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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.
Arjuna Subject : -
Articles 655 Documents
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Prevalence of depression and its related factors among older adults in Indonesian nursing homes Indra Gunawan; Xuan-Yi Huang
Belitung Nursing Journal Vol. 8 No. 3 (2022): May - June
Publisher : Belitung Raya Foundation, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33546/bnj.2075

Abstract

Background: Depression is one of the most severe mental disorders experienced by older adults worldwide. The prevalence of depression among older adults in nursing homes is three-time higher than in the community. Therefore, knowing the incident rates of depression and its related factors would help provide appropriate intervention and prevention programs in the future. Objectives: The study aimed to determine the prevalence of depression and compare the difference in depression status according to the sociodemographic characteristic of the older adults in the Indonesian nursing homes.    Methods: A descriptive cross-sectional study design was used in this study, which involved 116 participants selected using convenience sampling from five different general nursing homes in Bandung City, Indonesia. The Short Form (SF) of the Geriatric Depression Scale (GDS) was used to evaluate depression among older adults in nursing homes. The t-test and one-way ANOVA were used for data analysis. Results: Of the total participants, 56.9% had depression, which 7.8% with mild depression, 37.1% with moderate depression, and 12% with severe depression. In addition, there were significant differences in depression according to age, gender, marital status, educational background, ethnicity, disease history, duration of stay, and the visitor frequency among the older adults in nursing homes (p <.001). Conclusion: A high rate of depression among older adults in Indonesian nursing homes was identified. Therefore, attention to caring for more specific needs, such as the psychosocial needs of older adults in nursing homes, is urgent.
Combatting workplace violence against nurses in Bangladesh Silvia Ferdousi; Moustaq Karim Khan Rony
Belitung Nursing Journal Vol. 8 No. 3 (2022): May - June
Publisher : Belitung Raya Foundation, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33546/bnj.2079

Abstract

This letter aims to respond to Tosepu et al. that workplace violence against nurses increases dramatically in developed and developing countries. This leads to a frustrating and unsustainable work environment. Furthermore, workplace violence has the potential to have long-term physical and psychological implications for all employees and a detrimental effect on the general morale of a healthcare organization. In this letter, we add the evidence of the workplace violence against nurses in Bangladesh, which contributes to increased health job discontent, decreased employee engagement, excessive absenteeism from work, a strong desire to resign, low medical safety ratings, and a high frequency of adverse clinical outcomes. In addition, people who live in hill communities and waterlogged areas do not have access to health care privileges due to workplace violence against nurses. Efforts to combat workplace violence against nurses are therefore very much needed.
Prevalence of depression in patients with end-stage renal disease undergoing hemodialysis in Saudi Arabia: A cross-sectional study Lujain Sallam; Fatmah Alsharif; Sarah Abaalalaa; Rawan Alakeely; Zahraa Abdullah; Zahra Alkhamis; Najla Sindi; Loujain S Sharif
Belitung Nursing Journal Vol. 8 No. 4 (2022): July - August
Publisher : Belitung Raya Foundation, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33546/bnj.2080

Abstract

Background: A hemodialysis is a treatment option for patients with End-Stage Renal Disease (ESRD). However, patients undergoing hemodialysis three times per week may experience psychological issues, including depression, which are highly prevalent among patients. Unfortunately, most healthcare providers fail to recognize the symptoms of depression due to overlap with other somatic symptoms; thus, depression remains undiagnosed. Objective: This study aimed to estimate the prevalence of depression and compare the differences in depression symptoms according to the sociodemographic characteristics of patients with ESRD undergoing hemodialysis. Method: A descriptive, cross-sectional study was conducted from August to October 2021 with a total of 132 hemodialysis patients using the Beck Depression Inventory (BDI II) questionnaire to examine symptoms of depression at multiple health centers in Jeddah. Descriptive statistics, Mann-Whitney U, Kruskal-Wallis, Post-hoc analysis using Conover tests were used for data analysis. Results: The prevalence of depression in hemodialysis patients was 51.5%, 25.8%, 15.9%, and 6.8%, with minimal, mild, moderate, and severe symptoms, respectively. Depression exhibited a significant relationship with sex (p = 0.034), with females showing higher mean depression scores than males. Additionally, depression scores were statistically significant across the different levels of education (p = 0.019), with the mean depression scores significantly highest in subjects who had only primary school level of education. Furthermore, the most common symptoms associated with depression were found to be energy loss and fatigue. Conclusion: Depression prevalence was relatively low among patients with ESRD undergoing hemodialysis, and a loss of energy and fatigue were the most common symptoms correlated with depression. Hence, nurses should be trained on how to routinely use psychological screening scales among patients with ESRD undergoing hemodialysis.
Exploring the beliefs of caregivers about the caregiving experiences of children with acute lymphoblastic leukemia in Malaysia Agnes Shu Sze Chong; Ahmad Mahadir; Alias Hamidah; Iqbal Hussain Rizuana; Lateh Afifi; Caryn Mei Hsien Chan
Belitung Nursing Journal Vol. 8 No. 3 (2022): May - June
Publisher : Belitung Raya Foundation, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33546/bnj.2083

