BACKGROUND Following the rise of health awareness in modern societies, health promotion has attra... more BACKGROUND Following the rise of health awareness in modern societies, health promotion has attracted progressively more attention in both academia and industry. This, along with the evolution of information and communication technologies, has resulted in the development of several mobile applications used in health promotion. Unfortunately, users of the applications have not achieved their goals, since many applications have not provided a smooth user experience. OBJECTIVE To clearly identify the defining attributes of mobile app usability in the context of health promotion in order to guide the design of apps which provide smooth user experience. METHODS It is thus first necessary to conduct an exploration into app usability, for which this study applies the concept analysis method by Walker and Avant, which includes: (1) identifying the use of the concept, (2) determining the defining attributes, (3) constructing a model case, (4) constructing model, contrary, borderline, and rel...
Societal ageing, the rising prevalence of chronic diseases, and the COVID-19 pandemic have change... more Societal ageing, the rising prevalence of chronic diseases, and the COVID-19 pandemic have changed the global healthcare environment dramatically. These challenges have significantly burdened community medical and healthcare systems and complicated the work of public health nursing. As an important care provider on the frontlines of primary care, public health nurses (PHNs) must keep up with the current state of the medical environment and statistical data interpretation, scientific data translation, community resource sharing, and telehealth applications. These demands have greatly impacted the traditional routines and existing professional core competencies of PHNs. Discussions among 12 Taiwanese public healthcare experts and the definition of public health nursing capacity from World Health Organization were considered in this review. In addition to reflecting on social changes and the professional development of public health nursing, eight prospective recommendations were provided in this review to enhance the professional competence of PHNs and better prepare them for future changes in the health environment and primary healthcare. The suggestions provide a reference for updating the position statement of PHNs.
Background: The Indonesian nursing workforce plays an important role in the nation's health d... more Background: The Indonesian nursing workforce plays an important role in the nation's health development. However, the Ministry of Health of Indonesia acknowledges that there is a shortage in the nursing cadre. This situation is at odds with the current large-scale production of nurses occurring in Indonesia.Aim: This article aims to analyse the latest situation of nursing education and nursing workforce in Indonesia and the challenges faced by the profession.Methods: This study is literature review emphasizing the policy issues and responses on education and workforce. Data were collected from various sources, including the Ministry of Health, other relevant stakeholders, and journals. Document extraction and review was conducted from December 2015 to January 2017.Results and conclusion: Results indicated that there is a chronic shortage of nurses in certain regions of Indonesia. Current shortages could easily be aggravated by the disequilibrium between supply and demand. Meanwh...
Journal of nursing scholarship : an official publication of Sigma Theta Tau International Honor Society of Nursing, 2021
PURPOSE To examine the effects of health coaching on self-management and quality of life (QOL) in... more PURPOSE To examine the effects of health coaching on self-management and quality of life (QOL) in patients with chronic kidney disease (CKD) and to evaluate whether self-efficacy and patient activation mediate the effect of health coaching on self-management and QOL. DESIGN AND METHODS A single-center, parallel-group, randomized controlled trial. A total of 108 patients with stages 1 to 3a CKD participated in the study. Participants were randomly assigned to a health-coaching intervention group or a usual care control group. Participants' QOL (World Health Organization Quality of Life Scale), self-management (CKD Self-Management instrument), patient activation (Patient Activation Measure), and self-efficacy (CKD Self-Efficacy instrument) were measured at baseline, immediately after, and 6 weeks after the intervention. FINDINGS Health coaching improved QOL, self-management, patient activation, and self-efficacy at postintervention and at 12 weeks' follow-up. Health coaching h...
Indonesia is recognized as a nurse exporting country, with policies that encourage nursing profes... more Indonesia is recognized as a nurse exporting country, with policies that encourage nursing professionals to emigrate abroad. This includes the country's adoption of international principles attempting to protect Indonesian nurses that emigrate as well as the country's own participation in a bilateral trade and investment agreement, known as the Indonesia-Japan Economic Partnership Agreement that facilitates Indonesian nurse migration to Japan. Despite the potential trade and employment benefits from sending nurses abroad under the Indonesia-Japan Economic Partnership Agreement, Indonesia itself is suffering from a crisis in nursing capacity and ensuring adequate healthcare access for its own populations. This represents a distinct challenge for Indonesia in appropriately balancing domestic health workforce needs, employment, and training opportunities for Indonesian nurses, and the need to acknowledge the rights of nurses to freely migrate abroad. Hence, this article reviews...
