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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 655 Documents
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Honduran nursing care to pressure injuries in patients with invasive mechanical ventilation: A qualitative study Bustamante, Yoselin Isabel Vallejo; Martinez, Oscar Fidel Antunez
Belitung Nursing Journal Vol. 11 No. 1 (2025): January - February
Publisher : Belitung Raya Foundation, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33546/bnj.3592

Abstract

Background: Although substantial evidence exists regarding the treatment of pressure ulcers, there is a lack of studies demonstrating a comprehensive nursing approach for managing pressure ulcers in the ICU, particularly among patients with invasive mechanical ventilation from developing countries like Honduras. This gap in research is significant as the risk and impact of pressure ulcers on health recovery cannot be disregarded. Objective: This study aimed to analyze Honduran nursing care for pressure ulcers in patients with invasive mechanical ventilation admitted to Intensive Care Units. Methods: A qualitative study approach was used, with in-depth interviews conducted with 12 critical care nurses from July to September 2022. The interviews were recorded, and data analysis was performed using the participants’ narratives following Colaizzi’s steps. Results: Three themes were obtained, which provide insight into the phenomenon: “The strengths in Honduran nursing interventions,” “Negligence in the Honduran nursing care processes,” and “Vulnerabilities in the organizational structures.” Conclusion: Nurses’ experiences highlighted their timely reports and comprehensive, holistic care. However, they undergo negligence in their caring processes, such as low frequency of repositioning, lack of caring plans, and absence of self-training, leading to interdisciplinary work codependency for decision-making. Allocating resources toward nursing care and their professional growth is an investment in providing humane treatment and ensuring the prevention and management of pressure injuries in critical care patients. This study highlights the importance of comprehensive training and standardized protocols for intensive care nurses to improve pressure injury prevention and management in mechanically ventilated patients, emphasizing the need for regular patient repositioning, effective communication, and adequate resources to enhance patient care quality.
Development of a novel instrument to measure Japanese psychiatric nurses’ technological competency as caring in nursing Takashima, Yoshiyuki; Ito, Hirokazu; Soriano, Gil P.; Yasuhara, Yuko; Osaka, Kyoko; Schoenhofer, Savina; Tanioka, Tetsuya
Belitung Nursing Journal Vol. 11 No. 1 (2025): January - February
Publisher : Belitung Raya Foundation, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33546/bnj.3623

Abstract

Background: To effectively advance person-centered care (PCC) practice, it is important to equip healthcare providers with person-centered values and beliefs while simultaneously transforming their work environment to align with PCC. Thus, instruments to measure caring practice status in nursing competency for psychiatric-specific behavioral limitations, ethico-moral behavior, technology use, and PCC need to be developed. Objective: This study developed the Technological Competency as Caring in Psychiatric Nursing Instrument (TCCNPNI) to measure practice status and test its content and construct validity. Methods: Five different phases were followed: 1) Literature Review; 2) Operational definition of the construct and development of items; 3) Two-round Delphi method; 4) Validity measure; and 5) Reliability measure. The online survey was conducted in 2024. Results: The developed instrument comprises 22 items with a 4-factor structure: competency to practice caring and person-centered care (Factor 1); competency to recognize and respond to ethical issues in psychiatry (Factor 2); competency to utilize technology in psychiatry (Factor 3); and competence to practice care for the preservation of human dignity and shared decision making (Factor 4). Cronbach’s alpha for the entire scale was 0.864, while that for factors 1-4 was 0.911, 0.814, 0.773, and 0.64, respectively. Cumulatively, these four factors contributed 49.6% and explained nearly 50% of the total data. Item-total correlation values were 0.6 or higher among factors 1-3. However, factor 4, for which items were Q30, Q33, Q34, and Q35 (r = 0.03, 0.04, 0.21, 0.11, respectively), were inverted items and had low I-T correlation values. These low correlations suggest that these items capture different concepts. The developed TCCNPNI allows for the measurement of the practice of nursing as caring in psychiatry, the state of ethico-moral behavior, and the practice status of technological competency as caring in psychiatric nursing. Conclusion: This study demonstrated satisfactorily and efficiently evaluated the practice status of technological competency in psychiatric nurses’ caring. Measuring technological competency as caring in psychiatric nursing can be an important adjunct for in-service education in psychiatric hospitals or formalized nursing education in nursing universities.
Health-promoting activities among Saudi Arabian parents of children with disabilities: A cross-sectional study Alghamdi, Salmah A.; Assiri, Muna I.; Fallatah, Reem A.; Albeladi, Farah M.; Alabdulaziz, Hawa; Alsaggaf, Fatimah
Belitung Nursing Journal Vol. 11 No. 1 (2025): January - February
Publisher : Belitung Raya Foundation, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33546/bnj.3624

