Nursing Practice Today

The experience of double stigma among LGBT people living with HIV in Lampung, Indonesia: A qualitative study

2026-04-11T01:54:33+0430

Background & Aim: Lesbian, gay, bisexual, and transgender (LGBT) people living with HIV in Indonesia experience double stigma related to HIV status and sexual or gender identity across family, community, and health-care settings. Sociocultural and religious norms in Indonesia reinforce moral judgment and social exclusion, and these pressures reduce psychological well-being, social safety, and continuity of HIV care. Indonesian studies mostly examine HIV-related stigma and LGBT-related stigma separately, so evidence remains limited on how both forms of stigma interact as double stigma.
Materials & Methods: A qualitative study with a descriptive phenomenological design used purposive sampling to recruit 18 LGBT people living with HIV from community-based settings in Lampung, Indonesia. Data were collected using semi-structured interviews between August and October 2025. The researchers conducted in-depth face-to-face interviews and analyzed manually using Colaizzi’s method to identify core themes of lived experience.
Results: The analysis identified three main themes and eight interrelated subthemes reflecting participants’ experiences of dual stigma. The themes included Identity Struggles Under HIV and LGBT Stigma, Family Responses to HIV and LGBT Identity, and Community Reactions to HIV and LGBT Identity.
Conclusion: Individuals living with HIV from LGBT backgrounds experience intersecting forms of stigma that affect their identity, family dynamics, and community participation. Addressing both HIV-related and identity-based stigma is essential to reduce psychosocial distress and promote inclusive support systems. These findings underscore the urgent need for family- and community-engaged interventions to safeguard holistic well-being and sustain HIV care among LGBT people living with HIV.

Emerging digital health approaches for the detection of undiagnosed type 2 diabetes mellitus in underserved populations: A scoping review

2026-04-10T04:24:33+0430

Background & Aim: Undiagnosed type 2 diabetes mellitus continues to pose a major global health challenge, especially in underserved populations facing limited access to screening. Digital health technologies present scalable alternatives to improve early detection and prevent complications. This scoping review aims to map digital health approaches for detecting undiagnosed type 2 diabetes mellitus in underserved adult communities and analyze screening outcomes, feasibility, and key implementation factors.
Materials & Methods: The review followed the Arksey and O’Malley scoping framework and was reported using PRISMA-ScR guidelines. Systematic searches were performed in PubMed/MEDLINE, Scopus, Web of Science, and CINAHL for studies published in English from 2015 onward. Two reviewers independently screened articles, with conflicts resolved through consensus. Data were synthesized narratively to identify digital modalities, screening strategies, effectiveness indicators, and enablers or barriers.
Results: Nineteen studies were included, identifying five categories of digital interventions. Electronic health record–driven screening was reported in 5 of 19 studiesand was the most frequently reported modality, alongside mHealth applications, SMS-based detection support, telehealth platforms, and wearable tools. Digital risk-based screening integrated within community or primary care pathways demonstrated the widest reach and highest identification of undiagnosed dysglycemia. Simpler digital solutions showed greater acceptability and feasibility than complex systems, particularly in settings with limited digital literacy or connectivity.
Conclusion: Digital health technologies show strong potential to expand early detection of undiagnosed type 2 diabetes mellitus in underserved populations. System-integrated, low-burden, and equity-centered screening models are most promising. Strengthening linkage to care and improving digital accessibility remainpriorities for future research.

The ABC process of gradual erosion of intimacy among Filipino women: A qualitative study

