewed using the Google Scholar, ScienceDirect and PubMed databases. The study was conducted in accordance with the PRISMA 2020 guidelines for systematic reviews. A combination of keywords related to mobile health (mHealth), maternal health, antenatal care, health behaviour and utilisation of health services was used to conduct the literature search. Article selection involved three stages: identification, screening, and assessment of full-text eligibility. The Critical Appraisal Skills Programme (CASP) was used to assess methodological quality. The search yielded 670 articles, of which 21 were analysed. The results showed that mHealth always made things better for mothers and their children. It made them more knowledgeable, and they took their iron supplements more often. It also made them live healthier lives. Furthermore, there was a significant increase in the utilisation of maternal health services, particularly antenatal (ANC) and postnatal (PNC) care, and deliveries attended by healthcare professionals. The impact on clinical outcomes for mothers and infants varied, but there was potential for improvement through indirect mechanisms, and mHealth interventions also enhanced engagement and awareness within the healthcare system. mHealth is an effective intervention in improving health behaviours and the utilisation of maternal services, with the potential to impact clinical outcomes. The integration of mHealth into the healthcare system is necessary to optimise its benefits. Keywords: Mhealth, Maternal Health, Antenatal Care, Health Behaviours. ABSTRAK Pemanfaatan mobile health (mHealth) sem…
creator: Dewiga Angkotamony
creator: Setya Haksama
creator: Fariani Syahrul
rights: ##submission.copyrightStatement##
date: 2026-07-01
publication date: 2026-07-01
volume: 8
number: 7
starting page: 381
ending page: 394
doi: 10.33024/mnj.v8i7.25410

Hubungan Tingkat Kecemasan dan Kemandirian dalam Activity Daily Living (ADL) Terhadap Kualitas Hidup Lansia Hipertensi di Jakarta Timur
type: item
description: ABSTRAK Lansia merupakan masyarakat rentan\berisiko terhadap penurunan kesehatan, salah satu penyakit degenerative yang paling sering terjadi pada lansia adalah hipertensi. Survei Kesehatan Indonesia (SKI) mengatakan hipertensi merupakan faktor risiko tertinggi penyebab kematian keempat di Indonesia. Orang yang mengidap hipertensi umumnya memiliki kualitas hidup yang lebih rendah dibandingkan dengan mereka yang tidak mengidap hipertensi. Beberapa faktor yang mempengaruhi kualitas hidup diantaranya adalah kesehatan psikologis salah satunya yaitu kecemasan dan kesehatan fisik yaitu kemandirian dalam aktivitas sehari-hari. Penelitian ini dilakukan untuk mengetahui hubungan tingkat kecemasan dan kemandirian dalam activity daily living (ADL) dengan tekanan darah pada lansia hipertensi di Wilayah Kerja Puskesmas Kecamatan Ciracas Jakarta Timur. Jenis penelitian ini adalah kuantitatif dengan desain penelitian cross sectional. Penelitian ini dilaksanakan pada bulan April 2025. Pengambilan Sampel menggunakan teknik purposive sampling dengan sampel sebanyak 106 responden. Pengumpulan data menggunakan data primer dan instrumen kuesioner. Analisis data menggunakan uji Chi-Square. Hasil penelitian dilakukan pada 106 responden didapatkan 76 (71,7%) lansia memiliki tingkat kecemasan ringan dan 90 (84,9%) lansia memiliki tingkat kemandirian tinggi. Ada hubungan yang signifikan antara tingkat kecemasan dengan kualitas hidup (p= < 0,001) dan ada hubungan yang signifikan antara kemandirian dalam activity daily living (ADL) dengan kualitas hidup (p= < 0,001). terdapat hubungan yang signifikan antara tingkat kecemasan dan kemandirian dalam activity daily living (ADL) dengan kualitas hidup. Kata Kunci: Lansia Hipertensi, Tingkat Kecemasan, Activity Daily Living (ADL), Kualitas Hidup. ABSTRACT The elderly are a vulnerable population at risk of health decline. One of the most common degenerative diseases in the elderly is hypertension. The Indonesian Health Survey (SKI) states that hyperte…
creator: Eska Riyanti Kariman
creator: Nurdahlia Nurdahlia
creator: Tri Endah Pangestuti
creator: Kaila Kamila
rights: ##submission.copyrightStatement##
date: 2026-07-01
publication date: 2026-07-01
volume: 8
number: 7
starting page: 395
ending page: 406
doi: 10.33024/mnj.v8i7.25411

Gambaran Pengetahuan dan Praktik Pemenuhan Gizi Seimbang pada Remaja Perempuan
