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                  <text>VOL.19 NO.4 (2024)</text>
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                  <text>peri irawan</text>
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            <name>Title</name>
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                <text>A pilot translation and adaptation of the Diabetes&#13;
Obstacle Questionnaire (DOQ) to measure&#13;
obstacles and challenges in diabetes management&#13;
for people with diabetes in Indonesia</text>
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                <text>adaptation, diabetes management, questionnaire, translation</text>
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                <text>Introduction: Identifying the issues faced by Indonesians living with diabetes is crucial to address them&#13;
appropriately. However, a standardized tool cannot measure the obstacles encountered in managing illness.&#13;
Therefore, there is a need for widely accepted assessment tools to investigate these problems. This article explains&#13;
the findings of the pilot translation and adaptation of the Diabetes Obstacle Questionnaire (DOQ) for people with&#13;
diabetes in Indonesia.&#13;
Methods: The English version of the DOQ was cross-culturally adapted and translated into Bahasa, Indonesia. The&#13;
completion of the questionnaire required approximately 30 min for each of the 61 respondents, all of whom were&#13;
Indonesians diagnosed with diabetes. Factor analysis, product moment, and Cronbach’s alpha were used in STATA SE&#13;
13.1 for data analysis.&#13;
Results: The original 78 items underwent a systematic process of translation and adaptation to align with the&#13;
Indonesian context. Twenty-one items were eliminated, leaving 57 valid question items following a judgement of&#13;
expert and statistical analysis. The reliability coefficient of the Indonesian version of the DOQ was acceptable, with a&#13;
value of 0.96 for all items. The coefficient varied between 0.82 and 0.99 for different scales, indicating high internal&#13;
consistency reliability.&#13;
Conclusions: The Indonesian version of the 57-item DOQ is an acceptable instrument that can be used to identify&#13;
obstacles faced by people with diabetes in Indonesia. This can facilitate researchers in investigating the problems&#13;
faced by those living with diabetes in managing their condition.</text>
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          <element elementId="39">
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            <description>An entity primarily responsible for making the resource</description>
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              <elementText elementTextId="118737">
                <text>Niken Safitri Dyan Kusumaningrum1&#13;
&#13;
* , and Fitria Handayani1</text>
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            <elementTextContainer>
              <elementText elementTextId="118738">
                <text>http://dx.doi.org/10.20473/jn.v19i4.57107</text>
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              <elementText elementTextId="118739">
                <text>14 November 2024</text>
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          <element elementId="37">
            <name>Contributor</name>
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            <elementTextContainer>
              <elementText elementTextId="118740">
                <text>PERI IRAWAN</text>
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                <text>ENGLISH</text>
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        <name>adaptation, diabetes management, questionnaire, translation</name>
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                <elementText elementTextId="117223">
                  <text>VOL.19 NO.4 (2024)</text>
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            <element elementId="37">
              <name>Contributor</name>
              <description>An entity responsible for making contributions to the resource</description>
              <elementTextContainer>
                <elementText elementTextId="117225">
                  <text>peri irawan</text>
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    <elementSetContainer>
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        <description>The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.</description>
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          <element elementId="50">
            <name>Title</name>
            <description>A name given to the resource</description>
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                <text>A systematic review and meta-analysis of sleep hygiene implementation and its effect on sleep quality and fatigue in patients undergoing&#13;
hemodialysis</text>
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          <element elementId="49">
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            <description>The topic of the resource</description>
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              <elementText elementTextId="118725">
                <text>fatigue, hemodialysis, sleep hygiene, sleep quality</text>
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            <description>An account of the resource</description>
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                <text>Introduction: The prevalence of patients undergoing hemodialysis who experience sleep disturbances and fatigue&#13;
is high. Pharmacologic management has consequences and adverse effects, therefore, integrative intervention is&#13;
important to be investigated. Sleep hygiene is one such integrative intervention that improves comfort including&#13;
enhancing sleep quality and reducing fatigue. However, none have synthesized the effect of sleep hygiene&#13;
intervention, particularly in the hemodialysis setting. This systematic review aims to synthesize the effectiveness of&#13;
