International Journal of Nursing and Health Services (IJNHS)

Spiritual Approach as Nursing Management Strategy to Improve the Quality of Life of Palliative Patients

Adventy Riang Bevy Gulo, Rosetty Rita Sipayung, Yesta Ricam Fredrik Lase — Sat, 20 Dec 2025 00:00:00 +0000

Background: Spiritual support in nursing management plays a vital role in palliative care by improving patients’ quality of life, reducing anxiety, and enhancing emotional resilience in those with progressive, incurable conditions requiring holistic care. Objective: To assess the effectiveness of the Spiritual Management Approach in improving the quality of life of palliative patients in hospitals. Method: A quasi-experimental pre-test–post-test study was conducted on 50 respondents from two hospitals in North Sumatra, Indonesia, using simple random sampling. Data were collected through the SCCS and SF-36 questionnaires and analyzed statistically. Result: The Spiritual Management Approach significantly improved patients’ quality of life, with mean scores increasing from 1.24 to 1.44 and a significant correlation (r = 0.381; p = 0.006). Conclusion: Spiritual management effectively enhances nurses’ competence and patients’ well-being in palliative care. Recommendation: Integration of spiritual management into nursing practice and further studies with larger samples and longer durations are recommended.

Relationship between Antenatal Care Visit Compliance and Breastfeeding Self-Efficacy in Breastfeeding Mothers

Rahmanisa Arifin, Erika, Sri Utami — Sat, 20 Dec 2025 00:00:00 +0000

Background: Breastfeeding self-efficacy (BSE) is a crucial factor in the success of exclusive breastfeeding, as it reflects a mother’s confidence in her ability to breastfeed. One approach to enhancing BSE is ensuring maternal compliance with antenatal care (ANC) visits, which play a role by providing information, emotional support, and psychological readiness during pregnancy. Objective: This study aimed to examine the relationship between ANC visit compliance and BSE among breastfeeding mothers in the working area of Rejosari Public Health Center. Methods: This quantitative study employed a retrospective approach with a correlational analytic design. The sample consisted of 82 breastfeeding mothers with infants aged 0–6 months, selected using purposive sampling. Data were collected using the Breastfeeding Self-Efficacy Scale–Short Form (BSE-SF) questionnaire and by observing ANC visit records from Kesehatan Ibu dan Anak (KIA) books. Data analysis was performed using the chi-square test. Results: A significant relationship was found between ANC visit compliance and BSE in breastfeeding mothers (p = 0.001). Conclusion: Mothers who complied with ANC visits tended to have higher BSE compared to those who did not comply. These findings emphasize that ANC visits should be optimized as strategic opportunities for health professionals to deliver structured education, psychosocial support, and breastfeeding counseling, thereby enhancing maternal readiness and ensuring successful exclusive breastfeeding

Effective Communication and Transformational Leadership Influenced on Patient Safety Culture among Inpatient Nurses

Gilang Permatasari, Ratna Indrawati, Yanuar Ramadhan — Sat, 20 Dec 2025 00:00:00 +0000

Background: Patient Safety Culture plays an important role in reducing the incidence of accidents and injuries in the workplace, especially in hospitals. Objective: The study aimed to examine the effect of effective communication and motivation on patient safety culture with transformational leadership as an intervening variable on nurses in the inpatient room at Dr. Dradjat Prawiranegara Hospital. Method: A quantitative study with a cross-sectional approach was applied in this study for 83 nurses. The data was analyzed using the Structural Equation Model (SEM). Result: The result found that there is significantly affect between effective communication and motivation on patient safety culture with transformational leadership among nurses. Conclusion: The findings in this study indicated that effective communication on patient safety culture, and motivation on transformational leadership are the most dominant, and have a significant positive influence on transformational leadership in the inpatient room. Recommendation: It is recommended that hospital management strengthen effective communication systems among nurses and between nurses and leadership teams. For future research, longitudinal and experimental designs are recommended to examine the causal relationships between communication, motivation, and transformational leadership on patient safety culture over time

Professional Roles, Challenges, and Adaptive Resilience of Neurosurgical Teams in Delivering Service Excellence Within Resource-Limited Hospital Settings

Anton MJ Sirait, Rian Adi Pamungkas, Rokiah Kusumapradja — Sat, 20 Dec 2025 00:00:00 +0000

