Belitung Nursing Journal最新文献

{"title":"Challenges and support factors in managing type 2 diabetes among pregnant women in Thailand: A convergent mixed-methods study.","authors":"Ratchanok Phonyiam, Chiao-Hsin Teng, Catherine Sullivan, Aunchalee Palmquist, Eric Hodges, Yamnia Cortés, Marianne Baernholdt","doi":"10.33546/bnj.3639","DOIUrl":"10.33546/bnj.3639","url":null,"abstract":"<p><strong>Background: </strong>Sociocultural and behavioral factors have a multifaceted impact on maternal health. In Thailand, cultural influences significantly shape behaviors of diabetes self-management in women. However, the experience of self-managing diabetes in pregnant women with preexisting Type 2 Diabetes Mellitus (T2DM) remains unclear.</p><p><strong>Objectives: </strong>The study aimed to explore challenges and support factors of diabetes self-management among pregnant women with preexisting T2DM in Thailand, and to compare these factors between women in two groups (optimal and suboptimal maternal health outcomes).</p><p><strong>Methods: </strong>A convergent mixed-methods study was conducted at a tertiary hospital (March to October 2022). Eligible participants were Thai pregnant women, aged 20-44, diagnosed with T2DM. Participants first completed a questionnaire and then were interviewed about diabetes self-management. Maternal health outcomes (i.e., gestational weight gain and glycated hemoglobin [HbA1c]) were reviewed and extracted. Descriptive statistics were used for quantitative analysis, while directed content analysis was used for qualitative data. Side-by-side matrices were used to describe the qualitative subthemes with quantitative results.</p><p><strong>Results: </strong>Twelve Thai pregnant women participated in the study, aged 27 to 40 years, with gestational ages ranging from 7 to 38 weeks and T2DM diagnoses spanning from 3 weeks to 10 years. Half of the participants were obese before pregnancy. Weight gain patterns revealed that 41.67% had inadequate gain, 33.33% had optimal gain, and 25% had excessive gain. HbA1C levels indicated that 75% had good glycemic control. Three women achieved optimal weight gain and glycemic control, while nine exhibited suboptimal health outcomes. We identified six main themes: 1) challenges at the individual level in managing diabetes, 2) support factors at the individual level for diabetes management, 3) challenges at the interpersonal level in controlling diet, 4) interpersonal support factors for managing diabetes, 5) challenges at the societal level in accessing healthcare, and 6) societal support factors for healthcare access.</p><p><strong>Conclusion: </strong>The findings suggest that managing diabetes during pregnancy necessitates dynamic, patient-centered care throughout the pregnancy journey. Regarding the clinical implication, it is important to tailor approaches to the Thai context and to prioritize education and boost women's confidence in managing diabetes throughout pregnancy.</p>","PeriodicalId":42002,"journal":{"name":"Belitung Nursing Journal","volume":"11 1","pages":"35-47"},"PeriodicalIF":1.1,"publicationDate":"2025-01-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11770266/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143059436","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Health-promoting activities among Saudi Arabian parents of children with disabilities: A cross-sectional study.","authors":"Salmah A Alghamdi, Muna I Assiri, Reem A Fallatah, Farah M Albeladi, Hawa Alabdulaziz, Fatimah Alsaggaf","doi":"10.33546/bnj.3624","DOIUrl":"10.33546/bnj.3624","url":null,"abstract":"<p><strong>Background: </strong>Engaging in health-promoting activities is crucial for maintaining overall well-being. However, parents of children with disabilities often face unique challenges that can impact their ability to engage in such activities. These challenges may include increased caregiving responsibilities, limited access to resources, and emotional and physical burdens, which may hinder their involvement in health-promoting behaviors.</p><p><strong>Objective: </strong>This study aimed to assess and compare health-promoting activities among parents of children with and without disabilities, with a focus on identifying key differences and associated factors that influence their health and well-being.</p><p><strong>Methods: </strong>A quantitative cross-sectional study was conducted with 118 parents of children aged 3 to 18 years recruited via social media and centers for children with disabilities in the Kingdom of Saudi Arabia. Data were collected using the eight-item Health-Promoting Activities Scale (HPAS) and demographic variables. The study utilized descriptive statistics, chi-square test, <i>t</i>-test, and ANOVA for data analysis, conducted using SPSS version 25.