Deli, Dwina Oktavia
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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

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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.
A Scoping Review of Risk Factors and Implantation Sites in Ectopic Pregnancy Puspitasari, Halfie Zaqiyah Gusti; Nuzulullail, Agung Subakti; Deli, Dwina Oktavia; Hapsari, Elsi Dwi; Lismidiati, Wiwin
Media Keperawatan Indonesia Vol 9, No 1 (2026)
Publisher : Universitas Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26714/mki.9.1.2026.93-106

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Ectopic pregnancy Ectopic pregnancy is an obstetric condition with serious clinical consequences. This study aims to map the risk factors and location of ectopic pregnancy implantation based on the latest evidence. The design of this study is a scoping review with literature searches conducted on May 20–23, 2025, through ScienceDirect, PubMed, Web of Science, and ProQuest. Inclusion criteria included open-access original articles published between 2020 and 2025 that reported risk factors and implantation sites for ectopic pregnancy. Theoretical articles and instrument development studies were excluded. The selection and synthesis process followed the PRISMA-ScR (2020) guidelines, the JBI Critical Appraisal Checklist (2020), and the Guidance for Conducting Systematic Scoping Reviews (2015). Of the 5,519 articles identified, eight studies with observational (n=7) and cross-sectional (n=1) designs met the criteria. The synthesis results showed that a history of previous ectopic pregnancy was the most consistently reported risk factor, followed by a history of surgery and infertility. The most common implantation site was the fallopian tube, particularly in the ampulla, fimbria, and isthmus. These findings emphasize the importance of comprehensive identification of risk factors to support more effective prevention, early detection, and long-term management strategies