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Introduction: Human resources of nursing who have low personal mastery have an impact on the quality and productivity of nursing services. Several factors have been studied to be associated with the low personal mastery of nurses. The purpose of this study was to analyze the factors that’s influencing personal mastery improvement of clinical nurse practitioners in a hospital. Methods: This study applied cross sectional design with 120 respondents through cluster sampling technique in one of Surabaya Hospital. Data were collected using the personal mastery factors questionnaire that has been tested for validity and reliability. The variable included training and development, leadership, attitudes, competencies, motivation, personal values, job design and personal mastery of nurses. Data were analyzed using multiple linear regression. Results: The result showed that competence, personal values and job design factors partially influenced the personal mastery (p = 0.006), (p = 0.001), (p = 0.005). Training and development, leadership, attitude and motivation have not influenced on personal mastery (p = 0.871), (p = 0.352), (p = 0.900), (p = 0.312). Simultaneously development and training, leadership, attitudes, competencies, motivation, personal values and job design factors was influenced the personal mastery of nurses' (p = 0.000). The influenced independent’s variable on personal mastery of clinical nurse practitioners is 58.1%. Conclusions: Personal mastery of clinical nurse practitioners was increased by improving the competence, strengthening of the personal values and design a good job. Further studies are warrant to examine other factors that can improve nurses' personal mastery such as organizational culture, reward systems that affect the performance of clinical nurse practitioners.

Beberapa bagian bahkan hampir semua bagian dari tanaman aren dapat digunakan, oleh karena itu tanaman aren memiliki nilai ekonomi yang tinggi. Kelompok Wanita Tani Aren Desa Lamondape menghadapi masalah dengan gula aren cetak yang harganya murah karena masyarakat tidak mengetahui tentang teknologi inovasi pengolahan produk olahan dari air nira tanaman aren. Terbatasnya sumber daya terlatih menyebabkan kurangnya keterampilan yang memungkinkan inovasi kreatif. Tujuan kegiatan ini adalah untuk mengubah air nira menjadi gula semut yang lebih menguntungkan daripada gula aren cetak, dengan kemasan yang lebih baik dan lebih menarik. Dan memberikan pelatihan dan penyuluhan kepada masyarakat untuk meningkatkan kemampuan kreatif. Dari kegiatan ini, tercapai level keberdayaan mitra sasaran yaitu 100 % yakni 30 orang anggota kelompok memahami dan mampu melakukan pengolahan air nira menjadi prdoduk gula semut dengan nilai ekonomi yang lebih tinggi, kelompok wanita tani aren dapat memperoleh peningkatan pendapatan. Selain itu, kelompok wanita tani aren akan lebih terbuka terhadap potensi sumber daya lokal desa. Serta 100 % yakni 30 orang anggota kelompok memahami cara memasarkan produk gula semut dengan kemasan yang lebih baik dan menarik, secara konvensional dan digital marketing.

Organizational factors determine patient satisfaction, since nursing care depends on organizations, in which the majority of actions involve nurses to provide holistic nursing care. Spirituality can be an important key, because patients feel all needs are fulfilled, making Sharia-Based Nursing Care (SBNC) a mediator of organizational factors for patient satisfaction. The aim of this paper is analyzing the role of organizational consolidation factors and SBNC model to determine patient satisfaction in Sharia hospitals. This analytical correlation study used a cross-sectional design and cluster sampling technique on 260 respondents as the samples, consisting of nurses and patients in patient rooms in X Islamic Hospital, Indonesia. The variables of this study, the organizational factors, SBNC, and patient satisfaction were collected using a questionnaire; all variables were assessed through the use of a questionnaire, and permission to modify or employ the instrument was obtained from the original authors, and analyzed using Smart Partial Least Squares (SmartPLS). Organizational factors have significant influence on SBNC (p-value=0.000; β-value=0.786; t-value>1.96), organizational factors have moderately significant influence on patient satisfaction (p-value=0.000; β-value=0.508; t-value>1.96), SBNC has significant influence on patient satisfaction (p-value=0.000; β-value=0.430; t-value>1.96), the consolidation of organizational factors with SBNC influences patient satisfaction (p-value=0.001; β-value=0.338; t-value>1.96). Nurses with good leadership, culture, and who give appropriate rewards can shape the quality of the profession by implementing SBNC; patients feel all needs are fulfilled, especially the spiritual aspect, and satisfaction with the nursing services.

