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Clinical practice is a crucial stage in nursing education that requires students to apply theoretical knowledge in real healthcare settings. The transition to a clinical environment often triggers anxiety, as students face competency demands, professional responsibilities, and direct interactions with patients. This study aims to determine the anxiety levels of fifth-semester nursing students prior to clinical practice at Universitas Muhammadiyah Semarang. A descriptive quantitative design was employed with a sample of 35 students selected using a simple random sampling technique. Data were collected using the Hamilton Anxiety Rating Scale (HARS) and analyzed descriptively with Microsoft Excel to obtain frequency and percentage distributions. The results showed that most students experienced severe anxiety (31%), followed by moderate (29%), mild (23%), no anxiety (14%), and panic-level anxiety (3%). These findings indicate that the majority of nursing students experience anxiety before clinical practice, predominantly at severe and moderate levels. Therefore, psychological support and mental preparation programs are essential to help students transition optimally into the clinical environment.

Independent Community Service Program (KKN) is a form of student community service that aims to apply knowledge practically in the field. This activity was carried out by students of the University of Muhammadiyah North Sumatra with the theme "Building Student Financial Awareness Through Education and Socialization in Schools. " This program aims to improve financial understanding among students from Elementary and High Schools in Perkebunan Gunung Melayu Village, Rahuning District, Asahan Regency. The methods applied include interactive socialization, educational games, and quizzes to stimulate students' interest and understanding of the importance of saving and managing finances from an early age. The results of this activity show that students begin to recognize the basic concepts of financial management, including how to distinguish between needs and desires, the significance of saving, and the application of Islamic financial principles in daily routines. In addition, this activity also serves to increase public understanding of the importance of financial education for children. The main element that facilitates the implementation of activities is support from educational institutions, village governments, and local communities, while the main challenge faced is the lack of attention of elementary school students caused by their habits that still prefer to play. Overall, this KKN program has a positive impact on increasing students' financial awareness and has the potential to be a simple financial education model at the elementary and secondary school levels

The flipped classroom model emerges as an innovative pedagogical approach that fosters active student participation and cultivates personal responsibility for learning, particularly within the context of distance education. This method presents a valuable alternative for delivering practical-oriented courses such as Applied Ethnomusicology. In practice, the instructor’s role shifts from a traditional knowledge transmitter to a learning facilitator whose responsibilities include guiding, inspiring, and supporting students in achieving optimal learning outcomes. This study aims to analyze the effectiveness of implementing the flipped classroom model in the online learning of the rapa’i musical instrument at the Department of Performing Arts, Syiah Kuala University. Additionally, it seeks to describe the subjective perceptions and responses of both students and lecturers toward this instructional approach. Online learning was conducted using Zoom Meeting as the primary platform for synchronous interaction, supported by WhatsApp for content distribution and communication. A formative research methodology was employed, involving 20 students enrolled in the Applied Ethnomusicology course. Qualitative data were collected through observations of each flipped classroom phase and in-depth interviews with participants. Quantitative analysis was conducted to assess effectiveness via N-gain calculations. Results indicate that all stages of the flipped classroom model were successfully implemented, and the online learning process proceeded adequately despite challenges such as limited internet access and the scarcity of personal rapa’i instruments. Quantitatively, the model demonstrated moderate effectiveness, with an N-gain value of 0.3. Overall, students displayed high levels of enthusiasm and consistent engagement during each learning session, reflecting a significant increase in learning involvement.

Background: Sectio caesarea is performed to ensure the safety of the mother and baby. Before the operation, health workers, especially nurses, need to provide education to the mother about informed consent and the operation procedure to reduce the mother's anxiety and concerns about the safety of her baby. Objective: To determine the effect of providing informed consent education on surgical preparation with anxiety levels in patients with Pre-Operational Caesarean Section. Method: This study is an analytical survey study using the cross-sectional method. The study was conducted at RSIA Murni Teguh Rosiva Medan. The population was 30 people and all of them were used as samples, sampling was done using purposive sampling. The analysis was performed univariately in the frequency distribution table and bivariately using the Kendall's tau-b test. Results: This study showed that the majority of pre-operative caesarean section patients stated that the provision of informed consent education in preparation for surgery was in the good category (60.0%). The majority of pre-operative caesarean section patients felt mild anxiety (50.0%). The provision of informed consent education in preparation for surgery had a significant effect on the level of anxiety of pre-operative caesarean section patients at RSIA Murni Teguh Rosiva Medan, p-value = 0.005 <0.05. Conclusion: The anxiety of pre-operative caesarean section patients was influenced by the provision of informed consent education in preparation for surgery by nurses. Suggestion: It is recommended that nurses provide informed consent education regarding preparation for caesarean section surgery to improve the knowledge and readiness of mothers to overcome anxiety that can affect caesarean section procedures.

