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The development of social media has transformed institutional communication strategies, including those of the Indonesian Army (TNI AD) in building a more humanized image. This study aims to analyze how visual and narrative elements in the disaster relief content related to the eruption of Mount Lewotobi, as published by TNI AD on Instagram, are constructed and conveyed to the public. The research employs a qualitative descriptive method using Robert N. Entman’s framing analysis model, which includes problem definition, causal interpretation, moral evaluation, and treatment recommendation. Data were collected through observation and documentation of TNI AD’s Instagram post dated January 13, 2024. The findings indicate that both visual and narrative framing effectively shape public perception of the TNI AD as a responsive, compassionate, and empathetic emergency actor that presents itself as a solution during humanitarian crises. The humanistic image is emphasized through visuals depicting aid distribution, warm interactions with residents, and the provision of healthcare services. The implications of this study suggest that social media can serve as a strategic tool to strengthen public trust and expand the military's communication role in the civilian sphere, particularly during disaster situations.

This study aims to examine the realization of Grice’s cooperative principles in transactional speech acts between sellers and buyers at the Depo Air Minum Isi Ulang Sehat Lestari (Healthy Refill Drinking Water Depot). The cooperative principles consist of four maxims: quantity, quality, relevance, and manner. The research is motivated by the importance of effective communication in sales interactions, particularly to avoid misunderstandings in conveying intentions and information. A qualitative descriptive method was employed, with data collected through participatory observation and recorded conversations. The findings indicate that all four maxims were naturally realized in daily interactions. Utterances such as “Mas, air satu” (“One gallon, please”), “Air galon segar loh” (“The water is fresh”), and “Tolong kirim air 10 galon” (“Please deliver 10 gallons”) reflect contextually appropriate and functionally effective applications of the maxims. Furthermore, the use of concise, clear, and straightforward speech structures shows that the cooperative principles are not only evident in content but also in the linguistic form used. These findings highlight that communication in micro-level services such as water refill depots tends to be pragmatic, efficient, and shaped by local social norms and contextual understanding.

Digital outpatient services are an important alternative in providing fast, efficient, and affordable health services, especially after the COVID-19 pandemic. However, this system change requires an active role from Health Care Administrators in designing strategies that can maintain and improve patient satisfaction. This article aims to analyze how the role of health administrators in developing technology-based quality management strategies to optimize patient experience in digital services. This study uses a qualitative approach with literature studies and analysis of digital outpatient service policies. The results of the study indicate that the success of increasing the patient satisfaction index depends on the administrator's ability to design effective digital communication strategies, virtual queue management, digital HR training, and strengthening online feedback systems. The involvement of administrators in strategic decision-making also makes a major contribution to improving service quality. The main recommendation of this study is the need to strengthen the capacity of health administrators in aspects of information technology, digital risk management, and patient engagement. With this strategic role, health administrators are at the forefront of the transformation of digital health services in the future.

This study investigates the influence of patient involvement and effective communication on the image of the Emergency Department (ED) at Dr. Dradjat Prawiranegara Regional Hospital in Serang, with service quality acting as a moderating variable. Utilizing a quantitative research method, data were collected through questionnaires distributed to 315 patients who received emergency care services between October 1 and November 1, 2024. The data were analyzed using multiple regression analysis and Moderated Regression Analysis (MRA). The findings show that patient involvement has a significant and positive impact on the image of the ED, while effective communication alone does not show a statistically significant effect. However, service quality positively moderates the relationship between effective communication and the ED’s image, enhancing its influence. In contrast, service quality does not moderate the relationship between patient involvement and ED image. These results highlight the importance of engaging patients in medical decisions and ensuring effective communication strategies supported by high service quality to enhance the institutional image of emergency healthcare services. The study suggests that hospital management should develop integrated service improvement policies focusing on staff communication training, patient-centered care practices, and continuous quality improvement. It also recommends further qualitative studies to explore deeper insights into patient experiences and to examine other hospital departments to broaden the understanding of healthcare service quality's role in shaping hospital image.

