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The effects of illness script method on clinical reasoning of undergraduate nursing students: A quasi-experimental study

2025-06-19T04:46:30Z

Title: The effects of illness script method on clinical reasoning of undergraduate nursing students: A quasi-experimental study Authors: Arya Bagus Arisudhana, Gede Abstract: Introduction: The improvement of clinical reasoning in nursing students is a benchmark for students' abilities in carrying out nursing care. Disease script-based learning can help students recognize the information. The purpose of this study was to determine the effect of illness scripts on the clinical reasoning ability of nursing students. Methods: The research design used was a quasi-experimental with a non-equivalent control group. A consecutive sampling technique was applied. The number of samples in each group is 35 respondents, the outcome was measured using Clinical Reasoning Assessment Tools. Data were analysed using Wilcoxon Signed Rank test. Results: The results of this study indicate that there is an increase in the clinical reasoning ability of nursing students in the experimental group from the average value of 40.6 to 50.3. Most of the respondents in the experimental group had clinical reasoning at the intermediate learner level. The results of the Wilcoxon test showed that the Z-count value in the experimental group was 5.092 with a p-value < 0.001. Conclusions: The primary finding in this study is that there is an effect of the illness script method on the clinical reasoning of undergraduate nursing students. The application of illness scripts in the nursing learning process at as early stage as possible is very relevant. This model helps students in increasing critical thinking about patient nursing problems.

Factors associated with the implementation of COVID-19 health protocols among Indonesian older adults living in rural areas: A cross-sectional study

2025-06-19T04:45:01Z

Title: Factors associated with the implementation of COVID-19 health protocols among Indonesian older adults living in rural areas: A cross-sectional study Authors: Maurida, Nurul; Putri, Prestasianita; Rosalini, Wike Abstract: Introduction: Implementing health protocols became a challenge for older adults living in rural area. This study aimed to analyze the factors influencing implementation of COVID-19 health protocols among elderly in rural areas based on the Theory of Planned Behavior (TPB). Methods: This study used an explanatory survey with cross-sectional approach. The sample consisted of 100 older adults who resided in rural areas. Data were collected using the TPB questionnaire and COVID-19 health protocol questionnaire, both have 21 items. The data were analyzed using bivariate and multivariate analysis. Bivariate analysis used Pearson correlation, Chi-square test, and Fisher’s exact test. Multivariate analysis used multiple linear regression with a level of significance = 0.05. The independent variables were attitude toward behavior, subjective norm and perceived behavioral control while the dependent variable was the implementation of COVID-19 health protocols. Results: Gender (p < 0.001), age (p < 0.001), employment status (p < 0.001), attitude toward behavior (p < 0.001), subjective norm (p < 0.001) and perceived behavioral control (p < 0.001) were significantly associated with the implementation of COVID-19 health protocols, while education level (p = 1.000) was not significantly associated with the implementation. The R-square shows 0.610 which indicates that TPB model can predict 61% of implementation of COVID-19 health protocols. Conclusions: The most dominant factor in increasing the implementation of the COVID-19 health protocol is attitude toward behavior. Nurse need to provide education to elderly and their family to increase the implementation of COVID-19 health protocols as prevention of transmission of COVID-19.

Pandemic in Indonesian older people: The implication for sleep deprivation, loss of appetite, and psychosomatic complaints

2025-06-19T04:43:05Z

Title: Pandemic in Indonesian older people: The implication for sleep deprivation, loss of appetite, and psychosomatic complaints Authors: Nugraha, Susiana; Robiatul Adawiyah, Asyifa; Trisuci Aprili, Yuna; Agustina, Lisna; Putri Asih Handayani, Tresna; Budi W Rahardjo, Tri Abstract: Introduction: During the COVID-19 pandemic, many individuals were concerned about being infected. Meanwhile, the older people felt isolated due to the detrimental effect on their mental and physical health. Therefore, this study aimed to identify the mental health issues suffered by the older people during the COVID-19 pandemic, the implication for sleep deprivation, loss of appetite, and psychosomatic complaints. Methods: This was a descriptive-analytic study using a cross-sectional approach to find the mental health impact of the COVID-19 pandemic. The population of this study was older people (those aged ≥60 years) living in urban areas in West Java and Jakarta. The sample size was measured with the Lemeshow formula using a 95% confidence interval. A total of 259 older people participated in this study in cluster random sampling selection. Questionnaires were distributed to study participants consisting of sociodemographic characteristics, general anxiety disorder, history of chronic illness, COVID-19 related psychological concern, self-reported losing appetite, self-reported sleep deprivation and psychosomatic assessment. Statistical analysis used descriptive and logistic regression analysis. Results: The average age of study participants is 65.3 years old (SD ± 6.8; min-max = 60 to 89 years old). Multivariable logistic regression model showed that sleep deprivation is significantly associated with non-college education background (OR = 2.28; 95% CI = 1.23 to 4.61), anxiety (OR = 7.09; 95% CI = 3.57 to 14.08), and the existence of chronic illness (OR = 2.75; 95% CI = 1.44 to 5.26). Subsequently, the psychosomatic symptom was associated with anxiety (OR = 5.27; 95% CI = 2.75 to 10.11) and chronic illness (OR = 2.80; 95%CI = 1.47 to 5.32). Loss appetite was associated with non-college education background (OR = 2.50; 95% CI = 1.16 to 5.41), anxiety (OR = 10.41; 95% CI = 5.01 to 21.63), and the existence of chronic illness (OR = 3.60; 95% CI = 1.72 to 7.55). The analysis showed that none of the COVID-19 related fear is associated with a sleep disorder, loss of appetite, and psychosomatic symptoms. Conclusions: Sociodemographic factors, anxiety and medical factors contribute to the risk of mental health issues in older adults during the COVID-19 pandemic, implication for sleep deprivation, loss of appetite, and psychosomatic complaints.

Self-care differences in COVID-19 pandemic situation

2025-06-19T04:39:55Z

Title: Self-care differences in COVID-19 pandemic situation Authors: Putu Wulan Purnama Sari, Ni; Artsanthia, Jintana Abstract: Introduction: Coronavirus Disease-2019 (COVID-19) pandemic has been happening for years now and no one can guarantee when this situation will end. The best thing that we can do in this new normal era is doing different self-care activity than what we usually do before the pandemic. This study aimed to analyze self-care differences before and after pandemic situation in the general population. Methods: This cross-sectional study involved 645 respondents living in five congested communities in Surabaya, Indonesia. Sample was enrolled by means of cluster random sampling. Variables on this study was self-care activities related to new normal activies among community. Valid and reliable questionnaire of self-care activities was used in data collection. Independent sample t test was used in data analysis. Results: Most respondents were female (54.6%) in their productive age (29.7 ± 11.5 y.o.), graduated (77.8%), private employee (35.5%), having no income (45.7%), and live with more than 3-5 family members at home (43.4%). Before pandemic, self-care was mostly sufficient (21.8 ± 5.9). After pandemic, self-care was improved greatly but still in sufficient level (28.5 ± 4.8). There was a significant self-care difference before and after pandemic situation in the general population (p = 0.000). Conclusions: Self-care activities changes significantly after COVID-19 pandemic situation in the general population, but it was still in unoptimal level. Efforts to improve individual self-care in new normal era are needed to ensure this activity is implemented in its optimal level. Keywords: COVID-19; new normal; pandemic; self-care