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Kezia Almanda Oni Eki; Martinus Sulang

Nusantara: Jurnal Pengabdian kepada Masyarakat 2026 Pusat Riset dan Inovasi Nasional

Mental health problems, particularly anxiety disorders, are increasingly prevalent among adolescents and have become a significant concern for the church as a spiritual community. This study aims to analyze the role of God’s servants in preventing and addressing anxiety disorders among adolescents at GKSI Maranatha Anugrah Sewan, Tangerang. The research employs a qualitative method through direct observation of youth ministry activities and informal interviews with participants. The findings reveal that church ministers play a strategic role in enhancing adolescents’ mental well-being through practical biblical teaching, empathetic pastoral counseling, and the establishment of prayer and openness communities. The application of Scripture Therapy, devotional counseling, and Healing Prayer Circles has proven effective in reducing anxiety levels, strengthening spiritual security, and fostering healthy social relationships. A holistic and collaborative pastoral approach involving professional support is essential for the church to create a safe environment that promotes recovery and spiritual growth among youth.

Singgih Aji Pangestu; Sarah Geltri Harahap; Hardin La Tamba

Jurnal Riset Rumpun Ilmu Kesehatan 2026 Pusat riset dan Inovasi Nasional

Compliance in paying contributions is an important factor in ensuring the sustainability of the National Health Insurance (JKN) program, especially in the Non-Wage Workers (PBPU) segment who make payments independently. However, the level of compliance of PBPU participants in Jakarta City is still low, as indicated by the high rate of contribution arrears and the large number of deactivated memberships. This study aims to analyze the factors that influence compliance in paying National Health Insurance (JKN) contributions in the Non-Wage Workers (PBPU) segment in Jakarta City in 2025. The research design used was quantitative with a cross-sectional approach, involving 180 respondents. Bivariate analysis using the Chi-Square test showed that there was a significant relationship between perception and compliance (p = 0.002), income with compliance (p = 0.046), and motivation with compliance (p = 0.000). However, there was no significant relationship between knowledge (p = 0.291) and sanctions (p = 0.103) on compliance in paying contributions. These findings indicate that psychological and economic aspects have a strong influence on driving compliance with JKN premiums. Therefore, efforts to improve compliance need to focus on enhancing positive perceptions, internal motivation, and sustainable income for participants. Perception is the most dominant factor influencing compliance among PBPU participants. Strategies to increase education and improve services are needed to boost compliance and ensure the sustainability of the JKN program.

Paridah; Hartati Bahar; Ruslan Majid; Afifa Yunizah; La Ode Muh. Alief Mahabbah

Jurnal Praba : Jurnal Rumpun Kesehatan Umum 2026 STIKES Columbia Asia Medan

Access to healthcare services is a crucial determinant in improving community health, particularly in rural areas that face geographic and social challenges. This study aims to describe the accessibility and utilization of healthcare services among residents of Desa Sama Subur, Kecamatan Motui, Kabupaten Konawe Utara. A descriptive quantitative design was employed, with the population comprising all active household heads in the village. A total of 45 household heads were selected using total sampling. Data were collected through face-to-face interviews using structured questionnaires during the 2025 Field Learning Experience (Pengalaman Belajar Lapangan, PBL). Descriptive analysis was conducted and results were presented in frequency distributions and percentages.The findings indicate that the majority of respondents possess health insurance (88.9%); however, the utilization of healthcare facilities remains suboptimal, with only 48.9% having ever accessed services. Perceptions of healthcare accessibility varied, with 51.1% considering it easy and 46.7% reporting difficulty. Motorcycles were the most commonly used mode of transportation (77.8%), and community health centers (Puskesmas) were the most frequently utilized facilities (60.0%). Regarding service satisfaction, nursing staff behavior received the highest satisfaction rating (28.9%), while waiting time remained the main concern. In conclusion, healthcare access in rural communities is multidimensional, influenced not only by health insurance ownership but also by geographic factors, transportation availability, and service experience. Enhancing the utilization of healthcare services requires strengthening primary care and improving physical access to healthcare facilities.

