Dwi Karina Ariadni
Faculty of Nursing, Universitas Sumatera Utara, Medan, Indonesia

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Nurse-Mediated Parental Involvement in Pediatric Oncology: A Scoping Review Dina Rasmita; Dewi Elizadiani Suza; Dwi Karina Ariadni
Jurnal Keperawatan Priority Vol. 9 No. 2 (2026)
Publisher : Universitas Prima Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/jukep.v9i2.8512

Abstract

Parents investing time in caregiving is an essential component of their child's treatment in pediatric oncology. The literature describing the processes through which parents engage is often vague. This study collated evidence regarding engagement of parents in the care of pediatric oncology patients by nurses and care processes pertaining to nurses, and examined this evidence. A Scoping review designed according to PRISMA-ScR was conducted. The literature was collected from Scopus, Web of Science, PubMed, and CINAHL. Literature pertaining to pediatric oncology, parents, or family caregivers in the context of nursing from 2021-2026 was included. Of the 168 records, 20 studies were included. The evidence was framed as five facets of nursing: presence, information translation, family process support, coaching for home care and symptom management, and technology-supported care. Parent engagement in care was articulated through four process qualities: understanding, confidence, participation, and continuity in care from hospital to home. Evidence was most readily available for relational work and for the communication domain. Evidence was scarce for guidance on systematic discharge, preparation for home care, and inclusion of fathers and families of diverse language groups. Engagement of parents in pediatric oncology is better articulated as a process with nursing as a central element with clearly defined components rather than as a general family-centered construct.
The Effect of Feeding Rules Counseling with Flipcharts on Maternal Knowledge about Overcoming Feeding Difficulties During MP-ASI Dwi Karina Ariadni; Farida Linda Sari Siregar; Eqlima Elfira; Riska Novita Harahap
Caring: Indonesian Journal of Nursing Science Vol. 6 No. 2 (2024): Caring: Indonesian Journal of Nursing Science
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/ijns.v6i2.17785

Abstract

Feeding dificulties are the frequent problem encountered in infants aged 6-24 months, and one of which is mothers' knowledge in feeding practices. Therefore, providing counseling on feeding rules to mothers is crucial to address the feeding difficulties in infants. Feeding rules are basic eating guidelines designed to train internal eating regulation and provide a structured feeding schedule. The media used is flipchart. This Research is conducted to analyze the effect of counseling on feeding rules using a flipchart on mothers' knowledge in addressing feeding difficulties during complementary feeding (MP-ASI). This is a quantitative Research with a pre-experimental one-group pre-posttest design. A purposive sampling is used to collect data from 69 respondents who meet inclusion criteria: mother with infants aged 6-24 months experiencing feeding difficulties in Lama Village, Hamparan Perak Subdistrict, Deli Serdang Regency. The findings reveal that counseling on feeding rules using a flipchart has a significant effect on mothers' knowledge in addressing feeding difficulties during complementary feeding (MP-ASI), as indicated by the Paired T-Test statistical test with a p-value of 0.000 (<0.05). It is expected that mothers with infants having feeding problems are able to perform feeding rules to address the feeding issues. Furthermore, the results of the Research are expected to serve as an evaluation for healthcare workers to enhance counseling on feeding rules in the community.
Adolescent Barriers to Understanding Cancer Information:A Qualitative Study Dina Rasmita; Dewi Elizadiani Suza; Dwi Karina Ariadni
Caring: Indonesian Journal of Nursing Science Vol. 8 No. 1 (2026): Vol 8 No 1 2026 Caring: Indonesia Journal of Nursing Science
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/ijns.v8i1.25785

Abstract

Cancer-related information is widely accessible to adolescents through schools, families, social media, and their surrounding environment. However, adequate understanding has not necessarily been produced by increased access to information. In this study, adolescents' experiences of the barriers that are encountered in the accessing and understanding of cancer-related information were aimed to be explored. A qualitative study with a descriptive phenomenological approach was conducted. Eighteen Grade XII students from SMK Negeri 14 Medan were purposively selected and were participated in semi-structured interviews. The data were analysed manually using Colaizzi's phenomenological method. Three main themes were identified by the analysis: (1) difficulty in the understanding of complex and diverse cancer information; (2) difficulty in the filtering and prioritising of large volumes of cancer information; and (3) difficulty in the coping with uncertainty before an adequate understanding of cancer was developed. These barriers were associated with fragmented and limited information, unfamiliar medical terminology, communication that was not tailored to adolescents' level of understanding, the broad scope of cancer-related topics, challenges in the prioritising of information, confusion in the distinguishing between symptoms, prevention, and treatment, and the perception of cancer as an inevitable death sentence. It is suggested by the findings that cancer information for adolescents should be communicated using clear, age-appropriate language, be presented progressively, be tailored to their lived experiences, be delivered by trusted sources, and be designed with consideration for adolescents' psychological needs. Valuable insights for the development of school-based cancer education programmes and adolescent-centred nursing interventions are provided by these findings.                                                                                                           Keywords: Cancer, Health literacy, Health information, Teenagers