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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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Effects of Direct and Indirect Factors on Attitude toward the COVID-19 Vaccine in Pregnant Women Dora Samaria; Desmawati Desmawati; Lima Florensia
Nurse Media Journal of Nursing Vol 13, No 2 (2023): (August 2023)
Publisher : Department of Nursing, Faculty of Medicine, Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/nmjn.v13i2.51935

Abstract

Background: The administration of the COVID-19 vaccine is facing resistance from pregnant women, leading to a lower attitude toward vaccination uptake. Previous studies have explored several factors that contributed to the issue. However, no studies have investigated further the direct and indirect effects of factors that simultaneously influence attitudes toward the COVID-19 vaccine in pregnant women. Purpose: This study aimed to investigate the direct and indirect effects of factors that influence attitudes toward the COVID-19 vaccine (ACV) in pregnant women, particularly hesitancy, motivation, and history of COVID-19 infection (HCI), and to describe a pathway model that represents the effects.Methods: This cross-sectional study recruited 440 pregnant women living in Bekasi and Pandeglang, Indonesia, in May–June 2022 using consecutive sampling methods. This study employed the Motivations of Vaccination Questionnaire, the Reasons for Hesitation Questionnaire, and the Attitudes toward COVID-19 Vaccine Questionnaire. A path analysis was performed to calculate the data.Results: Hesitancy had a more indirect effect (β=-0.270; p=0.00) than the direct effect (β=-0.193; p=0.00) on ACV, whereas motivation had a more direct effect (β=0.092; p=0.04) than the indirect effect (β=0.074; p=0.00). HCI acted as the mediation variable because it could intercede with the effect of hesitancy on ACV (β=-0.449; p=0.00). It indicated that HCI in pregnant women would lead to a different approach to increasing ACV.Conclusions: All studied factors had significant impacts on ACV, both directly and indirectly. It is recommended that interventions be adjusted according to the program’s purpose, with the aim of increasing motivation or reducing hesitancy.
Women and Family Members’ Views Regarding Early Decisions about Breast Cancer Treatment: A Qualitative Study Wan Hasliza Wan Mamat; Nikki Jarrett; Nur Alia Hairulisa@Mohd Hairi; Norfadzilah Ahmad; Ashikin Atan; Susi Lund
Nurse Media Journal of Nursing Vol 13, No 2 (2023): (August 2023)
Publisher : Department of Nursing, Faculty of Medicine, Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/nmjn.v13i2.51944

Abstract

Background: Conventional or hospital treatment such as surgery, chemotherapy, or radiotherapy is widely recommended by health care providers for treating breast cancer. Early decision in conventional treatment is a complex phenomenon that requires careful consideration of the medical condition, available information, potential risk, financial, job, and involvement of family members. However, there is an inadequate understanding of early decisions about conventional treatment in Malaysia. Purpose: This study aimed to explore the early decisions about breast cancer treatment among women and their family members.Methods: This study employed a qualitative, narrative approach. Purposive and snowball sampling were applied, and 28 participants were recruited for this study. The participants took part in in-depth, face-to-face, and audio-recorded one-time interviews. All interviews were subsequently transcribed verbatim and analysed using narrative analysis.Results: This study identified two themes regarding early decisions about breast cancer treatment: (1) women and family members who accepted immediate conventional treatment, and (2) women and family members who refused immediate conventional treatment. This study discovered that some women and family members agreed to undergo conventional treatment immediately due to following doctors’ advice, influence by other patients with breast cancer, personal attitude, and appropriate knowledge concerning breast cancer. Meanwhile, other women refused it due to fear, not ready to undergo treatment, influenced by other people and socio-culture template. The unique finding in this study is the presence of specific socio-cultural templates related to breast cancer.Conclusion: This study highlights that health care providers can assist women who decline breast cancer treatment by offering education about conventional treatment options. This can be achieved by providing accurate information about the treatment, addressing treatment-related fears, providing emotional support, and encouraging open communication regarding the reasons for refusing conventional treatment.
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.
Optimizing Antenatal Care: The Effects of a Holistic Nursing Android Application for Pregnant Women Desmawati, Desmawati; Ismail, Rita
Nurse Media Journal of Nursing Vol 14, No 2 (2024): (August 2024)
Publisher : Department of Nursing, Faculty of Medicine, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/nmjn.v14i2.61661

