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                  <text>VOL.20 NO.2 (2025)</text>
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                  <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>Parenting self-efficacy mediates relationship between caregiving burden and parenting stress among parents of adolescents with disabilities: a cross-sectional study</text>
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          <element elementId="49">
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                <text>caregivers’ burden, children, disability, parenting stress, self-efficacy</text>
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                <text>Introduction: Caring for children with disabilities can place significant demands on parents, potentially resulting in&#13;
added stress and burden. Parenting self-efficacy plays a critical role in reducing stress for parents of children with&#13;
disabilities. The study examines the role of parenting self-efficacy as a mediator in the relationship between caregiver&#13;
burden and parenting stress.&#13;
Methods: A cross-sectional study was conducted with 204 parents of children with disabilities. Data were collected&#13;
using self-administered questionnaires, including the General Information Questionnaire, Zarit Burden Interview&#13;
Questionnaire, Parenting Sense of Competence Scale (PSOC Scale), and Parenting Stress Index. Data analysis included&#13;
multiple linear regression and Hayes’s PROCESS Macro.&#13;
Results: The mean scores for caregiving burden, parenting self-efficacy, and parenting stress were 16.98 (SD = 10.10),&#13;
&#13;
31.03 (SD = 6.72), and 61.72 (SD = 12.84), respectively. Parenting stress was negatively correlated with parenting self-&#13;
efficacy (r = –0.35, p &lt; 0.001). The findings reveal that caregiving burden significantly reduces parenting self-efficacy (B&#13;
&#13;
= −0.16, p &lt; 0.001), which in turn lowers the ability of caregivers to manage stress (B = −0.48, p &lt; 0.001). While caregiving&#13;
burden has a direct effect on parenting stress (B = 0.07, p &lt; 0.001), the total impact, including both direct and indirect&#13;
influences, remains significant (B = 0.52, p &lt; 0.001) with mediation percentages of 12.9%.&#13;
Conclusions: The findings suggest that strategies to enhance parenting self-efficacy could significantly reduce the&#13;
negative impact of caregiving burden on parenting stress. By improving self-efficacy, caregivers may better manage&#13;
stress, highlighting the importance of targeted interventions that boost self-efficacy.</text>
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            <name>Creator</name>
            <description>An entity primarily responsible for making the resource</description>
            <elementTextContainer>
              <elementText elementTextId="119057">
                <text>Mundakir Mundakir1* , Idham Choliq1&#13;
&#13;
, Sukadiono Sukadiono2&#13;
&#13;
, Vika Ramadhana Fitriyani1&#13;
&#13;
, and Firman Firman1</text>
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            <name>Source</name>
            <description>A related resource from which the described resource is derived</description>
            <elementTextContainer>
              <elementText elementTextId="119058">
                <text>http://dx.doi.org/10.20473/jn.v20i2.68276</text>
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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="119059">
                <text>18 April 2025</text>
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          <element elementId="37">
            <name>Contributor</name>
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              <elementText elementTextId="119060">
                <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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                <text>english</text>
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      <tag tagId="14066">
        <name>caregivers’ burden, children, disability, parenting stress, self-efficacy</name>
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              <name>Title</name>
              <description>A name given to the resource</description>
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                <elementText elementTextId="117239">
                  <text>VOL.20 NO.2 (2025)</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="117240">
                  <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>Psycho-educational program for enhancing resilience among family caregivers of patients with leukemia in Egypt: a quasi-experimental study</text>
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          </element>
          <element elementId="49">
            <name>Subject</name>
            <description>The topic of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="119045">
                <text>burden, family caregivers, leukemia, psycho-educational program, resilience</text>
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          <element elementId="41">
            <name>Description</name>
            <description>An account of the resource</description>
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                <text>Introduction: Caring for a loved one with leukemia presents significant challenges and often leads to a substantial&#13;
caregiver burden. Resilience, adapting and coping effectively with adversity, is crucial for caregivers’ well-being.&#13;
Psychoeducational interventions incorporating coping strategies, stress management, and decision-making skills have&#13;
been widely recognized to foster resilience. This study evaluated the effectiveness of a structured psychoeducational&#13;
program to enhance resilience among family caregivers of patients with leukemia.&#13;
Methods: This quasi-experimental pre-post study assessed the effectiveness of a psychoeducational program among&#13;
57 family caregivers of patients with leukemia at the National Cancer Institute in Egypt. The Family Resilience&#13;
Assessment Scale (FRAS) was administered before and after a structured 21-session program. Data were analyzed using&#13;
IBM SPSS Statistics 23, paired t-tests assessing resilience changes, and Spearman’s correlation to examine associations&#13;
with demographic and psychological factors. The reliability of the FRAS was confirmed using Cronbach’s alpha (≥0.70).&#13;
Results: 66.7% of caregivers were female, 36.8% were aged 25–30, 49.1% were married, and 66.7% provided care for&#13;
more than eight hours daily. Statistically significant improvements (p &lt; 0.01) were observed in communication,&#13;
emotional expression, problem solving, resource utilization, maintaining a positive outlook, family connectedness,&#13;
spirituality, meaning making, and flexibility after the intervention.&#13;
Conclusions: The psychoeducational program significantly improved resilience among family caregivers of patients&#13;
