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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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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.
Malaria Prevention Strategies in Kalimantan, Indonesia: A Secondary Analysis of 2018 Basic Health Research Data Ridha, Muhammad Rasyid; Andiarsa, Dicky; Noor, Ihya Hazairin; Wiliyani, Erni; Ramadhani, Tri; Yudhastuti, Ririh
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.v14i2.56285

Abstract

Background:  Kalimantan remains malaria-endemic, particularly in rural areas, where prevention efforts face challenges such as insecticide resistance and limited healthcare access. Despite available measures like insecticide-treated nets, gaps in understanding individual and household prevention practices persist, especially in relation to demographics and effectiveness in reducing malaria transmission.Purpose: This study aimed to examine the individual and household-level malaria prevention strategies utilized in rural Kalimantan and evaluate their effectiveness in reducing malaria incidence.Methods: The study was a secondary analysis of the 2018 Indonesian basic health research (Riskesdas). A total of 67,155 respondents in Kalimantan were analyzed including respondent characteristics, memories of malaria infection, and individual and household malaria prevention efforts. The data were collected through the result of the 2018 Riskesdas survey. Bivariate regression and multivariable logistic regression were used in data analysis.Results:  Self-reported malaria rates were higher among older respondents compared to younger ones. Women reported lower malaria rates than men, especially in South Kalimantan. In West Kalimantan, the use of bed nets was associated with higher self-reported malaria rates (OR=1.838, 95%CI 1.147–2.943). Short-term use of insecticide-treated nets (ITNs) showed varying odds across provinces: Central Kalimantan (OR=3.659, 95%CI 1.378–9.717), South Kalimantan (OR=10.811, 95%CI 3.649–32.030), East Kalimantan (OR=2.615, 95%CI 1.041–6.567), and West Kalimantan (OR=2.428, 95%CI 1.446–4.078). In all provinces, preventive measures such as coils or electric mats reduced self-reported malaria cases. The use of mosquito screens was effective in South Kalimantan (OR=0.208, 95%CI 0.027–1.598), Central Kalimantan (OR=0.365, 95%CI 0.120–2.181), and North Kalimantan (OR=0.000, 95%CI 0.000–0.000). The multivariate model highlighted mosquito nets as the most effective household-scale prevention in nearly all Kalimantan provinces except North Kalimantan.Conclusion:  This study showed that individuals aged 25 and over, women, non-farmers, and those using ITNs and other preventive measures, especially in rural areas, were less likely to report malaria, emphasizing the need for targeted interventions from local health authorities.
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. 
Prevalence of Persistent Post-Concussion Syndrome in Adults After Mild Traumatic Brain Injury Suwaryo, Putra Agina Widyaswara; Kadir, Fairrul; Omar, Azizan; Singh, Sukhbeer Kaur Darsin
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.v14i2.56529

Abstract

Background: Although mild Traumatic Brain Injury (mTBI) is one of the primary causes of death and disability worldwide, research on the prevalence of post-concussion syndrome (PCS) after mTBI is still extremely limited. Previous studies have shown that approximately 10-15% of mTBI patients experience PCS, yet these studies often have different methodologies and sample sizes.Purpose: This study aimed to determine and compare the prevalence of persistent PCS (more than one month post-injury) with those without PCS in mTBI patients.Methods: This study employed a retrospective cohort design and analyzed patient data from hospital records between July and December 2022, yielding a sample of 316 participants with mTBI. Patients with complete medical record data and active health checks for one month after being treated were taken as research subjects. PCS measurement was conducted using the Rivermead Post Concussion Symptoms Questionnaire (RPQ). Data were analyzed using an independent t-test with a two-tailed distribution to compare variables between groups (groups with PCS and without PCS).Results: The prevalence of persistent PCS in mTBI patients was 112 (35.4%) patients. The occurrence of persistent PCS was found to be most prevalent in the second month and in motor vehicle accident-related injuries, with 49 (43.7%) patients and 80 (71.4%) patients, respectively. Problems concentrating (37.5%), headache (30.3%), and light sensitivity (32.1%) were the most common symptoms of PCS.Conclusions: A significant proportion of persistent PCS was found, with the most prevalent occurring in the second month after mTBI and involving motor vehicle-related injuries. These findings warrant better screening guidelines and practices that patients can adopt after mTBI.
Parents' Attitudes Toward COVID-19 Vaccination for School Children in Jordan Abo Zaid, Ahlam; Mahmoud Suliman, Mohammad; ALBashtawy, Mohammed; Ta’an, Wafa'; Aljezawi, Mean; Abdalrahim, Asem; Alkhawaldeh, Abdullah
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.v13i3.52186

