Indonesian Nursing Journal of Education and Clinic (INJEC - Association of Indonesian Nurses Education Center, AINEC)
Not a member yet
359 research outputs found
Sort by
Effect of Foot Massage Therapy on Fatigue Level of Chronic Kidney Failure Patients Undergoing Hemodialysis: A Rapid Review
Full text linkIntroduction: Fatigue is a common symptom in chronic renal failure patients undergoing hemodialysis. Fatigue has a negative impact on quality of life and general physical condition. There is a need for a treatment method that is easy, inexpensive, and can be done independently by families or caregivers to reduce the level of fatigue of chronic renal failure patients before, during and after hemodialysis. Aim: This study aims to determine the effect of foot massage on fatigue in CKD failure clients undergoing hemodialysis. Massage therapy is an alternative solution that can reduce fatigue levels. Methods: This study used a rapid review approach with the 2020 PRISMA guideline. Performed by searching articles from the PubMed, CINAHL, SAGE Journal, and Tandfonline databases and the Google Scholar search engine. The keywords used were chronic kidney disease, massage therapy, fatigue, and chronic kidney failure, massage therapy, and fatigue. Articles included in the study were full-text articles in English and Bahasa Indonesia, randomized control trial (RCT) and quasi-experimental study designs within the last five years (2018-2023), and focused on adult clients with chronic renal failure undergoing hemodialysis. Result: Seven articles analyzed found that massage therapy can reduce the fatigue level of chronic renal failure patients undergoing hemodialysis. The therapy time can be given with a duration of 15-60 minutes with a frequency of 2-3 times a week for 3-9 weeks. Conclusion: This intervention can be a recommendation for nurses to teach families about foot massage therapy. Further research is needed on the long-term benefits and family or caregiver involvement in its implementation and comparing the benefits of foot massage therapy with other complementary therapies to overcome fatigue in patients with chronic renal failure
The Effect of AI-Generated Case Studies on the Knowledge and Satisfaction of Psychiatry Nursing Students
Full text linkBackground: Artificial intelligence (AI) is increasingly being utilized in higher education nursing to assist in the delivery of complex content, such as psychiatric nursing. AI-generated case studies are clinical case studies created by an OpenAI GPT-4-based AI system, designed to provide contextual, adaptive, and relevant learning scenarios for clinical practice. The case content was validated by three psychiatric nursing lecturers and selected based on its relevance to course learning outcomes. However, empirical evidence regarding the effectiveness of this approach in psychiatric nursing education remains limited.Objective: To determine the effect of AI-generated case studies-based learning on improving psychiatric nursing knowledge and student learning satisfaction.Method: This study used a quasi-experimental design with a non-equivalent control group and a pretest–Post-test approach. The sample consisted of 80 undergraduate nursing students (inclusion: having completed at least 75% of the psychiatric nursing theory material; exclusion: not attending ≥1 learning session), divided purposively into an intervention group (n = 40) and a control group (n = 40). The intervention consisted of three 90-minute AI-generated case study sessions, each with small group work, structured discussions facilitated by the lecturer, direct feedback, and a short quiz at the end of the session. Knowledge was measured with 10 multiple-choice questions, and learning satisfaction was measured using the Nursing Student Satisfaction Scale. Data were non-normally distributed (p < 0.05, Shapiro–Wilk test), therefore, they were analyzed using the Wilcoxon Signed-Rank and Mann–Whitney U tests.Results: The intervention group experienced a significant increase in knowledge scores (median pretest = 6, Post-test = 9; Z = –5.612; p < 0.001), while the control group did not (median pretest = 6, Post-test = 7; Z = –1.923; p = 0.054). The difference in Post-test scores between groups was significant (U = 428.0; p < 0.001). Learning satisfaction scores were also higher in the intervention group (median = 82.5) than in the control group (median = 78.0), although approaching statistical significance (U = 642.5; p = 0.052).Conclusion: AI-generated case studies-based learning significantly improves psychiatric nursing knowledge and tends to increase student learning satisfaction compared to conventional methods
