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Hypertension remains a major health problem with high prevalence, often linked to poor lifestyle habits and low self-efficacy in managing one’s health. Effective hypertension management requires not only support from health professionals but also encouragement from family members who can remind patients to adhere to treatment and provide emotional support. This study aimed to analyze the relationship between self-efficacy, lifestyle, and family support with hypertension among Prolanis members in the working area of Puskesmas Oesapa, Kupang City. Using an observational analytical approach with a cross-sectional design, the study involved 65 hypertensive Prolanis members selected through simple random sampling. Data collection was conducted using a structured questionnaire. The findings showed significant relationships between self-efficacy, physical activity, and diet with hypertension status (p-value = 0.000). However, resting habits were not significantly associated with hypertension (p-value = 0.063), and family support also showed no significant relationship (p-value = 0.388). The study recommends that the Puskesmas continue to strengthen Prolanis activities and enhance health education, particularly regarding the importance of maintaining a healthy lifestyle through proper dietary management and regular light physical activity tailored to the abilities of Prolanis members.

Negotiation is a strategic communication process in which multiple parties work to reconcile differences and reach mutually beneficial agreements through the exchange of information, interests, and viewpoints. Although traditional theories emphasize analytical elements such as developing a BATNA, crafting offer–counteroffer strategies, and employing persuasive framing, recent research underscores the growing importance of interpersonal competencies in shaping negotiation success. Through a qualitative literature-based approach, this study explores how empathy, assertive communication, and emotional regulation influence negotiation outcomes, examines their relevance in digital negotiation environments, and proposes an integrated training framework for professionals and entrepreneurs. The findings reveal that empathy strengthens a negotiator’s ability to interpret emotional cues, identify underlying concerns, and build trust, thereby minimizing miscommunication. Assertive communication supports clear expression of interests and boundaries while maintaining respect, which enhances collaborative problem-solving. Emotional regulation promotes composure and cognitive flexibility, particularly in high-pressure interactions. In technology-mediated negotiations conducted via email, messaging platforms, or virtual meetings, these skills must be adapted due to limited physical cues and higher risk of misinterpretation, requiring explicit wording and intentional emotional management. The proposed model incorporates empathy training, assertive communication development, emotional regulation practices, and digital negotiation skills to cultivate adaptive and emotionally intelligent negotiators.

This study investigates the clinical handover process as a critical component of patient safety and healthcare service quality in hospital settings. Inconsistent communication, incomplete documentation, and the absence of standardized procedures were identified as major problems contributing to communication failures and potential adverse events. The objective of this research was to develop and test a structured and effective handover model that could improve communication accuracy and documentation reliability among healthcare professionals. A mixed methods design was employed, consisting of a qualitative phase (in-depth interviews, observations, and document analysis) to explore real-world handover practices, followed by a quantitative phase using a pretest–posttest design to evaluate the effectiveness of the proposed model. The study proposes an integrated handover model based on SBAR-IM (Situation, Background, Assessment, Recommendation, Intervention, Monitoring) strengthened by Quality Control (QC) and Mutual Confirmation (MC) mechanisms. The findings demonstrate a significant improvement in handover quality after implementation, with communication scores increasing from 74 to 84.5 and documentation scores improving from 48.3 to 63.0 (p < 0.05). Qualitative results further revealed reduced communication errors, improved clarity of clinical information, and enhanced interprofessional collaboration. This study concludes that the proposed SBAR-IM–based QC–MC model is effective, practical, and suitable for improving patient safety and healthcare service quality in hospital environments.

