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                  <text>VOL. 13 NO. 1 (2025) </text>
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                <text>COVER JURNAL NASIONAL PADJADJARAN VOL.13 N0.1 2025</text>
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                <text>Validating a mobile application for anemia prevention: Insights from expert&#13;
feedback on AneMia_Prev®</text>
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                <text>anemia prevention, content validation, delphi technique, mobile&#13;
application</text>
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                <text>Background: Anemia remains a critical public health issue among&#13;
adolescents, particularly in developing countries such as Indonesia. Poor&#13;
nutritional knowledge and limited awareness of anemia-related symptoms,&#13;
etiology, and prevention exacerbate this condition. Mobile health (mHealth)&#13;
technologies have the potential to address these gaps through accessible,&#13;
engaging, and scalable education tools.&#13;
Purpose: This study aimed to validate the content of AneMia_Prev®, a&#13;
mobile application designed as an educational tool to enhance adolescent&#13;
knowledge on the prevention of anemia.&#13;
Methods: A Delphi technique was employed involving two rounds of expert&#13;
panel review. Twelve experts with clinical and academic backgrounds in&#13;
nursing and public health evaluated the content of AneMia_Prev® based on&#13;
relevance, clarity, layout, illustrations, language, and motivational features.&#13;
The Content Validity Index (CVI) and modified kappa statistics were used&#13;
to assess inter-rater agreement and content adequacy. Data were collected&#13;
through an online survey using a 17-item validated questionnaire.&#13;
Results: In the first round, all 17 items achieved excellent content validity&#13;
with I-CVI values ranging from 0.87 to 1.00 and kappa values above 0.87.&#13;
Following minor expert recommendations, a revised version of the application&#13;
was re-evaluated, resulting in unanimous ratings of excellence (I-CVI = 1.00;&#13;
kappa &gt; 0.92 for all items). Experts emphasized the application’s innovation,&#13;
relevance, and potential to promote anemia awareness among adolescents.&#13;
Conclusion: AneMia_Prev® demonstrated excellent content validity and is&#13;
considered suitable for educational interventions targeting anemia prevention&#13;
among adolescents. Future research is recommended to assess semantic&#13;
validation, cognitive impact, and learning outcomes among adolescent users&#13;
to further refine the tool and evaluate its effectiveness in real-world settings.</text>
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            <description>An entity primarily responsible for making the resource</description>
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                <text>Sri Rahayu1&#13;
&#13;
* , Mohamed Saifulaman Mohamed Said2 , Tukimin Bin&#13;
&#13;
Sansuwito3 , Sigit Mulyono4</text>
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                <text>http://jkp.fkep.unpad.ac.id/index.</text>
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                <text>peri irawan</text>
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          <element elementId="50">
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            <description>A name given to the resource</description>
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                <text>Triage in disasters: A conceptual analysis</text>
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          <element elementId="49">
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            <description>The topic of the resource</description>
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                <text>concept analysis, disaster management, disaster triage, nurse,&#13;
walker and avant</text>
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            <description>An account of the resource</description>
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                <text>Background: Disaster triage faces significant challenges due to definitional&#13;
conflicts and ambiguities. Conducting a concept analysis of disaster triage&#13;
is essential for clarifying its meaning, improving decision-making, ensuring&#13;
effective training, and enhancing disaster preparedness for healthcare&#13;
professionals.&#13;
Purpose: Thus, this study aims to define the concept of disaster triage and&#13;
identify its attributes, antecedents, and consequences using Walker and&#13;
Avant’s framework.&#13;
Methods: The methodology involved a comprehensive literature review&#13;
from 2013 to 2024, focusing on nurse-related triage during emergencies and&#13;
disasters. Articles were gathered from databases such as Web of Science,&#13;
PubMed, Scopus, Cochrane Library, and Google Scholar. After screening&#13;
the titles, abstracts, and full texts, 30 articles met the inclusion criteria.&#13;
Results: Following Walker and Avant’s framework, the concept analysis&#13;
revealed that disaster triage is influenced by various antecedents, attributes,&#13;
and consequences. Antecedents such as education, working experience,&#13;
and disaster training provide the foundation for effective triage practices,&#13;
while attributes such as clinical judgment, assessment skills, and effective&#13;
communication are crucial in the triage process itself. The consequences of&#13;
effective disaster triage include enhanced patient safety and care delivery&#13;
efficiency.&#13;
Conclusion: In conclusion, this study provides valuable insights that&#13;
