The Malaysian Journal of Nursing (MJN)

Editorial Message

Cheherezade Mohamed Khaled Ghazi, Fatma Aboulkhair Farag, Amal Dawod Gouda — Mon, 13 Jan 2025 00:00:00 +0000

Nursing-Sensitive Quality Indicators and Related Factors for Patients at Intensive Care Units in Port Said City, Egypt

Mon, 13 Jan 2025 00:00:00 +0000

Background: Nursing-sensitive quality indicators (NSQIs) are critical in evaluating the quality of care specific to nursing practice aligned with Egypt's health sector vision 2030. Research on NSQIs potentially improves nursing practice, either directly or indirectly. This study aimed to explore the prevalence of nursing-sensitive quality indicators and related factors for patients at intensive care units in Port Said City, Egypt. Methods: A cross-sectional design was used. Utilising two samples: the first was a convenience sample of 150 patients, while the second was all nurses (150), which provided care for adult intensive care patients at hospitals affiliated with the Egypt Health Care Authority Hospitals in Port Said City. Using two tools, the modified nursing sensitive quality indicators questionnaire was used to assess nurses’ awareness of quality-sensitive nursing indicators. The second tool was the physical examination tool, which was used to assess patients for signs and symptoms of several quality-sensitive indicators by nurses. Results: The most common sensitive nursing quality indicator was falls (45.3%), followed by peripheral infiltration (28.7%) and urinary infection (26.9%). However, the mean total nurses’ awareness score for the sensitive nursing quality indicators was 222.33±40.66. There is a significant relationship between total nurses’ level of awareness about sensitive nursing quality indicators and urinary catheter-related urinary tract infection manifestations. However, patient gender was significantly related to restraint prevalence, and fall occurrence was significantly related to patient income. Conclusion: Falls was the greatest known sensitive nursing quality indicator ‎followed by peripheral infiltration and urinary infection. However, a regular follow-up ‎regarding nursing-sensitive quality indicators, the employment of updated awareness sessions for nurses ‎about quality indicators and considering the high prevalence of patient outcome indicators are recommended. ‎

Emotional Intelligence and Academic Performance among Nursing University Students

Mon, 13 Jan 2025 00:00:00 +0000

Background: Emotional Intelligence (EI) plays a noteworthy part in a person's academic, professional success. Students’ academic performance is a crucial goal in developing educational programs. Objectives: The current study examined the Emotional Intelligence and Academic Performance among Nursing University Students. Methods: A cross-sectional design was used. All registered four-year undergraduate nursing students of the faculty of nursing at Badr University in Cairo were included. Schutte’s Self-Report Emotional Intelligence Test (SSEIT) (1998) was used. Results: The findings indicated no statistically significant association between emotional intelligence and variables such as gender or students' place of residence. However, a statistically significant correlation was observed between EI and both general health status and Grade Point Average of the students. This suggests that improved general health may enhance the positive impact of EI on academic performance. Conclusion: The study recommends that EI training be embedded within nursing curricula, adopting an interdisciplinary approach to encourage the development of emotional competencies across college communities. It further suggests that educational institutions actively promote the cultivation of emotional skills such as emotional regulation and application through various academic activities, seminars, and workshops. This approach could substantially improve the quality of nursing education and enhance the competence of future nursing professionals.

Impact of Patient-Centred Care and Work Environment on Adverse Patient Events in Intensive Care Units among Nurses: A Cross-Sectional Correlational Design

Somaya Ahmed Bayoumy, Cheherezade Mohamed Ghazi, Amany Ahmed Abdrbo — Mon, 13 Jan 2025 00:00:00 +0000

