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Patient-centered communication, social entrepreneurship motivation, and entrepreneurial intentions in nursing students: A structural equation modelling approach

Jurnal Ners · Vol. 21 No. 2 (2026) · hlm. 245–254

DOI
10.20473/jn.v21i2.89257
ISSN
2502-5791, 1858-3598
Terbit
2026-05-31
Penerbit
Universitas Airlangga
Bahasa
eng
Lisensi
creativecommons.org/licenses/by/4.0

Abstrak

Introduction: The growing demand for homecare nursing in Indonesia offers important career opportunities; however, how clinical competencies are translated into entrepreneurial choices remains unclear. This study examined the relationship between patient-centered communication (PCC) and social entrepreneurship (SE) motivation with nursing students' entrepreneurial intentions (EI) to establish homecare practices. Methods: A cross-sectional survey was conducted with 208 nursing students in West Sumatra, Indonesia. Data collected with validated instruments for EI (α = 0.90), SE drive (α = 0.94), and PCC (α = 0.92) were analyzed using partial least squares structural equation Modelling (PLS-SEM). Results: PLS-SEM showed that PCC did not directly influence EI (β = -0.050, p = 0.669) but significantly predicted SE motivation (β = 0.604, p < 0.001). SE motivation significantly predicted EI (β = 0.627, p < 0.001) and fully mediated the PCC–EI relationship (β indirect = 0.379, p < 0.001). The model explained 35.8% of EI variance. Conclusions: Clinical communication competencies alone do not predict entrepreneurial intentions; rather, they appear to require activation through motivation for social entrepreneurship. Therefore, nursing education should adopt integrated pedagogical frameworks that connect clinical empathy with social-business models to foster homecare as a viable career pathway.

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  • Hasanuddin University
  • Universitas Halu Oleo
  • Politeknik Negeri Ujung Pandang
  • Afiliasi tidak diketahui
  • Organisasi berbeda
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Rekan penulisOrganisasiArtikel bersama
Miftahul FikriAfiliasi tidak diketahui5
Firman FirmanHasanuddin University4
Neviyarni NeviyarniAfiliasi tidak diketahui3
Indah SukmawatiAfiliasi tidak diketahui3
Yeni KarneliAfiliasi tidak diketahui3
Rezki HarikoAfiliasi tidak diketahui3
Mega IswariAfiliasi tidak diketahui2
Zikra ZikraAfiliasi tidak diketahui2
Nur HidayahPoliteknik Negeri Ujung Pandang2
Umi Anugerah IzzatiAfiliasi tidak diketahui2
Hendra HidayatAfiliasi tidak diketahui2
Alfaiz AlfaizAfiliasi tidak diketahui2
Reza TririzkyAfiliasi tidak diketahui2
Suresh ThanakodiAfiliasi tidak diketahui2
La Ode AlwiUniversitas Halu Oleo1
Muh. RamliAfiliasi tidak diketahui1
Donal DonalAfiliasi tidak diketahui1
Chana IndikaAfiliasi tidak diketahui1
Rizki HarikoAfiliasi tidak diketahui1
Ahmad Zaki Ilman NasutionAfiliasi tidak diketahui1
Daharnis DaharnisAfiliasi tidak diketahui1
Edi PurwantaAfiliasi tidak diketahui1
Mohd Suhadi Bin Mohamed SidikAfiliasi tidak diketahui1
Dietriech G. BengenAfiliasi tidak diketahui1
Rastina RastinaHasanuddin University1
Alan F. KoropitanAfiliasi tidak diketahui1
Novi Susetyo AdiAfiliasi tidak diketahui1
Anna Ida Sunaryo PurwiyantoAfiliasi tidak diketahui1
A’an Johan WahyudiAfiliasi tidak diketahui1
Hanif Budi PrayitnoAfiliasi tidak diketahui1
Faisal HamzahAfiliasi tidak diketahui1
Yulianto SutejaAfiliasi tidak diketahui1
Edi SetiawanAfiliasi tidak diketahui1
Jeki HaryantoAfiliasi tidak diketahui1

Afiliasi berasal dari OpenAlex; metadata OAI-PMH jurnal tidak memuatnya. Penulis tanpa ID OpenAlex dicocokkan berdasarkan nama, sehingga dua orang bisa tergabung atau satu orang bisa terpisah.

