Belitung Nursing Journal <div id="journalDescription"> <p>Belitung Nursing Journal is a peer-reviewed, "<a href="">Gold</a>" open access journal&nbsp;that provides a venue for nursing scholarship with an Asian focus and perspectives from the region.&nbsp;</p> <p><strong>Editors:&nbsp;</strong><br>Assoc. Prof. Dr. Yupin Aungsuroch<a href=""><img src="/BRP/public/site/images/jokogunawan/kecil-14.png" width="14" height="14"></a><a href=";hl=en&amp;oi=ao"><img src="/BRP/public/site/images/jokogunawan/kecil-32.png" width="14" height="14"></a><a href=""><img src="/BRP/public/site/images/jokogunawan/kecil-4d3.png" width="13" height="13"></a><br>Dr. Joko Gunawan<a href=""><img src="/BRP/public/site/images/jokogunawan/kecil-14.png" width="13" height="13"></a><a href=";hl=en&amp;oi=ao"><img src="/BRP/public/site/images/jokogunawan/kecil-32.png" width="13" height="13"></a><a href=""><img src="/BRP/public/site/images/jokogunawan/kecil-4d3.png" width="13" height="13"></a></p> <p>DOI prefix: <a href="" target="_blank" rel="noopener">10.33546/bnj</a></p> </div> Department of Publication, Belitung Raya Foundation, Indonesia en-US Belitung Nursing Journal 2477-4073 <p>Authors who publish with Belitung Nursing Journal agree to the following terms:</p> <ol> <li>Authors retain copyright licensed under&nbsp;a&nbsp;<a href="">Creative Commons Attribution-NonCommercial CC BY-NC 4.0</a>,&nbsp;which&nbsp;allows others to&nbsp;remix, tweak, and build upon the authors' work non-commercially, and although the others' new works must also acknowledge the authors and be non-commercial, they don't have to license their derivative works on the same terms.</li> <li>Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See&nbsp;<a href="">The Effect of Open Access</a>). In other words, authors <strong>can</strong> archive pre-print (submitted version),&nbsp;<em>&nbsp;</em>post-print (accepted version), and publisher's version/PDF. Read also <a href="">self-archiving-policy</a>.</li> </ol> Relationship between quality of work-life, resilience and burnout among nursing professionals during COVID-19 pandemic in Iran: A cross-sectional study <p><strong>Background:</strong> The COVID-19 pandemic and the increased workload and stress associated with the disease prevalence have posed a high risk of burnout to nurses. The effects of the workplace and environmental factors on resilience and burnout among nursing professionals have not been investigated in Iran.</p> <p><strong>Objective: </strong>Present study aimed to assess a model linking quality of work-life to the resilience and various dimensions of burnout among Iranian nursing professionals based on the health service workplace environmental resilience model.</p> <p><strong>Methods</strong>: This was a cross-sectional study performed on 202 Iranian nurses employed in three educational hospitals. Maslach burnout inventory, Brooks’ quality of nursing work-life survey, and an abbreviated version of the Connor-Davidson resilience scale were used to collect data. The correlation between the study variables was assessed by conducting path analysis in AMOS 22.</p> <p><strong>Results: </strong>The final model demonstrated adequate fit. The quality of working life indirectly affected burnout via a direct impact on nursing professionals’ resilience (<em>p</em> &lt;0.001, <em>β</em> = 0.39). In addition, resilience had negative, significant effects on all the dimensions of job burnout. The quality of work-life also had negative and significant effects on emotional exhaustion (<em>p </em>&lt;0.001, <em>β</em> = -0.38) and reduced personal accomplishment (<em>p</em> &lt;0.001, β = - 0.38).</p> <p><strong>Conclusion:</strong> Resilience and quality of work-life are protective variables against burnout in nursing professionals. Nursing managers can increase resilience and decrease burnout among nursing professionals by adopting policies that can improve the quality of work life.</p> Hosein Zahednezhad Armin Zareiyan Sanaz Zargar Balaye Jame Copyright (c) 2021 Hosein Zahednezhad, Armin Zareiyan, Sanaz Zargar Balaye Jame 2021-10-17 2021-10-17 7 4 10.33546/bnj.1702 “I am afraid that others will feel scared and disgusted with me. So, I will keep it a secret until I die”: A qualitative study among patients with tuberculosis receiving DOTS regimen in Thailand <p><strong>Background: </strong>Tuberculosis (TB) has become a significant public health problem leading to a top ten morality. Directly Observed Therapy, Short-course (DOTS) is recommended as a critical element for curing and preventing TB. However, patients who have been living with TB often receive barriers and challenges, which may lead them to discontinue the DOTS treatment.