https://www.belitungraya.org/BRP/index.php/bnj/issue/feedBelitung Nursing Journal2024-02-28T06:37:59+07:00Dr. Joko Gunawaneditorbnj@gmail.comOpen Journal Systems<div id="journalDescription"> <p style="font-weight: 400;">Belitung Nursing Journal (BNJ) is a peer-reviewed, "<a href="https://www.belitungraya.org/BRP/index.php/bnj/open-access-policy">Gold</a>" open-access journal that offers a platform for nursing scholarship with an Asian focus and perspectives from the region. BNJ welcomes submissions, including original research, review article, theory & concept development, and case study.</p> </div>https://www.belitungraya.org/BRP/index.php/bnj/article/view/3006Exercise-based gaming in patients with multiple sclerosis: A systematic review and meta-analysis2024-02-28T06:37:42+07:00Amal Mohamed Elhuseinamalelhusein4@gmail.comHammad Ali Fadlalmolahazzminno345@gmail.comEltayeb Mohammed Awadalkareemeltayebmohammed25@yahoo.comEkram Yahia Mahmowd Alhusainekomuntyvet@gmail.comSoad Mohamed Alnassryhibasoaad10@gmail.comMukhlid Alshammarimakhlid@uhb.edu.saElsadig Eltahir Abdulrahmansadigtaheer33@gmail.comDoaa El Sayed Fadiladoaa.fadila@gmail.comFatma M. Ibrahimfatma@rakmhsu.ac.aeAbdalrahman Abdallatif Mohmmed SaeedAbdalrahmansaeed1985@gmail.comAdel Abdallaaabdalla@psmchs.edu.saHassan N Moafamoafa@jazanu.edu.saEhab I. El-Aminehabsalih2000@gmail.comDaniel Mon Mamanaodanielmonpmamanao@gmail.com<p style="font-weight: 400;"><strong>Background:</strong> Multiple sclerosis presents a significant burden, with balance disturbances impacting patients’ daily living. Conventional therapies have been supplemented with technological advancements like virtual reality (VR) and exergaming, providing engaging, multisensory rehabilitation options.</p> <p style="font-weight: 400;"><strong>Objective:</strong> This study aimed to synthesize evidence on exergaming’s role in multiple sclerosis treatment, particularly to evaluate the impact of exergaming on cognitive, motor, and psychological outcomes in patients with multiple sclerosis.</p> <p style="font-weight: 400;"><strong>Methods:</strong> A systematic review and subsequent meta-analysis design were employed. An extensive search was conducted up to June 2023 across five electronic databases - Web of Science, Scopus, PubMed, Cochrane, and EMBASE. The data extraction process from the selected studies was conducted independently. The risk of bias was assessed using the Cochrane Risk of Bias Assessment Tool 1 (ROB1) and the National Institutes of Health (NIH) assessment tool. Continuous outcomes were consolidated as mean differences (MD) with 95% confidence intervals (CIs). Meta-analyses were performed using RevMan ver. 5.4.</p> <p style="font-weight: 400;"><strong>Results:</strong> Out of 1,029 studies, 27 were included for meta-analysis. There were no significant differences in cognitive outcomes between the exergaming and the no-intervention group or the Conventional Physiotherapy and Rehabilitation interventions (CPRh) subgroups. However, the Symbol Digit Modalities Test (SDMT) showed a statistically significant difference in favor of exergaming in the no-intervention subgroup (MD = 5.40, 95% CI [0.08, 10.72], <em>p</em> = 0.05). In motor outcomes, exergaming only demonstrated better results in the 6-minute walking test compared to the no-intervention group (MD = 25.53, 95% CI [6.87, 44.19], <em>p</em> = 0.007). The Berg Balance Scale score in both studied subgroups and the Timed Up and Go (TUG) test in the no-intervention group favored exergaming. In terms of psychological outcomes, the Beck Depression Inventory did not reveal any significant differences, while the Modified Fatigue Impact Scale (MFIS) score favored exergaming in the CPRh subgroup.</p> <p><strong>Conclusion:</strong><span style="font-weight: 400;"> Exergaming shows promise for enhancing cognitive and motor functions, motivation, adherence, and quality of life in MS patients, which is beneficial for nurses. It can be tailored to individual preferences and easily conducted at home, potentially serving as a viable alternative to traditional rehab programs, especially during relapses. However, further research is necessary to fully understand its optimal and lasting benefits.