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All Journal Khatulistiwa Nursing Journal Journal of Educational Studies
Maelina Ariyanti
Institut Kesehatan Yarsi Mataram
Humanities Dentistry Education Health Professions Languange, Linguistic, Communication & Media Medicine & Pharmacology Nursing Public Health Social Sciences Other

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Video-Based CPOT Training and Its Impact on ICU Nurses’ Self-Efficacy and Pain Assessment: A Quasi-Experimental Study Maelina Ariyanti; Heri Bahtiar; Diana Setiawati
Journal of Educational Studies Vol. 4 No. 1 (2026): April
Publisher : Lembaga Bale Literasi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58218/jes.v4i1.2546

Abstract

Pain assessment in non-verbal critically ill patients remains a major challenge in intensive care units (ICUs). The Critical-Care Pain Observation Tool (CPOT) is recommended for identifying pain in patients who are unable to self-report; however, its successful implementation depends on nurses’ self-efficacy and performance. Video-based training may be more effective than conventional methods because it provides visual demonstrations, flexible access, and opportunities for repeated learning. Objective: This study aimed to examine the effect of video-based CPOT training on ICU nurses’ self-efficacy and pain assessment performance.  A quasi-experimental crossover study was conducted among 40 ICU nurses from two hospitals in West Nusa Tenggara, Indonesia. Participants received CPOT training using both video-based and manual-book methods, separated by a two-week washout period. Self-efficacy and performance were evaluated pre- and post-intervention. Data were analyzed using paired t-test, independent t-test, Pearson correlation, and linear regression. Compared to the manual-book group, the video group demonstrated greater mean increases in self-efficacy (11.95 vs. 8.95; p < 0.001) and performance scores (43.60 vs. 38.70; p = 0.008). Furthermore, self-efficacy was positively associated with performance. In conclusion, video-based training is more effective than manual-book methods for CPOT implementation. Video- As a practical implication, integrating educational videos into routine ICU training and orientation programs can standardize pain assessment protocols, ultimately improving the quality of pain management for non-verbal critically ill patients.
Pengembangan Aplikasi Self-Care Audiovisual Footcare Education (SAFE-FOOT) terhadap Peningkatan Perawatan Kaki Dalam Mencegah Diabetic Foot Ulcer Ernawati Ernawati; Maelina Ariyanti; Istianah Istianah
Khatulistiwa Nursing Journal Vol. 8 No. 1 (2026): January 2026
Publisher : STIKes YARSI Pontianak

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53399/knj.v8i1.376

Abstract

Latar Belakang: Diabetes mellitus (DM) merupakan penyakit kronis yang dapat menimbulkan berbagai komplikasi jika tidak dikelola dengan baik. Salah satu komplikasi yang sering terjadi adalah Diabetic Foot Ulcer (DFU), yang dapat menyebabkan kecacatan bahkan amputasi. DFU terjadi akibat kombinasi neuropati diabetik, iskemia, dan infeksi yang tidak tertangani dengan baik. Tujuan: Penelitian ini untuk mengetahui pengaruh Pengembangan Aplikasi Self-Care Audiovisual Footcare Education (SAFE-FOOT) terhadap peningkatan perawatan kaki dalam mencegah Diabetic Foot Ulcer. Metode: Desain penelitian ini adalah quasi eksperimen dengan desain pre-test post-test nonequivalent control group. Sampel penelitian sebanyak 36 orang penderita DM tipe 2 yang terbagi menjadi 18 kelompok intervensi dan 18 kelompok kontrol. Hasil: penelitian menunjukkan rata-rata skor pre-test kelompok intervensi 40.72, standar deviasi 6.977 setelah diberikan intervensi terjadi peningkatan nilai rata-rata skor post-test menjadi 49.22, standar deviasi 7.134 sedangkan rata-rata skor pre-test pada kelompok kontrol 45.94, standar deviasi 4.746 terjadi peningkatan pada nilai rata-rata skor post-test menjadi 48.33 dengan standar deviasi 4.102. Didapatkan nilai P-value 0.000 (<0.05) pada kelompok intervensi dan kelompok kontrol yang berarti ada pengaruh Aplikasi Self-Care Audiovisual Footcare Education (SAFE-FOOT) terhadap peningkatan perawatan kaki dalam mencegah Diabetic Foot Ulcer. Hasil uji t-independen didapatkan dengan p=0,650 (p>0,05) yang menunjukkan tidak terdapat perbedaan yang signifikan antara rata-rata post-test pada kedua kelompok. Kesimpulan: Aplikasi Self-Care Audiovisual Footcare Education (SAFE-FOOT) efektif meningkatkan perawatan kaki dalam mencegah Diabetic Foot Ulcer.
Co-Authors Diana Setiawati Ernawati Ernawati Heri Bahtiar Istianah Istianah