Smartphone-Based Spiritual Support Applications to Overcome Anxiety in Emergency Unit Nurses during the COVID-19 Pandemic: Extended Rapid Application Development


  • Iwan Purnawan Department of Nursing, Faculty of Health Sciences, Jenderal Sudirman University, Purwokerto, Indonesia
  • Arif Imam Hidayat Department of Nursing, Faculty of Health Sciences, Jenderal Sudirman University, Purwokerto, Indonesia
  • Sidik Awaludin Department of Nursing, Faculty of Health Sciences, Jenderal Sudirman University, Purwokerto, Indonesia
  • Galih Noor Alivian Department of Nursing, Faculty of Health Sciences, Jenderal Sudirman University, Purwokerto, Indonesia
  • Eman Sutrisna Department of Pharmacology, Faculty of Medicine, Jenderal Sudirman University, Purwokerto, Indonesia
  • Condro Kartiko Department of Software Engineering, Faculty of Informatics, Telkom Institute of Technology Purwokerto, Purwokerto, Indonesia
  • Ikit Netra Wirakhmi Faculty of Health Sciences, Harapan Bangsa University, Purwokerto, Indonesia



Anxiety, Emergency Room Nursing, spiritual therapies, pandemic


BACKGROUND: Spiritual assistance cannot be provided ideally to emergency room (ER) nurses facing anxiety during the COVID-19 pandemic. It is because of the clergy’s restrictions and the available time.

AIM: This study aimed to develop an independently usable smartphone-based spiritual support application.

METHODS: This study is an extensive rapid application development (ERAD). Four specialists in spirituality, music, psychology, and information  technology evaluated the Muzida Spiritual Support (MSS) prototype’s validity and reliability. Thirty-two ER nurses who handle COVID-19 patients were subjected to prototype acceptance tests.

RESULTS: The content validity test demonstrates a high level of accessibility for content accuracy (0.9), rhythm and tempo compatibility (0.8), and the relaxing impact that results (0.8). Intraclass correlation coefficients (ICC) values indicate that the MSS application is reliable (0.71). The mean ± standard deviation (SD) application interface score 7.84 ± 1.25, the voice clarity aspect 8.9 ± 1.28, the ease of use 7.56 ± 1.31, the effect on reducing anxiety 7.65 ± 1.21, the boost effect 8.0 ± 1.16, the happiness effect 8.03 ± 1.32, and the calming effect 8.1 ± 1.32. The mean ± SD acceptance score is 8.06 ± 0.44, indicating that the user can run MSS very well.

CONCLUSION: The prototype of the MSS application has adequate validity, reliability, and acceptability, so it is suitable for use as a therapy.


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How to Cite

Purnawan I, Hidayat AI, Awaludin S, Alivian GN, Sutrisna E, Kartiko C, Wirakhmi IN. Smartphone-Based Spiritual Support Applications to Overcome Anxiety in Emergency Unit Nurses during the COVID-19 Pandemic: Extended Rapid Application Development. Open Access Maced J Med Sci [Internet]. 2023 Jan. 3 [cited 2023 Dec. 6];11(G):90-7. Available from:



Emergency Nursing