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Belitung Nursing Journal
ISSN : 2528181x     EISSN : 24774073     DOI : -
Core Subject : Health,
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
Effectiveness of the active senior program in preparing for physical deterioration and quality aging among pre-older adults in Prachin Buri Province, Thailand: A quasi-experimental study Nambut, Phanutchanat; Krampaiboon, Lalisa; Konghrang, Siriporn; Khantikulanon, Nonlapan; Praserttai, Chaninan; Mungkhunthod, Sootthikarn; Tanthanapanyakorn, Phannathat
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.3721

Abstract

Background: Thailand’s rapidly aging population presents unique challenges, particularly in promoting health and well-being among pre-older adults. Physical deterioration and related health complications become increasingly prevalent in this demographic, affecting quality of life, independence, and community involvement. Preparing for deterioration and quality aging involves taking proactive steps to address the physical declines associated with aging while enhancing overall well-being. This approach helps ensure a high quality of life as individuals age, enabling them to remain active and independent during the transition to older adulthood. Objective: This study aimed to evaluate the effectiveness of the Active Senior Program in preparing for physical deterioration and enhancing the quality of aging among pre-older adults in Prachin Buri Province, Thailand. Methods: This quasi-experimental study included 80 pre-older adults aged 50 to 59 years, divided into two groups using purposive sampling: the intervention group (n = 40) and the control group (n = 40). The intervention group participated in a five-week Active Senior Program, while the control group received a self-exercise handbook. The study was conducted from August to December 2023. Assessments involved interviews and the completion of an evaluation form at baseline, post-intervention, and three-month follow-up. Data analysis was performed using descriptive statistics and a repeated-measures ANOVA test. Results: The analysis showed statistically significant differences in body mass index (F = 6.770, p = 0.011), waist circumference (F = 6.975, p = 0.011), and exercise behavior scores (F = 57.428, p <0.001) between the intervention and control groups at the three-month follow-up. Furthermore, within the intervention group, these parameters had statistically significant differences from baseline to the three-month follow-up (p <0.001). However, there were no significant differences in muscle mass observed between or within the groups. Conclusion: This study highlights the effectiveness of the Active Senior Program in promoting exercise behavior, reducing body mass index, and decreasing waist circumference among pre-older adults. Nurses are crucial in implementing and supporting such interventions within primary care. Integrating this program can foster long-term health, independence, and quality aging. Sustained collaboration between healthcare providers and policymakers is essential to ensuring its long-term success and maximizing community well-being. Trial Registry Number: Thai Clinical Trials Registry (TCTR20250217006)
Development and psychometric evaluation of the Japanese version of the Nurse Professional Competence Scale Short-Form Tanabe, Sachiko; Tanaka, Mika; Arai, Yoko; Matsuo, Kanae; Nakrem, Sigrid; Gardulf, Ann
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.3726

Abstract

Background: To develop high-quality human resources with the competence required for nursing, contents of undergraduate education programs must be reviewed and enhanced. Assessments of competence levels at the time of graduation can be used to evaluate nursing education programs. International comparisons using a common assessment instrument can help identify and endorse common features, as well as highlight areas that need reform in nursing education programs from a wide range of perspectives. Objective: To develop the Japanese version of the Nurse Professional Competence Scale Short-Form and assess its psychometric properties. Methods: This study used a descriptive cross-sectional design to validate an instrument, conducted at eight university schools of nursing in mainland Japan. A total of 714 graduating nursing students were invited and informed about the study in mid-February 2022, with 299 students (41.88%) responding to all questions and submitting their answers via online survey forms. After item analysis, confirmatory factor analysis was conducted. Concurrent validity and internal consistency were also assessed. Results: Respondent ages ranged from 21 to 51 years, with an average age of 22.4 ±1.97 years. Most of the respondents were female (97.99%). The mean score for the scale was 55.70 (±9.98), and the scores for the six competence areas ranged from 48.04 (±14.07) to 64.73 (±10.67). Item analysis revealed that all items met each criterion, except for Pearson’s correlation coefficients for Items 34 and 35. Confirmatory factor analysis showed the CMIN/df value was 2.46, and the root mean square error of approximation value was 0.07. Concurrent validity analysis showed significant moderate correlations (r = 0.45 and 0.49, p < 0.001). The Cronbach’s α values for the scale and six competence areas ranged from 0.75 to 0.95.Conclusions: The Nurse Professional Competence Scale Short-Form Japanese version, comprising 35 items across six competence areas, demonstrated reasonably acceptable validity and reliability for use with graduating nursing students in Japan. The highest- and lowest-scoring competence areas were Value-Based Nursing Care and Medical Technical Care, respectively.
Critical care nurses’ knowledge regarding prevention of central venous catheter-related infection in Saudi Arabia: A cross-sectional study Alshammari, Bassam Shyhan; Alsaqri, Salman Hamdan; Alkubati, Sameer A.; Llego, Jordan H.; Al-Sadi, Ahmad K.; Ali, Aziza Z.; Elsayed, Wessam A.; Balawi, Anas Mahmoud; Nageeb, Shaimaa Mohamed; Hamed, Laila A.
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.3729

