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INDONESIA
Indonesian Contemporary Nursing Journal (ICON Journal)
Published by Universitas Hasanuddin
ISSN : -     EISSN : -     DOI : -
Core Subject : Health,
Nursing
Arjuna Subject : -
Articles 146 Documents
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Gender-Based Differences in Critical Thinking Levels among Nursing Students: A Cross -Sectional Study Gita Adelia; Esperanza Zuriguel-Perez; Eka Malfasari; Rizka Febtrina; Ulfa Hasana; Ifon Driposwana Putra
Indonesian Contemporary Nursing Journal (ICON Journal) Vol. 11 No. 1 (2026): Volume 11 Number 1 August 2026
Publisher : Faculty of Nursing, Universitas Hasanuddin

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20956/2vvtg475

Abstract

Aims: This study aimed to examine gender-based differences in critical thinking levels among nursing students. Methods: A quantitative descriptive-analytic study with a cross-sectional design was performed. A total of 267 nursing students were included as respondents using a total sampling technique. Data were collected using the Nursing Critical Thinking in Students Questionnaire (N-CT-4). Univariate analysis was used to describe the respondents’ characteristics and critical thinking levels. The Mann–Whitney U test was used to compare critical thinking domain scores between male and female students, while the Chi-square test was applied to compare the distribution of critical thinking levels by gender.  Results: The mean age of the respondents was 21.09±0.70 years, with the majority being female (86.9%). Most students demonstrated moderate critical thinking (50.9%). Male students showed higher median scores across all domains of critical thinking, including personal (130 vs. 123), intellectual (148 vs. 145), interpersonal (71 vs. 62), and technical (21 vs. 19) domains.  However, the Mann–Whitney U test showed no statistically significant differences between male and female students in the personal (p = 0.396), intellectual (p = 0.759), interpersonal (p = 0.270), or technical (p = 0.523) domains. The Chi-square test showed a significant difference in the distribution of critical thinking levels by gender (χ²=6.276; p=0.043). Conclusion: Nursing students generally demonstrated moderate critical thinking, with intellectual skills strongest and technical skills weakest. Gender influenced overall level distribution but not domain scores, highlighting the need for adaptive, inclusive, and student-centered learning.  
Effectiveness of Combined Sandbag and Ice Pack Application in Reducing Hematoma and Pain After Femoral Sheath Removal in Patients Undergoing Percutaneous Coronary Intervention: A Randomized Controlled Trial Eka Tlaga Herawati; Cut Husna; Ardia Putra; Hilman Syarif; Adi Purnawarman
Indonesian Contemporary Nursing Journal (ICON Journal) Vol. 11 No. 1 (2026): Volume 11 Number 1 August 2026
Publisher : Faculty of Nursing, Universitas Hasanuddin

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20956/p5ky7h45

Abstract

Aims: Hematoma and pain are common complications in patients undergoing percutaneous coronary intervention (PCI) using a femoral sheath. Nonpharmacological interventions, such as sandbags and ice packs, are commonly used to promote hemostasis. This study aimed to compare the effectiveness of using a sandbag and an ice pack in reducing hematoma and pain after femoral sheath removal in patients undergoing PCI.  Methods: A single-blind randomized controlled trial (RCT) was conducted to compare hematoma size and pain level in post-PCI patients with femoral sheath across three intervention groups: (1) combined sandbag and ice pack (n=20), (2) sandbag only (n=20), and (3) ice pack only (n=20). Participants were randomly allocated using a Random Number Generator. The ice pack intervention was applied for 20 min, whereas the sandbag intervention was applied for 2 h. This study was conducted in three coronary wards with 60 participants. Hematoma size and pain level were the primary outcome measures. Hematoma size was measured using a measuring tape in millimeters (mm), and pain was assessed using the Numeric Rating Scale (NRS). Data were analyzed using the Kruskal–Wallis and Friedman tests. Results: The Kruskal–Wallis test showed no significant difference in hematoma size and pain scale at measurement 1 (0 min) and measurement 2 (20 min) among the three groups (p>0.05). However, significant differences were found at the 2 h assessment for hematoma size (p=0.011) and pain score (p=0.002), with large effect sizes ranging from 0.588 to 0.728. Post hoc analysis using the Mann–Whitney U test with Bonferroni correction showed that the combined sandbag and ice pack group had significantly greater reductions in hematoma size and pain than ice pack only group and the sandbag only group. No intervention-related discomfort or adverse responses were reported by the participants. Conclusion: The results of this study indicate that significant differences between the intervention groups began to emerge at the 2-hour mark, with a large effect size. The combined sandbag and ice pack was the most effective intervention for reducing hematoma size and pain level, followed by the ice pack-only and sandbag-only groups. Therefore, the combined sandbag and ice pack is recommended as the preferred intervention for post-PCI patients with a femoral sheath.  
The Integration of Artificial Intelligence in Nursing Education: A Narrative Literature Review Sisinyana Khunou; Carrine Prinsloo
Indonesian Contemporary Nursing Journal (ICON Journal) Vol. 11 No. 1 (2026): Volume 11 Number 1 August 2026
Publisher : Faculty of Nursing, Universitas Hasanuddin

