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Contact Name
Hardin La Ramba
Contact Email
celebesnursingjournal@gmail.com
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+6285256947762
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celebesnursingjournal@gmail.com
Editorial Address
ABC Perum. Kel. Bonto Mate'ne, Mandai, Maros, South Sulawesi, Indonesia. 90552.
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Kab. maros,
Sulawesi selatan
INDONESIA
Celebes Nursing Journal
ISSN : 30639247     EISSN : 30639255     DOI : https://doi.org/10.70848/cnj.v1i2
Core Subject : Health,
The Celebes Nursing Journal (CNJ), with e-ISSN: 3063-9255 (online), and p-ISSN: 3063-9247 (print), is an open-access scientific journal that features original research, review articles, and case reports addressing nursing topics worldwide. All published papers are grounded in theoretical and philosophical frameworks aligned with the advancement of nursing science, covering areas such as Emergency Nursing, Critical Care Nursing, Disaster Nursing, Community Health Nursing, Adult Nursing, Medical Surgical Nursing, Mental Health Nursing, Maternity Nursing, Pediatric Nursing, and Nursing Management & Policy. CNJ is published by MALATA SAINS INDONESIA with a Registration Certificate of Establishment as an Individual Company from the Ministry of Law and Human Rights of the Republic of Indonesia Number: AHU-001667.AH.01.30.Tahun 2024. Business Registration Number (NIB): 1301240024644. Certificate of Business Licensing Standard Based on Risk: 13012400246440001.
Articles 55 Documents
Emergence Delirium Among Older Adults in the Post-Anesthesia Care Unit: A Rapid Review Navarro, Simon Paul P.; Ramos, Azenith S.
Celebes Nursing Journal Vol. 3 No. 1 (2026): April 2026
Publisher : MALATA SAINS INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70848/cnj.v3i1.89

Abstract

Introduction: Emergence delirium (ED) has been commonly recognized as a critical event within the postoperative period. Yet, evidence on its prevalence and clinical implications among older adults remains limited in the current body of knowledge. Objective: The aim of this rapid review was to elucidate and synthesize existing literature related to the key characteristics of ED and its clinical implications among older adult patients in post-anesthesia care units. Methods: The Oxford’s rapid review framework, Aveyard’s thematic analysis approach, and PRISMA checklist were followed. A systematic literature search was conducted in March 2025 across four electronic databases, including Embase, MEDLINE, CINAHL, and PubMed. Covidence software was used to assess identified primary research. The American Association of Critical-Care Nurses’ Levels of Evidence was employed to appraise and evaluate the clinical relevance of the included articles. Two authors independently screened the full text records and finalized the data extraction process. Results: Of 224 records initially screened, 69 full-text articles were assessed for eligibility, and five met the inclusion criteria. All included studies were mainly from China (n = 4) and Ethiopia (n = 1) and classified as Level C evidence. Characteristics of ED in older adults, including its risk factors, signs and symptoms, assessment tools, management strategies, and impact on patient outcomes were narratively reported in this review. Conclusion: Emergence delirium has been found to be an independent condition that potentially influences outcomes among older adult patients. The overlapping clinical picture of ED with emergence agitation and postoperative delirium warrants areas for future scientific investigation to establish accurate diagnostic tools and management for ED to improve overall patient care delivery and outcomes.
Systematic Review of Penis Captivus: Implications for Nursing Practice, Patient Education, and Psychosocial Support in Sexual Health Emergencies Eling, Felix
Celebes Nursing Journal Vol. 3 No. 1 (2026): April 2026
Publisher : MALATA SAINS INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70848/cnj.v3i1.94

