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                  <text>VOL.15 NO.3 (2025)</text>
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                  <text>peri irawan</text>
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                <text>Community-Nurse Collaboration in Addressing Family Violence in Nigeria: An Evidence-Based Intervention Model</text>
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                <text>Collaborative management; community health nurse;&#13;
family violence; intervention; nurses</text>
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                <text>Background: Individuals affected by family violence (FV) face a range of physical,&#13;
social, and psychological effects, disrupted family relationships, and mental health&#13;
issues. In Nigeria, FV incidents are often kept silent due to cultural norms and social&#13;
stigma, which prevent survivors from accessing essential care and support. Despite&#13;
the significant impact of this problem, research on context-specific healthcare and&#13;
support pathways remains limited.&#13;
Purpose: The study explored a nurse-led community-based approach to&#13;
preventing and mitigating FV’s impact.&#13;
Methods: The study employed an exploratory qualitative case study design using&#13;
an intervention development model. Conducted in Ondo State, data were collected&#13;
through semi-structured interviews (n=18) and focus group discussions (n=92)&#13;
across three senatorial districts and were analysed using content and thematic&#13;
analysis.&#13;
Results: The analysis led to the development of a three-component FV intervention&#13;
consisting of (1) a training manual for nurses, (2) a clinical intervention pathway,&#13;
and (3) management guidelines for nurses to identify and care for survivors.&#13;
Conclusion: The intervention offers a culturally appropriate, context-specific&#13;
framework to strengthen nurses’ capacity to address FV in Nigeria and may serve as&#13;
a model for integrating FV management into primary healthcare practice.</text>
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                <text>Oluwasayo Bolarinwa Ogunlade1, Cecilia Bukola Bello2, Ojo Melvin Agunbiade3,&#13;
Adekemi Eunice Olowokere1&#13;
&#13;
, Omolola Irinoye1</text>
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                <text>https://doi.org/10.14710/nmjn.v15i3.70200</text>
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                <text>15 November 2025</text>
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                <text>PERI IRAWAN</text>
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                  <text>VOL.15 NO.3 (2025)</text>
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                  <text>peri irawan</text>
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            <description>A name given to the resource</description>
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                <text>Perception and Experience of Abuse among Older Adults in a Rural Community in Nigeria</text>
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                <text>Abuse; experience; Nigeria; older people; perception;&#13;
quality of life</text>
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                <text>Background: Abuse of older adults is a global public health concern and&#13;
can be viewed as any action that undermines the dignity and respect to which&#13;
older individuals are entitled, with significant cultural connotations. Existing&#13;
research on older adult abuse and neglect has predominantly focused on&#13;
developed countries, leaving a paucity of empirical evidence from developing&#13;
contexts such as Nigeria.&#13;
Purpose: This study explored the perception of abuse among older adults,&#13;
its various forms, and the extent to which older people experience abuse.&#13;
Methods: A phenomenological study was conducted among 18 older adults&#13;
residing in Ifedore Local Government Area of Ondo State, Nigeria, selected&#13;
through purposive sampling. Data were collected through in-depth&#13;
interviews using an interview guide with open-ended questions and analysed&#13;
using content analysis.&#13;
Results: The findings uncovered four themes representing the types of&#13;
abuse commonly experienced by older adults. These include: (1) Distress&#13;
caused by the sensual conduct of the younger generation; (2) Assault and&#13;
neglect; (3) Deprivation of rights and access to property; and (4) Structural/&#13;
institutional abuse by the governmental agency.&#13;
Conclusion: This study showed that elder abuse manifests in multiple&#13;
forms, including physical, emotional, financial, sexual, neglect, and&#13;
structural/institutional abuse, which are often rooted in socio-cultural&#13;
practices, economic hardships, and systemic failures. Therefore, measures&#13;
should be put in place to protect the rights of older adults. Also, prevention&#13;
and early detection of abuse should be given priority to make ageing a&#13;
pleasurable rather than an agonising experience for older adults.</text>
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            <description>An entity primarily responsible for making the resource</description>
            <elementTextContainer>
              <elementText elementTextId="121241">
                <text>Joel Olayiwola Faronbi1&#13;
&#13;
, Mercy Aladegboye2, Oluwaseun Lara Ariyo3, Bolaji Damilola Agboola3</text>
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              <elementText elementTextId="121242">
                <text>https://doi.org/10.14710/nmjn.v15i3.70200</text>
