The Relationship Between Perceptions and Experiences of Diploma Nursing Students in Chronic Disease Patient Education in Community Settings: A Cross-Sectional Study
DOI:
https://doi.org/10.55018/janh.v8i1.567Keywords:
Chronic disease patient education, Perception, Experience, Diploma nursing students, Community nursingAbstract
Background: The increasing burden of chronic diseases requires nurses to play an active educational role in empowering patients and supporting self-management. Therefore, nursing students must develop appropriate perceptions and gain practical experience in patient education. This study aimed to analyze the relationship between perceptions and experiences of Diploma Nursing students in providing chronic disease education in community settings.
Methods: A quantitative cross-sectional study was conducted in accordance with the STROBE guidelines. The study involved 73 final-year Diploma Nursing students who had completed family and community nursing practice. Participants were selected using proportionate stratified random sampling. Students’ perceptions of patient education were treated as the independent variable, while their educational practice experiences were considered the dependent variable. Data were collected using a structured questionnaire with confirmed validity and reliability, and were analyzed using Pearson’s correlation test with a significance level of 0.05.
Results: The majority of students demonstrated high perceptions regarding the importance of chronic disease patient education in community settings (76.8%) and reported favorable educational practice experiences (65.7%). Statistical analysis revealed a significant positive correlation between perceptions and experiences (r = 0.612; p < 0.001), indicating a moderate to strong association.
Conclusion: Positive perceptions of the nurse’s educational role are associated with better educational practice experiences among Diploma Nursing students in community settings. These findings highlight the importance of strengthening community-based nursing education and integrating theoretical learning with practical patient education experiences to enhance students’ preparedness to function as effective health educators.
Downloads
References
Albarnawi, H. M., Alroqabi, S. M., Ogdi, W. Z., Jalal, A. A., Agdi, J. Z., AL-Eid, H. S., Almutairy, A. K., Alanazi, M. K., Qawfashi, F. Y., & Alhadidi, A. M. (2023). Community nursing interventions for chronic disease management. International Journal Of Community Medicine And Public Health, 11(1), 464–468. https://doi.org/10.18203/2394-6040.ijcmph20233858
Bağrıaçık, E., & Dikmen, B. T. (2025). The Effect of Nursing Process Education on Students’ Perceptions of Nursing Diagnoses. Jurnal Keperawatan Indonesia, 28(2), 130–140. https://doi.org/10.7454/jki.v28i2.1445
Bahari, G., & Kerari, A. (2024). Evaluating the Effectiveness of a Self-Management Program on Patients Living with Chronic Diseases. Risk Management and Healthcare Policy, 17, 487–496. https://doi.org/10.2147/RMHP.S451692
Bashir, A., & Ahmad, A. (2024). The effectiveness of nurse-led interventions on chronic disease management. International Journal of Midwifery and Nursing Practice, 7(1), 18–21. https://doi.org/10.33545/26630427.2024.v7.i1a.153
Doris, O., & Morrissey, E. C. (2025). Experiences of students with chronic illness in university education in Ireland. Chronic Illness, 21(2), 277–290. https://doi.org/10.1177/17423953241282246
Hajdarevic, S., Norberg, A., Lundman, B., & Hörnsten, Å. (2025). Becoming whole again—Caring for the self in chronic illness—A narrative review of qualitative empirical studies. In Journal of Clinical Nursing (Vol. 34, Number 3, pp. 754–771). John Wiley and Sons Inc. https://doi.org/10.1111/jocn.17332
Hämel, K., Röhnsch, G., Heumann, M., Backes, D. S., Toso, B. R. G. de O., & Giovanella, L. (2022). How do nurses support chronically ill clients’ participation and self-management in primary care? A cross-country qualitative study. BMC Primary Care, 23(1). https://doi.org/10.1186/s12875-022-01687-x