Sari Mariyati Dewi Nataprawira; Santoso, Alexander Halim; Mulyono, Alya Dwiana; Jeffrey Jeffrey

Nusantara: Jurnal Pengabdian kepada Masyarakat 2026 Pusat Riset dan Inovasi Nasional

Introduction: Triglycerides are a lipids fractions that play an important role in energy metabolism, but high levels in the blood are strongly associated with increased risk of cardiovascular disease, metabolic syndrome, and type 2 diabetes. The prevalence of hypertriglyceridemia tends to increase, including in urban area such us West Jakarta which have high risk consumption patterns. This community service activity aimed to raise public awareness about the importance  lipid profile management with screen triglyceride levels in community of Kelurahan Kota Bambu. Method: The activity was conducted in June 2025, involving 168 adult participants. The method was used was health education on the role of triglycerides and their risk,, followed by laboratory testing using the Nesco BL-101 5in1 Lipid Panel Monitoring System. Triglyceride level was classified into normal, borderline, high, and very high categories according to the NCEP ATP III guidelines. Results: The average triglyceride level of the participants was 181.21 mg/dL, with a range of 47–830 mg/dL. The triglyceride levels of the majority of participants were in the normal category, but the proportion with high and very high triglyceride levels was significant, indicating the existence of a risk group that needs attention. Conclusion: This activity confirms that simple triglyceride testing at the community level can be an effective step in early detection, education, and prevention

Ainun Ganisia; Karmanis Karmanis; Sugiyanto Sugiyanto

Public Service And Governance Journal 2026 Universitas 17 Agustus 1945 Semarang

This study aims to analyze the marketing of health-based local products in Plenen Village as a buffer village of the Batang Integrated Industrial Estate and its implications for community welfare. The identified problems include limited human resource capacity, restricted market access, and limited understanding of modern marketing strategies among micro and small business actors. This study employs a descriptive qualitative approach with a case study design. Primary data were obtained through in-depth interviews and field observations, while secondary data were collected from official documents, development reports, and related publications. Data analysis techniques included data reduction, data presentation, and drawing conclusions using source and method triangulation to ensure validity. The results indicate that the people of Plenen Village have diverse potential in health-based local products, including healthy processed foods and herbal products. The marketing strategies applied include direct marketing, digital marketing, and partnerships with local communities, which significantly improve community income and welfare. Major challenges still include limited product innovation and human resource capacity. This study concludes that marketing health-based local products can be an effective strategy to enhance the welfare of buffer village communities around industrial estates, provided it is supported by empowerment, innovation, and adequate policies.

Ilpa Hasanah

Jurnal Manajemen dan Pendidikan Agama Islam 2026 Asosiasi Riset Pendidikan Agama dan Filsafat Indonesia

Social media has become an alternative space for emotional expression among university students, particularly as a medium for sharing personal problems or emotional distress. This study aims to examine the effect of social media use as a venting platform on the mental health of students at STAIN Mandailing Natal. A quantitative associative research design was employed, involving 25 fifth-semester students as respondents. Data were collected using a Likert-scale questionnaire measuring the intensity of social media venting behavior and mental health indicators, including stress, anxiety, mood, and self-confidence. The data were analyzed using descriptive statistics and inferential tests, including correlation and simple linear regression. The findings indicate that social media use as a place for venting has a significant relationship with students’ mental health. Positive responses received through social media tend to improve emotional well-being, while negative responses may increase stress and anxiety levels. These findings suggest that social media can function both as a supportive and risky environment for students’ mental health, depending on how it is used. Therefore, students are encouraged to use social media wisely, and educational institutions are advised to provide mental health literacy and guidance related to healthy social media use.

Wulan Ariby; Gistran Yoga Arinda; Fadli Hasbi Hasibuan

Inovasi Kesehatan Global 2026 Lembaga Pengembangan Kinerja Dosen

This study aims to describe the condition of clean water access and its impact on public health in Swadaya Village. The research employed a qualitative approach through in-depth interviews with household heads, community leaders, health workers, and local water managers. The findings reveal that access to clean water in Swadaya Village remains very limited. Most residents rely on dug wells and river water for daily needs, while only a small portion use water from the local water utility (PDAM) due to high installation costs and limited pipeline coverage. The water quality often decreases during the dry season, becoming cloudy, odorous, and causing skin irritation. These conditions contribute to the increasing incidence of waterborne diseases such as skin infections, diarrhea, and typhoid fever. Besides infrastructure limitations, the lack of community awareness regarding hygiene and sanitation practices worsens the situation. Although the village government has proposed clean water development programs, their implementation has been hampered by budget constraints. The study concludes that clean water problems in Swadaya Village are not only related to resource availability but also to environmental management and community behavior. Therefore, improving water infrastructure must be accompanied by community education to promote a healthy, safe, and sustainable living environment.

