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Simulation in Nursing Education: A Narrative Review of Strategies, Outcomes, and Challenges Agustini, Ni Luh Putu Inca Buntari; Suyasa, I Gede Putu Darma; Israfil, Israfil; Indrayani, Ni Luh Dwi; Artsanthia, Jintana
Adi Husada Nursing Journal Vol 11 No 1 (2025): Adi Husada Nursing Journal
Publisher : STIKES Adi Husada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37036/ahnj.v11i1.622

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Simulation-based education is a vital component of modern nursing education, providing a safe, controlled environment for students to develop clinical competencies. It bridges the gap between theory and practice by fostering experiential learning, critical thinking, and decision-making. This narrative review explores simulation strategies in nursing education, assesses educational outcomes, and identifies implementation challenges. A literature search was conducted in PubMed, Scopus, CINAHL, and ScienceDirect for articles published between 2020 and 2025. Studies discussing simulation strategies, outcomes, and barriers in undergraduate nursing education were included. Common simulation methods include high-fidelity manikins, standardized patients, virtual simulations, and hybrid models. These approaches enhance clinical skills, communication, teamwork, confidence, and knowledge retention. Simulation also supports reflective practice and safe error correction. However, barriers such as high costs, limited faculty expertise, time constraints, and inconsistent evaluation methods persist. Simulation enhances learning outcomes in nursing education but requires strategic integration, adequate resources, and faculty training. Addressing these challenges can maximize its impact and better prepare students for clinical practice. The outcome of this review highlights that well-implemented simulation strategies significantly improve nursing students’ clinical competence, critical thinking, and readiness for real-world healthcare environments, ultimately contributing to safer and higher-quality patient care.
Education and Simulation of Range of Motion (ROM) for Caregivers to Improve the Quality of Life of Older People in the Community Suyasa, I Gede Putu Darma; Sutini, Ni Kadek; Israfil, Israfil; Indrayani, Ni Luh Dwi; Agustini, Ni Luh Putu Inca Buntari; Oka Putra, I Nyoman Trisna Oka Putra
Ahmar Metakarya: Jurnal Pengabdian Masyarakat Vol. 5 No. 1 (2025): Ahmar Metakarya: Jurnal Pengabdian Masyarakat
Publisher : Yayasan Ahmad Mansyur Nasirah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53770/amjpm.v5i1.509

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The aging process has caused various health problems, including limited physical mobility due to muscle weakness, joint stiffness, and certain chronic disease conditions. Efforts to maintain the health of older people can be done through Range of Motion (ROM) exercises, with the family as caregivers having an essential role in doing so. This community service activity aims to improve the knowledge of elderly caregivers by providing education and simulations on ROM exercises for older people. A total of 41 caregivers from Melinggih Village, Gianyar Regency and Pedungan Village, Denpasar City were involved in this activity in March 2025. The activity was carried out using the education and simulation method, with stages using the PARE (Preparation, Action, Reflection, and Evaluation) approach. The results of the Wilcoxon statistical test obtained a p-value < 0.001 with Z = - 3.65, which showed a significant difference in the level of caregiver knowledge about ROM exercises in older people before and after the activity. Good knowledge increased from 63% to 100%, and poor knowledge decreased from 31.7% to 0%. This shows that community service activities with education and simulation methods have successfully increased caregivers' knowledge and practical abilities in performing ROM exercises for older people. ROM exercises can be an easy choice for caregivers as an effective way to maintain the health of older people in the community, support long-term care programs, and thus improve the quality of life for the older people in the community.
Gambaran Masalah Kesehatan Wisatawan Asing yang Berkunjung ke Pusat Pelayanan Kesehatan 2015 Gandamayu, Ida Bagus Maha; Agustini, Ni Luh Putu Inca Buntari; Kusuma, Made Dian Shanti
JURNAL NERS LENTERA Vol. 4 No. 2 (2016)
Publisher : Fakultas Keperawatan, Universitas Katolik Widya Mandala Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33508/ners.v4i2.880