sleep hygiene in improving sleep quality and fatigue in patients undergoing hemodialysis.&#13;
Methods: This is a systematic review and meta-analysis of randomized controlled trials and quasi-experimental&#13;
studies. Relevant studies were gathered by searching five databases from 2008-2023 using several keywords, such as&#13;
sleep hygiene, sleep quality and fatigue. Quality assessment was conducted using relevant tools from the Joanna&#13;
Briggs Institutes (JBI). Following that, synthesis of research findings was conducted using Review Manager version 5.4.&#13;
Results: Seven studies of 3,633 screened were included, with one high-quality study (88%) and six studies of&#13;
moderate quality (61-76%). The review indicated a significant difference in sleep quality (MD = -2.36; 95% CI = -4.28,&#13;
-0.44; p=0.016). However, there was no significant difference in fatigue (SMD = -0.08; 95% CI = -0.40, 0.24; p=0.61).&#13;
Conclusions: The evidence supports that sleep hygiene is effective in enhancing sleep quality. This systematic review&#13;
contributes evidence to support the inclusion of sleep hygiene into holistic nursing to assist patients in improving&#13;
sleep quality and reducing fatigue.</text>
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          <element elementId="39">
            <name>Creator</name>
            <description>An entity primarily responsible for making the resource</description>
            <elementTextContainer>
              <elementText elementTextId="118727">
                <text>Hesti Fathan Nurfais Fauziah1&#13;
&#13;
, Erna Rochmawati1&#13;
&#13;
* , and Aasim Padela2</text>
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          <element elementId="48">
            <name>Source</name>
            <description>A related resource from which the described resource is derived</description>
            <elementTextContainer>
              <elementText elementTextId="118728">
                <text>http://dx.doi.org/10.20473/jn.v19i4.63368</text>
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            </elementTextContainer>
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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="118729">
                <text>27 November 2024</text>
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          <element elementId="37">
            <name>Contributor</name>
            <description>An entity responsible for making contributions to the resource</description>
            <elementTextContainer>
              <elementText elementTextId="118730">
                <text>PERI IRAWAN</text>
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            <name>Format</name>
            <description>The file format, physical medium, or dimensions of the resource</description>
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              <elementText elementTextId="118731">
                <text>PDF</text>
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          <element elementId="44">
            <name>Language</name>
            <description>A language of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="118732">
                <text>ENGLISH</text>
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            <description>The nature or genre of the resource</description>
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    <tagContainer>
      <tag tagId="14034">
        <name>fatigue, hemodialysis, sleep hygiene, sleep quality</name>
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              <description>A name given to the resource</description>
              <elementTextContainer>
                <elementText elementTextId="117223">
                  <text>VOL.19 NO.4 (2024)</text>
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            <element elementId="37">
              <name>Contributor</name>
              <description>An entity responsible for making contributions to the resource</description>
              <elementTextContainer>
                <elementText elementTextId="117225">
                  <text>peri irawan</text>
                </elementText>
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    <elementSetContainer>
      <elementSet elementSetId="1">
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        <description>The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.</description>
        <elementContainer>
          <element elementId="50">
            <name>Title</name>
            <description>A name given to the resource</description>
            <elementTextContainer>
              <elementText elementTextId="118714">
                <text>Barriers and enablers to the implementation of person-centred care in an Indonesian hospital: a qualitative study</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="49">
            <name>Subject</name>
            <description>The topic of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="118715">
                <text>barriers, enablers, Indonesia, nursing, person-centred care</text>
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            </elementTextContainer>
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          <element elementId="41">
            <name>Description</name>
            <description>An account of the resource</description>
            <elementTextContainer>
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                <text>Introduction: Person-centred care (PCC) is increasingly considered as one of the criteria standards for delivering&#13;
healthcare in hospitals. Registered nurses are increasingly expected to provide PCC in daily practice. However,&#13;
although the hospital commits to enhancing and improving PCC, implementing this approach into practice has faced&#13;
barriers and enablers. As the implementation of PCC is still at an early stage of development, it is well-recognised that&#13;
the need to identify barriers and enablers is essential. This study aims to explore these barriers and enablers to&#13;
