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All Journal Jurnal NERS Journal of Health and Nutrition Research Berita Kedokteran Masyarakat
Irawan, Dana Prayoga
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Medicine & Pharmacology Nursing Public Health

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A Scoping Review of Patient Readiness for Health-Illness Transition and Its Affect on Cancer Treatment Success Nuzulullail, Agung Subakti; Aulawi, Khudazi; Hartini, Sri; Puspitasari, Halfie Zaqiyah Gusti; Irawan, Dana Prayoga
Journal of Health and Nutrition Research Vol. 4 No. 2 (2025)
Publisher : Media Publikasi Cendekia Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56303/jhnresearch.v4i2.456

Abstract

Cancer survivors undergo a health-illness transition (HITs) from diagnosis to survivorship phase, which affects their quality of life and treatment. This study aims to determine the extent of readiness for the HITs transition among cancer survivors through a scoping review method based on the Arksey and O'Malley framework. We searched the ScienceDirect, PubMed, SpringerLink, and Wiley databases for studies addressing cancer patients and transition readiness in oncology care settings. The inclusion criteria were the ones that met the original English-language articles published between 2020 and 2024. Review articles, study protocols, and books were excluded. The screening procedure adhered to PRISMA 2020 guidelines, and article eligibility was assessed by three researchers using the JBI Critical Appraisal Checklist (2020). Ten articles were acquired, indicating that the majority of survivors had low to medium levels of transition readiness, particularly throughout the treatment and survivorship phases. This readiness is affected by support from family, peers, and healthcare professionals, along with several individual factors, including age, length of diagnosis, insurance status, patient competence, physical and emotional condition, cancer stage, treatment status, and access to health services and information. These results affirm that readiness for the HITs requires attention by providing appropriate support and strengthening individual factors. Future studies are expected to evaluate transition readiness from the diagnosis phase to enhance the integration and optimization of the care process, hence improving the overall quality of life for cancer survivors.
The time is ripe: a scoping review of risk factors and barriers in preconception care Puspitasari, Halfie Zaqiyah Gusti; Widyawati; Hapsari, Elsi Dwi; Nuzulullail, Agung Subakti; Irawan, Dana Prayoga
BKM Public Health and Community Medicine Vol 41 No 09 (2025)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v41i09.23771

Abstract

Purpose: Preconception care (PCC) is fundamental to preparing for a healthy pregnancy by reducing risk factors. However, there are still various obstacles to its implementation. This review aims to identify risk factors and barriers to accessing and implementing PCC. Methods: The research design used a scoping review compiled from articles obtained from four databases: PubMed, ScienceDirect, ProQuest, and Web of Science. The inclusion criteria include original articles published between 2020 and 2025 that are fully accessible, written in English, and reports on PCC risk factors and barriers. Exclusion criteria include theoretical articles without practical applications, research related to specific medical conditions, and articles that are not relevant to the research objectives. The selection process was conducted in accordance with the PRISMA-ScR (2020) guidelines. Data from selected articles were extracted and synthesized narratively in accordance with the Update Methodological Guidance for the Conduct of Scoping Reviews (2020). Results: A total of 896 articles were found in the search. After screening, 14 articles were selected for analysis. These articles represented eight countries, including Ethiopia, the United States of America, and Australia. Low PCC knowledge, poor obstetric history, and maternal age were the most frequently discussed risk factors for PCC. Meanwhile, barriers to PCC implementation were attributed to the lack of PCC guidelines and service standards, low PCC education and promotion, and low motivation and knowledge of healthcare workers. Conclusion: The implementation of PCC remains hindered by policy limitations, system readiness, and health worker capacity, underscoring the need for further research as a basis for developing comprehensive guidelines.
The role of patient portals for cancer patients: a systematic review of benefits, challenges, and opportunities Puspitasari, Halfie Zaqiyah Gusti; Nuzulullail, Agung Subakti; Deli, Dwina Oktavia; Irawan, Dana Prayoga; Yogatama, Bagaskara
Jurnal Ners Vol. 20 No. 4 (2025): VOLUME 20 ISSUE 4 (NOVEMBER 2025)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v20i4.69709

Abstract

Introduction: Cancer patients have a complex journey. Technological developments offer convenience in communicating and accessing health information. Cancer patient portals were developed to coordinate and integrate care by overcoming existing barriers. This study aims to explain the benefits, challenges, and opportunities of using patient portals in oncology services. Methods: The design of this study was a systematic review, with the source articles drawn from PubMed, ScienceDirect, ProQuest, EBSCOhost, and Scopus. Inclusion and exclusion criteria were used to screen articles with the PRISMA 2020 guidelines. A critical appraisal was conducted using the JBI Critical Appraisal Checklist 2020 and the MMAT 2018. Narrative descriptive approaches are used for data synthesis. Results: We screened 3,301 articles using inclusion, exclusion, and duplication criteria, resulting in 10 articles for analysis. Communication and care coordination (n=4) were among the main benefits of using patient portals. Perceived obstacles such as limited resources (n=2), socio-demographic challenges (n=3), and limited information sources (n=2) are still found. On the other hand, the use of patient portals creates opportunities to address information needs and provide assistance (n=1), increase security and privacy (n=1), and improve service efficiency (n=2). Conclusions: Patient portals play an essential role in improving coordination and engagement among cancer patients, despite ongoing challenges related to access and digital literacy. For nursing, these portals strengthen nurses' roles in education, coordination, and the use of evidence-based technology to improve the quality of care.
Co-Authors Deli, Dwina Oktavia Elsi Dwi Hapsari Khudazi Aulawi Nuzulullail, Agung Subakti Puspitasari, Halfie Zaqiyah Gusti Sri Hartini Widyawati Yogatama, Bagaskara