Psychodrama is one of the approaches in group counseling that combines dramatic techniques to explore individual psychological problems. This article aims to examine the role of psychodrama in developing empathy and communication between group members. The method used is a literature study by analyzing various scientific sources related to the practice and effectiveness of psychodrama in the context of group counseling. The results of the study indicate that psychodrama is able to increase empathy through role reversal and exploration of emotions in an interpersonal context. In addition, this technique also strengthens communication skills, such as active listening, expressing feelings assertively, and building healthy relationships between group members. These findings support the importance of integrating psychodrama in group counseling services as a means of developing social and emotional skills, especially among adolescents and young adults.  

Negligence in pharmaceutical services is a multifaceted issue that significantly impacts patient safety, the quality of healthcare delivery, and the professional reputation of pharmacists in Indonesia. Such negligence can occur at various stages of pharmaceutical services, including prescribing, dispensing, storage, and administration of medication to patients. The causes of negligence are diverse, encompassing excessive workload, inadequate understanding and application of professional ethical codes, ineffective communication between pharmacists and other healthcare professionals, and suboptimal supervisory and audit systems. This study aims to analyze the ethical and professional implications of negligence in pharmaceutical services and to identify preventive efforts that can improve the quality of pharmaceutical services. This study employs a library research method with a qualitative descriptive approach, thoroughly reviewing scientific literature indexed in Sinta and other reputable academic sources to analyze the ethical and professional implications of negligence in pharmaceutical services. Findings reveal that negligence not only violates core professional ethical principles such as beneficence, non-maleficence, and justice but also exposes pharmacists to serious legal and disciplinary sanctions. Furthermore, negligence leads to long-term negative consequences, including diminished public trust in pharmaceutical services and the broader healthcare system, ultimately hindering national efforts to improve healthcare quality. Therefore, this study recommends continuous professional ethics training, strengthening of both internal and external supervisory mechanisms, and the innovative use of information technology to minimize negligence risks in pharmaceutical practice. The implementation of these measures is expected to enhance pharmaceutical service quality, uphold the integrity and dignity of the pharmacist profession, and provide optimal patient protection in Indonesia.

In facing the challenges of an increasingly complex and dynamic world of work, competency-based career management is a strategic approach in managing human resources, especially medical personnel. This study aims to examine the implementation of competency-based career management system in improving the professionalism of medical personnel in Banjarmasin Islamic Hospital. Using descriptive qualitative methods based on literature studies, this study highlights the importance of structuring career paths that are structured and oriented to technical and non-technical competencies, such as communication skills, leadership, and ethical integrity. The results of the analysis show that this approach is not only able to answer the internal needs of the hospital in building a professional work culture, but also a strategic response to the demands of quality health services, fast, and humane. The implications of this implementation are expected to encourage increased work motivation, service efficiency, and competitiveness of health institutions in the modern era.

This study aims to analyze the availability of data centers and regional promotion needs in supporting e-government implementation through the Family Information System Application (SIGA) at BKKBN Gorontalo Province. It also assesses how SIGA and its integrated dialog features contribute to public services. The findings indicate that data input in SIGA has reached 100%, covering family planning services, field supervision, and families at risk of stunting, both in monthly and annual reports. However, this completeness does not fully reflect field realities, particularly regarding youth groups outside formal education who remain underdocumented. Despite this, SIGA data has become a reference for regional health information policy development. Overall, SIGA has improved public service efficiency through fast, accurate, and timely data delivery. Yet, the system remains limited in providing interactive, two-way communication between government and citizens. This study recommends enhancing SIGA’s dialog function and engaging underrepresented community groups to support inclusive and responsive public services.