implementing PCC in Indonesian hospitals.&#13;
Methods: This study employed a qualitative exploratory study conducted from July 2023 to September 2023 at a&#13;
public hospital in Pekanbaru, Riau Province. It applied semi-structured interviews to collect data on barriers and&#13;
enablers to implement PCC from 2 managers and 12 nurses from the medical ward. All participants were selected&#13;
using a purposive sampling technique. Data collected from interviews were transcribed and then thematically&#13;
analysed.&#13;
Results: Three barriers-related themes emerged, namely time constraints and workload, lack of resources, and&#13;
communication challenges. Furthermore, three enablers themes also emerged, including leadership, commitment,&#13;
and sufficient monitoring and supervision.&#13;
Conclusions: The study results lead hospital managers and policymakers to overcome existing barriers using&#13;
adaptive planning and strategies and to improve enablers with well-trained professionals and strong leadership to&#13;
deliver a PCC approach into practice. The implications to practice are that healthcare organisations must continue&#13;
their support to decrease the barriers and optimise professional care in healthcare facilities to improve healthcare&#13;
services.</text>
              </elementText>
            </elementTextContainer>
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          <element elementId="39">
            <name>Creator</name>
            <description>An entity primarily responsible for making the resource</description>
            <elementTextContainer>
              <elementText elementTextId="118717">
                <text>Wan Nishfa Dewi1&#13;
&#13;
* , and Elda Nazriati2</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="48">
            <name>Source</name>
            <description>A related resource from which the described resource is derived</description>
            <elementTextContainer>
              <elementText elementTextId="118718">
                <text>http://dx.doi.org/10.20473/jn.v19i4.55840</text>
              </elementText>
            </elementTextContainer>
          </element>
          <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="118719">
                <text>5 November 2024</text>
              </elementText>
            </elementTextContainer>
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          <element elementId="37">
            <name>Contributor</name>
            <description>An entity responsible for making contributions to the resource</description>
            <elementTextContainer>
              <elementText elementTextId="118720">
                <text>PERI IRAWAN</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="42">
            <name>Format</name>
            <description>The file format, physical medium, or dimensions of the resource</description>
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              <elementText elementTextId="118721">
                <text>PDF</text>
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            </elementTextContainer>
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          <element elementId="44">
            <name>Language</name>
            <description>A language of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="118722">
                <text>ENGLISH</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="51">
            <name>Type</name>
            <description>The nature or genre of the resource</description>
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                <text>TEXT</text>
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    <tagContainer>
      <tag tagId="14033">
        <name>barriers, enablers, Indonesia, nursing, person-centred care</name>
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              <name>Title</name>
              <description>A name given to the resource</description>
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                <elementText elementTextId="117223">
                  <text>VOL.19 NO.4 (2024)</text>
                </elementText>
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            <element elementId="37">
              <name>Contributor</name>
              <description>An entity responsible for making contributions to the resource</description>
              <elementTextContainer>
                <elementText elementTextId="117225">
                  <text>peri irawan</text>
                </elementText>
              </elementTextContainer>
            </element>
          </elementContainer>
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    <elementSetContainer>
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        <description>The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.</description>
        <elementContainer>
          <element elementId="50">
            <name>Title</name>
            <description>A name given to the resource</description>
            <elementTextContainer>
              <elementText elementTextId="118704">
                <text>Chronic energy deficiency in young pregnant women in rural Indonesia: an analysis of basic health survey 2018</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="49">
            <name>Subject</name>
            <description>The topic of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="118705">
                <text>Chronic energy deficiency, nutritional status, pregnancy, rural area, supplementary feeding</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="41">
            <name>Description</name>
            <description>An account of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="118706">
                <text>Introduction: Chronic energy deficiency (CED) significantly impacts maternal health and child development.&#13;
Socioeconomic conditions and access to health services cause young mothers in rural areas to have different health&#13;
problems from those in urban areas. The study aimed to analyze the factors associated with CED among young&#13;
