Zadrian Ardi
Universitas Negeri Padang, Padang, Indonesia

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Patient-centered communication, social entrepreneurship motivation, and entrepreneurial intentions in nursing students: A structural equation modelling approach Larasuci Arini; Afdal Afdal; Ifdil Ifdil; Zadrian Ardi; Mega Iswari Biran Asnah; Nurfarhanah Nurfarhanah
Jurnal Ners Vol. 21 No. 2 (2026): VOLUME 21 ISSUE 2 (MAY 2026)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v21i2.89257

Abstract

Introduction: The growing demand for homecare nursing in Indonesia offers important career opportunities; however, how clinical competencies are translated into entrepreneurial choices remains unclear. This study examined the relationship between patient-centered communication (PCC) and social entrepreneurship (SE) motivation with nursing students' entrepreneurial intentions (EI) to establish homecare practices. Methods: A cross-sectional survey was conducted with 208 nursing students in West Sumatra, Indonesia. Data collected with validated instruments for EI (α = 0.90), SE drive (α = 0.94), and PCC (α = 0.92) were analyzed using partial least squares structural equation Modelling (PLS-SEM). Results: PLS-SEM showed that PCC did not directly influence EI (β = -0.050, p = 0.669) but significantly predicted SE motivation (β = 0.604, p < 0.001). SE motivation significantly predicted EI (β = 0.627, p < 0.001) and fully mediated the PCC–EI relationship (β indirect = 0.379, p < 0.001). The model explained 35.8% of EI variance. Conclusions: Clinical communication competencies alone do not predict entrepreneurial intentions; rather, they appear to require activation through motivation for social entrepreneurship. Therefore, nursing education should adopt integrated pedagogical frameworks that connect clinical empathy with social-business models to foster homecare as a viable career pathway.
The Effectiveness of CBT-Based Group Counseling in Reducing Worry among Verbal Bullying Victims Ledita Ezy Maulany; Zadrian Ardi
Bisma The Journal of Counseling Vol. 8 No. 3 (2024): December
Publisher : Department of Guidance and Counseling, FIP, Undiksha

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23887/bisma.v8i3.87717

Abstract

Worry experienced by victims of verbal bullying can negatively impact their mental health, productivity, and ability to carry out daily activities. This study aims to analyze the differences in worry levels among victims of verbal bullying before and after participating in group counseling services based on Cognitive Behavioral Therapy (CBT). Additionally, the study seeks to examine the effectiveness of CBT-based group counseling in reducing worry among individuals who have experienced verbal bullying. This research employed a quantitative method with a one-group pretest-posttest experimental design, where only one group of participants served as the subject without a control group. Data were collected using a worry scale completed by participants before and after the intervention. Data analysis was conducted using parametric statistical tests to identify significant changes in worry levels. The findings revealed a significant reduction in the worry levels of verbal bullying victims after participating in CBT-based group counseling. These results suggest that CBT approaches in group counseling services are effective in helping victims manage their perceived worry. Based on these findings, CBT-based group counseling services can be recommended as a practical and effective intervention for addressing the psychological impact of verbal bullying. Further research is recommended to explore the application of CBT in more diverse groups to enhance the generalizability of the findings.