Introduction Behavioral skills of people living with HIV/AIDS (PLWHA) in consuming antiretrovirals (ARV) can reduce their morbidity and mortality; however, behavioral skills in ARV therapy are still low. Motivational factor is considered to have an effect on behavior skills. The purpose of this study was to explain the influence of motivational factors on behavioral skills of PLWHA. Material and methods Descriptive correlational cross-sectional approach was applied as study design. One hundred respondents, who met inclusion criteria were selected through simple random sampling method, and were requested to fill out a questionnaire. Results were analyzed using descriptive analysis and logistic regression test, with a significance value of p ≤ 0.05. Results In general, there is a significant effect of personal motivation (p = 0.000) and social motivation (p = 0.016) on behavioral skills. Personal motivation is based on attitudes towards preventive behavior, perceptions of disease susceptibility, benefits, and barriers to preventive behavior, while social motivation is a support provided by family and/ or friends as an assistance during treatment. Conclusions Behavioral skills of PLWHA consisting of taking medication skills and managing information, are influenced by personal and social motivation. Support from family and friends is an important value that can play a role in achieving optimal motivation for treatment.

Introduction: This study aimed to the development of an Islamic nursing care model to improve patient satisfaction. Methods: Cross-sectional design random sampling technique on 134 respondents, consisting of patients and nurses in the surgical inpatient room, internal medicine inpatient room, and postpartum and gynecology inpatient rooms, using simple random techniques. The variables of this study were the nursing factors, Islamic nursing care, and patient satisfaction and were collected using questionnaire. The data were collected using questionnaire in December 2021 at Islamic Hospital, Indonesia, and processed using a Smart Partial Least Squares (SmartPLS) analysis and Sommers' correlation test. Results: The Sommers' test results show significant relationship between nursing factor (nurse knowledge, nurse’s attitude, nurse competence, nurse personality) and patient satisfaction; nurse knowledge (p=0.000); nurse attitude (p=0.000); nurse competence (p=0.000); nurse personality (p=0.000; α 1.96). Then for Islamic nursing care with patient satisfaction, it has a very strong significant effect (p value 0.000; β value 0.753; t value> 1.96). Conclusions: Islamic nursing care as a mediator of nurse factors with patient satisfaction can be described in this study model because Islamic nursing care is a real form of care by nurses that is felt by the patient and the application of Islamic values so that the form of nursing care makes patients feel satisfied.

Introduction: Globally, antiretroviral therapy (ART) has been successful in reducing the death rate due to human immunodeficiency virus (HIV). Different conditions in Indonesia mean the death rate due to HIV/AIDS is still high. The problem lies in the low compliance with ART. This study aimed to analyze the correlation between ART adherence with number of CD4, the opportunistic infection (OI) and viral load in PLHIV. Methods: A quantitative survey with cross-sectional approach was conducted between August – September 2022. As many as 375 PLHIV were recruited and agreed to give consent as research respondents. All respondents completed a questionnaire about ART adherence, OI and had blood taken to check CD4 count and viral load. Analyses were performed using Chi-squared test SPSS version 21 with significance level p

This study uses quantitative research with a quasi-experiment. It aims to determine the effect of using the Contextual Teaching and Learning (CTL) approach on students' creative thinking skills. The design used was a post-test-only control group design. This research was conducted in class IV UPT SPF SD Inpres Tamamaung III Makassar City, Even Semester, 2022/2023 Academic Year. The population in this study were all students of SD Inpres Tamamaung III Makassar City. The sampling technique in this study used the Simple Random Sampling technique. The sample in this study in the experimental class was Class IVA, which amounted to 25 students, and the control class was class IVB, which amounted to 25 students. The research instruments were observation sheets, questionnaires, and learning outcomes tests. Data analysis techniques using descriptive statistics and inferential statistics. 1) The Contextual Teaching Learning (CTL) approach affects the creative thinking ability of fourth-grade students of SD Inpres Tamamaung III Makassar City.

Dokumentasi keperawatan memiliki peranan yang sangat penting dalam pengambilan keputusan perawatan dan keamanan pasien yang mengandung nilai profesionalisme. Proses keperawatan merupakan pendekatan professional yang dilakukan untuk mengidentifikasi, mendiagnosis dan mengatasi respon manusia terhadap kesehatan dan penyakit. Studi ini bertujuan untuk melakukan telaah secara sistematis untuk melakukan pengembangan instrument dokumentasi asuhan keperawatan pada pasien hemodialisis berbasis STARKES 2022. Metode penelitian ini adalah menggunakan literatur review. Proses penyeleksian artikel dilakukan menggunakan PICOS. pencarian literatur melalui database dengan kriteria kualitas tinggi dan sedang, yaitu Scopus, ProQuest, Science Direct dan PubMed. Sebelum melanjutkan pada pencarian artikel atau jurnal harus menggunakan dan boolean operator. Hasil studi menunjukkan sebanyak 297 artikel ditemukan, berasal dari empat database: 198 Ebsco, 41 Science Direct dan 58 PubMed. Hasil pemilihan artikel sesuai dengan kriteria inklusi 15 artikel. Perlu adanya audit untuk mengevaluasi kelengkapan dokumentasi proses asuhan keperawatan sehingga akan meningkatkan mutu rumah sakit.