pregnant women in rural areas in Indonesia.&#13;
Methods: Secondary data for this cross-sectional study were obtained from the 2018 Basic Health Research Survey.&#13;
One thousand one hundred and thirty-nine pregnant women aged &lt;25 years were involved as subjects. Age, number&#13;
of family members, education, occupation, gravida, abortion, supplementary feeding, and iron tablets during&#13;
pregnancy were included as independent variables. Binomial logistic regression analysis was performed to measure&#13;
the association between the independent and dependent variables. The strength of the association was expressed by&#13;
p-value &lt;0.05.&#13;
Results: The three factors associated with CED were age (p=0.001), education (p=0.013), and supplementary feeding&#13;
(p&lt;0.001).&#13;
Conclusions: Equitable education, increasing the age at which moms can become pregnant, and efforts to fulfill the&#13;
nutrition needs of pregnant women by providing supplemental food based on community empowerment are&#13;
significant. Family and community involvement will ensure the sustainability of this CED prevention program.</text>
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          <element elementId="39">
            <name>Creator</name>
            <description>An entity primarily responsible for making the resource</description>
            <elementTextContainer>
              <elementText elementTextId="118707">
                <text>Titik Kuntari1&#13;
&#13;
* , Utami Utami1 . Vita Widyasari1 . Sri Supadmi2 . and Emi Azmi Choironi3</text>
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            <name>Source</name>
            <description>A related resource from which the described resource is derived</description>
            <elementTextContainer>
              <elementText elementTextId="118708">
                <text>http://dx.doi.org/10.20473/jn.v19i4.56196</text>
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              <elementText elementTextId="118709">
                <text>12 November 2024</text>
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          <element elementId="37">
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            <elementTextContainer>
              <elementText elementTextId="118710">
                <text>PERI IRAWAN</text>
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            <name>Language</name>
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                <text>ENGLISH</text>
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      <tag tagId="14032">
        <name>Chronic energy deficiency, nutritional status, pregnancy, rural area, supplementary feeding</name>
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                <elementText elementTextId="117223">
                  <text>VOL.19 NO.4 (2024)</text>
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                <elementText elementTextId="117225">
                  <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>Effectiveness of prone position with its moderating factors in non-intubated acute respiratory distress syndrome patients: a meta-analysis</text>
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          <element elementId="49">
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                <text>ARDS, awake prone positioning, intubation rate, length of stay, mortality, oxygenation</text>
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                <text>Introduction: While numerous meta-analyses have explored the efficacy of awake prone position (APP), most have&#13;
concentrated solely on intubation rate among Covid-19 patients without comprehensively identifying the influencing&#13;
factors. This study aims to evaluate the efficacy of APP along with its moderating factors on oxygenation, intubation&#13;
rate, and mortality in non-intubated acute respiratory distress syndrome (ARDS) patients.&#13;
Methods: We conducted a systematic search in PubMed, Web of Science, and CINAHL from inception to December&#13;
2022. JBI critical appraisal tools were used to assess the study quality. Random-effects model was employed to&#13;
calculate pooled standardized mean difference for continuous outcomes and risk ratio for dichotomous outcomes.&#13;
Results: Among the 39 studies included, most patients were suffering from Covid-19, using conventional oxygen&#13;
therapy, and receiving APP outside the ICU. APP significantly improved the PaO2/FiO2 ratio (SMD=0.70, 95% CI=0.51-&#13;
0.88) and SpO2/FiO2 ratio (SMD=0.76, 95% CI=0.51-1.01), while also reducing the risk of intubation (RR=0.66, 95%&#13;
CI=0.51-0.85) and mortality (RR=0.62, 95% CI=0.49-0.78). Factors including severity, respiratory device, body mass&#13;
index, detail of position, use of medication assistance, total duration, follow-up time, position at follow-up, and study&#13;
design significantly influence the effectiveness of APP. APP did not lead to significant improvements in length of stay&#13;
and adverse events&#13;
Conclusions: APP is a safe and beneficial intervention, enhancing oxygenation and reducing intubation and mortality&#13;
rates in non-intubated ARDS patients. Importantly, various patient and intervention characteristics should be taken&#13;
into account when implementing APP. Further well-designed experimental studies are needed to strengthen the&#13;
evidence base.</text>
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            <name>Creator</name>
            <description>An entity primarily responsible for making the resource</description>
            <elementTextContainer>
              <elementText elementTextId="118697">
                <text>Julianus Yudhistira Tan1&#13;
&#13;
* , Via Eliadora Togatorop2&#13;
&#13;
, Dheni Koerniawan3&#13;
&#13;
, Cecep Eli Kosasih4&#13;
&#13;
,&#13;
and Henny Suzana Mediani5</text>
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          <element elementId="48">
            <name>Source</name>
            <description>A related resource from which the described resource is derived</description>