</span></p>2024-02-28T00:00:00+07:00Copyright (c) 2024 Amal Mohamed Elhusein, Hammad Ali Fadlalmola, Eltayeb Mohammed Awadalkareem, Ekram Yahia Mahmowd Alhusain, Soad Mohamed Alnassry, Mukhlid Alshammari, Elsadig Eltahir Abdulrahman, Doaa El Sayed Fadila, Fatma M. Ibrahim, Abdalrahman Abdallatif Mohmmed Saeed, Adel Abdalla, Hassan N Moafa, Ehab I. El-Amin, Daniel Mon Mamanaohttps://www.belitungraya.org/BRP/index.php/bnj/article/view/2805The predictive power of electronic reporting system utilization on voluntary reporting of near-miss incidents among nurses: A PLS-SEM approach2024-02-28T06:37:59+07:00Mohammed Abdalraheem Alalaweenmohdween@yahoo.comNoorliza Karianoorliza@usm.my<p style="font-weight: 400;"><strong>Background:</strong> Patient safety is crucial in healthcare, with incident reporting vital for identifying and addressing errors. Near-miss incidents, common yet underreported, serve as red flags requiring attention. Nurses’ underreporting, influenced by views and system usability, inhibits learning opportunities. The Electronic Reporting System (ERS) is a modern solution, but its effectiveness remains unclear.</p> <p style="font-weight: 400;"><strong>Objective:</strong> This study aimed to investigate the role of the ERS in enhancing the voluntary reporting of near-miss (VRNM) incidents among nurses.</p> <p style="font-weight: 400;"><strong>Methods:</strong> A cross-sectional study was conducted in the Al Dhafra region of the United Arab Emirates, involving 247 nurses from six hospitals. Data were collected using a questionnaire between April 2022 and August 2022. Structural Equation Modelling Partial Least Square (SEM-PLS) was employed for data analysis.</p> <p style="font-weight: 400;"><strong>Results:</strong> The average variance extracted for the ERS construct was 0.754, indicating that the common factor accounted for 75.4% of the variation in the ERS scores. The mean ERS score was 4.093, with a standard deviation of 0.680. For VRNM, the mean was 4.104, and the standard deviation was 0.688. There was a positive correlation between ERS utilization and nurses’ willingness to report near-miss incidents. Additionally, our research findings suggest a 66.7% relevance when applied to various hospital settings within the scope of this study.</p> <p><strong>Conclusion:</strong><span style="font-weight: 400;"> The findings suggest that adopting a user-friendly reporting system and adequate training on the system’s features can increase reporting and improve patient safety. Additionally, these systems should be designed to be operated by nursing staff with minimal obstacles.</span></p>2024-02-28T00:00:00+07:00Copyright (c) 2024 Mohammed Abdalraheem Alalaween, Noorliza Kariahttps://www.belitungraya.org/BRP/index.php/bnj/article/view/3040Evaluating ICU nurses’ education, practice, and competence in palliative and end-of-life care in Saudi Arabia: A cross-sectional study2024-02-28T06:37:05+07:00Afaf Alrimaliafafalrimali@gmail.comNashi Alreshidinmalreshidi@moh.gov.sa<p style="font-weight: 400;"><strong>Background: </strong>In palliative and end-of-life (PEOL) care, especially within intensive care units (ICUs), nurses’ unique skills are critical, yet their expertise remains under-explored, particularly in Saudi Arabia</p> <p style="font-weight: 400;"><strong>Objective</strong>: This study aimed to evaluate the education, practice, and perceived competence of adult ICU nurses in Saudi Arabia regarding PEOL care and to pinpoint key factors that influence this aspect of healthcare delivery.</p> <p style="font-weight: 400;"><strong>Methods: </strong>A cross-sectional design was utilized in this study. Participants were recruited from five public hospitals and one specialized center in Hail, Saudi Arabia. Data were gathered in September 2023 using the PEOL Care Index, which measures various care dimensions on a Likert scale in Arabic and English. IBM SPSS Statistics 29.0 was used for statistical analysis, particularly to conduct ANOVA, t-test, and multiple regression.</p> <p style="font-weight: 400;"><strong>Results</strong>: 142 out of the targeted 171 ICU nurses completed the survey, yielding a response rate of 83.04%. Although 81% of the nurses had experience caring for dying patients, only 30.3% had received in-service PEOL care training. Those with this training demonstrated significantly higher scores in education, clinical practice, and perceived competence than their counterparts (<em>p</em> <0.05). Mean scores across these areas were 69.67, 71.01, and 71.61, respectively. In-service training positively correlated with these metrics (<em>p</em> <0.05). Multiple regressions also revealed that in-service training, job satisfaction, and communication authority are strong influencers, explaining 21.6% of the variation in clinical practice and 16.9% in perceived competence.