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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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Exploring online learning: Virtual teaching quality, student satisfaction, and academic performance among nursing students in Peru – a cross-sectional study Sharif, Loujain S.; Fernandez-Delgado, Jhan CM.; Aguilar-Altamirano , Erick E.; Ramírez-Ramírez, Wildoro; Mahsoon, Alaa; Banakhar, Maram; Fernández-Sanchez, Higinio
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.3762

Abstract

Background: Virtual teaching has become an essential component of nursing education today, but its impact on practical courses remains unexplored. There is a need to understand how the quality of virtual teaching influences both academic performance and student satisfaction. Objective: This study aims to explore how nursing students’ satisfaction and academic performance in practical courses relate to the quality of virtual teaching in a Peruvian university in 2023. Methods: A descriptive cross-sectional correlational study was conducted by surveying 125 nursing students in northern Peru from March to May 2023. The data were collected using the Online Education Scale and Academic Satisfaction Scale. Academic performance was assessed through documentary analysis of the students’ general averages, and Kendall’s tau-b test was used to assess the relationship. Additionally, Pearson’s Chi-square test and both bivariate and multivariate logistic regression analyses were conducted to obtain more precise relationships. Results: The study found that 54.4% of nursing students rated virtual teaching quality as low, with the same percentage reporting low satisfaction and 59.2% having low academic performance. Virtual teaching quality was positively correlated with satisfaction (τb = 0.415, p <0.01) and negatively with academic performance (τb = -0.176, p = 0.043). Pearson’s Chi-square and logistic regression showed significant relationships in several virtual teaching dimensions. Virtual collaborative teaching and development of virtual capabilities were rated low by 72.8% and 60.8% of students, respectively. Both had significant odds ratios (COR: 4.1, AOR: 3.8, p = 0.012 and COR: 3.8, AOR: 3.5, p = 0.010). Virtual resources and accompaniment showed moderate ratings, with significant results for virtual resources (COR: 1.5, AOR: 1.3, p <0.001) and virtual accompaniment (COR: 1.2, AOR: 1.0, p = 0.040). Conclusion: This study revealed that poor-quality virtual teaching negatively impacted nursing students in Peru, leading to reduced satisfaction and academic performance. The positive correlation between teaching quality and satisfaction suggests that improving virtual teaching could enhance student satisfaction. However, the negative correlation with academic performance highlights challenges in adapting practical nursing education to virtual formats. Improving virtual methodologies and exploring innovative strategies, such as hybrid learning models, are essential for improving outcomes in nursing education.
Factors influencing health-related quality of life among people with uncontrolled type II diabetes mellitus in Wenzhou, China: A cross-sectional study Li, Huiwei; Moungkum, Saifone; Jullamate, Pornchai
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.3785

Abstract

Background: China has a high prevalence of Type 2 Diabetes Mellitus (T2DM), and more than half of the population has uncontrolled blood sugar levels. As a result, this leads to a reduction in health-related quality of life (HRQOL). Therefore, identifying the factors that influence HRQOL in individuals with uncontrolled T2DM is a clinical priority. Objectives: This study aimed to describe the level of HRQOL among people with uncontrolled T2DM in Wenzhou, China, and to examine the predictive factors, including social support, diabetes distress, self-efficacy, and health literacy, in relation to HRQOL among these individuals. Methods: This predictive correlational study used a simple random sampling technique to recruit 107 adults with uncontrolled T2DM from the Endocrinology outpatient department at the First Affiliated Hospital of Wenzhou Medical University in Wenzhou, China, between August and September 2024. Data were collected through questionnaires and standardized tools to assess the correlation between HRQOL, social support, health literacy, self-efficacy, and diabetes distress. Data were analyzed using descriptive statistics and multiple regression analysis. Results: The HRQOL in this study was moderate (Mean = 3.34, SD = 0.31). Significant factors associated with HRQOL were health literacy (r = 0.819, p <0.01), self-efficacy (r = 0.825, p <0.01), and social support (r = 0.477, p <0.01). All predictor variables in the regression model collectively explained 79.8% of the variance in HRQOL among individuals with uncontrolled T2DM. Furthermore, health literacy (β = 0.426, p <0.001), self-efficacy (β = 0.463, p <0.001), and social support (β = 0.130, p = 0.009) were significant predictors of HRQOL. Conclusion: Enhancing health literacy, self-efficacy, and social support is crucial for improving HRQOL. Healthcare professionals and nurses should develop and implement intervention programs that help individuals and families enhance their critical thinking abilities and adopt lifestyles that support disease management and improve HRQOL.
A qualitative study of contributing factors to burnout among Jordanian midwives Alsaraireh, Arwa; Al-Sarairhe, Ishraq; Al-Tarawneh, Tamador R.; Raghavan, Divya; Al-Nawafleh, Ahmad H.
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.3790

