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                  <text>VOL.14 NO.1 (2024) </text>
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                <text>Development of a Holistic Nursing Model Based on Transcultural Nursing to Improve the Quality of Life of Patients with Type-2 Diabetes Mellitus</text>
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          <element elementId="49">
            <name>Subject</name>
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            <elementTextContainer>
              <elementText elementTextId="120272">
                <text>Development; holistic nursing;transcultural nursing; T2DM;&#13;
quality of life</text>
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                <text>Background: The management of type 2 diabetes mellitus (T2DM) primarily&#13;
emphasizes physical care, yet the quality of life (QoL) remains suboptimal. The&#13;
management of diabetes often neglects psychological, socio-cultural, and spiritual&#13;
aspects, which are essential components of transcultural nursing. Developing a&#13;
holistic nursing model rooted in transcultural nursing, which has never been broadly&#13;
investigated, is imperative to enhance QoL in individuals with T2DM.&#13;
Purpose: This study aimed to develop a nursing model based on transcultural&#13;
nursing to enhance the QoL of individuals with T2DM.&#13;
Methods: This study employed a quantitative research design with a cross-sectional&#13;
approach. A sample of 145 individuals with T2DM was recruited using a simple&#13;
random sampling technique. A self-developed questionnaire was used, incorporating&#13;
factors from Dossey’s holistic nursing model, Leininger’s transcultural nursing&#13;
model, and a QoL questionnaire. Inferential statistics using smart PLS-structural&#13;
equation modeling (SEM) were employed for data analysis.&#13;
Results: The findings revealed that the holistic nursing model based on transcultural&#13;
nursing in individuals with T2DM was influenced directly by respondent&#13;
characteristics (t=3.313, p=0.001), religious and life philosophy (t=2.836, p=0.005),&#13;
social and kinship (t=2.579, p=0.010), cultural and lifestyle (t=2.833, p=0.005),&#13;
biological (t=2.718, p=0.007), and psychological (t=2.497, p=0.013) factors.&#13;
However, the technological factor was not significantly (t=0.802, p=0.423)&#13;
associated with the model. The holistic nursing model based on transcultural nursing&#13;
had a direct influence on the quality of life (t=9.124 and p=0.000).&#13;
Conclusion: The holistic nursing model based on transcultural nursing&#13;
encompasses six variables: respondent characteristics, religious and life philosophy,&#13;
social and kinship, cultural and lifestyle, and biological and psychological factors. The&#13;
model can serve as a guideline for managing type 2 DM patients to enhance the QoL.</text>
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            <description>An entity primarily responsible for making the resource</description>
            <elementTextContainer>
              <elementText elementTextId="120274">
                <text>Ni Wayan Suniyadewi1&#13;
&#13;
, Yuni Sufyanti Arief1&#13;
&#13;
, Ninuk Dian Kurniawati1&#13;
&#13;
, I Dewa Ayu Rismayanti2,&#13;
&#13;
Ni Wayan Trisnadewi3, Iswatun Iswatun4</text>
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            <elementTextContainer>
              <elementText elementTextId="120275">
                <text>https://doi.org/10.14710/nmjn.v14i1.56812</text>
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              <elementText elementTextId="120276">
                <text>28 April 2024</text>
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          <element elementId="37">
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            <elementTextContainer>
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                <text>PERI IRAWAN</text>
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        <name>Development; holistic nursing;transcultural nursing; T2DM; quality of life</name>
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                  <text>VOL.14 NO.1 (2024) </text>
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            <description>A name given to the resource</description>
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                <text>Distress and Coping Strategy among Indonesian Men with Type-2 Diabetes Mellitus</text>
              </elementText>
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          <element elementId="49">
            <name>Subject</name>
            <description>The topic of the resource</description>
            <elementTextContainer>
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                <text>Coping; diabetes mellitus;&#13;
men; stress</text>
              </elementText>
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          <element elementId="41">
            <name>Description</name>
            <description>An account of the resource</description>
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                <text>Background: Type-2 diabetes mellitus (T2DM) can have a notable impact on the&#13;
psychological and physical well-being of individuals, which in turn affects the&#13;
management of the condition. Men and women experiencing stress and adopting&#13;
distinct coping strategies. However, research focusing specifically on T2DM in men&#13;
is still limited.&#13;
Purpose: The present study intends to investigate the distress and coping&#13;
