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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 730 Documents
 69   70   71   72   73 
Corrigendum to “The experiences of Chinese colorectal cancer survivors in marital intimacy after ostomy creation: A qualitative study” [Belitung Nursing Journal, 2024; 10(2): 222-230] Xixi Du; Suchira Chaiviboontham; Bualuang Sumdaengrit
Belitung Nursing Journal Vol. 12 No. 4 (2026): July - August
Publisher : Belitung Raya Publisher - Belitung Raya Foundation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33546/bnj.4456

Abstract

This corrigendum corrects clerical errors regarding the data collection timeline and interview methodology in the original article (DOI: https://doi.org/10.33546/bnj.3212). 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.
Eye care compliance in intensive care units: A concept analysis Abdulkareem S. Iblasi; Cansu Polat Dünya; Zoelfikar Dafalla Mohamed; I Gede Juanamasta
Belitung Nursing Journal Vol. 12 No. 4 (2026): July - August
Publisher : Belitung Raya Publisher - Belitung Raya Foundation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33546/bnj.4478

Abstract

Background: Despite the availability of evidence-based eye-care protocols, compliance among nurses in intensive care units (ICUs) remains inconsistent. Conceptual ambiguity between adherence, compliance, and protocol implementation has limited the development of valid measures and targeted interventions. Objective: To clarify and define the concept of Eye Care Compliance in ICUs through a systematic concept analysis. Methods: This concept analysis followed the eight-step framework of Walker and Avant. CINAHL Plus, PubMed, Scopus, Web of Science, and ScienceDirect were searched for studies published between 2015 and 2025. Database-specific search strings and eligibility criteria were applied, and studies were screened and selected based on predefined inclusion and exclusion criteria. Results: Of 653 records identified, 19 studies met the inclusion criteria. Eye Care Compliance was clarified as an observable nursing behavior (what nurses do), distinct from protocol compliance (following externally imposed instructions) and protocol implementation (organizational adoption of a guideline). Three defining attributes were identified: (1) consistent care: reliable, repeated delivery of all protocol-specified procedures for all at-risk patients; (2) timely care: alignment of eye-care activities with evidence-based frequency recommendations and the patient’s evolving risk profile; and (3) documented care: systematic recording of assessments, interventions, and their timing to ensure continuity and auditability. Conclusions: Eye Care Compliance is a distinct, nurse-mediated behavioral construct referring to the observable enactment of structured, evidence-based ocular protection in the ICU. This concept is operationalized as the behavior pattern in which ICU nurses systematically perform and record all protocol-specified ocular protection procedures—assessment, cleansing, eyelid closure or protection, and lubrication—for every patient meeting defined risk criterion, at the intervals required by evidence-based guidelines, with each episode documented to ensure care continuity and accountability.
Strengthening evidence-based practice culture in nursing: An ethnographic study in the central highlands of Vietnam Dang Vuong Nguyen; Apinya Jumpamool
Belitung Nursing Journal Vol. 12 No. 4 (2026): July - August
Publisher : Belitung Raya Publisher - Belitung Raya Foundation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33546/bnj.4567

Abstract

Background: Evidence-based practice (EBP) is a vital approach to achieve Quality Improvement (QI) in healthcare services by ensuring that nursing care is grounded in the best available evidence. However, the integration of EBP into nursing in Vietnam is often lacking, presenting a significant challenge for both healthcare leaders and individual practitioners. Objectives: This qualitative study aimed to understand the workplace culture regarding EBP implementation among Vietnamese nurses, exploring the shared beliefs, values, and contextual factors that influence EBP within a tertiary hospital setting, with a particular focus on the Intensive Care Unit and other relevant departments. Method: A focused ethnographic approach was employed. Data were collected over 14 months (from late May 2024 to early July 2025) through participant observation and in-depth interviews with 30 registered nurses from various units (Nursing Department, Intensive Care Unit, Emergency Room, Neurological Department, Internal Medicine Department, and Geriatrics Department). Data analysis followed ethnographic analytic principles to identify key themes. Results: The findings revealed a complex interplay of individual, organizational, and systemic factors. Five key themes emerged: 1) Informal and experiential learning with limited research involvement; 2) Culture of task- and procedure-centered nursing practice; 3) Compliance culture; 4) Developing professional identity; and 5) Misconceptions of EBP and low-evidence conceptualization. Nurses favored experiential and peer-based learning over systematic scientific evidence. Structural constraints, including insurance policies and rigid hierarchies, further hindered EBP implementation. Conclusion: The study recommends multi-level strategies that involve policy reform, hospital management support, and enhanced nursing education to foster an environment conducive to EBP, thereby improving nursing autonomy and the quality of patient care.
Self-management-based health coaching for sustainable behavior change in chronic disease care: A concept analysis using Walker and Avant’s framework Rian Adi Pamungkas; Kathlen Potempa; Kanittha Chamroonsawasdi; Andi Mayasari Usman; Samoraphop Banharak
Belitung Nursing Journal Vol. 12 No. 4 (2026): July - August
Publisher : Belitung Raya Publisher - Belitung Raya Foundation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33546/bnj.4575