2026-04-10T04:10:17+0430

Background & Aim: Intimate partner relationships are often idealized as sources of love and security; however, for many women, they become contexts of coercion, betrayal, and harm. In the Philippines, intimate partner violence and relational instability remain prevalent, yet the gradual and symbolic processes through which intimacy erodes remain underexplored in nursing and public health. This study explored how Filipino women experience and interpret the gradual erosion of intimacy in their intimate partner relationships.
Materials & Methods: Using a constructivist grounded theory–inspired design, this study involved thirteen Filipino women aged 22-54 who had experienced the dissolution of a significant romantic relationship. In-depth semi-structured interviews were conducted across two analytic phases. Data were analyzed through iterative coding, constant comparison, and memo writing until thematic saturation was reached.
Results: Intimacy erosion was identified as a cumulative, nonlinear process rather than a single rupture. Six interconnected subcategories described this process: (1) abuse and coercive control, (2) behavioral shifts and emotional distancing, (3) cheating and betrayal of trust, (4) disregard and alienation, (5) extended family interference, and (6) frightening and threats to safety. These experiences progressively undermined trust, emotional safety, and commitment, often shifting relationships from endurance to survival-driven separation.
Conclusion: Intimacy erosion among Filipino women reflects a layered process of symbolic loss and relational disempowerment. Early recognition of these patterns is essential. Nurses play a critical role in assessing relational health, validating experiences, and advocating for trauma-informed, culturally responsive interventions that address relational well-being as a public health priority.

Association between nursing students’ self-reported professionalism and patient safety competencies: A cross-sectional study

2026-04-06T02:55:10+0430

Background & Aim: Nurses play a key role in safeguarding patients, highlighting the need to develop both technical competence and professional identity in nursing students. Although professionalism and patient safety competencies are widely studied, their association remains underexplored, particularly in Central Europe. This study examined the association between Slovak nursing students’ self-reported professionalism and patient safety competencies.
Materials & Methods: A cross-sectional study was conducted among 1,017 nursing students from all nine Slovak public universities offering bachelor’s and master’s programs. Data were collected between February and December 2024 using a questionnaire comprising the Slovak versions of the H-PEPSS and the NPI. Descriptive statistics, the Wilcoxon Signed-Rank test, and Spearman’s correlations were applied.
Results: Significant positive associations were found between professionalism and all patient safety competence domains in both academic and clinical settings (all p≤ 0.001), with the strongest correlations observed for Culture of safety (academic ρ= 0.347; clinical ρ = 0.400). After adjustment using partial Spearman correlations, Working in teams with other health professionals (academic ρ_partial= 0.112; clinical ρ_partial= 0.132) and Culture of safety (academic ρ_partial=0.108; clinical ρ_partial= 0.143) remained independently associated with professionalism. In the academic setting, Communicating effectively (ρ_partial = 0.068) and Understanding human and environmental factors (ρ_partial= 0.085) also showed small independent associations. Professionalism levels were high (Md= 129.0, IQR= 116.0–142.0).
Conclusion: Professionalism and patient safety competencies are closely interconnected among Slovak nursing students. Students who report stronger professionalism also report higher safety competence. Integrating both more deliberately in nursing education may help support safer practice.

Determination of the relationship between nurses' spiritual orientation and compassion fatigue and the factors affecting them: A cross-sectional correlational study

2026-02-21T11:00:44+0330

Background & Aim: In the nursing profession, which is in intense emotional interaction with people, spiritual orientation is thought to be an effective factor in compassion fatigue. This study aimed to identify the factors influencing nurses' spiritual orientation and compassion fatigue, and to examine the relationship between these two variables.
Materials & Methods: This cross-sectional and correlational study was conducted with 346 nurses between July 2023 and October 2023. The data were collected through a web-based questionnaire created on Google Forms. The "Introductory Information Form", "Compassion Fatigue Scale", and "Spiritual Orientation Scale" were used to collect the data. Data were analyzed using SPSS 22.0 statistical software.
Results: It was determined that the spiritual orientation scores of the nurses were high(93.180±20.51) and their compassion fatigue levels were moderate(66.110±22.04). Nurses’ spiritual orientation was affected by sex, educational status, working unit, attitude towards profession, and doing the profession with love. Compassion fatigue scores were affected by having children, working unit, working time in the unit, attitude towards profession, and doing the profession with love(p<0.05). No statistically significant relationship was found between nurses' spiritual orientation and compassion fatigue(p>0.05). A weak negative relationship(r=-0.142;p=0.008) was found between nurses' occupational burnout and spiritual orientation levels.
Conclusion: These results suggest that factors influencing compassion fatigue are not limited to spiritual orientation alone, but may include other factors besides it. In this context, it would be important to conduct more comprehensive follow-up studies to examine the relationship between the two concepts and to address the factors that may influence it.