Abstract

Background: The healthcare system, particularly the midwifery profession in Jordan, faces significant challenges that negatively impact midwives and the quality of maternal care, primarily due to resource limitations and increasing service demands. While quantitative research has examined burnout levels among Jordanian midwives, there is limited qualitative insight into their lived experiences, particularly in the southern region of Jordan. Objective: This study aimed to explore the factors contributing to burnout among midwives in southern Jordan and to gain a deeper understanding of their professional experiences within the current healthcare context. Methods: A qualitative descriptive approach was employed between 2023 and 2024. Ten midwives were purposively recruited from public hospitals and community health centers in southern Jordan. Data were collected through semi-structured, in-depth interviews and analyzed using thematic analysis. Trustworthiness was ensured using Lincoln and Guba’s criteria: confirmability, credibility, dependability, and transferability. Results: Two main themes emerged from the analysis: 1) the emotional and physical toll of undervaluation and its negative impact on job satisfaction, and 2) limited professional autonomy and challenges related to empowerment in clinical settings. These findings reflect both personal and structural contributors to burnout. Conclusion: Burnout among midwives in southern Jordan is driven by emotional strain, lack of recognition, and restricted autonomy. These challenges affect not only job satisfaction but also the quality of care provided. Addressing these issues through supportive policies, improved working conditions, and greater professional recognition is critical for strengthening the midwifery workforce. The findings also offer valuable insights for other countries with similar healthcare structures and midwifery challenges.
Technology as Lens for Knowing Person as Caring Locsin, Rozzano C.; Schoenhofer, Savina O.
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.3830

Abstract

N/A
Self-compassion in parents of children with chronic illnesses: A concept analysis Boonlue, Chayapa; Srisawet, Siriluk
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.3833

Abstract

Background: Having a child with a chronic condition presents major stress for parents and can adversely affect parenting quality, thus jeopardizing children’s outcomes. Self-compassion serves as an emotion regulation strategy to cope with stress from parenting, but remains unexplored, particularly in the parents’ context related to their children’s chronic illnesses. Objective: This paper aimed to explore and analyze the concept of self-compassion in parents of children with chronic illnesses to inform future research, clinical practices, and intervention designs for improving parenting outcomes. Methods: Walker and Avant’s eight-step concept analysis approach was conducted, which comprised selecting the concept, defining analysis aims, conducting a literature search (2014–2024) using specified keywords across major databases (CINAHL, ScienceDirect, PubMed, Medline, ProQuest, Scopus and Google Scholar), identifying defining attributes, presenting model, borderline, related, and contrary cases, and outlining antecedents, consequences, and empirical referents. Results: The attributes of self-compassion in parents of children with chronic illnesses consist of self-kindness, common humanity, mindfulness, and motivation to relieve suffering. Antecedents comprise illness perception, social support, and stigma. Consequences are improved parents’ psychological well-being (decreased depression, anxiety, parental stress, and burnout), effective parenting (parental responsiveness and mindful parenting), and reduced children’s difficulties (internalizing and externalizing symptoms). Conclusion: This concept analysis offers the antecedents, attributes, and consequences of self-compassion in parents of children with chronic illnesses. Nursing care should focus on self-compassion education that incorporates interdisciplinary collaboration to enhance parents’ understanding of their child’s illness. Nurses should assess social support, encourage parents to seek support networks, and provide skill training to cope with stigma. Healthcare professionals need training for cultural competence to work with families from diverse cultural backgrounds and manage cultural differences in parenting practices and child-rearing standards.
Psychometric evaluation of the Indonesian Version of the Empathy Questionnaire for Children and Adolescents (EmQue-CA) Wuryaningsih, Emi Wuri; Lusmilasari, Lely; Haryanti, Fitri; Wahyuni, Budi
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.3861

