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Gastritis is an inflammation of the gastric mucosa that often causes pain in the epigastric area, which can reduce patient comfort and quality of life. This condition requires treatment that is not only pharmacological, but can also be supported by non-pharmacological interventions such as warm compresses that function to provide a relaxing effect and improve blood circulation. This study aims to determine the effect of warm compresses on reducing pain intensity in gastritis patients. The research method used was descriptive with a case study approach on one patient treated in the inpatient ward. Data collection was carried out through interviews, observation, and documentation using the PQRST method to assess pain. The intervention in the form of warm compresses was given for three days with a frequency of once a day for ± 15–20 minutes in the epigastric area. The results showed a gradual decrease in pain intensity from a scale of 6 to a scale of 2 after the intervention, as well as an increase in patient comfort. The implications of this study indicate that warm compresses can be used as an effective, safe, and easy-to-implement independent nursing intervention to help reduce pain in gastritis patients and improve the quality of nursing care.

Hypertension is a chronic health problem whose prevalence continues to increase and is a major risk factor for cardiovascular disease. In addition to pharmacological therapy, non-pharmacological interventions are needed to help control blood pressure safely and sustainably. One complementary therapy that has the potential to lower blood pressure is Slow Stroke Back Massage (SSBM), which works through relaxation mechanisms and modulation of the autonomic nervous system. This study aims to determine the effect of SSBM therapy on reducing blood pressure in hypertensive patients in the Camar Room of RSKD Dadi, South Sulawesi Province. The study used a quantitative quasi-experimental design with a two-group pretest–posttest design. A sample of 32 respondents was selected using a purposive sampling technique, divided into an intervention group and a control group. Data collection was carried out by measuring systolic and diastolic blood pressure before and after the intervention using a standard sphygmomanometer. The results showed a significant decrease in systolic and diastolic blood pressure in the group receiving SSBM therapy compared to the control group. Thus, SSBM therapy has a significant effect on reducing blood pressure in hypertensive patients and can be recommended as a complementary therapy in nursing care.

The quality of nursing services is not solely determined by nurses’ technical competence in providing clinical care, but is also influenced by their ability to establish therapeutic communication with patients. Therapeutic communication is a professional interaction process aimed at helping patients understand their health conditions, express their feelings, and develop a trusting relationship with nurses. Effective communication between nurses and patients can increase patients’ comfort during hospitalization and may influence their level of satisfaction with the nursing services provided. This study aimed to determine the relationship between nurses’ therapeutic communication and patient satisfaction in the inpatient ward of Grha Permata Ibu Hospital in 2025. This study used an observational analytic design with a cross-sectional approach. The sample consisted of 182 patients selected using a purposive sampling technique. Data were collected using a therapeutic communication questionnaire and the Patient Satisfaction with Nursing Care Quality Questionnaire (PSNCQQ) to assess patient satisfaction with nursing care. Data analysis was conducted using the Spearman Rank correlation test to determine the relationship between the two variables. Most respondents assessed nurses’ therapeutic communication as good (87%). However, the majority of patients reported poor satisfaction levels (79.7%). The results of the Spearman Rank analysis showed a Sig. (2-tailed) value of <0.001 with a correlation coefficient of rs = −0.438, indicating a statistically significant relationship with a moderate correlation strength between nurses’ therapeutic communication and patient satisfaction. There is a significant relationship between nurses’ therapeutic communication and patient satisfaction in the inpatient ward of Grha Permata Ibu Hospital.

Caring behavior is the core of high-quality nursing services. In practice, it is influenced by various psychological factors and work-related stress. Self-compassion and mindfulness are believed to help nurses maintain emotional balance in delivering empathetic and humane nursing care. This study aims to analyze the effect of self-compassion and mindfulness on nurses’ caring behavior, with work stress as a mediating variable. A quantitative approach with a cross-sectional design was used. Descriptive analysis employed the Three Box Method, while inferential analysis used SEM-PLS. The study population consisted of all nurses at Cilincing District General Hospital (N = 113), using total sampling. The results of the study indicate that the proposed model is considered fit (p = 0.133) and appropriate for testing the influence of self-compassion and mindfulness on caring behavior, with work stress as a mediating variable. Self-compassion has a significant positive effect on caring behavior (p = 0.000), while mindfulness does not have a direct effect (p = 0.891), but shows a significant indirect effect through the reduction of work stress (p = 0.044). Both self-compassion (p = 0.029) and mindfulness (p = 0.000) negatively affect work stress. Interestingly, work stress positively influences caring behavior (p = 0.030). To enhance the influence of self-compassion and mindfulness on caring behavior, hospitals should develop psychological intervention programs based on self-compassion and mindfulness to help nurses manage stress and strengthen caring practices. A systemic approach that considers organizational factors is also necessary to support the consistent implementation of caring behavior.

