Indonesian Nursing Journal of Education and Clinic (INJEC - Association of Indonesian Nurses Education Center, AINEC)
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EFFECT OF VISUAL ART AND PICO GAME ON EVIDENCE-BASED PRACTICE COMPETENCY AMONG NURSING PROFESSIONAL PROGRAMME STUDENTS
Full text linkIntroduction Most nursing students in Indonesia require specialized competency training to implement evidence-based practice (EBP) in the clinical setting. Some literature revealed that art and game-based learning methods can improve students' skills and self-efficacy on the topics studied. Therefore, this study was conducted to evaluate the application of visual art plus the PICO game in improving EBP competence in nursing students.Methods: This study used a quantitative experimental design with a pretest-posttest one-group design approach. The study was conducted on 50 students at one of the nursing education institutions in Bandung, West Java, Indonesia, with a purposive sampling technique. The visual art plus PICO game intervention was given for 25 minutes by implementing drawing activities and card games. The EBP questionnaire consisting of eight questions was used as a research instrument to obtain data on students' EBP competence at the pretest and posttest. Demographic data was analyzed by descriptive statistical analysis, and the difference in EBP competence between the pretest and posttest was analyzed by independent t-test.Results: The data analysis results showed a significant difference in students' EBP competence before and after being given the visual art plus PICO game intervention (p<0.00). The mean score of students' EBP competence increased from 38.22 in the pretest to 41.56 in the posttest. Gender, grade point average, and learning style of students also influenced the results obtained in this study.Conclusion: Visual art and PICO game interventions were effective learning methods to improve students' EBP competence. Visual art plus the PICO game can be one of the options for learning methods to improve students' EBP competence
APPLICATION OF THE CASE-BASED CONCEPT MAP METHOD TO ENHANCE CRITICAL THINKING AND CLINICAL REASONING SKILLS IN NURSE PROFESSIONAL STUDENTS
Full text linkIntroduction: Critical thinking and clinical reasoning are essential competencies in delivering safe and effective nursing care. However, identifying effective learning strategies to foster these skills remains a challenge. This study aimed to examine the effectiveness of a case-based concept map method in improving critical thinking and clinical reasoning abilities among newly enrolled nurse professional students.Methods: This quasi-experimental study employed a one-group pre-test–post-test design without a control group. A total of 18 newly admitted nurse professional students were recruited using total sampling. The intervention involved developing concept maps based on clinical cases over one week. Clinical reasoning was assessed using quizzes with clinical vignettes, while critical thinking was measured using the Critical Thinking Disposition Inventory. Paired t-tests were used to evaluate the differences in scores before and after the intervention.Results: There was a significant improvement in total critical thinking scores following the intervention (t = 2.25, p = 0.038), particularly in the analytical and systematic thinking domains (t = 2.30, p = 0.023). Clinical reasoning scores also showed a marked increase post-intervention (t = 11.93, p < 0.001), with a mean difference of 9.56.Conclusion: The case-based concept map method is effective in enhancing both clinical reasoning and critical thinking skills among nurse professional students. Integrating this approach into nursing education may better prepare students for clinical practice by promoting deeper understanding and structured decision-making
INFLUENCING FACTORS OF CARING, CRITICAL THINKING, AND PROFESSIONAL VALUES OF NURSING STUDENTS IN EAST JAVA, INDONESIA
Full text linkIntroduction: Caring becomes a core value in the nursing profession that reflects acts of responsibility and affective engagement with others. Nursing students must have highly specialized competencies, and a tendency to be able to accurately assess a patient's state and address potential problems. This study aimed to evaluate factors related to caring, critical thinking, and professional value of nursing students.Methods: This study used an observational study conducted in East Java. The sample was 153 nursing students using convenience sampling techniques. The instrument was an online questionnaire to measure caring, critical thinking, and professional values of nursing students. The data analysis used descriptive statistics and chi-square test.Results: There are several factors related to caring, namely age (0.031), marital status (0.019), semester (0.000), education level (0.005), working status (0.045), reason for entering nursing (0.001), and members of professional associations (0.011). In critical thinking variables, there are five factors, namely age (0.000), marital status (0.002), education level (0.009), working status (0.013), and the tendency to choose nursing (0.020). Meanwhile, two factors that are significantly related to professional scores include education level (0.035) and the tendency to choose nursing (0.026).Conclusion: Caring, critical thinking, and professional values are mediators that are closely related to students' interest in the nursing profession. This requires support to improve students' abilities, especially in critical thinking and low professional scores by optimizing their individual factors
Clinical Learning for Students with the Caregiver Empowerment Program Based-on Adaptation Model (CEP-BAM) in Improving the Quality of Life and Family Ability in Helping the Adaptation of Stroke Patient Training
Full text linkABSTRACTIntroduction: Clinical learning aims to make students independent for the demands of development and the need for competitiveness. However, until now, there has been no clinical learning that can provide learning experience in the field, especially in community-based families of stroke patients that can improve not only knowledge, but also the affective and psychomotor skills of nursing students. This research aims to provide student clinical learning with the concept of Caregiver Empowerment Program Based-On Adaptation Model (CEP-BAM) in improving quality of life and family ability in helping adaptation of stroke patient training.Method: The research used a quasi-experimental study design with a pretest and posttest in the intervention and control groups. Research instruments: Student Knowledge Level Questionnaire, WHOQOL-BREF, Family Role and Responsibilities Instrument. The sample consisted of 2nd semester nursing students (ners profession) and nuclear family members of stroke patients, the 1st attack who were in the rehabilitation stage of 60 respondents (intervention and control) with simple random sampling. Data were analyzed with Wilcoxon signed ranks test and MANOVA. The research was carried out in 4 health center where nursing students practiced for their clinical practice.Results: The p-value of 0.001<0.05 in all groups which means that there is a difference in the average value of the quality of life and the ability of stroke patients' families between the intervention group and the control group.Conclusions: There is a difference in the average value of the intervention and control groups before and after each intervention.
