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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 352 Documents
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Women’s Mental Health Literacy in a Conflict-Recovery Setting: Evidence from Telafer, Iraq Baktash, Mohmmed Qassim
Nurse Media Journal of Nursing Vol 16, No 1 (2026): (April 2026) [In Progress]
Publisher : Department of Nursing, Faculty of Medicine, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/nmjn.v16i1.78086

Abstract

Background: Mental health literacy plays a significant role in addressing mental health issues. However, evidence regarding mental health literacy among women from Turkmen communities living in post-conflict settings in Iraq remains limited.Purpose: This study aimed to determine the level of mental health literacy and its associated factors among women in the context of conflict recovery in Telafer City, Iraq.Methods: This study employed a descriptive cross-sectional design involving 603 women attending a general hospital in Telafer city. The Arabic version of the Mental Health Literacy scale was used to collect data. Descriptive statistics (mean and standard deviation) were calculated to assess mental health literacy scores. Inferential analyses, including one-way ANOVA, independent-samples t-tests, and multiple linear regression at a 95% confidence level (p < .05), were conducted to assess the relationship between mental health literacy and eight sociodemographic predictors (age, educational level, employment status, marital status, residence, culture, and mental health clinical and family history).Results: The mean mental health literacy score among women was 88.06 (SD = 13.80). Bivariate Pearson’s correlation analysis indicated that age, educational level, employment status, and marital status were significantly associated with mental health literacy (p < .05). However, in the multiple linear regression analysis, only educational level remained a significant predictor (B = 1.342, SE = .456, p = .003, 95% CI [0.447, 2.237]).  Conclusion: Mental health literacy among women in Telafer City was moderate. Educational level was the only significant predictor of mental health literacy among Turkmen women. These findings highlight the need for targeted interventions to improve mental health literacy among women in conflict- and war-affected settings. Additionally, the results support the development of mental health education programs tailored for women’s educational levels in Turkmen and Arab communities.
Path Analysis of Family Communication, Decision-Making, and Caregiver Burden on Family Caregivers’ Quality of Life: The Mediating Role of Self-Efficacy Setyoadi, Setyoadi; Ismail, Dina Dewi Sartika Lestari; Hayati, Yati Sri; Efendi, Ferry; Haryanto, Joni
Nurse Media Journal of Nursing Vol 16, No 1 (2026): (April 2026) [In Progress]
Publisher : Department of Nursing, Faculty of Medicine, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/nmjn.v16i1.73159

Abstract

Background: Type 2 Diabetes Mellitus (T2DM) presents a chronic health challenge that extends beyond the patients, significantly affecting family members who assume caregiving responsibilities. Family caregivers often experience emotional, physical, and psychological burdens, particularly in low-resource settings. However, the interplay between family communication, decision-making, caregiver burden, and self-efficacy, and how these factors jointly influence caregiver quality of life, remains insufficiently explored, particularly in culturally specific and resource-limited settings.Purpose: This study aimed to examine the structural relationships among family communication, shared decision-making, caregiver burden, self-efficacy, and their influence on the quality of life of family caregivers of individuals with T2DM.Methods: A cross-sectional study was conducted involving 327 family caregivers recruited from 16 primary health centers using cluster random sampling. Data were collected using validated instruments to measure family communication, decision-making, caregiver burden, self-efficacy, and quality of life. Structural Equation Modeling (SEM) was used to analyze both direct and indirect relationships among the variables.Results: The findings revealed that family communication (β = 0.35) and decision-making (β = 0.42) had significant positive effects on self-efficacy, whereas caregiver burden (β = -0.33) had a significant negative effect. Self-efficacy, in turn, significantly improved caregivers’ quality of life (β = 0.51). Furthermore, self-efficacy mediated the indirect effects of family communication, decision-making, and caregiver burden on quality of life. The model explained 49% of the variance in self-efficacy and 64% of the variance in caregiver quality of life.Conclusion: Self-efficacy plays a central role in enhancing caregiver well-being and quality of life. Interventions that promote open family communication, shared decision-making, and burden reduction are essential. Nursing implications include the need for culturally sensitive, family-centered nursing interventions to enhance caregiver self-efficacy through communication training, psychosocial support, and empowerment in decision-making. Nurses should be equipped to assess caregiver burden and facilitate supportive family dynamics to promote sustainable diabetes care.
Emotional Intelligence and Critical Thinking Motivation among Nursing Students: Exploring Key Predictors and Demographic Influences Alshowkan, Amira
Nurse Media Journal of Nursing Vol 16, No 1 (2026): (April 2026) [In Progress]
Publisher : Department of Nursing, Faculty of Medicine, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/nmjn.v16i1.72669

