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[This corrects the article DOI: 10.33546/bnj.3744.].
[This corrects the article DOI: 10.33546/bnj.3899.].
To describe the trend and landscape of Coronavirus Disease (COVID-19)-related publications in nursing authored by at least one Philippine-based author. This study is a bibliometric analysis of documents retrieved from Scopus using the search terms "COVID-19" and "nurs*" in the article title, abstract, and keywords. The documents were limited to those published in English, affiliated with Philippine-based authors, and those published from 2020 to 2023. We used the 'analyze report' function in Scopus to analyze the data including the number of publications, types, sources, authors, and affiliations. We used VOSViewer for the co-authorship analysis of countries and co-occurrence analysis of author keywords. A total of 136 documents were found. Majority of these documents were classified as original articles (83%). There was a rapid increase in COVID-19 publications in nursing authored by at least one Philippine-based researcher published from 2020 to 2021 and plateaued from 2022-2023. Co-authorship analysis showed that Philippine-based authors have written documents with authors from 111 countries most notably from Saudi Arabia, the United States, Indonesia, and Australia. Most documents were published in the Belitung Nursing Journal. Authors from the University of Santo Tomas had the most publications. The most cited articles focused on psychosocial impacts, resilience, workplace stress, and online education. Author keywords commonly used in the documents were COVID-19, nursing, and nursing students, covering topics such as pandemic impacts, workplace impacts, nurse well-being, psychosocial impacts, and nursing education. Keywords have evolved through the pandemic period with a recent focus on stress and professional values. Philippine-based authors actively contributed in understanding the impact of COVID-19 on nurses and nursing education. Their scientific productivity was driven partly by their collaboration with foreign-based researchers. To sustain this trend in productivity and collaboration, policies, programs, and strategies are needed to promote, support, and foster research collaboration among local and international nursing researchers and institutions.
Indonesia's rapidly aging demographic presents significant challenges, particularly in dementia among older people in resource-limited settings, such as nursing homes. However, there are limited reports on the deterioration of cognitive function and risk factors of dementia among older people in nursing homes. Early identification of dementia is essential for timely intervention and management. This study aimed to investigate and follow up on the cognitive function and risk factors of dementia among older people living in nursing homes. An observational cohort study was conducted over 6 months (April to October 2024) involving 162 participants from government (n = 83) and private nursing homes (n = 79). Implementation of early dementia screening was carried out using the Montreal Cognitive Assessment in the Indonesian version (MoCA INA) instrument to indicate cognitive function impairment. In addition, the Self-reporting of Physical Activity Questionnaire Indonesia (SPAQ-I) was used to identify physical activity. Descriptive statistics, McNemar, Chi-square, Fisher's Exact, Independent t-test, and multivariate regression were then used to analyze data. Older individuals did not differ in terms of gender, age, education, or length of stay. However, residents of the private nursing home had significantly higher physical activity levels (t = -2.04, p = 0.040), and a greater proportion engaged in adequate activity (65.8% vs. 50.6%, χ2 = 4.23, p = 0.040). Over a six-month period, cognitive function significantly declined among residents in the government nursing home (normal: p = 0.021; mild: p = 0.012; moderate: p = 0.003), whereas no significant change was observed among residents in the private nursing home. At the endpoint, mean cognitive function scores were slightly higher in the private nursing home (20.23 ± 3.45) than in the government nursing home (19.70 ± 4.39), with a very small effect size (Cohen's d = 0.13). Multiple regression analysis revealed that older age (β = -0.396, p <0.001) and lower levels of physical activity (β = 0.163, p = 0.030) were significantly associated with lower cognitive scores. Dementia screening can enhance care planning for age-related cognitive impairment by enabling early identification and management. Early detection allows nurses to implement more effective care strategies. Additionally, higher physical activity levels were associated with better cognitive function, highlighting a modifiable factor that may help maintain cognitive health among older adults in nursing homes.
