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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>Strengthening maternal referral systems during public health emergencies: insights from Indonesia’s COVID-19 response</text>
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          <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>
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                <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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            <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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            <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>
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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>
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                <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>
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              <elementText elementTextId="119020">
                <text>peri irawan</text>
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            <name>Language</name>
            <description>A language of the resource</description>
            <elementTextContainer>
              <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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                  <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>
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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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              <elementText elementTextId="119044">
                <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">
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            <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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            <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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            <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>
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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="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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              <elementText elementTextId="119051">
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          <element elementId="44">
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            <description>A language of the resource</description>
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              <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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              <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>
            <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>
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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 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>
              </elementText>
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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="119058">
                <text>http://dx.doi.org/10.20473/jn.v20i2.68276</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>
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                <text>18 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="119060">
                <text>peri irawan</text>
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          <element elementId="44">
            <name>Language</name>
            <description>A language of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="119062">
                <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>
              <elementTextContainer>
                <elementText elementTextId="117239">
                  <text>VOL.20 NO.2 (2025)</text>
                </elementText>
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            <element elementId="37">
              <name>Contributor</name>
              <description>An entity responsible for making contributions to the resource</description>
              <elementTextContainer>
                <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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                <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">
            <name>Description</name>
            <description>An account of the resource</description>
            <elementTextContainer>
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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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            <name>Creator</name>
            <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>
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                <text>http://dx.doi.org/10.20473/jn.v20i2.65083</text>
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              <elementText elementTextId="119081">
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        <name>McMaster model of family functioning, self-care agency, chronic hypertension, family</name>
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          <element elementId="50">
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                <text>Nurses’ experience of using platform for phlebitis assessment based on telemedicine consultation system: a qualitative descriptive study</text>
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          </element>
          <element elementId="49">
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                <text>experience, nurses, phlebitis assessment, telemedicine consultation system</text>
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                <text>Introduction: Current methods for assessing phlebitis rely on nurses' experiences. Integrating advanced systems, such&#13;
as a Clinical Decision Support System and a Telemedicine Consultation System, is essential for more comprehensive and&#13;
expert-driven diagnosis and treatment recommendations. This study explored nurses' experiences using a platform for&#13;
phlebitis assessment based on a telemedicine consultation system.&#13;
Methods: A qualitative study based on constructivist theory was conducted using focus group interviews with 12&#13;
registered nurses recruited from a community hospital in Thailand, between November 2022 and March 2023. The&#13;
interviews were then recorded and transcribed. Data analysis followed Miles and Huberman's framework, which&#13;
comprised three stages: (1) data reduction, involving the selection, organization, and coding of key data; (2) data display,&#13;
structuring the data into themes to identify patterns; and (3) conclusion drawing and verification to ensure accuracy&#13;
and validity through systematic comparison and cross-checking.&#13;
Results: Four themes emerged: accuracy, referring to the precision of the assessments; feasibility, which pertains to&#13;
how practical the system is for daily clinical use; propriety, concerning ethical and professional considerations such as&#13;
patient confidentiality and alignment with nursing practices; and utility, evaluating the overall usefulness and value of&#13;
the platform in enhancing assessment efficiency.&#13;
Conclusions: The platform for phlebitis assessment based on the telemedicine consultation system can accurately&#13;
evaluate and diagnose phlebitis. It is suitable for practical use in clinical settings and can improve patient care quality.</text>
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            <description>An entity primarily responsible for making the resource</description>
            <elementTextContainer>
              <elementText elementTextId="119099">
                <text>Pramote Thangkratok1* , Krit Pongpirul1&#13;
&#13;
