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                  <text>VOL.20 NO.2 (2025)</text>
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                  <text>peri irawan</text>
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            <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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                <text>burden, family caregivers, leukemia, psycho-educational program, resilience</text>
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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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            <description>An entity primarily responsible for making the resource</description>
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              <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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            <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>
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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="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>
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              <elementText elementTextId="119050">
                <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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        <name>burden, family caregivers, leukemia, psycho-educational program, resilience</name>
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                  <text>VOL.20 NO.2 (2025)</text>
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              <name>Contributor</name>
              <description>An entity responsible for making contributions to the resource</description>
              <elementTextContainer>
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                  <text>peri irawan</text>
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            <name>Title</name>
            <description>A name given to the resource</description>
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                <text>Factors associated with older adults’ neglect among relatives in urban areas of Indonesia: a cross-sectional study</text>
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            </elementTextContainer>
          </element>
          <element elementId="49">
            <name>Subject</name>
            <description>The topic of the resource</description>
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                <text>older adults, neglect, family support, family health duties, social engagement</text>
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            <description>An account of the resource</description>
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                <text>Introduction: The aging adult population increases its vulnerability to neglect and other associated risks due to&#13;
decreased physical and mental competence. Older adults who cannot adapt owing to reduced physical and mental&#13;
capabilities become dependent on others, particularly family members. Older adults can become neglected if they are&#13;
not adequately cared for. This study aimed to identify factors associated with neglect among older adults who live with&#13;
their relatives in Pekanbaru City, Indonesia.&#13;
Methods: A cross-sectional study with a sample size of 382 Older adults was conducted utilizing multi-stage cluster&#13;
sampling. The questionnaire measuring tool was conducted through structured direct interviews with the older adults,&#13;
specifically to inquire about the variables of older adults’ neglect, family support, social engagement, and family health&#13;
&#13;
tasks, which have been tested for validity and reliability. The data was analyzed using descriptive statistics, the chi-&#13;
squared test, and binary logistic regression.&#13;
&#13;
Results: The neglect experienced by the older adults was high, namely 190 people (49.74%), low, 192 people (50.26%),&#13;
Family support (p&lt;0.05), family health duties (p&lt;0.05), and social engagement (p&lt;0.05) were associated with Older&#13;
adults neglect. The binary logistic regression analysis revealed a significant relationship between older adults’ marital&#13;
status(widow or widower) and the occurrence of neglect (p&lt;0.05; OR: 29.0; CI: 3.2-25.9).&#13;
Conclusions: the older adults’ status (married, widow, or widower) significantly influences negligence among older&#13;
adults.</text>
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            <name>Creator</name>
            <description>An entity primarily responsible for making the resource</description>
            <elementTextContainer>
              <elementText elementTextId="119141">
                <text>Ezalina Ezalina1* , and Alfianur Alfianur1</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="119142">
                <text>http://dx.doi.org/10.20473/jn.v20i2.60511</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="119143">
                <text>18 March 2025</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="119144">
                <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>
            <elementTextContainer>
              <elementText elementTextId="119146">
                <text>english</text>
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        <name>older adults, neglect, family support, family health duties, social engagement</name>
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              <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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        <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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              <elementText elementTextId="119169">
                <text>Effects of murottal al-qur'an therapy on anxiety and vital signs among primigravida pregnant women in pre-operation caesarean section</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="49">
            <name>Subject</name>
            <description>The topic of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="119170">
                <text>anxiety, caesarean section, murottal al-qur’an therapy, vital signs</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="41">