</p> <p><strong>Conclusion</strong><span style="font-weight: 400;">: The study highlighted the proficiency of ICU nurses in PEOL care, emphasizing that in-service training, job satisfaction, and the authority to communicate effectively with patients and their families significantly improved clinical practice and nurses’ competence in PEOL care. This underlines the critical need for healthcare institutions to acknowledge and address these key factors to optimize patient care outcomes.</span></p>2024-02-28T00:00:00+07:00Copyright (c) 2024 Afaf Alrimali, Nashi Alreshidihttps://www.belitungraya.org/BRP/index.php/bnj/article/view/3081Metaphoric perceptions of individuals with diabetes in Turkey: A content analysis2024-02-28T06:36:29+07:00Aslı Tok Özenaslitokozen@gmail.comÖzlem Bulantekin Düzalanozlembulantekin@gmail.comBetül Yalçınbetulozylmz@gmail.com<p style="font-weight: 400;"><strong>Background:</strong> The diagnosis of diabetes mellitus adversely impacts the quality of life due to treatment, changes in daily life, functional disability, and emerging complications. Using metaphors to convey perceptions of diseases and life experiences is crucial for understanding healthcare behaviors.</p> <p style="font-weight: 400;"><strong>Objective:</strong> This study aimed to explore the metaphorical perceptions of “diabetes” and “being a person with diabetes” within a sample group of individuals with diabetes in Turkey.</p> <p style="font-weight: 400;"><strong>Methods:</strong> A qualitative design was employed to investigate the metaphoric perceptions of 72 people with diabetes. Data were collected face-to-face between 15 May and June 2023 using a semi-structured questionnaire. Data were analyzed using content analysis.</p> <p style="font-weight: 400;"><strong>Results:</strong> From the statements of the individuals with diabetes in the sample, seven metaphoric themes related to diabetes – “pain and distress, helplessness and hopelessness, instability, attention and sensitivity, captivity, positive outlook and acceptance, deprivation” – and six metaphoric themes concerning being a person with diabetes – “suffocation and distress, helplessness, powerlessness and disappointment, captivity, attention and sensitivity, guilt, and being worn out” - were identified. Commonly recurring sub-themes with negative connotations included “darkness, well, convict, prison, captivity, microbe, infectious disease, a hot flush, guilt, clouding life, and being ruined.” Some positively framed statements included “friend, traffic sign, and driving a car.”</p> <p style="font-weight: 400;"><strong>Conclusion:</strong> The majority of patients in the study used negative metaphors, with fewer expressing positive sentiments regarding the necessity of accepting and paying attention to the disease. Defining individuals’ metaphorical perceptions of their disease may enable the provision of better quality and holistic care. Nurses, in particular, play a crucial role in facilitating behavioral changes for patients with diabetes to achieve self-management. </p>2024-02-28T00:00:00+07:00Copyright (c) 2024 Aslı Tok Özen, Özlem Bulantekin Düzalan, Betül Yalçınhttps://www.belitungraya.org/BRP/index.php/bnj/article/view/3112Identifying diabetes risks among Indonesians: A cross-sectional study in a community setting2024-02-28T06:36:09+07:00Mula Tariganmulatarigan@usu.ac.idSetiawansetiawan@usu.ac.idRosina Tariganrosina@usu.ac.idFatwa Imeldafatwa.imelda@usu.ac.idDarunee Jongudomkarndarjon@kku.ac.th<p style="font-weight: 400;"><strong>Background:</strong> There is an upward surge in diabetes patients worldwide, including in Indonesia, annually. Diabetes can lead to new diseases that burden patients’ lives further. Nurses can reduce this problem by identifying people at risk of developing diabetes and educating them on how to prevent diabetes.</p> <p style="font-weight: 400;"><strong>Objective:</strong> The study aimed to determine the risk of diabetes in the Indonesian population.</p> <p style="font-weight: 400;"><strong>Methods:</strong> The descriptive research involved a sample of 1216 Indonesians living in North Sumatra Province. Participants were nondiabetic individuals selected using the convenience method from May to October 2020. This study utilized the Indonesian version of the Finnish Diabetes Risk Score (FINDRISC) tool and employed various statistical analyses, including frequencies, percentages, chi-square test, and Fisher’s exact test.</p> <p style="font-weight: 400;"><strong>Results:</strong> Of the total samples, 372 were males (30.6%), and 844 were females (69.4%). The risk of developing diabetes was classified as low (57.1%), slightly elevated (36.4%), moderate (5.3%), high (1.0%), and very high (0.2%). Only one of the eight risk factors that differed significantly between men and women was a history of elevated blood glucose levels, with a <em>p</em>-value of 0.02.