Publication Search

The Emergency Department (ER) serves as a critical unit in hospitals with the primary objective of providing fast, precise, and integrated health services aimed at preventing disability and death. According to national standards, the maximum response time for ER services is 5 minutes. However, increasing patient volume combined with limited capacity and resources often hinders compliance with this standard, potentially affecting the quality of service and patient satisfaction. This study aimed to determine the relationship between response time and patient satisfaction in the ER of QIM Batang Hospital. The research employed an observational method with a correlational design and a cross-sectional approach. Data were collected using a stopwatch to measure response time and a structured questionnaire to assess satisfaction. A total of 100 patients who visited the ER were included as respondents through accidental sampling. Data analysis using the Chi-Square test revealed a significance value of ρ = 0.000, while the correlation test showed a coefficient value of 0.639, indicating a statistically significant relationship with a strong correlation between response time and patient satisfaction. These findings suggest that shorter and timely response times are closely associated with higher levels of patient satisfaction. In conclusion, adherence to response time standards and continuous improvement in the five key satisfaction indicators are crucial strategies to enhance the quality of ER services.

Hypertension, often referred to as high blood pressure, is a major global health problem that significantly increases the risk of atherosclerotic cardiovascular disease, heart failure, stroke, and kidney failure. Various complementary and alternative therapies have been explored to support conventional treatments in reducing blood pressure, one of which is smile therapy. This study aimed to analyze the effect of smile therapy on blood pressure among hypertensive patients at RSUI Harapan Anda Tegal. The research employed a quantitative approach with a quasi-experimental design using a one-group pretest-posttest method. A total of sixty hypertensive patients were selected through exhaustive sampling. Data were collected before and after the intervention and analyzed using the Wilcoxon test to determine the statistical significance of changes in blood pressure. The demographic characteristics of participants showed that most were in their early to mid-forties (36 individuals, 60%), predominantly female (38 individuals, 63.3%), with a junior high school education or below (25 individuals, 41.7%), and unemployed (41 individuals, 71.7%). The findings indicated that prior to the intervention, 41 participants (68.3%) had uncontrolled blood pressure. After undergoing smile therapy, 48 participants (80%) demonstrated improvement with more stable blood pressure levels. Statistical analysis revealed a significant effect of smile therapy on reducing blood pressure with a p-value of 0.000. These results suggest that smile therapy can serve as an effective, simple, and low-cost complementary intervention to help hypertensive patients manage their condition and improve overall health outcomes

In the automotive manufacturing industry, efficiency in quality control is a crucial factor to ensure consistent product quality. Conventional Quality Assurance (QA) processes using manual record-keeping often face challenges such as delayed reporting, human errors, and difficulty in tracking historical data. This study aims to design and implement a QA performance dashboard based on digital forms at PT Dharma Polimetal, Tbk, to enhance efficiency in production quality control. The research methodology includes direct field observation, collection of production and QA data, mapping of QA process flows, interactive dashboard interface design, and system trial implementation. The designed dashboard focuses on four main aspects: QA Incoming, QC Line, QC Gate, and Customer Handling, each containing measurable performance indicators and quality parameters. Initial implementation results indicate significant improvements in QA process monitoring, faster reporting of inspection results, and easier real-time data access for both production teams and management. The system enables early detection of potential quality issues, supports rapid decision-making, and facilitates internal and external audits. Moreover, the use of digital forms within the dashboard enhances data accuracy, minimizes human error, and creates structured historical records for long-term analysis. This study provides a tangible contribution to the digitalization of QA systems, strengthening sustainable quality control practices in the automotive industry, thereby ensuring consistent productivity and product quality.

Anxiety and sleep quality are two closely related aspects in patients undergoing surgical procedures. High levels of anxiety in the preoperative phase often result in decreased sleep quality, while poor sleep can exacerbate anxiety, thus affecting the postoperative recovery process. This study aims to compare anxiety levels and sleep quality in patients before and after surgery. The research design used was a quasi-experimental with a pre-post test approach. The study sample consisted of 119 respondents selected through a purposive sampling technique in the Kenanga Ward of Dr. H. Soewondo Kendal Regional Hospital. The instruments used included the Zung Self-Rating Anxiety Scale (SAS) questionnaire to measure anxiety levels and the Pittsburgh Sleep Quality Index (PSQI) to assess sleep quality. Data were analyzed using the Chi-Square test with the help of SPSS version 25 software. The results showed a significant relationship between anxiety levels and sleep quality in both the pre- and postoperative phases (p = 0.000; p < 0.05). A total of 54.4% of patients with poor sleep quality before surgery showed improvement after surgery. Furthermore, in the group with moderate anxiety, 54.8% experienced a reduction to mild anxiety. In conclusion, reducing anxiety levels has been shown to positively impact patients' sleep quality after surgery.