</p><p><strong>Results: </strong>The results showed that parents of children with disabilities had significantly lower HPAS scores (31.73 ± 10.21) compared to parents of children without disabilities (34.83 ± 8.05), although this difference was not statistically significant (<i>p</i> = 0.082). Parents of children with disabilities reported significantly lower frequencies of spiritual or rejuvenating personal time (<i>p</i> = 0.032) and social activities (<i>p</i> = 0.011). Additionally, higher education (<i>p</i> = 0.023) and better health status (<i>p</i> = 0.005) were positively associated with higher HPAS scores among parents.</p><p><strong>Conclusion: </strong>This study's findings highlight the significant impact that caring for a child with a disability can have on parents' health-promoting behaviors. Factors such as education and health status were found to play a crucial role in shaping these behaviors. The results suggest the need for tailored interventions and support programs by nurses and healthcare providers to enhance the well-being of parents of children with disabilities.</p>","PeriodicalId":42002,"journal":{"name":"Belitung Nursing Journal","volume":"11 1","pages":"75-82"},"PeriodicalIF":1.1,"publicationDate":"2025-01-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11770259/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143059675","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Self-management behavior and its influencing factors among adults with chronic obstructive pulmonary disease in Colombo, Sri Lanka: A cross-sectional study.","authors":"Kanchana Madumali Warnakula Royal Weerasooriya, Niphawan Samartkit, Khemaradee Masingboon, Patchanok Witheethamasak","doi":"10.33546/bnj.3660","DOIUrl":"10.33546/bnj.3660","url":null,"abstract":"<p><strong>Background: </strong>Self-management behaviors are essential to take care of chronic obstructive pulmonary disease (COPD). However, data on COPD self-management practices in Sri Lankan adults is limited. Therefore, identifying the level of COPD self-management and examining its influencing factors are essential for healthcare providers to manage COPD effectively.</p><p><strong>Objectives: </strong>This research aimed to describe the level of self-management behaviors and determine whether dyspnea, perceived stress, COPD knowledge, and social support can predict self-management in adults with COPD in Colombo, Sri Lanka.</p><p><strong>Methods: </strong>A predictive correlational study was conducted, and 108 adults with mild to moderate COPD were recruited from the central chest clinic in Colombo, Sri Lanka, from March to April 2024 using a simple random sampling technique. A self-administered questionnaire was used to gather data included demographic characteristics. The other instruments used were the COPD Self-Management Scale, the Perceived Stress Scale, the COPD Knowledge Questionnaire, and the Perceived Social Support Scale. Descriptive statistics and multiple regression were used for data analysis.</p><p><strong>Results: </strong>The study showed a moderate self-management level with a mean of 3.04 ± 0.35. All variables could explain 41.7% of the variance in self-management among adults with mild to moderate COPD and COPD self-management behaviors significantly predicted by dyspnea (<i>β</i> = 0.212, <i>p</i> = 0.006), perceived stress (<i>β</i> = -0.195, <i>p</i> = 0.018), COPD knowledge (<i>β</i> = 0.263, <i>p</i> = 0.001), and perceived social support (<i>β</i> = 0.366, <i>p</i> <0.001).</p><p><strong>Conclusion: </strong>The study shows evidence that a program to intervene targeting COPD knowledge and perceived social support, in addition to reducing dyspnea and perceived stress, can be beneficial in promoting better self-management behaviors among adults with mild to moderate COPD.</p>","PeriodicalId":42002,"journal":{"name":"Belitung Nursing Journal","volume":"11 1","pages":"67-74"},"PeriodicalIF":1.1,"publicationDate":"2025-01-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11770258/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143060623","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Development of a novel instrument to measure Japanese psychiatric nurses' technological competency as caring in nursing.","authors":"Yoshiyuki Takashima, Hirokazu Ito, Gil P Soriano, Yuko Yasuhara, Kyoko Osaka, Savina Schoenhofer, Tetsuya Tanioka","doi":"10.33546/bnj.3623","DOIUrl":"10.33546/bnj.3623","url":null,"abstract":"<p><strong>Background: </strong>To effectively advance person-centered care (PCC) practice, it is important to equip healthcare providers with person-centered values and beliefs while simultaneously transforming their work environment to align with PCC. Thus, instruments to measure caring practice status in nursing competency for psychiatric-specific behavioral limitations, ethico-moral behavior, technology use, and PCC need to be developed.</p><p><strong>Objective: </strong>This study developed the Technological Competency as Caring in Psychiatric Nursing Instrument (TCCNPNI) to measure practice status and test its content and construct validity.</p><p><strong>Methods: </strong>Five different phases were followed: 1) Literature Review; 2) Operational definition of the construct and development of items; 3) Two-round Delphi method; 4) Validity measure; and 5) Reliability measure. The online survey was conducted in 2024.