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The increasing competition in the healthcare industry requires hospitals to establish effective relationship strategies to enhance patient loyalty. This study aims to examine the effect of Customer Relationship Management (CRM) on patient loyalty, with brand salience and customer engagement behavior (CEB) as mediating variables. The research adopts a quantitative approach using Partial Least Squares Structural Equation Modeling (PLS-SEM). Data were collected from 155 outpatients at Cengkareng General Hospital (RSAR) who had experienced CRM-related services, using a structured questionnaire measured on a four-point Likert scale. The findings reveal that CRM has a significant positive effect on brand salience, customer engagement behavior, and patient loyalty. Among these relationships, CRM demonstrates the strongest influence on customer engagement behavior, indicating that relationship-based strategies effectively encourage active patient involvement. Furthermore, customer engagement behavior significantly affects patient loyalty, suggesting that patients who are more engaged—through feedback, recommendations, and participation—are more likely to develop stronger loyalty toward healthcare providers. In contrast, brand salience does not have a significant effect on patient loyalty, indicating that brand awareness alone is insufficient to drive loyalty in the healthcare context. Mediation analysis shows that customer engagement behavior partially mediates the relationship between CRM and patient loyalty, whereas brand salience does not act as a mediator. These results suggest that CRM enhances patient loyalty not only directly but also indirectly through strengthening engagement behavior. This study contributes to healthcare marketing literature by integrating relationship marketing and customer engagement perspectives, highlighting engagement as a more critical mechanism than brand salience in fostering sustainable patient loyalty.

This study aims to describe the event management of Kartini Humas Indonesia 2024 organized by Media Humas Indonesia as a form of appreciation for outstanding female public relations practitioners and as a strategy to build the reputation of Media Humas Indonesia. This research uses a descriptive qualitative method with a case study approach. Data were collected through in-depth interviews with four informants, non-participant observation, and documentation. The results show that the Kartini Humas Indonesia 2024 event was managed using Goldblatt’s five-stage event management approach: research, design, planning, coordination, and evaluation. The research stage involved identifying the needs and expectations of participants and target audiences. In the design stage, the committee developed creative ideas and defined the event’s characteristics. Planning focused on selecting the theme, location, and timing. In the coordination stage, communication and teamwork were key to the event’s successful execution. Evaluation was conducted through internal reflection and participant feedback. Furthermore, the event had a positive impact on the reputation of Media Humas Indonesia as the organizer, particularly in terms of reliability, credibility, and social responsibility. The study concludes that structured event management plays a crucial role in enhancing the reputation of the media as an event organizer in the public eye.

The digital transformation of public administration represents a critical pathway toward modernizing governance, enhancing service delivery, and improving transparency in Indonesian government agencies. This study examines the current state of digital transformation initiatives across various levels of government in Indonesia, identifying key challenges and opportunities in implementing digital technologies within bureaucratic structures. Through a convergent parallel mixed-methods design combining surveys of 245 government officials from 32 agencies and in-depth interviews with 28 digital transformation leaders, this research reveals that while Indonesian government agencies have made significant progress, substantial barriers remain including limited digital infrastructure in remote regions, resistance to organizational change, insufficient digital literacy among civil servants, and inadequate legal frameworks. The overall mean maturity score was 2.87 (SD = 0.74), placing the average agency in the 'developing' category, with only 6% reaching the 'optimizing' level. The study identifies critical success factors: strong leadership commitment (β = 0.38, p < 0.001), citizen-centric design, comprehensive change management, and effective public-private partnerships. Findings indicate that successful digital transformation requires not merely technological adoption but fundamental organizational restructuring and cultural shifts toward data-driven decision-making and collaborative governance. Policy recommendations address digital infrastructure investment, human capital development, governance reform, and shared platform utilization. This research contributes to theoretical understanding of digital government in developing nations and provides practical guidance for policymakers navigating the complexities of public sector digitalization.