with leukemia. These findings highlight the importance of integrating such interventions into caregiver support&#13;
programs to reduce stress and promote well-being. Future studies should examine the long-term sustainability of these&#13;
benefits.</text>
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          <element elementId="39">
            <name>Creator</name>
            <description>An entity primarily responsible for making the resource</description>
            <elementTextContainer>
              <elementText elementTextId="119047">
                <text>Ahmed Mohamed Mustafa Gaafr1&#13;
&#13;
* , Sahar Mahmoud Mohamed Elewa1&#13;
&#13;
, Fatma Atta1&#13;
, and&#13;
&#13;
Shaimaa Saied Adam1</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="119048">
                <text>http://dx.doi.org/10.20473/jn.v20i2.64600</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="119049">
                <text>28 April 2025</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="119050">
                <text>peri irawan</text>
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            <description>The file format, physical medium, or dimensions of the resource</description>
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              <elementText elementTextId="119051">
                <text>pdf</text>
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          <element elementId="44">
            <name>Language</name>
            <description>A language of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="119052">
                <text>english</text>
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      <tag tagId="14065">
        <name>burden, family caregivers, leukemia, psycho-educational program, resilience</name>
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            <element elementId="50">
              <name>Title</name>
              <description>A name given to the resource</description>
              <elementTextContainer>
                <elementText elementTextId="117239">
                  <text>VOL.20 NO.2 (2025)</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="117240">
                  <text>peri irawan</text>
                </elementText>
              </elementTextContainer>
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          </elementContainer>
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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>
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          <element elementId="50">
            <name>Title</name>
            <description>A name given to the resource</description>
            <elementTextContainer>
              <elementText elementTextId="119014">
                <text>Strengthening maternal referral systems during public health emergencies: insights from Indonesia’s COVID-19 response</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="49">
            <name>Subject</name>
            <description>The topic of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="119015">
                <text>COVID-19, emergency management, hospital readiness, indonesia, maternal health</text>
              </elementText>
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          <element elementId="41">
            <name>Description</name>
            <description>An account of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="119016">
                <text>Introduction: Despite the World Health Organization (WHO) declaring the end of the Coronavirus Disease (COVID-19)&#13;
Public Health Emergency of International Concern (PHEIC) in May 2023, the pandemic highlighted critical gaps in&#13;
hospital emergency preparedness, particularly in maternal healthcare. East Java, Indonesia, was among the most&#13;
severely affected provinces, reporting an 11.02% increase in maternal deaths. This study assesses hospital readiness in&#13;
maternal referral hospitals six months after the onset of the pandemic, aiming to inform future public health emergency&#13;
responses.&#13;
Methods: A descriptive and exploratory mixed-methods design was employed. Surveys and focus group discussions&#13;
were conducted with 127 hospitals in the COVID-19 maternal referral hospitals by the East Java Provincial Government&#13;
using the modified WHO hospital readiness checklist for COVID-19 2020. Quantitative data were analyzed descriptively,&#13;
and qualitative data from focus group discussions were thematically analyzed to get deeper insights into the challenges&#13;
faced by hospitals.&#13;
Results: A total of 105 hospitals (83%) responded to the survey. While PPE supplies were largely adequate, gaps in&#13;
infrastructure, including negative-pressure rooms, isolation areas, and diagnostic capacity, persisted. Financial&#13;
constraints, particularly delays in the National Health Insurance Scheme (BPJS Kesehatan) claims, further strained&#13;
hospital operations. FGDs revealed that PCR delays, staffing shortages, and underdeveloped referral coordination&#13;
systems hindered the delivery of maternal services.&#13;
Conclusions: Strengthening maternal referral systems requires improving diagnostic capabilities, investing in essential&#13;
infrastructure, and ensuring timely financial reimbursement. Collaborative efforts among the Ministry of Health, BPJS&#13;
Kesehatan, and healthcare facilities are crucial to enhancing maternal healthcare resilience during future public health&#13;
emergencies.</text>
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          <element elementId="39">
            <name>Creator</name>
            <description>An entity primarily responsible for making the resource</description>
            <elementTextContainer>
              <elementText elementTextId="119017">
                <text>Muhammad Ardian Cahya Laksana1,2,3&#13;
&#13;
, Nyoman Anita Damayanti3,4* , Pandu Hanindito&#13;
&#13;
Habibie2&#13;
&#13;
, Mochammad Hud Suhargono5&#13;
&#13;
, Erni Rosita Dewi6&#13;
&#13;
, Budi Santoso2&#13;
&#13;
, Waritsyah&#13;
&#13;
Sukarjiyah7&#13;
&#13;
, Alifina Izza2,6&#13;
&#13;
, and Nurani Zulfa Zakiya6</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="119018">
                <text>http://dx.doi.org/10.20473/jn.v20i2.70589</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="119019">
                <text>21 May 2025</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="119020">
                <text>peri irawan</text>
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          <element elementId="44">
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            <description>A language of the resource</description>
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              <elementText elementTextId="119022">
                <text>english</text>
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        <name>COVID-19, emergency management, hospital readiness, indonesia, maternal health</name>
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