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The post-operative recovery process is an important aspect in improving the quality of life for the elderly. A proper understanding of wound care, pain management, and activities that can accelerate recovery is essential to support their healing. Therefore, appropriate education and counseling are needed to help the elderly manage their recovery process effectively. The aim of this community service activity is to improve the knowledge and skills of the elderly community in Surakarta regarding post-operative healing. The method used in this activity is a quantitative approach with a pre-experimental design consisting of a pre-test and post-test with one group. The respondents were 20 elderly individuals who had undergone surgery. A pre-test was conducted before the education to measure the initial knowledge level of the elderly regarding post-operative care. After providing education on wound care, pain management, and the importance of recovery activities, a post-test was conducted to measure changes in the elderly’s knowledge after receiving the education. The results of this activity showed a significant increase in the elderly’s knowledge, as indicated by the difference between pre-test and post-test scores. This demonstrates that the education provided was effective in enhancing the elderly’s understanding of post-operative care and recovery processes. This activity is expected to help the elderly recover more quickly and effectively, thereby improving their quality of life after surgery.

This article investigates the role of legal frameworks in safeguarding the welfare of elderly populations, particularly in cases of financial abuse, healthcare, and elder neglect. By examining elderly care policies from various countries, the study evaluates the effectiveness of laws designed to protect the rights and dignity of older adults. Findings suggest that comprehensive elderly care policies, including legal protections and support systems, are essential for preventing abuse and ensuring quality of life.

This article constructs a Christian pastoral counseling framework for congregants who experience trauma caused by social rejection. Social rejection within family, peer, workplace, or church communities may wound identity, belonging, agency, and spiritual meaning; however, pastoral responses often remain either overly moralistic or merely consolatory. The objective of this study is to formulate a trauma-informed and theologically accountable model of pastoral counseling that can be used by local church ministers without replacing professional mental health care. This study uses a qualitative constructive literature review by synthesizing recent studies on trauma-informed care, social exclusion, religious coping, chaplaincy, and pastoral theology published before 2024. The analysis identifies five core findings: trauma from social rejection is primarily relational; pastoral care must begin with safety, consent, and validation; theological interpretation should resist victim-blaming; congregational belonging is part of recovery; and referral ethics are necessary when symptoms exceed pastoral competence. The proposed model integrates safe presence, narrative listening, theological reconstruction, communal restoration, and clinical referral. The implication is that churches need a pastoral counseling culture that protects wounded congregants from retraumatization while sustaining spiritual hope, relational repair, and responsible interdisciplinary collaboration.

This study explores the integration of green practices into nursing protocols as a means of reducing the environmental impact of hospital care. Hospitals significantly contribute to global carbon emissions, and nursing practices are integral to healthcare operations, yet they often lack sustainability considerations. The aim of this research was to develop and implement a set of green-practice guidelines tailored for nursing staff to minimize carbon emissions and improve operational efficiency. Through collaboration with environmental experts, nursing staff, and hospital management, new guidelines were established focusing on waste reduction, energy-efficient practices, and sustainable procurement. A waste-audit assessment was conducted to analyze current waste management practices, while a pilot implementation was carried out in selected hospital wards. The results revealed an 18% reduction in carbon emissions following the integration of these green practices into daily nursing activities. Key contributors to this reduction included waste segregation, the use of reusable medical supplies, and energy conservation measures such as optimizing lighting and HVAC systems. However, challenges such as resistance to change, resource limitations, and the need for specialized training were identified during the pilot phase. Despite these barriers, the research highlights the significant potential for nurses to lead sustainability efforts in healthcare settings. The findings indicate that integrating green practices into nursing protocols can provide environmental, operational, and economic benefits, ultimately contributing to more sustainable healthcare systems. Future research should refine these protocols, explore their broader application, and assess long-term outcomes across various healthcare settings

Baby blues syndrome occurs in mothers after giving birth, which has an impact on both the mother and the baby. Many factors cause baby blues such as lack of mental preparation to become a mother due to young age and inexperience, the number of children a mother has causes susceptibility to suffer from baby blues. The purpose of this research was to find out the factors related to the occurrence of baby blues syndrome at the Teling Community Health Center Of Manado. This type of research is observational analytic with a cross-sectional approach. The sampling technique used simple random sampling with a total of 59 respondents. Data were collected using the Edinburgh Postpartum Depression Scale (EPDS) questionnaire. The collected data were processed with the help of the SPSS computer program, data analysis with the Chi Square Test with a significance level of α 0.05. The results of the study showed that there was a correlation between age and Blues Syndrome at the Teling Community Health Center (P value 0.000 < α 0.05). There was a correlation between parity and Blues Syndrome at the Teling Manado Community Health Center (P value 0.008 < α 0.05). The conclusion of this study is that there is a correlation between age and parity with Blues Syndrome at the Teling Health Center. It is suggested to nurses as caregivers to not only meet physical needs but also psychological needs, especially identifying abnormal deviations as early as possible and collaborating with other health teams in meeting emotional needs through providing counseling, bonding attachment between mothers and their babies during the postpartum period so that mothers get good health and healthy babies.

