Policies and cultural beliefs: Community perceptions about COVID-19 vaccine hesitancy in Indonesia.

OBJECTIVE: Vaccine hesitancy is a global concern and a significant threat to COVID-19 vaccination programs. This study aimed to explore vaccine hesitancy from the perspective of the Indonesian community related to policies and cultural beliefs. DESIGN: A descriptive qualitative approach was utilized in this study. SAMPLE: Twenty participants were recruited from various settings to ensure the representation of experiences in different contexts in Indonesia. MEASUREMENT: Audio-recorded, semi-structured, individual, in-depth interviews were carried out. Content analysis was performed to identify the main key themes. RESULTS: Twenty participants were recruited from various regions of Java Island, Indonesia. The participants revealed hesitancy about the COVID-19 vaccine, including the themes of mistrust, controversy, and the culture and beliefs of the community. CONCLUSIONS: This study highlights COVID-19 vaccine hesitancy in Indonesia, which may have implications for the community's perceptions and beliefs regarding the uptake of the COVID-19 vaccine. The trust issue remains a major challenge to convincing the community to accept the vaccine at the grassroots level. Targeted education and communication strategies are essential in addressing trust issues surrounding COVID-19 vaccines among critical stakeholders and religious leaders in Indonesia. Public health nursing plays a crucial role in fostering community acceptance and ensuring the success of vaccination programs.

RETRACTED: Dewi et al. Efficacy of Intermittent and Continuous Subglottic Secretion Drainage in Preventing the Risk of Ventilator-Associated Pneumonia: A Meta-Analysis of Randomized Control Trials. Medicina 2023, 59, 283.

The journal retracts the article entitled "Efficacy of Intermittent and Continuous Subglottic Secretion Drainage in Preventing the Risk of Ventilator-Associated Pneumonia: A Meta-Analysis of Randomized Control Trials" [...].

Psychological effects of COVID- 19 lockdown among Aseer residents, Saudi Arabia.

Objectives: To analyse the impact on mental health of the lockdown forced by the coronavirus disease-2019 pandemic. METHODS: This descriptive, cross-sectional study was conducted in Aseer, Saudi Arabia, in May and June 2020, and comprised adult natives of either gender ho could read and write Arabic. Data was collected using a self-developed questionnaire which was distributed online via Google Forms. Data was analysed using SPSS 22. RESULTS: Of the 306 respondents, 238(77.8%) were females, 163(53.3%) were age 18-30 years 121(39.5%) were students, 166(54.2%) lived in a joint family, 257(84%) had undergone university education, 157(51.3%) were single, and 247(80.7%) resided in urban areas. During the lockdowns, 195(60%) participants felt moderate distress symptoms. Emotional distress and gender were significantly interlinked (p<0.01). CONCLUSIONS: The lockdowns forced by the coronavirus disease-2019 pandemic had a moderate impact on the mental health of the participants, especially on females.

Transcultural-based health education model on families with diabetes mellitus.

Objectives: To develop a transcultural-based health education model to increase family abilities to care for type 2 diabetes patients. METHODS: A cross-sectional observational analytical study was conducted from May-June 2021. The study population comprised of the families of patients with diabetes in Buleleng who were included using the rule of thumb (n=180) by cluster random sampling. The variables in this study were cultural, patient, and family factors, family health functions, health education, and family abilities as measured by using a questionnaire. Data were analysed using Structural Equation Modeling-Partial Least Squares (SEM-PLS). RESULTS: The results showed that the model was capable and relevant to be applied with ability 73%. Cultural factors towards family health functions (T statistics = 2.344; p= 0.020), family factors (T statistics = 6.962; p= 0.000) and, patient factors (T statistics = 1.974; p= 0.049), had a significant influence on family health function which, in turn, affected family abilities through health education (T statistics = 22.165; p= 0.000). Family factors (T statistics = 5.387; p= 0.000), and health education (T statistics = 5.127; p= 0.000) also had direct influence on family abilities. CONCLUSIONS: The education model was developed through cultural, family factors and family health functions, which could improve the ability of families to provide care. This model can be a reference to increase diabetes self-management in public health centres.

The correlation between knowledge, family income and peer support with anaemia prevention behaviour among adolescent girls.

Objectives: To analyse the correlation of knowledge, family income and peer support with anaemia preventive behaviour among adolescent girls. Method: The correlational, cross-sectional study was conducted at the Junior High School 3, Sampang, Indonesia, from April to June 2021, and comprised adolescent girls who had gone through menarche and were living with their families. Data was collected using knowledge, peer support and anaemia preventive behaviour questionnaires that were designed based on literature. Data was analysed using Spearman's Rho test. RESULTS: Of the 156 subjects with mean age 14.0±0.98 years, 60(38.5%) were studying in the 8th grade. The mean age of menarche was 11.91±1.03 years. Anaemia preventive behaviour was significantly associated with knowledge (p=0.000, r=0.277) and peer support (p=0.000, r=0.403), but not with family income (p=0.166, r=0.111). CONCLUSIONS: knowledge level and better peer support were found to improve anaemia preventive behaviour among adolescent girls.

Nurse's individual factor may influence quality of nursing documentation in the inpatient room.

