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All Journal Jurnal Keperawatan Jiwa (JKJ): Persatuan Perawat Nasional Indonesia Jurnal Keperawatan Suaka Insan Community Service Journal of Indonesia Jurnal Keperawatan Dirgahayu (JKD) Jurnal Kesehatan Indonesian Journal of Global Health research Jurnal Penelitian Pendidikan, Psikologi Dan Kesehatan (J-P3K) Ahmar Metakarya: Jurnal Pengabdian Masyarakat Sejahtera: Jurnal Inspirasi Mengabdi Untuk Negeri Termometer: Jurnal Ilmiah Ilmu Kesehatan Dan Kedokteran Jurnal Keperawatan Profesional (KEPO) Jurnal Medika Nusantara Journal of Digital Community Services Jejak digital: Jurnal Ilmiah Multidisiplin
Dias, Maria Frani Ayu Andari
STIKES Suaka Insan Banjarmasin
Religion Agriculture, Biological Sciences & Forestry Humanities Civil Engineering, Building, Construction & Architecture Computer Science & IT Dentistry Economics, Econometrics & Finance Education Engineering Health Professions Languange, Linguistic, Communication & Media Medicine & Pharmacology Nursing Public Health Social Sciences Veterinary Other

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Expressive Arts Therapy for Indonesian Nursing Students: A Mixed-Methods Evaluation of Self-Esteem and Catharsis Dias, Maria Frani Ayu Andari; Maratning, Anastasia; Rolando, Ferry; Budianto, Zhulfikri
JURNAL KEPERAWATAN SUAKA INSAN (JKSI) Vol. 10 No. 2 (2025): Jurnal Keperawatan Suaka Insan (JKSI)
Publisher : STIKES Suaka Insan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51143/jksi.v10i2.998

Abstract

Nursing education can negatively impact students' psychological well-being and self-esteem. While Expressive Arts Therapy (EAT) is a promising intervention, research on its effectiveness using hybrid methods in non-Western contexts like Indonesia is limited. This study evaluated a free-drawing-based EAT intervention to enhance the self-esteem of Indonesian nursing students. This mixed-methods study used a quasi-experimental, one-group pre-test-post-test design. From 415 students screened in South and Central Kalimantan, 24 participants with low-to-medium self-esteem were selected (purposive sampling). Data were collected using the Nurses' Self-Concept Questionnaire (NSCQ) pre- and post-intervention. Quantitative data were analyzed using a paired-samples t-test; qualitative data from in-depth interviews and FGDs (10 participants) were thematically analyzed. Quantitatively, the increase in mean self-esteem scores was not statistically significant (t(23) = -0.850, p = .202). In stark contrast, qualitative analysis revealed substantial benefits across four themes: (1) enhanced self-insight and awareness; (2) emotional catharsis and stress reduction; (3) drawing as vital non-verbal expression; and (4) a positive therapeutic experience. Although the EAT intervention did not yield statistically significant improvement in self-esteem scores, it provided profound psychological benefits like emotional catharsis and enhanced self-awareness. EAT is a valuable tool for supporting nursing students' mental well-being, functioning as an effective method for stress management and self-exploration.
Co-Authors Anastasi Maratning Anastasia Maratning Annastasia Maratning Aulia Rachman Bernadetha Tri Handini Budianto, Zhulfikri Chrismilasari, Lucia Andi Dhawo, Maria Silvana Dini Tryastuti Djoko Priyono Emanuella, Amabel Ellian Ermeisi Er Unja Fitri Fujiana Gita Permata Hatika Gita Permata Hatika Hapsari, Fransiska Dwi Jamini, Theresia Kristianti, Olivia Lanawati, Lanawati Maratning, Anastasia Maratning, Sr.Anastasia Margaretha Martini Martini, Margaretha Mentari Mentari Mohammad Basit, Mohammad Nita Natalia Bungas Nursery, Septi Machelia Champaca Nurwijayanti Oktovin, Oktovin Rialita, Metri Rolando, Ferry Sitompul, Dania Relina Trihandini, Bernadeta Triyana Harlia Putri Tutpai, Gertrudis Tutpai, Gertudis Warjiman, Warjiman Yohana Gabrilinda Adang