The long-standing underachievement in the Indonesian national nursing competency examination (NNCE) has been a common concern, and there is limited information on the preparation program for this licensure examination. A quasi-experimental study was carried out to develop an NNCE preparation program model and evaluate its effectiveness in increasing competency among nursing graduates at a full-boarding private university in Indonesia. The participants of the study were selected with the purposive sampling method. The 23 course coordinators and clinical instructors met the inclusion criteria of having worked for at least five years as classroom teachers and at least one year as course coordinators or clinical instructors. The 85 nursing graduates met the inclusion criteria of having finished the internship program and planned to take the NNCE. The model was developed using participatory action research. The increase in the competency level and the level of perceived readiness of the nursing graduates and the satisfaction of both the participant educators and nursing graduates were measured quantitatively. The proposed model consists of core components and essential concepts. The core components are a holistic preparation process, active involvement and participation, knowledge and skill specialty, sharp examination-taking and skills, motivation to join the program and self-confidence to pass the NNCE, and time commitment for the preparation program. The essential concepts consist of awareness and trust, desire to change, sense of responsibility, mutual collaboration, equipped and empowered to act, definite direction and goals, mentoring. The model’s evaluation indicated a significant increase in competency level, overall perceived readiness for the national nursing competency examination, and degree of satisfaction with the preparation program. The implementation of the preparation model significantly increased the nursing graduates’ competency level, and both the participating educators and nursing graduates were satisfied with its effectiveness.
Licensure examination preparation model, nursing licensure examination, nursing graduates, participatory action research.


Educational Background:
• PhD (Int’l Nursing) : Department of International Nursing, Faculty of Nursing, Prince of Songkla University, Thailand (2019).
• MSc (PH Nursing) : Department of Nursing, Faculty of Public Health, Mahidol University, Thailand (1995).
• BSc (Nursing) : Dept. of Nursing Science, Universitas Advent Indonesia (UNAI), Bandung, Indonesia (1985)
Academic Rank: Associate Professor
Professional Experience:
• 1985 – 1988: Nurse, San Dimas Golden Age, San Dimas, CA, USA.
• 1989 – 1995: Teacher, Faculty of Nursing Science, Universitas Advent Indonesia, Indonesia
• 1995 – 2000: Teacher, Faculty of Nursing Science, Assumption University, Bangkok, Thailand
• 2000 – Present: Teacher, Faculty of Nursing Science, Universitas Advent Indonesia, Indonesia