IntroductionUncontrolled blood sugar levels may result in complications, namely diabetic neuropathy. Diabetic neuropathy is a nerve disorder that causes symptoms of numbness, foot deformity, dry skin, and thickening of the feet. The severity of diabetic neuropathy carries the risk of developing diabetic ulcers and amputation. Early detection of diabetic neuropathy can prevent the risk of diabetic ulcers. The purpose: to identify early detection of diabetic neuropathy based on the health belief model.MethodThis research searched for articles in 6 databases via Scopus, Ebsco, Pubmed, Sage journal, Science Direct, and SpringerLink with the keywords “screening Neuropathy” AND “Detection Neuropathy” AND “Scoring Neuropathy” AND “Diabetic” published in 2019-2023. In this study, articles were identified based on PICO analysis. Researchers used rayyan.AI in the literature selection process and PRISMA Flow-Chart 2020 to record the article filtering process. To identify the risk of bias, researchers used the JBI checklist for diagnostic test accuracy.ResultsThis research identified articles through PRISMA Flow-Chart 2020, obtaining 20 articles that discussed early detection of diabetic neuropathy.ConclusionThis review reports on the importance of early detection of neuropathy for diagnosing neuropathy and determining appropriate management. Neuropathy patients who receive appropriate treatment can prevent the occurrence of diabetic ulcers. The most frequently used neuropathy instruments are the vibration perception threshold (VPT) and questionnaire Michigan Neuropathy Screening Instrument (MNSI). Health workers can combine neuropathy instruments to accurately diagnose neuropathy.

Introduction The marked increase in the number of individuals with diabetes mellitus (DM) worldwide each year has resulted in the importance of the spouse's contribution to the promotion and support of patient self-management programs. Objectives This study aimed to systematically explore the role or involvement of spouses in collaborative management and glycemic behavior change in DM. Methods Five databases including Scopus, PubMed, Cumulative Index of Nursing and Allied Health Literature, SAGE, and Web of Science were reviewed for relevant articles retrieved from 2017 to 2022. Literature search used keywords, including “Spouse,” “Support,” “Self-management,” “Glycemic Control,” and “Diabetes mellitus.” The Joanna Briggs Institute guidelines were used for appraisal review of journals. The component of partner support in the self-management of patients with DM is associated with an increase in the patient's glycemic level. Results Twenty-five studies were identified that describe the different spousal roles and strategies in the promotion and support of DM management. Overall, spouses’ involvement positively impacted healthy diets, higher self-efficacy, improved quality of psychological well-being, increased perceived support, and changes in glycemic-influenced behavior. Adaptation in the spouse patient relationship including maintaining cohesiveness can result in positive coping is essential in normalizing and contextualizing the chronic condition of DM. Partner-based collaboration is important for diabetes management, overcoming management barriers, and generating communal coping. Conclusion This systematic review observed that the involvement of a spouse is important in improving collaborative management and results in better glycemic behavior in patients with DM. A better understanding of the relationship between spousal involvement, coping strategies, and adherence in daily management and the subsequent use of this information are highly useful for creating targeted and effective interventions.

Introduction Dialysis is a long-term treatment for chronic kidney failure. Family caregivers play a significant role in the care of patients undergoing dialysis. The quality of life (QoL) of family caregivers is related to the quality of care provided to patients undergoing dialysis. Objectives This recent literature review aimed to synthesize the QoL experienced by caregivers of family members undergoing dialysis. Method This literature review employed four online databases, including SCOPUS, PubMed, ScienceDirect, and Web of Science. The extracted articles were further screened on the basis of the PRISMA guidelines. In this review, articles were selected on the basis of the following eligibility criteria: double-blind peer-reviewed articles, articles written in English language and published between 1 January 2013 and January 2023. This review used thematic synthesis. Results Four analytical themes emerged, including physical capacity, social relations, psychological state, and environment. All of these themes correspond to the dimensions of QoL. Conclusion The QoL of family caregivers of patients undergoing dialysis must be considered . A good QoL of these caregivers will improve the balance of life and further increase the ability and quality of care they provide for family members undergoing dialysis.

