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The Caesarean Section (C-Section) procedure is one of the most common surgical methods for childbirth, performed through an incision in the abdominal wall (laparotomy) and the uterine wall (hysterotomy). Despite its effectiveness in ensuring maternal and fetal safety, one of the major postoperative complaints reported by patients is pain. Pain itself is defined as an unpleasant sensory and emotional experience associated with actual or potential tissue damage, which is subjective and can only be described by the person experiencing it. Unmanaged pain may negatively affect postoperative recovery, emotional well-being, mobility, and breastfeeding initiation. Therefore, appropriate nursing care interventions are essential to help patients achieve comfort and recovery. This scientific paper explores the implementation of sacral plexus therapy as part of nursing interventions to address pain problems in post-C-section patients. The study employed a case study approach that applied the nursing care process, which includes comprehensive assessment, formulation of nursing diagnoses, planning, implementation of interventions, and evaluation. Nursing care was carried out over a period of 72 hours (3x24 hours), with pain intensity and patient comfort levels monitored throughout the process. The evaluation results showed that all nursing diagnoses related to pain were successfully resolved within the given timeframe. Specifically, the application of sacral plexus therapy proved effective in reducing the intensity of postoperative pain and improving overall comfort, enabling patients to gradually regain mobility and adapt to their postpartum condition. In conclusion, sacral plexus therapy can serve as a complementary and non-pharmacological intervention within nursing care to effectively manage pain in post-C-section patients. These findings highlight the importance of innovative and holistic approaches in nursing practice to improve patient recovery and quality of care after surgical childbirth.

The first year of college is a critical transition period that can affect students’ motivation, stress levels, and risk of dropping out. This study aimed to determine the effect of psycho-education focusing on self-awareness on the social adaptability of 2024 Diploma III Nursing students. A quantitative quasi-experimental design with a one-group pretest-posttest approach was applied. The population consisted of 190 students, with 20 participants selected through purposive random sampling. The intervention involved eight 60-minute psycho-educational sessions designed to help students recognize, understand, and reflect on their emotions, thoughts, and behaviors in social contexts. The program was conducted from March 28 to May 3, 2025. Social adaptation was measured using the SACQ questionnaire, which demonstrated high reliability (Cronbach’s Alpha = 0.877). Results from the paired t-test revealed a significant difference between pretest and posttest scores, with a p-value of 0.000 (p < 0.05) and an average score increase of -12.050. These findings indicate that self-awareness interventions positively influence social adaptability, enabling first-year students to build relationships, adjust to new cultures, and face academic and social challenges more effectively. The study recommends implementing psycho-education programs as part of campus initiatives to strengthen social adaptation skills and provide preventive support for first-year students.

Prinsip tujuh benar obat merupakan pedoman penting bagi perawat saat memberikan obat kepada pasien, meliputi benar pasien, benar obat, benar dosis, benar rute, benar waktu, benar dokumentasi, dan benar pendidikan atau informasi kesehatan. Pengetahuan yang baik mengenai prinsip ini sangat penting bagi mahasiswa keperawatan anestesiologi untuk mencegah kesalahan dalam pemberian obat. Penelitian ini bertujuan mengetahui pengaruh edukasi e-pocket book prinsip benar obat terhadap tingkat pengetahuan mahasiswa D4 Keperawatan Anestesiologi Universitas ‘Aisyiyah Yogyakarta. Metode yang digunakan adalah pre-experimental design dengan pendekatan one group pre-test dan post-test dengan sampel 60 mahasiswa angkatan 2023 D4 Keperawatan Anestesiologi yang dipilih secara Simple Random Sampling. Instrumen penelitian berupa kuesioner pengetahuan prinsip benar obat dan analisis data menggunakan uji Wilcoxon. Hasil penelitian menunjukkan adanya pengaruh signifikan edukasi e-pocket book terhadap peningkatan pengetahuan mahasiswa, yang dibuktikan dengan nilai p sebesar 0,000 (p < 0,05). Kesimpulannya, edukasi e-pocket book efektif meningkatkan pengetahuan mahasiswa tentang prinsip tujuh benar obat dan diharapkan dapat membantu saat praktik klinik di rumah sakit.