Introduction: Neurosurgical services in Class B hospitals present a high level of complexity due to limitations in technology, facilities, and human resources. This study aims to explore the subjective experiences of neurosurgical medical teams, comprising neurosurgeons, nurses, anesthetists, medical equipment technicians, and operating room managers, in interpreting their roles, confronting challenges, and developing adaptive strategies to support excellent healthcare services at a Class B hospital. Methods: Employing a qualitative phenomenological approach, data were collected through in-depth interviews and analyzed thematically following Colaizzi’s method. Results: The findings indicate that service excellence in neurosurgical care within a resource-limited hospital is maintained through the dynamic interaction between professional meaning-making, persistent multidimensional challenges, and adaptive resilience strategies. While individual and team-level adaptations effectively sustain daily performance, limited systemic support poses challenges to long-term sustainability. Conclusion: Overall, the study highlights that the success of excellent neurosurgical services in Class B hospitals depends more on personal resilience and team cohesion than on systemic support alone. Recommendation: It recommends systemic improvements in management, human resource policies, integrated communication systems, and sustainable psychosocial support to ensure the continuity of high-quality services amid structural limitations

Respect, Effective Communication, Family Support and Motivation on Patient Compliance to Improve Drug-Resistant Tuberculosis

Sarah Manurung, Rian Adi Pamungkas, Cri Sajjana Prajna Wekadigunawan — Sat, 20 Dec 2025 00:00:00 +0000

Background: The treatment compliance of rifampicin-resistant tuberculosis (TB RO) patients in Indonesia remains suboptimal, with a therapy success rate of only 51%. Various psychosocial determinants such as perceived respect from healthcare providers, effective communication, and family support are believed to influence patients’ adherence, with motivation serving as a potential psychological mediator. Objective: This study aimed to examine the effects of respect, effective communication, and family support on treatment compliance among TB RO patients, with motivation as an intervening variable. Method: A quantitative approach using a cross-sectional design was applied. The study population comprised 116 TB RO patients treated at Tangerang City Hospital, and 90 respondents were selected using Slovin’s formula with simple random sampling. Data were collected through structured questionnaires and analyzed using SmartPLS 4. Results: Respect from healthcare providers did not significantly affect treatment compliance (T=0.533; p=0.594). Effective communication showed no direct influence on compliance, but had a significant indirect effect through motivation (T=3.349; p=0.001). Family support had a significant direct effect on compliance (T=2.058; p=0.040) and also influenced compliance indirectly via motivation. Motivation acted as a mediator between effective communication and family support with compliance, but did not mediate the effect of respect. Conclusion: Family support emerged as the most influential factor in improving treatment compliance among TB RO patients. Strengthening patients’ motivation through enhanced respect and effective communication from healthcare providers is recommended to improve adherence outcomes

From Sweat to Shock: Understanding the Perceived Connection Between Sweat Residue and Static Discharge

Alexander, Zulfikar Nima Arifuzzaki — Sat, 20 Dec 2025 00:00:00 +0000

Studi empiris ini menyelidiki hubungan fisikokimia antara residu keringat dan terjadinya pelepasan muatan listrik statis (ESD) pada kulit manusia. Akumulasi residu keringat, yang kaya akan komponen ionik seperti Na?, K?, dan Cl?, dihipotesiskan memengaruhi konduktivitas permukaan kulit dan, selanjutnya, potensi pelepasan muatan statis. Studi kuasi-eksperimental ini melibatkan 100 peserta sehat yang dibagi rata menjadi dua kelompok: mereka yang memiliki residu keringat alami (eksperimental) dan mereka yang memiliki permukaan kulit yang bersih (kontrol). Pembacaan voltmeter elektrostatik dan analisis kromatografi ion dilakukan untuk mengkuantifikasi potensi pelepasan dan konsentrasi ion residu. Hasil menunjukkan tegangan pelepasan yang secara signifikan lebih tinggi pada kelompok residu keringat (mean = 2,42 kV, SD = 0,45) dibandingkan dengan kelompok kontrol (mean = 1,68 kV, SD = 0,32; p < 0,001). Residu natrium menunjukkan korelasi positif yang kuat dengan besarnya pelepasan ( r = 0,73, p < 0,001). Temuan ini menyoroti pentingnya pengelolaan hidrasi kulit dan pengendalian residu di lingkungan pelayanan kesehatan untuk mencegah kejadian mikrostatik. Penelitian lebih lanjut direkomendasikan untuk mengevaluasi risiko ESD pada berbagai tingkat kelembapan dan komposisi kulit.