This study aims to analyze the effects of work motivation and career development on nurses’ performance through job satisfaction among nurses at Pertamina Balikpapan Hospital. Nurses’ performance is a key determinant of service quality and patient safety because nurses interact most intensively with patients and ensure continuity of nursing care. However, prior studies on the relationships among motivation, career development, job satisfaction, and performance have reported mixed findings. Therefore, further examination is needed by incorporating job satisfaction as a mediating variable to explain the mechanism of influence more comprehensively. This research employed an explanatory design with a quantitative approach. Primary data were collected using a Likert-scale questionnaire distributed to 165 permanent nurses selected through purposive sampling from a population of 292 nurses. Data were analyzed using variance-based SEM with SmartPLS 4, including outer model evaluation (convergent and discriminant validity) and construct reliability, as well as inner model assessment through the coefficient of determination, effect size, and hypothesis testing using bootstrapping. The results indicate that work motivation has a positive and significant effect on job satisfaction, and career development also has a positive and significant effect on job satisfaction. Job satisfaction has a positive and significant effect on nurses’ performance. In addition, work motivation and career development have positive and significant direct effects on nurses’ performance. Indirect effect testing confirms that job satisfaction mediates the relationship between work motivation and nurses’ performance and also mediates the relationship between career development and nurses’ performance. These findings emphasize that hospitals should strengthen strategies to enhance motivation and career development in a targeted manner while ensuring key sources of job satisfaction so that nurses’ performance improves sustainably.

Work motivation is one of the important factors influencing time management and nurses’ performance in providing nursing care. Good time management enables nurses to complete tasks in a timely, efficient, and effective manner. This study was conducted to determine the relationship between work motivation and time management among staff nurses at ML Hospital in 2025. This research used a quantitative approach with a cross-sectional design. A total of 40 staff nurses were selected using a total sampling technique. The instruments used were questionnaires on work motivation and time management. Data were analyzed using the Spearman Rank statistical test with a significance level of < 0.05. The results showed that most respondents had good work motivation (62.5%), while the majority demonstrated a moderate level of time management (75%). The Spearman Rank test yielded a p-value of 0.005, indicating a significant relationship between work motivation and time management among staff nurses. In conclusion, there is a significant relationship between nurses’ work motivation and time management, in which higher work motivation is associated with better time management. It is recommended that hospitals enhance nurses’ motivation through managerial support and a positive work environment.

Hypothermia during surgery is a common occurrence among pediatric patients due to their immature thermoregulation system, higher body surface area-to-weight ratio, and thinner subcutaneous fat layer. This condition can lead to several complications, including increased bleeding, coagulation disorders, surgical wound infections, and delayed healing. Prevention strategies include active and passive warming methods. The purpose of this study is to evaluate the effectiveness of active and passive warming in preventing intraoperative hypothermia in pediatric patients. A scoping review approach was applied to interpret the evidence based on predetermined inclusion and exclusion criteria, followed by data exploration, analysis, and synthesis of findings. The results indicate that active warming methods—such as forced-air warming, blanket warming, and warmed intravenous fluids—are more effective than passive warming in maintaining normothermia during surgery. Moreover, combining both approaches provides optimal prevention against hypothermia. Overall, active warming plays a vital role in stabilizing body temperature and enhancing patient safety during pediatric surgery. Therefore, its implementation should be considered a standard practice in perioperative nursing care.