Abstract

Background: Cancer is one of the major leading causes of childhood death, and the most common type is acute lymphoblastic leukemia. The survival rate has increased in recent years; however, the long patient trajectory may trigger psychological distress among caregivers as they play an active role in ensuring that the child’s basic needs are met. Being in a patient-focused system, the needs of caregivers may be neglected. Objective: This study aimed to explore the caregivers' beliefs on children with acute lymphoblastic leukemia caregiving experiences in order to promote their well-being. Methods: Caregivers from thirteen families of children with acute lymphoblastic leukemia participated in this phenomenological study. NVivo 12 was used for the thematic analysis of the data. Consolidated criteria for reporting qualitative research (COREQ) were used in this study. Results: Overall, five main themes for caregivers’ beliefs were identified from their responses: 1) dietary intake with emphasis on its importance in aiding recovery and its potential influence on cancer complications, 2) childcare which emphasized the need to be strong and self-sacrifice, 3) treatment which reflected the use of home or natural remedies and caregivers’ negative perception towards chemotherapy, 4) causes of cancer believed to be linked to early childcare choices on food, beverage, and stress imposed on the child, and  5) source of beliefs that included doctors, online platforms, personal encounters and information on food labels. Conclusion: Caregivers’ beliefs are varied and nuanced, formed in a multicultural social background of Malaysia. These findings provide knowledge for future supportive cancer care for patients, their caregivers, and the treatment outcome in the Malaysian context. Nurses, who play an essential role between healthcare professionals and patients and/or their caregivers, can be empowered to provide psychological support, early detection of psychological distress, and exploration of caregiver beliefs, given that the number of clinical psychologists in Malaysia is lacking, and there is greater preference for care to be provided by doctors or nurses.
Characteristics of effective nurse educators from Thai nursing students’ perspectives Ausanee Wanchai; Chanakan Sangkhamkul; Benchamaphorn Nakamadee
Belitung Nursing Journal Vol. 8 No. 3 (2022): May - June
Publisher : Belitung Raya Foundation, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33546/bnj.2085

Abstract

Background: Effective nurse educators will improve students’ performance. Therefore, examining the characteristics of an effective nurse educator is essential, especially from nursing students’ perspectives, which will provide an additional point of view to improve the teachers’ quality. Objectives: This research aimed to identify nursing students’ opinions regarding the characteristics of effective nurse educators and to compare those characteristics according to age, year of study, and cumulative grade point average. Methods: A descriptive quantitative design was used. Data were collected from 400 nursing students in Thailand using a validated questionnaire. Descriptive statistics, t-tests, and F-tests were used for data analysis. Results: The overall mean scores of effective nurse educators’ characteristics based on students’ perspectives were 4.36 (SD = 0.45). Subject expertise was the most essential characteristic of the effective nurse educators (Mean = 4.45, SD = 0.47), followed by relational expertise (Mean = 4.44, SD = 0.52), personality (Mean = 4.36, SD = 0.45), and teaching-related behavior (Mean = 4.33, SD = 0.46). The results also showed that participants with different cumulative grade point averages had no different views on the characteristics of effective nurse educators (p > 0.05). However, participants of different ages and years of study had significantly different perspectives on the characteristics of effective nurse educators (p < 0.05). Conclusion: The study offers necessary information regarding the essential characteristics of effective nurse educators. Therefore, nurse educators can use the study results to improve their desired characteristics. In addition, faculty development programs may be planned to help nurse educators improve these characteristics.
Social environment support to overcome loneliness among older adults: A scoping review Riksa Wibawa Resna; Widianti Widianti; Wahyu Nofiantoro; Rachmayanti Iskandar; Dwi Meilina Ashbahna; Royani Royani; Susi Susilawati
Belitung Nursing Journal Vol. 8 No. 3 (2022): May - June
Publisher : Belitung Raya Foundation, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33546/bnj.2092

