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Stunting is a problem that is increasingly found in developing countries, including Indonesia. According to the United Nations International Children's Emergency Fund (UNICEF), one in three children is stunted. The aim of this community service activity is to provide additional food to children under five. The method used was lectures and questions and answers to mothers about eating tambhana. This activity was carried out in the Bonomangape Village Office Room, Takalar Regency on June 10 2024, which was attended by 12 mothers who have toddlers. The results of supplementary feeding activities using leaflets and plipcharts on supplementary feeding behavior showed that only 4 people (33.33%) had good knowledge in the pre-test knowledge, and after education and mentoring, then a post-test was carried out, those who had good knowledge increased to 10 people (83.33%) so that by providing education and mentoring will increase motivation and change behavior in providing additional food to toddlers

To prevent disability and even death, the emergency unit must immediately carry out medical action, therefore the need to implement an efficient and effective emergency response time is important in determining whether or not it is necessary to provide medical assistance from the time the patient arrives at the ER until the patient enters the operating room or hospital ward. . The aim of this research is to determine the effect of response time on patient and family anxiety in the emergency unit. The methods used in this secondary research are literature review, article search through the Google Scholar, PubMed, Science Direct, SINTA, and Garuda databases. The results found 7 articles in which there was an influence of response time on patient anxiety in the Emergency Unit and other factors that influenced patient anxiety in the emergency unit included gender, age, education, triage, and the role of nurses. Conclusion: The results of the synthesis of 7 research articles are that response time influences patient anxiety in the emergency unit. Other factor that influence patient and family anxiety when in the Emergency Unit are length of response time, gender, age, education, triage, and the role of the nurse.  

With the increasing need for medical services and developments in technology, doctors and patients are often faced with various legal issues related to health care. The role of doctors in society is crucial because of the knowledge and skills needed to diagnose and treat disease, as well as maintain patient health. A surgeon is a specialist doctor who treats diseases, injuries or emergency conditions in the body through surgical methods (operatives) carried out in the operating room installation. The doctor's legal responsibility towards patients in the operating room installation is based on several relevant legal principles, the principle of informed consent or consent in treatment is an important factor in determining whether the doctor is responsible or not. Patients must be given adequate information about the diagnosis, procedures, risks, and treatment alternatives before giving consent for medical treatment. What are the rights and obligations between the doctor and patient in the agreement before surgery, as well as the agreement between the doctor and patient after the patient has received this information. Research methods using normative law are methods used to study legal rules as a system that can be linked to certain legal events. Secondary data uses tertiary legal data, secondary legal data and tertiary legal data from books, literature, publications and statutory sources related to all discussions. From this research it was found that every human being has the human right to live a healthy life and a doctor has ethical and professional responsibilities in carrying out his duties. The relationship between doctors and patients is regulated by applicable laws and regulations. It can be concluded that the legal responsibility of doctors towards patients in operating rooms is very important in medical practice. As health professionals, physicians have an ethical and legal obligation to provide safe, competent, and responsible care to their patients. If a doctor fails to meet expected standards of care or commits negligence that results in injury or harm to a patient, they may be legally liable.

Background: Sepsis is characterized by the body's excessive inflammatory response to infection, potentially leading to life-threatening organ dysfunction. Additionally, sepsis can induce hypotension involving both pro-inflammatory and anti-inflammatory body responses. One non-pharmacological intervention for hypotension is Passive Leg Raising (PLR), where the patient lies flat while the legs are raised at a 45-degree angle. Objective: To determinethe effect of increasing blood pressure in septic shock patients after PLR therapy. Methods: A case study conducted on May 12, 2024, at the Emergency Room of PKU Muhammadiyah Yogyakarta, observed patients blood pressure and mean arterial pressure (MAP) every 30 minutes over 1 hour using bedside monitoring before and 30 minutes after vasopressor administration. Results: PLR for 60 minutes increased systolic blood pressure by 8mmHg, diastolic by 7mmHg, and MAP by 8mmHg. Subsequent vasopressor addition for 30 minutes yielded more significant increases: systolic blood pressure rose by 35mmHg, diastolic by 26mmHg, and MAP by 37mmHg. Conclusion: PLR administration increases blood pressure, but combining it with vasopressors proves more effective in septic shock management.

