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INDONESIA
Indonesian Nursing Journal of Education and Clinic (Jurnal Pendidikan dan Praktik Keperawatan Indonesia)
Published by Asosiasi Institusi Pendidikan Ners Indonesia
ISSN : 25278800     EISSN : 25278819     DOI : http://dx.doi.org/10.24990/injec.v7i1.418
Core Subject : Health,
Nursing
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. INJEC covers a wide range of nursing topics such as nursing education, clinical practice, advanced nursing issue and policy related to the nursing profession. This journal publishes two issues per year in June and December. INJEC intended readership includes a nurse educator, researcher, manager, and nurse practitioner at all levels.
Arjuna Subject : Kedokteran - Kedokteran (Lain-Lain)
Articles 13 Documents
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Search results for , issue "Vol 10, No 2 (2025): INJEC" : 13 Documents clear
Literature Review: Prevention and Control Innovations to Reduce Stunting in Children Under Five Years Old Deanisa Rahmawati
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.v10i2.659

Abstract

Introduction: In Indonesia, one of the biggest nutritional problems for infants and children under two years old is stunting. Currently, the prevalence of stunting in Indonesia is 21.6%, while the target to be achieved is 14% by 2024. The challenge faced by families today is no longer a population explosion, but the problem of inequality and how to improve quality, especially in terms of accelerating the reduction of stunting. This paper tries to analyze several interventions that can be given to children who are stunted. The main factor that triggers the high stunting rate is the lack of nutritional intake consumed by mothers and infants.Methods: In this literature review search, we found 5 aligned journal articles from Google Scholar and Pubmed databases. Which we then used to analyze several innovations or ways to overcome the problem of stunting in children.Results: The mother's own commitment and enthusiasm are needed to improve her own health and her child's nutritional intake. Changes in children's weight, height, and head circumference occurred after receiving nutrition interventions. Conclusion: Based on the analysis, it can be concluded that nutritional interventions, improving access to clean water and sanitation, and providing education have an effect in reducing stunting rates in Indonesia.
The Effectiveness of the Family-Centered Care (FCC) Educational Model as a Clinical Learning Strategy for the Prevention of Anemia and Stunting Darmawati Darmawati; Mira Rizkia; Sufriani Sufriani; Mariatul Kiftia; Elka Halifah; Zulkarnaini Zulkarnaini
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.v10i2.1006

Abstract

Introduction: Anemia in pregnancy and stunting in children are interrelated public health problems. This study aimed to evaluate the effectiveness of the Family Centered Care (FCC) educational model as a clinical learning strategy to prevent anemia and stunting.Method: An experimental study with a randomized control design was conducted among 93 third-trimester pregnant women selected through total sampling. Participants were randomly assigned to the intervention group (n = 46) and the control group (n = 47). The intervention group received FCC-based education emphasizing family participation, collaboration, information sharing, and respect, while the control group received standard care. Data were collected before and after the intervention using validated questionnaires, anthropometric measurements, and hemoglobin tests. Data were analyzed using Wilcoxon, Mann–Whitney U, and Independent t-tests with a significance level of p < 0.05.Results: The intervention significantly improved knowledge about anemia (mean difference = +5.50, p < 0.001) and stunting (+2.46, p < 0.001). Hemoglobin levels increased from 10.97 ± 1.23 g/dL to 12.30 ± 1.19 g/dL (p < 0.001), while the control group showed a decline. Height-for-age Z-scores (HAZ) improved within the intervention group (p = 0.002), though between-group differences were not significant (p = 0.909).Conclusion: The Family Centered Care educational model effectively enhanced maternal knowledge and hemoglobin levels, contributing to anemia prevention. It shows potential for improving child growth outcomes.
THE IMPACT OF FLIPBOOK MEDIA ON THE SELF-AWARENESS AND SELF-MANAGEMENT OF NURSING STUDENTS IN PRACTICAL LEARNING Innez Karunia Mustikarani; Lut Fika Daru Azmi; Apri Nur Wulandari
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.v10i2.1012

