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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 Indonesian Nursing Journal of Education and Clinic (Jurnal Pendidikan dan Praktik Keperawatan Indonesia) 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.
A CULTURALLY – ADAPTED MENTAL HEALTH ASSESMENT FORMAT (BASAHARI) FOR NURSING EDUCATION : A RESEARCH AND DEVELOPMENT STUDY Dias, Maria Frani Ayu Andari; Lanawati, Lanawati; Raya, Mardha; Villanueva-Tamse, Maria Rita Rita
INDONESIAN NURSING JOURNAL OF EDUCATION AND CLINIC (INJEC) Vol 11, No 1 (2026): INJEC
Publisher : Asosiasi Institusi Pendidikan Ners Indonesia (AIPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24990/injec.v11i1.1046

Abstract

Introduction: Comprehensive and culturally sensitive mental health assessment remains a challenge in Indonesian nursing education, where existing formats are often too generic for specific local contexts like the Banjar culture. This study aimed to develop and test the effectiveness of the BASAHARI assessment format, which integrates clinical standards with local Banjar cultural wisdom, to improve the assessment skills of nursing students.Method: This study employed a Research and Development (R&D) design at a private nursing college and a provincial psychiatric hospital in Indonesia. The initial needs analysis involved in-depth interviews with seven senior psychiatric nurses to identify practice needs and challenges. Based on these findings, the BASAHARI format was developed. Its effectiveness was subsequently evaluated using a quasi-experimental, pre-test/post-test design with a cohort of 40 nursing students. Data were analyzed using a Paired Samples T-Test.Results: The implementation of the BASAHARI format led to a statistically significant improvement in students' skills across all measured domains (p < 0.001). The mean cognitive score increased by 10.20 points (t=13.924), the mean psychomotor score increased by 9.87 points (t=11.968), and the mean attitude score increased by 11.55 points (t=12.551).Conclusion: The BASAHARI assessment format is an effective tool for significantly improving the cognitive, psychomotor, and attitude domains of nursing students' mental health assessment capabilities. Its integration into nursing curricula and clinical practice is recommended to foster culturally competent care.
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 Raya, Mardha Rialita, Metri Rolando, Ferry Sitompul, Dania Relina Trihandini, Bernadeta Triyana Harlia Putri Tutpai, Gertrudis Tutpai, Gertudis Villanueva-Tamse, Maria Rita Rita Warjiman, Warjiman Yohana Gabrilinda Adang