Introduction: Job stress is a major barrier to the attainment of safety, health, andwellness among nurses. Understanding factors job stress among nurses is veryimportant to provide alternatives solution to ease the stress in the future. However,there are limited studies with respect to factors related to stress in Intensive CareUnit (ICU) nurses particularly in Indonesian context. This study aimed to identifyfactors correlated to job stress among ICU nurse in three public hospitals.Methods: A correlational study was carried on ICU nurses who hands-on ICUnursing care. Data were collected using questionnaires. Descriptive statistic andSpearman correlation were used to analyze the correlation between perceived jobburden, working condition, quality of nursing work life, perceived organizationalsupport, and stress among ICU nurses.Results: A total of 91 respondents (32 male and 59 female) were involved to thestudy comprises of two different educational backgrounds (59 Diploma III and 32Bachelor degree). The statistical analysis using Pearson correlation found thatworkload (0.003), working condition (0.000), quality of nursing work life (0.000),perceived organizational support (0.000) significantly correlated to job stressamong ICU nurses.Conclusion: All studied factors correlated to job stress among ICU nurses. Allfactors had moderate correlation with nurses’ job stress and working condition hashighest strong correlation compare to the other factors. Its implies from the resultthat management of the hospital may provide more attention to job stress amongnurses to maintain optimum performance to provide nursing care for patientsparticularly critically ill patients in ICU.

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.

To test the scaffolding theory when applied to the teaching and learning of writing English as a foreign language, this cross-sectional study was conducted to collect physiological data. A total of 53 participants were randomly assigned into two groups, and brain activity was investigated during a guided-writing task using storytelling pictures. The writing task was further divided into four parts using graded levels of difficulty. The experimental group performed tasks in sequence from easy to difficult, whereas the comparison group performed the tasks at random. Outcomes included handwriting assessments and fMRI measurements. Writing outcome assessments were analyzed using SPSS, and scanned images were analyzed using Statistical Parametric Mapping (SPM) software. The results revealed a positive learning effect associated with scaffolding instruction. The experimental group performed better during the writing tasks, and the fMRI images showed less intense and weaker reactions in the language processing region than were observed in the comparison group. The fMRI results also presented the experimental group with reduced motor and cognitive functions when writing in English. This study provides insight regarding brain activity during writing tasks in humans and may have implications for English-language instruction.

Background: The compliance of COVID-19 health protocol implementation in the community is one of the steps to prevent the spread of COVID-19. Purpose: This study aimed to analyze the relationship between the support of healthcare workers and the compliance with implementing COVID-19 health protocol in society. Methods: This research used a quantitative design with a cross-sectional approach. This research was conducted on society in Mojo Village, Gubeng District, Surabaya. The number of samples was 400 respondents with the cluster sampling technique. The results were analyzed using descriptive analysis and logistic regression test with a significance value of p ≤ 0.05. Results: Statistical tests showed that there was a relationship between the support of health workers and the compliance with implementing the COVID-19 health protocol in society with a significant value of emotional support (p=0.040), informational support (p=0.003), instrumental support (0.000), and appraisal support (0.011). These results indicated that instrumental support had the most influence on the level of compliance in implementing the COVID-19 health protocol in the community. Conclusion: The compliance with implementing the COVID-19 health protocol in the community is related to the emotional support, information support, instrumental support, and appreciation support of healthcare workers.

Introduction: Philosophical viewpoints from the first-hand source regarded as the best inception of COVID-19 knowledge are not widely explored. Humanity’s understanding grounded on experiences becomes substantial only when stringent documentation of any events is performed carefully. COVID-19 as a phenomenon and as an ongoing struggle has myriad global impacts; hence the study aims to explore the understanding of nursing students’ stances regarding the COVID-19 pandemic in their daily life. Methods: The study used a qualitative study design with online survey. A total of 41 nursing students were recruited through total sampling technique. The study was conducted to students in a university in the Philippines. Interview guidelines used open questions and were spread online. The data were subjected to thematic analysis. Results: The thematic analysis revealed five organizing themes, such as communication, commitment, care, collaboration, and change. Those themes were found among nursing students’ stance regarding the COVID-19 phenomenon. Conclusions: The communication, commitment, care, collaboration, and change as development of a crisis-induced framework from study findings satisfies the essential finding that the pandemic is likewise giving rise to a new normal. Moreover, the results assist nursing students and other health-inspired domains to effectively maintain positivity amidst catastrophic climates.