The aim of this community service activity is to provide health education in the form of counseling on how to care for mental disorders patients with problems at risk of violent behavior in Banda Gadang, Padang City. The method of implementing community service activities includes three stages of activity, namely preparation for implementation, preparation for completeness and implementation of health education. The number of participants who attended was 16 people. The activity was held in Banda Gadang, Padang city. The target of this outreach activity is the community, including parents and closest family. Based on the results of the health education carried out, the results show that there is an increase in the family's ability to understand violent behavior by 15%, the causes of violent behavior by 15%, signs and symptoms of violent behavior by 10%, the consequences of violent behavior by 15% and family efforts in caring for family members with violent behavior. by 20%.  Health education activities went well and received a positive response from the community and nurses. There was an increase in knowledge by all participants present. This is a real form of cooperation between educational and health institutions as well as a form of service to the community as one part of the Tri Dharma of Higher Education.

Final-year university students occupy a fragile transitional space between academic completion and an uncertain future. This article examines future anxiety among final-year students as a multidimensional phenomenon encompassing academic pressure, employability uncertainty, identity formation, family expectations, spiritual struggle, and consequential life decisions under limited control. It employs a constructive conceptual literature review, synthesizing scholarship on university student mental health, career anxiety, career construction and career self-management, religious coping, and contemporary pastoral care. The analysis develops a pastoral accompaniment framework that neither reduces anxiety to a private psychological symptom nor replaces professional mental health or career services. Three constructive findings are proposed: first, future anxiety should be understood as a vocational-existential crisis intensified by final-year transitions; second, pastoral accompaniment contributes through relational presence, meaning-making, spiritual discernment, and referral-aware care; and third, an integrated model should combine stabilization, vocational reframing, and agency-building within accountable communities. The article concludes that pastoral accompaniment is most responsible when it is theologically grounded, psychologically informed, ethically bounded, and collaborative. Its main contribution is a practical-conceptual framework for campus ministries, theological schools, and Christian higher education institutions seeking to accompany final-year students without fabricating empirical claims or spiritualizing distress.

This article addresses the pastoral problem of congregants who experience persistent feelings of worthlessness, a condition that often appears at the intersection of shame, fragile self-worth, social isolation, and distorted religious interpretation. The objective is to construct a Christian pastoral counseling framework that is biblically grounded, psychologically informed, and ecclesially accountable. This study uses a qualitative constructive literature design through critical synthesis of recent journal articles and classical pastoral counseling. The analysis identifies four main findings. First, worthlessness should not be reduced to moral weakness or lack of faith because it involves psychological, relational, and spiritual dynamics. Second, churches may either intensify shame through stigma and spiritual reductionism or become restorative communities through hospitality, lament, and safe accompaniment. Third, pastoral counseling requires a movement from empathic assessment, validation, and narrative clarification toward theological reframing of identity in Christ. Fourth, responsible pastoral care includes collaboration with mental health professionals when risk, trauma, or clinical symptoms exceed pastoral competence. The implication is a constructive model in which pastoral counseling helps congregants reinterpret self-worth through grace, embodied community, and disciplined referral rather than through advice-giving or doctrinal correction alone.

The Return Referral Program (RRP) provides healthcare services to patients with stable chronic conditions at primary healthcare facilities. Non-adherence is commonly observed in the treatment of chronic diseases that require long-term care. Adherence is a crucial component for the success of treatment. At the Central Kalimantan Police's Biddokkes Main Clinic, many patients with chronic diseases do not adhere to their treatment, failing to attend follow-up visits as instructed by their doctors on the scheduled dates. Knowledge affects a patient's adherence to therapy and their adherence behavior, and family support is needed to improve RRP participants' adherence. This study aims to identify the effect of knowledge and family support on adherence to follow-up visits among RRP participants at the Central Kalimantan Police's Biddokkes Main Clinic. Methods: This correlational study uses a cross-sectional approach to examine the relationship between knowledge and family support and adherence to follow-up visits among RRP participants at the Central Kalimantan Police's Biddokkes Main Clinic using a questionnaire. The sample consisted of 64 RRP participants registered at the clinic, selected through simple random sampling, and analyzed using Chi-Square tests. Results: The study found significant relationships between knowledge (p Value=0.000) and family support (p Value=0.000) and adherence to follow-up visits among RRP participants at the Central Kalimantan Police's Biddokkes Main Clinic. Conclusion: Knowledge and family support are significantly related to adherence to follow-up visits among RRP participants. The role of nurses as educators for clients and their families can be enhanced to provide knowledge about the importance of active participation in RRP activities for the treatment of chronic patients, aimed at improving the quality of life.

