Belitung Nursing Journal最新文献

[This corrects the article DOI: 10.33546/bnj.3212.].

Background: Nurse-led interventions play a vital role in cervical cancer care across the disease trajectory but are often underappreciated despite their impact on patient-reported outcomes.

Objective: This review aimed to map current nurse-led interventions for women with cervical cancer across the disease trajectory, identify key design gaps, reporting, and evaluation to guide practice and research.

Methods: The scoping review was guided by Arksey and O'Malley's framework for conducting scoping studies. The included studies were published between 2015 and 2025 and were identified through searches of MEDLINE, Scopus, Embase, CINAHL, and ScienceDirect. The final database search was conducted on 31 December 2025. The studies were empirical studies on nurse-led interventions targeting management of cervical cancer patients. The primary results were organized by themes using a line-by-line coding method.

Results: Of the 1,220 studies identified, twenty-two met the inclusion criteria. Most studies used quasi-experimental designs, with few randomized, mixed-methods, or qualitative studies. The nurse-led interventions emphasized health education and psychological support, and improved sexual function, mental health, disease knowledge, quality of life, self-efficacy, personal confidence, and body image. Important elements of cervical cancer care such as cost of care, financial burden, palliative and end-of-life care, and cancer recurrence were mostly not addressed by any intervention.

Conclusion: The included studies frequently reported positive outcomes associated with nurse-led interventions such as improved patients' sexual function, quality of life, mental health, emotional well-being, family functioning, symptom burden, self-management, knowledge, and satisfaction with care.

Registry: PROSPERO [CRD420261277487].

Background: Family-Centered Early Intervention (FCEI) is increasingly recognized as a framework for promoting child development and family empowerment. However, its application in nursing practice may be limited by the lack of a clear distinction between FCEI, Family-Centered Care (FCC), and Patient- and Family-Centered Care (PFCC).

Objective: To clarify the concept of FCEI and distinguish it from FCC and PFCC by identifying its defining attributes, antecedents, consequences, and empirical referents.

Methods: Walker and Avant's eight-step concept analysis method was applied. A comprehensive search was conducted across five databases (PubMed, CINAHL, Scopus, ERIC, and Taylor & Francis) for studies published between January 2010 and September 2025. After screening, 49 of 1,958 identified records were included.

Results: Seven defining attributes distinguished FCEI from FCC and PFCC: family capacity building, caregiver-mediated intervention (coaching), natural environment-based delivery, routines-based intervention, timeliness and early action, orientation toward developmental and functional outcomes, and an enabling system. These attributes position families as the primary agents of developmental change and situate intervention within everyday routines and natural environments. Antecedents included developmental screening, coordinated service systems, and provider coaching competencies, while consequences encompassed improved child developmental outcomes, greater parental self-efficacy, enhanced family quality of life, and stronger service coordination.

Conclusion: FCEI is a distinct developmental intervention framework that extends family-centered principles beyond clinical care toward caregiver coaching, family capacity building, and developmental support in everyday contexts. Integrating FCEI into pediatric and community nursing may strengthen early identification, family empowerment, and coordinated developmental care, particularly in low- and middle-income countries.

Background: University students with hearing, visual, and motor disabilities report several challenges that is negatively associated with psychological wellbeing. Although the numbers of students with disabilities in higher education is continuously increasing, the nursing related studies about the association of resilience, spiritual well-being, and self-esteem remains limited.

Objectives: This study examined the associations among resilience, spiritual well-being, and self-esteem among university students with disabilities.

Methods: A cross-sectional correlational design was used. University students with visual, hearing, and motor disabilities in Jordan were recruited through convenience sampling between February and April 2025. Data were collected using an electronic survey that included a demographic questionnaire, the Connor-Davidson Resilience Scale, the Functional Assessment of Chronic Illness Therapy-Spiritual Well-Being Scale, and the Rosenberg Self-Esteem Scale. Data were analyzed using descriptive statistics, one-way ANOVA, and Pearson's correlation.

Findings: A total of 110 students participated (mean age = 22.7 years, SD = 4.18); 43.6% had visual disabilities, 36.4% had hearing disabilities, and 20.0% had motor disabilities. The mean resilience score was 71.29 (SD = 17.40) out of 100, the mean spiritual well-being score was 36.30 (SD = 7.12) out of 48, and the mean self-esteem score was 29.60 (SD = 4.79) out of 40. Students with visual disabilities reported significantly higher levels of spiritual well-being (F = 6.09, p = 0.003) and self-esteem (F = 23.26, p < 0.001). Lower self-esteem levels were observed among first-year students (F = 5.39, p = 0.002). Significant positive correlations were found between resilience and spiritual well-being (r = 0.698, p ≤ 0.01), resilience and self-esteem (r = 0.579, p ≤ 0.01), and spiritual well-being with self-esteem (r = 0.602, p ≤ 0.01).