Introduction: Coronavirus disease 2019 (COVID-19) is a global health challenge that persists in causing both health emergencies and mental health crises around the world. This study aimed to analyze the factors contributing to COVID-19 infection and their impact on mental health crises on Java Island. Methods: A cross-sectional study was conducted between June and July 2020 on Java Island, Indonesia, involving 1,218 respondents selected through convenience sampling. The independent variables included demographic, individual internal, and psychological factors, while the dependent variable was mental health crisis occurrence. Data were collected through demographic information, knowledge and attitude questionnaires, depression anxiety stress scores, the brief-COPE inventory, as well as surveys addressing encountered problems and mental health emergencies. The collected data underwent analysis using chi-square and multivariate logistic regression. Results: Significance was observed in the relationship between demographic, individual internal, and psychological factors, and their impact on mental health crises (p < 0.05). Following adjustment with logistic regression, psychological factors exhibited a more pronounced relationship, with the highest association observed in stress levels (p = 0.000, 95% CI: 1.064-2.131). Conclusions: Individual stress levels emerged as the foremost contributing factor to mental health crises. Psychological elements, encompassing anxiety levels, stress, coping mechanisms, and encountered challenges, played substantial roles in disrupting psychological well-being and mental health.

SUMMARY: Purpose: Pediatric cancer is a serious problem and still becomes a global challenge today. Various complex stressors due to diagnosis, disease symptoms, and various side-effects from the treatment that children with cancer undergo will cause problems in the child's psychoneuroimmunological aspects. Psychological interventions designed to modulate the stress response include psychoneuroimmunological markers. Unfortunately, there is little evidence to support the effect of psychological interventions on psychoneuroimmunological markers. This systematic review aims to assess the effectiveness of psychological interventions on psychoneuroimmunological markers in children with cancer and to provide a new integrative model for further research. Methods: This systematic review uses four main databases (Scopus, PubMed, ScienceDirect, and ProQuest). The guideline used Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA). Selecting articles used the Rayyan application. The quality study was conducted using Joanna Briggs Institute (JBI)'s critical appraisal tools. The data were analyzed using the population, intervention, comparison, outcome, and study design (PICO) Synthesis based on similarities and differences in study characteristics to interpret the results. Results: The search results in this systematic review found 1653 articles, 21 of which matched the predetermined inclusion and exclusion criteria. Most of the designs used were randomized controlled trials (57.1%). Massage therapy was the most common type of psychological intervention (14.2%). Almost half of the studies measured psychological responses (38.0%), and psycho-physiological responses (42.9%), and only a small proportion assessed the effectiveness of psychological interventions on neuroimmunological markers in pediatric cancer. Conclusions: We recommend the use of psychological interventions as an additional intervention in managing psychoneuroimmunological markers of pediatric cancer. This study offers a new integrative model demonstrating the interaction between stress and psychological intervention involving neuroendocrine and immune mechanisms. However, future researchers need to test all domains of these new integrative models. This will reveal the complex interactions among these components and understand their relevance to health outcomes.

Problems that are often experienced by PLHIV are health, social, and economic problems. In addition, in everyday life, PLHIV experience problems in caring for themselves, meeting their social, economic, and psychological needs. PLHIV in accessing work are often hampered because of the stigma and discrimination they get and because of health factors that are easily exhausted. This research aims to find out the obstacles of PLHIV in accessing work. Systematic reviews were identified in four electronic databases published from 2016 to 2021. The quality of the reviewed studies was checked using the Critical Assessment Skills Program. The data were extracted by researchers and analyzed using thematic analysis. This review includes twelve eligible studies. The review found that stigma, support, environment and empowerment were the solutions and obstacles for PLHIV in accessing work. By providing support, there is no stigma, a good environment and empowering PLHIV can improve the quality of life and meet the primary needs of PLHIV. Barriers to accessing work experienced by PLHIV can be controlled through environmental empowerment by forming a support group.

Introduction Patients with schizophrenia require extended treatment and recovery, leaving their families and support systems feeling helpless. Integrative empowerment is a strategy that utilizes outside-in and inside-out empowerment to increase the ability of families to care for their loved ones and prevent relapse. Objective This study aimed to investigate the impact of integrative empowerment intervention on enhancing the family's ability to care for and prevent relapse in patients with schizophrenia. Methods The study employed a quasi-experimental with a pre-test and post-test control group design. The research sample was comprised of 70 individuals from nuclear families residing in Semarang, all of whom were responsible for the care of individuals with schizophrenia. The participants were divided into two groups: the treatment group, consisting of 35 individuals, and the control group, also comprising 35 individuals. Participant selection was carried out using purposive sampling. Module and booklet were produced as an intervention tools. The integrative empowerment intervention program spanned a period of 5 weeks, involving one session per week, each lasting approximately 60–90 min. Data analysis was conducted through the utilization of the Wilcoxon and Mann–Whitney tests. The significance level for the study was set at p .05). Integrative empowerment had a significant impact on increasing the family's ability to care for and prevent relapse in patients with schizophrenia ( p