Abstract

Background: Loneliness is a problem experienced by most older adults due to internal and external factors. This condition may lead to various physical and psychological health problems, including depression, sleep disturbances, stress, and suicidal ideation. Therefore, exploring social environment support to reduce loneliness is a necessity. Objective: This study aimed to identify various kinds of social support to overcome loneliness in older adults. Methods: A scoping review was performed on studies retrieved from Embase, CINAHL, Cochrane, PubMed, and Google Scholar from 2012 until early 2022. Data were analyzed according to Arksey and O’Malley’s scoping review guideline. Results: Ten studies were systematically selected from 2,410 articles. The analysis indicated that the social environment support, including family support (affection, attention, emotional, motivation, and financial support), friends (peer group, partnership, advice, and appreciation), neighbors (work around the house, society involvement, and emergency), and government support (healthcare facilities and community programs), contribute to loneliness in older adults. Conclusion: The social environment support from families, friends, neighbors, and government may potentially help older adults to reduce their loneliness but need further validation. The variables included in each component also need construct exploration. However, the study findings may serve as basic knowledge for nurses to provide interventions to prevent and reduce loneliness among older adults.
Factors associated with the choice of delivery place: A cross-sectional study in rural areas of Indonesia Haerawati Idris
Belitung Nursing Journal Vol. 8 No. 4 (2022): July - August
Publisher : Belitung Raya Foundation, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33546/bnj.2095

Abstract

Background: Developing countries, including Indonesia, commonly face maternal mortality as a public health concern, which needs special attention. Using maternal delivery services in health facilities may reduce maternal mortality. However, little is known about the general use of delivery services in health facilities in rural areas, Indonesia. Objective: This study aimed to analyze determinants in choosing delivery places in rural areas of Indonesia. Methods: A cross-sectional quantitative design with secondary data from the 2014 Indonesian Family Life Survey (IFLS) was used in this study. There were 2,389 mothers aged 15-49 years in rural areas were included. Data were analyzed using a logistic regression test. Results: It was found that 67% of mothers gave birth in health facilities. Tertiary and secondary education levels, residence in Java and Bali regions, economic status, insurance ownership, and job status were significantly related to the choice of delivery place in health facilities. Tertiary education was the most dominant factor correlated with the use of delivery services in health facilities (p < 0.001; PR = 4.55; 95% CI = 3.751-5.542). Conclusion: Education is the key factor associated with the choice of delivery place. Therefore, it is suggested that the government and healthcare workers, especially nurses and midwives, improve mothers’ education and provide strategies to increase knowledge in choosing delivery services to enhance their health outcomes.
Nurse managers’ views regarding patients’ long waiting time at community health centers in Gauteng Province, South Africa Solly Ratsietsi Makua; Sisinyana Khunou
Belitung Nursing Journal Vol. 8 No. 4 (2022): July - August
Publisher : Belitung Raya Foundation, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33546/bnj.2096

