Jurnal Ners

Exploring pharmacovigilance awareness and attitudes among healthcare practitioners in Iraq: insights from a survey-based study

Hussein Abdulmohsin Dabis, Ali Talib Hameed — Fri, 28 Feb 2025 00:00:00 +0700

Introduction: Healthcare professionals' (HCPs) play a vital role in recognizing potential medication risks, which can lead to early interventions and positive patient outcomes. This study aims to evaluate the knowledge and attitudes of healthcare professionals regarding pharmacovigilance in Iraq.

Methods: This is a cross-sectional conducted from June 13, 2023, to February 18, 2024, involving 415 healthcare providers (137 physician, 103 pharmacists, and 175 nurses) selected through convenience sampling from three public hospitals. Data collection was done through an adapted questionnaire, and the data were analyzed using descriptive statistical techniques, and Chi-square/Fisher's exact tests. P-value ≤ 0.05 was determined as significant.

Results: The results showed while most participants correctly identified the purpose of pharmacovigilance (71.3%) with significant difference between groups (p=0.02), only about half (52.5%) correctly defined pharmacovigilance (p=0.21). Almost all participants (94.5%) agreed that reporting adverse drug reactions is necessary. However, there was inconsistency between this belief and actual experience, as only 18.8% reported having encountered an adverse drug reaction. Top 3 factors discouraging healthcare professionals from reporting adverse drug reactions included lack of knowledge, fear of litigation, and prolonged or complex administrative procedures.

Conclusions: There were significant knowledge and attitude gaps among healthcare professionals in various aspects of pharmacovigilance. This highlights the importance of addressing these knowledge gaps and barriers to improve pharmacovigilance practices in Iraq. Targeted training programs, simplified reporting procedures, and a culture of safety regarding medications should be prioritized to enhance the reporting of adverse drug reactions.

Prevalence and Associated Factors of Loneliness Among Older Adults in Indonesia: Insights from the Indonesian Family Life Survey (IFLS-5)

Fri, 28 Feb 2025 00:00:00 +0700

Introduction: Loneliness presents a significant threat to the mental and physical health of older adults in Indonesia, constituting a pressing public health concern. The study aims to determine the prevalence of loneliness and identify the factors associated with loneliness among older adults in Indonesia.

Methods: A cross-sectional analysis was conducted using data from the fifth wave of the Indonesian Family Life Survey (IFLS-5). Sociodemographic, loneliness, and health-related variables were examined through multivariate logistic regression to identify factors associated with loneliness.

Results: High levels of loneliness were reported by 11.2% of participants, while 88.8% experienced low levels. Significant factors included lower educational attainment (adjusted odds ratio [AOR] = 2.05, 95% confidence interval [CI] = 1.43–2.93, p < 0.001), life dissatisfaction (AOR = 1.55, 95% CI = 1.16–2.06, p = 0.003), and poor sleep quality (AOR = 2.32, 95% CI: 1.72–3.39, p < 0.001). Geographic location also emerged as a significant factor; participants residing in Sumatra were less likely to report loneliness (AOR = 0.64, 95% CI = 0.42–0.99, p = 0.049). Other variables, such as self-rated health, chronic conditions, religious participation, and cell phone ownership, showed significance in unadjusted models but were no longer statistically significant after adjustments were made.

Conclusion: The findings underscore the necessity for targeted interventions to mitigate loneliness among older adults in Indonesia. Such interventions should focus on improving health, enhancing social support, and fostering connectivity, with the aim of elevating the quality of life and alleviating loneliness within this vulnerable population.

The Indonesian Self-Efficacy Questionnaire for Children: Translation, Cross-Cultural Adaptation, and Psychometric Evaluation

Emi Wuri Wuryaningsih, Lely Lusmilasari, Fitri Haryanti, Budi Wahyuni — Fri, 28 Feb 2025 00:00:00 +0700

Introduction: This study aimed to translate and validate the Self-Efficacy Questionnaire (SEQ-C) and its subscale for Indonesian adolescents, which has potential implications for bullying prevention.

Methods: Cross-cultural adaptation was carried out using the Beaton guidelines. An assessment of psychometric testing was carried out during January and February 2024. The eligibility criteria for participants were students aged 13 to 15. Students who declined to participate were excluded. The research involved 120 children. Testing the questionnaire's structural factors used Confirmatory Factor Analysis (CFA). IBM SPSS 25 and AMOS 29 were used for the analysis.