Food management at the Melati Perbaungan hospital's nutritional installation has not gone well, menu planning has not run optimally. The vendor's delivery of food ingredients is not on time. The taste and texture of the food is still lacking. The material received is not suitable. Food storage areas do not meet standards. The aim of this research is to determine menu planning, procurement of food ingredients, receipt of food ingredients, storage of food ingredients and processing of food ingredients in the Nutrition Installation of Melati Perbaungan Hospital. This research was conducted using a descriptive research design with a qualitative approach. There were 5 research informants, namely the Main Informant consisting of the Head of the Nutrition Installation and the Person in Charge of the Cook, and the Supporting Informant consisting of the Waiter. The conclusion of the research is that the administration of food in the Nutrition Installation is still not in accordance with the steps or guidelines issued by the Indonesian Ministry of Health, there are still obstacles in the administration of patient food, for this reason it is recommended that the Nutrition Installation pay more attention and be more careful in paying attention to the food administration process in order to obtain good results and more guaranteed quality of patient food.

Hospitals, as institutions providing healthcare services, must maximize technological advancements. One such advancement is the use of SIMRS (Hospital Management Information System) in accordance with the Indonesian Minister of Health Regulation No. 82 of 2013. The use of SIMRS is predicted to enhance the hospital's efficiency, effectiveness, professionalism, performance, as well as access and services. Nurses' satisfaction in using SIMRS will impact the improvement of patient care quality. One method to evaluate user satisfaction with SIMRS is EUCS (End User Computing Satisfaction), developed by Doll and Torkzadeh, which consists of five dimensions: content, format, accuracy, ease of use, and timeliness. This study aims to determine the relationship between the application of the EUCS method and nurses' job satisfaction in the use of SIMRS at RSUD dr. Doris Sylvanus Palangka Raya. Methods: This research is correlational, employing a cross-sectional design. Respondents were selected using purposive sampling and the chi-square statistical test was used. The sample consisted of 175 inpatient nurses at RSUD dr. Doris Sylvanus Palangka Raya. Results: The chi-square statistical test showed a p-value = 0.000, or a significance level of p < 0.05, indicating that there is a relationship between the application of the EUCS method and nurses' job satisfaction in the use of SIMRS at RSUD dr. Doris Sylvanus Palangka Raya. Conclusion: Effectiveness and efficiency are the primary goals of SIMRS usage, which creates convenience and transparency, ultimately expected to enhance nurses' job satisfaction.

This constructive literature study examines pastoral counseling for Christian couples experiencing emotional absence in marriage. Emotional absence is not identical with open conflict; it appears as reduced responsiveness, muted affect, spiritualized avoidance, and routine coexistence without felt connection. The study aims to formulate an integrative pastoral counseling framework that is theologically accountable and clinically informed. The method is a constructive qualitative literature study using thematic synthesis of studies on marital satisfaction, emotional suppression, perceived partner responsiveness, spiritually integrated psychotherapy, and Christian marital theology published primarily before 2024. The findings indicate that emotional absence should be read as a relational-spiritual rupture involving affect regulation, attachment insecurity, weakened mutual responsiveness, and distorted uses of religious language. The article proposes the REKAT framework: recognition of relational rupture, empathic attunement, covenantal communication, accountable spiritual practices, and tracked follow-up within church care. The framework places Scripture, prayer, confession, forgiveness, and community support within ethical safeguards, especially screening for violence, coercion, and severe mental health risk. The implication is that pastoral counseling can move beyond moral exhortation toward structured accompaniment that rebuilds emotional presence, responsibility, and covenantal intimacy in Christian marriage.

Background: Schizophrenia is a complex and chronic mental health disorder, which requires family support in the recovery process. Schizophrenia patients who are cared for directly by their families have the potential to cause immediate anxiety for their families. Objective: to determine the level of family anxiety in caring for patients with schizophrenia. Method: The research design used in this research is descriptive with a cross-sectional approach model. Using a non-probability sampling technique, namely purposive sampling, with a sample size of 93 people. This research uses the Hamilton Rating Scale for Anxiety (HRS-A) questionnaire. Data analysis uses univariate analysis, namely analysis carried out on each research variable to look for frequency distributions, namely frequencies and percentages. Results: Based on age characteristics, it was found that the majority of respondents were in the 36-45 year range, 37 people (39.8%) with an elementary school education level of 35 people (37.6%), 52 people (55%) were male. .9%) and work as farmers as many as 39 people (41.9%). The results of the study showed that the level of family anxiety in caring for schizophrenic patients was mostly 35 people (37.60%) in the mild category. Conclusion: The anxiety level of the patient's family in caring for schizophrenic patients is in the mild category.

