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The increasing complexity of competition in the healthcare industry requires hospitals to adopt adaptive and strategic management practices to enhance organizational competitiveness. This study aims to analyze the role of strategic management in improving hospital competitiveness through a Systematic Literature Review (SLR) approach. A total of 41 national and international scientific articles published between 2014 and 2025 were reviewed, sourced from Scopus, Web of Science, Google Scholar, and Sinta databases, following the PRISMA guidelines for literature selection. The synthesis of findings indicates that strategic management plays a significant role in strengthening hospital competitiveness through clear strategy formulation, consistent implementation, and continuous performance evaluation. Key factors contributing to competitive advantage include strategic leadership, adaptive organizational culture, effective human resource management, utilization of information technology, and integration between strategic planning and operational processes. The results emphasize that hospitals implementing strategic management comprehensively are better equipped to respond to environmental dynamics, improve service quality, and sustain competitive advantage in the long term. This study highlights the importance of strategic management as a foundational element in modern hospital governance and provides a conceptual basis for future empirical research in healthcare management.

This study aims to examine and review the impact of language learning through text-based methods on the cognitive abilities of elementary school students. The research approach used is a qualitative study with the main instrument being the researcher, and supporting instruments including observation, interviews, and documentation of student learning outcomes at the elementary school level. Research data was obtained from various library sources, such as books, scientific articles, national and international journals, and other relevant scientific works related to text-based learning and student cognitive development. The results of the study indicate that the implementation of Indonesian language learning with text-based methods has a diverse impact on students. Differences in learning outcomes are not only influenced by the strategies and learning processes implemented by teachers, but are also closely related to students' cognitive abilities in understanding, interpreting, and processing information from Indonesian texts. Thus, text-based methods need to be adapted to the characteristics and levels of students' cognitive abilities so that learning objectives can be optimally achieved.

This study analyzes the urgency of synergy between the conceptual foundations of student management and strategic planning in the educational environment as an effort to optimize the potential of students. This research uses a descriptive qualitative approach through literature study, with secondary data obtained from journal articles, books, and related literature. This study reveals that the success of student management does not only depend on mastery of the theory of educational service principles, but is also largely determined by the accuracy of planning steps, including needs analysis, recruitment, orientation, and student distribution systems. The results of the study show that the alignment between philosophical foundations and systematic managerial procedures is a crucial factor in creating a positive learning ecosystem and supporting the effective achievement of national educational goals. Through this integration, the policies implemented by educational institutions will be more representative in ensuring the comprehensive development of students' interests and talents.

Pendidikan tidak hanya berfokus pada kemampuan akademik, tetapi juga pada pembentukan karakter siswa, salah satunya melalui sikap saling menghargai. Penelitian ini bertujuan untuk mengetahui pembentukan karakter siswa melalui pembiasaan sikap saling menghargai di kelas IV SDN 1 Kepanjenlor serta dampaknya terhadap hubungan antar siswa. Penelitian menggunakan pendekatan kualitatif deskriptif dengan subjek guru dan 18 siswa. Data dikumpulkan melalui observasi, wawancara, dan kuesioner. Hasil penelitian menunjukkan bahwa sebagian besar siswa telah menunjukkan sikap saling menghargai melalui perilaku sopan, saling membantu, dan berbagi dengan teman. Namun, masih terdapat beberapa siswa yang perlu meningkatkan kemampuan mendengarkan dan menghargai pendapat teman.

Indonesia ranks 36th among countries most prone to natural disasters, with 216 earthquakes recorded by BNPB between 2009 and 2019. Aceh is one of the high-risk regions, having experienced major disasters such as floods, earthquakes, and the 2004 tsunami. These conditions highlight the importance of knowledge of basic life support (BLS), which is essential for managing respiratory arrest, cardiac arrest, and airway obstruction in emergency situations. This study aimed to determine the level of basic life support knowledge among health workers at the North Lhoksukon Health Center, Aceh. A descriptive observational method with a survey approach was used to provide a general overview of respondents’ characteristics. The study applied univariate analysis and involved a total sample of 139 health workers. The results showed that most respondents had a good level of knowledge (116 people; 83.5%), followed by sufficient knowledge (13 people; 9.4%) and poor knowledge (10 people; 7.2%). These findings indicate that while the majority of health workers demonstrate good understanding, there is still a need for improvement among those in the sufficient and poor categories. Therefore, it is recommended that institutions provide regular BLS training to maintain and enhance the knowledge of health workers.