Background: Antenatal care services are the first steps towards ensuring the health of mothers an... more Background: Antenatal care services are the first steps towards ensuring the health of mothers and the newborn. This is the key component for achieving Millennium Development Goals by 2015. But India's performance continues to be poor in providing antenatal care services to its huge population, particularly in the rural areas. Objective: To assess the determinants of utilization of antenatal services by rural beneficiaries in Lucknow, a district of north India. Materials and Methods: The study, cross-sectional in design, was conducted from August 2009 to July 2010. Multistage random sampling was used for selecting villages. A total of 352 recently delivered women were selected following systematic random sampling. Logistic regression was used to find out the determinants of three antenatal care services. Results: Overall, 85.5% of the beneficiaries surveyed were found to receive at least three antenatal care services from any health facility. Community health centre was the most common source for such care. Significant difference was found between beneficiaries who took three antenatal care visits and who did not in terms of age, socio economic status, and timing of registration. On multiple regression, only age (OR = 2.107, 95% CI = 1.132-3.923) and timing of registration (OR = 2.817, 95% CI = 1.487-5.338) were found to be the predictors for three antenatal care visits. Conclusion: Intervention should be focused on young and late registered women for ensuring sufficient care during pregnancy.
Introduction: Indonesia has a vast resource of nursing workforce for supplying the world demand. ... more Introduction: Indonesia has a vast resource of nursing workforce for supplying the world demand. Nationally, there is growing concern at the current flows of nurse migration, particularly from Indonesia to Japan. Indonesia Japan Economic Partnership Agreement (IJEPA) has opened the gate for movement of natural persons, not exempted of nurses. Through this program, the flow of skilled migrants from Indonesia to Japan has been facilitated by government of both countries. Furthermore, advanced health care facility and aging society in Japan has demanded more foreign nurses which are lead to nursing migration. This paper focuses on the challenges and opportunities specifically talking about the issue of return. Method: Mixed method was employed, in the first quantitative section, data was collected by questionnaire. In the qualitative section, semi-structured interviews were conducted. The interviews were analysed with qualitative thematic content analysis. Data were obtained from twenty nurses, self reporting questionnaire and five nurses participated voluntarily in interview section. Result: The results showed that 18 out of 20 skilled migrants were unemployed and sought a new job. Meanwhile, two returnee continue studying to a higher degree. Evidence from the interviews revealed that it seems it is very challenging for them to live in a home country and struggle with a real life. They were seeking vacancies and looking for the best one which is matched with their qualification. Conclusion: Return migration would be very challenging and create difficulty for returning nurses to look for a new position and enhance their career. Facilitating return migration through specific program should be built. Making return attractive can increase the transfer of knowledge within a country and lessen the negative impact of brain drain.
The main purpose of this pilot study was to identify the predictors of community women's oste... more The main purpose of this pilot study was to identify the predictors of community women's osteoporosis prevention intention. The osteoporosis assessment scales were self-developed and contained 5 scales: a demographics scale, a health status scale, an osteoporosis health belief scale (OHBS), a knowledge scale, and a prevention intention scale. The content validity of the five scales ranged from.90 to 1.00. Test-retest was used to examine the reliability of the demographic characteristics scale and the health status scale, which ranged from.9 to 1.0. Meanwhile, the reliability coefficients of the OHBS comprising perceived susceptibility, perceived seriousness, perceived benefit, and perceived barrier were .75, .90, .80, and .72. In this pilot study, the coefficient of KR-20 for osteoporosis knowledge was .88. The value of Cronbach 's Coefficient Alpha for prevention intention was .85. The results of this research were : (1) The averaged scores of the OHBS comprising perceived ...
As technology advanced, new e-health solutions are evolved to empower people to manage their care... more As technology advanced, new e-health solutions are evolved to empower people to manage their care at home. This study explored the needs for disease management in activity tracking using photo diary through older adults' subjective perspective. It further aimed to suggest which lifestyle measures, symptoms and behaviours would be meaningful to include in such a digital diseases care management program for technology design. Both photo diary and focus group discussion were used, 11 older adults with multiple metabolism-related chronic diseases (Mean age, 72.5 ± 6.14 years) were recruited and asked to carry out the photo diary to trace their living situation and needs using a tablet camera. A focus group discussion was applied to identify the needs of chronic disease management, based on the results of living context tracing. Five themes, regular physical activity, smart management of healthy behaviors, healthy diet, regular daily routine and social connection, were identified by ...