            <elementTextContainer>
              <elementText elementTextId="118698">
                <text>http://dx.doi.org/10.20473/jn.v19i4.60687</text>
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            <name>Date</name>
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                <text>18 November 2024</text>
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            <name>Contributor</name>
            <description>An entity responsible for making contributions to the resource</description>
            <elementTextContainer>
              <elementText elementTextId="118700">
                <text>PERI IRAWAN</text>
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            <description>The file format, physical medium, or dimensions of the resource</description>
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            <description>A language of the resource</description>
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              <elementText elementTextId="118702">
                <text>ENGLISH</text>
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    <tagContainer>
      <tag tagId="14031">
        <name>ARDS, awake prone positioning, intubation rate, length of stay, mortality, oxygenation</name>
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            <element elementId="50">
              <name>Title</name>
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                <elementText elementTextId="117223">
                  <text>VOL.19 NO.4 (2024)</text>
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              <elementTextContainer>
                <elementText elementTextId="117225">
                  <text>peri irawan</text>
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          <element elementId="50">
            <name>Title</name>
            <description>A name given to the resource</description>
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                <text>Exploring empathy of nursing students and the extent of their clinical experiences: a cross-case analysis</text>
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          <element elementId="49">
            <name>Subject</name>
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                <text>Keywords: case study, clinical experience, empathy, nursing</text>
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            <description>An account of the resource</description>
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                <text>Introduction: Empathy is the ability of a nurse to understand the circumstances, experiences, and feelings of the&#13;
patients. It is a vital component of a nurse as this enables the nurse to respond therapeutically to the needs of the&#13;
clients, thereby providing quality nursing care. This study explored the development of empathy among nursing&#13;
students based on their hospital exposure and other factors that provide a more in-depth understanding of the&#13;
phenomenon investigated.&#13;
Methods: Using the intrinsic case study method, the study interviewed six nursing students as informants, selected&#13;
based on their extent of clinical exposure through purposive sampling. A standardized Jefferson Scale of Empathy&#13;
(JSE) was also used to provide information on empathy. A cross-case analysis was used to generate the findings of this&#13;
study.&#13;
Results: Findings generated five themes: maintaining empathy level across different conditions, prior clinical&#13;
experiences affect empathy levels, empathy increases with knowledge, expression of empathy is hindered by&#13;
academic workload and mismatch between perceived and objectively measured empathy levels.&#13;
Conclusions: Empathy was more developed by nursing students when they were exposed to patient care&#13;
experiences. The extent of knowledge and the continued experience in the clinical field are major factors that&#13;
contribute to their increased empathy levels of nursing students.</text>
              </elementText>
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          <element elementId="39">
            <name>Creator</name>
            <description>An entity primarily responsible for making the resource</description>
            <elementTextContainer>
              <elementText elementTextId="118687">
                <text>Pia Gabrielle E. Cabataña1&#13;
&#13;
, Yosef Liam A. Dacayana1&#13;
&#13;
, Jarrean B. Jabagat1&#13;
&#13;
, and Daisy R.&#13;
&#13;
Palompon 1</text>
              </elementText>
            </elementTextContainer>
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          <element elementId="48">
            <name>Source</name>
            <description>A related resource from which the described resource is derived</description>
            <elementTextContainer>
              <elementText elementTextId="118688">
                <text>http://dx.doi.org/10.20473/jn.v19i4.56238</text>
              </elementText>
            </elementTextContainer>
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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="118689">
                <text>10 October 2024</text>
              </elementText>
            </elementTextContainer>
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          <element elementId="37">
            <name>Contributor</name>
            <description>An entity responsible for making contributions to the resource</description>
            <elementTextContainer>
              <elementText elementTextId="118690">
                <text>PERI IRAWAN</text>
              </elementText>
            </elementTextContainer>
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            <name>Format</name>
            <description>The file format, physical medium, or dimensions of the resource</description>
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              <elementText elementTextId="118691">
                <text>PDF</text>
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            <name>Language</name>