Komunikasi terapeutik penting dalam keperawatan anestesiologi, terutama untuk mengatasi kecemasan pasien pre operasi. Self-efficacy mahasiswa berperan dalam efektivitas komunikasi tersebut. Penelitian ini bertujuan mengetahui hubungan self-efficacy dengan penerapan komunikasi terapeutik pada mahasiswa Keperawatan Anestesiologi Universitas ‘Aisyiyah Yogyakarta. Desain penelitian kuantitatif korelasional dengan pendekatan cross-sectional, melibatkan 60 mahasiswa semester 6. Instrumen yang digunakan adalah General Self-Efficacy Scale (GSES) dan kuesioner komunikasi terapeutik. Hasil menunjukkan mayoritas mahasiswa memiliki self-efficacy tinggi (85%) dan komunikasi terapeutik baik (95%). Terdapat hubungan signifikan antara keduanya (p = 0,000; r = 0,588). Disimpulkan bahwa self-efficacy berhubungan positif dengan penerapan komunikasi terapeutik. Disarankan institusi memperkuat pembelajaran dan praktik komunikasi terapeutik untuk meningkatkan self-efficacy mahasiswa.

Praktik klinik penting bagi mahasiswa kesehatan untuk menerapkan teori ke praktik nyata, namun, insiden keselamatan pasien di Indonesia terus meningkat, dengan laporan insiden keselamatan pasien pada tahun 2019 mencapai 7.465 kasus. Oleh karena itu, mahasiswa keperawatan anestesiologi perlu kesiapan terkait patient safety sebelum praktik. Penelitian ini bertujuan mengetahui pengaruh video edukasi patient safety terhadap kesiapan mahasiswa Keperawatan Anestesiologi Universitas ‘Aisyiyah Yogyakarta. Metode yang digunakan adalah quasi experimental dengan desain pretest-posttest control group yang melibatkan 66 responden dengan teknik simple random sampling. Data dianalisis menggunakan uji Wilcoxon dan Mann Whitney. Hasil menunjukkan rata-rata skor pengetahuan dan sikap mahasiswa kelompok intervensi meningkat setelah edukasi, dengan pengaruh signifikan video edukasi terhadap kesiapan mahasiswa (p = 0,000). Kesimpulannya, video edukasi efektif meningkatkan kesiapan mahasiswa dalam menghadapi praktik klinik.

Motivasi belajar merupakan dorongan yang berasal dari internal maupun eksternal diri seseorang. Motivasi belajar menjadi faktor penting dalam keberhasilan pendidikan mahasiswa. Tetapi, rendahnya motivasi belajar masih menjadi kendala utama, yang disebabkan oleh kurangnya minat terhadap media pembelajaran yang digunakan. E-pocket book menjadi salah satu solusi alternatif karena bersifat praktis, mudah diakses, dan memuat materi pembelajaran secara ringkas namun padat. Tujuan dari penelitian ini untuk mengetahui adakah efektivitas pemberian E-pocket book anestesi untuk meningkatkan motivasi belajar mahasiswa pra-klinik. Penelitian ini menggunakan jenis eksperimen dengan desain one group pretest and posttest. Populasi dalam penelitian ini ialah mahasiswa D4 Keperawatan Anestesiologi Angkatan 2023. Teknik pengambilan sampel menggunakan teknik simple random sampling yaitu berjumlah 30 orang. Instrumen penelitian menggunakan kuesioner motivasi belajar. Analisa data menggunakan uji Wilcoxon. Hasil yang didapatkan ialah sebelum diberikan E-pocket book anestesi sebagian besar responden berada pada tingkat motivasi yang sedang dengan presentase 50% dan sesudah diberikan sebagian besar responden berada pada tingkt motivasi belajar yang tinggi dengan presentase 86.7% . Hasil uji Wilcoxon nilai p-value 0,001 maka nilai p-value <0,05.

