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Ervan Wicaksana
Universitas Jambi
Health Professions Medicine & Pharmacology Nursing

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Effectiveness of AI-Based Virtual Simulation in Fire Emergency Education for Hospital Nurses: A Pre-Experimental Study Rian Fedriko Ginting; Rayandra Ansyar; Ervan Wicaksana; Jefri Marzal
Jurnal Ners Vol. 10 No. 3 (2026)
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i3.58683

Abstract

Background: Hospital fires constitute one of the most catastrophic healthcare emergencies, endangeringpatients with limited mobility, healthcare personnel, and critical infrastructure. In Indonesia, conventional firesafety training for nurses has remained largely inadequate, relying on lecture-based methods that fail toreplicate high-fidelity emergency scenarios. The integration of Artificial Intelligence (AI)-based virtualsimulation offers an innovative, risk-free training modality that may substantially enhance nurses' fireemergency preparedness.Objective: To evaluate the effectiveness of AI-Based Virtual Simulation in improving fire emergencyknowledge and practical skills among hospital nurses at Mitra Sejati Hospital, Medan, Indonesia.Methods: A pre-experimental one-group pretest-posttest design was employed. Thirty active nurses frominpatient and emergency department units were selected through purposive sampling. Participants completed a60-minute individualized AI-based virtual simulation session encompassing fire evacuation, portable fireextinguisher (APAR) operation, source identification, and emergency decision-making. Data were collectedusing validated knowledge tests and structured skills observation checklists. Inferential analysis applied thePaired Samples t-test (α = 0.05).Results: Statistically significant improvements were observed in both knowledge scores (pre: 65.3 ± SD; post:84.7 ± SD; p < 0.001) and practical skills (pre: 62.0%; post: 88.0%; p < 0.001). The largest knowledge gainwas recorded in evacuation route comprehension (+20.2 points) and the highest skill improvement insimulation coordination (+27 percentage points). Effect sizes were large (Cohen's d > 0.8), indicatingsubstantial educational impact.Conclusion: AI-Based Virtual Simulation is an effective, scalable intervention for enhancing nurse fireemergency preparedness in hospital settings. These findings support the integration of immersive digitalsimulation into mandatory hospital safety training programs and nursing education curricula across Indonesia.Keywords: Artificial intelligence; Virtual
Reproductive Health Education as a Preventive Strategy Against Anemia Among Adolescent Girls: A Case Study at SMA Primbana, Medan Adriana Bangun; Rayandra Ansyar; Ervan Wicaksana; Jefri Marzal
Jurnal Ners Vol. 10 No. 3 (2026)
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i3.58684

Abstract

AbstractAnemia among adolescent girls remains a significant health problem influenced by limited knowledge of reproductivehealth and unhealthy dietary patterns. Excessive consumption of fast food and instant food may increase the risk ofanemia in adolescent girls. This study aimed to determine the effectiveness of reproductive health education inpreventing anemia among adolescent girls at SMA Primbana Medan City. This research employed a case study designinvolving 28 adolescent girls aged 15–18 years. The program was conducted over two weeks through three meetingsusing lectures, PowerPoint presentations, educational videos, educational WhatsApp groups, and health counselingmethods. The educational materials covered anemia, the impact of fast-food consumption, the importance of breakfast,and balanced nutritious diets. Evaluation was carried out through observation, as well as pre-test and post-testassessments to measure changes in participants’ knowledge. The results showed an improvement in adolescent girls’knowledge regarding anemia and reproductive health after receiving the education. In addition, behavioral changeswere observed, including increased breakfast habits and reduced consumption of instant and fast foods. Therefore,reproductive health education can be an effective promotive and preventive strategy in preventing anemia amongadolescent girls.Keywords: anemia, adolescent girls, reproductive health, education, prevention.
The Effectiveness of Environmental Health Education in Improving Self-Care and Complication Prevention among Diabetes Mellitus Patients at Mitra Sejati Hospital Martaulina Sinaga; Rayandra Ansyar; Ervan Wicaksana; Jefri Marzal
Jurnal Ners Vol. 10 No. 3 (2026)
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i3.58717

Abstract

Abstract Diabetes mellitus is a chronic disease whose prevalence continues to rise and which carries a substantial risk of serious complications, largely attributable to the suboptimal self-care capacity of patients. Environmental health education represents a promotive and preventive approach that can be implemented to foster healthy lifestyle behaviors among diabetes mellitus patients. This study aimed to analyze the effectiveness of environmental health education in improving self-care and complication prevention among diabetes mellitus patients at RS Mitra Sejati. This study employed a quasi-experimental design with a one-group pretest–posttest approach. The sample comprised 40 respondents selected through purposive sampling. Data were collected using structured questionnaires assessing self-care and complication-prevention behaviors among diabetes mellitus patients. The intervention was delivered through environment-based health education using lectures, group discussions, leaflets, and demonstrations. The findings revealed an increase in the mean self-care score from 58.42 to 78.65 and in complication-prevention behavior from 55.18 to 80.21 following the intervention. Statistical analysis indicated that environmental health education was effective in improving self-care and complication prevention among diabetes mellitus patients, with a significance value of p<0.05. Environmental health education is therefore recommended as a promotive and preventive strategy in the management of diabetes mellitus. Keywords: diabetes_mellitus, environmental_health_education, self_care, complication_prevention, health_promotion
Co-Authors Adriana Bangun Jefri Marzal Martaulina Sinaga Rayandra Ansyar Rian Fedriko Ginting