Holistic Nursing Plus

Literature Review: The Influence of Grandmother Parenting Culture on Stunting Toddler Feeding Practices

SALIS KHOERIYAH — 2026-02-20

Background: Stunting is a global health problem that is significantly influenced by sociocultural factors at the household level. In extended family structures such as in Indonesia, grandmothers have a great influence that often determines the success or obstacles in the practice of feeding toddlers.

Purpose: This article aims to analyze and synthesize the literature on the influence of parenting culture by grandmothers on feeding practices of toddlers who are at risk of causing stunting.

Methods: The literature review was conducted by following the PRISMA flow guide. Article searches using PubMed, ScienceDirect, and Google Scholar databases in the 2020–2025 time frame. A total of 9 original research articles that met the inclusion criteria were analyzed narratively.

Results: The thematic analysis identified three main points: 1) Grandmothers act as key decision makers in the family hierarchy; 2) The strong traditional nutrition myth encourages the practice of pre-lactal feeding and early MP-breastfeeding before the age of six months; 3) There is a fatalistic perception that considers stunting as a genetic/hereditary factor as a self-defense mechanism against the stigma of malnutrition.

Conclusions: Grandparents' parenting culture is a crucial sociocultural determinant in the incidence of stunting. Stunting prevention interventions need to shift from an education model centered only on mothers to a family approach that actively involves grandmothers as the main target of culturally sensitive nutrition education.

THE EFFECT OF PLAYING WITH LOOSE PARTS ON FINE MOTOR DEVELOPMENT IN PRESCHOOL CHILDREN AT THE KUNCI III YOGYAKARTA

Setyo Retno Wulandari — 2026-02-16

Background: In order to move items, doodle, arrange blocks, cut, and write, people must develop their fine motor skills, which are small muscles like fingers and hands that require dexterity and hand-eye coordination. A game called "Loose Part Play" makes use of loose elements that can be moved, mixed, carried, redesigned, separated, and reassembled. According to the World Health Organization (WHO, 2021), fine motor development impairments affect 5–10% of preschool-aged children.

Purpose: for the measurement of the effect of the treatment by comparing the posttest scores with the pretest scores.

Methods: This study is a quantitative pre-experimental design employing a pretest-posttest group. The population includes 73 children at the health center, with random sampling being the chosen technique. The sample comprises 19 preschool children from the Key III Posyandu. The instrument utilized for data collection in this study was an observation sheet. Univariate data analysis was conducted to determine the frequency distribution using percentages, while bivariate analysis was performed using the Wilcoxon test in SPSS.

Results: Prior to the intervention, 100% of the children exhibited fine motor development scores within the "Beginning to Develop" category. Following the intervention, 1% of the children remained in the "Beginning to Develop" category, while 95% transitioned to the "Developing as Expected" category.

Conclusions: Before the intervention, the children's fine motor development was categorized as "Beginning to Develop." After the intervention, their fine motor development was categorized as "Developing as Expected."

Keywords: Fine Motor Development, Preschool, Children

IMPLEMENTATION OF 12 CORE COMPETENCY TRAINING, PRECEPTORSHIP METHOD FOR NEW NURSES IN IMPROVING THE 12 CORE COMPETENCIES OF NEW NURSES AT PRIMAYA PGI CIKINI HOSPITAL, CENTRAL JAKARTA

Juliani Tarigan — 2026-02-16

In accordance with the Hospital Law No. 44 of 2009 concerning hospitals, hospitals must have nursing staff including New Nurses. New nurses in their work environment are found to lack clinical, social and emotional support which reduces their confidence in practicing nursing care such as lack of knowledge and practical competence when facing complex situations in the work environment. According to SKPI 2012, nurses must be able to carry out 12 basic nursing competencies competently. The implementation of 12 core competencies for new nurses is very important to improve nurse competence. The purpose of this study is to determine the effectiveness of training on the implementation of 12 core competencies by Preceptors on improving 12 core competencies for New Nurses. The research method uses quantitative research with a quasi-experimental design with a pretest-posttest control group design, namely a two-group design selected by consecutive sampling that meets the inclusion criteria with a sample of 20 new nurses, 10 nurses in the intervention group and 10 nurses in the control group. The results of the normality and homogeneity tests showed that the data were normally distributed and both groups had homogeneous variances, so the selection of parametric statistical tests such as the paired t-test and independent t-test was appropriate. The results of the paired t-test in the intervention group showed a significant difference between the pre-test and post-test scores. The calculated t-value of 9.487 was greater than the t-table, and the significance value of 0.001 was less than 0.05, indicating that the training in implementing the 12 core competencies had a significant impact on improving the competency of new nurses. Conclusion: The implementation of the 12 core competencies improved technical nursing skills, professional competencies, teamwork, responsibility, and clinical decision-making abilities, which are the core of professional nursing practice.

The Effectiveness of Autogenic Training on Stress, Anxiety, and Quality of Life Among Elderly : A Systematic Review

Puji Setya Rini — 2026-02-16

Introduction:

Older adults are vulnerable to increased stress and anxiety due to physiological, psychosocial, and spiritual changes experienced with aging. These conditions negatively impact the quality of life (QoL). Autogenic Training (AT), a self-suggestion-based relaxation technique, is known to activate the body's relaxation response and reduce psychological tension. However, the effectiveness of AT on stress, anxiety, and quality of life in the elderly still requires comprehensive scientific evidence to be established.

Methods:

This study used a systematic review design based on the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) 2020 guidelines. Articles were searched for in the PubMed, ScienceDirect, and Google Scholar databases using the keywords: “Autogenic Training,” “Stress,” “Anxiety,” “Quality of Life,” and “Elderly.” Of the 287 articles identified, 48 were reviewed in full text, 12 met the methodological criteria, and 5 were not RCTs, were not experimental studies, and were not studies literature. Seven open-access articles (2020–2025) were included in the final analysis.

Results:

Seven studies showed consistent results that Autogenic Training is effective in reducing stress and anxiety and improving the quality of life of the elderly.

Conclusion:

Autogenic Training has been proven effective in reducing stress and anxiety and improving the quality of life of the elderly through physiological relaxation and psychological regulation mechanisms. This intervention is recommended as a non-pharmacological complementary therapy in gerontological nursing practice and forpromoting mental health in older adults.