The birth facilities and birth attendants are directly linked to maternal mortality. It has been demonstrated that births attended by healthcare professionals help lower the risk of maternal mortality. Traditional birth attendants and non-health personnel have a very restricted understanding of physiology and pathology, which leads to issues with delivery help, which are the primary reasons for high rates of maternal and perinatal mortality and morbidity. The significance of family support for selecting a birth attendant. At the Benao Community Health Center, this research sought to determine the link between husband support and the choice of birthplace among pregnant women in their third trimester. This study employed a descriptive analytical design with a cross-sectional methodology, which is a study to establish the existence of two relationships or a number of variables. In the meantime, the sampling method employed complete sampling, which resulted in a sample size of 30 individuals. In this study, a questionnaire was employed as the instrument. The data was then analyzed with SPSS using Chi Square analysis. After using the chi-square statistical test, a P-value (asymp. Sig 2-tailed) of 0.000 < 0.05 was found, indicating a correlation between the location of delivery chosen by pregnant women in their third trimester and the support of their spouses. As a result, since H0 was disproved and H1 was proven, it may be inferred that there is a link between a pregnant woman's choice of delivery location in her third trimester and the support she receives from her spouse.

The implementation of patient safety culture in hospitals remains a significant challenge, often leading to adverse events. Establishing a strong patient safety culture requires effective interprofessional collaboration among healthcare professionals to deliver patient-centered care. However, factors such as organizational distrust and job dissatisfaction continue to hinder collaborative efforts and negatively affect the quality of care and patient safety outcomes.This study aims to examine the influence of organizational trust and job satisfaction on patient safety culture, with interprofessional collaboration serving as an intervening variable at MP hospital.  This quantitative associative research used a causal approach involving 93 inpatient nurses as respondents. Primary data were obtained through questionnaires using an ordinal scale based on a 4–1 Likert scale. Data processing employed the three-box method, and data analysis was conducted using Structural Equation Modeling (SEM).The results revealed that organizational trust, job satisfaction, and interprofessional collaboration simultaneously and partially influence patient safety culture. Moreover, interprofessional collaboration was found to mediate the relationship between organizational trust, job satisfaction, and patient safety culture.The study concludes that enhancing patient safety culture can be achieved by strengthening organizational trust and job satisfaction through effective interprofessional collaboration. Hospitals should develop supportive systems that foster care and concern among staff, enhance conflict management, improve performance appraisal mechanisms, and promote open, effective communication across all professional groups involved in patient care. These strategies can create a safer, more collaborative, and high-quality healthcare environment

Schizophrenia is a serious mental illness that requires long-term treatment and carries a high risk of recurrence. The recovery process for patients relies not only on medical intervention, but also requires optimal involvement and support from their families. The presence of a supportive family is believed to strengthen patient motivation and contribute positively to their psychological well-being. This study aims to identify the relationship between family support and relapse rates in schizophrenia patients undergoing treatment at the Aceh Mental Hospital Polyclinic. This study uses a correlational design with a Cross-Sectional method. Through Accidental Sampling, 114 samples were selected from a population of 3,233 individuals. Data collection took place between April 14 and 28, 2025, using a questionnaire focused on family support and relapse rates. To analyze the relationship between the two variables, a Chi-Square statistical test was applied. The main findings of the study show that aspects of family support in general (p=0.000), informational support (p=0.000), appreciative support (p=0.000), instrumental support (p=0.001), and emotional support (p=0.002) are correlated with the recurrence rate of patients. Based on the analysis of the results, it can be concluded that there is a correlation between family support and the recurrence of schizophrenia patients at the Aceh Mental Hospital Polyclinic. The practical implications of this research are expected to serve as a reference for the families of schizophrenia patients to increase their understanding and activity in providing support, including consulting with mental health professionals as an effort to prevent possible recurrence.

