The Malaysian Journal of Nursing (MJN)

Message from the Editor in Chief

2024-02-03T06:41:38+00:00

In recent times, a positive transformation has taken place in the world economy, recognizing the indispensable role of the care workforce, with nurses positioned at its core. This paradigm shift signifies a monumental acknowledgement of the genuine value of nurses and underscores the central role of healthcare systems in world economy. As leaders worldwide embrace this change, there is a collective effort to prioritize advancement of education within the health sector, propelling nursing into the spotlight. World leaders, cognizant of the intrinsic link between healthcare and societal well-being, are championing the idea that healthcare investment should be viewed not as a mere cost but as a strategic and high-yield investment for the collective future. This perspective promises to deliver substantial benefits to societies, communities, and economies globally. As a result, the world is witnessing a concerted effort to elevate the status of nurses and other healthcare professionals, positioning them as crucial catalysts for positive change.

Parents’ Participation in Atraumatic Care During Children Hospitalization: Systematic Review

2024-01-11T14:47:28+00:00

Introduction: Atraumatic care for children undergoing hospitalization requires parental participation. Parental participation is an important aspect of atraumatic care for hospitalized children. Parental participation is expected to reduce child pain and anxiety. Aim: This study aimed to describe the participation of parents in atraumatic care while the child is hospitalized. Methods: The methodology used in this study was a systematic review, which began with topic selection and entails searching several databases, including Proquest, PubMed, ScienceDirect, Ebscohost, CINAHL, Scopus, and Google Scholar, by entering keywords "parents’ participation" AND "atraumatic care" AND "hospitalized children." Articles were reviewed from 2019 to 2023. Protocol and evaluation of the literature review using the PRISMA checklist. Results: All databases provided 263 articles published in the years 2019–2023. There were forty articles left after duplicates were removed and inclusion and exclusion criteria were applied. Ten articles were left for quality assessment after the full-text review, and all of them scored higher than seven parental participations in atraumatic care while the child is hospitalized based on the results of the review of the articles above, including emotional support, distraction techniques, comfort measures, communication and education, advocacy, collaboration with the healthcare team, participating in care routines, and providing post-procedure comfort. Conclusion: Parental participation in atraumatic care while the child is hospitalized includes emotional support, distraction techniques, comfort measures, communication and education, advocacy, collaboration with the healthcare team, participating in care routines, and providing post-procedure comfort. This literature review provides a viewpoint for thinking about how to enhance the way that parents are currently being prepared to participate in the traumatic care of their children during hospitalization. Further research is expected to be able to develop research on specific interventions related to each form of parental participation in childcare during hospitalization.

Sample Size Calculations in Nursing Student Mobile Application Research: A Systematic Review

2023-12-11T06:47:45+00:00

Background: Research must certainly have subjects or samples that will be used in the research, including research on mobile phone applications. Research using mobile applications has begun to be widely carried out, so this phenomenon needs to be analysed as to what is ideal among researchers in determining the number of samples used in the research. Objective: This systematic review aims to analyse the sample size and calculation technique used by previous researchers to research mobile phone applications involving nursing students as research samples. Methods: This systematic review took electronic database sources through journal search engines, such as Google Scholar, Pro-Quest, PUBMED, and Science Direct. The criteria for the journals taken were open-access journals published within the last five years (2018–2023). The journal search used the keywords “mobile phone application” and “nursing students." Results: A total of six journals had eligibility out of the 18 journals assessed, showing that the largest number of samples used by previous researchers was 256, while the minimum was 25. Conclusion: Whether large or small, the number of samples used in implementing mobile applications among nursing students does not follow existing trends but must be calculated according to a representative portion of the subject population to be studied.