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Pendahuluan: Perjalanan ke luar negeri dapat menimbulkan masalah kesehatan, perubahan kelembaban udara, suhu dan kuman penyakit adalah beberapa hal yang mampu mempengaruhi kesehatan wisatawan. Penelitian ini bertujuan untuk mengetahui gambaran masalah kesehatan wisatawan asing yang berkunjung ke pusat pelayanan kesehatan, layanan rawat jalan di rumah sakit Bali Royal Denpasar. Metode: Sampel yang digunakan dalam penelitian ini adalah sampel acak, berjumlah 181 responden yang berkunjung ke rumah sakit Bali Royal Denpasar. Hasil: Hasil penelitian menunjukkan bahwa masalah terbesar adalah observasi febris 14 (37.8%) dan diare 12 (46. 1%). Pembahasan: Faktor Lingkungan merupakan salah satu faktor penyebab, dimana lingkungan yang tidak sehat karena tercemar kuman serta berakumulasi dengan perilaku manusia yang tidak sehat pula. Kesimpulan: Dari total 181 responden, penyebab utama masalah kesehatan adalah disebabkan oleh infeksi dan penyakit lain. Infeksi dapat disebabkan oleh bakteri, virus serta lingkungan.
Advanced Life Support Video Training Modalities: A Literature Review Adnyani, Putu Desi; Agustini, Ni Luh Putu Inca Buntari; Wahyunadi, Ni Made Dewi; Sanjana, I Wayan Edi; Artawan, I Kadek
Babali Nursing Research Vol. 4 No. 3 (2023): July
Publisher : Babali Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37363/bnr.2023.43257

Abstract

Introduction: Knowledge and skills of health workers regarding Advanced Life Support (ALS) are an important part that needs to be trained and improved with appropriate training modalities in handling cardiac arrest patients. This literature review aims to find out which modalities are the most effectively applied to ALS training which can increase the knowledge and skills of health workers in conducting ALS. Methods: Literature study using 11 articles that have been published and peer-reviewed from data-based PubMed, CINAHL, and ScienceDirect using the keywords effectiveness, advanced life support, modalities, nurses, knowledge, and skills. Searches were limited to full text articles, experimental designs, publications from 2017 to 2022. Selection of articles in research using flowchart Prisma.Results: Analysis of eleven articles or journals related to the research objectives found that the video training was the most effective methods in increasing the knowledge and skills of respondents in ALS training. The implementation of ALS training in a hybrid manner, namely the use of non-face-to-face learning methods using video with face-to-face training led by an instructor, showed no significant difference, but video training was preferred because it provides convenience regarding time, place of implementation, and more training participants. Conclusion: ALS training must be given to nurses at least once a year, so it can be suggested to institutions to use the learning video method as a method of providing training.
Influence of High-Fidelity Manikin-Based Simulation on Nursing Students' Basic Cardiac Life Support Ability and Motivation Ni Luh Putu Inca Buntari Agustini; I Putu Budiarsana; I Kadek Artawan; Only Hufana; Dewi, Ni Putu Ayu Ratna
Babali Nursing Research Vol. 5 No. 2 (2024): April
Publisher : Babali Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37363/bnr.2024.52364

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Introduction: One of the competencies that nursing students must have while dealing with cardiac arrest is the capacity to perform critical life support, namely basic cardiac life support (BCLS). Having the abilities and motivation to perform BCLS is a complex process and often goes beyond the planned laboratory session's timeframe. The study wanted to determine the intervention’s impact on nursing students' ability and motivation to conduct BCLS. Methods: This study employed a quasi-experimental design with a pre-post-test control group and was carried out in July 2023 at the Emergency Skills Lab with fourth-year undergraduate nursing students. In this study, the sample size for the control and intervention groups was 52 for each group, selected using a simple random sampling technique. The independent variable was high-fidelity manikin-based human patient simulation based on Kolb's experiential learning theory, while the dependent variables were BCLS abilities measured using a mega code checklist and student motivation measured using a valid and reliable motivation questionnaire. Data were examined using the independent sample t-test. Results: The independent t-test results for the motivation variable showed a significant difference (p = 0.004), indicating a significant difference in motivation among students before and after being exposed to high-fidelity manikin-based human patient simulation based on Kolb's experiential learning theory in performing BCLS. Conclusion: High-fidelity manikin-based Human Patient Simulation is an educational paradigm in healthcare that involves using manikins that closely resemble real patients in realistic scenarios. It can be used as an alternative teaching method to boost BCLS performance and motivation.
Analysis of factors affecting fear and mental health awareness of coronavirus disease infection Nursalam, Nursalam; Elsi Dwi Hapsari; Setiawan Setiawan; Ni Luh Putu Inca Buntari Agustini; Diah Priyantini; Khatijah Lim Lim Abdullah
Jurnal Ners Vol. 18 No. 3 (2023): SEPTEMBER 2023
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v18i3.48168

