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All Journal Citra Delima Scientific journal of Citra Internasional Institute
Aris Citra Wisuda
Nursing Study Program , Sekolah Tinggi Ilmu Kesehatan Bina Husada Palembang, Indonesia
Health Professions Nursing Public Health

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Storytelling-Based Nursing Communication During Hospitalization: Its Impact On Anxiety And Influencing Factors In Preschool Children: A Systematic Review Citra Suraya; Aris Citra Wisuda; Tukimin bin Sansuwito; Regidor III Dioso; Dian Emiliasari
Citra Delima Scientific journal of Citra Internasional Institute Vol. 9 No. 1 (2025): Citra Delima Scientific journal of Citra Internasional Institute
Publisher : Institut Citra Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33862/citradelima.v9i1.574

Abstract

Hospitalization often triggers anxiety in preschool children due to unfamiliar environments, parental separation, and invasive procedures. Storytelling-based nursing communication has shown promise as an effective intervention to reduce this anxiety. This systematic review explores the effectiveness and influencing factors of hospitalization anxiety in children aged 3–6 years. Literature was searched from PubMed, Scopus, ScienceDirect, and Google Scholar for studies published between 2020 and 2025. Nine experimental or quasi-experimental studies from Indonesia, Iran, Brazil, Italy, and Turkey met the inclusion criteria, all involving nurse-led storytelling interventions. Most studies reported significant reductions in anxiety. Key influencing factors included age, length of stay, hospitalization history, parental presence, and storytelling methods. The intervention consistently enhanced emotional comfort, reduced fear, and strengthened nurse-child interaction. In conclusion, storytelling is an effective non-pharmacological strategy to reduce hospitalization anxiety in preschool children and supports child-centered nursing care when tailored to the child’s developmental stage, experiences, parental involvement, and cultural context.
Development Of Nursing Care Instruments Based On The 3s Framework (Sdki, Slki, Siki) For Inpatient Settings Aris Citra Wisuda; Citra Suraya; Miming Oxyandi; Isrizal
Citra Delima Scientific journal of Citra Internasional Institute Vol. 9 No. 1 (2025): Citra Delima Scientific journal of Citra Internasional Institute
Publisher : Institut Citra Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33862/citradelima.v9i1.582

Abstract

Standardized nursing documentation is essential for ensuring consistency, accountability, and quality in patient care. In Indonesia, the 3S framework—comprising the Standar Diagnosa Keperawatan Indonesia (SDKI), Standar Luaran Keperawatan Indonesia (SLKI), and Standar Intervensi Keperawatan Indonesia (SIKI) serves as a national standard. However, its application in inpatient settings remains inconsistent due to the lack of integrated, user-friendly tools. This study aimed to develop and validate a nursing care documentation instrument based on the 3S framework to improve documentation accuracy, support clinical decision-making, and promote standardization in inpatient wards. A Research and Development (R&D) approach was employed, using a modified Borg and Gall model across five stages: preliminary study, planning, product development, expert validation, and limited field testing. Data were gathered through literature reviews, chart audits, clinical interviews, and focus group discussions with nurses. The instrument was designed to address the 12 most frequently encountered nursing diagnoses in general medical-surgical wards, which were systematically mapped to appropriate SLKI outcomes and SIKI interventions. The final tool features structured diagnosis formats (PES, PR, PS), outcome targets with timelines, and categorized interventions (observation, treatment, education, collaboration), implemented in a shift-based checklist format. Validation by five expert nurses yielded strong content validity (I-CVI range: 0.833–1.000), and field testing with 15 clinical nurses demonstrated acceptable internal consistency (KR-20: 0.790–0.845). Additionally, 87% of nurses reported improvements in documentation quality and workflow efficiency. In conclusion, the 3S-based nursing care instrument is valid, reliable, and practical for clinical use, and its adoption is recommended to enhance nursing documentation standards and the quality of care in hospital settings.
Co-Authors Citra Suraya Citra Suraya Dian Emiliasari Isrizal Miming Oxyandi Regidor III Dioso Tukimin bin Sansuwito