BELITUNG NURSING JOURNAL

The internet has become an inevitable tool for information-seeking and communication in today's modern era. However, ironically it has driven humankind to become more dependent, leading to addiction. Internet addiction has increased exponentially at all levels of society, especially university students, impeding their physical, psychological, and social well-being.This study aimed to examine the relationship between academic procrastination and internet addiction and determine the influence of academic procrastination on internet addiction among Thai university students.A cross-sectional study was conducted involving 470 participants selected through multi-stage cluster random sampling from a university in eastern Thailand. The data collection was conducted between 29 November 2022 and 27 January 2023. The data were gathered using a demographic data form, an internet addiction test, and a procrastination assessment scale for the students' questionnaire. Descriptive statistics, Pearson correlation coefficient, and simple linear regression were employed for data analysis.The results revealed that academic procrastination (M = 49.68, SD = 12.61) and internet addiction (M = 65.26, SD = 5.60) were at a moderate level. A positive correlation was identified between academic procrastination and internet addiction (r = 0.33, p <0.01), indicating a low relationship. Academic procrastination also had a significant predictive power on internet addiction, accounting for 11.3% of the variance (R2 adjusted = 0.113, F (1, 468) = 59.583, p <0.001).The findings indicated the significant role of academic procrastination on internet addiction. Therefore, it is crucial that nurses should formulate interventions by considering this factor and emphasize self-regulatory and time-management skills and practical ways to limit internet dependence. Furthermore, the findings suggest that nurses could assess the procrastination level among students, devise prevention strategies, and organize awareness campaigns to instill information about rational internet use that aids in mitigating the risks and preventing them from getting addicted.

Sivasankari Nadarajan

Pornpat Hengudomsub

Chintana Wacharasin

Belitung Nursing Journal

The role of academic procrastination on Internet addiction among Thai university students: A cross-sectional study

泰国大学生网络成瘾中学业拖延的作用：一项横断面研究

Background: The recovery-oriented service concept has been recognized for its impact on mental health practices and services. As the largest group of mental healthcare providers, mental health nurses are well-positioned to deliver recovery-oriented services but face challenges due to role ambiguity and identity issues. Therefore, clarifying the role and principles of mental health nursing is essential. Objective: This study aimed to identify essential nursing practices for individuals with schizophrenia in recovery-oriented mental health services. Design: The study utilized a five-step integrative review approach, including problem identification, literature search definition, critical analysis of methodological quality, data analysis, and data presentation. Data Sources: Multiple databases, such as ScienceDirect and Scopus, as well as online libraries and journals/publishers, including Sage journals, APA PsyNet, SpringerLink, PsychiatryOnline, Taylor &amp; Francis Online, and Wiley Online Library, were searched. The search spanned from the inception of the recovery-oriented services concept in 1993 to 2022. Review Methods: Content and thematic analysis were employed to analyze and synthesize the findings from the included studies. Results: Twenty-four articles met the inclusion criteria. Two themes were identified: 1) Direct nursing care, consisting of six sub-themes: therapeutic nurse-patient relationship (TNPR), psychoeducation (PE), coping skill training (CST), cognitive behavioral techniques (CBT), interventions to improve medication adherence (IMA), and social functioning (SF); and 2) Indirect nursing care. Conclusion: This study highlights the crucial role of nursing and nursing practices in recovery-oriented services. Mental health nurses prioritize person-centered care, therapeutic relationships, and collaboration with peer support workers to enhance treatment effectiveness. In addition, they focus on improving medication adherence, providing coping support, and promoting social capabilities, ultimately improving individuals’ quality of life. Aligning actions with recovery-oriented principles, mental health nurses emphasize empowerment and holistic care. Further research in this area will enhance the healthcare system and better support individuals on their recovery journey.

Jutharat Thongsalab

Jintana Yunibhand

Penpaktr Uthis

Recovery-oriented nursing service for people with schizophrenia in the community: An integrative review

社区精神分裂症患者的康复导向护理服务：整合性综述

Background: In China, the incidence of hypertension rises significantly with age, resulting in a markedly reduced quality of life (QoL) among older patients compared to the general population. Therefore, it is essential for healthcare providers, particularly nurses, to identify the predictive factors that influence QoL in this demographic. Objective: This study aimed to describe the QoL levels and investigate the predictive power of perceived health status, self-care behavior, and social support on QoL among older patients with hypertension in Wenzhou, China. Methods: A cross-sectional study was conducted with 131 patients with hypertension aged 60 and above, visiting the Cardiovascular Outpatient Department of The Second Affiliated Hospital of Wenzhou Medical University. Data were collected using validated instruments between November and December 2022 and analyzed using descriptive statistics and stepwise multiple regression. Results: The overall QoL was moderate (Mean = 75.52, SD = 5.86). Self-care behavior (β = 0.421, p &lt;0.001), social support (β = 0.416, p &lt;0.001), and perceived health status (β = -0.170, p &lt;0.001) were significant predictors of QoL, collectively explaining 82.7% of the variance. Conclusions: The findings highlight the importance of self-care behavior, social support, and perceived health status as critical factors influencing QoL among older patients with hypertension. Nurses and other healthcare providers should focus on enhancing these areas through targeted education and support initiatives to improve the overall well-being of this vulnerable population.