Abstract

Background: Emotional intelligence (EI) and critical thinking motivation (CTM) are crucial for nursing students' development, particularly in patient care and clinical decision-making. However, empirical evidence on these constructs remains limited among nursing students in Saudi Arabia.Purpose: This study aimed to investigate the relationship between EI and CTM among nursing students and to explore demographic variations and predictors of CTM.Methods: This cross-sectional study included 215 undergraduate students from Saudi Arabia, recruited via convenience sampling. EI was assessed using the Schutte Self-Report Emotional Intelligence Test, and CTM was measured using the Critical Thinking Motivational Scale (CTMS). Data were analyzed using descriptive statistics, chi-square tests, and multiple regression, with the significance level set at p < .05.Results: A total of 215 participants were included in the analysis. EI and CTM scores varied, with 51.6% of participants exhibiting moderate levels of both. Higher EI was significantly associated with higher CTM scores (χ² = 29.9, p < .001), with students with low EI demonstrating lower CTM and those with high EI demonstrating higher CTM. Demographic analysis showed that EI was higher among students living with their families (p = .01), while CTM scores were higher among older students (p = .019) and those in higher academic years (p < .001). Multiple regression identified EI, education level, and residence as positive predictors of CTM, while male gender was a negative predictor (R² = .29, p < .001).Conclusion: These findings indicate that EI is significantly associated with CTM, suggesting that promoting EI and fostering supportive learning environments may enhance students’ motivation to engage in critical thinking and contribute to their academic and professional development. Future research should employ longitudinal and intervention designs to examine causal relationships and explore potential mediating factors.
Nurses’ Experiences in Implementing Patient Safety Programs in Inpatient Settings: A Qualitative Study Arruum, Diah; Setyowati, Setyowati; Handiyani, Hanny; Artono Koestoer, Raldi
Nurse Media Journal of Nursing Vol 16, No 1 (2026): (April 2026) [In Progress]
Publisher : Department of Nursing, Faculty of Medicine, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/nmjn.v16i1.68035

Abstract

Background: Patient safety is the most important aspect of healthcare services in hospital settings. However, its implementation continues to face challenges in the delivery of nursing care to patients. Inadequate nursing staff, systems, and performance remain significant challenges for nurses in maintaining patient safety. Adverse patient events occur annually and can result in hospital fatalities; contributing factors include poor communication, high workloads, and inadequate resources.Purpose: This study aimed to investigate nurses’ experiences in implementing patient safety programs in hospital inpatient settings.Methods: A qualitative descriptive design was used, and participants were selected using a purposive sampling technique. A total of 22 ward nurses participated in this study. The inclusion criteria included nurses with at least one year of work experience, a bachelor’s degree in nursing, or professional nurse status. Data were collected through Focus Group Discussions (FGDs). Thematic analysis was used to systematically analyze the data.Results: The study identified four main themes. Although nurses were aware of patient safety programs, they continued to encounter barriers, including a lack of peer awareness regarding safety standard implementation, workload constraints, and a blame culture. Furthermore, nurses experienced anxiety and demotivation when reporting errors, highlighting the need for support from nursing leadership. Finally, nurses expressed that achieving patient safety targets requires technological innovations.Conclusion: Nurses’ commitment to work, patient safety–related workplace culture, and the availability of innovative technology remain obstacles to the implementation of patient safety programs. Communication barriers, limited managerial efforts, and challenges in sustaining patient safety persist. Therefore, recommendations for hospital leadership include strengthening systems and policies, improving resource planning, enhancing support and supervision, and providing continuous training to improve patient safety programs.
Factors Influencing Nurses’ Resistance to Change: A Systematic Review Alsufyani, Abdulaziz M.; Althobaiti, Fahad M.; Aljuaid, Sayer
Nurse Media Journal of Nursing Vol 16, No 1 (2026): (April 2026) [In Progress]
Publisher : Department of Nursing, Faculty of Medicine, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/nmjn.v16i1.68024

