Introduction: Religious coping is a crucial psychological mechanism for individuals managing chronic health conditions and fostering emotional resilience and adaptation. Nonetheless, this extant research has predominantly focused on Western contexts, thereby creating a lacuna in our comprehension of their significance within non-Western Asian societies. Objective: This scoping review investigated the measurement of religious coping and its impact on mental health outcomes among Asians with chronic illnesses. Method: A scoping review based on the framework developed by Arksey and O’Malley was conducted. Literature was sourced from Scopus, Google Scholar, and PubMed using Boolean search terms related to religious coping, chronic illness, and mental health. The inclusion criteria were empirical studies on religious coping in Asian populations, published between 2015 and 2025. Thematic analysis was then performed. Results: Nine studies were included in this review. The studies revealed various considerable scales to measure religious coping. The Religious Coping Scale (RCOPE), Brief-RCOPE, and the Spiritual Coping Questionnaire (SCQ) can be utilized. Positive religious coping (PRC), including prayer, meditation, and community support, was associated with reduced anxiety and depression and improved quality of life. Negative religious coping (NRC) includes perceptions of divine punishment, exacerbated psychological distress, and non-adherence to treatment. Cultural diversity has shaped coping styles: Islamic societies emphasize faith-based acceptance, Hindu traditions emphasize karma-based reasoning, and Buddhist communities emphasize mindfulness. Conclusion: Religious coping in the Asian context could be measured utilizing various valid and reliable scales. Moreover, religious coping significantly influences mental health outcomes among Asian patients with chronic illness. Future research needs to focus on culturally adapting religious coping scales in the Asian chronic illness context.

Introduction: The management of type 2 diabetes is largely shaped by how patients perceive the advantages of their treatment and their confidence in their ability to manage the condition. Optimal disease management requires adequate foundational capabilities, enabling power components, and the capacity to perform effective self-care practices. This research examines how perceived benefits and self-efficacy influence foundational capabilities, power components, and self-care agency among Patients diagnosed with type 2 diabetes in Sumenep Regency, Madura. Method: This study employed a cross-sectional design, implemented in Bluto District, Sumenep Regency, from April to May 2024. Data were collected from a sample of 534 Patients diagnosed with type 2 diabetes. The research sample consisted of 120 people using a proportional random sampling technique. The influence among variables was analyzed using SmartPLS Structural Equation Modeling (SEM). Results: The findings revealed that the perceived benefit factor affects the foundational capabilities of patients with a P-value of 0.000 (<0.05), affects the ability of power components of patients with a P-value of 0.000 (<0.05), and affects the ability to perform self-care operations of patients with a P-value of 0.041 (<0.05). In addition, the perceived self-efficacy factor affects the ability to perform self-care operations, with a P-value of 0.008 (<0.05). Perceived benefits and perceived self-efficacy play essential roles in improving the ability to perform self-care, and perceived benefits are significant in improving the ability to independently manage foundational capabilities and power components in type 2 diabetes mellitus. Conclusion: Perceived benefits and self-efficacy highlight the need for stronger patient education and skill-building to improve diabetes self-care. Tailored training and continuous support can enhance patients’ confidence and ability to manage their condition. Integrating behavioral strategies and involving patients in decision-making can also further strengthen independent diabetes control.

Background: Despite various government programs aimed at improving nutrition, malnutrition remains a major problem in the Waara Community Health Centers area. Earlier studies have primarily examined causes such as poor nutrition, childcare practices, and infections, but have rarely investigated the impact of counseling interventions on toddlers’ weight. A 2023 preliminary survey by researchers at Waara Health Centers found 65 children under five suffering from malnutrition. Objective: This study aimed to evaluate the effect of nutritional counseling on weight changes in toddlers from Mantobua Village, Lohia District, Muna Regency. Method: Using a pre-experimental one-group pretest-posttest design, mothers of malnourished toddlers received nutrition counseling over five sessions in one month. Sessions covered toddler nutritional needs, balanced menus, meal preparation, harmful foods to avoid, and common nutritional problems. Toddler weights were measured before and after the intervention using a hanging scale by the researchers. A total of 65 mothers participated. Data analysis was done with the paired sample t-test. Result: The counseling led to a significant increase in toddlers’ weight, supported by a p-value of 0.000, indicating a strong statistical difference (p < 0.05). Conclusion: Nutritional counseling significantly affects weight gain in children under five. Future studies should consider long-term monitoring to evaluate lasting effects on nutritional status.

