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    <pubDate>Thu, 16 Apr 2026 23:58:43 GMT</pubDate>
    <dc:date>2026-04-16T23:58:43Z</dc:date>
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      <title>Parents’ knowledge, attitude, and practice on children’s screen time at home and the implications for nurses in promoting health: a cross-sectional study</title>
      <link>http://localhost:8080/xmlui/handle/123456789/10598</link>
      <description>Title: Parents’ knowledge, attitude, and practice on children’s screen time at home and the implications for nurses in promoting health: a cross-sectional study
Authors: Fatin-Aqilah Arippin, Nur
Abstract: Introduction: The present study investigated the parent’s knowledge, attitude, practice, and experience of the screen time spent by their children at home aged below 5 years old, identifying the common screen-based devices used, content type, and level of screen time spent by the children. Methods: A cross-sectional survey of parents having children aged 0 to 4 years old attending the Maternal and Child Health Care Clinics in four districts in Brunei Darussalam was conducted. A questionnaire was developed through the Qualtrics platform. Data were analyzed using R Studio Desktop version 1.2.1335. The statistical analyses included descriptive statistics and Fisher’s exact test. Results: Parents’ knowledge, attitude, and practice of screen time spent by their children are generally positive; parents who correctly answered the knowledge section overall average of 30.1% (n=34). Children studied (&lt;2 years old and 3 to 4 years old) were found to spend more time watching television. A statistically significant association was observed between children of both age groups with time spent on tablet device (p=0.037) and (p=&lt;0.001). Also, a significant association between parents’ knowledge, attitude and practice with gender of the parents, household income, and total number of children was reported. Conclusions: We conclude that the children in our study exceeded the recommended guidelines on screen time behavior and the parents’ health knowledge with regard to screen time was poor which emphasized the need for improvement and further study</description>
      <pubDate>Sun, 01 Jan 2023 00:00:00 GMT</pubDate>
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      <dc:date>2023-01-01T00:00:00Z</dc:date>
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      <title>The development of a wellness tourism program in Thailand: a community-based participatory action research approach with an empowerment theoretical framework</title>
      <link>http://localhost:8080/xmlui/handle/123456789/10597</link>
      <description>Title: The development of a wellness tourism program in Thailand: a community-based participatory action research approach with an empowerment theoretical framework
Authors: Thojampa, Somsak; Klankhajhon, Sirikanok
Abstract: Introduction: Thailand has not had a comprehensive effort to collaborate on a wellness tourism regional program for foreign travelers. The purpose of the study was exploring the key components necessary for a wellness tourism program in the lower northern region in Thailand. Methods: This is a qualitative, community-based, participatory action research guided by the empowerment theory. A descriptive qualitative approach to data collection and analysis was used to explore stakeholders’ perspectives on the development of a wellness tourism program. A total of 40 key stakeholders from nine provinces in the lower north region of Thailand participated in two phases of the study’s data collection. Individual and focus groups interviews were conducted and analyzed thematically. The purposive sample included semi-structured questionnaires among community leaders, village health volunteers, and workers from various occupations who lived in the communities. Results: Four themes emerged from the qualitative interviews and focus groups: 1) honoring local wisdom as the heart of a regional wellness tourism program; 2) the integration of historical traditions and regional lifestyles into a wellness tourism program; 3) the need for government supportive policies that help to fund community wellness initiatives to boost the local economy and tourism ;and 4) attention needed to improve the quality of life for the local communities while promoting wellness tourism in the region. Conclusion: This community-based participatory action research approach created a synergy among stakeholders from multiple provinces in the lower north region of Thailand. Preliminary steps are underway to continue with the development and implementation of a wellness tourism initiative that can showcase the unique cultural, historical, and environmental attributes related to the health and wellbeing within this region.</description>