deepen the understanding of the concept of disaster triage and also provides&#13;
valuable guidance for clinical practice and informs future research in the&#13;
fields of disaster management and emergency nursing.</text>
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            <name>Creator</name>
            <description>An entity primarily responsible for making the resource</description>
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                <text>Asih Dewi Setyawati1 , Yu-Ying Lu2*</text>
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            <description>A related resource from which the described resource is derived</description>
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                <text>http://jkp.fkep.unpad.ac.id/index.&#13;
php/jkp</text>
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            <name>Date</name>
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                <text>April 29, 2025</text>
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            <name>Contributor</name>
            <description>An entity responsible for making contributions to the resource</description>
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                <text>peri irawan</text>
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            <description>A language of the resource</description>
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                <text>english</text>
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            <description>A name given to the resource</description>
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                <text>The self–directed learning readiness and self–efficacy of nursing students&#13;
in synchronous learning: A cross– sectional study</text>
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          <element elementId="49">
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            <description>The topic of the resource</description>
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                <text>nursing students, self-directed learning readiness, self-efficacy,&#13;
synchronous learning</text>
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                <text>Background: Beyond the pandemic, synchronous online learning was&#13;
found to be a reliable approach in undergraduate nursing education. The&#13;
students’ self-directed learning readiness and online self-efficacy are key to&#13;
the successful implementation of this approach. Readiness determines the&#13;
learner’s needs based on contextual education, while efficacy refers to the&#13;
students’ confidence when completing online learning tasks.&#13;
Purpose: The current study aims to investigate the relationship between&#13;
self-directed learning readiness and self-efficacy among undergraduate&#13;
nursing students.&#13;
Methods: A descriptive correlational study was carried out to measure the&#13;
&#13;
undergraduate nursing students’ readiness and efficacy using the Self-&#13;
Directed Learning Readiness (SDLR) Scale and the Online Learning Self-&#13;
Efficacy Scale. Upon completing data collection using a web-based survey,&#13;
&#13;
univariate descriptive and bivariate analysis with Pearson correlation were&#13;
conducted.&#13;
Results: A total of 188 undergraduate nursing students participated in&#13;
this study with an average age of 20.12 years old. The majority of nursing&#13;
students (72.9%) within the program had a moderate SDLR level, while the&#13;
mean (SD) SDLR was 149.95 (±12.24). Similarly, moderate self-efficacy&#13;
was reported by the present study participants. The self-efficacy subscale&#13;
of strength was categorized as high, while moderate levels of generality&#13;
and magnitude were interpreted from the findings. The bivariate statistical&#13;
analysis indicated a significant correlation between SDLRS and online&#13;
self-efficacy (r=0.298, p&lt;0.001). SDLR had significant correlations with&#13;
each online self-efficacy subscale, including strength (r=0.259, p&lt;0.001),&#13;
generality (r=0.259, p&lt;0.001), and magnitude (r=0.259, p&lt;0.001).&#13;
Conclusion: In synchronous learning, the undergraduate nursing&#13;
student’s SDLR was found to have a positive relationship with self-efficacy.&#13;
Provisioning the students’ individual learning skills is necessary to enhance&#13;
their readiness and consequently improve their acquisition of the educational&#13;
outcomes.</text>
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                <text>Totok Harjanto1* , Made Satya Nugraha Gautama2 , Dimas Septian Eko&#13;
Wahyu Sumunar3</text>
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            <description>A related resource from which the described resource is derived</description>
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                <text>http://jkp.fkep.unpad.ac.id/index.&#13;
php/jkp</text>
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                <text>April 25, 2025</text>
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            <description>A name given to the resource</description>
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                <text>The impact of interactive video-based exercise on quality of life among&#13;
pregnant women in Indonesia: A pilot study</text>
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          <element elementId="49">
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                <text>Background: Pregnant women experience lower quality of life compared&#13;
to the general population and experience a decrease in their quality of life&#13;
