Enhancing Healthcare Communication and Service Delivery: The Role of Mental Practice and Neurolinguistic Programming in Remote Indigenous Communities of Indonesia
Abstract
This study investigates the impact of a combined mental practice and neurolinguistic programming (NLP) intervention on enhancing the capacity of pediatric and maternity nurses in remote regions of Southwest Papua, Indonesia. Improving healthcare quality in underserved areas is crucial, particularly for indigenous communities facing limited access to resources. The research employed a quasi-experimental design with 70 indigenous Papuan nurses, implementing a one-month intervention comprising techniques such as goal-setting, visualization, emotional anchoring, reframing, and positive self-talk. Pre- and post-intervention assessments evaluated nurses' adaptability, health promotion efforts, service delivery flexibility, technology use, and collaboration with the community. Statistical analysis using t-tests revealed significant improvements across all measured domains (p < 0.05), with adaptation scores increasing from 3.2 to 4.5, health promotion from 3.0 to 4.4, service delivery from 3.1 to 4.6, technology use from 2.9 to 4.3, and community collaboration from 3.3 to 4.7. These findings demonstrate that the integration of mental practice and NLP effectively enhances healthcare professionals' competencies in resource-limited settings. The results suggest that such an approach can be a promising strategy for optimizing healthcare delivery in remote areas, particularly where cultural adaptability and community engagement are essential. Future research should consider evaluating the intervention's scalability and its potential benefits in different healthcare contexts to further substantiate its effectiveness and applicability.
Keywords: Mental practice, Neurolinguistic programming, Nurse training, Remote healthcare, Indigenous communities
Full Text:
PDFReferences
ALI, O., ABDELBAKI, W., SHRESTHA, A., ELBASI, E., ALRYALAT, M.A.A., & DWIVEDI, Y.K. (2023). A systematic literature review of artificial intelligence in the healthcare sector: Benefits, challenges, methodologies, and functionalities. Journal of Innovation & Knowledge, 8(1), 100333. https://doi.org/10.1016/j.jik.2023.100333
BABAPOUR, A.-R., GAHASSAB-MOZAFFARI, N., & FATHNEZHAD-KAZEMI, A. (2022). Nurses’ job stress and its impact on quality of life and caring behaviors: A cross-sectional study. BMC Nursing, 21, 75. https://doi.org/10.1186/s12912-022-00852-y
BAKHSHI, H., SHARIATI, M.J., BASIRINEZHAD, M.H., & EBRAHIMI, H. (2024). Comparison of barriers to effective nurse-patient communication in COVID-19 and non-COVID-19 wards. BMC Nursing, 23(1), 328. https://doi.org/10.1186/s12912-024-01947-4
BLACK, R.E., LAXMINARAYAN, R., TEMMERMAN, M., WALKER, P.N., BUSTREO, F., JAMISON, D.T., NUGENT, R., GELBAND, H., HORTON, S.E., JHA, P.K., & MOCK, C.N. (2016). Reproductive, maternal, newborn, and child health. Washington, District of Columbia: World Bank Group. Retrieved from http://documents.worldbank.org/curated/en/848181468195567572/Reproductive-maternal-newborn-and-child-health
CENTRAL BUREAU OF STATISTICS OF WEST PAPUA PROVINCE (2024). Jumlah Fasilitas Kesehatan Menurut Kabupaten/Kota di Provinsi Papua Barat—Tabel Statistik. Badan Pusat Statistik Provinsi Papua Barat. Retrieved from https://papuabarat.bps.go.id/id/statistics-table/2/MTg0IzI=/jumlah-fasilitas-kesehatan-menurut-kabupaten-kota-di-provinsi-papua-barat.html
ČERVENÝ, M., KRATOCHVÍLOVÁ, I., HELLEROVÁ, V., & TÓTHOVÁ, V. (2022). Methods of increasing cultural competence in nurses working in clinical practice: A scoping review of literature 2011–2021. Frontiers in Psychology, 13, 936181. https://doi.org/10.3389/fpsyg.2022.936181