Fracture is one of the causes of disability caused by trauma due to an accident. Fractures can be caused by direct trauma, for example a collision or blow that results in a broken bone. Splinting is an action carried out as first aid for musculoskeletal injuries so that the injured body part can rest, avoid shifting of the injured bone and reduce the level of pain. By using a splint, the skeletal muscles that are experiencing spasm will slowly relax, thereby reducing the level of pain and holding parts of the body from shifting and reducing pain. To determine the application of splint therapy to reduce the pain level of femur fracture patients in IGD at RSUD Tidar Magelang. The research method used a case report with the nursing intervention of providing splints on the pain level of fracture patients. Conducted 3 observations every 30 minutes on the patient Mr. M, 27 years old, who was involved in a traffic accident. From the results of the research, a nursing intervention was carried out, namely by providing a splint dressing for 3 observations every 30 minutes. The result was that there was a decrease in the level of pain before and after the splint dressing. Based on research conducted with Mr. Therefore, the reduction in pain levels in femur fracture patients with splint dressing in the emergency room at Tidar Hospital Magelang can be concluded that splint therapy has an effect on the pain level of fracture patients by reducing the level of the pain scale.

The resuscitation is an attempt to provide the oxygen the brain, heart and other important vital organs; through an action, which consist of heart massaging and guarantying the adequate of ventilation. Infant Mortality Rate (IMR) is amount of infant mortality under 1 year per 1000 alive-nativity. The highest cause of infant mortality and children under-five year is prenatal disturbs and respiration system sickness, low-weight of newborn infant (BBLR), asphyxia on newborn infant, stiff and squeezed breath. This research is intended to identify the nurse’s knowledge about the resuscitation of lung-heart on neonates that facing emergency respiration. The kind of used research is descriptive, both population and sample in this research are whole nurses who work in Neonates Room that are for 15 people, which taken by sampling total technique. The result of this reseach that obtained is wherein the nurse’s knowledge about the resuscitation of  lung-heart, it is whose having good knowledge for 9 nurses (60%) and  whose having sufficient knowledge is for 6 nurses (40%). It is can be concluded that nurse’s knowledge about the resuscitation of lung-heart in Neonates Room is good. It is expected for whole nurses in order to more increase their knowledge about the resuscitation of lung-heart, and be active in participating of  resuscitation training for better. This reseach, on the other hand, may motivate the student nurses in increasing both their capability and knowledge about the resuscitatiion

Introduction: Response time or speed in treating patients in emergency situations has a crucial role in saving lives. This includes the time required from when a patient experiences an emergency incident until the patient receives an appropriate medical response. In this context, it is important to understand that response times differ for different types of emergency cases. The aim of this research is to determine the relationship between the implementation of the Triage Protocol and Response Time and the Level of Patient Satisfaction in the Emergency Room at PMI Bogor Hospital.This research was quantitative using a correlation method involving 57 patients in the emergency room at PMI Bogor Hospital. To collect data, this study used prepared observation sheets, and statistical analysis was carried out using the Chi Square test. Patient Satisfaction Level effectively. With this approach, it is hoped that this research will provide valid and useful findings in supporting efforts to improve the quality of services at the Emergency Room at PMI Bogor Hospital.The results of chi-square statistical analysis showed that there was no significant relationship between the implementation of the triage protocol and patient satisfaction (p-value = 0.003 < 0.05). On the other hand, there is a significant relationship between the implementation of response time and patient satisfaction (p-value = 0.002 < 0.05). The faster the response time, the higher the level of patient satisfaction, in accordance with previous research findings    