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Introduction: Coronavirus disease 2019 (COVID-19) is a global health challenge that persists in causing both health emergencies and mental health crises around the world. This study aimed to analyze the factors contributing to COVID-19 infection and their impact on mental health crises on Java Island. Methods: A cross-sectional study was conducted between June and July 2020 on Java Island, Indonesia, involving 1,218 respondents selected through convenience sampling. The independent variables included demographic, individual internal, and psychological factors, while the dependent variable was mental health crisis occurrence. Data were collected through demographic information, knowledge and attitude questionnaires, depression anxiety stress scores, the brief-COPE inventory, as well as surveys addressing encountered problems and mental health emergencies. The collected data underwent analysis using chi-square and multivariate logistic regression. Results: Significance was observed in the relationship between demographic, individual internal, and psychological factors, and their impact on mental health crises (p < 0.05). Following adjustment with logistic regression, psychological factors exhibited a more pronounced relationship, with the highest association observed in stress levels (p = 0.000, 95% CI: 1.064-2.131). Conclusions: Individual stress levels emerged as the foremost contributing factor to mental health crises. Psychological elements, encompassing anxiety levels, stress, coping mechanisms, and encountered challenges, played substantial roles in disrupting psychological well-being and mental health.
Kompetensi yang Dibutuhkan Perawat Saat Bekerja di Ambulans Pra-Rumah Sakit: Scoping Review Sanjana, I Wayan Edi; Widyandari, Ni Made Ayu Sukma; Agustini, Ni Luh Putu Inca Buntari
JURNAL INFO KESEHATAN Vol 21 No 2 (2023): JURNAL INFO KESEHATAN
Publisher : Research and Community Service Unit, Poltekkes Kemenkes Kupang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31965/infokes.Vol21.Iss2.960

Abstract

Prehospital care has historically provided medical care with the aim of saving lives and preventing disability. Prehospital services that are accommodated by ambulances have complex and unpredictable care arrangements, so ambulance personnel, namely nurses, must prepare themselves to deal with all situations and conditions. This study aims to describe the competencies possessed by nurses while on duty in prehospital ambulances. This research is a literature study from several databases, and we obtained 20 articles for analysis. The results of the article analysis show that nurses who work in prehospital ambulances must have the competence to be able to save patients' lives, which is formed from knowledge, attitudes, and skills. Knowledge that must be possessed by ambulance nurses includes assessment, triage, and situation analysis. The positive attitudes of ambulance nurses include decision-making, communication, collaboration, caring, ethics, and culture. The skills possessed by ambulance nurses are BHD, intubation, examination of vital signs, interpretation of supporting examinations, and drug management. Ambulance nurses can improve their emergency care competencies through continuous education and training.
Philosophy of Science on The Development of Palliative Nursing Practice in The Implementation of Long-Term Care for The Elderly: A Literature Review Agustini, Ni Luh Putu Inca Buntari; Satriani, Ni Luh Adi; Dewi, Ni Putu Ayu Ratna; Yulistina, Putu Desi; Dewi, Putu Sundari; Putra, Putu Agus Sujana; Wijayanatha, I Putu Arya; Yudha, Gede Khrisna Eka
JURNAL INFO KESEHATAN Vol 21 No 2 (2023): JURNAL INFO KESEHATAN
Publisher : Research and Community Service Unit, Poltekkes Kemenkes Kupang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31965/infokes.Vol21.Iss2.1064

Abstract

As people gets older can increase health problems due to degenerative processes, thus requiring long-term care. Nurses as providers of palliative nursing care are based on nursing philosophy as a guide for acting and behaving in providing nursing care. Provide scientific information to nurses related to the role of philosophy of science in the development of palliative nursing practice that supports the implementation of long-term care in elderly. A literature review study, using various databases from Pubmed, Google Scholar, Science Direct and Research Gate. The inclusion criteria for searching for literature sources is the year of publication of the articles used starting from 2017 to 2022, in English, Indonesian and full articles. The search keywords are, nursing philosophy, nursing theory, palliative nursing, palliative care. Article selection was carried out using PRISMA and critical appraisal with a final total of 20 articles. The provision of palliative care to patients is carried out through a philosophical approach that emphasizes optimal quality of life and function, mitigates symptoms that cause sadness and promotes the values of care that focuses on comfort so as to reduce suffering and improve the quality of life of patients and families. Palliative nursing includes an understanding of the disease, pain management, and general symptoms, and follow-up care planning. Nurses are expected to make the philosophy of nursing as a basic of human as a holistic being in providing palliative nursing care.
Development of Learning Methods Basic Life Support Based on E-Learning Program for Nurses: Literature Review Wijayantha, I Putu Arya; Agustini, Ni Luh Putu Inca Buntari; Diyu, Ida Ayu Ningrat Pangruating; Krisnandari D, Anak Agung Istri Wulan
JURNAL INFO KESEHATAN Vol 22 No 1 (2024): JURNAL INFO KESEHATAN
Publisher : Research and Community Service Unit, Poltekkes Kemenkes Kupang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31965/infokes.Vol22.Iss1.1304

