Insights from a multi-country study: Lessons for future nursing education from community clinical practice amid the COVID-19 pandemic.

Background: The COVID-19 pandemic prompted adjustments in education, raising concerns about students' competency achievement. Despite these changes, aspects like student engagement (SE), basic needs fulfillment (BNF), and stress levels (SL) in nursing students during community-based clinical practice remain understudied. Objectives: This study aims to examine the relationships between students' competencies achievement (SCA), student engagement, basic needs fulfillment, and stress levels among nursing students engaging in community-based clinical practice during the COVID-19 pandemic. Design: and Methods: A cross-sectional online survey was conducted with 451 nursing students from Indonesia, Malaysia, and India. Online questionnaires assessing SCA, SE, BNF, and SL were administered between November and December 2021. Results: The study involved 131 participants from Indonesia, 138 from Malaysia, and 182 from India, with an average age of 22.52. Multivariate analysis, employing linear regression revealed that across the three countries, online student engagement demonstrated the strongest association with SCA (B: 0.701; p-value: 0.0001). However, specific factors-stress levels, learning methods, and study year-showed greater relevance in Indonesia, India, and Malaysia, respectively. Conclusions: The COVID-19 pandemic significantly impacted nursing students' teaching and learning experiences during clinical practice. Enhancing online engagement between academic lecturers and students is imperative for attaining clinical competencies.

Effectiveness of Lafiska exercise on risk of fall, balance, and health status in the elderly

This study aims to investigate the effectiveness of Latihan Fisik Lansia "elderly physical exercise" on the balance status, risk of fall, and health status of institutionalized older adults. A quasi-experimental design was applied measuring pre-test and post-test outcomes in a control group to determine the effectiveness of the intervention in the interventional group. Eighty participants from Panti Sosial Tresna Werdha Budi Mulia 1 Cipayung were divided into an inter-ventional group with 39 older adults (70.3 ± 8.13 years) and a control group with 41 older adults (69.88 ± 8.71 years). Trained facilitators guided the exercise during 16 sessions over eight weeks, each having duration of 50 min, with a small group consisting of 10-12 participants. This study used Morse Fall Scale to measure risk of fall, Berg Balance Scale to measure balance status, and SF-12 to measure health status. Lafiska had an impact on lowering risk of fall, enhancing balance status, and enhancing health status (P value <.0001). Lafiska is a viable exercise option for older adults with independent mobility, as well as older adults with assistive devices

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Severity of dementia as a risk factor for repeat falls among the institutionalized elderly in Japan.

The study examined the impact of dementia severity on repeat fallers among the institutionalized elderly. A secondary analysis of a dataset containing information on 466 residents (86 of whom were fallers) of nine care facilities around Tokyo was carried out. Descriptive statistics were used to determine the baseline characteristics. Then, logistic regression analysis was carried out to identify the risk factors between the non-fallers and fallers and between the single and repeat fallers. Finally, the relative risks that had an impact on the repeat fallers were calculated. Sixty-one persons (13.1%) were identified as single fallers and 25 (5.4%) were identified as repeat fallers. An unstable gait was a dominant risk factor. In addition, the person's sex and the facility type were identified as risk factors for the fallers, while severe dementia was identified as a risk factor for the repeat fallers. Nurses should recognize the combination of severe dementia and unstable gait as a warning sign for potential repeat fallers.