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All Journal Nurse Media Journal of Nursing Jurnal Aisyah : Jurnal Ilmu Kesehatan
Gupta, Prateek
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Health Professions Medicine & Pharmacology Nursing Public Health Veterinary

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Analysis of Factors Related to Diabetes Self-Management in Patients with Type 2 Diabetes Mellitus in Rural Areas Akbar, M. Agung; Sahar, Junaiti; Rekawati, Etty; Sartika, Ratu Ayu Dewi; Gupta, Prateek
Nurse Media Journal of Nursing Vol 15, No 1 (2025): (April 2025)
Publisher : Department of Nursing, Faculty of Medicine, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/nmjn.v15i1.62539

Abstract

Background: Type 2 diabetes mellitus (T2DM) is a global health problem with an increasing prevalence. Most related studies focus on Diabetes Self-Management (DSM) in urban populations or general contexts, leaving a gap in understanding the specific factors affecting DSM among rural T2DM patients. Therefore, there is limited understanding of the factors that influence DSM in rural T2DM patients.Purpose: This study aimed to investigate DSM in rural T2DM patients and its associated factorsMethods: This study employed a cross-sectional design. The samples involved 146 patients with T2DM from the community health center in Ogan Komering Ulu Regency, Indonesia, selected using a simple random sampling technique. Diabetes Knowledge Questionnaire (DKQ), Diabetes Management Self-Efficacy Scale (DMSES), Hensarling Diabetes Family Support Scale (HDFSS), and Diabetes Self-Management Instrument (DSMI) were used for data collection. The t-test, ANOVA, Pearson correlation, and multiple linear regression were used to analyze the data.Results: The study found a significant relationship between gender (p=0.001), knowledge (p=0.001), self-efficacy (p=0.001), and family support (p=0.032) with DSM in rural T2DM patients. However, the multiple regression analysis revealed that self-efficacy (β=0.392, p=0.001), gender (β=0.283, p=0.001), and duration of DM (β=-0.189, p=0.012) significantly affected  DSM in patients with T2DM in rural areas, explaining  28 percent of the variance  (R2=0.280).Conclusion: The results indicated a significant relationship between gender, knowledge, self-efficacy, and family support with DSM in T2DM patients in rural areas, with self-efficacy being the most dominant factor affecting DSM. This study recommends that community nurses can play a pivotal role in designing and implementing interventions enhancing self-efficacy. Additionally, the involvement of PROLANIS, collaborating with key community figures, is crucial to increasing community participation and support for effective diabetes self-management.
Clinical Judgement in ICU Nurse: A Concept Analysis Aryani, Denissa Faradita; Rustina, Yeni; Nurachmah, Elly; Dahlia, Debie; Gupta, Prateek; Apriyanti, Efa
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 9, No 2 (2024): September
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30604/jika.v9i2.3269

Abstract

Clinical judgment is a critical and multifaceted process essential for ICU nurses, integrating technical expertise and interpersonal skills to ensure safe, effective patient care. Clinical judgment, recognized as a core competency in intensive care nursing, requires further conceptual clarity. This study aimed to define and analyze the concept of clinical judgment in ICU nurses using Walker and Avant’s eight-step concept analysis method. A comprehensive literature search was conducted across databases including CINAHL, Medline, Scopus, ProQuest, SpringerLink, ClinicalKey Nursing, EMBASE, ScienceDirect, EBSCOhost, and Google Scholar, covering publications from 1994 to 2024. The analysis identified key attributes of clinical judgment: clinical knowledge, critical thinking, practical wisdom, data prioritization, intuition, scientific analysis, evidence use, and interaction. Antecedents included education, knowledge, experience, analytical ability, and the nursing process. Consequences of clinical judgment were accurate responses, reflective practice, safe nursing care, and improved patient safety. Decision-making was identified as the primary empirical referent. This concept analysis demonstrates that clinical judgment in ICU nurses is developed through a synthesis of critical thinking, clinical expertise, and situational experience, reinforcing its significance in the delivery of high-quality critical care.
Co-Authors Akbar, M. Agung Apriyanti, Efa Aryani, Denissa Faradita Dahlia, Debie - Elly Nurachmah Etty Rekawati Junaiti Sahar Ratu Ayu Dewi Sartika Yeni Rustina