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Critical Medical and Surgical Nursing Journal
Published by Universitas Airlangga
ISSN : 23551992     EISSN : 2656470X     DOI : 10.20473/cmsnj
Core Subject : Health,
Health Professions Nursing
Critical Medical and Surgical Nursing Journal (CMSNJ) (p-ISSN: 2355-1992), (e-ISSN: 2656-470X) was established at the end of 2012 under Universitas Airlangga. The CMSNJ was prepared in response to the development of nursing/health science and technology to contribute to the development of sustainable quality nursing/health resources. CMSNJ is published two times per year every April and October. Articles published in CMSNJ is written in English since Vol. 10 No. 1 April 2021. Contributors for CMSNJ are researchers, lecturers, students, nurse, registered nurse in Indonesia and worldwide.
Arjuna Subject : Keperawatan - Critical Care
Articles 143 Documents
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Mapping Evidence on the Effectiveness of Health Education Based on Health Belief Model (HBM) for Promoting Self-Care Behavior in Patients with Type 2 Diabetes Mellitus: A Scoping Review Wa Ode Umi Kalsum; Sri Mulyani; Uki Noviana; Fahrunnissa Tehepelasury; Rurry Nindya Taluphyta
Critical Medical and Surgical Nursing Journal Vol. 15 No. 2 (2026): JUNE 2026
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/cmsnj.v15i2.91589

Abstract

Introduction: Type 2 diabetes mellitus is one of the noncommunicable diseases with a high prevalence worldwide. Self-care has been shown to play a crucial role in controlling blood glucose levels and preventing complications. Various studies show that patient self-care levels remain low and are often influenced by inappropriate health beliefs. This scoping review aims to map and synthesize the available evidence on the effectiveness of health education based on HBM for promoting self-care behaviour in patients with type 2 diabetes mellitus.   Methods: This study used a scoping review design based on Arksey and O’Malley’s guidelines. Searches were conducted in Scopus, ScienceDirect, PubMed, ProQuest, and a manual search in Google Scholar using the PICO approach. Eligible studies were English full-text articles published from 2020 to 2025 and designed as RCTs or quasi-experimental studies. Critical appraisal was performed using JBI tools.   Results: Six articles from India, Iran, Egypt, and China were included. Educational interventions based on HBM utilized various media (booklets, videos, pamphlets, telemedicine) and methods (lectures, discussions, demonstrations, peer groups, family involvement) with a duration of 3–8 sessions and follow-up periods of 1–6 months. All studies reported improvements in self-care behavior and HBM components (perceived susceptibility, severity, benefits, barriers, cues to action, self-efficacy). Two studies noted a significant decrease in HbA1c, one study reported an improvement in quality of life, and two studies reported an increase in knowledge.   Conclusion:  This scoping review indicates that educational interventions based on the HBM are consistently associated with improvement in self-care behavior and HBM components among patients with type 2 diabetes mellitus, with some studies also reporting reductions in HbA1c, improved knowledge, and better quality of life. Further rigorous studies and formal evidence synthesis are needed before health education based on HBM can be recommended as a standard strategy in diabetes self-care.
Perspective Discordance in Goals-of-Care Discussions and Palliative Care Among Patients, Families, and Clinicians in Adult Intensive Care Units: A Scoping Review Rifkal Artha Yuda; Riska Cahyani Zahra; Rezki Ramadhani
Critical Medical and Surgical Nursing Journal Vol. 15 No. 2 (2026): JUNE 2026
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/cmsnj.v15i2.92268

Abstract

Introduction: Goal-of-care discussions in the Intensive Care Unit (ICU) involve patients, families, and healthcare professionals who may hold different perspectives on prognosis, treatment priorities, and care expectations. These differences can influence communication, shared decision-making, and palliative care. However, evidence on perspective discordance in adult ICU settings has not been comprehensively mapped. This scoping review aimed to identify and map the existing literature on perspective discordance in goal-of-care discussions and palliative care in adult ICUs.   Method: This scoping review followed the Arksey and O'Malley framework and the PRISMA-ScR guidelines. Literature searches were conducted in PubMed, Scopus, EBSCOhost, and Taylor & Francis for English-language studies published between 2021 and 2026. Study selection was guided by the Population–Concept–Context (PCC) framework.   Results: Of 785 records identified, 22 full-text articles were assessed for eligibility, and nine studies were included in the final synthesis. The included studies reported prognostic discordance, differences in perceptions of quality of life and patient dignity, and disagreements regarding life-sustaining treatment. Communication barriers and challenges in shared decision-making were also frequently identified. Several studies highlighted the value of structured family meetings and communication-focused interventions to support discussions between families and healthcare professionals.   Conclusions: The literature indicates that perspective differences in ICU goal-of-care discussions are primarily related to communication processes, shared decision-making, and palliative care discussions. Prognostic discordance and differences in treatment expectations were the most commonly reported forms of perspective differences. These findings highlight the need to strengthen structured communication strategies and promote earlier integration of palliative care to facilitate shared decision-making and align treatment goals among patients, families, and clinicians in adult ICUs.
The Role of Community Health Volunteers in Tuberculosis Prevention Within Surabaya Urban Health Center Service Areas Laily Hidayati; Armina Latifatul Asna
Critical Medical and Surgical Nursing Journal Vol. 15 No. 2 (2026): JUNE 2026
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/cmsnj.v15i2.97209

Abstract

Introduction: Tuberculosis (TB) remains a critical public health issue requiring the active involvement of community health volunteers (CHVs) for community-level prevention and control. CHVs play strategic roles in health education, case finding, treatment adherence support, and serving as vital bridges between community members and healthcare facilities. This study aimed to explore the roles of CHVs in TB prevention efforts within Surabaya urban health center service areas. Methods: A qualitative study using a phenomenological approach was conducted. Participants comprised 14 TB CHVs recruited via snowball sampling based on predefined inclusion criteria. Data were gathered through in-depth, semi-structured interviews and analyzed using the Miles and Huberman interactive model (data reduction, data display, and conclusion drawing/verification). Results: Six main themes revealed: (1) CHVs' roles in TB prevention (subthemes: health education, screening, treatment supervision, service coordination); (2) CHVs' motivations (intrinsic motivation); (3) CHVs' experiences (positive personal and professional experiences); (4) Challenges faced (psychosocial barriers within the community, administrative bottlenecks, internal personal obstacles); (5) Received support (contributions from family, community, and healthcare professionals); and (6) Future expectations (needs for routine training and improved welfare). Conclusion: CHVs perform vital, meaningful roles in TB prevention that are driven by intrinsic motivation, positive experiences, and multi-source support. However, they continue to face significant structural and psychosocial challenges. Strengthening support systems through continuous training, streamlined administrative processes, enhanced policy backing, and improved CHV welfare is essential to maximize the effectiveness and sustainability of TB control programs. Keywords: Tuberculosis, Community Health Volunteers, Public Health Center, Role Evaluation

Page 15 of 15 | Total Record : 143

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