Sumber metadata: OAI-PMH (metadata jurnal) http://e-journal.unair.ac.id/index.php/JNERS/oai, pertama di-harvest 9 Nov 2026, terakhir terlihat 9 Nov 2026.
Metadata asli (oai_dc) 
<oai_dc:dc xmlns="http://www.openarchives.org/OAI/2.0/" xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:oai_dc="http://www.openarchives.org/OAI/2.0/oai_dc/" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.openarchives.org/OAI/2.0/oai_dc/  http://www.openarchives.org/OAI/2.0/oai_dc.xsd">
	<dc:title xml:lang="en-US">Patient-centered communication, social entrepreneurship motivation, and entrepreneurial intentions in nursing students: A structural equation modelling approach</dc:title>
	<dc:creator> Arini, Larasuci</dc:creator>
	<dc:creator>Afdal, Afdal</dc:creator>
	<dc:creator>Ifdil, Ifdil</dc:creator>
	<dc:creator> Ardi, Zadrian</dc:creator>
	<dc:creator> Biran Asnah, Mega Iswari</dc:creator>
	<dc:creator>Nurfarhanah, Nurfarhanah</dc:creator>
	<dc:subject xml:lang="en-US">entrepreneurial intentions</dc:subject>
	<dc:subject xml:lang="en-US">homecare nursing</dc:subject>
	<dc:subject xml:lang="en-US">patient-centered communication</dc:subject>
	<dc:subject xml:lang="en-US">social entrepreneurship</dc:subject>
	<dc:subject xml:lang="en-US">nursing students</dc:subject>
	<dc:description xml:lang="en-US">Introduction: The growing demand for homecare nursing in Indonesia offers important career opportunities; however, how clinical competencies are translated into entrepreneurial choices remains unclear. This study examined the relationship between patient-centered communication (PCC) and social entrepreneurship (SE) motivation with nursing students' entrepreneurial intentions (EI) to establish homecare practices.
Methods: A cross-sectional survey was conducted with 208 nursing students in West Sumatra, Indonesia. Data collected with validated instruments for EI (α = 0.90), SE drive (α = 0.94), and PCC (α = 0.92) were analyzed using partial least squares structural equation Modelling (PLS-SEM).
Results: PLS-SEM showed that PCC did not directly influence EI (β = -0.050, p = 0.669) but significantly predicted SE motivation (β = 0.604, p &amp;lt; 0.001). SE motivation significantly predicted EI (β = 0.627, p &amp;lt; 0.001) and fully mediated the PCC–EI relationship (β indirect = 0.379, p &amp;lt; 0.001). The model explained 35.8% of EI variance.
Conclusions: Clinical communication competencies alone do not predict entrepreneurial intentions; rather, they appear to require activation through motivation for social entrepreneurship. Therefore, nursing education should adopt integrated pedagogical frameworks that connect clinical empathy with social-business models to foster homecare as a viable career pathway.</dc:description>
	<dc:publisher xml:lang="en-US">Universitas Airlangga</dc:publisher>
	<dc:date>2026-05-31</dc:date>
	<dc:type>info:eu-repo/semantics/article</dc:type>
	<dc:type>info:eu-repo/semantics/publishedVersion</dc:type>
	<dc:format>application/pdf</dc:format>
	<dc:identifier>https://e-journal.unair.ac.id/JNERS/article/view/89257</dc:identifier>
	<dc:identifier>10.20473/jn.v21i2.89257</dc:identifier>
	<dc:source xml:lang="en-US">Jurnal Ners; Vol. 21 No. 2 (2026): VOLUME 21 ISSUE 2 (MAY 2026); 245-254</dc:source>
	<dc:source>2502-5791</dc:source>
	<dc:source>1858-3598</dc:source>
	<dc:language>eng</dc:language>
	<dc:relation>https://e-journal.unair.ac.id/JNERS/article/view/89257/37989</dc:relation>
	<dc:rights xml:lang="en-US">Copyright (c) 2026 Jurnal Ners</dc:rights>
	<dc:rights xml:lang="en-US">http://creativecommons.org/licenses/by/4.0</dc:rights>
</oai_dc:dc>