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Belitung Nursing Journal
Published by Belitung Raya Publisher
ISSN : 2528181x     EISSN : 24774073     DOI : -
Core Subject : Health,
Nursing
BNJ contributes to the advancement of evidence-based nursing, midwifery and healthcare by disseminating high quality research and scholarship of contemporary relevance and with potential to advance knowledge for practice, education, management or policy. BNJ welcomes submissions of evidence-based clinical application papers, original research, systematic review, case studies, perspectives, commentaries, letter to editor and guest editorial on a variety of clinical and professional topics.
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Articles 14 Documents
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Search results for , issue "Vol. 11 No. 4 (2025): July - August" : 14 Documents clear
Structural equation modeling of symptom clusters and health-related quality of life among patients with advanced colorectal cancer receiving chemotherapy in Bangkok, Thailand Suratako, Savitree; Matchim, Yaowarat; Griffin, Mary Quinn
Belitung Nursing Journal Vol. 11 No. 4 (2025): July - August
Publisher : Belitung Raya Foundation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33546/bnj.3932

Abstract

Background: Patients with advanced colorectal cancer (CRC) receiving chemotherapy experience multiple symptoms due to both disease progression and complications of treatment. These symptoms affect the physical, psychological, and social aspects of health-related quality of life (HRQoL). Additionally, contextual variables of patients may also impact HRQoL. Objective: To test a structural equation model on symptom clusters, contextual variables, and HRQoL in patients with advanced CRC receiving chemotherapy. Methods: In this cross-sectional study, data were collected from 300 patients with advanced CRC who had received chemotherapy at five hospitals in Bangkok, Thailand, between March 2023 and July 2023. Data collection instruments included a demographic data form, Memorial Symptom Assessment Scale, Multidimensional Scale of Perceived Social Support questionnaire, Palliative Care Outcome Scale, and Functional Assessment of Cancer Therapy-Colorectal questionnaire. Structural equation modeling (SEM) was used to test the model. Results: SEM showed a good model fit, with X2/df = 1.15, p = 0.20, CFI = 0.94, TLI = 0.94, RMSEA = 0.03, and SRMR = 0.02. The symptom severity cluster dimension, symptom distress cluster dimension, social support, and palliative care outcomes predicted effects on HRQoL with 78% accuracy. The findings showed that the symptom severity and symptom distress cluster dimensions showed significant negative direct and positive indirect effects on HRQoL. Palliative care outcomes had a significant negative influence on HRQoL. Moreover, social support had direct positive and indirect negative influences on HRQoL. Conclusions: Symptom clusters, social support, and palliative care outcomes were identified as predictors of HRQoL in patients with advanced CRC receiving chemotherapy. Understanding the SEM of symptom clusters, social support, palliative care outcomes, and HRQoL may help nurses and other healthcare professionals develop effective interventions to better manage symptoms in patients with advanced CRC receiving chemotherapy.
Aesthetic experiences of patients with advanced cancer in end-of-life care in China: A phenomenological study Li, Xia; Kongsuwan, Waraporn; Barry, Charlotte D.
Belitung Nursing Journal Vol. 11 No. 4 (2025): July - August
Publisher : Belitung Raya Foundation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33546/bnj.3935

Abstract

Background: For most patients with advanced cancer, an important prerequisite for quality of end-of-life care is understanding their preferences. Nurses reported the challenges in the care process, such as poor communication patterns of sensitive topics. Aesthetic experience values meaningful moments and is sensitive to the impact of different environments and situations. Aesthetic expression enables individuals to transform intuitive cognition into artistic behavior, ultimately expressing real needs through aesthetic cognition, enhanced sensibility, and reflection, thereby promoting improved care quality.  However, there is still a lack of studies exploring aesthetic experiences in end-of-life care from the perspective of patients with advanced cancer. Objective:  To explore the aesthetic experiences in end-of-life care as perceived by patients with advanced cancer during hospitalization. Methods: This study applied a hermeneutic phenomenological approach and was conducted in an oncology unit of a hospital in China. This hospital was the hospital promulgated by the local health department as a pilot hospice care program. The hospital mainly admitted patients with advanced cancer who have given up radiotherapy and chemotherapy after being treated in a higher-level hospital. Data collection spanned from August to December 2023. Ten participants were invited to engage in reflective experiences using the individual face-to-face interviews followed by the creative drawings. The data were analyzed and interpreted following van Manen’s approach. Results: The findings revealed four themes: 1) Dynamic understanding; 2) Cherished relationships; 3) Prioritizing being presentable; 4) Creating a peaceful atmosphere. Patients with advanced cancer present different states at each stage of their disease progression, which requires dynamic understanding to provide more precise care. In addition, their demands for cherished relationships, a presentable style, and a peaceful atmosphere will also increase during this process. We need to pay attention to these moments that are meaningful to them for improving the quality of end-of-life care. Conclusion:  This study explored the aesthetic experiences from the unique experiences of patients with advanced cancer in end-of-life care, thereby using aesthetic elements to create and cultivate a unique end-of-life care ideal, which will stimulate the creativity and respond to the special challenges of end-of-life care.
Knowledge, attitude, and practice regarding trauma-informed care among nursing students in Eastern China: A cross-sectional study Zhang, Di; Songwathana, Praneed; Vachprasit, Ratjai; Holroyd, Eleanor
Belitung Nursing Journal Vol. 11 No. 4 (2025): July - August
Publisher : Belitung Raya Foundation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33546/bnj.3947