            <description>A language of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="118692">
                <text>ENGLISH</text>
              </elementText>
            </elementTextContainer>
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            <name>Type</name>
            <description>The nature or genre of the resource</description>
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              <elementText elementTextId="118693">
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      <tag tagId="14030">
        <name>Keywords: case study, clinical experience, empathy, nursing</name>
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  <item itemId="11093" public="1" featured="1">
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              <name>Title</name>
              <description>A name given to the resource</description>
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                <elementText elementTextId="117223">
                  <text>VOL.19 NO.4 (2024)</text>
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              <description>An entity responsible for making contributions to the resource</description>
              <elementTextContainer>
                <elementText elementTextId="117225">
                  <text>peri irawan</text>
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          <element elementId="50">
            <name>Title</name>
            <description>A name given to the resource</description>
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              <elementText elementTextId="118674">
                <text>Factors, barriers and adherence of nurses to patient education in public hospitals of Lanao del Sur, Philippines</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="49">
            <name>Subject</name>
            <description>The topic of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="118675">
                <text>Adherence, Nurses, Nurse-Patient Relations, Patient education, Professional Competence</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="41">
            <name>Description</name>
            <description>An account of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="118676">
                <text>Introduction: Patient education is a core responsibility in nursing, vital for improving patient understanding and&#13;
active participation in their healthcare decisions. There are various factors that impact nurses' ability to provide&#13;
patient education, but little is known about how these factors influence adherence in public hospitals, particularly in&#13;
resource-limited settings. This study investigates nurses' adherence to patient education protocols in Lanao del Sur,&#13;
Philippines, while evaluating facilitating factors and barriers.&#13;
Methods: This study employed a quantitative, descriptive, cross-sectional correlational research design. Seventy-six&#13;
nurses from two public district hospitals participated. Data were gathered through surveys on demographics,&#13;
adherence to patient education, facilitators, and barriers. Correlation analyses, including Pearson’s correlation and&#13;
Spearman’s rho, assessed relationships between variables, with Cramer’s V used for categorical data. Statistical&#13;
significance was set at α = 0.05.&#13;
Results: Most participants were married females aged 31-40, with incomes of 10,000-39,000 PHP, college-educated,&#13;
and assigned to wards, with 3 months to 3 years of tenure. Nurses acknowledged the importance of patient education&#13;
and identified 14 barriers. Adherence to patient education showed negative correlations with age, income,&#13;
educational attainment, and tenure, but positive correlations with gender, marital status, and area of assignment.&#13;
Facilitating factors positively correlated with adherence, as did barriers.&#13;
Conclusions: Identifying factors affecting nurses' adherence to patient education is vital for improving these&#13;
practices. Findings will support the Nursing Patient Education Development Program, enhancing patient education in&#13;
Lanao del Sur's public hospitals.</text>
              </elementText>
            </elementTextContainer>
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          <element elementId="39">
            <name>Creator</name>
            <description>An entity primarily responsible for making the resource</description>
            <elementTextContainer>
              <elementText elementTextId="118677">
                <text>Naseha M. Omar1&#13;
&#13;
, Naima D. Mala1&#13;
&#13;
, and Ashley A. Bangcola1</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="48">
            <name>Source</name>
            <description>A related resource from which the described resource is derived</description>
            <elementTextContainer>
              <elementText elementTextId="118678">
                <text>http://dx.doi.org/10.20473/jn.v19i4.58217</text>
              </elementText>
            </elementTextContainer>
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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="118679">
                <text>4 November 2024</text>
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            </elementTextContainer>
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          <element elementId="37">
            <name>Contributor</name>
            <description>An entity responsible for making contributions to the resource</description>
            <elementTextContainer>
              <elementText elementTextId="118680">
                <text>PERI IRAWAN</text>
              </elementText>
            </elementTextContainer>
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            <name>Format</name>
            <description>The file format, physical medium, or dimensions of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="118681">
                <text>PDF</text>
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          </element>
          <element elementId="44">