</p> <p><strong>Objective: </strong>This study aimed to understand patients’ experiences living with TB and receiving DOTS regimens.</p> <p><strong>Methods:</strong> A qualitative descriptive study was employed. Semi-structured interviews were done among twenty tuberculosis patients selected using convenience sampling from the slum community in Bangkok, Thailand. The thematic approach was used for data analysis.</p> <p><strong>Results:</strong> Two main themes were developed: (1) troublesome disease and (2) emotional challenges. The first theme comprises three subthemes: confronting death, accepting lifestyle change, and DOTS challenges. The second theme consists of two subthemes: isolation from others and stigma.</p> <p><strong>Conclusion:</strong> The findings could guide nurses and other healthcare professionals to develop the treatment guideline and the DOTS strategy using a holistic approach.</p> Apinya Koontalay Wanich Suksatan Kantapong Prabsangob Copyright (c) 2021 Apinya Koontalay, Wanich Suksatan, Kantapong Prabsangob 2021-10-08 2021-10-08 7 4 10.33546/bnj.1678 Assessing the financial burden of hemodialysis treatment in Malaysia <p><strong>Background:</strong> Patients with chronic kidney disease (CKD) spend substantial money on hemodialysis (HD) treatment. The growing intersection between socioeconomic status and financial burden represents an emerging challenge to the CKD community.</p> <p><strong>Objective:</strong> This study assessed the financial burden of HD treatment on patients at a Malaysian tertiary teaching hospital.</p> <p><strong>Methods:</strong> A cross-sectional study was carried out in the HD unit at a Malaysian tertiary teaching hospital from January to February 2021. Patients undergoing HD were purposively selected. A self-administered questionnaire was used to collect data on socio-demographic, finances, the patient's health history, treatment costs, and healthcare utilization. In addition, Pearson Chi-Square tests were used to analyze the data.</p> <p><strong>Results:</strong> A total of 100 patients receiving HD treatment were included in the study. The mean age was 62.06 years (<em>SD</em> = 27.50), with 52% reporting moderate financial burdens. The financial burden was associated with employment status, salary, and income class among HD patients (<em>p </em>&lt;0.05).&nbsp;</p> <p><strong>Conclusion:</strong> Evidence showed a large proportion of Malaysian patients receiving HD treatment came from the B40 income bracket. The findings indicate that financial burdens can impact HD patients and are related to employment status, salary, and income class. Therefore, the ability to identify HD patients' financial needs is critical in nursing practice.</p> Nur Fatin Aqilah Mohd Fadzli Ali Aminuddin Mohd Rasani Soon Lean Keng Copyright (c) 2021 Nur Fatin Aqilah Mohd Fadzli, Ali Aminuddin Mohd Rasani, Soon Lean Keng 2021-10-07 2021-10-07 7 4 10.33546/bnj.1804 Risk factors associated with uncontrolled blood pressure among patients with non-dialysis chronic kidney disease in Vietnam <p><strong>Background:</strong> Uncontrolled blood pressure rates are high in patients with non-dialysis chronic kidney disease, worsening the disease progression and leading to end-stage renal disease. However, studies on uncontrolled blood pressure in patients with non-dialysis chronic kidney disease and its associated factors in Vietnam are scarce.</p> <p><strong>Objectives:</strong> This study aimed at identifying uncontrolled blood pressure rates and risk factors associated with uncontrolled blood pressure among Vietnamese patients with non-dialysis chronic kidney disease.</p> <p><strong>Results:</strong> 63.2% of the participants could not control their BP less than 130/80 mmHg. Poor sleep quality (<em>OR</em> 2.076, 95%<em>CI</em> 1.059-4.073, <em>p</em>=.034) and severe comorbidities (<em>OR</em> 2.926, 95%<em>CI</em> 1.248-6.858, <em>p</em>=.013) were risk factors associated with uncontrolled blood pressure among Vietnamese patients with non-dialysis chronic kidney disease. Interestingly, the study found a high rate of awareness toward the importance of blood pressure control but a low rate of known blood pressure targets.</p> <p><strong>Conclusion:</strong> Uncontrolled blood pressure rates among Vietnamese patients with non-dialysis chronic kidney disease were high. Sleep quality and comorbidity severity were significantly associated with uncontrolled blood pressure in this population. To achieve blood pressure targets, nurses and other healthcare providers should pay more attention to the patients with poor sleep quality and severe comorbidities.</p> <p><em><strong>Funding:&nbsp;</strong>The “2018 Mahidol Postgraduate Scholarship”.