The Effect of Self-Efficacy Training on Nursing Students' Anxiety in Facing The National Objective Structured Clinical Examination (Osce) in Medan City
DOI:
https://doi.org/10.30829/contagion.v7i3.25004Abstract
The National Objective Structured Clinical Examination (OSCE) is a key graduation requirement for nursing students, but its implementation often triggers anxiety. This anxiety can lower self-confidence, harm academic performance, and in severe cases, even lead to depression. One effective way to address this challenge is through self-efficacy training, helping students build belief in their ability to complete tasks successfully. Strong self-efficacy fosters motivation, effort, and perseverance, which are essential when preparing for OSCE. This study used a quasi-experimental, one-group pretest-posttest design. Training was delivered in eight sessions, each lasting 60 minutes. The population included all nursing students at Prima Indonesia University, Medan, and a sample of 40 students was selected using total sampling. Anxiety levels were measured with the Hamilton Anxiety Rating Scale (HARS), and data were analyzed using a paired sample T-test. The results showed that self-efficacy training significantly reduced students' anxiety in facing the national OSCE (p = 0.001) Keywords: Self-efficacy, Anxiety, Nursing Students, National OSCEReferences
AIPNI-AINEC. (2025). Term of Reference (Tor) Pelatihan Objective Structured Clinical Examination (Osce) AIPNI Regional IX Jawa Timur. AIPNI.
Albikawi, Z. F., & Abuadas, M. (2025). Unveiling the Influence of Nomophobia, Emotional Regulation, Self-Efficacy and Loneliness on Anxiety Among Nursing Students: A Structural Equation Modeling Approach. Psychiatry International, 6(2), 1-15. https://doi.org/10.3390/psychiatryint6020039
Anggoro Saputro, A. (2021). The Influence of Self-Efficacy on Student Stress in Distance Learning During the Pandemic. Jurnal Porkes, 4(2), 81-86. https://doi.org/10.29408/porkes.v4i2.4369
Badura, A. (1997). Self-efficacy: The exercise of control. W H Freeman.
Bhati, K., & Sethy, T. P. (2022). Self-Efficacy: Theory to Educational Practice. The International Journal of Indian Psychology, 10(1), 1123-1128. https://doi.org/10.25215/1001.112
Cornine, A. (2020). Reducing Nursing Student Anxiety in the Clinical Setting: An Integrative Review. Nursing Education Perspectives, 41(4), 229-234. https://doi.org/10.1097/01.NEP.0000000000000633
Croy, G., Garvey, L., Willetts, G., Wheelahan, J., & Hood, K. (2020). Anxiety, flipped approach and self-efficacy: Exploring nursing student outcomes. Nurse Education Today, 93(December 2019), 104534. https://doi.org/10.1016/j.nedt.2020.104534
Hanafi, M., Widyana, R., & Fatmah, S. N. (2021). Self-Efficacy Training to Reduce Burnout in Nurses at RSUX in Bantul Regency, Yogyakarta. Jurnal Psikologi, 17(1), 1-11.
Indrayani, T., Choirunnisa, R., Mutmainnah, Y., & Kholilah, S. (2023). Pemberian Edukasi dan Pelatihan Senam Yoga sebagai Tindakan Preventif terhadap Kecemasan Ibu dalam menghadapi Persalinan di Klinik Khalifah Tangerang. Journal of Community Engagement in Health, 6(1), 12-16. https://doi.org/10.30994/jceh.v6i1.413
Jarso, M. H., Tariku, M., Mamo, A., Tsegaye, T., & Gezimu, W. (2023). Test anxiety and its determinants among health sciences students at Mattu University: a cross-sectional study. Frontiers in Psychiatry, 14(January), 01-08. https://doi.org/10.3389/fpsyt.2023.1241940
Jendra, A. F., & Sugiyo, S. (2020). The Influence of Self-Efficacy on Presentation Anxiety of Grade XI Students at SMA Negeri 1 Wuryantoro. KONSELING EDUKASI "Journal of Guidance and Counseling," 4(1), 138-159. https://doi.org/10.21043/konseling.v4i1.5992
Kurnia, A., Dolifah, D., & Yuliana, D. (2025). Relationship Between Self Efficacy and Anxiety in Final Adolescents Ahead of Final School Exams. Jurnal Ilmu Dan Teknologi Kesehatan, 12(2), 130-137. https://doi.org/10.32668/jitek.v12i2.1924
Lazarus, R. S. (1991). Emotion and Adaptation. Oxford University.
