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                  <text>VOL.20 NO.3 (2025)</text>
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                <text>Problems and needs of the older adults and their families infected with COVID-19 in the community of Northeastern Thailand: a qualitative study</text>
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                <text>community care, COVID-19, emerging diseases, older adults, problems and needs</text>
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                <text>Introduction: The COVID-19 pandemic has severely impacted older adults, particularly those with chronic illnesses,&#13;
due to their heightened vulnerability and limited access to care. In Northeastern Thailand, many older adults live alone&#13;
and face multifaceted health and social challenges. This study aimed to explore the problems and needs of older adults&#13;
and their families infected with COVID-19 within the social and cultural context of this region.&#13;
Methods: A qualitative content analysis was conducted using data collected through observations, in-depth interviews,&#13;
focus group discussions (FGDs), field notes, and participant observations in community settings. A total of 48&#13;
informants were purposively selected, including representatives from public and community organizations, health&#13;
service units, local administrative organizations, local leaders and village headmen, and older adults and their family&#13;
members who had been infected with COVID-19.&#13;
Results: The study identified five key themes reflecting the problems and needs of older adults and their families&#13;
affected by COVID-19. Socially, participants experienced isolation and limited access to support networks. Economic&#13;
challenges included income loss and insufficient financial assistance. Environmental issues involved inadequate&#13;
housing and restricted access to essential services. Health-related problems encompassed physical decline and limited&#13;
healthcare access. Politically and administratively, delays in assistance and ineffective coordination among agencies&#13;
were reported.&#13;
Conclusions: Older adults and their families infected with COVID-19 encounter complex and multidimensional&#13;
challenges. Community nurses play a vital role as health system managers in addressing these needs and ensuring&#13;
accessible and appropriate primary health care services.</text>
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                <text>Bualun Hinkaew1&#13;
&#13;
, Pairin Yodsuban2&#13;
&#13;
* , Weha Kasemsuk3&#13;
&#13;
, and Prakaikaew Siripoon4</text>
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                <text>http://dx.doi.org/10.20473/jn.v20i3.51986</text>
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                <text>peri irawan</text>
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                  <text>VOL.20 NO.3 (2025)</text>
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                <text>Structural constraints and patient agency in diabetes self-management: a critical case study in a primary healthcare center in Indonesia</text>
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          <element elementId="49">
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                <text>critical inquiry, Indonesia, patient perspectives, self-management, type 2 diabetes mellitus</text>
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                <text>Introduction: Effective self-management is essential for individuals with Type 2 Diabetes Mellitus (T2DM), yet patients&#13;
in Indonesia often encounter persistent barriers. This study explores patients’ perspectives on the challenges they face&#13;
as well as the perceived supports available within the primary healthcare system.&#13;
Methods: A qualitative case study approach, based on Yin’s methodology, was employed. Guided by Habermas’s theory&#13;
of communicative action and Honneth’s theory of recognition, data were collected through in-depth interviews with 14&#13;
patients, 28 clinical observations of patient–provider encounters, and one focus group with five healthcare&#13;
professionals. Participants were recruited from a suburban primary healthcare center in Indonesia using purposive&#13;
sampling. Reflexivity and field notes were maintained throughout the data collection process. Data were analyzed using&#13;
thematic qualitative analysis. Triangulation across data sources helped enhance credibility and trustworthiness.&#13;
&#13;
Results: Five key themes emerged: (1) Medical dominance in care provision, (2) Communication gaps, (3) Regulation-&#13;
centered care, (4) Care quality, and (5) Patient self-empowerment. These themes reveal systemic, structural, and&#13;
&#13;
interpersonal barriers that constrain effective diabetes self-management in primary care.&#13;
Conclusions: Understanding the lived experiences of patients with T2DM is critical to informing practice and policy.&#13;
To overcome these barriers, a shift toward patient-centered care, improved communication, and more inclusive support&#13;
systems is essential within Indonesia’s healthcare system.</text>
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                <text>Yulia Yulia1&#13;