THE IMPACT OF FLIPBOOK MEDIA ON THE SELF-AWARENESS AND SELF-MANAGEMENT OF NURSING STUDENTS IN PRACTICAL LEARNING
Full text linkIntroduction: Self-management and self-awareness skills, especially in practical learning, must be owned by students. Flipbook is one of the media that helps students and lecturers in teaching and learning activities. This study aims to determine the impact of Flipbook media on the self-awareness and self-management of nursing students in participating in practical learning.Method: The research design used a quasi-experimental pretest-posttest without a control group. The development of digital modules in the form of flipbooks was based on the use of conventional modules during practical learning. The self-awareness and self-management questionnaires used were adapted from Masi, et.al. (2021). The research sample consisted of 186 respondents who were third-semester students of the Nursing Undergraduate Program, taking the Maternity Nursing course, participating in the practical learning process, and completing the pre- and post-test questionnaires. The study was conducted in September 2025 at nursing campus in Semarang. Data were analyzed using the Wilcoxon Signed-ranked test.Results: The results showed that Flipbook media had no effect on nursing students' self-awareness in participating in practical learning (p=0.180 (p>0.05)). However, there was an effect of the Flipbook media on the self-management of nursing students in participating in practical learning (p=0.05). Self-awareness scores tended to increase by 4.6 points and self-management scores increase 1.4 points.Conclusion: Flipbook media did not affect the self-awareness of nursing students in participating in practical learning, while there was an effect of Flipbook media on the self-management of nursing students in participating in practical learning
THE EFFECT OF E-DIGITAL NURSING CARE PLANS (E-DNCP) ON STUDENT SATISFACTION WITH PEDIATRIC NURSING DOCUMENTATION LEARNING MEDIA
Full text linkIntroduction: Pediatric nursing is family-centered nursing care for children and efforts to prevent trauma to children in carrying out pediatric nursing care in the setting, students are guided by lecturers using documentation media. Technological advances are a challenge for lecturers to develop learning media that are not monotonous. Book-based learning media began to shift to digital-based learning media.Methods: This type of pre-experimental research with the research design used in this study is One Group Pre-Post Test Design. The sampling technique used cluster simple random sampling, for the intervention group as many as 48 students.Results: The average value of patient satisfaction level was obtained, namely pre-test 25.69 and post-test 36.08. Based on the Wilxocon test, the p-value is 0.000 (p-value 0.005), so it can be concluded that there is an effect of E-Digital Nursing Care Plan (E-DNCP) on the level of student satisfaction with pediatric nursing documentation learning media.Conclusion: There is an effect of e-digital nursing care plan (E-DNCP) on the level of student satisfaction with pediatric nursing documentation learning media
The Effectiveness of Mindfulness as an Intervention for Stress and Anxiety Management among Professional Nursing Students Preparing for the Competency Examination (UKOM)
Full text linkIntroduction: Professional nursing students often experience heightened academic and psychological stress, especially in preparation for the National Competency Examination (UKOM). Mindfulness-based interventions have shown promise in managing stress and anxiety effectively. This study aimed to evaluate the effectiveness of a structured mindfulness intervention on mindfulness, anxiety, and stress levels among nursing students.Method: A quasi-experimental design was employed with intervention and control groups. Participants were professional nursing students selected through purposive sampling, meeting inclusion criteria such as enrollment in the professional program and willingness to participate. The intervention group underwent eight sessions of structured mindfulness training. Outcome measures included the Five Facet Mindfulness Questionnaire (FFMQ), Zung Self-Rating Anxiety Scale (Zung-SRAS), and Perceived Stress Scale (PSS), assessed before (T1) and after (T2) the intervention. Data were analyzed using paired sample t-tests, and effect sizes were calculated with Cohen’s d.Results: The mindfulness intervention significantly improved mindfulness levels (Mean Difference = –6.00; t = –17.026; p < 0.001; Cohen’s d = 4.01), and significantly reduced anxiety (Mean Difference = 2.89; t = 16.161; p < 0.001; Cohen’s d = 3.81) and stress levels (Mean Difference = 2.50; t = 7.919; p < 0.001; Cohen’s d = 1.87). All outcomes demonstrated statistically significant and clinically meaningful improvements.Conclusions: Mindfulness intervention was significantly effective in enhancing present-moment awareness and reducing anxiety and stress among nursing students preparing for the UKOM. These findings support integrating mindfulness training as a preventive psychosocial strategy within nursing education to promote students’ mental well-being
