Belitung Nursing Journal最新文献

{"title":"Proportion of medication error reporting and its associated factors among healthcare workers in Indonesia: A mixed-methods study.","authors":"Bayu Anggileo Pramesona, Dyah Wulan Sumekar Rengganis Wardani, Dwi Aulia Ramdini, Surasak Taneepanichskul","doi":"10.33546/bnj.3548","DOIUrl":"https://doi.org/10.33546/bnj.3548","url":null,"abstract":"<p><strong>Background: </strong>Medication errors (MEs) are among the most prevalent healthcare-related incidents. However, many institutions do not report these incidents.</p><p><strong>Objective: </strong>This study aimed to investigate the proportion of medication error reporting and the associated factors of medication error reporting among healthcare workers (HCWs) in the hospital settings.</p><p><strong>Methods: </strong>This mixed-methods study used a sequential explanatory design. The quantitative phase involved 122 HCWs, including physicians, nurses, midwives, and pharmacists/pharmacist assistants, and the qualitative phase purposively included 15 of these participants. Data were collected from June to July 2024 at a public hospital in North Lampung, Indonesia, using a self-administered questionnaire and face-to-face in-depth interviews. Quantitative data were analyzed using logistic regression, and qualitative data were analyzed using thematic analysis.</p><p><strong>Results: </strong>The proportion of medication error reporting among HCWs was found to be 64.7%. Lack of a readily available system for reporting medication errors and fear of being blamed were considered as two of the most common causes of HCWs being hindered from reporting MEs. The logistic regression analysis showed that having experienced any medication administration error and having discovered medication error cases that others committed were significantly associated with medication error reporting. From qualitative data, eight themes emerged: 1) monitoring and evaluation, 2) teamwork, 3) self-motivation, 4) organizational culture, 5) rewards and penalties, 6) lack of facilities, 7) lack of understanding about MEs, and 8) fears.</p><p><strong>Conclusion: </strong>The study found a relatively high rate of medication error reporting, indicating that HCWs have an intrinsic motivation to report. However, systemic barriers, such as the lack of a supportive infrastructure and fear of retribution, remain major challenges. Developing a user-friendly, digital medication error reporting system with an anonymous option is recommended to mitigate fear and providing institution-wide training on patient safety culture and reporting procedures to address knowledge gaps.</p>","PeriodicalId":42002,"journal":{"name":"Belitung Nursing Journal","volume":"11 6","pages":"703-713"},"PeriodicalIF":1.4,"publicationDate":"2025-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12648230/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145639883","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":"Nurses' functional status assessments using the International Classification of Functioning, Disability, and Health across hospital types in Japan: A cross-sectional study.","authors":"Kanako Yamamoto","doi":"10.33546/bnj.4123","DOIUrl":"https://doi.org/10.33546/bnj.4123","url":null,"abstract":"<p><strong>Background: </strong>In Japan, patients receiving treatment in advanced acute care hospitals often cannot return home immediately and require ongoing hospitalization. Sequential support is crucial to facilitate long-term recovery and community reintegration. Therefore, functional assessments should extend beyond physical function to include daily activities and participation. However, how nurses across different hospital types in Japan evaluate patients' functional status using a standardized framework remains unclear.</p><p><strong>Objective: </strong>This study examined how nurses in hospitals with varying care functions assess patients' functional status, focusing on the application of the International Classification of Functioning, Disability, and Health (ICF) framework.</p><p><strong>Methods: </strong>A cross-sectional survey with a qualitative component was conducted in accordance with the STROBE guidelines. Participants were 200 registered nurses in Japan, each with at least three years of clinical experience. Data were collected from February to March 2025 through an online survey using a commercial research firm's verified panel of licensed nurses. Quantitative data were analyzed using descriptive statistics, chi-square tests, and one-way analysis of variance (ANOVA). In addition, open-ended responses were analyzed qualitatively to capture contextual perspectives on functional assessment.