CHERNYSH, T., OPITZ, L., RIABTSEVA, N., RAAB, M., & PAVLOVA, M. (2023). Experience with the Implementation of Continuous Medical Education among Mother-and-Child Healthcare Providers in Ukraine: A Case Study Based on Two International Collaboration Initiatives. Healthcare, 11(13), 1964. https://doi.org/10.3390/healthcare11131964
DE-MARÍA, B., TOPA, G., & LÓPEZ-GONZÁLEZ, M.A. (2024). Cultural Competence Interventions in European Healthcare: A Scoping Review. Healthcare, 12(10), 1040. https://doi.org/10.3390/healthcare12101040
DINAS KESEHATAN DAERAH ISTIMEWA YOGYAKARTA (2023). Perbandingan Kecukupan Dokter, Dokter Gigi, Perawat dan Bidan Di Puskesmas Lintas Provinsi. Retrieved from https://dinkes.jogjaprov.go.id/berita/detail/perbandingan-kecukupan-dokter-dokter-gigi-perawat-dan-bidan-di-puskesmas-lintas-provinsi
FLAUBERT, J.L., LE MENESTREL, S., WILLIAMS, D.R., WAKEFIELD, M.K., & NATIONAL ACADEMIES OF SCIENCES, ENGINEERING, AND MEDICINE (2021). Supporting the Health and Professional Well-Being of Nurses. In: NATIONAL ACADEMIES OF SCIENCES, ENGINEERING, AND MEDICINE; NATIONAL ACADEMY OF MEDICINE, COMMITTEE ON THE FUTURE OF NURSING 2020–2030, FLAUBERT, J.L., LE MENESTREL, S., WILLIAMS, D.R., et al. (eds.) The Future of Nursing 2020-2030: Charting a Path to Achieve Health Equity. Washington, District of Columbia: National Academies Press. Retrieved from https://www.ncbi.nlm.nih.gov/books/NBK573902/
FRAWLEY, T., CARROLL, L., CASEY, M., DAVIES, C., DURNING, J., HALLIGAN, P., JOYE, R., REDMOND, C., & FEALY, G. (2019). Evaluation of a national training programme to support engagement in mental health services: Learning enablers and learning gains. Journal of Psychiatric and Mental Health Nursing, 26(9–10), 323–336. https://doi.org/10.1111/jpm.12535
GOORTS, K., DIZON, J., & MILANESE, S. (2021). The effectiveness of implementation strategies for promoting evidence informed interventions in allied healthcare: A systematic review. BMC Health Services Research, 21, 241. https://doi.org/10.1186/s12913-021-06190-0
HEMMATIMASLAKPAK, M., FARHADI, M., & FEREIDONI, J. (2016). The effect of neuro-linguistic programming on occupational stress in critical care nurses. Iranian Journal of Nursing and Midwifery Research, 21, 38–44. https://doi.org/10.4103/1735-9066.174754
HENSHALL, C., DAVEY, Z., & JACKSON, D. (2020). Nursing resilience interventions–A way forward in challenging healthcare territories. Journal of Clinical Nursing, 29(19–20), 3597–3599. https://doi.org/10.1111/jocn.15276
KAMAU, S., KOSKENRANTA, M., KUIVILA, H., OIKARAINEN, A., TOMIETTO, M., JUNTUNEN, J., TUOMIKOSKI, A.-M., & MIKKONEN, K. (2022). Integration strategies and models to support transition and adaptation of culturally and linguistically diverse nursing staff into healthcare environments: An umbrella review. International Journal of Nursing Studies, 136, 104377. https://doi.org/10.1016/j.ijnurstu.2022.104377
KWAME, A., & PETRUCKA, P.M. (2020). Communication in nurse-patient interaction in healthcare settings in sub-Saharan Africa: A scoping review. International Journal of Africa Nursing Sciences, 12, 100198. https://doi.org/10.1016/j.ijans.2020.100198
KWAME, A., & PETRUCKA, P.M. (2021). A literature-based study of patient-centered care and communication in nurse-patient interactions: Barriers, facilitators, and the way forward. BMC Nursing, 20(1), 158. https://doi.org/10.1186/s12912-021-00684-2
MALIKHAO, P. (2020). Health Communication: Approaches, Strategies, and Ways to Sustainability on Health or Health for All. In: SERVAES, J. (ed.) Handbook of Communication for Development and Social Change. Singapore: Springer, pp. 1015–1037. https://doi.org/10.1007/978-981-15-2014-3_137
MCCULLOUGH, K., BAYES, S., WHITEHEAD, L., WILLIAMS, A., & COPE, V. (2022). Nursing in a different world: Remote area nursing as a specialist–generalist practice area. The Australian Journal of Rural Health, 30(5), 570-581. https://doi.org/10.1111/ajr.12899
MINISTRY OF HEALTH OF THE REPUBLIC OF INDONESIA (2024). Terdapat 2202 Puskesmas Sudah Memenuhi Lengkap 9 Jenis Tenaga Standar Ketenagaan Minimal (21,11%) di Indonesia. Retrieved from https://renbut.kemkes.go.id/dreams/user/kekosongan/SKMPKM
