{"id":"https://openalex.org/W7202365610","doi":"https://doi.org/10.53770/amhj.v6i1.789","title":"Key Factors Associated with Nursing Care Intensity for Nursing Service Management in a Psychiatric Hospital: A Cross-Sectional Study Approach","display_name":"Key Factors Associated with Nursing Care Intensity for Nursing Service Management in a Psychiatric Hospital: A Cross-Sectional Study Approach","publication_year":2026,"publication_date":"2026-06-30","ids":{"openalex":"https://openalex.org/W7202365610","doi":"https://doi.org/10.53770/amhj.v6i1.789"},"language":"en","primary_location":{"id":"doi:10.53770/amhj.v6i1.789","doi":"https://doi.org/10.53770/amhj.v6i1.789","is_oa":true,"landing_page_url":"https://doi.org/10.53770/amhj.v6i1.789","pdf_url":"https://journal.ahmareduc.or.id/index.php/AMHJ/article/download/789/447","source":{"id":"https://openalex.org/S4220651702","display_name":"Ahmar Metastasis Health Journal","issn_l":"2797-4952","issn":["2797-4952","2797-6483"],"is_oa":true,"is_in_doaj":true,"is_core":false,"listed_in":["doaj"],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":"cc-by-sa","license_id":"https://openalex.org/licenses/cc-by-sa","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Ahmar Metastasis Health Journal","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://journal.ahmareduc.or.id/index.php/AMHJ/article/download/789/447","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5066639288","display_name":"Milkhatun Milkhatun","orcid":"https://orcid.org/0000-0002-3409-9761","observed_orcids":["https://orcid.org/0000-0002-3409-9761"]},"institutions":[{"id":"https://openalex.org/I4401200382","display_name":"Universitas Muhammadiyah Kalimantan Timur","ror":"https://ror.org/04wb5nh51","country_code":"ID","type":"education","lineage":["https://openalex.org/I4401200382"]}],"countries":["ID"],"is_corresponding":false,"raw_author_name":"Milkhatun Milkhatun","raw_affiliation_strings":["Faculty of Nursing, Universitas Muhammadiyah Kalimantan Timur, Samarinda, East Kalimantan, Indonesia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Faculty of Nursing, Universitas Muhammadiyah Kalimantan Timur, Samarinda, East Kalimantan, Indonesia","institution_ids":["https://openalex.org/I4401200382"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5026663614","display_name":"Yudhi Fajar Saputra","orcid":"https://orcid.org/0000-0002-5982-9556","observed_orcids":["https://orcid.org/0000-0002-5982-9556"]},"institutions":[{"id":"https://openalex.org/I4210141836","display_name":"Widya Gama Mahakam University","ror":"https://ror.org/04q3r2543","country_code":"ID","type":"education","lineage":["https://openalex.org/I4210141836"]}],"countries":["ID"],"is_corresponding":false,"raw_author_name":"Yudhi Fajar Saputra","raw_affiliation_strings":["Faculty of Engineering and Informatics, Universitas Widya Gama Mahakam, Samarinda, East Kalimantan, Indonesia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Faculty of Engineering and Informatics, Universitas Widya Gama Mahakam, Samarinda, East Kalimantan, Indonesia","institution_ids":["https://openalex.org/I4210141836"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5068742066","display_name":"Alfi Ari Fakhrur Rizal","orcid":"https://orcid.org/0000-0003-0002-6799","observed_orcids":["https://orcid.org/0000-0003-0002-6799"]},"institutions":[{"id":"https://openalex.org/I4401200382","display_name":"Universitas Muhammadiyah Kalimantan Timur","ror":"https://ror.org/04wb5nh51","country_code":"ID","type":"education","lineage":["https://openalex.org/I4401200382"]}],"countries":["ID"],"is_corresponding":false,"raw_author_name":"Alfi Ari Fakhrur Rizal","raw_affiliation_strings":["Faculty of Nursing, Universitas Muhammadiyah Kalimantan Timur, Samarinda, East