</p><p><strong>Results: </strong>No significant differences were observed in discharge planning practices among the four hospital types. The Functional Independence Measure was most frequently used in recovery-phase hospitals (<i>p</i> <0.001). Across all hospital types, assessments focused primarily on body functions and structures, while activities and participation domains received comparatively less attention. Qualitative analysis indicated that the focus of patient handovers varied by hospital function, reflecting institutional roles and priorities.</p><p><strong>Conclusion: </strong>Although discharge planning practices were comparable across hospital types, functional assessments remained concentrated on physical aspects, with limited attention to broader domains critical for long-term recovery. These findings highlight the need for a more comprehensive and standardized use of the ICF framework to support patients' social reintegration and continuity of care across healthcare settings.</p>","PeriodicalId":42002,"journal":{"name":"Belitung Nursing Journal","volume":"11 6","pages":"777-785"},"PeriodicalIF":1.4,"publicationDate":"2025-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12648223/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145640912","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 effectiveness of self-efficacy enhancement for foot care program on HbA1c and foot status in people with type 2 diabetes in Thailand: A quasi-experimental study.","authors":"Sangthong Terathongkum, Jiraporn Lininger, Uraiwan Nonpanya","doi":"10.33546/bnj.4131","DOIUrl":"https://doi.org/10.33546/bnj.4131","url":null,"abstract":"<p><strong>Background: </strong>Diabetic foot ulceration (DFU) is a common and serious complication in people with type 2 diabetes mellitus (T2DM), leading to morbidity, lower-extremity amputation, and reduced quality of life. Effective interventions focusing on glycemic control, foot care, and exercise are essential to prevent DFU.</p><p><strong>Objective: </strong>This study aimed to evaluate the effectiveness of the 12-week Self-Efficacy Enhancement for Foot Care Program (SEFP) on HbA1c levels and foot status, including peripheral sensory loss and skin and peripheral vascular abnormalities, in people with T2DM in Thailand.</p><p><strong>Methods: </strong>A quasi-experimental study with a two-group pretest-posttest design was conducted between October 2019 and January 2020 with 80 participants (40 per group) recruited from two public health centers in Bangkok. The experimental group received SEFP plus usual nursing care, while the control group received only usual nursing care. The SEFP included diabetes education, behavior modification, foot care, and 10-chair-pose foot exercises, with home visits, telephone follow-ups, and group discussions. Data collection included demographic questionnaires, HbA1c measurements, and foot status assessments using the Semmes-Weinstein Monofilament and clinical examination of skin and vascular abnormalities. Paired t-tests, independent t-tests, and ANCOVA were used to analyze within- and between-group differences.</p><p><strong>Results: </strong>Baseline characteristics were comparable between groups. After the intervention, the experimental group showed significant reductions in HbA1c (<i>t</i> = 5.24, <i>p</i> <0.001) and significant improvements in overall foot status (<i>t</i> = -8.75, <i>p</i> <0.001), peripheral sensory loss (<i>t</i> = -2.97, <i>p</i> = 0.005), and skin and peripheral vascular abnormalities (<i>t</i> = -10.32, <i>p</i> <0.001). ANCOVA revealed significant between-group differences in post-intervention HbA1c (<i>F</i> = 30.56, <i>p</i> <0.001) and foot status measures (overall: <i>F</i> = 61.61, <i>p</i> <0.001; peripheral sensory loss: <i>F</i> = 11.76, <i>p</i> <0.001; skin and vascular abnormalities: <i>F</i> = 56.79, <i>p</i> <0.001).</p><p><strong>Conclusion: </strong>The 12-week SEFP was associated with reductions in HbA1c and improvements in foot status in people with T2DM. This program is potentially recommended for nurses in primary healthcare settings to prevent DFU and enhance clinical outcomes. Long-term studies with objective vascular measures are warranted to confirm sustained effects.</p><p><strong>Trial registry number: </strong>Thai Clinical Trials Registry (TCTR20250701002).</p>","PeriodicalId":42002,"journal":{"name":"Belitung Nursing Journal","volume":"11 6","pages":"794-801"},"PeriodicalIF":1.4,"publicationDate":"2025-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12648229/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145639813","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":"Barriers and facilitators affecting nurses' ability to assess and prevent suicide in general hospitals in the Kingdom of Saudi Arabia: A cross-sectional study.","authors":"Shafeah Aljedaani, Mona El-Bilsha","doi":"10.33546/bnj.4124","DOIUrl":"https://doi.org/10.33546/bnj.4124","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;Suicide is a growing public health concern in Saudi Arabia, where rates have shown a gradual increase over recent decades. Nurses working in general hospital settings often encounter patients at risk but may face barriers that limit their ability to assess and prevent suicide effectively. Understanding these barriers and facilitators is essential to improve nurses' preparedness and strengthening institutional suicide prevention efforts.