Information technology (IT) has emerged as a critical component of public administration, offering significant potential to enhance transparency and accountability in governance. This comprehensive qualitative case study research examined how information technology implementation influences transparency and accountability mechanisms in public policy administration, while identifying critical challenges and success factors. The research employed embedded multi-case study methodology, collecting data through 118 semi-structured interviews with government officials (n=45), citizen-users (n=38), IT professionals (n=15), civil society representatives (n=12), and academic researchers (n=8), complemented by document analysis and direct observation (280 hours) across four case sites representing diverse governance contexts. Key findings demonstrate that information technology implementation significantly enhances government transparency through multiple mechanisms: public information portals increased citizen information access from 25-30% to 78-82%, mobile applications extended service accessibility from 15-20% to 42-55% in rural areas, and social media platforms reached 60-70% of citizens with policy information. Similarly, IT implementation strengthened accountability through online complaint systems that reduced government response times from 28-45 days to 5-12 days (60-75% improvement), automated audit systems that detected 35-55% more compliance violations, and real-time monitoring systems that reduced audit completion time by 40-50%.  The findings have implications for government practitioners seeking evidence-based guidance for IT implementation, policymakers developing governance policies leveraging technology, and academic researchers studying digital governance and public administration innovation.

Exclusive breastfeeding ensures the optimal development of children's potential intelligence. Babies without complete exclusive breastfeeding are more vulnerable to malnutrition. They face risks of both under-nutrition and over-nutrition. This study aims to determine the correlation between exclusive breastfeeding and nutritional status among infants in Kuta Cot Glie Public Health Center, Aceh Besar. This research was an analytical study with a cross-sectional approach. The sample consisted of 74 infants aged 0-6 months, selected using a Total Sampling technique. The study was conducted from May 1st to 23rd, 2025. The data were analyzed using univariate and bivariate methods with the Chi-Square test. Of the total 74 respondents, 44 respondents (59.5%) had a normal nutritional status. Additionally, 43 respondents (58.1%) were exclusively breastfed. The Chi-Square test showed a p-value = 0.001 < 0.05. The findings indicate a correlation between exclusive breastfeeding and nutritional status in infants. This study suggests that mothers exclusively breastfeed their babies. Therefore, mothers should also increase their knowledge by seeking information from various sources, such as clinics and professionals. This can help them understand the benefits of exclusive breastfeeding and how to prevent malnutrition in infants.

This study examines the changes in the authority of the Professional Disciplinary Council (Majelis Disiplin Profesi, MDP) under Law Number 17 of 2023 concerning Health and their implications for legal certainty for medical and health professionals. Although these changes are intended to improve the professional disciplinary system, they have resulted in the centralization of authority under the Ministry of Health, including the appointment of members, institutional formation, and the process of judicial review of MDP decisions. Furthermore, MDP recommendations can now serve as a basis for criminal investigations against medical and health personnel, which contradicts the original function of the MDP as an institution for enforcing ethics and professional discipline based on due process of ethics. This research employs a normative juridical method with a descriptive-analytical and case study approach, supported by expert interviews in health law. Theoretical frameworks used include the Theory of Legal Certainty, the Theory of Human Rights, and the Theory of Legal Protection. Findings indicate that the centralization of authority under the Ministry of Health has created a power imbalance in professional oversight. This has negative implications for legal protection, increasing the risk of conflict of interest, abuse of authority, and weakening legal certainty for medical and health professionals. Therefore, it is necessary to revise Law No. 17 of 2023 and Government Regulation No. 28 of 2024 to restore the independence of the MDP and ensure a proportional redistribution of authority within the health professional oversight system.

This study is motivated by the increasing complexity of ethical challenges in public healthcare services in the modern era, characterized by rapid technological advancement, professional pressures, and shifting moral values. Within this context, Christian healthcare professionals face significant dilemmas in maintaining their faith-based ethical principles amid pragmatic service demands. This research aims to construct a Christian ethical framework on human dignity as a normative foundation for public healthcare practice. The study employs a descriptive qualitative method using a literature review approach, analyzing theological, philosophical, and social sources related to ethics, human dignity, and public service. The findings reveal that Christian ethics is rooted in the concept of Imago Dei, affirming that every human being possesses intrinsic dignity as created in the image of God. The principles of love (agape), justice, and moral responsibility serve as the core foundation for ethical healthcare practice. The implications of this study emphasize that healthcare services should not be merely technical but must also embody spiritual and humanistic values. Therefore, Christian healthcare professionals are called to act as moral agents who promote compassionate, dignified, and holistic care within the public healthcare system.