As the COVID-19 pandemic continues to rage worldwide, Taiwan has achieved outstanding performance... more As the COVID-19 pandemic continues to rage worldwide, Taiwan has achieved outstanding performance in controlling the spread of the outbreak domestically, earning global appreciation. Nurses on the frontlines deserve much of the credit for the ongoing success in fighting against this outbreak in Taiwan. Taiwan's success to date is grounded in proactive preparedness and deployment by the government and effective teamwork among government agencies, medical institutions, enterprises, and the public. Comprehensive containment strategies and preparedness have allowed nurses to effectively perform their duties and combat the pandemic. Nurses safeguard the public's health a myriad of ways, including implementing quarantine measures at air and seaports, conducting fever screenings, delivering inpatient isolation treatments, performing case contact tracing, providing community care services, and operating special chartered-flight services. The Taiwan Nurses Association (TWNA) provides...
To commemorate the 200th birthday of Florence Nightingale, the World Health Organization announce... more To commemorate the 200th birthday of Florence Nightingale, the World Health Organization announced 2020 as the "International Year of the Nurse and the Midwife." Nursing is in the frontline of transformational care. The actions of nurses help bring positive changes to the world. Taiwan cannot stand outside of the global community. The Taiwan Nurses Association is also involved actively in international affairs. The expertise and enthusiasm of Taiwan's nurses may be highlighted by attending and responding to various meetings, conferences, and global nursing events organized by the International Council of Nurses (ICN) such as the Council of National Nursing Association Representatives (CNR), ICN Congress, and Nursing Now campaign. This article shares important information and insights on the 2019 ICN CNR meeting and the ICN Congress to expand the international perspective of nurses and to inspire and explore the future development of the nursing profession in Taiwan.
BACKGROUND Following the rise of health awareness in modern societies, health promotion has attra... more BACKGROUND Following the rise of health awareness in modern societies, health promotion has attracted progressively more attention in both academia and industry. This, along with the evolution of information and communication technologies, has resulted in the development of several mobile applications used in health promotion. Unfortunately, users of the applications have not achieved their goals, since many applications have not provided a smooth user experience. OBJECTIVE To clearly identify the defining attributes of mobile app usability in the context of health promotion in order to guide the design of apps which provide smooth user experience. METHODS It is thus first necessary to conduct an exploration into app usability, for which this study applies the concept analysis method by Walker and Avant, which includes: (1) identifying the use of the concept, (2) determining the defining attributes, (3) constructing a model case, (4) constructing model, contrary, borderline, and rel...
Societal ageing, the rising prevalence of chronic diseases, and the COVID-19 pandemic have change... more Societal ageing, the rising prevalence of chronic diseases, and the COVID-19 pandemic have changed the global healthcare environment dramatically. These challenges have significantly burdened community medical and healthcare systems and complicated the work of public health nursing. As an important care provider on the frontlines of primary care, public health nurses (PHNs) must keep up with the current state of the medical environment and statistical data interpretation, scientific data translation, community resource sharing, and telehealth applications. These demands have greatly impacted the traditional routines and existing professional core competencies of PHNs. Discussions among 12 Taiwanese public healthcare experts and the definition of public health nursing capacity from World Health Organization were considered in this review. In addition to reflecting on social changes and the professional development of public health nursing, eight prospective recommendations were provided in this review to enhance the professional competence of PHNs and better prepare them for future changes in the health environment and primary healthcare. The suggestions provide a reference for updating the position statement of PHNs.
Background: The Indonesian nursing workforce plays an important role in the nation's health d... more Background: The Indonesian nursing workforce plays an important role in the nation's health development. However, the Ministry of Health of Indonesia acknowledges that there is a shortage in the nursing cadre. This situation is at odds with the current large-scale production of nurses occurring in Indonesia.Aim: This article aims to analyse the latest situation of nursing education and nursing workforce in Indonesia and the challenges faced by the profession.Methods: This study is literature review emphasizing the policy issues and responses on education and workforce. Data were collected from various sources, including the Ministry of Health, other relevant stakeholders, and journals. Document extraction and review was conducted from December 2015 to January 2017.Results and conclusion: Results indicated that there is a chronic shortage of nurses in certain regions of Indonesia. Current shortages could easily be aggravated by the disequilibrium between supply and demand. Meanwh...