Elderly individuals are a group vulnerable to sleep disorders, with over 50% of them reporting a decline in sleep quality. Sleep disturbances in the elderly can affect their quality of life, which in turn impacts their physical and mental health. One non-pharmacological intervention considered safe, simple, and effective for improving sleep quality in the elderly is foot soaking in warm water. This study aims to evaluate the effect of foot soaking in warm water on the sleep quality of elderly individuals in the working area of Slawi Health Center. The research design used was pre-experimental with a one-group pre-test post-test design. A total of 34 elderly participants were selected using total sampling technique. The intervention consisted of soaking feet in warm water at a temperature of 37°C–39°C for 10 minutes before sleep, conducted for three consecutive days. Sleep quality was measured using the Pittsburgh Sleep Quality Index (PSQI) questionnaire. The data obtained were analyzed using Paired Sample T-test for normally distributed data. The results showed that the average sleep quality score before the intervention was 10.12, which decreased to 7.85 after the intervention. Statistical analysis showed a significant difference in the mean scores before and after the intervention with a significance value of 0.0001. This indicates that foot soaking in warm water significantly impacts the improvement of sleep quality in the elderly. This intervention can be recommended as an effective, practical, and easy-to-implement independent nursing action to improve sleep quality in the elderly. Based on these findings, foot soaking in warm water can be a good option to improve sleep quality in the elderly, especially in community healthcare services.

Posyandu plays a crucial role in improving community health, particularly in monitoring the growth and development of children during the golden age. However, limitations in the knowledge and skills of Posyandu cadres are still frequently found, especially regarding anthropometric measurement of toddlers. This study aims to examine the effect of the flipped classroom educational method on the knowledge improvement of Posyandu cadres in anthropometric measurement of toddlers in Bumiharjo Village. This research employed a quasi-experimental design with a pretest-posttest control group. A total of 38 respondents were recruited and divided into two groups: the intervention group, which received education using the flipped classroom method, and the control group, which did not receive the same treatment. Data analysis was conducted using the Wilcoxon Signed Rank Test, Mann Whitney U Test, and ANCOVA to control for baseline differences. The results showed a significant improvement in knowledge in the intervention group after treatment (p=0.000), with the proportion of respondents in the “good” knowledge category increasing from 5.3% to 36.8%. In the control group, improvement was observed but limited (p=0.003), with no respondents reaching the “good” category. The Mann Whitney test indicated significant differences in posttest scores between the groups (p=0.000). Furthermore, ANCOVA analysis confirmed that after controlling for pretest scores, posttest scores remained significantly different (F=6.771; p=0.013). In conclusion, the flipped classroom method effectively improves the knowledge of Posyandu cadres regarding toddler anthropometric measurement. This strategy can serve as an innovative and sustainable alternative for cadre training, ultimately enhancing Posyandu service quality in addressing nutritional and health issues among toddlers.

This qualitative study examines standard operating procedure (SOP) implementation for tugboat clearance operations at Jepara Port, analyzing service quality enhancement through comprehensive stakeholder engagement. Utilizing semi-structured interviews with 25 participants across five stakeholder categories, the research reveals significant operational improvements including a 35% reduction in clearance processing times and a 35.5% increase in stakeholder satisfaction scores. Findings demonstrate that standardized procedures enhance port operational efficiency while strengthening maritime vocational education integration. Beyond efficiency gains, the study highlights the role of SOPs in ensuring transparency, accountability, and consistency in port service delivery. Respondents emphasized that clear procedural guidelines reduce uncertainty, minimize conflicts between stakeholders, and establish a common framework for decision-making in dynamic operational contexts. Moreover, the integration of vocational education elements into procedural design strengthens workforce competencies, aligning training curricula with real-world port requirements and industry expectations. The study contributes both theoretically and practically by offering evidence-based frameworks that can be adopted by other Indonesian ports. It underscores the importance of combining procedural standardization with stakeholder collaboration to achieve sustainable improvements in maritime service quality. Overall, the findings establish replicable models for enhancing national port competitiveness and advancing maritime industry development through systematic procedural and operational innovation that ensures long-term sustainability and resilience.

