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Journal : Journal Of Nursing Practice

Strategic Model of Mental Health Nurse Competence and Caregiver in Preventing Relapse Risk in Schizophrenia Patients M. Suhron; Sitti Sulaihah; Faisal Amir
Journal Of Nursing Practice Vol. 9 No. 2 (2026): January
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v9i2.998

Abstract

Background: The competences under consideration include clinical knowledge, clinical skills, communication competence, crisis and safety management, professional growth, management of care, and recommendations. Purpose: Analyzing the Strategic Model of Mental Health Nurse Competence and Caregiver in Preventing Relapse Risk in Schizophrenia Patients. Methods: The study used a quantitative design with a cross-sectional methodology and included 110 participants, including nurses and caregivers from five community health clinics in East Java Province. The data were obtained using a Likert-scale instrument that was previously validated and reliable. The data was analyzed using the Structural Equation Modeling (SEM) approach using the SmartPLS tool. Results: All competency characteristics of psychiatric nurses and caregivers have a substantial and essential relationship to the prevention of relapse risk in schizophrenia patients, with a very high model commitment in producing variations in variables which are dependent variables. Conclusion: Thoroughly enhancing the competence of psychiatric nurses and caregivers is an effective method for lowering relapse rates among schizophrenia patients. Suggestions include enhancing the psychiatric nurse education curriculum, providing competency-based continuing training, and incorporating collaborative care models into health care organizations.
Mental Health Self-Movement through Group Activity Therapy to Improve Self-Leadership in People with Mental Disorders Sulaihah, Sitti; Suhron, M.; Amir, Faisal; Atik Puji Rahayu
Journal Of Nursing Practice Vol. 9 No. 3 (2026): April
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v9i3.1098

Abstract

Background: Decreased self-leadership in individuals with mental disorders is a common consequence of psychological impairment and requires serious attention. A preliminary study conducted at  Mental Health Center in Bangkalan revealed reduced motivation, limited communication skills, and difficulties in establishing social relationships among patients. Purpose: This study aimed to analyze differences in self-leadership among patients before and after receiving Group Activity Therapy. Methods: This study employed a pre-test–post-test experimental design with a control group. The population consisted of individuals with mental disorders, with a total sample of 34 participants, divided into a control group (n = 17) and an intervention group (n = 17), selected using purposive sampling. The independent variable was Group Activity Therapy, while the dependent variable was self-leadership. Data were collected using a self-leadership observation sheet. Statistical analysis was conducted using the Paired t-test and Mann–Whitney test with a significance level of α = 0.05. Results: The intervention group showed a significant improvement in self-leadership (p < 0.001), while the control group also demonstrated a smaller but significant change (p = 0.041). A significant difference between groups was found (p < 0.001), indicating that Group Activity Therapy had a positive effect on improving self-leadership. Conclusion: Group Activity Therapy is effective in enhancing self-leadership among individuals with mental disorders. Continuous implementation of this therapy is recommended to support recovery and improve patient outcomes.