International Journal of Nursing and Health Services (IJNHS)

Enhancing Sleep Quality in Hypertensive Patients Through Slow Stroke Back Massage: A Family Nursing Care Approach

Arum Nur Arista, Minarti Minarti, Dwi Adji Norontoko, Aida Novitasari — Fri, 20 Feb 2026 00:00:00 +0000

Introduction: Hypertension is a prevalent condition among the elderly, often leading to poor sleep quality. Objective: This case study aimed to describe the effect of Slow Stroke Back Massage (SSBM) combined with family nursing care in improving sleep quality among elderly hypertensive patients. Method: This descriptive case study involved two elderly hypertensive patients receiving family nursing care at Puskesmas Tambak Wedi, Surabaya. The intervention consisted of SSBM performed for 30 minutes every two days for a week. Data were collected through observation, interviews, and the Pittsburgh Sleep Quality Index (PSQI). Results: Both patients showed improved sleep quality, as indicated by decreased PSQI scores (from 14 to 5 and from 16 to 6) and better blood pressure control. These findings describe individual improvements observed in two cases. Recommendation: Slow Stroke Back Massage can be considered a supportive nursing intervention within family care. However, as this study involved only two participants, the findings are not generalizable and should be interpreted as case-based observations

A Strategic Social Media Approach to Enhance Brand Recognition in A University Dental Hospital

Hanifah Salma Rosa, Endang Ruswanti, Rokiah Kusumapradja — Fri, 20 Feb 2026 00:00:00 +0000

Background: The brand awareness level of the Dental and Oral Teaching Hospital (RSGM-P) at University X remains low, as indicated by the predominance of patients referred by student initiatives (90%) and limited walk-in visits (10%). This may result from the underutilization of social media, low customer engagement, and insufficient electronic word of mouth (eWOM). Objective: This study aims to analyze the effects of social media activities and customer engagement on brand awareness, with eWOM as a mediating variable. Method: A quantitative approach with a cross-sectional design was employed, involving 205 non-student Instagram followers of RSGM-P. Data were analyzed using Structural Equation Modeling (SEM) via LISREL. Results: The findings reveal that social media activity and eWOM significantly influence brand awareness, while customer engagement has no direct effect. However, customer engagement positively influences eWOM, which in turn mediates its effect on brand awareness. Managerial implications emphasize the need for enhanced content strategies, influencer collaboration, and online reputation management. Recommendation: It is recommended that RSGM-P optimize SEO-friendly educational content, strengthen user interactions, and encourage patient reviews as part of brand trust-building efforts. Recomendation: This study contributes to the strategic understanding of digital media utilization in marketing for university-based hospitals

Quality Of Child Health Services And Its Utilization Among Staff And Mothers In Selected Primary Healthcare Facilities In Enugu South Local Government Area Enugu State Nigeria

Fri, 20 Feb 2026 00:00:00 +0000

Background: Children carry a disproportionate burden of disease globally, and strengthening child health services (CHS) in primary health care (PHC) can improve access to safe, effective, quality, and affordable care. Objective: This study assessed the quality and utilization of CHS in two selected PHC facilities in Enugu South LGA, focusing on infrastructure, equipment and personnel; clinical consultation, diagnosis and treatment of common childhood illnesses; service utilization; and clients’ satisfaction. Method: A cross-sectional descriptive survey design was used, with researcher-developed questionnaires, and data were analyzed using SPSS version 25. Result: Findings showed that staffing was inadequate, with most providers being SCHEWs (35.2%) and JCHEWs (29.4%). Facility structures were largely adequate, but one PHC lacked a functional pharmacy and laboratory. Essential drugs and some key equipment were insufficient, although consultation processes and the diagnosis and treatment of common childhood illnesses were rated adequate. Overall service quality was reported as good across the two facilities (80% and 60%). Mothers had a mean age of 31.11 ± 6.09 years; over half had secondary education (52.7%), many were traders (36.0%), and most had 1–2 children (43.3%). Utilization of CHS was high (87.2% and 84.4%), and satisfaction levels were very high (97.9% and 99.4%). Conclusion: The study concludes that while utilization and satisfaction were high and clinical care was generally adequate, gaps remain in staffing and the availability of essential drugs and equipment, including pharmacy and laboratory services in one facility. Recommendation: It recommends improving staffing and training, providing basic amenities, and adopting standard minimum equipment and supply requirements for PHC facilities.

