Fundamental and Management Nursing Journal

Relationship between Structural Empowerment of Nurses, Managerial Experience, and Resistance to change: A Cross-sectional Study

2025-06-17T15:59:37+07:00

Introduction: Nurses play an integral role in the healthcare system, representing the most essential and prominent component of the healthcare sector. To build a resilient organizational plan, it is necessary to engage employees in decision-making and offer them greater autonomy. This is usually accomplished through empowering employees, with the behavior of leaders playing an integral role, especially in empowering leadership. Thus, this study aimed to examine the relationship between structural empowerment among nurses, years of managerial experience, and resistance to change.

Method: This cross-sectional, descriptive correlational survey included 148 participants employed in formal or acting leadership roles such as nursing managers, head nurses, or nursing supervisors in a Riyadh university hospital, selected using convenience sampling. Data were collected using the CWEQ-II and RTC scales. Descriptive statistics, Pearson correlation, ANOVA, and multiple regression were used to analyze the data.

Results: The results indicated that structural empowerment among nurses is significantly and negatively associated with resistance to change, indicating that an increase in structural empowerment leads to a decrease in resistance to change. However, years of managerial experience showed no significant association with resistance to change, demonstrating that having more or fewer years of managerial experience did not meaningfully impact resistance levels.

Conclusion: This study concluded that with more employment empowerment, exposure, and accessibility to information, resistance to change can be reduced.

Quiet Quitting of The Nurses: An Integrative Literature Review

2025-08-14T11:17:17+07:00

Introduction: The concept of quiet quitting (QQ) gained widespread attention following its popularization on social media’s app ‘TikTok’ in 2022 and has since been recognized as a prevalent phenomenon among nurses and other healthcare professionals. To that effect, literature has alluded to the most concerning dire consequences. The study aimed to synthesize studies on QQ among nurses and suggest measures that can be used to alleviate this phenomenon.

Methods: The study applied five steps of the integrative literature review, guided by Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. The review encompassed research articles peer-reviewed and published between 2022 and 2025, in the following databases: Cumulative Index to Nursing and Allied Health Literature EBSCOhost, Education Resources Information Center, Google Scholar, Medline, Psych INFO, Science Direct and Pub Med. Included articles were written in English, published in 2020 to 2025, in peer-reviewed journals, and participants were nurses.

Results: Nine articles were ultimately reviewed and revealed three main themes factors contributing to QQ among nurses, including organizational and individual factors and supportive supervision; Consequences of QQ among nurses affected patient care and human resources; Measures that could be used by nurse managers to reduce QQ among nurses.

Conclusions: This study revealed interrelated factors that contribute to QQ dire impact of QQ on nurses. Nurse managers and policymakers need to be aware of this phenomenon and urgently put holistic, robust mitigating measures to ensure that working conditions are favourable and there is a balance in nurses’ work lives.

The Perceived Facilitators and Barriers of Research Production among Members of an Online Research Community of Practice

2025-07-19T07:18:21+07:00

Introduction: Nurses, a vast portion of the healthcare workforce, have made a low contribution to achieving healthcare organizational visions and strategies in producing research. The study aimed to identify the facilitators and barriers to research production among members of a community of practice (CoP).

Method: This study utilized a descriptive qualitative research design, conducting a focus group discussion. Those members were provided with education, mentorship, and support over 12 months from January 2023 to January 2024. h a convenience sample of 21 members from the targeted CoP.

Results: The online CoP provided members with several opportunities to compensate for any deficit in the existing individual, social, and organizational support system. However, the study highlighted several barriers to research among the community members, including individual factors, i.e., time limitations and lack of member’s knowledge and expertise, social factors, i.e., lack of collaboration among colleagues, and organizational factors, i.e., lack of organization and unit support, resources, and workload.

Conclusion: The study revealed satisfactory progress in the members' research projects and recommended extending their learning and training period. The study suggests extending the members' education and training period, including psychological preparation, and providing them with additional skills such as persuasion, negotiation, and interpersonal skills to overcome existing research barriers. Moreover, further studies are required to assess the long-term impact, for example, after one or two years of the online CoP on members' research productivity. Further research to explore the facilitators and barriers of research production among CoP members in various contexts.

The Influence of Classic Music Therapy on Learning Concentration in School-Age Children

2025-06-17T16:04:46+07:00

Introduction: School-aged children are in the developmental stage of concrete operational thinking, where they begin to think logically and solve problems in a structured way. However, many children at this stage still experience difficulties in subjects which often requires high levels of concentration and problem-solving skills. This study aims to determine the effect of classical music therapy on learning concentration in school-aged children.

Method: This study employed a quasi-experimental design with a non-equivalent control group design. Population consisted of 42 school-aged children, a sample of 38 was obtained using a non-probability sampling. Classical music therapy was used as the independent variable, while learning concentration served as the dependent variable. Learning concentration was measured before and after the intervention. Data were analyzed using the Wilcoxon signed-rank test to determine the effect intervention.