Diabetes Mellitus (DM) is a chronic metabolic disorder that is rapidly increasing globally and is associated with a high risk of peripheral arterial complications. The Ankle Brachial Index (ABI) is a simple and reliable tool for screening peripheral arterial disease, while foot exercise represents a practical, low-cost, and non-pharmacological intervention to improve peripheral perfusion. This study aimed to evaluate the effectiveness of foot exercise in improving ABI values among hospitalized patients with DM. A pre-experimental one-group pretest-posttest design was implemented with 26 purposively selected inpatients with DM. Participants performed standardized foot exercises once daily for 15 minutes over two consecutive days. ABI values were measured using a sphygmomanometer and vascular Doppler before and after the intervention, and data were analyzed using a paired t-test. The mean ABI significantly increased from 0.707 (SD = 0.031) to 0.884 (SD = 0.027) (p < 0.001), indicating a clinically meaningful improvement from moderate impairment to near-normal circulation. These results demonstrate that foot exercise is effective in improving ABI values among hospitalized DM patients. The study highlights foot exercise as a safe, simple, and non-pharmacological nursing intervention that can be recommended in inpatient care settings to improve peripheral perfusion and prevent further complications related to peripheral arterial disease. This intervention offers a promising approach to managing peripheral arterial complications in diabetic patients

Improving the quality of education is one of the main priorities in developing a highly competitive human resource. In this context, excellent leadership serves as a key element that determines the direction, strategy, and success of educational transformation across all levels of education, from primary education to higher education. This article examines the urgency of visionary, inspirational, and adaptive leadership in driving the improvement of educational quality in a dynamic and complex era of change. Using a qualitative approach through literature review, policy document analysis, and observation of leadership practices, the study finds that effective educational leadership can foster a positive organizational culture, enhance motivation and participation among all stakeholders, and optimize innovation and professionalism among educators. Beyond managerial skills, excellent leadership is characterized by moral integrity, communication proficiency, collaborative abilities, and strategic decision-making skills that significantly impact learning quality. The findings indicate that educational reform cannot succeed without strong, consistent, and quality-oriented leadership. Furthermore, the development of leadership capacity within the educational ecosystem, including school principals, higher education leaders, and program administrators, should be a priority agenda in formulating policies and educational practices in Indonesia. Therefore, this article provides important implications for policymakers, educational practitioners, and researchers to design sustainable, innovative, and responsive leadership development programs. It also emphasizes the significance of leadership as a key factor in achieving high-quality, sustainable education capable of competing at the global level. The study underscores that investing in leadership development is not only a strategy to enhance educational outcomes but also a necessary step in ensuring that Indonesia’s education system can adapt to rapid changes and meet international standards.

This research investigates the relationship between fiscal decentralization, economic growth, and income inequality (measured by the Gini ratio) on the Human Development Index (HDI) in regencies and cities within Bali Province during the 2013–2023 period. Human development is a crucial indicator of regional welfare, and understanding the factors that shape HDI is essential for designing effective regional development policies. A quantitative approach was employed through panel data regression, utilizing secondary data sourced from the Central Bureau of Statistics (BPS). The findings indicate that fiscal decentralization has a positive and significant effect on HDI, suggesting that greater regional fiscal authority can improve public service delivery and social welfare. Conversely, economic growth demonstrates a significant negative relationship with HDI, which implies that growth alone does not automatically translate into improved human development, particularly when it is unevenly distributed. In addition, income inequality shows a negative and significant effect on HDI, confirming that disparities in income hinder broader improvements in welfare. Collectively, these variables significantly explain variations in HDI across regencies and cities in Bali. The policy implications emphasize the need to strengthen regional fiscal capacity, reduce income inequality, and encourage inclusive economic growth to ensure that economic progress contributes effectively to enhancing human development.

High turnover intention has become a critical issue in the broadcasting industry, especially in divisions that operate under fast-paced tasks and high levels of pressure. This study aims to analyze the influence of career development and job satisfaction on employees’ intention to leave the organization. Career development is measured through indicators such as promotion opportunities, work experience, and training, while job satisfaction is assessed through compensation, work environment, and recognition. A quantitative research design was applied, utilizing Partial Least Square (PLS) to analyze data obtained from a survey of employees working in a broadcasting company in Surabaya. The findings demonstrate that both career development and job satisfaction have a significant negative relationship with turnover intention, meaning that improvements in these variables can effectively reduce employees’ desire to quit. Among the career development indicators, work experience was found to be the most dominant factor influencing employee retention. On the other hand, recognition emerged as the most influential dimension of job satisfaction, showing that appreciation from the organization plays a crucial role in maintaining employee commitment. Overall, this study highlights the importance for broadcasting companies to implement effective career development strategies and enhance job satisfaction in order to minimize turnover intention and sustain organizational stability.