Denny's house is one of the houses that uses a minimalist architectural concept. The minimalist concept has become a trend in the world of architecture, because of its simple yet effective concept, minimalist design has become one of the most preferred styles by graphic design professionals, architects, and artists (Aliwafa, 2023). The actualization of the Vitruvius architectural concept is based on Vitruvius's theory of Utility (Function Aspect), Firmitas (Strongness and Structure Aspect), and Venustas (Beauty). By comparing Vitruvius's theory with Henry Wotton's Theory, the aim is to actualize the architectural concept in the contemporary design of Denny's house as well as become a case study that can be accepted by the reader's audience. This case study uses descriptive qualitative techniques of data processing that aim to achieve study results on a comprehensive phenomenon. The application of the Vitruvius architectural concept is the focus of discussion in the contemporary design of the facade of Denny's house which becomes a reference for the discussion to examine with an architectural approach. The house becomes the initial locus of discussion by prioritizing the function of beauty, the function of strength or structure, and the function of venustas or beauty. Vitruvius is a theory used to examine the application of design theory by providing a precedent study of Denny's architectural work, which uses a minimalist functionalist theme. This study examines Vitruvius' theory regarding the relevance of design to Denny's home.

The admission of patients to the Intensive Care Unit (ICU) or Intensive Cardiology Care Unit (ICCU) often occurs suddenly and under critical conditions, causing family members to experience psychological pressure such as anxiety, stress, and fear of losing their loved ones. This study aims to analyze the relationship between family knowledge and the level of anxiety among family members of patients treated in the ICU at Meuraxa General Hospital, Banda Aceh. The research employed a quantitative method with a descriptive correlational design and a cross-sectional approach. The population consisted of 114 patient families, with 35 respondents selected through purposive sampling. The instrument used was the Hamilton Anxiety Rating Scale (HARS), which demonstrated high reliability (α = 0.897). Data were collected from June 18 to July 5, 2025, and analyzed using univariate and bivariate methods with the chi-square test. The results showed that 19 respondents (54.3%) experienced moderate anxiety, while 14 respondents (40%) had low knowledge regarding ICU/ICCU care. Statistical analysis revealed a p-value of 0.005, indicating a significant relationship between family knowledge and anxiety levels. These findings highlight the importance of healthcare professionals in providing education to family members to improve understanding and help reduce anxiety during the patient’s treatment period in the ICU or ICCU.

Advancements in modern information technology continuously require companies to present complex data more effectively, especially within the scope of sales management and business decision-making. Dashboards are essential, interactive tools that enable professionals and managers to make strategic decisions quickly, confidently, and based on accurate data visualization. This study focuses on designing an intuitive and user-centered Sales Monitoring Dashboard UI/UX for One Direction at PT. XYZ by applying the five iterative stages of the Design Thinking method, namely empathize, define, ideate, prototype, and test. Key user needs identified include real-time performance summaries, streamlined navigation flow, informative visual hierarchy, and visuals that remain consistent with corporate identity and brand values. The System Usability Scale (SUS) test involving 19 respondents resulted in an excellent average score of 80.92. These findings demonstrate that the Design Thinking approach effectively produces a user-friendly, consistent, and data-driven dashboard interface that supports timely, accurate, and informed business decisions.