Introduction: Nursing services as the front line play a very high role in the satisfaction received by patients One of the determinants of patient satisfaction is the quality of nursing services towards the quality of health services, even becoming one of the determining factors for the image of health service institutions. Objective: to analyze the relationship between the quality of nursing services and patient satisfaction in the Emergency Room of Dr Hafiz Cianjur Hospital Method: The design used is descriptive analytics with a cross-sectional approach The sample taken was 94 respondents using accidental sampling techniques Research data was taken using a questionnaire sheet in October - December 2023. Results: After analyzing the data, it was tabulated using chi square test with a significance level of 005 The research results showed that the Quality of Nursing Services (564%) had 53 respondents in the moderate category and Patient Satisfaction (543%) had 51 respondents in the moderate category The statistical test results obtained a significance value of 0002 Based on the value of p <0005, it can be concluded that there is a relationship between the quality of nursing services and patient satisfaction in the Emergency Room of the Hospital.

It can be said that patient satisfaction is an abstract thing and the results vary greatly because basically it really depends on each individual's perception. Patient satisfaction can be said to be fulfilled if the services provided are in accordance with their expectations. The aim of the research is to analyze the Quality of Emergency Room Services on Patient Satisfaction at RUMKIT TK II Iskandar Muda Banda Aceh. The research design used in this research is an analytical survey with a cross sectional design. The population in this study was all 2,058 emergency room patients. The number of samples to be studied is 95 people. Data analysis was carried out using univariate, bivariate and multivariate analysis. The statistical tests used are the chi square test and logistic regression. The results of the chi square test research show that there is an influence of 5 variables, namely reliability, responsiveness, assurance, empathy and physical evidence, which have a p-value <α 0.05, meaning that reliability, responsiveness, assurance, empathy and physical evidence influence patient satisfaction in the RUMKIT TK ER. II Iskandar Muda Banda Aceh and the multivariate test shows that the 5 variables of reliability, responsiveness, assurance, empathy and physical evidence influence the results of the multiple logistic regression test showing that the responsiveness variable is the most dominant with an odds ratio (OR) of 15,104, meaning 15 times influencing patient satisfaction. The conclusion was that the dominant responsiveness variable had the most influence on patient satisfaction at the RUMKIT TK II Iskandar Muda Banda Aceh emergency room. It is recommended for hospitals to adopt policies to increase patient responsiveness in the ER in order to produce optimal patient satisfaction.      

Background: Acute Lung Oedema (ALO) is an emergency condition that requires immediate action and has fatal and more dangerous consequences which will disrupt the gas exchange process in the alveoli due to the alveoli being filled with fluid. Based on the results of the initial survey in the ICU room at Tangerang Regional Hospital, it was found that the number of ICU patients with cases of pulmonary edema or ALO in 2023 was 14 people and from June to January 2024 there were 14 people. Nursing actions as an evidence base that can be provided include sucking mucus for less than 15 seconds and emptying the ETT cuff periodically. This implementation can increase airway clearance, thereby preventing accumulation of secretions that can cause aspiration. Proving the theory through providing nursing care carried out 5x with results showing that providing mucus suction in less than 15 seconds, and emptying the ETT cuff periodically, can improve the airway clearance status as indicated by a decrease in sputum production, color and consistency. Method: This writing method uses patient intervention and observation carried out for five days, to determine the patient's condition and provide appropriate nursing care which is then documented. Results: Based on the results of the monitoring carried out, it can be concluded that there are differences in the conditions of secretion production before and after the suction intervention was carried out by deflating the ETT (Cuff) balloon for 5-15 seconds. With the results criteria, secretion production is reduced. Conclusion: for patients with thick and purulent secretions, suction by deflating the ETT balloon (Cuff) becomes more effective and secretion production decreases. Nursing actions as an evidence base that can be given include sucking mucus for less than 15 seconds and emptying the ETT cuff periodically.

