1.Rejection parenting style is a key factor associated with child maltreatment during COVID-19 in Indonesia: a cross-sectional study
Robiyatul ADAWIYAH ; Nani NURHAENI ; Nur AGUSTINI ; Mega Hasanul HUDA ; Fajar Tri WALUYANTI
Child Health Nursing Research 2026;32(2):213-223
Purpose:
To investigate the factors contributing to child maltreatment in Indonesia during the COVID-19 (coronavirus disease 2019) pandemic, highlighting the overlooked impact of parenting practices on various maltreatment forms during this unprecedented period.
Methods:
Using a cross-sectional design, the research used the ICAST-C (Indonesian version of Child Abuse Screening Tools for Children) tool to assess instances of child maltreatment. The study consisted of 219 high school students from Bekasi and Bandung City in West Java, Indonesia, selected through a stratified proportionate random sampling approach, followed by recruitment and consent procedures. An online questionnaire facilitated data collection, which was analyzed using multivariate logistic regression.
Results:
Children experiencing parental rejection were significantly more likely to face violence (adjusted odds ratio [AOR], 2.99; p<.001). Rejection-based parenting was identified as a significant causal factor contributing to psychological maltreatment (AOR, 3.59; p<.001), whereas higher parental education levels directly contributed to increased psychological maltreatment (AOR, 1.99; p=.024). Additionally, rejection significantly influenced physical maltreatment (AOR, 5.17; p<.001) and neglect (AOR, 3.29; p<.001). Interestingly, emotional warmth is also linked to heightened neglect (AOR, 2.29; p=.017). These findings highlight rejection as a critical factor influencing overall child maltreatment (AOR, 6.99; p<.001).
Conclusion
This study establishes a significant causal relationship between parental rejection and various forms of child maltreatment, excluding sexual violence. It emphasizes the need for targeted interventions, such as parenting education and community support, to address parental rejection and promote healthier parenting practices. Longitudinal studies are essential for further exploring these dynamics.
2.Implementation of a partnership involving parents in the care of critically ill children: an integrative review
Tuti SENIWATI ; Nani NURHAENI ; Dessie WANDA
Acute and Critical Care 2025;40(4):521-537
The admission of a child to an intensive care unit, such as pediatric or neonatal intensive care units, serves as a significant stressor for parents. This condition is exacerbated when the child undergoes treatment in isolation from their parents. One strategy to address this challenge involves positioning parents at the bedside during the child’s care. This study aimed to identify and synthesize qualitative and quantitative research evidence on partnerships involving parents in the care of critically ill children. This research employed an integrative review method, and it was registered with the International Prospective Register of Systematic Reviews as a research-implementation protocol (ID no. CRD42023414924t). Six databases were searched for relevant literature, including ScienceDirect, Scopus, ProQuest, Sage Journals, PubMed, and Google Scholar. The evaluation of article quality used the 2018 version of the Mixed Methods Appraisal Tool, while content analysis was employed for data analysis. The results indicated that 18 articles fulfilled the inclusion requirements, out of the 5,435 articles found during the search phase. The analysis resulted in the discovery of three primary themes: partnership components, partnership outcomes and factors influencing partnerships. These three themes collectively constitute the conceptual model of partnerships in treating children with critical illness. It can be concluded that the active participation of parents in a child's critical care will yield positive outcomes for both the child and the parents. Existing empirical data underscore the significance of comprehending the factors influencing this specific situation.
3.Effect of health education on mother's knowledge to the length of hospital stay of children with pneumonia in Jakarta
Ns. Casman ; Dr. Nani Nurhaeni ; Fajar Tri Waluyanti
Philippine Journal of Nursing 2021;91(1):81-86
Purpose:
Pneumonia is the most common reason for parents to send their children for hospitalization. Currently, parents still lack knowledge on the proper management of sick children during hospitalization. It causes longer stay of children with pneumonia. This study aimed to identify the effects of giving health education through video and leaflet on mother's knowledge and their children's length of stay in three general hospitals in Jakarta region.
Methods:
This study was a quasi-experimental study with pretest and posttest nonequivalent control group design. Health education was given to 64 mothers, 32 of them received it through video, while the other 32 received it through a leaflet. All respondents received health education in three days since their children were admitted. Data was collected through a self-reported questionnaire. Wilcoxon, Mann-Whitney, and t-Test were used for data analysis.
Result:
This study showed mother's knowledge increased in both groups, however, the median difference of pretest-posttest on video group was higher than the leaflet one. Median difference value in video group was 8, and for leaflet group was 6 (p<.001). Children's length of stay in the video group was shorter than those in the leaflet group (p<.001).
Conclusions
Health education through video has a higher impact on increasing mother's knowledge and decreasing children's length of stay as compared through the use of leaflets.
Child
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Health Education
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Length of Stay
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Pneumonia


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