Chronic Kidney Failure (CKD) is a condition of permanent and progressive decline in kidney function. CKD patients undergoing hemodialysis often experience sleep disturbances, which impact their physical and psychological condition. Non-pharmacological interventions such as deep breathing relaxation and lavender aromatherapy can be alternative therapies to address these disorders. This study analyzes nursing care for sleep disturbances in CKD patients undergoing hemodialysis and evaluates the effectiveness of deep breathing relaxation therapy combined with lavender aromatherapy inhalation. This study used a case study approach with three CKD patients undergoing hemodialysis and experiencing sleep disturbances. The intervention was carried out for three days with a combination of deep breathing relaxation therapy and lavender aromatherapy inhalation. After three days of intervention, complaints of insomnia decreased in all three patients. The sleep pattern score increased to 5, indicating undisturbed sleep patterns. Deep breathing relaxation therapy combined with lavender aromatherapy inhalation is effective in addressing sleep disturbances in CKD patients undergoing hemodialysis. This therapy is recommended as an additional intervention in the hospital and should be carried out with family support to increase patient comfort.

Nursing as a profession, is limited by self-regulation in the form of a code of ethics of killing. The code of ethics of extermination is the basic reference for nurses in carrying out their profession, both in relation to the use of extermination technology and knowledge. The purpose of this study was to determine the relationship between the principle of protection ethics and the quality of service in the inpatient room of Bakti Tin Karimun Hospital. The design of this study was cross-sectional with a sample size of 84 respondents, namely patients in the inpatient room using a purposive sampling technique. Data were collected using a prevention ethics questionnaire to measure the application of the principle of prevention ethics and a prevention service questionnaire to measure the quality of service. Data were analyzed through a chi-square statistical test P Value of 0.007 <0.05, which means that there is a significant relationship between the application of the principle of protection ethics and the quality of protection services in the inpatient room of Bakti Tin Karimun Hospital. So the more optimal the application of protection ethics, the better the quality of protection services. Nurses are expected to be able to apply the principle of optimal care ethics in providing care to patients so that the quality of service in inpatient care is good.

Students, being academically active, may experience reduced physical activity, risking lower extremity strength, particularly in the gastrocnemius muscle. Calf raise exercises can improve this muscle's power. This study aimed to examine the relationship between calf raise frequency and gastrocnemius strength in anesthesia nursing students at Universitas 'Aisyiyah Yogyakarta. Using a pre-experimental one-group pretest-posttest design, 41 students were assessed via total sampling. Muscle strength was measured using a leg dynamometer and observation sheet. Wilcoxon and Spearman Rank tests revealed significant improvement (p = 0.000) and a strong relationship between exercise frequency and muscle strength. Most participants (76.2%) reported high exercise frequency and moderate strength improvement. The findings confirm a significant relationship between calf raise frequency and gastrocnemius strength, suggesting the need for increased student awareness of muscle training.

