SCIENTIFIC JOURNAL OF ALTRUISTIC NURSING

EFFECTIVENESS OF QR CODE IMPLEMENTATION FOR PATIENT EDUCATION TOWARDS IMPROVING NURSES' PERFORMANCE: A CASE STUDY AT HERMINA BANYUMANIK HOSPITAL

Suwarni — 2025-10-15

The rapid development of technology in various aspects of human life has led to numerous innovations aimed at facilitating human tasks. QR code-based technological systems are among the systems utilized and implemented in hospitals to streamline operations, particularly in service delivery. Nurses often have limited time to provide effective and efficient patient education. This study aims to examine the effect of implementing QR code-based patient education on nurses’ performance at Hermina Banyumanik Hospital. Quantitative data were collected using a cross-sectional method. The study was conducted at Hermina Banyumanik Hospital from December 2023 to March 2024, involving a sample of 50 respondents. The results showed a significant difference in nurses' performance before and after the implementation of QR code-based patient education (p-value = 0.000). It can be concluded that the implementation of QR code-based patient education significantly affects nurses' performance at Hermina Banyumanik Hospital. The use of QR codes can facilitate patient education, and it is recommended that healthcare workers adopt this method to enhance nurses’ performance.

IMPLEMENTATION OF BENSON RELAXATION THERAPHY FOR STRESS REDUCTION IN PREGNANT WOMEN WITH PREECLAMPSIA

Henny Dwi Susanti — 2025-10-23

Implementation of Benson Relaxation Therapy for Stress Reduction in Pregnant Women with Preeclampsia. Background: Preeclampsia is a high-risk pregnancy complication that can trigger stress in pregnant women. Unmanaged stress may worsen pregnancy outcomes and endanger both mother and fetus. Non-pharmacological interventions such as Benson relaxation therapy can help reduce stress levels in pregnant women with preeclampsia. Purpose: To determine the effect of Benson relaxation therapy in reducing stress levels in pregnant women with preeclampsia. Method: This case study used a one-subject pre-post intervention design. The subject was a 33-year-old pregnant woman with preeclampsia. Benson relaxation therapy was administered for three consecutive days. Stress levels were measured using the DASS-21 questionnaire before and after each intervention. Results: On day one, the subject’s stress level was categorized as moderate, then decreased to normal on day two and remained stable on day three. Conclusion: Benson relaxation therapy effectively reduces stress levels in pregnant women with preeclampsia within a short period, making it a potential non-pharmacological approach to support maternal mental health.

LIVED EXPERIENCES OF PEOPLE WITH HIV/AIDS

Henny Dwi Susanti — 2025-10-23

HIV (Human Immunodeficiency Virus) and AIDS (Acquired Immune Deficiency Syndrome) are global health issues with significant physical, psychological, and social impacts on individuals living with them. In Indonesia, while antiretroviral (ARV) treatment is available, psychological and social aspects of HIV/AIDS care are often neglected. This study aims to explore the life experiences of people living with HIV/AIDS (ODHA) in Indonesia, particularly their interactions with healthcare providers and family support. The study used a qualitative design with a descriptive phenomenological approach, involving an in-depth interview with a 47-year-old participant diagnosed with HIV for 5 months. The results show that feelings after diagnosis, treatment and its side effects, and social support significantly affect the quality of life of ODHA Furthermore, social stigma and discrimination remain major challenges faced by ODHA, although family support helps mitigate these negative impacts. The main themes identified in this study include feelings after the HIV diagnosis, treatment experiences and side effects, family support, social stigma and discrimination, physical and social conditions post-diagnosis, the role of healthcare providers in treatment and support, and optimism and hope for the future. This study recommends the importance of holistic care that includes physical, psychological, and social aspects to improve the quality of life for ODHA

IMPLEMENTATION OF FOOT MASSAGE THERAPY IN REDUCING THE INTENSITY OF UNSTABLE ANGINA PECTORIS (UAP) PAIN IN THE INTERNAL DISEASE CARE ROOM OF DR. ABDUL AZIZ HOSPITAL, SINGKAWANG

Siti Hanawati — 2025-10-15

UAP has seen an increase in cases every year, leading to high hospitalization rates. One of the symptoms is chest pain due to insufficient blood flow and oxygen supply to the heart. Typical left-sided chest pain, substernal and anterior, can spread to the jaw, neck, shoulder, and upper extremities. The pain feels like heavy pressure, strong binding, squeezing, and burning. Efforts to help reduce pain intensity are foot massage therapy. Mr. S was diagnosed with UAP with complaints of left chest pain radiating to the back since ± 1 week ago, felt increasingly aggravated as if hit by a heavy object, did not decrease with rest, pain scale 5, pain duration ± 20 minutes and tired. The patient looked restless, holding the left chest, grimacing, difficulty sleeping, electrocardiogram bradycardia T inverted V1 to V3 ischemia of the septal region. Nursing problems risk of decreased cardiac output, acute pain, and activity intolerance. The application of EBNP uses foot massage SOP instruments and educational books. Measurement of pain intensity with a numeric rating scale (NRS) is carried out twice a day for 20 minutes, namely when the drug decreases or if it feels pain. Evaluation of the application for 3 days found that cardiac output increased, pain complaints decreased, and activity tolerance increased. Patients are allowed to go home with the doctor's approval. Foot massage therapy is effective in UAP with a pain scale of 5 to a pain scale of 1 on the 3rd day of implementation. This paper can be used as EBNP through case reflection, In House Traning (IHT), competency improvement training and as a pilot project to improve the quality of medical nursing care.

