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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 279 Documents
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APPLICATION OF THE CASE-BASED CONCEPT MAP METHOD TO ENHANCE CRITICAL THINKING AND CLINICAL REASONING SKILLS IN NURSE PROFESSIONAL STUDENTS Hikmi Muharromah Pratiwi; Desiyani Nani; Saryono Saryono
INDONESIAN NURSING JOURNAL OF EDUCATION AND CLINIC (INJEC) Vol 10, No 1 (2025): INJEC
Publisher : Asosiasi Institusi Pendidikan Ners Indonesia (AIPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24990/injec.v20i1.639

Abstract

Introduction: Critical thinking and clinical reasoning are essential competencies in delivering safe and effective nursing care. However, identifying effective learning strategies to foster these skills remains a challenge. This study aimed to examine the effectiveness of a case-based concept map method in improving critical thinking and clinical reasoning abilities among newly enrolled nurse professional students.Methods: This quasi-experimental study employed a one-group pre-test–post-test design without a control group. A total of 18 newly admitted nurse professional students were recruited using total sampling. The intervention involved developing concept maps based on clinical cases over one week. Clinical reasoning was assessed using quizzes with clinical vignettes, while critical thinking was measured using the Critical Thinking Disposition Inventory. Paired t-tests were used to evaluate the differences in scores before and after the intervention.Results: There was a significant improvement in total critical thinking scores following the intervention (t = 2.25, p = 0.038), particularly in the analytical and systematic thinking domains (t = 2.30, p = 0.023). Clinical reasoning scores also showed a marked increase post-intervention (t = 11.93, p < 0.001), with a mean difference of 9.56.Conclusion: The case-based concept map method is effective in enhancing both clinical reasoning and critical thinking skills among nurse professional students. Integrating this approach into nursing education may better prepare students for clinical practice by promoting deeper understanding and structured decision-making.
HOW GUIDED SELF-REFLECTION FOR NURSING STUDENT IMPROVE THEIR CRITICAL THINKING IN PRE-CLINIC STAGE Rona Cahyantari Merduaty; Aulia Addinillah Arum
INDONESIAN NURSING JOURNAL OF EDUCATION AND CLINIC (INJEC) Vol 10, No 1 (2025): INJEC
Publisher : Asosiasi Institusi Pendidikan Ners Indonesia (AIPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24990/injec.v20i1.572

Abstract

Introduction: Self-reflection proved to be effective in improving clinical performance and strength in formulating clinical opinions of nursing students. However, self-reflection has not been widely used in the practical learning process in the laboratory at the academic stage in Indonesia. This study aimed to examine the effectiveness of self-reflection assignments in improving nursing students' critical thinking skills during practical learning at the academic stage.Methods: The research method used in this study is a single-subject experimental design and used The Holistic Critical Thinking Scoring Rubric (HCTSR) as an instrument for assessing the respondent's self-reflection after performing two procedures taught in the laboratory. There were 12 nursing students, year 3 and 4, who were asked to write self-reflection using the two kind of guidelines and were given feedback after completing the first self-reflection. This study has been declared pass the ethical review according to the KET-201/UN2.F12.D1.2.1/PPM.00.02/2022 issued by the Ethics Committee of  Faculty of Nursing, Universitas Indonesia.Results: Study indicates that 7 for 12 nursing students perform a positive trend during the procedure by improving their HCTSR score each intervention day. In general, the visual analysis displays an increasing trend from the maximum score of 3 (strong critical thinking) in first self-reflection to maximum score of 4 (very strong critical thinking) in last self-reflection.Conclusion: Guided self-reflection assessment and feedback is effective in improving the critical thinking skills of nursing students who are undergoing practical learning at the academic stage. Guiding questions that are concise and contextual to practice in writing self-reflection, specific self-reflection assessment rubrics, and feedback from lecturer should be essential aspect of every nursing learning process, both at the academic and clinical stages.
EFFECT OF VISUAL ART AND PICO GAME ON EVIDENCE-BASED PRACTICE COMPETENCY AMONG NURSING PROFESSIONAL PROGRAMME STUDENTS Hasniatisari Haruni; Titis Kurniawan; Eka Afrima Sari; Nursiswati Nursiswati; Yusshy Kurnia Heliani
INDONESIAN NURSING JOURNAL OF EDUCATION AND CLINIC (INJEC) Vol 10, No 1 (2025): INJEC
Publisher : Asosiasi Institusi Pendidikan Ners Indonesia (AIPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24990/injec.v20i1.656

Abstract

Introduction Most nursing students in Indonesia require specialized competency training to implement evidence-based practice (EBP) in the clinical setting. Some literature revealed that art and game-based learning methods can improve students' skills and self-efficacy on the topics studied. Therefore, this study was conducted to evaluate the application of visual art plus the PICO game in improving EBP competence in nursing students.Methods: This study used a quantitative experimental design with a pretest-posttest one-group design approach. The study was conducted on 50 students at one of the nursing education institutions in Bandung, West Java, Indonesia, with a purposive sampling technique. The visual art plus PICO game intervention was given for 25 minutes by implementing drawing activities and card games. The EBP questionnaire consisting of eight questions was used as a research instrument to obtain data on students' EBP competence at the pretest and posttest. Demographic data was analyzed by descriptive statistical analysis, and the difference in EBP competence between the pretest and posttest was analyzed by independent t-test.Results: The data analysis results showed a significant difference in students' EBP competence before and after being given the visual art plus PICO game intervention (p<0.00). The mean score of students' EBP competence increased from 38.22 in the pretest to 41.56 in the posttest. Gender, grade point average, and learning style of students also influenced the results obtained in this study.Conclusion: Visual art and PICO game interventions were effective learning methods to improve students' EBP competence. Visual art plus the PICO game can be one of the options for learning methods to improve students' EBP competence.
THE EFFECTIVENESS OF BENSON RELAXATION TECHNIQUE AND SLOW DEEP BREATHING ON SLEEP QUALITY IN POST-CARDIAC SURGERY PATIENTS Nia Khusniyati; Tuti Herawati; Amelia Amelia; Hermin Esti Dyaningtyas
INDONESIAN NURSING JOURNAL OF EDUCATION AND CLINIC (INJEC) Vol 10, No 1 (2025): INJEC
Publisher : Asosiasi Institusi Pendidikan Ners Indonesia (AIPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24990/injec.v20i1.821

Abstract

Introduction: Patients recovering from cardiac surgery often experience pain, anxiety, and sleep disturbances. The Benson Relaxation Technique, a muscle relaxation method that influences the hypothalamus and reduces sympathetic and parasympathetic activity, has shown positive effects on respiratory function, heart rate, and cardiac workload, ultimately promoting better sleep quality.The purpose of this study was to assess the effectiveness of the Benson Relaxation Technique combined with slow deep breathing exercises in improving sleep quality among patients following cardiac surgery.Methods: This quasi-experimental study involved 50 post-cardiac surgery patients, divided into two groups: 25 in the intervention group and 25 in the control group. The intervention group practiced the Benson Relaxation Technique combined with slow deep breathing exercises, performed three times. Sleep quality was assessed using the GSQS (Groningen Sleep Quality Scale) questionnaire. Data were analyzed using an independent t-test with SPSS software.Results: Statistical analysis showed a significant improvement in sleep quality in the intervention group, with a p-value of 0.001. The independent t-test yielded a p-value of 0.002 and a mean difference of 0.960 between the intervention and control groups, indicating a meaningful effect of the relaxation technique on sleep quality.Conclusion: The Benson Relaxation Technique combined with slow deep breathing is effective in improving sleep quality among post-cardiac surgery patients. This non-pharmacological intervention can be recommended as a supportive therapy during recovery to enhance patient well-being and accelerate healing.
FACTORS ASSOCIATED WITH KNOWLEDGE, ATTITUDES, AND PRACTICES OF EVIDENCE-BASED PRACTICE (EBP) AMONG UNDERGRADUATE NURSING STUDENTS Ratna Wirawati Rosyida; Febriana Sartika Sari; Michael John Flores
INDONESIAN NURSING JOURNAL OF EDUCATION AND CLINIC (INJEC) Vol 10, No 1 (2025): INJEC
Publisher : Asosiasi Institusi Pendidikan Ners Indonesia (AIPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24990/injec.v20i1.759

Abstract

Introduction: Applying evidence-based practice (EBP) is a key competency in delivering high-quality nursing care. Understanding the factors that influence EBP among nursing students is essential for enhancing their readiness to apply EBP in clinical settings. This study aimed to identify factors associated with the knowledge, attitudes, and practices of EBP among undergraduate nursing students.Methods: A cross-sectional survey was conducted with 90 undergraduate nursing students at the School of Nursing, Health Polytechnic of Surakarta, Ministry of Health, Indonesia. Data were collected using demographic questionnaires and the Student Evidence-Based Practice Questionnaire (S-EBPQ) via Google Forms. Statistical analyses included Pearson's test, t-test, and ANOVA for normally distributed data, and Spearman rank, Wilcoxon, and Kruskal–Wallis tests for non-normally distributed data. Data normality was assessed using the Kolmogorov–Smirnov test.Results: The overall mean S-EBPQ score was 4.98 ± 1.3. Subscale scores were as follows: acquiring and reviewing evidence (4.82 ± 1.1), sharing and applying evidence (5.1 ± 1.2), attitude towards EBP (5.1 ± 1.6), and EBP practice (4.99 ± 1.2). Factors significantly associated with students' EBP knowledge, attitudes, and practices included knowledge of how to access databases, frequency of EBP-related reading, and understanding of nursing research (p < 0.05).Conclusion: Undergraduate nursing students’ engagement with EBP is significantly influenced by their ability to access databases, their frequency of reading EBP materials, and their understanding of nursing research. Educational strategies that strengthen these areas may enhance EBP competence in nursing education.
MEN’S HEALTH IN INDONESIA: BREAKING THE SILENCE Setho Hadisuyatmana, S.Kep.Ns., M.NS (CommHlth&PC)., Ph.D.
INDONESIAN NURSING JOURNAL OF EDUCATION AND CLINIC (INJEC) Vol 10, No 1 (2025): INJEC
Publisher : Asosiasi Institusi Pendidikan Ners Indonesia (AIPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24990/injec.v10i1.990