MORENO-LEAL, P., LEAL-COSTA, C., DÍAZ-AGEA, J.L., JIMÉNEZ-RUIZ, I., SUAREZ-CORTÉS, M., & DE SOUZA OLIVEIRA, A.C. (2022). Cross-Cultural Adaptation of the Instrument “Nurse–Physician Relationship Survey: Impact of Disruptive Behavior in Patient Care” to the Spanish Context. Healthcare, 10(10), 1834. https://doi.org/10.3390/healthcare10101834
PEMERINTAH PROVINSI PAPUA BARAT DAYA (2024). Profile. Retrieved from https://papuabaratdayaprov.go.id/page/59/profile-ddiskominfo.html
RAVAL, V.V., GOPAL, B., AGGARWAL, P., MOHAN, M.P., PADMAKUMARI, P., THOMAS, E., LUEBBE, A.M., & HAY, M.C. (2024). Training in Cultural Competence for Mental Health Care: A Mixed-Methods Study of Students, Faculty, and Practitioners from India and USA. Culture, Medicine, and Psychiatry, 48(4), 699–730. https://doi.org/10.1007/s11013-024-09867-3
RINK, L.C., OYESANYA, T.O., ADAIR, K.C., HUMPHREYS, J.C., SILVA, S.G., & SEXTON, J.B. (2023). Stressors among Healthcare Workers: A Summative Content Analysis. Global Qualitative Nursing Research, 10. https://doi.org/10.1177/23333936231161127
ROKOM (2012). Luas Wilayah dan Kondisi Geografis Menjadi Tantangan Besar Pembangunan Kesehatan Provinsi Papua. Sehat Negeriku. Retrieved from https://sehatnegeriku.kemkes.go.id/baca/rilis-media/20120222/572671/luas-wilayah-dan-kondisi-geografis-menjadi-tantangan-besar-pembangunan-kesehatan-provinsi-papua/
SCHUNK, D.H., & DIBENEDETTO, M.K. (2020). Motivation and social cognitive theory. Contemporary Educational Psychology, 60, 101832. https://doi.org/10.1016/j.cedpsych.2019.101832
SCOTT, W.D., CERVONE, D., & EBIRINGAH, O.U. (2024). The social-cognitive clinician: On the implications of social cognitive theory for psychotherapy and assessment. International Journal of Psychology, 59(5), 616–623. https://doi.org/10.1002/ijop.13125
SIT, H.F., LING, R., LAM, A.I.F., CHEN, W., LATKIN, C.A., & HALL, B.J. (2020). The Cultural Adaptation of Step-by-Step: An Intervention to Address Depression among Chinese Young Adults. Frontiers in Psychiatry, 11, 650. https://doi.org/10.3389/fpsyt.2020.00650
SØVOLD, L.E., NASLUND, J.A., KOUSOULIS, A.A., SAXENA, S., QORONFLEH, M.W., GROBLER, C., & MÜNTER, L. (2021). Prioritizing the Mental Health and Well-Being of Healthcare Workers: An Urgent Global Public Health Priority. Frontiers in Public Health, 9, 679397. https://doi.org/10.3389/fpubh.2021.679397
WIEKE NOVIYANTI, L., AHSAN, A., & SUDARTYA, T.S. (2021). Exploring the relationship between nurses’ communication satisfaction and patient safety culture. Journal of Public Health Research, 10(2), 2225. https://doi.org/10.4081/jphr.2021.2225
ZARZYCKA, D., CHRZAN-RODAK, A., BĄK, J., NIEDORYS-KARCZMARCZYK, B., & ŚLUSARSKA, B. (2020). Nurse Cultural Competence-Cultural Adaptation and Validation of the Polish Version of the Nurse Cultural Competence Scale and Preliminary Research Results. PLoS ONE, 15(10), e0240884. https://doi.org/10.1371/journal.pone.0240884
ZHANG, X., DAVARPANAH, N., & IZADPANAH, S. (2023). The effect of neurolinguistic programming on academic achievement, emotional intelligence, and critical thinking of EFL learners. Frontiers in Psychology, 13, 888797. https://doi.org/10.3389/fpsyg.2022.888797
ZHAO, W.-X., PENG, M.Y.-P., & LIU, F. (2021). Cross-Cultural Differences in Adopting Social Cognitive Career Theory at Student Employability in PLS-SEM: The Mediating Roles of Self-Efficacy and Deep Approach to Learning. Frontiers in Psychology, 12, 586839. https://doi.org/10.3389/fpsyg.2021.586839
ZIDARU, T., MORROW, E.M., & STOCKLEY, R. (2021). Ensuring patient and public involvement in the transition to AI-assisted mental health care: A systematic scoping review and agenda for design justice. Health Expectations, 24(4), 1072-1124. https://doi.org/10.1111/hex.13299
Refbacks
- There are currently no refbacks.