type: item
description: ABSTRACT Adolescents are a vulnerable age group prone to nutritional problems due to changes in dietary patterns, which often result in an imbalance between nutritional needs and daily intake. In addition to increasing the risk of obesity and anemia among adolescent girls, this imbalance also contributes to the risk of stunting in future generations. This study aims to determine the knowledge and practices regarding balanced nutrition among adolescent girls at SMKS Mutiara Bangsa Purwakarta. The research method used was quantitative descriptive with a total sampling technique involving 106 female students from grades 10 to 12. Data collection was conducted using a questionnaire consisting of 44 items to explore knowledge and practices regarding balanced nutrition. The data were analyzed univariately and presented in the form of frequency distributions and descriptive statistics. The results showed that the majority of respondents had a level of knowledge regarding balanced nutrition in the “inadequate” category (32 respondents, 30.2%), followed by the “good” category (74 respondents, 69.8%). Regarding the practice of balanced nutrition, the majority of respondents were in the “inadequate” category (57 respondents, 46.2%), while 49 respondents (53.8%) were in the “good” category. Based on the research results, this indicates that adolescents’ level of nutritional knowledge has not been fully implemented in daily nutritional practices. Therefore, efforts to raise awareness and change nutritional behaviors starting in adolescence are needed to support optimal growth, improve health status, and prevent various nutritional problems in the future. Keywords: Adolescents, Nutritional Knowledge and Practices, Nutritional Status. ABSTRAK Remaja adalah kelompok usia rentan mengalami masalah gizi akibat perubahan pola makan yang seringkali ditemukan ketidakseimbangan antara kebutuhan dan pemenuhan gizi harian. Selain menimbulkan potensi obesitas dan anemia pada remaja perempuan…
creator: Amara Putri Hermawanti
creator: Mira Trisyani Koeryaman
creator: Lilis Mamuroh
rights: ##submission.copyrightStatement##
date: 2026-07-01
publication date: 2026-07-01
volume: 8
number: 7
starting page: 407
ending page: 417
doi: 10.33024/mnj.v8i7.25414

Pengaruh Akupresur di Titik St 36, Sp 8, Li 4 Pada Akseptor Kb Iud dengan Dismenore di Puskesmas Wajak Kabupaten Malang
type: item
description: ABSTRACT Dysmenorrhea is a common side effect experienced by Family Planning acceptors using the Intrauterine Device (IUD). This condition is marked by the emergence of pain in the lower abdominal area during menstruation, which can disrupt daily activities and overall well-being. Dysmenorrhea is typically treated with pharmacological interventions, such as pain relievers or nonsteroidal anti-inflammatory drugs, but long-term use carries the risk of negative effects, thus requiring safe and easily practiced non-pharmacological alternatives, namely acupressure. Acupressure is a complementary therapy method that involves applying pressure to specific body points to stimulate the nervous system, improve blood circulation, and trigger the release of endorphins as natural analgesics. Several acupressure points known to be associated with reducing menstrual pain consist of points ST36 (Zusanli), SP8 (Diji), and LI4 (Hegu). This study aims to analyze the effect of acupressure on points ST36, SP8, and LI4 on the intensity of dysmenorrhea in IUD Family Planning acceptors. The research design used is a quasi-experimental method with a pretest-posttest control group approach, encompassing 32 respondents consisting of 16 in the intervention group and 16 in the control group. Pain intensity is measured using the Visual Analog Scale. The study results indicate that the intervention group experienced a decrease in the mean pain score from 5.06 to 2.31, with Wilcoxon test results p = 0.001, whereas the control group showed no meaningful decrease. The Mann-Whitney test demonstrates a difference in the change in dysmenorrhea levels between the two groups after treatment, with p = 0.001. It can be concluded that acupressure on points ST36, SP8, and LI4 has a significant effect in reducing the intensity of dysmenorrhea in IUD Family Planning acceptors. Thus, complementary acupressure therapy is suitable as a non-pharmacological alternative for alleviating dysmenorrhea pain. Keywords: A…
