Huang, Mei-Chih
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Psychometric validation of the nursing professional values scale-revised: Vietnamese version Huang, Mei-Chih; Pham, Thi-Phuong-Thao
Jurnal Ners Vol. 19 No. 4 (2024): NOVEMBER 2024
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v19i4.61702

Abstract

Introduction: The Nursing Professional Values Scale has been widely used to assess the professional values of practicing nurses, nursing students, and faculty members across different countries. This study seeks to validate the psychometric properties of the Vietnamese version of the Nursing Professional Values Scale-Revised (NPVS-R). Methods: A quantitative survey was conducted with the questionnaire of NPVS-R version which was converted from English to Vietnamese by three expert translators, followed by a back-translation by three bilingual experts, then three nursing scholars from different regions of Vietnam assessed the language and content validity. Data were collected from 669 nurses through the Vietnamese Nursing Association network and analyzed by using SPSS and AMOS software. The scale was evaluated based on validity of content and construct, and internal consistency. Results: The Vietnamese NPVS-R scale comprises 25 items across four subscales: Caring, Activism, Trust, Professional, and Justice. Confirmatory factor analysis revealed factor loadings between 0.595 and 0.929, with a chi-square value of 955.303. Fit indices (CFI = 0.935, CMIN/DF = 3.605, RMSEA = 0.062) were satisfactory. Cronbach’s alpha was good, ranging from 0.861 and 0.877, and item-to-total correlations spanned 0.501 to 0.775. There exist significant differences of nurses’ perception on the subscales based on their gender, age, and working experience. Conclusions: NPVS-R is a reliable instrument to measure the professional values of nurses in the distinct Vietnamese context and language. It can serve as a valuable tool for nursing care development and competency assessment across various care units in Vietnam and benefit international comparisons.
A Cultural Sensitivity in Antenatal Care for Muslim Women in Eswatini: A Case Report : Addressing Cultural Competence in Antenatal Services Mkhonta, Zama; Huang, Mei-Chih; Hsu, Yu-Yun
International Journal of Nursing and Health Services (IJNHS) Vol. 8 No. 2 (2025): International Journal of Nursing and Health Services (IJHNS)
Publisher : Alta Dharma Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35654/ijnhs.v8i2.860

Abstract

Introduction: Antenatal care is crucial for safeguarding maternal and fetal health. However, systemic and cultural barriers disproportionately affect minority populations, including Muslim women, in Eswatini, a predominantly Christian country. Addressing these challenges is essential to achieving equitable and culturally responsive healthcare. Objective: This case report describes the cultural sensitivity challenges and ethical dilemmas encountered in providing antenatal care to Muslim women in Eswatini. Method: Researchers used a case report approach to examine the experiences of three pregnant Muslim women over six weeks at a resource-limited public hospital. The analysis, guided by Leininger’s Transcultural Nursing Theory, focused on clinical interactions, environmental challenges, and systemic barriers, incorporating nursing diagnoses to contextualize the findings within a care framework. Result: The case identified significant barriers to culturally sensitive antenatal care, including inadequate privacy, limited access to female healthcare providers, and insufficient cultural competence among staff. These issues contributed to emotional distress, discomfort, and reduced patient engagement. Interventions such as private examination spaces, prioritizing female providers, and mandatory cultural competence training showed promise but were inconsistently applied due to staffing and resource constraints, limiting their overall effectiveness. Conclusion: Significant cultural and systemic barriers hinder the delivery of culturally sensitive antenatal care for Muslim women in Eswatini. Recommendations: Maternal healthcare systems are encouraged to integrate cultural competence training, enhance privacy infrastructure, and adopt gender-sensitive practices to promote equitable and culturally responsive care. Keywords: Antenatal care, Cultural Sensitivity, Ethical Dilemmas, Privacy, Transcultural Care
Evaluating the autonomy of mother in infant feeding decision: A case study Herman, Hermalinda; Huang, Mei-Chih
Pediomaternal Nursing Journal Vol. 11 No. 2 (2025): VOLUME 11 NO 2 SEPTEMBER 2025
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/pmnj.v11i2.66007