Intervention and Evaluation of Mobile Technologies for Patients Safety in Nursing: A Scoping Review

2023-11-30T10:29:20+00:00

Background: Patient safety is a global concern because health professionals have an ethical responsibility to protect patient safety within the context of health care. Objectives: The purpose of this research was to fill in the gaps in the outcome evaluation of mobile application technologies by conducting a systematic analysis of existing mobile application interventions for enhancing patient safety culture among healthcare providers, particularly nurses. Methods: The protocol for this study was based on the 27-item Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) extension for scoping reviews. Combining the keywords "mobile app," "patient safety," and "nurse or nursing" addressed three fundamental issues. PubMed (MEDLINE), Scopus, and CINAHL (Cumulative Index to Nursing and Allied Health Literature) were searched through to find relevant articles. The papers published between January 2008 and April 31, 2023, were identified. Results: Following the full-text review, five papers were selected for this scoping review. One study was conducted in Indonesia, while others were conducted in Taiwan, the United States, Argentina, and Brazil. These mobile application interventions were delivered using technology platforms such as smartphones. The majority was used for education purposes, check lists, and reporting incidents to improve patient safety. The included study found that the application was effective, adequate, and useful to be used to improve patient safety. Conclusion: The use of mobile application technologies will improve their patient safety culture. Patient safety culture among nurses might be greatly enhanced by implementing mobile technologies.

Smartphone Addiction among Nursing and Health Students

2023-04-05T05:07:57+00:00

Background: Smartphones are integral to human life and are in great demand by young people to communicate, use various applications, study, watch, and play games, browse the internet, and listen to music. However, for most people, the cumulative daily time spent on smartphones is quite long. This review aimed to analyze the risks of smartphone addiction among health students. Methods: This study was conducted by searching four electronic databases, ProQuest, CINAHL EBSCO, PubMed, and Science Direct, from 2016 to 2022. The keywords used were “Smartphone Addiction” AND “Medical” OR “Nursing” OR “Psychology” OR "Health." Results: Of the 923 articles screened, 25 met the inclusion criteria. The results showed that 15.6%–81.1% of nursing and health students were addicted to smartphones, having an average use of five hours daily. Conclusion: Nursing and health students have the potential to become addicted to smartphones, with an impact on psychology (e.g., stress, anxiety, depression, and neuroticism), sleep disorders, and general health. Therefore, the need for interventions from various parties, such as students, families, universities, and health workers, through psychoeducation and self-management for nursing and health students is necessary.

The Extent of Nurses' Discharge Education to the Patient's Preparedness for Self-Management

2023-12-11T10:05:27+00:00

Background: Nurses are known for providing their patients with comprehensive care; patient education through discharge instructions typically falls short of expectations due to understaffing and work overload. Patient self-management of their health conditions at home demands adequate discharge education. Insufficient discharge education can compromise patients' ability to manage their health conditions at home, causing unplanned hospital readmissions. When the patients feel that they are being cared for through the provision of discharge education, they are likely to comply with the instructions given, which may contribute to the patient's optimal well-being and may prevent hospital re-admission. Objective: This study aimed to determine the correlation between nurses' extent of discharge education and patients' preparedness for self-management. Methods: A descriptive-correlational research design was used to determine the correlation between nurses' extent of discharge education and patients' preparedness for self-management. One hundred eight (108) respondents were selected through consecutive sampling. They answered the Medication, Exercise, Health Teaching, Outpatient Patient Department Visit, Referral, Diet, and Spirituality (MEHORDS) discharge assessment tool. MEHORDS is a researcher-made questionnaire with 0.756 and 0.789 reliability coefficients for assessing nurses' extent of discharge education and patients' preparedness for self-management, respectively. Results: The study shows that most of the respondents are middle-aged adults (22.22%), male (57%), married (63.89%), high school graduates (69.44%), unemployed (61.11%), with cerebrovascular disease (35.91%), and have experienced at least one hospital readmission (37.96%). The study revealed that respondents received a poor level of discharge education (x=1.49) during their discharge process and had no overall preparedness (x=1.75) for self-management. Moreover, there is a significant positive correlation between the nurses' discharge education and patients' preparedness for self-management (p=0.001). Conclusion: This study highlighted the importance of providing nurses comprehensive discharge education in promoting patients' self-management. Incorporating the MEHORDS contents may not only assist the nurses in managing their time in the provision of discharge education to patients but also serve as a guide to nurses in delivering a thorough discharge education.