Literature Review: Prevention and Control Innovations to Reduce Stunting in Children Under Five Years Old
Full text linkIntroduction: In Indonesia, one of the biggest nutritional problems for infants and children under two years old is stunting. Currently, the prevalence of stunting in Indonesia is 21.6%, while the target to be achieved is 14% by 2024. The challenge faced by families today is no longer a population explosion, but the problem of inequality and how to improve quality, especially in terms of accelerating the reduction of stunting. This paper tries to analyze several interventions that can be given to children who are stunted. The main factor that triggers the high stunting rate is the lack of nutritional intake consumed by mothers and infants.Methods: In this literature review search, we found 5 aligned journal articles from Google Scholar and Pubmed databases. Which we then used to analyze several innovations or ways to overcome the problem of stunting in children.Results: The mother's own commitment and enthusiasm are needed to improve her own health and her child's nutritional intake. Changes in children's weight, height, and head circumference occurred after receiving nutrition interventions. Conclusion: Based on the analysis, it can be concluded that nutritional interventions, improving access to clean water and sanitation, and providing education have an effect in reducing stunting rates in Indonesia
The Effectiveness of the Family-Centered Care (FCC) Educational Model as a Clinical Learning Strategy for the Prevention of Anemia and Stunting
Full text linkIntroduction: Anemia in pregnancy and stunting in children are interrelated public health problems. This study aimed to evaluate the effectiveness of the Family Centered Care (FCC) educational model as a clinical learning strategy to prevent anemia and stunting.Method: An experimental study with a randomized control design was conducted among 93 third-trimester pregnant women selected through total sampling. Participants were randomly assigned to the intervention group (n = 46) and the control group (n = 47). The intervention group received FCC-based education emphasizing family participation, collaboration, information sharing, and respect, while the control group received standard care. Data were collected before and after the intervention using validated questionnaires, anthropometric measurements, and hemoglobin tests. Data were analyzed using Wilcoxon, Mann–Whitney U, and Independent t-tests with a significance level of p < 0.05.Results: The intervention significantly improved knowledge about anemia (mean difference = +5.50, p < 0.001) and stunting (+2.46, p < 0.001). Hemoglobin levels increased from 10.97 ± 1.23 g/dL to 12.30 ± 1.19 g/dL (p < 0.001), while the control group showed a decline. Height-for-age Z-scores (HAZ) improved within the intervention group (p = 0.002), though between-group differences were not significant (p = 0.909).Conclusion: The Family Centered Care educational model effectively enhanced maternal knowledge and hemoglobin levels, contributing to anemia prevention. It shows potential for improving child growth outcomes
Application of Integrated Nursing Intervention Model to Prevent Bullying Behaviour in Adolescent Children at SMA 6 Semarang
No full textABSTRACT.Introduction: The Integrated Nursing Intervention Model was applied to adolescent children at SMA 6 Semarang to prevent bullying. Bullying behavior is a severe problem, and its impact on adolescents, families and schools. This study aimed to determine the effectiveness of implementing an integrated nursing intervention model to improve adolescents' developmental abilities and self-identity, improve self-concept, increase self-acceptance and ability to manage emotions. Interventions are carried out to build emotional closeness, such as building effective communication in managing emotions to reduce aggressive behavior. Method: This study used an operational research design with three stages: stage I problem identification, stage II model and module development, stage III trial of the integrated nursing intervention model to prevent bullying behavior using a quantitative quasi- experimental research study pre-postest with control group design, the research subjects were adolescents aged 13-15 