            <name>Description</name>
            <description>An account of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="119171">
                <text>Introduction: Anxiety in pregnant women before Caesarean Section (C-Section) surgery can cause changes in vital&#13;
signs, thereby affecting the mother's readiness for childbirth, especially in primigravida mothers. This research aims to&#13;
analyze the effect of Murottal Al-Qur'an Therapy on reducing anxiety and vital signs in primigravid pregnant women&#13;
before C-Section surgery.&#13;
Methods: A quasi-experimental study on pregnant women who will undergo C-Section surgery at a hospital in&#13;
Surabaya, Indonesia. A total of 84 respondents (42 in the intervention group and 42 in the control group) were recruited&#13;
using purposive sampling. Anxiety variables were measured using the Zung Self-Rating Anxiety Scale (ZSRAS), and vital&#13;
signs (pulse, blood pressure, respiration rate) were measured using a sphygmomanometer and a calibrated clock. Data&#13;
analysis was used to test the Wilcoxon Signed Rank Test and the Mann-Whitney Test.&#13;
Results: The intervention group's vital signs for blood pressure decreased to 120.98 mmHg and diastolic blood pressure&#13;
to 70.08 mmHg. The mother's pulse showed an average of 79.95 times per minute and respiration an average of 20 times&#13;
per minute. Testing the effect of Murottal Al-Qur'an Therapy showed a significant effect on the Intervention group for&#13;
anxiety (p=0.001), systolic pressure (p=0.005), diastolic pressure (p=0.001), pulse (p=0.005), and respiration rate&#13;
(p=0.001), respectively. The difference test shows a significant difference after the intervention, with a p-value of&#13;
&lt;0.001.&#13;
Conclusions: Murottal Al-Qur'an Therapy can reduce anxiety levels, systolic and diastolic blood pressure, pulse rate,&#13;
and respiration rate in primigravida pregnant women who will undergo C-Section surgery. So, the results of this&#13;
research can be applied by primary nurses in maternity rooms or operating rooms for primigravida pregnant patients&#13;
who will undergo cesarean Section surgery.</text>
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            <name>Creator</name>
            <description>An entity primarily responsible for making the resource</description>
            <elementTextContainer>
              <elementText elementTextId="119172">
                <text>Fathiya Lutfil Yumni1* , Diah Priyantini1&#13;
&#13;
, Chlara Yunita Prabawati1&#13;
, and&#13;
&#13;
Daviq Ayatulloh2</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="119173">
                <text>http://dx.doi.org/10.20473/jn.v20i2.53022</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>
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                <text>25 March 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="119175">
                <text>peri irawan</text>
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            <name>Language</name>
            <description>A language of the resource</description>
            <elementTextContainer>
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                <text>english</text>
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        <name>anxiety, caesarean section, murottal al-qur’an therapy, vital signs</name>
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              <name>Title</name>
              <description>A name given to the resource</description>
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                  <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>
            <elementTextContainer>
              <elementText elementTextId="119225">
                <text>Burnout and resilience among moroccan healthcare professionals: a comprehensive multi-hospital study</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="49">
            <name>Subject</name>
            <description>The topic of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="119226">
                <text>burnout syndrome, gender differences, healthcare professionals, hospital hierarchy, resilience</text>
              </elementText>
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          <element elementId="41">
            <name>Description</name>
            <description>An account of the resource</description>
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                <text>Introduction: Burnout syndrome is a complex and intriguing entity that includes three components: emotional&#13;
exhaustion (EE), depersonalization (DP), and personal accomplishment (PA). Arising from continued contact with&#13;
significant stressors, usually in occupational settings, burnout severely affects the individual and their surroundings.&#13;
This study examines the relationship between burnout and resilience among physicians and caregivers, aiming to&#13;
determine whether the type of setting and demographic characteristics, such as gender and hospital hierarchy, have any&#13;
impact.&#13;
Methods: This multicenter cross-sectional study recruited 296 healthcare professionals through convenience sampling&#13;
by self-administered questionnaires evaluating the Maslach Burnout Inventory and Connor-Davidson Resilience Scale.&#13;
Data were analyzed using statistical methods, including correlation analysis and Multiple Correspondence Analysis&#13;
(MCA).&#13;
Results: From 158 valid responses, the mean scores for each scale were: EE at 28.44±12.90, DP at 9.96±6.47, and PA at&#13;
29.01±10.48; resilience was 23.78±7.71. All three had positive correlations with resilience. There were no significant&#13;
differences in resilience or burnout between men and women. However, EE and PA were significantly correlated with&#13;
male resilience, while all three burnout dimensions were associated with female resilience. Local hospitals reported&#13;
higher mean scores for resilience and PA, whereas provincial hospitals exhibited elevated EE and DP scores. In regional&#13;
hospitals, resilience was only associated with PA, whereas in provincial hospitals, it was correlated with both EE and PA.&#13;