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Objective: &lt;/strong&gt;This study aimed to explore the barriers and facilitators influencing nurses' ability to assess and prevent suicide in general hospitals in the Kingdom of Saudi Arabia, and to identify factors associated with these perceptions.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;A quantitative, descriptive cross-sectional design was employed in three major government hospitals in Jeddah between April and May 2025. A structured self-administered questionnaire was developed based on the Capability, Opportunity, and Motivation-Behavior (COM-B) framework and validated through exploratory factor analysis using a randomly split dataset (200 cases for instrument validation and 347 cases for main analysis). The two-factor structure (barriers and facilitators) demonstrated strong construct validity (KMO = 0.962, Bartlett's χ&lt;sup&gt;2&lt;/sup&gt; = 9185.382, &lt;i&gt;p&lt;/i&gt; &lt;0.001) and explained 74.29% of the total variance. Data were analyzed using IBM SPSS version 26. Descriptive statistics summarized participant characteristics and perceptions, while independent-samples &lt;i&gt;t&lt;/i&gt;-tests and multiple linear regression analyses examined predictors of perceived barriers and facilitators.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;Among 347 nurses in the main analysis, the highest-rated barriers were limited time and heavy patient load (&lt;i&gt;M&lt;/i&gt; = 3.81, &lt;i&gt;SD&lt;/i&gt; = 0.96) and inadequate training (&lt;i&gt;M&lt;/i&gt; = 3.72, &lt;i&gt;SD&lt;/i&gt; = 0.99). The strongest facilitator was adequate training and continuing education (&lt;i&gt;M&lt;/i&gt; = 3.80, &lt;i&gt;SD&lt;/i&gt; = 1.05). Regression analyses showed that education level, total years of experience, and years in the current position significantly predicted perceived barriers (&lt;i&gt;F&lt;/i&gt; = 12.16, &lt;i&gt;p&lt;/i&gt; &lt;0.001), explaining 9.6% of the variance (&lt;i&gt;R&lt;sup&gt;2&lt;/sup&gt;&lt;/i&gt; = 0.096), and of facilitators (&lt;i&gt;F&lt;/i&gt; = 6.286, &lt;i&gt;p&lt;/i&gt; &lt;0.001), explaining 5.2% of the variance (&lt;i&gt;R&lt;sup&gt;2&lt;/sup&gt;&lt;/i&gt; = 0.052). Nurses without suicide-prevention training perceived more barriers (&lt;i&gt;p&lt;/i&gt; = 0.004), whereas those with prior experience caring for suicidal patients reported greater awareness of both barriers and facilitators (&lt;i&gt;p&lt;/i&gt; &lt;0.05).&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusion: &lt;/strong&gt;Nurses' capability, opportunity, and motivation to engage in suicide prevention appear to be influenced by workload pressures, limited training, and organizational factors. Strengthening structured education, implementing standardized assessment protocols, promoting interdisciplinary collaboration, and improving staffing support may enhance nurs","PeriodicalId":42002,"journal":{"name":"Belitung Nursing Journal","volume":"11 6","pages":"692-702"},"PeriodicalIF":1.4,"publicationDate":"2025-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12648227/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145640833","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":"Emotional intelligence and education-related stress among baccalaureate nursing students in Indonesia: A cross-sectional study.","authors":"Mula Tarigan, Hanna Yudit Lamro Silitonga, Jenny Marlindawani Purba, Rika Endah Nurhidayah, Kessarawan Nilvarangkul","doi":"10.33546/bnj.4053","DOIUrl":"https://doi.org/10.33546/bnj.4053","url":null,"abstract":"<p><strong>Background: </strong>Nursing students frequently encounter education-related stress (ES) arising from demanding academic workloads, clinical responsibilities, and personal adjustments during their training. Persistent stress can negatively impact learning outcomes, clinical performance, and psychological well-being. Emotional intelligence (EI), which involves the ability to perceive, understand, and manage emotions in oneself and others, is recognized as a protective factor that helps individuals regulate stress and adapt to challenges. However, research exploring the relationship between EI and ES among nursing students in Indonesia remains limited.</p><p><strong>Objective: </strong>This study examined the association between EI and ES among baccalaureate nursing students at a public university in Indonesia.