Immunization is a preventive measure used to protect against Tuberculosis, Diphtheria, Pertussis, Polio, Hepatitis B, and Measles. Immunization administration must be continuous, comprehensive, and conducted according to standards to provide effective health protection. The objective of this study was to determine the correlation between paternal support and the immunization status of children aged 0 to 1 year in the Tamban Baru Community hEalth Center area, Kapuas Regency. This study used a cross-sectional correlation design. The independent variable was paternal support, and the dependent variable was immunization status. The sample was selected using total sampling technique, consisting of 50 respondents. Data collection was performed using a questionnaire. The results showed a significant correlation between paternal support and the immunization status of children aged 0 to 1 year, indicated by p = 0.000017 < 0.005; thus, the null hypothesis (H0) was rejected and the alternative hypothesis (H1) accepted. This means that there is a correlation between paternal support and the immunization status of children aged 0 to 1 year. It is recommended that that cross-sector collaboration and Community Health Center authorities enhance efforts so that every immunization officer provides health education, such as counseling about immunization, and that family involvement in spreading immunization programs is increased to achieve targeted coverage through cooperation with health professionals.

School snacks are one of the food sources commonly consumed by elementary school children; however, they are at risk of microbiological contamination if not properly managed. One of the pathogenic bacteria that can contaminate food is Salmonella, which can cause diarrheal disease. This study aimed to analyze hygiene and sanitation factors of food handlers on Salmonella bacterial contamination in pentol snacks at elementary schools in Palang District, Tuban Regency. This study used an observational analytic design with a cross-sectional approach. The sample consisted of 20 pentol vendors and 20 pentol snack samples. Data were collected through observation using a hygiene and sanitation checklist and laboratory examination to detect the presence of Salmonella bacteria. Data analysis was initially planned using the Chi-square test; however, due to homogeneous results, the analysis was conducted descriptively. The results showed that most vendors had good hygiene and sanitation (85%) and sufficient (15%). Laboratory examination results showed that all pentol snack samples (100%) were negative for Salmonella bacteria. In conclusion, pentol snacks at elementary schools in Palang District were microbiologically safe from Salmonella contamination.

Hypertension is a non-communicable disease often referred to as a silent killer because it generally does not present noticeable symptoms. Several risk factors contribute to the development of hypertension, including high body mass index (BMI) and low levels of physical activity. However, data regarding the association between BMI, physical activity, and hypertension at Pakuan Baru Public Health Center, Jambi City, remain limited. Therefore, this study aimed to determine the relationship between body mass index and physical activity with hypertension among adults at Pakuan Baru Public Health Center, Jambi City. This study employed a quantitative approach with a cross-sectional design. The research was conducted at Pakuan Baru Public Health Center, Jambi City, from November 19 to December 6, 2025. The study population consisted of all adult patients with hypertension at Pakuan Baru Public Health Center, totaling 2,797 individuals. A sample of 93 respondents was selected using an accidental sampling technique. Data were collected using observation sheets through measurements of height and weight to calculate BMI, as well as the Global Physical Activity Questionnaire (GPAQ). Data analysis was performed using univariate and bivariate analyses with the chi-square statistical test. The univariate analysis showed that 27 respondents (29.0%) were classified as severely obese, 42 respondents (45.2%) had a low level of physical activity, and 28 respondents (30.1%) were categorized as having stage 2 hypertension at Pakuan Baru Public Health Center, Jambi City. The bivariate analysis revealed a significant relationship between body mass index and physical activity with blood pressure among patients with hypertension (p = 0.000). It is expected that healthcare providers at Pakuan Baru Public Health Center will continue to provide education regarding the importance of controlling body mass index and engaging in regular physical activity, as these factors contribute to increased blood pressure among patients with hypertension.

Meningitis is a serious infectious disease that can be prevented through vaccination; however, the vaccination process often causes anxiety in patients, especially during the pre-procedure phase. Uncontrolled anxiety can affect patient readiness and comfort. Therapeutic communication by nurses is one intervention that has the potential to reduce this level of anxiety. This study aims to determine the relationship between nurses’ therapeutic communication and the anxiety levels of patients prior to meningitis vaccination at Pambalah Batung Amuntai Regional General Hospital. This study used a quantitative analytic design with a cross-sectional approach. The sample consisted of 107 respondents selected using a convenience sampling technique. Data on therapeutic communication were collected using an observation sheet, while anxiety levels were measured using the DASS questionnaire (anxiety subscale). Data analysis was conducted using univariate and bivariate methods with the Chi-Square test at a significance level of 0.05. The results showed that most therapeutic communication was in the good category, and patient anxiety levels were predominantly in the normal category. Statistical test results indicated a significant relationship between nurses’ therapeutic communication and patient anxiety levels (p = 0.000 < 0.05). The better the therapeutic communication provided, the lower the patient’s anxiety level. In conclusion, nurses’ therapeutic communication plays an important role in reducing patient anxiety prior to meningitis vaccination and needs to be optimized in nursing practice.

