Indonesian Nursing Journal of Education and Clinic (Jurnal Pendidikan dan Praktik Keperawatan Indonesia)
Vol 10, No 2 (2025): INJEC

The Effectiveness of Mindfulness as an Intervention for Stress and Anxiety Management among Professional Nursing Students Preparing for the Competency Examination (UKOM)

Ady Irawan. AM (Program Studi Profesi Ners, Fakultas Ilmu Kesehatan, Universitas Duta Bangsa Surakarta)
Tatiana Siska Wardani (Program Studi Sarjana Farmasi, Fakultas Ilmu Kesehatan, Universitas Duta Bangsa Surakarta)
Agung Widiastuti (Program Studi Profesi Ners, Fakultas Ilmu Kesehatan, Universitas Duta Bangsa Surakarta)
Anggie Pradana Putri (Program Studi Diploma Tiga Keperawatan, STIKES Mamba’ul ‘Ulum Surakarta)



Article Info

Publish Date
12 Jan 2026

Abstract

Introduction: Professional nursing students often experience heightened academic and psychological stress, especially in preparation for the National Competency Examination (UKOM). Mindfulness-based interventions have shown promise in managing stress and anxiety effectively. This study aimed to evaluate the effectiveness of a structured mindfulness intervention on mindfulness, anxiety, and stress levels among nursing students.Method: A quasi-experimental design was employed with intervention and control groups. Participants were professional nursing students selected through purposive sampling, meeting inclusion criteria such as enrollment in the professional program and willingness to participate. The intervention group underwent eight sessions of structured mindfulness training. Outcome measures included the Five Facet Mindfulness Questionnaire (FFMQ), Zung Self-Rating Anxiety Scale (Zung-SRAS), and Perceived Stress Scale (PSS), assessed before (T1) and after (T2) the intervention. Data were analyzed using paired sample t-tests, and effect sizes were calculated with Cohen’s d.Results: The mindfulness intervention significantly improved mindfulness levels (Mean Difference = –6.00; t = –17.026; p < 0.001; Cohen’s d = 4.01), and significantly reduced anxiety (Mean Difference = 2.89; t = 16.161; p < 0.001; Cohen’s d = 3.81) and stress levels (Mean Difference = 2.50; t = 7.919; p < 0.001; Cohen’s d = 1.87). All outcomes demonstrated statistically significant and clinically meaningful improvements.Conclusions: Mindfulness intervention was significantly effective in enhancing present-moment awareness and reducing anxiety and stress among nursing students preparing for the UKOM. These findings support integrating mindfulness training as a preventive psychosocial strategy within nursing education to promote students’ mental well-being.

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Journal Info

Abbrev

INJEC

Publisher

Subject

Nursing

Description

Indonesian Nursing Journal of Education and Clinic (INJEC) is the official peer-reviewed research journal of the Association of Indonesian Nurses Education Center (AINEC). This journal aims to promote advancement in nursing and healthcare through the dissemination of the latest research findings. ...