Belitung Nursing Journal最新文献

{"title":"Psychosocial risks and protective factors of suicidal behaviors among youths in Saudi Arabia: A cross-sectional study.","authors":"Hanem Ahmed AbdElkhalek Ahmed, Mona M Abd El-Maksoud, Shylaja Jeyapaul, Eman Baleegh Meawad Elsayed, Vanitha Innocent Rani, Abeer S Aseeri, Manal Ibrahim Asiri","doi":"10.33546/bnj.3901","DOIUrl":"10.33546/bnj.3901","url":null,"abstract":"<p><strong>Background: </strong>Youth suicidal behavior is a critical public health concern worldwide. Addressing suicidal behaviors among youth is essential; however, limited research has explored the complex relationships between psychosocial risk and protective factors influencing suicidal behavior in Saudi youth, especially within their unique cultural and religious context. Bridging this gap is vital for developing culturally sensitive prevention strategies.</p><p><strong>Objective: </strong>This study aimed to investigate psychosocial risk and protective factors associated with suicidal behaviors among Saudi youth.</p><p><strong>Methods: </strong>A cross-sectional descriptive study was conducted from May to August 2024 with 400 university students. Data were collected using standardized and validated instruments. Statistical analyses included chi-square tests to explore demographic associations with suicide risk, correlation matrices, a suicide heatmap to visualize factor interrelations, scatterplots, and multiple linear regression to identify significant predictors.</p><p><strong>Results: </strong>Findings showed that 11.8% of youth were classified as at suicidal risk. Suicide risk behavior correlated positively with life stressors (<i>r</i> = 0.60, <i>p</i> <0.01) and interpersonal needs-perceived burdensomeness and thwarted belongingness (<i>r</i> = 0.31, <i>p</i> <0.01)-and negatively with resilience (<i>r</i> = -0.10, <i>p</i> <0.01) and perceived social support (<i>r</i> = -0.22, <i>p</i> <0.01). The regression model significantly predicted suicide risk behavior (<i>F</i> _{(4, 748)} = 61.89, <i>p</i> <0.001), explaining 38.5% of the variance (Adjusted R² = 0.379). Life stressors (β = 0.562, <i>p</i> <0.001) and interpersonal needs (β = 0.115, <i>p</i> = 0.009) were significant positive predictors, while resilience and social support were not significant predictors.</p><p><strong>Conclusions: </strong>Although suicide prevalence among Saudi youth is relatively low, a significant minority remains at risk, particularly those experiencing family problems, low income, and who have no friends. Life stressors and unmet interpersonal needs are major risk factors. These findings emphasize the vital role of nursing practice in suicide prevention through routine screening, counseling, stress management, and fostering social support. Integrating these strategies in academic and community settings can enhance mental health outcomes and reduce suicide risk among Saudi youth.</p>","PeriodicalId":42002,"journal":{"name":"Belitung Nursing Journal","volume":"11 5","pages":"560-568"},"PeriodicalIF":1.4,"publicationDate":"2025-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12498236/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145245458","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":"Beyond the pandemic: Posttraumatic stress and its association with physical and mental health outcomes among older adults in Egypt - a cross-sectional study.","authors":"Mona Metwally El-Sayed, Eman Sameh Abd-Elhay, Samah Mohamed Taha, Wagdia Wafik, Hala Awad Ahmed, Ghala Abdullah Alharbi, Manal Mohammed Hawash","doi":"10.33546/bnj.4011","DOIUrl":"10.33546/bnj.4011","url":null,"abstract":"<p><strong>Background: </strong>The COVID-19 pandemic has severely affected older adults worldwide, with the Egyptian geriatric population facing vulnerabilities due to limited healthcare access and cultural factors. Posttraumatic stress disorder (PTSD) following COVID-19 may significantly impact physical and mental health, yet data specific to older Egyptians are limited.</p><p><strong>Objective: </strong>This study aimed to assess the prevalence of PTSD and its association with physical and mental health outcomes among older adults in Egypt after COVID-19 infection.</p><p><strong>Methods: </strong>A cross-sectional study included 290 geriatric patients (≥60 years) recruited from outpatient clinics at two Egyptian university hospitals. Data collection took place over three months, from September to December 2023. PTSD symptoms were measured using the PTSD Checklist-Civilian Version (PCL-C), and physical and mental health were evaluated by the 12-item Short Form Health Survey (SF-12). Pearson correlation and multiple linear regression were used to analyze the relationships between PTSD and health outcomes, controlling for sociodemographic and clinical factors.