Abstract

Background: Central venous catheter-related infections (CVC-RIs) are a significant concern in intensive care units (ICUs), contributing to increased morbidity, mortality, and healthcare costs. Nurses play a crucial role in preventing these infections through proper catheter care, adherence to aseptic techniques, and early detection of complications. However, knowledge gaps may hinder effective infection prevention and patient outcomes. Objective: This study aimed to evaluate ICU nurses’ knowledge of CVC-RI prevention and identify factors influencing their knowledge. Methods: A cross-sectional study was conducted among 202 ICU nurses in Al-Jouf, Saudi Arabia, from April to June 2023. Data were collected using a self-reported questionnaire assessing knowledge across eight domains: CVC-RI pathophysiology, diagnosis, catheter insertion sites, frequency of CVC changes, skin antisepsis, dressing changes, use of antibiotics/antiseptic ointments, and general CVC care. Statistical analyses included frequency, percentage, mean, standard deviation, Mann-Whitney, Kruskal-Wallis, and univariate and multivariate logistic regression. Results: The mean knowledge score was 5.8 ± 2.3. The highest knowledge was observed in catheter insertion sites (47.8% of the total score), followed by CVC-RI diagnosis (34.9%) and dressing change frequency (40.3%). The lowest score was in CVC-RI pathophysiology (14.6%), indicating a significant knowledge gap. Age, education, training on CVC-RI prevention, and the source of information significantly influenced knowledge (p <0.05). Multivariate analysis revealed that education (p = 0.002) and receiving information on CVC-RI (p = 0.007) were significant predictors of higher knowledge. Nurses who received information from the Infection Control Unit demonstrated the highest knowledge levels (p = 0.008). Conclusion: The findings emphasize the need for targeted educational programs and continuous professional development to address knowledge gaps in CVC-RI prevention. Healthcare institutions should prioritize up-to-date curricula, ongoing training initiatives, and reliable information sources to enhance ICU nurses’ ability to prevent catheter-related infections and improve patient care outcomes. It is essential for nurses to actively engage in ongoing training to close knowledge gaps and enhance their role in infection prevention.
Factors influencing quality of life in adolescents with type 1 diabetes mellitus: A cross-sectional study in South Korea Park, Hye-Ryeon; Park, So-Yeon
Belitung Nursing Journal Vol. 11 No. 3 (2025): May - June
Publisher : Belitung Raya Foundation, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33546/bnj.3701

Abstract

Background: The promotion of quality of life for adolescents with type 1 diabetes mellitus enables them to achieve physical, psychological, and social development. Improving quality of life positively influences their well-being in adulthood. Objective: This study aimed to identify the factors influencing quality of life in adolescents with type 1 diabetes mellitus. Methods: Data were collected from April 2022 to February 2023. The quality of life of 146 adolescents with type 1 diabetes mellitus was analyzed. The data were analyzed using IBM SPSS Statistics 25.0, with t-tests, ANOVA, Pearson’s correlation, and stepwise multiple regression. Results: The quality of life of adolescents with type 1 diabetes was significantly correlated with depression (r = -0.31, p <0.001) and diabetes distress (r = -0.42, p <0.001). Stepwise multiple regression analysis identified diabetes distress (β = -0.38, p <0.001) and insulin treatment (β = 0.15, p = 0.048) as factors influencing quality of life. Conclusion: Periodic education and nursing interventions to improve self-care capacity for adolescents with type 1 diabetes mellitus are essential for reducing diabetes distress. Additionally, it is important to promote the use of insulin pump at the national level, include expanding insurance coverage and offering personalized insulin pump education.
Factors predicting resilience among caregivers of people with chronic illness: A cross-sectional study of Thai caregivers Kummabutr, Jeeraporn; Buaboon, Natthapat; Keawsriwong, Siriluck
Belitung Nursing Journal Vol. 11 No. 3 (2025): May - June
Publisher : Belitung Raya Foundation, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33546/bnj.3711