strategies adopted by male T2DM outpatients in Malang, East Java, Indonesia.&#13;
&#13;
Methods: This study employed a qualitative research design and conducted in-&#13;
depth interviews to 24 male T2DM outpatients. The interview guidelines were&#13;
&#13;
formulated using the Indonesian version of the Diabetes Distress Scale (DDS17)&#13;
questionnaire, which comprised four domains: physician-related distress,&#13;
emotional burden, regimen-related distress, and interpersonal distress. A thematic&#13;
analysis was performed to analyze the results gathered during the research and&#13;
compile them into a final report.&#13;
Results: The study revealed that individuals diagnosed with T2DM experienced a&#13;
range of emotional and practical difficulties, including feelings of fear, anxiety, and&#13;
a lack of understanding. Disease burden, a lack of understanding of both diabetes&#13;
and healthcare services, difficulties managing their diet, routine medication,&#13;
financial concerns, and fatigue also contributed to the distress. To cope with&#13;
distress, the informants identified eight distinct coping strategies. Of these, the most&#13;
effective strategy was receiving support from family members, followed by&#13;
acceptance, self management, positive attitude, understanding of their illness,&#13;
joining the diabetes community, spirituality, and getting more information about&#13;
T2DM.&#13;
Conclusion: The findings of this study indicated that men experience eight distinct&#13;
types of stress and utilise comparable coping strategies associated with T2DM.&#13;
Emotional distress represents the predominant pressure, while family support&#13;
constitutes the primary coping strategy. These results are important for nurses and&#13;
other healthcare professionals in supporting patients.</text>
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            <name>Creator</name>
            <description>An entity primarily responsible for making the resource</description>
            <elementTextContainer>
              <elementText elementTextId="120219">
                <text>Fajar Ari Nugroho1&#13;
&#13;
, Rico Budhiarta Chandra1&#13;
&#13;
, Nike Laila1&#13;
&#13;
, Sera Rukia1&#13;
&#13;
, Inggita Kusumastuty&#13;
1&#13;
,&#13;
&#13;
Anggun Rindang Cempaka1&#13;
&#13;
, Lola Ayu Istifiani1&#13;
&#13;
, Atifa Nafia Hasantie Latif1</text>
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            <description>A related resource from which the described resource is derived</description>
            <elementTextContainer>
              <elementText elementTextId="120220">
                <text>https://doi.org/10.14710/nmjn.v14i1.61605</text>
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            <name>Date</name>
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                <text>24 April 2024</text>
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          <element elementId="37">
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            <description>An entity responsible for making contributions to the resource</description>
            <elementTextContainer>
              <elementText elementTextId="120222">
                <text>PERI IRAWAN</text>
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                  <text>VOL.14 NO.1 (2024) </text>
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            <name>Title</name>
            <description>A name given to the resource</description>
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                <text>Effectiveness of Self-Management Training, “EDUDARA,” on Psychological Wellbeing and Cortisol Levels in Breast Cancer Patients during the COVID-19 Pandemic</text>
              </elementText>
            </elementTextContainer>
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          <element elementId="49">
            <name>Subject</name>
            <description>The topic of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="120195">
                <text>Breast cancer; cortisol level; psychological wellbeing; self-&#13;
management</text>
              </elementText>
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          <element elementId="41">
            <name>Description</name>
            <description>An account of the resource</description>
            <elementTextContainer>
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                <text>Background: Women diagnosed with breast cancer often experience emotional&#13;
distress, leading to a decrease in psychological well-being. Online self-management&#13;
&#13;
training during the COVID-19 pandemic is crucial for maintaining psychological well-&#13;
being, as it is closely related to stress hormone cortisol levels, which play a vital role&#13;
&#13;
in boosting the body’s immune system. However, research on self-management&#13;
strategies for breast cancer patients, particularly regarding psychological aspect and&#13;
its relationship to cortisol levels during the COVID-19 pandemic, remains limited.&#13;
&#13;
Purpose: The purpose of this study was to measure the effectiveness of self-&#13;
management training on psychological well-being and salivary cortisol levels in&#13;
&#13;
breast cancer patients.&#13;
Methods: This study used a pre-post-test quasi-experimental design with a control&#13;
group. The participants included 70 breast cancer patients undergoing chemotherapy&#13;
at a hospital in Malang City, East Java, Indonesia, recruited using simple random&#13;
sampling. Self-management training using the EDUDARA (Edukasi Kanker&#13;
Payudara) was administered to the participants in the intervention group for six&#13;
weeks. Data on wellbeing were collected using the Ryff Psychological Wellbeing&#13;
Questionnaire, while salivary cortisol levels were measured with the DBD cortisol kit&#13;
using the competitive ELISA method. SPSS with t-tests was used to analyze the data.&#13;
Results: The average post-test psychological well-being score in the intervention&#13;
group was 90.3, while in the control group, it was 82.69. The results of statistical tests&#13;
showed a significant difference in psychological well-being between the two groups,&#13;
with the intervention group showing greater improvement after the training.&#13;
Additionally, the mean salivary cortisol level post-training was 4.531 in the&#13;
intervention group and 6.169 in the control group (p=0.001). This indicates a greater&#13;
reduction in cortisol levels in the intervention group after training, showing that&#13;
participants’ psychological condition following the “EDUDARA” training was better&#13;
than that of the control group.&#13;
Conclusion: Self-management training had a positive effect on increasing&#13;
psychological well-being and decreasing salivary cortisol levels among breast cancer&#13;
patients. Therefore, structured self-management training for these patients can be&#13;
used for nursing intervention</text>
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            <description>An entity primarily responsible for making the resource</description>
            <elementTextContainer>
              <elementText elementTextId="120197">
                <text>Lilik Supriati1&#13;
&#13;
, Renny Nova1&#13;
&#13;
, Muhammad Rodli2, Ahsan Ahsan1&#13;
&#13;
, Nur Hidaayah3, I Dewa Ayu Rismayanti4</text>
              </elementText>
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            <elementTextContainer>
              <elementText elementTextId="120198">
                <text>https://doi.org/10.14710/nmjn.v14i1.61652</text>
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            <name>Date</name>
            <description>A point or period of time associated with an event in the lifecycle of the resource</description>
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                <text>22 April 2024</text>
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          <element elementId="37">
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            <elementTextContainer>
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                <text>PERI IRAWAN</text>
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      <tag tagId="14173">
        <name>Breast cancer; cortisol level; psychological wellbeing; self- management</name>
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                  <text>VOL.14 NO.1 (2024) </text>
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            <name>Title</name>
            <description>A name given to the resource</description>
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                <text>Nurses’ Knowledge on the Prevention of Ventilator-Associated Pneumonia (VAP) among Critically Ill Patients</text>
              </elementText>
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          <element elementId="49">
            <name>Subject</name>
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                <text>Critically ill patients; knowledge; nurses; prevention of Ventilator-Associated Pneumonia (VAP); ventilator bundle checklist</text>
              </elementText>
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                <text>Background: Ventilator-associated pneumonia (VAP) is a significant concern in&#13;
healthcare settings, particularly among critically ill patients who require mechanical&#13;
ventilation. Nurses play a vital role in preventing VAP through their knowledge and&#13;
implementation of evidence-based practices. However, there exists a notable gap in the&#13;
research regarding nurses’ knowledge of preventing VAP to improve patient outcomes&#13;
and reduce healthcare costs.&#13;
Purpose: This study aimed to assess nurses’ knowledge of preventing VAP among&#13;
critically ill patients using the ventilator bundle checklist.&#13;
Methods: This study used a one-group pretest-posttest design to test the change in the&#13;
nurses’ knowledge scores on VAP working in two government hospitals in Buraidah, Al&#13;
Qassim Region, Saudi Arabia. The study covered 250 purposively and conveniently&#13;
sampled nurses from intensive care units. Data collection was performed in three&#13;
phases: pre-test, VAP educational program, and post-test. Data were collected using&#13;
self-administered questionnaires on nurses’ socio-demographics, a 20-item self-made&#13;
survey about the knowledge of VAP and its prevention and the adapted ventilator bundle&#13;
checklist. The collected data were entered, prepared, and analyzed using SPSS version&#13;
25.0. Relevant ethical issues were strictly considered.&#13;
Results: The results showed that during the pre-test, correct responses were accounted&#13;
for but showed low scores in the following areas: general knowledge of VAP (27.6%),&#13;
factors associated with VAP (36%), international guidelines for prevention (20.8%), and&#13;
nurses’ roles in prevention (16.4%). However, in the post-test, there was a remarkable&#13;
increase in the knowledge scores in the same categories (95.2%) on general knowledge,&#13;
