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All Journal Contagion: Scientific Periodical Journal of Public Health and Coastal Health Healthcare Nursing Journal Journal of Nursing Science Research
Aris Citra Wisuda
Nursing Study Program, Sekolah Tinggi Ilmu Kesehatan Bina Husada, Palembang, Indonesia
Health Professions Nursing Public Health

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Effects of Continuing Professional Development on Nurses’ Competence in Chronic Illness Care: A Systematic Review and Meta-Analysis Miming Oxyandi; Aris Citra Wisuda; Faridah Mohd Said; Rhipiduri Rivanica
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 8, No 1 (2026): CONTAGION
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v8i1.25945

Abstract

Chronic illnesses, including diabetes mellitus, hypertension, cardiovascular disease, and cancer, represent major global health challenges requiring sustained nursing competence. Continuing Professional Development (CPD) is promoted to enhance nurses’ knowledge, skills, and professional attitudes; however, its effectiveness in chronic illness care remains inconsistent. This meta-analysis evaluated the impact of CPD on nursing competence in managing chronic illnesses. A systematic search of PubMed, Scopus, CINAHL, and Web of Science was conducted for studies published between January 2019 and January 2025. Eligible studies included randomized controlled trials, quasi-experimental, and cohort designs reporting competence-related outcomes following CPD interventions. Data were synthesized using a random-effects model, and heterogeneity was assessed using the I² statistic. Eleven studies involving 1,362 nurses from Asia, Europe, and the Americas met the inclusion criteria. CPD showed a significant positive effect on nursing competence in chronic illness care (Hedges’ g = 0.47; 95% CI: 0.31–0.63; p < 0.001). E-learning and blended learning approaches were more effective than traditional face-to-face methods, and programs lasting more than six months produced greater improvements. Moderate heterogeneity was observed (I² = 48%), with no evidence of publication bias. The findings indicate that CPD moderately improves nursing competence, particularly when delivered through technology-enhanced and sustained educational strategies. Variations in intervention duration and learning modality may explain differences in effect sizes across studies. CPD is an effective strategy to strengthen nursing competence in chronic illness care, especially when implemented through blended or e-learning formats and extended program duration Keywords: Continuing Professional Development, Nursing, Competence, Chronic Illness Care, Meta-Analysis
Response Time and Patient Satisfaction in Islamic Hospital: A Cross Sectional Study Dilgu Meri; Aris Citra Wisuda; Rifa Yanti; Riski Novera Yenita
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 7, No 2 (2025): CONTAGION
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v7i2.25109

Abstract

Timely delivery of emergency services is a critical priority in healthcare systems worldwide, with both speed and accuracy in patient care serving as essential indicators of service quality. This study investigates the relationship between nurses' response time and patient satisfaction in the emergency department of Ibnu Sina Islamic Hospital, Pekanbaru. A quantitative, cross-sectional design was employed from December 2023 to July 2024. The study population consisted of family members accompanying patients to the emergency department. Using accidental sampling and the Slovin formula, a total of 94 participants were selected. Data were analyzed using the Chi-Square statistical test. Among the respondents, 83 individuals (88.3%) rated the response time as fast, while 11 (11.7%) perceived it as slow. In terms of satisfaction, 72 respondents (76.6%) reported being satisfied, whereas 22 (23.4%) expressed dissatisfaction. Chi-Square analysis revealed a statistically significant association between response time and patient satisfaction (p = 0.003, p < 0.05), indicating that faster response times are positively correlated with higher levels of patient satisfaction in the emergency department. Keywords: Nurse, Response Time, Patient Satisfaction, Emergency Department, Hospital.
Digital Transformation of BPJS Primary Healthcare Administration: A Qualitative Study of E-Module Implementation and Service Quality Improvement Benri Situmorang; Aris Citra Wisuda; Herlina Herlina; Febriantika Febriantika
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 8, No 1 (2026): CONTAGION
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v8i1.25943

Abstract

Indonesia’s National Health Insurance system (BPJS Kesehatan) continues to face persistent administrative challenges in primary healthcare, including limited accessibility, bureaucratic complexity, long waiting times, and patient dissatisfaction. To address these issues, digital transformation initiatives have introduced electronic modules (e-modules) aimed at improving administrative efficiency, service quality, and data accuracy. This qualitative study collected data through in-depth interviews with twenty participants: twelve BPJS beneficiaries and eight primary healthcare officers from four community health centers in Sibolga City, North Sumatra. Participants were purposively selected based on their experience with BPJS e-module services. Interviews were transcribed verbatim and analyzed thematically using NVivo 12 through open coding, categorization, and theme development. Four themes emerged: 1) Administrative accessibility improved as e-modules simplified access to procedural information; 2) Service efficiency increased through shorter waiting times and faster processing; 3) User satisfaction improved, especially among digitally literate participants who perceived greater transparency and predictability, and 4) Administrative accuracy strengthened due to standardized digital documentation, reducing manual errors. Nonetheless, barriers persisted, including limited digital literacy, uneven internet connectivity, and insufficient technical support at facility level. E-modules represent an effective administrative innovation that reduces procedural complexity and enhances service consistency in primary healthcare. However, uneven benefits resulting from infrastructural constraints, organizational inertia, and varying user capacity underscore the need to align technological implementation with institutional readiness and user support to prevent widening service disparities Keywords: BPJS Health, Primary Healthcare, E-Module, Digital Health Administration, Service Quality
DEVELOPMENT OF THE CITRA NURSING MODULE (COMMUNICATION THROUGH INTERACTIVE THERAPEUTIC  AND REFLECTIVE STORYTELLING APPROACH) TO REDUCE ANXIETY IN HOSPITALIZED PRESCHOOL CHILDREN Citra Suraya; Aris Citra Wisuda; Tukimin bin Sansuwito; Regidor III Dioso
Journal Of Nursing Science Research Vol. 2 No. 2 (2025): Journal of Nursing Science Research
Publisher : Institut Citra Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33862/dwasha29