Results: Following the criteria established for CFA, two items (ASE10 and SSE18) were eliminated due to their low factor loadings. This resulted in a refined SEQ-C structure of 22 items distributed across three factors. The alpha reliability coefficients showed robust internal consistency for the entire scale at first test and retest (α=0.884; α =0.911) and for each of the three subscales (all >0.80). The model fit indices indicated satisfactory values for the Comparative Fit Index (CFI)=0.906; Root Mean Square Error of Approximation (RMSEA)=0.063; and the Minimum Discrepancy Function by Degrees of Freedom divided (CMIN/DF)=1.474).

Conclusion: The SEQ-C emerges as a trustworthy and valid tool for evaluating self-efficacy across three key components: intellectual, social, and emotional. It can assess adolescent self-efficacy for research, education, and nursing interventions, as part of enhancing the life skills of adolescents.

Factors associated with health preparedness (istithaah) status among Hajj pilgrims in Indonesia: a cross-sectional study

Sugeng Sugeng, Sri Setiyarini, Probosuseno Probosuseno, Nyoman Kertia — Fri, 28 Feb 2025 00:00:00 +0700

Introduction: The Hajj pilgrimage presents unique health challenges due to the large gatherings, particularly affecting elderly participants with preexisting conditions. Health istithaah, referring to physical and mental readiness for Hajj participation, is crucial for ensuring the safety of pilgrims. This study aimed to identify the factors associated with health istithaah status among Indonesian Hajj pilgrims.

Methods: This descriptive correlational study examined 1,305 pilgrims scheduled for the 2023 Hajj pilgrimage. The data collected included health istithaah status, age, gender, and medical diagnoses based on ICD-10. The analysis employed Chi-Square tests and multivariate logistic regression (p < 0.05).

Results: Of the participants, 772 (59.2%) had unassisted health istithaah, while 533 (40.8%) required assistance. Diabetes mellitus showed the highest association with requiring assistance (PR = 4.938, 95% CI = 3.354–7.270, p = 0.001), followed by symptoms and signs not classified elsewhere (PR = 4.071, 95% CI: 3.091–5.362, p = 0.001) and essential hypertension (PR = 3.467, 95% CI = 2.565–4.685). Age and multiple diagnoses were significantly associated with health istithaah status (p = 0.001), while gender showed no significant association (p = 0.246).

Conclusion: Age, multiple diagnoses, and chronic conditions, particularly diabetes, were key factors associated with requiring health istithaah assistance among Indonesian Hajj pilgrims. These findings emphasize the need for targeted health assessments and support for high-risk pilgrims.

Family Support and Quality of Life of Children with Cancer : A Cross-sectional Study

Lenny Gannika, Mulyadi Mulyadi, Susi Roida Simanjuntak — Fri, 28 Feb 2025 00:00:00 +0700

Introduction: This study aims to examine the relationship between family support and the quality of life of children with cancer.

Methods: This study used a cross-sectional design. The population in this study were children diagnosed with cancer who were getting treatment at the hospital, as well as their parents who cared for them. The sampling technique was consecutive sampling with a total sample of 51 children and 51 parents. Data was collected through a questionnaire consisting of two parts, namely the child's quality of life scale using PedsQL^TM 4.0 and PedsQL^TM 3.0 Cancer Module and family support using the family support questionnaire. Data analysis was performed using the Pearson correlation test.

Results: The study showed that there was a relationship between family support and the quality of life of children with cancer using both the general child quality of life scale (p = 0.001) and with the quality-of-life scale specifically for children with cancer (p < 0.001). Children who received greater family support tended to have a better quality of life compared to children with lower family support.

Conclusion: Families play an important role in improving the quality of life of children with cancer. It is important to involve families in the child's care process and to provide education on the importance of family support. Future research should explore other associated factors and family interventions to improve the quality of life of children with cancer.

Work stress, anxiety, depression, and quality of life among nurses in East Java: a cross-sectional study

Fri, 28 Feb 2025 00:00:00 +0700

Introduction: Work stress is a significant issue in the nursing profession, often linked to adverse mental health outcomes such as anxiety, depression, and decreased quality of life. This study aimed to investigate the relationships between anxiety, depression, quality of life, and work stress among nurses in East Java Province, Indonesia.

Methods: A descriptive cross-sectional design was employed, involving 205 nurses from three cities in Indonesia. Data were collected using standardized instruments: Generalized Anxiety Disorder-7 (GAD-7) for anxiety, the Center for Epidemiologic Studies Depression Scale (CES-D) for depression, World Health Organization Quality of Life-BREF (WHOQOL-BREF) for quality of life, and the Work Stress Scale (WSS) for work stress. Correlation and multiple regression analyses were used to examine the relationships between the variables.

Results: The finding revealed significant correlations between work stress, anxiety (p-value 0.001), and quality of life (p-value 0.001). Higher levels of work stress were associated with increased anxiety and lower quality of life scores. However, no significant association was found between work stress and depression in the regression analysis (p-value 0.101). Anxiety and quality of life were significant predictors of work stress, accounting for 13.4% of the variance.

Conclusion: This study's findings support targeted interventions that can reduce anxiety and improve nurses' quality of life. These include mental health workplace programs and hospital organizational changes to foster a positive work culture. Given the limitations of self-reported data, future research should incorporate longitudinal designs and objective measures to understand these relationships better.

Indonesian Version of Blended Learning Satisfaction Scale: A Translation, Validation, and Reliability Study

Fri, 28 Feb 2025 00:00:00 +0700

Introduction: Since COVID-19 2019 became a global pandemic, the blended learning method has gained popularity, including in nursing education. A valid and trustworthy questionnaire is required in Indonesia to measure blended learning satisfaction. The purpose of this study was to evaluate the psychometric properties of Indonesian BLSS, a validated tool from Taiwan, among nursing students.

Methods: This study employed a cross-sectional design to assess the validity and reliability of BLSS. The sample included 231 first-year nursing students from a university in Indonesia. The splitting sample method was utilized for exploratory factor analysis (EFA) and confirmatory factor analysis (CFA). The BLSS was translated using forward and backward translation. Three experts validated the content, while EFA and CFA investigated the structural validity. Reliability was assessed using Cronbach’s alpha.

Results: The content validity index (CVI) of BLSS was 0.975. The mean age of the respondents was 19.26 (0.05), with the majority being female (85.07%). In EFA, one factor was retained based on cumulative variance, a scree plot, and parallel analysis. The CFA also showed one factor as retained. The factor loading of each item was greater than 0.5 both in EFA and CFA. This instrument has an internal consistency of 0.955 according to Cronbach’s alpha.

Conclusion: The Indonesian BLSS is good, based on CVI, EFA, CFA and internal consistency analysis, which were used to measure satisfaction with blended learning. By measuring satisfaction following blended learning using BLSS, we hope that the learning process can be regarded as satisfactory and improved among nursing students.

Building Community Resilience to COVID-19: An Interprofessional Collaborative Model

Fri, 28 Feb 2025 00:00:00 +0700

Introduction: Coronavirus Disease 2019 (COVID-19) is a significant global health issue, requiring vigilance and adherence to health protocols to prevent transmission. This study aimed to develop an interprofessional collaborative model based on community sectoral coordination.

Methods: A mixed-methods explanatory research design was employed, involving 934 respondents selected through convenience sampling. The research instrument was a modified version of a validated and reliable questionnaire covering interprofessional collaboration, community health nursing, alertness, compliance, and resilience. The data was analyzed using Partial Least Squares (PLS) to test the model's fit and predictive relevance.

Results: The coefficient of determination (R²) was 0.772, indicating that 77.2% of the variance in interprofessional collaborative community sectoral coordination could be explained by individual, team, task, and work structure characteristics, as well as community leaders and cross-sectoral factors. The remaining 22.8% was attributed to other variables not included in this study. The Predictive Relevance (Q²) value was greater than 0, suggesting that the model was adequately predictive. Significance testing showed that the exogenous variables had a significant impact on endogenous variables with a total T-statistics value of 1.96 or P value <0.05.

Conclusion: The developed interprofessional collaborative model based on community sectoral coordination significantly enhances community alertness, compliance, and resilience, contributing to the achievement of COVID-19 herd immunity.

Development of a family support model to reduce preeclampsia through antenatal care

Diyan Indriyani, Esti Yunitasari, Ferry Efendi — Fri, 28 Feb 2025 00:00:00 +0700

Introduction: One of the pregnancy complications that needs to be monitored is the occurrence of preeclampsia because it has a high risk of maternal and infant death. The risk of preeclampsia during pregnancy can be determined through routine pregnancy checks. Routine pregnancy checks, or antenatal care, have low coverage. This study aimed to investigate the validity of the family centered maternity care (FCMC) construct and the relationship between pregnant women's characteristics, family characteristics, healthcare factors, sources of support, and family support in antenatal visit adherence using structural equation modeling (SEM).

Methods: The research design was correlational, using a Cross-Sectional Study approach. A total of 135 respondents were included in this study. The research data were analyzed using structural equation modeling.