Results: The results of the Wilcoxon statistical test yielded a ρ value of 0.00, which is smaller than the predetermined significance level (α = 0.05). This finding indicates that classical music therapy has a statistically significant effect on improving learning concentration in school-aged children. The outcome supports the notion that classical music stimulates cognitive, focus, and learning atmosphere.

Conclusion: This study concludes that classical music therapy has a significant positive influence on learning concentration. The intervention was shown to enhance students’ ability to maintain focus and sustain attention during learning activities, suggesting that classical music supports environment for academic engagement. Results reinforce the importance of innovative educational interventions that address cognitive, emotional, and environmental factors in the learning process.

Nurse Responsiveness and Empathy as Predictors of Patient Loyalty: A Cross-Sectional Study in Hospital Care Settings

2025-08-29T08:11:38+07:00

Introduction: Patient loyalty serves as an important indicator in evaluating the overall quality of nursing services within hospital settings. Loyalty reflects a crucial determinant of hospital competitiveness and sustainability. This study aims to analyze the relationship between nurse responsiveness, empathy, and patient loyalty in the hospital service environment.

Method: This quantitative cross-sectional study involved 62 patients as respondents using accidental sampling techniques. Patient in the ward patients admitted to the ward during January. Data were collected through questionnaires to measure nurses' responsiveness and empathy through patient perceptions, as well as the Patient Loyalty Questionnaire (PLQ), which includes dimensions of attitudinal loyalty, behavioral loyalty, word of mouth, and recommendation intentions. Data were analyzed using Spearman correlation and Ordinal Logistic Regression.

Results: Patient perceptions of nurse responsiveness showed that more than half (66.1%) were in the good category. Similarly, patient perceptions of nurse empathy showed that more than half (71%) were in the good category. Some patients (54.9%) had high loyalty. Analysis of the relationship between responsiveness and loyalty (p=0.001 and r=0.69) and between empathy and loyalty (p=0.001 and r=0.59). Both results indicate that responsiveness and empathy are related to loyalty with the strength of the relationship in the strong category

Conclusions: Nurses' responsiveness and empathy are important factors influencing patient loyalty. Hospital management needs to develop training programs to strengthen nurses' skills in responding to patient needs quickly and effectively, as well as work systems that support nurses' quick, responsive, and timely responses in interacting with patients, so that patients feel satisfied and become loyal.

Effectiveness of Health Education Role Play Method and Audio-Visual Methods of Skills First Aid Syncope Among Senior High-School Students

2024-08-14T06:58:18+07:00

Introduction: Delays and errors in providing first aid to victims experiencing syncope can significantly increase the risk of complications and even mortality. Syncope requires immediate, appropriate intervention, making first aid skills essential for students. This study aimed to compare the effectiveness of the roleplay method and the audiovisual method in improving students’ skills in providing first aid for syncope.

Method: This study employed a quasi-experimental design with a nonequivalent group posttest-only approach. The population consisted of all 442 students in Class X at SMAN 1 Kedungwaru, Tulungagung, Indonesia. Using purposive sampling with specific inclusion and exclusion criteria, 71 students were recruited. Participants were divided into two groups: the roleplay group (n = 35, Class X-1) and the audiovisual group (n = 36, Class X-2). The independent variable was the health education method, while the dependent variable was the level of syncope first aid skills. Data were collected using an observation checklist, with a Content Validity Index (CVI) of 0.86, confirming its validity. Data analysis was performed using the Mann–Whitney U test.

Results: The demographic characteristics showed comparable distributions between groups. In the roleplay group, 49% (n = 17) of students demonstrated good skills, whereas in the audiovisual group, the majority 47% (n = 17) achieved only moderate skill levels. The Mann–Whitney test yielded a p-value of 0.001 (< 0.05), indicating a significant difference between the two methods.

Conclusion: Roleplay is more effective than audiovisual because respondents have the opportunity to practice directly so they learn and see more clearly.

Efficacy of Mulberry Leaf (Morus alba L.) Mask in Reducing Acne Vulgaris among Vocational School Students

2025-03-27T10:55:34+07:00

Introduction: Teenage girls often experience acne due to hormonal changes. This condition not only affects their appearance but also lowers self-confidence and impacts their mental health. This study aims to determine the effect of the natural mulberry leaf mask formula (Mours alba L). on acne vulgaris in female students of Vocational School in Jombang, Indonesia

Method: The research design used was a One-Group Pre-Experimental, Pre-Test-Post-Test. This study involved 65 students, with a sample of 20 respondents selected through Quota Sampling. Data were collected using observation sheets and analyzed with SPSS 25 using the Wilcoxon Test.

Results: Before therapy, 15 respondents (75%) experienced moderate acne vulgaris. After therapy, 15 respondents (75%) experienced mild acne vulgaris. Statistical analysis showed a significance value of 0.000 < α (0.05).

Conclusion: Regular use of a natural mulberry leaf mask is beneficial for acne healing. Mulberry leaves contain vitamins A, C, and E, alkaloids, and flavonoids, which act as antibacterials, reduce inflammation, and reduce oxidative stress. This formula can be used as an alternative treatment for acne vulgaris.