Abstract

Background: Engaging in health-promoting activities is crucial for maintaining overall well-being. However, parents of children with disabilities often face unique challenges that can impact their ability to engage in such activities. These challenges may include increased caregiving responsibilities, limited access to resources, and emotional and physical burdens, which may hinder their involvement in health-promoting behaviors. Objective: This study aimed to assess and compare health-promoting activities among parents of children with and without disabilities, with a focus on identifying key differences and associated factors that influence their health and well-being. Methods: A quantitative cross-sectional study was conducted with 118 parents of children aged 3 to 18 years recruited via social media and centers for children with disabilities in the Kingdom of Saudi Arabia. Data were collected using the eight-item Health-Promoting Activities Scale (HPAS) and demographic variables. The study utilized descriptive statistics, chi-square test, t-test, and ANOVA for data analysis, conducted using SPSS version 25. Results: The results showed that parents of children with disabilities had significantly lower HPAS scores (31.73 ± 10.21) compared to parents of children without disabilities (34.83 ± 8.05), although this difference was not statistically significant (p = 0.082). Parents of children with disabilities reported significantly lower frequencies of spiritual or rejuvenating personal time (p = 0.032) and social activities (p = 0.011). Additionally, higher education (p = 0.023) and better health status (p = 0.005) were positively associated with higher HPAS scores among parents. Conclusion: This study’s findings highlight the significant impact that caring for a child with a disability can have on parents’ health-promoting behaviors. Factors such as education and health status were found to play a crucial role in shaping these behaviors. The results suggest the need for tailored interventions and support programs by nurses and healthcare providers to enhance the well-being of parents of children with disabilities.
Mediating role of self-efficacy in the relationship between family functioning and self-management behaviors in patients with coronary heart disease: A cross-sectional study in Jiangsu, China Wang, Yang; Masingboon, Khemaradee; Wacharasin, Chintana
Belitung Nursing Journal Vol. 11 No. 1 (2025): January - February
Publisher : Belitung Raya Foundation, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33546/bnj.3638

Abstract

Background: Self-management behaviors can prevent the negative consequences among patients with coronary heart disease (CHD). The reality of patients followed the self-management behaviors rate are unoptimistic. Objective: This study aimed to examine whether self-efficacy serves as a mediating role between family functioning and self-management behaviors among coronary heart disease patients. Methods: A cross-sectional approach was applied, and 140 patients with CHD were included using a cluster sampling strategy. Family functioning was assessed utilizing the Family APGAR Index, self-efficacy was evaluated using the Self-efficacy for Chronic Disease 6-item Scale, and self-management behaviors was examined utilizing the Coronary Artery Disease Self-Management Scale. Data were collected from July to October 2022 and analyzed using descriptive statistics and regression analyses to evaluate the mediating influence. Results: The degree of self-management behaviors among patients with CHD was at a low level (Mean = 82.23, SD = 11.863). Self-efficacy had a direct and positive impact on self-management behaviors (β = 0.39, p <0.001). Moreover, self-efficacy had a partially intermediary function in the relationship between family functioning and self-management behaviors (indirect effect = 0.14, 95% CI [0.04, 0.27]; direct effect = 0.39, p <0.001). Conclusion: Self-efficacy demonstrated an association with self-management behaviors and served as a mediation function in the relationship between self-management behaviors and family functioning. Therefore, the significance of family functioning and self-efficacy should be highlighted in nursing practice when developing methods to encourage patients with CHD to improve their self-management behaviors.
Challenges and support factors in managing type 2 diabetes among pregnant women in Thailand: A convergent mixed-methods study Phonyiam, Ratchanok; Teng, Chiao-Hsin; Sullivan, Catherine; Palmquist, Aunchalee; Hodges, Eric; Cortés, Yamnia; Baernholdt, Marianne
Belitung Nursing Journal Vol. 11 No. 1 (2025): January - February
Publisher : Belitung Raya Foundation, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33546/bnj.3639