This study aims to analyze the factors influencing the implementation of Regional Regulation of Gorontalo Regency Number 04 of 2014 concerning the Control of Livestock in Ilomata Village, Bilato District. This research employs an empirical legal method with a sociological juridical approach to examine law not only as written norms but also as a social practice within society. Data were collected through interviews with village officials, regional regulation enforcement officers, and livestock owners, as well as through documentation and literature studies. The collected data were analyzed qualitatively using Lawrence M. Friedman’s legal system theory and Soerjono Soekanto’s theory on factors influencing law enforcement. The results indicate that the implementation of the regional regulation has not been optimal. The influencing factors include legal substance, legal structure (law enforcement officers), facilities and infrastructure, community factors, and legal culture. Normatively, the regulation contains clear provisions; however, its implementation is hindered by inconsistent enforcement, limited supporting facilities, and low levels of public legal awareness. Legal culture and the lack of consistency among law enforcement officers are the most dominant factors affecting the effectiveness of the regulation’s implementation. Therefore, it is necessary to strengthen consistent law enforcement, improve supporting facilities, and undertake continuous efforts to build public legal awareness in a participatory manner.

Anemia during pregnancy remains a major public health concern with significant implications for maternal and fetal health. One contributing factor to its high prevalence is the limited knowledge among pregnant women regarding early detection. Health education serves as a crucial promotive-preventive strategy to enhance awareness of anemia’s signs, symptoms, and risks. This study aimed to analyze the effectiveness of health education in improving knowledge of early detection of anemia among pregnant women in the Galala Community Health Center working area. A pre-experimental one-group pretest–posttest design with a quantitative approach was employed. The sample consisted of 30 pregnant women selected using total sampling. Respondents received structured health education on early detection of anemia, and their knowledge levels were assessed before and after the intervention using a questionnaire. Data were analyzed using univariate and bivariate methods, with the Wilcoxon signed-rank test applied due to non-normal distribution. Results indicated a significant improvement in knowledge after education (p = 0.000), with most respondents shifting from poor or moderate knowledge to good knowledge. The study concludes that health education effectively increases pregnant women’s knowledge of anemia detection and should be systematically integrated into antenatal care to prevent anemia and improve maternal health outcomes.

This study examines the predictive influence of religious habituation and teacher role modeling on students’ emotional intelligence in an Islamic elementary school context. A quantitative approach with an ex post facto design was employed, involving 78 students selected through total sampling. Data were collected using Likert-scale questionnaires and analyzed using multiple linear regression. The findings indicate that religious habituation has a positive and significant effect on students’ emotional intelligence, while teacher role modeling demonstrates a relatively stronger contribution. Simultaneously, both variables significantly predict emotional intelligence, explaining 74.9% of its variance. These results suggest that students’ socio-emotional development is shaped by the integration of structured religious practices and pedagogical modeling within the school environment. The study contributes to the ecological-religious perspective on character education by emphasizing the importance of consistent spiritual habituation and teachers’ personal competence in fostering emotional regulation and social skills. Practically, Islamic elementary schools are encouraged to strengthen religious culture programs and support teachers’ emotional and moral development to enhance students’ emotional intelligence.

Limited understanding of inheritance law and village financial management among village officials remains a significant issue that may trigger social conflict and weaken village governance effectiveness. This community service program aims to strengthen the capacity of village officials through inheritance law socialization and assistance in village financial management. The activity employed a descriptive method with a participatory approach. Implementation was carried out through structured socialization sessions, interactive discussions, and direct technical assistance adjusted to village administrative practices. Data collection techniques included observation, documentation, and pre-and post-activity evaluations to measure participants’ understanding. The results demonstrate an improvement in village officials’ knowledge of basic inheritance law principles and their awareness of transparent, accountable, and regulation-based village financial management. Furthermore, the program enhanced officials’ understanding of their strategic role in addressing community legal issues and supporting good village governance. Overall, this activity contributes to improving the professionalism and accountability of village administration in delivering community-oriented public services.

This community service activity aims to improve teenagers' self-management skills through the program “Remaja Jago: Kelola Diri Tanpa Drama”. The program was specifically designed to provide a practical and applicable understanding for youth on how to recognize their own potential, manage emotions effectively, organize time efficiently, and make wise and responsible decisions in daily life. The activity was carried out at Vihara Dhamma Bhakti Tangerang with 20 participants aged 13–20 years, representing a diverse range of educational and social backgrounds. Methods included interactive lectures, engaging educational games, structured group discussions, and guided self-reflection sessions to encourage active participation and deeper personal insight. Evaluation results showed a significant improvement in participants’ decision-making abilities, personal discipline, emotional control, and goal-setting skills after completing the program. In addition, participants demonstrated increased self-confidence and awareness of their strengths and weaknesses. Overall, this program effectively contributes to developing independent, disciplined, and responsible youth character, while also equipping them with essential life skills needed to face various personal and social challenges in the future.