&#13;
* , Wendy Abigail2&#13;
&#13;
, Eileen Willis2&#13;
&#13;
, and Fathimath Shifaza2</text>
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              <elementText elementTextId="119349">
                <text>http://dx.doi.org/10.20473/jn.v20i3.71301</text>
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                <text>18 August 2025</text>
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                <text>peri irawan</text>
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        <name>critical inquiry, Indonesia, patient perspectives, self-management, type 2 diabetes mellitus</name>
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            <description>A name given to the resource</description>
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                <text>Effectiveness of resistance training to improve muscle strength and physical performance of patients with diabetes mellitus: a meta-analysis</text>
              </elementText>
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          </element>
          <element elementId="49">
            <name>Subject</name>
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                <text>diabetes mellitus, muscle strength, physical performance, resistance training</text>
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                <text>Introduction: Metabolic disorders in diabetes mellitus (DM) sufferers, caused by insulin resistance, chronic muscle&#13;
inflammation, and mitochondrial dysfunction, can affect muscle structure and function and reduce physical&#13;
performance (PP). Thus, rehabilitation in the form of resistance training (RT) is needed to overcome these problems.&#13;
This study aims to determine the effect of RT on muscle strength (MS; lower and upper limbs) and PP (primary outcome),&#13;
as well as body mass index (BMI), VO2 peak, lean muscle mass, HbA1c, blood pressure (BP), and adverse events&#13;
(secondary outcome) in patients with DM.&#13;
Methods: Six databases were used in a comprehensive search conducted from March to April 2025 to locate relevant&#13;
articles. We used Standard Mean Difference (SMD), Mean Difference (MD), and Risk Difference with a 95% Confidence&#13;
Interval (CI), to determine the effect of RT. We assess the quality of studies using the Joanna Briggs Institution checklist.&#13;
Results: 26 articles randomized controlled trial articles were included, showing that RT has a significant effect on&#13;
improving MS (lower and upper limbs), PP (primary outcome), and VO2 peak, LMM (secondary outcome); Additionally,&#13;
RT has a significant effect in lowering HbA1c and systolic blood pressure (SBP), but not significantly in reducing diastolic&#13;
blood pressure (DBP) (secondary outcome) between the intervention group and control group of patients with DM.&#13;
There were no RT-related adverse events.&#13;
Conclusions: RT is a rehabilitation recommendation to improve MS and PP and is also a rehabilitative effort for those&#13;
living with DM.</text>
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              <elementText elementTextId="119338">
                <text>Priscilla Mary Ntim Babae1&#13;
&#13;
, Awurabena Quayeba Dadzie1&#13;
&#13;
, and Denny Maurits Ruku</text>
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            <description>A related resource from which the described resource is derived</description>
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              <elementText elementTextId="119339">
                <text>http://dx.doi.org/10.20473/jn.v20i3.72925</text>
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                <text>19 August 2025</text>
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                <text>Bridging health literacy gaps in health profession education: preparing students to provide holistic care</text>
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          <element elementId="49">
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                <text>Health literacy plays a crucial role in achieving&#13;
optimal health.</text>
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                <text>Health literacy plays a crucial role in achieving&#13;
optimal health. Individuals with strong health literacy&#13;
level are better able to manage their health, seeking&#13;
accurate information, understanding clinical&#13;
explanations, and putting recommendations into&#13;
practice, so their decisions are more informed and&#13;
meaningful. Although the topic has been discussed for&#13;
years, the term “health literacy” is still often&#13;
misunderstood, including among health professionals,&#13;
particularly in developing countries such as Indonesia.&#13;
Historically, health literacy referred mainly to basic&#13;
reading and comprehension of simple information&#13;
related to health. As health systems and societal needs&#13;
have evolved, the concept has expanded; it now&#13;
encompasses not only reading but also understanding&#13;
and using health information and services in everyday&#13;
life. Contemporary definitions distinguish between&#13;
personal health literacy and organizational health&#13;
literacy (Santana et al., 2021). The current definition of&#13;
health literacy is “the degree to which individuals have the&#13;
ability to find, understand, and use information and services&#13;
to inform health-related decisions and actions for themselves&#13;
and others”(Office of Disease Prevention and Health&#13;
Promotion (ODPHP), 2025)</text>
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                <text>Kusrini S. Kadar1*</text>
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                <text>http://dx.doi.org/10.20473/jn.v20i3.78140</text>
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        <name>Health literacy plays a crucial role in achieving optimal health.</name>
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                  <text>VOL.20 NO.3 (2025)</text>
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                  <text>peri irawan</text>
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          <element elementId="50">
            <name>Title</name>
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                <text>Effect of sharia-based nursing care using swanson's caring model (ShariaSwanCare) on patient satisfaction: a quasi-experimental study</text>
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          <element elementId="49">
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                <text>islamic hospitals, nursing care quality, patient satisfaction, sharia-based nursing care, swanson caring&#13;
model</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: Patient satisfaction is a key indicator of healthcare quality. As of 2023, Indonesia is home to 74 certified&#13;
Sharia-based hospitals. However, research examining the effects of Sharia-based nursing care on patient satisfaction&#13;
remains limited. Existing studies often treat Islamic healthcare practices and caring theories as separate domains,&#13;
lacking integrated analysis through structured frameworks such as Swanson’s Caring Theory. This study aimed to&#13;
evaluate the effect of Sharia-Based Nursing Care, utilizing Swanson’s Caring Model (ShariaSwanCare), on patient&#13;
satisfaction in hospital settings.&#13;
Methods: A quasi-experimental pretest–posttest design with a control group was employed, involving 76 hospitalized&#13;
patients (38 per group) selected via purposive sampling. Participants received a structured, five-day treatment for&#13;
conditions such as hypertension, diabetes mellitus, cerebrovascular accident (stroke), and pneumonia. Eligibility&#13;
criteria included compos mentis status and uninterrupted completion of the five-day treatment period. Patients who&#13;
were transferred to other wards were excluded. The intervention group received ShariaSwanCare, administered daily&#13;
for five consecutive days, with patient satisfaction assessed every 24 hours. The control group received standard hospital&#13;
care without additional interventions. Data were analyzed using both paired t-tests and independent t-tests. A&#13;
significance level of p &lt; 0.05 was used for all analyses.&#13;
Results: Statistical analysis yielded a p-value of &lt; 0.001, indicating that the implementation of ShariaSwanCare had a&#13;
significant positive effect on patient satisfaction. Specifically, patients in the intervention group showed a greater&#13;
increase in satisfaction scores compared to the control group. The paired t-test revealed a significant improvement from&#13;
pre- to post-intervention in both groups, but the effect was more pronounced in the intervention group.&#13;
Conclusions: Sharia-based nursing practices, when integrated with Swanson’s Caring Model, can effectively enhance&#13;
patient satisfaction. With appropriate training and structured implementation, these practices have the potential to be&#13;
adopted across Islamic hospitals.</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="119318">
                <text>Muhammad Hadi1&#13;
&#13;
* , Sri Mulyani1&#13;
&#13;
, Tang Li Yoong2&#13;
&#13;
, Eni Widiastuti1&#13;
&#13;
, Rini Fatma Kartika3&#13;
,&#13;
&#13;
and Idyatul Hasanah4</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="119319">
                <text>http://dx.doi.org/10.20473/jn.v20i3.71631</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="119320">
                <text>3 August 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="119321">
                <text>peri irawan</text>
              </elementText>
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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="119322">
                <text>pdf</text>
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          <element elementId="44">
            <name>Language</name>
            <description>A language of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="119323">
                <text>english</text>
              </elementText>
            </elementTextContainer>
          </element>
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            <name>Type</name>
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    <tagContainer>
      <tag tagId="14093">
        <name>islamic hospitals, nursing care quality</name>
      </tag>
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              <name>Title</name>