Abstract

Introduction: Penis captivus is a rare, distressing sexual dysfunction characterized by involuntary vaginal muscle spasm leading to temporary penile entrapment during intercourse. While medically documented, its implications for nursing practice remain underexplored. Objective: This systematic review synthesizes evidence on penis captivus to elucidate its pathophysiology, risk factors, and management, with specific emphasis on nursing assessment, intervention, and patient education. Methods: Following PRISMA 2020 guidelines, a comprehensive literature search was conducted across PubMed, Embase, Scopus, CINAHL (for nursing literature), and Google Scholar (2013–2023). Twelve studies reporting 18 cases met inclusion criteria. Data were extracted using standardized forms and quality assessed using JBI checklists. Results: Analysis revealed multifactorial etiology involving pelvic floor hypertonicity, psychological triggers (anxiety, trauma), and male factors (prolonged erection). Interventions, primarily reassurance, guided breathing, and positional changes all of which fall within nursing scope of practice. Nursing implications identified include acute psychological first aid, patient and couple education, coordination of multidisciplinary referrals, and long-term psychosocial support. Conclusion: Penis captivus, while rare, represents a legitimate sexual health emergency with significant nursing implications. Nurses in emergency, mental health, and primary care settings are uniquely positioned to provide immediate intervention, reduce patient distress, and facilitate appropriate follow-up. This review provides an evidence-based framework for nursing assessment and management, addressing a critical gap in sexual health nursing education and practice.
The Level of Knowledge and Demographics of Older Adults with Type 2 Diabetes: A Comparative Study Ico, Jhancy; Aviles, Jhamina Kim; Carretero, April Joy; De Guzman, Annacil; Domantay, Joan Maricon; Repollo, Maxeene Jomaira; Llego, Jordan
Celebes Nursing Journal Vol. 3 No. 1 (2026): April 2026
Publisher : MALATA SAINS INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70848/cnj.v3i1.97

Abstract

Introduction: Type 2 diabetes mellitus (T2DM) is a major global public health concern, accounting for 90–95% of diabetes cases and affecting an estimated 537 million adults worldwide, a number projected to rise to 783 million by 2045. Objective: This study aims to determine differences in knowledge and demographic characteristics among older adults with Type 2 diabetes mellitus (T2DM) in two villages in Dagupan City. Methods: A total of 100 respondents completed the Filipino Version of the Michigan Diabetes Knowledge Test. Purposive sampling was employed. Descriptive statistics, including frequency, percentage, mean, and standard deviation, were used. Inferential statistics were applied to test for significant differences. Results: The findings revealed that participants demonstrated good awareness of the risks associated with high-fat diets but had limited knowledge regarding the effects of unsweetened fruit juices and “free foods” on blood glucose control. Overall, respondents exhibited a moderate level of understanding of diabetes care. Notable gaps were identified in insulin-related knowledge, particularly in managing comorbid conditions such as influenza. No significant differences in knowledge were observed across age groups and educational attainment. However, a significant difference was found between genders, indicating the need for gender-sensitive educational approaches. Conclusion: Overall, the study emphasizes the need to identify and address knowledge deficiencies in diabetes treatment in older adults. The research highlights the importance of tailored, culturally sensitive, and gender-specific educational programs in enhancing diabetes awareness among older adults. Nurses have a key role in delivering these interventions, which could have a substantial influence on diabetes control and the quality of life for this group.
Charting the Journey: A Phenomenological Study of Novice Nurses’ Early Career Transition into Clinical Practice Morales, Abby Claire C.; Funtecha, Mary Luz C.; Organia, Elmer G.; Montero, Jona Phie D.; Alave, Richard Deo Rox R.; Reyes, Andrea Celestine C.; Gonio, Lillien A.; Cabradilla, Pinky; Serra Jr. , Carlos O.; Batisla-ong, Angelie V.
Celebes Nursing Journal Vol. 3 No. 1 (2026): April 2026
Publisher : MALATA SAINS INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70848/cnj.v3i1.106

