BackgroundOne of many types of injuries following an earthquake is spinal cord injury (SCI) which is a life-long medically complex injury and high-cost health problem. Despite several negative consequences, some persons with SCI are resilient enough to achieve positive adjustment, greater acceptance, and better quality of life. Since resilience is influenced by several factors and can vary by context, it is beneficial to explore factors that affect the resilience of people who sustained spinal cord injury from the 2015 earthquake in Nepal.MethodsA descriptive cross-sectional study included 82 participants from the Spinal Injury Rehabilitation Center and communities in Nepal. Participants completed the Demographic and Injury-related Questionnaire, Connor-Davidson Resilience Scale, Multidimensional Scale of Perceived Social Support, Moorong Self-efficacy Scale, Intrinsic Spirituality Scale, and Patient Health Questionnaire-9. Pearson’s correlation and point biserial correlation analyses were performed to examine associations between resilience and independent variables. A hierarchical regression analysis was used to identify the influence of certain factors.ResultsFindings indicated significant associations between resilience and social support (r = 0.42, p < 0.001), self-efficacy (r = 0.53, p < 0.001), depressive mood (r = − 0.50, p < 0.001) and demographic variables which included sex (r = 0.47, p < 0.001), employment (r = 0.27, p = 0.016), and current living location (r = 0.24, p = 0.029). There was a non-significant association between resilience and spirituality (r = − 0.12, p > 0.05). In hierarchical regression analysis, an overall regression model explained 46% of the variance in resilience. Self-efficacy (β = 0.28, p = 0.007) and depressive mood (β = − 0.24, p = 0.016) significantly determined resilience after controlling the effect of demographic variables. Among the demographic factors, being male significantly explained the variance in resilience (β = 0.31, p = 0.001).ConclusionsMultiple psychosocial and demographic factors were associated with resilience in people who sustained an earthquake-related SCI. Mental health professionals should demonstrate concern and consider such factors in allocating care in this group. Development of intervention research concerning resilience is recommended to strengthen resilience in order to improve rehabilitation outcomes and enhance reintegration of individuals with SCI into their communities.

Aim The aim of this study was to examine the effectiveness of a foot care (FC) camp to enhance diabetic foot care knowledge (DFCK) and diabetic foot care behaviours (DFCB) among diabetic participants in Indonesia. Methods A two-group pre- and post-test quasi-experimental design was used in this study. A total of 72 participants completed a 5-week programme. The participants’ DFCK and DFCB were examined in the fifth week using the Modified Diabetic Foot Care Knowledge (MDFCK) and the Modified Diabetic Foot Care Behaviours (MDFCB) questionnaires. Data were analysed by descriptive and independent t-tests. Results The mean score of DFCK (DFCK and DFCB in this study represent the score of knowledge and behaviors which gathered from MDFCK and MDFCB's questionnaires) in the experimental group after completing the FC camp was significantly better than that in the control group ( p < .001). Similarly, the mean score of DFCB in the experimental group after completing the FC camp was significantly better than that in the control group ( p < .001). Conclusions The FC camp was found to enhance DFCK and DFCB among diabetic patients. Therefore, this programme can be utilised for nursing practice in order to prevent diabetic foot ulcers and foot amputation.

In this descriptive cross-sectional study, we examined awareness of breast cancer among Indonesian women at moderate-to high-risk of developing breast cancer. Data were obtained from 87 eligible participants using the Modified Breast Cancer Awareness Measure. The International Breast Cancer Intervention Study model was used to identify women at moderate-to-high risk of developing breast cancer. The data were analyzed using descriptive statistics. The results showed that none of the participants had knowledge of age-related risk (0%). Other domains that indicated low awareness were knowledge of lifetime risk (31%), followed by knowledge of risk factors, in particular the item regarding menstruation at an early age (12.6%). These results indicated that increasing awareness of breast cancer risks is highly needed, in particular among women at moderate-to-high risk of developing breast cancer in Indonesia.

This study aimed to analyze factors associated with resilience among persons with spinal cord injury (SCI). An integrative review was conducted. Electronic databases including PubMed, ProQuest, Cumulative Index of Nursing and Allied Health Literature, and Web of Science were searched using relevant search terms and keywords. A total of two qualitative and nine quantitative studies were included in the review. Psychosocial factors such as social support, self-efficacy, spirituality, post-traumatic growth, life satisfaction, adaptive coping strategies, psychological strength, and being a role model were associated with higher resilience. Stress, anxiety, depression, external locus of control, and attachment avoidance correlated with lower resilience. Inconsistent results were reported for demographic and injury-related variables such as the age of the participants, gender, pain, and functional independence. The integrative review reported a number of factors associated with resilience in people with SCI. Rehabilitation counselors working with this population can design rehabilitation interventions targeting these variables to enhance the resilience of people with SCI. Consideration of cultural and contextual influences on resilience, as well as the design of effective interventions, are important directions for future research.