Abstract

Introduction: Self-management and self-awareness skills, especially in practical learning, must be owned by students. Flipbook is one of the media that helps students and lecturers in teaching and learning activities. This study aims to determine the impact of Flipbook media on the self-awareness and self-management of nursing students in participating in practical learning.Method: The research design used a quasi-experimental pretest-posttest without a control group. The development of digital modules in the form of flipbooks was based on the use of conventional modules during practical learning. The self-awareness and self-management questionnaires used were adapted from Masi, et.al. (2021). The research sample consisted of 186 respondents who were third-semester students of the Nursing Undergraduate Program, taking the Maternity Nursing course, participating in the practical learning process, and completing the pre- and post-test questionnaires. The study was conducted in September 2025 at nursing campus in Semarang. Data were analyzed using the Wilcoxon Signed-ranked test.Results: The results showed that Flipbook media had no effect on nursing students' self-awareness in participating in practical learning (p=0.180 (p>0.05)). However, there was an effect of the Flipbook media on the self-management of nursing students in participating in practical learning (p=0.05). Self-awareness scores tended to increase by 4.6 points and self-management scores increase 1.4 points.Conclusion: Flipbook media did not affect the self-awareness of nursing students in participating in practical learning, while there was an effect of Flipbook media on the self-management of nursing students in participating in practical learning.
Implementation of Interdisciplinary Home Visit Services to Enhance the Quality of Life for Elderly with Dementia in Yogyakarta Mei Rianita Elfrida Sinaga; Vivi Retno Intening; Joel Rey Acob
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.v10i2.1030

Abstract

Introduction: Dementia is rapidly increasing in low- and middle-income settings. Elderly individuals with dementia often experience a decline in quality of life due to limitations in cognitive, physical, and social functions. Interdisciplinary Home Visits (IHV) promise support for elderly dementia patients and their families, but evidence and evaluations of their implementation in Yogyakarta, Indonesia, are still scarce. This study aims to implement and evaluate the effectiveness of IHV in improving the quality of life for elderly individuals with dementia in Yogyakarta.Method: A quasi-experimental approach with a pretest-posttest design without a control group was applied in this study. The IHV team consists of nurses, physical therapists, and informal caregivers. The purposive sampling technique was applied to 30 elderly individuals with dementia who were willing to participate in the series of research activities. The IHV program intervention was conducted over four weeks, with program assessment, implementation, and evaluation stages based on the needs of elderly individuals with dementia. Quality of life assessment was conducted using the Indonesian version of the WHOQoL-BREF questionnaire, which includes four domains: physical, psychological, social, and environmental. Data analysis was performed using the Wilcoxon test.Result: There was an improvement in all domains of quality of life for the elderly, with Z (p) results of physical -4.798 (p<0.001), psychological -4.804 (p<0.001), social -4.736 (p<0.001), environmental -4.437 (p<0.001), and r values of 0.876, 0.877, 0.865, and 0.810.Conclusion: Interdisciplinary Home Visit (IHV) has a significant impact on improving the quality of life for elderly individuals with dementia across all physical, psychological, social, and environmental domains. These findings support scaling up and conducting controlled trials to ensure effectiveness and sustainability in primary care in Indonesia.
Application of Integrated Nursing Intervention Model to Prevent Bullying Behaviour in Adolescent Children at SMA 6 Semarang Sri Hartini Mardi Asih; Asti Nuraeni Nuraeni; Dayat Trihadi Trihadi
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.v10i2.672