on factors associated with VAP (74.8%), on international guidelines (73.6%) and on&#13;
nurses’ roles in prevention (61.6%). The program significantly improved overall VAP&#13;
knowledge and knowledge in specific areas like general VAP, associated factors,&#13;
international guidelines, and nurses’ roles in prevention (p&lt;0.000).&#13;
Conclusion: A pre-test revealed low baseline knowledge across all four areas assessed:&#13;
general VAP knowledge, factors associated with VAP, international VAP prevention&#13;
guidelines, and nurses’ roles in VAP prevention. However, post-test scores markedly&#13;
increased in all areas, indicating the educational program’s effectiveness. Hence, the&#13;
findings suggest that educational intervention focused on VAP screening and bundle&#13;
protocols could be beneficial to address the gap in knowledge on VAP.</text>
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              <elementText elementTextId="120177">
                <text>Maha Sanat Alreshidi1&#13;
&#13;
, Fareda Ali AlRashidi2, Cyruz P. Tuppal3, Denise Angelo M. Prudencio4, Nojoud&#13;
&#13;
Alrashidi5, Rico William A. Villagracia6, Hazel N. Villagracia6</text>
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                <text>https://doi.org/10.14710/nmjn.v14i1.50955</text>
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                <text>PERI IRAWAN</text>
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                  <text>VOL.14 NO.1 (2024) </text>
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                <text>Nursing Students’ Perceptions about the Effects of Climate Change on Health: A Descriptive Exploratory Study</text>
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          <element elementId="49">
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                <text>Climate change; climate change effects; nursing students;&#13;
perceptions</text>
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                <text>Background: Climate change is recognized as an important health concern that&#13;
the health sector and nurses must prepare for. Adequate preparation and&#13;
understanding of its effects on health must be exemplified by nurses and nursing&#13;
students. Previous studies showed that nurses and nursing students have good&#13;
knowledge of climate change and its effects on health. However, none of these&#13;
studies were conducted in the Philippines.&#13;
Purpose: This study explored the perceptions of nursing students about the effects&#13;
of climate change on health.&#13;
Methods: The researchers utilized a descriptive qualitative research design. The&#13;
study was conducted among level three Bachelor of Science in Nursing students&#13;
selected through purposive sampling using the following criteria: a) students who&#13;
were enrolled with a full load of units in the BSN course, and b) those who have not&#13;
taken Disaster Nursing course in the previous semesters. A total of 35 participants&#13;
were included in the study. Data collection was done through an interview using a&#13;
researcher-made interview guide. Data analysis was done through content analysis.&#13;
Results: Two major themes were identified, which describe the perceptions of the&#13;
nursing students about the effects of climate change on health. The findings revealed&#13;
that the respondents have an adequate understanding of what climate change is and&#13;
the factors that cause it. The respondents also mentioned that climate change&#13;
negatively affects the physiological health of humans. Specifically, climate change&#13;
increases the risk for non-communicable disease such as cardiovascular and&#13;
respiratory diseases. It also alters certain characteristics of communicable diseases&#13;
such as prevalence, seasonal pattern, and geographic distribution.&#13;
Conclusion: The findings revealed that student nurses know what climate change&#13;
is and are aware that it negatively affects health. However, their perceptions of the&#13;
effects of climate change on health are limited to its physiologic effects, specifically&#13;
on non-communicable and infectious disease, as this reflects their understanding of&#13;
how environmental factors affect disease pathogenesis or development.</text>
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              <elementText elementTextId="120162">
                <text>Jonalyn P. Santos1&#13;
&#13;
, Eladio Martin S. Gumabay2</text>
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            <elementTextContainer>
              <elementText elementTextId="120163">
                <text>https://doi.org/10.14710/ 10.14710/nmjn.v14i1.53942</text>
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                <text>5 April 2024</text>
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            <elementTextContainer>
              <elementText elementTextId="120165">
                <text>PERI IRAWAN</text>
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                  <text>VOL.14 NO.1 (2024) </text>
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                <text>Patterns of Musculoskeletal Disorders among Staff Nurses in the Emergency Department in Saudi Arabia: A Cross-sectional Study</text>
              </elementText>
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          <element elementId="49">
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                <text>Emergency department; ergonomic; musculoskeletal disorders; nurses; Saudi Arabia</text>