Objectives: To analyse the influence of nurses' impact on the quality of documentation in an inpatient setting. Method: The descriptive, correlational, cross-sectional study was conducted at two government hospitals in East Java, Indonesia, from December 2018 to February 2019 after approval from ethics review committee of Universitas Airlangga, Surabaya, Indonesia. The sample comprised nurses regardless of age and gender who had a minimum work experience of 6 months. Individual factors noted were gender, education, age, length of work, knowledge and motivation of the nurses, knowledge and motivation, while the quality of nursing care documentation was the variable dependent. Data was collected using a demographic nurses, knowledge, motivation questionnaire and nursing documentation observation sheet. RESULTS: Of the 150 nurses, 92(61.33%) were females and 58(38.67%) were males. The largest age group was that of early adults 92(61.33%), 46(30.67%) had 1-5 years of work experience, 115(76.67%) had diploma level of education, 81(54%) had less knowledge, and 86(57.33%) had strong motivation. The quality of documentation was in the good category in 74(49.33%) cases, and it had a significant relationship with education (p=0.011), knowledge (p=0.001) and motivation (p=0.001). CONCLUSIONS: Good quality of nursing documentation was found to be influenced by education, knowledge and motivation of the nurses.

Efficacy of Intermittent and Continuous Subglottic Secretion Drainage in Preventing the Risk of Ventilator-Associated Pneumonia: A Meta-Analysis of Randomized Control Trials.

Ventilator-associated pneumonia (VAP) is hospital-acquired pneumonia that develops 48 h or longer following mechanical ventilation. However, cuff pressure fluctuates significantly due to patient or tube movement, which might result in microaspiration. Subglottic secretion drainage (SSD) has been suggested as a method for VAP prevention bundles. This systematic review and meta-analysis aims to investigate the efficacy and safety of subglottic SSD in preventing VAP. The secondary outcomes of this study are to investigate the intensive care unit (ICU) stay length and mortality rate regarding VAP. This study followed the Preferred Reporting Item for Systematic Review and Meta-Analysis guidelines. A thorough search of PubMed, Embase, and the Web of Science was conducted between June and August 2022. The study analysis used the Mantel-Haenszel method, and the quality of the included study was assessed using the Cochrane Risk of Bias 2. Eighteen randomized controlled trials with a total of 2537 intubated patients were included. It was found that SSD was associated with a lower risk of VAP (RR 1.44; 95% CI; 1.20-1.73; p < 0.0001). The subgroup analysis (utilizing intermittent and continuous methods) found no statistically significant difference between the two groups (p = 0.28). The secondary endpoints showed that there was no significant difference in mortality (RR 1.02; 95% CI; 0.87-1.20; p = 0.83), but there were substantial differences in ICU stays (mean difference, 3.42 days; 95% CI; 2.07-4.76; p < 0.00001) in favor of the SSD group. This was based on a very low certainty of evidence due to concerns linked to the risk of bias and inconsistency. The use of SSD was associated with a reduction in VAP incidence and ICU stay length, but there was no significant difference in the mortality rate.

Determinant Factors of Alcohol Consumption Among Indonesian Adolescents Through Parents' Attention: Findings from a National Survey.

AIM: The specific goals of this study were to investigate the determinant factors of alcohol consumption in Indonesian adolescents. METHOD: The research design used is a survey with a cross-sectional approach using data from Indonesia-Global School-Based Student Health Survey 2015. The sample consisted of adolescents aged 13-17 years who attended school in all regions of Indonesia. The total sample was 11 142 teenagers. For the data analysis, frequency distribution, percentage, chi-square, and multinomial logistic regression were used. RESULTS: Factors that affect alcohol consumption in adolescents in Indonesia were age, gender, and parental attention related to academics (p < .001). Early teens were 1.5 times more likely to consume alcohol (95% CI: 1.204--1.778) compared to late teens. Good parental attention to adolescent academics can inhibit alcohol consumption by 0.8 times (95% CI: 0.762-0.887) compared to parents who do not pay attention to academics. CONCLUSION: Factors that influence teenagers to consume alcohol are age, gender, and parents' who does not pay attention to adolescent academics. Involving the role of parents is a strategic part of the alcohol consumption prevention program in adolescents.

Determinants of under-five mortality in Indonesia: A nationwide study.

BACKGROUND: The mortality rate for infants and children under five in Indonesia is an ongoing challenge for the government, with figures exceeding the targets set for the country by the Sustainable Development Goals (SDGs). OBJECTIVES: This study aims to discover the factors causing under-five mortality in Indonesia. METHODS: This study will employ a cross-sectional study design with data sourced from the 2017 Indonesian Demographic and Health Survey (IDHS) between July and September 2017. The sample included 10,014 women who had given birth in the five years prior to the survey. The data was analyzed using Binary logistic regression with a significance level of p < 0.05. RESULTS: The significant factors relating to under-five mortality in Indonesia are: mother's age at birth (AOR = 2.04; 95% CI 95% = 1.11-3.77); birth weight (AOR = 7.60; 95% CI 95% = 5.17-11.19); the sex of the child (AOR = 1.80; 95% CI 95% = 1.28-2.52); frequency of using the internet (AOR = 1.13; 95% CI 95% = 0.02-0.95); residence (AOR = 0.64; 95% CI 95% = 0.33-0.94); and birth interval (AOR = 0.52; 95% CI 95% = 0.29-0.92). Birth weight is the more likely cause for under-five mortality in Indonesia. CONCLUSIONS: This study revealed that the characteristics of mothers, children, the area of residence, and the behavior of the mother affect the under-five mortality. PRACTICE IMPLICATIONS: Pediatric nurses can have a role to play in developing knowledge about health for both mothers and families. Additionally, accessible health education on issues from planning a pregnancy to childcare should be promoted in both rural and urban areas as well as a campaign on proper hygiene practices.