Background: In healthcare, ensuring patient safety and providing high-quality care is crucial, particularly in the intensive care units. Adverse patient events include a broad range of patient harm and can affect patient safety and overall healthcare outcomes. Objective: To explore the impact of patient-centered care and work environment on adverse patient events among nurses in intensive care units. Methods: Using a cross-sectional correlational design, nurses from various healthcare organizations were studied. A simple random sampling technique was employed to collect data from 152 nurses working in the intensive care units. Data collection was achieved using the patient-centered care competency scale, the Healthy Work Environment assessment tool of the American Association of Critical Care Nurses, and the adverse patient events scale. Results: The mean score was high for patient-centered care (M=4.52, SD=0.13) and work environment (M=4.53, SD=0.28). A weak negative correlation was found between respecting patients' perspectives and nosocomial infections and medication errors. No correlation was found between the work environment and adverse patient events. There were significant correlations between patient-centred care and work environment subscales. Some nurses’ demographic characteristics were significantly different among study outcomes. Conclusion: Patient safety is critical to healthcare, ensuring patients are protected from harm and receive quality care. The study offers valuable guidance for nurses to enhance patient care delivery and ensure patient safety in the ICU environments.

The Impact of Educational Nursing Program on Quality of Sexual Life, Body Image, and Self-esteem among Women with Breast Cancer

Mon, 13 Jan 2025 00:00:00 +0000

Background: Despite recent significant advances in the early diagnosis and treatment of breast cancer, it remains a severe threat to physical, psychological and social health of women and the femininity. Objectives: To investigate the impact of educational nursing programs on the quality of sexual life, body image, and self-esteem among women with breast cancer. Methods: A quasi-experimental research design (one group only) was utilised in this study. The study was conducted at the oncology outpatient clinic at General Teaching Hospital Organization (El-Galaa Hospital). A purposive sample of forty women with breast cancer were chosen. Four tools were used: 1) structured interviewing questionnaire, 2) the Hopwood Body Image Scale, 3) the Rosenberg Self-esteem Scale, and 4) the Modified WHO Quality of Sexual Life Scale. Results: A positive and statistically significant correlation between the quality of sexual life, body image, and self-esteem pre and post the implementation of the educational program. Conclusion: The study findings concluded that the educational program intervention positively influenced the quality of sexual life, body image, and self-esteem in women with breast cancer. Recommendation: Counseling intervention program for women with breast cancer to improve coping mechanisms, body image, self-esteem, and sexual life quality was suggested.

Patterns and Factors Influencing High-Energy Beverage Consumption Among University Students

Mon, 13 Jan 2025 00:00:00 +0000

Background: Energy beverages have become popular among youth, especially among university students, and the energy beverage market is a rapidly growing industry; it has many effects on health, so this study aims to assess patterns and factors affecting high-energy beverage consumption among university students. Methods: A cross-sectional design was used. An online self-administered questionnaire was used as a data collection tool. Results: The data reveal that 55.2% of the studied sample consumed energy beverages and half (98.8% and 80.3%) respectively, female and male students consumed high-energy beverages for 1 – 2 weeks with a significant statistical difference (< 0.001 and 0.000058) between male and female students regarding the frequency of consumption and a maximum number of cans consumed per day, (60.2% and 47.1% ) female and male students respectively consume high-energy beverages for the reason of study and exams which was the main factor for consumption. Conclusion: More than half of the studied university students consume energy beverages regularly, and about two-thirds are male. For most, the main factor for consumption was study and exams. Unawareness regarding the ingredients of high-energy beverages and the belief that high-energy beverages have a good effect on health were significantly associated with consumption.

