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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 15 Documents
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Search results for , issue "Vol. 12 No. 2 (2026): March - April" : 15 Documents clear
Risk factors and outcomes of healthcare-associated infections in a Brazilian intensive care unit: A cross-sectional study Sousa Moura, Andressa Maria de; Sousa, Álvaro Francisco Lopes de; Carvalho, Herica Emilia Félix de; Madeira, Maria Zélia de Araújo; Freitas, Daniela Reis Joaquim de; Lima, Ana Carolina de Macedo; Carneiro, Liliane Moretti; Valim, Marilia Duarte; Junior, Aires Garcia dos Santos; Batista, Odinéa Maria Amorim
Belitung Nursing Journal Vol. 12 No. 2 (2026): March - April
Publisher : Belitung Raya Publisher - Belitung Raya Foundation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33546/bnj.4399

Abstract

Background: Healthcare-associated infections (HAIs) in intensive care units (ICUs) are frequent and are associated with sepsis, antimicrobial resistance, and high mortality, reinforcing the need for early risk stratification at admission. Objective: To analyze risk factors and clinical outcomes associated with HAIs in ICU patients. Methods: This cross-sectional study was conducted in the ICU of a public hospital with 141 patients (182 HAI cases). Medical records covered ICU admissions from August 1, 2022, to August 31, 2024, and data collection occurred from November 2024 to February 2025. Data were extracted from medical records and the Hospital Infection Control Committee database. Risk factors were assessed at admission using the Rodríguez-Almeida-Cañon (RAC) Scale, which stratifies HAI risk using intrinsic and extrinsic factors and classifies patients as low, moderate, or high risk. Clinical outcomes monitored during hospitalization included hospital discharge, sepsis, septic shock, and death. Results: By RAC, 53.9% were moderate risk and 45.4% high risk; lower educational level was associated with higher risk (p = 0.016). Ventilator-associated pneumonia predominated (44.4%). Predominant pathogens were Pseudomonas (28.1%), Acinetobacter (19.1%), and Klebsiella (17.4%), with 34.3% showing carbapenem resistance. Sepsis occurred in 18.5% and septic shock in 30.2%; mortality was 62.9%. Compared with the reference group, odds of discharge were higher among patients aged 20–39 years (OR = 12.48; 95% CI: 4.89–102.90; p = 0.002) and 40–59 years (OR = 4.33; 95% CI: 3.89–35.78; p = 0.019). Conclusion: RAC screening revealed a high burden of predisposing factors at ICU admission, particularly among patients with lower educational levels, which was associated with worse outcomes. RAC-guided admission screening can support risk-proportional nursing surveillance and targeted prevention bundles, while institutional policies should reinforce microbiological surveillance and antimicrobial stewardship tailored to social vulnerability.
The moderating role of psychological capital in the relationship between workplace bullying and job burnout among nurses in Saudi Arabia: A cross-sectional study Abou Zeid, Mennat Allah G.; Ibrahim, Ibrahim Abdullatif
Belitung Nursing Journal Vol. 12 No. 2 (2026): March - April
Publisher : Belitung Raya Publisher - Belitung Raya Foundation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33546/bnj.4404

Abstract

Background: Workplace bullying remains a pervasive problem in nursing, adversely affecting nurses’ well-being and professional functioning. Prolonged exposure to bullying is associated with emotional exhaustion and job burnout. However, the potential buffering role of internal psychological resources, particularly psychological capital, has not been sufficiently examined. Objective: This study aimed to explore the association between workplace bullying and job burnout among hospital nurses and examined whether psychological capital moderates this relationship. Methods: A cross-sectional study was conducted with 209 nurses from two hospitals between July and September 2025. Data were collected using the Short Negative Acts Questionnaire, the Work-Related Burnout subscale of the Copenhagen Burnout Inventory, the Psychological Capital Questionnaire, and a demographic and professional characteristics form. Data analysis included descriptive statistics, independent t-tests, one-way ANOVA, Pearson’s correlation coefficients, and moderation analysis using PROCESS macro (Model 1). Results: Nurses reported moderate levels of workplace bullying (M = 2.31, SD = 1.12) and job burnout (M = 2.44, SD = 0.91). Psychological capital was relatively high (M = 4.89, SD = 1.08), including optimism (M = 4.93, SD = 1.09), hope (M = 4.96, SD = 1.13), self-efficacy (M = 4.77, SD = 1.19), and resilience (M = 4.89, SD = 1.17). Job burnout differed significantly across age groups (p = 0.043). Workplace bullying and job burnout varied by educational level (p = 0.019 and p = 0.021, respectively), and workplace bullying differed by gender (p = 0.001). Moderation analysis indicated that workplace bullying was positively associated with job burnout (B = 0.472, p < 0.001), whereas psychological capital was negatively associated with burnout (B = -0.135, p < 0.01). The interaction between workplace bullying and psychological capital was significant (B = 00.106, p < 0.01), indicating that psychological capital attenuated the positive association between workplace bullying and job burnout. Conclusion: Psychological capital functions as a protective factor that buffers the adverse impact of workplace bullying on nurses’ job burnout. These findings highlight the importance of strengthening nurses’ psychological resources through organizational strategies and resilience-enhancing interventions to promote well-being and reduce burnout risk.
Integration of competency needs and continuity of care learning for midwifery students based on mobile applications in Indonesia: A mixed-methods study Susanti, Ari Indra; Mandiri, Ariyati; Novitasari, Anis; Silmi, Harridhil; Didah; Adnani, Qorinah Estiningtyas Sakilah; McKenna, Lisa
Belitung Nursing Journal Vol. 12 No. 2 (2026): March - April
Publisher : Belitung Raya Publisher - Belitung Raya Foundation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33546/bnj.4446

