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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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Digital devices usage barriers among community-dwelling older adults in Abha, Saudi Arabia: A cross-sectional study Hawash, Manal Mohammed
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.3989

Abstract

Background: Modern communities increasingly rely on technology, influencing older adults’ health and daily life. While technology can enhance quality of life and independence, various barriers limit digital adoption among older adults. Objective: This study aimed to identify barriers to digital device use among community-dwelling older adults in Abha, Saudi Arabia. Methods: This study used a cross-sectional survey of 400 adults aged 60 years and older. Data were collected from February to March 2025 on depression (Beck Depression Inventory-II), cognitive status (Saint Louis University Mental Status Examination), and technology-related barriers (Technology Usage Barriers Questionnaire). Data were analyzed using t-tests, one-way ANOVA, effect sizes (Cohen’s d, η²), and 95% confidence intervals. Results: Smartphone users reported significantly higher barriers than feature phone users in personal (8.07 ± 4.50 versus 5.70 ± 5.09; p <0.001; d= 0.50), technical (5.20 ± 4.60 versus 4.20 ± 3.02; p = 0.009; d = 0.25), and environmental domains (1.90 ± 1.30 versus 1.40 ± 1.50; p = 0.001; d = 0.36). Among smartphone users, the highest personal barriers were observed in adults aged 80 years and older (11.3 ± 4.3; η² = 0.075), females (d= 0.48), those with primary education (d = 0.84), low-income individuals (d = 0.44), unemployed participants (d = 1.23), and rural residents (d = 1.24). Education most strongly predicted technical barriers (d = 0.94), while income had the greatest impact on environmental barriers (d = 0.93). Conclusion: Older adults, especially smartphone users, women, those with lower education, low income, unemployed individuals, and rural residents, face substantial barriers to digital adoption. Tailored digital literacy programs, affordable access, and senior-friendly device design are essential to reduce the digital divide and improve autonomy, inclusion, and quality of life. For nursing practice, these findings emphasize the importance of assessing older adults’ digital skills, providing targeted education, and advocating for technology solutions that support engagement and health management.
Effectiveness of home-based cardiac rehabilitation programs on health outcomes of persons with heart failure: An umbrella review Promwong, Waiyaporn; Meenongwah, Jaroonsree; Kenbubpha, Kedsaraporn; Suyasa, I Gede Putu Darma
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.3994

Abstract

Background: Home-based cardiac rehabilitation (HBCR) serves as a crucial alternative to center-based cardiac rehabilitation (CBCR) for patients with heart failure (HF), aiming to enhance access and adherence. However, evidence of its effectiveness is dispersed across numerous systematic reviews with varying findings, necessitating a high-level synthesis to clarify HBCR’s overall impact. Objective: To synthesize and critically evaluate evidence from systematic reviews and meta-analyses on the effectiveness of home-based cardiac rehabilitation in improving health outcomes among patients with heart failure. Design: An umbrella review of systematic reviews and meta-analyses Data Sources: A systematic search was conducted in the Cochrane Library, JBI Evidence Synthesis, PubMed, Medline, CINAHL, Epistemonikos, and ThaiJo databases for studies in English or Thai up to April 11, 2025. Review Methods: The review adhered to JBI and PRISMA guidelines. Outcomes included functional capacity, quality of life (QOL), mortality, hospital readmissions, and adverse events. Study quality was assessed using the JBI checklist. Results: Fifteen systematic reviews and meta-analyses met the inclusion criteria, all of which were of high methodological quality. The evidence consistently demonstrates that HBCR significantly enhances functional capacity compared to usual care, with outcomes comparable to those of CBCR. However, findings for other outcomes were inconsistent; HBCR’s impact on QOL and left ventricular ejection fraction (LVEF) varied due to program content and methodological heterogeneity, and it did not significantly reduce mortality or hospital readmissions compared to usual care or CBCR. No significant differences in adverse events were observed between HBCR, CBCR, and usual care. Conclusion: HBCR is a safe and effective intervention for improving functional capacity in patients with heart failure, offering a viable alternative to CBCR. However, its effects on quality of life, hospital readmissions, and mortality remain inconsistent. These findings highlight HBCR’s potential role in expanding access, though further research is needed to optimize program design. Registry: PROSPERO (CRD42023484051)
Beyond the pandemic: Posttraumatic stress and its association with physical and mental health outcomes among older adults in Egypt – a cross-sectional study El-Sayed, Mona Metwally; Abd-Elhay, Eman Sameh; Taha, Samah Mohamed; Wafik, Wagdia; Ahmed, Hala Awad; Alharbi, Ghala Abdullah; Hawash, Manal Mohammed
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.4011