This study aimed to enhance clinical educators' competence through experiential learning-based preceptorship training. Many clinical educators struggle with implementing effective clinical education, providing guidance, and having limited time for new nurses. The research employed a quasi-experimental design with a pre-posttest control group involving 60 clinical educators. The intervention group received a five-day training module using experiential learning-based preceptorship, while the control group received standard intervention. Data analysis used the Wilcoxon Signed Rank Test to analyse differences before and after intervention, and used Mann-Whitney to analyse differences between the two groups. Analysis revealed significant improvements in critical thinking, patient safety, leadership, communication, research-based practice, and professional development among the intervention group compared to the control group (p-value=0.000). The findings highlight the effectiveness of this training model in enhancing clinical educators' learning outcomes. The study suggests that incorporating experiential learning into clinical education can be a valuable strategy for improving the competence of clinical educators and subsequently achieving better clinical achievements.

ABSTRACT Objective: To analyze the contributing factors of work-related stress among nurses in the COVID-19 pandemic. Methods: A cross-sectional study was conducted with 101 nurse practitioners from two hospitals in West Java, Indonesia. We distributed an online questionnaire to evaluate work-related stress and the data were analyzed using ordinal logistic regression. Results: More than half of the nurses experienced moderate work-related stress. The study revealed that nurses aged over 35 years old had a lower likelihood of experiencing work-related stress (AOR: 0.173; 95%CI: 0.038-0.782). Married nurses had a higher likelihood (AOR: 7.156; 95% CI: 1.456-35.163). Additionally, nurses with low and moderate workloads had a lower likelihood (AOR: 0.003; 95%CI: 0.000-0.051) and (AOR: 0.025; 95%CI: 0.005-0.116), respectively. Conclusion: The consideration of age, marital status, and workload is essential in effectively addressing work-related stress among nurse practitioners.

Sago plants are the main staple food in Southeast Sulawesi. Sago plants have various economic value for bioethanol, roofs, and carbohydrates. Community managed sago plantations by using an agro-industrial model. Although, sago processing has long been developed, but the community is still living in a low socio-economic condition. The allocation of sago agro-industry production factors is still not optimal, resulting in a fluctuative production, quality and productivity. This study analyzed the income of the sago agroindustry and formulated a strategy for the sago agroindustry development. The study was conducted in Konawe Regency, Southeast Sulawesi Province. Sampling in this study was carried out by purposive sampling and total sampling. The analytical methods used include income analysis to analyze the income of the sago agroindustry, SWOT analysis to formulate strategies for the development of the sago agroindustry. The results showed that the income level of Konawe Regency’s sago agroindustry in a monthly sago processing was Rp. 14,205,770. The analysis results of sago agroindustry development strategy in Konawe Regency obtain five core strategies, focusing on packaging and labeling, production and marketing, training in seedling and management of the sago agroindustry, land conversion policy and sago price policy, and the sago agroindustry partnership program.

One of the important things that must be considered by the hospital is patient safety, where patient safety can be improved by implementing a patient safety culture, so that the patient safety culture goes well, it is necessary to increase the role of the leader. This study aims to determine whether there is a relationship between the role of a leader and the implementation of patient safety culture. Method: this research is a quantitative study using cross sectional. Data were collected using a questionnaire of 118 nurses using a total population sampling technique. The statistical test used is the spearmen rank test. Results: the results of this study are that the majority of the role of leaders is in the good category (92.6%), the majority of patient safety culture is in the good category (90.7%) there is a significant relationship between the role of leaders and the implementation of patient safety culture with a p-value of 0.00 , and r : 0.381, conclusion: Increasing the role of a leader in the form of a decision-making role, interpersonal role, and informational role can improve patient safety culture

The policy of increasing domestic fuel oil, as a consequence of rising world oil prices, has resulted in changing economic conditions, bearing in mind that oil prices and production are wrong macroeconomic assumptions and are included in the State Revenue and Expenditure Budget. This study aims to determine the impact of rising fuel prices and government subsidies on Indonesia's economic performance. The data used in this study are time series data from 2000 to 2022. Data were obtained from the Indonesian Central Bureau of Statistics, the Ministry of Energy and Mineral Resources, the Ministry of Finance, and Bank Indonesia. This study uses an econometric model using a system of simultaneous equations. The research results show that; The main factors that caused the increase in domestic fuel prices, including crude oil prices, gasoline, diesel, kerosene and aviation fuel, were the increase in world oil prices and the previous year's oil prices. The estimation results also show that the increase in gasoline and diesel fuel can increase the number of poor people, unemployment and inflation in Indonesia. The policy simulation results show that the increase in oil prices has a significant impact on increasing the number of poor people, increasing unemployment and inflation, if this increase is not followed by subsidies in the form of non-energy.