Introduction: Hypertension is a major global public health problem and a key modifiable risk factor for cardiovascular disease, stroke, and kidney failure, with prevalence increasing with age. However, adherence to dietary recommendations and antihypertensive medication remains suboptimal, contributing to poor disease control. Method: This study used a cross-sectional observational analytic design, which explains the relationship between variables through hypothesis testing. A total of 222 participants were recruited using a proportional cluster random sampling method. Descriptive statistics were used to summarize the data, and partial least squares structural equation modeling (PLS-SEM) analysis was employed to evaluate the measurement and structural models proposed by the HBM, as well as to identify the relationships between HBM variables. Results: The results showed that the independent variables contributed 54.9% to diet and medication adherence behavior, and the model had a good fit. There was a significant relationship between perceived barriers and self-efficacy on diet and medication adherence behavior in patients with hypertension. Conclusion: Patients require guidance, support, and information from healthcare workers to understand the importance of adhering to medication prescriptions. Health care providers should realize that patients with hypertension should be educated on how to manage their disease.

Introduction: Clinical decision-making is a fundamental competency for post-baccalaureate nursing students to ensure patient safety and quality care in a clinical setting. However, the effectiveness of instructional strategies applied in the professional education stage remains inconclusive. This study aimed to examine the effectiveness of adaptive learning and mind mapping in improving clinical decision-making ability among post-baccalaureate nursing students. Method: A quasi-experimental study with a two-group pretest–posttest design was conducted involving 46 post-baccalaureate nursing students at a nursing education institution. Participants were assigned to either an adaptive learning group or a mind-mapping group, non-randomly. Clinical decision-making ability was measured before and after the intervention using the Nurse Decision Making Instrument–Revised 2014 (NDMI-R 2014). Data was then analyzed using N-Gain analysis and paired t-tests. Most participants demonstrated an intuitive level of clinical decision-making at baseline. Results: The results showed no statistically significant differences in clinical decision-making scores before and after the intervention in either group. N-Gain analysis indicated low to ineffective improvement, suggesting a ceiling effect due to relatively high baseline competence. Although the adaptive learning group exhibited a slightly greater increase in descriptive measures than the mind-mapping group, the difference was not statistically significant. Conclusion: These findings indicate that adaptive learning and mind mapping did not produce significant improvements in clinical decision-making ability among post-baccalaureate nursing students. The results suggest that both strategies may be more appropriate as preparatory learning approaches during undergraduate education, while clinical decision-making development at the post-baccalaureate nursing level should prioritize authentic clinical experience and supervision.

Background: The first episode of psychosis, frequently encountered during adolescence, is considered a crucial period due to the confusion experienced, which leads to high suicide rates in this phase. Conversely, appropriate intervention during this phase promises better outcomes. Objective: This study aims to explore the experiences of adolescents during their first episode of psychosis in Indonesia. Method: An explorative qualitative design was employed to explore the unique experiences of each participant. Ten adolescent participants experiencing their first episode of psychosis were recruited from an outpatient ward, and in-depth interviews were conducted to explore their experiences and needs during this phase. Data were analyzed using thematic analysis. Result: The duration of care among participants ranged from less than one year to two years, with parents serving as the primary caregivers in nearly all cases. Four themes were identified in this study: 1) Navigating the treatment options, 2) Barriers in accessing healthcare services, 3) Grief and hardships alleviated by support, and 4) Holistic support needs for recovery. These themes illustrate the lived experiences, needs, and hopes of adolescents during their first psychotic episode. Conclusion: The findings offer valuable insights for developing culturally sensitive early intervention programs tailored to adolescents experiencing their first episode of psychosis in Indonesia.

