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All Journal Indonesian Journal of Global Health research Indonesian Journal of Global Health Research
Ninik Dwi Rahayu
Universitas Airlangga
Education Health Professions Languange, Linguistic, Communication & Media Nursing Public Health

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Effectiveness of Telenursing in the Management of Type 2 Diabetes Mellitus in the Elderly: A Scoping Review Agnes Epiphania Dua; Desi Novitasari; Fadila Lam; Faisal Adi irawan; Ike Ayunda Nasifah; Jimni Maulana; ⁠Kartika Milaningrum; Lailatul Badriah; Maria Jia Fernandez; Ninik Dwi Rahayu; Retno Indarwati
Indonesian Journal of Global Health Research Vol 7 No 3 (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.v7i3.5911

Abstract

Type 2 Diabetes Mellitus (T2DM) results from insulin resistance and is linked to obesity, which accounts for 80% of diabetes cases. The elderly are particularly vulnerable, facing high treatment costs and self-care challenges, including blood sugar monitoring and diet adherence. Complications include hypoglycemia, neuropathy, and cardiovascular diseases. Telenursing is a promising intervention that enhances adherence and provides remote education. However, further research is needed to assess its long-term effectiveness. Objective: this study aims to assess the effectiveness of telenursing in managing type 2 diabetes mellitus in the elderly. Method: This scoping review follows the PRISMA-ScR guidelines, analyzing studies from ProQuest, PubMed, and Scopus. Inclusion criteria focused on studies evaluating the impact of telenursing on elderly patients with T2DM using quantitative or mixed-method approaches. Results: From 716 screened articles, seven met the inclusion criteria. Most studies were conducted in Iran, Saudi Arabia, and Slovenia, with one multinational study involving ten countries. Six studies employed quantitative methodologies, including randomized controlled trials and clinical studies. Findings indicate that telenursing significantly improves medication adherence, blood glucose control, and self-management. It reduces the need for in-person visits and enhances patient education, leading to better glycemic control and lower complication risks. Conclusions: Telenursing proves to be an effective approach for managing T2DM in the elderly, promoting adherence and self-care while reducing healthcare facility visits. Further research is required to evaluate its long-term sustainability and effectiveness.
Psychological and Organizational Determinants of Healthcare Workers’ Retention in Geriatric Care: A Systematic Review Ninik Dwi Rahayu; Joni Haryanto; Dianis Wulan Sari
Indonesian Journal of Global Health Research Vol. 8 No. 2 (2026): 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.v8i2.710

Abstract

The increasing elderly population increases the demand for geriatric care, while nurse retention remains a major concern due to high workloads, emotional demands, and limited organizational support. High turnover disrupts care continuity and reduces service quality. This systematic review aims to identify key psychological and organizational factors influencing geriatric nurse retention. Method: The review followed PRISMA 2023 guidelines using the PEOS framework. Quantitative cross-sectional studies published between 2015–2025 were retrieved from PubMed, Web of Science, ProQuest, Springer Nature, and ScienceDirect. Study quality was evaluated using the JBI Critical Appraisal Checklist. A total of 13 studies met the inclusion criteria, while 28,076 were excluded. Findings were narratively synthesized to integrate the overall evidence. Thirteen studies from multiple countries identified five main themes: psychological and organizational factors, individual characteristics, student interest, and the interaction between personal and institutional conditions. Intrinsic motivation, social and organizational support, and safe, flexible work environments enhance retention, whereas burnout, excessive workload, and low salary reduce retention intentions.  Geriatric nurse retention is influenced by psychological, social, and organizational factors. Supportive leadership, flexible work policies, and early geriatric education are important for sustaining long-term engagement in geriatric nursing.
Co-Authors Agnes Epiphania Dua Desi Novitasari Dianis Wulan Sari Fadila Lam Faisal Adi irawan Ike Ayunda Nasifah Indarwati , Retno Jimni Maulana Joni Haryanto Lailatul Badriah Maria Jia Fernandez ⁠Kartika Milaningrum