This activity aims to raise awareness and understanding among PKK mothers in Padang Cermin Village, Langkat Regency, regarding the importance of mental health. Mental health issues are often overlooked, especially in rural areas where access to information and support services is limited, and where social stigma against mental disorders persists. Lack of knowledge about the early signs of mental health disorders can cause preventable problems to develop into more serious conditions. Through this outreach activity, participants were introduced to the basic concepts of mental health, the factors that influence it, the early signs of mental disorders such as prolonged stress, anxiety, and depression, and simple steps that can be taken to maintain mental health within the family environment. Methods used included interactive material delivery, educational videos, group discussions, and question-and-answer sessions, allowing participants to understand the material more deeply and relate it to their personal experiences. Additionally, practical tips were provided, such as breathing relaxation techniques, establishing positive communication within the family, time management, and the importance of social support among community members. This approach is expected to empower mothers, as central figures in the family, to recognize, prevent, and address mental health issues early on. The results of the activity showed a very positive response. Participants demonstrated high enthusiasm, openness in sharing experiences, and a greater awareness of the importance of maintaining mental health. Many participants acknowledged that they previously lacked understanding of the importance of mental health care and tended to ignore early symptoms. This activity demonstrated the strategic role of community-based mental health education in preventative efforts to create healthier, more harmonious, and more resilient families. Going forward, follow-up efforts in the form of regular mentoring programs, dissemination of advanced educational materials, and collaboration with relevant parties are needed to ensure continued understanding and support for mental health issues in rural communities.

Multicultural competence is a crucial aspect for counselors in addressing diverse clients. Multicultural counseling training aims to enhance counselors' understanding of various values, norms, and cultural practices. This research employs a literature review method by collecting, analyzing, and synthesizing various academic sources, including books, research journals, and relevant scientific articles published. The findings indicate that this training helps counselors identify personal biases, improve cross-cultural communication skills, and develop more inclusive intervention strategies. A well-structured multicultural counseling approach can enhance the accessibility and quality of mental health services in diverse communities.

Building an effective and efficient health system is an important effort to improve the quality of health services in Indonesia, the implementation of RME is an integral component in the modern health service system. The government issued the One Healthy policy in efforts to implement Health Data governance. In order to achieve this, data variables and data formats/values ​​determined by the Ministry of Health must be used as a reference in the implementation of RME based on Minister of Health Regulation No. 24 of 2022. The aim of this research is to analyze data variables in the ETI Care application for outpatient registration at Budi Kemuliaan Hospital Jakarta according to the applicable guidelines, that is Minister of Health Decree Number HK.01.07/MENKES/1423/2022. This research uses descriptive qualitative methods. Data variables were obtained and their conformity with the existing meta data in the ETI Care application with government meta data, that is in the general identity there were 13 missing data variables and 2 variables that did not exist in the identity of the newborn baby, and 7 data variables that did not match the general identity and 1 data variable whose format/value did not match the identity of the newborn baby.  It is necessary to develop the system by involving users in adjusting technical and organizational policies. There are still data variables that do not exist in the ETI Care application in the outpatient registration section, and there is also a discrepancy between the format/value of outpatient registration in the ETI Care application and the format/value of Minister of Health Decree Number HK.01.07/MENKES/1423/2022. This requires further communication with the vendor regarding system development in accordance with applicable guidelines.  

Transformation service Primary health care (PHC) is a key pillar in improvement results health public globally, especially in high- income countries low and medium . This article analyze approach comprehensive in strengthening PHC through Healthy Indonesia Program (PIS) policy with approach family (PIS-PK), integration digital technology , and policy reform. This study highlight importance continuity service , participation community , readiness source Power humans , and use technology information For support taking decision data -driven and sustainable services . Research This adopt method qualitative with interviews , observations , and reviews document to implementation of PIS-PK in North Gorontalo Regency . Research results show that success PHC transformation is greatly influenced by communication effective policies , availability​ source power , structure adaptive bureaucracy , as well as support digitalization service . Findings this is also associated in a way direct with theory and practice implementation policies , including classical models such as Van Meter and Van Horn and Edwards III .