Abstract

Background: Assessing empathy in adolescents is essential for developing effective school bullying prevention programs. However, no validated instrument for evaluating empathy in Indonesian adolescents was previously available. Objective: This study aimed to evaluate the validity and reliability of the Indonesian version of the EmQue-CA and its subscales, providing a tool for assessing empathy in adolescents in Indonesia. Methods: Psychometric testing was conducted in January and February 2024 following the translation and cross-cultural adaptation of the EmQue-CA into Indonesian. A total of 140 junior high school students aged 13 to 15 were selected through multistage sampling. Exploratory Factor Analysis (EFA) was performed to determine the factor structure, while reliability was assessed using Cronbach’s alpha and test-retest reliability. Results: EFA supported a three-factor structure—affective empathy (3 items), cognitive empathy (3 items), and intention to comfort (4 items)—consisting of 10 items in total, which accounted for 65.97% of the variance. The instrument showed strong internal consistency (Cronbach’s alpha = 0.96) and excellent test-retest reliability (r = 0.96, 95% CI: 0.94–0.97). Conclusion: The 10-item Indonesian version of the EmQue-CA is a valid and reliable tool for assessing empathy in adolescents. It can be used by school nurses, healthcare professionals, and educators to support the development of empathy-based interventions in school settings.
Effect of life purpose program on the wellness of juvenile delinquents with a history of alcohol use detained at the juvenile detention center: A quasi-experimental study Balthip, Karnsunaphat; Phoomchaiya, Sirimas; Nudla, Palida; Suwanruangsri, Sarana; Sathirapanya, Chutarat; Buathong, Napakkawat
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.3795

Abstract

Background: Juvenile delinquency with a history of alcohol use is a growing concern with a significant impact on their holistic well-being. Life purpose (LP) has been recognized as essential for enhancing adolescent wellness. LP should therefore be useful in addressing juvenile delinquency. Objective: This quasi-experimental study investigated the effect of the life purpose program on the wellness of juvenile delinquents with a history of alcohol use in Southern Thailand. Methods: Sixty-seven delinquents, aged 15 to 19, from the Juvenile Detention Center were randomly assigned to either the intervention group (n = 35) or the control group (n = 32). The intervention group engaged in an eight-week purpose program, whereas the control group continued with routine care. Wellness outcomes were measured using the Wellness Scale (WS) and analyzed through multilevel mixed-effects modeling. Results: At baseline, there were no significant differences in wellness scores between the control and intervention groups. Following the intervention, wellness scores at weeks 16 and 24 were significantly higher in the intervention group compared to the control group (t = -6.101, p<0.001; t = -2.856, p = 0.008, respectively). The multilevel mixed effects model confirmed a significant improvement in wellness scores over time in the intervention group (β = 3.746; 95% CI = 0.22–7.27; p = 0.037). Conclusion: The program was successful in improving wellness among juvenile delinquents with a history of alcohol use and shows promise for broader application. It should be implemented by nurses and other professionals as part of efforts to promote a sense of life purpose in similar populations. However, further research is needed to evaluate its long-term impact and sustainability. Integrating the life purpose program into existing rehabilitation processes may enhance the overall well-being of juvenile detainees. Trial Registry Number: Thai Clinical Trials Registry (TCTR20241217002)
Factors influencing the implementation of Integrated Management of Neonatal and Childhood Illness (IMNCI) by nurses in Bhutan: A predictive correlational study Pelden, Sonam; Patoomwan, Autchareeya; Daramas, Tipawan
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.3816

Abstract

Background: Integrated Management of Neonatal and Childhood Illness (IMNCI) is a critical strategy aimed at improving child health outcomes. In Bhutan, nurses play a frontline role in implementing IMNCI guidelines, yet factors influencing their implementation remain underexplored. Objective: This study aimed to identify the predictors of IMNCI implementation among nurses in selected hospitals in Bhutan. Methods: A correlational predictive design was used, involving 107 nurses from nine hospitals across Bhutan. Data on demographics, supplies/resources, supervision, attitude, workload, nurse management skills, and IMNCI implementation were collected between November and December 2023 through structured questionnaires. Multiple linear regression analysis was conducted to determine factors predicting IMNCI implementation. Results: Nurse management skill was the only significant predictor of IMNCI implementation (β = 0.321, p <0.001), while other variables such as supplies/resources, supervision, attitude, years of service, training, and workload showed no significant predictive value. The model explained 16.8% of the variance in IMNCI implementation. Conclusion: Nurse management skills play a pivotal role in effective IMNCI implementation in Bhutanese hospitals. However, the modest explanatory power suggests other factors may influence implementation, warranting further research to enhance child healthcare delivery through strengthened nurse leadership and systemic support.
Exploring dementia care for community-dwelling older adults in Thailand: A qualitative descriptive study Mongklam, Parichat; Kraithaworn, Phachongchit; Piyatrakul, Sangduen
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.3835