Objectives: To examine the level of Nepalese critical care nurses' competency including knowledge, attitude, and practice towards PU prevention. Methods: Data were collected from 98 eligible nurses working in intensive care unit/critical care unit (ICU/CCU) of three hospitals in Nepal from February to April 2017, using Nurses' Competency Towards Pressure Ulcer (PU) Prevention Questionnaire. Data were analyzed using descriptive statistics. Results: The level of nurses' competency was categorized into 5 levels. The Nepalese critical care nurses' competency towards PU prevention was at a low level. The knowledge and attitude of Nepalese critical nurses' towards PU prevention were at a low and moderate level, respectively. While the practice of Nepalese critical care nurses was at a very low level. Conclusion: Nursing competence is an integral part of positive health outcomes of patients. The low level of competence towards PU prevention among Nepalese critical care nurse, therefore, raises the nation concern to increase their competency in order to increase the quality of PU prevention.

Aim The overarching aim of this study was to investigate the effects of a nurse‐led pain management programme on pain intensity, side effects of treatment, shoulder range of motion and length of stay after thoracic surgery. Background Post‐thoracic surgical pain is a major source of stress and distress for patients. It has profound effects ranging from increased risks in developing chronic post‐thoracic surgery pain to an increased length of stay after surgery. The post‐thoracic surgical pain management in the Nigerian context is based on the traditional approach that is dependent on the attending medical and nursing staff. Methods The study was a quasi‐experimental design (two‐group post‐test only). The study was conducted in a Nigerian hospital. Forty‐two patients were recruited and consecutively assigned into either the usual pain management group or the intervention group after they had met the inclusion criteria. Data were collected utilizing the following: (1) the modified McGill Pain Questionnaire; (2) a Numeric Rating Scale; (3) the documentation form for thoracic surgery pain management outcomes and (4) a goniometer. Results The findings indicated that pain intensity, nausea and drowsiness were significantly reduced among the patients in the experimental group than the control group, while the duration of stay after surgery and the shoulder range of motion were not different between the groups. Conclusion This study's results suggest that the intervention in question for patients undergoing thoracic surgery had a positive effect on reducing pain intensity, nausea and drowsiness but not the shoulder range of motion and length of stay after surgery. Implications for nursing policy Nursing policymakers may need to give a serious consideration to the revision of policies related to the nursing education curriculum as well as the in‐service training curriculum regarding pain management by nurses especially after surgery. Likewise, future research on other populations employing an improved methodology as well as utilizing up‐to‐date evidence by nurses across different hospitals may be necessary.

Diabetic Foot Care Behaviors (DFCB) is the fundamental component of diabetic foot complications prevention. Many diabetic patients, however, did not perform foot care properly. Furthermore, SelfManagement (SM) support program was noted as effective approach improving diabetes patients' behaviors. Unfortunately, there have been no studies published applied this approach to improve DFCB in Indonesia. This study aimed to determine the effectiveness of a self-management support program in improving DFCB in patients with diabetes mellitus in West Java, Indonesia. Quasi-experimental study was conducted with seventy subjects who randomly assigned either to an experimental (n = 35) or a control group (n = 35). The subjects in the experimental group received a five-week diabetic foot care SM support program. The subjects in the control group received standard care. Their DFCB was evaluated in the fifth week of intervention using a DFCB Questionnaire. The results showed that the DFCB in the experimental group was significantly higher (M = 67.43, SD = 5.83) than that in the control group (M = 52.60, SD = 8.6) (p<0.001). The result indicates that a five-week SM program effectively enhanced DFCB. Thus, nurses are recommended to apply this program in improving DFCB in order to prevent diabetic foot ulcers or other foot complications.

More than half of Nepalese who sustained SCI from the 2015 earthquake in Nepal had not achieved a high level of resilience 2 years later. Gender was a significant determinant of resilience. The results highlighted the importance of providing appropriate intervention and allocating continuing support to the Nepalese people with SCI. A further longitudinal study is recommended to determine predictive factors of the dynamic nature of resilience.