Stunting is one of the chronic nutritional problems that remains a serious challenge in Indonesia, particularly in rural areas. This condition not only affects children's physical growth but also their cognitive development and long-term productivity. The low level of public awareness regarding balanced nutrition and proper parenting practices is a major factor contributing to the high prevalence of stunting. Therefore, community empowerment through village forums as a platform for advocacy, education, and cross-sector collaboration is essential. This activity aims to enhance the capacity of village communities to understand, prevent, and address stunting through participatory approaches. The methods applied include training for posyandu cadres, group discussions, and the establishment of village stunting forums involving community leaders, health workers, and local government officials. The results indicate a significant improvement in public knowledge and awareness regarding stunting prevention. The village forum also serves as a coordination center for policy advocacy and the implementation of nutrition programs at the local level. Thus, community empowerment through village forums has proven to be an effective strategy to strengthen community participation and enhance synergy between government, health institutions, and local residents in reducing stunting prevalence at the village level.

The World Health Organization (WHO) reported in 2019 that 40 million people worldwide require palliative care, including those with cardiovascular disease (38%), cancer (34%), chronic lung disease (10.3%), AIDS (5.7%), and diabetes (4.6%). Palliative care aims to improve the quality of life of patients and families facing life-threatening illnesses by managing pain and physical, psychological, social, and spiritual problems. The main goal of this care is to reduce suffering and help patients cope with the limitations imposed by illness. The principles are to respect life, consider death a normal process, neither hasten nor delay death, and provide support until the end of life. This study aims to determine whether knowledge can influence the level of self-efficacy of nursing students at Awal Bros University. Using a correlational quantitative method, data were collected through the Palliative Care Quiz for Nursing and Self-efficacy Palliative Care Scale questionnaires. The results of the study show a significant relationship between knowledge and self-efficacy among students with p<0.005. These findings can be used as a basis for learning to improve the understanding of nursing students, especially in the context of palliative care, which is important for the quality of health services in the future.

This community service program aims to improve the capacity and sustainability of Micro, Small, and Medium Enterprises (MSMEs) in Paku Village, Payung District, South Bangka, through an integrated intervention approach. The program's primary focus is education on legal protection, digital financial literacy, and product marketing, which can strengthen the competitiveness of rural MSMEs. Rural MSMEs often face various challenges, such as difficulties in complying with legal regulations, limited access to financing, and limited market reach, which hinder their growth. Therefore, this program adopts a participatory approach involving workshops, training, and direct mentoring to provide MSMEs with the knowledge and skills necessary to overcome these challenges. Expected outcomes of this program include increased understanding of business legality, adoption of digital financial transactions, and the implementation of effective digital marketing strategies. Through the integration of these three aspects, this program aims to increase MSME income, expand their competitiveness, and create new jobs at the local level. With long-term impacts that include village economic development and community empowerment, this program is expected to become a sustainable model for MSMEs in other villages in the area.

This community service program aims to improve the capacity and sustainability of Micro, Small, and Medium Enterprises (MSMEs) in Paku Village, Payung District, South Bangka, through an integrated intervention approach. The program's primary focus is education on legal protection, digital financial literacy, and product marketing, which can strengthen the competitiveness of rural MSMEs. Rural MSMEs often face various challenges, such as difficulties in complying with legal regulations, limited access to financing, and limited market reach, which hinder their growth. Therefore, this program adopts a participatory approach involving workshops, training, and direct mentoring to provide MSMEs with the knowledge and skills necessary to overcome these challenges. Expected outcomes of this program include increased understanding of business legality, adoption of digital financial transactions, and the implementation of effective digital marketing strategies. Through the integration of these three aspects, this program aims to increase MSME income, expand their competitiveness, and create new jobs at the local level. With long-term impacts that include village economic development and community empowerment, this program is expected to become a sustainable model for MSMEs in other villages in the area.

