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Nurse Media Journal of Nursing
Published by Universitas Diponegoro
ISSN : 24068799     EISSN : 20877811     DOI : https://doi.org/10.14710/nmjn
Core Subject : Health,
Nursing
Nurse Media Journal of Nursing (e-ISSN: 2406-8799, p-ISSN: 2087-7811) is an international journal that provides a forum for publishing the scientific works of nurse practitioners, academics, and researchers. The focus and scopes of the journal include adult nursing, emergency nursing, gerontological nursing, community nursing, mental health nursing, pediatric nursing, maternity nursing, nursing leadership and management, complementary and alternative medicine (CAM) in nursing, and education in nursing. The journal is published regularly in June and December every year. Starting 2020, the journal will publish three issues each year, that is in April, August, and December
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Articles 12 Documents
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Search results for , issue "Vol 14, No 1 (2024): (April 2024)" : 12 Documents clear
Socio-Demographic and Clinical Profiles Associated with Sodium Consumption Behaviors in Patients with Non-Dialysis Chronic Kidney Disease: A Study in Myanmar Hlaing, Kay Thi; Sriyuktasuth, Aurawamon; Phligbua, Warunee
Nurse Media Journal of Nursing Vol 14, No 1 (2024): (April 2024)
Publisher : Department of Nursing, Faculty of Medicine, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/nmjn.v14i1.57708

Abstract

Background: Sodium consumption behaviors (SCB) play a significant role in the development of kidney failure and associated comorbidities in patients with chronic kidney disease (CKD). Despite the widespread harmful effects of excessive salt consumption, factors influencing SCB in patients with non-dialysis CKD are still little known in Myanmar. No previous study was carried out among Myanmar populations with non-dialysis CKD.Purpose: This study aimed to identify the association between socio-demographic and clinical profiles and SCB in patients with non-dialysis CKD in Myanmar.Methods: Cross-sectional data of 123 patients with non-dialysis CKD, gathered from a tertiary hospital-based study in Myanmar, were analyzed. Non-dialysis CKD patients who had been diagnosed with CKD for more than 3 months were recruited via convenience sampling. Data were collected using demographic and clinical characteristics data form, and Sodium Consumption Behaviors Questionnaire (SCBQ). Descriptive and inferential statistics were employed for data analysis.Results: The mean score of SCB was 31.5 (SD=5.1), indicating quite good behaviors. Participants who had high education (b= -.233, p= .006) and old age (b= -.169, p= .048) were more likely to have good SCB, whereas participants who took antihypertensive medication (b= .304, p= .001) and had comorbidities (b= .232, p= .006) were more likely to have poor SCB.Conclusion: The participants in this study displayed quite favorable SCB. Educational level, age, taking antihypertensive medication, and comorbidity significantly contributed to SCB. Hence, nurses and other healthcare providers should screen patients with these characteristics and provide health education to promote good SCB and prevent the progression of CKD in non-dialysis CKD patients in Myanmar.
Effectiveness of Self-Management Training, “EDUDARA”, on Psychological Wellbeing and Cortisol Levels in Breast Cancer Patients during the COVID-19 Pandemic Supriati, Lilik; Nova, Renny; Rodli, Muhammad; Ahsan, Ahsan; Hidaayah, Nur; Rismayanti, I Dewa Ayu
Nurse Media Journal of Nursing Vol 14, No 1 (2024): (April 2024)
Publisher : Department of Nursing, Faculty of Medicine, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/nmjn.v14i1.61652

Abstract

Background: Women diagnosed with breast cancer often experience emotional distress, leading to a decrease in psychological well-being. Online self-management training during the COVID-19 pandemic is crucial for maintaining psychological well-being, as it is closely related to stress hormone cortisol levels, which play a vital role in boosting the body’s immune system. However, research on self-management strategies for breast cancer patients, particularly regarding psychological aspect and its relationship to cortisol levels during the COVID-19 pandemic, remains limited.Purpose: The purpose of this study was to measure the effectiveness of self-management training on psychological well-being and salivary cortisol levels in breast cancer patients.Methods: This study used a pre-post-test quasi-experimental design with a control group. The participants included 70 breast cancer patients undergoing chemotherapy at a hospital in Malang City, East Java, Indonesia, recruited using simple random sampling. Self-management training using the EDUDARA (Edukasi Kanker Payudara) was administered to the participants in the intervention group for six weeks. Data on wellbeing were collected using the Ryff Psychological Wellbeing Questionnaire, while salivary cortisol levels were measured with the DBD cortisol kit using the competitive ELISA method. SPSS with t-tests was used to analyze the data.Results: The average post-test psychological well-being score in the intervention group was 90.3, while in the control group, it was 82.69. The results of statistical tests showed a significant difference in psychological well-being between the two groups, with the intervention group showing greater improvement after the training. Additionally, the mean salivary cortisol level post-training was 4.531 in the intervention group and 6.169 in the control group (p=0.001). This indicates a greater reduction in cortisol levels in the intervention group after training, showing that participants’ psychological condition following the “EDUDARA” training was better than that of the control group.Conclusion: Self-management training had a positive effect on increasing psychological well-being and decreasing salivary cortisol levels among breast cancer patients. Therefore, structured self-management training for these patients can be used for nursing intervention
The Association of Nurse Burnout with Patient Satisfaction from Nurse Perspective Mediated by Nurse Job Satisfaction and Caring Behavior Antonio, Ferdi; Andy, Andy; Moksidy, Jevany Claudia
Nurse Media Journal of Nursing Vol 14, No 1 (2024): (April 2024)
Publisher : Department of Nursing, Faculty of Medicine, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/nmjn.v14i1.54040