Heumann, M., Röhnsch, G., & Hämel, K. (2022). Primary healthcare nurses’ involvement in patient and community participation in the context of chronic diseases: An integrative review. In Journal of Advanced Nursing (Vol. 78, Number 1, pp. 26–47). John Wiley and Sons Inc. https://doi.org/10.1111/jan.14955
Huang, Y., Li, S., Lu, X., Chen, W., & Zhang, Y. (2024). The Effect of Self-Management on Patients with Chronic Diseases: A Systematic Review and Meta-Analysis. In Healthcare (Switzerland) (Vol. 12, Number 21). Multidisciplinary Digital Publishing Institute (MDPI). https://doi.org/10.3390/healthcare12212151
Iroegbu, C., Tuot, D. S., Lewis, L., & Matura, L. A. (2025). The Influence of Patient–Provider Communication on Self-Management Among Patients With Chronic Illness: A Systematic Mixed Studies Review. In Journal of Advanced Nursing (Vol. 81, Number 4, pp. 1678–1699). John Wiley and Sons Inc. https://doi.org/10.1111/jan.16492
Le Ho Thi, Q. A., Nguyen, M. T., Nguyen Vu, Q. H., Duong, Q. T., Che Thi, L. L., Ngo Thi, M. T., Le Van, C., Derese, A., Pype, P., Peersman, W., & Wens, J. (2025). Understanding patients’ perceptions of chronic illness care, self-management support needs and their relationship with telehealth preferences: A cross-sectional study in Vietnamese primary care. BMJ Open , 15(6). https://doi.org/10.1136/bmjopen-2024-090734
Mariyanti, H., Yeo, K. J., Lee, S. H., & Nursalam, N. (2022). Nursing students’ perception of caring: a literature review. In Central European Journal of Nursing and Midwifery (Vol. 13, Number 3, pp. 714–727). University of Ostrava. https://doi.org/10.15452/CEJNM.2021.12.0005
Miguéns, D. G. M., Cachafeiro, M. Z., Mallón, S. N., Coego, I. L., Pérez, N. V., & Fernández, A. R. (2024). Knowledge, attitudes, and perceptions of student nurses regarding community activities in primary care: A cross-sectional study. Public Health Nursing, 41(5), 1144–1153. https://doi.org/10.1111/phn.13385
Mujiyanti, S., Haryani, A., & Rachmaniah, D. (2022). Nursing Students Experience in Learning of Caring Pengalaman Mahasiswa Keperawatan dalam mempelajari Caring Abstrak. Faletehan Health Journal, 9(3), 290–297. www.journal.lppm-stikesfa.ac.id/ojs/index.php/FHJwww.journal.lppm-stikesfa.ac.id/ojs/index.php/FHJ
Nock, A. M., Metzing, S., Jürgensen, I. N., & Petersen-Ewert, C. (2023). Health Literacy in Adults with Chronic Diseases in the Context of Community Health Nursing: A Scoping Review. In Nursing Reports (Vol. 13, Number 2, pp. 823–834). MDPI. https://doi.org/10.3390/nursrep13020072
Procter, D., McCullough, K., Massey, D., & Strickland, K. (2025). Understanding perceptions, attitudes and experiences of nursing students during clinical placement in primary health care settings – A scoping review. In Nurse Education in Practice (Vol. 86). Elsevier Ltd. https://doi.org/10.1016/j.nepr.2025.104434
Shi, C., & Cleofas, J. V. (2023). Student nurses’ perceptions and experiences in caring for people living with HIV/AIDS: a qualitative study. BMC Medical Education, 23(1). https://doi.org/10.1186/s12909-023-04074-x
Suleman, D., Iqbal, F., & Niciza, J. (2025). Exploring the strategies to enhance nurse competence in health education for disease prevention. BMC Nursing, 24(1). https://doi.org/10.1186/s12912-025-03502-1
Tunsi, A., Alhelal, R., Mujalled, R., Alhadrami, E., Alsulami, R., Alhofaian, A., Alaamri, M., & Babkair, L. (2023). Chronic Illness Patients’ Perceptions of Quality of Care During Hospitalization: A Qualitative Study. SAGE Open Nursing, 9. https://doi.org/10.1177/23779608221150706
Xu, Q., Wang, B., & Zhang, L. (2025). Health literacy profiles correlate with participation in primary health care among patients with chronic diseases: a latent profile analysis. Frontiers in Public Health, 13. https://doi.org/10.3389/fpubh.2025.1628903
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2026 Agus Sustiyono, Fifi Musfirowati, Asra Asra
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