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20956/3sa1v459

Abstract

Aims: This study aimed to synthesize the scientific literature on the integration of artificial intelligence (AI) into nursing education to significantly enhance learning outcomes. The application of AI in clinical teaching can enhance nursing students' preparation for a technologically advanced healthcare environment. Methods: This study used a narrative literature review. Key electronic databases, including CINAHL, MEDLINE, Scopus, and Google Scholar, were searched according to the PRISMA guidelines. The review included articles published between 2020 and 2024, written in English, and employing qualitative and quantitative research designs. The search items included AI, ChatGPT, challenges, opportunities, nursing education, technology, students, teaching, and learning. Data were synthesized by summarizing the main results of the included studies. Results: Ten studies met the inclusion criteria and were included in the review. The findings showed that AI can enhance clinical teaching, improve nursing students' self-efficacy, and support teaching and learning. However, challenges related to academic integrity, assessment quality, unequal access to AI, and inadequate skill development were also identified. Conclusion: The findings of this study revealed that the use of AI in nursing education is instrumental in improving the acquisition of clinical skills and teaching and learning. Nursing education institutions should create awareness of the safe use of AI. Furthermore, policies should be implemented to ensure that AI use is controlled and adequately monitored. All stakeholders, including patients, students, nurses, and nurse educators, should be developed and provided with adequate resources for effective AI implementation.  
Effectiveness of Self-Care Management–Based Interventions for Blood Pressure Control in Older Adults with Hypertension: A Systematic Review Reni Zulfitri; Puteri Dianti; Auliana Tesa
Indonesian Contemporary Nursing Journal (ICON Journal) Vol. 11 No. 1 (2026): Volume 11 Number 1 August 2026
Publisher : Faculty of Nursing, Universitas Hasanuddin

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20956/fdzvty03

Abstract

Aims: Hypertension is a prevalent chronic condition among older adults, yet blood pressure control remains suboptimal due to clinical complexity, limited health literacy, and treatment adherence challenges. Self-care management–based interventions have been promoted to improve patient engagement and blood pressure control. This systematic review evaluated the effectiveness of self-care management–based interventions in improving blood pressure control among older adults with hypertension. Methods: A systematic literature search was conducted in PubMed, Scopus, ScienceDirect, and Wiley Online Library following PRISMA 2020 guidelines. Randomized controlled trials and quasi-experimental studies evaluating self-care management–based interventions among older adults with hypertension were included. Risk of bias was assessed using the Cochrane Risk of Bias 2 tool and ROBINS-I tool, while methodological quality was appraised using the Joanna Briggs Institute (JBI) tools. Data were synthesized narratively. Results: Twelve studies met the inclusion criteria: seven randomized controlled trials and five quasi-experimental studies, mostly conducted in Asia. Interventions were predominantly multicomponent, incorporating structured education, home blood pressure monitoring, nurse-led support, family involvement, physical activity, and digital health technologies. Ten studies reported significant reductions in systolic blood pressure compared with usual care, whereas findings for diastolic blood pressure were less consistent. Several studies also demonstrated improvements in medication adherence, self-care behaviors, self-efficacy, and quality of life. Conclusion: Self-care management–based interventions effectively improve blood pressure control, particularly systolic blood pressure, among older adults with hypertension. Multicomponent interventions integrating home blood pressure monitoring, nurse-led support, and family involvement appear to be the most effective strategies for community and primary care settings.  
Mental Health Issues Related to Childcare Among Fathers in Okinawa Prefecture and Indonesia Naoki Hokama; Mayumi Sato; Andi Muhammad Fiqri Muslih Djaya; Kiyoko Imura; Seika Seto
Indonesian Contemporary Nursing Journal (ICON Journal) Vol. 11 No. 1 (2026): Volume 11 Number 1 August 2026
Publisher : Faculty of Nursing, Universitas Hasanuddin

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20956/tw10qx31

Abstract

This paper examines mental health issues related to fathers' childcare in Okinawa Prefecture and Indonesia based on existing research data. In Okinawa Prefecture, economic difficulties and lack of childcare knowledge have been identified as major factors increasing fathers' psychological burden, with particularly high risks in low-income households. Meanwhile, in Indonesia, strict role divisions based on religious teachings and father absence due to labor migration have profound impacts on the mental health of entire families. National surveys in Japan indicate that fathers' postpartum depression risk reaches 8-13%, with long working hours and sleep deprivation being major risk factors. While research specifically focused on fathers is limited in both regions, the necessity for comprehensive support including establishment of consultation services, expansion of childcare leave systems, and provision of childcare knowledge is suggested. This paper aims to clarify the characteristics of fathers' mental health issues in two regions with different cultural and economic backgrounds and provide insights for future support system development.  
Strengthening Evidence-Based Nursing Practice Erfina Erfina; Lisa McKenna
Indonesian Contemporary Nursing Journal (ICON Journal) Vol. 11 No. 1 (2026): Volume 11 Number 1 August 2026
Publisher : Faculty of Nursing, Universitas Hasanuddin

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20956/icon.v11i1.53384

Abstract

Evidence-based practice (EBP) involves a taking problem-solving approach to clinical care, integrating deliberate utilization of the most reliable scientific evidence, the expertise of clinicians, and the values of patients (Sladek & Phillips, 2004) to ensure safe and appropriate patient care. The World Health Organization has declared the promotion of EBP as a priority area to enhance the contribution of nurses to the health of citizens (World Health Organization, 2017). Numerous studies have suggested that incorporating EBP, not only enhances the quality of care provided by nurses, but also leads to improved health outcomes and safety for patients (Ratish, 2019). Evidence-Based Practice has emerged as a foundational concept in the development and implementation of healthcare systems worldwide. As EBP swiftly takes over the traditional authority-based model in healthcare decision-making, professionals are duty-bound to acquire knowledge, apply it in their practices, and guide others in its appropriate use (Melnyk, 2016)

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