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              <elementText elementTextId="121243">
                <text>20 December 2025</text>
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            <description>An entity responsible for making contributions to the resource</description>
            <elementTextContainer>
              <elementText elementTextId="121244">
                <text>PERI IRAWAN</text>
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        <name>Abuse; experience; Nigeria; older people; perception; quality of life</name>
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                <elementText elementTextId="120573">
                  <text>VOL.15 NO.3 (2025)</text>
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              <elementTextContainer>
                <elementText elementTextId="120574">
                  <text>peri irawan</text>
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          <element elementId="50">
            <name>Title</name>
            <description>A name given to the resource</description>
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                <text>Sleep Quality and Its Associated Factors in Older Adults: A Systematic Review of Cross-Sectional Studies</text>
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          <element elementId="49">
            <name>Subject</name>
            <description>The topic of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="121229">
                <text>Multidimensional factors; older adults; sleep quality; systematic review</text>
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          <element elementId="41">
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            <description>An account of the resource</description>
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                <text>Background: Sleep quality is essential for overall health and well-being,&#13;
particularly in older adults who are at increased risk of sleep disturbances such as&#13;
insomnia and sleep apnea. Poor sleep is associated with declines in physical,&#13;
cognitive, and emotional functioning in aging populations. However, existing&#13;
reviews often focus on single domains, limiting understanding of how multiple&#13;
factors are jointly associated with sleep quality in older adults.&#13;
Purpose: This systematic review aimed to synthesize cross-sectional evidence on&#13;
factors associated with sleep quality in older adults.&#13;
Methods: A systematic search was conducted in PubMed, ScienceDirect, and&#13;
BioMed Central (BMC) using combinations of the following terms: (“sleep quality”&#13;
OR “sleep disturbances”) AND (“older adults” OR “elderly”) AND (“factors” OR&#13;
“determinants”) AND (“cross-sectional”). Articles published between January 2020&#13;
and April 2025 were included. The review followed PRISMA 2020 guidelines, and&#13;
study quality was appraised using the Joanna Briggs Institute (JBI) checklist. Data&#13;
were synthesized narratively by grouping findings into key domains influencing&#13;
sleep quality.&#13;
Results: Nineteen cross-sectional studies were included. Sleep quality, most&#13;
commonly measured using the Pittsburgh Sleep Quality Index (PSQI), varied widely&#13;
across studies (6%–79% poor sleep). The synthesis identified six domains of factors&#13;
associated with sleep quality: gender-related differences, physiological factors,&#13;
psychological factors, medical comorbidities, social-environmental conditions, and&#13;
lifestyle factors. Frequently reported factors associated with poor sleep included&#13;
female gender, frailty, depression, anxiety, multimorbidity, and low social support.&#13;
Considerable heterogeneity was observed in study populations and measurement&#13;
approaches.&#13;
Conclusion: Evidence from cross-sectional studies indicates multiple interacting&#13;
factors are associated with sleep quality in older adults; however, causal&#13;
relationships cannot be established. Longitudinal research is needed to clarify these&#13;
associations and support the development of integrated care strategies.</text>
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            <name>Creator</name>
            <description>An entity primarily responsible for making the resource</description>
            <elementTextContainer>
              <elementText elementTextId="121231">
                <text>Indah Permata Sari1,2, Tita Hariyanti3, Retno Lestari4, Respati Suryanto Dradjat5,6</text>
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            <description>A related resource from which the described resource is derived</description>
            <elementTextContainer>
              <elementText elementTextId="121232">
                <text>https://doi.org/10.14710/nmjn.v15i3.72365</text>
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            <name>Date</name>
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              <elementText elementTextId="121233">
                <text>30 December 2025</text>
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          <element elementId="37">
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            <elementTextContainer>
              <elementText elementTextId="121234">
                <text>PERI IRAWAN</text>
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            <description>A language of the resource</description>
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        <name>Multidimensional factors; older adults; sleep quality; systematic review</name>
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                  <text>VOL.15 NO.3 (2025)</text>