</p><p><strong>Methods: </strong>A cross-sectional correlational design was conducted from September to November 2024 with 225 participants selected through stratified random sampling. Data were collected using the Indonesian version of the Trait Emotional Intelligence Questionnaire-Short Form and the Indonesian-translated Arabic Higher Education Stress Inventory. Descriptive statistics summarized the levels of EI and ES, while Spearman's correlation, Mann-Whitney U, and Kruskal-Wallis tests were used to assess associations between variables.</p><p><strong>Results: </strong>Most students demonstrated moderate levels of EI (73.8%) and ES (64%). The median (IQR) scores were 138.00 (29) for EI and 37.00 (8) for ES. A significant negative correlation was found between EI and ES (rₛ = -0.445, <i>p</i> <0.01), indicating that students with higher EI experienced lower stress levels. Among demographic variables, only gender was significantly associated with ES (<i>p</i> = 0.05), with men reporting higher mean ranks than women.</p><p><strong>Conclusion: </strong>The findings highlight the importance of emotional intelligence in mitigating education-related stress among nursing students. Incorporating EI development into nursing curricula through emotional regulation training, reflective practices, and social-emotional learning strategies can build resilience, improve coping skills, and boost students' academic and clinical performance. Further long-term studies are recommended to investigate the causal relationships and effectiveness of EI-based interventions.</p>","PeriodicalId":42002,"journal":{"name":"Belitung Nursing Journal","volume":"11 6","pages":"786-793"},"PeriodicalIF":1.4,"publicationDate":"2025-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12648233/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145640978","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 and validation of the Lao Clinical Nurse Competency Scale.","authors":"Toyomitsu Tamura, Souksavanh Phanpaseuth, Anousone Sisoulath, Phengdy Inthaphanith, Shikino Kikuchi, Kyoko Koto-Shimada, Kazumi Fujiwara, Nobuko Matsuda","doi":"10.33546/bnj.4094","DOIUrl":"10.33546/bnj.4094","url":null,"abstract":"<p><strong>Background: </strong>The Ministry of Health in the Lao People's Democratic Republic (Laos) has developed a national nursing competency framework comprising five domains and 43 items, aligned with the Association of Southeast Asian Nations (ASEAN) core competencies. However, nurses' actual competencies in Laos have not been systematically evaluated.</p><p><strong>Objective: </strong>This study aimed to develop and validate a measurement scale to assess the clinical competencies of nurses working in healthcare facilities and clinical settings in Laos.</p><p><strong>Methods: </strong>A self-administered questionnaire was created based on the National Competency for Licensed Nurses in Laos (NCLN) and distributed to 359 nurses in Vientiane Capital and Champasak Province in October 2022. Responses from 355 nurses were analyzed. Construct validity was examined using exploratory factor analysis (EFA). Structural equation modeling (SEM) was then performed solely to evaluate the goodness of fit of the proposed model, rather than to confirm the factor structure. Content validity was verified by expert review, and reliability was assessed using the Spearman-Brown coefficient, Cronbach's alpha, and McDonald's omega (ω).</p><p><strong>Results: </strong>The EFA identified five factors, comprising 26 items, which explained 73.2% of the variance. The SEM showed an acceptable model fit: χ²(289) = 698.2, <i>p</i> <0.001; GFI = 0.86; AGFI = 0.83; CFI = 0.94; RMSEA = 0.066. Expert review confirmed the content validity. Reliability was high (Spearman-Brown = 0.934; Cronbach's α = 0.880; McDonald's ω = 0.971).</p><p><strong>Conclusion: </strong>The Lao Clinical Nurse Competency Scale (CAS) demonstrated satisfactory validity and reliability. SEM was used only to assess the model's goodness of fit, and future studies should conduct confirmatory factor analysis (CFA) using independent samples to verify construct validity.</p>","PeriodicalId":42002,"journal":{"name":"Belitung Nursing Journal","volume":"11 6","pages":"674-683"},"PeriodicalIF":2.1,"publicationDate":"2025-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12648231/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145640904","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":"Characterizing potential subtypes and influencing factors of self-directed learning competence among clinical nurses in China by latent profile analysis.","authors":"Zhang Zhisheng, Cai Mingju, Zhang Ruichu, Wang Fang, Liao Shaona, Nie Anliu, Su Xiangfen","doi":"10.33546/bnj.4144","DOIUrl":"https://doi.org/10.33546/bnj.4144","url":null,"abstract":"<p><strong>Background: </strong>Nurses demonstrate varying levels of self-directed learning competence, which is influenced by multiple individual and contextual factors. Identifying profiles with varying levels of self-directed learning is essential for providing targeted support and training. However, there is limited research exploring the potential profiles of self-directed learning competence among nurses.