Waginem Waginem; Asriwati Asriwati; Indah Anggraini

Inovasi Kesehatan Global 2026 Lembaga Pengembangan Kinerja Dosen

Health workers contribute up to 80% to the success of health development. For this reason, effective employee performance management is needed according to service performance for communicable and non-communicable diseases. The aim of this research is to analyze the factors that influence the performance of nurses in health services for non-communicable diseases and infectious diseases at the UPT Puskesmas Kuala, Kuala District, Langkat Regency.The research design used was an analytical survey with a cross sectional approach. The population of this study were all 31 nurses with a sample using a total sampling technique of 31 people. The data analysis used is the binary logistic regression test.The research results show that ability has a sig-p value of 0.025, attitude sig-p 0.014, learning sig-p 0.036, motivation sig-p 0.022, leadership sig-p 0.031 and work environment sig-p 0.048, which means it has an influence on nurse performance , while age sig-p 1.000 and perception sig-p 0.496 have no influence on nurse performance. Attitude is the dominant factor with an OR value of 28.446. In conclusion, ability, attitude, learning, motivation, leadership, and work environment influence nurse performance, while age and perception have no effect. Attitude is the most dominant factor influencing nurse performance.

Arnila Melina; Donny Haryxon Tobing; Hidayatul Fitria; Retno Putri

Nusantara: Jurnal Pengabdian kepada Masyarakat 2026 Pusat Riset dan Inovasi Nasional

Ear, Nose, and Throat (ENT) health is an essential component of adolescents’ well-being and learning performance; however, health literacy related to ENT care among senior high school students remains limited. This community service activity aimed to improve students’ knowledge and basic ENT skills at SMA Negeri 9 Pekanbaru through skill lab–based learning as a school health promotion strategy. The program was conducted through theoretical education covering basic ENT anatomy and common ENT disorders among adolescents, followed by hands-on training in simple ENT examinations using demonstration and direct practice with learning aids. Evaluation was carried out using pre-test and post-test assessments to measure knowledge improvement, as well as direct observation to assess students’ practical skills. The results demonstrated a clear increase in students’ knowledge after the intervention, along with improved ability to perform basic ENT examinations under instructor guidance. Students also showed better understanding of early signs of ENT disorders and appropriate preventive behaviors. Participation and enthusiasm during the activities were high, and most students reported that the program was beneficial and relevant to their daily experiences. This activity also supported the School Health Unit (UKS) program and strengthened collaboration between the school and the university. In conclusion, skill lab–based basic ENT training is an effective promotive and preventive approach to enhancing ENT health literacy and basic clinical skills among senior high school students.

Herriyawan, Herriyawan; Timur, Muhammad Bagus Bintang; Wibowo, Arief

Dinamik 2026 Universitas Stikubank

Demam berdarah dengue merupakan tantangan kesehatan masyarakat yang terus berulang di wilayah tropis, termasuk Indonesia. Penelitian ini bertujuan untuk memprediksi jumlah kasus tahunan dengan memanfaatkan lima algoritma pembelajaran mesin, yaitu Regresi Linier, Decision Tree, Random Forest, Support Vector Machine (SVM), dan Neural Network. Data historis tahun 2017–2024 diolah menggunakan teknik windowing deret waktu untuk menghasilkan fitur lag yang sesuai bagi pembelajaran terawasi. Evaluasi kinerja dilakukan melalui metrik Mean Absolute Error (MAE), Mean Squared Error (MSE), Root Mean Squared Error (RMSE), serta koefisien determinasi (R²). Model Decision Tree menunjukkan performa paling unggul pada sebagian besar indikator. Prediksi untuk tahun 2025 mengindikasikan adanya peningkatan moderat jumlah kasus. Namun, rendahnya nilai R² pada seluruh model mengisyaratkan perlunya pendekatan multivariat yang lebih kompleks dengan mempertimbangkan faktor iklim, lingkungan, dan demografi. Hasil penelitian ini menegaskan pentingnya kualitas data dan pemilihan fitur yang tepat dalam peramalan epidemiologis guna mendukung perencanaan kesehatan yang lebih efektif.