Hypertension is one of the most common non-communicable diseases, with a high incidence rate that has become a major global health concern. It is often referred to as a “silent killer” because many patients are unaware of their condition until serious complications arise. In Indonesia, the prevalence of hypertension is relatively high, yet many sufferers remain undiagnosed or do not receive proper medical treatment. Several risk factors contribute to hypertension, including age, heredity, high-salt diet, obesity, lack of physical activity, and unhealthy lifestyles such as smoking and alcohol consumption. Without proper management, hypertension may lead to severe complications such as stroke, heart failure, and chronic kidney disease. Management of hypertension generally involves pharmacological therapy, such as the administration of antihypertensive drugs, as well as non-pharmacological interventions through lifestyle modifications. Nurses play a crucial role in patient education, monitoring, and preventing complications through comprehensive nursing care. The purpose of this study is to describe the nursing care provided to Mr. R, who experienced a cardiovascular system disorder, namely hypertension, in the Dahlia Ward of RSUD dr. Soeselo, Tegal Regency. The research method used was descriptive with a case study approach, allowing for a systematic and clear presentation of the patient’s condition. The case findings showed that the patient’s main complaint was a headache radiating to the nape of the neck. Based on nursing assessment, two nursing diagnoses were identified: acute pain and lack of knowledge regarding the disease and its management. Interventions were determined using national standards such as SDKI, SLKI, and SIKI, which are expected to reduce symptoms and improve the patient’s understanding of hypertension.

The quality of nursing care is reflected in the implementation of professional nursing care. Professional and qualified nurses must possess both hard skills and soft skills, as success in the workplace is influenced by soft skills (80%) and hard skills (20%). Indonesia still faces many challenges in achieving nursing care quality that reflects professional practice. The way nursing care is provided is not entirely focused on meeting the client's needs but is more oriented toward task completion. The purpose of this study is to determine the relationship between the professional team nursing care model and the quality of nursing care in the inpatient ward. This is a quantitative study using a correlational approach with a cross-sectional design. The study sample consisted of 146 respondents using purposive sampling. Data analysis utilized the Spearman rank correlation technique. The respondents were predominantly female, held a bachelor's degree, and had less than five years of work experience. Most of the MAKP met the criteria, and most reported that the quality of care was good. Based on bivariate analysis, a significant relationship was found between MAKP and the quality of inpatient care at RSI Sultan Agung Semarang. This result is shown by a correlation coefficient of 0.807 with a positive relationship and a significance value of 0.000 (p-value < 0.05). There is a significant relationship between MAKP and the quality of inpatient care services at RSI Sultan Agung Semarang.

Caring behavior encompasses compassion, empathy, responsibility, sensitivity, and supportive actions that shape quality nursing care. Therapeutic communication, as a structured and goal-directed interaction, is essential for facilitating patient recovery and meeting client needs. This study aimed to describe the caring behavior and therapeutic communication competencies of third-year nursing students during clinical practice. A descriptive method was applied used cross sectional design, involving all 97 students selected through a total sampling method. Data were collected using validated questionnaires on caring behavior and therapeutic communication, and analyzed bivariate using frequency and percentage distributions. Results showed that 50 students (51.5%) demonstrated very good caring behavior, whereas only 9 students (9.3%) achieved sufficient levels of therapeutic communication. These findings underscore the importance of strengthening training strategies to enhance students’ caring competencies and therapeutic communication skills, thereby improving the effectiveness and quality of nursing practice. It is hoped that strengthening these skills will help nursing students overcome challenges in clinical practice and contribute to more effective patient recovery.

Fractures can lead to disabilities in individuals, which may result from trauma due to accident (Ramadhan & Pristianto, 2022)s. The purpose of this paper is to develop and apply nursing care for Mrs. M, who underwent post-operative hemiarthroplasty for a femoral neck fracture, in the Mawar 2 room at RSUD dr. Soeselo, Tegal Regency. This paper utilizes a descriptive method with a focus on the nursing process approach. The results of the nursing care show that the patient reports pain at the surgical site on the upper right leg, post-operative hemiarthroplasty, with pain described as a pulling sensation in the upper right leg, at a pain scale of 6, and continuous. The client states that she can only lie in bed, with all post-operative activities being assisted by family members. She also reports that she has not received health education on early mobilization and has limited understanding of early immobilization. The nursing diagnoses identified are acute pain, impaired physical mobility, and knowledge deficit. Interventions were based on the SIKI (Nursing Care Standards) and implementation followed the planned interventions. Upon evaluation, one diagnosis—knowledge deficit—was resolved, acute pain was partially resolved, and impaired physical mobility remained unresolved. The results of the nursing care are consistent with the theory. This paper aims to improve skills in providing nursing care.  