creator: Irma Agustin
creator: Retno Dewi Prisusanti
creator: Rosyidah Alfitri
rights: ##submission.copyrightStatement##
date: 2026-07-01
publication date: 2026-07-01
volume: 8
number: 7
starting page: 418
ending page: 426
doi: 10.33024/mnj.v8i7.25818

Efek Akupunktur Pada Lansia dengan Carpal Tunnel Syndrome: Studi Kasus di Kota Surakarta
type: item
description: ABSTRACT Carpal tunnel syndrome (CTS) is the most common peripheral nerve compression disorder, occurring predominantly in older women. Conventional therapies carry significant risks in elderly patients who often refuse surgical intervention. This study aimed to document and evaluate the effectiveness of acupuncture care in reducing numbness, pain, and hand weakness, as well as improving sleep quality and hand functional capacity in a CTS patient. A single descriptive case study was conducted at Griya Sehat Shen Acupuncture, Surakarta, involving one female patient aged 71 years with right-hand unilateral CTS (February 1–28, 2026; 6 treatment sessions, twice weekly). The acupuncture protocol consisted of 11 acupoints: PC 7, EX-UE-9, BL 17, BL 18, BL 20, HT 7, LU 9, LI 4, LI 11, SP 10, and ST 36, tailored to the TCM pattern of blood deficiency failing to nourish tendons and meridians. Ethical clearance was obtained from KEPK ITSK RS dr. Soepraoen Malang (No. KEPK-EC/509/II/2026). The patient showed clinically significant improvement: pain reduced 100% (VAS 10/10 to 0/10), numbness reduced 80% (VAS 10/10 to 2/10), sleep quality improved 100% (VAS 6/10 to 0/10), and grip strength recovered from Grade 4/5 to Grade 5/5. No serious adverse effects were recorded. Acupuncture using a TCM-based comprehensive protocol is effective, safe, and acceptable in managing CTS in elderly patients as a non-surgical alternative. Keywords: Carpal Tunnel Syndrome, Acupuncture, Case Study, Elderly, Peripheral Neuropathy. ABSTRAK Carpal tunnel syndrome (CTS) merupakan gangguan kompresi saraf tepi yang paling umum terjadi, terutama pada perempuan usia lanjut. Terapi konvensional memiliki keterbatasan signifikan pada pasien lansia yang sering menolak tindakan operatif. Penelitian ini bertujuan mendokumentasikan dan mengevaluasi efektivitas asuhan akupunktur dalam mengurangi gejala kebas, nyeri, kelemahan tangan, serta meningkatkan kualitas tidur dan kemampuan fungsional tangan pada pasien CTS.…
creator: Moh Satrio Anindito
creator: Puspo Wardoyo
creator: Leny Candra Kurniawan
creator: Ikhwan Abdullah
rights: ##submission.copyrightStatement##
date: 2026-07-01
publication date: 2026-07-01
volume: 8
number: 7
starting page: 427
ending page: 437
doi: 10.33024/mnj.v8i7.25545

Manajemen Stres Pengasuhan Pada Orang Tua yang Memiliki Anak Berkebutuhan Khusus (Literature Review)
type: item
description: ABSTRACT Children with special needs require more intensive caregiving, placing parents at risk of experiencing parenting stress that can adversely affect psychological well-being, the quality of parent–child relationships, and overall family functioning. This study aims to analyze various interventions for managing parenting stress among parents of children with special needs through a literature review of articles retrieved from PubMed, Scopus, SAGE Journals, and Springer, with inclusion criteria limited to full-text articles published between 2021 and 2026 in either Indonesian or English. Based on the search results, eight articles were selected and analyzed narratively. The findings indicate that effective interventions include cognitive and psychoeducational approaches, resilience training and empowerment, social support, parent–child relationship therapy, as well as health education and counseling. These interventions have been shown to reduce stress levels while enhancing coping abilities, emotional regulation, and parental self-efficacy. Therefore, the management of parenting stress requires a multidimensional approach that not only focuses on stress reduction but also on strengthening psychological and social resources, thereby improving parents’ quality of life and overall family functioning. Keywords: Children With Special Needs, Parenting Stress, Stress Management, Intervention, Coping. ABSTRAK Anak berkebutuhan khusus memerlukan pengasuhan yang lebih intensif, sehingga orang tua berisiko mengalami stres pengasuhan yang dapat berdampak pada kesejahteraan psikologis, kualitas hubungan orang tua–anak, serta fungsi keluarga secara keseluruhan. Kajian ini bertujuan untuk menganalisis berbagai intervensi dalam manajemen stres pengasuhan pada orang tua anak berkebutuhan khusus melalui tinjauan literatur dari database PubMed, Scopus, Sage Journal, dan Springer dengan kriteria artikel terbit tahun 2021–2026, berbahasa Indonesia atau Inggris, serta tersedia dalam…