Siahaan, Maherni; Panjaitan, Sabina; Purba, Agnes Alvionita; Cahya, Mutiara; Simarmata, Allwin M.

Dinamik 2026 Universitas Stikubank

Aritmia merupakan gangguan irama jantung yang umum terjadi pada lansia dan dapat menimbulkan risiko kesehatan serius jika tidak terdeteksi secara dini. Penelitian yang dilakukan bertujuan untuk mengidentifikasi aritmia pada lansia menggunakan algortima K- Nearest Neighbor (KNN) berdasarkan data elektrokardiogram (EKG). Data yang digunakan berjumlah 105 data EKG lansia yang diperoleh dalam format CSV. Proses awal melibatkan pembersihan dan normalisasi data menggunakan metode StandardScaler, serta pelabelan awal menggunakan algoritma K-Means Clustering untuk mengelompokkan data ke dalam dua kelas: Normal dan Sangat Berpotensi Aritmia. Data kemudian dibagi menjadi 70% data latih dan 30% data uji dengan metode stratified split untuk menjaga proporsi label. Model KNN dilatih dengan parameter k = 3, dan dievaluasi menggunakan confusion matrix serta classification report. Hasil pengujian menunjukkan akurasi model sebesar 97% dengan nilai precision dan recall yang tinggi pada kedua kelas. Hasil ini menunjukkan bahwa algoritma KNN efektif dalam mengklasifikasikan kondisi aritmia pada lansia dan memiliki potensi untuk diterapkan dalam sistem pendukung diagnosis berbasis data EKG.

Simangunsong, Putra Torang; Sihombing, Yehezkiel; Ridwan, Achmad

Dinamik 2026 Universitas Stikubank

Since 2022, the application of the Internet of Things (IoT) in the healthcare sector has grown significantly, marked by the increasing adoption of wearable technology, artificial intelligence (AI), machine learning (ML), and blockchain integration. Research highlights India and China as leading contributors in this domain. IoT enables real-time monitoring of chronic diseases, tracking of patient vital signs, and detection of health protocol compliance. Integrated systems such as Monit4Healthy and RADAR-IoT support personalized medical recommendations and cross-platform interoperability. However, key challenges persist, including patient data privacy and security, system interoperability issues, data fragmentation, and barriers to user acceptance due to cost, digital literacy, and device comfort. Proposed solutions include blockchain for secure data sharing, adaptive congestion control for network performance, and user training to improve technology adoption. Therefore, successful IoT deployment in healthcare requires a comprehensive approach that addresses technological, social, ethical, and sustainability aspects to achieve an effective and inclusive transformation of health services.

Wijaya, Sky Xavier; Kenichiro, Yoshie; Felim, Filbert; HS, Christnatalis; Prabowo, Agung

Dinamik 2026 Universitas Stikubank

Deteksi nyeri secara objektif merupakan tantangan penting dalam dunia medis, terutama bagi pasien yang tidak mampu menyampaikan rasa sakitnya secara verbal, seperti bayi, lansia, atau penderita gangguan komunikasi. Teknologi non- invasif berbasis sensor menjadi solusi potensial untuk mengatasi keterbatasan metode subjektif. Penelitian ini bertujuan meninjau secara sistematis literatur terkini mengenai penerapan Radar MIMO dan algoritma kecerdasan buatan dalam deteksi nyeri non-invasif. Metode yang digunakan adalah Systematic Literature Review (SLR) dengan pedoman PRISMA 2020, melalui penelusuran basis data IEEE Xplore, ScienceDirect, PubMed, Google Scholar, dan SpringerLink untuk periode 2021– 2025. Dari hasil seleksi diperoleh 17 artikel inklusi yang mencakup penggunaan Radar MIMO, UNBC-McMaster, BioVid, Medical Imaging (CT/MRI), Radar SISO, serta studi review, survey, bibliometrik, dan teoretis. Dari sisi algoritma, CNN dan SVM menjadi pendekatan paling dominan, diikuti Neural Network dan metode lain, dengan tren yang mengarah pada penggunaan multimodal untuk meningkatkan akurasi. Hasil penilaian kualitas dengan GRADE menunjukkan mayoritas studi berkualitas sedang, dengan keterbatasan utama pada ukuran sampel kecil, pelabelan nyeri yang belum konsisten, bias populasi, serta kurangnya validasi klinis nyata. Kesimpulannya, Radar MIMO dan algoritma deep learning memiliki potensi besar untuk deteksi nyeri non-invasif. Namun, penelitian lanjutan perlu difokuskan pada pembangunan dataset yang lebih inklusif, standarisasi pelabelan nyeri, serta pengujian dalam konteks klinis, dengan memperhatikan aspek etika dan privasi agar teknologi ini dapat diimplementasikan secara luas dalam layanan kesehatan.

