Rizky Rizaldi | The Effectiveness of Splinting Skills Education in Closed Fracture Cases Using the Seminar and Self Direct Video Methods on the Knowledge Level of Grade 12 Students of SMAN 4 Jakarta Journal Educational of Nursing (JEN) Vol.
9 No.
1 January Ae June 2026.
page 95-104 p-ISSN : 2655-2418.
e-ISSN : 2655-7630 journal homepage: https://ejournal.
DOI: https://doi.
org/10.
37430/jen.
Article history:
Received: January 08th 2026 Revised: January 09th 2026 Accepted: January 12th 2026 The Effectiveness of Splinting Skills Education in Closed Fracture Cases Using The Seminar and Self Direct Video Methods on The Knowledge Level of Grade 12 Students of SMAN 4 Jakarta Rizky Rizaldi1.
Bahreni Yusuf 2.
Hendik Wicaksono3.
Agus Susilawati4 Bachelor of Nursing Education and Professional Nurse.
STIKes RSPAD Gatot Soebroto1 Departement of Medical Surgical Nursing.
STIKes RSPAD Gatot Soebroto2,3,4 E-mail : rizaldi0803@gmail.
com1, bahreniyusuf@gmail.
com2, winalif@yahoo.
com3, susi@stikesrspadgs.
Abstract Background: Fractures resulting from traffic accidents are injuries that have the potential to cause disability if not treated appropriately.
One technique used is splinting to prevent bone displacement, reduce pain, and protect surrounding tissue.
Students' knowledge of splinting techniques is still low, requiring effective educational methods, such as seminars and self-directed videos.
Objective: To determine the effectiveness of splinting skills education for closed fractures using seminars and selfdirected videos on the knowledge level of 12th-grade students at SMAN 4 Jakarta.
Methods: This study used a Quasi-Experimental design with a Pretest-Posttest with Control Group Design.
144 students were selected using simple random sampling and divided into an intervention group .
elf-directed vide.
and a control group .
, each with 72 respondents.
The research instrument consisted of pretest and posttest questionnaires.
Data analysis used the Wilcoxon Signed Rank Test.
Results: There was an increase in knowledge in both groups with a p-value <0.
05, where the posttest score was higher than the The positive rank score for the intervention group was 61 and for the control group, 55.
Conclusion: Education on splinting skills for closed fractures using seminars and self-directed video was equally effective in improving the knowledge of 12th-grade students at SMAN 4 Jakarta.
However, the self-directed video method yielded higher improvement than the seminar method, thus concluding that the self-directed video method is more effective in improving student knowledge.
Keywords: Education.
Fracture.
Splinting.
Seminar.
Self-Directed Video.
Knowledge.
INTRODUCTION
A fracture is a condition where the continuity of the bone is broken, characterized by partial or complete damage to the cortical layer of the bone, and is often accompanied by injury to the surrounding soft tissue.
Fractures are generally caused by impacts with high kinetic energy that cause direct trauma to the bone and surrounding tissue, resulting in a decrease in an individual's physical abilities .
One of the main causes of fractures is traffic accidents, which are events that are difficult to predict when and where they will occur.
Traffic accidents not only cause injury and disability, but can also lead to death .
The increasing number of traffic accidents from year to year has become a serious problem at the global level.
The World Health Organization (WHO) in its 2023 Report on Road Traffic Injury Prevention reported that approximately 19 million people die annually due to traffic accidents worldwide.
In developed countries, data from the Centers for Disease Control and Prevention (CDC) in 2022 recorded 36,355 deaths due to traffic accidents in the United States.
Journal Educational of Nursing (JEN) Vol.
9 No.
Rizky Rizaldi | The Effectiveness of Splinting Skills Education in Closed Fracture Cases Using the Seminar and Self Direct Video Methods on the Knowledge Level of Grade 12 Students of SMAN 4 Jakarta with a death rate of 11 per 100,000 This condition shows that although America has a relatively advanced transportation system and infrastructure, the United States still faces major challenges in reducing the number of deaths due to traffic accidents .
According to data from the Indonesian Ministry of Health .
, there were 103,645 recorded accidents in Indonesia, with approximately 5.
8% of victims experiencing fractures.