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                <text>Background: The physically demanding and high-stress environment of&#13;
Emergency Departments (EDs) significantly contributes to the heightened risk of&#13;
musculoskeletal disorders (MSDs) among ED nurses. Despite this known&#13;
association, there is a lack of comprehensive understanding of the prevalence rates&#13;
and contributing factors within ED settings in Saudi Arabia, necessitating further&#13;
investigation.&#13;
Purpose: This study delves into the prevalence and potential predictors of MSDs&#13;
among nurses in this critical healthcare setting.&#13;
Methods: A cross-sectional survey was conducted in March 2023 using convenience&#13;
sampling of 177 ED nurses across 16 public hospitals in Hail, Saudi Arabia. The&#13;
Nordic Musculoskeletal Questionnaire was employed, with SPSS analyses covering&#13;
frequency and percentage of pain prevalence via cross-tabulation, and logistic&#13;
regression to identify risk factors.&#13;
Results: Over the past year, 68.9% of participants reported lower back pain&#13;
affecting normal activities in 55.4% of cases. Neck pain was more likely in individuals&#13;
aged 20-29 and former smokers accounting for 47.6% of the variance (p=0.001).&#13;
Shorter shifts under 8 hours reduced neck pain risk, whereas a schedule with 50% of&#13;
night shifts heightened the risk, contributing to 28.4% of the variance (p=0.001).&#13;
Nurses aged 40-49 and those with significant childcare duties faced higher shoulder&#13;
pain risk (p=0.024), and adult caregiving duties was linked to upper back pain&#13;
explaining 40.6% of the variance (p=0.017). No significant links were found for other&#13;
musculoskeletal pains.&#13;
Conclusion: The study reveals a significant prevalence of MSDs among the&#13;
&#13;
evaluated ED nurses, significantly influenced by specific demographic and work-&#13;
related factors. Addressing these through ergonomic interventions, optimal&#13;
&#13;
scheduling, and wellness programs is crucial for nurse well-being and patient care.&#13;
Future research should focus on creating holistic wellness programs that support&#13;
nurses musculoskeletal health.</text>
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            <description>An entity primarily responsible for making the resource</description>
            <elementTextContainer>
              <elementText elementTextId="120119">
                <text>Afaf Mufadhi Alrimali1 Nashi Masnad Alreshidi1&#13;
&#13;
, Aljazi Albshri Alshammari2, Aeedah Rfadah Alenzy2,&#13;
&#13;
Riya Thomas3, May Ann Dinoy3, Fouz Aziz Alanzi4, Eddieson Pasay-an5</text>
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              <elementText elementTextId="120120">
                <text>https://doi.org/10.14710/nmjn.v14i1.62203</text>
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                <text>9 April 2024</text>
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                <text>PERI IRAWAN</text>
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                  <text>VOL.14 NO.1 (2024) </text>
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                <text>Perceptions and Experiences of Nursing Students in Caring for People Living with HIV/AIDS in South Africa: A Qualitative Study</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="49">
            <name>Subject</name>
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            <elementTextContainer>
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                <text>Caring; People Living with HIV (PLHIV); perceptions; role;&#13;
nursing student</text>
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                <text>Background: Although previous studies focusing on nurses’ perceptions of caring&#13;
for people living with HIV (PLHIV) have been conducted in numerous countries,&#13;
little is known about first-year student nurses’ perceptions and experiences&#13;
regarding their role in caring for PLHIV in South Africa. To ensure quality care for&#13;
PLHIV, it is essential to explore first-year student nurses’ roles in caring for PLHIV.&#13;
Purpose: This study aimed to explore the perceptions and experiences of first-year&#13;
nursing students on their role in caring for PLHIV in South Africa.&#13;
Methods: A qualitative exploratory descriptive design was employed for this study,&#13;
utilizing a purposive sampling method to recruit 18 participants. These participants&#13;
were first-year nursing students aged 18 or older, enrolled in a 4-year bachelor’s&#13;
degree nursing program, and who had completed clinical placements in hospitals.&#13;
Data collection involved two focus group discussions (FGDs), one comprising eight&#13;
participants and the other ten participants. Thematic analysis was employed to&#13;
analyze the collected data.&#13;
Results: Four main themes were drawn from two FGDs, including (1) students’&#13;
unpreparedness in their role to care for PLHIV, (2) disclosure practices and student&#13;
safety concerns, (3) personal backgrounds and attitudes towards PLHIV care, and&#13;
(4) physical and psychological wellbeing of students while caring for PLHIV.&#13;
Furthermore, 11 sub-themes were subsequently drawn from these main themes.&#13;
Thematic sub-themes and individual focus group responses were relied on to reach&#13;
data saturation despite the small number of FGD sessions.&#13;
Conclusion: First-year nursing students had negative and positive perceptions&#13;
and experiences when caring for PLHIV. There is a need for these students to&#13;
