Alhofaian, Aisha
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The relationship between knowledge and self-efficacy of nurses regarding early initiation of cardiopulmonary resuscitation and automated defibrillation in Saudi Arabia Alaryani, Zainah D; Alhofaian, Aisha; Elhady, Mona
Belitung Nursing Journal Vol. 7 No. 5 (2021): September - October
Publisher : Belitung Raya Foundation, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33546/bnj.1670

Abstract

Background: Cardiopulmonary resuscitation (CPR) and early defibrillation are the most common procedures performed by nurses as the first responders to cardiac arrest patients in the hospital setting. Therefore, nurses are demanded to have high skills for effective performance. Self-efficacy and knowledge are considered significant factors affecting early initiation of CPR and automated defibrillation. However, previous studies mostly focused on nursing students instead of frontline nurses. Objective: This research aimed to assess the relationship between nurses’ knowledge and self-efficacy regarding the early initiation of CPR and automated defibrillation of cardiac arrest patients. Methods: The study employed a cross-sectional, descriptive, correlational survey. Using convenience sampling, two hundred eighty-seven nurses working in critical areas and inpatient and outpatient departments, King Abdulaziz University Hospital (KAUH), Saudi Arabia, were selected. Resuscitation Knowledge and Self-Efficacy Scales were used for data collection (using Google Form) from November 2020 to January 2021. Descriptive statistics and Pearson correlation were used for data analysis. Results: Overall, 61.3% of participants had moderate knowledge (13.659 ± 2.175), and 63.8% had high self-efficacy (44.627 ± 58.397). The highest domain of self-efficacy was responding and rescuing, while the lowest domain was debriefing and recording. There was a significant positive relationship between knowledge and self-efficacy (p <0.001; r = 0.207). Conclusion: The positive relationship explained a high level of self-efficacy if there was a high level of knowledge. Thus, it is recommended that nursing programs apply CPR and automated defibrillation curricula during nurses’ internships, clear policies and procedures about CPR and automated defibrillation, continual updates about CPR and automated defibrillation, and knowledge and continuance training (on-job-training) about CPR and automated defibrillation, which can enhance and improve knowledge and self-efficacy among health care workers, especially for nurses.
The relationship among self-care, glycemic control, and quality of life in Indonesian patients with type 2 diabetes mellitus: An exploratory structural equation modeling study Malini, Hema; Kardila, Intan Yullya; Alhofaian, Aisha
Belitung Nursing Journal Vol. 11 No. 5 (2025): September - October
Publisher : Belitung Raya Foundation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33546/bnj.3882

Abstract

Background: The relationship between self-care behaviors, physiological indicators, and quality of life (QoL) in Type 2 Diabetes Mellitus (T2DM) remains underexplored in Indonesian populations. Understanding these factors is crucial for designing culturally appropriate interventions. Objective:  To examine the direct effects of four self-care domains on QoL and the potential mediating roles of HbA1c, blood pressure, and BMI among Indonesian patients with T2DM. Methods: A cross-sectional exploratory study was conducted August to September 2022 among 128 purposively selected patients from community health centers. Self-care (SCODI) and QoL (DQOL) were measured using validated questionnaires, and HbA1c, blood pressure, and BMI were obtained from clinical records. Structural equation modeling (SEM) was conducted using IBM AMOS version 24. Results: The SEM analysis yielded an overidentified model (df = 1578) with acceptable fit indices (CFI = 0.908, RMSEA = 0.082, CMIN/df = 1.851). Self-maintenance significantly predicted QoL, HbA1c, and blood pressure. Self-monitoring reduced blood pressure and BMI but was negatively associated with QoL. Self-management improved HbA1c but increased blood pressure and BMI, with a borderline positive effect on QoL. Self-confidence was positively associated with BMI but not with QoL, HbA1c, or blood pressure. Among physiological indicators, only HbA1c significantly predicted QoL. Conclusion: The direct effects of self-care behaviors on quality of life were more significant than the indirect effects mediated by clinical indicators, emphasizing the importance of strengthening daily self-care skills as a core strategy to enhance well-being in patients with T2DM. Given the exploratory cross-sectional design, findings should be interpreted as associative rather than causal. Future longitudinal research should validate these pathways and develop culturally sensitive intervention models that empower patients to sustain effective self-care behaviors over time.