Jurnal Keperawatan Indonesia https://jki.ui.ac.id/index.php/jki <p>pISSN: <a title="p-ISSN" href="http://u.lipi.go.id/1180431255" target="_blank" rel="noopener">1410-4490</a>; e-ISSN: <a title="E-ISSN" href="http://u.lipi.go.id/1386652171" target="_blank" rel="noopener">2354-9203</a></p> <p>Jurnal Keperawatan Indonesia (JKI, or Nursing Journal of Indonesia) is the oldest and most respected broad-based nursing journal in Indonesia. The journal was established in 1997, and as the name suggests, JKI has become a pioneer in the publication of nursing journals in Indonesia. Its presence has been invaluable to the vast growth of the nursing profession in the country and to the development of nursing and health in general. In conjunction with this journey, the journal not only covers issues surrounding nursing in Indonesia, but also any topics that are relevant to health nationally and internationally, especially those concerning low-middle income countries in the world.</p> <p>Last accredited (2021-2026) by Directorate General of Higher Education, Research, and Technology of the Ministry of Education, Culture, Research, and Technology of the Republic of Indonesia <a title="JKI Certificate of Accreditation" href="https://bit.ly/SK164-E-KPT-2021" target="_blank" rel="noopener">(No: 164/E/KPT/2021)</a> with First Grade <a title="Journal Profile on SINTA" href="https://sinta.kemdikbud.go.id/journals/detail?id=1001" target="_blank" rel="noopener">(Sinta 1)</a>. SINTA has a grade or level or classification of national accredited journals, which are divided into six categories, namely S1, S2, S3, S4, S5, and S6, that the S1 score is the highest category.</p> <p>This journal has been published by Universitas Indonesia, managed by Faculty of Nursing, Universitas Indonesia.</p> Fakultas Ilmu Keperawatan Universitas Indonesia en-US Jurnal Keperawatan Indonesia 1410-4490 <p>Authors who publish with Jurnal Keperawatan Indonesia agree to the following terms:</p><ol start="1"><li>Authors retain copyright and grant Jurnal Keperawatan Indonesia right of first publication with the work simultaneously licensed under a <a href="https://creativecommons.org/licenses/by/4.0/">Creative Commons Attribution License CC BY</a>Â that allows others to remix, adapt, build upon the work with an acknowledgment of the work's authorship and initial publication and initial publication in this journal.</li><li>Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.</li><li>Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See <a href="http://opcit.eprints.org/oacitation-biblio.html" target="_new">The Effect of Open Access</a>).</li></ol> Assessment of Nurses’ Knowledge of Multiple Sclerosis in Morocco https://jki.ui.ac.id/index.php/jki/article/view/1310 <p>Nurses are essential in early detection, education, symptom management, treatment administration, and care coordination for patients with multiple sclerosis (MS). This role requires both theoretical and practical knowledge. This study evaluates the knowledge level among nurses regarding multiple sclerosis in Morocco. We conducted this cross-sectional study on 326 nurses in Morocco using a purposive sampling method, which involves selecting nursing specialties that have direct contact with patients with MS, aiming to target the most relevant professionals for the study. The data are collected using an anonymous questionnaire distributed individually to participants. We opted for multivariable logistic regression models to analyze the data. The results highlighted a significant deficit in nurses’ knowledge of MS. Only 28.8% recognized it as a chronic disease, while nearly half identified it as autoimmune, inflammatory, or neurodegenerative. Commonly reported symptoms included sphincter abnormalities (56.4%), visual disorders (44%), spasticity (27.6%), sexual problems (26%), and cognitive issues (23.9%). Concerning risk factors, 46% attributed MS primarily to genetics, while 40% were unaware of any factors. Nearly half (47%) believed MS therapy is symptomatic, and only 33% were familiar with disease-modifying therapies (DMTs). 