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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 717 Documents
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Psychometric testing of the Indonesian version of the Resourcefulness Scale for older adults Irna Kartina; Chieh-Yu Liu; Jaclene A. Zauszniewski; Chien Yu Lai
Belitung Nursing Journal Vol. 12 No. 3 (2026): May - June
Publisher : Belitung Raya Publisher - Belitung Raya Foundation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33546/bnj.4537

Abstract

Background: Resourcefulness is the capacity to confront life’s obstacles by utilizing coping skills, adapting to new circumstances, and seeking assistance from the environment. Therefore, the geriatric field continues to emphasize the importance of older adults’ resourcefulness. The Indonesian version of the Resourcefulness Scale© (I-RS) has just been translated; it is essential to conduct this research and report the findings for its application in Indonesia. Objective: This study intended to develop the Bahasa Indonesian version of the Resourcefulness Scale© and to test its reliability and validity in older adults. Methods: The questionnaire was initially created in English and then translated by two linguistic experts. Subsequently, meaning and cultural analysis were performed by psychiatric nursing specialists. Following this, a back-translation was executed, and the Indonesian version was used for data collection. Data was collected with 331 older adults residing in 11 nursing homes from 2023 to 2024. Correlational analysis and Confirmatory Factor Analysis (CFA) were conducted using Structural Equation Modeling (SEM) in LISREL 8.8 to examine the validity of the I-RS. Reliability was assessed using Cronbach’s Alpha and Split-half reliability. Results: The internal consistency of the Indonesian version of the instrument is acceptable with Cronbach’s Alpha .79 and Split-half reliability .75. According to the results of SEM, Chi square = 253.13, the Root means square error of approximation (RMSEA = 0.04), the adjusted goodness of fit index (AGFI = 0.90), Normed Fit Index (NFI = 0.92), Parsimony Normed Fit Index (PNFI = 0.76) and Comparative fit Index (CFI = 0.97) were all accepted.  Two factors, such as personal and social resourcefulness, were identified through factor analysis using SEM. A positive and significant relationship was found between resourcefulness and spiritual health (r = 0.45, p < 0.001). Conclusion: These results confirmed the use of the Indonesian version of the Resourcefulness scale (I-RS), indicating that it has acceptable reliability and validity. This instrument is potentially useful for measuring older adults’ resourcefulness in geriatric nursing in Indonesia, across both clinical and community settings.
The perceptions and lived experiences of Indonesian nursing students in providing end-of-life care: A qualitative study Chalita Diandra Natalie; Yenni Ferawati Sitanggang; Oscar Fidel Antunez Martinez
Belitung Nursing Journal Vol. 12 No. 3 (2026): May - June
Publisher : Belitung Raya Publisher - Belitung Raya Foundation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33546/bnj.4540

Abstract

Background: End-of-life (EoL) care is a form of service provided to patients in the terminal phase and families to meet physical, psychological, social, and spiritual needs so that patients can face death peacefully and with dignity. EoL care can be facilitated by medical personnel, but it is not uncommon for nursing students to be involved as well. Several factors influence nursing students’ ability to provide EoL care to patients. Objective: This study aimed to explore the nursing students’ perceptions and experiences regarding the provision of EoL care during clinical placements. Methods: A qualitative descriptive study was conducted using purposive sampling and in-depth interviews with 10 professional nursing students who had experience providing EoL care. Data were collected with a four-question guide between February and May 2025 and analyzed inductively using thematic analysis, including familiarization, coding, theme development, and reporting. Strategies to enhance trustworthiness included credibility, transferability, dependability, and confirmability. Results: Four main themes emerged: 1) Nursing Students’ perspective of EoL Care, 2) Providing holistic Care to Patients and Families, 3) Challenges and Opportunities in Providing EoL Care, 4) Developing Heart of Caring. Participants conceptualized EoL as a holistic, person-centered process emphasizing comfort, dignity, and compassion rather than cure. They demonstrated developing competence in identifying clinical indicators of terminal decline and addressing patients’ physical, psychosocial, and spiritual needs. Students described providing comfort through symptom management, active listening, emotional support, and the facilitation of spiritual practices aligned with patients’ beliefs. Although communication difficulties, emotional strain, and insufficient preparation were significant barriers, they were also perceived as valuable learning opportunities that fostered personal growth, empathy, and professional confidence. Spiritual faith and viewing patients as family members further inspired compassionate, value-driven care. Conclusion: Overall, the findings emphasize that experiential and reflective learning during clinical placements are essential in shaping nursing students’ moral sensitivity, resilience, and humanistic orientation. Integrating Structured EoL care education that includes emotional and spiritual dimensions is crucial to preparing future nurses to deliver dignified, compassionate, and holistic care for patients and families at EoL.
Effects of medagogy-based health literacy enhancement on self-management behaviors and functional capacity among older persons with chronic heart failure: A randomized controlled trial Saowaluk Thummak; Sirirat Panuthai; Rojanee Chintanawat; Nattaya Suwankruhasn
Belitung Nursing Journal Vol. 12 No. 3 (2026): May - June
Publisher : Belitung Raya Publisher - Belitung Raya Foundation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33546/bnj.4542