Obesity is a major cause of diseases such as diabetes, heart disease, and other metabolic disorders. A preliminary study conducted on 15 police officers from the Central Kalimantan Police Department revealed that 9 officers (60%) were obese, while 6 officers (40%) were not. Among the 9 obese officers, 8 admitted to rarely engaging in regular physical activity and frequently consuming fast food, while 1 officer was in the process of losing weight by exercising and maintaining a healthy diet. The causes of obesity include physical activity and dietary patterns. The objective of this study was to analyze the relationship between physical activity and dietary patterns and the incidence of obesity among police officers at the Central Kalimantan Police Department. Methods: This correlational study used a cross-sectional approach to examine the relationship between physical activity and dietary patterns and the incidence of obesity among police officers at the Central Kalimantan Police Department. Data collection instruments included questionnaires and BMI measurements. The sample consisted of 196 police officers classified as overweight and obese, selected through simple random sampling. The data were analyzed using the Chi-Square correlation test. Results: The study found a significant relationship between physical activity (p-value = 0.000, 83.6%) and dietary patterns (p-value = 0.000, 73.8%) and the incidence of obesity among police officers at the Central Kalimantan Police Department. Conclusion: Physical activity and dietary patterns are significantly related to the incidence of obesity among police officers at the Central Kalimantan Police Department. The role of nurses in addressing obesity should begin with an accurate assessment of family care patterns, ensuring that interventions and education provided are effective, and prioritizing promotive and preventive measures to address obesity and prevent the emergence of chronic diseases.

Job insecurity is a major concern among employees in various organizations, including public health centers in Banjarmasin City, Indonesia. A systematic literature review was conducted to investigate the influence of job insecurity on turnover intention among community health center employees in Banjarmasin. The results of the analysis carried out on 14 articles showed that job insecurity had a positive effect on turnover intention. Job insecurity can lead to stress, anxiety, and dissatisfaction, which can negatively impact an employee's commitment to their organization and increase their intention to leave. All studies used quantitative research methods with survey techniques for data collection. Strategies to enhance job security perceptions, such as improving communication transparency, offering career development opportunities, and implementing fair and consistent human resource practices, may help mitigate turnover intentions. The findings of the studies highlight the importance of addressing job insecurity to reduce turnover intention and improve employee retention in primary health care in Banjarmasin. Investing in initiatives that cultivate a sense of job security and stability among health workers can contribute to the long-term sustainability and effectiveness of primary healthcare service delivery in the region.

The study conducted at OMNI Cikarang Hospital in 2021 aimed to assess the impact of nursing services on patient satisfaction. Using a cross-sectional, analytical survey methodology, 73 respondents, comprising both inpatients and outpatients, were sampled through accidental sampling. Bivariate and univariate analysis were employed for data analysis.Results revealed that 61.6% of respondents were classified as satisfied, while 38.4% were unsatisfied. Patient satisfaction was significantly associated with tangibles, dependability, assurance, responsiveness, and empathy, as indicated by the chi-square statistical test. Particularly, there was a substantial correlation (Spearman rho = 0.799) between patient satisfaction and the responsiveness of nursing services.The findings underscored the importance of maintaining and enhancing the standard of nursing care to ensure patient satisfaction. Specifically, the study emphasized the significance of tangibles, dependability, responsiveness, assurance, and empathy in influencing patient satisfaction levels. Therefore, it is imperative for medical professionals, especially nurses, to focus on these aspects to meet patient expectations and enhance their overall experience with healthcare services.In conclusion, the study highlighted the crucial role of nursing services in shaping the perception of health service institutions like OMNI Cikarang Hospital. By prioritizing and improving various dimensions of nursing care, hospitals can strive to consistently meet patient needs and expectations, ultimately enhancing overall satisfaction levels.

Compensation in the resolution of medical disputes in Indonesia is crucial as it provides financial compensation for patients who have suffered losses due to malpractice. Data shows an increase in the number of complaints and lawsuits related to medical disputes each year. Determining fair and proportional compensation often poses complex challenges as it involves various aspects such as the level of patient loss, healthcare service standards, medical evidence, and socio-economic factors. Therefore, a careful and holistic approach is needed in determining compensation to ensure justice and improve healthcare practices. The aim of this study is to identify the role of compensation in the resolution of medical disputes in Indonesia and to analyze its legal and ethical implications. The research method used is qualitative with a normative juridical and empirical approach. The results show that compensation in the resolution of medical disputes in Indonesia is important to ensure justice for patients and the responsibility of healthcare providers. The process of determining compensation involves mediation, negotiation, and formal legal processes. The Health Law and health regulations require hospitals to have dispute resolution mechanisms and provide patients with legal rights to compensation. