Iblasi, Abdulkareem S.
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First-line Nurse Managerial Competence and Its Influencing Factors in Public Jordanian Hospitals Iblasi, Abdulkareem S.; Makahleh, Samer; Aungsuroch, Yupin; Gunawan, Joko; Juanamasta, I Gede
Nurse Media Journal of Nursing Vol 14, No 2 (2024): (August 2024)
Publisher : Department of Nursing, Faculty of Medicine, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/nmjn.v14i2.58990

Abstract

Background: First-line Nurse Managers (FLNMs) occupy pivotal positions within healthcare systems and are responsible for various administrative and caregiving functions. While FLNMs are integral to efficient healthcare services, their competencies and the factors influencing them still need to be explored in Jordan. In light of the need for more research on FLNM competencies in Jordan, this study is paramount for advancing healthcare in the country.Purpose: This study aimed to analyze FLNM competence and its influencing factors within the unique context of Jordan’s healthcare system.Methods: As a cross-sectional study, this research leveraged online platforms to distribute questionnaires to 130 FLNMs across three public hospitals in Jordan’s central region using a random sampling method. Univariate analysis comprised numerical data (Mean, median, mode, SD) and categorical data (percentage and proportion). Pearson, independent t-test, and multiple linear regression were used to analyze the data.Results: Based on responses from 130 FLNMs, the study’s results demonstrate their average age to be approximately 37.8 years, with a significant proportion holding master’s degrees, indicating a highly educated cohort. Notably, many FLNMs are charge nurses, reflecting their extensive experience and commitment to enhancing their leadership competencies. The study found no significant correlation between age and FLNM competencies, suggesting that competence is not solely contingent upon years of experience or age (p>0.05). The research revealed that the highest to the lowest significance in FLNM performance were leadership training (b=21.15, 95%CI=7.70-34.60, p=0.002), gender-based disparities (b=16.50, 95%CI=4.41-28.58, p=0.008) and social status (b=7.86, 95%CI=1.13-14.60, p=0.02), respectively. Conclusion: FLNMs exhibit high competence, influenced by leadership training, gender disparities, and social status. The research highlights the need for tailored training and support programs to improve the competencies of FLNMs in Jordan’s healthcare system, highlighting gender-based differences and the need for personalized healthcare management strategies to improve healthcare quality.
Self-care education based on local wisdom to improve glycemic control and self-efficacy in type 2 diabetes Yasa, I Dewa Putu Gede Putra; Surasta, I Wayan; Rasdini, Iga Ari; Iblasi, Abdulkareem S.; Polsook, Rapin; Juanamasta, I Gede
Jurnal Keperawatan Padjadjaran Vol. 13 No. 3 (2025): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jkp.v13i3.2741

Abstract

Introduction: Effective management of type 2 diabetes mellitus (T2DM) requires structured self-care education supported by family and cultural context. In Bali, health-related decisions are often influenced by patrilineal households where male family members act as primary decision-makers. This study evaluated a self-care education program based on Balinese local wisdom to improve glycemic control and self-efficacy among T2DM patients. Methods: A quasi-experimental design with pre- and post-tests and a control group was conducted at Community Health Center in Bali, Indonesia from June to September 2024. .Seventy patients with T2DM living in patrilineal households were purposively recruited and randomly allocated into intervention (n=35) and control (n=35) groups.. The intervention consisted of twelve weekly sessions of culturally tailored self-care education covering diet, physical activity, monitoring, medication, and foot care, with active involvement of male household decision-makers. Outcome measures included self-efficacy (Diabetes Management Self-Efficacy Scale), HbA1C, and systolic/diastolic blood pressure, analyzed using t-tests. Results: After 12 weeks, the intervention group demonstrated significant improvements compared to controls: self-efficacy (mean difference: 8.37, p<0.001), systolic blood pressure (-4.51 mmHg, p<0.001), diastolic blood pressure (-2.74 mmHg, p<0.001), and HbA1C (-0.61%, p<0.001). Although the HbA1C reduction was modest, it indicates a meaningful step toward better glycemic control. Conclusion: A 12-week culturally tailored self-care education program involving patrilineal family members improved self-efficacy and glycemic control in T2DM patients. These findings highlight the importance of integrating local wisdom and family involvement into diabetes education to enhance patient empowerment and adherence.