Abstract

Background: The COVID-19 pandemic represents a substantial threat to world health, economic stability, and civilization in general. In the COVID-19 era, health workers, particularly frontline nurses, face increasing pressure which further affects patient satisfaction. However, empirical studies that connected burnout, job satisfaction, and caring behavior toward patient satisfaction from the nurses’ point of view are still scarce.Purpose: This study aimed to explore the relationship between nurse burnout with  patient satisfaction mediated by work satisfaction and nurse caring behavior at a private COVID-19 referral hospital from the nurses’ perspective.Methods: A quantitative survey with a cross-sectional approach was conducted from March to April 2021 to test the framework on the population obtained from full-time nurses who worked at a private COVID-19 referral hospital in Manado, North Sulawesi, Indonesia. The researcher analyzed the empirical data generated from purposive sampling resulting in 170 eligible respondents.  Data were collected through a self-completed online questionnaire with the Likert scale. The data analysis deployed the PLS-SEM approach.Results: The findings indicate that nurse burnout is associated significantly (p<0.05 and CI 95%) with the delivery of patient satisfaction from the nurses’ perspective, mediated by job satisfaction and nurses’ caring behavior. The mediation relationship was found with b=0.021, while the direct relation from caring behavior to patient satisfaction was b=0.277 and from job satisfaction was  b=0.582. The proposed model demonstrated adequate prediction of patient satisfaction as the dependent variable (R2=0.633).Conclusion: This study concluded that nurse burnout which consists of three dimensions mediated by job satisfaction and caring behavior had an association with patient satisfaction. Increased burnout will result in decreased job satisfaction and caring behavior. This study provides suggestions to the hospital manager to improve the quality of care by understanding nurse burnout and preventing it. 
Distress and Coping Strategy among Indonesian Men with Type-2 Diabetes Mellitus Nugroho, Fajar Ari; Chandra, Rico Budhiarta; Laila, Nike; Rukia, Sera; Kusumastuty, Inggita; Cempaka, Anggun Rindang; Istifiani, Lola Ayu; Latif, Atifa Nafia Hasantie
Nurse Media Journal of Nursing Vol 14, No 1 (2024): (April 2024)
Publisher : Department of Nursing, Faculty of Medicine, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/nmjn.v14i1.61605

Abstract

Background: Type-2 diabetes mellitus (T2DM) can have a notable impact on the psychological and physical well-being of individuals, which in turn affects the management of the condition. Men and women experiencing stress and adopting distinct coping strategies. However, research focusing specifically on T2DM in men is still limited.Purpose: The present study intends to investigate the distress and coping strategies adopted by male T2DM outpatients in Malang, East Java, Indonesia.Methods: This study employed a qualitative research design and conducted in-depth interviews to 24 male T2DM outpatients. The interview guidelines were formulated using the Indonesian version of the Diabetes Distress Scale (DDS17) questionnaire, which comprised four domains: physician distress, emotional burden, regimen distress, and interpersonal distress. A thematic analysis was performed to analyze the results gathered during the research and compile them into a final report.Results: The study revealed that individuals diagnosed with T2DM experienced a range of emotional and practical difficulties, including feelings of fear, anxiety, and a lack of understanding. Disease burden, a lack of understanding of both diabetes and healthcare services, difficulties managing their diet, routine medication, financial concerns, and fatigue also contributed to the distress. To cope with distress, the informants identified eight distinct coping strategies. Of these, the most effective strategy was receiving support from family members, followed by acceptance, self management, positive attitude, understanding of their illness, joining the diabetes community, spirituality, and getting more information about T2DM.Conclusion: The findings of this study indicated that men experience eight distinct types of stress and utilise comparable coping strategies associated with T2DM. Emotional distress represents the predominant pressure, while family support constitutes the primary coping strategy. These results are important for nurses and other healthcare professionals in supporting patients.
Problems of Myanmar Women of Reproductive Age in Accessing Health Services as Migrant Workers in Thailand: A Qualitative Study Sitkulanan, Piyaporn; Chaisitsanguan, Kunnikar; Winaiprasert, Prakaipetch; Wong-arsa, Wilailuck
Nurse Media Journal of Nursing Vol 14, No 1 (2024): (April 2024)
Publisher : Department of Nursing, Faculty of Medicine, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/nmjn.v14i1.57287