</p><p><strong>Results: </strong>Moderate PTSD symptoms were present in 60.3% of participants, and 18.6% showed severe symptoms. Physical health (PCS mean = 31.97, SD = 6.66) and mental health (MCS mean = 32.54, SD = 13.34) scores were significantly reduced. PTSD symptom clusters, such as hyperarousal and avoidance, were negatively correlated with physical and mental health components (e.g., hyperarousal vs. PCS: <i>r</i> = -0.206, <i>p</i> <0.001). The regression model explained 59% of the variance in health outcomes (<i>adjusted R²</i> = 0.59). Higher PTSD symptom severity was associated with a small but statistically significant negative effect on health outcomes (<i>B</i> = -0.20, <i>p</i> = 0.033). Chronic disease status showed the largest negative association (<i>B</i> = -12.34, <i>p</i> <0.001), indicating a substantial impact on health. Age demonstrated a modest negative association (<i>B</i> = -0.15, <i>p</i> = 0.049), while gender and education were not significantly associated with health outcomes.</p><p><strong>Conclusion: </strong>Nearly four out of five older Egyptian adults experienced moderate to severe PTSD after COVID-19, and PTSD symptoms were significantly associated with poorer physical and mental health. Chronic illness emerged as the strongest determinant of health outcomes, with age showing a modest effect. These findings highlight the importance of culturally sensitive, trauma-informed nursing interventions that address both PTSD and chronic illness to improve the well-being of older adults.</p>","PeriodicalId":42002,"journal":{"name":"Belitung Nursing Journal","volume":"11 5","pages":"569-578"},"PeriodicalIF":1.4,"publicationDate":"2025-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12498237/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145245529","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":"Prevalence and related factors of healthy aging: A systematic review and meta-analysis.","authors":"Linxi Tang, Nur Syahmina Binti Rasudin, Yuan Dong, Azlina Yusuf","doi":"10.33546/bnj.3977","DOIUrl":"10.33546/bnj.3977","url":null,"abstract":"<p><strong>Background: </strong>Healthy aging is a key goal of global public health and aging policy initiatives. Understanding its prevalence and associated determinants is essential for designing targeted interventions and promoting well-being among older adults.</p><p><strong>Objective: </strong>This study aimed to estimate the global prevalence of healthy aging and to identify its associated factors across different countries.</p><p><strong>Methods: </strong>A systematic review and meta-analysis were conducted. A comprehensive literature search was conducted in Web of Science, PubMed, EBSCO Discovery Service (EDS), Scopus, and ProQuest from database inception to February 2025. Two independent reviewers screened articles, extracted data, and assessed study quality using the Newcastle-Ottawa Quality Assessment Scale (NOS) and the Agency for Healthcare Research and Quality (AHRQ) Methodology Checklist. Eligible studies were included in a meta-analysis using Stata 18.0 and R version 4.5.0.</p><p><strong>Results: </strong>A total of 39 studies involving 300,624 participants were included. The pooled prevalence of healthy aging was 23.0% (95% CI: 18%-27%). After adjusting for publication bias using the trim-and-fill method, the estimate decreased to 15.6% (95% CI: 11.0%-20.1%), suggesting possible overestimation in the original estimate. Significant associations with healthy aging were found for age (≥75 years), gender, marital status, educational level, economic level, social participation, employment status, economy, smoking status, alcohol consumption, physical activity, body mass index (BMI), and self-rated health.</p><p><strong>Conclusions: </strong>The findings indicate that fewer than one in four older adults meet the criteria for healthy aging globally, with substantial variation across regions. A wide range of sociodemographic, behavioral, and health-related factors influence this outcome. These results underscore the importance of addressing modifiable determinants in future public health efforts to promote healthy aging.</p><p><strong>Registry: </strong>PROSPERO [CRD42024542942].