creator: Suci Mulya Eryuni
creator: Aat Sriati
rights: ##submission.copyrightStatement##
date: 2026-07-01
publication date: 2026-07-01
volume: 8
number: 7
starting page: 438
ending page: 453
doi: 10.33024/mnj.v8i7.25440

Dampak Pelatihan Elektrokardiogram Pada Kemampuan Perawat: Kajian Literatur Review
type: item
description: ABSTRACT Cardiovascular diseases remain the leading cause of morbidity and mortality worldwide. Nurses, as frontline healthcare providers, play a crucial role in the early detection and management of cardiac emergencies through their ability to interpret electrocardiograms (ECGs). However, limitations in nurses’ competency in ECG interpretation remain a significant challenge, highlighting the need for effective, evidence-based ECG training. This literature review aims to analyze the effectiveness of various electrocardiogram training methods in improving ECG interpretation skills among nurses and nursing students. This study employed a narrative literature review design using an evidence-based nursing (EBN) approach. Literature searches were conducted across several databases, including PubMed, Frontiers in Medicine, Nursing Open, Cureus, and BioMed Central. The included articles were published in English between 2020 and 2025, available in full text, and met the PICOT criteria. A total of 179 articles were initially identified, and after screening and selection based on inclusion and exclusion criteria, 15 articles were included for narrative analysis. The review findings indicate that various innovative ECG training methods—such as SAFMEDS, the CRISP method, flipped classroom, blended learning, simulation, and virtual reality—are more effective than conventional learning approaches. These methods significantly improve ECG interpretation accuracy, clinical competence, critical thinking skills, and both short-term and long-term knowledge retention. ECG training based on active learning strategies and technology has a significant positive impact on improving nurses’ ECG interpretation skills. The integration of evidence-based ECG training methods should be considered in nursing education and continuing professional development programs to enhance patient safety and clinical outcomes. Keywords: Electrocardiogram, ECG Training, ECG Interpretation, Nursing Competence. A…
creator: I Made Suarnada Saputra
creator: Maria Astrid
rights: ##submission.copyrightStatement##
date: 2026-07-01
publication date: 2026-07-01
volume: 8
number: 7
starting page: 454
ending page: 470
doi: 10.33024/mnj.v8i7.25439

Evidance Base Nursing Latihan Penguatan Otot untuk Keseimbangan Tubuh Pada Pasien Diabetisi 2
type: item
description: ABSTRACT Diabetes melitus tipe 2 merupakan penyakit kronis dengan prevalensi yang terus meningkat di seluruh dunia dan sering menimbulkan berbagai komplikasi, salah satunya neuropati perifer yang dapat menyebabkan gangguan keseimbangan tubuh. Gangguan keseimbangan pada pasien diabetisi dapat meningkatkan risiko jatuh dan menurunkan kemampuan aktivitas sehari-hari. Salah satu intervensi non-farmakologis yang dapat dilakukan untuk memperbaiki keseimbangan adalah latihan penguatan otot (muscle strengthening exercise) yang berperan dalam meningkatkan kekuatan otot, memperbaiki sirkulasi perifer, serta meningkatkan propriosepsi pada pasien diabetes. Penerapan Evidence Based Nursing Practice (EBNP) ini bertujuan untuk mengidentifikasi dan menerapkan latihan penguatan otot dalam meningkatkan keseimbangan tubuh pada pasien diabetes melitus tipe 2 serta menyusun Standar Prosedur Operasional (SPO) terkait intervensi tersebut. Metode yang digunakan adalah penerapan Evidence Based Nursing Practice melalui penelusuran literatur menggunakan pendekatan PICO dengan kata kunci diabetes mellitus, exercise, dan balance capacity. Pencarian dilakukan melalui database PubMed pada rentang tahun 2020–2025. Dari