Abstract

Background: Appropriate self-management behaviors and good functional capacity are crucial to reduce complications in older persons with chronic heart failure. Health literacy and transformative learning can be used in health education to motivate health behavior change, but limited research has examined their effects on health literacy for self-management behaviors and functional capacity in older persons with chronic heart failure. Objective: To investigate the effect of medagogy-based health literacy enhancement on self-management behaviors and functional capacity in older persons with chronic heart failure. Methods: This assessor and statistician-blinded, randomized controlled trial involved 70 older persons with chronic heart failure attending a heart clinic at a hospital in central Thailand. Permuted block randomization with a block size of four was employed to assign the participants to either the experimental group (n = 35) receiving a 5-session medagogy-based health literacy enhancement program over three weeks, or the control group (n = 35) receiving standard care. Outcomes were measured at baseline, 1 month post-intervention (self-management behavior), and 2 months post-intervention (functional capacity). Data analysis followed the intention-to-treat principle, using split-plot ANOVA and Repeated-Measures ANCOVA to adjust for imbalances in baseline functional capacity. Results: After the program, significant time and group interaction effects were found for self-management behavior (F(1,68) = 91.322, p < 0.001; ƞp2 = 0.573) and functional capacity (F(1, 67) = 5.424, p < 0.05; ƞp2 = 0.075). The experimental group demonstrated significantly higher mean scores for self-management behaviors than before the program (MD = 20.143, 95% CI = 17.561, 22.725; p < 0.001), and than the control group (MD = 18.686, 95% CI = 15.850, 21.521; p < 0.001). For functional capacity, the experimental group achieved a significant within-group improvement from baseline (p < 0.05) and a significantly higher adjusted mean capacity at post-intervention than the control group (Madj = 20.887, 95% CI = 2.986, 38.787; p < 0.05). Conclusion: The program led to improved short-term self-management behaviors and functional capacity. It can be used by nurses as a structured, patient-centered health education to promote older people’s self-management and functional capacity. However, multi-site and longitudinal follow-ups are recommended for future studies. Trial Registry Number: Thai Clinical Trials Registry (TCTR20250908004)
Effects of a transformative learning theory-based health literacy enhancement program on self-management behaviors and blood pressure in adults with uncontrolled hypertension in Thailand: A cluster randomized controlled trial Uraiwan Sasang; Decha Tamdee; Sivaporn Aungwattana; Chiraporn Tachaudomdach
Belitung Nursing Journal Vol. 12 No. 3 (2026): May - June
Publisher : Belitung Raya Publisher - Belitung Raya Foundation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33546/bnj.4543

Abstract

Background: Uncontrolled hypertension leads to a number of complications. To achieve effective self-management, adults with uncontrolled hypertension need health literacy to promote and maintain good health. Transformative learning is a key adult learning paradigm that supports perspective transformation, self-management, and blood pressure control. Objective: This study aimed to evaluate the effects of a Transformative Learning Theory-Based Health Literacy Enhancement Program on self-management behaviors and blood pressure among adults with uncontrolled hypertension. Methods: This cluster-randomized controlled trial was conducted at two sub-district health-promoting hospitals in northeastern Thailand. Hospitals were randomly allocated to either the experimental or control group to prevent treatment contamination. A total of 58 participants (n = 29 per group) were consecutively recruited. Data were collected between February and June 2025 using a validated Self-Management Behavior Scale and digital BP monitoring. Data were analyzed using independent- and dependent-samples t-tests and repeated-measures ANOVA, and ANCOVA was used to compare groups while controlling for baseline values. Results: At 8 and 12 weeks after the program, the experimental group had significantly higher self-management scores than the control group (t = 2.117, p = 0.039; t = 3.416, p = 0.001, respectively) and than their own baseline (F = 31.958, p < 0.001). Regarding clinical outcomes, ANCOVA revealed a significant main effect of the program on mean arterial pressure (MAP) at both 8 weeks (F(1, 55) = 9.014, p = 0.004, hp2 = 0.141) and 12 weeks (F(1, 55) = 9.133, p = 0.004,  hp2 = 0.142). The adjusted mean MAP for the experimental group was significantly lower than the control group at the final follow-up (108.90 vs. 111.37 mmHg). A significant reduction was noted for systolic blood pressure (p = 0.028) but not diastolic blood pressure. Conclusion: The study highlights the effectiveness of the program for improving self-management behaviors and systolic blood pressure. Nurses can integrate adult learning theories into health education to enhance outcomes for hypertensive patients in primary care. Trial Registry Number: Thai Clinical Trial Registry (TCTR20250202009)
Network structure of multidimensional frailty among long-term care residents in China: A cross-sectional network analysis Jiaqi Zhao; Sharifah Shafinaz Sh Abdullah; Hongyu Yu; Ye Gao; Zhicui Lu; Tiantian Zhang
Belitung Nursing Journal Vol. 12 No. 3 (2026): May - June
Publisher : Belitung Raya Publisher - Belitung Raya Foundation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33546/bnj.4577