</p>","PeriodicalId":42002,"journal":{"name":"Belitung Nursing Journal","volume":"11 5","pages":"504-516"},"PeriodicalIF":1.4,"publicationDate":"2025-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12498238/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145245471","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":"Thai Burnout Assessment Tool (T-BAT): Translation, validity, and reliability testing in nurses.","authors":"Vachira Posai, Wisarut Srisintorn, Paramee Thongsuksai, Chanokporn Jitpanya","doi":"10.33546/bnj.4086","DOIUrl":"10.33546/bnj.4086","url":null,"abstract":"<p><strong>Background: </strong>The Burnout Assessment Tool (BAT), an instrument for measuring burnout among healthcare professionals, was originally developed in English and remains unadopted and unvalidated within the Thai healthcare context. Despite its widespread international use, cultural and linguistic variations necessitate rigorous contextual validation.</p><p><strong>Objective: </strong>This study aimed to translate the BAT into Thai (T-BAT) and evaluate its psychometric properties among Thai nurses, addressing critical gaps in cross-cultural burnout assessment.</p><p><strong>Methods: </strong>A cross-sectional survey was conducted among 1,005 nurses from two government hospitals in Thailand, employing a multistage sampling with quota-based convenience selection. Participant inclusion criteria comprised full-time nursing employment, a minimum bachelor's degree in nursing, and at least three months of hospital work experience. The BAT underwent a back-translation process to ensure linguistic and cultural equivalence. The psychometric evaluation encompassed descriptive statistical analysis, internal consistency assessment, known-group validity testing through hypothesis, and construct validation via confirmatory factor analysis (CFA). Finally, Rasch analysis, evaluating item performance and measurement precision, was used.</p><p><strong>Results: </strong>The T-BAT exhibited robust psychometric characteristics, including internal consistency (Cronbach's alpha = 0.93), known-group validity (significant score variations across nurse subgroups), and construct validity (confirmatory factor analysis validating the proposed four-factor model). Finally, Rasch analysis demonstrated optimal item performance, including fit statistics within acceptable ranges (Infit: 0.78-1.40; Outfit: 0.73-1.41). Person and item reliability indices consistently exceeded 0.80, indicating high reliability of the scale.</p><p><strong>Conclusion: </strong>The study substantiates the T-BAT as a reliable and valid instrument for assessing burnout among Thai nurses. This culturally adapted tool provides a context-specific approach to understanding burnout, potentially enabling more targeted interventions by healthcare policymakers, hospital administrators, and nursing leaders.</p>","PeriodicalId":42002,"journal":{"name":"Belitung Nursing Journal","volume":"11 5","pages":"602-611"},"PeriodicalIF":1.4,"publicationDate":"2025-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12502758/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145253124","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":"Faith, fear, and disclosure: Exploring serodiscordant relationships in Indonesia's Muslim society.","authors":"Eka Sari Ridwan, Chanuantong Tanasugarn, Sarunya Benjakul, Mondha Kengganpanich, Masoud Mohammadnezhad","doi":"10.33546/bnj.4054","DOIUrl":"10.33546/bnj.4054","url":null,"abstract":"<p><strong>Background: </strong>In Indonesia's Muslim society, serodiscordant couples navigate a complex web of faith, fear, and stigma. While HIV care efforts have advanced, understanding how religious beliefs and emotional responses shape disclosure remains limited.</p><p><strong>Objective: </strong>This study aimed to explore the lived experiences of serodiscordant couples in South Sulawesi, Indonesia, with a focus on how faith, fear, and gender roles influence HIV understanding and disclosure practices.</p><p><strong>Methods: </strong>A qualitative, phenomenological approach was employed, involving 34 participants who participated in in-depth interviews and focus group discussions conducted between February and May 2019. Data were thematically analyzed to capture emotional, cultural, and relational dimensions of HIV disclosure.</p><p><strong>Results: </strong>Two main themes emerged. (1) Faith and Fear: Navigating HIV Understanding, which includes knowledge of HIV, emotional responses to an HIV diagnosis, the role of religious teachings in shaping health decisions, and the fear of social exclusion; and (2) HIV Status Disclosure and Its Complexities, highlighting motivations for disclosure, barriers to openness, and the personal impact of revealing one's HIV status to a partner. Disclosure was often delayed or mediated by third parties, driven by fear of rejection, shame, and limited communication skills.