EFEKTIVITAS KOMPRES JAHE HANGAT DALAM MENGURANGI NYERI PUNGGUNG BAWAH PADA IBU HAMIL TRIMESTER III

Indah Widya Astuti Nasution — 2025-10-23

Lower back pain is one of the discomforts experienced by pregnant women in the third trimester due to hormonal changes in soft tissue in supporting and connecting, resulting in less elasticity and flexibility. Efforts to overcome it with warm ginger compresses are useful for reducing joint pain. The water and oil content in ginger functions as a penetrating binder that can increase the permeability of essential oils to penetrate the skin without causing irritation so that blood circulation is smooth. The method of this application is a case study with a nursing care approach that includes assessment, diagnosis, intervention, implementation and evaluation of nursing. The provision of warm ginger water compresses with a duration of 20 minutes was given in the morning and evening before bed for 5 days of patient visits. Data analysis was carried out using descriptive analysis. The results of this application showed that there was a decrease in the scale of lower back pain in pregnant women in the third trimester after the warm ginger water compress therapy. The conclusion of this application after nursing care for 5 days on 2 clients, client 1's pain decreased from a scale of 5 to 2, while client 2's pain decreased from a scale of 6 to a scale of 3.

THE ROLE OF KNOWLEDGE AND LEADERSHIP STYLE OF THE HEAD OF THE ROOM ON NURSES' PERFORMANCE BASED ON ETHICAL PRINCIPLES MEDIATED BY WORK MOTIVATION

Ulul Asmy — 2025-10-23

The purpose of this study was to analyze the effect of knowledge and leadership style of ward heads on nurses' performance based on ethical principles mediated by work motivation at Sawerigading Regional General Hospital in Palopo. This research was conducted at Sawerigading Regional General Hospital in Palopo City, lasting approximately two months from January to March 2023. The research population consisted of 147 practicing nurses working in the treatment rooms at Sawerigading Regional General Hospital in Palopo City. The sampling technique used was total sampling, so that the entire population was the research sample. Data collection techniques used questionnaires, observation, and documentation, while data analysis was path analysis. The results showed that knowledge and leadership style had a direct effect on motivation and a direct and indirect effect on the performance of nurses based on ethical principles. Likewise, motivation had a direct effect on the performance of nurses based on ethical principles at Sawerigading Regional General Hospital in Palopo City. This means that good knowledge and appropriate leadership styles will increase the work motivation of nurses at Sawerigading Regional General Hospital in Palopo so that the performance of nurses based on ethical principles can always be applied in their services. Nurses acquire knowledge from their education, which has mostly reached the professional level, and the leadership style applied by the head of the ward, which is participatory and delegative, makes it easier for nurses to make ethical decisions within their authority when providing nursing care.

AN INVESTIGATION OF CLINICAL NURSE EDUCATORS PERSPECTIVES ON CULTURE-BASED CLINICAL EDUCATION IN NURSING EDUCATION

Lisnadiyanti — 2025-10-15

Abstract

Clinical nurse educators who do not incorporate cultural aspects into the clinical learning process will impact and hinder the achievement of clinical learning objectives. Cultural elements in clinical education can enhance the achievement of clinical learning objectives. The purpose of this study was to explore clinical nurse educators' perspectives on culture-based clinical education in nursing education. This study used a descriptive qualitative design with 10 clinical nurse educators at two teaching hospitals in Jakarta, Indonesia. Semi-structured interviews were conducted from September to October 2022. Data analysis was conducted using content analysis. This study yielded four themes regarding culture-based clinical education from the perspective of clinical nurse educators. These themes are: 1) Students are passive, lack initiative, and wait for instructions in implementing clinical learning; 2) Clinical educators' dual duties; clinical educators have not optimally provided clinical guidance to students; 3) Pre-existing general culture poses a challenge in implementing clinical learning; and 4) Support for learning facilities in clinical learning units influences the process of culture-based clinical education. This study concludes that culture-based clinical education is not fully understood and applied by clinical nurse educators in implementing clinical learning in clinical learning units/rooms.

Correlation Between Pain Intensity and Oxygen Saturation in Post-Surgical Patients

Ircham Saifudin — 2025-10-23

Postoperative pain remains a common clinical problem that affects patient recovery, including physiological functions such as oxygenation. This study aimed to evaluate the relationship between pain intensity and oxygen saturation levels in postoperative patients. A quantitative cross-sectional design was employed, involving 208 postoperative patients from a private hospital in East Java. Data were collected retrospectively from medical records, including patient characteristics, pain levels based on the Numeric Rating Scale (NRS), and oxygen saturation measured using a pulse oximeter. The association between variables was examined through a Chi-Square statistical test. The findings revealed that most patients (74%) experienced severe pain, and nearly half (49.5%) had oxygen saturation levels below the normal range. A significant association was found between pain intensity and oxygen saturation (p < 0.001), with an odds ratio of 25.505. These results suggest that pain affects not only subjective patient experience but also vital physiological parameters. Therefore, integrating pain assessment with oxygenation monitoring is essential in postoperative care to enhance patient outcomes and recovery.