http://localhost:8080/xmlui/handle/123456789/10683 2026-04-17T00:00:10Z http://localhost:8080/xmlui/handle/123456789/10701 Title: A systematic review and meta-analysis of sleep hygiene implementation and its effect on sleep quality and fatigue in patients undergoing hemodialysis Authors: Fathan Nurfais Fauziah, Hesti; Rochmawati, Erna; Padela, Aasim Abstract: Introduction: The prevalence of patients undergoing hemodialysis who experience sleep disturbances and fatigue is high. Pharmacologic management has consequences and adverse effects, therefore, integrative intervention is important to be investigated. Sleep hygiene is one such integrative intervention that improves comfort including enhancing sleep quality and reducing fatigue. However, none have synthesized the effect of sleep hygiene intervention, particularly in the hemodialysis setting. This systematic review aims to synthesize the effectiveness of sleep hygiene in improving sleep quality and fatigue in patients undergoing hemodialysis. Methods: This is a systematic review and meta-analysis of randomized controlled trials and quasi-experimental studies. Relevant studies were gathered by searching five databases from 2008-2023 using several keywords, such as sleep hygiene, sleep quality and fatigue. Quality assessment was conducted using relevant tools from the Joanna Briggs Institutes (JBI). Following that, synthesis of research findings was conducted using Review Manager version 5.4. Results: Seven studies of 3,633 screened were included, with one high-quality study (88%) and six studies of moderate quality (61-76%). The review indicated a significant difference in sleep quality (MD = -2.36; 95% CI = -4.28, -0.44; p=0.016). However, there was no significant difference in fatigue (SMD = -0.08; 95% CI = -0.40, 0.24; p=0.61). Conclusions: The evidence supports that sleep hygiene is effective in enhancing sleep quality. This systematic review contributes evidence to support the inclusion of sleep hygiene into holistic nursing to assist patients in improving sleep quality and reducing fatigue 2024-01-01T00:00:00Z http://localhost:8080/xmlui/handle/123456789/10700 Title: The dementia certified nurse process for acquiring knowledge for care of older adult patients with dementia in acute care hospitals: a qualitative descriptive study Authors: Kabaya, Sonoko; Tayo, Nagahata; Juanamasta, I Gede Abstract: Introduction: Older adult patients with dementia experience unique physical and psychological problems. These conditions pose a challenge for nurses. Training and education have been developed to help DCNs face problems related to older adult patients with dementia. However, even with training and education, some DCNs may still struggle to effectively care for older adult patients with dementia because of the unpredictable nature of the disease and the individualized needs of each patient. This study aimed to explore DCNs’ perceived knowledge acquisition in older adult patients with dementia in acute-care hospitals. Methods: The study used qualitative methods, with 14 Japanese DCNs involved in the snowball sampling method. Face-to-face interviews were conducted between June and December 2016 by the principal investigator. A qualitative content analysis was used in this study. The study results were divided into nine categories and 31 sub-categories. Results: This study highlights the process through which DCNs in acute-care hospitals acquire expertise in caring for older adults with dementia. Initially, DCNs faced dilemmas between patients’ resistance to treatment and their professional priorities, leading to emotional and cognitive shifts that motivated them to seek specialized knowledge and refine their care methods. By reflecting on their experiences, integrating patient-centered approaches, and sharing insights with team members, DCNs deepened their understanding, adapted care strategies, and enhanced their clinical capacity to meet patients' needs effectively. Conclusions: Nurses should provide appropriate training before taking care of the patients. Knowledge should be combined with patient’s problems and behavior. Thus, nurses become more flexible in adapting to patients with dementia. These findings emphasize the importance of fostering reflective practices and educational interventions to enhance DCNs’ expertise, enabling them to provide patient-centered care and improve outcomes for older adults with dementia. 2024-01-01T00:00:00Z http://localhost:8080/xmlui/handle/123456789/10698 Title: Parental support and influencing factors for school-age children's healthy movement behavior: a cross-sectional study Authors: Diyan Rachmawati, Praba; Krisnan, IlyaRetnayu; Pradanie, Retnayu Abstract: Introduction: Optimizing healthy lifestyles in children requires parental support for healthy movement behaviors. This study analyzed factors influencing parental support for school-age children's movement activities. Methods: This study employed an analytic descriptive design with a cross-sectional approach, involving a sample of 355 mothers with school-age children. The independent variables included family, child, and environmental factors, whereas the dependent variable was parental support for healthy movement behaviors, as assessed through a questionnaire. Data analysis was performed using binary logistic regression with backward elimination. Results: The factors that significantly influenced parental support for their children's engagement in light physical activities included the children's own level of participation in such activities (OR=2.52, 95% CI=0.76-6.67). Factors affecting support for moderate to vigorous activities were maternal exercise habits (OR=3.37; 95% CI=1.18-9.65), children's sports habits (OR=5.18; 95% CI=1.64-16.26), and the presence of personal gadgets (OR=0.45, 95% CI=0.23-0.86). Parental support for preventing sedentary behaviors was influenced by parental knowledge (OR=2.33; 95% CI=1.34-4.05), mother's sleep duration (OR=2.46; 95% CI=1.27-4.75), and gadgets (OR=0.55; 95% CI=0.31-0.95). Factors affecting support for adequate sleep included children's light activities (OR=3.42; 95% CI=1.27-9.23) and their ownership of personal gadgets (OR=0.44; 95% CI=0.24-0.79) Conclusions: Parental support is influenced by the knowledge and physical activity habits of both mother and child, as well as gadget use and maternal sleep patterns. Pediatric nurses can enhance this support through health education focused on promoting healthy movement behaviors within families. 2024-01-01T00:00:00Z http://localhost:8080/xmlui/handle/123456789/10697 Title: Psychometric validation of the nursing professional values scale-revised: Vietnamese version Authors: Huang, Mei-Chih; Pham, Thi-Phuong-Thao Abstract: Introduction: The Nursing Professional Values Scale has been widely used to assess the professional values of practicing nurses, nursing students, and faculty members across different countries. With the global evolution of nursing education and practice standards, researchers have shown increasing interest in understanding nurses' professional values within developing nations. This study seeks to validate the psychometric properties of the Vietnamese version of the Nursing Professional Values Scale-Revised (NPVS-R). Methods: A quantitative survey was conducted with the questionnaire of NPVS-R version which was converted from English to Vietnamese by three expert translators, followed by a back-translation by three bilingual experts, then three nursing scholars from different regions of Vietnam assessed the language and content validity. Data were collected from 669 nurses through the Vietnamese Nursing Association network and analyzed by using SPSS and AMOS software. The scale was evaluated based on validity of content and construct, and internal consistency. Results: The Vietnamese NPVS-R scale comprises 25 items across four subscales: Caring, Activism, Trust, Professional, and Justice. Confirmatory factor analysis revealed factor loadings between 0.595 and 0.929, with a chi-square value of 955.303. Fit indices (CFI = 0.935, CMIN/DF = 3.605, RMSEA = 0.062) were satisfactory. Cronbach’s alpha was good, ranging from 0.861 and 0.877, and item-to-total correlations spanned 0.501 to 0.775. There exist significant differences of nurses’ perception on the subscales based on their gender, age, and working experience. Conclusions: NPVS-R is a reliable instrument to measure the professional values of nurses in the distinct Vietnamese context and language. It can serve as a valuable tool for nursing care development and competency assessment across various care units in Vietnam and benefit international comparisons 2024-01-01T00:00:00Z