Kalimantan, Indonesia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Faculty of Nursing, Universitas Muhammadiyah Kalimantan Timur, Samarinda, East Kalimantan, Indonesia","institution_ids":["https://openalex.org/I4401200382"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5038692980","display_name":"Ni Wayan Wiwin Asthiningsih","orcid":"https://orcid.org/0000-0002-1080-6433","observed_orcids":["https://orcid.org/0000-0002-1080-6433"]},"institutions":[{"id":"https://openalex.org/I4401200382","display_name":"Universitas Muhammadiyah Kalimantan Timur","ror":"https://ror.org/04wb5nh51","country_code":"ID","type":"education","lineage":["https://openalex.org/I4401200382"]}],"countries":["ID"],"is_corresponding":false,"raw_author_name":"Ni Wayan Wiwin Asthiningsih","raw_affiliation_strings":["Faculty of Nursing, Universitas Muhammadiyah Kalimantan Timur, Samarinda, East Kalimantan, Indonesia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Faculty of Nursing, Universitas Muhammadiyah Kalimantan Timur, Samarinda, East Kalimantan, Indonesia","institution_ids":["https://openalex.org/I4401200382"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5147138201","display_name":"Rusni Masnina","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4401200382","display_name":"Universitas Muhammadiyah Kalimantan Timur","ror":"https://ror.org/04wb5nh51","country_code":"ID","type":"education","lineage":["https://openalex.org/I4401200382"]}],"countries":["ID"],"is_corresponding":false,"raw_author_name":"Rusni Masnina","raw_affiliation_strings":["Faculty of Nursing, Universitas Muhammadiyah Kalimantan Timur, Samarinda, East Kalimantan, Indonesia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Faculty of Nursing, Universitas Muhammadiyah Kalimantan Timur, Samarinda, East Kalimantan, Indonesia","institution_ids":["https://openalex.org/I4401200382"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5029838601","display_name":"Maridi Marsan Dirdjo","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4401200382","display_name":"Universitas Muhammadiyah Kalimantan Timur","ror":"https://ror.org/04wb5nh51","country_code":"ID","type":"education","lineage":["https://openalex.org/I4401200382"]}],"countries":["ID"],"is_corresponding":false,"raw_author_name":"Maridi M Dirdjo","raw_affiliation_strings":["Faculty of Nursing, Universitas Muhammadiyah Kalimantan Timur, Samarinda, East Kalimantan, Indonesia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Faculty of Nursing, Universitas Muhammadiyah Kalimantan Timur, Samarinda, East Kalimantan, Indonesia","institution_ids":["https://openalex.org/I4401200382"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":{"value":250000,"currency":"IDR","value_usd":16},"apc_paid":{"value":250000,"currency":"IDR","value_usd":16},"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.0,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"6","issue":"1","first_page":"81","last_page":"91"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T12790","display_name":"Nursing Diagnosis and Documentation","score":0.798799991607666,"subfield":{"id":"https://openalex.org/subfields/2922","display_name":"Research and Theory"},"field":{"id":"https://openalex.org/fields/29","display_name":"Nursing"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T12790","display_name":"Nursing Diagnosis and Documentation","score":0.798799991607666,"subfield":{"id":"https://openalex.org/subfields/2922","display_name":"Research and Theory"},"field":{"id":"https://openalex.org/fields/29","display_name":"Nursing"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T13944","display_name":"Psychiatric care and mental health