Abstract

Background: The effectiveness of change initiatives in healthcare systems is often undermined by nurses’ resistance to change, resulting in unfavorable outcomes. Despite nurses’ central role in hospital-based initiatives, multiple factors may contribute to this resistance. The existing literature remains insufficient in synthesizing comprehensive, integrative evidence on this issue. This gap highlights the need for a systematic review to inform tailored interventions that enhance the implementation and sustainability of change in healthcare.Purpose: This review provides a comprehensive overview of the factors influencing resistance to change in the nursing profession.Methods: Following the PRISMA guidelines, a systematic search was conducted in PubMed, CINAHL, Scopus, and Web of Science using terms related to “resistance to change” and “nursing.” Studies examining resistance factors among nurses, published in English between 2010 and 2024, were included. Two independent reviewers conducted data extraction and quality assessment using the Mixed-Methods Appraisal Tool. Content and thematic analyses were performed to generate a comprehensive synthesis.Results: Of the 646 records identified, 14 studies met the inclusion criteria and were included in the final review. The findings revealed significant individual, interpersonal, and organizational factors contributing to nurses’ resistance to change. Individual-level factors included low readiness for change, limited empowerment, and personality characteristics. Interpersonal factors were associated with poor communication, limited stakeholder engagement, and weak leader–member relationships. At the organizational level, the factors included ineffective leadership styles, inadequate training, and dysfunctional organizational culture.Conclusion: Resistance to change among nurses is multifaceted and context-dependent. These findings underscore the need for targeted interventions, particularly emphasizing the importance of effective communication, training, and nurse involvement in enhancing the sustainability of change initiatives in healthcare settings.
Bonding from Womb: A Mixed Method Study of Pregnant Women’s Knowledge, Attitude, and Experiences on Fetal Movement Widiasih, Restuning; Khoirunnisa, Khoirunnisa; Mamuroh, Lilis; Al Baihaqi, Windy Natasya; Popoola, Tosin
Nurse Media Journal of Nursing Vol 16, No 1 (2026): (April 2026) [In Progress]
Publisher : Department of Nursing, Faculty of Medicine, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/nmjn.v16i1.68244

Abstract

Background: Fetal movement is an indicator of fetal life and well-being and contributes to maternal–fetal bonding through the perception and interpretation of fetal movements. However, studies exploring the experiences and knowledge of mothers and families in self-monitoring fetal well-being remain limited.Purpose: This study aimed to comprehensively examine knowledge, attitudes, behaviors, self-efficacy, and experiences related to fetal movement monitoring among pregnant women.Methods: A mixed-methods study with a concurrent triangulation design was conducted. Quantitative and qualitative data were collected simultaneously through a survey of 216 respondents from two districts and interviews with 18 participants drawn from the survey pool. Comparative analysis was used to assess differences in knowledge, attitudes, behaviors, and self-efficacy between the two districts using the Mann–Whitney test for survey data, while thematic analysis was applied to the interview data.Results: Overall, the majority of pregnant women demonstrated low knowledge (64.4%), negative self-monitoring behaviors (52.7%), and low self-efficacy (56.0%), while attitudes toward fetal movement self-observation were slightly more favorable (53.7%). Statistical analysis indicated significant differences in knowledge, attitudes, and behaviors related to fetal movement self-observation (p < .05), whereas self-efficacy was not statistically significant (p > .05). Thematic analysis identified four themes: (1) Bonding since in the womb; (2) Emotional responses; (3) Actions when sensing abnormalities; and (4) Culture and beliefs.Conclusion: The findings suggest that mothers and fetuses form a strong emotional bond from the womb, as reflected in maternal experiences and behaviors. There is a need for nursing interventions in fetal monitoring, particularly to improve pregnant women’s knowledge, attitudes, behaviors, and self-efficacy. Furthermore, this study strengthens the evidence base for maternity nursing practice, enabling nurses and midwives to design targeted educational and monitoring interventions that promote pregnant women’s autonomy in observing fetal health and responding appropriately to early warning signs. 
The Role of Early Initiation of Breastfeeding for Successful Exclusive Breastfeeding among Working Mothers in Indonesia Sumarmi, Sri; Laksono, Agung Dwi; Samsudin, Mohamad; Kusumawardani, Hastin Dyah; Rohmah, Nikmatur; Wisnuwardani, Ratih Wirapuspita
Nurse Media Journal of Nursing Vol 16, No 1 (2026): (April 2026) [In Progress]
Publisher : Department of Nursing, Faculty of Medicine, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/nmjn.v16i1.70686