</p><p><strong>Conclusion: </strong>The findings revealed the dual role of faith as both a support and a barrier, and the complex interplay of gender dynamics in disclosure decisions. Community nurses in Indonesia's primary health care settings should then play a critical role in HIV prevention by providing culturally sensitive, Islamic-faith-based counseling, gender-responsive disclosure support, and collaboration with peer support groups to foster trust, reduce stigma, and improve adherence.</p>","PeriodicalId":42002,"journal":{"name":"Belitung Nursing Journal","volume":"11 5","pages":"648-660"},"PeriodicalIF":2.1,"publicationDate":"2025-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12498232/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145245542","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":"Digital devices usage barriers among community-dwelling older adults in Abha, Saudi Arabia: A cross-sectional study.","authors":"Manal Mohammed Hawash","doi":"10.33546/bnj.3989","DOIUrl":"10.33546/bnj.3989","url":null,"abstract":"<p><strong>Background: </strong>Modern communities increasingly rely on technology, influencing older adults' health and daily life. While technology can enhance quality of life and independence, various barriers limit digital adoption among older adults.</p><p><strong>Objective: </strong>This study aimed to identify barriers to digital device use among community-dwelling older adults in Abha, Saudi Arabia.</p><p><strong>Methods: </strong>This study used a cross-sectional survey of 400 adults aged 60 years and older. Data were collected from February to March 2025 on depression (Beck Depression Inventory-II), cognitive status (Saint Louis University Mental Status Examination), and technology-related barriers (Technology Usage Barriers Questionnaire). Data were analyzed using <i>t</i>-tests, one-way ANOVA, effect sizes (Cohen's <i>d</i>, η²), and 95% confidence intervals.</p><p><strong>Results: </strong>Smartphone users reported significantly higher barriers than feature phone users in personal (8.07 ± 4.50 versus 5.70 ± 5.09; <i>p</i> <0.001; <i>d</i> = 0.50), technical (5.20 ± 4.60 versus 4.20 ± 3.02; <i>p</i> = 0.009; <i>d</i> = 0.25), and environmental domains (1.90 ± 1.30 versus 1.40 ± 1.50; <i>p</i> = 0.001; <i>d</i> = 0.36). Among smartphone users, the highest personal barriers were observed in adults aged 80 years and older (11.3 ± 4.3; η² = 0.075), females (<i>d</i> = 0.48), those with primary education (<i>d</i> = 0.84), low-income individuals (<i>d</i> = 0.44), unemployed participants (<i>d</i> = 1.23), and rural residents (<i>d</i> = 1.24). Education most strongly predicted technical barriers (<i>d</i> = 0.94), while income had the greatest impact on environmental barriers (<i>d</i> = 0.93).</p><p><strong>Conclusion: </strong>Older adults, especially smartphone users, women, those with lower education, low income, unemployed individuals, and rural residents, face substantial barriers to digital adoption. Tailored digital literacy programs, affordable access, and senior-friendly device design are essential to reduce the digital divide and improve autonomy, inclusion, and quality of life. For nursing practice, these findings emphasize the importance of assessing older adults' digital skills, providing targeted education, and advocating for technology solutions that support engagement and health management.</p>","PeriodicalId":42002,"journal":{"name":"Belitung Nursing Journal","volume":"11 5","pages":"619-629"},"PeriodicalIF":1.4,"publicationDate":"2025-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12502753/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145253084","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":"Human body modifications and transformations in remaining human and the future of nursing practice.","authors":"Joseph Andrew Pepito, Freslyn Lim-Saco, Rainier Moreno-Lacalle, Phanida Juntasopeepun, Rose Constantino, Reynaldo Rivera, Rozzano C Locsin","doi":"10.33546/bnj.3725","DOIUrl":"10.33546/bnj.3725","url":null,"abstract":"<p><p>People strive to remain 'human,' even when facing biological traits they see as 'non-characteristic.' Oftentimes, this fundamental drive leads individuals to use technology for self-change and improvement, aiming to realize their authentic sense of self. In this paper, we undertake a discursive, concept-driven inquiry to explore how the pursuit of completeness through body modification influences what it means to 'remain human' and how this, in turn, shapes the future of nursing. Drawing from a posthumanist framework that integrates the philosophies of Braidotti, Deleuze, and Heidegger with the nursing theories of Parse, Locsin, and Boykin & Schoenhofer, we argue that this technological transformation is a profound process of 'becoming.' Our analysis, informed by a purposive review of relevant literature, suggests that in a technology-rich world, nursing faces new opportunities that demand refined practices. To remain relevant, the nursing profession must adapt to these ongoing human transformations by expanding its understanding of personhood and human care.