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            <description>A name given to the resource</description>
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                <text>Continuity of Care for Postoperative Patients Across Hospital and Community Settings inThailand: A Qualitative Study</text>
              </elementText>
            </elementTextContainer>
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          <element elementId="49">
            <name>Subject</name>
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                <text>Continuity of care; postoperative patients; qualitative study</text>
              </elementText>
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            <description>An account of the resource</description>
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                <text>Background: Postoperative recovery after major neurosurgical, orthopedic, and abdominal procedures substantially affects the quality of life of patients and their&#13;
caregivers. In Thailand, multiple strategies, such as referral systems, postoperative&#13;
care plans, home follow-up, and patient and caregiver education, have been&#13;
implemented to promote recovery and continuity of care from hospital to home.&#13;
However, persistent challenges remain, particularly regarding community-based&#13;
service models, access to care, and the provision of welfare and benefits.&#13;
Purpose: This study aimed to explore the continuity of care for postoperative&#13;
patients across hospitals and community healthcare services in Thailand.&#13;
Methods: A qualitative study using an ethnographic approach was conducted,&#13;
involving 86 informants recruited through purposive and snowball sampling. Key&#13;
informants (n = 57) included postoperative patients (n = 7), caregivers (n = 8),&#13;
healthcare providers (n = 35), and executives of relevant agencies (n = 7). An&#13;
additional 29 general informants provided supplementary perspectives. Data&#13;
collection methods included participant observation, in-depth interviews, focus&#13;
group discussions, field notes, and document analysis. Data validity was ensured&#13;
through triangulation, and analysis followed Creswell’s thematic analysis approach.&#13;
Results: Three themes emerged: (1) organization of healthcare services, describing&#13;
coordinated hospital and community systems for rehabilitation, referral, discharge&#13;
planning, home visits, long-term care, and emergency support; (2) support for&#13;
postoperative patients, including capacity building for patients and caregivers,&#13;
shared information systems, and welfare, social, and financial support after&#13;
discharge; and (3) management and coordination, facilitating community-based&#13;
postoperative care through integrated data systems and shared governance&#13;
arrangements.&#13;
Conclusion: Continuity of postoperative care in Thailand is strengthened through&#13;
integrated hospital–community services, caregiver support, and coordinated&#13;
management systems. Nurses play a pivotal role in follow-up care, information&#13;
exchange, and patient support. Enhancing organizational integration, support&#13;
mechanisms, and coordination may improve continuity of care and address existing&#13;
service gaps.</text>
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            <description>An entity primarily responsible for making the resource</description>
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              <elementText elementTextId="121221">
                <text>Maniga Yusamran1&#13;
&#13;
,Apinya Jumpamool2</text>
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              <elementText elementTextId="121222">
                <text>https://doi.org/10.14710/nmjn.v15i3.73106</text>
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                <text>30 December 2025</text>
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                <text>PERI IRAWAN</text>
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        <name>Continuity of care; postoperative patients; qualitative study</name>
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                  <text>VOL.15 NO.3 (2025)</text>
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                <text>Legal Literacy Among Nursing Students in the Philippines: The Roles of Legal Education Exposure, Perceived Importance, and Confidence in Legal Application</text>
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          <element elementId="49">
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                <text>Confidence; legal education; legal&#13;
&#13;
literacy; nursing students, PLS-&#13;
SEM; perceived importance</text>
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                <text>Background: Legal literacy remains an underdeveloped yet critical domain in&#13;
Philippine nursing education. Despite the increasing complexity of healthcare,&#13;
undergraduate curricula offer limited structured training in legal knowledge and its&#13;
&#13;
clinical application, potentially affecting students’ readiness to navigate medico-&#13;
legal challenges.&#13;
&#13;
Purpose: This study aimed to examine a structural model of legal literacy among&#13;
Filipino nursing students, focusing on the roles of legal education exposure,&#13;
perceived importance of legal knowledge, and confidence in legal application.&#13;
Methods: This cross-sectional study employed purposive sampling and involved&#13;
300 undergraduate nursing students from multiple institutions. Legal literacy was&#13;