Abstract

Background: Dementia is a growing public health concern in Thailand, placing significant demands on families, communities, and the healthcare system. Despite national policies supporting integrated care, community-based dementia services face challenges related to resource limitations, caregiver burden, and access to training. Objective: This study aimed to explore the delivery of dementia care for community-dwelling older adults in Thailand, focusing on care processes, challenges, and support systems from the perspectives of community health nurses (CHNs), village health volunteers (VHVs), and family caregivers. Methods: A qualitative descriptive approach was used. Twenty-two participants, including CHNs, VHVs, and family caregivers, were purposively selected from a metropolitan district in Thailand. Data were collected through semi-structured interviews and focus group discussions, supplemented by contextual health assessments. Thematic analysis was conducted using Sandelowski’s content analysis framework, with rigor ensured through member checking, audit trails, and peer debriefing. Results: Six categories emerged: 1) Care processes involved integrated services across prevention, promotion, treatment, and rehabilitation, with family playing a central role; 2) Conditional factors included strong cultural values of filial responsibility and provider-community trust; 3) Care outcomes reflected partial independence in older adults, with caregivers experiencing varying levels of well-being and frequent stress due to lack of support and training; 4) Successes were attributed to supportive policies, family dedication, and healthcare providers’ intrinsic motivation; 5) Barriers included staff shortages, caregiver health issues, limited training, and insufficient confidence in VHVs; 6) Model development emphasized the need for policy backing, multidisciplinary collaboration, caregiver capacity-building, and dementia-specific community services. Conclusion: Community-based dementia care in Thailand is driven by cultural commitment and dedicated local health workers but hindered by systemic constraints. Strengthening caregiver education, expanding service networks, and enhancing integrated support systems are critical for improving care quality and reducing caregiver burden. Equipping CHNs and VHVs with dementia-specific training and supporting their role in caregiver education and interdisciplinary coordination can further enhance the effectiveness and sustainability of dementia care in community settings.
Health-related quality of life in Thai patients with hepatocellular carcinoma and its influencing factors: A cross-sectional study Pathomjaruwat, Thitiporn; Matchim, Yaowarat; Armer, Jane M.
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.3853

Abstract

Background: Health-related quality of life (HRQoL) is a critical indicator in individuals with cancer. Patients diagnosed with hepatocellular carcinoma (HCC) commonly experience a decline in HRQoL due to both the progression of the disease and the adverse effects associated with treatment. Despite the high prevalence of HCC in Thailand, there is a paucity of research examining the HRQoL of Thai patients and the factors that may influence it. Objective: This study aimed to examine HRQoL in Thai patients with HCC and evaluated the relationships between disease stage, comorbidities, albumin level, functional status (FS), self-management behaviors (SMBs), and HRQoL. Methods: A correlational, cross-sectional study was conducted with 408 patients with HCC recruited from six hospitals in central Thailand between April and September 2024. Data collection included demographic and clinical information, along with the Functional Assessment of Cancer Therapy-Hepatobiliary (FACT-Hep) scale, Inventory of Functional Status-Cancer (IFS-CA), and the SMB scale for patients with HCC. All instruments were validated and reliable. Data were analyzed using descriptive statistics and multiple regression analysis. Results: Most participants were at intermediate (38.97%) or advanced (24.26%) stages of HCC. Overall HRQoL was high (mean FACT-Hep score = 147.92 ± 26.09). Disease stage, comorbidities, albumin level, FS, and SMBs were all significantly correlated with HRQoL (r = 0.771). Together, these factors explained 58.9% of the variance in HRQoL (adjusted R² = 0.589, F(5, 402) = 117.745, p <0.001). Significant predictors of HRQoL included disease stage (β = -0.116), comorbidities (β = -0.080), albumin level (β = 0.278), FS (β = 0.388), and SMBs (β = 0.296). Among these, FS was the strongest predictor. Conclusion: Improving self-management behaviors, functional status, and nutritional status shows promise for enhancing HRQoL in patients with HCC. These findings can guide nurses in developing interventions to support patients with HCC and improve their quality of life.

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