People living with HIV (PLHIV) require a focus on their quality of life to prevent deterioration. This study aims to establish a spiritual-based palliative nursing model to enhance the quality of life for PLHIV. A cross-sectional study of 225 PLHIV receiving treatment at Said Sukanto Hospital, Jakarta. Data, including demographic, disease, psychological, spiritual, support, services, spiritual-based palliative care, spiritual meaning in illness experience, and quality of life variables, were collected using a researcher-modified questionnaire. Data were analyzed using descriptive and structural analysis through Partial Least Square Equation Modeling (SEM-PLS). The outer model demonstrated construct validity (λ > 0.5) and high reliability (composite reliability > 0.7). The inner model exhibited moderate power (R2 > 0.33) and predictive relevance (1.009). Goodness-of-fit indicators (RMS Theta = 0.072, NFI = 0.971, SRMR = 0.098) confirmed the model's suitability. Hypothesis testing indicated the significance of all variables (p < 0.05). The findings support the application of a spiritual-based palliative nursing model to enhance the quality of life for PLHIV. This model offers a holistic approach encompassing physical, psychological, social, and spiritual well-being, providing a comprehensive framework for healthcare providers and policymakers to improve care for PLHIV.

Improving the quality of healthcare services in hospitals is one of the main goals of achieving a high-quality healthcare system. One of the efforts to enhance the quality of healthcare services in hospitals is implementing an integrated care plan. This study aims to determine the implementation of integrated care plans in hospitals. There were no limitations on methodologies, dates, or settings when reviewing papers describing qualitative or quantitative studies examining the implementation of integrated care plans in hospitals. The setting, design, and findings were all extracted from key study aspects. The major components of the integrated care plan's key components served as a framework for organizing the findings. There are 15 relevant papers published between 2018 and 2023. Most of the studies reported are qualitative, where healthcare workers reflect on their experiences and preferences regarding implementing an integrated care plan. These studies reported on issues underlying the need for the implementation of an integrated care plan, including poor administrative and management systems, lack of access, lack of coordination, lack of regulation, lack of knowledge, and lack of experience, with the ultimate goal of care being aware of cooperation and benefits for patients. An efficient way to raise patient satisfaction and improve the standard of healthcare services is to establish an Integrated Care Plan in hospitals. The efficacy and efficiency of patient care in hospitals can be improved by implementing a more structured and measurable care plan. Keywords: Integrated care plan, integrated health care systems, integrated delivery system, hospital.

Background: The number of older people with dementia was continuously increasing globally. Unfortunately, many of them had received inappropriate medical treatment to overcome the dementia they suffered. This current research aimed to analyze the factors that affected family-based caregiver empowerment. Materials and Methods: An analytic observational method with a cross-sectional approach was applied. The population was all families with dementia elderly in East Java, Indonesia, in 2021, who met the inclusion and exclusion criteria. The sample size was determined to be 100 respondents. Results: The results showed that the factors (i.e., elderly factors, family factors, health service factors, family's filial value, family assessment, and the need for care) had significant effects directly or indirectly on the family's ability to do home care. Conclusions: Factors that influenced directly (i.e., elderly factors, family factors, family assessment, and care needs) and indirectly (i.e., health service factors) were essential in constructing a structural model of family care for the elderly with dementia.

Background/Aim: Knowledge about triage has been identified as one of the factors influencing patient outcomes in the emergency room. Nurses' knowledge regarding triage is necessary in order to work effectively in managing patients, as swift and accurate actions depend on the nurses' acquired knowledge. The aim of this research was to determine the correlation between nurses' knowledge of triage and the accuracy of triage-level interpretation. Methods: The data from 145 nurses were collected by using a questionnaire sheet for the triage knowledge variable and an observation sheet for the variable of accuracy in triage level interpretation. This research was conducted in May-June 2023 at Tugurejo Regional General Hospital, KRMT Wongsonegoro Regional General Hospital and Dr Kariadi General Hospital. The independent variable in this study was nurses' knowledge and the dependent variable was the accuracy of triage level interpretation. The statistical analysis included descriptive statistics and bivariate analysis using the Chi-square test for comparison between groups. Results: Based on the results of the bivariate analysis, nurses' knowledge has a correlation with the accuracy of triage-level interpretation with a p-value of < 0.001. Conclusion: There is a correlation between nurses' knowledge of triage and the accuracy of triage-level interpretation.

