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End-of-Life Acceptance in Hemodialysis Patients: A Conceptual Analysis Wabula, La Rakhmat; Yetti, Krisna; Masfuri, Masfuri; Widyatuti, Widyatuti; Widyawati, Ika Yuni; Septiwi, Cahyu
Journal of Health and Nutrition Research Vol. 4 No. 3 (2025)
Publisher : Media Publikasi Cendekia Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56303/jhnresearch.v4i3.561

Abstract

End-of-life (EOL) acceptance is a crucial but underexplored concept among patients with end-stage renal disease (ESRD) undergoing hemodialysis. This study aimed to analyze and clarify the concept of EOL acceptance in hemodialysis patients using Walker and Avant’s eight-step method. These patients often face progressive physical deterioration and limited life expectancy, making psychological, emotional, and spiritual readiness to confront death a fundamental component of care. However, the term “EOL acceptance” lacks conceptual clarity and consistency in nursing practice. A comprehensive literature review was conducted using PubMed, CINAHL, and Scopus databases, targeting studies published between 2014 and 2024. The keywords used included ‘end-of-life,’ ‘terminal care,’ ‘death acceptance,’ ‘dying acceptance,’ ‘hemodialysis,’ ‘end-stage renal disease,’ and ‘terminal care nursing’. The analysis identified three attributes of EOL acceptance:  psychological readiness to face death, integration of existential and spiritual meaning, and proactive decision-making toward dignified dying. Supporting factors include awareness of terminal illness, therapeutic communication, and psychosocial-spiritual support. The identified consequences are emotional peace, enhanced family preparation, and improved quality of life. This analysis delineates a conceptual framework for EOL acceptance, enabling nurses to assess and support patients facing terminal illness effectively. It also provides a foundational framework for developing assessment tools and nursing interventions to improve person-centered EOL care for individuals with ERSD.
Entrepreneurship in Social Media Literacy and Intentions for Diabetes Prevention among Adolescent Students Pratiwi, Ika Nur; Prabawati, Dita Dwi Oktav; Wahyuni, Erna Dwi; Nursalam, Nursalam; Widyawati, Ika Yuni; Yahaya, Nor Aziyan
Aptisi Transactions On Technopreneurship (ATT) Vol 8 No 1 (2026): March
Publisher : Pandawan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34306/att.v8i1.626