Abstract

Background: Working mothers are often considered at risk for suboptimal exclusive breastfeeding (EBF) due to employment-related constraints. Early initiation of breastfeeding (EIBF) is widely recognized as a critical first step in optimal infant feeding; however, its specific contribution to sustained EBF among working mothers remains insufficiently quantified nationally.Purpose: This study examined the role of EIBF in achieving EBF among working mothers in Indonesia.Methods: This secondary analysis used data from the 2022 Indonesian National Nutritional Status Survey, including 46,130 children aged 0–23 months born to working mothers. Exclusive breastfeeding was the outcome, with early initiation of breastfeeding as the main exposure. Seven covariates were examined: residence, maternal age, marital status, education, household wealth, antenatal care utilization, and child gender. Adjusted associations were estimated using binary logistic regression.Results: The prevalence of EBF among working mothers was 40.4%, while 59.7% practiced EIBF. Working mothers who initiated breastfeeding within the first hour after birth were significantly more likely to achieve EBF than those who did not (AOR = 1.715; 95% CI: 1.706–1.724). All covariates were significantly associated with EBF.Conclusion: EIBF emerged as the strongest determinant of EBF among working mothers in Indonesia, even after controlling for socioeconomic and health service factors. These findings provide robust national evidence supporting the integration of EIBF as a core strategy within maternal health services and workplace breastfeeding policies. However, maternal socioeconomic characteristics, health service utilization, and contextual factors also shape EBF practices, indicating the need for comprehensive multilevel strategies.
Delphi Validation of a Pain Management E-Learning Module for Critical Care Nurses in Saudi Arabia Almutairi, Abeer Mohammed F; Said, Faridah Mohd
Nurse Media Journal of Nursing Vol 16, No 1 (2026): (April 2026) [In Progress]
Publisher : Department of Nursing, Faculty of Medicine, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/nmjn.v16i1.81024

Abstract

Background: Critical care nurses play a central role in pain management; however, persistent gaps in knowledge and competency continue to affect patient outcomes globally, including in Saudi Arabia. Despite the growing adoption of e-learning in nursing education, no context-specific, expert-validated module exists for critical care pain management in this context.Purpose: This study aimed to develop and content-validate a context-specific e-learning module on pain management to enhance critical care nurses’ competency in a regional health cluster in Saudi Arabia.Methods: A three-round modified Delphi technique was employed. An initial needs assessment was conducted through a literature review and input from an expert focus group, then refined over three rounds with a panel of five multidisciplinary critical care specialists (7–23 years of experience). Experts rated content relevance on a four-point scale. Content validity was assessed using the Content Validity Ratio (CVR) and Content Validity Index (CVI), with retention thresholds set at CVR ≥ 0.99 and I-CVI ≥ 0.80.Results: The Delphi process achieved 100% response retention across all rounds. Of the 25 initial content items, 24 met the CVR and I-CVI cutoffs (CVR = 1.00, I-CVI = 1.00) and were retained. One item, “Non-pharmacological interventions,” did not meet the CVR cutoff (CVR = 0.60) and was excluded. The final curriculum comprised six modules totaling 2.5 hours, covering pain basics and assessment; clinical aspects of pain; pharmacological management; interdisciplinary practice; case-based application; and assessment of knowledge and skills. New items suggested by the experts and included in the final curriculum were risk stratification, complication monitoring, and documentation protocols. The final scale-level CVI was 1.00.Conclusion: This Delphi study produced an expert-validated, content-valid e-learning module on critical care pain management. Although strong content validity was established, the small panel size and single-region representation limit generalizability. Following pilot testing and outcomes evaluation, this e-learning module may be used as an effective educational intervention to improve knowledge and potentially clinical practice related to pain management.
The Role of Psychological Empowerment in Linking Paradoxical Leadership to Nurses’ Workplace Thriving Abou Zeid, Mennat Allah G.; Ibrahim, Ibrahim Abdullatif
Nurse Media Journal of Nursing Vol 16, No 1 (2026): (April 2026) [In Progress]
Publisher : Department of Nursing, Faculty of Medicine, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/nmjn.v16i1.79281