This study aims to analyze the extent of the effect of honey bee pollen supplementation on increasing appetite and body weight in anemic children. The type of research used in this study is an experimental study with a pre- and post-test one-group design. The research sample consisted of 52 anemic fourth- and fifth-grade elementary school students. The average total food intake (Yellow Rice) showed a significant result (P=0.000), increasing from 241.40±94.334 g to 354.94±122.57 g after the final measurement of ad libitum appetite. The average body weight also showed a significant result (P=0.00), with a mean of 23.59±5.29 kg at pre-test and rising to 24.65±5.58 kg at post-test. The Z-Score calculation for weight-for-age based on the WHO NCHS reference showed a non-significant result: P=0.0180 (0.01±0.04) at pre-test and 0.03±0.08 at post-test. Based on the 24-hour recall analysis over two days, a significant result was obtained (P=0.000), with total energy intake of elementary school students increasing from an average of 1,594±420.17 kcal before intervention to 2,070.2±491.77 kcal after two months of intervention. After statistical testing (Paired T-Test), a P-value of 0.00 (<0.05) was obtained. It can be concluded that the administration of honey bee pollen for 8 weeks at a dose of 25 grams per day significantly increased appetite and body weight in anemic elementary school children.

PPKn di sekolah dasar berperan penting dalam membentuk karakter dan kesadaran kewarganegaraan peserta didik sejak dini. Namun, dalam praktiknya guru menghadapi berbagai hambatan yang memengaruhi optimalisasi pembelajaran. Penelitian ini bertujuan menganalisis hambatan dan tantangan implementasi pembelajaran PPKn di kelas IV SD Negeri Gaprang 01. Penelitian menggunakan pendekatan deskriptif kualitatif dengan teknik observasi, wawancara, dan angket. Data kemudian dianalisis menggunakan model analisis interaktif Miles dan Huberman yang meliputi pengumpulan data, reduksi data, penyajian data, dan penarikan kesimpulan. Subjek penelitian terdiri atas guru kelas IV dan 18 siswa. Hasil penelitian menunjukkan bahwa pembelajaran berjalan cukup baik dan memperoleh respons positif siswa, khususnya pada aspek sikap dan pemahaman nilai kewarganegaraan. Tantangan utama meliputi penyampaian materi abstrak, perbedaan kemampuan akademik, serta keberagaman latar belakang sosial-ekonomi. Oleh karena itu, diperlukan penggunaan media konkret, strategi diferensiasi, serta pendekatan pembelajaran yang adaptif dan inklusif.

The rapid development of information technology has had a significant impact on the world of education, particularly in the use of mobile applications as learning media. Developing Android-based applications using Flutter is one innovation that can increase efficiency and provide a more personalized and adaptive learning experience. In this context, educators are required to continue innovating to meet the increasingly diverse and dynamic needs of students in the digital era. The Multimedia and Information Technology Professional Association (PPMultindo), an organization that brings together technology professionals, is taking advantage of this opportunity by developing an Android-based learning platform. This platform is designed to provide easier, more flexible, and more interactive access to learning materials, as well as support the process of designing more engaging materials. Features such as learning data analysis, material recommendations, and automatic evaluation are expected to increase the effectiveness and efficiency of the teaching and learning process, while also providing a means for collaboration between members. However, the implementation of this technology still faces various challenges, such as limited technological competence of educators, inadequate infrastructure, and the need for curriculum adjustments. Therefore, collaborative efforts are needed to optimize the use of mobile technology to support educational transformation.