Abstract

Background: Sociocultural and behavioral factors have a multifaceted impact on maternal health. In Thailand, cultural influences significantly shape behaviors of diabetes self-management in women. However, the experience of self-managing diabetes in pregnant women with preexisting Type 2 Diabetes Mellitus (T2DM) remains unclear. Objectives: The study aimed to explore challenges and support factors of diabetes self-management among pregnant women with preexisting T2DM in Thailand, and to compare these factors between women in two groups (optimal and suboptimal maternal health outcomes). Methods: A convergent mixed-methods study was conducted at a tertiary hospital (March to October 2022). Eligible participants were Thai pregnant women, aged 20-44, diagnosed with T2DM. Participants first completed a questionnaire and then were interviewed about diabetes self-management. Maternal health outcomes (i.e., gestational weight gain and glycated hemoglobin [HbA1c]) were reviewed and extracted. Descriptive statistics were used for quantitative analysis, while directed content analysis was used for qualitative data. Side-by-side matrices were used to describe the qualitative subthemes with quantitative results. Results: Twelve Thai pregnant women participated in the study, aged 27 to 40 years, with gestational ages ranging from 7 to 38 weeks and T2DM diagnoses spanning from 3 weeks to 10 years. Half of the participants were obese before pregnancy. Weight gain patterns revealed that 41.67% had inadequate gain, 33.33% had optimal gain, and 25% had excessive gain. HbA1C levels indicated that 75% had good glycemic control. Three women achieved optimal weight gain and glycemic control, while nine exhibited suboptimal health outcomes. We identified six main themes: 1) challenges at the individual level in managing diabetes, 2) support factors at the individual level for diabetes management, 3) challenges at the interpersonal level in controlling diet, 4) interpersonal support factors for managing diabetes, 5) challenges at the societal level in accessing healthcare, and 6) societal support factors for healthcare access. Conclusion: The findings suggest that managing diabetes during pregnancy necessitates dynamic, patient-centered care throughout the pregnancy journey. Regarding the clinical implication, it is important to tailor approaches to the Thai context and to prioritize education and boost women’s confidence in managing diabetes throughout pregnancy.
The correlations between demographic factors, self-efficacy, and quality of life among Indonesian patients with ischemic stroke: A cross-sectional study Azzahra, Nabila; Handayani, Fitria; Hidayati, Wahyu
Belitung Nursing Journal Vol. 11 No. 1 (2025): January - February
Publisher : Belitung Raya Foundation, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33546/bnj.3651

Abstract

Background: Ischemic stroke is the primary cause of neurological disability and can lead to psychological issues that affect self-efficacy. Changes in self-efficacy, in turn, influence the overall quality of life. Although many studies have examined factors that affect self-efficacy, quality of life, or both, few have specifically explored the role of demographic factors in shaping the quality of life in patients with ischemic stroke. Objective: This study aimed to identify the correlations between demographic factors, self-efficacy, and quality of life Indonesian in patients with ischemic stroke. Methods: This study employed a quantitative approach with a cross-sectional design. A total of 143 participants were recruited between February and April 2024 based on defined inclusion criteria. The research instruments included a demographic questionnaire, the Stroke Self-Efficacy Questionnaire, and the Specific Stroke Quality of Life Questionnaire. Data were analyzed using descriptive statistics, logistic regression, and Spearman rank test. Results: The findings revealed that females were 2.213 times more likely (95% CI = 1.128–4.341; p = 0.031) to achieve high self-efficacy compared to males. Occupational status significantly influenced self-efficacy, with employed individuals being 6.333 times more likely (95% CI = 3.134–16.599; p <0.001) to achieve high self-efficacy. The duration of stroke experienced by respondents also had a significant impact, with an odds ratio (OR) of 1.908 (95% CI = 0.980–3.715; p = 0.025). Additionally, occupational status significantly affected the quality of life, as employed respondents were 7.213 times more likely to achieve a good quality of life (OR = 7.213; 95% CI = 3.134–16.599; p <0.001). There was a significant positive correlation between self-efficacy and quality of life (r = 0.898, p <0.001). Conclusion: The results of this study provide valuable insights for nursing practice, emphasizing the importance of interventions to enhance patients’ self-efficacy. By increasing patients’ confidence in managing their condition, such interventions can lead to improved quality of life and better recovery outcomes. Strategies including health education, psychological support, and patient empowerment during rehabilitation are essential for strengthening self-efficacy and improving overall care outcomes. These findings highlight the need for healthcare professionals and families to address the psychological aspects of care in patients with stroke. Enhancing self-efficacy is critical in helping patients achieve a better quality of life and more successful recovery.
Self-management behavior and its influencing factors among adults with chronic obstructive pulmonary disease in Colombo, Sri Lanka: A cross-sectional study Weerasooriya, Kanchana Warnakula Royal; Samartkit, Niphawan; Masingboon, Khemaradee; Witheethamasak, Pachanok
Belitung Nursing Journal Vol. 11 No. 1 (2025): January - February
Publisher : Belitung Raya Foundation, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33546/bnj.3660