Loss of consciousness is a common problem in the health world. This situation dominates the Emergency Guard Unit in the hospital service. Unconsciousness is a mental and behavioral condition of decreased comprehension, coherence, and motivational capacity. As a result of the loss of consciousness in the patient that occurs, sometimes the family does not know when an unwanted situation occurs because of something that happens and resulting in that loss of awareness occurs. The aim of this study is to find out the impact of IGD nurses' health education on the decline in patient awareness on the knowledge of the patient's family at the IGD RSU Manado Medical Center. Research uses experimental research methods using one group research design pretest-posttest design. Sample of 15 respondents using purposive sampling. Data collection using questionnaires. Analysed with Mc Namer's statistical test.  Gender survey results most female respondents 8 (53.3%), age most 17-25 years and 26-35 years 6 respondents (40,0%), most college education 8 respondents (53,3%), most employment private employees 7 respondents (46.7%). The Mc Namer test results are given a p value of 0,000 where < α 0.05. The conclusion in this study is that there is an influence of health education nurses IGD on decreased awareness in patients to the knowledge of the family of patients at IGD RSU Manado Medical Center. The recommendation is that the hospital should pay attention to health education for families, especially in the IGD room.

The Emergency Department (ED) is a unit in a hospital specializing handles patients in emergency conditions quickly and effectively with a predetermined waiting time. Waiting Time is one form of service that many people complain about in the emergency room and causes patient dissatisfaction. When the waiting time can managed properly according to hospital service standards, the patient satisfaction and trust will increase. The purpose of this study was to determine the correlation between Waiting Time and the Satisfaction of third priority patients in the Emergency Room of Tk II Robert Wolter Mongisidi Hospital Manado. This research design with cross-sectional approach. The sample was taken based on the number of third priority patient respondents as many as 42 people using Purposive Sampling. The results of this study showed the most of the waiting time was in accordance with the standard with 27 respondents (64.3%) and most of the respondents who were satisfied were 36 respondents (85.7%). Chi square statistical test results obtained p-value = 0.016 <0.05 which shows there were a correlation between waiting time and the satisfaction of third priority patient in the emergency room at Robert Wolter Mongisidi Hospital Manado. The conclusion of the study there is a the waiting time and the satisfaction of third priority patient in the emergency room of the Robert Wolter Mongisidi Hospital, Manado City was correlated.

Quality of time is important and effected of patient satisfaction in the emergency room to see the level of density and clinical performance, waiting time and length of stay  (LOS) were used. In the emergency room, LOS are often encountered, this can affect patient satisfaction. The aim of this research was to determine the relationship between waiting time and LOS  with patient satisfaction in the emergency room at RSU GMIM Pancaran Kasih Manado. The research was conducted using descriptive analytical research methods. The sample in this study was 42 respondents taken by accidental sampling with research instrument using observation sheets, stopwatches and questionnaires. Next, the data collected  processed using the SPSS version 16.0 computer program to be analyzed by Chi-square test with a significance level (a) of 0.05. The results of this study showed the relationship between waiting time and patient satisfaction in the emergency room, with a value of p = 0.000, which is 0.000, which is smaller than the value of a = 0.05. It can be said that Ha is accepted and HO is rejected and it can be concluded that Ha is a waiting relationship time with patient satisfaction in the ER. The results in the LOS study obtained a value = 0.000, this p value was smaller than the a value = 0.05, it was concluded there was a relationship between LOS and patient satisfaction in the ER.The conclusion in this research is  the waiting time and length of stay on patient satisfaction emergency installation room at RSU GMIM Pancaran Kasih Manado was.. There is a LOS relationship with patient satisfaction in the emergency room at RSU GMIM Pancaran Kasih Manado. It is hoped  and suggestions to improve the quality of service time in the ER to obtain  the patient satisfaction