Analysis of the Influence of Brand Image and Servicescape On Patients’ Repurchase Intention with Hospital Reliability as an Intervening Variable at Sumber Waras Hospital Jakarta

Krisma Kristiana, Rian Adi Pamungkas, Johanes Johanes — Sat, 28 Feb 2026 00:00:00 +0000

This study aims to analyze the influence of brand image and servicescape on repurchase intention, with hospital reliability as an intervening variable. The background of this study is based on visit data showing a decline in the number of repeat patient visits at Sumber Waras Hospital as well as increasing competition among hospitals that demands improvement in service quality and trust-based marketing strategies. This study is a quantitative study with a cross-sectional design. Data were obtained through the distribution of questionnaires to 150 respondents who were outpatient consumers of executive polyclinic at Sumber Waras Hospital, Jakarta. The data obtained were analyzed using the Structural Equation Modeling (SEM) method with the assistance of AMOS. The results of the study show that brand image and servicescape have an influence on reliability and repurchase intention. Reliability has an influence on repurchase intention. In addition, reliability can also act as mediating variable between brand image and servicescape. These findings indicate that the better the hospital’s brand image, the better the condition of the physical service environments, and the more reliable the services provided, the higher the consumers’ intention to reuse the services. The practical implication of this study is the importance for the management of Sumber Waras Hospital to strengthen the hospital’s positive brand image, improve the comfort of the physical environment (servicescape), and maintain consistency in providing the best services in order to create consumers repurchase intention that can increase patient loyalty.

Traditional Birth Attendants’ Practice Encounters: Experiences from Northern Nigeria

Yahaya Jafaru, Aisha Abdullahi Magaji, Maryam Kabiru Haruna — Sat, 28 Feb 2026 00:00:00 +0000

Background: The utilization of Traditional Birth Attendants (TBAs) is one of the patient-level factors that are common in causing maternal mortality. The TBAs are deficient in the ability to identify or manage birth complications such as postpartum haemorrhage and birth asphyxia. However, training and retraining are given to TBAs without ascertaining their practice needs. The aim of the study was to explore the difficult situations the Traditional Birth Attendants encountered during their practice. Methods: The study employed a descriptive phenomenological research design. The population of the study consisted of TBAs currently practicing in Birnin Kebbi Metropolis. A purposive sampling strategy was employed to select twelve veterans TBAs for the study. An in-depth interview was used for data collection. One-on-one interviews were conducted by the researchers with each participant TBA. Giorgi’s descriptive phenomenological method was used for the analysis. four themes that emerged from this study conducted through in-depth interview. Results: The four themes that emerged from this study are difficulties in conducting labour, retained placenta, umbilical cord issues, and method of identifying abnormal labour. Conclusion: The identified difficulties encountered by TBAs are crucial. These are difficulties that could lead to serious maternal and neonatal health issues. Understanding these difficulties underscores the importance of training TBAs.

Empowering Patient-Centered Care After Surgery: How Clinical Competence And Leadership Shape Outcomes Through Nurse Engagement

Moch. Ilfan Gunadi, Rian Adi Pamungkas, Nofierni Nofierni — Sat, 28 Feb 2026 00:00:00 +0000

Introduction:
This study aimed to analyze the impact of Clinical Leadership and Clinical Competence on the implementation of Patient-Centered Care (PCC) post-surgery, mediated by Work Engagement among nurses at RS Islam Jakarta Cempaka Putih. The optimal implementation of PCC remains a major challenge in improving post-surgical healthcare quality, particularly within the context of limited human resources and complex work dynamics. Problems such as low nurse engagement and variations in leadership and clinical skills affect the effectiveness of PCC delivery.

Methods:
This quantitative research employed a cross-sectional design at RS Islam Jakarta Cempaka Putih, involving 115 nurses selected through a saturated sampling method. Data were collected using a 4-point Likert scale questionnaire and analyzed with SEMPLS software. Ethical approval was granted by the institutional ethics committee, and informed consent was obtained from all participants.

Results:
The main outcome was the implementation of post-surgical PCC. Findings indicated that Clinical Leadership, Clinical Competence, and Work Engagement significantly influenced PCC implementation when analyzed simultaneously. Clinical Leadership and Clinical Competence had a positive and significant effect on Work Engagement. Furthermore, Clinical Competence and Work Engagement directly improved PCC implementation, while Clinical Leadership did not show a direct significant effect. Work Engagement acted as a key mediator linking Clinical Leadership and Clinical Competence with PCC implementation.

Conclusion:
This study highlights the critical role of Work Engagement in enhancing the influence of Clinical Leadership and Competence on PCC implementation. Strengthening leadership, developing clinical skills, and fostering engagement among nurses can improve post-surgical care. Future research should adopt longitudinal designs and explore additional factors to deepen understanding and advance healthcare leadership knowledge.