Abstract

Background: Vaccination against COVID-19 is pivotal in curbing the spread of the virus among school children. However, there is a dearth of studies exploring parents’ attitudes and acceptance levels regarding immunizing their children against COVID-19 in Jordan.Purpose: This study aimed to assess parents’ attitudes and key concerns toward administering COVID-19 vaccines to their school-aged children in Jordan. Additionally, it sought to identify the differences in parents’ attitudes based on socio-demographic variables.Methods: The cross-sectional and correlational study was conducted in AL-Mafraq governance within Northeastern Badia schools from March to May 2022 and involved 498 eligible parents. Stratifying the parent population based on school districts, data were conveniently collected using the Parent Attitude about Childhood Vaccines (PACV) scale. Statistical Package for the Social Sciences (SPSS) version 17 facilitated data analysis, incorporating descriptive and inferential statistics at a significance level of 0.05, with a 5% margin of error. The independent t-test and One-Way ANOVA were employed to depict differences between studied variables.Results: The result showed that out of 600 distributed questionnaires, 498 were returned, resulting in a response rate of 83%. Findings revealed parental reluctance toward administering COVID-19 vaccination to their children. Notably, 65.9% of parents expressed concern about potential serious side effects, while 57.8% of parents harbored anxieties about vaccine safety and efficacy. Marital status emerged as a significant factor, with widowed parents exhibiting a more favorable attitude (p<0.05).Conclusion: Parents in Jordan are hesitant about COVID-19 vaccination for their school-aged children. Addressing these concerns necessitates educational campaigns through various channels, including social media and authorized TV and radio, to reassure parents about vaccine effectiveness and safety. This proactive approach is crucial to fostering broader acceptance and ensuring the success of vaccination initiatives.
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.
Determinants of Physical and Mental Health-related Quality of Life among Patients with Breast Cancer During COVID-19 Pandemic Jamil, Mohd; Merdawati, Leni; Krisdianto, Boby Febri; Khambri, Daan; Harahap, Wirsma Arif; Arifin, Hidayat
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.v13i3.54738

Abstract

Background: The concern surrounding the physical and mental health-related quality of life (HRQoL) among patients with breast cancer emerged during COVID-19. However, there is a lack of sufficient studies that have specifically addressed this issue. It is crucial to emphasize the evaluation of this aspect as it significantly impacts the enhancement of future physical and mental HRQoL for these patients.Purpose: This study investigated the determinants of physical and mental HRQoL among patients with breast cancer during COVID-19.Methods: In a cross-sectional study conducted between September and October 2022, participation involved 260 patients diagnosed with breast cancer, selected through convenience sampling. Our observation focused on assessing the outcomes of physical and mental HRQoL using the Short Form (SF-12) questionnaire for data collection. Additionally, the data underwent analysis via binary logistic regression.Results: Respondents aged <50 years (p=0.010; aOR=2.08; 95% CI=1.18–3.67), unemployed (p=0.022; aOR=2.29; 95% CI=1.16–4.53), and had high depression (p=0.026; aOR=2.41; 95% CI=1.13–5.12) have a more likelihood to have low physical HRQoL. In addition, unemployed respondents (p=<0.001; aOR=4.15; 95% CI=2.14–8.04) and had high anxiety (p=0.004; aOR=2.71; 95% CI=1.38–5.33) have more likelihood to have low mental HRQoL.Conclusion: In this study, it was found that anxiety, depression, and unemployed respondents were associated with a higher likelihood of experiencing lower physical and mental HRQoL. Nurses and healthcare workers should prioritize addressing psychological issues such as anxiety and depression among breast cancer patients, emphasizing the necessity for interventions aimed at alleviating these concerns. 
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.
Psychosocial Health of the Badjao People During COVID-19 in Jolo, Philippines: An Exploratory Study Masong, Zhendra T.; Pangandaman, Hamdoni K.
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.v14i2.55968