</p>","PeriodicalId":42002,"journal":{"name":"Belitung Nursing Journal","volume":"11 5","pages":"528-537"},"PeriodicalIF":1.4,"publicationDate":"2025-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12498235/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145245456","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":"Understanding cultural barriers to the care of low-birth-weight infants in Papua, Indonesia: A qualitative descriptive study.","authors":"Hotnida Erlin Situmorang, Yeni Rustina, Enie Novieastari","doi":"10.33546/bnj.3953","DOIUrl":"10.33546/bnj.3953","url":null,"abstract":"<p><strong>Background: </strong>Low birth weight (LBW) is a persistent public health challenge globally, including in Indonesia, particularly in remote areas like Papua. While biological risks are well documented, the influence of sociocultural factors on LBW infant care remains underexplored. There is a critical gap in understanding how cultural beliefs and family dynamics act as barriers to effective caregiving in these settings.</p><p><strong>Objective: </strong>This study aimed to explore cultural barriers to the care of LBW infants in Papua, Indonesia.</p><p><strong>Methods: </strong>A qualitative descriptive design was employed. Data were collected through face-to-face, semi-structured interviews with ten mothers of LBW infants in Jayapura, Papua, from May to July 2024. Interviews were transcribed verbatim and analyzed using inductive thematic analysis.</p><p><strong>Results: </strong>Inductive thematic analysis resulted in six themes: (1) Traditions and traditional practices during pregnancy and childrearing; (2) Perceptions of herbal remedies and traditional practices in managing infant health and growth; (3) Traditional care practices for LBW infants and their adaptation within community health efforts; (4) Challenges and obstacles for parents in caring for LBW infants; (5) Family support, roles, and hospital-based education in LBW care; and (6) Parental understanding, needs, and expectations regarding LBW care.</p><p><strong>Conclusion: </strong>Despite improvements in health information and services, ongoing cultural negotiation is needed to achieve optimal family-based LBW care. Nurses and other health workers should enhance cultural competence and employ patient-centered, culturally sensitive nursing care that integrates local traditions with evidence-based practice, aiming to improve infant health and reduce complications.</p>","PeriodicalId":42002,"journal":{"name":"Belitung Nursing Journal","volume":"11 5","pages":"579-588"},"PeriodicalIF":1.4,"publicationDate":"2025-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12498233/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145245260","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":"Evaluating a caregiver-focused safety culture model: Effects on caregivers' safety perception, older adults' quality of life, and the incidence of adverse events in Indonesia.","authors":"Asri Handayani Solihin, Probosuseno, Christantie Effendy","doi":"10.33546/bnj.3650","DOIUrl":"10.33546/bnj.3650","url":null,"abstract":"<p><strong>Background: </strong>Older adults are increasingly vulnerable to health risks, particularly in home care environments with limited formal safety measures. In Indonesia, family caregivers play a central role in providing care; however, research on interventions to enhance the safety of older adults at home remains limited.</p><p><strong>Objectives: </strong>This study aimed to evaluate the impact of a caregiver-focused safety model, the Aging Safe from the Risk (ASRi) model, on caregivers' perceptions of safety culture and assessed its indirect effects on older adults' quality of life (QoL) and incidence of adverse events.</p><p><strong>Methods: </strong>A quasi-experimental study was conducted from July to November 2022, involving 135 older adult-caregiver pairs (intervention: <i>n</i> = 68; control: <i>n</i> = 67). Older adults' QoL was measured using the modified WHO-QOL BREF (Indonesian version) and WHO-QOL OLD instruments. Family caregivers completed a Home Safety Culture (HSC) questionnaire and reported adverse events. Data were analyzed using descriptive statistics, chi-square tests, independent <i>t</i>-tests, Mann-Whitney <i>U</i> tests, Fisher's exact tests, repeated-measures general linear models (GLM-RM), and exploratory ANCOVA within the intervention group.