</em></p> Van Thi Hai Nguyen Aurawamon Sriyuktasuth Warunee Phligbua Copyright (c) 2021 Van Thi Hai Nguyen, Aurawamon Sriyuktasuth, Warunee Phligbua 2021-09-28 2021-09-28 7 4 10.33546/bnj.1611 Transitional care programs to improve outcomes in patients with traumatic brain injury and their caregivers: A systematic review and meta-analysis <p><strong>Background: </strong>Effective nursing interventions for caring for patients with moderate to severe traumatic brain injury are still challenging during a transition from hospital to home. Since traumatic brain injury has deep-rooted sequelae, patients and their caregivers require better arrangement and information on the condition to achieve improved outcomes after discharge.</p> <p><strong>Objective: </strong>This study aimed to assess transitional care programs to improve outcomes of patients with traumatic brain injury and their caregivers.</p> <p><strong>Methods: </strong>A systematic review and meta-analysis were performed on studies retrieved from ProQuest, PubMed, Science Direct, CINAHL, and Google Scholar from January 2010 to July 2021. RevMan 5.4.1 software was used for meta-analysis.</p> <p><strong>Results: </strong>Nine studies were systematically selected from 1,137 studies. The standard approaches of interventions used in patients with traumatic brain injury and their caregivers were education, mentored problem-solving, home-and community-based rehabilitation, counseling, skill-building, and psychological support. We observed that there was significant evidence indicating beneficial effects of intervention in increasing the physical functioning of patients with traumatic brain injury (<em>SMD</em> = -0.44, 95% <em>CI</em> -0.60 to -0.28, <em>p</em> &lt;0.001), reducing the psychological symptoms among caregivers (<em>SMD&nbsp;</em>= -0.42, 95% <em>CI</em> -0.59 to -0.24, <em>p </em>&lt;0.001), and increasing the satisfaction (<em>SMD&nbsp;</em>= -0.35, 95% <em>CI </em>-0.60 to -0.11, <em>p</em> = 0.005).</p> <p><strong>Conclusion:</strong> Education, skill-building, and psychological support should be the main components in transitional care nursing programs for patients with traumatic brain injury and their caregivers. &nbsp;</p> <p><em><strong>Funding:&nbsp;</strong>Faculty of Nursing, Prince of Songkla University, Hat Yai, Thailand.</em></p> Amelia Ganefianty Praneed Songwathana Kittikorn Nilmanat Copyright (c) 2021 Amelia Ganefianty, Praneed Songwathana, Kittikorn Nilmanat 2021-09-24 2021-09-24 7 4 10.33546/bnj.1592 Nurses’ view of the nature of the support given to parents in the neonatal intensive care unit <p><strong>Background:</strong> Most parents of Neonatal intensive care unit (NICU) babies often expressed dissatisfaction with the nursing care in NICU because of their unaddressed needs, resulting in emotional strain. This raises an essential question of how NICU nurses provide support for the parents. However, this can be relatively challenging in the NICU setting.</p> <p><strong>Objective:</strong> To explore nurses’ views on the nature of parental support provided in NICU settings in Brunei Darussalam.</p> <p><strong>Methods:</strong> This study employed a qualitative research approach conducted in 2020. Ten nurses were individually interviewed in semi-structured interviews. The data were analysed using thematic analysis.</p> <p><strong>Results:</strong>&nbsp; Three broad themes were identified, namely: (1) Emotional and informational support (2) Keeping the support going (3) Seeking help from others. The data provide insights into how nurses provide emotional and informational support to parents in the NICU setting. Challenges were encountered in providing support and were addressed through the involvement of the doctors and emotional support continuity by nursing colleagues.</p> <p><strong>Conclusion:</strong> This paper describes two critical supports given to the parents in the NICU setting and the challenges that underline these supports and proposes strategies used by nurses to help the parents. The balance needed between work demand and parental support is highlighted. In order to give more robust parental support, ongoing interactions with doctors and nursing colleagues are required. &nbsp;</p> Syazwana Mohd. Sidek Sofiah Marup Yusrita Zolkefli Copyright (c) 2021 Syazwana Mohd. Sidek, Sofiah Marup, Yusrita Zolkefli 2021-09-23 2021-09-23 7 4 10.33546/bnj.1668 Job satisfaction of foreign-educated nurses in Malaysia: A cross-sectional study <p class="aCxSpFirst"><strong>Background: </strong>The transition process of migration to work abroad can be challenging and, depending on how it is handled, can impact the job satisfaction level of these foreign-educated nurses. A clear understanding of migrant nurses’ job satisfaction is critical for effective translation of nursing practice across the health systems and cultures.