Qiongfang Hu

Chanandchidadussadee Toonsiri

Factors affecting quality of life among older adults with hypertension in Wenzhou, China: A cross-sectional study

中国温州老年人高血压对生活质量影响的因素：一项横断面研究

Background: Clinical judgment is crucial for nurses in complex healthcare settings. In the Philippines, nursing students must develop critical thinking and decision-making skills to handle resource-limited environments and challenging patient care. However, existing educational methods often fail to engage students and fully promote diverse perspectives. Objective: This study aimed to examine the effect of integrating the Philips 66 technique into Case-Based Learning (CBL) on enhancing clinical judgment competence among Filipino nursing students. Methods: This study utilized an explanatory sequential mixed methods design. The quantitative phase involved a true experimental pre-test/post-test design with 60 senior nursing students randomly assigned to intervention (n = 30) and control (n = 30) groups. The intervention group participated in the Philips 66 technique with CBL, while the control group followed standard CBL. Clinical judgment competence was assessed using the Lasater Clinical Judgment Rubric (LCJR) and a researcher-designed/validated questionnaire to measure confidence. Focus group discussions (FGDs) with a subset of the intervention group explored their experiences with the Philips 66 technique. Data were analyzed using descriptive statistics and non-parametric tests for the quantitative component, while thematic analysis was applied to qualitative data. Results: The intervention group significantly outperformed the control group in both self-reported confidence and overall clinical judgment abilities. The Philips 66-CBL group showed significant improvements (p &lt;0.005, r (effect size) = 0.66 - 0.71) in all areas, while the control group demonstrated significant improvements in information seeking, evaluation/self-analysis, and commitment to improvement (p &lt;0.001, Cohen’s d = 0.54 - 0.617). Qualitative data from FGDs highlighted the value of Philips 66 in fostering teamwork, rapid knowledge sharing, and increased efficiency in addressing clinical scenarios, which are essential skills for nursing practice. Conclusion: The combination of the Philips 66 technique with CBL significantly improves the clinical judgment abilities of Filipino nursing students in a shorter timeframe compared to conventional approaches. Insights from qualitative data highlight its effectiveness in fostering collaborative learning and preparing students for the challenges of dynamic clinical settings. Further research with larger, more diverse samples across different contexts is essential to confirm these findings and explore the long-term influence of Philips 66-CBL on nursing students’ clinical judgment development worldwide. Trial Registry Number: NCT06646068 [clinicaltrias.gov] Philippine Health Research Registry: PHRR241010-007605 [registry.healthresearch.ph]

Rudena A. Madayag

Evangeline C. Bautista

John Paulo C. Pineda

Aylwin S. Geanga

Rhocette M. Sn Agustin

Myron L. Roque

Angela P. Apostol

Debbie Q. Ramirez

Refining clinical judgment competence in nursing education in the Philippines: A mixed-methods study on the impact of the Philips 66 brainstorming technique in case-based learning

菲律宾护理教育中临床判断能力的提升：基于案例学习的Philips 66头脑风暴技术影响的混合方法研究

Background: The craving for sexuality and closeness continues into old age, although the means of expressing it may change. Beyond direct sexual encounters, older adults can express their sexuality through gentle affection, warm embraces, holding hands, and other intimate gestures. However, aging can also impact their sexual experiences. Objective: This study aimed to explore the lived experiences of sexuality among older adults living in the countryside of Cebu, Philippines, during their senior years. Methods: A qualitative descriptive phenomenological design was employed. Purposive sampling was used to select ten participants. Data were collected from September to December 2023, and Colaizzi’s method of data analysis was applied to ensure thorough interpretation. Results: Three major themes emerged: 1) Being Centered: An actualized form of sexuality in later years; 2) Being Connected: A strong sense of intimacy in later years; and 3) Being Conveyed: Diversifying expressions of sexuality in later years. Conclusion: Despite advancing age, older adults can remain active in their intimate relationships and achieve a healthy marital life characterized by life satisfaction. They express their love for their partners by being centered, connected, and attuned to each other’s needs and feelings. These findings highlight the importance for geriatric nurses to recognize and support the sexual health and intimacy needs of older adults, facilitating discussions and providing resources that promote overall well-being and quality of life.

Marjorie R. Sta. Teresa

Alain Kenneth S. Ragay

Alberich F. Machacon

Overcoming cultural taboo: A qualitative study of the untold lived experience of older adults’ sexual life in Cebu, Philippines