Abstract

Background: Millions of adults in Thailand serve as caregivers, facing significant public health challenges related to caregiver burden and well-being. Resilience is linked to better caregiver outcomes, yet the predictors of resilience are not fully understood. Objective: This study aimed to identify the factors predicting resilience among caregivers of people with chronic illness. Methods: A descriptive, cross-sectional design was used with a sample of 172 caregivers selected through multi-stage random sampling. Data were collected between February 2020 and January 2021 using validated instruments. Data were analyzed using descriptive statistics, bivariate analysis, and multiple regression analysis, with significance set at p <0.05. Results: Caregiver resilience scores were within the normal range (Mean = 61.40, SD = 8.735). In bivariate analysis, 7 out of 10 variables—age, stress, self-efficacy, social support, self-esteem, attitude toward care, and family functioning—were significantly associated with caregiver resilience (p <0.05). Multiple regression analysis revealed that key factors significantly predicting caregiver resilience included self-esteem (β = 0.213, p<0.001), attitude toward care (β = 0.268, p <0.001), family function (β = 0.317, p <0.001), and age (β = -0.114, p = 0.037). In contrast, stress (β = -0.230, p <0.001) and knowledge (β = -0.182, p = 0.001) were negatively related to resilience, indicating that higher stress levels diminish coping abilities and that greater caregiving knowledge may contribute to emotional burden. Together, these predictors explained 56.8% of the variance in caregiver resilience (R² = 0.568), highlighting their substantial influence on caregivers’ ability to manage caregiving challenges. Conclusion: This study identifies key factors that influence caregiver resilience, particularly family support, self-esteem, and attitude toward care, while also highlighting the negative impacts of stress and age on resilience. Nurses play a crucial role in enhancing caregiver resilience by focusing on these factors through family-centered interventions, stress management programs, and psychosocial support. Strengthening these areas can significantly improve the quality of life for both caregivers and patients, leading to more effective caregiving outcomes.
Retention in HIV care among Southeast Asian people living with HIV: A systematic review and meta-analysis Maulana, Sidik; Ibrahim, Kusman; Pramukti, Iqbal; Amirah, Shakira; Hartantri, Yovita
Belitung Nursing Journal Vol. 11 No. 3 (2025): May - June
Publisher : Belitung Raya Foundation, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33546/bnj.3719

Abstract

Background: Despite the effectiveness of antiretroviral therapy (ART) in reducing HIV-related morbidity and mortality, the retention of HIV care remains suboptimal in Southeast Asia. Objective: This systematic review and meta-analysis aimed to investigate the coverage of retention in care and the likelihood factors for retention in HIV care among Southeast Asian people living with HIV, to inform targeted interventions and policy improvements. Methods: Following the Preferred Reporting Item for Systematic Review and Meta-analysis (PRISMA) guidelines, this study included observational studies reporting factors associated with retention in HIV care among Southeast Asian adults, with searches conducted in PubMed, Scopus, Cochrane Library, and CINAHL up to July 15, 2024. Demographic and clinical factors were analyzed using a random-effects model with the generalized linear mixed-effect model (GLLM) to estimate proportion and the DerSimonian-Laird method to estimate odds ratios (OR) with 95% confidence intervals (CI), assessing heterogeneity using the I² statistic. Results: Among the eleven studies with 46,480 pooled participants analyzed, the coverage of retention in care revealed a pooled proportion of 75.2% (95% CI: 66.7-82.1). Significant clinical factors associated with a higher likelihood of retention included high CD4 count (≥200 cells/mm³) (OR 2.17 (95%CI: 1.19-3.97, p = 0.01), WHO stage 3-4 (OR 2.06, 95%CI: 1.09-3.87, p = 0.02), not being on ART (OR 6.88, 95%CI: 1.89-25.06, p = 0.001), hemoglobin levels ≥10 g/dL (OR 0.50, 95% CI: 0.25-0.99, p = 0.04), and demographic factors of employment (OR 1.18, 95% CI: 1.02-1.38; p = 0.03). Other clinical factors, such as HIV stage, TB co-infection, drug abuse/substance use, and hemoglobin levels, did not significantly affect the likelihood of retention. Similarly, demographic factors such as age, gender, education, marital status, and geographic setting also showed no significant impact on likelihood retention. Conclusion: Retention in care among Southeast Asian people living with HIV was still below 95%. Clinical factors, particularly high CD4 counts, WHO stage, and the absence of ART, were likelihood factors for retention in HIV care, whereas other clinical and demographic factors studied did not show a significant impact. A universal test and treatment strategy is required to improve retention in care.
Evaluating the knowledge, roles, and skills of health cadres in stunting prevention: A mixed-method study in Indonesia Widiasih, Restuning; Sunjaya, Deni Kurniadi; Rahayuwati, Laili; Rusyidi, Binahayati; Ermiati; Sari, Citra Windani Mambang; Mardani; Rusdi; Tung, Serene En Hui
Belitung Nursing Journal Vol. 11 No. 3 (2025): May - June
Publisher : Belitung Raya Foundation, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33546/bnj.3722

