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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 311 Documents
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ANALYSIS OF THE FACTORS AFFECTING MOTIVATION WOMEN OF CHILDBEARING AGE FOR VISUAL INSPECTION (VIA) TEST Ainul Hidayati; Wike Rosalini; Umi Sukowati
INDONESIAN NURSING JOURNAL OF EDUCATION AND CLINIC (INJEC) Vol 11, No 2 (2026): INJEC
Publisher : Asosiasi Institusi Pendidikan Ners Indonesia (AIPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24990/injec.v11i2.592

Abstract

Introduction: The Global Burden of Cancer (GLOBOCAN) released by WHO states that cancer deaths are expected to continue to increase to more than 13.1 million in 2030, cervical cancer is one of the most common cancers in Indonesia. One in eight and one in eleven of these women will die of cancer. One strategy for cervical cancer prevention is early detection through a visual inspection test with Acetic Acid (VIA). This research is to analyze the factors that influence the motivation women of childbearing age of in the IVA Test.Methods: The research method used a cross-sectional design. The sampling technique used purposive sampling with 116 women of childbearing age. who met the inclusion and exclusion criteria. Data collection instrument using a questionnaire. The data is analyzed using chi-square and multiple logistic regression.Results: The results showed that parity, education, knowledge had a significant relationship to motivation in the VIA Test, while age, economic status, husband's support and attitude had no significant relationship (p<0,05). Results obtained by multiple logistic regression analysis found significant relationship between parity (pvalue = 0.047; OR = 0.253) against motivation women of childbearing age for VIA test examination. While age, economic status and education are confounding variables. Multivariate analysis showed that the parity of barriers is the dominant factor motivation women of childbearing age for VIA test examination.Conclusions: The study found a significant relationship between parity and the motivation of fertile women in the IVA Test. Therefore, parity in high-risk mothers (> 2 children) should have more motivation Motivation to comply with the IVA Test. Therefore, a continuous health education and communication strategy is an effort to overcome the lack of appeals to women of childbearing age for IVA Test examination.
The Influence of Caring Leadership on Institutional and Student Readiness to Implement National Standardized OSCE Luky Dwiantoro; Wiwin Nur Aeni; Herry Setiawan
INDONESIAN NURSING JOURNAL OF EDUCATION AND CLINIC (INJEC) Vol 11, No 2 (2026): INJEC
Publisher : Asosiasi Institusi Pendidikan Ners Indonesia (AIPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24990/injec.v11i2.802

Abstract

Introduction : The majority of nursing educational institutions in Indonesia are still in the process of perfecting the implementation of national standardized OSCE. Leadership has a strong influence on organizational performance. The purpose of the study was to identify the influence of caring leadership on institutional and student readiness to implement national standardized OSCEMethod: The study used a quasi-experimental pre and post test design with a control group. A sample of 107 lecturers and 120 nursing professional program students from 6 universities (2 state universities, 2 private universities and 2 STIKES) covering 4 provinces in Indonesia. Three universities as the intervention group and three others as the control group. Sampling was carried out consecutively. Measurements used a questionnaire with a Likert scale, Data analysis used Man-Whitney and Wilcoxon.Results: The study found that caring leadership increased significantly in the intervention group (P-value = 0.01) after being given socialization of the implementation of caring leadership. Institutions in the intervention group were more prepared to implement national standardized OSCE than the control group (P-value = 0.001). The readiness of students in the intervention group to carry out the national OSCE in a composite manner was higher (P=value = 0.01) compared to the control group.Conclusion: Caring leadership is able to increase the readiness of institutions and students to carry out the national standardized OSCE in a composite manner in the intervention group.
Perceptions and Motivations for Choosing Nursing as a Career among First-Year Student Nurses and Midwives at a Public Nursing Training College in Northern Ghana Rashidatu Monne; Mudasir Mohammed Ibrahim; Ensinbe Samuel; Ocansey Veronica Kabukie; Kichasu Justice; Moro Rakia; Abubakari Wuni
INDONESIAN NURSING JOURNAL OF EDUCATION AND CLINIC (INJEC) Vol 11, No 2 (2026): INJEC
Publisher : Asosiasi Institusi Pendidikan Ners Indonesia (AIPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24990/injec.v11i2.814