Nursing students often experience high levels of stress during clinical training, particularly in maternal and child health (MCH) rotations, which may affect learning and well-being. Understanding stress levels, stressors, and coping strategies can inform the development of supportive and culturally appropriate educational approaches. To assess perceived stress levels, identify clinical stressors, and examine coping strategies among nursing students during MCH clinical rotations in Saudi Arabia. A cross-sectional study was conducted in 2024 among 187 female nursing students enrolled in MCH clinical rotations. Data were collected using validated Arabic versions of the Perceived Stress Scale (PSS-10), the Nursing Student Clinical Stressor Scale (NSCSS), and the Brief COPE Inventory. Descriptive statistics and Spearman's rho correlation analyses were performed using SPSS. Most students reported moderate perceived stress (75.4%), with a mean PSS-10 score of 20.5 ± 5.9. The highest stressor domains were MCH-specific challenges (9.13 ± 5.00), academic pressures (8.72 ± 3.95), and the clinical environment (7.65 ± 3.64). Religion (5.20 ± 2.06) and acceptance (4.79 ± 1.80) had the highest mean scores among coping strategies, while substance use was least reported (3.04 ± 1.40). Self-blame showed the strongest association with total clinical stressors (rho = 0.501, p <0.001). Female nursing students experienced moderate stress during MCH clinical rotations, largely related to clinical and academic demands. Coping strategies were predominantly emotion-focused, with self-blame showing a strong association with higher stress levels. These findings highlight the importance of culturally sensitive support strategies in nursing education.
End-of-life (EoL) care is a form of service provided to patients in the terminal phase and families to meet physical, psychological, social, and spiritual needs so that patients can face death peacefully and with dignity. EoL care can be facilitated by medical personnel, but it is not uncommon for nursing students to be involved as well. Several factors influence nursing students' ability to provide EoL care to patients. This study aimed to explore the nursing students' perceptions and experiences regarding the provision of EoL care during clinical placements. A qualitative descriptive study was conducted using purposive sampling and in-depth interviews with 10 professional nursing students who had experience providing EoL care. Data were collected with a four-question guide between February and May 2025 and analyzed inductively using thematic analysis, including familiarization, coding, theme development, and reporting. Strategies to enhance trustworthiness included credibility, transferability, dependability, and confirmability. Four main themes emerged: 1) Nursing Students' perspective of EoL Care, 2) Providing holistic Care to Patients and Families, 3) Challenges and Opportunities in Providing EoL Care, 4) Developing Heart of Caring. Participants conceptualized EoL as a holistic, person-centered process emphasizing comfort, dignity, and compassion rather than cure. They demonstrated developing competence in identifying clinical indicators of terminal decline and addressing patients' physical, psychosocial, and spiritual needs. Students described providing comfort through symptom management, active listening, emotional support, and the facilitation of spiritual practices aligned with patients' beliefs. Although communication difficulties, emotional strain, and insufficient preparation were significant barriers, they were also perceived as valuable learning opportunities that fostered personal growth, empathy, and professional confidence. Spiritual faith and viewing patients as family members further inspired compassionate, value-driven care. Overall, the findings emphasize that experiential and reflective learning during clinical placements are essential in shaping nursing students' moral sensitivity, resilience, and humanistic orientation. Integrating Structured EoL care education that includes emotional and spiritual dimensions is crucial to preparing future nurses to deliver dignified, compassionate, and holistic care for patients and families at EoL.
Most nursing students are female and represent a high-risk group for low back pain (LBP) before entering the workforce. However, the prevalence and specific predictors for LBP in this population remain poorly defined. This study investigated the prevalence and predictive factors of LBP among a nationally representative sample of Thai female nursing students. A cross-sectional online survey was conducted in 2022 among 3,490 female students from 18 nursing schools across Thailand. Data collected included demographics, online learning habits, psychological health, and LBP perceptions. Binary logistic regression was used to identify predictors of LBP. A p < 0.05 was deemed significant. The seven-day period prevalence of LBP after six months of online learning was 39.5% (95% CI = 37.3-40.6). Factors significantly predicting LBP included anxiety [mild-to-moderate (AOR = 1.54, 95% CI = 1.31-1.82) and severe-to-extremely severe (AOR = 1.47, 95% CI = 1.13-1.91)], prolonged sitting (AOR = 1.52, 95% CI = 1.14-2.04), smartphone use for learning (AOR = 1.44, 95% CI = 1.23-1.68), bent posture (AOR = 1.33, 95% CI = 1.16-1.61), fatigue (per 10-point increase; AOR = 1.27, 95% CI = 1.11-1.46), and participation in online learning classes (AOR = 1.07, 95% CI = 1.02-1.12). Likewise, the final model demonstrated modest discriminatory power (AUC = 0.68, 95% CI = 0.63-0.74; p < 0.001). While the model significantly differentiates between students with and without LBP, its clinical utility is constrained by the condition's multi-factorial nature. LBP is common among female nursing students and is driven by a combination of ergonomic and psychological factors. Nursing education programs should implement routine screening for both physical and mental well-being, alongside targeted preventive interventions to manage these modifiable risk factors before students enter professional practice.