Abstract

Background: Stunting remains a critical public health issue in Indonesia, threatening the well-being of future generations. Community involvement, particularly by health cadres, is essential for effective prevention. However, structured assessments and follow-up initiatives to enhance their participation remain limited. Objective: This study aimed to evaluate health cadres' knowledge, roles, and skills in stunting prevention programs. Methods: A mixed-methods design with an embedded approach was applied in three phases. Phase 1: A quantitative survey assessed stunting knowledge among 193 cadres across 10 stunting locus villages in Bangka Belitung Province, Indonesia (October–December 2022). The survey tool was adapted from previous studies and analyzed using the RASCH IRT model and descriptive statistics. Phase 2: Qualitative data were collected through semi-structured interviews with 20 cadres selected from the survey pool, and analyzed thematically. Phase 3: The same 20 cadres were observed conducting anthropometric measurements to assess skill accuracy. Results: Knowledge levels were generally low, with 52% of cadres scoring low to very low and only 48% achieving moderate to high scores. Three themes emerged: 1) cadres’ perspectives on the causes and consequences of stunting, 2) their roles and actions in stunting prevention, and 3) their experiences during the COVID-19 pandemic. Observations revealed significant inaccuracies in anthropometric measurement techniques. Conclusion: There is a clear need to improve cadres’ knowledge and skills, especially in anthropometric assessment. Recommendations include implementing certification-based training, introducing innovative and standardized measurement tools, and offering accessible web-based learning platforms. Nurses play a crucial role in supporting cadre training and ensuring accurate growth monitoring at the community level.
The impact of a self-management program on volume overload among patients with heart failure in Thailand: A quasi-experimental study Lungkawong, Napassawan; Polsook, Rapin
Belitung Nursing Journal Vol. 11 No. 3 (2025): May - June
Publisher : Belitung Raya Foundation, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33546/bnj.3730

Abstract

Background: Volume overload is a common and serious complication in patients with heart failure, often leading to hospital readmissions and decreased quality of life. Effective self-management strategies are essential in preventing fluid accumulation and improving patient outcomes. Mobile technology offers a scalable means to support such interventions, particularly in culturally specific contexts. Objective: This study aimed to evaluate the effectiveness of a self-management program delivered via the LINE application in reducing volume overload among Thai patients with heart failure. Methods: A quasi-experimental design was employed with 46 participants randomly assigned to either a control or experimental group. The control group received standard care, while the experimental group participated in a four-week self-management program based on Lorig and Holman’s theoretical framework, focusing on six key skills and three self-care tasks. Volume overload was assessed using a modified Framingham criteria-based instrument with confirmed content validity and acceptable reliability. Data were analyzed using paired and independent t-tests with IBM SPSS version 21. Results: Post-intervention, the experimental group showed a significant reduction in fluid volume overload scores (M = 6.96, SD = 1.46) compared to pre-intervention (M = 8.65, SD = 1.57, t = 9.90, p <0.001, Cohen’s d = 1.11). The control group showed no significant change. An independent t-test confirmed a statistically significant difference between the experimental and control groups post-intervention (t = 3.67, df = 44, p <0.001, Cohen’s d = 1.08), indicating a substantial effect of the intervention. Conclusion: The self-management program via the LINE application effectively reduced volume overload in Thai patients with heart failure. Integrating culturally familiar mobile technology and structured self-care education significantly enhanced patient engagement and health outcomes. This study highlights the importance of incorporating digital tools into patient education and follow-up for nursing practice to empower individuals in managing chronic conditions like heart failure. Future research should explore long-term impacts and scalability across diverse healthcare settings. Trial Registry Number: Thai Clinical Trials Registry (TCTR20241124001)
Assessing sexual health literacy among Thai female adolescents in non-formal education: A mixed-methods study Narkbubpha, Rapeepan; Sriyasak, Atcharawadee; Sarakshetrin, Atiya; Thungthin, Pailin
Belitung Nursing Journal Vol. 11 No. 3 (2025): May - June
Publisher : Belitung Raya Foundation, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33546/bnj.3744

