Analysis of Mental Health Nursing Clinical Practice on Mr. H with Positive Affirmation Therapy Innovation on Changes in Signs and Symptoms of Chronic Low Self-Esteem in the Elang Ward, Atma Husada Mahakam Mental Hospital, Samarinda

Desma Ramadini (a:1:{s:5:"en_US"s:87:"Nursing Profession Study Program, Muhammadiyah University of East Kalimantan, Indonesia"})
Dwi Rahmah Fitriani (Nursing Profession Study Program, Muhammadiyah University of East Kalimantan, Indonesia)
Arief Budiman (Nursing Profession Study Program, Muhammadiyah University of East Kalimantan, Indonesia)
Milkhatun Milkhatun (Nursing Profession Study Program, Muhammadiyah University of East Kalimantan, Indonesia)

International Journal of Health, Engineering and Technology
Vol. 5 No. 1 (2026): IJHET MAY 2026

Low self-esteem is a common mental health nursing problem among patients with severe mental disorders and has a significant impact on self-evaluation, self-confidence, and social functioning. This study aims to examine mental health nursing clinical practice in Mr. H through the application of positive affirmation therapy as an innovative intervention to reduce signs and symptoms of low self-esteem in the Elang Ward of Atma Husada Mahakam Mental Hospital, Samarinda. The method used was a case study with a mental health nursing care process approach, including assessment, nursing diagnosis determination, care planning, implementation, and evaluation. Positive affirmation therapy was applied in a structured manner as a non-pharmacological nursing intervention. The results showed a reduction in signs and symptoms of low self-esteem, accompanied by improvements in the client’s ability to recognize personal strengths, develop self-confidence, and increase participation in activities and social interactions. Based on these findings, positive affirmation therapy is recommended as a supportive intervention in mental health nursing care for clients with low self-esteem and may be further developed in psychiatric nursing practice within mental health hospitals.