Sectio Saesarea is a way of delivering a fetus by making an incision in the uterine wall through the front wall of the abdomen or vagina or SC is a hysterotomy to deliver a fetus in the uterus (Batara, 2022, p.1). SC is known as one of the procedures that can save both mother and baby. SC can effectively prevent death and disability in mothers and newborns. SC is performed on 3 indication factors, namely maternal, fetal and obstetric factors themselves. The problem that usually arises after SC is pain. Patients after sectio caesarea surgery will feel pain when the effects of anesthetic drugs have disappeared (Solehati & Kosasih, 2015). Postoperative pain after anesthesia is a common complication and will appear 1-3 hours (Saputra, at, al.2023). Pain appears due to the release of pain receptors due to the disconnection of tissue continuity due to the incision process during surgery. Post SC patients usually complain of pain in the abdominal incision area (Wahyuningsih et al., 2022). Pain in patients must be treated immediately so as not to interfere with the mother's activities. There are 2 pain management, namely pharmacological and non-pharmacological. Pharmacological therapy is carried out by administering drug therapy to reduce pain. Non-pharmacological therapy that can be done to reduce pain is one of them early mobilization. Early mobilization after cesarean section is a movement, position or activity carried out by the mother several hours after giving birth by cesarean section (Mawarni, 2018). Early mobilization techniques are very effective in relieving pain. Early mobilization is recommended for post-SC mothers, because it can increase the independence of post-SC patients, as well as support the wound healing process, and reduce pain (Dirgahayu, 2019). Early mobilization interventions can help patients reduce the pain scale felt postoperatively. Case studies using descriptive methods with a nursing process approach were carried out on 3 respondents of post op pregnant women using the One Group Pretest Posttest research design which was measured using the NRS instrument for 3 days. The results showed a decrease in the pain scale in respondents after being given early mobilization interventions. 

Fish plays a vital role in early childhood development due to its high nutritional value, yet consumption among preschoolers in Indonesia remains low. This study explores the effectiveness of combining hypnoparenting and storytelling as a complementary nursing strategy to promote fish consumption in young children. A quasi-experimental design with a pretest–posttest control group was used, involving 30 preschoolers divided into experimental and control groups. The experimental group received a four-week intervention integrating hypnoparenting and storytelling, while the control group received standard education. Dietary intake was assessed using a Food Frequency Questionnaire (FFQ). Results showed a significant increase in fish consumption in the experimental group (p = 0.000), with no significant change in the control group (p = 0.102). The Mann-Whitney U test also confirmed a significant difference between the groups (p = 0.000). These findings suggest that integrating hypnoparenting and storytelling is an effective, family-centered complementary nursing approach to promote healthier eating habits. This innovative method offers potential in supporting preschool children’s nutrition and overall development through engaging and parent-involved strategies.

Background: Pregnancy is a crucial period that demands the mother's physical and psychological readiness to face childbirth.self efficacyIn pregnant women, it can increase anxiety, fear, and unpreparedness for childbirth, which can impact the health of both mother and fetus. WHO data shows that psychological factors, including low self-confidence, contribute to high rates of childbirth complications in developing countries. Effective interventions are essential to help pregnant women increase self-confidence, manage anxiety, and prepare for childbirth. Nursing counseling is a crucial tool in providing information, emotional support, and building self-confidence in pregnant women.Objective: To find out the influence of nursing counseling programs onself efficacyPregnant women facing childbirth in the polyclinic room of RSI Sultan Hadlirin Jepara. Method: This study used a quasi-experimental pretest-posttest design without a control group. The sample consisted of 62 pregnant women in their final trimester selected using purposive sampling. The intervention consisted of three nursing counseling sessions. The research instrument used a self-efficacy questionnaire, with paired sample t-test data analysis.Results: There is an improvement self efficacywith an average score difference of 1.79 ± 1.05. The t-test showed a calculated t-value of 9.017 with a p-value of 0.000 (p < 0.05), which means there is a significant effect.Conclusion: Nursing counseling programs have been proven to be effective in increasing the self-efficacy of pregnant women, so it is recommended to be a routine part of promotive and preventive efforts in preparing for childbirth. The positive impact of nursing counseling on self-efficacy highlights the importance of integrating psychological support into prenatal care. As the results of this study show, even a few targeted counseling sessions can make a significant difference in a woman’s readiness for childbirth.