This study aims to examine the authority of Islamic Education teachers as a form of moral capital in shaping character education among elementary school students. The research employed a qualitative method using a case study approach at SD Negeri 104267 Pegajahan. The primary subjects of the study were Islamic Religious Education (PAI) teachers, while the informants consisted of students, fellow teachers, and the school principal. Data were collected through observations, in-depth interviews, and documentation studies, then analyzed thematically to identify patterns related to teacher authority and character formation. The findings indicate that the authority of Islamic Religious Education teachers functions as a moral force recognized and respected by students, making it an important asset in the internalization of character values. This authority was formed through exemplary behavior, consistency in attitudes, and the establishment of humanistic pedagogical relationships between teachers and students. Through these qualities, teachers became moral role models who positively influenced students’ character development both inside and outside the classroom. The study concludes that strengthening teacher authority as moral capital is an effective strategy for realizing authentic, meaningful, and sustainable character education in elementary schools, as teacher authority should not only be viewed institutionally but also as a moral resource that significantly contributes to students’ personal and social development.

Program Pengabdian kepada Masyarakat ini bertujuan untuk meningkatkan penguasaan kosakata Bahasa Inggris dasar pada siswa SD Inpres 2 Wagom melalui penerapan metode Total Physical Response (TPR). Berdasarkan analisis situasi, kemampuan siswa dalam memahami dan menguasai kosakata Bahasa Inggris masih tergolong rendah. Metode TPR dipilih karena mengintegrasikan gerakan fisik dengan proses pembelajaran, sehingga memudahkan siswa dalam memahami dan mengingat kosakata secara lebih efektif serta menciptakan suasana belajar yang menyenangkan. Pelaksanaan pelatihan menggunakan metode ceramah dan praktik meliputi pengenalan kosakata dasar, seperti perintah (commands) dan bagian tubuh (parts of the body), yang dipadukan dengan aktivitas fisik. Hasil kegiatan menunjukkan bahwa siswa menjadi lebih aktif, antusias, dan responsif terhadap instruksi dalam Bahasa Inggris dan juga adanya peningkatan penguasaan kosakata siswa dari kategori sedang (±50%) sebelum pelatihan menjadi tinggi (82%) setelah penerapan metode Total Physical Response (TPR). Evaluasi kegiatan melalui kuesioner menunjukkan bahwa 89% siswa merasa metodemTPR memudahkan mereka dalam mengingat kosakata, dan 91% siswa menyatakan puas serta antusias mengikuti kegiatan ini. Secara keseluruhan, metode TPR terbukti efektif dalam meningkatkan penguasaan kosakata Bahasa Inggris dasar sekaligus menciptakan pengalaman belajar yang menyenangkan bagi siswa sekolah

This study aims to increase the knowledge and awareness of fifth-grade students of SDN 70 Palembang regarding Clean and Healthy Living Behavior (PHBS) through health communication and community empowerment activities. The method used was qualitative research with an interactive approach, which included counseling, demonstrations of six-step handwashing practices, and the use of educational media in the form of banners and leaflets. The results showed a significant increase in students' understanding of PHBS indicators, especially correct handwashing skills and the ability to recognize healthy snacks. Students' enthusiasm in participating in simulations and educational quizzes demonstrated the success of the participatory communication approach. This activity successfully strengthened the role of schools and community health centers in creating a healthier educational environment, by involving students as agents of behavior change. Through this activity, it is hoped that students will be more aware of the importance of maintaining personal and environmental hygiene, and can apply PHBS in their daily lives.

Mathematics learning at the elementary school level plays an important role in shaping students' logical thinking. However, understanding multiplication concepts remains a challenge for some students, mainly due to the learning process which tends to be monotonous and lacks active participation. This study aims to describe the implementation of context-based educational games "Seblak Prasmanan" and to examine their impact on students' activity and understanding in multiplication material. The study uses a descriptive qualitative approach with 21 third-grade students at MI Miftahul Ulum 02 Honggosoco as subjects. Data collection techniques were conducted through direct observation and documentation with the help of observation sheets containing indicators of student involvement and understanding. The results of the study show that the implementation of educational games can encourage students to participate more actively in learning. In addition, students find it easier to understand the concept of multiplication as repeated addition through contextual learning experiences. A more enjoyable learning atmosphere also impacts the increase in students' interest and motivation to learn. Thus, the use of educational games based on everyday life contexts can be an alternative learning strategy to effectively improve the quality of mathematics learning in elementary schools.