Melo, H. E. de, Severian, P. F. G., Eid, L. P., Souza, M. R. de, Sequeira, C. A. da C., Souza, M. da G. G., & Pompeo, D. A. (2021). Impact of anxiety and depression symptoms on perceived self-effi cacy in nursing students. ACTA Paulista de Enfermagem, 34, 1-8. https://doi.org/10.37689/acta-ape/2021AO01113
Mitropoulou, P., Koutoupis, A., Thanasas, G. L., Efthimiou, S. G., & Fotis, D. K. (2024). The Effect of Internal Auditors' Self-Efficacy on the Organizational Performance. Theoretical Economics Letters, 14(05), 1802-1817. https://doi.org/10.4236/tel.2024.145090
Ningsih, E. L. C., & Jayanti, U. N. A. D. (2022). Discovery Blended Learning in Biology: Its Effectiveness on Self-Efficacy and Student Learning Outcomes in the New Normal Era. Formatif: Jurnal Ilmiah Pendidikan MIPA, 12(2), 147-160. https://doi.org/10.30998/formatif.v12i2.13748
Nurhasanah, N. (2021). Self-Efficacy and Positive Thinking with Public Speaking Anxiety in College Students. Jurnal Ilmiah Kesehatan, 10(2), 106-112. https://doi.org/10.52657/jik.v10i2.1477
Onieva-Zafra, M. D., Fernández-Muñoz, J. J., Fernández-Martínez, E., García-Sánchez, F. J., Abreu-Sánchez, A., & Parra-Fernández, M. L. (2020). Anxiety, perceived stress and coping strategies in nursing students: a cross-sectional, correlational, descriptive study. BMC Medical Education, 20(1), 1-9. https://doi.org/10.1186/s12909-020-02294-z
Raka, I. M., Mustamu, A. C., Fabanyo, R. A., Djamanmona, R. F., Anggreini, Y. S., & Parlaungan, J. (2023). Exploring the Relationship between Mental Well-being and Attendance among Nursing Students: Findings and Recommendations for Enhancing Student Mental Health and Engagement. Journal for ReAttach Therapy and Developmental Diversities, 6(6s), 457-467.
Sari, D. A. K. W., Erva Elli Kristanti, & Grasella Pebrianti Rahmana Putri. (2024). Pengaruh Self Efficacy Terhadap Kecemasan Pada Pasien Gagal Ginjal Kronik Yang Menjalani Hemodialisa Di Rumah Sakit Baptis Kediri. Indonesian Health Literacy Journal, 2(1), 1-12. https://doi.org/10.70574/vknr0t93
Stinson, C., Curl, E. D., Hale, G., Knight, S., Pipkins, C., Hall, I., White, K., & Nancy Thompson, and C. W. (2020). Mindfulness Meditation and Anxiety in Nursing Students. Research Brief, 41(244-245), 244-245. https://doi.org/10.1097/01.NEP.0000000000000635
Sucitno, F., Sumarna, N., & Silondae, D. P. (2020). The Influence of Self-Efficacy on Student Motivation. Jurnal Sublimapsi, 1(3), 114-119. https://doi.org/10.36709/sublimapsi.v1i3.14307
Sukma, Y., & Priatna, N. (2021). The Influence of Self-Efficacy on Students' Critical Thinking Skills in Mathematics. Solmath, 9(1), 75-88. https://doi.org/http://dx.doi.org/10.25139/smj.v9i1.3461
Swastiratu, D. N., & Izzaty, R. E. (2022). The Influence of Self-Efficacy on Competition Anxiety in Athletes in the Special Region of Yogyakarta. Acta Psychologia, 3(2), 88-97. https://doi.org/10.21831/ap.v3i2.42658
Vo, T. N., Chiu, Hsiao-Yean, Chuang, Y.-H., & Huang, H.-C. (2023). Prevalence of Stress and Anxiety Among Nursing Students A Systematic Review and Meta-analysis. Nurse Educator, 48(3). https://doi.org/10.1097/NNE.0000000000001343
Wang, X., Zhang, J., Sun, X., & Zhang, L. (2022). Exam stress is one of the main stressors for adolescents, which can trigger severe mental health problems and performance decline. As an alterable individual variable that influences stress consequences, stress mindset has attracted academic attention rec. PsyCh Journal, 11(6), 904-912. https://doi.org/https://doi.org/10.1002/pchj.563
Yükselmiş, Ö., & Dönmezdil, S. (2022). The relationship between exam anxiety, depression, and back pain in physicians preparing for the specialty exam. European Review for Medical and Pharmacological Sciences, 26(16), 5774-5779. https://doi.org/https://doi.org/10.26355/eurrev_202208_29514
Yuliati, Y., Theresia, T., & Pambudi, A. (2024). Pengaruh Mindfulness Terhadap Efikasi Diri dan Medical Adherence Pada Pasien Tuberkulosis di Puskesmas Kecamatan Batuceper Tangerang, Banten. Jurnal Pengabdian Kepada Masyarakat Kesehatan Galuh, 1(2), 149. https://doi.org/10.25157/jpkmu.v1i2.15879
Downloads
Published
Issue
Section
License
COPYRIGHT
Authors who publish with this journal agree to the following terms:
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution-ShareAlike 4.0 International License that allows others to share the work with an acknowledgment of the work's authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgment of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges as well as earlier and greater citation of published work (see The Effect of Open Access).
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