Despite substantial theoretical advancement, nursing knowledge continues to be framed by epistemological classifications rather than ontological clarification. The question of what nursing knowledge is, as a mode of existence, remains unanswered, despite existing frameworks that emphasize patterns, types, or domains of knowing. This paper argues that nursing knowledge is best understood as a relational ontology, a performative enactment emerging through practice rather than a collection of categorized components. Nursing knowledge is conceptualized as a unitary process manifested through embodied presence, interpretive meaning-making, and technologically mediated action. This paper illuminates how these aspects do not function as distinct domains but as a single, inseparable mode of being in clinical judgment and caring practices within digitally mediated contexts.
Despite nurses' proximity to patient care, many remain reluctant to voice safety concerns. A significant gap exists in understanding how the professional work environment influences these behaviors within the Saudi Arabian context, where specific cultural and hierarchical norms may impact communication. This study examined the relationship between nurses' speaking up regarding patient safety and the nursing work environment in Saudi Arabia. A cross-sectional descriptive correlational design was used. Data were collected from 270 nurses between August and September 2024 using the Speaking Up About Patient Safety Questionnaire (SUPS-Q) and the Practice Environment Scale of the Nursing Work Index (PES-NWI). Statistical analyses were conducted using SPSS version 28, including descriptive statistics, Spearman's rank correlation, and ANCOVA. The nursing work environment showed a significant correlation with the speak-up climate. Weak but statistically significant negative correlations were found between perceived concerns and nurse participation (r = -0.210, p = 0.001), quality foundations (r = -0.155, p = 0.011), staffing adequacy (r = -0.184, p = 0.002), and nurse-physician relations (r = -0.156, p = 0.010). Withholding voice also negatively correlated with quality foundations (r = -0.149, p = 0.014) and nurse-physician relations (r = -0.138, p = 0.023). Psychological safety and an encouraging environment showed strong positive correlations with all work environment dimensions (p < 0.001). ANCOVA indicated that education level significantly predicted speaking up (p = 0.042), and experience influenced perceptions of the work environment (p = 0.002), while age and nationality were not significant. Strengthening the work environment is a clinical necessity for safety. Organizations should prioritize "Just Culture" initiatives, systemic learning, and visible responses to raised concerns. Practice protocols should include "safe zones" for voicing concerns away from patients. Professional development must focus on communication skills for addressing high-authority figures. Finally, adequate staffing is essential to empower nurses to prioritize safety advocacy over basic tasks.
Nursing students frequently encounter education-related stress (ES) arising from demanding academic workloads, clinical responsibilities, and personal adjustments during their training. Persistent stress can negatively impact learning outcomes, clinical performance, and psychological well-being. Emotional intelligence (EI), which involves the ability to perceive, understand, and manage emotions in oneself and others, is recognized as a protective factor that helps individuals regulate stress and adapt to challenges. However, research exploring the relationship between EI and ES among nursing students in Indonesia remains limited. This study examined the association between EI and ES among baccalaureate nursing students at a public university in Indonesia. A cross-sectional correlational design was conducted from September to November 2024 with 225 participants selected through stratified random sampling. Data were collected using the Indonesian version of the Trait Emotional Intelligence Questionnaire-Short Form and the Indonesian-translated Arabic Higher Education Stress Inventory. Descriptive statistics summarized the levels of EI and ES, while Spearman's correlation, Mann-Whitney U, and Kruskal-Wallis tests were used to assess associations between variables. Most students demonstrated moderate levels of EI (73.8%) and ES (64%). The median (IQR) scores were 138.00 (29) for EI and 37.00 (8) for ES. A significant negative correlation was found between EI and ES (rₛ = -0.445, p <0.01), indicating that students with higher EI experienced lower stress levels. Among demographic variables, only gender was significantly associated with ES (p = 0.05), with men reporting higher mean ranks than women. The findings highlight the importance of emotional intelligence in mitigating education-related stress among nursing students. Incorporating EI development into nursing curricula through emotional regulation training, reflective practices, and social-emotional learning strategies can build resilience, improve coping skills, and boost students' academic and clinical performance. Further long-term studies are recommended to investigate the causal relationships and effectiveness of EI-based interventions.