</p> <p style="font-weight: 400;"><strong>Conclusion:</strong><span style="font-weight: 400;"> The study identified a portrait of the number and percentage of diabetes risk factors in a community setting in Indonesia. Nurses must provide education on diabetes prevention to not only members of the local community at the research site but also the general public, nationally and globally.</span></p>2024-02-28T00:00:00+07:00Copyright (c) 2024 Mula Tarigan, Setiawan, Rosina Tarigan, Fatwa Imelda, Darunee Jongudomkarnhttps://www.belitungraya.org/BRP/index.php/bnj/article/view/3014Prenatal passive smoking at home: The experiences of women in Thailand2024-02-28T06:37:21+07:00Idchayar MornsaengIdchayar@hotmail.comKasara Sripichyakankasara.sri@gmail.comNantaporn Sansiriphunnantaporn.san@cmu.ac.thNonglak Chaloumsuknonglak.c@cmu.ac.th<p style="font-weight: 400;"><strong>Background</strong><strong>:</strong> Passive smoking poses a threat to the well-being of an unborn baby; however, women’s understanding and practice in this regard remain unclear.</p> <p style="font-weight: 400;"><strong>Objective</strong><strong>: </strong>This study aimed to describe prenatal passive smoking at home based on the experiences of women in Thailand.</p> <p style="font-weight: 400;"><strong>Methods</strong><strong>:</strong> A qualitative descriptive approach was employed. Data were collected between September 2020 and April 2022 through semi-structuredin-depth interviews with 16 postpartum women purposively selected from five hospitals. Thematic analysis was used for data analysis.</p> <p style="font-weight: 400;"><strong>Results</strong><strong>:</strong> Three themes emerged. The first theme, ‘safeguard for an unborn baby,’ was performed through smoking reduction, far distance, abstinence from smoke/odor inhalation, and residual elimination since harm was highly aware. However, justifying safety from the absence of smoke and foul odor was misperceived. The second theme, ‘intervention for smoking cessation,’ was attempted through various methods, including acquired empathy, persuasion, compromise, and supportiveness. They also needed family/friend assistance in warning and professional care in terms of advice, health education, learning materials, cessation therapy, care continuation, and dealing with complex situations. The last theme, ‘maternal perseverance,’ was acquired by the motives of safety goals, rights/responsibilities, changeable norms, and a golden period.</p> <p><strong>Conclusion:</strong> <span style="font-weight: 400;">Pregnant women persistently aimed to prevent their husbands from smoking and safeguard their unborn babies from passive smoking. However, misunderstandings and improper practices were observed. Healthcare and nursing services need comprehensive approaches to enhance understanding, perseverance, and tailored practices catering to women’s needs.</span></p>2024-02-28T00:00:00+07:00Copyright (c) 2024 Idchayar Mornsaeng, Kasara Sripichyakan, Nantaporn Sansiriphun, Nonglak Chaloumsukhttps://www.belitungraya.org/BRP/index.php/bnj/article/view/2883Improving adolescents’ HIV/AIDS prevention behavior: A phenomenological study of the experience of planning generation program (GenRe) ambassadors as peer educators2024-02-28T06:37:50+07:00Diah Ratnawatiratnawatidiah@yahoo.co.idAgus Setiawana-setiawan@ui.ac.idJunaiti Saharjunsr@ui.ac.idWidyatutituti_cw@yahoo.comAstuti Yuni Nursasifian_3121@yahoo.caTatiana Siregaranna.regar@gmail.com<p style="font-weight: 400;"><strong>Background:</strong> Adolescents face increased vulnerability to HIV/AIDS due to factors such as insufficient knowledge and awareness, stigma, and restricted access to information. The Indonesian government initiated a peer education program through the Planning Generation Program (GenRe) ambassadors. These ambassadors are tasked with educating their peers about HIV/AIDS. However, their experiences are largely underexplored.</p> <p style="font-weight: 400;"><strong>Objective:</strong> This study aimed to explore the GenRe ambassadors’ experience in improving adolescents’ HIV/AIDS prevention behavior.</p> <p style="font-weight: 400;"><strong>Methods:</strong> This study employed a qualitative phenomenological approach, with in-depth and semi-structured interviews of GenRe ambassadors who had served for at least three to six months within the South Jakarta Health Sub-Department, Indonesia. Purposive sampling and data saturation techniques were utilized. Data were collected from 13 May to 31 August 2022, and Colaizzi’s steps were used to guide the data analysis.