Conclusions: We found a high prevalence of burnout and inadequate resilience among healthcare professionals,&#13;
underscoring the importance of considering these factors in the development of health policies and the implementation&#13;
of preventive and remedial strategies.</text>
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            <description>An entity primarily responsible for making the resource</description>
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                <text>Hicham Guider1* , Samira Jaouhar2&#13;
&#13;
, Jawad Bouzid3&#13;
&#13;
, Wijdane Fadil4&#13;
&#13;
, Naoufal Himmouche2&#13;
&#13;
, Igor Cigarroa5&#13;
&#13;
, Ayoub El Alaiki1&#13;
&#13;
, Abderraouf Hilali2&#13;
&#13;
, Hinde Hami1&#13;
&#13;
, and Fatine&#13;
&#13;
Hadrya1,2</text>
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            <description>A related resource from which the described resource is derived</description>
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              <elementText elementTextId="119229">
                <text>http://dx.doi.org/10.20473/jn.v20i2.65721</text>
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                <text>18 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="119231">
                <text>peri irawan</text>
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      <tag tagId="14084">
        <name>burnout syndrome, gender differences, healthcare professionals, hospital hierarchy, resilience</name>
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                  <text>VOL.20 NO.2 (2025)</text>
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                <text>Optimisation of the role of families of chronic hypertension patients based on the mcmaster model of family functioning in self-care agency</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="49">
            <name>Subject</name>
            <description>The topic of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="119076">
                <text>McMaster model of family functioning, self-care agency, chronic hypertension, family</text>
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          <element elementId="41">
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            <description>An account of the resource</description>
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                <text>Introduction: Hypertension, often symptomless, poses a deadly risk if poorly managed, especially when family support&#13;
in helping patients adhere to treatment and maintain a healthy lifestyle is insufficient. This study aims to analyse the&#13;
impact of the McMaster Model of Family Functioning (MMFF) on the self-care agency of patients with chronic&#13;
hypertension in Surabaya.&#13;
Methods: This study employs an analytical observational design with a cross-sectional approach, involving 300&#13;
respondents from families of patients with hypertension who meet the inclusion criteria. The independent variables&#13;
examined include the six dimensions of the McMaster Model of Family Functioning (MMFF): problem-solving,&#13;
communication, family roles, affective responsiveness, affective involvement, and behaviour control. Meanwhile, the&#13;
dependent variable is self-care agency, which consists of medication, physical activity, and diet. Hypothesis testing was&#13;
conducted using SEM-PLS, which was processed with SmartPLS 4.0.4 software.&#13;
Results: The analysis results indicate that the MMFF has a positive and significant effect on self-care agency, with a&#13;
coefficient of 0.340 (CI = 0.247 – 0.445). The effect size result obtained an effect size value of 0.131. Structured and&#13;
adaptive family support, particularly in communication and affective involvement, has enhanced patients' motivation&#13;
to adhere to medication and engage in self-care activities.&#13;
Conclusions: This study expands on previous research on the role of family support in self-care agencies, by involving&#13;
the McMaster Family Function Model (MMFF) to analyse the specific role of family functions in improving self-care&#13;
agencies in chronic hypertension patients, thus providing a more comprehensive, contextual, and relevant perspective&#13;
for family-based interventions. These results also enrich other theoretical studies, namely the Family-Centred Care&#13;
(FCC) Model, Social Support Theory, and Health Belief Model (HBM).</text>
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            <description>An entity primarily responsible for making the resource</description>
            <elementTextContainer>
              <elementText elementTextId="119078">
                <text>Jujuk Proboningsih1* , Sriyono Sriyono2&#13;
&#13;
, Rini Ambarwati1&#13;
&#13;
, Sri Hardi Wuryaningsih1&#13;
, and&#13;
&#13;
Anita Joeliantina1*</text>
              </elementText>
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          <element elementId="48">
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            <description>A related resource from which the described resource is derived</description>
            <elementTextContainer>
              <elementText elementTextId="119079">
                <text>http://dx.doi.org/10.20473/jn.v20i2.65083</text>
              </elementText>
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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="119080">
                <text>16 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="119081">
                <text>peri irawan</text>
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            <description>A language of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="119083">
                <text>english</text>
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    <tagContainer>
      <tag tagId="14068">
        <name>McMaster model of family functioning, self-care agency, chronic hypertension, family</name>
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              <name>Title</name>
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              <elementTextContainer>
                <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>
                </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="119148">