Abstract

Introduction: Ghana has seen a significant increase in enrollment in college nursing programs. This study aimed to assess perceptions and motivations for choosing nursing as a career among first-year student nurses and midwives.Method: The study adopted a cross-sectional design. Data were collected from 270 students through a structured questionnaire using simple random sampling method. Data were analyzed using JMP Professional Statistical Software.Results: The findings revealed a positive perception of nursing as a career among students (4.17 ± 0.56). A significant majority, 97.4%, agreed that nursing is a profession that facilitates ongoing personal and professional development; 97.0% viewed nursing as a unique profession, and 89.6% regarded it as a well-respected career. In terms of motivations for selecting nursing, 98.5% expressed that the profession allows them to connect with diverse individuals, 97.8% indicated a desire to develop skills in caring for the sick, and 94.8% demonstrated a strong interest in educating others about health. One-way ANOVA analysis revealed no significant association between students' perceptions of nursing and their prior experiences or familiarity with the field (p > 0.05). However, Pearson correlation analysis indicated that motivations for choosing nursing positively influence perception of nursing as a career among students (r = 0.63, p < 0.0001).Conclusions: This study recommends that nursing training institutions collaborate with healthcare facilities, community organizations, and other stakeholders to enhance the educational experience for first-year nursing and midwifery students.
TABLE-TOP EXERCISES INCREASE THE UNDERSTANDING, INTEREST, BENEFITS AND EXPECTATIONS OF NURSING STUDENTS TOWARDS LEARNING INTEGRATED EMERGENCY MANAGEMENT SYSTEMS Riza Fikriana; Al Afik; Abdul Rohman
INDONESIAN NURSING JOURNAL OF EDUCATION AND CLINIC (INJEC) Vol 11, No 2 (2026): INJEC
Publisher : Asosiasi Institusi Pendidikan Ners Indonesia (AIPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24990/injec.v11i2.669

Abstract

Introduction: The Project Based Learning (PBL) model is effective in improving the competence of nursing students. Table-Top Exercises is one of the PBL model approaches that can be used to learn integrated emergency management systems. The purpose of this study was to explore the experience of nursing students in participating in learning an integrated emergency management system with a Table-Top Exercises approach.Method: Research using qualitative design with phenomenological approach conducted in nursing education institutions in Malang area. The participants involved were 15 nursing students, taken by purposive sampling techniques. Data collection through semi-structure interviews. Data analysis of interview results was carried out through transcripts which were then used to determine the theme of research results.Results: The results illustrate that there are four themes of nursing students' experiences in participating in learning  an integrated emergency management system with  a Table-Top Exercises approach  , including: ability to understand the material, interest in methods, perceived benefits and expectations. Conclusions: Learning an integrated emergency management system with a Table-Top Exercises approach can improve the ability to understand the material, interest in the methods used, feel the benefits more effectively and expect for follow-up to be carried out in learning on campus. 
Project-Based Learning as A Strategy to Increase Self-Directed Learning and Learning Creativity of Undergraduate Nursing Students Erni Samutri
INDONESIAN NURSING JOURNAL OF EDUCATION AND CLINIC (INJEC) Vol 11, No 2 (2026): INJEC
Publisher : Asosiasi Institusi Pendidikan Ners Indonesia (AIPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24990/injec.v11i2.806