The Impact of The Participatory Program on Preschool Children’s Executive Function Skills in Thailand

2024-01-04T05:42:51+00:00

Introduction: This research aimed to explore the impact of the participatory program on the executive function skills of preschool children in Thailand. A set of eight module activities was developed for the integration of health promotion and prevention of COVID-19 into the preschool's curriculum in Thailand to promote basic EF skills. Methods: A quasi-experimental, pretest-posttest design was used to test the effectiveness of the educational intervention for promoting EF skills. A purposive sample of 60 preschool children was divided into two groups, including 30 for the experimental group and 30 for the control group. Over 8 weeks, the experimental group participated in the intervention modules, and the control group participated in the standard curriculum. EF skills were assessed using the MU-EF 101 instrument, and scores were compared within and between groups using t-testing. Results: After participating in the program, there was a statistically significant difference (p < 0.001) in the mean scores of the post-test for all basic EF skills among the experimental group compared to their pretest scores. Moreover, the independent t-test analysis showed that this group had significantly higher mean scores on all basic EF skills than the control group (p<0.001). The core concepts of the participatory program included age-appropriate developmental tasks, play, and learning activities with integrated health care by themselves. The core concept and participatory program support the key elements of EF and relate to the local Thai culture and context. Conclusion: Participatory programs may enhance preschool children’s EF abilities. Nurses play a crucial role as responsible individuals in promoting health, actively engaging in the integration of discipline-building activities for health care within the educational framework.

Overview of Pregnant Women's Knowledge and Motivation in the Triple Elimination Examination at The Bintan District, Indonesia, 2023

2023-12-26T06:18:50+00:00

Introduction: Triple elimination (Human Immunodeficiency Virus (HIV), syphilis, and hepatitis B) is a very serious and life-threatening disease that can be transmitted vertically from mother to child during pregnancy. The aim of this research is to describe the knowledge and motivation of pregnant women in prenatal examinations in an effort to prevent vertical transmission of this dangerous disease from mother to baby during pregnancy. Methods: The research object was all pregnant women who came to have their pregnancies checked at the Sasah Tanjung Uban health center, North Bintan District, Bintan Regency, during 2023. The research method used the accident sampling technique, collected data, and continued with descriptive analysis. Results: The results showed that there were 4 pregnant women whose cases were reactive to hepatitis B out of a total of 179 pregnant women, while all of them were negative for HIV and syphilis. Conclusion: This indication also shows that the rate of hepatitis B sufferers is still high in the Sasah Tanjung Uban community health center service area, with a statistical mean of 0.0223±0.01108 and a significance value of 0.14822, so ongoing treatment and services are needed.

Prevalence Rates Reduction Efforts of Malaria Cases among Health Students in Endemic Area

2023-12-18T04:20:20+00:00

Background: Many cases of malaria among students related to the health department are not explored or dealt with through structured efforts, which pose a high risk, particularly in endemic areas. Objectives: This study aimed to investigate the elevated incidence of malaria among health students in Papua and examine their coping mechanisms. Methods: Quantitative method with a descriptive design. The research was conducted from July 2022 to August 2022 after receiving the approval letter from the ethical committee of the Jayapura Health Polytechnic of the Ministry of Health, Papua, Indonesia. The population was health students (n=167 people). Primary data was obtained from a questionnaire. The dependent variable was the respondent's characteristics, and the independent variables were the presence of exposure, symptoms, place of treatment, length of suffering, drugs consumed, and the side effects. Secondary data were obtained from reputable journals for the last five years and government official documents. They were analyzed univariately and descriptively. Results: The most common conventional therapy was Dihydroartemisinin or DHP (n=46 or 27.5%), without side effects (n=134 or 80.2%) and using herbals (n=66 or 39.5%). Conclusion: The findings recommended empowering the potential of health students’ knowledge and experiences during college time to reduce the high prevalence of malaria cases in endemic areas.