Nursing students need to have adequate competence related to patient safety. Patient safety is a system aimed at providing safe healthcare services, preventing incidents for patients, and improving patient services. Knowing students' perspectives is necessary to understand how they think in response to what they have done or learned about patient safety. It is critical to evaluate nursing students' perspectives on patient safety competency and assess their level of competence. The results can be used to formulate plans to improve students' proficiency in patient safety among healthcare professionals. The design of this research is descriptive, with 108 respondents participating in filling out the Patient Safety Survey (PSS) instrument. The research results analyze students' competencies in three domains, namely patient safety review, patient safety issues, and incident reporting. The analysis results show that in the domain of patient safety review, 79.63% of respondents have a good perspective. In the domain of patient safety issues, 71.30% of respondents had a good perspective. Similarly, in the incident reporting domain, the majority of respondents also had a good perspective, which was the highest among the other domains, at 83.33%. Overall, it can be concluded that the survey results indicate that the respondents have a good perspective, with 82 respondents out of a total of 108 respondents (75.93%). Students who have attended patient safety management lectures and completed clinical nursing practice have good competence in patient safety. Future research is expected to be conducted in various cultural and contextual backgrounds to enhance the understanding of variables that influence patient safety in nursing practice and education

The combination of nursing, medical, and surgical sciences is often integrated into medical surgical nursing science. Medical surgical nursing is a branch of nursing that combines medical and surgical sciences to provide comprehensive care to patients. This is because nurses are required to have knowledge and technical skills that are adaptive to today's health world. In order to optimize this, a holistic study is needed to identify gaps that need to be fixed, both in terms of practice, development, and education. However, there has been no research that examines these things. Therefore, this study aims to explain the multi-perspective study of medical surgical nursing with a literature review. The method used is a literature review with various literatures from Google Scholar. The results of the study show that most of the scientific literature that studies medical surgical nursing has supported studies from the perspective of development, assessment, and education. Some of this literature can be used as a basis for reviewing and evaluating the world of surgical nursing more comprehensively so that it can be improved according to the findings of field research.

Academic burnout is prone to occur in students who experience Fatigue because they feel pressured by lectures and feel incompetent as students. Fatigue that is felt if it is not immediately overcome and continues, it can decrease academic achievement and even disrupt mental and physical health. To overcome or prevent burnout, students need social support from family, friends and significant other support. The goal was to analyze the relationship between social support and academic burnout in Unissula nursing students. This study applies a quantitative method with a cross sectional  approach and data is obtained through the distribution  of  MSPSS (Multidimensional Scale of Perceived Social Support) questionnaire consisting of 18 statements and MBI-SS (Maslach Burnout Inventory-Student Survey) consisting of 19 statements, with a total of 141 respondents who were randomly selected without looking at certain characteristics using a simple technique random sampling. The results of this study show that the most social support is in the low category with 102 (72.3%) students while the most academic burnout is in the medium category with 120 (85.1%) students. The results of the statistical test obtained a p-value of 0.000 with a closeness of -0.402 which means that there is a relationship between social support and academic burnout with moderate closeness. There was a meaningful relationship between Social Support and Academic Burnout of FIK Unissula students with p value (0.000) < ɑ (0.05).

A lack of self-esteem is often accompanied by nervousness when speaking in front of an audience, but a positive body image can help build confidence. Many challenges await first-year students, including adjusting to a new setting. Still, it's not always easy to perform for a live audience. In order to express themselves on campus, students need to work on their public speaking abilities. The primary objective of this research was to examine the relationship between first-year nursing students' body image perceptions and their anxiety when it comes to presenting in front of an audience. A cross-sectional approach, prevalent in quantitative research, is utilized in this study. Undergraduates from Semarang's Sultan Agung Islamic University's nursing program (class of 2024) participated in the research. A total of 157 students were selected at random. The correlation tool used in this study was Spearman's rank test. A high correlation between first-year nursing students' negative perceptions of their bodies and their anxiety when speaking in front of an audience was found among the 157 research participants (p value 0.000), according to the data analysis. Among the students, nearly half (40.8%) reported extremely low levels of body image satisfaction and nearly half (41.4%) reported extremely high levels of anxiety when it came to public speaking.