      <pubDate>Sun, 01 Jan 2023 00:00:00 GMT</pubDate>
      <guid isPermaLink="false">http://localhost:8080/xmlui/handle/123456789/10597</guid>
      <dc:date>2023-01-01T00:00:00Z</dc:date>
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      <title>An exploration of the reception and expectations of medical information among hospitalized elderly patients and their primary caregivers in Taiwan: a mixed-methods study</title>
      <link>http://localhost:8080/xmlui/handle/123456789/10596</link>
      <description>Title: An exploration of the reception and expectations of medical information among hospitalized elderly patients and their primary caregivers in Taiwan: a mixed-methods study
Authors: Chen, Kai-Li; Chang, Chia-Ming
Abstract: Introduction: Adults older are increasing in Taiwan. The receipt of information and expectations related to informational messages provided to hospitalized elders have not been studied. The study aim is to explore the status of receipt of information and expectations among hospitalized elders and their care providers in Taiwan. Methods: A descriptive, cross-sectional and mixed-methods study design was used in in a geriatric ward in a medical center. The participants were 60 patients of 65 years and their care providers were obtained by convenience sampling. The data were collected using a semi-structured questionnaire and checklists. Physician messages and the data for each participant were collected in one regular ward round. Results: Twenty-eight patients (46.7%) could not repeat the messages. The message repetition rate was 21.9% the first hour and was 62.9% after hinting. The total message repetition rate of the main care providers was 36.0% and was 80.3% after hinting. “Desire to know the reasons for discomfort” and “discharge date” were the messages most expected by the patients. “None,” “conditions associated with the progress of the illness,” “discharge date” and “relevant information of examination results” were the messages most expected by their care providers. Conclusions: The majority of the hospitalized elderly and their care providers could not repeat medical messages conveyed by the physicians. The informed messages should be sorting, and the reminder should be repeated within a short time. Medical professionals should be aware of the patients’ real concerns before providing medical information.</description>
      <pubDate>Sun, 01 Jan 2023 00:00:00 GMT</pubDate>
      <guid isPermaLink="false">http://localhost:8080/xmlui/handle/123456789/10596</guid>
      <dc:date>2023-01-01T00:00:00Z</dc:date>
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      <title>The relationship between knowledge, self-efficacy, and nursing spiritual care behaviors in school-age children in pediatric room</title>
      <link>http://localhost:8080/xmlui/handle/123456789/10595</link>
      <description>Title: The relationship between knowledge, self-efficacy, and nursing spiritual care behaviors in school-age children in pediatric room
Authors: Gabriela Madu, Yunita; Lusmilasari, Lely; Sri Hartini, Sri; Solon, Mery
Abstract: Introduction: Spiritual care for children is important in the care provided by nurses so that children do not feel guilty when being treated in the hospital. It is important for nurses to understand that the process of providing nursing care is bio-psycho-social and spiritual based. This study aimed to find out the relationship between knowledge, self-efficacy, and nurse behavior in the provision of spiritual care for school-age children in hospitals. Methods: This study used a cross-sectional approach with a purposive sampling technique followed by 102 nurses who cared for school-age children in a pediatric nursing room. Knowledge was measured using the Spiritual Care-Giving Scale, Self-Efficacy was measured by Burkhart Spiritual Care Inventory (BCI), and Nurse Spiritual Care Therapeutic Scale (NSCTS) to measure behavior. The data were analyzed using the Kolmogorov-Smirnov test, and Spearman correlation test. Results: There was no significant correlation between knowledge and behavior (p = 0.181; r = 0.133); however, there was a significant correlation of nurse behavior with self-efficacy (p = 0.027; r = 0.219), age (p = 0.015; r = 0.240), length of work (p = 0.021; r = 0.228), and spiritual care training (p = 0.001). Conclusion: Knowledge does not have a significant relationship with behavior. However self-efficacy, age, length of work, and spiritual care training significantly affects the nurse's behavior in providing spiritual care to school-age children in the hospital.</description>
      <pubDate>Sun, 01 Jan 2023 00:00:00 GMT</pubDate>
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      <dc:date>2023-01-01T00:00:00Z</dc:date>
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