Abstract

Introduction: The transition from nursing education to professional practice is a crucial period marked by significant personal and professional adjustments. Understanding this process offers insights into the challenges, adaptations, and growth experienced by novice nurses as they begin their careers in healthcare. Objective: This study aimed to explore and describe the lived experiences of novice nurses during their transition from academic training to clinical practice, and to identify key factors affecting their early professional development. Methods: A descriptive phenomenological approach was employed. Ten registered nurses with a Bachelor of Science in Nursing and at least one year of clinical experience were selected through purposive sampling. Data were gathered via face-to-face in-depth interviews using a semi-structured interview guide. Colaizzi’s method was used to analyze the data, identifying significant meanings and themes that capture the essence of participants’ experiences. Results: Six themes emerged: Clinical and Emotional Adaptation, Workload Management, Confidence in Decision-Making, Transition to Autonomy, Handling Initial Hospital Exposure, and Integration into the Workplace. These themes collectively depict a complex transition process characterized by emotional vulnerability, heavy workload, and the gradual development of confidence and independence. Participants’ experiences highlighted the interaction between individual coping strategies and workplace factors, emphasizing how mentorship, workload, and organizational culture influence early professional adjustment. Conclusion: The findings suggest that the shift from student to professional nurse is not only a personal developmental journey but is also influenced by systemic and organizational factors. In the Philippine context, resource limitations and inconsistent support systems intensify the difficulties of transition, requiring novice nurses to rely on self-regulation and relational support. Strengthening structured transition programs, managing workloads, and improving mentorship are vital to supporting novice nurses, enhancing patient safety, and increasing workforce retention.
Multidimensional Determinants of Tuberculosis Treatment Completion in GIDA Communities: A Mixed-Methods Analysis Jhomar Canu-og; Cyruz P. Tuppal
Celebes Nursing Journal Vol. 3 No. 2 (2026): August 2026
Publisher : MALATA SAINS INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70848/cnj.v3i2.73

Abstract

Introduction: Tuberculosis (TB) treatment completion remains challenging in Geographically Isolated and Disadvantaged Areas (GIDAs), where geographic, social, and health-system barriers may disrupt continuity of care. Objective: This study examined individual, community, structural, and health-system factors associated with TB treatment completion in selected GIDA barangays of Pangantucan, Bukidnon, Philippines. Methods: An explanatory sequential mixed-methods design (QUAN → QUAL) was used. The quantitative phase combined retrospective review of treatment information with questionnaire data from 220 purposively selected participants. Data were analyzed using descriptive statistics and multivariable binary logistic regression. Open-ended qualitative responses from 25 participants were analyzed using inductive thematic analysis and integrated during interpretation. Results: Greater CHW engagement (OR = 1.51, 95% CI: 1.26–1.82), stronger family and social support (OR = 1.43, 95% CI: 1.17–1.76), and greater DOTS utilization (OR = 1.39, 95% CI: 1.18–1.63) were associated with higher odds of treatment completion, whereas poorer transportation access was associated with lower odds (OR = 0.75, 95% CI: 0.60–0.94). The model showed good discrimination (AUC = .819) but suboptimal calibration (Hosmer–Lemeshow χ² = 17.90, p = .012). Qualitative findings emphasized the roles of CHWs, family involvement, transportation barriers, financial constraints, stigma, and treatment-related concerns. Conclusion: TB treatment completion in GIDA communities is associated with interacting individual, community, structural, and health-system factors. Community-based follow-up, family-centered support, accessible DOTS services, and transportation assistance may strengthen treatment continuity.
The Curiosity–Courage–Confidence (3C) Theory of Professional Growth in Nursing: A Conceptually Derived, Practice-Informed Middle-Range Theory Jonathan M. Laranang
Celebes Nursing Journal Vol. 3 No. 2 (2026): August 2026
Publisher : MALATA SAINS INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70848/cnj.v3i2.93