</p><p><strong>Results: </strong>The developed instrument comprises 22 items with a 4-factor structure: competency to practice caring and person-centered care (Factor 1); competency to recognize and respond to ethical issues in psychiatry (Factor 2); competency to utilize technology in psychiatry (Factor 3); and competence to practice care for the preservation of human dignity and shared decision making (Factor 4). Cronbach's alpha for the entire scale was 0.864, while that for factors 1-4 was 0.911, 0.814, 0.773, and 0.64, respectively. Cumulatively, these four factors contributed 49.6% and explained nearly 50% of the total data. Item-total correlation values were 0.6 or higher among factors 1-3. However, factor 4, for which items were Q30, Q33, Q34, and Q35 (<i>r</i> = 0.03, 0.04, 0.21, 0.11, respectively), were inverted items and had low I-T correlation values. These low correlations suggest that these items capture different concepts. The developed TCCNPNI allows for the measurement of the practice of nursing as caring in psychiatry, the state of ethico-moral behavior, and the practice status of technological competency as caring in psychiatric nursing.</p><p><strong>Conclusion: </strong>This study demonstrated satisfactorily and efficiently evaluated the practice status of technological competency in psychiatric nurses' caring. Measuring technological competency as caring in psychiatric nursing can be an important adjunct for in-service education in psychiatric hospitals or formalized nursing education in nursing universities.</p>","PeriodicalId":42002,"journal":{"name":"Belitung Nursing Journal","volume":"11 1","pages":"14-24"},"PeriodicalIF":1.1,"publicationDate":"2025-01-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11770269/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143059650","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Quality of life among Indonesian family caregivers caring for dependent older persons with type 2 diabetes mellitus in the community: A cross-sectional, correlational study.","authors":"Rinco Siregar, Charuwan Kritpracha, Tippamas Chinnawong, Jos M Latour","doi":"10.33546/bnj.3683","DOIUrl":"10.33546/bnj.3683","url":null,"abstract":"<p><strong>Background: </strong>The global prevalence of older adults with diabetes has increased, and family caregivers in Indonesia play a critical role in managing diabetes and providing personal care. However, caregiving can be complex and challenging, often negatively affecting caregivers' quality of life (QoL).</p><p><strong>Objective: </strong>This study aimed to develop and test a hypothesized causal model of QoL among Indonesian family caregivers who care for dependent older persons with type 2 diabetes mellitus (T2DM) in 2024.</p><p><strong>Methods: </strong>A cross-sectional, correlational study was conducted with 270 family caregivers recruited from five Community Health Centers. Data were collected using various scales: the Center for Epidemiologic Studies Depression Scale, the Zarit Burden Interview, the Duke University Religion Index, the Perceived Knowledge on T2DM Care Scale, the Family-Carer Diabetes Management Self-Efficacy Scale, the Multidimensional Scale of Perceived Social Support, and the Quality-of-Life Index. Descriptive statistics and Partial Least Squares Structural Equation Modeling (PLS-SEM) were used for analysis.</p><p><strong>Results: </strong>The final model explained 89.1% of the variance in the quality of life (QoL) of family caregivers (<i>R²</i> = 0.893, <i>Adjusted R²</i> = 0.891), with 66% predictive relevance. Depression symptoms had the strongest negative direct effect on QoL, followed by caregiver burden. Self-efficacy and perceived knowledge had positive direct effects, while social support showed no significant direct effect. Indirect effects revealed that social support and self-efficacy positively influenced QoL through depression symptoms. The total effect (TE) analysis confirmed that depression symptoms had the strongest negative effect on QoL (TE = -0.744, <i>p</i> <0.001), while social support (TE = 0.443, <i>p</i> <0.001) and self-efficacy (TE = 0.413, <i>p</i> <0.001) had positive effects.</p><p><strong>Conclusion: </strong>Reducing depression symptoms and caregiver burden, strengthening social support, and promoting self-efficacy could significantly improve the QoL of family caregivers who care for older persons with T2DM. Nursing practice should address caregivers' physical and emotional needs, provide education, foster social support, and support caregiver mental health.