The most common fractures occurred in the lower extremities, followed by the upper A basic health study showed that femur fractures accounted for the highest proportion at 39%, followed by humerus fractures at 15%, and tibia and fibula fractures at 11%.
Most of these fractures were caused by traffic accidents, involving both private vehicles and other modes of transportation .
the DKI Jakarta Province, in 2022, 7,133 traffic accidents were recorded, with 668 victims suffering serious injuries and 414 The high number of seriously injured victims indicates a risk of longterm disability, particularly due to musculoskeletal disorders .
One form of initial treatment for musculoskeletal injuries, particularly fractures resulting from traffic accidents, is splinting.
This is crucial to reduce the risk of permanent disability and even death, especially if the victim must wait a long time before receiving further medical treatment .
Splinting is a first aid technique that aims to immobilize the injured body part with the aid of simple devices.
The primary benefit of splinting is not only to reduce and eliminate pain but also to prevent movement of the broken bone, which can damage surrounding soft tissues, such as blood vessels, nerves, and Furthermore, splinting reduces the risk of bleeding, prevents further deformity, and minimizes shock in the victim before further medical treatment is received .
Several ways to increase knowledge of fracture rescue techniques outside the hospital include providing education through seminars and self-directed The seminar method allows direct interaction between participants and presenters, facilitating understanding of the material through discussion and questions and answers.
Meanwhile, selfdirected video provides the flexibility of independent learning, allows participants to repeat material as needed, and is effective in conveying practical and procedural information .
Based on a preliminary study I conducted on July 28, 2025, at SMAN 4 Jakarta, interviews with one teacher and three students revealed a lack of knowledge regarding first aid and Data from 2025 recorded 209 12th-grade students at SMAN 4 Jakarta, consisting of 67 boys and 140 girls.
Furthermore.
SMAN Jakarta's proximity to heavy traffic contributes significantly to the number of accidents.
Therefore, one safety measure to improve students' knowledge and skills is to provide education on splinting techniques so that students can provide initial treatment in traffic accidents.
Based on the description above, the researcher is interested in conducting research on "The Effectiveness of Splinting Skills Education in Closed Fracture Cases Using Seminar and SelfDirect Video Methods on the Knowledge Level of Grade 12 Students of SMAN 4 Jakarta".
RESEARCH METHODOLOGY
The quasiexperimental pre-test-post-test control This design was chosen to determine the effectiveness of splinting skills education for fracture cases using seminars and self-directed videos on the Journal Educational of Nursing (JEN) Vol.
9 No.
Rizky Rizaldi | The Effectiveness of Splinting Skills Education in Closed Fracture Cases Using the Seminar and Self Direct Video Methods on the Knowledge Level of Grade 12 Students of SMAN 4 Jakarta knowledge level of 12th-grade students at SMAN 4 Jakarta.
The study was conducted at SMAN 4 Jakarta on November 12Ae13, 2025.
The study population was all 209 12th-grade Researchers also used inclusion and exclusion criteria so that the research was in accordance with the objectives, namely inclusion criteria, students aged 16Ae18 years, are grade XII students, have an Android-based cellphone and data quota package, are willing to be respondents by signing an informed consent, and are present and participate in the entire series of research including pretest and posttest.
The exclusion criteria include students who are sick or in a condition that does not allow them to be respondents, students with certain disabilities such as impairments, and students who are serving school sentences at the time the research is taking place.
The sampling technique used probability sampling with a simple random sampling approach using a lottery method.
The sample size used the Slovin formula .
5%), resulting in 137 respondents.
This was then increased by 5% to anticipate dropout, resulting in 144 respondents.
They were divided into two groups: 72 respondents in the intervention group .
elf-directed respondents in the control group .
The research instrument was a questionnaire measuring the level of consisting of 19 positive and negative statements on a five-point Likert scale.
The questionnaire was adapted from Rizka Saputri's .
research and has been tested for validity using Pearson Product Moment correlation with an r table value of 0.
361, as well as a reliability test with a Cronbach's Alpha value of 0.
739, so it is declared valid and reliable.
Univariate data analysis respondents and bivariate to determine the level of student knowledge before and after being given education.