Contraceptive Use Obstacles Faced by Newly Arrived Migrant Women

Mon, 13 Jan 2025 00:00:00 +0000

Background: For recently arrived immigrant women, access to reproductive health care, including contraception, may be hampered by numerous obstacles. To eliminate these obstacles and advance access to care, community organizations’, legislators, and nurses and other healthcare providers must collaborate. A current study was carried out to look at the Obstacles to family planning use among recently arrived immigrant women in Egypt. Aim: This study assesses contraceptive use Obstacles faced by newly arrived migrant women. Methods: The current study used a descriptive exploratory research design to accomplish its goal. The study was conducted at the teaching hospital's obstetrics and gynaecology outpatient clinics in Egypt. A purposefully selected 500 migrant women. For data collection tools three instruments were used: a questionnaire for interviews, a tool to identify obstacles to contraception use, and a questionnaire to assess the complications of utilizing family planning techniques. Results: The current study assessed obstacles that women reported there are many obstacles to the use of contraceptives. Knowledge barriers, family barriers, transport barriers, institutional barriers and administrative barriers are only some of the obstacles that exist. Furthermore, the sociodemographic characteristics of the participants have a significant relationship with the existing obstacles. Conclusion: There are numerous barriers to the use of contraceptive methods, including inadequate awareness, a lack of techniques and medical supplies, and a lack of outpatient clinics that offer 24-hour services for all participants. Recommendation: By offering culturally appropriate education, language assistance, and patient guidance we can provide immigrant women with the knowledge and tools they require to make well-informed decisions regarding their reproductive health.

Inter-professional Team Collaboration among Health Care Team Members in Critical Care Units: Targeting Cooperating, Coordinating, and Partnership in Najaf Governorate, Iraq

Maitham Al-Twigey, Sadeq AL-Fayyadh — Mon, 13 Jan 2025 00:00:00 +0000

Background: Inter-professional collaboration (IPC) among the health care team in critical care units is essential for delivering high-quality and safe care for patients and getting the desired health care outcome for patients. In Critical Care Units (ICU and CCU), an IPC approach comprises cooperation, coordination, and partnership among healthcare specialists from different disciplines to deliver thorough and patient-centred care to critically ill patients. Objective: Determining the level of IPC among health care team members in ICUs and CCUs. Methods: A descriptive cross-sectional design that targeted (n = 364) nurses, physicians, and clinical pharmacists in ICUs and CCUs, The Assessment of Interprofessional Team Collaboration Scale II (AITCS-II), was employed in this study. Results: The IPC level among health care team members in ICUs and CCUs was substandard. The partnership domain was weak with a mean score (MS) of 2.31, cooperation was moderate with a MS of 2.51, and coordination was weak with a MS of 2.17. The overall ICP was poor with a MS of 2.33. Conclusion: As hypothesised, the overall IPC covering all three main domains (partnership, cooperation, and coordination) among health care team members in critical care units is substandard. It is imperative for Iraqi nursing colleges to prioritise educating their students on inter-professional collaboration and its significance in delivering quality patient care. Instilling a clear understanding of their roles in healthcare among students is vital to cultivating a culture of teamwork and its advantageous outcomes for both patients and healthcare teams. Nurses should engage in specialised workshops that focus on professional collaboration within healthcare settings to reinforce and build upon their academic knowledge of their crucial role(s). This may help in improving their inter-professional teamwork, leading to better patient care. Consequently, inter-professional Team Collaboration among Health Care Team Members in Critical Care Units fosters a supportive work environment marked by harmony and devoid of conflicts that could harm patient well-being.

Assessment of Nurses' Knowledge Regarding Preventive Guidelines for Sudden Infant Death Syndrome

Safa Ahmed Mohammed, Afifa Radha Aziz — Mon, 13 Jan 2025 00:00:00 +0000

Background: Sudden infant death syndrome constitutes one of the most prevalent reasons for mortality within the first year of life, although there are still challenges to prevention, and the underlying mechanisms causing sudden death are not known. Although SIDS has been discovered worldwide since 1960, it is still poorly understood in Iraq, possibly due to a lack of research on the syndrome and the substantial modifications in safe sleeping practices from generation to generation. In light of these considerations, this research was conducted to improve the nurses' knowledge of SIDS prevention guidelines and to ascertain the relationship between their knowledge and socioeconomic factors. Methods: A purposive sample of fifty nurses employed in the Neonatal Intensive Care Unit (NICU) from the Central Paediatric Teaching Hospital in Al-Karkh and The Children's Welfare Teaching Hospitals in Medical City, Baghdad, Iraq, was chosen for the research. The study duration was from September 14, 2023, to January 14, 2024. To collect data, the investigators employed self-reported questionnaires that they devised after reviewing relevant articles and previous studies. The SPSS version 26.0 was used to analyse the data. Results: The findings of this research investigated that most of the participants were females with a nursing institute within the age range of 20 or younger than 30. The majority remained unmarried and had been working in the NICU for under 5 years. Furthermore, the majority of the participating nurses weren't involved in any education courses about sudden infant death syndrome. Conclusion: The present research concluded that most of the nurses had a poor to a fair level of knowledge regarding preventive guidelines for sudden infant death syndrome. Moreover, a significant relationship was found between nurses' knowledge and their age and sex. However, no statistically significant correlation was identified between nurses' knowledge and other variables, including years of experience, marital status, nursing qualifications, or attendance at training courses.

Perceptions and Satisfaction in Intrapartum Care among Obese and Non-Obese Women

Rawdha Khudher Omer, Salwa Hazim Al-Mukhtar — Mon, 13 Jan 2025 00:00:00 +0000

Background: Obesity is a major global health issue that negatively impacts pregnancy and childbirth. Maternal obesity is linked to various antenatal, intrapartum, and postpartum complications. Ensuring quality care is essential for safe outcomes for both mother and child. Methods: A comparative cross-sectional study was conducted among a total of 250 mothers, with 112 being non-obese and 138 being obese. These mothers gave birth in eight governmental hospitals. The study aimed to explore the factors that affect the experiences and satisfaction levels of obese and non-obese women during intrapartum care. Results: All non-obese women (100%) and 99.3% of obese women reported positive experiences regarding their capacity during childbirth. Most women in both weight groups felt well-supported and safe. However, both groups reported 100% negative experiences in the participation domain. Satisfaction with physical facilities was low, with 42.9% of non-obese and 38.4% of obese women satisfied. Both groups showed 100% dissatisfaction with the provision of consumables. Pain management methods were satisfactory for 63.4% of non-obese and 60.9% of obese women. Communication patterns had the lowest satisfaction rates among all participants. Conclusion: The study's findings underscore the critical need for improvements in various dimensions of intrapartum care. The significant dissatisfaction with participation, physical conditions, and communication strategies among both obese and non-obese women highlights the urgent areas for enhancement in maternity care facilities. This research is a crucial step towards improving the quality of care and ensuring safe outcomes for both mother and child.

Development and Validation of Bengali Mental Health Literacy Assessment Tool (B-MHLAT): An Instrument to Measure Mental Health Literacy in Bengali Adults

Soma Naskar Chakraborty, Talagatoti David Ratna Paul, Aparna Ray — Mon, 13 Jan 2025 00:00:00 +0000

Background: Mental health literacy therefore refers to the knowledge and perceptions about mental health and mental illnesses and is vital in encouraging people to seek help and in decreasing mental health-related problems. Nevertheless, no instruments have been developed to measure "Mental Health Literacy" among the Bengali-speaking population. The purpose of this research was to extend the Mental Health Literacy Assessment Tool to create a culturally appropriate Bengali Mental Health Literacy Assessment Tool. Methods: The development process began with the creation of an English questionnaire divided into two parts: Part 1 for socio-demographic data and Part 2 for “Mental Health Literacy” evaluation. Before the tool was translated into Bengali, the draft tool was reviewed by 14 experts, and the translation was done with the help of Bengali, English-speaking, as well as bilingual persons. The translated tool was then piloted on 10 Bengali adults to find out the internal consistency by applying Cronbach’s Alpha method. Subsequently, the tool was used to survey 246 Bengali adults from the target communities in the North 24 Parganas district of West Bengal. To make the tool more manageable, reliable, and valid, a factor analysis was calculated on the collected data. Results: The Bengali Mental Health Literacy Assessment Tool had good reliability whereby the internal consistency was high at 0.89 Cronbach’s Alpha. Out of the initially developed 55 items, 42 were accepted by the experts, and 33 items were obtained after the factor analysis of responses from 246 participants. Conclusion: The Bengali Mental Health Literacy Assessment Tool has been developed as a culturally appropriate, valid, and reliable instrument for use in India and for measuring mental health literacy in Bengali-speaking adults. It is expected that this tool will make a substantial contribution to the study and improvement of literacy about mental health and mental illnesses in this population.

