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All Journal Jurnal Keperawatan Padjadjaran Indonesian Nursing Journal of Education and Clinic (Jurnal Pendidikan dan Praktik Keperawatan Indonesia)
Ni Luh Putu Inca Buntari Agustini
Institute of Technology and Health Bali
Health Professions Neuroscience Nursing Public Health

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Nursing Students’ Knowledge, Attitudes, and Self-Efficacy in Transcultural Palliative End-of-Life Care: A Multicenter Structural Equation Modelling Study Ni Luh Putu Inca Buntari Agustini
INDONESIAN NURSING JOURNAL OF EDUCATION AND CLINIC (INJEC) Vol 10, No 2 (2025): INJEC
Publisher : Asosiasi Institusi Pendidikan Ners Indonesia (AIPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24990/injec.v10i2.1024

Abstract

Background: Palliative End-of-Life Care (PEOLC) is a core competency for nursing students, requiring the ability to deliver holistic and culturally sensitive care to patients and families in the final stage of life. A transcultural nursing approach is recognized for fostering cultural sensitivity, knowledge, positive attitudes, and self-efficacy. However, evidence on how these factors interact remains limited in Indonesian nursing education. This study examined the relationships among knowledge, attitudes, and self-efficacy related to transcultural nursing-based PEOLC among nursing students using Structural Equation Modelling.Methods: A quantitative analytic, cross-sectional design was applied in a multicenter setting across several Indonesian nursing higher-education institutions. Participants were active nursing students recruited through convenience sampling who provided informed consent. Data were collected using standardized, validated questionnaires (item validity, r ≥ 0.30; Cronbach’s α ≥ 0.80), which measured knowledge, attitudes, and self-efficacy. Partial Least Squares–Structural Equation Modelling assessed direct and indirect relationships among variables.Results: A total of 330 students participated. SEM analysis revealed that knowledge had a significant influence on attitudes (β = 0.528, p < 0.05) and self-efficacy (β = 0.146, p < 0.05). Attitudes also significantly mediated the effect of knowledge on self-efficacy (β = 0.6, p < 0.05). The final model indicated goodness of fit (χ² = 2029.657; SRMR = 0.031; NFI = 0.905).Conclusion: Knowledge, attitudes, and self-efficacy regarding transcultural nursing–based PEOLC are strongly interrelated among Indonesian nursing students. These findings underscore the importance of integrating transcultural approaches and experiential learning into nursing curricula to enhance students’ confidence and readiness to deliver culturally responsive end-of-life care.
A retrospective study: Analysis of factors related to readmission of schizophrenia patients Ni Luh Putu Inca Buntari Agustini; Ketut Citra Paramitasari; Ida Ayu Ningrat Pangruating Diyu; Made Dian Shanti Kusuma
Jurnal Keperawatan Padjadjaran Vol. 14 No. 2 (2026): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jkp.v14i2.2739

Abstract

Background: Hospital readmission among patients with schizophrenia is an important indicator of healthcare quality and the effectiveness of community-based support. Readmissions are influenced by a complex interplay of clinical and environmental factors that affect patients' long-term recovery and stability. Purpose: This study aimed to identify factors associated with hospital readmission among patients with schizophrenia at the Bali Provincial Mental Hospital. Methods: A retrospective cross-sectional study was conducted using medical records of patients diagnosed with schizophrenia who received treatment at the Bali Provincial Mental Hospital in 2023. From a total population of 2,669 eligible medical records, 401 were selected through simple random sampling. Data were analyzed using descriptive statistics, chi-square tests for bivariate analysis, and multivariable logistic regression to identify factors independently associated with readmission. Results: Four factors were significantly associated with hospital readmission among patients with schizophrenia: age (*p* = 0.038), residual symptoms (*p* = 0.003), medication adherence (*p* < 0.001), and comorbidities (*p* < 0.001). Among these, medication adherence was the strongest predictor of readmission, with an adjusted odds ratio (AOR) of 83.902. Conclusion: Age, residual symptoms, medication adherence, and comorbidities were independently associated with hospital readmission among patients with schizophrenia. Strengthening medication adherence through family supervision and comprehensive management of residual symptoms and comorbid conditions may help reduce the risk of readmission and improve long-term clinical outcomes.
Co-Authors Ida Ayu Ningrat Pangruating Diyu Ketut Citra Paramitasari Made Dian Shanti Kusuma