Stress and Coping Strategies among Mothers for Caring Premature Infant at Home

2023-12-12T10:20:59+00:00

Background: Mothers with premature babies have higher stress levels than mothers with full-term babies and experience barriers to becoming mothers, so mothers need to adjust coping strategies continuously. This research aims to correlate coping strategies and stress among mothers caring for their premature babies at home. Methods: The data collected from 188 mothers was analyzed using descriptive and inferential statistics (Spearman test). Results: Most respondents are in the moderate stress category (70.2%). The three coping strategies used by mothers, namely praying, getting closer to the baby, and accepting the situation, were mostly in the good category (94.7%, 76.6%, and 68.1%), while coping for seeking support was mostly in the moderate category (60.6%). There was a correlation between coping and maternal stress (coping with prayer: p-value 0.008, coping with attachment: p-value 0.000, coping with accepting situations: p-value 0.000, and coping with seeking information: p-value 0.000). The strongest correlation was the coping strategy with accepting the situation (r = 0.561), which means that the better the coping with accepting the situation, the less stress. This study shows a correlation between mothers coping strategies and the stress of caring for premature babies at home. Conclusion: Support by health workers is crucial in developing appropriate coping strategies for mothers to reduce maternal stress when caring for premature babies at home.

Motivational Interviewing with Progressive Muscle Relaxation for Anxiety Disorders in Tuberculosis

2023-11-28T10:20:07+00:00

Background: Individuals with Tuberculosis (TB) may experience anxiety due to the disease's uncertain treatment, prognosis, and subsequent social judgment. It may affect the patient's motivation to engage in the treatment, boosting its effectiveness and reducing tuberculosis transmission. Interventions are required to help people alleviate their anxiety about tuberculosis. Objective: The primary objective of this study is to investigate how motivational interviewing and progressive muscle relaxation impact anxiety levels among individuals with tuberculosis. Methods: The study employed a quasi-experimental pretest-posttest control group design. Participants were chosen through convenience sampling based on specific inclusion and exclusion criteria. A total of 60 clients participated, with 30 assigned to the intervention groups and 30 to the control groups. This study used the Zung Anxiety Self-Assessment instrument. An analysis of differences in anxiety used Wilcoxon and Mann-Whitney. Results: In the pre-test, the majority of participants had mild anxiety levels; 70% (49.30 ± 8.526) in the intervention groups and 63.3% (45.43± 8.423) in the control groups. In the post-test, there has been a decrease in anxiety levels in the intervention group at 93.3% (30.90 ± 7.572), but anxiety levels remained the same in the control group of 66.7% (43.97±7.346). According to the statistical analysis, the intervention group achieved a p-value of 0.000, indicating a substantial variance in anxiety levels before and after the intervention. In contrast, the control group recorded a p-value of 0.785, suggesting that there was no significant alteration in anxiety levels before and after the intervention. Conclusion: Progressive muscle relaxation can alleviate tension, and motivational interviewing can boost motivation and help clients deal with anxiety triggers. Both interventions can be considered as extra treatments for tuberculosis patients who experience anxiety.