Abstract

Background: Patients’ long waiting time still exceeds the set target of 120 minutes. As a result, the volume of complaints remains a concern that points to systems inefficiencies. Minimal attention has been given to the experiences of nurse managers regarding patients’ long waiting time Objective: To explore and describe the experiences of nurse managers regarding patients’ long waiting time at Community Health Centers (CHCs) in Gauteng Province, South Africa Methods: The research applied qualitative exploratory descriptive and contextual design. Non-probability purposive sampling techniques were used to select eight nurse managers. Individual semi-structured interviews were conducted and captured with an audio tape. Tesch’s 8-steps of data analysis were followed to analyze the data. Results: Three themes and seven categories emerged from the study: (1) The adverse effects of patients’ long waiting time (early birds to evade long queues, increased patients’ complaints and compromised quality care), (2) Factors that contribute to patients’ long waiting time (records and patient administration system deficiencies, poor time management, patients’ lack of adherence to booking system), (3) Measures to mitigate patients’ long waiting time (embracing decongestion systems to mitigate patients’ overflow at CHC). Conclusion:  The study recommends the optimal implementation of an appointment system to avert long waiting times. Collaboration between CHCs’ management and clinic committees is encouraged to provide the best solutions to the reduction of patients’ long waiting times. In addition, time management is one area that needs to be improved. A digital record management system can assist in better-sought problems related to filling. Studies are encouraged on a model to enhance collaboration in reduction of patients’ long waiting time.
Lived experiences of older adults while working in the academe amidst the COVID-19 pandemic: The Philippine context Lovelyn G. Tipon; Jose Mari Louis Alforque; Jezyl C. Cutamora
Belitung Nursing Journal Vol. 8 No. 3 (2022): May - June
Publisher : Belitung Raya Foundation, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33546/bnj.2098

Abstract

Background: Despite the rising number of COVID-19 cases in the Philippines and the world, our aging population, especially older adults working in the academe, has not ceased with their desire to provide quality education among our student nurses continuously. Aside from the fact that most of these nursing mentors in the field of education have been closer to the age of retirement, they still opt to continue their passion for teaching. Hence, knowing their lived experiences can be a great anchor on how to support them effectively. Objective: This study aimed to explore the older adults’ lived experiences while working in the academe amidst the pandemic. Methods: A qualitative descriptive phenomenological approach was employed. Purposive sampling was used to select twelve informants based on the set inclusion criteria, such as older adults aged at least 60 years old and above residing within Cebu City, Philippines, who were currently employed as nursing mentors in any private or public academic nursing institution. Colaizzi's method of data analysis was used. Results: Four themes emerged: (1) Diversifying Teaching and Learning Strategies, (2) Labyrinthing Through the Challenges, with three subthemes (Coursing through struggles and adversities, Thriving with the teaching and learning during the pandemic, and Coping with the changes), (3) Strengthening Health, Adhering to Protocols, and (4) Moving Forward with the New Normal, with two subthemes (Adapting to be technologically resilient and Having a positive outlook). Conclusion: The older adults learned to teach, adapt, adjust, and move forward in the academe amidst the pandemic. They keep up with the changes and the challenges despite being an older adult having limited experience and knowledge of the use of technology. They continue to strive, live and be more productive amidst the pandemic.
Transitional care interventions to reduce emergency department visits in older adults: A systematic review Latifah Jehloh; Praneed Songwathana; Wipa Sae-Sia
Belitung Nursing Journal Vol. 8 No. 3 (2022): May - June
Publisher : Belitung Raya Foundation, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33546/bnj.2100

Abstract

Background: Preventable illnesses cause many emergency department visits in older adults, which can be minimized by implementing appropriate transitional care interventions. However, the most effective transitional care strategies for older adults are unknown. Objective: To discover and consolidate transitional care interventions that can help older people avoid going to the emergency department. Methods: From January 2011 to August 2021, PubMed, The Cochrane Library, CINAHL, Web of Science, ProQuest, and The JAMA Network were used to search. Two authors independently screened and selected papers, assessed the risk of bias, and extracted data into a standardized form in accordance with Cochrane guidelines. For the risk of bias in studies, the RevMan 5.4.1 program was utilized. Results: Six randomized controlled trials, four non-randomized controlled trials, and three retrospective investigations were among the 13 studies examined. All studies evaluated emergency department visits but in different periods (ranging from 1-12 months after discharge) and with varying groups of baselines (pre-post intervention and between groups). The multi-component strategies, either pre or post-discharge phase using high-intensity care delivered within six months of discharge, were implemented in transitional care that had been shown to reduce emergency department visits in older adults. Conclusion: To prevent emergency department visits by older patients, nurses should arrange for a high-intensity transitional care intervention that involves both pre-and post-discharge interventions. The effectiveness of the intervention in reducing emergency department visits in older adults is difficult to determine due to inter-study heterogeneity and poor methodological quality. There is a need for more evidence-based research with consistent and trustworthy effect assessments. PROSPERO registration number: CRD42021261326

Page 42 of 66 | Total Record : 655

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