This study was conducted with the aim of analyzing the influence of work discipline, workload, and work environment on employee performance, with a focus on Indomaret employees located in the West Jakarta area. The number of samples used in this study was 110 respondents who were directly selected from the employee population, with the data collection technique through the distribution of questionnaires using a Likert scale. The collected data were then analyzed using the multiple linear regression method with the help of SPSS software version 30. The results of the study indicate that partially, the variables of work discipline, workload, and work environment are proven to have an influence on employee performance, where each factor makes a different contribution in supporting or hindering work productivity. Meanwhile, simultaneously, the three independent variables are proven to have a significant influence on the dependent variable, namely employee performance. This finding confirms that the combination of good work discipline factors, balanced workload management, and a conducive work environment is very important in creating sustainable performance improvements. Thus, this study is expected to provide practical contributions as input for Indomaret management in the West Jakarta area in designing more effective human resource management strategies, both through policies to improve discipline, proportional workload management, and the creation of a work environment that is more supportive of employee comfort and motivation.

This study aims to determine the effect of work discipline, work motivation, and job satisfaction on the performance of teachers at SMK Kartika X-2 South Jakarta. The research method used is descriptive quantitative, with data analysis using multiple linear regression. The sampling technique employed is non-probability sampling, specifically saturated sampling, with 45 teacher respondents. Data was collected through questionnaires using a Likert scale and processed using Microsoft Excel software and SPSS version 22. This study focuses on three main variables: work discipline, work motivation, and job satisfaction, which are believed to affect teacher performance. The results of the study indicate that the work discipline variable has a significant effect on teacher performance, meaning that the better the work discipline of teachers, the higher the performance they produce. However, work motivation and job satisfaction were found not to have a significant effect on teacher performance at SMK Kartika X-2 South Jakarta. This finding suggests that work discipline is more dominant in influencing teacher performance compared to work motivation and job satisfaction. The results of this study are expected to provide managerial implications for the school in designing policies to improve teachers' work discipline, which in turn will contribute to the overall improvement of performance within the educational environment of SMK Kartika X-2 South Jakarta.

This Community Partnership Program (PKM) was implemented to enhance the capacity of Micro, Small, and Medium Enterprises (MSMEs) in Balang Baru Subdistrict, Tamalate District, Makassar City, particularly in financial management. The main problems faced by local MSME actors include low financial literacy and the absence of systematic and sustainable financial recording practices, which hinder optimal business performance evaluation. Through this program, a team from Universitas Negeri Makassar designed and carried out training and mentoring activities focused on the use of digital financial recording systems that are user-friendly for MSME actors. The activities included the preparation of training materials on basic financial management, hands-on practice in preparing simple financial statements, the use of digital bookkeeping applications, and an evaluation of their implementation. The training was conducted intensively over three days using interactive and practical methods. The results showed a significant improvement in participants’ understanding and skills in managing business finances, recording transactions in an organized manner, and preparing financial reports that could be used for basic business analysis. Moreover, the program encouraged MSME actors to become more independent in making data-driven business decisions. This initiative is expected to have a long-term impact in promoting professionalism among MSMEs and serve as a replicable model for community empowerment through improved financial literacy.

This research is entitled “Development of Student Worksheets (LKPD) Based on the Canva Application to Improve Procedure Text Writing Skills of Grade VII Students at Tiara Private Junior High School, Bandar Setia.” The background of this study is the low ability of students to write procedure texts, which is caused by the limited use of attractive and interactive learning media. To address this issue, the study developed a Canva-based LKPD designed to enhance students’ writing skills. The research method employed was Research and Development (R&D) using the ADDIE model, which consists of five stages: analysis, design, development, implementation, and evaluation. The research instruments included validation sheets for material experts, language experts, and media experts, as well as questionnaires to gather responses from teachers and students. The validation results indicate that the Canva-based LKPD is highly feasible for use in learning, with a material expert validation score of 96.36%, language expert 87%, media expert 87%, teacher response 94%, and student response 92%. Furthermore, implementation results demonstrated a significant improvement in students’ ability to write procedure texts, as evidenced by an increase in average scores from pretest to posttest. These findings suggest that the Canva-based LKPD is an effective and innovative learning medium that can facilitate students in improving their writing skills, particularly in learning procedure texts in Indonesian language classes. This research also contributes to the development of creative digital media for education in the current technological era.