Abstract

Background: Paradoxical leadership, characterized by balancing competing yet interrelated managerial demands, such as maintaining managerial control while simultaneously allowing nurses’ professional autonomy, has emerged as a promising leadership approach in complex healthcare environments. However, empirical evidence regarding how paradoxical leadership relates to positive psychological outcomes, such as psychological empowerment and workplace thriving, remains limited in nursing research, particularly within Middle Eastern healthcare contexts.Purpose: This study examined the association between paradoxical leadership and workplace thriving among nurses and explored the potential mediating role of psychological empowerment.  Methods: A cross-sectional correlational study was conducted using a convenience sample of 231 nursing staff from three tertiary hospitals. Data were collected through a web-based survey that included the Paradoxical Leadership Behavior Scale, Psychological Empowerment Scale, and Thriving at Work Scale, along with demographic information. Structural equation modeling using the partial least squares approach was applied to examine the hypothesized relationships.Results: Nurses reported moderate levels of paradoxical leadership (M = 3.12, SD = 0.44), psychological empowerment (M = 4.37, SD = 0.69), and workplace thriving (M = 3.45, SD = 0.45). Paradoxical leadership was positively associated with psychological empowerment (β = 0.720, p < .001) and workplace thriving (β = 0.553, p < .001). Psychological empowerment was also positively associated with workplace thriving (β = 0.336, p < .001). Mediation analysis indicated a significant indirect association between paradoxical leadership and workplace thriving through psychological empowerment (β = 0.241, p < .001), suggesting a partial mediation pattern consistent with the proposed model.Conclusion: Paradoxical leadership was positively associated with nurses’ workplace thriving both directly and indirectly through psychological empowerment. These findings highlight the potential relevance of leadership practices that balance competing managerial demands in supporting nurses’ positive work experiences. Leadership development initiatives that foster empowering leadership behaviors may help strengthen nurses’ engagement and thriving within healthcare organizations.
Experiences of People Living with HIV and Tuberculosis amid Fear, Guilt, and Silence: A Qualitative Study Amirudin, Ikhwan; Waluyo, Agung; Sujianto, Untung; Akbar, M Agung; Nursasi, Astuti Yuni; Ayubi, Dian
Nurse Media Journal of Nursing Vol 16, No 1 (2026): (April 2026) [In Progress]
Publisher : Department of Nursing, Faculty of Medicine, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/nmjn.v16i1.79237

Abstract

Background: People living with HIV–TB (PLHIV–TB) continue to experience persistent stigma, fear, guilt, and silence that shape their psychosocial well-being and social interactions. HIV–TB represents a double burden that intensifies stigma and moral judgment, particularly within sociocultural and religious contexts. However, the lived experiences of PLHIV–TB in Indonesia remain insufficiently explored, despite the country’s unique cultural and religious dynamics. Understanding these contextualized experiences is essential for strengthening holistic, culturally responsive, and stigma-sensitive HIV–TB care.Purpose: This study aimed to explore the experiences of PLHIV–TB amid fear, guilt, and silence within the Indonesian sociocultural context.Methods: A descriptive phenomenological design was employed among twenty PLHIV–TB purposively selected from Lampung, Palembang, Depok, and Yogyakarta between January and June 2025. Data were collected through in-depth, semi-structured interviews lasting 45–70 minutes and analyzed using NVivo software with Colaizzi’s method. Trustworthiness was ensured through member checking, peer debriefing, and reflexivity.Results: Six themes captured the essence of participants’ experiences: (1) living under constant fear of exposure, (2) choosing silence as protection, (3) bearing the weight of guilt and moral judgment, (4) loneliness amid social disconnection, (5) struggling with faith and moral reconciliation, and (6) searching for meaning and self-acceptance. Participants’ narratives revealed a transformation from concealment and shame toward spiritual reconciliation and dignity through emotional and faith-based resilience.Conclusion: The lived experiences of people living with HIV–TB in Indonesia are shaped by intertwined dynamics of fear, guilt, and silence within a context of pervasive stigma. At the same time, some individuals demonstrate adaptive processes that reflect a complex journey from suffering to meaning-making and self-acceptance. These findings underscore the need for stigma-sensitive, psychosocial, and spiritually informed interventions to support holistic HIV–TB care.

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