Penelitian ini bertujuan memahami pelaksanaan pembelajaran Pendidikan Pancasila dan Kewarganegaraan (PPKn) sebagai upaya meningkatkan pemahaman nilai-nilai Pancasila pada siswa kelas 5A di SDN 1 Bendogerit Kota Blitar. Penelitian ini dilatarbelakangi pentingnya pendidikan karakter berlandaskan Pancasila dalam membentuk generasi berakhlak, disiplin, dan bertanggung jawab di tengah tantangan globalisasi. Pendekatan yang digunakan adalah kualitatif deskriptif dengan metode wawancara terpusat dan observasi langsung terhadap guru serta proses pembelajaran. Data dianalisis melalui tahapan reduksi, penyajian, dan penarikan kesimpulan secara sistematis. Hasil penelitian menunjukkan guru berperan aktif sebagai teladan dalam membentuk nilai disiplin, tanggung jawab, kerja sama, sopan santun, dan kejujuran siswa. Penguatan nilai Pancasila juga didukung budaya sekolah melalui program pagi rutin dan kegiatan literasi berkelanjutan. Faktor pendukung utama ialah keteladanan guru dan lingkungan yang kondusif, sedangkan tantangan meliputi kebutuhan siswa yang beragam serta keterbatasan sarana digital. This study aims to understand the implementation of Pendidikan Pancasila dan Kewarganegaraan (PPKn) as an effort to enhance students’ understanding of Pancasila values among fifth-grade students at SDN 1 Bendogerit, Blitar City. The research is motivated by the importance of character education based on Pancasila in shaping a generation that is virtuous, disciplined, and responsible amid the challenges of globalization. A descriptive qualitative approach was employed, using focused interviews and direct classroom observations involving teachers and the learning process. Data were analyzed through the stages of data reduction, presentation, and conclusion drawing systematically. The results indicate that teachers play an active role as role models in cultivating students’ values of discipline, responsibility, cooperation, politeness, and honesty. The reinforcement of Pancasila values is also supported by the school culture through regular morning programs and continuous literacy activities. The main supporting factors include teacher exemplarity and a conducive school environment, while challenges involve diverse student needs and limited digital learning facilities. 

Thomas Aquinas was a major figure in the Era of Scholasticism in the Middle Ages, who was very influential and famous for driving the Western world's resistance to Augustine and Plato's teachings on Eastern mysticism that are still preserved. According to Thomas Aquinas, faith and reason are processes in Christian philosophy. However, please note that this is not possible due to a limitation of reason. Although reason does not transcend mystery, reason can facilitate the understanding of the mystery of God, whereas faith is an intermediary to bridge man's mind with God. Although mystery can overcome the intellect, the two are complementary understandings. Thus, Thomas concludes that two kinds of knowledge do not contradict each other, but that stand side by side, namely natural knowledge, which is based on rare intellect and has things of a general human nature as its object, and the knowledge of faith, which is based on revelation and has divine truth, which is in the scriptures, as its object. Thomas himself provided 5 proofs that God is always there.

Teaching biblical principles to elementary school children plays a significant role in shaping their faith and character, as childhood represents a formative stage for spiritual, intellectual, and moral development. This study aims to examine developmentally appropriate Bible teaching tactics and emphasize the role of Christian Religious Education teachers in the faith-learning process. The approach used is a literature review that combines theological insights, developmental psychology, and Christian didactics. The findings of this analysis indicate that effective teaching methods include the use of storytelling, visual and creative aids, interactive activities, spiritual music, and the teacher's life example. These methods enhance children’s understanding of biblical teachings in a concrete and contextually relevant manner. This research confirms that Bible teaching should not be seen simply as conveying information, but rather as a holistic process of faith formation. The results of this study provide both theoretical and practical benefits, especially for Christian Religious Education teachers, Christian schools, churches, and families in supporting children's holistic faith development.

This study examines the role of innovation management in learning to improve the quality of basic education, particularly in elementary schools. The background of this research is the increasing demand for adaptive, creative, and student-centered learning approaches in response to rapid educational changes in the digital era. The objective of this study is to analyze how the implementation of innovation management strategies in learning can enhance teaching effectiveness, student engagement, and overall educational quality. This research uses a qualitative descriptive method through literature review by analyzing relevant books, journals, and previous studies related to learning innovation and educational management. The findings indicate that effective management of learning innovation—such as the integration of technology, the use of active learning models, and teacher professional development—significantly contributes to improving student learning outcomes and classroom interaction. Furthermore, innovation management encourages teachers to be more creative in designing learning activities that are contextual and meaningful for students. The study implies that schools and education stakeholders need to strengthen institutional support, provide continuous training for teachers, and develop policies that encourage sustainable innovation in learning. Thus, structured innovation management in learning becomes a key factor in enhancing the quality of basic education in a competitive global era.