Abstract

Basic Life Support (BLS) training is a must for nurses before entering the world of work. During the establishment of the pandemic in Indonesia, many face-to-face interactions were limited. The limitation also impacts the learning method of nurses. Most of the institutions use the E-learning (online) method. E-learning in nursing study has several advantages, such as being efficient, economical, and flexible. However, it also has disadvantages such as internet access, lack of interaction, and lack of direct practice with the media. This literature review aims to find the best e-learning methods for BLS training. The research design is a literature review. The article was conducted in three journal databases: Google Scholar, Scopus, and PubMed. A total of 16 articles that met the inclusion criteria were reviewed. The study showed that blended learning is the best recommended learning method for BLS. Combined learning methods improve the knowledge and skill performance of the students.
Effectiveness of Orem's Theory-Based Diabetic Foot SPA on Glycemic Control and Peripheral Neuropathy in Type 2 DM Wangi, Ni Luh Putu Ayu Puspita; Agustini, Ni Luh Putu Inca Buntari; Megayanti, Sri Dewi; Yusniawati, Yustina Ni Putu; Artsanthia, Jintana
JURNAL INFO KESEHATAN Vol 23 No 1 (2025): JURNAL INFO KESEHATAN
Publisher : Research and Community Service Unit, Poltekkes Kemenkes Kupang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31965/infokes.Vol23.Iss1.1713