              <description>A name given to the resource</description>
              <elementTextContainer>
                <elementText elementTextId="117241">
                  <text>VOL.20 NO.3 (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="117242">
                  <text>peri irawan</text>
                </elementText>
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          <element elementId="50">
            <name>Title</name>
            <description>A name given to the resource</description>
            <elementTextContainer>
              <elementText elementTextId="119305">
                <text>Occupational stress levels among indonesian nurses and midwives in Saudi Arabian healthcare settings: a comparative cross-sectional study</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="49">
            <name>Subject</name>
            <description>The topic of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="119306">
                <text>indonesian, nurse, midwife, saudi arabia, occupational stress</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="41">
            <name>Description</name>
            <description>An account of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="119307">
                <text>Introduction: The increasing demand for Indonesian nurses and midwives in Saudi Arabia has not been thoroughly&#13;
investigated, particularly concerning physiological, physical, and social environmental conditions. This study aimed to&#13;
assess the occupational stress levels among Indonesian nurses and midwives working in Saudi Arabian healthcare&#13;
settings.&#13;
Methods: This cross-sectional comparative study assessed occupational stress among Indonesian nurses and midwives&#13;
working in Saudi Arabia using the Expanded Nursing Stress Scale (ENSS). A total of 166 respondents (85 nurses and 81&#13;
midwives) completed the survey from a professional WhatsApp group. A convenience sampling was attempted, and&#13;
only those who voluntarily responded to the questionnaire were included. The primary dependent variable was&#13;
occupational stress, while the independent variables included profession (nurse and midwife), age, sex, education level,&#13;
&#13;
workplace setting, marital status, and years of experience. The analytical tests used were Mann-Whitney and Kruskal-&#13;
Wallis.&#13;
&#13;
Results: Occupational stress among nurses (Mean = 109) and midwives (Mean = 107) was low in psychological, physical,&#13;
and social environments. Workload was the most stressful factor for both nurses (Mean = 20.44) and midwives (Mean&#13;
= 18.88). We found a significant difference in the level of stress based on their workplace (p = 0.038) and educational&#13;
background (p = 0.005). There was no difference in the level of stress between nurses and midwives (p = 0.188).&#13;
Conclusions: In comparison, either nurses or midwives have a low level of occupational stress, which is related to&#13;
psychological, physical, and social environments based on ENSS tools. Therefore, optimal healthcare management and&#13;
policy should be maintained and improved for migrant nurses and midwives to foster better, sustainable healthcare&#13;
development in the future.</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="39">
            <name>Creator</name>
            <description>An entity primarily responsible for making the resource</description>
            <elementTextContainer>
              <elementText elementTextId="119308">
                <text>Akhir Fahruddin1&#13;
&#13;
* , Slametiningsih Slametiningsih2&#13;
&#13;
, Dwi Setyorini3&#13;
&#13;
, and Sylvia Gusrina4</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="119309">
                <text>http://dx.doi.org/10.20473/jn.v20i3.63471</text>
              </elementText>
            </elementTextContainer>
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          <element elementId="40">
            <name>Date</name>
            <description>A point or period of time associated with an event in the lifecycle of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="119310">
                <text>18 August 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="119311">
                <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="119312">
                <text>pdf</text>
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            </elementTextContainer>
          </element>
          <element elementId="44">
            <name>Language</name>
            <description>A language of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="119313">
                <text>english</text>
              </elementText>
            </elementTextContainer>
          </element>
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            <description>The nature or genre of the resource</description>
            <elementTextContainer>
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      <tag tagId="14092">
        <name>indonesian, nurse, midwife, saudi arabia, occupational stress</name>
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              <name>Title</name>
              <description>A name given to the resource</description>
              <elementTextContainer>
                <elementText elementTextId="117241">