This study explores student agency in Artificial Intelligence (AI)-supported STEM learning environments, addressing a critical gap in existing literature that predominantly focuses on learning outcomes rather than learner-centered processes. Drawing on an interpretive qualitative approach, this research investigates how students experience autonomy, self-regulation, and decision-making when interacting with AI technologies in STEM education. Data were collected from 15 participants engaged in AI-supported learning through in-depth semi-structured interviews, supported by observations and document analysis. The data were analyzed using thematic analysis to identify recurring patterns and meanings related to student agency. The findings reveal that student agency is a dynamic and multidimensional construct shaped by the interplay between technological affordances and learner engagement. Four major themes emerged: enhanced autonomy, development of self-regulated learning, negotiated decision-making, and ambivalent dependency on AI. While AI technologies provide adaptive support that empowers students to take control of their learning, they also introduce the risk of over-reliance, which may reduce cognitive engagement. This study contributes to the theoretical advancement of student agency by conceptualizing it as a spectrum rather than a fixed attribute, highlighting the dual role of AI as both an enabler and a constraint. The findings offer important pedagogical implications for designing AI-supported STEM learning environments that promote active, reflective, and responsible learning. Future research is recommended to explore this phenomenon across diverse contexts and through longitudinal designs.

This study analyzes the dynamics of "Early Marriage and Shattered School Hopes" regarding eroded psychological well-being and pawned adolescent ideals in Brebes Regency. Using a qualitative case study design, data were gathered via in-depth interviews, participatory observation, and document analysis from eight informants, processed using Miles and Huberman's interactive model. Findings reveal early marriage is not merely a social event but systemic trauma damaging psychological structures through three aspects: first, victims' psychological conditions marked by identity loss, prolonged anxiety, and "fatalistic resignation"; second, lost educational access due to interactions of "normative-cultural coercion," "institutional structural barriers," and "economic-domestic double burdens"; third, manifestations of buried ideals comprising "hindered academic grief," "identity cognitive conflict," and "internalized existential despair." The research proves education loss from early marriage destroys human potential, altering character, leaving spiritual voids, and perpetuating intergenerational poverty cycles, thus urgently demanding holistic interventions including psychosocial rehabilitation and alternative education pathways. This study's main contribution is introducing the "systemic trauma" concept that actively extinguishes adolescents' existential hopes, filling literature gaps by providing a detailed psychological map to formulate recovery policies previously neglected in early marriage prevention discussions.

Bureaucracies worldwide face increasing pressure to innovate due to rising citizen expectations, technological disruption, and fiscal constraints. The digital era offers significant opportunities to transform public service delivery by overcoming traditional administrative barriers. This study employs a multiple case study design, analyzing 18 innovative public service initiatives in Indonesia recognized for service innovation. Data were collected through document analysis, semi-structured interviews, and direct observations. Using Innovation Diffusion Theory and Institutional Theory, the study examines innovation adoption, implementation, and sustainability. The findings show that successful bureaucratic innovations share six key characteristics: strong leadership, citizen-centric design, effective use of digital technologies, incremental implementation, institutionalization through regulations, and external partnerships. However, major barriers include rigid regulations, risk-averse organizational culture, fragmented authority, limited resources, inadequate digital infrastructure, and political influences. Digital technology plays a crucial enabling role, yet it must be supported by organizational change, capacity building, and cultural transformation. This study provides policy recommendations to support regulatory reform, strengthen innovation systems, and foster innovation-friendly public sector environments.

This study aims to develop a web-based Electronic Medical Record (EMR) application to improve the efficiency and accuracy of patient data recording at Elopada Community Health Center. The research adopts a system development approach using the waterfall model, including requirements analysis, system design, implementation, and testing. Data were collected through observation, interviews, and documentation. The developed system was evaluated using Black Box Testing to verify the conformity between input and output without considering internal program structures. The results indicate that the EMR system enhances data processing speed, improves recording accuracy, and facilitates access to patient information. These findings are consistent with prior studies showing that EMR implementation improves the quality and efficiency of clinical documentation . Therefore, the proposed system is considered feasible to support the advancement of digital healthcare services.

