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Factors Influencing Nurse Retention in Conflict Zones: A Systematic Review Resubun, Clara Cassandra; Efendi, Ferry; Wahyuni, Sylvia Dwi
Indonesian Journal of Global Health Research Vol 7 No 2 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i2.5302

Abstract

Nurse retention in conflict zones remains a critical global issue, significantly influencing the sustainability of healthcare services. Nurses in these areas face numerous challenges, including safety risks, emotional stress, and inadequate compensation, which impact their decision to continue working in such environments. This systematic review aims to identify and analyze factors influencing nurse retention in conflict zones and propose intervention strategies to address these challenges. A systematic review was conducted following PRISMA guidelines. Data were extracted from Scopus, PubMed, Web of Science, and CINAHL databases. Studies focusing on nurse retention in conflict zones were included, with data extraction guided by the PICOS framework. The quality of the included studies was assessed using Joanna Briggs Institute tools. A total of fifteen studies were reviewed, identifying key factors for nurse retention. These include improved working conditions, adequate safety measures, financial incentives (e.g., risk allowances), and emotional support systems. Job satisfaction, influenced by job security and a supportive work environment, was also a significant determinant of retention. Emotional and psychological support systems were found to reduce burnout, thereby fostering nurse retention. A multifaceted approach, incorporating improved working conditions, enhanced financial incentives, and robust emotional support, is essential for retaining nurses in conflict zones. Future research should focus on the long-term impact of these strategies and their adaptation to region-specific needs.
The Effectiveness of Educational Interventions In Improving Nurses Knowledge of Dementia Care: A Systematic Review Ike Ayunda Nasifah; Dianis Wulan Sari; Sylvia Dwi Wahyuni
Jurnal Ners Vol. 9 No. 4 (2025): OKTOBER 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i4.50777

Abstract

Background: As the global population ages, dementia has emerged as a pressing public health issue. Nurses play a pivotal role in dementia care; however, many lack adequate knowledge and confidence. Targeted educational interventions are essential to improve nursing competencies in dementia care. Objective: This systematic review aimed to evaluate the effectiveness of educational interventions in improving nurses’ knowledge, attitudes, and self-efficacy in dementia care. Methods: A systematic search was conducted across four databases Scopus, PubMed, ProQuest, and Science Direct following PRISMA guidelines. Studies published between 2020 and 2025 were screened using PICOS criteria and assessed for quality using the Joanna Briggs Institute (JBI) appraisal tools. Data were synthesized narratively. Results: Ten studies were included, consisting of quasi-experimental, RCT, and qualitative designs. Interventions such as digital games, virtual reality, simulation, mobile learning, and arts-based methods demonstrated improvements in nurses’ knowledge, empathy, and confidence. Three major themes emerged: (1) enhanced knowledge of dementia, (2) improved attitudes and self-efficacy, and (3) deeper emotional engagement and humanistic understanding. Conclusion: Educational interventions particularly interactive and emotionally engaging formats effectively improve dementia-related competencies in nurses. These findings support the integration of innovative, person-centered training methods into nursing education and practice to enhance dementia care.