Health promotion in correctional settings faces challenges due to limited healthcare access and restricted environments. Nurses are primary healthcare providers in correctional institutions; however, evidence on nurse-led capacity-building programs for inmate health volunteers remains limited. Developing the capacity of Prison Public Health Volunteer Leaders (PPHVs) through a holistic healthcare approach can enhance their self-reliance. This study aimed to collaboratively develop, implement, and evaluate a holistic health care program to strengthen the capacity of PPHVs at the Central Correctional Institution for Young Offenders in Pathum Thani Province, Thailand. This study employed a Participatory Action Research (PAR) design. A total of 100 well-behaved inmates were purposively selected as PPHVs and actively engaged as co-participants throughout the PAR process. The intervention was collaboratively designed and implemented over five weeks, comprising ten participatory training sessions that addressed physical, mental, social, and environmental health dimensions. Quantitative data were collected using validated questionnaires assessing knowledge, attitudes, health practice skills, data management skills, and overall capacity at baseline, post-intervention, and at 1-month follow-up. Data were analyzed using repeated measures analysis of variance (ANOVA). The findings revealed statistically significant improvements (p <0.001) in participants' knowledge (F = 778.41, ηp2 = 0.887), attitudes (F = 889.09, ηp2 = 0.900), health practice skills (F = 1241.89, ηp2 = 0.917), data management skills (F = 546.81, ηp2 = 0.847), and overall capacity (F = 727.48, ηp2 = 0.880). These outcomes indicate substantial enhancement in PPHVs' ability to perform health promotion and data management roles proficiently. The holistic health care program significantly improved PPHVs' capacity, suggesting promise for strengthening inmate health volunteer programs in correctional settings. These findings have significant implications for nursing practice in designing capacity-building programs, nursing education in preparing nurses for correctional care, and nursing policy in developing standards for correctional nursing in Thailand. Thai Clinical Trials Registry (TCTR20260115003).
Children with acute conditions that suddenly worsen need immediate care in the Emergency Room (ER). Family-Centered Care (FCC) is considered the best approach in pediatric nursing, but its implementation in the ER is still limited. This is due to various challenges that can increase child and family anxiety and decrease the quality of nursing care. This study aimed to explore nurses' perspectives on the constraints of the health service system in implementing FCC in child care in the ER. The study used a qualitative descriptive design. Eleven nurses working in the ER at Mokopido Tolitoli Regional Hospital participated in the study, which were chosen through purposive sampling. Data were collected using semi-structured interviews conducted from July 11 to July 23, 2023. Data were analyzed manually using a thematic approach. The thematic analysis revealed two main interrelated themes regarding barriers to FCC in the ER: human resource constraints and organizational constraints. Human resource constraints include limited nursing staff, varying educational levels, lack of training or outreach on FCC, lack of competency, and communication barriers. Meanwhile, organizational constraints include high ER workloads, limited nurse time, and a focus on emergency medical procedures rather than a holistic approach. These various barriers lead to suboptimal family involvement in the care of children in the ER. The implementation of FCC in the ER still faces major challenges. These findings highlight the need for a strategic approach and supportive policies to improve nurse capacity and foster a collaborative and responsive hospital environment for patients' families.
Resourcefulness is the capacity to confront life's obstacles by utilizing coping skills, adapting to new circumstances, and seeking assistance from the environment. Therefore, the geriatric field continues to emphasize the importance of older adults' resourcefulness. The Indonesian version of the Resourcefulness Scale© (I-RS) has just been translated; it is essential to conduct this research and report the findings for its application in Indonesia. This study intended to develop the Bahasa Indonesian version of the Resourcefulness Scale© and to test its reliability and validity in older adults. The questionnaire was initially created in English and then translated by two linguistic experts. Subsequently, meaning and cultural analysis were performed by psychiatric nursing specialists. Following this, a back-translation was executed, and the Indonesian version was used for data collection. Data was collected with 331 older adults residing in 11 nursing homes from 2023 to 2024. Correlational analysis and Confirmatory Factor Analysis (CFA) were conducted using Structural Equation Modeling (SEM) in LISREL 8.8 to examine the validity of the I-RS. Reliability was assessed using Cronbach's Alpha and Split-half reliability. The internal consistency of the Indonesian version of the instrument is acceptable with Cronbach's Alpha .79 and Split-half reliability .75. According to the results of SEM, Chi square = 253.13, the Root means square error of approximation (RMSEA = 0.04), the adjusted goodness of fit index (AGFI = 0.90), Normed Fit Index (NFI = 0.92), Parsimony Normed Fit Index (PNFI = 0.76) and Comparative fit Index (CFI = 0.97) were all accepted. Two factors, such as personal and social resourcefulness, were identified through factor analysis using SEM. A positive and significant relationship was found between resourcefulness and spiritual health (r = 0.45, p < 0.001). These results confirmed the use of the Indonesian version of the Resourcefulness scale (I-RS), indicating that it has acceptable reliability and validity. This instrument is potentially useful for measuring older adults' resourcefulness in geriatric nursing in Indonesia, across both clinical and community settings.
