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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 337 Documents
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Work Index and Contextual Variables as Predictors of Emergency Nurses’ Career Success Mohammadzadeh, Ali; Asghari, Elnaz; Ghafourifard, Mansour
Nurse Media Journal of Nursing Vol 11, No 2 (2021): (August 2021)
Publisher : Department of Nursing, Faculty of Medicine, Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/nmjn.v11i2.37875

Abstract

Background: The stressful work environment of emergency departments needs competent nurses to be successful in their careers. Although the work environment significantly affects nurses’ quality of care and job satisfaction, studies on the relationship between the work environment and career success are still limited. Therefore, it is imperative to investigate how individual and environmental factors predict the career success of nurses in the emergency department.Purpose: This study was conducted to identify the predictors of career success of emergency nurses based on work index and contextual variables.Methods: This cross-sectional study was conducted in eight university hospitals in Tabriz, Iran. The career success scale and the Nursing Work Index (PES-NWI) were completed by 193 emergency nurses selected using a stratified random sampling technique. Data were analyzed using a multivariate regression analysis.Results: The mean and standard deviation of nurses’ scores were 168.59±15.54 for the career success scale (range: 39-195) and 2.64±0.48 for the PES-NWI (range: 1-4). According to multiple linear regression analysis, nursing work index and hospital type were significant predictors of nurses’ career success (R2=0.17, adjusted R2=0.11, p<.01).Conclusion: Nursing work index and hospital type were significant predictors of nurses’ career success. Nursing managers and leaders should provide healthy work environments to help nurses increase their career success.
Relationship between Quality of Life, Depression, and Participation in Elderly Integrated Health Service Post among Older Adults Margaretha, Christine; Sarjana, Widodo; Suharto, Suharto; Jusup, Innawati
Nurse Media Journal of Nursing Vol 11, No 2 (2021): (August 2021)
Publisher : Department of Nursing, Faculty of Medicine, Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/nmjn.v11i2.33500

Abstract

Background: Older adults are susceptible to worsened quality of life (QOL) and depression due to aging. Elderly integrated health service post (EIHSP) is community-based health care that aims to improve older adults’ health; however, not all older adults participate in this health service.Purpose: This study was conducted to assess the relationship between the QOL, depression level, and older adults’ participation in EIHSP.Methods: A cross-sectional study was carried out among 102 older adults in a community-dwelling area in Semarang, Indonesia. Respondents were recruited using a total sampling technique. QOL was assessed by the WHOQOL-BREF questionnaire, while the level of depression was assessed by Geriatric Depression Scale (GDS) questionnaires. Descriptive statistics, Spearman, and Sommers’ d tests were used to analyze the data.Results: Higher participation in EIHSP significantly affected QOL on every domain (general quality of life, physical, psychological, social relationship, and environmental domains) with p<0.05. This study also showed that participation in EIHSP had a significant relationship with depression levels (p=0.002). Furthermore, higher depression levels significantly affected QOL on every domain (p<0.05).Conclusion: This study showed that older adults’ participation in EIHSP had a significant relationship with QOL and depression. Community nurses can promote the utilization of EIHSP among older adults for better physical and mental health. Future studies should investigate these relationships in a larger sample size.
Factors Affecting the Implementation and Barriers to Evidence-Based Practice among Nurse Practitioners in Hail Region, Saudi Arabia Alshammari, Majed Shafi; Alshurtan, Raad; Alsuliman, Gadah; Alshammari, Marzoogha; Alhamazani, Housam; Alshammry, Samiha; Dayrit, Richard Dennis; Alkwiese, Mohannad
Nurse Media Journal of Nursing Vol 11, No 2 (2021): (August 2021)
Publisher : Department of Nursing, Faculty of Medicine, Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/nmjn.v11i2.38329

Abstract

Background: While previous studies explored the implementation and barriers to evidence-based practice (EBP), there is a dearth of literature on the causative factors such as demographics that affect the implementation and barriers to EBP.Purpose: This study aimed to investigate the factors affecting the implementation of EBP and determine its barriers as perceived by nurse practitioners.Methods: This study employed a quantitative correlational design. A total of 228 staff nurses from the hospitals in the Hail region, Saudi Arabia, participated in this study through purposive sampling. The evidence-based practice questionnaire (EBPQ) and the barriers scale questionnaire were used to collect the data between June and July 2020. The descriptive statistics, t-test, and analysis of variance (ANOVA) were used to analyze the collected data.Results: The nurses showed a positive attitude (x=15.25±5.07), good knowledge (x=63.44±19.81), as well as good application of EBP (x=28.02±6.68) with an outstanding EBP score of 106.73 out of 168. Nurses’ civil status (p<0.02), nationality (p<0.05), highest degree (p<0.01), job title (p<0.001), and years of experience (p<0.001) significantly affected the implementation of EBP. Also, the biggest barriers to EBP were: “No time to read research” (94.3%), “Research is not readily available” (97.8%), “Not capable to evaluate the quality of research” (90.4 %), and “Uncertain whether to believe results” (68.4%).Conclusion: Nurses have a positive attitude, good knowledge, and good application of EBP. Civil status, nationality, highest degree, job title, and years of experience were causative factors to EBP. Nurses in hospitals should undergo training continuously to be able to use EBP effectively.
Parental Challenges in Promoting the Well-being of Talented Youths in Indonesia: A Phenomenological Study Nur Setiawati Dewi; Piyanuch Jittanoon; Wantanee Wiroonpanich
Nurse Media Journal of Nursing Vol 11, No 2 (2021): (August 2021)
Publisher : Department of Nursing, Faculty of Medicine, Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/nmjn.v11i2.34258