THE EFFECT OF INTERACTIVE MULTIMODALITY EBOOKS USING STUDENT-CENTERED LEARNING (SCL) ON NURSING STUDENTS’ LEARNING INTEREST IN THE ERA OF SOCIETY 5.0
Full text linkIntroduction: In response to the Society 5.0 era, nursing education must adapt by integrating digital-based learning approaches that emphasize Student-Centered Learning (SCL). However, many educators continue to rely on traditional Teacher-Centered Learning (TCL) methods, where students passively receive information, often resulting in disengagement and boredom. To address this challenge, an interactive multimodality eBook was developed to support digital teaching practices and enhance student learning interest. This study aimed to analyze the effect of providing interactive multimodality eBooks using the SCL method on nursing students’ learning interest in the Society 5.0 era.Methods: This quasi-experimental study used a post-test control group design. The sample consisted of 58 fourth-semester nursing students selected through total sampling. The intervention group received the interactive multimodality eBook integrated with SCL, while the control group followed conventional learning methods. Student learning interest was measured using a validated questionnaire. Data were analyzed using an independent sample t-test with a significance level of 0.05.Results: There was a significant difference in learning interest between the two groups. The intervention group had a mean score of 19.66, classified as high, while the control group had a mean score of 13.77, classified as moderate. The p-value was 0.001 (p < 0.05), and the 95% confidence interval ranged from 3.513 to 6.261. These results indicate a significant effect of the interactive multimodality eBook using the SCL method on increasing students’ learning interest.Conclusion: Interactive multimodality eBooks can be effectively integrated into nursing education to promote digital literacy, foster independent learning, and enhance student engagement. Their use aligns with the goals of Society 5.0 by combining technology and education to create a more adaptive and student-focused learning environment
EXPLORING THE IMPACT OF COMMUNITY-BASED EDUCATION ON TEAMWORK SKILLS AMONG NURSING PROFESSIONAL STUDENTS DURING COMMUNITY AND WETLAND HEALTH PLACEMENTS
Full text linkIntroduction: As the demand for nursing professionals increases in response to evolving community health needs, the importance of effective educational strategies becomes more critical. Community-Based Education (CBE) offers a hands-on, context-driven approach that prepares nursing students to address real-world public health challenges. This study aimed to explore the impact of CBE on the development of teamwork skills among nursing professional students during their community and wetland health placement.Methods: A mixed-methods design was employed, combining quantitative and qualitative data collection. The quantitative component involved 31 nursing professional students who completed the Nursing Teamwork Survey (NTS). For the qualitative phase, in-depth interviews were conducted with five students until data saturation was reached. Descriptive statistics were used to analyze the quantitative data, while thematic analysis was used for the qualitative findings. Triangulation was applied to integrate both data sets. The study was conducted at Puskesmas Martapura Barat.Results: The highest mean score in the NTS domains was found in "team orientation" (mean = 33.68), indicating strong collaborative tendencies among participants. Thematic analysis identified seven key themes reflecting the impact of CBE: self-determination, self-help, leadership, localization, integrated service delivery, reduced service duplication, and acceptance of diversity.Conclusion: The application of Community-Based Education significantly enhances students' teamwork abilities, fostering collaboration both within student groups and with the wider community. These findings suggest that CBE can serve as an effective clinical learning model, especially during community-engaged stages of professional nursing education, supporting the development of well-rounded, community-responsive nurses
THE CORRELATION BETWEEN BODY IMAGE AND COSMETIC CONSUMPTIVE BEHAVIOR IN NURSING STUDENTS AT PEKANBARU
Full text linkIntroduction: The increasing use of cosmetic products opens up opportunities for female college students to buy cosmetics. Excessive purchases of beauty tools for female students due to dissatisfaction about their body shape, so female students tend to beautify themselves by buying products that can highlight physical shapes that are considered attractive. The purpose of this study is to analyze the correlation between body image and cosmetic consumptive behavior in nursing students in Pekanbaru. Method: This study is quantitative research with a cross-sectional design. This research was conducted at one of the nursing education institutions in Pekanbaru The sampling technique uses probability sampling technique with stratified random sampling type with a total of 219 respondents. Instruments used the MBSRQ-AS (Multidimensional Body Self Relation Questionnaire-Appearance Scales) questionnaire and the cosmetic consumptive behavior questionnaire. The statistical test used is chi-square. Results: The results of this study concluded body image was negative as many as 116 respondents (53%) and had consumptive behavior as many as 126 respondents (57.5%). Conclusions: That there was a significant correlation between body image and cosmetic consumptive behavior in nursing students at Pekanbaru with p value = 0.000