as their pregnancy progresses. Video interactive provides an interesting&#13;
and interactive environment, so participants would be more likely to enjoy&#13;
completing their physical activity regimen.&#13;
&#13;
Purpose: This study aimed to determine the impact of video interactive-&#13;
based exercise on quality of life among pregnant women in Indonesia.&#13;
&#13;
Methods: A quasi-experimental study was carried out in Bandung, West&#13;
Java, Indonesia from August 2023 to January 2024. The intervention and&#13;
control groups involved healthy pregnant women aged above 18 years&#13;
old, second trimester pregnant, advised by healthcare, literate, and willing&#13;
to participate in physical activity. The study involved 264 pregnant women,&#13;
with a response rate of 96%. Data was collected before (T0), immediately&#13;
after (T1), and 2 weeks after the intervention (T2). The videos covered&#13;
combination of exercise program for pregnant women, including warm-up,&#13;
main phase (with an aerobic element, followed by strength and endurance&#13;
exercises) and final stretching and relaxation. quality of life was measure&#13;
using quality of life Gravidarum. The analysis was evaluated using repeated&#13;
ANOVA test and difference-in-difference estimate.&#13;
Results:After a two-week follow-up, the intervention group showed a&#13;
substantial increase in quality of life scores, with a moderate level of impact&#13;
(effect size= 0.39). The difference-in-difference estimate showed a modest&#13;
increase of 3.57 percentage points between groups.&#13;
Conclusion: The study demonstrated that video interactive exercise&#13;
significantly improved the quality of life for pregnant women, indicating the potential for encouraging their participation in such activities.</text>
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in Indonesian clinical settings remain unknown, with the accumulation of&#13;
prone hours potentially impacting results.&#13;
&#13;
Purpose: The study aimed to test the effect of awake prone position in non-&#13;
intubated patients with covid-19.&#13;
&#13;
Methods: This study used a feasibility randomized control trial. The research&#13;
was conducted at two general hospitals in Jakarta, Indonesia. This study&#13;
used a computerized random number generator was used to assign patients&#13;
to intervention and control groups. The sample is adult patients who admitted&#13;
to the hospital with hypoxic respiratory failure due to a positive COVID-19&#13;
test. A total of 70 patients were randomly assigned to each group, with 35&#13;
&#13;
individuals being included in the analysis. The intervention involved bed-&#13;
side nurses encouraging patients to lie prone for at least 6 hours daily, with&#13;
&#13;
additional pillows provided for comfort. Significant prone position sessions&#13;
were recorded if they lasted more than 30 minutes in both arms, lasting for&#13;
7 days.&#13;
Results: The intervention group of patients achieved 65.7% adherence to&#13;
the intervention protocol. After 2 hours, the P/F ratio was significantly different&#13;
across the groups, but no significant different between intervention and&#13;
control group, in term of respiratory escalation, length of stay, or mortality.&#13;
However, 5.7% of patients in intervention group and 11.4% of patients in&#13;
control group died due to respiratory failure.&#13;
Conclusion: Clinical trial conditions have shown that non-intubated patients&#13;
can be placed in an awake prone position without harm, and this information&#13;
could be used to help design protocols for future large randomized controlled&#13;
trials.</text>
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                <text>Background: The duration of discomfort and clinical benefits of lying prone&#13;
in Indonesian clinical settings remain unknown, with the accumulation of&#13;
prone hours potentially impacting results.&#13;
&#13;
Purpose: The study aimed to test the effect of awake prone position in non-&#13;
intubated patients with covid-19.&#13;
&#13;
Methods: This study used a feasibility randomized control trial. The research&#13;
was conducted at two general hospitals in Jakarta, Indonesia. This study&#13;
used a computerized random number generator was used to assign patients&#13;
to intervention and control groups. The sample is adult patients who admitted&#13;
to the hospital with hypoxic respiratory failure due to a positive COVID-19&#13;
test. A total of 70 patients were randomly assigned to each group, with 35&#13;
&#13;
individuals being included in the analysis. The intervention involved bed-&#13;
side nurses encouraging patients to lie prone for at least 6 hours daily, with&#13;
&#13;
additional pillows provided for comfort. Significant prone position sessions&#13;
were recorded if they lasted more than 30 minutes in both arms, lasting for&#13;
7 days.&#13;
Results: The intervention group of patients achieved 65.7% adherence to&#13;
the intervention protocol. After 2 hours, the P/F ratio was significantly different&#13;
across the groups, but no significant different between intervention and&#13;
control group, in term of respiratory escalation, length of stay, or mortality.&#13;
However, 5.7% of patients in intervention group and 11.4% of patients in&#13;
control group died due to respiratory failure.&#13;
Conclusion: Clinical trial conditions have shown that non-intubated patients&#13;
can be placed in an awake prone position without harm, and this information&#13;
could be used to help design protocols for future large randomized controlled&#13;
trials.</text>
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                <text>Roles of agro-nursing in bringing health services in rural and remote areas of&#13;