years. The sample totaled 124 adolescents. The focus of this nursing intervention model is promotive and preventive bullying behavior. Results: The results of applying the integrated nursing intervention model effectively improve the ability to develop adolescents' self-identity, self-concept, and self-acceptance after receiving integrated nursing interventions. In contrast, those who do not receive interventions do not significantly improve. The integrated nursing intervention model is a form of nursing service intervention in the community by adjusting adolescent growth and development stages. Conclusions: This study provides input to the government to optimize the synergy between ministries in implementing the bullying behavior prevention intervention model as an alternative to promotive and preventive efforts for bullying problems adequately and appropriatel
Nursing Students’ Knowledge, Attitudes, and Self-Efficacy in Transcultural Palliative End-of-Life Care: A Multicenter Structural Equation Modelling Study
Full text linkBackground: Palliative End-of-Life Care (PEOLC) is a core competency for nursing students, requiring the ability to deliver holistic and culturally sensitive care to patients and families in the final stage of life. A transcultural nursing approach is recognized for fostering cultural sensitivity, knowledge, positive attitudes, and self-efficacy. However, evidence on how these factors interact remains limited in Indonesian nursing education. This study examined the relationships among knowledge, attitudes, and self-efficacy related to transcultural nursing-based PEOLC among nursing students using Structural Equation Modelling.Methods: A quantitative analytic, cross-sectional design was applied in a multicenter setting across several Indonesian nursing higher-education institutions. Participants were active nursing students recruited through convenience sampling who provided informed consent. Data were collected using standardized, validated questionnaires (item validity, r ≥ 0.30; Cronbach’s α ≥ 0.80), which measured knowledge, attitudes, and self-efficacy. Partial Least Squares–Structural Equation Modelling assessed direct and indirect relationships among variables.Results: A total of 330 students participated. SEM analysis revealed that knowledge had a significant influence on attitudes (β = 0.528, p < 0.05) and self-efficacy (β = 0.146, p < 0.05). Attitudes also significantly mediated the effect of knowledge on self-efficacy (β = 0.6, p < 0.05). The final model indicated goodness of fit (χ² = 2029.657; SRMR = 0.031; NFI = 0.905).Conclusion: Knowledge, attitudes, and self-efficacy regarding transcultural nursing–based PEOLC are strongly interrelated among Indonesian nursing students. These findings underscore the importance of integrating transcultural approaches and experiential learning into nursing curricula to enhance students’ confidence and readiness to deliver culturally responsive end-of-life care
The Effect Of Implementing The Resilience Behavioral Model On The Academic Resilience Of Nursing Students
Full text linkIntroduction: Academic resilience helps nursing students overcome educational and practical challenges. The resilience behavior model focuses on their mental health, creating a supportive and positive educational environment. This study aimed to analyze the effect of implementing the resilience behavior model on the academic resilience of nursing students.Method: The study employs a quasi-experimental design with a pre-test and post-test with control group. The sampling technique in this study was purposive sampling with a total sample of 96 first year nursing students (48 people for each intervention and control group). Resilience training was given to the treatment group. The instrument used in this research was The Academic Resilience Scale-24. The Wilcoxon and Mann-Whitney analysis tests were used in this study to determine the differences in one pre-post paired group and to analyze changes after intervention between two different groups (post-post intervention).Results: The results showed significant changes in the level of academic resilience before and after the intervention for four weeks. The intervention group showed a p value = 0.000 which indicated a significant increase in the level of academic resilience. In contrast, the p value in the control group was 1.000, indicating no significant change without intervention.Conclusions: There is an effect of implementing the resilience behavior model on the academic resilience of nursing students. This academic resilience training activity is suitable to be applied as an activity to enhance the academic resilience of nursing students in educational institutions