hasil penelusuran diperoleh 85 artikel, kemudian diseleksi berdasarkan kriteria inklusi dan eksklusi hingga diperoleh 4 artikel systematic review dan meta-analysis yang relevan. Artikel yang terpilih kemudian dilakukan telaah kritis menggunakan instrumen AMSTAR 2 untuk menilai kualitas evidence. Hasil penerapan menunjukkan bahwa latihan penguatan otot yang dilakukan secara rutin dapat meningkatkan kekuatan otot, memperbaiki sirkulasi perifer, serta meningkatkan keseimbangan tubuh pada pasien diabetes melitus tipe 2 yang mengalami neuropati perifer. Implementasi intervensi ini juga mendukung pengembangan SOP latihan fisik sebagai intervensi mandiri perawat dalam meningkatkan kualitas asuhan keperawatan pada pasien diabetes. Latihan penguatan otot merupakan intervensi non-farmakologis…
creator: Dimas Dewa Darma
creator: Yani Sofiani
creator: Ninik Yunitri
creator: Wati Jumaiyah
rights: ##submission.copyrightStatement##
date: 2026-07-01
publication date: 2026-07-01
volume: 8
number: 7
starting page: 471
ending page: 484
doi: 10.33024/mnj.v8i7.25423

The Effect Ofjuice Red Guava and Juice Pineapple Consumption on Hemoglobin Levels in Postpartum Women in The Service Area Puskesmas Purwokerto Selatan
type: item
description: ABSTRACT Pregnancy involves the development of a fertilized fetus in the uterus for approximately 40 weeks, accompanied by various physiological changes in the mother's body. One such change is hemodilution, which can decrease hemoglobin levels. Low hemoglobin levels during pregnancy increase the risk of bleeding during delivery and can lead to postpartum anemia. This study investigated how consumption of guava juice and pineapple juice affects hemoglobin levels in postpartum mothers. This study used a pre-experimental design with a two-group pretest-posttest design on 45 postpartum mothers divided into two groups: one group consumed 250 mL of guava juice daily and the other group consumed 250 mL of pineapple juice daily for 7 days. Hemoglobin levels were measured before (pretest) and after (posttest) the intervention. Data analysis using an independent t-test comparing the two groups before the intervention (pretest) yielded a p-value of 2.680, and after the intervention (posttest) a p-value of 6.770, indicating no significant difference between the two groups in either the pretest or posttest. The results of a paired t-test comparing the pretest and posttest in each group showed that hemoglobin levels increased significantly after consuming guava juice (p = 0.000) and pineapple juice (p = 0.000). These findings suggest that consuming guava or pineapple juice for 7 days can effectively increase hemoglobin levels in postpartum mothers. Keywords: Hemoglobin, Guava Juice, Pineapple Juice, Postpartum. ABSTRAK Kehamilan melibatkan perkembangan janin yang telah dibuahi di dalam rahim selama sekitar 40 minggu, bersamaan dengan berbagai perubahan fisiologis dalam tubuh ibu. Salah satu perubahan tersebut adalah hemodilusi, yang dapat menurunkan kadar hemoglobin. Kadar hemoglobin rendah selama kehamilan meningkatkan risiko perdarahan saat persalinan dan dapat menyebabkan anemia pascapersalinan. Studi ini menyelidiki bagaimana konsumsi jus jambu merah dan jus nanas memengaruh…
creator: Intan Salsabila
creator: Yektiningtyastuti Yektiningtyastuti
creator: Happy Dwi Aprilina
creator: Jumiati Riskiyani Dwi Nandia
rights: ##submission.copyrightStatement##
date: 2026-07-01
publication date: 2026-07-01
volume: 8
number: 7
starting page: 485
ending page: 500
doi: 10.33024/mnj.v8i7.26097

Gambaran Perilaku Kader Pos Pelayanan Terpadu Balita dalam Deteksi Dini Stunting di Desa Sebatu Kecamatan Tegalalang Kabupaten Gianyar
type: item
description: ABSTRACT Stunting can interfere with brain development and growth, which increases the likelihood of developing chronic diseases when adults. Cadres have a crucial role in overcoming stunting in toddlers. Cadres are competent in detecting early stunting by measuring infant anthropometry. growth and development screening, growth screening and early detection by empowering toddler posyandu cadres. The results of the interview showed that the majority of cadres had never participated in special stunting training in anthropometric measurement training. The purpose of the study was to determine the behavior of toddler posyandu cadres in early detection