Abstract

Background: Self-management-based health coaching is increasingly applied in chronic disease management; however, conceptual ambiguity persists regarding its defining characteristics and theoretical boundaries. A clear and consistent conceptualization is essential to strengthen its application in nursing research and practice. Objective: This study aimed to clarify the concept of self-management–based health coaching in chronic disease care. Method: A concept analysis was conducted using Walker and Avant’s framework. A systematic literature search was conducted across multiple databases (PubMed, ScienceDirect, and Google Scholar) for studies published between January 2000 and June 2025, resulting in 49 articles included in the analysis. Conceptual elements were extracted and synthesized using iterative content analysis and constant comparison. Results: The analysis identified seven core attributes (health-focused, partnership and collaboration, client-centered, goal-oriented, process-driven, enlightening, and empowering) that reflect a collaborative, client-centered, and process-oriented approach that facilitates insight and empowerment in behavior change. Antecedents included individual readiness and supportive contextual conditions, while consequences encompassed psychological, behavioral, and clinical outcomes. Model and additional cases further illustrated the concept’s application and boundaries. Conclusion: This study provides a clearer conceptual understanding of self-management–based health coaching and highlights its relevance for guiding theory-informed research and practice in chronic disease management. However, further empirical and theoretical work is needed to refine and validate the concept across diverse contexts.
Preventing iron deficiency anemia in rural Indonesia: Experiences and support needs of pregnant women and healthcare providers — a qualitative descriptive study Erli Zainal; Sri Sulistyowati; Agung Wibowo; Widiyanto Widiyanto
Belitung Nursing Journal Vol. 12 No. 4 (2026): July - August
Publisher : Belitung Raya Publisher - Belitung Raya Foundation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33546/bnj.4588

Abstract

Background: Iron deficiency anemia remains a significant public health concern among pregnant women, particularly in rural areas of low- and middle-income countries. Despite routine antenatal care services and iron–folic acid supplementation programs, adherence to supplementation and effective anemia prevention remain challenging. Understanding how pregnant women and healthcare providers experience and respond to these challenges is essential for strengthening anemia prevention efforts in rural maternal health services. Objective: This study aimed to explore the experiences and support needs of pregnant women and healthcare providers in preventing iron deficiency anemia in rural Indonesia. Methods: A qualitative descriptive study was conducted in Seluma Regency, Bengkulu Province, Indonesia, between May and August 2025 using in-depth interviews and focus group discussions. A total of 30 participants (18 pregnant women and 12 healthcare providers, consisting of six midwives and six nutritionists) were recruited using purposive sampling through antenatal care services. Data were collected using semi-structured interview guides and analyzed using inductive thematic analysis following Braun and Clarke's approach. Results: Three themes emerged from the thematic analysis: (1) understanding anemia beyond symptoms, (2) challenges in maintaining consistent iron–folic acid supplementation, and (3) perceived structural constraints in antenatal counseling. Pregnant women demonstrated limited understanding of anemia beyond physical symptoms, which was compounded by low educational levels prevalent in the sample. Barriers to consistent supplementation included forgetfulness, side effects, and uncertainty about proper tablet intake. Healthcare providers reported that high patient volumes and limited consultation time constrained their ability to deliver comprehensive counseling and follow-up support. Conclusion: The findings demonstrate that the routine provision of iron–folic acid supplements alone are insufficient to support consistent adherence. Strengthening continuous and practical support within antenatal care through nursing- and midwifery-led education and follow-up is essential to improve anemia prevention in rural maternal health services. Strategies should be tailored to address low health literacy, daily behavioral barriers, and structural service constraints to achieve meaningful improvements in maternal anemia prevention.
Clinical and nursing correlates of severity among chronically ill adults with aspiration pneumonia in Saudi Arabia: A retrospective cross-sectional study Eman M. Gaber Hassan; Myra Cusi Britiller; Mohammad Daud Ali; May Mohammed Alshowikat; Fatimah Hassan Ahmed Alduhaim; Sarah Mohammad AlOtaibi; Asmahan Shabbab Hamad Al-Mutairi; Hassna Maquta Ali Alharthi; Dalal Sanad Almutairi; Fatimah Saleh Al Awami; Shimaa Mohammed Said
Belitung Nursing Journal Vol. 12 No. 4 (2026): July - August
Publisher : Belitung Raya Publisher - Belitung Raya Foundation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33546/bnj.4611