Abstract

Diabetes Mellitus (DM) prevention behavior is essential for reducing DM incidence among adolescents, a population increasingly exposed to lifestyle risks and heavily engaged with digital platforms. Social media provides a promising channel for health promotion, yet limited evidence explains how literacy in this medium supports preventive behaviors. This study aims to analyze the correlation between social media literacy and intention with DM prevention behavior among adolescent students. A cross-sectional design with purposive sampling was conducted involving 231 students aged 16 years in East Java, Indonesia. Data were collected using questionnaires measuring social media literacy, intention, and DM prevention behavior, while Spearman’s rho correlation <0.05 was applied for analysis. Descriptive findings showed that 58% of participants were female, 67.1% used more than three social media platforms, 39% accessed social media 3–4 hours daily, and 4.3% had a family history of DM. The analysis revealed significant positive correlations between social media literacy (p<0.001, r=0.325) and intention (p<0.001; r=0.305) with DM prevention behavior. Adolescents with higher literacy and stronger intentions were more likely to exhibit proactive DM prevention actions. These results demonstrate that emerging technologies, particularly social media, hold substantial potential as promotive and preventive tools for adolescent health. Enhancing social media literacy can improve adolescents’ ability to identify, interpret, and apply credible health information, supporting healthier behavioral choices. The study suggests that integrating digital health literacy into adolescent-focused programs may strengthen early preventive efforts and reduce future DM risk.
Co-Authors Abigael Grace Prasetiani Abu Bakar Ah Yusuf Ah. Yusuf ah. Yusuf Ahmad Abdul Ghofar Abdulloh Aini, Nauvila Fitrotul Ainul Mufidah Ainunnajib, Ilham Akbar, Dian Rahmadin Aldri Frinaldi Anak Agung Istri Sri Wiadnyani Andi Safutra Suraya Andri Setiya Wahyudi Anggia Fajar Hardianti Anggun Perwita Sari Arifin, Hidayat Astuti, Trihaningsih Puji Azhadin, Rizki Nur Balmar Morangelita Nuach Budi Artini Cahyu Septiwi Candra Panji Asmoro, Candra Panji Damayanti, Elvi Kurnia Desak Putu Kurniawati Desi Susilawati, Desi Devi Rahma Sofia Dewi Irawaty Dhimas Wahyu Wicaksono Dian Retno Pratiwi Diansya, Mohammad Rizal Dorman, Johanes Eban B. Dunggio, Abdul Rivai Saleh Dwi Susi Pristiwatin Eka Mishbahatul Mar'ah Has Elida Ulfiana Elyana Asnar Endah Panca Lydia Fatma Fernandez, Gratsia Victoria Firda Yusniar Fitria Habibah Nita Yuliana Eka Putri Fitriatul Jannah Gratsia Victoria Fernandez Habsari, Dyah Unggul Putri Hadiyanti, Sonia Hakim Zulkarnain Hana Zumaedza Ulfa Harigustian, Yayang Harmayetty, Harmayetty Hasymi, Yusran Herdina Mariyanti Hidayathillah, Ariska Putri Huda, Nuh Ika Nur Pratiwi Ilma Rosida Rahmawati Imamatul Faizah Indah Sri Cahyanti Intan Widiastuti Iqlima Dwi Kurnia Joni Haryanto Jujuk Proboningsih, Jujuk Krisna Yetti Kurniawan, Ardhiles Wahyu Kurniawati, Ninuk Dian Kusnanto Kusnanto Lailatun Ni'mah Laili, Nadia Rohmatul Laily Hidayati Laily Hidayati Lee, Bih-O Liem, Khatijah Lingga Curnia Dewi Lingga Curnia Dwi Lisa Setyowati Luh Putu Ratna Sundari Luknis Sabri Maharani, Evi Kartika Mahmud, Mulyani Hertikawati Makhfudli Makhfudli Masfuri - Mohammad Nur Firdaus Murdiyanti, Dewi mustakim Nayluzzuharo' N, Fanny Ni Kadek Arie Octarini Ni Made Sekar Sari Nimah, Lailatun Nur Ainiyah Nursalam Nursalam . Nursalam Nursalam Nursalam, Nursalam Nurul Hidayati Nurviana, Destya Eka Octaviani, Dinda Sesylia Paramita, Fajrinandetya Pawanis, Zulfayandi Pei-Lun Hsieh Prabawati, Dita Dwi Oktav Purwaningsih - Putu Thrisna Dewi, Ni Luh Qonaah, Arina Rachmat Hargono Rezkisa Dwi Prambudia Rheyma Sinar Al Fitri Rista Fauziningtyas, Rista Rizky Fitryasari RR Dian Tristiana Rustiana Tasya Ariningpraja Rusulustin Mustikaria S.Pd. M Kes I Ketut Sudiana . Sari Tauhidiyah Sari, Ni Made Sekar Sari, Purwanti Sari, Ratna Yunita Sekar Sari Septianingrum, Yurike Serengga, I Made Dwi Budhiasa Ari Sholihatul Maghfirah Sholihatul Maghfirah Shrimarti Rukmini Devy Sifira Kristiningrum Sigit Sugiharto Siti Muniroh Sonia Hardiyanti Sriyono Sriyono Suarilah, Ira Suhaedi Kuling Sukma Randani Ismono Sulistiawati Sulistiawati Syafaatun Mirzanah Syahri, Alfi Sylvia Dwi Wahyuni Tintin Sukartini Sukartini, Tintin Sukartini Tsanifiandi, Fauzi Vivi Armany Dessy Wabula, La Rakhmat Wahyuni, Erna Dwi Wardani, Erika Martining Wati, Ni Made Nopita Widyatuti Wiwit Dwi Nurbadriyah Yahaya, Nor Aziyan Yani Indah Sari Yeni Siswanti Yulis Setiya Dewi Zahrotun Ulum Zamroni, Asroful Hulam