Abstract

ABSTRACT.Introduction: The Integrated Nursing Intervention Model was applied to adolescent children at SMA 6 Semarang to prevent bullying. Bullying behavior is a severe problem, and its impact on adolescents, families and schools. This study aimed to determine the effectiveness of implementing an integrated nursing intervention model to improve adolescents' developmental abilities and self-identity, improve self-concept, increase self-acceptance and ability to manage emotions. Interventions are carried out to build emotional closeness, such as building effective communication in managing emotions to reduce aggressive behavior. Method: This study used an operational research design with three stages: stage I problem identification, stage II model and module development, stage III trial of the integrated nursing intervention model to prevent bullying behavior using a quantitative quasi- experimental research study pre-postest with control group design, the research subjects were adolescents aged 13-15 years. The sample totaled 124 adolescents. The focus of this nursing intervention model is promotive and preventive bullying behavior.  Results: The results of applying the integrated nursing intervention model effectively improve the ability to develop adolescents' self-identity, self-concept, and self-acceptance after receiving integrated nursing interventions. In contrast, those who do not receive interventions do not significantly improve. The integrated nursing intervention model is a form of nursing service intervention in the community by adjusting adolescent growth and development stages.  Conclusions: This study provides input to the government to optimize the synergy between ministries in implementing the bullying behavior prevention intervention model as an alternative to promotive and preventive efforts for bullying problems adequately and appropriately
Enhancing Research Self-Efficacy among Nursing Students: Findings from A Short Educational Intervention Juanita Juanita
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.v10i2.606

Abstract

Introduction: Research self-efficacy is the degree to which students believe they are capable of learning or accomplishing an undergraduate thesis within a specific area of research. The undergraduates who had a high sense of self-efficacy, can complete academic writing on time.Method: This study designed was a quasy quasi-experimental study used a one-group pre-test and post-test design to examine the effect of a educational program on research self-efficacy among nursing students who are completing the undergradute thesis. The ninety students who were eligible was envolved in this program. The study consists of 2 stages, including stage 1: forming an intervention group and assessing the level of student self-efficacy, and  stage 2 consist of 5 sessions. Research Self-Efficacy Scale (RSS) was used to examine the students self efficacy before and after the program, this scale consist of 18 items with 5 point likert scale. Wilcoxon signed rank was used to analyze the effectiveness of the program.Results: This study found that the experimental group had significantly higher research self-efficacy group after participating in this program (Z = -5.821;  p< .05), and the mean research self-efficacy score after the intervension was higher (M = 71.03; SD = 7.48) than before the intervension (M = 66.17; SD = 6.99).Conclusion: the educational program in the current study significantly enhanced research self-efficacy among nursing students. Therefore, it was needed to conduct this program in another school in order to enhance the research self-efficacy among students.
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.
Effect of Foot Massage Therapy on Fatigue Level of Chronic Kidney Failure Patients Undergoing Hemodialysis: A Rapid Review Putri Karisa; Rezka Bahlail; Bambang Aditya Nugraha; Teni Sutianingsih
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.v10i2.658

Abstract

Introduction: Fatigue is a common symptom in chronic renal failure patients undergoing hemodialysis. Fatigue has a negative impact on quality of life and general physical condition. There is a need for a treatment method that is easy, inexpensive, and can be done independently by families or caregivers to reduce the level of fatigue of chronic renal failure patients before, during and after hemodialysis. Aim: This study aims to determine the effect of foot massage on fatigue in CKD failure clients undergoing hemodialysis. Massage therapy is an alternative solution that can reduce fatigue levels. Methods: This study used a rapid review approach with the 2020 PRISMA guideline. Performed by searching articles from the PubMed, CINAHL, SAGE Journal, and Tandfonline databases and the Google Scholar search engine. The keywords used were chronic kidney disease, massage therapy, fatigue, and chronic kidney failure, massage therapy, and fatigue. Articles included in the study were full-text articles in English and Bahasa Indonesia, randomized control trial (RCT) and quasi-experimental study designs within the last five years (2018-2023), and focused on adult clients with chronic renal failure undergoing hemodialysis. Result: Seven articles analyzed found that massage therapy can reduce the fatigue level of chronic renal failure patients undergoing hemodialysis. The therapy time can be given with a duration of 15-60 minutes with a frequency of 2-3 times a week for 3-9 weeks. Conclusion: This intervention can be a recommendation for nurses to teach families about foot massage therapy. Further research is needed on the long-term benefits and family or caregiver involvement in its implementation and comparing the benefits of foot massage therapy with other complementary therapies to overcome fatigue in patients with chronic renal failure.
The Effect of AI-Generated Case Studies on the Knowledge and Satisfaction of Psychiatry Nursing Students Rohman Hikmat; Popy Siti Aisyah; Endah Yuliany Rahmawati; Helmy Hazmi
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.v10i2.1001