</p>","PeriodicalId":42002,"journal":{"name":"Belitung Nursing Journal","volume":"11 1","pages":"48-58"},"PeriodicalIF":1.1,"publicationDate":"2025-01-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11770268/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143060622","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The correlations between demographic factors, self-efficacy, and quality of life among Indonesian patients with ischemic stroke: A cross-sectional study.","authors":"Nabila Azzahra, Fitria Handayani, Wahyu Hidayati","doi":"10.33546/bnj.3651","DOIUrl":"10.33546/bnj.3651","url":null,"abstract":"<p><strong>Background: </strong>Ischemic stroke is the primary cause of neurological disability and can lead to psychological issues that affect self-efficacy. Changes in self-efficacy, in turn, influence the overall quality of life. Although many studies have examined factors that affect self-efficacy, quality of life, or both, few have specifically explored the role of demographic factors in shaping the quality of life in patients with ischemic stroke.</p><p><strong>Objective: </strong>This study aimed to identify the correlations between demographic factors, self-efficacy, and quality of life Indonesian in patients with ischemic stroke.</p><p><strong>Methods: </strong>This study employed a quantitative approach with a cross-sectional design. A total of 143 participants were recruited between February and April 2024 based on defined inclusion criteria. The research instruments included a demographic questionnaire, the Stroke Self-Efficacy Questionnaire, and the Specific Stroke Quality of Life Questionnaire. Data were analyzed using descriptive statistics, logistic regression, and Spearman rank test.</p><p><strong>Results: </strong>The findings revealed that females were 2.213 times more likely (95% CI = 1.128-4.341; <i>p</i> = 0.031) to achieve high self-efficacy compared to males. Occupational status significantly influenced self-efficacy, with employed individuals being 6.333 times more likely (95% CI = 3.134-16.599; <i>p</i> <0.001) to achieve high self-efficacy. The duration of stroke experienced by respondents also had a significant impact, with an odds ratio (OR) of 1.908 (95% CI = 0.980-3.715; <i>p</i> = 0.025). Additionally, occupational status significantly affected the quality of life, as employed respondents were 7.213 times more likely to achieve a good quality of life (OR = 7.213; 95% CI = 3.134-16.599; <i>p</i> <0.001). There was a significant positive correlation between self-efficacy and quality of life (<i>r</i> = 0.898, <i>p</i> <0.001).</p><p><strong>Conclusion: </strong>The results of this study provide valuable insights for nursing practice, emphasizing the importance of interventions to enhance patients' self-efficacy. By increasing patients' confidence in managing their condition, such interventions can lead to improved quality of life and better recovery outcomes. Strategies including health education, psychological support, and patient empowerment during rehabilitation are essential for strengthening self-efficacy and improving overall care outcomes. These findings highlight the need for healthcare professionals and families to address the psychological aspects of care in patients with stroke. Enhancing self-efficacy is critical in helping patients achieve a better quality of life and more successful recovery.</p>","PeriodicalId":42002,"journal":{"name":"Belitung Nursing Journal","volume":"11 1","pages":"119-125"},"PeriodicalIF":1.1,"publicationDate":"2025-01-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11770257/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143060755","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Honduran nursing care to pressure injuries in patients with invasive mechanical ventilation: A qualitative study.","authors":"Yoselin Isabel Vallejo Bustamante, Oscar Fidel Antunez Martinez","doi":"10.33546/bnj.3592","DOIUrl":"10.33546/bnj.3592","url":null,"abstract":"<p><strong>Background: </strong>Although substantial evidence exists regarding the treatment of pressure ulcers, there is a lack of studies demonstrating a comprehensive nursing approach for managing pressure ulcers in the ICU, particularly among patients with invasive mechanical ventilation from developing countries like Honduras. This gap in research is significant as the risk and impact of pressure ulcers on health recovery cannot be disregarded.</p><p><strong>Objective: </strong>This study aimed to analyze Honduran nursing care for pressure ulcers in patients with invasive mechanical ventilation admitted to Intensive Care Units.</p><p><strong>Methods: </strong>A qualitative study approach was used, with in-depth interviews conducted with 12 critical care nurses from July to September 2022. The interviews were recorded, and data analysis was performed using the participants' narratives following Colaizzi's steps.</p><p><strong>Results: </strong>Three themes were obtained, which provide insight into the phenomenon: \"The strengths in Honduran nursing interventions,\" \"Negligence in the Honduran nursing care processes,\" and \"Vulnerabilities in the organizational structures.