Abstract

Introduction: Continuous professional growth is essential for nurses to maintain competence, promote patient safety, and respond effectively to increasingly complex healthcare demands. Although established nursing and educational theories explain the development of clinical competence, experiential learning, caring practice, and self-efficacy, they do not explicitly integrate the psychological mechanisms that initiate and sustain nurses’ professional growth. Objective: This article presents the Curiosity–Courage–Confidence (3C) Theory of Professional Growth in Nursing, a conceptually derived, practice-informed middle-range theory that explains the psychological processes underlying nurses’ continuous professional growth. Methods: The theory was developed using Walker and Avant’s theory synthesis and theory derivation strategies. The development process incorporated a structured literature review, concept analysis, conceptual integration, and practice-informed observations. Established perspectives from nursing, psychology, and experiential learning informed the construction of the theoretical framework. Results: The resulting theory comprises three interrelated constructs: curiosity, which initiates knowledge-seeking and lifelong learning; courage, which enables nurses to apply knowledge despite uncertainty or perceived risk; and confidence, which develops through successful experiences and reinforces professional engagement, autonomous clinical judgment, and leadership. These constructs operate within a continuous, self-reinforcing cycle influenced by organizational and environmental conditions. Conclusion: The 3C Theory provides a theoretically grounded and practice-informed framework for understanding the psychological processes that support nurses’ professional growth. It offers potential applications in nursing education, clinical practice, leadership development, and future empirical research.
Self-Concept and Its Influencing Factors Among Young Filipino Adults Living with a Colostomy: A Qualitatively Driven Embedded Mixed-Methods Study Leird Dennis Robles; Wireen Leila T. Dator
Celebes Nursing Journal Vol. 3 No. 2 (2026): August 2026
Publisher : MALATA SAINS INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70848/cnj.v3i2.111

Abstract

Introduction: Ostomy surgery can alter body image, daily functioning, self-esteem, and self-perception, making adjustment important during young adulthood. However, evidence on self-concept among young Filipino adults with an ostomy remains limited. Objective: This study explored self-concept and its influencing factors among young Filipino adults living with a colostomy and developed a preliminary framework. Methods: A qualitatively driven embedded mixed-methods design was used. Six participants aged 18–39 years were purposively recruited. The quantitative component used an 18-item questionnaire adapted from Goñi et al. (2011) to assess self-fulfillment, autonomy, emotional self-concept, and ethical self-concept (honesty), while semi-structured interviews comprised the qualitative component. Quantitative data were summarized using weighted means, and interview data were analyzed using Braun and Clarke’s six-phase thematic analysis. Findings were integrated through a joint display. Results: Mean scores were good for self-fulfillment (M = 3.00), autonomy (M = 2.54), and emotional self-concept (M = 2.87), and very good for ethical self-concept (M = 3.50). Three themes emerged: (1) Confronting Changes in Body Perception and Daily Functioning; (2) Managing Internal and Social Burdens; and (3) Building Resilience Through Layered Support and Connections. Integration informed a preliminary framework linking self-concept with sociodemographic circumstances, physical challenges, internal and social burdens, and family, cultural, peer, and community support. Conclusion: Despite body-image, emotional, and functional challenges, participants reported favorable self-concept. Their narratives highlighted resilience, family relationships, cultural values, and peer networks as important resources during adjustment. These findings may inform culturally responsive, person-centered nursing support for young adults living with a colostomy.
The Relationship Between Knowledge, Attitudes, and Practices Regarding Ventilator-Associated Pneumonia Prevention Among ICU Nurses at Khmer-Soviet Friendship Hospital, Cambodia Chhoy Dalic; Chandara I
Celebes Nursing Journal Vol. 3 No. 2 (2026): August 2026
Publisher : MALATA SAINS INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70848/cnj.v3i2.113

Abstract

Introduction: Ventilator-associated pneumonia is a serious healthcare-associated infection that increases mortality, hospital stay, and healthcare costs. Nurses play an essential role in prevention; however, evidence on their knowledge, attitudes, and practices in Cambodian critical care settings remains limited. Objective: This study assessed knowledge, attitudes, and practices regarding ventilator-associated pneumonia prevention and examined their relationships among intensive care unit nurses at Khmer-Soviet Friendship Hospital, Phnom Penh, Cambodia. Methods: A cross-sectional study was conducted among nurses in three intensive care units. Data were collected using a 47-item self-administered questionnaire adapted from previously validated instruments. Of 80 eligible nurses, 73 participated, yielding a 91.3% response rate. Results: The mean knowledge score was 14.2 (SD = 2.4), indicating a moderate level. The mean attitude score was 15.2 (SD = 3.1), indicating a positive attitude, while the mean self-reported practice score was 31.6 (SD = 2.1), indicating a high level. Knowledge and practice were weakly correlated (r = .26, p = .02). Knowledge and attitude (r = .10, p = .37) and attitude and practice (r = .09, p = .44) were not significantly correlated. Demographic characteristics were not significantly associated with KAP scores. Conclusion: Nurses reported positive attitudes and high preventive practices, although knowledge remained moderate. Targeted education and professional training may strengthen knowledge and support evidence-based ventilator-associated pneumonia prevention in routine clinical practice. Findings should be interpreted cautiously because of the instrument’s modest internal consistency.
Navigating Ethical Dilemmas in End-of-Life Care: Lived Experiences of Filipino Nurses Mary Angeline de Dios
Celebes Nursing Journal Vol. 3 No. 2 (2026): August 2026
Publisher : MALATA SAINS INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70848/cnj.v3i2.114