University students with hearing, visual, and motor disabilities report several challenges that is negatively associated with psychological wellbeing. Although the numbers of students with disabilities in higher education is continuously increasing, the nursing related studies about the association of resilience, spiritual well-being, and self-esteem remains limited. This study examined the associations among resilience, spiritual well-being, and self-esteem among university students with disabilities. A cross-sectional correlational design was used. University students with visual, hearing, and motor disabilities in Jordan were recruited through convenience sampling between February and April 2025. Data were collected using an electronic survey that included a demographic questionnaire, the Connor-Davidson Resilience Scale, the Functional Assessment of Chronic Illness Therapy-Spiritual Well-Being Scale, and the Rosenberg Self-Esteem Scale. Data were analyzed using descriptive statistics, one-way ANOVA, and Pearson's correlation. A total of 110 students participated (mean age = 22.7 years, SD = 4.18); 43.6% had visual disabilities, 36.4% had hearing disabilities, and 20.0% had motor disabilities. The mean resilience score was 71.29 (SD = 17.40) out of 100, the mean spiritual well-being score was 36.30 (SD = 7.12) out of 48, and the mean self-esteem score was 29.60 (SD = 4.79) out of 40. Students with visual disabilities reported significantly higher levels of spiritual well-being (F = 6.09, p = 0.003) and self-esteem (F = 23.26, p < 0.001). Lower self-esteem levels were observed among first-year students (F = 5.39, p = 0.002). Significant positive correlations were found between resilience and spiritual well-being (r = 0.698, p ≤ 0.01), resilience and self-esteem (r = 0.579, p ≤ 0.01), and spiritual well-being with self-esteem (r = 0.602, p ≤ 0.01). The significant positive associations among resilience, spiritual well-being, and self-esteem emphasizing the prompt need for psychological support across different type of disabilities. Continuous nursing assessment and psycho-social intervention for students with disabilities should be considered in the university health programs.
Loneliness in later life is common and is strongly associated with poorer quality of life (QoL). However, evidence from rural Egypt remains limited, particularly community-based studies that concurrently examine loneliness and QoL and their health, social, religious, and leisure-related determinants. This gap limits the development of culturally appropriate nursing and community interventions for rural older adults. To assess the levels of loneliness and QoL and to identify their determinants among community-dwelling older adults in a rural Egyptian setting. A cross-sectional descriptive study was conducted between July and September 2023 in a randomly selected rural village in Sharkia Governorate, Egypt. Using multistage probability sampling, 143 community-dwelling adults aged 60 years and older were recruited. Data were collected using structured and validated questionnaires. Descriptive statistics, Pearson correlation coefficients, and multiple linear regression analyses were performed. Participants had a mean age of 70.87 ± 8.50 years, and 52.4 percent were women. High loneliness was reported by 43.4 percent of participants, while 73.4 percent had low overall quality of life. Loneliness was strongly and inversely correlated with quality of life and was positively correlated with age and disease burden, while quality of life was negatively associated with age and number of chronic diseases and positively associated with education, income, social support, religious rituals, and leisure activities in bivariate analyses (all p <0.001). In exploratory multivariable analyses, quality of life was independently associated with age, education, current employment, number of chronic diseases, social support, and loneliness (R2 = 0.743), while loneliness was associated with age, number of visitors, religious rituals, and leisure activities (R2 = 0.451). Loneliness and low quality of life are highly prevalent among community dwelling older adults in rural Egypt and are closely linked to aging, chronic disease burden, social resources, and engagement in meaningful activities. For nursing practice, these findings support the routine screening of loneliness and quality of life in primary and chronic care settings, the integration of social support and activity-based interventions into care plans, and collaboration with community and faith-based organizations to deliver culturally appropriate strategies aimed at reducing loneliness and enhancing quality of life among rural older populations.