</p> <p class="aCxSpMiddle"><strong>Objective: </strong>This study examined the job satisfaction of the foreign-educated nurses in Malaysia, which includes the job satisfaction dimensions and the significant difference between sociodemographic status and job satisfaction.</p> <p class="aCxSpLast"><strong>Methods: </strong>A cross-sectional survey of 102 foreign-educated nurses working in private hospitals, clinics, hemodialysis centers, nursing homes, and private homes in Malaysia was conducted from September 2017 to March 2018. Data were collected using a structured questionnaire. Descriptive statistics, Mann-Whitney U, and Kruskal Wallis tests were used to analyze the data. &nbsp;</p> <p class="Abstract"><strong>Results:</strong> The study revealed that the participants had a median satisfaction score of 22 (<em>IQR </em>= 19 to 24).&nbsp;<a name="_Hlk82804694"></a>Serving the sick and needy and participants’ self-respect were the highest satisfaction dimensions among the participants (<em>Median</em> = 3, <em>IQR </em>= 3 to 3). Moreover, the job satisfaction was significantly higher for registered foreign-educated nurses (mean rank = 62.5) than for unregistered foreign-educated nurses(mean rank = 48.65) when working in other countries (<em>p </em>= 0.02). Indian nurses (mean rank = 60.36) also expressed higher satisfaction in terms of working in other countries than Filipino nurses (mean rank = 46.88; <em>p </em>= 0.02). In addition, positive relationships with colleagues and superiors led to higher satisfaction among Indian nurses (mean rank = 61.02) than among Filipino nurses (mean rank = 47.24; <em>p</em> = 0.04). The job satisfaction of male foreign-educated nurses was significantly higher than their female counterparts in terms of self-respect, relationship with fellow nurses and superiors, working in other countries, career development, and ease of finding employment (<em>p </em>&lt; 0.05).</p> <p class="aCxSpFirst" align="left"><span lang="EN-GB"><strong>Conclusion:</strong></span><span lang="EN-GB"> The overall job satisfaction among the foreign-educated nurses in Malaysia is high, mainly when serving the sick and needy, and their degree of self-respect. Understanding job satisfaction among foreign-educated nurses in Malaysia enables the management team to develop effective strategies for addressing nursing shortages and improving the quality of patient care.</span></p> <p><em><strong>Funding:&nbsp;</strong>This study was funded by the Institute of Developing Economies (IDE-JETRO).</em></p> Su Yen Lee Kim Lam Soh Salimah Japar Swee Leong Ong Kim Geok Soh Yuko Tsujita Copyright (c) 2021 Su Yen Lee, Kim Lam Soh, Salimah Japar, Swee Leong Ong, Kim Geok Soh, Yuko Tsujita 2021-09-20 2021-09-20 7 4 10.33546/bnj.1682 Experiences of front-line nurses caring for patients with COVID-19 in Bangladesh: A qualitative study <p><strong>Background:</strong> As the incidence of COVID-19 is increasing, the Bangladesh government has announced a countrywide shutdown instead of a lockdown. Consequently, front-line healthcare workers, particularly nurses, are confronting more challenging situations at work.</p> <p><strong>Objective:</strong> This study aimed to explore front-line nurses’ experiences caring for patients with COVID-19 in Dhaka, Bangladesh.</p> <p><strong>Methods:</strong> A qualitative descriptive study was conducted among front-line nurses caring for patients with COVID-19. Twenty nurses were purposively chosen from January to March 2021 to participate in semi-structured online interviews. Interviews on audio and video were collected, analyzed, interpreted, transcribed verbatim, and verified by experts. Thematic analysis was used.</p> <p><strong>Results:</strong> Nine themes emerged and were grouped into negative and positive experiences. The themes of negative experiences include lack of necessary medical equipment, use of non-standard personal protective equipment, work overload, long working hours, poor working environment, and lack of quality of nursing care. The positive experiences include feeling self in a patient position, nurses’ coping strategy in COVID-19 patient care, and establishing emotional control.</p> <p><strong>Conclusion:</strong> The study results encourage national and international health care professionals to cope with adverse working environments. Also, the findings provide nurses with techniques for dealing with any critical situation, controlling patients’ emotions, and how empathy increases self-confidence and patient care. The research should also be used to enhance government policy, nursing council policy, ministry of health policy,&nbsp;and other healthcare agencies.