Abstract

Background: The largest portion of migrant labor in Thailand originates from Myanmar, with almost half consisting of female workers. Most female migrant workers (MWs) are of reproductive age and often experience physical illnesses, including pregnancy and childbirth. Although access to prenatal care and delivery services for Myanmar MWs has been previously studied, their challenges in accessing other reproductive health services (HSs) have not yet been explored.Purpose: This study aimed to explore problems in accessing health services experienced by women of reproductive age (WRA) who were members of the Myanmar migrant workforce in Thailand.Methods: The present study employed a qualitative research design. The samples consisted of 20 informants aged 18-49 years old, who were Myanmar WRA working as migrant laborers for more than one year. They were subdivided into two groups: 10 participants provided information through in-depth interviews, and the other 10 participated in focus group discussions, with each group comprising 5 individuals. The researchers selected informants using criterion sampling. Data analysis utilized the Diekelmann and Allen method.Results: The findings revealed two general themes, including care ineligibility and problems in accessing health services. The six major issues among Myanmar WRA include inability to purchase or renew health insurance cards (HICs), HIC or social security wage deduction avoidance, communication issues, hospital inexperience, the transit fare, and admission refusal.Conclusion: Despite available health services, migrant women from Myanmar encounter barriers such as inability to purchase health insurance cards, wage deduction concerns, communication issues, hospital unfamiliarity, transportation expenses, and admission refusal. Addressing these barriers through policy interventions and support mechanisms is crucial for enhancing healthcare access.
Perceptions and Experiences of Nursing Students in Caring for People Living with HIV/AIDS in South Africa: A Qualitative Study Mabhiza, Ruwadzano Dorcas; Bhana, Varshika; Sedibe, Heather
Nurse Media Journal of Nursing Vol 14, No 1 (2024): (April 2024)
Publisher : Department of Nursing, Faculty of Medicine, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/nmjn.v14i1.52508

Abstract

Background: Although previous studies focusing on nurses’ perceptions of caring for people living with HIV (PLHIV) have been conducted in numerous countries, little is known about first-year student nurses’ perceptions and experiences regarding their role in caring for PLHIV in South Africa. To ensure quality care for PLHIV, it is essential to explore first-year student nurses’ roles in caring for PLHIV.Purpose: This study aimed to explore the perceptions and experiences of first-year nursing students on their role in caring for PLHIV in South Africa.Methods: A qualitative exploratory descriptive design was employed for this study, utilizing a purposive sampling method to recruit 18 participants. These participants were first-year nursing students aged 18 or older, enrolled in a 4-year bachelor’s degree nursing program, and who had completed clinical placements in hospitals. Data collection involved two focus group discussions (FGDs), one comprising eight participants and the other ten participants. Thematic analysis was employed to analyze the collected data.Results: Four main themes were drawn from two FGDs, including (1) students’ unpreparedness in their role to care for PLHIV, (2) disclosure practices and student safety concerns, (3) personal backgrounds and attitudes towards PLHIV care, and (4) physical and psychological wellbeing of students while caring for PLHIV. Furthermore, 11 sub-themes were subsequently drawn from these main themes. Thematic sub-themes and individual focus group responses were relied on to reach data saturation despite the small number of FGD sessions.Conclusion: First-year nursing students had negative and positive perceptions and experiences when caring for PLHIV. There is a need for these students to acquire adequate theoretical knowledge and practical skills to enhance clinical preparation for their role in clinical facilities. This could improve their perceptions regarding caring for PLHIV in the clinical setting and result in improved care.
Nurses’ Knowledge on the Prevention of Ventilator-Associated Pneumonia (VAP) among Critically Ill Patients Alreshidi, Maha Sanat; AlRashidi, Fareda Ali; Tuppal, Cyruz P.; Al Rashidi, Nojoud; Prudencio, Denise Angelo M.; Villagracia, Rico William A.; Villagracia, Hazel N.
Nurse Media Journal of Nursing Vol 14, No 1 (2024): (April 2024)
Publisher : Department of Nursing, Faculty of Medicine, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/nmjn.v14i1.50955

Abstract

Background: Ventilator-associated pneumonia (VAP) is a significant concern in healthcare settings, particularly among critically ill patients who require mechanical ventilation. Nurses play a vital role in preventing VAP through their knowledge and implementation of evidence-based practices. However, there exists a notable gap in the research regarding nurses’ knowledge of preventing VAP to improve patient outcomes and reduce healthcare costs.Purpose: This study aimed to assess nurses’ knowledge of preventing VAP among critically ill patients using the ventilator bundle checklist.Methods: This study used a one-group pretest-posttest design to test the change in the nurses’ knowledge scores on VAP working in two government hospitals in Buraidah, Al Qassim Region, Saudi Arabia. The study covered 250 purposively and conveniently sampled nurses from intensive care units. Data collection was performed in three phases: pre-test, VAP educational program, and post-test. Data were collected using self-administered questionnaires on nurses’ socio-demographics, a 20-item self-made survey about the knowledge of VAP and its prevention and the adapted ventilator bundle checklist. The collected data were entered, prepared, and analyzed using SPSS version 25.0. Relevant ethical issues were strictly considered.Results: The results showed that during the pre-test, correct responses were accounted for but showed low scores in the following areas: general knowledge of VAP (27.6%), factors associated with VAP (36%), international guidelines for prevention (20.8%), and nurses’ roles in prevention (16.4%). However, in the post-test, there was a remarkable increase in the knowledge scores in the same categories (95.2%) on general knowledge, on factors associated with VAP (74.8%), on international guidelines (73.6%) and on nurses’ roles in prevention (61.6%). The program significantly improved overall VAP knowledge and knowledge in specific areas like general VAP, associated factors, international guidelines, and nurses’ roles in prevention (p<0.000).Conclusion: A pre-test revealed low baseline knowledge across all four areas assessed: general VAP knowledge, factors associated with VAP, international VAP prevention guidelines, and nurses’ roles in VAP prevention. However, post-test scores markedly increased in all areas, indicating the educational program’s effectiveness. Hence, the findings suggest that educational intervention focused on VAP screening and bundle protocols could be beneficial to address the gap in knowledge on VAP.
Stressors and Coping Strategies as Perceived among Nursing Students during Related Learning Experience (RLE) Ridad, Geraldine Sabate; Angintaopan, Haniya; Ayunan, Princess Haniefa Mae; Manalocon, Saipoden
Nurse Media Journal of Nursing Vol 14, No 1 (2024): (April 2024)
Publisher : Department of Nursing, Faculty of Medicine, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/nmjn.v14i1.53987

Abstract

Background: Stress in relation to academic studies is identified to be one of the reasons behind suicide cases in higher education institutions around the world. Locally, there is none to less studies that explored this area among nursing students. As stress is inevitable in nursing students’ Related Learning Experience (RLE), recognizing the stressors that affect their quality of RLE is necessary.Purpose: This study aimed to investigate the stressors and coping strategies that nursing students commonly use in managing stress during their RLE and their relationship to each other.Methods: A descriptive correlational research design with total enumeration sampling was employed. A pilot-tested questionnaire was used to gather data from 191 junior and senior nursing students from two nursing schools in Iligan City. Weighted mean, standard deviation, percentages, and Spearman rho were used to analyze the data.Results: The findings show that the "Clinical Instructor" (Mean=3.01) is perceived to cause higher stress among all the intrapersonal and interpersonal stressors identified. Students highly utilize both intrapersonal (Self-Concept Mean=3.75) and interpersonal strategies (Role Function Mean=4.13, Interdependence Mean=3.46) to cope with stress. When students’ clinical “skill confusion” increases, they tend to work less with others (r=-0.259, p=0.000). When “staff nurses” cause them less stress, their use of positive “self-concept” decreases as well (r=0.152, p=0.035). Furthermore, when students are stressed with their “Duty-mates,” they rely more on “physiological” coping mechanisms (r=0.160, p=0.027). When their “clinical instructor” causes them stress, they cope less with “physiological” (r=-0.237, p=0.001) and “interdependence” strategies (r=-0.317, p=0.000).Conclusion:Among all the stressors, clinical instructor causes more stress to the students. The students’ perceived stressors affect their effective use of intra and interpersonal coping strategies. Nurse educators, nursing schools and regulating bodies can consider these results in designing a holistic curriculum and helping students manage stress healthily. 
Development of a Holistic Nursing Model Based on Transcultural Nursing to Improve the Quality of Life of Patients with Type-2 Diabetes Mellitus Suniyadewi, Ni Wayan; Arief, Yuni Sufyanti; Kurniawati, Ninuk Dian; Rismayanti, I Dewa Ayu; Trisnadewi, Ni Wayan; Iswatun, Iswatun
Nurse Media Journal of Nursing Vol 14, No 1 (2024): (April 2024)
Publisher : Department of Nursing, Faculty of Medicine, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/nmjn.v14i1.56812