and Jiruth Sriratanaban1</text>
              </elementText>
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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="119100">
                <text>http://dx.doi.org/10.20473/jn.v20i2.60596</text>
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              <elementText elementTextId="119101">
                <text>18 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="119102">
                <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="119103">
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          <element elementId="44">
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            <description>A language of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="119104">
                <text>english</text>
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        <name>experience, nurses, phlebitis assessment, telemedicine consultation system</name>
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                  <text>VOL.20 NO.2 (2025)</text>
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              <elementTextContainer>
                <elementText elementTextId="117240">
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          <element elementId="50">
            <name>Title</name>
            <description>A name given to the resource</description>
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              <elementText elementTextId="119117">
                <text>Factors contributing to the provision of complementary food by fathers to improve the growth of children aged 6-24 months: a cross sectional study</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="49">
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            <elementTextContainer>
              <elementText elementTextId="119118">
                <text>children, complementary food, father’s role, growth</text>
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          <element elementId="41">
            <name>Description</name>
            <description>An account of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="119119">
                <text>Introduction: Providing complementary foods to children aged 6-24 months has many obstacles that have an impact&#13;
on the child's growth. So far, the mother has played the most role, fathers tend to pay less attention in giving&#13;
complementary food. The purpose of this study was to analyze the factors that contribute to the provision of&#13;
complementary foods by fathers to improve the growth of children aged 6-24 months.&#13;
Methods: A cross-sectional approach on 366 children aged 6-24 months who were recruited using simple random&#13;
sampling. The variables consisted of children age, gender, father's age, father's education, father's job, mother's age,&#13;
mother's education, mother's job dan father's role and the growth of children age 6-24 months. Data was analysis binary&#13;
logistic regression.&#13;
Results: The study showed positive father involvement (72%) and normal growth (76.5%). The multivariate analysis&#13;
show that father's education, father's job, mother's age, mother's education, mother's job and father's role have a&#13;
significant relationship with the growth chart. Father's role is the most dominant variable because its OR is the highest&#13;
(p = 0.001; OR = 2.128; CI = 1.263-3.433), which means that a supportive or better father's role will make the provision of&#13;
complementary food better and improve the child's growth chart.&#13;
Conclusions: Fathers play an important role to give complementary feeding in children aged 6-24 months. This study&#13;
is expected to be applied with a wider range of areas in order to obtain comparisons with research that has been done.</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="119120">
                <text>Nur Mukarromah1&#13;
&#13;
* , Wiwi Septa Hakim Masruro1&#13;
&#13;
, Septian Galuh Winata1&#13;
&#13;
, Abdul Aziz&#13;
&#13;
Alimul Hidayat1&#13;
&#13;
, Diah Priyantini1&#13;
&#13;
, Chlara Yunita Prabawati1&#13;
&#13;
, and Erfan Rofiqi1</text>
              </elementText>
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          </element>
          <element elementId="48">
            <name>Source</name>
            <description>A related resource from which the described resource is derived</description>
            <elementTextContainer>
              <elementText elementTextId="119121">
                <text>http://dx.doi.org/10.20473/jn.v20i2.66038</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>
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              <elementText elementTextId="119122">
                <text>12 April 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="119123">
                <text>peri irawan</text>
              </elementText>
            </elementTextContainer>
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          <element elementId="42">
            <name>Format</name>
            <description>The file format, physical medium, or dimensions of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="119124">
                <text>pdf</text>
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          <element elementId="44">
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            <description>A language of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="119125">
                <text>english</text>
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          </element>
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            <elementTextContainer>
              <elementText elementTextId="119126">
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        <name>children, complementary food, father’s role, growth</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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              <elementTextContainer>
                <elementText elementTextId="117240">
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          <element elementId="50">
            <name>Title</name>
            <description>A name given to the resource</description>
            <elementTextContainer>
              <elementText elementTextId="119138">
                <text>Factors associated with older adults’ neglect among relatives in urban areas of Indonesia: a cross-sectional study</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="49">
            <name>Subject</name>
            <description>The topic of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="119139">
                <text>older adults, neglect, family support, family health duties, social engagement</text>
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          <element elementId="41">
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            <description>An account of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="119140">
                <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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          <element elementId="39">
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            <description>An entity primarily responsible for making the resource</description>
            <elementTextContainer>
              <elementText elementTextId="119141">
                <text>Ezalina Ezalina1* , and Alfianur Alfianur1</text>
              </elementText>
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          </element>
          <element elementId="48">
            <name>Source</name>
            <description>A related resource from which the described resource is derived</description>
            <elementTextContainer>
              <elementText elementTextId="119142">
                <text>http://dx.doi.org/10.20473/jn.v20i2.60511</text>