Abstract

Background: One learning strategy that may develop a self-directed learner is the project-based learning method. The purpose of this study is to determine the effect of project-based learning (PjBL) on undergraduate student’s Self-Directed Learning (SDL) and learning creativity.Methods: The study used a non-equivalent control group design, conducted on May 2024. The eligible participants were undergraduate nursing students at 6th semester in Universitas Alma Ata. Control group participants consist of 64 participants and were given traditional lecture (TL), while experiment group consist of 59 participants and were given PjBL by designing flashcard for health promotion in children and family. Self- directed learning was assessed using Self-Directed Learning Instrument, while learning creativity was assessed using a learning creativity questionnaire. The changes on variables were analyzed used Wilcoxon test and Mann-Whitney test. Results: Self-directed learning and learning creativity mean score in the PjBL group (79.74 ± 10.98 and 50.47±10.36, respectively) was higher than that of the TL group (75.80 ± 9.55 and 47.58±8.79, respectively) following the intervention. In comparison of scores before and after intervention, PjBL not significantly (p=0.160) increased SDL, while significantly increase learning creativity (p=0.032). In comparison with TL, PjBL has better increase student’s SDL and learning creativity, but only significant on SDL (p=0.038). Conclusion: Project-based learning by designing flashcard is effective in enhancing student creative learning and SDL. Study program was suggested to designing projects that allow students to actively involved in the learning process, develop ideas, and create real products, thereby fostering creativity through hands-on experiences.
Intervention of Health Promotion Model Through Participatory Empowerment of Digital-Based Cadres on The Prevention Behavior of Low Birth Weight Babies (LBWB) Anafrin Yugistyowati; Erni Samutri
INDONESIAN NURSING JOURNAL OF EDUCATION AND CLINIC (INJEC) Vol 11, No 2 (2026): INJEC
Publisher : Asosiasi Institusi Pendidikan Ners Indonesia (AIPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24990/injec.v11i2.817

Abstract

Introduction: WHO data shows that 15 million babies are born with low birth weight (LBW) each year, and this number continues to rise. The challenge faced is how to improve healthy living behaviors during pregnancy and early detection of pregnancy risks. The issue of low birth weight is very serious and requires handling through strengthening promotional and preventive measures provided to pregnant women. The role of health cadres is also very important as providers of information and community mobilizers. Therefore, there is a need for effective digital-based empowerment methods for health cadres to improve preventive health behaviors against the occurrence of LBW. This research aims to analyze the effectiveness of a health promotion intervention model through the participatory empowerment of digital-based health cadres in preventing LBW incidentsMethods: A Quasi-Experimental research design with a Non-Equivalent Control Group Design involving 70 health cadre respondents (n: 35 in each intervention and control group) using Purposive Sampling technique, with inclusion criteria for cadres who are active; aged between 25 to 49 years; have at least a junior high school education; and possess a smartphone with a strong internet connection. The research instrument consists of a sociodemographic questionnaire, knowledge, attitudes, and the roles of cadres that have been tested for validity and reliability. Educational media in the form of a website-based e-module on the prevention of LBW. Test the normality of the data using the Shapiro-Wilk test and analyze the data using the Wilcoxon test, Mann-Whitney test, Paired t-Test, and Independent t-Test.Results: The statistical test results indicate a significant effect with knowledge, attitudes, and the role of cadres showing a p-value of 0.000 (p-value<0.05); this means that the digital-based participatory empowerment model for cadres is more effective in improving the behavior of preventing LBW incidents. The Mann-Whitney test results show that the average knowledge in both groups indicates a significant difference, with a mean value of 44.21 in the intervention group being higher than the control group, which has a mean value of 26.79 (p-value=0.000). The Independent t-Test results show that there is no statistically significant difference in the average attitudes and roles of cadres between the intervention and control groups (p-value>0.05).Conclusion: The model of participatory empowerment of cadres through digital-based training activities and cadre mentoring, along with the use of educational media in the form of e-modules, represents an innovation that can be implemented by health workers and cadres in efforts to promote health regarding the prevention of LBW incidents among pregnant women. 
EFFECTIVENESS OF USING VIRTUAL REALITY IN NURSING EDUCATION SIMULATION ON NURSING STUDENT COMPETENCE Eva Winda Sarma; Rr. Tutik Sri Haryati
INDONESIAN NURSING JOURNAL OF EDUCATION AND CLINIC (INJEC) Vol 11, No 2 (2026): INJEC
Publisher : Asosiasi Institusi Pendidikan Ners Indonesia (AIPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24990/injec.v11i2.674

