Belitung Nursing Journal 2021-09-24T01:39:02+00:00 Dr. Joko Gunawan Open Journal Systems <div id="journalDescription"> <p>Belitung Nursing Journal is a peer-reviewed, "<a href="">Gold</a>" open access journal&nbsp;that provides a venue for nursing scholarship with an Asian focus and perspectives from the region.&nbsp;</p> <br> <p><strong>Editors:&nbsp;</strong><br>Assoc. Prof. Dr. Yupin Aungsuroch<a href=""><img src="/BRP/public/site/images/jokogunawan/kecil-14.png" width="20" height="20"></a><a href=";hl=en&amp;oi=ao"><img src="/BRP/public/site/images/jokogunawan/kecil-32.png" width="20" height="20"></a><a href=""><img src="/BRP/public/site/images/jokogunawan/kecil-4d3.png" width="20" height="20"></a><br>Dr. Joko Gunawan<a href=""><img src="/BRP/public/site/images/jokogunawan/kecil-14.png" width="20" height="20"></a><a href=";hl=en&amp;oi=ao"><img src="/BRP/public/site/images/jokogunawan/kecil-32.png" width="20" height="20"></a><a href=""><img src="/BRP/public/site/images/jokogunawan/kecil-4d3.png" width="20" height="20"></a></p> <p>DOI prefix: <a href="" target="_blank" rel="noopener">10.33546/bnj</a></p> </div> Transitional care programs to improve outcomes in patients with traumatic brain injury and their caregivers: A systematic review and meta-analysis 2021-09-24T01:39:02+00:00 Amelia Ganefianty Praneed Songwathana Kittikorn Nilmanat <p><strong>Background: </strong>Effective nursing interventions for caring for patients with moderate to severe traumatic brain injury are still challenging during a transition from hospital to home. Since traumatic brain injury has deep-rooted sequelae, patients and their caregivers require better arrangement and information on the condition to achieve improved outcomes after discharge.</p> <p><strong>Objective: </strong>This study aimed to assess transitional care programs to improve outcomes of patients with traumatic brain injury and their caregivers.</p> <p><strong>Methods: </strong>A systematic review and meta-analysis were performed on studies retrieved from ProQuest, PubMed, Science Direct, CINAHL, and Google Scholar from January 2010 to July 2021. RevMan 5.4.1 software was used for meta-analysis.</p> <p><strong>Results: </strong>Nine studies were systematically selected from 1,137 studies. The standard approaches of interventions used in patients with traumatic brain injury and their caregivers were education, mentored problem-solving, home-and community-based rehabilitation, counseling, skill-building, and psychological support. We observed that there was significant evidence indicating beneficial effects of intervention in increasing the physical functioning of patients with traumatic brain injury (<em>SMD</em> = -0.44, 95% <em>CI</em> -0.60 to -0.28, <em>p</em> &lt;0.001), reducing the psychological symptoms among caregivers (<em>SMD&nbsp;</em>= -0.42, 95% <em>CI</em> -0.59 to -0.24, <em>p </em>&lt;0.001), and increasing the satisfaction (<em>SMD&nbsp;</em>= -0.35, 95% <em>CI </em>-0.60 to -0.11, <em>p</em> = 0.005).</p> <p><strong>Conclusion:</strong> Education, skill-building, and psychological support should be the main components in transitional care nursing programs for patients with traumatic brain injury and their caregivers. &nbsp;</p> <p><em><strong>Funding:&nbsp;</strong>Faculty of Nursing, Prince of Songkla University, Hat Yai, Thailand.</em></p> 2021-09-24T01:29:13+00:00 Copyright (c) 2021 Amelia Ganefianty, Praneed Songwathana, Kittikorn Nilmanat Nurses’ view of the nature of the support given to parents in the neonatal intensive care unit 2021-09-23T05:37:37+00:00 Syazwana Mohd. Sidek Sofiah Marup Yusrita Zolkefli <p><strong>Background:</strong> Most parents of Neonatal intensive care unit (NICU) babies often expressed dissatisfaction with the nursing care in NICU because of their unaddressed needs, resulting in emotional strain. This raises an essential question of how NICU nurses provide support for the parents. However, this can be relatively challenging in the NICU setting.</p> <p><strong>Objective:</strong> To explore nurses’ views on the nature of parental support provided in NICU settings in Brunei Darussalam.</p> <p><strong>Methods:</strong> This study employed a qualitative research approach conducted in 2020. Ten nurses were individually interviewed in semi-structured interviews. The data were analysed using thematic analysis.</p> <p><strong>Results:</strong>&nbsp; Three broad themes were identified, namely: (1) Emotional and informational support (2) Keeping the support going (3) Seeking help from others. The data provide insights into how nurses provide emotional and informational support to parents in the NICU setting. Challenges were encountered in providing support and were addressed through the involvement of the doctors and emotional support continuity by nursing colleagues.