of stunting. The study was conducted in April 2025. The research design was descriptive quantitative knowledge and attitudes of stunting detection and anthropometric measurement skills. The type of primary data obtained with instruments in the form of valid and reliable knowledge and attitude questionnaires and anthropometric measurement skills checklists according to Ministry of Health standards. All questionnaires were declared valid and reliable. Respondents were 45 posyandu cadres. The sampling method was with total sampling. Data analysis using univariate. The results showed that the knowledge of cadres was categorized as well-informed, the attitudes of posyandu cadres were categorized as positive. The skills of measuring the height of cadres were quite skilled, and the skills of measuring weight were quite skilled. The result of the behavioral score calculation is 75.26 which is included in sufficient behavior. The Sebatu Village Government should strive to optimize the skills of cadres in early detection of stunting in toddlers through training and development of cadres. Keywords: Behavior, Posyandu Cadres, Skills, Stunting. ABSTRAK Stunting dapat mengganggu perkembangan dan pertumbuhan otak, dimana meningkatkan kemungkinan ketika dewasa mengalami penyakit kronis. Kader mempunyai peran yang sangat krusial dalam meng…
creator: Putu Diana Angelina
creator: Ni Komang Erny Astiti
creator: Ni Ketut Somoyani
rights: ##submission.copyrightStatement##
date: 2026-07-01
publication date: 2026-07-01
volume: 8
number: 7
starting page: 501
ending page: 513
doi: 10.33024/mnj.v8i7.22573

Determinan Persalinan Sectio Caesarea di RS Bhayangkara Polda DIY
type: item
description: ABSTRACT In Indonesia, the cesarean section (CS) delivery rate reaches 25.9%, with the Special Region of Yogyakarta (DIY) ranking third highest at 38.1%. At Bhayangkara Police Hospital DIY, the trend of CS delivery continues to rise annually, primarily due to pathological factors during pregnancy. This study aimed to identify the determinants associated with CS delivery at the hospital. A cross-sectional study was conducted using total sampling of 389 medical records of mothers who delivered in 2023–2024. Data were analyzed using univariate, bivariate (Chi-square test), and multivariate (logistic regression) analyses. Most respondents had term pregnancies (90.2%), graduated from senior high school (86.9%), worked as housewives (79.2%), and were covered by the National Health Insurance (96.1%). Significant associations were found between CS history (p=0.000), premature rupture of membranes (p=0.003), and fetal distress (p=0.010) with CS delivery. In contrast, maternal age and parity showed no significant association. Multivariate analysis identified previous CS history as the most dominant factor, with a 6.69-fold increased risk of CS delivery. A history of cesarean section is the strongest determinant of CS delivery. Further research is recommended to expand the study scope and consider alternative research methods. Keywords: Cs, Delivery, Determinant. ABSTRAK Angka persalinan sectio caesarea (SC) di Indonesia telah melampaui ambang batas WHO (5–15%), dengan prevalensi 25,9%, dan DIY menempati peringkat ketiga tertinggi (38,1%). RS Bhayangkara Polda DIY mencatat tren peningkatan SC setiap tahun. Mengetahui determinan yang berhubungan dengan persalinan SC di RS Bhayangkara Polda DIY. Penelitian kuantitatif dengan desain cross-sectional menggunakan data rekam medis ibu bersalin periode 2023–2024. Sampel sebanyak 389 orang menggunakan total sampling. Analisis dilakukan dengan uji Chi-square dan regresi logistik. Terdapat hubungan bermakna antara riwayat SC (p=0,000), k…
creator: Widiawati Widiawati
creator: Riska Ismawati H
creator: Mia Dwi Agustiani
rights: ##submission.copyrightStatement##
date: 2026-07-01
publication date: 2026-07-01
volume: 8
number: 7
starting page: 514
ending page: 528
doi: 10.33024/mnj.v8i7.22865

Implementasi Sistem Rujukan Terintegrasi (Sisrute) di RSUD Dr. Soedarso
type: item