Abstract

ntroduction: Virtual reality has become an alternative learning method in nursing education, particularly in developed countries, as a solution to issues such as limited practice facilities, patient safety and infection concerns, pandemics, and the cost inefficiencies of modern simulation technology. The purpose of this study is to investigate the effectiveness of using virtual reality in nursing education simulations on nursing student competence.Method: This study is a literature review that select articles from Scopus and Ebsco databases search. Search strategy using keywords "virtual reality", "augmented reality", "nursing education", and "nursing simulation". From the search results obtained, the author filters articles based on the following criteria, namely quantitative research, publication year within 2018 – 2023, research in the field of nursing, academic journal, available full text, article in English, and not duplicate. After that, the author reviews the title and abstract and selects articles based on eligibility criteria, namely research variables containing article title variables, immersive virtual reality in nursing education, sample size greater than or equal to 50, and nursing students as research subjects. Results: From database search, the author got 2671 articles. After doing the filter, the author got 139 articles. Based on eligibility criteria, there were 10 selected articles. From the analysis of the 10 selected articles, it can be concluded that virtual reality is effective in enhancing nursing student competence, as assessed in terms of knowledge, self-efficacy, learning satisfaction, clinical reasoning abilities, as well as skills and performance. Conclusions: Virtual reality is effective in enhancing nursing student competence.
Attitudes and Factors Influencing the Nursing Professional Program Students’ Toward Vital Signs Monitoring Maria Komariah
INDONESIAN NURSING JOURNAL OF EDUCATION AND CLINIC (INJEC) Vol 11, No 2 (2026): INJEC
Publisher : Asosiasi Institusi Pendidikan Ners Indonesia (AIPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24990/injec.v11i2.1028

Abstract

Introduction: Monitoring vital signs (VS) is a key nursing responsibility for early detection of clinical deterioration and ensuring patient safety. Although VS measurements—such as body temperature, pulse, respiratory rate, and blood pressure—are simple, they are essential indicators. Nursing students are introduced to VS monitoring early in their education, but their attitudes vary depending on individual and contextual factors.Method: This cross-sectional and descriptive study included all active professional nursing students at Universitas Padjadjaran, Universitas Muhammadiyah Kalimantan Timur, Universitas Riau, and Universitas Advent Indonesia using total sampling. Data were collected online from July to August 2025 via an anonymous questionnaire containing demographic questions and the 16-item V-Scale across five domains. Attitudes were measured using a five-point Likert scale, and data were analyzed with SPSS 26 using descriptive statistics.Results: Most students showed moderate (59.5%) or positive (40.5%) attitudes, with no negative attitudes. In the five dimensions, the majority reported moderate attitudes in workload, technology, knowledge, and key indicators, while almost all students showed positive attitudes in communication (93.5%).Conclusions: Nursing students generally hold moderate to positive attitudes toward VS monitoring. Although demographic factors did not significantly affect overall attitudes, certain variables influenced specific dimensions, indicating the multidimensional nature of attitudes. Promoting positive attitudes requires enhancing knowledge, reinforcing professional values, and providing clinical experience-based coping strategies through a holistic educational approach.
THE EFFECT OF EDUCATION THROUGH ANIMATED VIDEOS ON ARTERIOVENOUS FISTULA (AVF) ACCESS SELF-CARE IN HEMODIALYSIS PATIENTS Fahra Bazillah Hanafiah; Nata Ristantia; Gina Nurdina
INDONESIAN NURSING JOURNAL OF EDUCATION AND CLINIC (INJEC) Vol 11, No 2 (2026): INJEC
Publisher : Asosiasi Institusi Pendidikan Ners Indonesia (AIPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24990/injec.v11i2.1136