Conclusions: The significant positive associations among resilience, spiritual well-being, and self-esteem emphasizing the prompt need for psychological support across different type of disabilities. Continuous nursing assessment and psycho-social intervention for students with disabilities should be considered in the university health programs.

Background: Research on cyberbullying has largely focused on psychological outcomes and individual coping strategies, with limited attention to how adolescents narratively construct resilience within specific cultural and historical contexts. In post-conflict societies, adolescents' responses to cyberbullying are shaped not only by personal resources but also by moral expectations, spiritual discourses, and power-laden digital environments.

Objective: This study aimed to explore how adolescents in post-conflict Ambon, Indonesia, narratively construct resilience through their meaning-making of cyberbullying experiences.

Methods: A qualitative narrative inquiry design was employed. Participants were recruited using purposive sampling through senior high schools, universities, and youth community networks in urban and semi-urban areas of Ambon, Maluku Province, Indonesia. In-depth narrative interviews were conducted in 2021 with twelve adolescents aged 16-19 years who reported experiences of cyberbullying. Data were analyzed drawing on Riessman's approach to narrative analysis, focusing on the connections and recurring patterns across narratives through which resilience was articulated and meaning was constructed, rather than treating narratives as linear or unified trajectories. The study was reported in accordance with the Consolidated Criteria for Reporting Qualitative Research (COREQ).

Results: Five narrative threads were identified through which adolescents narrated resilience in the context of cyberbullying. These narratives did not follow a single or linear pathway but reflected emotional wounding, silence as an ambivalent form of endurance, spiritually mediated meaning-making under constraint, moral restraint as identity negotiation, and tentative efforts to reclaim self-worth through compassion and reframing. Silence and spirituality functioned as culturally shaped resources that at times provided moral coherence or protection, while simultaneously revealing despair, constraint, and limited perceived options within morally regulated and digitally surveilled environments.

Conclusion: Adolescents' resilience to cyberbullying in post-conflict Ambon was narrated not as recovery or empowerment, but as an ongoing and culturally embedded process of endurance, moral negotiation, and partial re-authoring of self-worth. For nursing practice, these findings underscore the importance of narrative-sensitive and culturally responsive approaches that attend to adolescents' silence, spiritual expressions, and moral frameworks, while fostering safe spaces for meaning-making and psychosocial care.

Background: Resourcefulness is the capacity to confront life's obstacles by utilizing coping skills, adapting to new circumstances, and seeking assistance from the environment. Therefore, the geriatric field continues to emphasize the importance of older adults' resourcefulness. The Indonesian version of the Resourcefulness Scale^© (I-RS) has just been translated; it is essential to conduct this research and report the findings for its application in Indonesia.

Objective: This study intended to develop the Bahasa Indonesian version of the Resourcefulness Scale^© and to test its reliability and validity in older adults.

Methods: The questionnaire was initially created in English and then translated by two linguistic experts. Subsequently, meaning and cultural analysis were performed by psychiatric nursing specialists. Following this, a back-translation was executed, and the Indonesian version was used for data collection. Data was collected with 331 older adults residing in 11 nursing homes from 2023 to 2024. Correlational analysis and Confirmatory Factor Analysis (CFA) were conducted using Structural Equation Modeling (SEM) in LISREL 8.8 to examine the validity of the I-RS. Reliability was assessed using Cronbach's Alpha and Split-half reliability.

Results: The internal consistency of the Indonesian version of the instrument is acceptable with Cronbach's Alpha .79 and Split-half reliability .75. According to the results of SEM, Chi square = 253.13, the Root means square error of approximation (RMSEA = 0.04), the adjusted goodness of fit index (AGFI = 0.90), Normed Fit Index (NFI = 0.92), Parsimony Normed Fit Index (PNFI = 0.76) and Comparative fit Index (CFI = 0.97) were all accepted. Two factors, such as personal and social resourcefulness, were identified through factor analysis using SEM. A positive and significant relationship was found between resourcefulness and spiritual health (r = 0.45, p < 0.001).

Conclusion: These results confirmed the use of the Indonesian version of the Resourcefulness scale (I-RS), indicating that it has acceptable reliability and validity. This instrument is potentially useful for measuring older adults' resourcefulness in geriatric nursing in Indonesia, across both clinical and community settings.

Background: Postpartum depression (PPD) significantly impacts maternal well-being, infant development, and family functioning. Studies examining interrelationships among multiple predictors using theoretical frameworks in Chinese populations remain limited.

Objective: To determine the prevalence of postpartum depression and examine the associations of biological, psychological, and social factors among postpartum women in Wenzhou, China.

Methods: A predictive correlational cross-sectional study was conducted at a tertiary hospital in Wenzhou from November to December 2024. Using systematic random sampling, 166 postpartum women aged 20-44 years, within 4 weeks to 6 months postpartum, were recruited. Data were collected using validated instruments, including the Edinburgh Postnatal Depression Scale (EPDS), Rosenberg Self-Esteem Scale, Maternal Breastfeeding Evaluation Scale, Revised Dyadic Adjustment Scale, and Stryker Adjustment Checklist. Multiple regression and mediation analyses using the PROCESS macro with bootstrap resampling were performed to identify significant predictors and examine mediating pathways.