The Relationship Between Knowledge and Attitude of Pregnant Women about Anc with The Suitability of Antenatal Care Visits

2023-06-16T03:51:15+00:00

Background: The goal of an ANC (Antenatal Care) examination is to assess a pregnant woman's physical and mental health in order to help her prepare for childbirth, the postpartum period, exclusive breastfeeding, and the restoration of her reproductive organs' health. To have a happy pregnancy and birthing experience, pregnant women get prenatal care (ANC) (positive pregnancy experience). Objective: To determine the relationship between the knowledge and attitudes of pregnant women about ANC and the suitability of ANC visits. Methods: The type of research used in this study is an analytical survey with a cross-sectional design. The study participants were typical primigravida pregnant women—as many as 172 people. The sample of this study was 120 primigravida pregnant women who had attended antenatal care visits at 3 Community Health Centers and 3 TPMB Cimahi City. Results: According to this study, 21.6% of respondents had good knowledge, 21.8% of respondents had sufficient knowledge, and 56.6% of respondents had less knowledge. 39.1% of respondents had a positive attitude towards the implementation of ANC, fewer than the respondents who had a negative attitude of 60.9%. Based on the bivariate analysis, which resulted in a p-value of 0.000, Conclusion: Pregnant women are required to constantly be receptive to the advice of healthcare professionals in order to broaden their knowledge and inspire moms to have their pregnancies regularly monitored.

Building Nurse Competency Strategy at Public Health Center in Indonesia: A Descriptive Qualitative Approach

2023-12-12T04:01:47+00:00

Background: Nurses play a crucial role in providing quality healthcare services to the community, particularly in public health centers in Indonesia. This study aims to explore the building of nurse competency strategies in the public health setting. Methods: A qualitative research design with a descriptive approach was utilized. Data collection techniques through interviews. The informants consisted of fifteen people, with key informants in the primary setting, and were analyzed using a descriptive-qualitative approach with content analysis techniques. Results: The study results showed that two categories have arisen: the spiritual approach and the technological approach. The research findings on developing the competency of nurses in health services can be realized through education and training based on spiritual and technological aspects of building the competency of nurses. Improving nurse competence can be done through spiritual and technology-based education and training. Conclusion: By implementing the proposed strategies, it is hoped that nurses will be better equipped to provide high-quality care to the community, ultimately improving health outcomes and well-being. The implementation of public health nurses cannot be separated from the role of nurses in a public health center. Community health nurses in a public health center have at least six roles and functions, namely, as nursing case finders, health educators, coordinators and collaborators, counselors, and role models.

Understanding Stakeholders’ Perceptions: Assessing the Effectiveness and Fulfilment of Expectations in the Post Basic Nursing Programme at IIUM

2023-11-28T07:27:22+00:00

Background: The International Islamic University Malaysia (IIUM) Post-Basic Nursing Programme prepares registered nurses with advanced knowledge and specialized skills to excel in clinical practice and contribute effectively to healthcare services. The programme's success depends on meeting key stakeholders' needs. Understanding stakeholder viewpoints is crucial to programme evaluation and improvement. Semi-structured interviews with stakeholders will fill the research gap in this study. The study explored the perspectives of local preceptors, practicing nurses, healthcare institutions, and regulatory bodies to assess their expectations in the IIUM Post Basic Nursing Programme. Objectives: This study aimed to explore stakeholders' perceptions of the effectiveness of the IIUM Post Basic Nursing Programme and evaluate the fulfilment of expectations from multiple perspectives. Methods: A qualitative descriptive study was conducted with nine stakeholders from three sub-specialties: emergency care, critical care, and peri-operative care. Data were analysed using thematic analysis, and the themes and sub-themes were verified with NVivo 12 Plus. Results: The study identified three main themes: (i) Perceptions and fulfilment of stakeholder’s expectations for students' learning (ii) Barriers and challenges to the fulfilment of stakeholder’s expectations on the post-basic nursing program; and (iii) Suggestions and expectations for future programs. Conclusion: Incorporating stakeholder feedback and continuous programme evaluation will ensure a nursing education that meets dynamic healthcare industry needs and serves the community effectively.