Abstract

Indonesia is burdened with the steadily increasing chronic diseases, and men are quietly bearing much of it. Despite this, men’s health remains an underpresented and under- addressed topic in both clinical practice and public health policy. This oversight contributes to disparities in life expectancy and lack health professional’s attention to their general health and well-being (Handayani et al., 2021; Mboi et al., 2022). A notable example is the underreported of cases of erectile dysfunction (ED)—a condition that is widely regarded as a significant marker of underlying cardiovascular disease (Hackett, G., 2018; Rakovac Tisdall et al., 2018). Despite its clinical significance, ED is often overlooked due to cultural taboos, limited provider training, overcrowding patients, and the absence of structured indications in the available guidelines (Hadisuyatmana et al., 2025).Our recent qualitative research sheds light on this silent burden. Interviews with men diagnosed with T2DM in several regions of Indonesia revealed a strong desire for support, yet an equally strong fear of judgment or dismissal (Hadisuyatmana et al., 2021).“I won’t go to a Puskesmas if I can avoid it. It’s always full of people and there is a very long queue.”“The Puskesmas was always busy, there will not be sufficient time for us to consult with the doctor.”This silence is echoed in the voices of healthcare professionals working at the frontlines in Puskesmas (Indonesia’s public health centers), who often feel ill-equipped to manage such issues despite their clinical relevance (Hadisuyatmana et al., 2025).“Personally, no patient has ever come to me for erectile dysfunction, and we’ve never asked them about it either,” – A nurse.“Based on my personal experience, they never asked us about ED,” – A doctor.This dual discomfort among patients and providers represents a critical gap in Indonesia’s primary healthcare system. Sexual health is not a luxury; it is a vital aspect of holistic care. ED, in particular, is not only a quality-of-life concern but often an early warning sign of cardiovascular complications. Unfortunately, sexual health is not currently covered under Indonesia’s national health insurance scheme (BPJS), leaving men with limited options and structured support for seeking care.“We told him to get his blood pressure as normal as possible and make his lifestyle healthier to prevent his ED from getting worse,” – A nurse (Hadisuyatmana et al., 2025).Fortunately, the Indonesian Ministry of Health has recently acknowledged the consequences of longstanding neglect of men’s health, including men’s poor quality of health and shorter average life expectancy compared with women (Yang J., 2021). This disparity is not purely biological; it reflects systemic neglect, and potentially causing Indonesia to fail to upholding its commitment to health equity as articulated in Sustainable Development Goal (SDG) No. 3: “Ensure healthy lives and promote well-being for all at all ages.”The Ministry’s recent recognition of this issue can be seen as a positive sign—marking a future direction for research, policy development, and service improvement to ensure health for all citizens and a better Indonesia. The attention can be interpreted as an opportunity, indicating a pathway forward for innovation in health services and greater equity in care.However, this moment must also be viewed through a sceptical lens. As researchers, we bear the responsibility to ensure that such acknowledgements do not become rhetorical statements. Pioneering research and development must begin now, grounded in action, evidence, and accountability.Policy and system-level reforms are urgently needed, including: Integration of men’s sexual health into chronic disease management guidelines,particularly within the Ministry of Health’s T2DM protocols.Structured training for primary care providers to discuss men’s health and sexual dysfunction with sensitivity and clinical confidence.Public health campaigns that reduce stigma and encourage men to seek help early before complications arise.Inclusion of men’s health in national health indicators, ensuring equitable planning and resource allocation.Without deliberate attention to men’s unique health needs, we risk delivering incomplete care and worsening gender-based health inequities. Silence is not neutral—it is harmful. These emerging concerns drive the need to build a responsive, inclusive, and empathetic health system. Now is the time to break the silence on men’s health in Indonesia.
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.

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