</p> <p><strong>Conclusion:</strong> This paper describes two critical supports given to the parents in the NICU setting and the challenges that underline these supports and proposes strategies used by nurses to help the parents. The balance needed between work demand and parental support is highlighted. In order to give more robust parental support, ongoing interactions with doctors and nursing colleagues are required. &nbsp;</p> 2021-09-23T05:28:05+00:00 Copyright (c) 2021 Syazwana Mohd. Sidek, Sofiah Marup, Yusrita Zolkefli Job satisfaction of foreign-educated nurses in Malaysia: A cross-sectional study 2021-09-20T02:13:41+00:00 Su Yen Lee Kim Lam Soh Salimah Japar Swee Leong Ong Kim Geok Soh Yuko Tsujita <p class="aCxSpFirst"><strong>Background: </strong>The transition process of migration to work abroad can be challenging and, depending on how it is handled, can impact the job satisfaction level of these foreign-educated nurses. A clear understanding of migrant nurses’ job satisfaction is critical for effective translation of nursing practice across the health systems and cultures.</p> <p class="aCxSpMiddle"><strong>Objective: </strong>This study examined the job satisfaction of the foreign-educated nurses in Malaysia, which includes the job satisfaction dimensions and the significant difference between sociodemographic status and job satisfaction.</p> <p class="aCxSpLast"><strong>Methods: </strong>A cross-sectional survey of 102 foreign-educated nurses working in private hospitals, clinics, hemodialysis centers, nursing homes, and private homes in Malaysia was conducted from September 2017 to March 2018. Data were collected using a structured questionnaire. Descriptive statistics, Mann-Whitney U, and Kruskal Wallis tests were used to analyze the data. &nbsp;</p> <p class="Abstract"><strong>Results:</strong> The study revealed that the participants had a median satisfaction score of 22 (<em>IQR </em>= 19 to 24).&nbsp;<a name="_Hlk82804694"></a>Serving the sick and needy and participants’ self-respect were the highest satisfaction dimensions among the participants (<em>Median</em> = 3, <em>IQR </em>= 3 to 3). Moreover, the job satisfaction was significantly higher for registered foreign-educated nurses (mean rank = 62.5) than for unregistered foreign-educated nurses(mean rank = 48.65) when working in other countries (<em>p </em>= 0.02). Indian nurses (mean rank = 60.36) also expressed higher satisfaction in terms of working in other countries than Filipino nurses (mean rank = 46.88; <em>p </em>= 0.02). In addition, positive relationships with colleagues and superiors led to higher satisfaction among Indian nurses (mean rank = 61.02) than among Filipino nurses (mean rank = 47.24; <em>p</em> = 0.04). The job satisfaction of male foreign-educated nurses was significantly higher than their female counterparts in terms of self-respect, relationship with fellow nurses and superiors, working in other countries, career development, and ease of finding employment (<em>p </em>&lt; 0.05).</p> <p class="aCxSpFirst" align="left"><span lang="EN-GB"><strong>Conclusion:</strong></span><span lang="EN-GB"> The overall job satisfaction among the foreign-educated nurses in Malaysia is high, mainly when serving the sick and needy, and their degree of self-respect. Understanding job satisfaction among foreign-educated nurses in Malaysia enables the management team to develop effective strategies for addressing nursing shortages and improving the quality of patient care.</span></p> <p><em><strong>Funding:&nbsp;</strong>This study was funded by the Institute of Developing Economies (IDE-JETRO).</em></p> 2021-09-20T02:06:24+00:00 Copyright (c) 2021 Su Yen Lee, Kim Lam Soh, Salimah Japar, Swee Leong Ong, Kim Geok Soh, Yuko Tsujita Experiences of front-line nurses caring for patients with COVID-19 in Bangladesh: A qualitative study 2021-09-18T02:04:12+00:00 Moustaq Karim Khan Rony Shuvashish Das Bala Md. Moshiur Rahman Afrin Jahan Dola Ibne Kayesh Md. Tawhidul Islam Israth Jahan Tama Emdadul Haque Shafi Shamima Rahman <p><strong>Background:</strong> As the incidence of COVID-19 is increasing, the Bangladesh government has announced a countrywide shutdown instead of a lockdown. Consequently, front-line healthcare workers, particularly nurses, are confronting more challenging situations at work.</p> <p><strong>Objective:</strong> This study aimed to explore front-line nurses’ experiences caring for patients with COVID-19 in Dhaka, Bangladesh.</p> <p><strong>Methods:</strong> A qualitative descriptive study was conducted among front-line nurses caring for patients with COVID-19. Twenty nurses were purposively chosen from January to March 2021 to participate in semi-structured online interviews. Interviews on audio and video were collected, analyzed, interpreted, transcribed verbatim, and verified by experts. Thematic analysis was used.