Bibliometric Analysis: Improving the Clinical Skills of Nursing Students through Tutorial-Based Laboratory Learning

Husni; Yusran Hasymi; Eko Risdianto

doi:10.56741/IISTR.jpes.001677

Authors

Husni
husniazwar2020@gmail.com
Poltekkes Kemenkes Bengkulu https://orcid.org/0000-0003-4388-7521
Yusran Hasymi Universitas Bengkulu https://orcid.org/0000-0002-5405-8465
Eko Risdianto Universitas Bengkulu https://orcid.org/0000-0002-5950-2238

Keywords:

Clinical Skills, Nursing Students, Reflective Evaluation, Self-Efficacy, Tutorial-Based Laboratory

Abstract

Recent advancements in nursing education have led to a shift in the paradigm from teacher-centered learning to experiential and reflective learning models. Tutorial-Based Laboratory Learning (TBLL) has emerged as an innovative approach to enhance nursing students’ clinical competence by integrating reflection, problem-solving, and simulation-based practice. This bibliometric study aims to map global research trends, conceptual structures, and thematic evolution in studies focusing on improving nursing students’ clinical skills through TBLL between 2015 and 2025. It also identifies the leading authors, institutions, journals, and countries that contribute to this field. A total of 48 articles were retrieved from the Scopus database and analyzed using VOSviewer 1.6.20 and Biblioshiny (R Studio) to visualize publication trends, keyword co-occurrence, co-authorship, and citation networks. The analysis followed descriptive, conceptual, and evolutionary approaches to illustrate global research patterns. Findings reveal an increasing trend in publications, peaking in 2021, with Nurse Education Today as the most influential journal. Dominant themes include problem-based learning, critical thinking, self-efficacy, and nursing education. The United States, Turkey, and Australia lead global contributions, reflecting broad international engagement. Key influential contributions were identified through citation network analysis, with several highly cited studies shaping the core knowledge base of TBLL-related clinical skills research. The study highlights TBLL as a transformative pedagogical model that integrates cognitive, affective, and psychomotor learning dimensions. This research contributes to nursing science by providing an evidence-based roadmap for curriculum innovation, reflective evaluation, and simulation-based clinical education in 21st-century nursing programs.

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Author Biographies

Husni, Poltekkes Kemenkes Bengkulu

is a lecturer at Poltekkes Kemenkes Bengkulu, Indonesia and is currently pursuing a doctoral degree in Educational Administration. Her academic and research interests lie at the intersection of education and health, focusing on the development of learning systems, educational management, and community health issues. Through her work, she aims to contribute to evidence-based improvements in both educational practice and public health services. (email: husniazwar2020@gmail.com).

Yusran Hasymi, Universitas Bengkulu

is a lecturer at Universitas Bengkulu, Indonesia and a doctoral student in Educational Administration. His research focuses on issues in both education and health, particularly on improving learning systems, strengthening educational management, and advancing community health initiatives. Through his academic work and professional roles, he is committed to contributing evidence-based insights that support the development of higher education and public health services in Indonesia. (email: yhasymi@unib.ac.id).

Eko Risdianto, Universitas Bengkulu

is a lecturer at Universitas Bengkulu, Indonesia and holds a doctoral degree. He has produced numerous international publications in the field of education, reflecting his strong academic engagement and contributions to educational research. Beyond his scholarly work, he is actively involved in professional organizations, serving as the Secretary of the Bengkulu Multimedia Association. He also plays a key leadership role at the university as the Head of the Education and Training Center at LPTIK UNIB, where he supports digital learning development and capacity building initiatives. (email: eko_risdianto@unib.ac.id).

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