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Exploring the therapeutic effect of Calmcube play on emotional well-being in hospitalized preschool-aged children Rahayu, Devia Sri; Mariani, Dini; Rosuliana, Novi Enis; Herliana, Lia
Jurnal Kesehatan Ibu dan Anak Vol. 18 No. 2
Publisher : Poltekkes Kemenkes Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29238/kia.v18i2.2869

Hospitalization can trigger significant anxiety in preschool children (ages 3–6) due to separation from familiar environments, invasive medical procedures, and limited emotional coping strategies. Excessive anxiety during hospitalization may hinder recovery and negatively affect emotional development. Play therapy is a widely recommended non-pharmacological approach to reduce pediatric anxiety. CalmCube is an innovative play therapy tool designed to engage children's cognitive and emotional responses through interactive, age-appropriate activities. This study aimed to evaluate the effectiveness of CalmCube play therapy in reducing anxiety among hospitalized preschool children. A quasi-experimental study using a pretest-posttest control group design was conducted at Dr. Soekardjo Hospital from October to December 2024. A total of 38 preschool-aged children (3–6 years) were selected through purposive sampling and assigned to intervention (n = 19) and control (n = 19) groups. Anxiety levels were measured using the Preschool Anxiety Scale (PAS) before and after the intervention. Data were analyzed using paired and independent sample t-tests. In the intervention group, the mean anxiety score decreased significantly from 37.10 (SD = 19.83) to 29.21 (SD = 17.57) after CalmCube therapy (p = 0.000). In contrast, the control group showed a negligible reduction from 44.78 to 43.94 (p = 0.076). Between-group analysis also revealed a statistically significant difference in post-intervention anxiety levels (p = 0.016), confirming the effectiveness of CalmCube therapy. CalmCube play therapy significantly reduced anxiety in hospitalized preschool children and can be implemented as a non-pharmacological nursing intervention to improve children's psychological well-being during hospitalization. Integrating structured play therapy into pediatric care protocols may enhance emotional resilience and recovery outcomes in young patients.

The Dynamics of Interprofessional Relationships within Hospital Medical Teams: A Case Study in Tasikmalaya Cahyati, Peni; Kartilah, Tetet; Februanti, Sofia; Somantri, Iwan; Maulana, Heri Djamiatul; Rosuliana, Novi Enis
International Journal of Psychology and Health Science Vol. 4 No. 1 (2026): International Journal of Psychology and Health Science (January - March 2026)
Publisher : Greenation Publisher & Yayasan Global Research National

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.38035/ijphs.v4i1.1756

Interprofessional relationships within medical teams are a key determinant of healthcare service effectiveness in hospitals. This study aims to examine the dynamics of interprofessional relationships in two hospitals in Tasikmalaya: RSUD Dr. Soekardjo and RS Jasa Kartini. A qualitative case study approach was employed to explore the experiences of medical personnel, involving 15 informants from various health professions through in-depth interviews, non-participant observations, and document analysis. Data were analyzed using Braun and Clarke’s thematic analysis. The findings reveal that interprofessional relationships are still predominantly shaped by hierarchical structures, with physicians assuming leading roles in formal settings, while informal interactions exhibit more egalitarian collaboration. Communication barriers including reluctance to challenge doctors' opinions and miscommunication of medical terminology emerge as key challenges to service coordination. The bureaucratic organizational culture in public hospitals reinforces hierarchical dynamics, whereas private hospitals demonstrate greater flexibility yet maintain the dominance of certain medical professions. Local Sundanese cultural values, which emphasize politeness, also influence communication patterns that avoid open confrontation. Individual adaptive strategies such as informal communication channels and participation in collaborative training have emerged as efforts to overcome systemic barriers. This study concludes that improving interprofessional relationships in hospitals requires organizational culture transformation, enhanced cross-professional communication skills, and collaborative training that is sensitive to local sociocultural contexts.

The Effect of Origami Weaving Stimulation on the Fine Motor Skills of Children Aged 4–6 Years Dhermawan, Vinka Griselda; Mariani, Dini; Rosuliana, Novi Enis
Jurnal Keperawatan Olahraga Vol 1 No 01 (2025): Journal of Sports Nursing, Medical, And Health (JSNMH)
Publisher : PT Pubsains Nur Cendekia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69606/sportnursmedhealth.v1i01.288

Background: Fine motor development in early childhood plays a vital role in preparing children for academic activities and daily independence. Delays in this area can affect a child’s confidence and self-reliance. Aims: To examine the effect of weaving stimulation using origami techniques on improving fine motor skills in children aged 4–6 years. Methods: A pre-experimental one-group pretest-posttest design was employed, involving 31 children selected through total sampling from a kindergarten in Tasikmalaya. The intervention consisted of two 60-minute sessions focused on origami-based weaving activities designed to train hand-eye coordination, finger movement precision, and independence. The assessment instrument was a fine motor observation sheet developed by the researcher based on 10 indicators of early childhood development, using an interval scale of 1–4. Results: Statistical analysis showed a significant difference between pretest scores (mean 25.13 ± 1.54) and posttest scores (mean 36.77 ± 1.28), as indicated by the Wilcoxon Signed Rank Test (Z = -4.876; p = 0.000). Conclusion: These findings suggest that origami weaving stimulation is an effective and enjoyable approach to enhancing fine motor skills in young children. The study recommends integrating similar activities into early childhood education programs as a practical and engaging developmental stimulus