</p> <p><strong>Results:</strong> Nine themes emerged and were grouped into negative and positive experiences. The themes of negative experiences include lack of necessary medical equipment, use of non-standard personal protective equipment, work overload, long working hours, poor working environment, and lack of quality of nursing care. The positive experiences include feeling self in a patient position, nurses’ coping strategy in COVID-19 patient care, and establishing emotional control.</p> <p><strong>Conclusion:</strong> The study results encourage national and international health care professionals to cope with adverse working environments. Also, the findings provide nurses with techniques for dealing with any critical situation, controlling patients’ emotions, and how empathy increases self-confidence and patient care. The research should also be used to enhance government policy, nursing council policy, ministry of health policy,&nbsp;and other healthcare agencies.</p> 2021-09-18T01:54:22+00:00 Copyright (c) 2021 Moustaq Karim Khan Rony, Shuvashish Das Bala, Md. Moshiur Rahman, Afrin Jahan Dola, Ibne Kayesh, Md. Tawhidul Islam, Israth Jahan Tama, Emdadul Haque Shafi, Shamima Rahman The relationship between knowledge and self-efficacy of nurses regarding early initiation of cardiopulmonary resuscitation and automated defibrillation in Saudi Arabia 2021-09-16T02:23:54+00:00 Zainah D Alaryani Aisha Alhofaian Mona Elhady <p><strong>Background: </strong>Cardiopulmonary resuscitation (CPR) and early defibrillation are the most common procedures performed by nurses as the first responders to cardiac arrest patients in the hospital setting. Therefore, nurses are demanded to have high skills for effective performance. Self-efficacy and knowledge are considered significant factors affecting early initiation of CPR and automated defibrillation. However, previous studies mostly focused on nursing students instead of frontline nurses.</p> <p><strong>Objective: </strong>This research aimed to assess the relationship between nurses’ knowledge and self-efficacy regarding the early initiation of CPR and automated defibrillation of cardiac arrest patients.</p> <p><strong>Methods: </strong>The study employed a cross-sectional, descriptive, correlational survey. Using convenience sampling, two hundred eighty-seven nurses working in critical areas and inpatient and outpatient departments, King Abdulaziz University Hospital (KAUH), Saudi Arabia, were selected. Resuscitation Knowledge and Self-Efficacy Scales were used for data collection (using Google Form) from November 2020 to January 2021. Descriptive statistics and Pearson correlation were used for data analysis.</p> <p><strong>Results:</strong> Overall, 61.3% of participants had moderate knowledge (13.659 ± 2.175), and 63.8% had high self-efficacy (44.627 ± 58.397). The highest domain of self-efficacy was responding and rescuing, while the lowest domain was debriefing and recording. There was a significant positive relationship between knowledge and self-efficacy (<em>p </em>&lt;0.001; <em>r</em> = 0.207).</p> <p><strong>Conclusion</strong>: The positive relationship explained a high level of self-efficacy if there was a high level of knowledge. Thus, it is recommended that nursing programs apply CPR and automated defibrillation curricula during nurses’ internships, clear policies and procedures about CPR and automated defibrillation, continual updates about CPR and automated defibrillation, and knowledge and continuance training (on-job-training) about CPR and automated defibrillation, which can enhance and improve knowledge and self-efficacy among health care workers, especially for nurses. &nbsp;</p> 2021-09-16T02:12:03+00:00 Copyright (c) 2021 Zainah Alaryani, Aisha Alhofaian, Mona Elhady Resilience among nurses working in paediatric wards in Brunei Darussalam: A qualitative study 2021-09-15T08:00:50+00:00 Nur Raihan Ramli Hjh Siti Nor'ainah Hj Mohd Noor Yusrita Zolkefli <p><strong>Background: </strong>Resilience has become highly relevant for nurses working to avoid the negative impact of stress and maximise the positive benefits.</p> <p><strong>Objective</strong>: This study aimed to explore and describe experiences of resilience among nurses when they first started working in paediatric wards.</p> <p><strong>Methods:</strong> A qualitative, interpretive descriptive approach was used to guide the study. Purposive sampling was employed to recruit 8 participants, which proved sufficient to achieve theoretical saturation. Semi-structured individual interviews were conducted in 2020 and audio recorded. An inductive analytic approach was utilised.</p> <p><strong>Results</strong>: Three overarching themes arose from the analysis: (1) The transition period (2) Gaining the trust of others (3) Having a positive mindset.