克服文化禁忌：一项关于菲律宾宿务老年人未被讲述的性生活经历的定性研究

Background: In recent decades, the service sector has become a crucial driver of economic growth globally. However, research highlights the need for implementing a patient-centered design in hospital services and notes the limited literature on patient perceptions of healthcare service quality in Indonesia. Objective: This study aimed to explore patients' perceptions of healthcare service quality in outpatient settings at a public hospital in Palembang, Indonesia. Methods: The study employed a qualitative descriptive design, conducting face-to-face, in-depth interviews with 50 outpatients (ages ranging from 34 to 56 years) between October and November 2023. Purposive sampling was used to recruit participants, and thematic analysis was utilized for data analysis. Results: The following themes emerged regarding patient perspectives on healthcare service quality: patients’ perceived service quality, perceived value, satisfaction, and revisit intention. Factors influencing patient perceptions included the appearance of hospital staff, the quality of facilities and equipment, staff responsiveness, knowledge, courtesy, and empathy. Additionally, word-of-mouth significantly impacted patients’ perceived value of care. Emotional factors, complaints, and trust were found to be crucial in shaping patient satisfaction, while the patient-provider relationship played a significant role in influencing revisit intention.Conclusion: The research emphasizes the critical role of building strong patient-provider relationships to enhance overall service quality. It highlights the need for healthcare providers and nurses to focus on improving patient engagement and understanding how perceived service quality affects patient loyalty. Strengthening these areas is essential for advancing comfort, safety, and the overall quality of healthcare services.

Alvera Noviyani

Pramon Viwattanakulvanid

Exploring patients’ perspectives on healthcare service quality in outpatient settings at a public hospital in Palembang, Indonesia: A qualitative study

探索印度尼西亚巨港市公立医院门诊环境中患者对医疗服务质量的看法：一项定性研究

Background: Designing an instrument to assess discharge readiness post-hip surgery is essential due to trends showing poor patient outcomes, such as pain management issues, mobility challenges, and insufficient home support. A structured assessment tool would help ensure patients are better prepared for recovery, reducing the risk of complications and readmission. Objective: To develop and test the psychometric properties of the Readiness for Hospital Discharge Scale (RHD-HA-9) for hip arthroplasty. Methods: Items were generated from a comprehensive literature review and individual, face-to-face interviews with experts and patients. A cross-sectional study was conducted across four tertiary governmental hospitals to evaluate the psychometric properties of the scale. Data were collected from a total of 200 older adults who had undergone hip arthroplasty between June 2020 and February 2021. Exploratory Factor Analysis (EFA) was performed on data from 100 older adults to identify the underlying factor structure, followed by Confirmatory Factor Analysis (CFA) on a separate 100-patient dataset to validate the model. The questionnaire’s internal consistency, corrected item-total correlations, inter-rater reliability, construct, concurrent, and predictive validity were assessed. Results: The RHD-HA-9 included nine items, categorized into two factors: the physical performance of hip function and barriers to physical activity. EFA and CFA confirmed these factors, explaining 62% of the total variance. Model fit indices were acceptable (CFI = 0.97, TLI = 0.96, SRMR = 0.04), though RMSEA was 0.12. Chi-square was significant (X2 = 0.056, df = 24, p &lt;0.001). The scale showed excellent internal consistency (Cronbach’s α = 0.89) and stability (ICC = 0.94). ROC analysis identified a cutoff of 9.5, with a sensitivity of 90.7%, specificity of 70.6%, and AUC of 0.89. Conclusion: The RHD-HA-9 demonstrated strong psychometric properties for assessing discharge readiness in older adults following hip arthroplasty. It identifies patients who need additional support during their transition home. Nurses can use this tool to accurately assess patient needs and implement effective post-discharge care, thereby enhancing patient outcomes.

Supattra Changsuphan

Boonjai Srisatidnarakul

Holli A. DeVon

RHD-HA-9: A scale for nurses to assess readiness for hospital discharge in older adults following hip arthroplasty—development and psychometric testing

RHD-HA-9：一种用于评估老年髋关节置换术后出院准备度的护士量表——开发与心理测量测试

Abbreviation
Journal Impact	1.25
Quartiles(Global)	NURSING(Q3)

Publication Information	Publisher: Belitung Raya Foundation，Publishing cycle: ，Journal Type: journal，Open Access Journals: Yes
Basic data	Year of publication: 2015，Proportion of original research papers: 95.45%，Self Citation Rate:36.40%， Gold OA Rate: 21.70%
Journal Fees	$395Details
Average review cycle	网友分享经验：12 Weeks

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The role of academic procrastination on Internet addiction among Thai university students: A cross-sectional study

Recovery-oriented nursing service for people with schizophrenia in the community: An integrative review

Factors affecting quality of life among older adults with hypertension in Wenzhou, China: A cross-sectional study

Refining clinical judgment competence in nursing education in the Philippines: A mixed-methods study on the impact of the Philips 66 brainstorming technique in case-based learning

Overcoming cultural taboo: A qualitative study of the untold lived experience of older adults’ sexual life in Cebu, Philippines

Factors affecting quality of life among older adults with hypertension in Wenzhou, China: A cross-sectional study

Refining clinical judgment competence in nursing education in the Philippines: A mixed-methods study on the impact of the Philips 66 brainstorming technique in case-based learning

Overcoming cultural taboo: A qualitative study of the untold lived experience of older adults’ sexual life in Cebu, Philippines

Exploring patients’ perspectives on healthcare service quality in outpatient settings at a public hospital in Palembang, Indonesia: A qualitative study

RHD-HA-9: A scale for nurses to assess readiness for hospital discharge in older adults following hip arthroplasty—development and psychometric testing