Abstract

Background: Hospitalization often triggers significant anxiety in preschool children due to unfamiliar environments, separation from parents, and invasive procedures. Interactive and therapeutic communication approaches are essential to support children’s emotional stability during care. Objective: This study aimed to develop and evaluate the CITRA Nursing Module (Communication through Interactive Therapeutic and Reflective Storytelling Approach) as an intervention to reduce hospitalization anxiety in preschool children. Methods: This research employed a Research and Development design using the ADDIE model. The module was developed through literature review, expert validation, and preliminary observations, then tested on 46 hospitalized preschool children at Siti Khadijah Islamic Hospital Palembang between February and July 2025. Anxiety levels were measured before and after the intervention using a validated anxiety instrument for preschoolers. Paired statistical tests were used to determine intervention effectiveness. Results: The CITRA module was effective in reducing hospitalization anxiety. Post-intervention scores showed a significant decrease, indicating improved emotional comfort and coping abilities. Feedback from nurses and parents confirmed the module’s feasibility, practicality, and acceptability in clinical practice. Conclusion: The CITRA Nursing Module is an effective intervention for reducing hospitalization anxiety in preschool children. Its implementation has the potential to strengthen therapeutic communication and support child-centered hospitalization practices. Further research with a larger and more diverse population is recommended to enhance the generalizability of the findings.
DEVELOPMENT OF THE ARIS MODULE (ANXIETY AND DEPRESSION REDUCTION THROUGH ISLAMIC SPIRITUAL CARE) FOR CHRONIC ILLNESS NURSING PRACTICE Aris Citra Wisuda; Citra Suraya; Tukimin bin Sansuwito; Atma Deviliawati; Santi Rosalina; Heriziana Hz; Yofa Anggriani Utama
Journal Of Nursing Science Research Vol. 2 No. 2 (2025): Journal of Nursing Science Research
Publisher : Institut Citra Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33862/y6z49f93

Abstract

Anxiety and depression are common psychological problems experienced by patients with chronic illnesses, potentially worsening their clinical condition and quality of life. Nursing interventions that integrate an Islamic spiritual approach are considered to have the potential to enhance psychological calmness when coping with long-term disease. This study aimed to develop and assess the effectiveness of the ARIS Module (Anxiety and Depression Reduction through Islamic Spiritual Care) as a nursing intervention guideline to address anxiety and depression among patients with chronic illnesses. The study employed a Research and Development (R&D) design using the ADDIE model, which includes needs analysis, design, content development, implementation in nursing practice, and evaluation. Effectiveness testing was conducted through a quasi-experimental pretest–posttest design involving 140 chronic illness patients who received care from January 2025 to July 2025 at Siti Khadijah Islamic Hospital Palembang. The Hamilton Anxiety Rating Scale (HARS) and the Beck Depression Inventory-II (BDI-II) were used as measurement instruments. The findings revealed that the implementation of the ARIS Module significantly reduced anxiety and depression levels (p < 0.05) compared to pre-intervention scores. Patients also reported improved spiritual comfort and emotional support from nurses. This module was considered feasible, practical, and relevant for use in nursing practice focused on holistic care. The study recommends broader implementation of the module across various nursing services and the development of training programs to enhance nurses’ competencies in spiritual care.
Mobile Learning-Based Clinical Education Management Information System (Cemis) And Its Effectiveness In Impro Miming Oxyandi; Santhna Letchmi Panduragan; Faridah Mohd Said; Aris Citra Wisuda; Rhipiduri Rivanica
HealthCare Nursing Journal Vol. 8 No. 1 (2026): HealthCare Nursing Journal
Publisher : LP3M Universitas Muhammadiyah Tasikmalaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35568/healthcare.v8i1.7211

Abstract

The quality of clinical Education is greatly influenced by students' success in clinical practice areas in achieving learning outcomes, most of which are still conventional and not yet integrated. This study aims to evaluate the effectiveness of mobile learning as a medium to assess clinical learning in nursing students. This study uses Randomized Controlled Trial design. Place and Duration of Study in IKesT Muhammadiyah Palembang. From Sept 2022 to May 2023. The sample for this research consisted of nursing students from Group Experimental (n=40) and control group (n=40). The types of analysis used were the Wilcoxon Sign Rank Test and N-Gain Score Test. The use of mobile learning-based CEMIS is proven to be significant and effective in improving the learning outcomes of clinical learning of nursing students with the results of the Wilcoxon Sign Rank Test in the experimental group and the control group, namely cognitive ability (Sysmp Sig 0.002 vs 0.057), Ability Psychomotor (Sysmp Sig 0.002 VS 0.057), ability Affective (Sysmp Sig 0.002 VS 0.057). Whereas the results of the N-Gain Score Test show ability cognitive 80% (Effective), ability Psychomotor 78% (Effective), ability Affective 78% (Effective). CEMIS-based nursing clinical learning has been proven effective in improving student learning outcomes, making it a potential alternative to support clinical. learning in nursing education.
Co-Authors Atma Deviliawati Benri Situmorang Citra Suraya Dilgu Meri Faridah Mohd Said Febriantika Febriantika Heriziana Hz Herlina Herlina Miming Oxyandi Miming Oxyandi Regidor III Dioso Rhipiduri Rivanica Rhipiduri Rivanica Rifa Yanti Riski Novera Yenita Santhna Letchmi Panduragan Santi Rosalina Tukimin bin Sansuwito Yofa Anggriani Utama