The admission of patients to the Intensive Care Unit (ICU) or Intensive Cardiology Care Unit (ICCU) often occurs suddenly and under critical conditions, causing family members to experience psychological pressure such as anxiety, stress, and fear of losing their loved ones. This study aims to analyze the relationship between family knowledge and the level of anxiety among family members of patients treated in the ICU at Meuraxa General Hospital, Banda Aceh. The research employed a quantitative method with a descriptive correlational design and a cross-sectional approach. The population consisted of 114 patient families, with 35 respondents selected through purposive sampling. The instrument used was the Hamilton Anxiety Rating Scale (HARS), which demonstrated high reliability (α = 0.897). Data were collected from June 18 to July 5, 2025, and analyzed using univariate and bivariate methods with the chi-square test. The results showed that 19 respondents (54.3%) experienced moderate anxiety, while 14 respondents (40%) had low knowledge regarding ICU/ICCU care. Statistical analysis revealed a p-value of 0.005, indicating a significant relationship between family knowledge and anxiety levels. These findings highlight the importance of healthcare professionals in providing education to family members to improve understanding and help reduce anxiety during the patient’s treatment period in the ICU or ICCU.

The study aims to analyze the influence of Self-esteem, narcissism, Knowledge Sharing, professional skepticism, and Educational Level on Auditor Performance. The research was conducted with auditors at the Public Accounting Firm Jojo Sunarjo & Partners to understand how psychological characteristics, professional behaviour, and educational background contribute to optimal auditor performance. The study included 202 active auditors. Data analysis was carried out using the Partial Least Squares Structural Equation Modeling (PLS-SEM) approach with SmartPLS version 4.0. The results show that Self-esteem, Knowledge Sharing, Professional Skepticism, and Educational Level positively influence Auditor Performance. Meanwhile, Narcissism has an adverse effect on Auditor Performance. These findings highlight the importance of personality traits and professional conduct in supporting the quality of auditor performance.

Anemia is a global health problem that frequently affects adolescent girls, particularly in developing countries such as Indonesia. Adolescent girls are at a higher risk of anemia due to menstrual blood loss and inadequate nutritional intake. This study aims to describe the level of knowledge about anemia among female students in Islamic boarding schools in Tarakan City. The research employed a quantitative approach with a descriptive method. The sample consisted of 124 adolescent girls selected using a total sampling technique. Data were collected using a questionnaire adapted from the Guidelines for Assessing Nutrition-related Knowledge, Attitudes, and Practices (FAO) and De et al., comprising 11 statement items. The results showed that 39.5% of respondents had good knowledge, 34.7% had moderate knowledge, and 25.8% had poor knowledge, with a mean score of 70.24, standard deviation of 19.10, minimum score of 18.18, and maximum score of 100.00. The study concludes that most adolescent girls in Islamic boarding schools in Tarakan City have good knowledge about anemia, although continuous nutrition education remains necessary.

This study aims to uncover public perception of Islamic banking in Jember Regency as well as the factors that cause low account ownership in Islamic banks, even though the majority of the population is Sunni Muslim. This study uses a descriptive qualitative approach with data collection techniques through direct interviews with people who do not choose Islamic banks as financial institutions. The results of the study show that the low level of public knowledge about Islamic banking systems and products is the main factor influencing their decisions. In addition, promotions carried out by Islamic banks are considered less effective and do not directly touch the needs and understanding of the community. The lack of supporting facilities such as ATMs and service offices also strengthens the perception that Islamic banks are not significantly different from conventional banks. Weak branding and education cause Islamic banking products to be less attractive in the eyes of the public. Therefore, a more intensive education strategy and a promotional approach that directly touches the community, as well as an improvement of basic service facilities so that Islamic banks can provide optimal services and increase public trust. This study recommends strengthening Islamic financial literacy and expanding access to services as strategic steps to encourage Islamic financial inclusion in Jember.