Abstract

Background: Adolescent pregnancy in Thailand and globally remains a major public health issue, often leading to significant health and social consequences. Among adolescents outside the formal education system, low levels of sexual and reproductive health literacy contribute to poor decision-making and increased risk of unintended pregnancy. Targeted, culturally sensitive interventions are essential to bridge these gaps and reduce associated hardships. Objective: This study aimed to evaluate the sexual health literacy of Thai female adolescents in non-formal education, focusing on their knowledge levels, decision-making processes, and barriers to accessing accurate sexual health information and services. Methods: A mixed-methods sequential explanatory design was used. Quantitative data were collected between November 2021 and September 2022, and qualitative data between December 2022 and August 2023. Multi-stage random sampling was used to select 270 participants aged 15–19 from non-formal education programs, yielding a final sample of 200 after excluding incomplete data (response rate = 74.07%). The qualitative phase involved semi-structured interviews with 30 participants who scored low on the sexual health literacy assessment. Information was gathered through semi-structured interviews to explore their knowledge and decision-making process. Descriptive statistics were used to analyze the quantitative data, and thematic analysis was used to analyze the qualitative responses. Results: Participants demonstrated moderate overall sexual health literacy (M = 97.73, SD = 16.91). Decision-making regarding sexual practices scored the highest (88.79%), while access to health information and services scored the lowest (54.72%). Thematic analysis revealed four major themes: 1) The need for supplemental sexual education beyond formal classrooms, 2) Widespread misconceptions and reliance on unreliable contraceptive information sources, 3) Limited access to sexual health services for adolescents, and 4) The decision-making process prior to selecting a contraceptive method. Conclusion: There is a clear need for targeted, comprehensive sexual health literacy programs that improve adolescents’ knowledge, communication skills, and understanding of contraception. Engaging mothers and other female relatives as key influencers, along with the involvement of nurses and youth-friendly service providers, is essential. These initiatives should focus on preventing high-risk behaviors, delaying sexual initiation, and reducing unplanned pregnancies, especially in underserved non-formal education contexts.
Effectiveness of mHealth on self-care profile and blood pressure among patients with hypertension in Indonesia: A single-blind randomized controlled trial Widyastuti, Chatarina Setya; Dinarti, Lucia Kris; Aulawi, Khudazi; Lazuardi, Lutfan
Belitung Nursing Journal Vol. 11 No. 3 (2025): May - June
Publisher : Belitung Raya Foundation, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33546/bnj.3760

Abstract

Background: Self-management is essential for controlling blood pressure and requires consistent effort. Mobile health (mHealth) applications can support patients in independently managing hypertension and maintaining better control over their blood pressure. Objective: This study aimed to evaluate the effectiveness of MaRiTensi mobile application in improving knowledge, motivation, self-efficacy, and self-care among patients with hypertension, as well as in lowering blood pressure. Methods: A two-arm randomized controlled trial with a single-blind evaluator was conducted among 108 patients with hypertension, recruited from a private hospital and two health centers in Yogyakarta, Indonesia. The 12-week study was implemented from October 2023 to April 2024. Participants were randomly assigned to the intervention group, which used the MaRiTensi app, or the control group, which received usual care. Primary outcomes—knowledge, self-care, self-efficacy, and motivation—were measured using a validated questionnaire, while the secondary outcome—blood pressure—was assessed through clinical measurement. Ninety-nine participants completed the study and were included in the analysis. Repeated measures ANOVA was used to evaluate within-group changes over time. Intergroup comparisons were analyzed using the chi-square test, independent t-test, or Mann–Whitney U test. Results: No significant baseline differences were found between the two groups (p >0.05). Significant improvements were observed in knowledge, self-care, and systolic and diastolic blood pressure in both groups (p <0.01). Self-efficacy significantly improved only in the intervention group (p <0.01). No significant changes in motivation were observed over time in either group (p >0.05). Significant between-group differences were found at the first evaluation for self-care (p = 0.005; d = 0.58), self-efficacy (p = 0.011; d = 0.52), motivation (p = 0.026; d = 0.44), systolic pressure (p = 0.039; d = 0.42), and diastolic pressure (p = 0.009; d = 0.54), and at the second evaluation for self-care (p = 0.024; d = 0.46). Conclusions: MaRiTensi may effectively improve self-care, self-efficacy, and blood pressure control among patients with hypertension, although it showed limited impact on knowledge and motivation. The application shows promise as a nursing intervention, but further research is needed to assess its long-term effectiveness and sustainability. Trial Registry Number: NCT06049862 [ClinicalTrials.gov]

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