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                <text>Agro-nursing is an innovative approach to health care that integrates nursing&#13;
science with a contextual understanding of agricultural conditions and rural&#13;
life. Rural and remote areas in Indonesia often face challenges in accessing&#13;
adequate health care. This article discusses the role of agro-nursing in&#13;
addressing these challenges, highlighting how nurses can act as agents&#13;
of change who provide health care and empower communities through&#13;
approaches appropriate to local characteristics. By utilizing local potential,&#13;
community culture, and agricultural systems as an integral part of rural life,&#13;
agro-nursing strengthens health care promotive, preventive, curative, and&#13;
rehabilitative efforts. This study also highlights the importance of specialized&#13;
training, cross-sector collaboration, and policy support to optimize the&#13;
role of agro-nursing in improving the health of communities in remote and&#13;
disadvantaged areas. It is hoped that agro-nursing can be a sustainable&#13;
strategy for narrowing the gap in health services between urban and rural&#13;
areas in Indonesia.</text>
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                <text>Tantut Susanto1* , Daniel Joseph E. Berdida2</text>
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                <text>http://jkp.fkep.unpad.ac.id/index.&#13;
php/jkp</text>
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                <text>Posterior communicating artery aneurysm presenting as isolated&#13;
oculomotor palsy: The role of rapid identification, intervention, and multidisciplinary care - A case study</text>
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                <text>aneurysm; coiling; oculomotor nerve palsy; posterior&#13;
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                <text>Background: Posterior communicating artery (PCOM) aneurysms are the&#13;
prevalent type of aneurysm with high rupture risks. Isolated oculomotor&#13;
nerve (CN III) palsy is a key symptom warranting heightened awareness&#13;
in primary care. Given the need for advanced imaging, early referral is&#13;
paramount. This study highlights the significance of prompt identification,&#13;
targeted intervention, and comprehensive management in optimizing patient&#13;
outcomes.&#13;
Case: A 58-year-old woman presented with isolated CN III palsy. The patient&#13;
underwent rapid referral to tertiary care with magnetic resonance angiography&#13;
(MRA) and digital subtraction angiography (DSA), revealing an aneurysm&#13;
in the PCOM. Subsequently, coiling was performed to achieve complete&#13;
occlusion. The procedure resulted in significant neurological recovery, with&#13;
restoration of CN III function. Post-coiling, the patient receives close nurse&#13;
monitoring, incorporating fall management and comprehensive education&#13;
before discharge. CN III palsy is one of the unique-noticeable presentations&#13;
of PCOM aneurysms, though symptoms may include facial pain, occasional&#13;
headaches, and migraines. Coiling was chosen due to its less invasiveness&#13;
and was recommended for posterior circulation aneurysms. Blood pressure&#13;
control is essential to prevent aneurysm formation, rupture, and recurrence.&#13;
Regular imaging follow-ups were needed to ensure long-term outcomes.&#13;
Conclusion: PCOM aneurysm care involves a multidisciplinary approach.&#13;
Rapid identification, early referral, immediate occlusion, and comprehensive&#13;
rehabilitative programs were mandatory to improve patient outcomes.</text>
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              <elementText elementTextId="115260">
                <text>Raden Andi Ario Tedjo1,2* , Subandi Subandi1,2 , Teddy Tejomukti1 ,&#13;
Baarid Luqman Hamidi1,2 , Christopher Daniel Tristan3 , Muhammad&#13;
Farid Hamka4 , Awalil Rifqi Kurnia Rahman3 , Stefanus Erdana Putra1&#13;
, Muhammad Hafizhan1</text>
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            <name>Source</name>
            <description>A related resource from which the described resource is derived</description>
            <elementTextContainer>
              <elementText elementTextId="115261">
                <text>http://jkp.fkep.unpad.ac.id/index.&#13;
php/jkp</text>
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            <name>Date</name>
            <description>A point or period of time associated with an event in the lifecycle of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="115262">
                <text>April 29, 2025</text>
              </elementText>
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          <element elementId="37">
            <name>Contributor</name>
            <description>An entity responsible for making contributions to the resource</description>
            <elementTextContainer>
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                <text>peri irawan</text>
              </elementText>
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            <name>Language</name>
            <description>A language of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="115265">
                <text>english</text>
              </elementText>
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    <tagContainer>
      <tag tagId="13553">
        <name>aneurysm; coiling; oculomotor nerve palsy; posterior communicating artery</name>
      </tag>
    </tagContainer>
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            <element elementId="50">
              <name>Title</name>