Stroke is one of the leading causes of death and long-term disability worldwide. Early detection and prompt first aid during the golden period are essential to improve patient outcomes, yet family knowledge regarding stroke management is often limited. This study aimed to analyze the effect of health education media, specifically audio-visual and leaflet, on family knowledge of early detection and first aid for stroke patients in the working area of Tamamaung Public Health Center, Makassar. This study used a quasi-experimental design with a two-group pre-test post-test approach. A total of 64 respondents were selected using purposive sampling and divided into audio-visual and leaflet groups. Data were collected using a structured questionnaire and analyzed using the Wilcoxon and Mann-Whitney tests. The results showed a significant increase in knowledge in both groups after the intervention (p = 0.000), with a significant difference between groups (p = 0.016), where audio-visual media was more effective than leaflets. These findings indicate that both media improve family knowledge, but audio-visual media is more effective and can be recommended as a primary educational tool to improve family preparedness in stroke emergencies.

The hospitality industry is a strategic sector within the global tourism system that heavily depends on service quality and food safety assurance. In hotel operations, the pastry division represents a high-risk unit due to the use of perishable ingredients and intensive manual handling processes. This study aims to analyze the implementation of hygiene and sanitation practices in the Pastry Division of Hotel Aruss Semarang in supporting food safety standards within the hospitality industry. This research employs a qualitative approach with a case study design. Data were collected through participatory observation, semi-structured interviews, and document analysis, including Standard Operating Procedures (SOPs), sanitation checklists, and temperature control records. Data validity was strengthened through triangulation and member checking, while thematic analysis was used to identify key implementation patterns. The findings indicate that the implementation of personal hygiene, environmental sanitation, and Good Manufacturing Practices (GMP) has generally complied with most of the requirements of Good Processed Food Manufacturing Practices (CPPOB). The availability of sanitation facilities, periodic medical check-ups, equipment maintenance, and FIFO-based storage systems demonstrate management commitment to preventive risk control. However, inconsistencies in handwashing practices and minor construction details that do not fully meet hygienic design standards indicate areas requiring improvement. Overall, hygiene and sanitation implementation in the Pastry Division has been effective in supporting food safety. Strengthening behavioral compliance, continuous training, and facility optimization are recommended to achieve a more sustainable and comprehensive food safety management system.

This study aims to analyze the role of digital transformation in strengthening competitive advantage and resilience of highland tourism villages in Central Java. Highland tourism villages face increasing competition, environmental vulnerability, and market uncertainty, requiring adaptive and innovation-driven strategies. Digital transformation is considered a strategic instrument to enhance destination competitiveness, expand market access, and improve institutional resilience. This research employs a quantitative approach using Structural Equation Modeling (SEM-PLS) to examine the relationships among digital transformation, competitive advantage, and tourism village resilience. The study was conducted in selected highland tourism villages in Central Java, including [insert village names if needed]. Data were collected through structured questionnaires distributed to tourism village managers, local stakeholders, and community representatives. The findings indicate that digital transformation has a significant positive effect on competitive advantage and resilience. Furthermore, competitive advantage partially mediates the relationship between digital transformation and tourism village resilience. These results suggest that digital adoption, digital marketing integration, and digital governance practices are critical in strengthening sustainable tourism development in highland areas. The study contributes to the literature on digital tourism transformation and provides managerial implications for policymakers and tourism village managers in developing adaptive and resilient tourism ecosystems.

The development of artificial intelligence (AI) has brought about significant changes in higher education, particularly in how students acquire, understand, and manage academic information. This study aims to deeply understand students' experiences using AI as a learning tool and explore how they interpret the technology's role in supporting academic activities. A qualitative phenomenological approach was used, with three informants selected purposively from various study programs actively using AI. Data were collected through semi-structured interviews, observation, and documentation, then analyzed using data reduction, data presentation, and conclusion drawing. The results show that students view AI as an effective tool for improving learning efficiency, deepening conceptual understanding, and motivating them to be more independent and creative. However, challenges were also identified, including dependence on technology, doubts about the accuracy of information, and concerns about academic ethics violations such as digital plagiarism. Student experiences also demonstrate that AI plays a dual role as both a learning tool and a cognitive partner in the modern learning process. Therefore, the use of AI needs to be directed wisely and accompanied by strong digital literacy to balance technological convenience and the development of critical thinking skills. These findings emphasize the importance of adaptive, humanistic, and ethical learning strategies in the era of digital higher education transformation.