Results: FCMC-based family support is based on the characteristics of pregnant women, family characteristics, health services, and sources of support, with family characteristics being the most significant contributor to FCMC-based family support. Compliance with antenatal care (ANC) visits is shaped by family characteristics, health services, and FCMC-based family support, where FCMC-based family support is the variable that makes the most significant contribution to ANC visit compliance for pregnant women.

Conclusions: Health services are essential for facilitating public health issues, with all efforts and activities carried out to prevent and treat diseases. Health service officers must involve families in antenatal care to avoid complications during pregnancy.

Empowering cadres: the impact of KEPITING, a web-based application on stunting knowledge and attitudes

Novan Kurniawan, Sigit Mulyono, Poppy Fitriyani, Eka Putri Yulianti — Fri, 28 Feb 2025 00:00:00 +0700

Introduction: Stunting, an indicator of chronic malnutrition, affects children under five. Cadres hold strategic positions to enhance this. Despite the launch of digital applications designed to address stunting by enhancing knowledge and attitudes, their lasting impacts and usability have not been thoroughly evaluated, especially among cadres.

Methods: We conducted a longitudinal study to evaluate the long-term impact and usability of our web-based app KEPITING (Kader Peduli Stunting) to enhance knowledge and attitudes towards stunting detection among cadres covering two Districts in Jambi. We obtained 152 cadres as participants using purposive sampling, separated into two groups based on their respective districts—one using KEPITING and the other traditional training materials. Data were collected at pre-intervention, post-intervention, and nine months post- intervention using validated questionnaires to assess knowledge and attitude changes. A generalized Linear Model with Repeated Measures ANOVA and Mann-Whitney U tests was employed to examine the effects and interactions.

Results: KEPITING significantly improved knowledge of practical procedures (p <0.001) and nutritional interventions (p <0.001). Overall attitude improved significantly (p = 0.008, η = 0.033). Knowledge retention showed no significant time effect, whereas attitudes improved over time and were better retained in the intervention group. The System Usability Scale scored below an average of 58.7, indicating that usability improvements were needed.

Conclusions: KEPITING enhances cadre knowledge and attitudes but requires usability enhancements for optimal impact. This study highlights the importance of digital tools in stunting interventions and suggests areas for future research focusing on usability and long-term efficacy.

FRONT MATTER VOL 20 ISSUE 1

Admin Jurnal Ners — Fri, 28 Feb 2025 00:00:00 +0700

BACK MATTER VOL 20 ISSUE 1

Admin Jurnal Ners — Fri, 28 Feb 2025 00:00:00 +0700

The Strategic Positioning of Indonesian Nurses in the International Healthcare Labor Market

Ferry Efendi, Rifky Octavia Pradipta — Fri, 28 Feb 2025 00:00:00 +0700

Nurses’ Knowledge, Attitude, and Practice Regarding Sexual Health Care for Cancer Patients: A Systematic Review

Ida Ayu Md Vera Susiladewi, Yati Afiyanti, La Ode Abdul Rahman — Fri, 28 Feb 2025 00:00:00 +0700

Introduction: Cancer and its treatments negatively affect patient sexual health. However, this aspect is often neglected in cancer care. As holistic care providers, nurses have a pivotal role in addressing their patient’s sexual health problems. This study aims to summarize what is currently known about nurses’ knowledge, attitude, and practice when helping cancer patients with concerns regarding their sexual health and recent educational strategies to enhance the nurses’ competencies in relation to cancer patients’ sexual healthcare.

Methods: The authors conducted a systematic review using PRISMA 2020 Guidelines. The articles were derived from five electronic databases (Scopus, Science Direct, ProQuest, MEDLINE, and PubMed), consisting of full text original research articles published between 2015 and 2024 using quantitative, qualitative or mixed methods. Review articles, books, and book chapters are excluded.

Results: The initial search resulted in 1,126 articles. Thirteen articles that met the selection criteria were included due to having good methodological quality. The nurses’ knowledge, attitude, and practice toward sexual healthcare was found to be moderate. Nurses argued that they need specific knowledge and skills to confidently address sexuality problems among their patients. Educational interventions were effective at helping to improve the nurses’ knowledge, attitude, and skills on sexual health care provision.

Conclusion: Institutional and educational support are important factors for mastering the nurses' ability to provide comprehensive sexual healthcare. A clear policy, sufficient facilities and comprehensive strategies are needed to mediate consistent cancer patient sexual healthcare provisions.