                  <text>VOL.20 NO.3 (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="117242">
                  <text>peri irawan</text>
                </elementText>
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        <elementContainer>
          <element elementId="50">
            <name>Title</name>
            <description>A name given to the resource</description>
            <elementTextContainer>
              <elementText elementTextId="119295">
                <text>The impact of self-care behavior on quality of life among patients with heart failure in Malaysia: a cross-sectional study</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="49">
            <name>Subject</name>
            <description>The topic of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="119296">
                <text>heart failure, quality of life, Self-care behavior</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="41">
            <name>Description</name>
            <description>An account of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="119297">
                <text>Introduction: Individuals with heart failure anticipate adjustment to self-care behaviors following hospital discharge.&#13;
Self-care in heart failure includes medication adherence, dietary modifications, symptom monitoring, and activity&#13;
adjustment. Adequate self-care behavior may contribute to enhanced outcomes, decreased hospitalization, and&#13;
improved quality of life in patients with heart failure. This study aimed to determine the level of self-care behavior,&#13;
quality of life, and its relationships among patients with heart failure.&#13;
Methods: A cross-sectional study using purposive sampling was conducted among 200 heart failure patients at a&#13;
teaching hospital in Selangor, Malaysia. The sample size was determined using G*Power to ensure adequate statistical&#13;
power. Data were collected using the Self-Care of Heart Failure Index (SCHFI) and the Minnesota Living with Heart&#13;
Failure Questionnaire (MLHFQ). Descriptive statistics, Pearson’s correlation, and multiple linear regression were used&#13;
in this study.&#13;
Results: The results indicated that the total mean score of self-care behavior was 145.42 and SD=16.23. Most patients&#13;
demonstrated good quality of life (n=73, 36.5%), moderate quality of life (n=62, 31%), and poor quality of life (n=65, 32.5&#13;
%). Pearson's correlation revealed a significant (p&lt;0.001) correlation (r = 0.651) between self-care behavior and quality&#13;
of life.&#13;
Conclusions: In conclusion, this study demonstrated that higher levels of self-care are associated with better quality of&#13;
life in patients with heart failure. It is recommended that nurses provide individualized self-care education at discharge,&#13;
focusing on medication adherence, symptom monitoring, and lifestyle changes to improve quality of life.</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="39">
            <name>Creator</name>
            <description>An entity primarily responsible for making the resource</description>
            <elementTextContainer>
              <elementText elementTextId="119298">
                <text>Abdul Razak3&#13;
&#13;
, and Nor Masita Esa4</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="119299">
                <text>http://dx.doi.org/10.20473/jn.v20i3.67901</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="119300">
                <text>15 August 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="119301">
                <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="119302">
                <text>pdf</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="44">
            <name>Language</name>
            <description>A language of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="119303">
                <text>english</text>
              </elementText>
            </elementTextContainer>
          </element>
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            <name>Type</name>
            <description>The nature or genre of the resource</description>
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              </elementText>
            </elementTextContainer>
          </element>
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    </elementSetContainer>
    <tagContainer>
      <tag tagId="14091">
        <name>heart failure, quality of life, Self-care behavior</name>
      </tag>
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              <name>Title</name>
              <description>A name given to the resource</description>
              <elementTextContainer>
                <elementText elementTextId="117241">
                  <text>VOL.20 NO.3 (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="117242">
                  <text>peri irawan</text>
                </elementText>
              </elementTextContainer>
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    <elementSetContainer>
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        <description>The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.</description>
        <elementContainer>
          <element elementId="50">
            <name>Title</name>
            <description>A name given to the resource</description>