Chronic Kidney Disease (CKD) is a growing global health concern that significantly affects patients’ quality of life. At Bhakti Asih General Hospital, Tangerang, the number of hemodialysis patients increased by 20.42% and dialysis procedures by 25.06% between 2023 and 2024. Despite this service expansion, preliminary findings revealed that 32% of patients reported poor quality of life, 31% experienced low engagement in care, 34% demonstrated low self-efficacy particularly in dietary and fluid management and 32% faced accessibility barriers. These findings indicate a gap between increased service volume and patient-centered outcomes. This study aimed to analyze the effects of patient engagement and self-efficacy on the quality of life of hemodialysis patients, with healthcare accessibility as a mediating variable. A quantitative cross-sectional design was employed. Active hemodialysis patients were selected using purposive sampling. Data were collected through structured questionnaires and analyzed using Structural Equation Modeling (SEM).The results demonstrated that patient engagement and self-efficacy had significant positive effects on quality of life, both directly and indirectly through accessibility. Accessibility also significantly influenced quality of life and strengthened the relationships between patient engagement, self-efficacy, and quality of life.These findings highlight the importance of integrating patient engagement strategies, strengthening self-efficacy through education, and improving service accessibility to enhance quality of life among hemodialysis patients

This research aims to analyze the capacity building of government personnel in implementing the Electronic-Based Government System (SPBE) at the Department of Communication and Informatics of Gresik Regency, which plays a strategic role in digital governance. This study uses a qualitative approach focusing on capacity development strategies and constraints at individual and organizational levels. The findings show that capacity building is carried out through two main strategies: human resource development and organizational strengthening. In human resource development, the establishment and training of an internal assessor team serve as key instruments in supporting SPBE implementation. This team represents institutionalized capacity, enabling the organization to independently conduct monitoring, evaluation, and quality assurance processes in a sustainable manner. This approach reflects a long-term strategy to strengthen institutional independence and reduce reliance on external parties. In organizational strengthening, capacity building focuses on optimizing organizational structure, work systems, coordination mechanisms, and regulatory support, including standard operating procedures. However, several constraints were identified. At the individual level, there is an imbalance in technical competencies, especially in information technology skills. At the organizational level, the lack of optimal follow-up after training highlights the need for more integrated human resource planning. These findings indicate that capacity building in SPBE implementation requires a systemic, well-planned, and sustainable approach to achieve effective, adaptive, and responsive digital government governance in the public sector.

Reading ability is a fundamental skill that strongly influences the academic success of junior high school students, particularly ninth graders in preparing for national examinations. Nevertheless, many students continue to face difficulties in reading, including speed, comprehension, and motivation. This study aims to examine the effectiveness of implementing learning guidance services to improve the reading skills of ninth-grade students, while identifying supporting and inhibiting factors in its implementation. The research employed a descriptive qualitative approach through literature review from relevant scientific sources published within the last ten years. The findings reveal that learning guidance services play a crucial role in enhancing reading skills, learning motivation, and student independence. Guidance and counseling teachers act as strategic facilitators, while support from the school environment and family strengthens the success of the program. The practical implications highlight that structured, continuous, and collaborative learning guidance programs can help students better understand reading materials and develop positive study habits. Practical recommendations are addressed to teachers, counselors, and schools to design more varied and student-centered guidance services.

This study examines visual distortion, the use of emotional color, and expressive composition in Affandi's painting Self-Portrait Smoking a Pipe (1977), focusing on a systematic and contextual visual hermeneutic reading. The research background stems from the need to update the study of Indonesian expressionism through the integration of contemporary theories on visual perception, color psychology, and gestural analysis. This study aims to reveal how anatomical distortion, color dynamics, and non-linear compositional structures function as expressive strategies that reflect the artist's psychological condition and existential reflections in the final period of his life. The research method uses a descriptive qualitative approach and visual hermeneutic analysis through observation of digital documentation and a review of recent literature (2020–2025). The findings indicate that the distortion of shapes in the facial area and the finger-swiping gesture represent emotional tension, while the dominance of red, yellow, and green colors forms an affective spectrum that strengthens the psychological atmosphere in the work. The asymmetrical composition with diagonal lines creates a dynamic visual rhythm and directs the viewer's focus to the center of expression. The implications of the research emphasize that Affandi's works need to be read through a multidimensional approach that combines psychological, aesthetic, and hermeneutic aspects in order to obtain a more comprehensive understanding of his expressionist character.