RESEARCH TRENDS OF SELF ESTEEM AND RELATE FACTORS IN PEDIATRIC BURN SURVIVOR: FROM STUDY DESIGN TO DATA ANALYSIS
Full text linkIntroduction: Burns is a form of trauma that often causes severe organ and tissue damage. Sleep disorders in children after burns are less studied so that they also affect wound healing, social development, behavior, and growth. The purpose of this research to explore research trends in sleep disorders in children with burns, from study design to data analysis.Method: This study used content analysis of a number of articles that have been published in PubMed, EMBASE, CINAHL, Cochrane, Web of Science, Scopus, APAPsychInfo, and Clinicaltrials.gov from 2011 to 2022 with the main focus of sleep disorders research in burn patients.Results: Of the 1888 articles that have been found, 22 research articles have been selected. There were fluctuations in the number of publications on sleep disorders in burn patients from 2011 to 2022. The current study reveals that in the past ten years, the number of publications focusing on sleep disorders in burn patients has increased. The most research subjects were children who experienced sleep disorders due to burns. T-test is an analysis method that is often used.Conclusions: In light of the findings of this study, several recommendations have been put forward for future research that underlie research to reduce sleep disturbances in burn patients as a primary focus. Some of these recommendations include increasing the diversity of types of research that have not been done much and choosing more appropriate data analysis techniques
THE EFFECT OF PSYCHOEDUCATION ON ANXIETY AND STRESS LEVELS IN PROLANIS PATIENTS AT HEALTH CENTER
Full text linkIntroduction : Anxiety and stress are common among chronic disease patients, especially those who are in the Chronic Disease Care Program / Prolanis, namely, type-2 diabetes mellitus and hypertension. Psychoeducational therapy can reduce the level of anxiety and stress in Prolanis patients. This research aims to identify the influence of psychoeducation therapy to the anxiety and stress level in Prolanis patients at Manisrenggo I Health Center.Method : This research used a pre-experiment method with one group pre-test post-test design approach. The respondents of this research were 30 Prolanis patients taken using a purposive sampling technique. The data were collected by means of ‘depression anxiety and stress scale’ (DASS) instruments which consists of 42 items. The data collected were analyzed using Wilcoxon signed-rank test.Result : The research results showed that there was an influence from psychoeducation to the reduction of anxiety and stress in Prolanis patients at Manisrenggo I Health Center. Wilcoxon signed-rank analysis showed a significant level p = 0.05, where p-value = 0.000, therefore p < 0.05. Conclution : (1) Most of the respondents experienced anxiety and stress at a medium level during pre-test; (2) Most of the respondents experienced anxiety and stress at a low level during post-test; (3) There was an influence of psychoeducation therapy to the anxiety and stress level in Prolanis patients at Manisrenggo I Health Center.
THE USE OF SOAKING WARM WATER FOR BLOOD PRESSURE REDUCTION IN ELDERLY HYPERTENSIVE PATIENTS
Full text linkIntroduction: According to a survey conducted by the Indonesian Gerontology Doctor Association in 2022, 37.8% of the elderly population in Indonesia have a history of hypertension. In addition to medication therapy, hypertension can be controlled through non-pharmacological therapy, including to soak the feet in warm water. The purpose of this study is to investigate the use of soaking the feet in warm water to reduce blood pressure in elderly hypertensive patients in Jatikalang, Prambon District.Method: This pre-experimental study uses a one-group of pre-test post-test strategy. The population for this study consists of 46 elderly hypertensive patients. The technique of sampling is purposive, resulting in a sample size of 42 elderly patients. The instruments used are a questionnaire and an observation sheet. Data analysis was by the Wilcoxon test.Results: The systolic blood pressure before soaking the feet in warm water was 140.98 mmHg, and the diastolicof blood pressure was 83.29 mmHg. The results of the analytical test yielded 0.000 (a p-value) for systolic blood pressure, and 0.000 for blood pressure of diastolic.Conclusions: Soaking the feet in warm water has an effect on reducing blood pressure of elderly hypertensive patients. It is hoped that this therapy can be used as an additional treatment for hypertension patients, allowing the community to perform it at home for 15 minutes daily, to lower blood pressure at a low cost.Keywords: Soaking Feet in Warm Water, Blood Pressure, Elderl