Background/Aim: Previous research obtained information that chemotherapy patients need more spirituality than patients with other diseases because chemotherapy patients feel that their illness is difficult to heal and will last forever, until the end of their lives. The purpose of this study was to find a relationship between spiritual qualities and the self-acceptance of cancer patients receiving chemotherapy. Methods: The study sample was 125 patients in chemotherapy. The investigative method used a correlation with a cross-sectional approach. The spiritual quality questionnaire was based on the spiritual well-being scale measurement technique which contained 3 components, namely spirituality and faith, emotional support and meaning in life. The instrument consisted of 20 multiple-choice questions with 6 Likert measurement scales. Data analysis used univariate and bivariate analysis. The significance level was set at p < 0.05. Results: The results of the investigation showed that there was a significant positive relationship between spiritual quality and self-adaptation of respondents who were cancer patients who received chemotherapy in the Flamboyan Room of Balaidhika Husada Hospital Jember, Indonesia as evidenced by a significant p < 0.01. Conclusion: This study showed positive correlation between spiritual quality and self-adaptation of cancer patients receiving chemotherapy. The results of this study can assist nurses in providing chemotherapy patient care through a spiritual approach.

Introduction: Coronavirus disease 2019 (COVID-19) can attack anyone, including those who have human immunodeficiency virus (HIV) due to low immune systems. This study aimed to evaluate the final condition of people living with human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS) (PLWHA) who received treatment at the hospital. Methods: A literature investigation of the last three years (2020-2022) were inquired. Electronic databases (Science Direct, Scopus, ProQuest) with case series or case report designs were examined. The titles, abstracts, and full texts were screened to obtain relevant studies. Data tabulation and narrative analysis were conducted, resulting in 14 studies that met the inclusion criteria. Most of them were case series and case report methods. Each study had different numbers of patients and criteria discussing COVID-19 infection in HIV patients. Results: A total of 14 reviewed studies revealed that HIV patients with COVID-19 could recover from the infection if proper treatments were performed. Some articles also stated that self-isolation at home can manage HIV-infected patients who are not yet severe. In the case of patients with severe infections, intensive care is performed using supplemental oxygen or a ventilator to prevent respiratory failure or acute respiratory distress. Conclusion: COVID-19 can worsen the condition of patients with HIV if not appropriately treated. Otherwise, if the proper treatment is properly performed, it can cure the infection.

Rendahnya prestasi belajar menandakan bahwa proses pembelajaran secara konvensional masih belum bisa memberikan hasil yang optimal. Prestasi belajar dipengaruhi oleh motivasi, sikap, iklim, dan minat belajar peserta didik pada mata pelajaran tertentu. Penelitian ini dilakukan untuk mengetahui pengaruh motivasi belajar, sikap belajar, iklim belajar, terhadap minat dan prestasi belajar matematika peserta didik SMP/MTs pada masa pandemi Covid-19. Jenis penelitian ini adalah penelitian korelasional dengan desain penelitian, yaitu model analisis jalur (path analysis). Instrumen penelitian yang digunakan untuk mengukur motivasi, sikap, iklim, dan minat belajar adalah angket dengan jawaban tertutup. Sementara prestasi belajar matematika peserta didik dilihat berdasarkan nilai rapor peserta didik. Teknik analisis data statistika yang digunakan adalah statistika deskriptif dan statistika inferensial dengan analisis jalur (path analysis). Adapun hasil penelitian menunjukkan bahwa sebagian besar peserta didik memiliki motivasi belajar kategori sedang, sikap belajar kategori sedang, iklim belajar kategori tinggi, minat belajar kategori tinggi, dan prestasi belajar kategori tinggi. Hasil perhitungan uji linearitas menunjukkan bahwa terdapat pengaruh langsung antara prestasi dan motivasi belajar, sikap belajar, iklim belajar, dan minat belajar. Low learning achievement indicates that the conventional learning process is still not able to provide optimal results. Learning achievement is influenced by learners' motivation, attitudes, climate, and learning interests in a particular subject. This research was conducted to find out the influence of learning motivation, learning attitudes, learning climate, on the interests and achievements of learning mathematics of junior high school students/MTs during the Covid-19 pandemic. This type of research is correlational research with the design of the research, namely the path analysis model. The data collection technique that researchers used in this study was a questionnaire. Research instruments used to measure motivation, attitudes, climate, and learning interests are questionnaires with closed answers. While the achievement of learning mathematics learners are seen based on the value of the report card of learners. Statistical data analysis techniques used are descriptive statistics and inverse statistics with a path analysis approach. The results showed that most learners have moderate category learning motivation, moderate category learning attitudes, high category learning climate, high category learning interest, and high category learning achievement. The results of linearity test calculations show that there is a direct influence between learning achievement and motivation, learning attitudes, learning climate, and learning interests.