</p><p><strong>Objectives: </strong>This study aimed to identify distinct latent profiles of self-directed learning competence among nurses and analyze the influencing factors.</p><p><strong>Methods: </strong>A cross-sectional study design was used. Nurses were recruited using a convenience sampling from four tertiary hospitals in Guangzhou, China, between August 2024 and February 2025. The Self-Directed Learning Competence Scale for Nurses was used to assess the self-directed learning Competence of nurses. Latent profile analysis was performed to identify different potential profiles. Pearson's chi-square test and multinomial logistic regression were used to explore the factors influencing self-directed learning competence.</p><p><strong>Results: </strong>A total of 740 nurses participated. Three latent profiles of self-directed learning competence were identified: low (<i>n</i> = 356, 48.1%), medium (<i>n</i> = 291, 39.3%), and high (<i>n</i> = 93, 12.5%). The self-directed learning competence of nurses was influenced by various factors, including Junior college and below (<i>OR</i> = 0.555, <i>p</i>= 0.043); Monthly number of night shifts = 3~4 (<i>OR</i> = 2.859, <i>p</i> = 0.029); Learning atmosphere = neutral (<i>OR</i> = 0.342, <i>p</i> = 0.018) and good (<i>OR</i> = 0.412, <i>p</i> = 0.038); Learning willingness (<i>OR</i> = 1.425, <i>p</i> <0.001), Difficulty of title promotion = difficult (<i>OR</i> = 2.628, <i>p</i> = 0.029) and Job stress (<i>OR</i> = 0.981, <i>p</i> <0.001).</p><p><strong>Conclusion: </strong>The study revealed diverse profiles of self-directed learning competence among nurses. Nursing managers should design differentiated strategies based on these profiles. Enhancing organizational support and stimulating learning motivation can help improve nurses' self-directed learning competence, thereby promoting their professional development and improving the overall quality of clinical nursing care.</p>","PeriodicalId":42002,"journal":{"name":"Belitung Nursing Journal","volume":"11 6","pages":"684-691"},"PeriodicalIF":1.4,"publicationDate":"2025-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12648232/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145640821","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":"Corrigendum to \"A cross-sectional analysis of fall risk among institutionalized older adults in Malaysia\" [Belitung Nursing Journal, 2025; 11(4): 487-495].","authors":"Zahira Zohari, Azliza Rahim, Hazwan Mat Din, Nurfaizah Saibul, Asiah Jafri, Shafikah Rahim, Faizah Nasir, Hakimah Sallehuddin","doi":"10.33546/bnj.4202","DOIUrl":"https://doi.org/10.33546/bnj.4202","url":null,"abstract":"<p><p>[This corrects the article DOI: 10.33546/bnj.3899.].</p>","PeriodicalId":42002,"journal":{"name":"Belitung Nursing Journal","volume":"11 6","pages":"811"},"PeriodicalIF":1.4,"publicationDate":"2025-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12648226/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145640840","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":"Predicting factors of aggression among Indonesian middle adolescents with conduct problems in the community: A correlational study.","authors":"Fauzan Saputra, Penpaktr Uthis, Sunisa Suktrakul","doi":"10.33546/bnj.4109","DOIUrl":"https://doi.org/10.33546/bnj.4109","url":null,"abstract":"<p><strong>Background: </strong>Middle adolescents with conduct problems (CP) are at higher risk for aggression than their peers. However, factors contributing to this phenomenon remain insufficiently understood, particularly in Indonesia.</p><p><strong>Objective: </strong>This study aimed to examine the direct and indirect relationships among parental monitoring, self-esteem, self-control, peer deviance, media violence exposure, academic self-concept, and aggression, using Problem Behavior Theory and supported literature review as a conceptual framework.</p><p><strong>Methods: </strong>A cross-sectional correlational design was employed. Data were collected from May to June 2023 from students aged 14 to 16 years with CP across nine junior high schools in Aceh Province, Indonesia. Instruments included the Parental Monitoring Instrument, Rosenberg Self-Esteem Scale, Brief Self-Control Scale, Deviant Peer Scale, Extended Content-Based Media Exposure Scale, Academic Self-Concept Questionnaire, and Aggression Problem Behavior Frequency Scale Adolescent Rating. Data were analyzed using path analysis with LISREL 8.80 and the Sobel test.