The Effect of Combination of Healthy Sleep Education and Music Therapy on the Functional Status of Children with Cancer

2023-09-08T09:58:18+00:00

Introduction: Cancer refers to the uncontrolled growth and reproduction of abnormal cells in the body as a whole. Sufferers will experience physical and psychological disorders in the form of feelings of sadness and depression, which cause a loss of ability to live daily life. The prevalence of cancer patients on chemotherapy at Dr. M. Djamil Padang Hospital has increased from 135 in 2019 to 170 in 2020 (21% increase). The side effects of chemotherapy are sleep disturbances, fatigue, and decreased functional status. Objective: This study aims to determine the effect of the combination of providing healthy sleep education and music therapy on the functional status of children with cancer to minimize the side effects of chemotherapy. Methods: The research design was a quasi-experimental pre-post-test with the control group. The sample consisted of 60 children, who were divided into a control group (n = 30) and an intervention group (n = 30). Three consecutive days were devoted to the intervention. Measurement of functional status scores using the Activity Daily Living Barthel Index questionnaire. Differences in functional status scores of each group were tested with a dependent T-test, and differences in functional status between the control and intervention groups were tested with independent T-tests used in this study. Results: The results of statistical tests showed that there was a significant difference in the mean score of functional status before and after giving sleep education and music therapy between the intervention group and the control group (p = 0.0005). Conclusion: Combining healthy sleep therapy and music therapy can be an option for independent nursing care for children with cancer as a way to combat the side effects of chemotherapy.

Influence of Nursing Factors on the Quality of Nursing Diagnosis, Intervention and Outcome on Orthopedic Patients in Indonesia: Cross Sectional Study

2023-09-21T09:28:20+00:00

Background: Increasing the number of orthopedic disorders will also increase the number of treatments for orthopedic patients in hospitals. However, there are no studies that specifically identify the impact of nurses’ factors on the quality of orthopedic care. Objective: to identify the impact of nurses' factors on the quality of nursing diagnosis, intervention, and outcome in orthopedic patients. Methods: A cross-sectional design with consecutive sampling techniques was conducted in this study. collecting data at the West Java Province Hospital in Indonesia from July to September 2022. Statistical analysis used the chi-square test; significance was p < 0.05. Results: A total of 236 nurses were recruited. 145 participants (61.4%) were female. 133 (56.4%) had a diploma level of education, and 143 participants (60.6%) had good competence. The knowledge of participants was both enough and less, with 99 (41.9%) and 98 (41.5%), respectively. 180 participants (76.3%) demonstrated good skills. The quality of the orthopedic nursing process for nursing diagnosis (97.4%), nursing intervention (96.1%), and nursing outcome (97.0%) were good. In addition, nursing variables impacted the quality of nursing outcomes in orthopedic patients in relation to age (p<0.05). Conclusion: The quality of the orthopedic nursing process for nursing diagnosis, nursing intervention, and nursing outcome was good. In addition, nursing parameters such as age had a substantial effect on the quality of nursing outcomes in orthopedic patients. Recommendation: This research suggests that the focus should be on nurse factors including education, knowledge, skills, and competence in order to achieve quality nursing and to carry out nursing diagnosis, nursing intervention, and nursing outcome.

Exploring Quality of Life in Patients with Multiple Sclerosis: A Multidimensional Perspective

2023-06-27T11:01:04+00:00

Background: This study aimed to investigate the quality of life (QoL) in patients with multiple sclerosis (MS) from Al Salm Teaching Hospitals in the city of Mosul. Methods: A sample of 500 MS patients was included in the study, and their QoL was assessed using validated measurement tools for physical, psychological, and social well-being. Descriptive statistics and correlation analyses were conducted to examine the relationships between different dimensions of QoL and symptoms of anxiety and depression. Results: The results indicated that MS patients reported moderate levels of physical, psychological, and social well-being. Specifically, physical well-being was characterized by moderate levels of physical functioning, bodily pain, and general health perception. Psychological well-being was moderate in terms of vitality, social functioning, and emotional role limitations. Social well-being was also at a moderate level, considering social functioning and the impact of physical health on social activities and relationships. However, anxiety and depression symptoms were prevalent and negatively affected all aspects of QoL.Conclusion: The findings highlight the complex nature of QoL in MS patients and the importance of addressing physical, psychological, and social well-being in their management. The results are consistent with previous research, emphasizing the universal challenges faced by MS patients. The study underscores the need for targeted interventions and comprehensive support systems to improve the QoL of MS patients.