</p> <p style="font-weight: 400;"><strong>Results:</strong> Nineteen GenRe ambassadors participated, predominantly female university students ages 18–22. Six themes were developed: 1) the impact of GenRe ambassadors’ roles in improving HIV/AIDS prevention behavior, 2) activities to improve HIV/AIDS prevention behavior, 3) enhancement of self-concept as GenRe ambassadors, 4) obstacles to activities for improving HIV/AIDS prevention behavior, 5) support for activities to improve HIV/AIDS prevention behavior, and 6) hope for improving the GenRe ambassador program’s implementation.</p> <p><strong>Conclusion:</strong><span style="font-weight: 400;"> GenRe ambassadors are influencers who play a critical role in promoting HIV/AIDS prevention behaviors and fostering positive change in the broader youth community. Despite their positive self-concept, they encounter challenges in fulfilling their roles. Utilizing their insights, community health nurses can create effective peer-led HIV/AIDS prevention programs and contribute to a model of health promotion for adolescents. Leveraging the role of GenRe ambassadors as peer educators is recommended to enhance HIV/AIDS prevention efforts among adolescents.</span></p>2024-02-28T00:00:00+07:00Copyright (c) 2024 Diah Ratnawati, Agus Setiawan, Junaiti Sahar, Widyatuti, Astuti Yuni Nursasi, Tatiana Siregarhttps://www.belitungraya.org/BRP/index.php/bnj/article/view/3069The potential risk components and prevention measures of the Ebola virus disease outbreak in Liberia: An in-depth interview with the health workers and stakeholders2024-02-28T06:36:38+07:00Moses Tende Stephensmoses.tende.ephens-2021@fk.unair.ac.idJuniastutijunsf@fk.unair.ac.idSulistiawatisulistiawati@fk.unair.ac.idPeter Chilaque Dossenpdossen@tubmanu.edu.lr<p style="font-weight: 400;"><strong>Background:</strong> The Ebola virus, a highly infectious and deadly pathogen, has posed a significant public health threat in West Africa for several decades. Liberia is one of the most severely affected countries. Healthcare personnel, including nurses, are on the front lines of patient care, and their perspectives are invaluable in understanding the challenges that arise during outbreaks, especially in implementing prevention measures.</p> <p style="font-weight: 400;"><strong>Objective:</strong> This study aimed to explore the potential risk components and prevention measures of the Ebola virus disease (EVD).</p> <p style="font-weight: 400;"><strong>Methods:</strong> This study used an exploratory descriptive qualitative design. Five stakeholders, ten doctors and five nurses who had suffered from EVD during the outbreak in Liberia participated in semi-structured interviews to provide their experience and comprehensive perspectives on EVD. Data were collected from February 2022-August 2023. NVivo 12 plus was used for inductive thematic analysis.</p> <p style="font-weight: 400;"><strong>Results:</strong> Six themes and several subthemes emerged: 1) transmission modes (body contact, body fluid, sexual intercourse, traditional burial), 2) funeral attendance (traditional practices and crowded gatherings), 3) community-led prevention (promoting good hygiene practices, increasing awareness, contact tracing, and surveillance), 4) Ebola virus vaccine (false sense of security, potential side effects, and limited data), 5) challenges in implementing prevention measures (inadequate health infrastructures, difficulty of tracing infected people, lack of resources, and cultural-social barriers), 6) Liberia’s health systems (a weak, underfunded, fragile health infrastructure, lack of health facilities and shortage of health workers).</p> <p><strong>Conclusion:</strong><span style="font-weight: 400;"> Several potential risk components contributing to the EVD outbreak should be a public concern. Strengthening the current healthcare system supported by local community and international aid providers (multidisciplinary teams) is needed to anticipate behavioral problems and to improve the efficacy of the prevention measures appropriate to the conditions in Liberia. Accordingly, the nurses’ compliance with the recommended prevention practices is necessary.