The normality test uses KolmogorovSmirnov, if the data is normally distributed using Paired T-Test and if the data is not normally distributed using the non-parametric Wilcoxon Signed Rank Test.
RESULTS AND DISCUSSION
Table 1 Frequency Distribution of Respondents by Age, in November 2025
Variabel
N Mean Median SD
Intervensi
72 17,08
Min Max
-95% CI
17,00 0,765 16-18 16,90-17,26
Kontrol
72 17,03 17,00 0,731 16-18 16,86-17,20
Source: Primary Data 2025 Based on Table 1 above, the age distribution of respondents in the intervention group was 17.
08 with a Meanwhile, in the control group, the average age was 17.
03 with a standard deviation of 0.
Table 2 Frequency Distribution Respondents Based on Gender.
November 2025 .
Characteristics Intervensi Kontrol Frecuency Percentage Frecuency Percentage .
(%) .
(%) Gender
Male
Female Total
37,5%
62,5%
45,8%
54,2%
Source: Primary Data 2025 Based on table 2 above, it was found that the distribution of data in the intervention group and the control group was mostly female, namely 45 respondents with a percentage of .
5%) in the intervention group while 39 respondents with a percentage of .
2%) in the control group.
Journal Educational of Nursing (JEN) Vol.
9 No.
Rizky Rizaldi | The Effectiveness of Splinting Skills Education in Closed Fracture Cases Using the Seminar and Self Direct Video Methods on the Knowledge Level of Grade 12 Students of SMAN 4 Jakarta Table 3 Frequency Distribution of Respondents Based on Information Sources Regarding Knowledge of Splinting at SMAN 4 Jakarta.
November 2025 .
Characteristics results, it can be concluded that in the intervention group given self-directed video and the control group given a seminar, both experienced an increase Intervensi Kontrol in knowledge after being given Frecuency Percentage Frecuenc Percentage .
(%) y .
(%) education.
9,7%
Teacher
22,2%
HealthWorkers 50,0% Internet
9,7%
8,3%
Radio Total Source: Primary Data 2025 Based on Table 3 above, it was found that the source of information obtained from each group was mostly obtained through the internet.
That is, the intervention group was mostly numbered 37 respondents with a percentage .
%), while the control group was small numbered 24 respondents with a percentage .
3%).
Table 4 Frequency Distribution of Knowledge Level Before and After Providing Education on Splinting Skills in Closed Fracture Cases in the Control (Semina.
and Intervention (Self-Direct Vide.
Groups Frequency Category N Good
Enough Poor 95%CI IntervensiGroup
PreTest
1,85-2,01
PostTest
2,44-2,72
KontrolGroup
PreTest
2,03-2,20
PostTest
2,73-2,91
Source: Primary Data 2025 Based on table 4 above, it is known that the pre-test results of respondents in the intervention group with a good category amounted to 3 people, after being given education, the post-test results increased mostly in the good category amounting to 49 respondents.
Meanwhile, the pre-test results in the control group were a small portion in the good category, amounting to 4 respondents and after being given post-test increased to 32 respondents.
From these 26,4% 20,8% Table 5 Results of the Wilcoxon Test of 33,3% Knowledge Level Before and After 11,1% Providing Education on Splinting Skills 8,3% in Closed Fracture Cases Using the 100% Seminar and Self-Direct Video Methods .
Group Category Mean
Rank
Intervensi Group
Negatif
14,00
Rank
Pretest Ae Positif
61 35,10
Posttest Rank
Ties Total
Kontrol Group
Negatif
17,36
Rank
Pretest - Positif
55 33,30
Posttes Rank Ties Total Source: Primary Data 2025 Sum Of Rank Value 70,00 2141,00 0,000 121,50 1831,50 0,000 Based on table 5 above, it is known that the positive rank results in the intervention group given self-direct video were 61 respondents with a pvalue of 0.
While in the control group the positive rank results given by the seminar method were 55 respondents with a p-value of 0.
The difference in the number of positive ranks shows that the increase in knowledge of respondents in the group using selfdirect video was greater than the seminar method.
Thus, it can be concluded that self-direct video is more effective in increasing the knowledge of grade 12 students of SMAN 4 Jakarta
regarding splinting skills in closed fracture cases compared to the seminar
DISCUSSION