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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.
Arjuna Subject : -
Articles 685 Documents
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Nurses’ perspectives on emergency room healthcare constraints in implementing family-centered care: A qualitative study in Indonesia Rakhmawati, Windy; Mufida; Mediani, Henny Suzana; Fitri, Siti Yuyun Rahayu; Mardhiyah, Ai; Rhamelani, Putri
Belitung Nursing Journal Vol. 12 No. 1 (2026): January - February
Publisher : Belitung Raya Publisher - Belitung Raya Foundation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33546/bnj.4243

Abstract

Background: Children with acute conditions that suddenly worsen need immediate care in the Emergency Room (ER). Family-Centered Care (FCC) is considered the best approach in pediatric nursing, but its implementation in the ER is still limited. This is due to various challenges that can increase child and family anxiety and decrease the quality of nursing care. Objective: This study aimed to explore nurses’ perspectives on the constraints of the health service system in implementing FCC in child care in the ER. Methods: The study used a qualitative descriptive design. Eleven nurses working in the ER at Mokopido Tolitoli Regional Hospital participated in the study, which were chosen through purposive sampling. Data were collected using semi-structured interviews conducted from July 11 to July 23, 2023. Data were analyzed manually using a thematic approach. Results: The thematic analysis revealed two main interrelated themes regarding barriers to FCC in the ER: human resource constraints and organizational constraints. Human resource constraints include limited nursing staff, varying educational levels, lack of training or outreach on FCC, lack of competency, and communication barriers. Meanwhile, organizational constraints include high ER workloads, limited nurse time, and a focus on emergency medical procedures rather than a holistic approach. These various barriers lead to suboptimal family involvement in the care of children in the ER. Conclusion: The implementation of FCC in the ER still faces major challenges. These findings highlight the need for a strategic approach and supportive policies to improve nurse capacity and foster a collaborative and responsive hospital environment for patients’ families.
Phone-based motivational interviewing intervention among patients undergoing cardiac rehabilitation: A randomized controlled trial in China Wang, Yu; Wacharasin, Chintana; Masingboon, Khemaradee
Belitung Nursing Journal Vol. 12 No. 1 (2026): January - February
Publisher : Belitung Raya Publisher - Belitung Raya Foundation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33546/bnj.4258

Abstract

Background: Maintaining regular physical activity (PA) is a critical challenge for patients undergoing cardiac rehabilitation (CR), as inadequate adherence can lead to adverse outcomes, including disease recurrence. Enhancing motivation is key to improving PA adherence. Motivational interviewing (MI) has been shown to overcome psychological barriers by building intrinsic motivation. However, there is a need to explore how to integrate MI techniques with digital technology to enhance intervention accessibility and leverage the strengths of both approaches. Objective: This study aimed to evaluate the effects of a hybrid intervention model integrating phone-based motivational interviewing with mobile phone-based management on motivation and physical activity in patients undergoing CR. Methods: This pilot randomized controlled trial was conducted in China between January and June 2024, involving 52 patients undergoing cardiac rehabilitation. The intervention group (n = 25) received usual care plus a 4-week phone-based motivational interviewing intervention, which included a face-to-face session, weekly phone MI sessions (OARS technique), and personalized support via WeChat. The control group (n = 27) received only usual cardiac rehabilitation guidance. Outcomes measured were steps/day (using a smart band) and motivation, assessed using the Behavioral Regulation in Exercise Questionnaire-2 (BREQ-2). Two-way repeated-measures ANOVA was used for data analysis. Results: Compared with the control group, the intervention group showed a significant interaction effect of Group*Time on both steps/day (p <0.001, ηp2 = 0.706) and the BREQ-2 (RAI) (p <0.001, ηp2 = 0.349). The intervention group’s daily steps significantly increased from 3582.80 ± 649.59 to 9444.79 ± 1413.72 (p <0.001). Conclusion: This study indicates that a phone-based motivational interviewing intervention delivered by trained researchers can effectively increase physical activity levels and enhance autonomous motivation for PA in CR patients. This approach provides a scalable model for the routine care of cardiac rehabilitation patients, especially in resource-limited settings. For nursing practice, the findings highlight the importance of incorporating MI as a core skill and utilizing a hybrid, technology-supported care model to extend continuous professional support into patients’ homes. Trial Registry Number: Chinese Clinical Trial Registry (ChiCTR2400079877)
Associations between family care, organizational support, psychological resilience, and professional quality of life of emergency department nurses in China: A cross-sectional study Liu, Gang; Hu, Shaohua; Ding, Peipei
Belitung Nursing Journal Vol. 12 No. 1 (2026): January - February
Publisher : Belitung Raya Publisher - Belitung Raya Foundation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33546/bnj.4272

Abstract

Background: Emergency department nurses face substantial occupational stress due to frequent exposure to high-risk, unstable, and unpredictable clinical environments. However, research on nurses’ professional quality of life (ProQOL) has largely focused on other specialties, leaving ED nurses underrepresented. Addressing this gap is essential to improving professional well-being and job satisfaction. Objective: This study aimed to examine the associations between family care, organizational support, psychological resilience, and ProQOL among emergency department nurses. Methods: A cross-sectional study was conducted from July 6 to July 31, 2024, involving 441 emergency department nurses from 18 tertiary hospitals in 16 cities in Anhui Province, China. Data were collected using anonymous paper-based questionnaires and analyzed using descriptive statistics, t-tests, one-way ANOVA, Kruskal–Wallis H tests, Pearson’s correlation analysis, and multiple linear regression. Results: Compassion satisfaction differed significantly by sex (Z = -2.677, |d| = 0.231, p = 0.007), professional level (H = 17.675, η² = 0.035, p < 0.001), and number of night shifts (H = 10.571, η² = 0.022, p = 0.005). Burnout scores varied significantly by professional level (H = 8.861, η² = 0.016, p = 0.012), number of night shifts (H = 8.357, η² = 0.021, p = 0.015), and presence of chronic illness (Z = -2.029, |d| = 0.437, p = 0.042). Secondary traumatic stress differed significantly according to chronic illness history (Z = -2.232, |d| = 0.341, p = 0.026). Family care, organizational support, and psychological resilience were positively correlated with compassion satisfaction (r = 0.382, 0.549, and 0.562, respectively; all p < 0.001) and negatively correlated with burnout (r = -0.333, -0.405, and -0.497, respectively; all p < 0.001). Regression analyses indicated that family care, organizational support, and psychological resilience significantly predicted compassion satisfaction (adjusted R² = 0.458), while burnout was significantly associated with intention to leave the ED, family care, organizational support, and psychological resilience (adjusted R² = 0.358). Conclusion: The findings provide evidence that family care, organizational support, and psychological resilience are associated with the ProQOL of nurses working in emergency departments. In China, these results offer useful references for regions facing similar emergency care pressures (e.g., high workloads in tertiary hospitals, nurse shortages) to optimize nurse well-being interventions. They also provide a foundation for developing targeted strategies to enhance nurses’ professional well-being and job satisfaction.
Determinants of loneliness and quality of life among rural community-dwelling older adults in Egypt: A cross-sectional descriptive study Abdel Aziz, Hassanat Ramadan; El-Ashry, Ayman Mohamed; Ibrahim, Ateya Megahed; Mohammed , Safia Gomaa
Belitung Nursing Journal Vol. 12 No. 1 (2026): January - February
Publisher : Belitung Raya Publisher - Belitung Raya Foundation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33546/bnj.4293