                <text>Empowering self-care in nursing and midwifery: enhancing mental wellbeing to sustain perseverance and resilience</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="49">
            <name>Subject</name>
            <description>The topic of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="119149">
                <text>Nursing and midwifery are widely recognized as high&#13;
stress professions,</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="41">
            <name>Description</name>
            <description>An account of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="119150">
                <text>Nursing and midwifery are widely recognized as high&#13;
stress professions, shaped by the emotional, cognitive,&#13;
and physical demands of care work. They are expected to&#13;
remain clinically competent, emotionally present, and&#13;
&#13;
ethically grounded, often within unpredictable and high-&#13;
pressure environments such as hospitals, birthing&#13;
&#13;
centres, and community care settings (Foster et al.,&#13;
2020). The emotional impacts of witnessing suffering&#13;
and bearing responsibility for others’ wellbeing is further&#13;
intensified by systemic constraints, including extended&#13;
working hours and chronic staffing shortages (Ibrahim et&#13;
al., 2020). To navigate these complex realities,&#13;
preparation must begin early in the educational journey&#13;
through the structured development of self-care&#13;
&#13;
practices. More than a personal wellness strategy, self-&#13;
care supports sustained professional motivation,&#13;
&#13;
emotional availability, and the consistent delivery of&#13;
compassionate care. The capacity to regulate emotions,&#13;
think clearly under pressure, and maintain psychological&#13;
balance is fundamental to long term professional&#13;
wellbeing (Haji Matarsat et al., 2021).</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="119151">
                <text>Khadizah H. Abdul-Mumin1,2* , and Nur Amali Aminnuddin3</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="119152">
                <text>http://dx.doi.org/10.20473/jn.v20i2.73620</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="119153">
                <text>2, May 2025,</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="37">
            <name>Contributor</name>
            <description>An entity responsible for making contributions to the resource</description>
            <elementTextContainer>
              <elementText elementTextId="119154">
                <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>
            <elementTextContainer>
              <elementText elementTextId="119155">
                <text>pdf</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="44">
            <name>Language</name>
            <description>A language of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="119156">
                <text>english</text>
              </elementText>
            </elementTextContainer>
          </element>
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            <description>The nature or genre of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="119157">
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    <tagContainer>
      <tag tagId="14078">
        <name>Nursing and midwifery are widely recognized as high stress professions,</name>
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    <fileContainer>
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          <elementContainer>
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              <name>Title</name>
              <description>A name given to the resource</description>
              <elementTextContainer>
                <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>
                </elementText>
              </elementTextContainer>
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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="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>
            </elementTextContainer>
          </element>
          <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>
              </elementText>
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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>
              </elementText>
            </elementTextContainer>
          </element>
          <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>
            </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="119019">
                <text>21 May 2025</text>
              </elementText>
            </elementTextContainer>
          </element>
          <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>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="42">
            <name>Format</name>
            <description>The file format, physical medium, or dimensions of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="119021">
                <text>pdf</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="44">
            <name>Language</name>
            <description>A language of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="119022">
                <text>english</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="51">
            <name>Type</name>
            <description>The nature or genre of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="119023">
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          </element>
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    <tagContainer>
      <tag tagId="14062">
        <name>COVID-19, emergency management, hospital readiness, indonesia, maternal health</name>
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  </item>
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          <elementContainer>
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              <name>Title</name>
              <description>A name given to the resource</description>
              <elementTextContainer>
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                  <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>
                </elementText>
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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="119054">