The Relationship between Body Mass Index (BMI), Sleep Quality, and Fertility Quality of Life among Infertile Couples

Mon, 13 Jan 2025 00:00:00 +0000

Background: Infertility can profoundly impact various aspects of a couple’s life, including their body mass index (BMI), sleep quality, and overall quality of life. This cross-sectional study aimed to explore the relationship between BMI, sleep quality, and quality of life among infertile couples. Methods: Conducted at a tertiary hospital in Selangor, the study involved 126 participants (63 couples). BMI, sleep quality (measured using the Pittsburgh Sleep Quality Index, PSQI), and quality of life (measured using the Fertility Quality of Life, FertiQoL) were assessed. Data were analysed using IBM SPSS version 29. Results: Poor sleep quality (PSQI score >5) was observed in 10.3% of participants, while 89.7% had good sleep quality (PSQI score <5). The mean BMI was 27.52 ± 6.48. This study revealed no significant relationship between all three variables (body mass index, sleep quality, and quality of life) among the infertile couple as the p-value was more than 0.05. Conclusion: These findings suggest that while BMI does not significantly impact the quality of life among infertile couples, sleep quality may have a minor influence; by addressing sleep quality issues and understanding their relationship with BMI and overall health, nurses can contribute to improving the quality of life for patients, particularly those struggling with infertility and related concerns.

The Relationship between Participation in the Prolanis Program for Managing Chronic Diseases and the Level of Self-Efficacy in Hypertensive Patients at the Depok Jaya Health Center, Indonesia

Naziyah, Saifulaman Mohammad Said, Faridah Binti Mohd Said, Hidayat R — Mon, 13 Jan 2025 00:00:00 +0000

Background: Hypertension is one of the most common causes of death number in the world in third place among several continents, namely 25% according to WHO 2020 Statistical Data in Epidemiological Features of Cardiovascular Disease in Asia. Hypertension that is not immediately treated can causes premature death. In handling it, the government uses BPJS Health established the Chronic Disease Management Program (Prolanis). Activity It is hoped that Prolanis will be able to increase self-efficacy in hypertensive patients Depok Jaya Community Health Center. Objective: This research aims to determine the relationship between participation chronic disease management program (Prolanis) with a level of self-efficacy in hypertension patients at the Depok Jaya Community Health Center. Methodology: This research is quantitative research with Cross Sectional approach. The sample in this research is people with disabilities hypertension who took part in the Prolanis program activities as many as 30 people take using total sampling technique. Data analyzed using Pearson Chi Square with Fisher Exact Test results. Results: show that there is a relationship significance between participation in the Chronic Disease Management Program and Level of Self-Efficacy in Hypertension patients at the Depok Jaya Community Health Center (P Value = 0.014). Conclusion: The conclusion in this study is that there is a relationship between participation chronic disease management program (Prolanis) with a level of self-efficacy in hypertensive patients (P Value = 0.014) with the incidence of hypertension. Expected results In this study, hypertensive patients increased their self-efficacy.

Keywords: Prolanis Program Participation, Self-Efficacy, Hypertension

The Phenomenon of the Root Causes of Teenage Pregnancy in Indonesia: A Qualitative Study of the Family Functioning