Abstract

Background: Self-management behaviors are essential to take care of chronic obstructive pulmonary disease (COPD). However, data on COPD self-management practices in Sri Lankan adults is limited. Therefore, identifying the level of COPD self-management and examining its influencing factors are essential for healthcare providers to manage COPD effectively. Objectives: This research aimed to describe the level of self-management behaviors and determine whether dyspnea, perceived stress, COPD knowledge, and social support can predict self-management in adults with COPD in Colombo, Sri Lanka. Methods: A predictive correlational study was conducted, and 108 adults with mild to moderate COPD were recruited from the central chest clinic in Colombo, Sri Lanka, from March to April 2024 using a simple random sampling technique. A self-administered questionnaire was used to gather data included demographic characteristics. The other instruments used were the COPD Self-Management Scale, the Perceived Stress Scale, the COPD Knowledge Questionnaire, and the Perceived Social Support Scale. Descriptive statistics and multiple regression were used for data analysis. Results: The study showed a moderate self-management level with a mean of 3.04 ± 0.35. All variables could explain 41.7% of the variance in self-management among adults with mild to moderate COPD and COPD self-management behaviors significantly predicted by dyspnea (β = 0.212, p = 0.006), perceived stress (β = -0.195, p = 0.018), COPD knowledge (β = 0.263, p = 0.001), and perceived social support (β = 0.366, p <0.001). Conclusion: The study shows evidence that a program to intervene targeting COPD knowledge and perceived social support, in addition to reducing dyspnea and perceived stress, can be beneficial in promoting better self-management behaviors among adults with mild to moderate COPD.
Characteristics associated with career self-reliance behaviors of nurses working in nursing homes in Japan: A cross-sectional study Nakayama, Ayako; Hoshino, Junko; Hotta, Masashi; Hashimoto, Mayuri; Furukawa, Naomi
Belitung Nursing Journal Vol. 11 No. 1 (2025): January - February
Publisher : Belitung Raya Foundation, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33546/bnj.3665

Abstract

Background: With an aging global population, establishing integrated systems for long-term care is challenging in several countries. Adequate and quality service for older adults in nursing homes can improve their quality of life. The career self-reliance of nurses working in nursing homes may affect the quality of life of older adults; this suggests a need for educational support for career self-reliance behavior.  Objective: Our study aimed to identify characteristics associated with the career self-reliance behaviors of nurses working in nursing homes. Methods: Data were collected from nurses working in 789 nursing homes in Japan using questionnaires in 2018. The questionnaire consisted of the Scale of Career Self-Reliance Attitude, Career Self-Reliance Behavior to measure the degree of nurses’ career self-reliance, questions about personal attributes, work environment, and work commitment; and the Clinical Nursing Competence Self-Assessment Scale. A multiple regression analysis was conducted using career self-reliance as the dependent variable and characteristics as the independent variables. Results: Consequently, a total of 336 questionnaires were collected, of which 289 without missing data were analyzed. Of the 289 participants, 79 (27.3%) had certifications or licenses other than those for nursing or had completed graduate school. As a result of multiple regression analysis, a higher frequency of nursing practice (β = 0.38, p <0.001) was associated with career self-reliance attitudes. Having certifications or licenses other than those for nursing or completing graduate school (β = 0.11, p = 0.03), job satisfaction as a nurse (β = 0.12, p = 0.03), higher frequency of nursing practice (β = 0.28, p <0.001), and a higher degree of career self-reliance attitude (β = 0.45, p <0.001) were associated with career self-reliance behavior. Relationships with supervisors or colleagues were not associated with career self-reliance. Conclusion: It is important for nurses working in nursing homes to enrich their nursing practice, continue learning, and be satisfied with their jobs to improve their career self-reliance. Nurses and administrators working in nursing homes should make efforts to obtain these characteristics for nurses’ career self-reliance behaviors. Particularly, maintaining nursing practice frequency is essential for improving the quality of life of older adults through nurses’ career self-reliance.
Quality of life among Indonesian family caregivers caring for dependent older persons with type 2 diabetes mellitus in the community: A cross-sectional, correlational study Siregar, Rinco; Kritpracha, Charuwan; Chinnawong, Tippamas; Latour, Jos M.
Belitung Nursing Journal Vol. 11 No. 1 (2025): January - February
Publisher : Belitung Raya Foundation, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33546/bnj.3683