Abstract

Background: Parenting talented youths is a challenging task since most talented youths experience role complexities in their lives. Thus, raising talented youths can lead to increased challenges of parenting.Purpose: This study aimed to explore the challenges faced by Javanese Muslim parents in promoting the well-being of talented youths.Methods: A descriptive phenomenological approach was chosen to guide this study. Thirteen Javanese Muslim parents of talented youth (nine men and three women) were recruited using snowball and purposive sampling techniques. The data were obtained by conducting semi-structured interviews and field notes. The collected data were transcribed using verbatim transcription and analyzed using Giorgi’s method of analysis.Results: Three themes were found after data analysis, i.e., challenges coming from the youths, challenges from the community, and the existence of financial constraints in the family. Challenges coming from the youth were related to the oppositional behavior of talented youths and difficulties in managing children’s activities as students and as talented youths. Challenges from the community included low commitment and belittling behavior from teachers or lecturers, ridicule from their neighbors, gender-based discrimination, and the absence of support from the organization. Another theme was related to financial constraints in the family which made it difficult for parents to finance their youth’s education and talent activities.Conclusion: Identifying the actual problems experienced by the talented youths’ parents could help nurses develop appropriate family programs, consider, and incorporate holistic aspects into the programs to obtain optimal results.
The Content Validity and Interrater Reliability of Nursing Outcome Classification Self-Care for Toileting among Children with Physical Disabilities Meisyarah, Yogi Hasna; Hartini, Sri; Haryanti, Fitri
Nurse Media Journal of Nursing Vol 11, No 2 (2021): (August 2021)
Publisher : Department of Nursing, Faculty of Medicine, Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/nmjn.v11i2.32267

Abstract

Background: Nursing Outcome Classification (NOC) Self-care for Toileting is an instrument for measuring the abilities of toileting self-care among children with physical disabilities. However, there has been no cultural adaptation in the Indonesian context, especially among children with physical disabilities, so that the validity and inter-rater reliability of the instrument has not been reported. Testing the content validity and interrater reliability of this instrument is necessary so that it could be used to measure the ability of toileting self-care.Purpose: This study aimed to examine the content validity and inter-rater reliability of NOC Self-care for Toileting among children with physical disabilities.Methods: This was a descriptive quantitative non-experimental research with a cross-sectional design. In the content validity test, this study employed seven experts teaching in nursing academies with a minimum degree of S2/specialist and had the experiences in basic nursing to assess the validity of NOC Self-care for Toileting. As for the inter-rater reliability test, this study involved two raters of nursing students who have passed block 2.4 lecture on “Growth and Development” and 36 children with physical disabilities at a Special School in Bantul, Yogyakarta. The validity test was analyzed using CVR, CVI, and Aiken’s V indexes, while the inter-rater reliability test was analyzed using Kappa and percent agreement.Results: The validity test showed the CVR value range of 0.71-1.00, the CVI value of 0.91, and the V coefficient range of 0.86-1.00. In the inter-rater reliability test, the Kappa value obtained was 0.958, and the percent agreement value was 97.22% for all indicators of NOC Self-care for Toileting.Conclusion: NOC Self-care for Toileting is a valid and reliable instrument for measuring the abilities of toileting self-care among children aged 6-18 with mild to moderate degrees of physical disabilities. Further research can be conducted by involving different respondents and cultures with more than two raters if possible.
Revisiting Job Satisfaction and Intention to Stay: A Cross-sectional Study among Hospital Nurses in the Philippines Sapar, Lester Canarejo; Oducado, Ryan Michael F.
Nurse Media Journal of Nursing Vol 11, No 2 (2021): (August 2021)
Publisher : Department of Nursing, Faculty of Medicine, Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/nmjn.v11i2.36557