Cicilia Kimberly Oldy Saragih; Fajar Utama Ritonga

RISOMA : Jurnal Riset Sosial Humaniora dan Pendidikan 2026 Asosiasi Ilmuwan Pendidikan, Sosial, dan Humaniora Indonesia

Equal access to health services is a fundamental right of citizens. However, vulnerable groups such as beggars are often neglected because they do not have valid residence documents. The Medan City Government launched the Medan Berkah Health Insurance Program (JKMB) to support universal Health Coverage, allowing free health services only with a Medan ID card. This study aims to assess the implementation of JKMB on beggars in Medan City by using the implementation suitability model from David C. Korten, which emphasizes the relationship between programs, organizations, and beneficiaries. The method used is a descriptive qualitative approach, with data collection through in-depth interviews, observations, and documentation studies. Informants consisted of beggars without identity who had been disciplined by Social Services, program Implementation officers, and academics in the field of social welfare. The results showed that JKMB can only be accessed by beggars while under the supervision of Social Services, through temporary identities such as "Mr. X". After being repatriated (reunification), access to health services cannot be continued due to the absence of An ID. The Program has not been able to reach marginalized groups on an ongoing basis, and there has been no integration of cross-sector data systems. The findings expose the discrepancy between program design and Target conditions, highlighting the importance of more inclusive policy reformulation, facilitation of identity ownership, and inter-agency coordination to create equitable and sustainable health access for all citizens

M. Masrukhan

Nusantara Mengabdi Kepada Negeri 2025 Asosiasi Peneliti dan Pengajar Ilmu Hukum Indonesia

Sharia economic education and access to healthcare services are critical components for community empowerment, especially in rural areas like Balapulang Wetan. The Community Service Program (PKM) implemented by STIES Putera Bangsa Tegal in collaboration with Klinik Azzahra integrates sharia economic education with free healthcare services to address the twin challenges of low sharia economic literacy and limited access to quality healthcare. This program employs training and outreach methods alongside provision of basic free health services to the community. Evaluation results indicate increased understanding of sharia economic principles, including zakat, infaq, and financial management, as well as greater utilization of free healthcare services. This holistic approach fosters economic independence and enhances the overall quality of life through improved economic welfare and health. Collaboration among educational institutions, health service providers, and local government forms the foundation for the sustainability and success of this program in creating an inclusive and equitable community empowerment ecosystem.

Idham Soamole; Windarti Rumaolat; Sahrir Sillehu; Zulfikar Lating; Siti Rochmaedah

Kegiatan Positif : Jurnal Hasil Karya Pengabdian Masyarakat 2025 Asosiasi Riset Ilmu Manajemen Kewirausahaan dan Bisnis Indonesia

Smoking behavior among adolescents remains a major public health issue due to its high prevalence and potential long-term effects on physical, psychological, and social health. One key factor influencing adolescent behavior is the family environment. A family approach that incorporates effective communication, parental supervision, role modeling, emotional support, and consistent enforcement of rules is believed to significantly impact the prevention and reduction of smoking behavior in adolescents. This study aims to analyze the effect of a family approach on smoking behavior in adolescents. Adolescents who experience open communication, good supervision, and emotional support from their families tend to exhibit stronger self-control and are more likely to resist peer pressure to smoke. The findings suggest that an optimal family approach is crucial in shaping healthy behavior in adolescents and serves as an effective strategy in smoking prevention efforts. This approach not only helps in reducing smoking behavior but also fosters overall well-being by creating a supportive family environment. In conclusion, family involvement plays an essential role in promoting healthier behaviors in adolescents and preventing smoking, contributing significantly to public health improvement

Ellyza Fazlylawati; Muhammad Reza Rizki; Nurul Amna; Fajri Fajri; Dela Saimona +2 more

Karunia: Jurnal Hasil Pengabdian Masyarakat Indonesia 2025 Fakultas Teknik Universitas Maritim AMNI Semarang

