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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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Evaluating a caregiver-focused safety culture model: Effects on caregivers’ safety perception, older adults’ quality of life, and the incidence of adverse events in Indonesia Solihin, Asri Handayani; Probosuseno; Effendy, Christantie
Belitung Nursing Journal Vol. 11 No. 5 (2025): September - October
Publisher : Belitung Raya Foundation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33546/bnj.3650

Abstract

Background: Older adults are increasingly vulnerable to health risks, particularly in home care environments with limited formal safety measures. In Indonesia, family caregivers play a central role in providing care; however, research on interventions to enhance the safety of older adults at home remains limited. Objectives: This study aimed to evaluate the impact of a caregiver-focused safety model, the Aging Safe from the Risk (ASRi) model, on caregivers’ perceptions of safety culture and assessed its indirect effects on older adults’ quality of life (QoL) and incidence of adverse events. Methods: A quasi-experimental study was conducted from July to November 2022, involving 135 older adult–caregiver pairs (intervention: n = 68; control: n = 67). Older adults’ QoL was measured using the modified WHO-QOL BREF (Indonesian version) and WHO-QOL OLD instruments. Family caregivers completed a Home Safety Culture (HSC) questionnaire and reported adverse events. Data were analyzed using descriptive statistics, chi-square tests, independent t-tests, Mann–Whitney U tests, Fisher’s exact tests, repeated-measures general linear models (GLM-RM), and exploratory ANCOVA within the intervention group. Results: Baseline characteristics were largely similar for older adults (age, comorbidities, fall risk, medication use) and caregivers (gender, age, education, marital status), although some imbalances were noted. Significant between-group differences were observed in the spiritual dimension (baseline p = 0.019, r = 0.202; fourth month p = 0.018, r = 0.204) and environmental dimension of safety culture (all time points p <0.001, r = 0.347-0.431), with a transient difference in the personal dimension at month one (p = 0.013, r = 0.215). QoL scores were consistently higher in the control group (p <0.001, Cohen’s d = 0.551-0.645), reflecting baseline imbalance. Adverse events decreased in the intervention group during follow-up (p <0.001, Cramér’s V = 0.343-0.364); however, the higher baseline incidence suggests that regression to the mean may have contributed to this reduction. Conclusion: The ASRi model was associated with modest improvements in caregivers’ perceptions of safety culture. Differences in QoL and adverse events should be interpreted cautiously due to baseline imbalances and potential regression to the mean. While these findings provide preliminary indications that caregiver engagement through the ASRi model may support safer home care practices, causal conclusions cannot be drawn. Randomized studies with longer follow-up are needed to confirm these effects. Trial Registry: NCT05487482 [clinicaltrials.gov]
Human body modifications and transformations in remaining human and the future of nursing practice Pepito, Joseph Andrew; Lim-Saco, Freslyn; Moreno-Lacalle, Rainier; Juntasopeepun, Phanida; Constantino, Rose; Rivera, Reynaldo; Locsin, Rozzano C.
Belitung Nursing Journal Vol. 11 No. 5 (2025): September - October
Publisher : Belitung Raya Foundation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33546/bnj.3725

Abstract

People strive to remain ‘human,’ even when facing biological traits they see as ‘non-characteristic.’ Oftentimes, this fundamental drive leads individuals to use technology for self-change and improvement, aiming to realize their authentic sense of self. In this paper, we undertake a discursive, concept-driven inquiry to explore how the pursuit of completeness through body modification influences what it means to ‘remain human’ and how this, in turn, shapes the future of nursing. Drawing from a posthumanist framework that integrates the philosophies of Braidotti, Deleuze, and Heidegger with the nursing theories of Parse, Locsin, and Boykin & Schoenhofer, we argue that this technological transformation is a profound process of ‘becoming.’ Our analysis, informed by a purposive review of relevant literature, suggests that in a technology-rich world, nursing faces new opportunities that demand refined practices. To remain relevant, the nursing profession must adapt to these ongoing human transformations by expanding its understanding of personhood and human care.
Status of nursing documentation types in Indonesia and their association with nurse characteristics: A cross-sectional survey Ernawati; Permaida
Belitung Nursing Journal Vol. 11 No. 5 (2025): September - October
Publisher : Belitung Raya Foundation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33546/bnj.3732