The Relationship Between the Role of Parents and Self-Esteem to Acceptance Parents with Mentally Retarded Children in Extraordinary School BF Mandara Kendari Indonesia

2023-12-09T05:38:07+00:00

Introduction: Children and adolescents with intellectual disabilities have a higher prevalence (18.30/1000) than adults (4.94/1000). Furthermore, it is estimated that around 1% of children between the ages of 3 and 10 are affected by intellectual disability worldwide. The purpose of this study was to determine the relationship between the role of parents and self-esteem towards the acceptance of parents with mentally retarded children at the extraordinary school in Mandara Kendari, Indonesia. Methods: The research method uses quantitative research with a cross-sectional design. The population of all parents of children with mental retardation is 340. The research sample consists of 184 respondents. Data analysis using chi-square analysis. Results: Based on the chi-square test, there were 79 respondents (42.9%) in the category of good parental roles and 105 respondents in the poor parental role category, while in the class of parents with good self-esteem, there were 67 respondents (36.5%) and in the type of low self-esteem, there were 117 respondents. With a 95% confidence interval of 0.05, the result is a p-value of 0.05. Conclusion: The conclusion is that the role of parents and self-esteem have a relationship with the acceptance of parents with mentally retarded children at BF Mandara Kendari Extraordinary School, Indonesia.

Stroke Knowledge and Health Anxiety among Stroke Patients in A Rehabilitation Clinic, Tertiary Hospital

2023-05-30T10:26:15+00:00

Background: Stroke generally results in life-altering changes, and the significance of stroke knowledge and health anxiety has become a global priority. Aim: This study aims to determine the level of stroke knowledge and health anxiety among stroke patients in the rehabilitation clinic at the University Malaya Medical Centre and to determine the association of stroke knowledge and health anxiety with socio-demographic data. Methods: This study employed cross-sectional surveys conducted using a convenience sampling technique. The data was gathered from April to October 2021, and approximately 150 stroke patients were required to respond to a set of validated questionnaires (the Stroke Knowledge Test and the Health Anxiety). The data were analyzed with descriptive and inferential statistics. Results: The finding shows that on average, the age of respondents was 51 years (SD=13.12), and the majority of them were male (n=83, 55.3%), married (n=130, 86.7%), had a secondary level of education (n=81, 54.0%) and categorized under B40 (n=89, 59.3%). Most of them reported having good stroke knowledge (n=103, 68.7%), and experienced anxiety (mean=29.96, SD=8.72). There was no association between stroke knowledge and socio-demographic data (p > 0.05). For the health anxiety, age, marital status, and education level were found to be associated with the anxiety (p<0.05). Those who aged less than 30 years experienced more anxiety as compared to the seniors’ group (r=-0.607, p<0.001). Furthermore, married respondents showed lower levels of anxiety than single respondents [t (148) = 0.266, p = 0.009]. Patients who had a high level of education were more anxious than those who had a primary level of education [F (2,147) = 16.03, p<0.001]. Conclusion: The organizations should provide ongoing awareness and psychological support to promote the patients and their family members. Nurses, who spend the most time with patients, are expected to reinforce the stroke education program and communicate with the patient's family to minimize their anxiety level.