Nurses are professional health workers who, in carrying out their duties and responsibilities, are required to be able to fulfill their spiritual needs while working. This is because health services are a basic human need that is provided through health services not only in the form of physical aspects , but also psychological aspects. High spirituality will have an impact on intrapersonal, interpersonal and transpersonal relationships in overcoming various life problems. This research aims to determine the relationship between nurse workload and attitudes towards fulfilling spiritual needs in hospital inpatient rooms. Bhakti Husada Cikarang. The research design used cross sectional . The population is inpatient nurses who work in health services, namely at the Bhakti Husada Cikarang Hospital. The total population in this study was 84 nurses . The sampling technique used was accidental sampling , totaling 47 respondents. The statistical test used is the Chi Square test. The research results showed that the majority of respondents had a moderate workload, 27 people (57.4%) and 33 people (70.2%) had their spiritual needs met. The statistical test results obtained a p value of 0.89, meaning there is no relationship between nurses' workload and the fulfillment of spiritual needs. It is hoped that nurses will always improve their professionalism in carrying out nursing care.

Hypertension is a chronic disease characterized by increased arterial blood pressure. Hypertension cannot be avoided, including in vulnerable groups such as the elderly because as age increases, the risk of hypertension increases so appropriate treatment is needed. Hypertension treatment can be done pharmacologically or non-pharmacologically. Non-pharmacological therapy in this case is foot soak therapy in warm water mixed with salt and lemongrass. The aim of the research is to implement warm water foot soak therapy with salt mixed with lemongrass for hypertensive patients into nursing care. The method used was descriptive with a killing process approach in 3 patients with a one group pretest posttest research design. The results of the warm water foot soak therapy mixed with salt and lemongrass showed a reduction in blood pressure, namely Mrs. N from 148/72mmHg to 138/64mmHg, Mrs. /85mmHg. In conclusion, there was a decrease in blood pressure after the foot soak therapy in warm water mixed with salt and lemongrass.

Critical patients are patients who are in the Intensive Care Unit (ICU) because they have lost consciousness, one of the reasons being respiratory failure. In patients with respiratory failure who have an ETT installed and connected to a mechanical ventilation device, there can be a buildup of phlegm/secretions in the bronchi and alveoli area so that the patient's airway can be disrupted, so an effective intervention is suction. In the suction process, hyperoxygenation can be carried out first to maintain oxygen saturation levels within normal limits. To overcome airway clearance in patients who experience ineffective airway clearance nursing problems and describe nursing care. The method used in this research is a case study that describes the nursing care of a patient who had an Endotraceal Tube (ETT) installed who experienced ineffective airway clearance. The results of the assessment of the three patients experienced problems with ineffective airway clearance and hyperoxygenation was carried out in the open suction process to maintain oxygen saturation values ??within normal limits. The results obtained showed changes in oxygen saturation before and after the open suction procedure. It is hoped that the provision of hyperoxygenation intervention in the open suction process can be carried out according to the SOP so that complications do not occur.

Missed care (MNC) is a global health care problem that primarily incorporates elements of optimal nursing care needed by patients that are skipped or delayed by nurses. This research is quantitative research with a cross sectional approach, namely research where data is collected only one observation/measurement. Objective: This research aims to determine the independent variables, namely Work Load, Education Level and Years of Work and the dependent variable, namely missed nursing care. Method: This research was carried out in the inpatient room of Bakti Timah Karimun Hospital. The time for carrying out this research until data processing was carried out in March-April 2023. The respondents in this study were all inpatient nurses at Bakti Timah Karimun Hospital who had met the inclusion criteria, totaling 44 respondents using total sampling techniques. The analysis is Univariate Analysis and Bivariate Analysis with statistical testing using the chi-square test. The data collection process was carried out by researchers using a questionnaire. Results: 17 respondents (38.6%) with missed nursing care in the high category. Vocational education level (D3) 26 respondents (59.1%), working period ≤ 3 years 9 respondents (20.5%) and heavy workload 20 respondents (45.5%). Conclusion: that there is a significant relationship between level of education, length of service and workload with the incidence of missed nursing care in the inpatient ward of Bakti Timah Karimun Hospital.