Abstract

Background: Nursing documentation is essential for legal accountability, continuity of care, and patient safety. While electronic nursing documentation offers advantages such as improved clarity, efficiency, and reduced workload, no nationwide study has examined which documentation types are most used in Indonesia or how nurse characteristics influence these choices. Addressing this gap is critical for guiding policy and supporting the transition to digital systems. Objective: This study aimed to determine the types of nursing documentation systems most used by nurses in Indonesia and to examine nurse characteristics associated with documentation type. Methods: A cross-sectional online survey was conducted in March 2023 among 894 nurses from 34 of Indonesia’s 38 provinces. Data collected included sociodemographic characteristics, workplace settings, and documentation types (paper-based, electronic, or combination). Associations between nurse characteristics and documentation types were analyzed using the Kruskal–Wallis test, with post-hoc Mann–Whitney U tests comparing the distribution of education levels between each pair of documentation-type groups. Results: Most participants were women (75.8%), held a diploma in nursing (53.5%), had over 12 years of work experience (35.3%), and worked in tertiary healthcare facilities (43.3%). Paper-based documentation was predominant (66.6%), followed by combination systems (24.7%) and electronic systems alone (8.7%). Paper-based use was slightly higher in Western Indonesia (66.8%) compared to Eastern Indonesia (64.8%). Education level was significantly associated with documentation type (p = 0.014). Post-hoc analysis showed that nurses using electronic documentation had higher education levels than those using paper-based (p = 0.006) or combination systems (p = 0.006), with electronic documentation most common among nurses holding a Master’s/Specialist degree (28.1%). No significant associations were found with sex, work experience, career level, service level, healthcare unit, or region. Conclusion: Paper-based nursing documentation remains dominant in Indonesia, with limited adoption of electronic systems. Higher educational attainment is associated with greater use of electronic documentation, highlighting the need for improved computer literacy training, infrastructure investment, and institutional and governmental support to facilitate the transition to digital documentation.
The relationship among self-care, glycemic control, and quality of life in Indonesian patients with type 2 diabetes mellitus: An exploratory structural equation modeling study Malini, Hema; Kardila, Intan Yullya; Alhofaian, Aisha
Belitung Nursing Journal Vol. 11 No. 5 (2025): September - October
Publisher : Belitung Raya Foundation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33546/bnj.3882

Abstract

Background: The relationship between self-care behaviors, physiological indicators, and quality of life (QoL) in Type 2 Diabetes Mellitus (T2DM) remains underexplored in Indonesian populations. Understanding these factors is crucial for designing culturally appropriate interventions. Objective:  To examine the direct effects of four self-care domains on QoL and the potential mediating roles of HbA1c, blood pressure, and BMI among Indonesian patients with T2DM. Methods: A cross-sectional exploratory study was conducted August to September 2022 among 128 purposively selected patients from community health centers. Self-care (SCODI) and QoL (DQOL) were measured using validated questionnaires, and HbA1c, blood pressure, and BMI were obtained from clinical records. Structural equation modeling (SEM) was conducted using IBM AMOS version 24. Results: The SEM analysis yielded an overidentified model (df = 1578) with acceptable fit indices (CFI = 0.908, RMSEA = 0.082, CMIN/df = 1.851). Self-maintenance significantly predicted QoL, HbA1c, and blood pressure. Self-monitoring reduced blood pressure and BMI but was negatively associated with QoL. Self-management improved HbA1c but increased blood pressure and BMI, with a borderline positive effect on QoL. Self-confidence was positively associated with BMI but not with QoL, HbA1c, or blood pressure. Among physiological indicators, only HbA1c significantly predicted QoL. Conclusion: The direct effects of self-care behaviors on quality of life were more significant than the indirect effects mediated by clinical indicators, emphasizing the importance of strengthening daily self-care skills as a core strategy to enhance well-being in patients with T2DM. Given the exploratory cross-sectional design, findings should be interpreted as associative rather than causal. Future longitudinal research should validate these pathways and develop culturally sensitive intervention models that empower patients to sustain effective self-care behaviors over time.
Psychosocial risks and protective factors of suicidal behaviors among youths in Saudi Arabia: A cross-sectional study Ahmed, Hanem Ahmed AbdElkhalek; Abd El-Maksoud, Mona M; Jeyapaul, Shylaja; Elsayed, Eman Baleegh Meawad; Rani, Vanitha Innocent; Aseeri, Abeer S.; Asiri, Manal Ibrahim
Belitung Nursing Journal Vol. 11 No. 5 (2025): September - October
Publisher : Belitung Raya Foundation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33546/bnj.3901