Abstract

Introduction: Exclusive breastfeeding is widely recognized as the optimal method to feed infant up to six months of age. However, mothers often encountered social barriers that challenge the ability to provide exclusive breastfeeding. A significant obstacle was the tendency of grandmothers to be decision-makers in infant care, including feeding. Only a few studies explored maternal autonomy in making the decision about feeding infant based on individual cases. Objective: This case study aimed to describe the ethical dimension in breastfeeding, focusing on maternal autonomy in infant feeding decision and how this was influenced by family and cultural beliefs. Case: A 22-year-old mother with a four-month-old infant followed her grandmother’s advice to provide homemade porridge mixed with soup stock. The practice was considered safe because it had been passed down through generations. For decisions regarding infant care, the mother consistently relied on her grandmother’s knowledge and experience. Conclusion: Exclusive breastfeeding was not achieved because the grandmother advised early introduction of complementary feeding, showing that family influence strongly determined feeding practices. Guidance from nurses was essential to counteract misinformation and support informed breastfeeding decisions. Strengthened post-natal counselling, delivery of intensive information through the media, and participation in monthly growth monitoring were strategies that improved infant feeding practices in line with health recommendations. Keywords: case study; exclusive breastfeeding; decision-making; infant feeding; maternal autonomy
Short-term Outcomes of Preterm Infants in a Medical Center at Banyumas Regency, Indonesia: A Preliminary Study Purwandari, Haryatiningsih; Huang, Mei-Chih
Babali Nursing Research Vol. 1 No. 2 (2020): July
Publisher : Babali Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (272.6 KB) | DOI: 10.37363/bnr.2020.1225

Abstract

Introduction: Short-term outcomes of preterm infants refers to any preterm infants’ conditions after birth including medical diagnosis or morbidity, length of stay at the hospital, and readmission to hospital after discharge. A high number of preterm births were identified as the major case in the year of 2015 in a medical center at Banyumas Regency, Indonesia. However, limited evidence showed the preterm infants’ short-term outcomes in this medical center. This study was intended to investigate the short-term outcomes of preterm infants in a medical center, Banyumas Regency, Indonesia. Methods: The study used a retrospective design with a case-control study involving a convenience sampling of data set from 50 preterm and 50 term infants who were born from January to December 2015 in a medical center, Banyumas Regency, Indonesia. Any preterm infants’ outcomes from the hospital medical record were collected. Chi-Square, T-test, and Mann-Whitney U were used for statistical analysis. Results: The study showed that preterm infants experienced low birth weight (LBW), respiratory distress syndrome (RDS), jaundice, and longer length of stay at the hospital compared to term infants (p<0.01; p=0.027; p<0.01; p<0.01, respectively). Surprisingly, the study found there was no significant difference in readmission to the hospital between two groups. Conclusion: Healthcare professionals can use the data as considerations for improving preterm infants’ optimal care.
An exploration of the reception and expectations of medical information among hospitalized elderly patients and their primary caregivers in Taiwan: a mixed-methods study Chen, Kai-Li; Chang, Chia-Ming; Huang, Mei-Chih; Chen, Ching-Huey
Jurnal Ners Vol. 18 No. 3 (2023): SEPTEMBER 2023
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v18i3.43699

Abstract

Objectives Adults older are increasing in Taiwan. The receipt of information and expectations related to informational messages provided to hospitalized elders have not been studied. The study aim is to explore the status of receipt of information and expectations among hospitalized elders and their care providers in Taiwan. Methods A descriptive, cross-sectional and mixed-methods study design was used in in a geriatric ward in a medical center. The participants were 60 patients of 65 years and their care providers were obtained by convenience sampling. The data were collected using a semi-structured questionnaire and checklists. Physician messages and the data for each participant were collected in one regular ward round. Results Twenty-eight patients (46.7%) could not repeat the messages. The message repetition rate was 21.9% the first hour and was 62.9% after hinting. The total message repetition rate of the main care providers was 36.0% and was 80.3% after hinting. "Desire to know the reasons for discomfort” and "discharge date” were the messages most expected by the patients. "None,” "conditions associated with the progress of the illness,” "discharge date” and "relevant information of examination results” were the messages most expected by their care providers. Conclusions The majority of the hospitalized elderly and their care providers could not repeat medical messages conveyed by the physicians. The informed messages should be sorting, and the reminder should be repeated within a short time.  Keywords: receipt of information, expectation, hospitalized elders, care providers, Taiwan.