Patient satisfaction is an expression of the patient's feelings for the service received in accordance with the expected service. a fast response time can result in a feeling of satisfaction with the service. The standard time for patients to be served after arriving at the emergency room is ≤ 5 minutes. This can also be achieved by improving the infrastructure, human resources, and management of hospital emergency rooms according to standards. The purpose of this study was to determine the relationship between nurse response time and patient satisfaction in the emergency department of Bhayangkara Hospital, Manado. The research was conducted using analytic observational method with a cross sectional design. Samples were taken based on 43 respondents using non-probabilitay sampling by way of accidental sampling. Measuring tools used in this study were observation sheets and questionnaires. Furthermore, the data were analyzed using the chi-square test with a significant value of ≤ 0.05. The results showed that the p value was smaller than the significant value (0.000 <0.05). The results of this study showed that Ha was accepted and H0 was rejected. The conclusion in this study is that there is a relationship between nurse response time and the level of patient satisfaction in the emergency department of Bhayangkara Hospital, Manado. The results of this study are expected to improve the quality of service in this case the response time of nurses in the emergency department

The resuscitation is an attempt to provide the oxygen the brain, heart and other important vital organs; through an action, which consist of heart massaging and guarantying the adequate of ventilation. Infant Mortality Rate (IMR) is amount of infant mortality under 1 year per 1000 alive-nativity. The highest cause of infant mortality and children under-five year is prenatal disturbs and respiration system sickness, low-weight of newborn infant (BBLR), asphyxia on newborn infant, stiff and squeezed breath. This research is intended to identify the nurse’s knowledge about the resuscitation of lung-heart on neonates that facing emergency respiration. The kind of used research is descriptive, both population and sample in this research are whole nurses who work in Neonates Room that are for 15 people, which taken by sampling total technique. The result of this reseach that obtained is wherein the nurse’s knowledge about the resuscitation of lung-heart, it is whose having good knowledge for 9 nurses (60%) and whose having sufficient knowledge is for 6 nurses (40%). It is can be concluded that nurse’s knowledge about the resuscitation of lung-heart in Neonates Room is good. It is expected for whole nurses in order to more increase their knowledge about the resuscitation of lung-heart, and be active in participating of resuscitation training for better. This reseach, on the other hand, may motivate the student nurses in increasing both their capability and knowledge about the resuscitatiion.

Mesenteric artery thrombosis is a condition in which there is a narrowing or blockage of one or more branches of the main arteries that supply the small and large intestines called the mesenteric arteries. This condition can lead to mesenteric ischemia and acute mesenteric artery occlusion, which are associated with high morbidity and mortality. The prevalence of patients with mesenteric vein thrombus is not known because many cases are missed because the symptoms are atypical and disappear spontaneously. Early identification and management of non-occlusive mesenteric ischemia (ISNO) reduces mortality by 50-55%, whereas mesenteric vein thrombus has a 30-day mortality rate of 13-15%. The prevalence and incidence of patients with mesenteric ischemia in Indonesia are not known. Mesenteric artery thrombosis can be subdivided into non-occlusive mesenteric artery ischemia and occlusive mesenteric artery ischemia. Patient A 40 year old male came to the emergency room at Cut Meutia Hospital with complaints of abdominal pain for 4 days. Pain comes and goes. Nausea exists. bloody chapters. Before entering the hospital, the patient complained of diarrhea and stopped after taking entrostop.

Workload is a description of the volume of work. In hospitals, the workload covers many aspects and this has an impact on compliance with the implementation of SOPs for new patient admissions which can be influenced by high workloads. The aim of this research is to determine "The relationship between emergency room nurse workload and compliance with standard operational procedures for accepting new patients." This research was conducted using a cross-sectional Descriptive Analytical research method, which emphasizes the time of measurement or observation and independent and dependent variables only once. The population in this study was 23 subjekts with a sampling technique using total sampling technique and the sample for this study was 23 subjekts. Data collection uses questionnaires and observation sheets. Analyzed using the chi square test. Based on the chi-square results, it can be seen that the p value is 0.026, which is smaller than p (α < 0.5), so it can be concluded that there is a relationship between the workload of emergency department nurses and compliance with the implementation of new patient admission procedures. The conclusion in this study is that there is a relationship between the workload of emergency department nurses and compliance with the implementation of new patient admission procedures at RSU GMIM Pancaran Kasih, Manado City. Suggestions to hospitals can pay more attention to the workload they experience so as to provide good service to patients.