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                <elementText elementTextId="114818">
                  <text>VOL. 13 NO. 1 (2025) </text>
                </elementText>
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            <element elementId="37">
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                  <text>PERI IRAWAN</text>
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          <element elementId="50">
            <name>Title</name>
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              <elementText elementTextId="115235">
                <text>Milk-sharing experiences: Perspective among Malaysian donors and recipient mothers</text>
              </elementText>
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          <element elementId="49">
            <name>Subject</name>
            <description>The topic of the resource</description>
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                <text>altruism; Asia; breastfeeding; human milk; social media</text>
              </elementText>
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                <text>Background: Shared breastmilk has been a longstanding tradition in many&#13;
cultures throughout history through wet nursing, cross nursing, and the&#13;
donation of expressed breastmilk to a milk bank. However, social media&#13;
has introduced some new dynamics to this practice, making it more visible&#13;
and accessible; and it is known as milk-sharing. Research on milk sharing&#13;
is still in its infancy and focused on western perspectives. Therefore, the&#13;
sociocultural dimensions of milk sharing have not been adequately explored&#13;
across different settings and cultures.&#13;
Purpose: This qualitative study aims at understanding the milk-sharing&#13;
experiences among donor and recipient mothers in Malaysia.&#13;
Methods: We conducted a social media analysis on milk-sharing postings&#13;
from four Facebook Groups Pages. This was followed by a detailed&#13;
exploration of individual experiences throughout the milk-sharing journey&#13;
using a semi-structured, online interview with thirty mothers. Thematic&#13;
analysis was applied in the data analysis process using ATLAS.ti 9 software.&#13;
Results: A total of 252 postings were retrieved from four Facebook Groups&#13;
Pages. Of these, 151 postings referred to donating milk, 70 referred to&#13;
requesting milk, and 31 focused on issues related to milk-sharing. Thirty&#13;
mothers with various milk-sharing experiences were involved in this study.&#13;
Fifteen donors, six recipients, and nine fell into both categories. The mothers&#13;
in the study had an average age of 32.9 years and the majority were Malay.&#13;
In terms of their relationship with the infants, 93.3% were biological mothers&#13;
with the majority having two to five children. Thematic analysis identified four&#13;
themes: 1) point of reference, 2) altruism for mutual benefit, 3) faith and 4 )&#13;
challenges and problem-solving methods.&#13;
Conclusion: Milk sharing is a personal and sociocultural-bounded practice&#13;
where mothers negotiate their understanding of the need to breastfeed and&#13;
the use of donated breastmilk. Despite its specific focus on the Malaysian&#13;
context, this research offers a complementary understanding of milk sharing&#13;
within a non-Western framework and transferable to similar sociocultural&#13;
backgrounds. The findings are important for intercultural nursing and&#13;
midwifery practice, where nurses can incorporate sociocultural perspectives&#13;
into breastmilk donation initiatives to increase public acceptance.</text>
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            <description>An entity primarily responsible for making the resource</description>
            <elementTextContainer>
              <elementText elementTextId="115238">
                <text>Lee Khuan1 , Nurul Akma Jamil1,3* , Cheong Ai Theng22 , Siti Mariam&#13;
Muda3</text>
              </elementText>
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          </element>
          <element elementId="48">
            <name>Source</name>
            <description>A related resource from which the described resource is derived</description>
            <elementTextContainer>
              <elementText elementTextId="115239">
                <text>http://jkp.fkep.unpad.ac.id/index.&#13;
php/jkp</text>
              </elementText>
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          <element elementId="40">
            <name>Date</name>
            <description>A point or period of time associated with an event in the lifecycle of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="115240">
                <text>April 25, 2025</text>
              </elementText>
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          <element elementId="37">
            <name>Contributor</name>
            <description>An entity responsible for making contributions to the resource</description>
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              <elementText elementTextId="115241">
                <text>peri irawan</text>
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          <element elementId="44">
            <name>Language</name>
            <description>A language of the resource</description>
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              <elementText elementTextId="115243">
                <text>english</text>
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        <name>altruism; Asia; breastfeeding; human milk; social media</name>
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