The Effect of the Kinetic Sand Play Method on Fine Motor and Cognitive Development in Preschool Children Anggraeni, Reni; Mariani, Dini; Rosuliana, Novi Enis
Jurnal Keperawatan Olahraga Vol 1 No 01 (2025): Journal of Sports Nursing, Medical, And Health (JSNMH)
Publisher : PT Pubsains Nur Cendekia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69606/sportnursmedhealth.v1i01.289

Background: Fine motor and cognitive skills are essential aspects of preschool children's development, as they are closely related to learning readiness, independence, and self-confidence. Aims: To determine the effect of kinetic sand play on the improvement of fine motor and cognitive development in children aged 3–5 years. Methods: This research applied a quantitative approach with a quasi-experimental design, specifically the two-group pretest-posttest with control group design. The population consisted of 80 children, and 36 were selected as samples using purposive sampling, with 18 children in both the intervention and control groups. Data were collected using standardized observation sheets and analyzed using the Paired t-test and Independent t-test. Results: The results showed a significant difference between pretest and posttest scores in the intervention group p = 0.000 (< 0.05), as well as a significant difference between the intervention and control groups after the intervention p = 0.000 (< 0.05). Conclusion: It can be concluded that kinetic sand play has a positive effect on improving children's fine motor and cognitive development. This activity is recommended to be implemented as an educational stimulus in early childhood education settings, as it is enjoyable, safe, and capable of stimulating children's holistic development.

The Effect of Origami Weaving Stimulation on the Fine Motor Skills of Children Aged 4–6 Years Dhermawan, Vinka Griselda; Mariani, Dini; Rosuliana, Novi Enis
Jurnal Keperawatan Olahraga Vol 1 No 01 (2025): Journal of Sports Nursing, Medical, And Health (JSNMH)
Publisher : PT Pubsains Nur Cendekia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69606/sportnursmedhealth.v1i01.288

Background: Fine motor development in early childhood plays a vital role in preparing children for academic activities and daily independence. Delays in this area can affect a child’s confidence and self-reliance. Aims: To examine the effect of weaving stimulation using origami techniques on improving fine motor skills in children aged 4–6 years. Methods: A pre-experimental one-group pretest-posttest design was employed, involving 31 children selected through total sampling from a kindergarten in Tasikmalaya. The intervention consisted of two 60-minute sessions focused on origami-based weaving activities designed to train hand-eye coordination, finger movement precision, and independence. The assessment instrument was a fine motor observation sheet developed by the researcher based on 10 indicators of early childhood development, using an interval scale of 1–4. Results: Statistical analysis showed a significant difference between pretest scores (mean 25.13 ± 1.54) and posttest scores (mean 36.77 ± 1.28), as indicated by the Wilcoxon Signed Rank Test (Z = -4.876; p = 0.000). Conclusion: These findings suggest that origami weaving stimulation is an effective and enjoyable approach to enhancing fine motor skills in young children. The study recommends integrating similar activities into early childhood education programs as a practical and engaging developmental stimulus

The Effect of the Kinetic Sand Play Method on Fine Motor and Cognitive Development in Preschool Children Anggraeni, Reni; Mariani, Dini; Rosuliana, Novi Enis
Jurnal Keperawatan Olahraga Vol 1 No 01 (2025): Journal of Sports Nursing, Medical, And Health (JSNMH)
Publisher : PT Pubsains Nur Cendekia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69606/sportnursmedhealth.v1i01.289

Background: Fine motor and cognitive skills are essential aspects of preschool children's development, as they are closely related to learning readiness, independence, and self-confidence. Aims: To determine the effect of kinetic sand play on the improvement of fine motor and cognitive development in children aged 3–5 years. Methods: This research applied a quantitative approach with a quasi-experimental design, specifically the two-group pretest-posttest with control group design. The population consisted of 80 children, and 36 were selected as samples using purposive sampling, with 18 children in both the intervention and control groups. Data were collected using standardized observation sheets and analyzed using the Paired t-test and Independent t-test. Results: The results showed a significant difference between pretest and posttest scores in the intervention group p = 0.000 (< 0.05), as well as a significant difference between the intervention and control groups after the intervention p = 0.000 (< 0.05). Conclusion: It can be concluded that kinetic sand play has a positive effect on improving children's fine motor and cognitive development. This activity is recommended to be implemented as an educational stimulus in early childhood education settings, as it is enjoyable, safe, and capable of stimulating children's holistic development.

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