Abstract

Background: The global prevalence of older adults with diabetes has increased, and family caregivers in Indonesia play a critical role in managing diabetes and providing personal care. However, caregiving can be complex and challenging, often negatively affecting caregivers' quality of life (QoL). Objective: This study aimed to develop and test a hypothesized causal model of QoL among Indonesian family caregivers who care for dependent older persons with type 2 diabetes mellitus (T2DM) in 2024. Methods: A cross-sectional, correlational study was conducted with 270 family caregivers recruited from five Community Health Centers. Data were collected using various scales: the Center for Epidemiologic Studies Depression Scale, the Zarit Burden Interview, the Duke University Religion Index, the Perceived Knowledge on T2DM Care Scale, the Family-Carer Diabetes Management Self-Efficacy Scale, the Multidimensional Scale of Perceived Social Support, and the Quality-of-Life Index. Descriptive statistics and Partial Least Squares Structural Equation Modeling (PLS-SEM) were used for analysis. Results: The final model explained 89.1% of the variance in the quality of life (QoL) of family caregivers (R² = 0.893, Adjusted R² = 0.891), with 66% predictive relevance. Depression symptoms had the strongest negative direct effect on QoL, followed by caregiver burden. Self-efficacy and perceived knowledge had positive direct effects, while social support showed no significant direct effect. Indirect effects revealed that social support and self-efficacy positively influenced QoL through depression symptoms. The total effect (TE) analysis confirmed that depression symptoms had the strongest negative effect on QoL (TE = -0.744, p <0.001), while social support (TE = 0.443, p <0.001) and self-efficacy (TE = 0.413, p <0.001) had positive effects. Conclusion: Reducing depression symptoms and caregiver burden, strengthening social support, and promoting self-efficacy could significantly improve the QoL of family caregivers who care for older persons with T2DM. Nursing practice should address caregivers' physical and emotional needs, provide education, foster social support, and support caregiver mental health.
The role of changes in metabolic syndrome status on health-related quality of life in Bogor City, West Java, Indonesia: A cross-sectional study Indriyati, Titi; Adisasmita, Asri C.; Nadjib, Mardiati; Subekti, Imam; Hatma, Ratna Djuwita; Kosen, Soewarta; Riyadina, Woro; Purnamasari, Telly
Belitung Nursing Journal Vol. 11 No. 2 (2025): March - April
Publisher : Belitung Raya Foundation, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33546/bnj.3543

Abstract

Background: Metabolic syndrome (MetS) is a cluster of chronic conditions, including central obesity, hypertension, impaired glucose metabolism, and dyslipidemia (low HDL, high LDL, and triglycerides). A diagnosis of MetS is made when three or more of these symptoms are present. If left unmanaged, MetS can lead to serious health complications such as cardiovascular disease and type 2 diabetes. Over time, individuals with MetS may experience a decline in their health-related quality of life (HRQoL), especially due to its chronic nature. Objective: This study aimed to evaluate the effects of changes in MetS status on HRQoL. Methods: This study employed a cross-sectional design. Secondary data from the cohort study of Non-Communicable Disease (NCD) risk factors, conducted by the Health Research and Development Agency of the Ministry of Health of the Republic of Indonesia in Bogor City, was used. Data from four follow-up periods (2011/2012 to 2017/2018) were analyzed. A total of 874 respondents were selected via total sampling based on inclusion and exclusion criteria. Data were collected in 2021, which included measures of knowledge, health check-ups, and HRQoL using the SF-36 questionnaire. Statistical analyses, including chi-square tests, t-tests, and multiple regression analyses, were conducted to examine the associations between MetS status and HRQoL. Results: Descriptive analysis revealed that 19% (171 participants) had worsened MetS status, while 80.4% (703 participants) showed improvement. Chi-Square analysis found that respondents with worsening MetS status were 1.6 times more likely to experience poor HRQoL in the physical dimension (95% CI = 1.1-2.3), but no significant effect was found for the mental dimension (PR = 1.1, 95% CI = 0.8-1.6). Multiple logistic regression analysis revealed that comorbidities interacted with worsening MetS status to significantly affect HRQoL in the physical dimension. The adjusted prevalence ratios (PR) were 27.5 (95% CI = 10.3-73.2) for those with comorbidities and 9.2 (95% CI = 5.7-15.0) for those without comorbidities, after controlling for age, mental health, BMI changes, routine health checks, and knowledge. Conclusion: Changes in MetS status towards worsening have a significant negative effect on HRQoL, particularly in the physical dimension. The presence of comorbidities in individuals with worsening MetS status greatly increases the risk of poor HRQoL. Healthcare professionals and nurses should consider the interaction between MetS and comorbidities in patient management. Nurses are encouraged to monitor HRQoL in patients with MetS, promote education on managing comorbidities, and collaborate across disciplines to enhance patient care and intervention programs aimed at improving HRQoL.

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