Effects of Islamic Spiritual Mindfulness on Stress among Nursing Students

*Badrul Munif  -  Department of Nursing, Brawijaya University, Indonesia
Sri Poeranto  -  Department of Nursing, Brawijaya University, Indonesia
Yulian Wiji Utami  -  Department of Nursing, Brawijaya University, Indonesia
Received: 4 Mar 2019; Published: 26 Jun 2019.
Open Access Copyright (c) 2019 Nurse Media Journal of Nursing

Citation Format:
Article Info
Section: Articles
Language: EN
Statistics: 1314 1027

Background: Academic stress is a major problem that often occurs in nursing students. Islamic spiritual mindfulness (ISM) is an adaptive coping strategy used to mitigate various negative psychological reactions to respond stressors experienced by the body to build self-awareness that any problems experienced today are the scenario of Allah.

Purpose: This study aimed to determine the effects of Islamic spiritual mindfulness therapy to reduce stress.

Methods: This study used a pre-post quasi-experimental design with a control group. Participants were bachelor students of nursing who are Muslim and experienced stress in working on the thesis (n=36) and were assigned to two groups: the experimental group receiving Islamic spiritual mindfulness and the control group. Data were collected using questionnaires of Depression Anxiety Stress Scale (DASS) and analyzed using paired t-test and unpaired t-test. 

Results: The results showed that the mean stress level of students in the intervention group decreased from 20.6±2.97 to 11.4±5.81 after the intervention. Meanwhile, in the control group, the mean student stress level slightly decreased from 19.7±2.82 to 17.8±5.01. The t-test obtained a p-value of 0.001, indicating that there were significant differences in stress levels between the intervention group and the control group. The effect size obtained the value of 0.59, meaning the level of influence was in the medium category.

Conclusion: This study concluded that Islamic spiritual mindfulness was effective in reducing stress among nursing students working on the thesis. It is recommended for the nursing profession, especially mental health nurses, to apply Islamic spiritual mindfulness therapy as one of the psychotherapy interventions.
Keywords: Islamic spiritual mindfulness; stress; nursing students; thesis

Article Metrics:

  1. Al-Jauziyah, I. Q. (2004). Miftâh dâr al-sa’âdah (The Key of Happiness). (A. H. Al-Katani, H. K. S.S., M. K. R. SHi, & S. Habibullah Rasidin, Lc, Eds.) (1 Trans.). Akbar Media Eka Sarana.
  2. American psychological association (APA). (2012). Guidelines for lesbian, psychological practice with gay, and bisexual clients. American Psychologist, 67(1), 10–42. https://doi.org/10.1037/a0024659
  3. Aydogan, D., & Buyukyilmaz, O. (2017). The Effect of Social Media Usage on Students ’ Stress and Anxiety : A Research in Karabuk University Faculty of Business. international journal of multidisciplinary thaught 6(1). https://www.researchgate.net/publication/316509894%0AThe
  4. Ayu, S., Candrawati, K., Dwidiyanti, M., & Widyastuti, R. H. (2018). Effects of mindfulness with gayatri mantra on decreasing anxiety in the elderly. Holistic Nursing and Health Sience, 1(1), 35–45.
  5. Calvarese, M. (2015). The effect of gender on stress factors: An exploratory study among University students, 1177–1184. https://doi.org/10.3390/socsci4041177
  6. Cernetic, M. (2018). Mindfulness in Christian spiritual practices and connections with psychotherapy. Kairos. Retrieved from https://www.researchgate.net/publication/331649019_Mindfulness_in_Christian_spiritual_practices_and_connections_with_psychotherapy
  7. Cheung, T., Wong, S. Y., Wong, K. Y., Law, L. Y., Ng, K., Tong, M. T., … Yip, P. S. F. (2016). Depression, anxiety and symptoms of stress among baccalaureate nursing students in Hong Kong: A cross-sectional study. International journal of environmental research and public health, 13(8). https://doi.org/10.3390/ijerph13080779
  8. Dwidiyanti, M., Fahmi, A. Y., Ningsih, H. E. W., Wiguna, R. I., & Munif, B. (2019). Seni mindfulness spiritual Islam (1st ed.). Semarang: UNDIP Press.
  9. Dwidiyanti, M., Pamungkas, A. Y. F., & Ningsih, H. E. W. (2018). Mindfulness caring pada stres (1st ed.). Semarang: UNDIP Press.
  10. Fourianalistyawati, E. (2017). Kesejahteraan spiritual dan mindfulness pada majelis sahabat shalawat. jurnal psikologi Islam, 3(2), 79–85.
  11. Gamayanti, W., Mahardianisa, M., & Syafei, I. (2018). Self-disclosure dan tingkat stres pada mahasiswa yang sedang mengerjakan skripsi. Jurnal Ilmiah Psikologi, 5(1), 115. https://doi.org/10.15575/psy.v5i1.2282
  12. Halkos, G., & Bousinakis, D. (2010). The effect of stress and satisfaction on productivity. International journal of productivity and performance management, 59(5), 415–431. https://doi.org/10.1108/17410401011052869
  13. Kang, Y. S., Choi, S. Y., & Ryu, E. (2009). The effectiveness of a stress coping program based on mindfulness meditation on the stress, anxiety, and depression experienced by nursing students in Korea. Nurse Education Today, 29(5), 538–543. https://doi.org/10.1016/j.nedt.2008.12.003
  14. Kemenristekdikti. (2017). Statistik pendidikan tinggi. (Franova Herdiyanto, Ed.) (First/Fi). Jakarta: Pusdatin Iptek Dikti, Setjen, Kemenristekdikti
  15. Krisdianto, A. . ., & Mulyanti, M. (2015). Mekanisme koping dengan tingkat depresi pada mahasiswa tingkat akhir. Journal Nurse and Kebidanan Indonesia, 3(2), 71. https://doi.org/10.21927/jnki.2015.3(2).71-76
  16. Lazaridou, A., & Pentaris, P. (2016). Mindfulness and spirituality: therapeutic perspectives. journal Person-Centered & Experiential Psychotherapies , 44(0), 1–21.
  17. Mahmoud, J. S. R., Staten, R. T., Hall, L. A., & Lennie, T. A. (2012). The relationship among young adult college students’ depression, anxiety, stress, demographics, life satisfaction, and coping styles. Issues in Mental Health Nursing, 33(3), 149–156. https://doi.org/10.3109/01612840.2011.632708
  18. Matud, M. P. (2016). Gender differences in stress and coping styles. Personality and individual differences, (November 2004), 1401–1415. https://doi.org/10.1016/j.paid.2004.01.010
  19. McCarthy, B., Trace, A., O’Donovan, M., Brady-Nevin, C., Murphy, M., O’Shea, M., & O’Regan, P. (2018). Nursing and midwifery students’ stress and coping during their undergraduate education programmes: An integrative review. Nurse Education Today, 61(November 2017), 197–209. https://doi.org/10.1016/j.nedt.2017.11.029
  20. Razak, A., Mokhtar, M.K., & Solomon, W. S. W. (2013). Islamic spiritual therapy a model for depression disorder prevention. Da'wah Tabligh Journal, 14 (1), 141-151.
  21. Riskesdas. (2013). Riset kesehatan dasar. laporan nasional, 1-384. https://doi.org/1 December 2013
  22. Rivera-torres, P., Araque-padilla, R. A., & Montero-simó, M. J. (2013). Job Stress Across Gender : the importance of emotional and intellectual demands and social support in women, 375–389. https://doi.org/10.3390/ijerph10010375
  23. Rizvi, F., Qureshi, A., Rajput, A., & Afzal, M. (2015). Prevalence of depression, anxiety and stress (by DASS scoring system) among Medical Students in Islamabad, Pakistan. British journal of medicine and medical research, 8(1), 69–75. https://doi.org/10.9734/BJMMR/2015/17193
  24. Sari, S. P., & Dwidiyanti, M. (2014). Mindfulnes dengan pendekatan spiritual pada pasien skizoprenia dengan resiko perilaku kekerasan. Konferensi Nasional XI Keperawatan Kesehatan Jiwa , 290-294.
  25. Selye, H. (2013). Stress in health and disease (3rd ed.). London: Butterworth Group.
  26. Song, Y., & Lindquist, R. (2015). Effects of mindfulness-based stress reduction on depression, anxiety, stress and mindfulness in Korean nursing students. Nurse Education Today, 35(1), 86–90. https://doi.org/10.1016/j.nedt.2014.06.010
  27. Stults-Kolehmainen, M. A., & Sinha, R. (2014). The effects of stress on physical activity and exercise. Sports Medicine (Vol. 44). https://doi.org/10.1007/s40279-013-0090-5
  28. Sudarya, I. W., Bagia, I. W., & Suwendra, I. W. (2014). Analysis of factors affecting stress on student in preparation thesis on department of management Undiksha 2009. E-Journal Bisma Ganesha University, 2 (1). Retrieved from http://ejournal.undiksha.ac.id/index.php/JJM/article/download/4309/3333
  29. Thomas, J., Furber, S. W., & Grey, I. (2018). The rise of mindfulness and its resonance with the Islamic tradition. Mental Health, Religion & Culture, 0(0), 1–13. https://doi.org/10.1080/13674676.2017.1412410
  30. Thomas, J., Raynor, M., Bakker, M., Thomas, J., Raynor, M., & Bakker, M. (2016). Mindfulness-based stress reduction among Emirati Muslim women Mindfulness-based stress reduction among Emirati Muslim women, 4676(August). https://doi.org/10.1080/13674676.2016.1168389
  31. Toussaint, L., Shields, G. S., Dorn, G., & Slavich, G. M. (2016). Effects of lifetime stress exposure on mental and physical health in young adulthood: How stress degrades and forgiveness protects health. Journal of Health Psychology, 21(6), 1004–1014. https://doi.org/10.1177/1359105314544132
  32. Videbeck, S. L. (2011). Psychiatric-mental health nursing. The Nursing clinics of North America (Vol. 21). https://doi.org/10.1016/B978-008043924-2/50055-9
  33. Wardi, R. (2016). Stress conditions in students completing thesis. Guidena Jurnal Ilmu Pendidikan, Psikologi, Bimbingan dan Konseling C(2), 190–194. https://doi.org/10.24127/gdn.v6i2.512
  34. Zakiyah. (2016). Gambaran karakteristik, tingkat stres, ansietas, dan depresi pada mahasiswa keperawatan yang sedang mengerjakan skripsi (The description of characteristics, levels of stress and depression among nursing students working on thesis). Jurnal Impuls, 2 (September), 140-145.