Mon, 13 Jan 2025 00:00:00 +0000

Background: Teenage pregnancy (TP) in Indonesia is still high and contributes to maternal and infant mortality. This study explores the role of family functioning (FF) in preventing TP. Methods: This qualitative research used in-depth interviews with three mother-daughter dyads with TP experience, three mother-daughter dyads without TP experience, and Focus Group Discussions (FGDs) with four school teachers and four HCPs (Health Care Provider) at the Puskesmas. The data were transcribed verbatim and analysed by thematic analysis. Results: The research results show that the root causes of TP related to poor FF practice were: 1) the mother was not involved in solving the daughter's sexual problem, 2) the mother was not confident in sexual communication, 3) poor relationships with her daughter, 4) mother's lack of involvement in the daughter's sexual behaviour, and 5) lack of control daughter’s behaviour. Additional causes are 1) Weak school policies and low teacher confidence in providing CSE and 2) Lack of implementation of YFHS (Youth-friendly health services) at the Puskesmas. Conclusion: The themes regarding the root causes of TP start from individual factors, maternal low knowledge, and awareness about Sexual Health for her daughter; secondly, interpersonal factors, namely the mother's poor practice in implementing the six dimensions of FF, including the mother's lack of involvement in solving problems, poor communication on the prevention of daughter’s sexual risk behaviour due to insufficient affective responsiveness and affective involvement, and poor monitoring and control of the daughters' sexual risk behaviour. The organizational and policy factors are inadequate implementation of CSE (Comprehensive Sexuality Education) in schools due to weak policies and lack of CSE guidelines, and a lack of implementation of YFHS in health facilities due to low family involvement and lack of HCP capacity building.

Impact of Online Nursing Education on Nursing Students' Knowledge, and Attitude Towards Patient Safety in India: An Interventional Study

Jharna Ghosh, Faridah Binti Mohd Said, Santhna Letchmi Panduragan — Mon, 13 Jan 2025 00:00:00 +0000

Introduction: Protection of patients from harm and error is a global priority. Delivering safe patient care is an essential component of nursing education. Patient safety education encompasses a successful integration of patient care with adequate knowledge and attitude among nursing students. Objectives: The purpose of this study is to evaluate and establish the effectiveness of patient safety education among nursing students who have received online education. Methods: A descriptive study following one group pre-test and post-test research design was adopted. The nursing students, attending online nursing education, participated in two phases: phase I, 383, and phase II, 38 (1/10th of 383). Data was collected through an online Google form on patient safety. Results: The first phase data showed that, out of 383 students, 223 (58.22%) were participants aged between 18 and 21 years, 151 (39.43%) were from 3rd year Bachelor of Science (B. Sc.) nursing, and 250 (65.27%) had attended more than 6 months of online classes, with 294 (76.76%) reporting a lack of practical confidence. Data also identified that nursing students had only 59.53% and 42.82% good knowledge and attitude scores toward patient safety. As a result, an educational workshop on patient safety was organised in the 2nd phase, and the workshop established an effectiveness by enhancement of knowledge and attitude scores. Before intervention, the pre-test knowledge scores were very good, 3 (7.89%), but after intervention, it improved to 17 (44.74%), and in the same, before intervention the pre-test attitude scores very good were 10 (26.32%), which was improved to 19 (50.00%) after intervention with a significant t-value of 9.23 for knowledge and 3.66 for attitude at a 95% confidence interval. Conclusion: Ensuring patient safety is a fundamental aspect of healthcare practice. Equipping nursing students with sufficient knowledge and fostering positive attitudes toward patient safety is essential. Prolonged reliance on online education has adversely affected nursing students' practical confidence in this area. Consequently, implementing interventional workshops on patient safety has proven to be an effective strategy for improving nursing students' knowledge and attitudes.

The Impact of ISBAR3 (Identity, Situation, Background, Assessment, Recommendation, Read-back, Risk) Implementation on Nursing Shift Handover Quality and Patient Satisfaction Improvement at Pariaman Regional Public Hospital