            <name>Language</name>
            <description>A language of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="118682">
                <text>ENGLISH</text>
              </elementText>
            </elementTextContainer>
          </element>
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            <name>Type</name>
            <description>The nature or genre of the resource</description>
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            </elementTextContainer>
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      <tag tagId="14029">
        <name>Adherence, Nurses, Nurse-Patient Relations, Patient education, Professional Competence</name>
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              <description>A name given to the resource</description>
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                  <text>VOL.19 NO.4 (2024)</text>
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              <description>An entity responsible for making contributions to the resource</description>
              <elementTextContainer>
                <elementText elementTextId="117225">
                  <text>peri irawan</text>
                </elementText>
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          <element elementId="50">
            <name>Title</name>
            <description>A name given to the resource</description>
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              <elementText elementTextId="118664">
                <text>Lived experiences of hypertensive older adults living alone in Kendari City: a phenomenological aprroach</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="49">
            <name>Subject</name>
            <description>The topic of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="118665">
                <text>coping mechanisms, healthcare changes, healthcare needs, holistic care, hypertensive older adults, living&#13;
alone, qualitative study.</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="41">
            <name>Description</name>
            <description>An account of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="118666">
                <text>Introduction: A decline in the function of the cardiovascular system organs among older adults can be due to age&#13;
risk factors such as living alone and reporting feelings of isolation or loneliness, thus increasing the prevalence of&#13;
hypertension. However, their lived experiences including health changes, coping mechanisms, and healthcare needs&#13;
are largely underexplored. This study aimed to explore lived experiences as evidence-based in developing health&#13;
services for hypertensive older adults living alone.&#13;
Methods: This study employed a qualitative phenomenological approach, with in-depth and semi-structured&#13;
interviews of hypertensive older adults living alone in Kendari City Southeast Sulawesi. Purposive sampling was&#13;
utilized. 15 participating older adults, predominantly female, and with ages ranging from 61-80. Data were collected&#13;
from April until July 2022, and Colaizzi’s steps were used to guide the data analysis.&#13;
Results: Three themes were identified: 1) health changes in the older adults living alone consisting of physical,&#13;
&#13;
emotional, social, and spiritual changes; 2) coping mechanisms consisting of emotion-focused coping, biobehavior-&#13;
focused coping, social-focused coping, and spiritual-focused coping; and 3) healthcare needs consisting of health&#13;
&#13;
information needs, regular health checks, group activities, and spiritual activities.&#13;
Conclusions: This research highlights the needs of hypertensive older adults living alone to adapt to their health&#13;
changes and requiring holistic hypertensive care as well as regular health services. Recommendations in this study&#13;
include developing a holistic hypertensive care program consisting of physical, psychological, social, and spiritual&#13;
activities. Further research needs to explore the effectiveness of holistic hypertension care on blood pressure, stress,&#13;
coping, and quality of life of older adults with hypertension by comparing older adults living alone with older adults&#13;
living with family, and qualitative research using ethnographic methods to determine the adaptation process of the&#13;
older adults living alone according to culture.</text>
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            <name>Creator</name>
            <description>An entity primarily responsible for making the resource</description>
            <elementTextContainer>
              <elementText elementTextId="118667">
                <text>Asminarsih Zainal Prio1&#13;
&#13;
, Junaiti Sahar1&#13;
&#13;
* , and Etty Rekawati1</text>
              </elementText>
            </elementTextContainer>
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            <name>Source</name>
            <description>A related resource from which the described resource is derived</description>
            <elementTextContainer>
              <elementText elementTextId="118668">
                <text>http://dx.doi.org/10.20473/jn.v19i4.51986</text>
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              <elementText elementTextId="118669">
                <text>31 October 2024</text>
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            <name>Contributor</name>
            <description>An entity responsible for making contributions to the resource</description>
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              <elementText elementTextId="118670">
                <text>PERI IRAWAN</text>
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        <name>coping mechanisms, healthcare changes, healthcare needs, holistic care, hypertensive older adults, living alone, qualitative study.</name>
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                  <text>VOL.19 NO.4 (2024)</text>
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                <text>Informal carers are people who offer care</text>