Abstract

Background: Aspiration pneumonia is a major cause of morbidity and mortality in hospitalized adults, yet limited evidence exists from the Eastern region of Saudi Arabia. Objective: To identify clinical correlates of disease severity in patients with confirmed aspiration pneumonia. Methods: A retrospective cross‑sectional study was conducted using medical records of adult patients diagnosed with aspiration pneumonia across two major hospitals in Eastern Saudi Arabia (January 2018 – December 2023). A total of 294 eligible records were reviewed. Demographic, clinical, functional, and respiratory data were extracted. Bivariate and multivariable logistic regression analyses were conducted to identify factors associated with greater clinical severity, defined by respiratory compromise and treatment intensity. Results: The mean age was 63.6 years (SD 24.1); 55.1% were male, and 54.8% were fully dependent. Dysphagia or esophageal dysfunction was common, and nearly half required nasogastric feeding. In the primary multivariable model, lower oxygen saturation (aOR = 0.92, 95% CI 0.85–0.99, p = 0.035), lower Glasgow Coma Scale score (aOR = 0.81, 95% CI 0.68–0.96, p = 0.017), dysphagia/esophageal dysfunction (aOR = 2.72, 95% CI 1.15–6.40, p = 0.022), mechanical ventilation (aOR = 3.42, 95% CI 1.51–7.74, p = 0.003), and broad‑spectrum antibiotic use (aOR = 2.36, 95% CI 1.07–5.18, p = 0.033) were independently associated with greater severity. An exploratory analysis of oral hygiene was limited by sample size. Conclusions: Aspiration pneumonia in Eastern Saudi Arabia predominantly affects older, dependent adults with swallowing impairment. Independent correlates of greater severity include dysphagia, reduced consciousness, hypoxemia, and mechanical ventilation. These findings support routine dysphagia screening, structured oral care, airway protection strategies, and rehabilitative nursing interventions in chronic care pathways for at‑risk patients.
Negotiating faith in a hospital bed: A qualitative exploration of barriers to prayer (Solah) among hospitalised Muslim orthopaedic patients in Malaysia Mohd Ariff Sharifudin; Yuzana Mohd Yusop; Mai Nurul Ashikin Taib; Mohd Fitri Omar; Al Hafiz Ibrahim; Anas Mohd Yunus
Belitung Nursing Journal Vol. 12 No. 4 (2026): July - August
Publisher : Belitung Raya Publisher - Belitung Raya Foundation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33546/bnj.4619

Abstract

Background: For Muslim patients, performing the five daily prayers (Solah) is a non-negotiable pillar of faith and a vital source of spiritual solace during illness. In Malaysia, the Ibadah-Friendly Hospital (IFH) framework was established to support this need within holistic care. However, adherence remains low, particularly among patients with physical limitations, such as orthopaedic conditions, suggesting a significant gap between policy and lived experience. Objective: This study aimed to explore in-depth the lived experiences, perceptions, and multifaceted barriers faced by hospitalised Muslim orthopaedic patients in fulfilling their obligatory prayers. Methods: A qualitative descriptive case study design was employed. Purposive sampling was used to recruit 16 Muslim patients from the orthopaedic wards of a tertiary hospital on the East Coast of Malaysia. Data were gathered via semi-structured, in-depth interviews and non-participant observations between July 2023 and February 2024. Thematic analysis was conducted using the Framework Method, facilitated by the Atlas.ti software. Trustworthiness was ensured through researcher reflexivity, audit trails, and team debriefing. Results: Three primary themes emerged from the data: (1) Negotiating Obligation and Leniency, where patients held a common misconception that religious concessions (rukhsah) permitted complete postponement rather than adaptation of prayer; (2) The Embodied Struggle of Purity and Piety, capturing profound distress over ritual impurity from medical devices (catheters, diapers) and practical hurdles with inadequate ablution facilities and missing prayer attire; and (3) The Silent Gap in Supportive Care, highlighting a systemic failure where patients perceived nurses as too busy for spiritual support, experienced gender-related discomfort, and found existing IFH facilities (e.g., prayer kits) inaccessible or unknown. Conclusion: The barriers are complex, intertwining knowledge gaps, embodied distress, and systemic shortcomings. Moving beyond infrastructural provisions, a patient-centred approach is urgently needed. This includes proactive nursing assessment of spiritual needs, tailored patient education on rukhsah, gender-sensitive assistance protocols, and training that empowers nurses to provide holistic, culturally competent care that truly supports patients’ spiritual well-being.
Nurse-led interventions for cervical cancer patients: A scoping review with an emphasis on East Asian contexts Olabisi Fatimo Ibitoye; Joshua Kanaabi Muliira; Eilean Rathinasamy Lazarus; Jane Frances Anyango; Gerald Amandu Matua
Belitung Nursing Journal Vol. 12 No. 4 (2026): July - August
Publisher : Belitung Raya Publisher - Belitung Raya Foundation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33546/bnj.4650