Journal of nursing scholarship : an official publication of Sigma Theta Tau International Honor Society of Nursing, 2021
PURPOSE To examine the effects of health coaching on self-management and quality of life (QOL) in... more PURPOSE To examine the effects of health coaching on self-management and quality of life (QOL) in patients with chronic kidney disease (CKD) and to evaluate whether self-efficacy and patient activation mediate the effect of health coaching on self-management and QOL. DESIGN AND METHODS A single-center, parallel-group, randomized controlled trial. A total of 108 patients with stages 1 to 3a CKD participated in the study. Participants were randomly assigned to a health-coaching intervention group or a usual care control group. Participants' QOL (World Health Organization Quality of Life Scale), self-management (CKD Self-Management instrument), patient activation (Patient Activation Measure), and self-efficacy (CKD Self-Efficacy instrument) were measured at baseline, immediately after, and 6 weeks after the intervention. FINDINGS Health coaching improved QOL, self-management, patient activation, and self-efficacy at postintervention and at 12 weeks' follow-up. Health coaching h...
Indonesia is recognized as a nurse exporting country, with policies that encourage nursing profes... more Indonesia is recognized as a nurse exporting country, with policies that encourage nursing professionals to emigrate abroad. This includes the country's adoption of international principles attempting to protect Indonesian nurses that emigrate as well as the country's own participation in a bilateral trade and investment agreement, known as the Indonesia-Japan Economic Partnership Agreement that facilitates Indonesian nurse migration to Japan. Despite the potential trade and employment benefits from sending nurses abroad under the Indonesia-Japan Economic Partnership Agreement, Indonesia itself is suffering from a crisis in nursing capacity and ensuring adequate healthcare access for its own populations. This represents a distinct challenge for Indonesia in appropriately balancing domestic health workforce needs, employment, and training opportunities for Indonesian nurses, and the need to acknowledge the rights of nurses to freely migrate abroad. Hence, this article reviews...
Background: Antenatal care services are the first steps towards ensuring the health of mothers an... more Background: Antenatal care services are the first steps towards ensuring the health of mothers and the newborn. This is the key component for achieving Millennium Development Goals by 2015. But India's performance continues to be poor in providing antenatal care services to its huge population, particularly in the rural areas. Objective: To assess the determinants of utilization of antenatal services by rural beneficiaries in Lucknow, a district of north India. Materials and Methods: The study, cross-sectional in design, was conducted from August 2009 to July 2010. Multistage random sampling was used for selecting villages. A total of 352 recently delivered women were selected following systematic random sampling. Logistic regression was used to find out the determinants of three antenatal care services. Results: Overall, 85.5% of the beneficiaries surveyed were found to receive at least three antenatal care services from any health facility. Community health centre was the most common source for such care. Significant difference was found between beneficiaries who took three antenatal care visits and who did not in terms of age, socio economic status, and timing of registration. On multiple regression, only age (OR = 2.107, 95% CI = 1.132-3.923) and timing of registration (OR = 2.817, 95% CI = 1.487-5.338) were found to be the predictors for three antenatal care visits. Conclusion: Intervention should be focused on young and late registered women for ensuring sufficient care during pregnancy.