</p><p><strong>Results: </strong>Baseline characteristics were largely similar for older adults (age, comorbidities, fall risk, medication use) and caregivers (gender, age, education, marital status), although some imbalances were noted. Significant between-group differences were observed in the spiritual dimension (baseline <i>p</i> = 0.019, <i>r</i> = 0.202; fourth month <i>p</i> = 0.018, <i>r</i> = 0.204) and environmental dimension of safety culture (all time points <i>p</i> <0.001, <i>r</i> = 0.347-0.431), with a transient difference in the personal dimension at month one (<i>p</i> = 0.013, <i>r</i> = 0.215). QoL scores were consistently higher in the control group (<i>p</i> <0.001, Cohen's <i>d</i> = 0.551-0.645), reflecting baseline imbalance. Adverse events decreased in the intervention group during follow-up (<i>p</i> <0.001, Cramér's <i>V</i> = 0.343-0.364); however, the higher baseline incidence suggests that regression to the mean may have contributed to this reduction.</p><p><strong>Conclusion: </strong>The ASRi model was associated with modest improvements in caregivers' perceptions of safety culture. Differences in QoL and adverse events should be interpreted cautiously due to baseline imbalances and potential regression to the mean. While these findings provide preliminary indications that caregiver engagement through the ASRi model may support safer home care practices, causal conclusions cannot be drawn. Randomized studies with longer follow-up are needed to confirm these effects.</p><p><strong>Trial registry: </strong>NCT05487482 [clinicaltrials.gov].</p>","PeriodicalId":42002,"journal":{"name":"Belitung Nursing Journal","volume":"11 5","pages":"637-647"},"PeriodicalIF":1.4,"publicationDate":"2025-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12502757/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145253126","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":"Predictors of bullying victimization among early adolescents in junior high schools: A cross-sectional study.","authors":"Romida Juli, Rika Sarfika, Basmanelly, I Made Moh Yanuar Saifudin, Khatijah Lim Abdullah","doi":"10.33546/bnj.3950","DOIUrl":"10.33546/bnj.3950","url":null,"abstract":"<p><strong>Background: </strong>Bullying victimization among adolescents is a significant public health issue in Indonesia, with limited research on factors such as self-esteem and peer pressure within local cultural contexts.</p><p><strong>Objective: </strong>This study aimed to identify the factors influencing bullying victimization among early adolescents in junior high schools.</p><p><strong>Methods: </strong>A cross-sectional study was conducted with 401 junior high school students from March to May 2024. Participants were selected through stratified random sampling, and data were collected using validated instruments, including the Revised Olweus Bully/Victim Questionnaire, Rosenberg Self-Esteem Scale, Peer Pressure Inventory, Depression Anxiety Stress Scales for Youth, and Parent Authority Questionnaire. Descriptive statistics, chi-square tests, and ordinal logistic regression were employed for analysis.</p><p><strong>Results: </strong>Among participants, 23.2% reported being victims of bullying. Multivariate analysis identified high peer pressure as the strongest predictor of bullying victimization (OR = 5.64, 95% CI = 2.12-15.03, <i>p</i> <0.001), while authoritarian parenting style emerged as potentially protective (OR = 0.34, 95% CI = 0.13-0.87, <i>p</i> = 0.024) compared to authoritative parenting. Self-esteem, depression, and social media use did not demonstrate significant independent associations with victimization in the final model, despite showing significant bivariate relationships.</p><p><strong>Conclusion: </strong>Peer pressure emerged as the critical predictor of bullying victimization among early adolescents, with authoritarian parenting demonstrating an unexpected protective effect within this cultural context. School-based interventions should prioritize peer-focused strategies while considering culturally specific parenting dynamics. These findings highlight the importance of developing prevention approaches that account for Indonesia's collectivist social framework.</p>","PeriodicalId":42002,"journal":{"name":"Belitung Nursing Journal","volume":"11 5","pages":"547-559"},"PeriodicalIF":1.4,"publicationDate":"2025-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12503119/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145253120","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}