</p> <p><strong>Conclusion</strong>: This study found that nurses used multiple strategies of resilience in order to cope with workplace stress when they first began the transition period. However, as they become familiar with the workplace and gain the trust of others, this factor enables nurses to have a positive outlook toward job setbacks. &nbsp;</p> 2021-09-15T07:55:13+00:00 Copyright (c) 2021 Nur Raihan Ramli, Hjh Siti Nor'ainah Hj Mohd Noor, Yusrita Zolkefli Development of a nursing assessment form for patients with diabetes mellitus in a hospital: A research and development study 2021-09-13T02:48:11+00:00 Anita Joeliantina Dwi Adji Norontoko Hepta Nur Anugrahini <p><strong>Background</strong>: People with Diabetes Mellitus (DM) tend to seek herbal medicine or complementary drugs in their treatments. But, unfortunately, the existing nursing assessment forms have not prepared the format for the use of complementary medicine.</p> <p><strong>Objective</strong>: This study aimed to develop a nursing assessment form in patients with DM based on the Chronic Care Model (CCM) approach.</p> <p><strong>Methods</strong>: This study employed a Research and Development study design, which consists of ten stages. The nursing assessment form was developed based on CCM theory and integrated complementary medicines into the assessment form. A content validity test was done by four experts and calculated using Aiken's V formula. Face validity among 12 nurses through Focus Group Discussions (FGDs) was also employed to test the quality of the nursing assessment form based on three aspects: functionality, efficiency, and usability. In addition, nine nurses were included for pilot testing of the form. Data were analyzed using descriptive analysis.</p> <p><strong>Results</strong>: The nursing assessment form demonstrated a good content validity, with Aiken's V value of 0.94. The form was categorized based on four components of CCM: self-management support, decision support, social activities, and clinical information. Additionally, all nurses could fill the form properly.</p> <p><strong>Conclusion</strong>: The nursing assessment form is valid. It can be used for nurses to assess patients with DM based on the CCM with an additional component to evaluate the use of complementary medicine.</p> <p><em><strong>Funding:</strong> This research received financial support from Politeknik Kesehatan Kemenkes Surabaya, Indonesia, through a superior applied research program.</em></p> 2021-09-13T02:27:06+00:00 Copyright (c) 2021 Anita Joeliantina, Dwi Adji Norontoko, Hepta Nur Anugrahini Self-management: A comprehensive approach to improve quality of life among people living with HIV in Indonesia 2021-09-13T08:21:29+00:00 Achmad Fauzi Nofa Anggraini Novy Fatkhurohman <p><strong>Background: </strong>People living with HIV (PLWH) today have to deal with a chronic condition that requires efficient self-management due to increased longevity. Self-management interventions&nbsp;have been shown to improve physical and psychological symptoms as well as clinical results in&nbsp;chronic diseases. However, few studies have investigated the effect of self-management on quality of life (QOL) among PLWH in Indonesia.</p> <p><strong>Objective: </strong>To examine the effect of a self-management program on QOL among PLWH in Indonesia.</p> <p><strong>Methods: </strong>This was a quasi-experimental study &nbsp;with a comparison group in a general hospital in Jakarta, Indonesia. Of the 114 recruited PLWH, 57 were assigned to the intervention group and 57 to the comparison group. The self-management group attended a four-week program workshop. The intervention consisted of five sessions: need assessment and goal setting, maintaining a healthy lifestyle, educational participation to increase communication and self-esteem, and evaluation. The comparison group received standard educational material throughout the leaflet regarding HIV prevention. The post-test assessment was conducted immediately after intervention (T1) and two months (T2) after the intervention in both groups. QOL was measured using the World Health Organization Quality of Life (WHOQOL)-HIV brief Bahasa version. The estimations were obtained using fixed-effect regressions. The differences between T0, T1, and T2 for the intervention and comparison groups were evaluated and compared using the DI Differences method (DID).</p> <p><strong>Results: </strong>The self-management program improved outcomes relative to the comparison group at T1: 1) overall QOL score increased 8.7% (95% CI 0.021–0.149), 2) physical domain saw a modest increased 8.8% (95% CI 0.017–0.125), 3) psychological domain increased 23.5 % (95% CI 0.085–0.689), and 4) environmental domain showed a modest increase of 18.7% (95% CI 0.053–0.371). At T2, the total QOL score and the physical, psychological, and environmental dimensions were significantly improved compared to the comparison group.