Mon, 13 Jan 2025 00:00:00 +0000

Background: Effective communication among healthcare professionals is crucial for minimising medical errors and improving patient safety. ISBAR3 (Identity, Situation, Background, Assessment, Recommendation, Read-back, Risk) is a structured communication method designed to enhance the quality of information exchange in medical settings. Objective: This study aims to evaluate the impact of ISBAR3 implementation on nursing shift handover quality and patient satisfaction at Pariaman Regional Public Hospital. Methods: Using a quasi-experimental design with a pre-test and post-test approach, the sample consisted of 128 patients selected through purposive sampling. The sample was divided into two groups: 64 for the experimental group (handover using ISBAR3) and 64 for the control group (conventional handover). Nurses were trained to use the ISBAR3 for three months. Handover quality was assessed using a standardised observation sheet before and after the intervention. Nursing shift handover quality and patient satisfaction were measured using a validated questionnaire. Data were analysed using MANOVA (Multivariate Analysis of Variance) with a significance level of p<0.05. Results: Results showed significant improvements in nursing shift handover quality F(1, 126) = 9.635, p = 0.007, Partial Eta Squared = 0.812) and patient satisfaction (F(1, 126) = 11.684, p = 0.001, partial eta squared = 0.851). The effect size was large, with ISBAR3 explaining 81.2% of the variance in handover quality and 85.1% of the variance in patient satisfaction. Conclusion: The implementation of ISBAR3 method enhanced nursing handover quality and patient satisfaction. The findings highlighted the use of ISBAR3 as a standard tool for nursing handovers to improve the quality of patient care.

Transcendental Regulation Breastfeeding: A Bibliometrics Analysis

Fitriani Nur Damayanti, Umi Khasanah, Sandeep Poddar, Zulvi Wiyanti — Mon, 13 Jan 2025 00:00:00 +0000

Breastfeeding is a public health problem that has a major influence on the growth and development of babies, in addition to the mother herself. Dairy bioactivity refers to the unique health effects of milk components that extend beyond nutrition. This systematic investigation of the elements and their impact on health, as demonstrated by empirical evidence, carefully regulated experiments, and logical reasoning, is the science of dairy bioactivity. Conversely, "belief in milk bioactivity" refers to individual interpretations, meanings, expectations, beliefs, and attitudes about the effects on health that go beyond the understanding of natural, social, or human sciences. The objective of this study is to determine the trend in the number of publications on the transcendental regulation of breastfeeding, the number of citations, and the direction of future research topics. This study employs the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) research method, utilizing 229 scientific articles or proceedings from the Dimensions data. Review articles were analysed using the VOSviewer application. The current study reveals three primary findings: a surge in publications on the subject of transcendental regulation of breastfeeding, an increase in citations related to this topic, and a network visualisation of this topic, which offers insights into unexplored topics.

Interventions to Improve Medication Adherence in Hypertensive Patients: A Bibliometric Analysis

Sudarman, Regidor III Dioso, Zaliha Harun, Hafizah Che Hassan — Mon, 13 Jan 2025 00:00:00 +0000

Background: Hypertension is the leading cause of cardiovascular disease, stroke, kidney disease, and global mortality. Adherence to medication is essential to control blood pressure in patients with hypertension. Therefore, effective interventions to improve medication adherence are essential. Objective: The purpose of this study was to identify interventions to improve hypertension treatment adherence by analysing network visualisation, overlay visualisation, and density visualisation on topics through bibliometric analysis. Methods: The data sources used in this study are based on online searches through dimensions. AI The literature search used stages following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) flowchart. Articles published between 2022 and 2024. Field of study focuses on health science, health services, public health, nursing, and health systems. Accepted document types are articles. Research topics address interventions to improve hypertension treatment adherence, including digital technology, patient education, health literacy, psychological approaches, family participation, and health worker interventions. Articles were identified using the platform according to the main keywords: hypertension, interventions to improve, and medication adherence. Data were analysed using VOSviewer. Results: To improve hypertension medication adherence, healthcare providers need to improve patients' literacy and knowledge about their disease. The use of technologies such as mHealth, telemedicine, eHealth, text messaging, and WeChat has been shown to be effective in improving medication adherence. In addition, motivation and psychological services can also help improve medication adherence. Education and counselling from pharmacists, nurses, doctors, and community health workers, as well as telephone support, also play an important role. Family participation can further support the improvement of antihypertensive medication adherence. Conclusion: After identifying the clusters, the types of interventions that can improve hypertension treatment adherence are patient education and health literacy, use of technology, psychological approaches, health professional interventions, and family participation.