http://localhost:8080/xmlui/handle/123456789/10172 2026-04-15T04:01:45Z http://localhost:8080/xmlui/handle/123456789/10184 Title: Development of a Holistic Nursing Model Based on Transcultural Nursing to Improve the Quality of Life of Patients with Type-2 Diabetes Mellitus Authors: Suniyadewi, Ni Wayan; Sufyanti Arief, Yuni; Dian Kurniawati, Ninuk; Ayu Rismayanti, Dewa; Trisnadewi, Ni Wayan; Iswatun, Iswatun Abstract: Background: The management of type 2 diabetes mellitus (T2DM) primarily emphasizes physical care, yet the quality of life (QoL) remains suboptimal. The management of diabetes often neglects psychological, socio-cultural, and spiritual aspects, which are essential components of transcultural nursing. Developing a holistic nursing model rooted in transcultural nursing, which has never been broadly investigated, is imperative to enhance QoL in individuals with T2DM. Purpose: This study aimed to develop a nursing model based on transcultural nursing to enhance the QoL of individuals with T2DM. Methods: This study employed a quantitative research design with a cross-sectional approach. A sample of 145 individuals with T2DM was recruited using a simple random sampling technique. A self-developed questionnaire was used, incorporating factors from Dossey’s holistic nursing model, Leininger’s transcultural nursing model, and a QoL questionnaire. Inferential statistics using smart PLS-structural equation modeling (SEM) were employed for data analysis. Results: The findings revealed that the holistic nursing model based on transcultural nursing in individuals with T2DM was influenced directly by respondent characteristics (t=3.313, p=0.001), religious and life philosophy (t=2.836, p=0.005), social and kinship (t=2.579, p=0.010), cultural and lifestyle (t=2.833, p=0.005), biological (t=2.718, p=0.007), and psychological (t=2.497, p=0.013) factors. However, the technological factor was not significantly (t=0.802, p=0.423) associated with the model. The holistic nursing model based on transcultural nursing had a direct influence on the quality of life (t=9.124 and p=0.000). Conclusion: The holistic nursing model based on transcultural nursing encompasses six variables: respondent characteristics, religious and life philosophy, social and kinship, cultural and lifestyle, and biological and psychological factors. The model can serve as a guideline for managing type 2 DM patients to enhance the QoL 2024-01-01T00:00:00Z http://localhost:8080/xmlui/handle/123456789/10183 Title: Perceptions and Experiences of Nursing Students in Caring for People Living with HIV/AIDS in South Africa: A Qualitative Study Authors: Dorcas Mabhiza, Ruwadzano; Bhana, Varshika; Sedibe, Heather Abstract: Background: Although previous studies focusing on nurses’ perceptions of caring for people living with HIV (PLHIV) have been conducted in numerous countries, little is known about first-year student nurses’ perceptions and experiences regarding their role in caring for PLHIV in South Africa. To ensure quality care for PLHIV, it is essential to explore first-year student nurses’ roles in caring for PLHIV. Purpose: This study aimed to explore the perceptions and experiences of first-year nursing students on their role in caring for PLHIV in South Africa. Methods: A qualitative exploratory descriptive design was employed for this study, utilizing a purposive sampling method to recruit 18 participants. These participants were first-year nursing students aged 18 or older, enrolled in a 4-year bachelor’s degree nursing program, and who had completed clinical placements in hospitals. Data collection involved two focus group discussions (FGDs), one comprising eight participants and the other ten participants. Thematic analysis was employed to analyze the collected data. Results: Four main themes were drawn from two FGDs, including (1) students’ unpreparedness in their role to care for PLHIV, (2) disclosure practices and student safety concerns, (3) personal backgrounds and attitudes towards PLHIV care, and (4) physical and psychological wellbeing of students while caring for PLHIV. Furthermore, 11 sub-themes were subsequently drawn from these main themes. Thematic sub-themes and individual focus group responses were relied on to reach data saturation despite the small number of FGD sessions. Conclusion: First-year nursing students had negative and positive perceptions and experiences when caring for PLHIV. There is a need for these students to acquire adequate theoretical knowledge and practical skills to enhance clinical preparation for their role in clinical facilities. This could improve their perceptions regarding caring for PLHIV in the clinical setting and result in improved care. 2024-01-01T00:00:00Z http://localhost:8080/xmlui/handle/123456789/10182 Title: Distress and Coping Strategy among Indonesian Men with Type-2 