90% of nurses lacked continuous MS training. The study found significant associations between nurses’ knowledge and variables such as department of work (p = 0.045), gender (p = 0.041), and profile (p = 0.039). Lack of knowledge about MS may negatively influence early diagnosis and management of MS. To address this issue, we recommend improving the foundational training of healthcare professionals and introducing continuous education programs.</p> <p><strong>Keywords:</strong> knowledge, Morocco, multiple sclerosis, nurse</p> <p> </p> <p><strong><em>Abstrak</em></strong></p> <p><em><strong>Menilai Pengetahuan Perawat tentang </strong></em><strong>Multiple Sclerosis</strong><em><strong> di Maroko.</strong> Perawat berperan penting dalam deteksi dini, pendidikan, manajemen gejala, pemberian pengobatan, dan koordinasi perawatan untuk pasien dengan </em>multiple sclerosis (MS)<em>. Peran ini membutuhkan pengetahuan teoritis dan praktis. Penelitian ini menilai pengetahuan perawat tentang </em>MS <em>di Maroko. Kami melakukan studi </em>cross-sectional<em> ini pada 326 perawat di Maroko dengan menggunakan metode </em>purposive sampling<em>, yang melibatkan pemilihan spesialisasi keperawatan yang kemungkinan memiliki kontak langsung dengan pasien </em>MS<em>, dengan tujuan untuk menargetkan profesional yang paling relevan untuk penelitian ini. Data dikumpulkan dengan menggunakan kuesioner anonim yang didistribusikan secara individual kepada peserta. Kami memilih model regresi logistik multivariabel untuk menganalisis data. Penelitian ini menyoroti kekurangan yang signifikan dalam pengetahuan perawat tentang </em>MS<em>. Hanya 28,8% yang mengenali </em>MS <em>sebagai penyakit kronis, sementara hampir separuhnya mengidentifikasinya sebagai autoimun, inflamasi, atau neurodegeneratif. Gejala yang umum dilaporkan termasuk kelainan sfingter (56,4%), gangguan penglihatan (44%), spastisitas (27,6%), masalah seksual (26%), dan gangguan kognitif (23,9%). Mengenai faktor risiko, 46% mengaitkan MS terutama dengan faktor genetik, sementara 40% tidak mengetahui faktor apapun. Hampir setengah (47%) meyakini terapi </em>MS <em>bersifat simtomatik, dan hanya 33% yang akrab dengan </em>disease-modifying therapies (DMT)<em>. Lebih jauh lagi, 90% perawat tidak memiliki pelatihan </em>MS <em>berkelanjutan. Penelitian ini menemukan hubungan yang signifikan antara pengetahuan perawat dan variabel seperti departemen kerja (p = 0,045), jenis kelamin (p = 0,041), dan profil (p = 0,039). Kurangnya pengetahuan tentang </em>MS <em>dapat berdampak negatif pada diagnosis dini dan manajemen penyakit ini. Untuk mengatasi masalah ini, kami merekomendasikan untuk meningkatkan pelatihan dasar bagi para profesional kesehatan dan memperkenalkan program pendidikan berkelanjutan.</em></p> <p><em><strong>Kata Kunci:</strong> Maroko, </em>multiple sclerosis,<em> pengetahuan, perawat</em></p> Rachid Lotfi Hind Bel Amgharia Mourad Chikhaoui Abdeslam El Kardoudi Fatiha Chigr Copyright (c) 2025 Jurnal Keperawatan Indonesia https://creativecommons.org/licenses/by-sa/4.0 2025-03-31 2025-03-31 28 1 1–11 1–11 10.7454/jki.v28i1.1310 Evaluation of the Use of Structural Gamification-Based Applications by Users in Makassar City, Indonesia https://jki.ui.ac.id/index.php/jki/article/view/1266 <p>Structural gamification is a trending concept in today’s application landscape that leverages various elements and features from game design for nongame contexts. This concept has become increasingly common in various health applications today, such as Lose It!, Fat Secret, and Google Fit. This study aims to evaluate respondents’ use of structural gamification-based health applications. The research method