Abstract

Background: Nurse-led interventions play a vital role in cervical cancer care across the disease trajectory but are often underappreciated despite their impact on patient-reported outcomes. Objective: This review aimed to map current nurse‑led interventions for women with cervical cancer across the disease trajectory, identify key design gaps, reporting, and evaluation to guide practice and research Methods: The scoping review was guided by Arksey and O’Malley’s framework for conducting scoping studies. The included studies were published between 2015 and 2025 and were identified through searches of MEDLINE, Scopus, Embase, CINAHL, and ScienceDirect. The final database search was conducted on 31 December 2025. The studies were empirical studies on nurse-led interventions targeting management of cervical cancer patients. The primary results were organized by themes using a line-by-line coding method. Results: Of the 1,220 studies identified, twenty-two met the inclusion criteria. Most studies used quasi-experimental designs, with few randomized, mixed-methods, or qualitative studies. The nurse-led interventions emphasized health education and psychological support, and improved sexual function, mental health, disease knowledge, quality of life, self-efficacy, personal confidence, and body image. Important elements of cervical cancer care such as cost of care, financial burden, palliative and end-of-life care, and cancer recurrence were mostly not addressed by any intervention. Conclusion: The included studies frequently reported positive outcomes associated with nurse-led interventions such as improved patients’ sexual function, quality of life, mental health, emotional well-being, family functioning, symptom burden, self-management, knowledge, and satisfaction with care. Registry: PROSPERO [CRD420261277487]
Socio-demographic factors, sexual autonomy, and self-reported sexually transmitted infection/symptoms among coupled women in Indonesia: A secondary analysis of a national survey Puji Laksmini; Besral
Belitung Nursing Journal Vol. 12 No. 4 (2026): July - August
Publisher : Belitung Raya Publisher - Belitung Raya Foundation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33546/bnj.4759

Abstract

Background: Female reproductive health vulnerabilities are influenced by socio-demographic factors and domestic power imbalances. In Indonesia, investigating how relational empowerment affects sexual health outcomes remains a critical public health necessity. Objective: This study aimed to evaluate the association between sexual autonomy, socio-demographic determinants, and self-reported sexually transmitted infection (STI) symptoms among coupled women in Indonesia. Methods: A secondary analysis was conducted using nationally representative data from the 2017 Indonesia Demographic and Health Survey (IDHS). The analytical sample comprised 28,264 currently married or cohabiting coupled women. A composite index for sexual autonomy was constructed based on standardized sexual negotiation indicators. Survey-weighted binary logistic regression analysis was conducted to calculate adjusted odds ratios (AORs) with 95% confidence intervals (CIs). Results: The multivariate analysis demonstrated a significant association between sexual autonomy and self-reported STIs. Women with high sexual autonomy had 1.51 times higher odds of reporting STI symptoms than those with low sexual autonomy (AOR = 1.51; 95% CI: 1.23-1.84). Rather than indicating greater biological risk, this association suggest a symptom disclosure effect related to greater health awareness. In contrast, structural vulnerabilities independently reduced protective capacity; lower decision-making autonomy (AOR = 1.14), primary education (AOR = 1.29), and a strong justification of intimate partner violence (AOR = 2.08) were all significantly associated with higher odds of experiencing and reporting STIs. Conclusion: The association between high individual sexual autonomy and elevated STI symptom reporting highlights a health disclosure mechanism rather than biological disease incidence. Among coupled Indonesian women, reproductive health outcomes are deeply shaped by gender power relations. Public health and community nursing interventions should therefore prioritize addressing structural domestic coercion, normalizing the rejection of violence, and creating safe environments that support health transparency.
Corrigendum to “The relationship between nurses’ speaking up about patient safety and nursing work environment in Saudi Arabia: A cross-sectional study” [Belitung Nursing Journal, 2026; 12(2): 198-207] Rawan Albalawi; Nirvana Abdelrahman Gheith; Ebaa Felemban
Belitung Nursing Journal Vol. 12 No. 4 (2026): July - August
Publisher : Belitung Raya Publisher - Belitung Raya Foundation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33546/bnj.5043

Abstract

This corrigendum corrects a clerical error regarding the institutional affiliation of the second and third authors in the original article (DOI: https://doi.org/10.33546/bnj.4233). The authors confirm that this administrative correction does not affect the methodology, data analysis, results, or conclusions of the original study and sincerely apologize for any inconvenience caused.

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