Abstract

Background: During the COVID-19 pandemic, face-to-face antenatal care (ANC) services were limited. Therefore, we developed the Android digital application “Guide Me” with a holistic care concept for optimizing ANC.Purpose: This study aimed to evaluate the effect of the Android digital application “Guide Me” on optimizing ANC. Methods: The present study used an experimental research design. The participants included 302 pregnant women selected through block randomization, with 160 in the intervention group and 142 in the control group. The intervention involved providing ANC services using a digital Android application at home, with health services visited only when treatment was necessary. The intervention group received usual care along with the Android application, “Guide Me”, which included a holistic nursing concept program, while the control group received only the usual care. Data were collected three times, and the ANC scale was used to measure ANC optimization. Repeated measures ANOVA was used to analyze the data.Results: There were significant differences in the optimization of ANC ([F=96.887, df (1,300), p<0.001]) between the intervention and control groups. The target of 14 T in the intervention group showed significant statistical differences over three times ([F=118.35, df (1,308), p<0.001]) compared to the control group, with optimization of ANC increasing from 45.79 to 59.16 in the intervention group and from 44.09 to 45.77 in the control group.Conclusions: The program effectively increased ANC optimization. Pregnant women feel more at ease in their own homes and have less time to visit a hospital. Therefore, they may accept and even appreciate online apps and telemonitoring as alternatives to ANC checks.
Physical Well-Being Needs of Bone Cancer Patients during Treatment in the Hospital: A Qualitative Study Priyanto, Priyanto; Fauzi Kamal, Achmad; Dahlia, Debie; Besral, Besral
Nurse Media Journal of Nursing Vol 13, No 3 (2023): (December 2023)
Publisher : Department of Nursing, Faculty of Medicine, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/nmjn.v13i3.52696

Abstract

Background: Bone cancer patients undergoing hospitalization require support to manage physical challenges for optimal healing and recovery. The physical aspects experienced by the patients significantly affect their physical well-being. Addressing these aspects is essential for nurses in providing care. However, comprehensive assessments of bone cancer patients’ physical needs have not been thoroughly explored. Purpose: This study aimed to explore the physical well-being needs of patients with bone cancer undergoing hospitalization. Methods: This qualitative study with a phenomenological approach was conducted among 14 bone cancer patients selected through purposive sampling. The criteria included patients with a primary cancer diagnosis, undergoing hospitalization at a cancer center, and having good orientation and verbal communication abilities. In-depth interviews were employed to delve into the patients’ well-being needs. To triangulate the data, 12 cancer nurses were involved. Data analysis utilized the Creswell method.Results: This study found chronic pain and bone lumps as fundamental physical challenges, leading to disruptions in physical movement, sleep disturbances, and dependency on others for self-care. Six themes emerged regarding the physical well-being needs of hospitalized bone cancer patients: goals and needs for physical well-being, need for pain management, need for physical mobility, need for sleep and rest, need for self-care, and the meaning of physical well-being for patients. Physical well-being provides a significant meaning in achieving nursing goals.Conclusion: This study shows the significance of addressing pain management, physical mobility, sleep and rest, and self-care for the physical well-being of bone cancer patients. Nurses should be able to identify various physical complaints and help improve the physical well-being of bone cancer patients.
First-line Nurse Managerial Competence and Its Influencing Factors in Public Jordanian Hospitals Iblasi, Abdulkareem S.; Makahleh, Samer; Aungsuroch, Yupin; Gunawan, Joko; Juanamasta, I Gede
Nurse Media Journal of Nursing Vol 14, No 2 (2024): (August 2024)
Publisher : Department of Nursing, Faculty of Medicine, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/nmjn.v14i2.58990