services","score":0.12150000035762787,"subfield":{"id":"https://openalex.org/subfields/3203","display_name":"Clinical Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T10186","display_name":"Nursing education and management","score":0.060600001364946365,"subfield":{"id":"https://openalex.org/subfields/2922","display_name":"Research and Theory"},"field":{"id":"https://openalex.org/fields/29","display_name":"Nursing"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/nursing-care-intensity","display_name":"nursing care intensity","score":1.0},{"id":"https://openalex.org/keywords/psychiatric-hospital","display_name":"psychiatric hospitals","score":0.5640000104904175},{"id":"https://openalex.org/keywords/psychosocial-factors","display_name":"psychosocial factors","score":0.8410000205039978},{"id":"https://openalex.org/keywords/cognitive-function","display_name":"cognitive function","score":0.8730000257492065},{"id":"https://openalex.org/keywords/self-esteem","display_name":"self-esteem","score":0.8479999899864197},{"id":"https://openalex.org/keywords/socialization","display_name":"socialization","score":0.871999979019165},{"id":"https://openalex.org/keywords/emotional-functioning","display_name":"emotional functioning","score":0.7570000290870667},{"id":"https://openalex.org/keywords/nursing-workload","display_name":"nursing workload","score":0.46399998664855957},{"id":"https://openalex.org/keywords/nurse-staffing","display_name":"nurse staffing","score":0.5989999771118164},{"id":"https://openalex.org/keywords/nursing-needs-assessment","display_name":"nursing care needs assessment","score":0.5429999828338623},{"id":"https://openalex.org/keywords/missed-nursing-care","display_name":"missed nursing care","score":0.7089999914169312}],"concepts":[{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.6593000292778015},{"id":"https://openalex.org/C150966472","wikidata":"https://www.wikidata.org/wiki/Q3410145","display_name":"Psychosocial","level":2,"score":0.6506999731063843},{"id":"https://openalex.org/C2984889486","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing care","level":2,"score":0.5906999707221985},{"id":"https://openalex.org/C126397004","wikidata":"https://www.wikidata.org/wiki/Q2005404","display_name":"Nursing Outcomes Classification","level":4,"score":0.5544999837875366},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.5040000081062317},{"id":"https://openalex.org/C169900460","wikidata":"https://www.wikidata.org/wiki/Q2200417","display_name":"Cognition","level":2,"score":0.5030999779701233},{"id":"https://openalex.org/C2779033854","wikidata":"https://www.wikidata.org/wiki/Q2084125","display_name":"Nursing diagnosis","level":3,"score":0.487199991941452},{"id":"https://openalex.org/C534262118","wikidata":"https://www.wikidata.org/wiki/Q177719","display_name":"Medical diagnosis","level":2,"score":0.44119998812675476},{"id":"https://openalex.org/C2780344248","wikidata":"https://www.wikidata.org/wiki/Q2084130","display_name":"Nursing management","level":2,"score":0.44119998812675476},{"id":"https://openalex.org/C105913360","wikidata":"https://www.wikidata.org/wiki/Q7243152","display_name":"Primary nursing","level":3,"score":0.4372999966144562},{"id":"https://openalex.org/C2778476105","wikidata":"https://www.wikidata.org/wiki/Q628539","display_name":"Workload","level":2,"score":0.41359999775886536},{"id":"https://openalex.org/C106881830","wikidata":"https://www.wikidata.org/wiki/Q1252626","display_name":"Team nursing","level":3,"score":0.3668000102043152},{"id":"https://openalex.org/C2779473830","wikidata":"https://www.wikidata.org/wiki/Q1540899","display_name":"MEDLINE","level":2,"score":0.321399986743927},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.31029999256134033},{"id":"https://openalex.org/C2780378061","wikidata":"https://www.wikidata.org/wiki/Q25351891","display_name":"Service (business)","level":2,"score":0.3102000057697296},{"id":"https://openalex.org/C113616995","wikidata":"https://www.wikidata.org/wiki/Q13378080","display_name":"Nurse education","level":2,"score":0.29809999465942383},{"id":"https://openalex.org/C2780813765","wikidata":"https://www.wikidata.org/wiki/Q1476755","display_name":"Nursing assessment","level":3,"score":0.29660001397132874},{"id":"https://openalex.org/C142853389","wikidata":"https://www.wikidata.org/wiki/Q744778","display_name":"Association (psychology)","level":2,"score":0.29280000925064087},{"id":"https://openalex.org/C26760741","wikidata":"https://www.wikidata.org/wiki/Q160402","display_name":"Perception","level":2,"score":0.29269999265670776},{"id":"https://openalex.org/C558461103","wikidata":"https://www.wikidata.org/wiki/Q154430","display_name":"Anxiety","level":2,"score":0.27390000224113464},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.27230000495910645},{"id":"https://openalex.org/C175239898","wikidata":"https://www.wikidata.org/wiki/Q7070180","display_name":"Nurse\u2013client relationship","level":2,"score":0.26510000228881836},{"id":"https://openalex.org/C518773536","wikidata":"https://www.wikidata.org/wiki/Q918533","display_name":"Nursing research","level":2,"score":0.2605000138282776},{"id":"https://openalex.org/C64341305","wikidata":"https://www.wikidata.org/wiki/Q4919225","display_name":"Bivariate analysis","level":2,"score":0.25189998745918274}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.53770/amhj.v6i1.789","doi":"https://doi.org/10.53770/amhj.v6i1.789","is_oa":true,"landing_page_url":"https://doi.org/10.53770/amhj.v6i1.789","pdf_url":"https://journal.ahmareduc.or.id/index.php/AMHJ/article/download/789/447","source":{"id":"https://openalex.org/S4220651702","display_name":"Ahmar Metastasis Health Journal","issn_l":"2797-4952","issn":["2797-4952","2797-6483"],"is_oa":true,"is_in_doaj":true,"is_core":false,"listed_in":["doaj"],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":"cc-by-sa","license_id":"https://openalex.org/licenses/cc-by-sa","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Ahmar Metastasis Health Journal","raw_type":"journal-article"}],"best_oa_location":{"id":"doi:10.53770/amhj.v6i1.789","doi":"https://doi.org/10.53770/amhj.v6i1.789","is_oa":true,"landing_page_url":"https://doi.org/10.53770/amhj.v6i1.789","pdf_url":"https://journal.ahmareduc.or.id/index.php/AMHJ/article/download/789/447","source":{"id":"https://openalex.org/S4220651702","display_name":"Ahmar Metastasis Health Journal","issn_l":"2797-4952","issn":["2797-4952","2797-6483"],"is_oa":true,"is_in_doaj":true,"is_core":false,"listed_in":["doaj"],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":"cc-by-sa","license_id":"https://openalex.org/licenses/cc-by-sa","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Ahmar Metastasis Health Journal","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","score":1.0,"display_name":"Good health and well-being"}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7202365610.pdf","grobid_xml":"https://content.openalex.org/works/W7202365610.grobid-xml"},"referenced_works_count":21,"referenced_works":["https://openalex.org/W2043438431","https://openalex.org/W2045963639","https://openalex.org/W2103841685","https://openalex.org/W2254003797","https://openalex.org/W2301515906","https://openalex.org/W2749403098","https://openalex.org/W2772155471","https://openalex.org/W2786539860","https://openalex.org/W2806169781","https://openalex.org/W2901969799","https://openalex.org/W3165382946","https://openalex.org/W3208562871","https://openalex.org/W4282978885","https://openalex.org/W4285558101","https://openalex.org/W4303684333","https://openalex.org/W4319982070","https://openalex.org/W4388441147","https://openalex.org/W4392526434","https://openalex.org/W4392730060","https://openalex.org/W4394859320","https://openalex.org/W4407908019"],"related_works":["https://openalex.org/W2037080854","https://openalex.org/W2160581439","https://openalex.org/W4409379382","https://openalex.org/W4399114257","https://openalex.org/W4409721399","https://openalex.org/W4411219416","https://openalex.org/W2265145628","https://openalex.org/W6908532937","https://openalex.org/W4386407263","https://openalex.org/W2975475905"],"abstract_inverted_index":{"Nursing":[0,106,218],"care":[1,22,72,97,107,130,171,216,219],"intensity":[2,73,98,108,131,220],"is":[3,221],"an":[4],"important":[5],"indicator":[6],"of":[7,140],"nursing":[8,19,44,71,96,129,170,215,253,262,266],"service":[9,267],"quality":[10],"and":[11,21,35,59,63,67,70,114,128,137,147,163,198,207,227,245,264],"patient":[12],"safety.":[13],"However,":[14],"in":[15,121,184],"many":[16],"clinical":[17],"settings,":[18],"workload":[20],"demand":[23],"assessments":[24,254],"are":[25],"still":[26],"largely":[27],"based":[28,101],"on":[29,102],"medical":[30,208,233],"diagnoses":[31],"rather":[32],"than":[33,230],"psychosocial":[34,226],"cognitive":[36,64,228],"conditions":[37],"that":[38,158,247],"may":[39,255],"better":[40],"reflect":[41],"patients\u2019":[42],"actual":[43],"needs.":[45],"This":[46],"study":[47,77],"examined":[48],"the":[49,103,122,138,185],"association":[50,213],"between":[51,126],"patient-related":[52],"factors":[53,206,229,240],"across":[54],"four":[55],"domains":[56,250],"(health":[57],"history":[58],"genetic":[60,205],"factors,":[61],"emotional":[62],"functioning,":[65],"self-concept,":[66],"social\u2013interpersonal":[68],"relationships)":[69],"levels.":[74],"A":[75],"cross-sectional":[76],"was":[78,109,142],"conducted":[79],"at":[80],"RSJD":[81],"Atma":[82],"Husada":[83],"Mahakam":[84],"Samarinda,":[85],"Indonesia,":[86],"using":[87,134,144],"data":[88],"from":[89],"491":[90],"patients":[91,119],"collected":[92],"through":[93,242],"a":[94],"standardized":[95],"assessment":[99],"instrument":[100],"NANDA\u2013NIC\u2013NOC":[104],"framework.":[105],"categorized":[110],"into":[111,251],"low,":[112],"moderate,":[113],"high":[115],"levels,":[116],"with":[117,169,214,225],"most":[118,159],"classified":[120],"moderate":[123],"category.":[124],"Associations":[125],"variables":[127,165],"were":[132,176],"analyzed":[133],"Chi-square":[135],"tests,":[136],"strength":[139],"associations":[141,168],"evaluated":[143],"Cramer\u2019s":[145],"V":[146],"Phi":[148],"coefficient":[149],"to":[150],"identify":[151],"key":[152,238],"associated":[153,224,239],"factors.":[154],"The":[155,173],"result":[156],"showed":[157,166,210],"psychosocial,":[160],"emotional,":[161],"cognitive,":[162],"social":[164],"significant":[167,212],"intensity.":[172,217],"strongest":[174],"associationships":[175],"observed":[177],"for":[178],"self-esteem":[179],"(V":[180,187,191,195,200],"=":[181,188,192,196,201],"0.487),":[182],"socialization":[183],"community":[186],"0.408),":[189],"emotion":[190],"0.405),":[193],"perception":[194],"0.290),":[197],"intelligence":[199],"0.280).":[202],"In":[203],"contrast,":[204],"diagnosis":[209],"no":[211],"more":[222],"strongly":[223],"by":[231],"traditional":[232],"indicators.":[234],"These":[235],"findings":[236],"highlight":[237],"identified":[241],"bivariate":[243],"analysis":[244],"suggest":[246],"integrating":[248],"these":[249],"routine":[252],"support":[256],"evidence-based":[257],"staffing":[258],"allocation,":[259],"reduce":[260],"missed":[261],"care,":[263],"improve":[265],"quality.":[268]},"counts_by_year":[],"updated_date":"2026-11-13T13:42:25.865203","created_date":"2026-08-14T00:00:00"}