</span></p>2024-02-28T00:00:00+07:00Copyright (c) 2024 Moses Tende Stephens, Juniastuti, Sulistiawati, Peter Chilaque Dossenhttps://www.belitungraya.org/BRP/index.php/bnj/article/view/3064Gender role conflicts experienced by Indonesian women with gynecological cancer: A phenomenological study2024-02-28T06:36:48+07:00Atun Raudotul Ma'rifahatunraudotul@uhb.ac.idYati Afiyantiyatikris@ui.ac.idWisnu Djatmikowisnuj@cs.ui.ac.idIda Ruwaidaidarnoor@gmail.comAriesta Milantia.milanti@yahoo.com<p style="font-weight: 400;"><strong>Background:</strong> Gynecological cancer and its treatments can lead to sexual problems, potentially disrupting the gender role performance of women. Sexuality and gender roles are context-specific, yet these issues remain unexplored in the Indonesian context.</p> <p style="font-weight: 400;"><strong>Objective:</strong> This study aimed to explore the gender role conflicts experienced by Indonesian women having gynecological cancer.</p> <p style="font-weight: 400;"><strong>Method:</strong> A qualitative design with a phenomenology approach was utilized in this study. Data were collected through individualized, face-to-face, in-depth interviews conducted from 1 April to 30 December 2022 with 22 women diagnosed with gynecological cancer who had undergone treatments at the Dharmais Cancer Hospital, Jakarta, Indonesia. Data were analyzed using thematic analysis.</p> <p style="font-weight: 400;"><strong>Results:</strong> Three themes were developed: 1) challenges in fulfilling female gender roles after having cancer diagnosis and therapies, 2) emotional struggles related to gender role conflicts, and 3) efforts to cope with gender role conflicts.</p> <p><strong>Conclusion:</strong><span style="font-weight: 400;"> The study sheds light on how sexual complications due to gynecological cancer and its treatments extend beyond physical issues. A deeper layer of problems around sexual dysfunctions among gynecological cancer survivors is often rooted in traditional gender-role expectations. Nurses should have a comprehensive and contextual understanding of the unique experiences of women living with gynecological cancer to facilitate a positive adaptation to their cancer journey.</span></p>2024-02-28T00:00:00+07:00Copyright (c) 2024 Atun Raudotul Ma'rifah, Yati Afiyanti, Wisnu Djatmiko, Ida Ruwaida, Ariesta Milantihttps://www.belitungraya.org/BRP/index.php/bnj/article/view/3033Comparing the effect of LINE-based and WhatsApp-based educational interventions on reproductive health knowledge, attitudes, and behaviors among Triad adolescents: A quasi-experimental study2024-02-28T06:37:13+07:00Cecep Eli Kosasihek_cecep@yahoo.co.idTetti Solehatitetti.solehati@unpad.ac.idIda Maryatiida.maryati@unpad.ac.id<p style="font-weight: 400;"><strong>Background:</strong> Adolescent populations face reproductive health challenges. Persisting gaps in Triad Adolescent Reproductive Health (ARH) comprehension and risky behaviors emphasize the necessity of integrating social media apps into health education to address Triad ARH risks among youths. Teenagers commonly use WhatsApp and LINE for social media communication, and determining the effectiveness of these two apps is scarce.</p> <p style="font-weight: 400;"><strong>Objective:</strong> This quasi-experimental study aimed to investigate and compare the impacts of educational interventions delivered through WhatsApp and LINE platforms on enhancing the knowledge, attitudes, and behaviors of adolescents concerning the Triad ARH. </p> <p style="font-weight: 400;"><strong>Methods:</strong> A total of 154 senior high school students were randomly recruited from two public schools in Bandung Regency, West Java, Indonesia. These students were divided into two groups: Group A, consisting of 78 students who received material messages using LINE, and Group B, consisting of 76 students who received material messages using WhatsApp. Participants completed a pre-test prior to the intervention and a post-test one month after the intervention. Data were collected using validated questionnaires and analyzed using Chi-square and Wilcoxon tests.</p> <p style="font-weight: 400;"><strong>Results:</strong> In the LINE group, there was an average increase in knowledge from 15.68 to 20.21, attitudes from 29.05 to 59.12, and behavior from 55.95 to 64.81 before and after the intervention period (<em>p</em> = 0.001). In the WhatsApp group, there was an increase in knowledge from 15.16 to 19.67, in attitudes from 34.71 to 59.54, and behavior from 54.75 to 65.97 before and after the intervention period (<em>p</em> = 0.001). Further analysis showed no significant difference between the LINE and WhatsApp groups in increasing the average level of knowledge (<em>p</em> = 0.973), attitude (<em>p</em> = 0.682), and behavior (<em>p</em> = 0.067) before and after the intervention. However, it was observed that the increase in knowledge and attitude was slightly higher in the LINE group, while the increase in behavior was slightly higher in the WhatsApp group.