                <text>Parenting self-efficacy mediates relationship between caregiving burden and parenting stress among parents of adolescents with disabilities: a cross-sectional study</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="49">
            <name>Subject</name>
            <description>The topic of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="119055">
                <text>caregivers’ burden, children, disability, parenting stress, self-efficacy</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="41">
            <name>Description</name>
            <description>An account of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="119056">
                <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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                <text>Mundakir Mundakir1* , Idham Choliq1&#13;
&#13;
, Sukadiono Sukadiono2&#13;
&#13;
, Vika Ramadhana Fitriyani1&#13;
&#13;
, and Firman Firman1</text>
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                <text>http://dx.doi.org/10.20473/jn.v20i2.68276</text>
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        <name>caregivers’ burden, children, disability, parenting stress, self-efficacy</name>
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                <text>Introduction: Palliative end-of-life care (PEOLC) is heavily impacted by culture and always discusses death,&#13;
bereavement, uncertainty, loss, grief, and incurable disease. Long-term care and more culturally sensitive nursing care&#13;
are essential to address the diverse needs of patients. This study aimed to develop a PEOLC model grounded in&#13;
transcultural nursing principles, with a focus on enhancing the quality of care for patients requiring long-term support.&#13;
Methods: This study employed a cross-sectional explanatory design involving 180 patients with chronic illnesses as&#13;
participants selected using simple random sampling. The proposed model involved eight variables: patient factors,&#13;
nurse factors, service factors, family factors, technology factors, the PEOLC model, quality of life, and quality of death. A&#13;
valid questionnaire was used to collect data, and we employed SEM-PLS to analyse the results.&#13;
Results: The PEOLC model had an R2 value of 0.61. These findings showed that 60.1% of the variability of PEOLC&#13;
variables was explained by the patient, family, nurse, service, and technology aspects. For each construct, a value of Q2&#13;
&gt; 0 (0.083) indicated that the model was appropriate. The path coefficient value of 0.343 indicates that the service&#13;
factors make the most significant contribution to the PEOLC model.&#13;
Conclusions: This research led to the development of the PEOLC model, which comprises eight variables. It provides a&#13;
comprehensive framework for integrating transcultural nursing principles into long-term care and emphasises the&#13;
importance of cultural sensitivity in delivering personalised and effective end-of-life care.</text>
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                <text>Ni Luh Putu Inca Buntari Agustini1&#13;
&#13;
, I Ketut Swarjana2&#13;
&#13;
, Israfil Israfil2*, and I Gede Putu&#13;
&#13;
Darma Suyasa2</text>
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              <elementText elementTextId="119211">
                <text>http://dx.doi.org/10.20473/jn.v20i2.65544</text>
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                <text>6 May 2025</text>
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                <text>peri irawan</text>
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                  <text>VOL.20 NO.2 (2025)</text>
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                <text>A survey of suicide risk among university students across three regions in Java, Indonesia</text>
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                <text>Introduction: Suicide remains a significant global health and social problem, with Indonesia showing a lower suicide&#13;
rate compared to other Asian countries. However, the underreporting of cases in Indonesia suggests that the incidence&#13;
rate of suicide is higher than documented. This study aimed to identify the risk of suicide among Indonesian college&#13;
students.&#13;
Methods: A cross-sectional study was conducted involving 557 students from three universities across Java Island,&#13;
recruited using the purposive sampling method. The Beck Scale for Suicide Ideation (BSSI) was used to assess suicide&#13;
risk. The data was analyzed using descriptive statistics to determine the prevalence of suicide-related outcomes.&#13;
Additionally, linear regression analysis was conducted to examine the associations between suicide risk, suicidal&#13;
ideation, suicide planning, and self-control in relation to age, sex, and year of study.&#13;
Results: The average suicide risk among college students was 4.04 (SD= 6.60; 95%CI = 3.49 – 4.59) out of 38, indicating&#13;
a generally low risk. However, 34.6% of students experienced the desire to die at least once, and 12.7% had a strong desire&#13;
to make active suicide attempts. Furthermore, 15.8% of students found suicide an acceptable solution to their problems.&#13;
Gender was found to be significant predictor of overall suicide risk, ideation and self-control.&#13;
Conclusions: These findings highlight the need for targeted interventions and support for college students to prevent&#13;
suicide and promote mental well-being.</text>
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                <text>Ninik Yunitri1,2* , Erna Rochmawati3&#13;
&#13;
, Henny Dwi Susanti4&#13;
&#13;
, Nuraenah Nuraenah1,2&#13;
,&#13;
&#13;
Fitrian Rayasari2,5&#13;
&#13;
, Dea Chairunnisa6&#13;
&#13;
, Sephia Salsabila6&#13;
&#13;
, Rani Septiawantari1,2&#13;
, and&#13;
&#13;
Slametiningsih Slametiningsih1,2</text>
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                <text>http://dx.doi.org/10.20473/jn.v20i2.61319</text>
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                <text>26 May 2025</text>
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