employed in this study is quantitative and descriptive, involving data collection through questionnaires administered from July 2023 to September 2023 in Makassar City, Indonesia. The research results indicate that 90% of the respondents appreciated the ease of access and attractive interface of structural gamification-based health applications, while 35% disliked these apps’ high battery consumption. The majority rated them as 8 and as 8 or 9 on a scale of 1 to 10 in terms of usefulness and effectiveness, respectively. The findings of this study are expected to provide recommendations for nursing interventions that use technology to promote healthy lifestyle modifications in public health management.</p> <p><strong>Keywords:</strong> gamification, goal-oriented, self-regulation</p> <p> </p> <p><em><strong>Abstrak</strong></em></p> <p><em><strong>Evaluasi Pemanfaatan Aplikasi berbasis </strong></em><strong>Structural Gamification</strong><em><strong> pada Pengguna di Kota Makassar, Indonesia. </strong></em>Structural gamification<em> merupakan konsep aplikasi yang sedang tren saat ini, konsep ini memanfaatkan berbagai elemen dan fitur yang terdapat pada desain </em>game<em> untuk konteks aplikasi </em>non-game<em>. Konsep berbasis </em>structural gamification<em> semakin umum ditemukan dalam berbagai aplikasi kesehatan saat ini, seperti yang ada pada aplikasi</em> Lose It!, Fat Secret, Google Fit.<em> Riset ini bertujuan untuk mengevaluasi pemanfaatan aplikasi kesehatan berbasis </em>structural gamification<em> terhadap pengguna. Metode yang digunakan dalam riset ini adalah kuantitatif deskriptif, dengan pengumpulan data melalui kuesioner yang dilakukan pada bulan Juli-September 2023 di Kota Makassar. Hasil penelitian menunjukkan bahwa 90% responden menyukai aspek kemudahan akses dan tampilan yang menarik, sedangkan 35% responden tidak menyukai kebutuhan baterai yang tinggi pada pengguna. Pada skala manfaat mayoritas menjawab pada skala 8 dari 10, dan pada skala efektivitas mayoritas menjawab pada skala 8 dan 9 dari 10. Temuan penelitian ini diharapkan dapat memberikan rekomendasi intervensi keperawatan yang memanfaatkan teknologi untuk modifikasi gaya hidup sehat dalam manajemen kesehatan masyarakat.</em></p> <p><em><strong>Kata Kunci:</strong> gamifikasi, orientasi tujuan, regulasi-diri</em></p> Andi Fitria Idham Ade Putrawan Firdi Athaya Fitrah Ramadhan Arnis Puspitha Rasyid Copyright (c) 2025 Jurnal Keperawatan Indonesia https://creativecommons.org/licenses/by-sa/4.0 2025-03-31 2025-03-31 28 1 12–21 12–21 10.7454/jki.v28i1.1266 Factors Affecting Nurse Retention in A Private Healthcare System in Malaysia https://jki.ui.ac.id/index.php/jki/article/view/1406 <p>Nurse retention has become increasingly challenging in the post-pandemic era, particularly for private hospitals. This study aimed to identify the significant predictors of nurse retention in selected private hospitals in Malaysia. A quantitative, descriptive, cross-sectional design was employed. A pre-validated, self-administered questionnaire, distributed via Google Forms, was used for data collection. The respondents included 532 registered nurses employed at three private hospitals in Malaysia. Data analysis was conducted using descriptive statistics and correlation studies, including Spearman’s rho and multiple regression analysis. Among the participants, 54% reported good job satisfaction, 27.37% expressed organizational commitment, 25.97% were satisfied with human resource practices, and 48.41% intended to remain with their current organization. The findings revealed a strong positive correlation between nurse retention, organizational commitment, human resource practices, and job satisfaction. Multiple regression analysis indicated that job satisfaction was the most significant predictor of nurse retention (F (1) = 285.334, p (.000) &lt; .05, R2 = 0.354), followed by human