</p> <p><strong>Conclusion:</strong><span style="font-weight: 400;"> This study demonstrates that educational interventions using LINE and WhatsApp both increased the knowledge, attitudes, and behavior of adolescents related to the Triad ARH. This finding is valuable, considering the popularity of LINE and WhatsApp as mobile applications. Leveraging these platforms by nurses and other healthcare professionals can significantly improve adolescents’ health, influencing their knowledge, attitudes, and behavior regarding reproductive health.</span></p>2024-02-28T00:00:00+07:00Copyright (c) 2024 Cecep Eli Kosasih, Tetti Solehati, Ida Maryatihttps://www.belitungraya.org/BRP/index.php/bnj/article/view/3008Exploring men’s health in medium and high complexity care in Brazil: A deductive thematic analysis of social determinants2024-02-28T06:37:31+07:00Márcio Soares de Almeidamarcio_soares21@hotmail.comBruna Rafaela Carneirobrunarafaelacarneiro@gmail.comAlbert Ramon Oliveira SantosProf.albertoliveira@gmail.comClaudia Geovana da Silva PiresCgspires@ufba.brFransley Lima Santosfransleylima@gmail.comAlvaro Francisco Lopes de Sousasousa.alvaromd@gmail.comAnderson Reis de SousaAnderson.sousa@ufba.brÁlvaro Pereiraalvaro_pereira_ba@yahoo.com.brLayze Braz de Oliveiralayzebraz@usp.brLiliane Moretti Carneiroliliane-moretti@hotmail.comIsabel Amélia Costa Mendesiamendes@usp.br<p style="font-weight: 400;"><strong>Background: </strong>Men’s health is influenced by a complex interplay of social, economic, and cultural determinants. Understanding how these aspects affect the health of adult cisgender men in medium and high-complexity healthcare settings is essential for improving healthcare services and promoting better health outcomes.</p> <p style="font-weight: 400;"><strong>Objective</strong>: This study aimed to analyze the health status of adult cisgender men in medium and high-complexity healthcare settings based on social determinants and conditioners.</p> <p style="font-weight: 400;"><strong>Methods</strong>: This study employed a qualitative design involving 45 adult cisgender men receiving care in medium/high complexity services in Bahia, Brazil. Semi-structured interviews were conducted from July 2019 to February 2020, and data were interpreted based on Dahlgren and Whitehead’s Model of Social Determinants of Health using deductive thematic analysis.</p> <p style="font-weight: 400;"><strong>Results</strong>: Proximal determinants included biological aspects, preventive behaviors, lifestyle/social life, and aging processes. Intermediate factors included work conditions, access/utilization of healthcare services/medications, and psychosocial factors. Macro determinants involved income distribution, power dynamics, resource allocation, health inequalities/iniquities, morbidity, culture, political decisions, environmental factors, and structural elements.</p> <p style="font-weight: 400;"><strong>Conclusion</strong><span style="font-weight: 400;">: The health status of men in medium/high complexity care was profoundly influenced by structural social determinants. These determinants impacted healthcare attention, service organization, cultural influences, the reproduction of hegemonic masculinity patterns, lifestyle, social support, and socioeconomic conditions necessary to realize the right to health. Nursing practices should conduct comprehensive assessments that extend beyond physical health indicators.</span></p>2024-02-28T00:00:00+07:00Copyright (c) 2024 Márcio Soares de Almeida, Bruna Rafaela Carneiro, Albert Ramon Oliveira Santos, Claudia Geovana da Silva Pires, Fransley Lima Santos, Alvaro Francisco Lopes de Sousa, Anderson Reis de Sousa, Álvaro Pereira, Layze Braz de Oliveira, Liliane Moretti Carneiro, Isabel Amélia Costa Mendeshttps://www.belitungraya.org/BRP/index.php/bnj/article/view/3055Psychometric properties of a Saudi Arabian version of the Birth Satisfaction Scale-Revised (BSS-R)2024-02-28T06:36:57+07:00Juliana Linnette D'Sajdsa@ksu.edu.saIbtesam Omar Jahlanijahlan@ksu.edu.saEman S. Alsatariesalsa01@louisville.eduSahar Zamzamszamzam@ksu.edu.saColin R. Martinc.martin6@uos.ac.uk<p style="font-weight: 400;"><strong>Background:</strong> Maternal outcomes are closely associated with birth satisfaction, and the Birth Satisfaction Scale-Revised (BSS-R), a concise, multidimensional self-report measure, has undergone translation and validation internationally. However, research on birth satisfaction in Saudi Arabia is scarce. The absence of valid Arabic-language tools for the Saudi population may impede critical research on this topic, necessitating the translation and use of psychometrically sound instruments for measuring birth satisfaction in Saudi women.