Patient safety and nursing care quality are two crucial aspects of healthcare delivery. Todays, ensuring a robust patient safety culture is fundamental to achieving high standards in nursing care. This present study aims to investigate the relationship between patient safety culture and nursing care quality. In addition, job satisfaction assessed as mediating variable. Using convenience sampling technique, a total of 236 nurse participated in the survey during February until April 2024. The respondents are nurses who works in private hospital, located in Tangerang. SPSS 26 is employed as a statistical tool to assess path analysis. The result showed that patient safety culture has a positive influence on nursing care quality. Patient safety culture also shares positive effect on nurse’s job satisfaction. In addition, based on the sable test result, job satisfaction significantly mediates the connection between patent safety culture and nursing care quality. These findings suggest that enhancing patient safety culture not only improves the quality of nursing care but also boosts nurses’ job satisfaction. Therefore, interventions aimed at strengthening patient safety culture can provide dual benefits in improving healthcare outcomes.

Caring is an important aspect that must be carried out by a nurse in the practice of providing nursing care. In general, caring is defined as an ability to be dedicated to others, to provide supervision by showing attention, feelings of empathy for others, feelings of love and love that must be done in providing nursing care. The purpose of this study was to determine whether or not there is a relationship between the caring attitude of nurses towards compliance with treatment control of pulmonary TB patients. This study is a quantitative study with a cross sectional approach. This sampling technique uses purposive sampling. Statistical test analysis used is chi-square using SPSS computer program. Results: The results of the bivariate test obtained a p-value of 0.033 is smaller than 0.05, which means that there is a relationship between the caring attitude of nurses towards compliance with treatment control of pulmonary TB patients. There is a relationship between the caring attitude of nurses towards compliance with treatment control of pulmonary TB patients.

Childbirth through cesarean section can cause discomfort for the mother, one of which is pain arising from the abdominal incision wound. Footbath therapy is one of the methods that can be used to alleviate this pain. The purpose of this study is to evaluate the effectiveness of footbath therapy in reducing pain intensity in patients who have just undergone a cesarean section. This research uses a descriptive method with a case study design in the context of nursing care. The subjects of this study are two patients who have just undergone a cesarean section and are experiencing mild to moderate pain. The instruments used in this study are an observation sheet in the form of a PQRST pain assessment questionnaire, NRS (Numerical Rating Scale) pain scale measurement, and standard footbath therapy procedures. The research was carried out from 14 May 2024 to 15 May 2024 for the first respondent and for the second respondent it was carried out from 17 May to 18 May 2024 with implementation for 2 days and in 1 day it was carried out for 20 minutes. The results of this study showed that both respondents experienced a decrease in pain after giving footbath therapy. So this therapy has proven to be effective for post-cesarean section patients who experience pain.

Chronic Kidney Disease (CKD) with et causa Hyperkalemia is one of the highest causes of death in Indonesia as well as in Sikka district. Based on data obtained in 2022, there were 300 cases of the largest CKD in 25 sub-districts, based on data in the Matahari room there were 22 cases recorded. The aim of this research is to enable prospective nurses to apply professional practices and manage a low potassium diet in hyperkalemia patients to reduce potassium levels in the Matahari Room at RSUD dr. T.C. HILERS Maumere. This research is a case study research using the case study method which begins with identifying previous nursing care reports or via the internet The results of the study showed that there was a decrease in potassium levels in the participants as evidenced by the results of potassium examinations from 6.5 mmol/L down to 5.0 mmol/L. From the research results it can be concluded that low potassium diet management is very influential in helping to reduce potassium levels in the blood. Suggestions for relevant agencies are that low-chlorium diet management can be used as a nursing care option for patients with Chronic Kidney Disease. It is hoped that by knowing the effect of a low potassium diet on hyperkalemia sufferers, it is hoped that this can be an input for improving the quality of services in further nursing care.

Electronic nursing care documentation plays an important role in maintaining patient safety. Electronic documentation can identify the potential for increasing efficiency and effectiveness in providing nursing care. The purpose of this article is to determine the application of electronic nursing care documentation management. This research is a case study obtained when students carried out the Nursing Management Stage practice at one of the hospitals in Bogor City from 16 October - 10 November 2023. Data collection was carried out through several processes which included management review of electronic documentation based on 5M, SWOT analysis and formulation and problem priorities using the criteria of magnitude, severity, manageability, nursing concern, affordability which are assessed with a score of 1 – 5. The vision of room X is electronic-based so that effective nurses need time to adapt to technology to carry out electronic-based nursing documentation. The conclusion is that documentation of nursing care plays a crucial role as an important process for recording patient care information.