The village of Bungatan in Situbondo Regency, East Java, has significant economic potential through the presence of micro, small, and medium enterprises (MSMEs) spread across various sectors. However, the main issues faced by the MSME community in Bungatan Village include low legal literacy regarding business licensing, weak product identity in terms of design and information, and limited use of effective promotional media. Based on this, the objective of this community service activity is to increase the number of MSMEs with business legality, strengthen product identity to enhance competitiveness in the market, and build relevant visual promotion capabilities aligned with local characteristics. The method employed is the Asset-Based Community Development (ABCD) approach. The ABCD approach aims to raise community awareness of the assets they possess. The results of the SME development program in Bungatan Village demonstrate significant improvements in business legality, product identity, and promotional capacity through the Asset-Based Community Development (ABCD) approach. Overall, the outcomes of this activity indicate that empowerment based on local potential and active community participation can strengthen community economic resilience and open opportunities for sustainable SME development.

The village of Bungatan in Situbondo Regency, East Java, has significant economic potential through the presence of micro, small, and medium enterprises (MSMEs) spread across various sectors. However, the main issues faced by the MSME community in Bungatan Village include low legal literacy regarding business licensing, weak product identity in terms of design and information, and limited use of effective promotional media. Based on this, the objective of this community service activity is to increase the number of MSMEs with business legality, strengthen product identity to enhance competitiveness in the market, and build relevant visual promotion capabilities aligned with local characteristics. The method employed is the Asset-Based Community Development (ABCD) approach. The ABCD approach aims to raise community awareness of the assets they possess. The results of the SME development program in Bungatan Village demonstrate significant improvements in business legality, product identity, and promotional capacity through the Asset-Based Community Development (ABCD) approach. Overall, the outcomes of this activity indicate that empowerment based on local potential and active community participation can strengthen community economic resilience and open opportunities for sustainable SME development.

First aid in emergencies is an essential skill that must be possessed by nursing students as prospective health workers. Educational media in the form of practical guidebooks is believed to be able to improve students' knowledge and skills, but their effectiveness needs to be proven empirically. This study aims to determine the effectiveness of the educational media of the Emergency First Aid Guide in improving the knowledge and skills of Basic Life Assistance (BHD) for nursing students. The research design used was pre-experimental with a one group pretest-posttest design approach. The research sample consisted of nursing students selected through purposive sampling techniques. The research instruments include a knowledge questionnaire and a BHD skill observation sheet. Data analysis was carried out by the normality test and the Wilcoxon Signed Rank Test. The results showed a significant improvement in respondents' knowledge from an average of M: 12; SD ± 2.52 to M: 17; SD ± 1.55 (Z = -7.789; p = 0.00), as well as an improvement in BHD skills from M: 83; SD ± 9 to M: 99; SD ± 10.2 (Z = -7.789; p = 0.00). These findings show that educational media in the form of handbooks is effective in improving the ability of nursing students to deal with emergency situations. This media can be used as an alternative strategy in emergency nursing learning to support students' clinical readiness.

Acute Respiratory Tract Infection (ARI) is a health problem that still occurs frequently, especially in areas with limited access to health information and knowledge. One effort that can be made to overcome this problem is by providing health education to the community. Health education conducted using interesting and easy-to-understand media, such as audio-visual media, has been proven to be able to increase public understanding more effectively. This study aims to determine the effect of the use of audio-visual media in health education on increasing the knowledge of the Batu Merah B Hamlet community regarding ARI. This study used a quasi-experimental design with a one-group pretest-posttest approach, in which 50 people were selected purposively as the research sample. Data were collected using questionnaires before and after the health education intervention using audio-visual media. Data analysis was performed using the Wilcoxon test to examine differences in knowledge before and after the intervention. The results showed a significant increase in knowledge after the health education intervention (p < 0.05). The average score of community knowledge increased from 60.2 in the pretest to 83.5 in the posttest. This improvement demonstrates the effectiveness of audiovisual media in conveying information related to acute respiratory infections (ARI) and facilitates public understanding and retention. Therefore, it is recommended that health education using audiovisual media be used more widely in health promotion activities to achieve better results and accelerate changes in public health behavior. Health education using audiovisual media also provides a more interactive and engaging learning experience, thereby increasing community engagement in the learning process.

The KKN Program of Universitas PGRI Adi Buana Surabaya for the 2024–2025 period in Kajeksan Village, Sidoarjo Regency, focuses on the issue of family food security by implementing a mixed farming system based on the use of used goods. This service method uses Participatory Action Research (PAR) through the stages of to know (identifying problems), to understand (socialization of concepts), to plan (design a system from gallons of mineral water), to act (training and assistance in making hydroponics-aquaponic systems, making fish feed from household waste, and natural vitamins), and to change (evaluation and sustainability). As a result, there is an improvement in community skills with the realization of catfish harvest along with optimal kale growth, opening household business opportunities, and creating a sustainable empowerment model through appropriate technology transfer.