Abstract

Background: Patients with a history of traumatic life events who enter the healthcare system are especially vulnerable, often posing greater challenges to care delivery. However, little is known about the capacity of nursing staff, especially nursing students, to deliver trauma-informed care (TIC). Objective: This study aimed to assess the knowledge, attitude, and practice of trauma-informed care among Chinese nursing students. Methods: A cross-sectional study was employed to survey undergraduate nursing students from a medical college in eastern China. Data were collected using an established self-administered questionnaire on TIC knowledge, attitude, and practice (KAP) consisting of 21 items. The content validity scale-level CVI was 0.950, and the reliability with Cronbach’s α coefficient was 0.963. Results: A total of 118 undergraduate nursing students, ranging from first to fourth year, participated in the survey, and ultimately, 117 students were included in the study, yielding an effective response rate of 99.15%. The average scores for KAP were 70.83±14.58, 77.78±11.11, and 66.67±16.67; however, the good levels of KAP accounted for 16.2%, 45.3% and 6.0%, respectively. Additional analysis showed a weak positive correlation between knowledge and attitude (rs = 0.211, p = 0.022), while there was a moderate positive correlation between knowledge and practice, attitude and practice (rs = 0.309, p < 0.001; rs = 0.310, p < 0.001). Univariate analysis indicated that year of study and experience in caring for trauma patients were significantly related to practice (p = 0.039, p = 0.002). Conclusion: The students’ KAP on trauma-informed care was not at a good level, especially regarding practice and knowledge, and required further strengthening. The findings provide baseline information for further development of a KAP-TIC comprehensive course and exploration of practice ability-centered TIC education for nursing students. Assessing the effectiveness of the newly developed TIC course and learning outcomes in clinical practice is also recommended.
Prevalence and associated factors of emotional and behavioral problems in Indonesian early adolescents: A cross-sectional study Sundari, Ririn Isma; Sitaresmi, Mei Neni; Lusmilasari, Lely
Belitung Nursing Journal Vol. 11 No. 4 (2025): July - August
Publisher : Belitung Raya Foundation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33546/bnj.3990

Abstract

Background: Emotional and behavioral problems (EBPs) in early adolescence are a growing public health concern, particularly in low- and middle-income countries like Indonesia. The COVID-19 pandemic has further disrupted adolescent development, highlighting the need to identify both internal and external contributing factors to these issues. Objective: This study aimed to assess the prevalence of emotional and behavioral problems among early adolescents in Central Java, Indonesia, and to identify internal and external factors associated with these problems during the post-pandemic transition from hybrid to offline learning. Methods: A cross-sectional study was conducted from May to June 2023 involving 256 adolescents aged 10–14 years in Central Java. Emotional and behavioral problems were measured using the Strengths and Difficulties Questionnaire – Self-Report (SDQ-SR). Internal factors were assessed using the Reduced Morningness–Eveningness Questionnaire (rMEQ) and the Emotion Regulation Questionnaire for Children and Adolescents (ERQ-CA). External factors were measured through sociodemographic questionnaires and the Revised Family Communication Pattern (rFCP) Scale. Descriptive statistics were used to characterize the sample. Associations were analyzed using multiple logistic regression, and model fit was assessed using the Hosmer–Lemeshow test and Nagelkerke R². Results: The prevalence of adolescents with abnormal total difficulties scores was 15.6%. Among SDQ subscales, emotional problems showed the highest abnormal prevalence (30.1%), followed by peer problems (10.9%), conduct problems (10.5%), and hyperactivity-inattention (4.3%). Multivariate logistic regression analysis revealed that adolescents with an eveningness chronotype were significantly more likely to experience EBPs (OR = 21.11, 95% CI: 5.82–76.63, p <0.001). Similarly, low emotional regulation increased the risk (OR = 5.08, 95% CI: 2.18–11.80, p <0.001). Among external factors, low maternal education (OR = 1.34, 95% CI: 1.12–1.94, p = 0.015) and low intrafamilial communication (OR = 3.35, 95% CI: 1.45–7.74, p = 0.004) were also significant predictors. The model showed good fit (Hosmer–Lemeshow χ² = 6.050, p = 0.642) and explained 40.6% of the variance in EBPs (Nagelkerke R² = 0.406). Conclusion: Emotional and behavioral problems remain a concern among Indonesian early adolescents in the post-pandemic, with emotional symptoms being the most prevalent. Internal risk factors, such as eveningness chronotype and low emotional regulation, as well as external factors like maternal education level and intrafamilial communication, were significantly associated with these issues. These findings suggest a need for early mental health screening and targeted interventions. For nursing practice, this highlights the role of nurses in school and community settings in promoting emotional regulation, strengthening family communication, and delivering health education tailored to familial and developmental contexts.

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