Diabetes Mellitus Authors: Ari Nugroho, Fajar; Budhiarta Chandra, Rico; Laila, Nike Abstract: Background: Type-2 diabetes mellitus (T2DM) can have a notable impact on the psychological and physical well-being of individuals, which in turn affects the management of the condition. Men and women experiencing stress and adopting distinct coping strategies. However, research focusing specifically on T2DM in men is still limited. Purpose: The present study intends to investigate the distress and coping strategies adopted by male T2DM outpatients in Malang, East Java, Indonesia. Methods: This study employed a qualitative research design and conducted in-depth interviews to 24 male T2DM outpatients. The interview guidelines were formulated using the Indonesian version of the Diabetes Distress Scale (DDS17) questionnaire, which comprised four domains: physician-related distress, emotional burden, regimen-related distress, and interpersonal distress. A thematic analysis was performed to analyze the results gathered during the research and compile them into a final report. Results: The study revealed that individuals diagnosed with T2DM experienced a range of emotional and practical difficulties, including feelings of fear, anxiety, and a lack of understanding. Disease burden, a lack of understanding of both diabetes and healthcare services, difficulties managing their diet, routine medication, financial concerns, and fatigue also contributed to the distress. To cope with distress, the informants identified eight distinct coping strategies. Of these, the most effective strategy was receiving support from family members, followed by acceptance, self management, positive attitude, understanding of their illness, joining the diabetes community, spirituality, and getting more information about T2DM. Conclusion: The findings of this study indicated that men experience eight distinct types of stress and utilise comparable coping strategies associated with T2DM. Emotional distress represents the predominant pressure, while family support constitutes the primary coping strategy. These results are important for nurses and other healthcare professionals in supporting patients 2024-01-01T00:00:00Z http://localhost:8080/xmlui/handle/123456789/10181 Title: Effectiveness of Self-Management Training, “EDUDARA,” on Psychological Wellbeing and Cortisol Levels in Breast Cancer Patients during the COVID-19 Pandemic Authors: Supriati, Lilik; Nova, Renny; Rodli, Muhammad Abstract: Background: Women diagnosed with breast cancer often experience emotional distress, leading to a decrease in psychological well-being. Online self-management training during the COVID-19 pandemic is crucial for maintaining psychological well-being, as it is closely related to stress hormone cortisol levels, which play a vital role in boosting the body’s immune system. However, research on self-management strategies for breast cancer patients, particularly regarding psychological aspect and its relationship to cortisol levels during the COVID-19 pandemic, remains limited. Purpose: The purpose of this study was to measure the effectiveness of self-management training on psychological well-being and salivary cortisol levels in breast cancer patients. Methods: This study used a pre-post-test quasi-experimental design with a control group. The participants included 70 breast cancer patients undergoing chemotherapy at a hospital in Malang City, East Java, Indonesia, recruited using simple random sampling. Self-management training using the EDUDARA (Edukasi Kanker Payudara) was administered to the participants in the intervention group for six weeks. Data on wellbeing were collected using the Ryff Psychological Wellbeing Questionnaire, while salivary cortisol levels were measured with the DBD cortisol kit using the competitive ELISA method. SPSS with t-tests was used to analyze the data. Results: The average post-test psychological well-being score in the intervention group was 90.3, while in the control group, it was 82.69. The results of statistical tests showed a significant difference in psychological well-being between the two groups, with the intervention group showing greater improvement after the training. Additionally, the mean salivary cortisol level post-training was 4.531 in the intervention group and 6.169 in the control group (p=0.001). This indicates a greater reduction in cortisol levels in the intervention group after training, showing that participants’ psychological condition following the “EDUDARA” training was better than that of the control group. Conclusion: Self-management training had a positive effect on increasing psychological well-being and decreasing salivary cortisol levels among breast cancer patients. Therefore, structured self-management training for these patients can be used for nursing intervention 2024-01-01T00:00:00Z