Abstract

Background: First-line Nurse Managers (FLNMs) occupy pivotal positions within healthcare systems and are responsible for various administrative and caregiving functions. While FLNMs are integral to efficient healthcare services, their competencies and the factors influencing them still need to be explored in Jordan. In light of the need for more research on FLNM competencies in Jordan, this study is paramount for advancing healthcare in the country.Purpose: This study aimed to analyze FLNM competence and its influencing factors within the unique context of Jordan’s healthcare system.Methods: As a cross-sectional study, this research leveraged online platforms to distribute questionnaires to 130 FLNMs across three public hospitals in Jordan’s central region using a random sampling method. Univariate analysis comprised numerical data (Mean, median, mode, SD) and categorical data (percentage and proportion). Pearson, independent t-test, and multiple linear regression were used to analyze the data.Results: Based on responses from 130 FLNMs, the study’s results demonstrate their average age to be approximately 37.8 years, with a significant proportion holding master’s degrees, indicating a highly educated cohort. Notably, many FLNMs are charge nurses, reflecting their extensive experience and commitment to enhancing their leadership competencies. The study found no significant correlation between age and FLNM competencies, suggesting that competence is not solely contingent upon years of experience or age (p>0.05). The research revealed that the highest to the lowest significance in FLNM performance were leadership training (b=21.15, 95%CI=7.70-34.60, p=0.002), gender-based disparities (b=16.50, 95%CI=4.41-28.58, p=0.008) and social status (b=7.86, 95%CI=1.13-14.60, p=0.02), respectively. Conclusion: FLNMs exhibit high competence, influenced by leadership training, gender disparities, and social status. The research highlights the need for tailored training and support programs to improve the competencies of FLNMs in Jordan’s healthcare system, highlighting gender-based differences and the need for personalized healthcare management strategies to improve healthcare quality.
Financial Toxicity and Its Associated Factors in Cancer Patients: A Cross-sectional Study in Indonesia Handayani, Dewi; Afiyanti, Yati
Nurse Media Journal of Nursing Vol 13, No 3 (2023): (December 2023)
Publisher : Department of Nursing, Faculty of Medicine, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/nmjn.v13i3.59504

Abstract

Background: Financial toxicity has been shown to negatively affect cancer patients’ quality of life, depression, anxiety, and even mortality rates. However, there is only limited data on financial toxicity and its associated factors, which are needed to address this problem in Indonesia. Purpose: This study aimed to identify factors associated with financial toxicity in cancer patients in Indonesia.Methods: This study was a cross-sectional study that recruited respondents at a cancer health center in Indonesia using a convenience sampling method. A total of 110 adult cancer patients undergoing treatment took part in the study. The questionnaires comprised sociodemographic data, clinical characteristics, and the Comprehensive Score for Financial Toxicity (COST). Logistic regression was performed to achieve the study's aim.Results: The median value of the financial toxicity index was 3.01 (min-max=1-5), indicating a medium level of financial toxicity. Occupational status was the only factor found to be associated with financial toxicity in this study. The participants who were unemployed were 2.389 more likely to have a higher financial toxicity level compared to those who were employed (OR=2.389; p=0.048).Conclusion: Unemployment was identified to be associated with financial toxicity among cancer patients. Nurses should assess and assist patients in utilizing financial resources and develop strategies to manage extra costs that burden them financially. Future nationwide studies are essential to provide more robust evidence on multifaceted factors influencing financial toxicity and inform policy-making aimed at effectively addressing financial toxicity. 
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. 
Predictors of Prediabetes Among Young Adults in East Java of Indonesia: A Cross-sectional Study Pratiwi, Ika Nur; Widyawati, Ika Yuni; Nursalam, Nursalam; Pawanis, Zulfayandi; Qonaah, Arina; Lee, Bih-O
Nurse Media Journal of Nursing Vol 14, No 2 (2024): (August 2024)
Publisher : Department of Nursing, Faculty of Medicine, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/nmjn.v14i2.56904

Abstract

Background: Prediabetes is a condition that can be controlled and managed to prevent the occurrence of type 2 diabetes mellitus (T2DM). This condition can occur at all ages, especially in young adults. However, little is known about what factors increase the risk of prediabetes in young adults in East Java, Indonesia.Purpose: This study aimed to estimate the prevalence and the influential risk factors of prediabetes among young adults in East Java, Indonesia.Methods: This study used a cross-sectional design. The purposive sampling technique was used to recruit young adults in East Java Province, Indonesia. International physical activity questionnaire short-form version questionnaire (IPAQ-SF) and physical indicators for anthropometry were used to obtain data on sociodemographic characteristics, prediabetes knowledge, and physical activity. In addition, blood pressure, impaired fasting glucose (IFG), and body mass index (BMI) were measured. Multivariable logistic regression was employed in the analysis to determine risk factors associated with prediabetes.Results: There were 126 participants recruited, with 69 (54.8%) having prediabetes based on IFG levels. Age (p=0.035), regular exercise (p=0.015), activity level (p=0.026), body weight (p=<0.001), waist circumference (p=0.002), BMI (p=<0.001) and obesity (p=<0.001) were significant factors associated with prediabetes.Conclusion: The high prevalence of prediabetes in young adults is associated with age, routine exercise, activity level, body weight, waist circumference, BMI and obesity. It is crucial to implement strategies, such as regular IFG testing, to identify young adults with these risk factors for prediabetes screening.

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