            <elementTextContainer>
              <elementText elementTextId="119285">
                <text>Psychometric validation of Filipino versions of the survey of attitudes toward statistics and attitudes toward research for nursing students</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="49">
            <name>Subject</name>
            <description>The topic of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="119286">
                <text>attitudes toward research, nursing, psychometrics, statistics</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="41">
            <name>Description</name>
            <description>An account of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="119287">
                <text>Introduction: Despite the recognized importance of assessing nursing students' attitudes toward statistics and&#13;
research, no validated instruments exist specifically for the Filipino context. This study aimed to evaluate the&#13;
psychometric properties of the Filipino adaptations of the Survey of Attitudes toward Statistics (SATS-F) and Attitudes&#13;
toward Research (ATR-F) scales.&#13;
Methods: A quantitative cross-sectional survey design, using convenience sampling, was employed to collect data from&#13;
August to October 2022. Participants were Filipino nursing students taking nursing research and statistics courses who&#13;
were at least 18 years old. Participants with &gt;10% incomplete data on any instrument were excluded.&#13;
&#13;
Results: Descriptive statistics showed mean scores ranging from 4.45 to 6.10 for ATR-F items and 2.88 to 5.55 for SATS-&#13;
F items. A strong content validity was demonstrated, with S-CVI/Ave values of 0.94 for ATR-F and 0.98 for SATS-F.&#13;
&#13;
Principal Component Analysis (PCA) showed 75.3% of the cumulative explained variance for ATR-F and 61.9% for SATS-&#13;
F. Pearson correlation analysis further supported construct validity, revealing a significant positive relationship (r =&#13;
&#13;
0.50, p &lt; 0.001) between ATR-F and SATS-F, which indicates a strong association between nursing students' attitudes&#13;
toward research and statistics. Internal consistency reliability was established, with Cronbach's alpha coefficients of&#13;
0.87 for ATR-F and 0.90 for SATS-F.&#13;
Conclusions: SATS-F and ATR-F possess sound psychometric properties, rendering them reliable tools for assessing&#13;
Filipino nursing students' attitudes toward statistics and research. Educators and researchers can use these culturally&#13;
adapted and validated instruments to develop targeted interventions to enhance nursing students' preparedness for&#13;
research-informed practice.</text>
              </elementText>
            </elementTextContainer>
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          <element elementId="39">
            <name>Creator</name>
            <description>An entity primarily responsible for making the resource</description>
            <elementTextContainer>
              <elementText elementTextId="119288">
                <text>Joseph U. Almazan1&#13;
&#13;
, Fritz Gerald V. Jabonete2&#13;
&#13;
* , Cris S. Adolfo3&#13;
&#13;
, Abdulrhman S. B.&#13;
&#13;
Albougami3&#13;
&#13;
,Jose Arnold Tariga4&#13;
&#13;
, and Jonas Preposi Cruz1</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="119289">
                <text>http://dx.doi.org/10.20473/jn.v20i3.67728</text>
              </elementText>
            </elementTextContainer>
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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="119290">
                <text>5 August 2025</text>
              </elementText>
            </elementTextContainer>
          </element>
          <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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                  <text>VOL.20 NO.3 (2025)</text>
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                <text>Exploring the promotion of sexual health literacy for sexually transmitted disease prevention among undergraduate students in Thailand: an ethnographic study</text>
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                <text>disease prevention, health promotion, sexual health literacy, sexually transmitted disease, undergraduate&#13;
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                <text>Introduction: Although previous knowledge has proposed guidelines for promoting sexual health literacy in sexually&#13;
transmitted disease (STD) prevention, there is a knowledge gap in studies about approaches to promote sexual health&#13;
literacy for STD prevention among undergraduate students tailored to undergraduate students, who are influenced by&#13;
specific personal, familial, and sociocultural factors.&#13;
Methods: This critical ethnographic study explored the promotion of sexual health literacy in STD prevention among&#13;
undergraduate students in Thailand. The total number of participants was 63 persons, including undergraduate&#13;
students, health care providers, university department representatives, university administrators, advisors or lecturers,&#13;
parents, and friends. Data were collected by in-depth interviews, participatory observation, non-participatory&#13;