Abstract

Background: The global shortage of nurses and the rapid turnover of nurses remain crucial issues and areas of concern that call for immediate attention. Job satisfaction is a recognized determinant of nurses’ decision to stay in their current workplace. However, while nurses’ job satisfaction has received considerable attention among scholars, the results of studies are still mixed.Purpose: The purpose of this study was to revisit and assess the job satisfaction and intention to stay of nurses in two selected hospitals in the Philippines.Methods: A cross-sectional research design was used in this study. A sample of 120 nurses in a public and private hospital in the Philippines responded to the Job Satisfaction Survey and Intent to Stay Scale questionnaires. Descriptive statistics, t-test, one-way ANOVA, and Pearson’s r were employed for data analysis.Results: Results show that the majority (58.3%) of the nurses were neither satisfied nor dissatisfied with their job. Also, nurses intended to neither stay nor quit in their current workplace with only a few (9.2%) had high intention to stay. Nurses were most satisfied in terms of the nature of their job (18.95+2.50) but were dissatisfied with the fringe benefits (12.69+4.11) and operating conditions (12.18+2.58) at work. Nurses in the public hospital (p=0.040) and those with higher salaries (p=0.015) had significantly higher intentions to stay. Job satisfaction and intention to stay were significantly related (p=0.002).Conclusion: Nurses’ job satisfaction is positively linked with their intention to stay in their current workplace. This study highlights that efforts should be made to improve nurses’ job satisfaction to encourage nurses to remain in their current workplace. Also, increasing nurses’ salary particularly those nurses in the private sector is a focal point of consideration to ensure that there is enough supply of nurses in the country.
Effect of a Ten-Week Short Message Service-Based Intervention on Self-Management of Type-2 Diabetes Patients in Bali, Indonesia Damayanti, Made Rini; Antari, Gusti Ayu Ary; Nopriani, Ni Luh Putu
Nurse Media Journal of Nursing Vol 11, No 2 (2021): (August 2021)
Publisher : Department of Nursing, Faculty of Medicine, Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/nmjn.v11i2.35257

Abstract

Background: Diabetes mellitus is a chronic disease that may pose serious complications if poorly managed. The application of mobile technology (m-health) ranging from simple to more complex programs in diabetes management has the potential to foster patients’ active involvement in their care. However, the evidence of m-health effectiveness on the self-management of type-2 diabetes patients in low- and middle-income countries is still mixed.Purpose: To evaluate the effect of a ten-week short message system (SMS)-based intervention (Tweek SMSDM) on self-management of type-2 diabetes patients.Methods: A quasi-experimental study was performed in two groups. The intervention group (n=30) received additional daily automated messages to enhance their diabetic self-care practice, while the control group (n=30) continued to follow the standard program only. Pre- and post-intervention data were measured in both groups using the Indonesian version of the Summary of Diabetes Self-Care Activities (SDSCA) questionnaire. T-test, Mann-Whitney, Wilcoxon Signed-Ranks, McNemar and Fisher exact tests were carried out to analyze the data.Results: After ten weeks, the intervention group showed significant mean changes in the domains of general diet (0.42±1.08; p=0.034), specific diet (1.75±1.42; p=0.0001), exercise (1.02±1.85; p=0.005), blood-glucose testing (0.53±1.67; p=0.009), and foot care (4.75±2.51; p=0.001) before and after the intervention, while the control group did not. This study also found significant differences in the mean scores for each domain of the SDSCA between the intervention and the control groups (p<0.05).Conclusion: The Tweek SMSDM program can improve the self-management of type-2 diabetes patients and positively affect each domain in the SDSCA. The findings of this study recommend that nurses integrate the program into patient treatment regimes in primary healthcare centers; therefore, patients and their significant others can play more proactive roles in their diabetic care.
Effects of Guided Antenatal Education Support Programs on Postnatal Depression, Social Support, and Life Satisfaction among First-time Mothers in Kelantan, Malaysia Badrin, Salwismawati; Badrin, Salziyan; Raja Gopal, Raja Lexshimi; Johan Noor, Shah Reza
Nurse Media Journal of Nursing Vol 11, No 2 (2021): (August 2021)
Publisher : Department of Nursing, Faculty of Medicine, Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/nmjn.v11i2.37123