The digital transformation era requires university students to develop digital literacy competencies that not only support academic activities but also serve as essential capital for entering the workforce and pursuing entrepreneurship. One relevant professional platform to enhance career readiness is LinkedIn, which serves as a medium for both personal branding and professional networking. This community service aimed to improve students’ digital literacy and career readiness through mentoring sessions on LinkedIn account optimization. The program involved the students from the English Education (TBI) and Physics Education (TFS) study programs at the Faculty of Tarbiyah and Teacher Training, UIN Palangka Raya, comprising prospective teachers and professionals across various disciplines. The implementation was carried out through tutorials and direct mentoring in two sessions, covering account creation, developing professional headlines and summaries, adding skills and experiences, and uploading simple portfolios. The results indicated that all participants successfully created or improved their LinkedIn profiles, actively engaged in the activities, and demonstrated a greater awareness of the importance of a professional digital identity, which can be seen from the students’ participation, the quality of the profiles produced, and their commitment to continuously developing their LinkedIn accounts. The program highlights LinkedIn’s strategic role in strengthening digital literacy and career readiness among university students in the global era.

Background: Maritime engineering has traditionally relied on reactive and preventive maintenance strategies, often leading to operational inefficiencies, unplanned downtime, and excessive costs. With the rise of smart ship technologies, predictive maintenance (PdM) has emerged as a data-driven solution, leveraging sensor-based monitoring and real-time diagnostics to optimize ship maintenance. However, its integration into maritime education remains underexplored, particularly in training vessels used for vocational learning. Original Value: This research contributes new insights into the feasibility, effectiveness, and educational relevance of predictive maintenance in maritime vocational training. Unlike previous studies that focus on commercial ship applications, this study examines PdM within the context of training vessels at Poltekpel SULUT, bridging the gap between academic training and industry expectations. Objectives: The study seeks to answer: How does predictive maintenance improve the efficiency, cost-effectiveness, and reliability of naval auxiliary systems in training vessels? Methodology: A qualitative approach was employed, integrating sensor-based performance analysis, structured interviews, and questionnaire surveys involving cadets, instructors, and industry professionals. Data were analyzed through thematic categorization, cross-group comparisons, and narrative synthesis. Results: PdM demonstrated high effectiveness in reducing downtime (92/100), optimizing maintenance efficiency (91/100), and aligning with industry practices (89/100). However, challenges in sensor accuracy (85/100) and training integration were identified. Conclusions: The findings highlight the necessity of incorporating predictive maintenance into maritime training curricula to equip future engineers with the skills required for Industry 4.0 maintenance solutions, ensuring better operational efficiency and sustainability in the maritime sector.

This community service program aims to enhance the understanding of Geology Engineering students at Universitas Sulawesi Tenggara regarding environmentally sustainable mining practices. The education was delivered through lectures, interactive discussions, and local case studies relevant to mining activities in Southeast Sulawesi. These methods were chosen to encourage active participation and ensure the materials were contextually relevant to the students’ local environment and future professional field. The results indicate that students gained new insights into the implementation of good mining practice, post-mining reclamation, and mining and environmental regulations, which fostered greater awareness of the environmental and social impacts of mining. In addition, the program facilitated critical thinking and encouraged students to analyze real-world mining problems from a sustainability perspective. Consequently, this program not only improved students’ environmental literacy but also developed a sense of responsibility and commitment to supporting sustainable mining practices. It is expected that the knowledge gained will influence their future decisions as professionals in the mining sector, promoting a more sustainable and responsible industry.

Hospitalization in preschool children often causes anxiety, which can disrupt the recovery process. If this anxiety is not addressed, it can worsen the child's condition, lengthen hospital stays, and cause negative psychological effects. Therefore, an effective intervention is needed to help children manage their anxiety. This study aims to examine the effect of puzzle play therapy on the anxiety levels of preschool children hospitalized at Meuraxa Hospital, Banda Aceh. The research used a one group pre-test post-test design with 15 selected samples based on specific criteria. The instrument used was an observation sheet filled out three times to assess the children's anxiety before and after the intervention. The data were analyzed using a Paired T-test to compare anxiety levels before and after the therapy. The results showed a significant reduction in anxiety after the children participated in puzzle play therapy, with a p-value = 0.000 (p < 0.05). In conclusion, puzzle play therapy can effectively reduce anxiety in preschool children during hospitalization and can be implemented as a routine nursing intervention with support from healthcare professionals and families.