conceptualized as nurses’ capacity to understand and apply medico-legal principles&#13;
&#13;
in clinical decision-making and patient advocacy. Data were collected using a self-&#13;
administered questionnaire developed for this study and analyzed using Partial&#13;
&#13;
Least Squares Structural Equation Modeling (PLS-SEM).&#13;
Results: All constructs demonstrated high reliability (CR &gt; 0.93) and convergent&#13;
validity (AVE &gt; 0.76). Legal Literacy was significantly predicted by perceived&#13;
importance of legal knowledge (β = 0.389, p &lt; 0.001) and confidence in legal&#13;
application (β = 0.256, p &lt; 0.001). Confidence partially mediated the relationship&#13;
between perceived importance and legal literacy (β = 0.057, p = 0.013). Legal&#13;
education exposure showed an indirect effect on legal literacy through perceived&#13;
importance (β = –0.118, p = 0.003). The model explained 84.0% of the variance in&#13;
legal literacy, with acceptable model fit and strong predictive relevance (SRMR =&#13;
0.042; Q2 &gt; 0.49). Moderation by year level was not statistically significant.&#13;
Conclusion: The findings support a structural model of legal literacy that&#13;
underscores the importance of both attitudinal valuation and confidence in&#13;
application. Integrating legal education with experiential learning and strategies&#13;
that enhance self-efficacy may strengthen legal readiness among nursing graduates.</text>
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            <description>An entity primarily responsible for making the resource</description>
            <elementTextContainer>
              <elementText elementTextId="121098">
                <text>Cyruz P. Tuppal1&#13;
&#13;
, Mandy Roie A. Atendido2, Ana Blesilda C. Atendido2, Leah Kalayaan A. Pellacœur1&#13;
,&#13;
August I. Manzon3, Anna Mae G. Rivera3, Karen P. Pascua4, Arif Adi Setiawan5, Bradley K. Loo6,&#13;
Carmi P. Ejercito3, Ma. Mercedes Gaerlan Loo7&#13;
&#13;
, Shanine Mae P. Tuppal8, Jennifer R. Olivar9,&#13;
&#13;
Mary Jane O. Canon10</text>
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            <description>A related resource from which the described resource is derived</description>
            <elementTextContainer>
              <elementText elementTextId="121099">
                <text>https://doi.org/10.14710/nmjn.v15i3.73465</text>
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            <name>Date</name>
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              <elementText elementTextId="121100">
                <text>30 December 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="121101">
                <text>peri irawan</text>
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            <description>The file format, physical medium, or dimensions of the resource</description>
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            <elementTextContainer>
              <elementText elementTextId="121103">
                <text>english</text>
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      <tag tagId="14263">
        <name>Confidence; legal education; legal  literacy; nursing students, PLS- SEM; perceived importance</name>
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                  <text>VOL.15 NO.3 (2025)</text>
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                <elementText elementTextId="120574">
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            <name>Title</name>
            <description>A name given to the resource</description>
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                <text>Determinants of Maternal Adherence to Complementary Feeding Guidelines in Padang City, Indonesia: An Application of the Integrated&#13;
Change Model</text>
              </elementText>
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          <element elementId="49">
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            <description>The topic of the resource</description>
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                <text>Complementary feeding; infants;&#13;
malnutrition; maternal adherence;&#13;
young children</text>
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            <description>An account of the resource</description>
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                <text>Background: Maternal adherence to complementary feeding guidelines is crucial&#13;
in preventing childhood malnutrition, yet adherence remains low. Although&#13;
previous studies have identified several influencing factors, evidence from&#13;
Indonesia is limited and lacks a theory-based explanation of how cognitive and&#13;
behavioral determinants influence maternal feeding practices.&#13;
Purpose: This study applied the Integrated Change Model (I-Change Model) to&#13;
examine determinants of maternal adherence to complementary feeding guidelines.&#13;
Methods: A cross-sectional design was used, involving 579 mothers of children&#13;
aged 6−23 months selected through cluster-stratified random sampling. Maternal&#13;
adherence to complementary feeding guidelines was assessed using the Infant and&#13;
Young Child Feeding (IYCF) indicators, while a self-developed questionnaire, along&#13;
with several modified questionnaires, was used to evaluate the associated factors.&#13;
Multiple logistic regression analysis was applied to identify the determinants of&#13;
maternal adherence to these guidelines.&#13;
Results: Only 40.1% of mothers adhered to complementary feeding guidelines.&#13;
Maternal adherence to complementary feeding guidelines was significantly&#13;