acquire adequate theoretical knowledge and practical skills to enhance clinical&#13;
preparation for their role in clinical facilities. This could improve their perceptions&#13;
regarding caring for PLHIV in the clinical setting and result in improved care.</text>
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                <text>Ruwadzano Dorcas Mabhiza1&#13;
&#13;
, Varshika Bhana1&#13;
&#13;
, Heather Sedibe1</text>
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                <text>27 April 2024</text>
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          <element elementId="50">
            <name>Title</name>
            <description>A name given to the resource</description>
            <elementTextContainer>
              <elementText elementTextId="120044">
                <text>Problems of Myanmar Women of Reproductive Age in Accessing Health Services as Migrant Workers in Thailand: A Qualitative Study</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="49">
            <name>Subject</name>
            <description>The topic of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="120045">
                <text>Health service; migrant worker; Myanmar; women</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="41">
            <name>Description</name>
            <description>An account of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="120046">
                <text>Background: The largest portion of migrant labor in Thailand originates from&#13;
Myanmar, with almost half consisting of female workers. Most female migrant&#13;
workers (MWs) are of reproductive age and often experience physical illnesses,&#13;
including pregnancy and childbirth. Although access to prenatal care and delivery&#13;
services for Myanmar MWs has been previously studied, their challenges in&#13;
accessing other reproductive health services (HSs) have not yet been explored.&#13;
Purpose: This study aimed to explore problems in accessing health services&#13;
experienced by women of reproductive age (WRA) who were members of the&#13;
Myanmar migrant workforce in Thailand.&#13;
Methods: The present study employed a qualitative research design. The samples&#13;
consisted of 20 informants aged 18-49 years old, who were Myanmar WRA working&#13;
as migrant laborers for more than one year. They were subdivided into two groups:&#13;
10 participants provided information through in-depth interviews, and the other 10&#13;
participated in focus group discussions, with each group comprising 5 individuals.&#13;
The researchers selected informants using criterion sampling. Data analysis utilized&#13;
the Diekelmann and Allen method.&#13;
Results: The findings revealed two general themes, including care ineligibility and&#13;
problems in accessing health services. The six major issues among Myanmar WRA&#13;
include inability to purchase or renew health insurance cards (HICs), HIC or social&#13;
security wage deduction avoidance, communication issues, hospital inexperience,&#13;
the transit fare, and admission refusal.&#13;
Conclusion: Despite available health services, migrant women from Myanmar&#13;
encounter barriers such as inability to purchase health insurance cards, wage&#13;
deduction concerns, communication issues, hospital unfamiliarity, transportation&#13;
expenses, and admission refusal. Addressing these barriers through policy&#13;
interventions and support mechanisms is crucial for enhancing healthcare access.</text>
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          <element elementId="39">
            <name>Creator</name>
            <description>An entity primarily responsible for making the resource</description>
            <elementTextContainer>
              <elementText elementTextId="120047">
                <text>Piyaporn Sitkulanan1&#13;
&#13;
, Kunnikar Chaisitsanguan1&#13;
&#13;
, Prakaipetch Winaiprasert1&#13;
&#13;
, Wilailuck Wong-arsa1</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="120048">
                <text>https://doi.org/10.14710/nmjn.v14i1.57287</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="120049">
                <text>1 April 2024</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="37">
            <name>Contributor</name>
            <description>An entity responsible for making contributions to the resource</description>
            <elementTextContainer>
              <elementText elementTextId="120050">
                <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="120051">
                <text>PDF</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="44">
            <name>Language</name>
            <description>A language of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="120052">
                <text>ENGLISH</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="51">
            <name>Type</name>
            <description>The nature or genre of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="120053">
                <text>TEXT</text>
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            </elementTextContainer>
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        </elementContainer>
      </elementSet>
    </elementSetContainer>
    <tagContainer>
      <tag tagId="14164">
        <name>Health service; migrant worker; Myanmar; women</name>
      </tag>
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  </item>
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        <src>https://repository.horizon.ac.id/files/original/c6ba80939a22d806abe9788ed50b807e.pdf</src>