</p><p><strong>Results: </strong>A total of 423 students participated in the study. Self-control and peer deviance were directly associated with aggression (<i>z</i> = -1.93, β = -0.19, and <i>z</i> = 2.41, β = 0.35, <i>p</i> <0.05, respectively). Self-esteem showed an indirect association with aggression, mediated by self-control (<i>z</i> = -1.783, β = -0.795, <i>p</i> = 0.038). Peer deviance mediated the effects of parental monitoring and media violence exposure on aggression (<i>z</i> = 2.126, β = 1.020, <i>p</i> = 0.017, and <i>z</i> = 2.14, β = 1.055, <i>p</i> = 0.017, respectively). The model explained 42 percent of the variance in aggression.</p><p><strong>Conclusion: </strong>The findings highlight the importance of regular screening for conduct problems and aggression by community nurses and school-based counseling teachers, as well as the development of interventions focusing on peer deviance and self-control, which were identified as the most significant predictors of aggression.</p>","PeriodicalId":42002,"journal":{"name":"Belitung Nursing Journal","volume":"11 6","pages":"731-748"},"PeriodicalIF":1.4,"publicationDate":"2025-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12648235/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145640976","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":"Cognitive function and dementia risk factors among older people in nursing homes: An observational cohort study in Medan, Indonesia.","authors":"Siska Evi Martina, Fasihah Irfani Fitri, Alexander Fernando Kawas Sibero, Amila","doi":"10.33546/bnj.3784","DOIUrl":"https://doi.org/10.33546/bnj.3784","url":null,"abstract":"<p><strong>Background: </strong>Indonesia's rapidly aging demographic presents significant challenges, particularly in dementia among older people in resource-limited settings, such as nursing homes. However, there are limited reports on the deterioration of cognitive function and risk factors of dementia among older people in nursing homes. Early identification of dementia is essential for timely intervention and management.</p><p><strong>Objective: </strong>This study aimed to investigate and follow up on the cognitive function and risk factors of dementia among older people living in nursing homes.</p><p><strong>Methods: </strong>An observational cohort study was conducted over 6 months (April to October 2024) involving 162 participants from government (<i>n</i> = 83) and private nursing homes (<i>n</i> = 79). Implementation of early dementia screening was carried out using the Montreal Cognitive Assessment in the Indonesian version (MoCA INA) instrument to indicate cognitive function impairment. In addition, the Self-reporting of Physical Activity Questionnaire Indonesia (SPAQ-I) was used to identify physical activity. Descriptive statistics, McNemar, Chi-square, Fisher's Exact, Independent <i>t</i>-test, and multivariate regression were then used to analyze data.</p><p><strong>Results: </strong>Older individuals did not differ in terms of gender, age, education, or length of stay. However, residents of the private nursing home had significantly higher physical activity levels (<i>t</i> = -2.04, <i>p</i> = 0.040), and a greater proportion engaged in adequate activity (65.8% vs. 50.6%, χ² = 4.23, <i>p</i> = 0.040). Over a six-month period, cognitive function significantly declined among residents in the government nursing home (normal: <i>p</i> = 0.021; mild: <i>p</i> = 0.012; moderate: <i>p</i> = 0.003), whereas no significant change was observed among residents in the private nursing home. At the endpoint, mean cognitive function scores were slightly higher in the private nursing home (20.23 ± 3.45) than in the government nursing home (19.70 ± 4.39), with a very small effect size (Cohen's <i>d</i> = 0.13). Multiple regression analysis revealed that older age (<i>β</i> = -0.396, <i>p</i> <0.001) and lower levels of physical activity (<i>β</i> = 0.163, <i>p</i> = 0.030) were significantly associated with lower cognitive scores.</p><p><strong>Conclusion: </strong>Dementia screening can enhance care planning for age-related cognitive impairment by enabling early identification and management. Early detection allows nurses to implement more effective care strategies. Additionally, higher physical activity levels were associated with better cognitive function, highlighting a modifiable factor that may help maintain cognitive health among older adults in nursing homes.</p>","PeriodicalId":42002,"journal":{"name":"Belitung Nursing Journal","volume":"11 6","pages":"802-810"},"PeriodicalIF":1.4,"publicationDate":"2025-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12648225/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145640816","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}