Introduction: Indonesia has a vast resource of nursing workforce for supplying the world demand. ... more Introduction: Indonesia has a vast resource of nursing workforce for supplying the world demand. Nationally, there is growing concern at the current flows of nurse migration, particularly from Indonesia to Japan. Indonesia Japan Economic Partnership Agreement (IJEPA) has opened the gate for movement of natural persons, not exempted of nurses. Through this program, the flow of skilled migrants from Indonesia to Japan has been facilitated by government of both countries. Furthermore, advanced health care facility and aging society in Japan has demanded more foreign nurses which are lead to nursing migration. This paper focuses on the challenges and opportunities specifically talking about the issue of return. Method: Mixed method was employed, in the first quantitative section, data was collected by questionnaire. In the qualitative section, semi-structured interviews were conducted. The interviews were analysed with qualitative thematic content analysis. Data were obtained from twenty nurses, self reporting questionnaire and five nurses participated voluntarily in interview section. Result: The results showed that 18 out of 20 skilled migrants were unemployed and sought a new job. Meanwhile, two returnee continue studying to a higher degree. Evidence from the interviews revealed that it seems it is very challenging for them to live in a home country and struggle with a real life. They were seeking vacancies and looking for the best one which is matched with their qualification. Conclusion: Return migration would be very challenging and create difficulty for returning nurses to look for a new position and enhance their career. Facilitating return migration through specific program should be built. Making return attractive can increase the transfer of knowledge within a country and lessen the negative impact of brain drain.
The main purpose of this pilot study was to identify the predictors of community women's oste... more The main purpose of this pilot study was to identify the predictors of community women's osteoporosis prevention intention. The osteoporosis assessment scales were self-developed and contained 5 scales: a demographics scale, a health status scale, an osteoporosis health belief scale (OHBS), a knowledge scale, and a prevention intention scale. The content validity of the five scales ranged from.90 to 1.00. Test-retest was used to examine the reliability of the demographic characteristics scale and the health status scale, which ranged from.9 to 1.0. Meanwhile, the reliability coefficients of the OHBS comprising perceived susceptibility, perceived seriousness, perceived benefit, and perceived barrier were .75, .90, .80, and .72. In this pilot study, the coefficient of KR-20 for osteoporosis knowledge was .88. The value of Cronbach 's Coefficient Alpha for prevention intention was .85. The results of this research were : (1) The averaged scores of the OHBS comprising perceived ...
As technology advanced, new e-health solutions are evolved to empower people to manage their care... more As technology advanced, new e-health solutions are evolved to empower people to manage their care at home. This study explored the needs for disease management in activity tracking using photo diary through older adults' subjective perspective. It further aimed to suggest which lifestyle measures, symptoms and behaviours would be meaningful to include in such a digital diseases care management program for technology design. Both photo diary and focus group discussion were used, 11 older adults with multiple metabolism-related chronic diseases (Mean age, 72.5 ± 6.14 years) were recruited and asked to carry out the photo diary to trace their living situation and needs using a tablet camera. A focus group discussion was applied to identify the needs of chronic disease management, based on the results of living context tracing. Five themes, regular physical activity, smart management of healthy behaviors, healthy diet, regular daily routine and social connection, were identified by ...
As the COVID-19 pandemic continues to rage worldwide, Taiwan has achieved outstanding performance... more As the COVID-19 pandemic continues to rage worldwide, Taiwan has achieved outstanding performance in controlling the spread of the outbreak domestically, earning global appreciation. Nurses on the frontlines deserve much of the credit for the ongoing success in fighting against this outbreak in Taiwan. Taiwan's success to date is grounded in proactive preparedness and deployment by the government and effective teamwork among government agencies, medical institutions, enterprises, and the public. Comprehensive containment strategies and preparedness have allowed nurses to effectively perform their duties and combat the pandemic. Nurses safeguard the public's health a myriad of ways, including implementing quarantine measures at air and seaports, conducting fever screenings, delivering inpatient isolation treatments, performing case contact tracing, providing community care services, and operating special chartered-flight services. The Taiwan Nurses Association (TWNA) provides...
To commemorate the 200th birthday of Florence Nightingale, the World Health Organization announce... more To commemorate the 200th birthday of Florence Nightingale, the World Health Organization announced 2020 as the "International Year of the Nurse and the Midwife." Nursing is in the frontline of transformational care. The actions of nurses help bring positive changes to the world. Taiwan cannot stand outside of the global community. The Taiwan Nurses Association is also involved actively in international affairs. The expertise and enthusiasm of Taiwan's nurses may be highlighted by attending and responding to various meetings, conferences, and global nursing events organized by the International Council of Nurses (ICN) such as the Council of National Nursing Association Representatives (CNR), ICN Congress, and Nursing Now campaign. This article shares important information and insights on the 2019 ICN CNR meeting and the ICN Congress to expand the international perspective of nurses and to inspire and explore the future development of the nursing profession in Taiwan.
Uploads
Papers by Ching-min Chen