Abstract

Introduction : Arteriovenous fistula (AVF) is the preferred vascular access for patients undergoing hemodialysis because of its lower complication rates and better long-term patency. However, inadequate self-care behaviors remain a major cause of AVF complications, including thrombosis, infection, and vascular access failure. Animated video-based education has emerged as a promising educational strategy to improve patient understanding and self-care behavior. Methods : A quasi-experimental study with a pretest–posttest control group design was conducted among 80 hemodialysis patients in a tertiary hospital in Bandung, Indonesia, from November 2025 to January 2026. Participants were assigned into an intervention group (n = 40) receiving animated video-based education in addition to routine nursing education and a control group (n = 40) receiving routine education only. Data were collected using the Scale of Assessment of Self-Care Behaviors with Arteriovenous Fistula in Hemodialysis (ASBHD-AVF). Data were analyzed using paired t-tests, repeated-measures ANOVA, and multiple linear regression. Results : The intervention group demonstrated a significant improvement in AVF self-care behavior scores from 45.68 ± 6.42 at baseline to 67.45 ± 5.73 after the intervention (p < .001), whereas the control group showed only minimal improvement. Repeated-measures ANOVA revealed a significant interaction effect between group and time (F = 86.47, p < .001) with a large effect size (partial η² = .526). Multiple linear regression analysis identified participation in animated video education as the strongest predictor of post-intervention AVF self-care behavior (β = .641, p < .001). Participants also reported positive perceptions regarding the clarity and usefulness of the animated videos. Conclusion : Education through animated videos significantly improved AVF access self-care behaviors among patients undergoing hemodialysis and may serve as an innovative nursing educational strategy to enhance patient self-management.
Usability Testing Of Chemond Application ( Chemotherapy Monitoring) And Education ) And Knowledge Of Cancer Patients Who Will Undergo Chemotherapy Triyanto, Arifin; Haryani, Haryani; Alda, Atikah Kurnia; Arofah, Salwa Nada Agfi
INDONESIAN NURSING JOURNAL OF EDUCATION AND CLINIC (INJEC) Vol 11, No 2 (2026): INJEC
Publisher : Asosiasi Institusi Pendidikan Ners Indonesia (AIPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24990/injec.v11i2.822

Abstract

Introduction: Chemotherapy is one of the cancer treatments, which often causes disturbing side effects. Educational knowledge about chemotherapy can reduce anxiety and increase patient knowledge. Digital-based health applications, such as CheMonD, show great potential in improving the quality of cancer patients during chemotherapy. This study aims to determine the effect of chemotherapy education through digital supportive services in the form of application CheMonD to knowledge patient which will undergo chemotherapy and assess the satisfaction of users of these services.Method: research is a usability testing with a quasi-experiment using a post-test design conducted in the Nakula 5 One Day Care Room: Chemotherapy RSA UGM , Yogyakarta. Inclusion criteria: patients which get chemotherapy first, age ≥ 18 year, score Karnofsky > 50, able to communicate effectively and willing to be involved in the study. Exclusion criteria were: patients did not have gadgets, patients with cognitive disorders based on medical record data. Respondents received chemotherapy education through an Android-based digital application containing videos, educational narratives and supportive services. At the end, a knowledge and satisfaction questionnaire was given user application. Analysis data use analysis univariate.Results: A total of 22 respondents participated in the usability testing. From the knowledge aspect, the average correct answer of respondents was 9.45 (52.52%). Most respondents still did not understand as indicated by the majority of wrong answers on aspects of questions about preventing canker sores, preventing constipation, preventing bleeding, and overcoming baldness. The satisfaction value was at 80.06% with details of each domain of satisfaction with educational content 79.82%, accuracy level 84.09%, application format 80.3%, ease of use 79.54% and time effectiveness 76.70%.Conclusion: Patient knowledge related to the prevention of mouth ulcers, constipation, bleeding and baldness is an aspect of knowledge that is still low. Respondent satisfaction with the application is 80.06%. The educational aspect related to symptom prevention can be improved in the preparation of the application while still considering the domain of convenience and time effectiveness.

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