Multidimensional frailty is highly prevalent among older adults residing in long-term care facilities (LTCFs). However, the structural interrelationships among physical, psychological, social, cognitive, and functional health domains remain insufficiently understood. To characterize the network structure of multidimensional frailty domains and related health indicators among institutionalized older adults. This cross-sectional study included 272 LTCF residents from Liaoning, China. Eleven theoretically selected health indicators were modeled using a Mixed Graphical Model with ℓ1-regularized neighborhood regression and model selection based on the Extended Bayesian Information Criterion (γ = 0.25). This approach estimates sparse conditional dependence structures among mixed data types. Strength centrality was used as the primary descriptive metric. Network accuracy and stability were evaluated using non-parametric and case-dropping bootstrap procedures. The strongest conditional association emerged between age and cognitive impairment (edge weight = 0.68). Substantial associations were also observed between physical frailty and ADL dependency (edge weight = 0.43), and between psychological frailty and depressive symptoms (edge weight = 0.45). Physical frailty, ADL dependency, and depression exhibited relatively high strength centrality values; however, bootstrap difference tests indicated that these nodes were not statistically more central than several other highly connected indicators. The correlation stability coefficient for strength centrality was 0.75, indicating good stability of strength centrality estimates within this sample. The network revealed an interconnected pattern linking functional dependency, physical frailty, and psychosocial health among LTCF residents. Because the data were cross-sectional, the observed conditional associations should not be interpreted as causal or temporal pathways. These findings highlight the potential value of multidomain nursing assessment in long-term care settings and may inform hypothesis generation for future longitudinal or interventional nursing studies.
Transitioning to fatherhood for the first time is a significant milestone in a man's life, especially among first-time expectant fathers having couvade syndrome, which causes them to experience changes both physically and psychologically. However, there is a lack of existing research on the process of transition to fatherhood among first-time expectant fathers having couvade syndrome. This study aimed to explore the process of transition to fatherhood among first-time expectant fathers having couvade syndrome. This study adopted a constructivist grounded theory methodology. Participants included 20 first-time expectant fathers having couvade syndrome who were purposively selected from antenatal clinics of two hospitals in northern Thailand. Data were collected between March 2021 and October 2023 using in-depth interviews following Charmaz's steps. Data were corrected and analyzed until theoretical saturation. "Evolving new father's role over couvade syndrome" emerged as the core category representing their transition into fatherhood. This process consisted of three phases. Phase I was experiencing couvade syndrome that involved confirming couvade syndrome and responding to couvade syndrome. Phase II focused on handling couvade syndrome by accepting it and adapting behaviors. Phase III was stepping into the father's role as couvade syndrome symptoms resolved, encompassing freaking out about the new father's role, dealing with it, and planning for raising the baby. This study generated new knowledge regarding the transition to fatherhood among first-time expectant fathers experiencing couvade syndrome that involves three phases: in early pregnancy, around the middle of pregnancy, and towards the end of pregnancy. The insights can be used to inform nursing interventions to provide comprehensive, phase-specific antenatal care for these fathers.
Workplace bullying remains a pervasive problem in nursing, adversely affecting nurses' well-being and professional functioning. Prolonged exposure to bullying is associated with emotional exhaustion and job burnout. However, the potential buffering role of internal psychological resources, particularly psychological capital, has not been sufficiently examined. This study aimed to explore the association between workplace bullying and job burnout among hospital nurses and examined whether psychological capital moderates this relationship. A cross-sectional study was conducted with 209 nurses from two hospitals between July and September 2025. Data were collected using the Short Negative Acts Questionnaire, the Work-Related Burnout subscale of the Copenhagen Burnout Inventory, the Psychological Capital Questionnaire, and a demographic and professional characteristics form. Data analysis included descriptive statistics, independent t-tests, one-way ANOVA, Pearson's correlation coefficients, and moderation analysis using PROCESS macro (Model 1). Nurses reported moderate levels of workplace bullying (M = 2.31, SD = 1.12) and job burnout (M = 2.44, SD = 0.91). Psychological capital was relatively high (M = 4.89, SD = 1.08), including optimism (M = 4.93, SD = 1.09), hope (M = 4.96, SD = 1.13), self-efficacy (M = 4.77, SD = 1.19), and resilience (M = 4.89, SD = 1.17). Job burnout differed significantly across age groups (p = 0.043). Workplace bullying and job burnout varied by educational level (p = 0.019 and p = 0.021, respectively), and workplace bullying differed by gender (p = 0.001). Moderation analysis indicated that workplace bullying was positively associated with job burnout (B = 0.472, p < 0.001), whereas psychological capital was negatively associated with burnout (B = -0.135, p < 0.01). The interaction between workplace bullying and psychological capital was significant (B = 00.106, p < 0.01), indicating that psychological capital attenuated the positive association between workplace bullying and job burnout. Psychological capital functions as a protective factor that buffers the adverse impact of workplace bullying on nurses' job burnout. These findings highlight the importance of strengthening nurses' psychological resources through organizational strategies and resilience-enhancing interventions to promote well-being and reduce burnout risk.