associated with higher education (AOR = 1.984; 95% CI: 1.053–3.739), positive&#13;
attitudes (AOR = 5.752; 95% CI: 1.283–25.794), high self-efficacy in providing&#13;
complementary feeding (AOR = 2.695; 95% CI: 1.426–5.091), and non-provision of&#13;
formula milk (AOR = 0.549; 95% CI: 0.384−0.784).&#13;
Conclusion: Maternal education, attitudes, self-efficacy, and non-provision of&#13;
formula milk were identified as key determinants of adherence. These findings&#13;
highlight the need for interventions focusing on enhancing maternal education,&#13;
promoting positive attitudes, and improving self-efficacy. Future research should&#13;
examine social support and sociocultural or economic factors through longitudinal&#13;
studies to better understand their impact on adherence behaviors.</text>
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          <element elementId="39">
            <name>Creator</name>
            <description>An entity primarily responsible for making the resource</description>
            <elementTextContainer>
              <elementText elementTextId="121088">
                <text>Hermalinda Herman1&#13;
&#13;
, Ying-Ju Chang</text>
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            </elementTextContainer>
          </element>
          <element elementId="48">
            <name>Source</name>
            <description>A related resource from which the described resource is derived</description>
            <elementTextContainer>
              <elementText elementTextId="121089">
                <text>https://doi.org/10.14710/nmjn.v15i3.73812</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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              <elementText elementTextId="121090">
                <text>30 December 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="121091">
                <text>peri irawan</text>
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            <name>Format</name>
            <description>The file format, physical medium, or dimensions of the resource</description>
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          <element elementId="44">
            <name>Language</name>
            <description>A language of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="121093">
                <text>english</text>
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      <tag tagId="14262">
        <name>Complementary feeding; infants; malnutrition; maternal adherence; young children</name>
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            <element elementId="50">
              <name>Title</name>
              <description>A name given to the resource</description>
              <elementTextContainer>
                <elementText elementTextId="120573">
                  <text>VOL.15 NO.3 (2025)</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="120574">
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          <element elementId="50">
            <name>Title</name>
            <description>A name given to the resource</description>
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                <text>Adaptation and Psychometric Evaluation of the Turkish Version of the Reflective Smartphone Disengagement Scale for Nursing Students</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="49">
            <name>Subject</name>
            <description>The topic of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="121076">
                <text>Psychometrics; smartphone disengagement; nursing students; scale adaptation; scale validation</text>
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          <element elementId="41">
            <name>Description</name>
            <description>An account of the resource</description>
            <elementTextContainer>
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                <text>Background: Problematic smartphone use among nursing students has been&#13;
linked to impaired learning and professional performance. While previous research&#13;
has primarily focused on addictive or compulsive smartphone use, limited attention&#13;
has been paid to individuals’ intentional and reflective efforts to regulate their&#13;
smartphone use. Moreover, no validated instrument exists to assess reflective&#13;
smartphone disengagement among nursing students in the Turkish context.&#13;
Purpose: This study aimed to adapt and validate the Turkish version of the&#13;
Reflective Smartphone Disengagement scale among undergraduate nursing&#13;
students.&#13;
Methods: A descriptive, cross-sectional design was employed at a nursing faculty&#13;
in a public university in the southern region of Türkiye. Using convenience&#13;
sampling, the study included 376 undergraduate nursing students from all grade&#13;
levels who owned a smartphone and consented to participate. Sample size adequacy&#13;
was supported by recommended item-to-participant ratios and an acceptable KMO&#13;
value. Data were collected using a personal information form, the Reflective&#13;
Smartphone Disengagement Scale, and the Nomophobia Questionnaire. Face,&#13;
content, construct, and criterion validity procedures were applied for scale&#13;
adaptation.&#13;
Results: Exploratory Factor Analysis (EFA) revealed that the Turkish version of&#13;
the Reflective Smartphone Disengagement Scale has a two-factor structure with six&#13;
items, comprising usage moderation (items related to limiting smartphone use&#13;
across specific times, places, situations, and life balance) and availability&#13;
management (items related to controlling reachability and intentional&#13;
disconnection). Internal consistency was acceptable, with Cronbach’s alpha&#13;