resource practices and organizational commitment. These results suggest that job satisfaction is the primary factor influencing nurse retention in private healthcare settings. Therefore, hospitals must implement strategies to enhance employees’ job satisfaction. Human resource management must also establish clear policies on remuneration, career development, and employee promotion to improve nurse retention. </p> <p><strong>Keywords:</strong> intent to leave, job satisfaction, nurses, nurse retention, organizational commitment, quality of care</p> <p> </p> <p><strong><em>Abstrak</em></strong></p> <p><em><strong>Faktor-Faktor yang Memengaruhi Retensi Perawat dalam Sistem Layanan Kesehatan Swasta di Malaysia.</strong> Retensi perawat menjadi hal yang semakin menantang di pasca pandemi, khususnya di rumah sakit swasta. Studi ini bertujuan untuk mengidentifikasi prediktor signifikan retensi perawat di rumah sakit swasta terpilih di Malaysia. Desain penelitian yang digunakan adalah deskriptif kuantitatif, cross-sectional. Alat pengumpulan data yang digunakan adalah kuesioner yang telah divalidasi sebelumnya, didistribusikan melalui </em>Google Forms <em>untuk dikerjakan secara mandiri oleh responden. Responden terdiri dari 532 perawat terdaftar yang bekerja di tiga rumah sakit swasta di Malaysia. Analisis data menggunakan statistik deskriptif dan studi korelasi, yaitu </em>Spearman's rho<em> dan analisis regresi berganda. Ditemukan sebanyak 54% melaporkan kepuasan kerja yang baik, 27,37% menyatakan komitmen organisasi, 25,97% puas dengan praktik kepegawaian yang ditetapkan, dan 48,41% berkomitmen untuk tetap bekerja di organisasi mereka saat ini. Temuan tersebut mengungkapkan korelasi positif yang kuat antara retensi perawat, komitmen organisasi, praktik sumber daya manusia, dan kepuasan kerja. Analisis regresi berganda menunjukkan bahwa kepuasan kerja merupakan prediktor paling signifikan terhadap retensi perawat (F (1) = 285,334, p (.000) &lt; .05, R2 = 0,354), diikuti oleh praktik sumber daya manusia dan komitmen organisasi. Hasil ini menunjukkan bahwa kepuasan kerja merupakan faktor utama yang memengaruhi retensi perawat di lingkungan layanan kesehatan swasta. Oleh karena itu, rumah sakit harus menerapkan strategi untuk meningkatkan kepuasan kerja karyawannya. Manajemen sumber daya manusia juga harus menetapkan kebijakan yang jelas tentang remunerasi, pengembangan karir, dan promosi jabatan untuk meningkatkan retensi perawat.</em></p> <p><em><strong>Kata Kunci:</strong> keinginan untuk mengundurkan diri, kepuasan pekerjaan, komitmen organisasi, kualitas perawatan, perawat, retensi perawat</em></p> Zarin Ikmal Zan Mohd Zain Annamma Kunjukunju Goventhamma Subramaniam Nur Izzana Tajuddin Copyright (c) 2025 Jurnal Keperawatan Indonesia https://creativecommons.org/licenses/by-sa/4.0 2025-03-31 2025-03-31 28 1 22–34 22–34 10.7454/jki.v28i1.1406 Resilience, Social Support, and Quality of Life Among People Living with HIV/AIDS https://jki.ui.ac.id/index.php/jki/article/view/1337 <p>One of the most common challenges faced by people living with human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS) is a low quality of life, particularly during the coronavirus disease 2019 (COVID-19) pandemic, as they are considered a vulnerable group. This study aimed to examine the relationship between resilience, social support, and quality of life among people living with HIV/AIDS during the pandemic. Conducted as a cross-sectional study, it involved 433 respondents. Data collection was carried out using a questionnaire, with Connor–Davidson Resilience Scale-25 (CD-RISC-25), Multidimensional Scale of Perceived Social Support (MSPSS), and World Health Organization Quality of Life–HIV Brief Version (WHO QoL-HIV-BREF) as the study instruments. The results indicated that resilience and social support were significantly associated with quality of life (p = 0.000; p = 0.000). Multiple logistic regression analysis identified resilience as the dominant factor influencing quality of life in people living with HIV (OR = 59.533). Respondents with high resilience were found to have a 59.53 times greater likelihood of experiencing a good quality of life compared to those with medium and low resilience after adjusting for marital status, income status, and length of time since HIV diagnosis. Resilience plays a crucial role in determining a person’s quality of life. HIV patients who actively participated in foundation-based assistance demonstrated greater optimism and a more positive acceptance of their condition, enabling them to cope with difficulties better.</p> <p><strong>Keywords:</strong> HIV/AIDS, resilience, social support, quality of life</p> <p> </p> <p><strong><em>Abstrak</em></strong></p> <p><em><strong>Resiliensi, Dukungan Sosial, dan Kualitas Hidup Penderita </strong></em><strong>HIV/AIDS.</strong><em> Salah satu tantangan yang paling umum dihadapi oleh penderita </em>HIV/AIDS<em> adalah rendahnya kualitas hidup, terutama saat pandemi </em>COVID-19,<em> karena mereka termasuk dalam kelompok rentan. Penelitian ini bertujuan untuk menguji hubungan antara resiliensi, dukungan sosial, dan kualitas hidup pada orang dengan </em>HIV/AIDS<em> di masa pandemi. Penelitian ini merupakan penelitian </em>cross-sectional<em> yang melibatkan 433 responden. Pengumpulan data dilakukan dengan menggunakan kuesioner </em>Connor–Davidson Resilience Scale-25 (CD-RISC-25), Multidimensional Scale of Perceived Social Support (MSPSS), <em>dan </em>World Health Organization Quality of Life–HIV Brief Version (WHO QoL-HIV-BREF) <em>sebagai instrumen penelitian. Hasil penelitian menunujukkan bahwa resiliensi dan dukungan sosial memiliki hubungan yang signifikan dengan kualitas hidup (p = 0,000; p = 0,000). Analisis regresi logistik berganda menunjukkan bahwa resiliensi merupakan faktor dominan yang memengaruhi kualitas hidup orang dengan </em>HIV <em>(OR = 59,533). Responden dengan resiliensi tinggi memiliki kemungkinan 59,53 kali lebih besar untuk memiliki kualitas hidup yang baik dibandingkan dengan responden dengan resiliensi sedang dan rendah, setelah mempertimbangkan status perkawinan, pendapatan, dan durasi sejak didiagnosa </em>HIV<em>. Resiliensi berperan penting terhadap kualitas hidup seseorang. Pasien </em>HIV <em>yang terlibat aktif dalam mengikuti pendampingan berbasis lembaga menunjukan sikap yang lebih optimis dan penerimaan yang lebih positif terhadap kondisi mereka, sehingga membuat mereka mampu menghadapi tantangan dengan lebih baik.</em></p> <p><em><strong>Kata Kunci:</strong> dukungan sosial, </em>HIV/AIDS<em>, kualitas hidup, resiliensi</em></p> Firman Firman Sri Yona Agung Waluyo Copyright (c) 2025 Jurnal Keperawatan Indonesia https://creativecommons.org/licenses/by-sa/4.0 2025-03-31 2025-03-31 28 1 35–44 35–44 10.7454/jki.v28i1.1337 Video Animation: Improving Older Adults Patients Knowledge and Motivation Related to Hypertension Diet https://jki.ui.ac.id/index.php/jki/article/view/1475 <p>Hypertension is a dangerous medical condition that can increase the risk of heart, brain, and renal problems, among other issues. A balanced diet is an essential hypertension control intervention. This study seeks to examine the efficiency of employing animation media to explain the application of diets that prevent hypertension and boost the understanding and motivation of senior patients at Bahteramas Regional General Hospital. In both the control and intervention groups, a quantitative-quasi-experimental design was adopted, with pre-test and post-tests. Data was obtained via questionnaires from 92 respondents chosen using a purposive sampling approach, with 46 in the intervention group from the cardiac clinic and 46 in the control group from geriatric clinic. The data were analyzed using the paired t-test. The