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                <text>Informal carers are people who offer care and&#13;
support to family members and friends who have a&#13;
disability, mental illness, chronic condition, terminal&#13;
illness, an alcohol or other drug issue or who are frail&#13;
aged (Australian Institute of Health Welfare, 2023). As a&#13;
result of the global ageing population, the demand for&#13;
care from informal carers is expected to grow&#13;
continuously. Carers are an integral part of the health&#13;
system around the world, but they are more likely to&#13;
experience detrimental mental health impacts. A recent&#13;
systematic review and meta-analysis reported that the&#13;
prevalence of informal carers of individuals with&#13;
dementia reported loneliness was as high as 50.8% and&#13;
37.1% for social isolation (Liao, et al., 2024).&#13;
Although the two concepts are related, social&#13;
isolation is an objective condition of being left out of&#13;
society, whereas loneliness refers to the feeling of&#13;
having a discrepancy between one’s desired and&#13;
achieved levels of social relations (Javis, et al., 2020).&#13;
Being an informal carer, the status of social relations is&#13;
likely to be disrupted. The responsibility of caring for&#13;
another one may limit one’s time for social activities&#13;
beyond their caregiving duties, contributing to social&#13;
isolation [3]. In addition, sometimes the challenges&#13;
faced by the carer were ignored and not empathized&#13;
with by friends or family members, causing a lack of&#13;
satisfaction in interactions apart from feeling deprived&#13;
of social relations(Velloze, et al., 2022). This may further&#13;
contribute to a sense of separateness from others and&#13;
the world, showing a lack of meaning in life. While many&#13;
studies have focused on interventions to reduce carer&#13;
burden, few have investigated the impact of social&#13;
isolation and loneliness on carers.</text>
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              <elementText elementTextId="118657">
                <text>Ken Hok Man HO1&#13;
&#13;
* , Daphne Sze Ki CHEUNG2&#13;
&#13;
, and Alina Yee Man NG3</text>
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                <text>http://dx.doi.org/10.20473/jn.v19i4.65090</text>
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                <text>November 2024,</text>
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                <text>PERI IRAWAN</text>
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        <name>Informal carers are people who offer care</name>
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                  <text>VOL.19 NO.4 (2024)</text>
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                <text>Parental support and influencing factors for school-age children's healthy movement behavior: a cross-sectional study</text>
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          <element elementId="49">
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                <text>healty lifestyle, healthy movement behaviors, parental support, school-age children</text>
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                <text>Introduction: Optimizing healthy lifestyles in children requires parental support for healthy movement behaviors.&#13;
This study analyzed factors influencing parental support for school-age children's movement activities.&#13;
Methods: This study employed an analytic descriptive design with a cross-sectional approach, involving a sample of&#13;
355 mothers with school-age children. The independent variables included family, child, and environmental factors,&#13;
whereas the dependent variable was parental support for healthy movement behaviors, as assessed through a&#13;
questionnaire. Data analysis was performed using binary logistic regression with backward elimination.&#13;
Results: The factors that significantly influenced parental support for their children's engagement in light physical&#13;
activities included the children's own level of participation in such activities (OR=2.52, 95% CI=0.76-6.67). Factors&#13;
affecting support for moderate to vigorous activities were maternal exercise habits (OR=3.37; 95% CI=1.18-9.65),&#13;
children's sports habits (OR=5.18; 95% CI=1.64-16.26), and the presence of personal gadgets (OR=0.45, 95% CI=0.23-&#13;
0.86). Parental support for preventing sedentary behaviors was influenced by parental knowledge (OR=2.33; 95%&#13;
CI=1.34-4.05), mother's sleep duration (OR=2.46; 95% CI=1.27-4.75), and gadgets (OR=0.55; 95% CI=0.31-0.95).&#13;
Factors affecting support for adequate sleep included children's light activities (OR=3.42; 95% CI=1.27-9.23) and their&#13;
ownership of personal gadgets (OR=0.44; 95% CI=0.24-0.79)&#13;
Conclusions: Parental support is influenced by the knowledge and physical activity habits of both mother and child,&#13;
as well as gadget use and maternal sleep patterns. Pediatric nurses can enhance this support through health education&#13;
focused on promoting healthy movement behaviors within families.</text>
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              <elementText elementTextId="118647">
                <text>Praba Diyan Rachmawati1&#13;
&#13;
* , Ilya Krisnana1&#13;
&#13;
, Retnayu Pradanie1&#13;
&#13;
, Nuzul Qur’aniati1&#13;
, Yuni&#13;
&#13;
Sufyanti Arief1&#13;
&#13;
, Mustika Milenia Dwi Tunjung Biru2&#13;
&#13;
, Meirina Nur Asih1&#13;
&#13;
, Pratuma Rithpho3&#13;
,&#13;
&#13;
and Iqlima Dwi Kurnia1</text>
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            <elementTextContainer>
              <elementText elementTextId="118648">
                <text>http://dx.doi.org/10.20473/jn.v19i4.57686</text>
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            <name>Date</name>
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                <text>20 November 2024</text>
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