Abstract

Background: Loneliness in later life is common and is strongly associated with poorer quality of life (QoL). However, evidence from rural Egypt remains limited, particularly community-based studies that concurrently examine loneliness and QoL and their health, social, religious, and leisure-related determinants. This gap limits the development of culturally appropriate nursing and community interventions for rural older adults. Objective: To assess the levels of loneliness and QoL and to identify their determinants among community-dwelling older adults in a rural Egyptian setting. Methods: A cross-sectional descriptive study was conducted between July and September 2023 in a randomly selected rural village in Sharkia Governorate, Egypt. Using multistage probability sampling, 143 community-dwelling adults aged 60 years and older were recruited. Data were collected using structured and validated questionnaires. Descriptive statistics, Pearson correlation coefficients, and multiple linear regression analyses were performed. Results: Participants had a mean age of 70.87 ± 8.50 years, and 52.4 percent were women. High loneliness was reported by 43.4 percent of participants, while 73.4 percent had low overall quality of life. Loneliness was strongly and inversely correlated with quality of life and was positively correlated with age and disease burden, while quality of life was negatively associated with age and number of chronic diseases and positively associated with education, income, social support, religious rituals, and leisure activities in bivariate analyses (all p <0.001). In exploratory multivariable analyses, quality of life was independently associated with age, education, current employment, number of chronic diseases, social support, and loneliness (R² = 0.743), while loneliness was associated with age, number of visitors, religious rituals, and leisure activities (R² = 0.451). Conclusion: Loneliness and low quality of life are highly prevalent among community dwelling older adults in rural Egypt and are closely linked to aging, chronic disease burden, social resources, and engagement in meaningful activities. For nursing practice, these findings support the routine screening of loneliness and quality of life in primary and chronic care settings, the integration of social support and activity-based interventions into care plans, and collaboration with community and faith-based organizations to deliver culturally appropriate strategies aimed at reducing loneliness and enhancing quality of life among rural older populations.
Complementary and alternative medicine use and pain characteristics in older Vietnamese adults with chronic pain: A cross-sectional study Trieu, Nguyen Thi Thu; Hoai, Nguyen Thi Yen; Thuy, Pham Thi; Dung, Phan Thi An; Ninh, Do Thi
Belitung Nursing Journal Vol. 12 No. 1 (2026): January - February
Publisher : Belitung Raya Publisher - Belitung Raya Foundation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33546/bnj.4317

Abstract

Background: Chronic pain is a common and burdensome condition among older adults, significantly impacting their quality of life and increasing interest in complementary and alternative medicine (CAM) approaches to pain management. Objectives: This study aimed to describe the prevalence of CAM use and attitudes toward CAM for self-managing chronic pain among older adults, and to examine the associations between chronic pain characteristics, CAM use, and attitudes toward CAM. Methods: A cross-sectional study was conducted among 289 hospitalized patients aged ≥60 years with chronic pain at a general hospital in Da Nang, Vietnam, in 2025. Data were collected using a structured questionnaire that included the Pain Disability Index (PDI) and the Attitudes towards CAM scale. Statistical analyses included t-tests, ANOVA, chi-square tests, and Pearson’s correlation. Results: CAM use was reported by 92.7% of participants, with biologically based therapies (e.g., herbal remedies) being the most common (81.3%). The average attitude score toward CAM was 28.7 (SD = 3.2), indicating generally favorable views. CAM use was more frequently reported among participants experiencing pain in specific anatomical locations, including the arm/hand, neck, upper back, and lower back (all p <0.008 after Bonferroni correction). Attitudes toward CAM were modestly associated with perceived pain control ability (p = 0.031) and with the impact of chronic pain on daily life (r = 0.206; p <0.001), while other pain characteristics showed no significant associations. Conclusion: CAM is widely used and positively perceived among older Vietnamese adults with chronic pain. Associations were observed between certain pain characteristics and CAM use, as well as between pain-related interference and attitudes toward CAM. These findings highlight the importance of routinely assessing CAM use in older adults and providing guidance on safe, evidence-based options within comprehensive pain management, while recognizing the observational nature of the data.

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