Differences Between Spiritual Mindfulness and Mindfulness Caring in Reducing Academic Pathological Stress in Nursing Students

2023-05-18T05:53:21+00:00

Introduction: Academic pathological stress currently often occurs in students. Mindfulness-based therapy has proven effective in reducing pathological stress among nursing students. Methods: However, there are several differences in the methods of administering mindfulness therapy, so further research is needed to find out these differences. This research aims to determine the difference in the influence of spiritual mindfulness and caring mindfulness in reducing pathological stress in nursing students. This study employed a pre-posttest quasi-experimental design with a control group. The sample was taken using a purposive sampling technique with the inclusion criteria of final-level Nursing undergraduate students who experienced academic pathological stress and were willing respondents (n=36). The sample was then randomly divided into 2 groups, namely spiritual mindfulness (n =18) and mindfulness caring (n=18). Data on pathological stress were collected using the questions in the DASS-42 questionnaire, which are 14 questions about pathological stress. Data analysis used paired t-tests and unpaired t-tests. Results: This research found that both interventions can reduce pathological stress in nursing students. However, there was a difference between spiritual mindfulness intervention (Mean ± SD = 11.39 ± 5.81) and mindfulness caring (Mean ± SD = 16.39 ± 3.55) with a mean difference of 6.38 and a p-value <0.001. Conclusion: In conclusion, although the two interventions provided effective results in reducing academic pathological stress in respondents, it was found that spiritual mindfulness was more able to reduce aggressive stress responses in nursing students. Further research is recommended to reevaluate the sample group, incorporating individuals with diverse mental health issues for re-testing.

Developing and Feasibility of Compass Model for Parents in Monitoring Children's Growth

2023-06-02T07:10:02+00:00

Introduction: Malnutrition during the first 1000 days of life, spanning from conception to two years old, poses a risk of enduring health issues, impacting both short-term and long-term well-being. Based on the Indonesian Toddler Nutrition Surveillance Status in 2021, the stunting prevalence rate in North Sumatra is estimated to be at 25.8 percent. Therefore, this research aimed to explore the benefits of child growth charts to make it easier for mothers to detect growth among toddlers aged 0-2 years. The Compass Model would motivate parents to consistently monitor the nutritional status of children in line with age to avoid stunting. Methods: Qualitative and quantitative methods were used, while the sample consisted of 257 individuals. Data was collected through in-depth interviews with lecturers and pediatricians as experts. Results: The results showed that the validity and reliability tests yielded significantly positive outcomes. Based on the interviews with pediatricians and lecturers, misunderstanding often leads to a lack of awareness among mothers regarding the growth and development of children. Conclusion: The Compass Model was found to be helpful as a new tool for mothers to monitor the growth of children. This was attributed to its ease of use and user-friendliness for midwives and mothers who could read the result of the change.

Effect of COVID-19 Complications of Recovered Nurses on Quality of Work–Life and Patients’ Safety Culture

2023-03-27T06:35:53+00:00

Introduction: Coronavirus disease 2019 (COVID-19) has many dramatic complications that reduce the quality of work-life of affected nurses and affect the patients’ safety culture. Aim: To assess the effect of COVID-19 complications on the quality of work-life and patients’ safety culture. Methods: The study was based on a descriptive-correlational design. Data were collected from medical and surgical departments at Ibn Sina Hospital in Iraq and Sohag and Qena University Hospitals in Egypt. Sample: All nurses working at medical and surgical departments who recovered from COVID-19 were chosen for the study. The COVID-19 Complications Questionnaire was constructed, along with the Work-Related Quality of Life Scale, and the Patient Safety Culture Questionnaire was adopted. Results: The complications included a sore throat, dyspnea, headache, coagulopathy, anxiety, and confusion. The study sample perceived an average level of quality work-life and patient safety culture. Conclusion: There was a significant negative correlation between inflammatory, pain, and circulatory complications and the quality of work-life among nurses and a significant negative correlation between respiratory complications and patient safety culture. There was a highly statistically significant positive correlation between quality of work-life and patient safety culture (P<0.01). Recommendations This study recommended that preventive measures be considered. Moreover, planned training programs for nurses about the COVID-19 infection should be included.