Father involvement in newborn care is increasingly recognized as a key determinant of infant health and family well-being. In Indonesia, paternal roles in neonatal care are often overlooked, and father-specific educational support remains limited. Understanding fathers' lived experiences and learning needs is essential for developing effective, culturally appropriate interventions. This study aimed to explore the experiences and educational needs of Indonesian fathers in newborn care. A qualitative descriptive study was conducted using a thematic analysis approach. Sixteen fathers of infants aged 0-12 months were recruited through purposive sampling in Jakarta and the surrounding areas. Data were collected in 2024 through in-depth semi-structured interviews and analyzed using Braun and Clarke's six-step framework. Trustworthiness was ensured through audit trails, member checking, and peer debriefing. Three major themes emerged: (1) social media as the main source of information, (2) fathers' practical involvement and learning needs in baby care, and (3) preference for visual and practical learning media. Fathers expressed strong motivation to be involved but faced challenges accessing reliable, father-focused educational content. Their learning preferences were shaped by practicality, time constraints, and the need for culturally relevant materials. Indonesian fathers are eager to participate in newborn care but lack structured educational support tailored to their needs. Pediatric nurses play a critical role in developing father-inclusive, digital, and culturally responsive interventions that enhance paternal self-efficacy and caregiving competence. Future programs should integrate father-focused digital interventions, such as video-based tutorials and podcasts, into pediatric nursing practice to effectively bridge the educational gap.
Research on cyberbullying has largely focused on psychological outcomes and individual coping strategies, with limited attention to how adolescents narratively construct resilience within specific cultural and historical contexts. In post-conflict societies, adolescents' responses to cyberbullying are shaped not only by personal resources but also by moral expectations, spiritual discourses, and power-laden digital environments. This study aimed to explore how adolescents in post-conflict Ambon, Indonesia, narratively construct resilience through their meaning-making of cyberbullying experiences. A qualitative narrative inquiry design was employed. Participants were recruited using purposive sampling through senior high schools, universities, and youth community networks in urban and semi-urban areas of Ambon, Maluku Province, Indonesia. In-depth narrative interviews were conducted in 2021 with twelve adolescents aged 16-19 years who reported experiences of cyberbullying. Data were analyzed drawing on Riessman's approach to narrative analysis, focusing on the connections and recurring patterns across narratives through which resilience was articulated and meaning was constructed, rather than treating narratives as linear or unified trajectories. The study was reported in accordance with the Consolidated Criteria for Reporting Qualitative Research (COREQ). Five narrative threads were identified through which adolescents narrated resilience in the context of cyberbullying. These narratives did not follow a single or linear pathway but reflected emotional wounding, silence as an ambivalent form of endurance, spiritually mediated meaning-making under constraint, moral restraint as identity negotiation, and tentative efforts to reclaim self-worth through compassion and reframing. Silence and spirituality functioned as culturally shaped resources that at times provided moral coherence or protection, while simultaneously revealing despair, constraint, and limited perceived options within morally regulated and digitally surveilled environments. Adolescents' resilience to cyberbullying in post-conflict Ambon was narrated not as recovery or empowerment, but as an ongoing and culturally embedded process of endurance, moral negotiation, and partial re-authoring of self-worth. For nursing practice, these findings underscore the importance of narrative-sensitive and culturally responsive approaches that attend to adolescents' silence, spiritual expressions, and moral frameworks, while fostering safe spaces for meaning-making and psychosocial care.