This activity aims to encourage the economic independence of Micro, Small, and Medium Enterprises (MSMEs) by optimizing local potential in Kepoh Village, Toboali District, South Bangka Regency. The outreach activities were conducted by collecting primary data through observation, interviews, and documentation regarding the condition of MSMEs and the village's superior potential, including the marine and fisheries, plantation, and mining sectors. The data obtained showed that the majority of MSMEs in Kepoh Village are engaged in the food trade and home industries, with varying income levels, ranging from Rp. 150,000 to Rp. 30,000,000 per month. In addition, the village's abundant potential, such as fisheries with an average production of 16.5 tons, plantations with various commodities, and tin mining resources, presents a great opportunity to support the development of local MSMEs. Through this outreach activity, MSMEs are encouraged to increase their business capacity, utilize local potential sustainably, and understand the importance of protecting Intellectual Property Rights (IPR) as a marketing strategy and to increase competitiveness. This counseling is carried out to provide a positive contribution in providing knowledge, motivation, and more innovative business management strategies starting from product marketing strategies both in economic and legal aspects as well as the urgency of business legality, so as to strengthen the economic independence of MSME actors and support the inclusive economic development of Kepoh Village

This community service program aimed to enhance students’ pharmaceutical literacy through the introduction of drug classification logos at SMP Muhammadiyah 04 Pangkatrejo. The background of this activity was the low level of drug-use literacy among adolescents, often leading to irrational self-medication. The activity employed a quantitative descriptive design with a one-group pretest–posttest approach. Educational interventions included interactive counseling, PowerPoint presentations, visual media using logo sticks, and pretest–posttest evaluation. Data were analyzed using the Wilcoxon Signed Rank Test. The results showed a significant improvement in students’ knowledge (p = 0.000), with mean scores increasing from 58% to 81% after the intervention. The highest gain was observed in the recognition of logo colors and drug classifications. Satisfaction analysis revealed that 96% of participants expressed satisfaction with the learning process, especially regarding material clarity and the presenters’ readiness to answer questions. The study concludes that participatory educational methods and visual media effectively improve rational drug-use awareness among junior high school students. Future programs are recommended to expand similar activities to other schools and integrate digital media for sustained impact on public health literacy.

Background: Type 2 Diabetes Mellitus is a chronic metabolic disease characterized by elevated blood glucose levels due to insulin resistance and impaired insulin secretion. One of the influencing factors for this condition is lifestyle, particularly dietary patterns and physical activity. Objective: This study aims to describe the dietary patterns and physical activities of Type 2 Diabetes Mellitus patients at Kalisat Regional Hospital (RSD), Jember. Method: The research design used is a case study involving two patients diagnosed with Type 2 Diabetes Mellitus. Data were collected through interviews, observations, and documentation studies, and analyzed using nursing care stages. Results: The study found that both patients consumed high amounts of simple carbohydrates such as sugar, sweet cakes, and noodles, exceeding the normal daily intake limits. Physical activity was minimal, limited to light household chores like cleaning and short-distance walking. Conclusion: Both patients were diagnosed with ineffective health management. Nursing interventions focused on behavioral health education to improve patients’ knowledge and motivation in managing Diabetes Mellitus independently.

The community service program activities that have been carried out are related to ecoprint techniques, which involve printing using natural materials such as leaves, flowers, and plant stems to produce patterns or motifs on fabric media. This training activity aims to enhance the knowledge and skills of the young girls in Bintungan Nagari, so they can be creative and innovative through ecoprint techniques. It provides knowledge and broadens their understanding of how to utilize the natural potential available in the environment around Bintungan Nagari. This training also aims to create environmentally friendly products to foster a healthy and clean environment. The hope for this activity is to have a positive impact on improving the knowledge and skills of young girls as the generation that brings about change. The training uses an approach of counseling, demonstration, training, and mentoring, along with evaluation. The results of the training program indicate a high level of enthusiasm from the participants, with knowledge and skills acquired, they have been able to produce sheets of fabric with unique motifs from the ecoprint technique. This has opened up space for participants to generate new ideas and create interesting motif patterns from natural materials. The products produced not only serve as a medium of expression but also have the potential to be developed as environmentally friendly, local creative products.