Abstract

Background: First-time mothers may experience postnatal depression and a lack of social support, affecting their life satisfaction. However, there is a lack of studies investigating the application of guided antenatal education support programs to deal with such issues.Purpose: The study aimed to evaluate the effects of guided antenatal education support programs on postnatal depression, social support, and life satisfaction among first-time mothers.Methods: This quasi-experimental study involved a total of 72 first-time mothers. Convenience sampling was applied for participant selection, and no randomization was used. The participants were equally divided into the intervention group and the control group. A self-administrated questionnaire was used for data collection during the antenatal period (pretest) and six weeks postpartum (posttest). The risk of postnatal depression was assessed using the Edinburgh Postnatal Depression Scale (EPDS). In addition, the Multidimensional Scale of Perceived Social Support (MSPSS) and the Satisfaction with Life Scale (SWLS) were used to assess social support, and life satisfaction, respectively. The intervention group received a guided antenatal education support program, consisting of antenatal education sessions plus an extra 15-minute discussion and a support guidebook. The data were analyzed using a paired t-test and an independent t-test.Results: There was a significant reduction in the risk of postnatal depression score in the intervention group (p<0.05) after receiving the guided antenatal education compared to the control group. Also, there was a significant increment of life satisfaction score (p<0.05) and social support score (p<0.05) after receiving guided antenatal education in the intervention group.Conclusion: The guided antenatal education support is beneficial to reduce postnatal depression and increase life satisfaction and social support. Nurses and midwives should provide an integration of psychoeducation for first-time mothers, especially during pregnancy.
Effects and Interventions of Pressure Injury Prevention Bundles of Care in Critically Ill Patients: A Systematic Review Trisnaningtyas, Wenny; Retnaningsih, Retnaningsih; Rochana, Nana
Nurse Media Journal of Nursing Vol 11, No 2 (2021): (August 2021)
Publisher : Department of Nursing, Faculty of Medicine, Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/nmjn.v11i2.28881

Abstract

Background: Many studies on pressure injury prevention bundles have been conducted outside the Intensive Care Unit (ICU). The bundles, which include multi interventions, have proven effective in reducing pressure ulcer incidents compared to a single intervention. However, the existing review studies on pressure injury prevention in ICUs still only investigate a single intervention rather than multi interventions. Only few reviews, to our knowledge, involves prevention bundle strategies in the ICU.Purpose: This study aims to review the effects of the pressure injury prevention bundles of care on the incidents of pressure injury in critically ill patients and the intervention measures of the care bundles.Methods: This review searched published articles from several databases, namely EBSCO, ScienceDirect, PubMed, ProQuest, Google Scholar, and Scopus from 2009 up to 2020. PRISMA flowchart was used to select relevant articles using several inclusion and exclusion criteria, resulting in 17 article from 50 eligible full-text articles for assessment. The included studies were assessed for their quality using Joanna Briggs Institute (JBI) critical appraisal tools. The synthesis was then conducted narratively.Results: As many as 17 studies, which mostly had good quality yet evidence level of II, were included in the analysis. The findings showed that the pressure injury prevention bundles of care decreased pressure injury incidents as many as 4.3%-36.2% in developed countries and 4.16%-21% in developing countries. Moreover, the bundles of care which significantly reduced the incidents of pressure injury consisted of 7 intervention measures, which were pressure injury risk assessment using Cubbin Jackson scale, skin assessment and care, repositioning, nutrition, education, support surface, and medical device care.Conclusion:The review concluded that the pressure injury prevention bundles of care in critically ill patients significantly reduced the incidents of pressure injury. The study recommends more studies with stronger evidence levels to carry out and utilize 7 intervention measures as a preventive standard of care in critically ill patients. 
Indonesian Self-Risk Assessment for Cervical Cancer (SiNara): Instrument Development and Validation Madiuw, Devita; Hermayanti, Yanti; Solehati, Tetti
Nurse Media Journal of Nursing Vol 11, No 2 (2021): (August 2021)
Publisher : Department of Nursing, Faculty of Medicine, Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/nmjn.v11i2.34199

Abstract

Background: Women’s ignorance of cervical cancer risk factors has caused low participation in the screening of the disease. Women can independently assess cervical cancer risk factors in themselves through a risk assessment instrument. However, no instruments were found that assessed cervical cancer risk based on the characteristics of Indonesian women.Purpose: This study aimed to develop and validate an Indonesian self-risk instrument for cervical cancer.Methods: The instrument was developed based on scale development following the guidelines by DeVellis (2017). A cross-sectional study was implemented to validate the instrument. A total of 20 women were involved in the pre-testing, and as many as 200 women were included in the instrument testing. Based on the scale development guidelines, data collection was initiated with a literature review to determine the instrument construct and item pool. A total of 29 articles were used in the formulation of the item pool and resulted in 38 items for validity and reliability testing. Content validity ratio (CVR) and content validity index (CVI) were used to test the content validity of the instrument, which was reviewed by three experts. Exploratory factor analysis (EFA) with principal component analysis (PCA) method and Kuder-Richardson 20 (KR-20) were used to evaluate construct validity and internal consistency reliability, respectively.Results: A total of 26 items met the content validity and 21 items met the construct validity evaluation, with five items being removed because they had a loading factor value of <0.4. After the validity were evaluated, the instrument was reduced from 38 items to 21 items. The internal consistency reliability with Kuder-Richardson 20 (KR-20) was 0.807.Conclusion: The Indonesian self-risk assessment for cervical cancer (SiNara) instrument is of good validity and reliability. However, it needs to be tested in other settings using larger samples to measure its psychometric properties as well as its applicability and acceptability.

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