Abstract

Introduction: End-of-life care requires nurses to navigate complex ethical, emotional, cultural, and advocacy-related demands. However, the lived experiences of Filipino nurses in providing end-of-life care remain insufficiently explored, particularly regarding ethical decision-making, emotional adaptation, and patient advocacy. Objective: This study described the lived experiences of Filipino nurses in providing end-of-life care, particularly in ethical decision-making, emotional adaptation, patient advocacy, and personal and professional transformation. Methods: A descriptive phenomenological design was employed. Data were collected through semi-structured, in-depth interviews conducted either face-to-face or virtually with seven Filipino nurses working in different hospitals in the United States, most of whom were based in Oregon. Participants were recruited through purposive and snowball sampling. Reflexive journaling was used to support reflexivity and reduce the influence of the researcher’s preconceptions, and the data were analyzed using Colaizzi’s phenomenological method. Results: Four themes emerged from the participants’ experiences: (1) Prioritizing Comfort While Preserving Dignity at the End of Life; (2) Conflicting Views on End-of-Life Care; (3) Sentiments After Patients’ Passing; and (4) Experiential Changes in Filipino Nurses’ Personal and Professional Lives. Based on these findings, a preliminary debriefing guide was proposed by integrating key principles from the PEARLS and PAUSE frameworks. Conclusion: Filipino nurses remained committed to preserving patient dignity while navigating ethical dilemmas during end-of-life care. Their experiences reflected emotional adaptation, patient advocacy, and personal and professional transformation while supporting patients and families through the dying process.
Digital Empathy as an Evolving Socio-Technological Construct: A Temporal Evolution Concept Analysis Cyruz P. Tuppal
Celebes Nursing Journal Vol. 3 No. 2 (2026): August 2026
Publisher : MALATA SAINS INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70848/cnj.v3i2.123

Abstract

Introduction: Empathy has traditionally been understood as an embodied and relational process within face-to-face healthcare interactions; however, the rapid integration of digital technologies has transformed the conditions under which empathic engagement occurs. Objective: This study aimed to examine the temporal evolution of digital empathy and to develop a theoretically grounded conceptualization reflecting its transformation across technological eras. Methods: A historical–comparative concept analysis using Temporal Evolution Concept Analysis (TECA) was undertaken to interpret how digital empathy has evolved across technologically mediated healthcare contexts. Drawing on peer-reviewed literature retrieved from the Scopus, ScienceDirect, and CINAHL databases, the analysis involved iterative corpus assembly, temporal segmentation, cross-era comparison, evolution tracing, and conceptual trajectory synthesis. Results: The analysis suggests four interconnected phases of digital empathy: human-centered, mediated, hybrid, and artificial intelligence-mediated empathy. Across these phases, shifts were observed from physical presence to mediated presence, from emotional attunement to digital responsiveness, and from embodiment to virtual embodiment. These transformations appear to reflect broader technological developments, evolving healthcare delivery models, and global disruptions. Conclusion: Rather than a static extension of traditional empathy, digital empathy is proposed as an adaptive, evolving socio-technological construct shaped by changing modes of relational engagement. A conceptual trajectory model is proposed, offering implications for clinical practice, health professional education, digital health policy, and the ethical integration of emerging technologies.