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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="119944">
                  <text>VOL.14 NO.1 (2024) </text>
                </elementText>
              </elementTextContainer>
            </element>
            <element elementId="37">
              <name>Contributor</name>
              <description>An entity responsible for making contributions to the resource</description>
              <elementTextContainer>
                <elementText elementTextId="119945">
                  <text>PERI IRAWAN</text>
                </elementText>
              </elementTextContainer>
            </element>
          </elementContainer>
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      </elementSetContainer>
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    <elementSetContainer>
      <elementSet elementSetId="1">
        <name>Dublin Core</name>
        <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="120024">
                <text>Socio-Demographic and Clinical Profiles Associated with Sodium Consumption Behaviors in Patients with Non-Dialysis Chronic Kidney&#13;
Disease: A Study in Myanmar</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="49">
            <name>Subject</name>
            <description>The topic of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="120025">
                <text>Chronic kidney disease; Myanmar;&#13;
non-dialysis; sodium consumption&#13;
behaviors</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="41">
            <name>Description</name>
            <description>An account of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="120026">
                <text>Background: Sodium consumption behaviors (SCB) play a significant role in the&#13;
development of kidney failure and associated comorbidities in patients with chronic&#13;
kidney disease (CKD). Despite the widespread harmful effects of excessive salt&#13;
consumption, factors influencing SCB in patients with non-dialysis CKD are still&#13;
little known in Myanmar. No previous study was carried out among Myanmar&#13;
populations with non-dialysis CKD.&#13;
Purpose: This study aimed to identify the association between socio-demographic&#13;
and clinical profiles and SCB in patients with non-dialysis CKD in Myanmar.&#13;
Methods: Cross-sectional data of 123 patients with non-dialysis CKD, gathered&#13;
from a tertiary hospital-based study in Myanmar, were analyzed. Non-dialysis CKD&#13;
patients who had been diagnosed with CKD for more than 3 months were recruited&#13;
via convenience sampling. Data were collected using demographic and clinical&#13;
characteristics data form, and Sodium Consumption Behaviors Questionnaire&#13;
(SCBQ). Descriptive and inferential statistics were employed for data analysis.&#13;
Results: The mean score of SCB was 31.5 (SD=5.1), indicating quite good&#13;
behaviors. Participants who had high education (= -.233, p= .006) and old age (=&#13;
-.169, p= .048) were more likely to have good SCB, whereas participants who took&#13;
antihypertensive medication (= .304, p= .001) and had comorbidities (= .232,&#13;
p=.006) were more likely to have poor SCB.&#13;
Conclusion: The participants in this study displayed quite favorable SCB.&#13;
Educational level, age, taking antihypertensive medication, and comorbidity&#13;
significantly contributed to SCB. Hence, nurses and other healthcare providers&#13;
should screen patients with these characteristics and provide health education to&#13;
promote good SCB and prevent the progression of CKD in non-dialysis CKD patients&#13;
in Myanmar.</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="39">
            <name>Creator</name>
            <description>An entity primarily responsible for making the resource</description>
            <elementTextContainer>
              <elementText elementTextId="120027">
                <text>Kay Thi Hlaing1&#13;
&#13;
, Aurawamon Sriyuktasuth2, Warunee Phligbua2</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="120028">
                <text>https://doi.org/10.14710/nmjn.v14i1.57708</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="120029">
                <text>4 April 2024</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="37">
            <name>Contributor</name>
            <description>An entity responsible for making contributions to the resource</description>
            <elementTextContainer>
              <elementText elementTextId="120030">
                <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="120031">
                <text>PDF</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="44">
            <name>Language</name>
            <description>A language of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="120032">
                <text>ENGLISH</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="51">
            <name>Type</name>
            <description>The nature or genre of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="120033">
                <text>TEXT</text>
              </elementText>
            </elementTextContainer>
          </element>
        </elementContainer>
      </elementSet>
    </elementSetContainer>
    <tagContainer>
      <tag tagId="14163">
        <name>Chronic kidney disease; Myanmar; non-dialysis; sodium consumption behaviors</name>
      </tag>
    </tagContainer>
  </item>
  <item itemId="11223" public="1" featured="1">
    <fileContainer>
      <file fileId="11281">
        <src>https://repository.horizon.ac.id/files/original/f9cdbb0cce75b6f17a2938e1e07a1e89.pdf</src>