Abstract

Background: Multidimensional frailty is highly prevalent among older adults residing in long-term care facilities (LTCFs). However, the structural interrelationships among physical, psychological, social, cognitive, and functional health domains remain insufficiently understood. Objective: To characterize the network structure of multidimensional frailty domains and related health indicators among institutionalized older adults. Methods: This cross-sectional study included 272 LTCF residents from Liaoning, China. Eleven theoretically selected health indicators were modeled using a Mixed Graphical Model with ℓ1-regularized neighborhood regression and model selection based on the Extended Bayesian Information Criterion (γ = 0.25). This approach estimates sparse conditional dependence structures among mixed data types. Strength centrality was used as the primary descriptive metric. Network accuracy and stability were evaluated using non-parametric and case-dropping bootstrap procedures. Results: The strongest conditional association emerged between age and cognitive impairment (edge weight = 0.68). Substantial associations were also observed between physical frailty and ADL dependency (edge weight = 0.43), and between psychological frailty and depressive symptoms (edge weight = 0.45). Physical frailty, ADL dependency, and depression exhibited relatively high strength centrality values; however, bootstrap difference tests indicated that these nodes were not statistically more central than several other highly connected indicators. The correlation stability coefficient for strength centrality was 0.75, indicating good stability of strength centrality estimates within this sample. Conclusion: The network revealed an interconnected pattern linking functional dependency, physical frailty, and psychosocial health among LTCF residents. Because the data were cross-sectional, the observed conditional associations should not be interpreted as causal or temporal pathways. These findings highlight the potential value of multidomain nursing assessment in long-term care settings and may inform hypothesis generation for future longitudinal or interventional nursing studies.
Evaluation of the holistic health care program to develop the capacity of prison public health volunteer leaders (PPHVs) in Thailand: A participatory action research Phannathat Tanthanapanyakorn; Sasiwimol Chanmalee; Sootthikarn Mungkhunthod; Chaninan Praserttai; Nonlapan Khantikulanon
Belitung Nursing Journal Vol. 12 No. 3 (2026): May - June
Publisher : Belitung Raya Publisher - Belitung Raya Foundation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33546/bnj.4580

Abstract

Background: Health promotion in correctional settings faces challenges due to limited healthcare access and restricted environments. Nurses are primary healthcare providers in correctional institutions; however, evidence on nurse-led capacity-building programs for inmate health volunteers remains limited. Developing the capacity of Prison Public Health Volunteer Leaders (PPHVs) through a holistic healthcare approach can enhance their self-reliance. Objective: This study aimed to collaboratively develop, implement, and evaluate a holistic health care program to strengthen the capacity of PPHVs at the Central Correctional Institution for Young Offenders in Pathum Thani Province, Thailand. Methods: This study employed a Participatory Action Research (PAR) design. A total of 100 well-behaved inmates were purposively selected as PPHVs and actively engaged as co-participants throughout the PAR process. The intervention was collaboratively designed and implemented over five weeks, comprising ten participatory training sessions that addressed physical, mental, social, and environmental health dimensions. Quantitative data were collected using validated questionnaires assessing knowledge, attitudes, health practice skills, data management skills, and overall capacity at baseline, post-intervention, and at 1-month follow-up. Data were analyzed using repeated measures analysis of variance (ANOVA). Results: The findings revealed statistically significant improvements (p <0.001) in participants’ knowledge (F = 778.41, ηp² = 0.887), attitudes (F = 889.09, ηp² = 0.900), health practice skills (F = 1241.89, ηp² = 0.917), data management skills (F = 546.81, ηp² = 0.847), and overall capacity (F = 727.48, ηp² = 0.880). These outcomes indicate substantial enhancement in PPHVs’ ability to perform health promotion and data management roles proficiently. Conclusion: The holistic health care program significantly improved PPHVs’ capacity, suggesting promise for strengthening inmate health volunteer programs in correctional settings. These findings have significant implications for nursing practice in designing capacity-building programs, nursing education in preparing nurses for correctional care, and nursing policy in developing standards for correctional nursing in Thailand. Trial Registry Number: Thai Clinical Trials Registry (TCTR20260115003)
Corrigendum to “Assessing sexual health literacy among Thai female adolescents in non-formal education: A mixed-methods study” [Belitung Nursing Journal, 2025; 11(3): 340-348] Rapeepan Narkbupha; Atcharawadee Sriyasak; Atiya Sarakshetrin; Pailin Thungthin
Belitung Nursing Journal Vol. 12 No. 3 (2026): May - June
Publisher : Belitung Raya Publisher - Belitung Raya Foundation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33546/bnj.4704

Abstract

This corrigendum corrects clerical errors regarding the study timeline, IRB approval dates, the instrument permission date, and adolescent age classifications in the original article (DOI: https://doi.org/10.33546/bnj.3744), which resulted from an inadvertent mistake in converting Buddhist Era (BE) dates to the Gregorian calendar. The authors confirm that these administrative corrections do not affect the methodology, data analysis, results, or conclusions of the original study and sincerely apologize for any inconvenience caused.

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