Abstract

Type 2 DM remains a challenge both globally and nationally, due to the high incidence of diabetic foot ulcers and patients with uncontrolled glycemia. This is due to poor self-care for foot care and glycemic control. Not treating them quickly will increase lifelong disability, depression, quality of life, and risk of death. Diabetic foot spa based on Orem Theory was tested for glycemic management and peripheral neuropathy in type 2 DM patients. The purpose of this study was to determine the effectiveness of diabetic foot spa based on Orem's Theory on glycemic control and reduction of peripheral neuropathy symptoms in patients with type 2 DM in the work area of East Denpasar Health Center I. This study used a pre-post quasi-experimental design with a control group of 64 respondents with a diagnosis of type 2 DM consisting of 32 control groups given foot exercises and 32 intervention groups given diabetic foot spa. Translated with DeepL.com (free version) Glucose meter, neuropathy symptom score (NSS) questionnaire, and 10 mg monofilament were used. This study consisted of univariate and bivariate analysis. Bivariate analysis used Dependent and Independent t-test to see the difference before and after diabetic foot spa intervention. The results showed that the effectiveness of diabetic foot spa in the intervention and control groups using independent t-test obtained a p-value <0.05 which states that diabetic foot spa is effective in controlling glycemia and reducing peripheral neuropathy in patients with type 2 DM. The conclusion of this study is that diabetic foot spa based on Orem's Theory is effective in controlling glycemic and reducing symptoms of peripheral neuropathy in patients with type 2 DM.       
Co-Authors Abdul Haris Abdurrahman, Firman Adi Satriani Adnyani, Putu Desi Agustini, Ni Komang Tri Anak Agung Istri Wulan Krisnandari, Anak Agung Istri Wulan Arka, I Gede Widhi Arnaya, I Gede Putu Suka Artawan, I.K Artha Kusuma, I Nyoman Krisna Artsanthia, Jintana Aryana, I Gusti Ngurah Cahyadi, Herry Suwaja Cintariasih, Putu Dewa Gede Wisnu Wardana Dewa Gede Wisnu Wardana Dewi, Ni Putu Ayu Ratna Dewi, Putu Sundari Diah Priyantini Diyu, Ida Ayu Ningrat Pangruating Drs. I Wayan Darsana,M.Ed . Dwi Arymbhi Sanjaya Edi Sanjana, I Wayan Elsi Dwi Hapsari Emanuel Ileatan Lewar Gandamayu, Ida Bagus Maha Gede Khrisna Eka Yudha Gustiawan, Sastro Putre Handi Partiwi, Putu I Gede Agus Shuarsedana Putra I GEDE PUTU DARMA SUYASA I Gede Putu Darma Suyasa, I Gede Putu I Gede Rendy Arizona Vallentino I Gusti Agung Tresna Wicaksana I Gusti Ayu Puja Astuti Dewi I Gusti Ngurah , Aryana I Gusti Ngurah Made Kusuma Negara I Kadek, Miki Indra Bela I Ketut Alit Adianta I Ketut Swarjana I Made Dwi Krisma Prataba I Nengah Agus Mega Aryawan I Nyoman Windhu Paramarta I Putu Arya Wijayanatha I Putu Budiarsana I Putu Gede Darmayasa I Wayan Edi Sanjana Ida Ayu Ketut Adi Setiawati Ida Ayu Manik Damayanti Ida Ayu Ningrat Pangruating Diyu Ida Ayu Ningrat Pangruating Diyu Ida Ayu Putri Wulandari IGP Darma Suyasa Indrayani, Ni Luh Dwi Israfil, Israfil Israfil, Israfil Israfil Juliani, Made Kadek Buja Harditya Ketut Widia Khatijah Lim Lim Abdullah Komang Ardidhana Nugraha Putra Krisnandari D, Anak Agung Istri Wulan Kusmadi, I Kadek Doni LEWAR, EMANUEL ILEATAN Lewar, Emanuel Illeatan Luh Gde Nita Sri Wahyuningsih Made Dian Shanti Kusuma Made Rismawan Maha Putra, I Nyoman Arya Mahaputra, I Nyoman Arya Megawati, Putu Vera Nadya Treesna Wulansari Nadya Treesna Wulansari Nadya Tressna Wulansari Negara, I Gusti Ngurah Made Gusti Kusuma Negara, I Gusti Ngurah Made Kusuma Ni Kadek Leni Ni Kadek Sutini Ni Kadek, Nefi Widiastuti Ni Luh Adi Satriani Ni Luh Adi Satriani Ni Luh Dwi Indrayani Ni Luh Gede Hari Nugrahini Ni Luh Putu Dina Susanti Ni Luh Putu Manik Mas Puspa Sari Ni Luh Tutik Hermi Wahyuni Ni Made Ayu Sukma Widyandari Ni Made Candra Citra Sari Ni Made Wirantini Ni Made, Ratih Comala Dewi Ni Nyoman Nuartini Ni Putu Ayu Ratna Dewi Ni Putu Ayu Ratna Dewi Ni Putu Kamaryati Ni Wayan Sintia NLP Dina Susanti Nooiad, Ganyanee Nur Halimah Nursalam Nursalam Nuryanto , I Kadek Nuryanto, Kadek Oka Putra, I Nyoman Trisna Oka Putra Only Hufana Pangruating Diyu, Ida Ayu Ningrat Paramitasari, Ketut Citra Purnama Dewi, Sagung Mirah Purnama Sari, Putu Mariany Purwadadi, I Kadek Putra, I Gde Agus Shuarsedana Putra, I Gede Agus Shuarsedana Putra, I Komang Ardidhana Nugraha Putra, I Nyoman Arya Maha Putra, I Nyoman Trisna Oka Putra, Ida Bagus Ardhi Putra, Komang Ardidhana Nugraha Putra, Putu Agus Sujana Putri, Ni Made Manik Elisa Putu Agus Sujana Putra Putu Desi Yulistina Putu Sundari Dewi Rittiruang, Amonwan Sagita, Ni Wayan Riska Sagung Mirah Purnama Dewi Sanjana, I Wayan Sanjana, I Wayan Edi Sari, Ni Made Candr Citra Sastrawati, Desak Kadek Sastro Putre Gustiawan Satriani, Adi Satriani, Ni Luh Adi Setiawan Setiawan Sri Dewi Megayanti Sri Rahayu, Dewa Ayu Erna Sriasih, Ni Kadek Suantari, Luh Ari Suryani, Ni Wayan Susanti, Ni Putu Aries Susila, I Pasek Wayan Agung Tanuparbrungson, Supawan Tripayana, I Nyoman Trisna, Made Oktaviani Bulan Untung Sujianto Wahyu Krisna Yoga Wahyu, I Made Yudi Wahyunadi, Ni Made Dewi Wahyuni, Ni Komang Sri Wangi, Ni Luh Putu Ayu Puspita Wardana, Dewa Gede Wisnu widia, ketut Wijayanatha, I Putu Arya Witarini, Ni Wayan Sri Wulandari, Sarah Kartika Yogi RS, I Gusti Agung Yudha, Gede Khrisna Eka Yudi Apriani, Ni Luh Putu Yulistina, Putu Desi Yusniawati, Yustina Ni Putu Yustina Ni Putu Yusniarvati Yustina Ni Putu Yusniawati Yustina Ni Putu Yusniawati Yustina Ni Putu yusniawati