observations, field notes, and documented studies. Verify the accuracy of the data using multiple periods, multiple&#13;
individuals, multiple university departments, member checking, reflexivity, and qualitative research experts. Data were&#13;
analyzed by thematic analysis.&#13;
Results: It consists of 2 parts: 1) Development of university mechanisms to prevent, deter, and support students, and 2)&#13;
Providing health services to care and help for students.&#13;
Conclusions: The results of this research provide practical knowledge. However, the limitations need to be addressed&#13;
in the implementation process. Recommendations are that University administrators should increase the integration&#13;
and promotion of all elements of sexual health literacy to students. Student health centers should develop their&#13;
competencies in providing counseling services to LGBTQ students. Policymakers should develop specific policies with&#13;
&#13;
student participation, and for future research, should explore integration models of all stakeholders and cross-&#13;
university comparison research.</text>
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                <text>Sittisak Kreupimy1&#13;
&#13;
, and Peerapong Boonsawasdgulchai2</text>
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            <name>Source</name>
            <description>A related resource from which the described resource is derived</description>
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              <elementText elementTextId="119279">
                <text>http://dx.doi.org/10.20473/jn.v20i3.71467</text>
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                <text>13 August 2025</text>
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                <text>peri irawan</text>
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        <name>disease prevention, health promotion, sexual health literacy, sexually transmitted disease, undergraduate students</name>
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                  <text>VOL.20 NO.3 (2025)</text>
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                <text>Effectiveness of the health belief model-based husband empowerment module in enhancing postpartum contraceptive support readiness: a quasi-experimental study</text>
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          <element elementId="49">
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                <text>behavior change, contraceptive decision-making, health intervention, paternal involvement, postpartum&#13;
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                <text>Introduction: Husband involvement is crucial in maternal health, particularly in postpartum contraceptive use.&#13;
However, many husbands lack awareness, facilitation skills, and appreciation for their role. This study evaluated the&#13;
effectiveness of a Health Belief Model (HBM)-based Husband Empowerment Module in enhancing husbands'&#13;
preparedness behaviors for postpartum contraceptive support.&#13;
Methods: A quasi-experimental pre-posttest control group design was conducted at two community health centers in&#13;
Samarinda, Indonesia. Sixty husbands of third-trimester pregnant women were recruited through a combination of&#13;
sampling, purposive sampling, and random sampling. Purposive sampling was used to choose the treatment group, and&#13;
random sampling was used to select the participants, who were assigned to the intervention (n=30) and control (n=30)&#13;
groups. The intervention group received a comprehensive 12-session HBM-based module delivered through antenatal&#13;
care visits, home visits, group discussions, and WhatsApp support over three months. Preparedness behavior was&#13;
measured using validated questionnaires assessing awareness, facilitation ability, and appreciation. Nonparametric&#13;
statistical analyses were employed.&#13;
Results: Post-intervention, the treatment group demonstrated significant improvements across all preparedness&#13;
dimensions: awareness median scores increased from 9.0 to 11.0 (p&lt;0.001), facilitation ability, from 5.0 to 6.0 (p&lt;0.001),&#13;
and appreciation from 4.0 to 5.0 (p&lt;0.001), while the control group showed no significant changes (all p&gt;0.05).&#13;
Between-group comparisons revealed substantially higher preparedness in the intervention group with large effect&#13;
sizes. Notably, 83.3% of intervention participants achieved good facilitation ability compared to 0% at baseline.&#13;
Conclusions: The HBM-based Husband Empowerment Module effectively enhanced husbands' preparedness for&#13;
postpartum contraceptive support, suggesting that structured interventions can improve husband involvement in&#13;
postpartum care and maternal health outcomes.</text>
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                <text>Pipit Feriani1&#13;
&#13;
* , Rini Ernawati1&#13;
&#13;
, Lia Kurniasari2&#13;
&#13;
, and Yhenti Widjayanti3</text>
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                <text>http://dx.doi.org/10.20473/jn.v20i3.70836</text>
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                <text>peri irawan</text>
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