Background:Stroke described as a disruption of blood flow in the brain which can lead to brain malfunction, neurological deficits, and even death. Although with good managementin acute period, the incidence of recurrent stroke still increasing every year. Objectives: This study aimed to determine the dominant risk factorof stroke recurrence. Methods: This study was a cross sectional descriptive study with 274 strokes patients as samples. The samples were recruited from one of general hospital specialize in neurology disorders in Jakarta, Indonesia. Results: The result indicated a significant correlation betweencardiovascular disorders, cholesterol, and activity withincidence of stroke recurrent (p<0.05). The dominant risk factor in this study wasobesity event (OR = 0.616). Conclusion: Besides the dominant factor, there were 3 factors that significantly affectstroke recurrence;cardiovascular disorders, hypercholesterolemia, and physical activity.Nurses should be more aware that some patients may still have risk factors of stroke recurrence even they have discharged from hospital. With some efforts like health education and controlling the factors can help to reduce the risk of stroke recurrence.

Background: Herbal medicines are gaining a greater degree of popularity as complementary and alternative medicines during the COVID-19 pandemic. Nonetheless, there is a lack of data concerning the rationale for and factors influencing their use. Methods: A cross-sectional community-based online study involving 1,621 participants was conducted to explore the effects of magical health beliefs, holistic health beliefs, knowledge, and pro- complementary alternative medicine (CAM) attitudes on herbal medicine use in the Indonesian population. Results: Logistic regression findings showed that knowledge about herbal medicines was independently and positively associated with herbal medicine use to a greater extent than herbal medicine non-use (adjusted odds ratio; AOR = 1.20; 95% confidence interval; CI = 1.16 to 1.24). The participants who used herbal medicines had a greater magical health belief score than herbal medicine non-users, with AOR = 1.03 and 95% CI = 1.00 to 1.06. Moreover, holistic health beliefs and pro-CAM attitudes were also found to be independently associated with herbal medicine use. Conclusion: These findings alert nurses to assess the roles of magical health beliefs, holistic health belief, knowledge, and attitudes toward herbal medicine use.

This study aims to summarize the research results on family experiences as caregivers in post-stroke patients’ rehabilitation processes. The method of this study used a literature review. Google Scholar and PubMed were used to find Bahasa and English articles examining families as caregivers of stroke patients. These studies were assessed using the JBI critical appraisal tools for Qualitative Study with a total of 8 factors used to the quality of the selected articles. Nine articles were reviewed with JBI scores of about 90-100%. This study found 327 articles, and after quality assessment of these studies, nine articles came to review process. The review process generated six general aspects that have been summarized by researchers representing all emerging themes, namely physical, psychological, spiritual, economic, social, and family effort aspects. The results of this literature review hope can be a reference or provision related to families as caregivers.   Keywords: caregiver, family, experience, stroke

Aims: There was a high rate of psychological issues among students engaging in clinical practice. Students that focus on caring as their pedagogical foundation will be more equipped to provide nursing intervention in clinical situations. Objective: This research aimed to examine nursing students' caring behaviors as they relate to their readiness for clinical practice. Methods: A total of 122 nursing students from nursing schools in Bandung participated in this descriptive and cross-sectional study, with a response rate of 81.3%. Students' caring behavior and clinical readiness are assessed using the Casey-Fink Readiness for Practice Survey and the CBI-24 (Caring Behavior Instrument short form). Pearson correlation and linear regression tests in SPSS 26 were used to establish associations between the variables. Results: Findings demonstrated a statistically significant correlation between students' caring conduct and clinical preparation (sig 0.000; p0.05). The correlation between the two variables was 23.8% strong, which  was statistically significant. Student readiness for clinical practice was only strongly related to the connection factor. Nursing students' caring attitudes and clinical readiness were not significantly influenced by students' age, gender, or work situation. Conclusions: The level of empathy and social connection among nursing students influenced how well they were prepared for clinical practice. The development of students' caring behaviors, including self-assurance, competency, and respect, should be a primary goal of nursing education.

Background: Problem Solving Circle (PSC) is a learning method used to build up a leadership characteristic to meet the clinical practice outcome especially in nursing management subject. The characteristic includes 3 aspects, there are knowledge/intelligence, personality, and ability. The way of thinking critically, systematically, and creative are basic characters in facing a competitive future ahead. Objective: This study aimed to identify the effect of PSC to student’s leadership competencies on nursing management subject. Method: One group pre-post test designwasusedinthisstudywithtotal35nursingstudentassamples.Datacollecting have done accord to questioner as an instrument in this study which divided the competencies as 3 domains, intelligence, personality, and ability. Univariate and bivariate analysis have conducted used paired T-Test. It used to find out the difference betweenleadershipcompetenciesbeforeandafterimplementation. Result:there was a significant difference in leadership competencies after using PSC method with p-value 0.000 (α: 0.005).Conclusion: Nursing education especially in clinical practice area not only to increased students skill competencies but also the leadership competencies to make them ready at their future job as nurse professional. This study showed that PSC can be an alternative learning method for improving student leadership competencies. Another study should conduct in PSC implementation with larger samples.