Abstract

Background: Strengthening the quality of midwifery education is crucial to equip future midwives with the competencies required for contemporary practice. Continuity of Care (CoC) learning requires structured learning strategies, appropriate media, and effective evaluation mechanisms based on students’ needs. In this context, mobile applications can support CoC learning through flexible documentation and reporting systems. Objective: This study aimed to identify learning and competency needs for technology-enhanced CoC education among midwifery students. Methods: A convergent mixed-methods design was employed with midwifery students in the Bandung Metropolitan Raya region, West Java, Indonesia, in 2024. Purposive sampling was used to select 310 students for quantitative analysis using STATA 16.0. Qualitative data from online focus group discussions (FGDs) with 34 students were analyzed using NVivo 1.6.1. Results: Quantitative analysis identified learning strategy as the strongest predictor of CoC competency (r = 0.790, p < 0.001). Qualitative findings revealed two main themes: CoC Competencies (with subthemes of CoC Competency Objectives and CoC Core Competencies) and integrated CoC learning components (learning strategy, learning media, and learning evaluation). Conclusion: This study identified four essential components of mobile-based CoC learning, with learning strategies emerging as the strongest predictor of competency. These findings indicate that, although mobile technology enables efficient recording and reporting, it must be integrated with structured learning strategies to effectively strengthen midwifery competencies.
A hierarchical analysis of predictors of perioperative competency in Chinese operating room nurses Fu, Cong; Abhicharttibutra, Kulwadee; Lertwatthanawilat, Wanchai; Wichaikhum, Orn-Anong
Belitung Nursing Journal Vol. 12 No. 2 (2026): March - April
Publisher : Belitung Raya Publisher - Belitung Raya Foundation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33546/bnj.4451

Abstract

Background: Perioperative competency among operating room (OR) nurses is essential for ensuring patient safety and effective surgical care. Guided by Bronfenbrenner’s bioecological model, particularly the Person component, this study examined how key individual characteristics contribute to perioperative competency among nurses working in tertiary hospitals in China. Objective: This study aimed to hierarchically examine the predictive power of key person characteristics (including demographics, specialized resources, and force characteristics) on perioperative competency. Methods: A cross-sectional survey was conducted among 287 OR nurses from five tertiary hospitals in Hebei Province, China. Data were collected between September 1 and November 30, 2024. Using a predictive correlational design, hierarchical multiple regression analysis was performed. Demographics (gender, marital status, educational level, professional job title) were entered in Block 1, followed by core predictors (years of experience, specialized training, empowerment, self-efficacy, and resilience) in Block 2, using the enter method for each block. Key constructs were measured with validated scales: perioperative competency, resilience, individual empowerment, and work self-efficacy. Results: The final regression model was significant, explaining 77.3% of the total variance in perioperative competency (Adjusted R² = 0.773, F = 88.449, p < 0.001). Special OR training (β = 0.534, p < 0.001) and years of OR experience (β = 0.395, p < 0.001) were the strongest predictors. Among force characteristics, individual empowerment (β = 0.233, p < 0.001), resilience (β = 0.199, p < 0.001), and work self-efficacy (β = 0.197, p < 0.001) all demonstrated significant positive effects. Conclusion: Both specialized resources and force characteristics significantly contribute to perioperative competency. Strategies that strengthen professional training, clinical experience, and positive psychological attributes may help enhance competency among OR nurses.
Exploring the perspectives of people who use drugs living with hepatitis C on interactions with case managers: A qualitative study in Taiwan Hsu, Pei Chen; Wu, Hung-Chi; Chen, Wan-Ling; Wang, Jing-Jy
Belitung Nursing Journal Vol. 12 No. 2 (2026): March - April
Publisher : Belitung Raya Publisher - Belitung Raya Foundation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33546/bnj.4472

Abstract

Background: Comorbidity treatment for people who use drugs with hepatitis C should be integrated with addiction treatment. Case management plays a crucial role in enhancing treatment motivation and improving treatment completion rates. Previous studies have focused on outcomes, disease, or treatment experiences. However, studies exploring the perspectives of people who use drugs living with hepatitis C on their interactions with case managers remain limited. Objective: To explore the perspectives of people who use drugs with hepatitis C receiving case management services on their interactions with case managers. Methods: This exploratory qualitative study was conducted in a psychiatric hospital in southern Taiwan that provides addiction treatment services for individuals with substance use disorders. Purposive sampling was used to recruit participants who had received case-managed HCV treatment and completed the full course of care. Semi-structured, in-depth interviews were conducted with nine participants in a private space within the hospital’s outpatient clinic between September 2022 and December 2023 and analyzed using a qualitative content analysis. Results: Four themes were identified: (a) feeling empowered through respectful communication and shared decision-making, (b) transformation in health literacy and understanding of hepatitis C, (c) increased engagement in treatment facilitated by case management support, and (d) Diverse views of the importance of case managers’ professional backgrounds. These perspectives reflected how case-managed HCV care shaped participants’ experiences and engagement, underscoring the essential role of communication, education, and supportive relationships within addiction treatment settings. Conclusion: The findings of this study highlight patients’ perspectives on addiction case management and underscore the importance of trust-based communication, continuity of care, and tailored education in enhancing engagement in HCV care. These results provide practical implications for developing core competencies among addiction case managers in addressing the comorbidities of substance use and hepatitis C.

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