</p> <p><strong>Conclusion: </strong>The self-management program appears to improve the QOL of the life of PLWH. Nurses are advised to provide PLWH with&nbsp;self-management training.&nbsp;Future research on self-management intervention would need to be refined further to ensure that each community achieves consistent intervention outcomes.</p> <p><em><strong>Funding:</strong> This study was funded by STIKes Abdi Nusantara, Indonesia.</em></p> 2021-09-13T01:01:14+00:00 Copyright (c) 2021 Achmad Fauzi, Nofa Anggraini, Novy Fatkhurohman Nephrology nurses’ views in giving a dietary recommendation for dialysis patients: An interview study 2021-09-07T01:36:55+00:00 Siti Norhayati Hj Emran Yusrita Zolkefli <p><strong>Background:</strong> Nutrition in dialysis patients plays an essential role in their life. Diet in dialysis patients are catered individually and applied according to the situation of the patients. A dietary recommendation is vital to dialysis patients, and nephrology nurses help patients understand the reasoning behind the dietary restrictions enforced.</p> <p><strong>Objective:</strong> This paper aimed to explore nephrology nurses’ views in giving dietary recommendations for dialysis patients.</p> <p><strong>Methods:&nbsp; </strong>In this descriptive qualitative study, one focus group discussion (<em>n </em>= eight nurses) and four individual interviews in one Renal Centre in Brunei Darussalam was conducted through purposive sampling. This interview took place between October 2020 and December 2020.</p> <p><strong>Results:</strong> Three major themes were identified: (1) Approaches in giving dietary information, (2) Getting patients to follow a diet plan, and (3) Negotiating with patients.</p> <p><strong>Conclusion:</strong> The importance of nephrology nurses in improving patient care, particularly in providing dietary recommendations to dialysis patients, cannot be overstated. They adopted different approaches, including negotiating with patients and using available resources to ensure that patients followed the dietary recommendations. However, they believe their current method and strategy for offering dietary recommendations to dialysis patients could be improved. &nbsp;</p> 2021-09-07T01:22:34+00:00 Copyright (c) 2021 Siti Norhayati Hj Emran, Yusrita Zolkefli Understanding stigma and coping strategies among HIV-negative Muslim wives in serodiscordant relationships in a Javanese community, Indonesia 2021-09-03T12:33:42+00:00 Yeni Lufiana Novita Agnes Praneed Songwathana <p><strong>Background:</strong> Although advanced treatment and accessibility of HIV/AIDS prevention and care have been increased, HIV-related stigma persists in the Indonesian community, especially among HIV-negative Muslim wives in a serodiscordant relationship. Therefore, understanding their coping strategies of the stigma is a necessity.</p> <p><strong>Objective:</strong> The study aimed to explore HIV-related stigma and coping strategies of HIV-negative Muslim wives in a serodiscordant relationship.</p> <p><strong>Methods:</strong> A qualitative study was conducted among seven HIV-negative Muslim wives in a serodiscordant relationship who experienced stigma.&nbsp; Data were collected by in-depth interview, and content analysis was used for data analysis.</p> <p><strong>Findings:</strong> Three themes emerged from the data. The first theme was the meaning of HIV/AIDS to Muslim wives, including perceiving HIV as a <em>wanita nakal</em> (immoral women) disease, perceiving HIV causes death, assuming herself as a carrier, and presuming HIV is less harmful than Diabetes Mellitus. The second theme was HIV-related stigma experiences, including being shunned by people, rejected by a midwife, and humiliated by a health worker. Finally, the third theme was coping strategies with the stigma, consisting of hiding the husband's HIV-positive status from the neighbors, disclosing HIV-positive status to a selective person, seeking support from the peer group, and strengthening the relationship among family members.</p> <p><strong>Conclusion:</strong> HIV/AIDS-related stigma affected people living with HIV/AIDS and their families, and it becomes a barrier to HIV/AIDS reduction programs in the marriage relationship. These findings will be beneficial to nurses and other health professionals to develop stigma reduction interventions related to HIV/AIDS. &nbsp;</p> <p><em><strong>Funding:&nbsp;</strong>This research was funded by the Graduate School at Prince of Songkla University, Thailand; Kadiri University, Indonesia; and the Ministry of Research, Technology and Higher Education of Indonesia Scholarship.</em></p> 2021-08-28T01:20:05+00:00 Copyright (c) 2021 Yeni Lufiana Novita Agnes, Praneed Songwathana