</p> Moustaq Karim Khan Rony Shuvashish Das Bala Md. Moshiur Rahman Afrin Jahan Dola Ibne Kayesh Md. Tawhidul Islam Israth Jahan Tama Emdadul Haque Shafi Shamima Rahman Copyright (c) 2021 Moustaq Karim Khan Rony, Shuvashish Das Bala, Md. Moshiur Rahman, Afrin Jahan Dola, Ibne Kayesh, Md. Tawhidul Islam, Israth Jahan Tama, Emdadul Haque Shafi, Shamima Rahman 2021-09-18 2021-09-18 7 4 10.33546/bnj.1680 The relationship between knowledge and self-efficacy of nurses regarding early initiation of cardiopulmonary resuscitation and automated defibrillation in Saudi Arabia <p><strong>Background: </strong>Cardiopulmonary resuscitation (CPR) and early defibrillation are the most common procedures performed by nurses as the first responders to cardiac arrest patients in the hospital setting. Therefore, nurses are demanded to have high skills for effective performance. Self-efficacy and knowledge are considered significant factors affecting early initiation of CPR and automated defibrillation. However, previous studies mostly focused on nursing students instead of frontline nurses.</p> <p><strong>Objective: </strong>This research aimed to assess the relationship between nurses’ knowledge and self-efficacy regarding the early initiation of CPR and automated defibrillation of cardiac arrest patients.</p> <p><strong>Methods: </strong>The study employed a cross-sectional, descriptive, correlational survey. Using convenience sampling, two hundred eighty-seven nurses working in critical areas and inpatient and outpatient departments, King Abdulaziz University Hospital (KAUH), Saudi Arabia, were selected. Resuscitation Knowledge and Self-Efficacy Scales were used for data collection (using Google Form) from November 2020 to January 2021. Descriptive statistics and Pearson correlation were used for data analysis.</p> <p><strong>Results:</strong> Overall, 61.3% of participants had moderate knowledge (13.659 ± 2.175), and 63.8% had high self-efficacy (44.627 ± 58.397). The highest domain of self-efficacy was responding and rescuing, while the lowest domain was debriefing and recording. There was a significant positive relationship between knowledge and self-efficacy (<em>p </em>&lt;0.001; <em>r</em> = 0.207).</p> <p><strong>Conclusion</strong>: The positive relationship explained a high level of self-efficacy if there was a high level of knowledge. Thus, it is recommended that nursing programs apply CPR and automated defibrillation curricula during nurses’ internships, clear policies and procedures about CPR and automated defibrillation, continual updates about CPR and automated defibrillation, and knowledge and continuance training (on-job-training) about CPR and automated defibrillation, which can enhance and improve knowledge and self-efficacy among health care workers, especially for nurses. &nbsp;</p> Zainah D Alaryani Aisha Alhofaian Mona Elhady Copyright (c) 2021 Zainah Alaryani, Aisha Alhofaian, Mona Elhady 2021-09-16 2021-09-16 7 4 10.33546/bnj.1670 Resilience among nurses working in paediatric wards in Brunei Darussalam: A qualitative study <p><strong>Background: </strong>Resilience has become highly relevant for nurses working to avoid the negative impact of stress and maximise the positive benefits.</p> <p><strong>Objective</strong>: This study aimed to explore and describe experiences of resilience among nurses when they first started working in paediatric wards.</p> <p><strong>Methods:</strong> A qualitative, interpretive descriptive approach was used to guide the study. Purposive sampling was employed to recruit 8 participants, which proved sufficient to achieve theoretical saturation. Semi-structured individual interviews were conducted in 2020 and audio recorded. An inductive analytic approach was utilised.</p> <p><strong>Results</strong>: Three overarching themes arose from the analysis: (1) The transition period (2) Gaining the trust of others (3) Having a positive mindset.</p> <p><strong>Conclusion</strong>: This study found that nurses used multiple strategies of resilience in order to cope with workplace stress when they first began the transition period. However, as they become familiar with the workplace and gain the trust of others, this factor enables nurses to have a positive outlook toward job setbacks. &nbsp;</p> Nur Raihan Ramli Hjh Siti Nor'ainah Hj Mohd Noor Yusrita Zolkefli Copyright (c) 2021 Nur Raihan Ramli, Hjh Siti Nor'ainah Hj Mohd Noor, Yusrita Zolkefli 2021-09-15 2021-09-15 7 4 10.33546/bnj.1667