description: ABSTRACT The implementation of health referrals in Indonesia still faces obstacles such as lack of coordination between health facilities and suboptimal use of technology. RSUD Dr. Soedarso has implemented the Integrated Referral System (SISRUTE), yet it still encounters challenges including "bypass" patients and technical constraints. This study aims to identify the implementation of SISRUTE, healthcare workers' perceptions, and the barriers and support in its implementation at RSUD Dr. Soedarso. This qualitative study with a phenomenological design involved SISRUTE operators, ER nurses, management, referrers, and patients' families selected through purposive sampling. Data were collected via semi-structured interviews, observation, and documentation, then analyzed using the Miles and Huberman model. The implementation of SISRUTE has successfully digitalized the referral mechanism through a more directed one-gate filtration system. However, its effectiveness is hindered by internet instability, low quality of data input from referring facilities, and a reliance on WhatsApp for emergency clinical coordination. SISRUTE significantly improves the efficiency and certainty of referral data. Its success heavily depends on management commitment, network infrastructure reliability, and the digital literacy of human resources. Keywords: SISRUTE, RSUD Dr. Soedarso, Nursing Management, Digital Health Transformation. ABSTRAK Pelaksanaan rujukan di Indonesia masih terkendala koordinasi antar-faskes dan pemanfaatan teknologi yang belum optimal. RSUD Dr. Soedarso telah menerapkan Sistem Rujukan Terintegrasi (SISRUTE), namun masih menghadapi tantangan seperti pasien bypass dan kendala teknis. Penelitian ini bertujuan mengidentifikasi penerapan SISRUTE, persepsi tenaga kesehatan, serta hambatan dan dukungan dalam implementasinya di RSUD Dr. Soedarso. Penelitian kualitatif dengan desain fenomenologi ini melibatkan operator SISRUTE, perawat IGD, manajemen, perujuk, dan keluarga pasie…
creator: Annisa Pirlaily Pazriani
creator: Cau Kim Jiu
creator: Lidia Hastuti
rights: ##submission.copyrightStatement##
date: 2026-07-01
publication date: 2026-07-01
volume: 8
number: 7
starting page: 529
ending page: 535
doi: 10.33024/mnj.v8i7.25356

Pengaruh Alat Muscle Relaxer Massage dan Kombinasinya dengan Relaksasi Otot Progresif Pada Stres dan Kadar Gula Darah Pasien Diabetes Mellitus Tipe 2
type: item
description: ABSTRACT Diabetes mellitus is a chronic metabolic disease characterized by elevated blood glucose levels due to impairedinsulin secretion or insulin resistance. In addition to physiological factors, psychological conditions such as stress canalso contribute to increased blood glucose levels in patients with type 2 diabetes mellitus. One approach toreducing stress and controlling blood glucose levels is through relaxation therapy. The innovation of a Muscle Relaxer Massage (MRM)device equipped with a blood glucose sensor was developed as a relaxation therapy that provides a massage effect while simultaneously monitoring blood glucose levels in real time. This study aimed to determine the effect of using the Muscle Relaxer Massage device and the combination of Muscle Relaxer Massage with Progressive Muscle Relaxation on reducing stress levels and blood glucose levels in patients with type 2diabetes mellitus. This study used a Research and Development (R&D) method with a Pre-Post Test with Control Group Design. The sample consisted of 66 respondents who were divided into three groups: the Muscle Relaxer Massage (MRM) group, the Progressive Muscle Relaxation (PMR) group, and the combination group of MRM and PMR. The intervention was conducted for two weeks with a frequency of three sessions per week, each lasting 30 minutes.Stress levels were measured using the DASS-42 questionnaire, while blood glucose levels were measured using the Easy Touch GCU glucometer. The results showed that all groups experienced a decrease in stress levels and bloodglucose levels after the intervention with p < 0.05, indicating a significant difference between pre-test and post-test values. The most optimal reduction occurred in the group receiving the combination of Muscle Relaxer Massage and Progressive Muscle Relaxation. In conclusion, the sensor-based Muscle Relaxer Massage is effective in reducing stress levels and blood glucose levels in patients with type 2 diabetes mellitus and has th…
creator: Nabila Salsabila
creator: Arwani Arwani
creator: Dina Indrati Dyah Sulistyowati
rights: ##submission.copyrightStatement##
date: 2026-07-01
publication date: 2026-07-01
volume: 8
number: 7
starting page: 536
ending page: 547
doi: 10.33024/mnj.v8i7.26657