Abstract

Background: Artificial intelligence (AI) is increasingly being utilized in higher education nursing to assist in the delivery of complex content, such as psychiatric nursing. AI-generated case studies are clinical case studies created by an OpenAI GPT-4-based AI system, designed to provide contextual, adaptive, and relevant learning scenarios for clinical practice. The case content was validated by three psychiatric nursing lecturers and selected based on its relevance to course learning outcomes. However, empirical evidence regarding the effectiveness of this approach in psychiatric nursing education remains limited.Objective: To determine the effect of AI-generated case studies-based learning on improving psychiatric nursing knowledge and student learning satisfaction.Method: This study used a quasi-experimental design with a non-equivalent control group and a pretest–Post-test approach. The sample consisted of 80 undergraduate nursing students (inclusion: having completed at least 75% of the psychiatric nursing theory material; exclusion: not attending ≥1 learning session), divided purposively into an intervention group (n = 40) and a control group (n = 40). The intervention consisted of three 90-minute AI-generated case study sessions, each with small group work, structured discussions facilitated by the lecturer, direct feedback, and a short quiz at the end of the session. Knowledge was measured with 10 multiple-choice questions, and learning satisfaction was measured using the Nursing Student Satisfaction Scale. Data were non-normally distributed (p < 0.05, Shapiro–Wilk test), therefore, they were analyzed using the Wilcoxon Signed-Rank and Mann–Whitney U tests.Results: The intervention group experienced a significant increase in knowledge scores (median pretest = 6, Post-test = 9; Z = –5.612; p < 0.001), while the control group did not (median pretest = 6, Post-test = 7; Z = –1.923; p = 0.054). The difference in Post-test scores between groups was significant (U = 428.0; p < 0.001). Learning satisfaction scores were also higher in the intervention group (median = 82.5) than in the control group (median = 78.0), although approaching statistical significance (U = 642.5; p = 0.052).Conclusion: AI-generated case studies-based learning significantly improves psychiatric nursing knowledge and tends to increase student learning satisfaction compared to conventional methods.
The Effect Of Implementing The Resilience Behavioral Model On The Academic Resilience Of Nursing Students GRATSIA VICTORIA FERNANDEZ; Theodehild M. Theresia Dee; Andi Buanasari
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.v10i2.781

Abstract

Introduction: Academic resilience helps nursing students overcome educational and practical challenges. The resilience behavior model focuses on their mental health, creating a supportive and positive educational environment. This study aimed to analyze the effect of implementing the resilience behavior model on the academic resilience of nursing students.Method: The study employs a quasi-experimental design with a pre-test and post-test with control group. The sampling technique in this study was purposive sampling with a total sample of 96 first year nursing students (48 people for each intervention and control group). Resilience training was given to the treatment group. The instrument used in this research was The Academic Resilience Scale-24. The Wilcoxon and Mann-Whitney analysis tests were used in this study to determine the differences in one pre-post paired group and to analyze changes after intervention between two different groups (post-post intervention).Results: The results showed significant changes in the level of academic resilience before and after the intervention for four weeks. The intervention group showed a p value = 0.000 which indicated a significant increase in the level of academic resilience. In contrast, the p value in the control group was 1.000, indicating no significant change without intervention.Conclusions: There is an effect of implementing the resilience behavior model on the academic resilience of nursing students. This academic resilience training activity is suitable to be applied as an activity to enhance the academic resilience of nursing students in educational institutions.

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