Abstract

Background: Youth suicidal behavior is a critical public health concern worldwide. Addressing suicidal behaviors among youth is essential; however, limited research has explored the complex relationships between psychosocial risk and protective factors influencing suicidal behavior in Saudi youth, especially within their unique cultural and religious context. Bridging this gap is vital for developing culturally sensitive prevention strategies. Objective: This study aimed to investigate psychosocial risk and protective factors associated with suicidal behaviors among Saudi youth. Methods: A cross-sectional descriptive study was conducted from May to August 2024 with 400 university students. Data were collected using standardized and validated instruments. Statistical analyses included chi-square tests to explore demographic associations with suicide risk, correlation matrices, a suicide heatmap to visualize factor interrelations, scatterplots, and multiple linear regression to identify significant predictors. Results: Findings showed that 11.8% of youth were classified as at suicidal risk. Suicide risk behavior correlated positively with life stressors (r = 0.60, p <0.01) and interpersonal needs—perceived burdensomeness and thwarted belongingness (r = 0.31, p <0.01)—and negatively with resilience (r = -0.10, p <0.01) and perceived social support (r = -0.22, p <0.01). The regression model significantly predicted suicide risk behavior (F(4, 748) = 61.89, p <0.001), explaining 38.5% of the variance (Adjusted R² = 0.379). Life stressors (β = 0.562, p <0.001) and interpersonal needs (β = 0.115, p = 0.009) were significant positive predictors, while resilience and social support were not significant predictors. Conclusions: Although suicide prevalence among Saudi youth is relatively low, a significant minority remains at risk, particularly those experiencing family problems, low income, and who have no friends. Life stressors and unmet interpersonal needs are major risk factors. These findings emphasize the vital role of nursing practice in suicide prevention through routine screening, counseling, stress management, and fostering social support. Integrating these strategies in academic and community settings can enhance mental health outcomes and reduce suicide risk among Saudi youth.
Predictors of bullying victimization among early adolescents in junior high schools: A cross-sectional study Juli, Romida; Sarfika, Rika; Basmanelly; Saifudin, I Made Moh. Yanuar; Abdullah, Khatijah Lim
Belitung Nursing Journal Vol. 11 No. 5 (2025): September - October
Publisher : Belitung Raya Foundation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33546/bnj.3950

Abstract

Background: Bullying victimization among adolescents is a significant public health issue in Indonesia, with limited research on factors such as self-esteem and peer pressure within local cultural contexts. Objective: This study aimed to identify the factors influencing bullying victimization among early adolescents in junior high schools. Methods: A cross-sectional study was conducted with 401 junior high school students from March to May 2024. Participants were selected through stratified random sampling, and data were collected using validated instruments, including the Revised Olweus Bully/Victim Questionnaire, Rosenberg Self-Esteem Scale, Peer Pressure Inventory, Depression Anxiety Stress Scales for Youth, and Parent Authority Questionnaire. Descriptive statistics, chi-square tests, and ordinal logistic regression were employed for analysis. Results: Among participants, 23.2% reported being victims of bullying. Multivariate analysis identified high peer pressure as the strongest predictor of bullying victimization (OR = 5.64, 95% CI = 2.12–15.03, p <0.001), while authoritarian parenting style emerged as potentially protective (OR = 0.34, 95% CI = 0.13–0.87, p = 0.024) compared to authoritative parenting. Self-esteem, depression, and social media use did not demonstrate significant independent associations with victimization in the final model, despite showing significant bivariate relationships. Conclusion: Peer pressure emerged as the critical predictor of bullying victimization among early adolescents, with authoritarian parenting demonstrating an unexpected protective effect within this cultural context. School-based interventions should prioritize peer-focused strategies while considering culturally specific parenting dynamics. These findings highlight the importance of developing prevention approaches that account for Indonesia's collectivist social framework.
Understanding cultural barriers to the care of low-birth-weight infants in Papua, Indonesia: A qualitative descriptive study Situmorang, Hotnida Erlin; Rustina, Yeni; Novieastari, Enie
Belitung Nursing Journal Vol. 11 No. 5 (2025): September - October
Publisher : Belitung Raya Foundation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33546/bnj.3953

