joko gunawan

Some nurses leave their job because of working conditions, which will affect nurse turnover. Patients perceive that those nurses are distrustful, and feel unsatisfied, with patients' complaints about nursing service. This study explored factors about the professional self-concept of nursing students and nurses.

A systematic review of cross-sectional studies followed PRISMA guidelines. PubMed, Ovid, Web of Science, and Cumulative Index to Nursing and Allied Health Literature (CINAHL) were used from 1982 to August 2020 with the terms “factors” AND “nurse” AND “professional” AND “self-concept.” A total of 19 out of 4,349 articles were used for analysis. Joanna Brings Institute critical appraisal tools for the analytical cross-sectional studies were used in this study, and narrative synthesis was used to analyze data.

Professional selfconcept of clinical nurses is influenced by including organizational or job factors, and individual and emotional factors. Job factors consist of organizational support, professional ethic, clinical ladder system, nursing experience, position, and time. Besides, sex, age, marital status, education, health status, healthy lifestyle, and experience were categorized as individual factors. Emotional factors were as follows: interpersonal relationships, spiritual growth, management stress, and selfdescription. Meanwhile, student nurses are influenced by including personal (degree of study and sex), emotions (emotional intelligence, and interest in the nursing profession), and external factors (nursing courses, peer-mentoring experience, and academic burnout).

Thus, individual factors and emotions have a vital role in constructing clinical nurses' professional self-concept as student nurses. Improving individual and emotional/personal aspects will positively increase professional self-concept.

The prevalence of persons with hypertension remains high, especially in Southeast Asia, such as in Indonesia. Therefore, an effort to control blood pressure is needed. This study aimed to examine the effect of a self‑management program on blood pressure among persons with hypertension in Indonesia.

A quasi‑experimental study with pre‑test post‑test with control group design was used. Seventy‑seven participants were selected using convenience sampling in Belitung, Indonesia. A digital sphygmomanometer was used to measure blood pressure. Paired t‑test and independent t‑test were used for data analysis. Knowledge of hypertension, diet, exercise, and medication records were measured via validated questionnaires and observation sheets.

There was a significant effect of the eight‑week self‑management program on systolic blood pressure (t 30 = 6.45, p = 0.01) and diastolic blood pressure (t 30 = 2.53, p = 0.02). A significant difference in blood pressure was also identified between the experiment and control group, particularly in systolic blood pressure (t59 = –2.89, p = 0.05) with a large effect size (0.71).

Brisk walking with a duration of at least 30 minutes per day, dietary modification program specifically focusing on weight loss and anti‑hypertensive food, monitoring program, and health education for eight weeks, are considered effective to control blood pressure among patients with hypertension, and these interventions should be a part of nursing interventions and sustainable health development programs in the community

Comprehensive care includes the spiritual and the bio-psycho-social person. The aim of this study is to explain how people with diabetes mellitus manage holistic treatment. Search for multidatabase papers: Ovid, CINAHL, and PubMed. PICOT-based keyword description is P: any diabetes population, I: holistic care, C: any comparison, O: blood sugar, T: whenever. The English article, journal quest, full-text article available, and published article were criteria for inclusion in this study. In the quest journal, a strategic manner is performed using three keywords: holistic, diabetes mellitus, and blood sugar. We reviewed ten papers. The result showed that comprehensive care was explained in terms of technology, holistic care program, and holistic care relating to complementary alternative medicine. Discussion in this study is that holistic care services give significant results in the treatment of people with diabetes mellitus.

Determining research priorities is important not only to support evidence‑based nursing practice, but also to direct nursing research based on the needs of each country. However, there is no single study identified in Lao People’s Democratic Republic that sets research priorities in nursing.

This study was to gain consensus from experts on the priorities of nursing research in Lao People’s Democratic Republic.

A modified Delphi study was used, which consisted of three rounds. A focus group discussion was used in round I. In round II, the results of content analysis in round I were electronically presented to all participants and asked them to rate the importance of each topic using a 5‑point Likert scale. In round III, the results of round II were presented using mean score, and the participants were again asked to rate each topic using the same scale.

The top five priorities include: (i) evaluation of the implementation of nursing documentation based on nursing process, (ii) developing and updating standard of nursing practice for typical diseases, (iii) development of professional nurses and preceptor competency, (iv) motivational system and nurse satisfaction and their effects on nurse performance, and (v) utilization of evidence‑based practice to improve nursing practice.

The results of this study serve as an input for developing nursing research agenda in Lao and enhancing international research collaboration that focuses on health system and nursing management.

Image remains crucial for nursing profession. How nurses view professional self-image has an impact on their professional self-esteem. This study explored the image of nursing as perceived by Indonesian nurses. This was a phenomenological study with a purposeful sample of 19 clinical nurses participated in in-depth interviews. The interviews were audio-recorded, transcribed verbatim, and validated by relistening to the recording by researchers. The analysis was thematic. Five themes emerged (a) Islamic culture, (b) job definition, (c) role of nurses, (d) self-confidence, and (e) relationship between multigenerations of nurses. This study addressed positive and negative images of nursing in Belitung, Indonesia. The findings may be used for nurse managers to improve nursing image through the improvement of nurse competence and continuing professional development.

Identifying nursing students’ plan after graduation is necessary to maintain the profession in line with their nursing education. This study was conducted to explore the career plans of diploma nursing students after graduation and factors influencing their plans.

This was a qualitative descriptive study using focus group discussion, conducted in Academy of Nursing of Belitung, Indonesia. Twenty diploma nursing students at the beginning of their 1st year of study were recruited. Data were analyzed using content analysis model.

The plan of diploma nursing students after graduation: becoming a civil servant and its influencing factors (fixed and higher salary, fair remuneration and incentives, and retirement fund); becoming a bedside nurse and its influencing factors (helping others and gaining experiences); and continuing higher education in nursing and its influencing factors (recognition as professional nurse, financial support, family responsibilities, and location of nursing schools).

It is suggested that nurse educators should change the mindset of the students not to focus only becoming a civil servant, and the government should open bachelor program in nursing in Belitung and provide educational support for those who would like to continue studying nursing.

Designated roles of first‑line nurse managers (FLNMs) are very complex, this study aimed to develop a deeper understanding of their meaningful lived experiences.
Materials and This study employed a phenomenological study using semi‑structured interviews with FLNMs (n = 7) at the General Hospital of Belitung, Indonesia. The data analysis was thematic.
Four major themes were identified from the analysis of textual data: Feeling extraordinary, the inability to do, desire to leave the unit, and influenced by work motivation. The findings of this study revealed the positive and negative experiences of becoming FLNMs. The positive experiences were related to the feeling challenged and extraordinary to deal with many roles in management and leadership. The negative experiences included personal conflict related to the desire to leave the unit, and feeling unable to manage. However, the works of FLNMs were influenced by internal and external motivation.
This study better informs nurse executives to develop competence and performance of FLNMs, and keep their motivation by revising performance appraisal system.