Background: Diabetic foot ulcers pose a severe complication for individuals with diabetes mellitus, necessitating effective therapeutic support such as albumin nutrition throughout the wound healing process. Derived from Channa striata, a commonly consumed source of albumin in Indonesia, this extract can potentially expedite wound healing.Objective: This study aims to evaluate the efficacy of Channa striata extract nutrition in accelerating the inflammatory, proliferative, and maturation phases of diabetic foot ulcer healing.Methods: This quantitative study employed a pra-experimental design using a single-group pretest-posttest approach. The study involved 30 diabetic patients who were administered a daily dose of 550 grams of Channa striata extract over four weeks. The Bates Jensen Assessment Tool (BWAT) assessed wound progress.Results: Results revealed that the average participant age was 60.2 years, with an average diabetic history of seven years. The average wound duration was 8.7 weeks; 66.7% of the participants were female; 70% had Non-Insulin Dependent Diabetes Mellitus (NIDDM); and 56.7% were at stage IV. The study found a significant difference in BWAT scores before and after the administration of Channa striata extract in diabetic foot ulcer patients.Conclusion: This study supports the effectiveness of Channa striata extract as an adjunct therapy in expediting the wound-healing phases in diabetic foot ulcers.

Background: The Indonesian Nurse Competency Examination (INCE) is a strategic component that determines the output of nursing graduate students. The varied geographical conditions of the various islands in Indonesia can influence access and quality of education, causing students to have a more inclusive perspective. The learning culture of Indonesian nursing students is unique and generally carries over to higher education, notably nursing profession education.Objective: The purpose of the study is to explain the learning culture model from the perspective of the success of the nurse competency examination and the relationship between learning culture and the success of the nurse competency examination.Methods: A qualitative and quantitative combination research (mixed method) with a sequential-exploratory design was employed. Stage 1 used descriptive qualitative methods. While data collecting used structured interviews, the sampling technique utilized snowball with (n=9), and data analysis used Sandelowski content analysis. Stage 2 was an observational analytical design with a retrospective approach involving 74 nursing students at Wiraraja University who lived in the Indonesian student area. Data analysis then employed the Structural Equation Model (SEM) test to find variables that significantly influence the success of INCE.Results: Stage-1 produced three themes: Theme-1: background of the learning environment concerning facilities utilization and searching strategy for learning resources; Theme-2: learning activities including learning styles, learning motivation, and self-confidence and abilities; Theme-3: learning habits comprising learning methods, concentration, and repeating the learning material. In stage 2, the result revealed that learning environment background (p=0.031), learning activities (p=0.021), and study habits (p=0.028) were significantly related to the success of the INCE on students.Conclusion: The learning culture of Indonesian students from the perspective of success in the INCE is formed starting from the pre-graduate level and continuing at the higher and professional levels.

Background: Working abroad certainly has challenges, especially when the job involves high responsibilities, such as being a nurse. The combination of the job tasks and the foreign environment potentially led to more stress, particularly for migrant nurses, including Indonesian nurses who work in the Netherlands.Objective: This study aims to explore the types of stress experienced by nurses from Indonesia working in the Netherlands.Methods: This qualitative research employed interview techniques and a literature review. The data were analyzed using coding systems in Microsoft Excel. Seven questions were used to conduct online interviews in October 2023 with five Indonesian nurses employed in the Netherlands. Simultaneously, a literature review was carried out by searching for publications on Wiley Online, Google Scholar, PubMed, Springer, and Science Direct. Journal articles found were then selected according to predetermined criteria. Seven questions were used to conduct interviews with five Indonesian nurses who were employed in the Netherlands.Results: The results of the interviews and literature review demonstrated that the types of stress for Indonesian nurses working in the Netherlands are physiological and psychological stress (in terms of the nature of the stressor), negative stress (in terms of the effect of stress on the individual), and acute stress (in terms of the duration of exposure to the stressor).Conclusion: Indonesian migrant nurses in the Netherlands experience physiological and psychological stress with negative effects, highlighting the need for further research with a larger sample size for more credible and diverse results.