One of the important indicators in hospital quality standards is the level of patient satisfaction with the services provided. Therefore, improving the quality of health services is very crucial, not only in the medical aspect, but also in terms of communication and empathy of health workers to patients. This study aims to determine the description of the quality of service of registration staff at the outpatient polyclinic of General Hospital X, South Jakarta, in 2023, based on patient perceptions. This study is a quantitative study with a descriptive approach, conducted on 50 respondents. Data were collected using a questionnaire covering five dimensions of SERVQUAL: Tangibles, Reliability, Responsiveness, Assurance, and Empathy. Data analysis was carried out by presenting the frequency distribution and percentage of each service dimension. The results showed that: in the Tangibles dimension, 66% of respondents rated it good and 34% less good; Reliability, 70% good and 30% not good; Responsiveness, 52% good and 48% not good; Assurance, 72% good and 28% not good; and Empathy, 66% good and 34% less good. In conclusion, although most respondents rated the service of the registration staff as good, there are still aspects that need to be improved. Improving the overall quality of service, especially in the dimensions of Responsiveness and Empathy, is needed as a strategic step in an effort to increase patient satisfaction and loyalty.

The community movement to assist childbirth operates within a complex context, where social, cultural, and economic factors interact with each other. At the Babirik Community Health Center (Puskesmas Babirik), community service partners face a number of challenges. One of the main issues is the limited human resources, with an insufficient number of medical personnel and volunteers to reach all pregnant women in the area. Ineffective communication between the health center and the community has led to low awareness and participation of pregnant women in existing programs.Based on these challenges, a solution was developed by introducing the Community Movement to Assist Childbirth at Puskesmas Babirik, abbreviated as Germas Tulin. The Germas Tulin program at Puskesmas Babirik has shown a positive impact on community service, especially in supporting childbirth. Through various initiatives, the community actively participates in providing services and support needed during the delivery process. Germas Tulin plays a vital role in creating a safer and more supportive environment for pregnant women, as well as contributing to the improvement of healthcare service quality in the area.

Online gambling has increasingly become a major social issue, particularly in the context of family and marital stability. This study aims to explore and analyze the impact of online gambling addiction on marital relationships, with a focus on the causes leading to divorce. Employing a qualitative research approach, data were gathered through in-depth interviews with individuals and couples who had experienced divorce as a direct consequence of one partner’s online gambling behavior. The results of this study reveal that online gambling addiction significantly contributes to financial instability, emotional distance, repeated conflicts, and the eventual breakdown of communication and trust within the relationship. Many participants reported experiencing feelings of betrayal, frustration, and emotional exhaustion due to the compulsive gambling behavior of their partners. In several cases, gambling debts resulted in the sale of family assets and prolonged financial insecurity, which further strained the relationship. Moreover, the secrecy surrounding gambling activities often led to the erosion of mutual respect and transparency between spouses. This research underscores the urgent need for public education and policy intervention to mitigate the negative effects of online gambling on families. Support systems such as counseling, rehabilitation programs, and financial planning services are crucial to help affected individuals recover and rebuild their lives. By shedding light on the destructive nature of online gambling on family dynamics, this study aims to contribute to the broader discourse on mental health, addiction, and the preservation of marital stability in the digital age.

The quality of National Health Insurance (NHI) services is one of the important aspects of the health system in Indonesia. So that in an effort to improve the quality of health services, every health service facility is required to improve the quality of health services both internally and externally and continuously and sustainably. The purpose of this study is to determine the quality of service to the satisfaction of national health insurance (NHI) users. The method in this article uses a literature study, namely a method of collecting data by understanding and studying theories from various literatures related to a study that is being conducted. There are four stages of making a literature study in research, namely preparing the necessary literature sources, managing literature, organizing time and reading or recording research materials and by compiling articles. The results of this study show that the quality of service to the satisfaction of National Health Insurance (NHI) users is very important because it has a direct impact on the quality of life of the community with the quality of service, service waiting time, ease of access, affordable costs, good communication, availability of facilities, ability to overcome problems and satisfaction with the service process. It can be concluded that the quality of health services is very important because it has a direct impact on the quality of life of the community and patient safety. Good service quality can increase the satisfaction of NHI users and improve the quality of life of the community. For the government, it is necessary to improve evaluation and monitoring. Improve evaluation and monitoring of the quality of NHI services. Improve accessibility of information on NHI evaluation and monitoring.

