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All Journal Jurnal Keperawatan Jurnal NERS Nursing Current : Jurnal Keperawatan Proceeding of Bengkulu International Conference on Health
Santo Imanuel Tonapa, Santo Imanuel
College Of Nursing, Kaohsiung Medical University, Kaohsiung, Taiwan
Biochemistry, Genetics & Molecular Biology Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health

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Journal : Jurnal NERS

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A systematic review of illness representations in patients with mild traumatic brain injury Mulyadi, Mulyadi; Tonapa, Santo Imanuel; Amir, Heriyana; Lee, Bih-O
Jurnal Ners Vol. 18 No. 1 (2023): MARCH 2023
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v18i1.42404

Abstract

Introduction: Little is known about the cognitive and emotional perceptions of patients with mild traumatic brain injury, although studies showed patients experiencing difficulties in cognitive functioning and psychological impacts following their injury. This systematic review aims to identify the current literature regarding illness representation dimensions in mild traumatic brain injury and their related factors. Methods: A search of electronic databases was completed using PubMed, CINAHL, Embase, and Web of Science, which were published from 2002 to April 2020. Studies were assessed for quality and bias, and data were analyzed using narrative synthesis. Results: The initial search yielded 155 studies, and ten were included. The results showed that patients had negative perceptions toward their mild traumatic brain injury. Some dimensions of illness representation were found to have relationships to their post-concussion symptoms, post-traumatic stress disorder, and quality of life of mild traumatic brain injury patients. Conclusions: The illness representations can be applied to such patients because it is able to explain symptoms and related factors that indicate their recovery process. The findings help trauma nurses to build interventions based on the dimensions of illness representations to generate appropriate perceptions after injury, and may to enhance the recovery process and outcomes.
Effects of digitally delivered mindfulness-based interventions in reducing burnout in healthcare workers: a systematic review and meta-analysis of randomized controlled trials Riu, Silvia Dewi Mayasari; Hadi, Muhammad; Talibo, Norman Alfiat; Taplo, Yusti Muzdalifah; Tonapa, Santo Imanuel
Jurnal Ners Vol. 21 No. 1 (2026): VOLUME 21 ISSUE 1 (FEBRUARY 2026)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v21i1.79809

Abstract

Introduction: This review aimed to synthesize the evidence on the effectiveness of dMBIs in reducing burnout, depression, and mindfulness among healthcare workers. Methods: A systematic review and meta-analysis of randomized controlled trials (RCTs) were conducted according to the PRISMA 2020 guidelines. Six databases were searched through June 25, 2025. Eligible studies evaluated dMBIs among healthcare workers with burnout as a primary or secondary outcome. Standardized mean differences (SMDs) were pooled using a random-effects model. The risk of bias was assessed using the Cochrane Risk of Bias tool, version 2.0. Results: Nine RCTs were included, with 1,603 participants contributing to the analyzable data. dMBIs reduced emotional exhaustion (SMD = −0.34; 95% CI: −0.60 to −0.07) and depersonalization (SMD = −0.31; 95% CI: −0.55 to −0.07), and increased personal accomplishment (SMD = 0.48; 95% CI: 0.16 to 0.80). The dMBIs also improved mindfulness (SMD = 0.44; 95% CI: 0.07 to 0.82) and reduced depressive symptoms (SMD = −0.20; 95% CI: −0.37 to −0.03). The heterogeneity was moderate to high, and most studies were at a high risk of bias. Conclusions: dMBIs may improve burnout, mindfulness, and depression in healthcare workers, and their flexible digital format may support their use in workplace wellness programmes. However, the heterogeneity was moderate to high, and most trials were at a high risk of bias; therefore, the findings should be interpreted cautiously. Further high-quality trials are needed to confirm these effects and to identify the best delivery formats and engagement strategies.
Co-Authors Amir, Heriyana Djalil, Rahmat Hidayat Gresty Masi Lee, Bih-O Lenny Gannika Min-Tao Hsu Muhammad Hadi Mulyadi Mulyadi Najoan, Rizki Rivaldo Rina Kundre Riu, Silvia Dewi Mayasari Siriluk Sithichoksakulchai Talibo, Norman Alfiat Taplo, Yusti Muzdalifah