findings of the study indicated that patient knowledge increased significantly (p = 0.007) in the cardiac clinic following the administration of animation media, whereas in the geriatric clinic, no impact was observed (p = 0.000). Patient motivation increased significantly in the cardiac clinic following the administration of animation media (p = 0.003) and in the geriatric clinic in the absence of intervention (p = 0.000). There was no significant difference between the two groups in pretest knowledge (p = 0.666) and motivation (p = 0.747); however, there were significant differences in posttest knowledge (p = 0.015) and motivation (p = 0.026). Patient knowledge was affected by animation media in the cardiac clinic (p = 0.007) and without therapy in the geriatric clinic (p = 0.000). Incorporating animated educational content into routine patient counseling and health education programs can be beneficial in the future.</p> <p><strong>Keywords:</strong> animation media, hypertension diet, knowledge, motivation, video</p> <p> </p> <p><em><strong>Abstrak</strong></em></p> <p><em><strong>Video Animasi: Meningkatkan Pengetahuan dan Motivasi Pasien Lanjut Usia untuk Diet Hipertensi.</strong> Hipertensi adalah kondisi medis berbahaya yang dapat meningkatkan risiko masalah jantung, otak, ginjal, dan masalah lainnya. Pola makan yang baik sangat penting sebagai intervensi pengendalian hipertensi. Tujuan penelitian ini adalah menguji efisiensi penggunaan media animasi untuk menjelaskan penerapan diet hipertensi dan meningkatkan pemahaman dan motivasi pasien lanjut usia di Rumah Sakit Umum Daerah (RSUD) Bahteramas. Pada kelompok kontrol dan perlakuan, desain </em>quantitative-quasi-experimental<em> diadopsi, dengan </em>pre-test<em> dan</em> post-test.<em> Data diperoleh melalui kuesioner dari 92 responden yang dipilih dengan pendekatan</em> purposive sampling<em>, terdapat 46 orang pada kelompok intervensi di klinik jantung dan 46 orang pada kelompok kontrol di klinik geriatri. Data dianalisis menggunakan </em>paired T-test.<em> Temuan penelitian menunjukkan bahwa pengetahuan pasien meningkat secara signifikan (p = 0,007) di klinik jantung setelah pemberian media animasi, sedangkan di klinik geriatri, tidak ada intervensi yang diamati (p = 0,000). Motivasi pasien meningkat secara signifikan di klinik jantung setelah pemberian media animasi (p = 0,003) dan di klinik geriatri tanpa adanya intervensi (p = 0,000). Tidak terdapat perbedaan yang signifikan antara kedua kelompok pada pengetahuan </em>pre-test <em>(p = 0,666) dan motivasi (p = 0,747); Namun terdapat perbedaan yang signifikan pada pengetahuan </em>post-test<em> (p = 0,015) dan motivasi (p = 0,026). Pengetahuan pasien dipengaruhi oleh media animasi di klinik jantung (p = 0,007) dan tanpa terapi di klinik geriatri (p = 0,000). Menyertakan konten edukasi animasi dalam rutinitas konseling pasien dan program pendidikan kesehatan dapat memberikan manfaat di masa depan.</em></p> <p><em><strong>Kata Kunci:</strong> diet hipertensi, media animasi, motivasi, pengetahuan, video</em></p> Gusti Ayu Kade Budiarti Sri Susanty Ruslan Madjid Ramadhan Tosepu Copyright (c) 2025 Jurnal Keperawatan Indonesia https://creativecommons.org/licenses/by-sa/4.0 2025-03-31 2025-03-31 28 1 45–55 45–55 10.7454/jki.v28i1.1475 Back Matter (Submission Guide, Author Guidelines, Subscription Form) https://jki.ui.ac.id/index.php/jki/article/view/1792 Jurnal Keperawatan Indonesia Copyright (c) 2025 Jurnal Keperawatan Indonesia https://creativecommons.org/licenses/by-sa/4.0 2025-03-31 2025-03-31 28 1 10.7454/jki.v28i1.1792 Front Matter (Title Page, Table of Content, General Information, and Editorial Team) https://jki.ui.ac.id/index.php/jki/article/view/1791 Jurnal Keperawatan Indonesia Copyright (c) 2025 Jurnal Keperawatan Indonesia https://creativecommons.org/licenses/by-sa/4.0 2025-03-31 2025-03-31 28 1 10.7454/jki.v28i1.1791