Analisis Konsep Nurse Program Dalam Kerangka Intervensi Keperawatan Postpartum: Studi Berbasis Teori Cheryl Tatano Beck
DOI:
https://doi.org/10.65175/kewinus.v2i2.72Keywords:
concept analysis, nurse program, cheryl tatano beck theory, postpartum depression, maternity nursingAbstract
In-depth conceptual analysis of the NURSE Program (Nurturing, Understanding, Responding, Supporting, Empowering) intervention for postpartum depression based on Cheryl Tatano Beck's theory is still limited. To analyze and operationalize the NURSE concept into specific nursing actions and test its application in community public health center. Using sequential explanatory mixed methods. The qualitative phase involved concept analysis, followed by a quantitative quasi-experimental one-group pretest-posttest phase involving 30 postpartum mothers (EPDS ≥10) at the public health center. Data were analyzed descriptively and using paired t-tests. The analysis successfully mapped each NURSE concept to the stages of Beck's “Theory of Self-Loss.” The intervention showed a significant decrease in postpartum depression scores (p<0.001). The average EPDS score decreased from 17.2 (moderate-severe) to 8.6 (mild-non-depressed), with 83.3% of respondents experiencing a decrease in category. The NURSE Program is a coherent conceptual construct that integrates theory and is effectively applied. The results of this concept analysis can be used as standard operational guidelines for nurses in theory-based maternal mental health nursing care.
References
Ayers, S., Shakespeare, J., & Brooks, M. (2023). Enhancing emotional validation in perinatal mental health care: A key component for effective support. Journal of Affective Disorders Reports, 12, 100512. https://doi.org/10.1016/j.jadr.2023.100512
Beck, C. T. (2021). Postpartum depression: A metasynthesis of the literature (3rd ed.). Springer Publishing Company.
Dol, J., B scales, S., Tomblin Murphy, G., & al., et. (2023). The impact of postpartum depression on mother-infant bonding: A systematic review and meta-analysis. Journal of Affective Disorders, 330, 167–176. https://doi.org/10.1016/j.jad.2023.02.135
Fathi, A., Mohammadi, N., & Montazeri, A. (2024). Strengths-based versus deficit-based interventions for postpartum depression: A comparative systematic review. BMC Pregnancy and Childbirth, 24(1), 123. https://doi.org/10.1186/s12884-024-06316-2
Kementerian Kesehatan RI. (2023). Panduan pelatihan keterampilan membantu (helping skills) bagi kader kesehatan jiwa masyarakat. Direktorat Kesehatan Jiwa.
Liu, Y., Wang, J., & Zhang, L. (2023). The effectiveness of the NURSE program on reducing postpartum depression: A systematic review. Journal of Obstetric, Gynecologic & Neonatal Nursing, 52(3), e45–e55. https://doi.org/10.1016/j.jogn.2023.01.008
Morrow, J., Hodge, K., & Lee, S. (2022). Beyond the acronym: A critical look at conceptual clarity in perinatal mental health interventions. International Journal of Mental Health Nursing, 31(4), 789–800. https://doi.org/10.1111/inm.13022
Powell, C., Barlow, J., & Nath, S. (2020). The NURSE program: A concept analysis for postpartum support. Journal of Advanced Nursing, 76(5), 1124–1135. https://doi.org/10.1111/jan.14310
Shorey, S., & Chan, V. (2022). Self-nurturance and its role in preventing postpartum emotional distress: A concept analysis. Midwifery, 115, 103487. https://doi.org/10.1016/j.midw.2022.103487
Walker, L. O., & Avant, K. C. (2019). Strategies for theory construction in nursing (6th ed.). Pearson