In health care, the interaction between nurses and patients is essential to build good relationships, increase trust, and meet patient needs and expectations. The success of nursing services depends on the ability of nurses to communicate effectively. One of the causes of unexpected events (KTD) is due to communication errors both verbally and in writing between multidisciplinary and between shifts. Bedside handover can reduce patient safety incidents caused by miscommunication and strengthen employment relations between nurses, thus creating a more collaborative work environment. The purpose of this community service activity in this study is to improve the interaction of nurses when handover to the management of patient-centered care. Data collection techniques are carried out using questionnaires, interviews and direct observations in the treatment room of Karunia Kasih Hospital. In analysing the problems of the data obtained in this study, researchers used Fishbone Analysis which outlined existing problems and analysed using the method of USG (urgency, seriousness, growth) to determine the priority of the problem. The implementation carried out was changing the traditional handover method to bedside handover with the SBAR technique, revising the SOP, conducting socialisation about bedside handover conducting supervision and auditing the implementation of bedside handover. From the data analysis on observations, it can be concluded that bedside handover is an effective strategy to improve interaction between nurses and patients. The results of the analysis of the observation data can conclude that bedside handover is an effective strategy to improve the interaction between nurses and patients in patient-centred care. 

Work stress is a common phenomenon in various organizations and significantly impacts employee well-being and productivity. This study aims to understand the dynamics of work stress experienced by employees at the Social Services Department of Klaten, including its causes, effects, and management strategies. A qualitative descriptive method was used, with data collected through interviews and observations of five informants. The results indicate that the primary causes of work stress include ineffective communication, high workloads, limited human resources, and pressure from tight deadlines. The effects of work stress manifest in decreased productivity, physical and mental health issues, and strained social relationships. Employees adopt various coping strategies, such as seeking entertainment, isolating themselves, or relying on social support. The organization has implemented programs like capacity building, but additional policies are needed to enhance employee well-being. This study recommends improving communication, optimizing human resources, and implementing more effective stress management programs to create a healthier and more productive work environment.

Informed consent is an essential element in health services, including in the field of anesthesiology and intensive care, which have high risks and involve critical medical decisions. This study aims to analyze the procedures and implementation of informed consent for patients in the anesthesia and intensive care unit, highlighting the legal and ethical aspects of decision-making. A qualitative approach was used to evaluate patients' and families' understanding of the medical information provided, their rights in agreeing to or refusing medical treatment, and the role of doctors in ensuring that consent is given voluntarily and informatively. Data were obtained through in-depth interviews with health practitioners and a review of related legal and medical ethics literature. The results of the study indicate that the implementation of informed consent in the intensive care unit and anesthesiology unit often faces challenges due to the critical condition of the patient, time constraints, and the complexity of communication. Therefore, this study recommends strengthening communication policies and training for medical personnel to ensure that patient rights are met and medical actions can be carried out in accordance with applicable ethical and legal principles.

Quality information services in hospitals is an important element in increasing patient satisfaction and the image of the institution. The Public Relations Officer (PRO) plays a strategic role in managing communication between the hospital and the public. This research aims to explore the strategies implemented by PROs in improving the quality of information services at RSUD dr. Zainoel Abidin Banda Aceh. The public relations officer (PRO) strategy used is determining problems, compiling and planning work programs, taking action and communicating as well as evaluating work programs in hospitals and reviewed through strategic planning in the field of Public Relations by Cutlip-Center-Broom. The research method used was descriptive with a qualitative approach between PROs and several hospital employees, patients and patient families. The results of the investigation revealed that the strategies used by PRO RSUDZA and health services ranged from identifying problems, planning, to compiling work programs, such as online registration, electronic pharmacies (e-pharmacies), and community complaint centers. In addition, PRO RSUDZA deployed staff from the Hospital Health Counseling Service (PKRS) to carry out outreach and communication to inform the public about RSUDZA services and the availability of the RSUDZA tabloid newspaper "Lam Haba". PRO RSUDZA evaluates the work program carried out at the hospital. Obstacles faced by PRO RSUDZA include miscommunication and residents' complaints about long queues at registration and drug distribution counters. PRO RSUDZA's efforts aim to carry out all planned work programs to improve the quality of information services at RSUDZA Banda Aceh.