Al Ihksan Agus
Universitas Sam Ratulangi

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Palliative Care Needs among Patients with End-Stage Kidney Disease: A Descriptive Observational Study Fitriani Fitriani; Juwita Moreen Toar; Al Ihksan Agus; Rizka Wahyuni
An Idea Nursing Journal Vol. 5 No. 01 (2026)
Publisher : PT.Mantaya Idea Batara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53690/inj.v5i01.771

Abstract

Background: End-stage kidney disease (ESKD) represents an increasing health burden in Indonesia, with affected individuals experiencing complex needs that substantially diminish quality of life. Objective: aimed to identify palliative care needs among end-stage kidney disease patients undergoing hemodialysis. Methods: This cross-sectional study was conducted at a hemodialysis center in North Sulawesi in 2024. Respondents were selected using purposive sampling. The Sociodemographic Questionnaire and the Supportive and Palliative Care Indicators Tool (SPICT) were employed to collect sociodemographic data and identify potential palliative care needs. Univariate analysis was performed to examine palliative care needs among ESKD patients. Results: A total of 150 participants were included. Almost all respondents were identified as needing palliative care, with the majority presenting two general indicators and two clinical indicators. Conclusion: Nearly all patients with end-stage kidney disease undergoing haemodialysis are identified as having palliative care needs. This finding suggests the need to integrate routine palliative care assessment and services into patients with end- stage kidney disease, especially those in haemodialysis care to ensure comprehensive and patient-centered management of physical, psychosocial, and spiritual needs.
ACADEMIC SELF-EFFICARY, PERSONAL RESPONSIBILITY, AND CLINICAL PRACTICE READINESS AMONG NURSING STUDENTS : A CROSS-SECTIONAL STUDY Fitriani Fitriani; Amzal Mortin Andaz; Al Ihksan Agus; Khairun Nisa
INDONESIAN NURSING JOURNAL OF EDUCATION AND CLINIC (INJEC) Vol 11, No 1 (2026): INJEC
Publisher : Asosiasi Institusi Pendidikan Ners Indonesia (AIPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24990/injec.v11i1.1082

Abstract

Introduction: Nursing education aims to produce graduates who are academically competent and professionally prepared for complex clinical practice. Clinical practice readiness is a key indicator of students’ successful transition to the real work environment. While previous studies highlight the influence of academic self-efficacy and personal responsibility, no research in Indonesia has yet examined their correlation with clinical practice readiness.Objective: This study aimed to describe and analyze the correlation between academic self-efficacy and personal responsibility with clinical practice readiness in nursing students. Method: This study used a cross-sectional quantitative research method. The population in this study consisted of nursing students at two nursing education institutions in Indonesia with a sample size of 346 respondents selected using the proportionate stratified random sampling technique. The Sociodemographic Questionnaire, The Academic Self-Efficacy Scale, Personal Responsibility Scale, and Readiness for Practice Survey were used in this study. The data were analyzed using multiple linear regression test.Results: The results showed that the overall regression model was significant with a value of F= 50.31 and p-value= <0.001. This shows that simultaneously, gender, semester, GPA, academic self-efficacy, and personal responsibility make a significant contribution to the clinical practice readiness of nursing students. The Adjusted R² value was 0.417 which indicated that about 41.7% variability in the clinical practice readiness of nursing students can be explained by the model. Partially, semester (β = 0.141; p-value= 0.001), academic self-efficacy (β = 0.540; p-value= <0.001), and personal responsibility (β = 0.167; p-value= <0.001) had a significant positive effect on the clinical practice readiness of nursing students where academic self-efficacy was the most dominant predictor that affected the clinical practice readiness of nursing students.Conclusion and Recommendation: Simultaneously, gender, semester, GPA, academic self-efficacy, and personal responsibility made a significant contribution to the clinical practice readiness of nursing students. Tailored support from educational institutions considering demographic and academic characteristics and psychological factors is recommended to optimize nursing students’ clinical readiness.