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        <elementSet elementSetId="1">
          <name>Dublin Core</name>
          <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="119944">
                  <text>VOL.14 NO.1 (2024) </text>
                </elementText>
              </elementTextContainer>
            </element>
            <element elementId="37">
              <name>Contributor</name>
              <description>An entity responsible for making contributions to the resource</description>
              <elementTextContainer>
                <elementText elementTextId="119945">
                  <text>PERI IRAWAN</text>
                </elementText>
              </elementTextContainer>
            </element>
          </elementContainer>
        </elementSet>
      </elementSetContainer>
    </collection>
    <elementSetContainer>
      <elementSet elementSetId="1">
        <name>Dublin Core</name>
        <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="120014">
                <text>Stressors and Coping Strategies as Perceived among Nursing Students during Related Learning Experience (RLE)</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="49">
            <name>Subject</name>
            <description>The topic of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="120015">
                <text>Curriculum; nurses;nursing students; psychological&#13;
adaptation</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="41">
            <name>Description</name>
            <description>An account of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="120016">
                <text>Background: Stress in relation to academic studies is identified to be one of the&#13;
reasons behind suicide cases in higher education institutions around the world.&#13;
Locally, there is none to less studies that explored this area among nursing students.&#13;
As stress is inevitable in nursing students’ Related Learning Experience (RLE),&#13;
recognizing the stressors that affect their quality of RLE is necessary.&#13;
Purpose: This study aimed to investigate the stressors and coping strategies that&#13;
nursing students commonly use in managing stress during their RLE and their&#13;
relationship to each other.&#13;
Methods: A descriptive correlational research design with total enumeration&#13;
sampling was employed. A pilot-tested questionnaire was used to gather data from&#13;
191 junior and senior nursing students from two nursing schools in Iligan City.&#13;
Weighted mean, standard deviation, percentages, and Spearman rho were used to&#13;
analyze the data.&#13;
Results: The findings show that the "Clinical Instructor" (Mean=3.01) is perceived&#13;
to cause higher stress among all the intrapersonal and interpersonal stressors&#13;
identified. Students highly utilize both intrapersonal (Self-Concept Mean=3.75) and&#13;
interpersonal strategies (Role Function Mean=4.13, Interdependence Mean=3.46)&#13;
to cope with stress. When students’ clinical “skill confusion” increases, they tend to&#13;
work less with others (r=-0.259, p=0.000). When “staff nurses” cause them less&#13;
stress, their use of positive “self-concept” decreases as well (r=0.152, p=0.035).&#13;
Furthermore, when students are stressed with their “Duty-mates,” they rely more&#13;
on “physiological” coping mechanisms (r=0.160, p=0.027). When their “clinical&#13;
instructor” causes them stress, they cope less with “physiological” (r=-0.237,&#13;
p=0.001) and “interdependence” strategies (r=-0.317, p=0.000).&#13;
Conclusion: Among all the stressors, clinical instructor causes more stress to the&#13;
students. The students’ perceived stressors affect their effective use of intra and&#13;
interpersonal coping strategies. Nurse educators, nursing schools and regulating&#13;
bodies can consider these results in designing a holistic curriculum and helping&#13;
students manage stress healthily.</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="120017">
                <text>Geraldine S. Ridad1&#13;
&#13;
, Haniya S. Angintaopan1&#13;
&#13;
, Princess Haniefa Mae K. Ayunan1&#13;
&#13;
, Saipoden M. Manalocon1</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="120018">
                <text>https://doi.org/10.14710/nmjn.v14i1.53987</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="120019">
                <text>19 March 2024</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="37">
            <name>Contributor</name>
            <description>An entity responsible for making contributions to the resource</description>
            <elementTextContainer>
              <elementText elementTextId="120020">
                <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="120021">
                <text>PDF</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="44">
            <name>Language</name>
            <description>A language of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="120022">
                <text>ENGLISH</text>
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            </elementTextContainer>
          </element>
          <element elementId="51">
            <name>Type</name>
            <description>The nature or genre of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="120023">
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    <tagContainer>
      <tag tagId="14162">
        <name>Curriculum; nurses;nursing students; psychological adaptation</name>
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  </item>
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