coefficients of .70 and .81, respectively. Confirmatory Factor Analysis indicated a&#13;
good model fit (CFI = .97, RMSEA = .08).&#13;
Conclusion: The Turkish version of the Reflective Smartphone Disengagement&#13;
Scale is a valid and reliable tool for assessing nursing students’ conscious efforts to&#13;
manage smartphone use and can be utilized in nursing education to identify&#13;
students’ self-regulatory behaviors and inform interventions aimed at promoting&#13;
healthy smartphone use in academic and clinical settings.</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="121078">
                <text>Nehir Yasan-Ak1, Kerime Bademli2</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="121079">
                <text>https://doi.org/10.14710/nmjn.v15i3.72361</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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              <elementText elementTextId="121080">
                <text>30 December 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="121081">
                <text>peri irawan</text>
              </elementText>
            </elementTextContainer>
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            <name>Format</name>
            <description>The file format, physical medium, or dimensions of the resource</description>
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                <text>pdf</text>
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          <element elementId="44">
            <name>Language</name>
            <description>A language of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="121083">
                <text>english</text>
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        <name>Psychometrics; smartphone disengagement; nursing students; scale adaptation; scale validation</name>
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          <elementContainer>
            <element elementId="50">
              <name>Title</name>
              <description>A name given to the resource</description>
              <elementTextContainer>
                <elementText elementTextId="120573">
                  <text>VOL.15 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="120574">
                  <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="121065">
                <text>Emotional Preparedness Mediates the&#13;
Relationship Between Empathy and&#13;
Depersonalization Among Oncology Nurses:&#13;
A Cross-Sectional Study</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="49">
            <name>Subject</name>
            <description>The topic of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="121066">
                <text>Burnout; cross-sectional studies;&#13;
depersonalization; empathy;&#13;
mediation analysis</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="41">
            <name>Description</name>
            <description>An account of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="121067">
                <text>Background: Depersonalization is a key dimension of burnout that threatens the&#13;
well-being of nurses and patient care, especially in oncology settings where exposure&#13;
to suffering is frequent. Empathy typically protects against depersonalization;&#13;
however, its effect may weaken in emotionally demanding environments. Emotional&#13;
preparedness may help sustain empathy and prevent depersonalization. However,&#13;
evidence on how emotional preparedness explains the relationship between&#13;
empathy and depersonalization remains limited.&#13;
Purpose: This study examined whether emotional preparedness mediates the&#13;
relationship between empathy and depersonalization among oncology nurses in&#13;
Indonesia.&#13;
Methods: A cross-sectional survey using convenience sampling was conducted&#13;
with 116 oncology nurses at a national cancer hospital in Jakarta, Indonesia.&#13;
Empathy, emotional preparedness, and depersonalization were measured using the&#13;
Jefferson Scale of Empathy (JSE), the Expanded Nursing Stress Scale (ENSS), and&#13;
the Maslach Burnout Inventory (MBI). Data were analyzed using Pearson&#13;
correlation, multiple linear regression, and mediation analysis with Hayes’&#13;
PROCESS Macro (Model 4).&#13;
Results: Emotional preparedness and empathy were both negatively correlated&#13;
with depersonalization (r = −0.28, p &lt; .01; r = −0.54, p &lt; .01, respectively). Empathy&#13;
significantly predicted depersonalization (β = −0.21, SE = 0.02, p &lt; .001), and&#13;
mediation testing demonstrated that emotional preparedness fully mediated this&#13;
relationship (β = −0.08, SE = 0.06, 95% CI [−0.14, −0.02]).&#13;
Conclusion: Emotional preparedness fully mediates the association between&#13;
empathy and depersonalization among oncology nurses. Strengthening emotional&#13;
preparedness through structured training and psychosocial support may help&#13;
preserve empathy, reduce depersonalization, and enhance both nurse well-being&#13;
and the quality of patient care.</text>
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                <text>Shannastaniar Aisya Adif1,2, Huan-Fang Lee3, Chung-Ying Lin4, Bayu Fandhi Achmad5,&#13;
Miaofen Yen3, Mohammad Adreng Pamungkas6</text>
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                <text>https://doi.org/10.14710/nmjn.v15i3.75232</text>
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                <text>22 December 2025</text>
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        <name>Burnout; cross-sectional studies; depersonalization; empathy; mediation analysis</name>
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