\"</p><p><strong>Conclusion: </strong>Nurses' experiences highlighted their timely reports and comprehensive, holistic care. However, they undergo negligence in their caring processes, such as low frequency of repositioning, lack of caring plans, and absence of self-training, leading to interdisciplinary work codependency for decision-making. Allocating resources toward nursing care and their professional growth is an investment in providing humane treatment and ensuring the prevention and management of pressure injuries in critical care patients. This study highlights the importance of comprehensive training and standardized protocols for intensive care nurses to improve pressure injury prevention and management in mechanically ventilated patients, emphasizing the need for regular patient repositioning, effective communication, and adequate resources to enhance patient care quality.</p>","PeriodicalId":42002,"journal":{"name":"Belitung Nursing Journal","volume":"11 1","pages":"25-34"},"PeriodicalIF":1.1,"publicationDate":"2025-01-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11770260/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143059994","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The relationship between stress, social support, and quality of life among spouses of patients at the end-of-life stage in Thailand: A correlational study.","authors":"Rathapon Thawonphat, Tiraporn Junda, Bualuang Sumdaengrit","doi":"10.33546/bnj.3224","DOIUrl":"10.33546/bnj.3224","url":null,"abstract":"<p><strong>Background: </strong>Non-communicable diseases have become a leading global health challenge, with mortality rates steadily rising. Insufficient patient care can worsen chronic illness, often placing significant caregiving responsibilities on the patient's spouse. In some cases, spouses may need to leave their jobs to provide full-time care, especially during the end-of-life stage. Spousal caregivers often face emotionally distressing circumstances while caring for their loved ones, which can lead to elevated stress levels. However, research indicates that adequate social support can improve caregivers' quality of life, reducing some of the burdens associated with end-of-life care.</p><p><strong>Objectives: </strong>This study aimed to assess and analyze the relationships between stress, social support, and quality of life experienced by spousal caregivers in Thailand, guided by Lazarus and Folkman's (1984) Stress and Coping Theory.</p><p><strong>Methods: </strong>A correlational descriptive study design was used. The study was conducted with 84 spouses of patients in the end-of-life stage at a university hospital between October 2021 and March 2022. Data were collected using a questionnaire covering stress, social support, and quality of life and analyzed using Pearson's Product Moment and Spearman Rank Correlation Coefficients.</p><p><strong>Results: </strong>The majority of spouses were women aged between 31 and 83 years (Mean = 61.24, SD = 10.42). The mean stress level was 6.40 (SD = 1.62), the mean social support was 55.07 (SD = 9.06), and the mean quality of life was 94.69 (SD = 10.04). There was no significant correlation between social support and stress (<i>r</i> = -0.098, <i>p</i> = 0.373). However, stress was negatively correlated with quality of life (<i>r</i> = -0.299, <i>p</i> = 0.006), and social support was positively related to quality of life (<i>r</i> = 0.219, <i>p</i> = 0.045).</p><p><strong>Conclusion: </strong>Spousal caregivers of patients at the end-of-life stage experienced varying levels of stress, social support, and quality of life. While no significant relationship was found between social support and stress, stress negatively impacted quality of life, while higher social support was associated with improved quality of life. Healthcare providers, especially nurses, should assess and address the stress, social support, and overall well-being of spousal caregivers to enhance their quality of life.</p>","PeriodicalId":42002,"journal":{"name":"Belitung Nursing Journal","volume":"11 1","pages":"109-118"},"PeriodicalIF":1.1,"publicationDate":"2025-01-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11770264/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143060757","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Characteristics associated with career self-reliance behaviors of nurses working in nursing homes in Japan: A cross-sectional study.","authors":"Ayako Nakayama, Junko Hoshino, Masashi Hotta, Mayuri Hashimoto, Naomi Furukawa","doi":"10.33546/bnj.3665","DOIUrl":"10.33546/bnj.3665","url":null,"abstract":"<p><strong>Background: </strong>With an aging global population, establishing integrated systems for long-term care is challenging in several countries. Adequate and quality service for older adults in nursing homes can improve their quality of life. The career self-reliance of nurses working in nursing homes may affect the quality of life of older adults; this suggests a need for educational support for career self-reliance behavior.</p><p><strong>Objective: </strong>Our study aimed to identify characteristics associated with the career self-reliance behaviors of nurses working in nursing homes.