Background: One way to improve human quality, especially for school-aged children, is by providing nutritious snacks that can meet nutritional needs during learning activities. In Indonesia, many snacks are available in school environments, but many of them are unhealthy when viewed from the color and ingredients used. Community Service Objective: Provide health education about healthy snacks. Method: The method used in this community service activity is lecture and question and answer, to provide an understanding of the importance of choosing healthy snacks for school-aged children. Results: Providing education about healthy snacks increased the understanding of children at MIN 25 Aceh Besar. Children responded well and several students asked questions related to the material about healthy snacks presented. Conclusion: The understanding of MIN 25 Aceh Besar students about healthy snacks increased after participating in the counseling activity. Students showed a higher interest and awareness of the importance of choosing healthy snacks for their health. Keywords; Health Education, Healthy Snacks

Yully Kurniawati; Salsabilla Az Zahra; Tyas Damastuti; Ida Nur Imamah

Jurnal Kemitraan Masyarakat 2025 Lembaga Pengembangan Kinerja Dosen

Background: One of the factors that can trigger diabetes mellitus is a diet high in carbohydrates. Therefore, it is important to educate the community to adopt a healthy lifestyle in order to prevent various diseases, particularly diabetes mellitus. Objective: The objective of this health education activity on the prevention and management of diabetes mellitus through the implementation of a healthy lifestyle is to improve the knowledge of families of diabetes mellitus patients regarding prevention and management by applying healthy lifestyle practices. Methods: The activity was carried out for patients and their families using demonstration and discussion methods supported by leaflet media. Results: The counseling activity successfully increased respondents’ knowledge about the importance of preventing and managing diabetes mellitus through the implementation of a healthy lifestyle.Conclusion: Of the four respondents who attended the health education session on the prevention and management of diabetes mellitus through healthy lifestyle implementation, all participants demonstrated an understanding of the importance of adopting a healthy lifestyle for preventing and managing diabetes mellitus.

Mohamad Tegar Deyustianmuslim; Amala Mulyasari; Fa’iq Zhafran Naufal Brinata; Joko Muliyono; Abdul Azis +1 more

Jurnal Pengabdian Masyarakat Nusantara (Pengabmas Nusantara) 2025 Universitas Muhammadiyah Manado

Public health is a crucial aspect of improving well-being, particularly at the village level. However, in Srigading Village, Lawang District, Malang Regency, access to information related to health services remains a significant challenge, resulting in suboptimal utilization of Posyandu and Puskesmas services. To address this issue, a web application called “Srigading Sehat” has been developed as a digital platform providing health service information through interactive maps and service schedules. This community service activity employs the IDEA approach (Identify Objective, Design Action Steps, Engage Our Plan, Assess and Follow Up) as a systematic framework. The Identify Objective stage identified limitations in health information access; Design Action Steps designed a participatory learning-based application development model; Engage Our Plan implemented application development, socialization, and training for 25 participants comprising village officials, posyandu cadres, and the general community; and Assess and Follow Up evaluated achievements through Firebase Analytics monitoring. Results showed increased health information access marked by 500 health information page visits within the first 30 days of launch, with total Firebase reads reaching 631 (+1,026.8%). Four village health facilities are actively registered and using the application to independently update their service information. This application is anticipated to serve as an appropriate technological innovation contributing to the enhancement of health services at the village level.

Inayyah Nur Fitry Sirajuddin

VitaMedica : Jurnal Rumpun Kesehatan Umum 2025 STIKES Columbia Asia Medan

This study aims to analyze the role of human resource management (HRM) in improving performance and retention among healthcare professionals in health service facilities. Using a systematic literature review approach based on the PRISMA method, this study reviewed 25 international and national journal articles published between 2015 and 2025. The findings indicate that strategic HRM practices—such as competency-based recruitment, continuous professional development, fair compensation, and transformational leadership—positively influence both performance and retention of healthcare workers. Additionally, factors like organizational culture, work-life balance, and psychological well-being play a mediating role in enhancing job satisfaction and organizational commitment. The results highlight that HRM practices are not merely administrative functions but strategic elements that determine healthcare organizations’ sustainability and competitiveness. The study contributes to the development of theoretical frameworks in strategic HRM and provides practical recommendations for healthcare managers to design more adaptive, fair, and human-centered HR policies.