Abstract

Background: The management of type 2 diabetes mellitus (T2DM) primarily emphasizes physical care, yet the quality of life (QoL) remains suboptimal. The management of diabetes often neglects psychological, socio-cultural, and spiritual aspects, which are essential components of transcultural nursing. Developing a holistic nursing model rooted in transcultural nursing, which has never been broadly investigated, is imperative to enhance QoL in individuals with T2DM.Purpose: This study aimed to develop a nursing model based on transcultural nursing to enhance the QoL of individuals with T2DM.Methods: This study employed a quantitative research design with a cross-sectional approach. A sample of 145 individuals with T2DM was recruited using a simple random sampling technique. A self-developed questionnaire was used, incorporating factors from Dossey’s holistic nursing model, Leininger’s transcultural nursing model, and a QoL questionnaire. Inferential statistics using smart PLS-structural equation modeling (SEM) were employed for data analysis.Results: The findings revealed that the holistic nursing model based on transcultural nursing in individuals with T2DM was influenced directly by respondent characteristics (t=3.313, p=0.001), religious and life philosophy (t=2.836, p=0.005), social and kinship (t=2.579, p=0.010), cultural and lifestyle (t=2.833, p=0.005), biological (t=2.718, p=0.007), and psychological (t=2.497, p=0.013) factors. However, the technological factor was not significantly (t=0.802, p=0.423) associated with the model. The holistic nursing model based on transcultural nursing had a direct influence on the quality of life (t=9.124 and p=0.000).Conclusion: The holistic nursing model based on transcultural nursing encompasses six variables: respondent characteristics, religious and life philosophy, social and kinship, cultural and lifestyle, and biological and psychological factors. The model can serve as a guideline for managing type 2 DM patients to enhance the QoL.
Patterns of Musculoskeletal Disorders among Staff Nurses in the Emergency Department in Saudi Arabia: A Cross-sectional Study Alrimali, Afaf Mufadhi; Alreshidi, Nashi Masnad; Alshammari, Aljazi Albshri; Alenzy, Aeedah Rfadah; Thomas, Riya; Dinoy, May Ann; Alanzi, Fouz Aziz; Pasay-an, Eddieson
Nurse Media Journal of Nursing Vol 14, No 1 (2024): (April 2024)
Publisher : Department of Nursing, Faculty of Medicine, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/nmjn.v14i1.62203

Abstract

Background: The physically demanding and high-stress environment of Emergency Departments (EDs) significantly contributes to the heightened risk of musculoskeletal disorders (MSDs) among ED nurses. Despite this known association, there is a lack of comprehensive understanding of the prevalence rates and contributing factors within ED settings in Saudi Arabia, necessitating further investigation.Purpose: This study delves into the prevalence and potential predictors of MSDs among nurses in this critical healthcare setting.Methods: A cross-sectional survey was conducted in March 2023 using convenience sampling of 177 ED nurses across 16 public hospitals in Hail, Saudi Arabia. The Nordic Musculoskeletal Questionnaire was employed, with SPSS analyses covering frequency and percentage of pain prevalence via cross-tabulation, and logistic regression to identify risk factors.Results: Over the past year, 68.9% of participants reported lower back pain affecting normal activities in 55.4% of cases. Neck pain was more likely in individuals aged 20-29 and former smokers accounting for 47.6% of the variance (p=0.001). Shorter shifts under 8 hours reduced neck pain risk, whereas a schedule with 50% of night shifts heightened the risk, contributing to 28.4% of the variance (p=0.001). Nurses aged 40-49 and those with significant childcare duties faced higher shoulder pain risk (p=0.024), and adult caregiving duties was linked to upper back pain explaining 40.6% of the variance (p=0.017). No significant links were found for other musculoskeletal pains.Conclusion: The study reveals a significant prevalence of MSDs among the evaluated ED nurses, significantly influenced by specific demographic and work-related factors. Addressing these through ergonomic interventions, optimal scheduling, and wellness programs is crucial for nurse well-being and patient care. Future research should focus on creating holistic wellness programs that support nurses musculoskeletal health.

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