</p><p><strong>Methods: </strong>Data were collected from nurses working in 789 nursing homes in Japan using questionnaires in 2018. The questionnaire consisted of the Scale of Career Self-Reliance Attitude, Career Self-Reliance Behavior to measure the degree of nurses' career self-reliance, questions about personal attributes, work environment, and work commitment; and the Clinical Nursing Competence Self-Assessment Scale. A multiple regression analysis was conducted using career self-reliance as the dependent variable and characteristics as the independent variables.</p><p><strong>Results: </strong>Consequently, a total of 336 questionnaires were collected, of which 289 without missing data were analyzed. Of the 289 participants, 79 (27.3%) had certifications or licenses other than those for nursing or had completed graduate school. As a result of multiple regression analysis, a higher frequency of nursing practice (<i>β</i> = 0.38, <i>p</i> <0.001) was associated with career self-reliance attitudes. Having certifications or licenses other than those for nursing or completing graduate school (<i>β</i> = 0.11, <i>p</i> = 0.03), job satisfaction as a nurse (<i>β</i> = 0.12, <i>p</i> = 0.03), higher frequency of nursing practice (<i>β</i> = 0.28, <i>p</i> <0.001), and a higher degree of career self-reliance attitude (<i>β</i> = 0.45, <i>p</i> <0.001) were associated with career self-reliance behavior. Relationships with supervisors or colleagues were not associated with career self-reliance.</p><p><strong>Conclusion: </strong>It is important for nurses working in nursing homes to enrich their nursing practice, continue learning, and be satisfied with their jobs to improve their career self-reliance. Nurses and administrators working in nursing homes should make efforts to obtain these characteristics for nurses' career self-reliance behaviors. Particularly, maintaining nursing practice frequency is essential for improving the quality of life of older adults through nurses' career self-reliance.</p>","PeriodicalId":42002,"journal":{"name":"Belitung Nursing Journal","volume":"11 1","pages":"91-100"},"PeriodicalIF":1.1,"publicationDate":"2025-01-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11770261/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143059513","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Acupressure intervention for children: A scoping review.","authors":"Sri Ramdaniati, Mei Neni Sitaresmi, Fitri Haryanti, Arief Tarmansyah Iman","doi":"10.33546/bnj.3524","DOIUrl":"10.33546/bnj.3524","url":null,"abstract":"<p><strong>Background: </strong>Acupressure is a popular form of complementary nursing among adults. It stimulates the body's self-healing processes by enhancing energy flow, or \"chi,\" along meridian channels. Acupressure can address many health issues and is also used on children because it is painless and straightforward. Although acupressure has existed for centuries, research on its applications for children remains limited.</p><p><strong>Objective: </strong>This review aimed to categorize and synthesize the research conducted over 30 years on acupressure in children.</p><p><strong>Design: </strong>A scoping review.</p><p><strong>Data source: </strong>The databases searched were PubMed, ProQuest, Scopus, ScienceDirect, Wiley, Medline EBSCO, and Google Scholar. The inclusion criteria were original peer-reviewed articles in English or Indonesian that used acupressure as an intervention for children in any setting from 1991 until March 2022 and were updated until March 2024.</p><p><strong>Review methods: </strong>This review followed the Joanna Briggs Institute Manual Methodologies. Subsequently, the retrieved articles were imported into the EndNote program version 20. Based on the identification results, 2924 articles were obtained, and 76 articles were retained. The review decision process was depicted in a PRISMA flow diagram.</p><p><strong>Results: </strong>Of the 76 articles, 72% came from the Asian continent, 66% were published within the past ten years, and 59% were randomized controlled trials. Acupressure was most used (48%) by school-age children (7-12 years), with commonly targeted points being Neiguan (P6), Zusanli (ST36), Hegu (LI4), Yintang (Extra1), and auricular acupoints. Acupressure on children can be administered by acupuncturists, nurses, doctors, caregivers, and parents, offering six main benefits: alleviating nausea and vomiting, relieving pain, decreasing anxiety, relieving fatigue, increasing visual function, and increasing weight and height.</p><p><strong>Conclusion: </strong>Acupressure offers numerous advantages for children with various conditions. Healthcare and nursing professionals should consider using it as a complementary intervention to address issues and problems in healthy and sick children. However, further studies are needed to evaluate its effectiveness.</p>","PeriodicalId":42002,"journal":{"name":"Belitung Nursing Journal","volume":"11 1","pages":"1-13"},"PeriodicalIF":1.1,"publicationDate":"2025-01-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11770263/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143060997","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}