Abstract

Background: The COVID-19 pandemic has severely affected older adults worldwide, with the Egyptian geriatric population facing vulnerabilities due to limited healthcare access and cultural factors. Posttraumatic stress disorder (PTSD) following COVID-19 may significantly impact physical and mental health, yet data specific to older Egyptians are limited. Objective: This study aimed to assess the prevalence of PTSD and its association with physical and mental health outcomes among older adults in Egypt after COVID-19 infection. Methods: A cross-sectional study included 290 geriatric patients (≥60 years) recruited from outpatient clinics at two Egyptian university hospitals. Data collection took place over three months, from September to December 2023. PTSD symptoms were measured using the PTSD Checklist-Civilian Version (PCL-C), and physical and mental health were evaluated by the 12-item Short Form Health Survey (SF-12). Pearson correlation and multiple linear regression were used to analyze the relationships between PTSD and health outcomes, controlling for sociodemographic and clinical factors. Results: Moderate PTSD symptoms were present in 60.3% of participants, and 18.6% showed severe symptoms. Physical health (PCS mean = 31.97, SD = 6.66) and mental health (MCS mean = 32.54, SD = 13.34) scores were significantly reduced. PTSD symptom clusters, such as hyperarousal and avoidance, were negatively correlated with physical and mental health components (e.g., hyperarousal vs. PCS: r = -0.206, p <0.001). The regression model explained 59% of the variance in health outcomes (adjusted R² = 0.59). Higher PTSD symptom severity was associated with a small but statistically significant negative effect on health outcomes (B = -0.20, p = 0.033). Chronic disease status showed the largest negative association (B = -12.34, p <0.001), indicating a substantial impact on health. Age demonstrated a modest negative association (B = -0.15, p = 0.049), while gender and education were not significantly associated with health outcomes. Conclusion: Nearly four out of five older Egyptian adults experienced moderate to severe PTSD after COVID-19, and PTSD symptoms were significantly associated with poorer physical and mental health. Chronic illness emerged as the strongest determinant of health outcomes, with age showing a modest effect. These findings highlight the importance of culturally sensitive, trauma-informed nursing interventions that address both PTSD and chronic illness to improve the well-being of older adults.
Faith, fear, and disclosure: Exploring serodiscordant relationships in Indonesia’s Muslim society Ridwan, Eka Sari; Tanasugarn, Chanuantong; Benjakul, Sarunya; Kengganpanich, Mondha; Mohammadnezhad, Masoud
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.4054

Abstract

Background: In Indonesia’s Muslim society, serodiscordant couples navigate a complex web of faith, fear, and stigma. While HIV care efforts have advanced, understanding how religious beliefs and emotional responses shape disclosure remains limited. Objective: This study aimed to explore the lived experiences of serodiscordant couples in South Sulawesi, Indonesia, with a focus on how faith, fear, and gender roles influence HIV understanding and disclosure practices. Methods: A qualitative, phenomenological approach was employed, involving 34 participants who participated in in-depth interviews and focus group discussions conducted between February and May 2019. Data were thematically analyzed to capture emotional, cultural, and relational dimensions of HIV disclosure. Results: Two main themes emerged. (1) Faith and Fear: Navigating HIV Understanding, which includes knowledge of HIV, emotional responses to an HIV diagnosis, the role of religious teachings in shaping health decisions, and the fear of social exclusion; and (2) HIV Status Disclosure and Its Complexities, highlighting motivations for disclosure, barriers to openness, and the personal impact of revealing one’s HIV status to a partner. Disclosure was often delayed or mediated by third parties, driven by fear of rejection, shame, and limited communication skills. Conclusion: The findings revealed the dual role of faith as both a support and a barrier, and the complex interplay of gender dynamics in disclosure decisions. Community nurses in Indonesia’s primary health care settings should then play a critical role in HIV prevention by providing culturally sensitive, Islamic-faith-based counseling, gender-responsive disclosure support, and collaboration with peer support groups to foster trust, reduce stigma, and improve adherence.
Thai Burnout Assessment Tool (T-BAT): Translation, validity, and reliability testing in nurses Posai, Vachira; Srisintorn, Wisarut; Thongsuksai, Paramee; Jitpanya, Chanokporn
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.4086

Abstract

Background: The Burnout Assessment Tool (BAT), an instrument for measuring burnout among healthcare professionals, was originally developed in English and remains unadopted and unvalidated within the Thai healthcare context. Despite its widespread international use, cultural and linguistic variations necessitate rigorous contextual validation. Objective: This study aimed to translate the BAT into Thai (T-BAT) and evaluate its psychometric properties among Thai nurses, addressing critical gaps in cross-cultural burnout assessment. Methods: A cross-sectional survey was conducted among 1,005 nurses from two government hospitals in Thailand, employing a multistage sampling with quota-based convenience selection. Participant inclusion criteria comprised full-time nursing employment, a minimum bachelor’s degree in nursing, and at least three months of hospital work experience. The BAT underwent a back-translation process to ensure linguistic and cultural equivalence. The psychometric evaluation encompassed descriptive statistical analysis, internal consistency assessment, known-group validity testing through hypothesis, and construct validation via confirmatory factor analysis (CFA). Finally, Rasch analysis, evaluating item performance and measurement precision, was used. Results: The T-BAT exhibited robust psychometric characteristics, including internal consistency (Cronbach’s alpha = 0.93), known-group validity (significant score variations across nurse subgroups), and construct validity (confirmatory factor analysis validating the proposed four-factor model). Finally, Rasch analysis demonstrated optimal item performance, including fit statistics within acceptable ranges (Infit: 0.78-1.40; Outfit: 0.73-1.41).  Person and item reliability indices consistently exceeded 0.80, indicating high reliability of the scale. Conclusion: The study substantiates the T-BAT as a reliable and valid instrument for assessing burnout among Thai nurses. This culturally adapted tool provides a context-specific approach to understanding burnout, potentially enabling more targeted interventions by healthcare policymakers, hospital administrators, and nursing leaders.

Page 66 of 66 | Total Record : 655

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