International Journal of Nursing and Health Services (IJNHS)

Factors Affecting The Quality of Life of Gynecological Cancer Patients : Narrative Review

2026-05-15T02:20:38+00:00

Background: Gynecological cancers include cervical, ovarian, uterine, vaginal, and vulvar cancers that can affect the quality of life of patients through physical, psychological, and social impacts. Cancer treatment that patients undergo can also worsen the condition. Objective: This article aims to identify factors that affect the quality of life of gynecological cancer patients. Method: A literature review was conducted using a narrative method. Journal searches with relevant keywords were conducted using the Google Scholar, PubMed, Scopus, and Science Direct databases. The articles used were those published in the last 5 years, in English or Indonesian, and had an appropriate research design. Results: Several factors that affect the quality of life of gynecological cancer patients include physical factors such as pain, fatigue, and dependence on daily activities; psychological factors such as anxiety and depression; and social factors, especially family support. Conclusion: Understanding the factors affecting the quality of life of gynecological cancer patients is important for designing a holistic and effective treatment approach to improve patient well-being and treatment success.

Risk Management, Patient Safety Culture, And Knowledge on Medication Errors in the Pharmacy Installation of Bumi Waras Hospital

2026-08-15T06:12:23+00:00

Penelitian ini dilakukan berdasarkan insiden medication error di Instalasi Farmasi Rumah Sakit Bumi Waras, yang berisiko terhadap keselamatan pasien dan insiden berulnga. Tujuan penelitian adalah menganalisis pengaruh Manajemen risiko, Budaya keselamatan pasien, dan Pengetahuan tentang medication safety terhadap terjadinya medication error. Penelitian ini menggunakan pendekatan kuantitatif asosiatif dengan desain potong lintang (Cross-sectional), dengan melibatkan seluruh tenaga apoteker dan tenaga teknis kefarmasian sebanyak 31 orang dengan teknik total sampling. Variabel independent (Manajemen Risiko, Budaya keselamatan dan pengetahuan tentang medication safety) dilakukan pengukuran menggunakan skala likert 1 – 5 dan dilakukan analisis There box Methode dan regresi berganda dengan uji T test sert uji F

Hasil penelitian menunjukkan bahwa manajemen risiko tidak memiliki pengaruh signifikan terhadap medication error, sedangkan budaya keselamatan pasien dan pengetahuan tentang medication safety terbukti berpengaruh secara signifikan terhadap medication error. Secara simultan, ketiga variabel tersebut mempunyai pengaruh terhadap terjadinya medication error, dengan pengetahuan tentang medication safety berpengaruh terhadap medication safety sebesar 69.3 %. Penelitian ini menegaskan pentingnya penguatan manajemen risiko, budaya keselamatan pasien dan peningkatan pengetahuan medication safety sebagai strategi dalam mencegah dan menurunkan insiden medication error di Instalasi Farmasi. Terdapat adanya faktor multidimensional yang mempengaruhi medication error, sehingga intervensi yang komprehensif diperlukan untuk memperkuat keselamatan pasien

Work Discipline Moderates Compliance, Work-Life Quality, and Pharmaceutical Supply Performance

2026-07-27T23:42:53+00:00

Background: Discrepancies between medication records on inventory cards and the actual physical count in the pharmacy department can result in financial losses and reduced reliability of pharmaceutical supply management, disrupting continuity of hospital services. Objective: To analyze the influence of compliance and quality of work life on pharmaceutical supply management performance, with work discipline as a moderating variable. Method: A quantitative cross-sectional study was conducted at the Pharmacy Department of Prima Husada Hospital in Malang. All 32 active pharmacy staff who met the inclusion criteria were included through total sampling. Data were collected using Likert-scale questionnaires and analyzed using the Three-Box Method, multiple linear regression, and Moderated Regression Analysis (MRA) with SPSS. Result: Compliance, quality of work life, and work discipline had significant positive effects on pharmaceutical supply management performance, with high model explanatory power (R²=0.975). The compliance × work-discipline interaction was significantly positive, whereas the quality-of-work-life × work-discipline interaction was significantly negative. Conclusion: Work discipline demonstrated a dual moderating role: it strengthened the relationship between compliance and performance but weakened the relationship between quality of work life and performance. Recommendation: Hospital management should balance supervision, rewards, improvements to record-keeping systems, and resource support to promote accurate and sustainable pharmaceutical inventory management

Knowledge and Practices of Surgical Wound Management Among Professional and Student Nurses in Sri Lanka

2026-05-15T01:10:28+00:00

Abstract

Introduction Surgical wound management is a significant part of surgical care. It must have proper technical knowledge, adequate knowledge of infection control, and proper use of wound care products. Nurses have a critical role to play in the management of wound complications by effectively wound assessment, dressing and infection control.Objective This study was conducted to evaluate the level of knowledge and practice associated with the surgical wound management among the professional nurses and student nurses in Western Province of Sri Lanka.Method A quantitative cross-sectional study involved 401 participants of the study (195 of them were professional nurses and 206 were student nurses). The participants were selected based on the multistage cluster sampling method and two institutions were selected using the simple random sampling method in each cluster. The analysis of data was performed with the help of IBM SPSS Statistics version 26. To summarize the socio-demographic factors and levels of knowledge and practice of the study participant’s descriptive statistics were used. Results Among the professional nurses, 28.2% possessed inadequate knowledge, 70.3% possessed average knowledge and 1.5% possessed adequate knowledge regarding surgical wound management. The knowledge of student nurses was found to be inadequate, average, and adequate respectively, at 29.1%, 69.9%, and 1.0% respectively. On the practice, 96.9% of professional nurses practiced adequately, 2.6% and 0.5% of professional nurses practiced averagely and inadequately respectively. Student nurses were 88.3% adequate in their practice, 10.7% average, and 1.0% inadequate. Professional nurses in operation theatres had much more adequate practice than those in other clinical settings. Conclusion The findings of this study show that most professional nurses and student nurses have average knowledge but adequate practice regarding surgical wound management. These findings show that although nurses perform wound care procedures effectively, there may still be gaps in their theoretical understanding. Recommendation Although the level of their clinical practice is considered adequate, their average knowledge levels may mean that they do not fully utilise their skills in surgical wound care. Therefore, any deficits or differences between their theoretical and clinical skills require to be addressed through appropriate ongoing education and training in the hospital settings. It is essential to strengthen nursing education programs, to improve clinical skills and to implement best practice wound care guidelines to improve the competence of nurses. In-service training, workshops and review of current clinical guidelines may also assist nurses in the delivery of a high quality of care and to minimise the risk of surgical site infections. Keywords Surgical wound management, Wound care, Nurses, Nursing students, Surgical site infection