This research seeks to examine the connection between spiritual-based nursing services and nurses' job satisfaction at the Sultan Agung Islamic Hospital Semarang. Job satisfaction, which is influenced by various aspects, plays an important role in improving nurse work efficiency and service quality. This study employed a quantitative methodology with an analytical survey and a crosstab study on 100 implementing nurses, using a total sampling technique. Data was collected through questionnaires and analyzed with Chi Square statistical tests. As many as 66% of respondents rated spiritual-based services in the good category, and 54% were satisfied with their work. The analysis showed  a notable correlation between  spiritually integrated services and nurses' workplace fulfillment (  P Value < 0.05; r = 0.696). Applying well-structured spiritual-based nursing services enhances nurses' job satisfaction. These findings can support the development of strategies to improve nursing services as well as their professional performance.

Sharia nursing is often applied in health services with Islamic standards which aim to maintain boundaries between members of the opposite sex and respect religious values. This practice is expected to increase patient satisfaction and loyalty, especially those who are predominantly Muslim. To prevent errors, hospitals and medical personnel need to prepare service standards and have a good understanding of sharia nursing. This study aims to analyze whether there is a correlation between sharia nursing and patient loyalty. This is a quantitative research with a cross-sectional approach. Data collection using a questionnaire. Population in this study amounted to 749 people. This study used 260 respondents using non-probability sampling techniques with purposive sampling methods. Data obtained were processed using the Spearman rank test. Results of this study indicate that the majority of respondents to sharia nursing are in the high category with a total of 230 (88.5%) respondents, while patient loyalty with the most respondents is in the high category with a total of 242 (93.1%) respondents. results of the statistical test obtained a p-value: 0.000 with a closeness of 0.456 which means that there is a correlation between sharia nursing and patient loyalty with a strong level of closeness. There is a significant correlation between sharia nursing and patient loyalty with (p-value <0.05).

Eating patterns and anxiety are two interrelated aspects, especially among students. This anxiety can affect various aspects of students' lives, including their eating patterns. A healthy diet is very important for college students because it contributes to their physical and mental health. However, many students have difficulty maintaining a balanced diet. Several factors that influence students' eating patterns include limited time, irregular eating habits. On the other hand, high levels of anxiety among college students are often related to academic pressure, social problems, and mental health. The aim of this research is to determine the description of eating patterns and anxiety levels among students at the Faculty of Nursing, Sultan Agung Islamic University, Semarang. This type of research is quantitative with a quantitative descriptive design, data collection carried out by this researcher using consecutive sampling, on a sample of 244 respondents. From the results of the 244 research respondents, the majority of respondents were 19 years old, 73 students (29.9%), female, 197 students (80.7%), the majority of respondents were 3rd semester students, totaling 96 students (39.3%). The results of this research show that the eating patterns of some students, 205 students (84.0%) have good eating patterns and the anxiety level of students in the moderate category is 144 students (59.0%). From these results it can be concluded that there is a picture of eating patterns and anxiety levels in students at the Faculty of Nursing, Sultan Agung Islamic University, Semarang.

Disruption of the treatment process, lack of attention, and lack of knowledge about how to obtain medical information about the patient result in poor communication. Optimizing the role and function of nurses, especially independent care, can increase the professionalism of nurses in this hospital, which can be achieved through effective communication between nurses and other health service providers. The purpose of this research is to determine the relationship between SBAR communication and employee work habits when carrying out maintenance tasks at the Sultan Agung Islamic House, Semarang. This research is a quantitative study using a cross-sectional design. Data collection was carried out using questionnaires and observation sheets for 50 respondents. This study used a total sampling approach, and Spearman's rank correlation test was applied for statistical analysis. The results of the Spearman rank test of SBAR communication data during handover and the performance of nurses in providing nursing care obtained a p value of 0.003 (<0.05), which means that Ha is accepted or there is a relationship, with the relationship being quite strong (0.406) and the direction is positive. To increase effectiveness in providing nursing care in hospitals, nurses are required to be able to implement SBAR communication more effectively during handover.