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            <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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          <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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              <elementText elementTextId="119145">
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          <element elementId="44">
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            <description>A language of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="119146">
                <text>english</text>
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            </elementTextContainer>
          </element>
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              <elementText elementTextId="119147">
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                  <text>VOL.20 NO.2 (2025)</text>
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              <description>An entity responsible for making contributions to the resource</description>
              <elementTextContainer>
                <elementText elementTextId="117240">
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          <element elementId="50">
            <name>Title</name>
            <description>A name given to the resource</description>
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              <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>
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          </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>
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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>
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          </element>
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            <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>
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                <text>2, May 2025,</text>
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                <text>peri irawan</text>
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        <name>Nursing and midwifery are widely recognized as high stress professions,</name>
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                  <text>VOL.20 NO.2 (2025)</text>
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                <text>Effects of murottal al-qur'an therapy on anxiety and vital signs among primigravida pregnant women in pre-operation caesarean section</text>
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          <element elementId="49">
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                <text>anxiety, caesarean section, murottal al-qur’an therapy, vital signs</text>
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                <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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              <elementText elementTextId="119172">
                <text>Fathiya Lutfil Yumni1* , Diah Priyantini1&#13;
&#13;
, Chlara Yunita Prabawati1&#13;
, and&#13;
&#13;
Daviq Ayatulloh2</text>
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              <elementText elementTextId="119173">
                <text>http://dx.doi.org/10.20473/jn.v20i2.53022</text>
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            <name>Date</name>
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                <text>25 March 2025</text>
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            <elementTextContainer>
              <elementText elementTextId="119175">
                <text>peri irawan</text>
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            <elementTextContainer>
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                <text>english</text>
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      <tag tagId="14081">
        <name>anxiety, caesarean section, murottal al-qur’an therapy, vital signs</name>
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              <name>Title</name>
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                  <text>VOL.20 NO.2 (2025)</text>
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              <elementTextContainer>
                <elementText elementTextId="117240">
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          <element elementId="50">
            <name>Title</name>
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                <text>Digital innovations for adolescent mental health: evaluating the impact of genziheal web-based education model</text>
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          <element elementId="49">
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              <elementText elementTextId="119191">
                <text>adolescents, education, genziheal, mental health, website</text>
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                <text>Introduction: Mental health problems among adolescents remain a global public health concern, highlighting the need&#13;
for accessible and innovative educational interventions. This study evaluated the effectiveness of a web-based mental&#13;
health education model through the Genziheal platform in improving knowledge levels and reducing symptoms of&#13;
mental health disorders among adolescent students.&#13;
Methods: A quasi-experimental, pretest-posttest control group design was employed involving 130 senior high school&#13;
&#13;
students (intervention group: n=80; control group: n=50). Data were collected using the Self-Reporting Questionnaire-&#13;
29 (SRQ-29) and a validated mental health knowledge questionnaire. Paired t-test and Mann-Whitney tests were used&#13;
&#13;
for analysis.&#13;
Results: The intervention group demonstrated a significant increase in mental health knowledge (mean score improved&#13;
from 11.0 ± 2.8 to 12.2 ± 3.2; p = 0.008), while no significant change was observed in the control group. However, no&#13;
significant differences were found in mental health symptoms between pre- and post-test stages in both groups (p &gt;&#13;
0.05).&#13;
Conclusions: The Genziheal platform effectively enhanced students’ mental health literacy but did not significantly&#13;
reduce symptoms of mental health disorders. These findings suggest that web-based educational tools can support&#13;
mental health awareness among adolescents but should be complemented with parental involvement and professional&#13;
support to address psychological symptoms. This study also highlights the potential integration of digital mental health&#13;
interventions into school-based health promotion programs. The findings contribute to the development of scalable,&#13;
culturally contextualized digital health promotion tools, particularly in resource-constrained settings such as Indonesia.</text>
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              <elementText elementTextId="119193">
                <text>Reza Indra Wiguna1* , Valian Yoga Pudya Ardhana2&#13;
&#13;
, Rias Pratiwi Safitri3&#13;
&#13;
, Baiq Fitria Frisma&#13;
&#13;
lita1&#13;
, D Mustamu Qamal Pa’ni1&#13;
&#13;
, and Lia Arian Apriani1</text>
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            <description>A related resource from which the described resource is derived</description>
            <elementTextContainer>
              <elementText elementTextId="119194">
                <text>http://dx.doi.org/10.20473/jn.v20i2.67751</text>
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                <text>18 May 2025</text>
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          <element elementId="37">
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            <elementTextContainer>
              <elementText elementTextId="119196">
                <text>peri irawan</text>
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