Bronchial asthma is a chronic respiratory disease that often impairs the quality of life of sufferers. Bronchial asthma is characterized by inflammation of the respiratory tract that causes narrowing of the bronchi, swelling, and increased production of mucus. The purpose of this study was to provide nursing care for the ineffectiveness of nasfas patterns with bronchial asthma in the Emergency Room of Patut Patuh Patju Hospital, Gerung, West Lombok. Researchers used a case study method with stages of the nursing process including assessment, formulation of nursing diagnoses, planning, implementation, evaluation and documentation. Nursing care for the ineffectiveness of breathing patterns in AI with bronchial asthma in the emergency room of the Patut Patuh Patju Hospital, Gerung, West Lombok, which was carried out for 3x24 hours, obtained the results that the patient was no longer short of breath, the rhythm of breathing was regular and there was no additional breath sound.    

Dyspepsia is a medical condition characterized by pain or discomfort in the upper abdomen or solar plexus. Heartburn in dyspepsia sufferers occurs because the sphincter muscles in the esophagus and stomach do not close completely, resulting in a back-flow of stomach acid into the esophagus. A behavior to reduce pain in dyspepsia patients is a warm compress. The aim of this study was to determine the effectiveness of warm compresses on pain intensity of dyspepsia pain patients on Emergency Room of at Robert Wolter Mongisidi Hospital Manado. The method in this research is a quasi experiment with one group pre-post test. With 10 peoples of samples taken by using accidental sampling. Data collection uses SOPs and observation sheets. Next, the collected was processed using the Mc-Nemar test.The results of this study showed the majority of subjekts experienced changes after applying a warm compress (90%). The results of data analysis tested using Mc-Nemar obtained a value of p=0.031 (a<0.05), meaning there was an effect of warm compresses on pain intensity in dyspepsia patients in emergency room at Robert Wolter Mongisidi Hospital Manado.The conclusion, the compresses on the intensity of pain in dyspepsia patients in the Emergency Room at Robert Wolter Mongisidi Hospital Manado. It is recommended for the hospitals staff and dyspepsia sufferers to apply warm compresses to help reduce pain.

This study aims to find out: (1)Effect Of Emotional Intelligence on Organisational Culture On The Nurse Nurse Performance(Study on Emergency on nurse performance (Study on emergency room and Intensive Care nurse of Benyamin Guluh hospital/kolaka SMS Berjaya BLUD). (2) Effect of Organizational Culture on Nurse Performance (Study on Emergency room and  Intensive Care Unit nurses of Benyamin Guluh Hospital/Kolaka SMS Berjaya BLUD). This study uses an approach with quantitative methods.Data collection in this study through observation, literature study and questionnaires. The population of this study ware all emergency room and intensive care unit nurses at Benyamin Guluh Hospital/Kolaka SMS Berjaya BLUD. While the sampel of this study amounted to 30 nurses with the determination of the sample using purpositive sampling with hair formula. Testing of research instruments using validity tests and reliability tests with SPSS 25.0. The data analysis technique used in this research is Structural Equation Modeling (SEM) based on Partial Least Square (PLS) through measurement model test (outer model) and structural model testing (inner model) with Smart PLS 3.0.Based on the results of the study, it is known that the Emotional Intelligence variable has a positive and significant effect on Nurse Performance as indicated by the P-Values value of 0.005.And the Organizational Culture variable also has a positive and significant effect on Nurse Performance, this is indicated by the P-Values value of 0.037.