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All Journal EDUCARE: Jurnal Pendidikan dan Kesehatan
Maria Kornelia Ringgi Kuwa
STIKES St. Elisabeth Keuskupan Maumere, Maumere
Dentistry Education Health Professions Languange, Linguistic, Communication & Media Mathematics Public Health

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Modeling Nurses’ Assertive Behavior Through Emotional Intelligence, Organizational Climate, And Communication Effectiveness In Inpatient Nursing Services Marianus Oktavianus Wega; Maria Kornelia Ringgi Kuwa; Gabriel Mane; Yustina Wela
EDUCARE: Jurnal Pendidikan dan Kesehatan Vol. 3 No. 2 (2026): EDUCARE: Jurnal Pendidikan dan Kesehatan (Juni)
Publisher : Lembaga Penelitian Dan Publikasi Ilmiah (lppi) Yayasan Almahmudi Bin Dahlan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70437/jedu.v3i2.94

Abstract

Assertive behavior is an essential professional competency that supports effective clinical communication, interprofessional collaboration, and patient safety. This study aimed to develop and examine a model of nurses’ assertive behavior based on emotional intelligence, organizational climate, and communication effectiveness in inpatient nursing services at BLUD RSUD dr. T.C. Hillers Maumere. A quantitative analytical observational study with a cross-sectional design was conducted among 120 staff nurses selected using proportionate stratified random sampling. Data were collected using validated and reliable questionnaires measuring emotional intelligence, organizational climate, communication effectiveness, and nurses’ assertive behavior. Data were analyzed using descriptive statistics and Structural Equation Modeling-Partial Least Squares (SEM-PLS) with SmartPLS version 4. Most respondents demonstrated high emotional intelligence (64.2%), perceived the organizational climate as good (60.0%), reported effective communication (68.3%), and demonstrated high assertive behavior (61.7%). SEM-PLS analysis showed that emotional intelligence had a positive and significant effect on assertive behavior (β = 0.352, p < 0.001), as did organizational climate (β = 0.287, p < 0.001) and communication effectiveness (β = 0.438, p < 0.001). Communication effectiveness was the strongest predictor. The model explained 71.4% of the variance in nurses’ assertive behavior (R² = 0.714). These findings indicate that strengthening emotional intelligence, organizational climate, and communication effectiveness may support nurses’ assertive behavior, professional communication, and patient safety.
Effectiveness Of Group Activity Therapy In Establishing Trust Relationships On Psychosocial Recovery Among Patients With Schizophrenia And Delusions Antonia Rensiana Reong; Christian Romario; Maria Kornelia Ringgi Kuwa; Gabriel Mane
EDUCARE: Jurnal Pendidikan dan Kesehatan Vol. 3 No. 2 (2026): EDUCARE: Jurnal Pendidikan dan Kesehatan (Juni)
Publisher : Lembaga Penelitian Dan Publikasi Ilmiah (lppi) Yayasan Almahmudi Bin Dahlan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70437/jedu.v3i2.98

Abstract

Schizophrenia is frequently associated with impaired social interaction, communication difficulties, disturbed reality orientation, and reduced psychosocial functioning, particularly among patients experiencing delusions. This study aimed to evaluate the effectiveness of Group Activity Therapy (GAT) for Establishing Trust Relationships in improving psychosocial recovery among patients with schizophrenia and delusions. A quantitative quasi-experimental study with a pretest-posttest control group design was conducted from May to July 2026 in the working area of Lela Community Health Center. Sixty patients were recruited using purposive sampling and allocated to an intervention group and a control group, with 30 participants in each group. The intervention group received four sessions of GAT for Establishing Trust Relationships over four weeks, while the control group received routine nursing care. Psychosocial recovery was assessed using the Health of the Nation Outcome Scales and Social Functioning Scale. Data were analyzed using paired t-tests, independent t-tests, and Analysis of Covariance. The intervention group demonstrated a significant improvement in psychosocial recovery, with mean scores increasing from 51.23 to 74.81 (p < 0.001), whereas the change in the control group was not statistically significant (p = 0.081). Significant improvements were also observed in social interaction, communication ability, reality orientation, and psychosocial functioning (p < 0.001). GAT for Establishing Trust Relationships was effective in improving psychosocial recovery and may be incorporated as a complementary nursing intervention in community-based psychosocial rehabilitation for patients with schizophrenia and delusions.
Co-Authors Antonia Rensiana Reong Christian Romario Gabriel Mane Marianus Oktavianus Wega Yustina Wela