Abstract

Background: The Badjao, a nomadic maritime group in Southeast Asia, faces heightened vulnerability during public health crises due to their reliance on maritime livelihoods, limited healthcare access, and historical marginalization – challenges exacerbated by the COVID-19 pandemic. However, there is a significant research gap in understanding their unique needs and vulnerabilities, especially its specific impacts on their health and well-being due to the pandemic.Purpose: This study explores the psychological and social health of the Badjao and the factors affecting them during the COVID-19 pandemic.Methods: This study used an exploratory qualitative design. Guided semi-structured interviews were conducted with 10 purposively selected Badjao respondents from Barangay Bus-Bus, Jolo-Sulu, Philippines. The data were analyzed using thematic analysis.Results: The study identified five key themes related to the psychosocial health of the Badjao community during COVID-19 and the affecting factors. They were: (1) Feelings and apprehension, with anxiety over contracting the virus and financial instability; (2) Responses to the pandemic, marked by fear of death, job loss, and hospitalization concerns; (3) Coping mechanisms, where the community relied on traditional remedies, social support, and quarantine adherence; (4) Social status, highlighting food insecurity and disrupted social interactions; and (5) Factors influencing psychosocial health, focusing on the importance of support systems and access to accurate information and resources.Conclusion: The COVID-19 pandemic has significantly disrupted the social and economic stability of the Badjao community, exacerbating their existing vulnerabilities. The community needed culturally sensitive interventions that addressed both their immediate and long-term needs. Collaborations with local government units and stakeholders are crucial in supporting the resilience and well-being of the Badjao in future crises.
Nursing Students’ Perceptions about the Effects of Climate Change on Health: A Descriptive Exploratory Study Santos, Jonalyn P.; Gumabay, Eladio Martin S.
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.v14i1.53942

Abstract

Background: Climate change is recognized as an important health concern that the health sector and nurses must prepare for. Adequate preparation and understanding of its effects on health must be exemplified by nurses and nursing students. Previous studies showed that nurses and nursing students have good knowledge of climate change and its effects on health. However, none of these studies were conducted in the Philippines.Purpose: This study explored the perceptions of nursing students about the effects of climate change on health.Methods: The researchers utilized a descriptive qualitative research design. The study was conducted among level three Bachelor of Science in Nursing students selected through purposive sampling using the following criteria: a) students who were enrolled with a full load of units in the BSN course, and b) those who have not taken Disaster Nursing course in the previous semesters. A total of 35 participants were included in the study. Data collection was done through an interview using a researcher-made interview guide. Data analysis was done through content analysis.Results: Two major themes were identified, which describe the perceptions of the nursing students about the effects of climate change on health. The findings revealed that the respondents have an adequate understanding of what climate change is and the factors that cause it. The respondents also mentioned that climate change negatively affects the physiological health of humans. Specifically, climate change increases the risk for non-communicable disease such as cardiovascular and respiratory diseases. It also alters certain characteristics of communicable diseases such as prevalence, seasonal pattern, and geographic distribution.Conclusion: The findings revealed that student nurses know what climate change is and are aware that it negatively affects health. However, their perceptions of the effects of climate change on health are limited to its physiologic effects, specifically on non-communicable and infectious disease, as this reflects their understanding of how environmental factors affect disease pathogenesis or development.

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