This study analyzes the creative approach and communication methods employed by Afif Yulistian in creating content for his YouTube channel, PipVlog. The study's background stems from the rapid growth of digital media, which has created competition among content creators, where success is determined not only by visual appeal but also by the ability to engage with viewers. This research employed qualitative descriptive methods and collected data through observation, documentation, and in-depth interviews with key informants. The findings of this study indicate that Afif Yulistian focuses on creativity by selecting everyday themes relevant to his audience's lives, maintaining a consistent upload schedule, and adapting to viral trends as strategies to maintain content relevance. His creative process encompasses pre-production, production, and post-production stages, utilizing simple narratives, light editing, and humor. In terms of communication, Afif employs a casual, familiar, and friendly style, creating a genuine impression and strengthening emotional connections with viewers. His consistent personal branding also reinforces his image as an original and relatable creator. This study concludes that PipVlog's success is supported by a combination of creative strategies and efficient communication methods. These findings provide theoretical contributions to the field of communication science, particularly regarding new media and digital content strategy. From a practical perspective, the research findings can serve as a reference for content creators and creative industry professionals in developing relevant, adaptive strategies that can sustain their presence amidst competition on digital platforms.

The rapid development of information technology has had a significant impact on various aspects of life, including the decision-making process that requires precision and objectivity. One of the problems often faced is product selection with various complex criteria, for example in selecting a quality drum. Drums as a percussion instrument have many variations in terms of sound quality, material, design, price, and durability, so a system is needed that can assist users in making a more rational choice. This study aims to develop a website-based Decision Support System (DSS) using the Weighted Product (WP) method to provide recommendations for drum selection. The WP method was chosen because it is able to perform calculations by considering the weight of each criterion so that the recommendation results are more objective. The system implementation is carried out through the design of a user-friendly web-based interface, making it easier for users to access, compare alternatives, and obtain recommendations without having to perform manual assessments that are time-consuming and potentially subjective. System testing was carried out by comparing the results of the system's recommendations with expert assessments, which obtained an accuracy level of 95%. These results indicate that the developed system has a high level of reliability and is suitable for use as an aid in decision-making in selecting quality drums. With this system, it is hoped that users, both beginners and professionals, will find it easier to choose drums that suit their needs and preferences.

This study aims to analyze the implementation of the Unit Dose Drugs Dispensing Sistem (UDDDS) based on the SERVQUAL theory at the Inpatient Pharmacy Installation of RS “X”. The research method used a quantitative design with SERVQUAL questionnaires given to pharmacists and nurses, supplemented by in-depth interviews to explore perceptions of the UDDDS implementation. Data analysis was conducted using univariate, bivariate, and multivariate methods. The results of the study indicate that all SERVQUAL dimensions significantly influence the quality of UDDDS services. Based on multiple linear regression analysis, the dimension of Assurance had the most dominant influence on service quality, with a B value of 8.464 and a contribution of 35%. This was followed by Empathy (B = 7.475, 31%), Tangibles (B = 7.547, 28%), Responsiveness (B = 4.847, 20%), and Reliability (B = 3.475, 16%). These findings suggest that the Assurance dimension, which includes trust and confidence in healthcare professionals, plays a crucial role in improving service quality at the Inpatient Pharmacy Installation. Overall, the findings indicate a significant relationship between the implementation of UDDDS and improvements in hospital service quality, particularly in terms of timely medication administration, reduced medication returns, and increased healthcare worker satisfaction. The reduction in medication returns reflects the efficiency of the drug distribution sistem, while the increased satisfaction of healthcare workers shows that UDDDS contributes to better service quality. These findings emphasize the importance of strengthening the Assurance dimension through improving the competence, ethics, and professionalism of healthcare workers. Additionally, integrating UDDDS into the hospital's quality indicators is essential for establishing a sustainable quality culture. This will support the overall improvement of service quality at the hospital.