Results: The prevalence of PPD (EPDS score ≥9) was 21.1%. Multiple regression analysis revealed that breastfeeding satisfaction (β = -0.419, p < 0.001) and fulfillment of infant gender expectations (β = -0.202, p = 0.006) were significant predictors, together accounting for 28.4% of the variance in PPD symptoms. Mediation analysis indicated that breastfeeding satisfaction partially mediated the relationship between infant gender expectations and PPD. Pregnancy complications, self-esteem, marital satisfaction, and mother-in-law relationships were not statistically significant predictors in the final model.

Conclusion: Approximately one in five postpartum women in Wenzhou experienced clinically significant depressive symptoms. Fulfilled gender expectations were associated with lower PPD risk, partially mediated by higher breastfeeding satisfaction, supporting the Biopsychosocial Model. These findings highlight the need for routine PPD screening, satisfaction-focused breastfeeding support, culturally sensitive counseling regarding family gender expectations, and family-centered interventions in postpartum care.

Background: Chronic kidney disease (CKD) is a progressive condition associated with declining decisional capacity and increased end-of-life care needs. Although advance care planning (ACP) supports patient autonomy and goal-concordant care, engagement remains limited, particularly among patients with pre-dialysis CKD in Thailand.

Objectives: To assess the level of intention to engage in ACP and identify factors predicting ACP intention among patients with CKD stages 3-5 in Thailand.

Methods: A cross-sectional study was conducted from April to June 2025 among 184 patients aged ≥20 years with CKD stages 3-5 attending nephrology outpatient clinics at five public tertiary-level hospitals. Participants were recruited through purposive sampling using a multistage approach. Data were collected using validated questionnaires and analyzed using descriptive statistics and hierarchical multiple regression.

Results: The mean age of participants was 64.48 years (SD = 11.78), and 51.6% were female. The level of intention to engage in ACP was low (M = 16.89, SD = 7.83). Hierarchical regression analysis identified attitudes toward ACP (β = 0.296, p < 0.001), family support (β = 0.220, p = 0.001), perceived self-efficacy in self-management (β = 0.155, p < 0.05), and knowledge of ACP (β = 0.145, p < 0.05) as significant predictors. The final model explained 56.6% of the variance in ACP intention (R² = 0.566), with the independent variables contributing an additional 33.3% beyond demographic and clinical variables (ΔR² = 0.333, p < 0.001). Death anxiety was not a significant predictor.

Conclusions: ACP intention among Thai patients with CKD was low, influenced by attitudes, family support, self-efficacy, and ACP knowledge. Nurses should implement family-centered, empowerment-based educational interventions and integrate ACP discussions into routine nephrology care to promote timely and culturally aligned end-of-life decision-making.

Background: Health promotion in correctional settings faces challenges due to limited healthcare access and restricted environments. Nurses are primary healthcare providers in correctional institutions; however, evidence on nurse-led capacity-building programs for inmate health volunteers remains limited. Developing the capacity of Prison Public Health Volunteer Leaders (PPHVs) through a holistic healthcare approach can enhance their self-reliance.

Objective: This study aimed to collaboratively develop, implement, and evaluate a holistic health care program to strengthen the capacity of PPHVs at the Central Correctional Institution for Young Offenders in Pathum Thani Province, Thailand.

Methods: This study employed a Participatory Action Research (PAR) design. A total of 100 well-behaved inmates were purposively selected as PPHVs and actively engaged as co-participants throughout the PAR process. The intervention was collaboratively designed and implemented over five weeks, comprising ten participatory training sessions that addressed physical, mental, social, and environmental health dimensions. Quantitative data were collected using validated questionnaires assessing knowledge, attitudes, health practice skills, data management skills, and overall capacity at baseline, post-intervention, and at 1-month follow-up. Data were analyzed using repeated measures analysis of variance (ANOVA).

Results: The findings revealed statistically significant improvements (p <0.001) in participants' knowledge (F = 778.41, ηp² = 0.887), attitudes (F = 889.09, ηp² = 0.900), health practice skills (F = 1241.89, ηp² = 0.917), data management skills (F = 546.81, ηp² = 0.847), and overall capacity (F = 727.48, ηp² = 0.880). These outcomes indicate substantial enhancement in PPHVs' ability to perform health promotion and data management roles proficiently.

Conclusion: The holistic health care program significantly improved PPHVs' capacity, suggesting promise for strengthening inmate health volunteer programs in correctional settings. These findings have significant implications for nursing practice in designing capacity-building programs, nursing education in preparing nurses for correctional care, and nursing policy in developing standards for correctional nursing in Thailand.

Trial registry number: Thai Clinical Trials Registry (TCTR20260115003).

[This corrects the article DOI: 10.33546/bnj.3744.].