Aging is often accompanied by sleep problems that have a negative impact on the well-being of older adults, such as reducing their quality of daily life and triggering a higher risk of chronic diseases, depression, and cognitive decline. To address this issue, the physiotherapy team held an educational program at the Arjosari Village ILP in Malang City, which aimed to equip older adults with knowledge about the value of quality sleep. The material was delivered through simple brochures, two-way discussion sessions, and assessments through initial and final tests. A total of 15 people participated, and from the opening discussion, about 80 percent of them admitted to having frequent sleep disturbances. Before the event, a survey showed that their understanding was still minimal, especially regarding what healthy sleep is, the triggers of sleep disturbances, the benefits of good sleep, the signs of sleep disturbances, and steps to overcome them. After the counseling, there was a significant increase, with the level of understanding reaching more than 86 percent on all topics. These results prove that community-based educational approaches such as this are very effective as a means of empowerment and early prevention. Activities such as this should be made a routine to support the overall health of the elderly.

Rabies is a deadly disease transmitted through animal bites, especially dogs, and is still a serious threat in Indonesia. As of April 2023, more than 31,000 bite cases have been recorded, with Southeast Sulawesi being the region with the highest cases. In Kendari City, data shows that bite cases have fluctuated since 2018. Research objectives: To develop a prediction model for rabies prevention measures to enforce an EWS in high school students in Kendari City. Research methods: Cross-sectional quantitative research, involving 350 students from three sub-districts (Baruga, Poasia, and Kadia) with independent variables in the form of knowledge, attitudes, and beliefs, and the dependent variable in the form of rabies prevention measures. Data were collected in February 2025 through a hybrid/online questionnaire. Research results: Knowledge, attitudes, and beliefs have a significant effect on rabies prevention measures in high school students in Kendari City. Knowledge is the most dominant factor (p = 0.000; Odds Ratio (B) = 8.747), followed by attitude (Odds Ratio (B) = 5.725) and belief (Odds Ratio (B) = 2.545). Students with good knowledge are 8.7 times more likely to take rabies prevention. If the three variables are at a low level, the probability of rabies prevention actions among students is 14.4%, but it increases significantly to 95.6% when all three variables are at a good level. Research Conclusion: There is a significant influence of knowledge, attitude, and belief on rabies prevention behavior to support the EWS among high school students in Kendari City in 2025. The probability of engaging in preventive behavior is 14.4% when all three variables are at a low level, but it increases significantly to 95.6% when all variables are at a high level. Knowledge contributes the most, while attitude and belief synergistically strengthen the overall effect.

Tuberculosis (TB) is an infectious disease caused by the bacterium Mycobacterium tuberculosis. It is transmitted through the air, specifically through droplets expelled by sufferers when coughing or sneezing. TB is divided into two main types: pulmonary TB, which attacks the lungs, and extrapulmonary TB, which can affect other organs such as the pleura, lymph nodes, skin, bones, and meninges. In the Community Health Center (Puskesmas) work area, 77 new cases of pulmonary TB were recorded from January to April 2025. Meanwhile, coverage of Tuberculosis Prevention Therapy (TPT) only reached 44.7%, still below the national target of at least 50%. This condition indicates the need for increased health promotion activities and community diagnostic approaches as promotive and preventive measures, in order to increase TPT coverage and reduce the incidence of TB. The results of the respondent questionnaire showed that the level of public knowledge about TB reached 64.6%, positive attitudes at 94%, and preventive behavior at 72%. Based on these findings, it is recommended that outreach activities be conducted regularly to improve public understanding, which can ultimately encourage behavioral changes and reduce TB cases.

This study aims to improve farmers' knowledge and attitudes towards African Swine Fever (ASF). This study uses a qualitative descriptive method. The variables measured are the level of farmers' knowledge and attitudes towards ASF. Data analysis was performed using a paired sample t-test with the Statistical Product and Service Solution (SPSS) software version 25. The target of this study was 36 pig farmers, who were sampled using purposive sampling techniques with specific criteria that had been determined, supported by documentation. Pre-tests and post-tests were used to measure the level of knowledge and attitudes towards ASF. The results of the analysis showed an increase in knowledge from the low category by 25%, the medium category by 22.22%, and from the medium category to the high category by 47.22%, and from the high category to the very high category by 11.11%. There was an increase in attitude among 44.44% of farmers who were in the disagree category, 33.33% in the neutral category, an increase in the agree category among 58.33% of farmers, and 27.77% in the strongly agree category. The t-test results showed that the extension activities on ASF affected changes in farmers' knowledge and attitudes toward ASF. Factors influencing the increase were farmer characteristics based on age, education level, and farming experience.