Abstract

Background: Low birth weight (LBW) is a persistent public health challenge globally, including in Indonesia, particularly in remote areas like Papua. While biological risks are well documented, the influence of sociocultural factors on LBW infant care remains underexplored. There is a critical gap in understanding how cultural beliefs and family dynamics act as barriers to effective caregiving in these settings. Objective: This study aimed to explore cultural barriers to the care of LBW infants in Papua, Indonesia. Methods: A qualitative descriptive design was employed. Data were collected through face-to-face, semi-structured interviews with ten mothers of LBW infants in Jayapura, Papua, from May to July 2024. Interviews were transcribed verbatim and analyzed using inductive thematic analysis. Results: Inductive thematic analysis resulted in six themes: (1) Traditions and traditional practices during pregnancy and childrearing; (2) Perceptions of herbal remedies and traditional practices in managing infant health and growth; (3) Traditional care practices for LBW infants and their adaptation within community health efforts; (4) Challenges and obstacles for parents in caring for LBW infants; (5) Family support, roles, and hospital-based education in LBW care; and (6) Parental understanding, needs, and expectations regarding LBW care. Conclusion: Despite improvements in health information and services, ongoing cultural negotiation is needed to achieve optimal family-based LBW care. Nurses and other health workers should enhance cultural competence and employ patient-centered, culturally sensitive nursing care that integrates local traditions with evidence-based practice, aiming to improve infant health and reduce complications.
Knowledge and attitude toward the management of pre-eclampsia and eclampsia among healthcare providers working in maternity settings in Jordan: A cross-sectional study Al-Tarawneh, Tamador R.; Bdeir, Roba; Al-ja’freh, Sarah; Jakalat, Suad; Al-Qaaneh, Ayman M.; Sumaqa, Yasmeen Abu
Belitung Nursing Journal Vol. 11 No. 5 (2025): September - October
Publisher : Belitung Raya Foundation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33546/bnj.3973

Abstract

Background: Pre-eclampsia and eclampsia remain major causes of maternal morbidity and mortality. Healthcare providers’ knowledge and attitudes are critical for effective management. Objective: This study aimed to assess healthcare providers’ knowledge and attitudes regarding the management of pre-eclampsia and eclampsia in Jordan. Methods: A cross-sectional study was conducted from September to October 2024 among 147 healthcare providers from seven public hospitals across three regions in Jordan. Data were collected via a structured questionnaire and analyzed using descriptive statistics, bivariate tests, and multivariate logistic regression. Results: Overall, 88% demonstrated adequate knowledge of pre-eclampsia, and 83% demonstrated adequate knowledge of eclampsia. In bivariate analysis, knowledge was associated with educational program and training attendance. However, after adjusting for other variables in the multivariate model, only education and gender remained significant, while training was no longer associated with knowledge. For attitudes, 78% had a positive attitude. Although gender and education were associated with attitudes in bivariate analyses, these associations did not remain statistically significant in the multivariate model. Conclusion: Healthcare providers showed generally adequate knowledge and predominantly positive attitudes toward managing pre-eclampsia and eclampsia. Higher educational attainment independently predicted knowledge, while no independent predictors of attitude were identified. The study highlighted the need for continuous, focused educational training programs, particularly for nurses and midwives. The modest sample size and focus on public hospitals should be considered when interpreting the results.
Prevalence and related factors of healthy aging: A systematic review and meta-analysis Tang, Linxi; Binti Rasudin, Nur Syahmina; Dong, Yuan; Yusuf, Azlina
Belitung Nursing Journal Vol. 11 No. 5 (2025): September - October
Publisher : Belitung Raya Foundation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33546/bnj.3977

Abstract

Background: Healthy aging is a key goal of global public health and aging policy initiatives. Understanding its prevalence and associated determinants is essential for designing targeted interventions and promoting well-being among older adults. Objective: This study aimed to estimate the global prevalence of healthy aging and to identify its associated factors across different countries. Methods: A systematic review and meta-analysis were conducted. A comprehensive literature search was conducted in Web of Science, PubMed, EBSCO Discovery Service (EDS), Scopus, and ProQuest from database inception to February 2025. Two independent reviewers screened articles, extracted data, and assessed study quality using the Newcastle-Ottawa Quality Assessment Scale (NOS) and the Agency for Healthcare Research and Quality (AHRQ) Methodology Checklist. Eligible studies were included in a meta-analysis using Stata 18.0 and R version 4.5.0. Results: A total of 39 studies involving 300,624 participants were included. The pooled prevalence of healthy aging was 23.0% (95% CI: 18%–27%). After adjusting for publication bias using the trim-and-fill method, the estimate decreased to 15.6% (95% CI: 11.0%–20.1%), suggesting possible overestimation in the original estimate. Significant associations with healthy aging were found for age (≥75 years), gender, marital status, educational level, economic level, social participation, employment status, economy, smoking status, alcohol consumption, physical activity, body mass index (BMI), and self-rated health. Conclusions: The findings indicate that fewer than one in four older adults meet the criteria for healthy aging globally, with substantial variation across regions. A wide range of sociodemographic, behavioral, and health-related factors influence this outcome. These results underscore the importance of addressing modifiable determinants in future public health efforts to promote healthy aging. Registry: PROSPERO [CRD42024542942]
Exploring practical issues in children’s anthropometric measurements: A qualitative descriptive study involving Indonesian health professionals and community health workers Wanda, Dessie; Astuti, Astuti; Adawiyah, Robiyatul; Syaiful, Afifah Ayu; Azizah, Latifah Fajri Nur; Azkiyati, Ade Maya; Huda, Mega Hasanul
Belitung Nursing Journal Vol. 11 No. 5 (2025): September - October
Publisher : Belitung Raya Foundation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33546/bnj.3987

Abstract

Background: Anthropometric measurements during early childhood are critical as they represent the initial stages at which nutritional status is determined. Practitioners who measure children’s growth must have similar and adequate skills in anthropometric measurement to ensure the validity of data regarding children’s nutritional status, particularly concerning stunting prevalence. Objective: This study aimed to explore the measurement practices conducted by community health workers (CHWs) in Indonesia, who are responsible for providing data related to children’s growth and, consequently, their nutritional status. Methods: A qualitative descriptive design was employed using online focus group discussions ranging from 1 to 1.5 hours. Data were collected from ten health professionals and eight CHWs, with analysis performed using thematic analysis. Results: Four themes emerged: barriers to measurement accuracy, varied skills in measurement, mothers’ behavior influenced by children’s reactions, and strategies for dealing with traumatized children. Conclusion: Practical issues that arose during routine anthropometric measurements included the reliability of measurements, the skill levels of examiners, the interplay between mothers’ and children’s reactions, and approaches to managing traumatized children during measurements. To effectively enhance integrated health posts (Posyandu) services, it is crucial to maintain calibrated, validated equipment and implement comprehensive training with periodic refreshers for CHWs. Additionally, improving facility infrastructure, fostering CHWs’ communication skills, and simplifying child-friendly measurement procedures will collectively optimize service quality, promote cooperation, and strengthen community trust.

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