</p> <p style="font-weight: 400;"><strong>Objective:</strong> This study aimed to translate and evaluate the psychometric properties of the Saudi Arabian version of the BSS-R (SA-BSS-R).</p> <p style="font-weight: 400;"><strong>Methods:</strong> A total of 218 Saudi women participated in the study, and psychometric analysis of the translated SA-BSS-R involved confirmatory factor analysis, divergent validity analysis, and known-group discriminant validity assessment within a cross-sectional study design.</p> <p style="font-weight: 400;"><strong>Results:</strong> The three-factor BSS-R measurement model displayed poor fit, and internal consistency fell below the threshold value. Additionally, it was observed that women undergoing an episiotomy had significantly lower overall SA-BSS-R scores.</p> <p><strong>Conclusion:</strong><span style="font-weight: 400;"> The SA-BSS-R manifested atypical measurement properties in this population. Despite insightful observations related to episiotomy, the identified measurement shortcomings highlight the need for a more robust and culturally sensitive translation to enhance measurement characteristics.</span></p>2024-02-28T00:00:00+07:00Copyright (c) 2024 Juliana Linnette D'Sa, Ibtesam Omar Jahlan, Eman S. Alsatari, Sahar Zamzam, Colin R. Martinhttps://www.belitungraya.org/BRP/index.php/bnj/article/view/3109Translation and validation of the East Asian Acculturation Measure (EAAM) among Myanmar migrants in Thailand2024-02-28T06:36:21+07:00Htet Shwe Wah Oohtetoo78@gmail.comRatsiri Thatoratsiri.t@chula.ac.thNyan Win PhyoNyan_Win_Phyo@wvi.org<p style="font-weight: 400;"><strong>Background: </strong>Acculturation provides a framework for exploring the health behaviors of ethnic minority or cultural groups. Research on the acculturation level and patterns of Myanmar migrants is crucial since there is ample evidence that acculturation promotes health-promoting behaviors. However, no Myanmar version has undergone cross-cultural validation.</p> <p style="font-weight: 400;"><strong>Objective:</strong> This study aimed to translate the original East Asian Acculturation Measure (EAAM) into the Myanmar version (EAAM-M) and investigate its psychometric properties.</p> <p style="font-weight: 400;"><strong>Methods</strong>: The validation study was conducted on a sample of 200 Myanmar migrants in three factories in Bangkok, Thailand, by a multistage random sampling method from August to September 2023. Brislin’s back translation technique was applied to convert the original EAAM into its modified version, EAAM-M. The reliability, content validity, and construct validity of the EAAM-M were examined, and confirmatory factor analysis (CFA) was employed to test the appropriateness of the model that underpins the EAAM-M structure.</p> <p style="font-weight: 400;"><strong>Results: </strong>The average age of the participants was 38.39 years (SD = 5.56), and 68% of participants reported they earned less than 9000 baht. In terms of how long they stayed in Thailand, slightly over half (52.5%) did so for 1-5 years. Nearly half of them (46%) cannot communicate at all regarding their proficiency in speaking Thai. The score regarding the comparability of language and similarity of interpretability between the original EAAM and the EAAM-M was satisfactory. The overall alpha reliability of the EAAM-M was 0.76. Based on the CFA, the measurement model was well fit, with acceptable goodness-of-fit values (Chi-square test of model fit (<em>p</em> = 0.05), CMIN/df = 1.70 (X<sup>2 </sup>= 624.931, df = 366), RMSEA = 0.02, CFI = 0.98, and SRMR = 0.06). The validity and reliability of the factors were affirmed through appropriate factor loadings and satisfactory levels of composite reliability (0.942) and average variance extracted (0.538).</p> <p style="font-weight: 400;"><strong>Conclusion: </strong><span style="font-weight: 400;">The EAAM-M is a reliable and valid instrument </span><span style="font-weight: 400;">to measure the acculturation patterns of Myanmar migrants. It</span><span style="font-weight: 400;"> is beneficial for scholars across various disciplines, including health professionals and nurses, to deliver culturally tailored care for migrants.</span></p>2024-02-28T00:00:00+07:00Copyright (c) 2023 Htet Shwe Wah Oo, Ratsiri Thato, Nyan Win Phyo