This study explores the critical factors behind women’s representation in upper-echelon II managerial positions in local government organizations in Indonesia, which contemporary studies rarely studied. This research interviewed 12 informants at the East Nusa Tenggara (ENT) Provincial Government in Indonesia using a qualitative approach and purposive sampling techniques. This article found eight factors that are critical in influencing women's representation in echelon II positions in local government organizations from three primary dimensions. First, a network of political proxies and representation of ethnicity and electoral areas are factors from the socio-political dimension. Second, the three factors related to the intra-organizational dimension are patriarchal culture, gender stereotypes, and masculine leadership. Lastly, academic respect, self-confidence, and domestic responsibility are three factors from the individual dimension. The practical implication of this study is that for women to be elected to echelon II positions, they need to expand their network or political connections with political party leaders affiliated with elected political officials or the family actors of elected political officials. Additionally, women must adopt masculine leadership models to be accepted by their male colleagues and adapt to a patriarchal organizational environment. Finally, women need to increase their confidence in a leadership capacity.

Objectives: This study investigated the effectiveness of the social marketing mix approach in increasing students’ knowledge about smoking, promoting positive attitudes toward smoking cessation, and decreasing smoking behavior. Methods: This quantitative research study incorporated a quasi-experimental method with a pretest-posttest non-equivalent group design. Using the purposive sampling technique, 152 smoking students were selected as participants. They were divided into 2 equal groups, with 76 students in the control group and 76 in the intervention group. The data were collected using questionnaires and analyzed with the chi-square test, independent t-test, Wilcoxon signed-rank test, and Mann-Whitney U-test. Results: The social marketing mix intervention was effective in increasing the students’ knowledge about smoking (p

Aim: Exploring nursing students' perceptions regarding caring is essential, especially for nursing educators, in order to provide information for planning a curriculum in nursing education. The aim of this literature review was to synthesize the literature regarding nursing students' perceptions of caring based on the available primary research. Design: A literature review. Methods: Six electronic databases (Web of Science, PubMed, Science Direct, SCOPUS, Wiley Online Library, and SAGE) were searched. Articles were selected according to PRISMA guidelines. A thematic synthesis framework was applied in this review. Results: Thirteen primary studies were included and synthesized, and seven analytical themes emerged. The analytical themes were: caring as presence, caring as support, caring as professionalism, caring as communication, caring as establishing relationships, and patient well-being as a positive outcome of caring. Conclusion: Caring was perceived variously in this review, and consisted of physical aspects, emotional aspects, and professional aspects, together with obedience to the nursing codes of ethics. Finally, it was felt that being caring to patients should not mean that nurses neglect their own self-care.

UMKM adalah usaha produkstif yang dimiliki perorangan maupun badan usaha yang telah memenuhi kriteria sebagai usaha mikro. Berbagai potensi dan peluang pengembangan usaha yang didukung dengan tersedianya sumberdaya alam serta potensi peluang pasar, salah satunya yaitu limbah cangkang kerang yang belum dimanfaatkan. Limbah tersebut merupakan salah satu yang menjadi permasalahan, yang memiliki dampak negatif terhadap lingkungan, khususnya di daerah Kota Kendari. Tujuan kegiatan pengabdian kepada masyrakat ini yaitu untuk meningkatkan pengetahuan dan keterampilan para pelaku usaha (UMKM) yang menjadi target dari kegiatan ini, dalam hal pemanfaatan limbah cangkang kerang menjadi produk yang bernilai tambah. Kegiatan ini dilakukan dengan metode pemaparan materi secara langsung oleh narasumber dan dilanjutkan dengan diskusi dan praktek langsung. Hasil dari kegiatan ini yaitu para pelaku usaha UMKM telah mengetahui dan mampu mengolah limbah cangkang kerang menjadi sebuah produk yang mempunyai nilai jual. Tujuan kegiatan ini telah tercapai yakni meningkatnya pengetahuan dan keterampilan mitra (para pelaku usaha UMKM), dan peningkatan produktivitas UMKM dalam rangka peningkatan pendapatan serta memiliki daya saing.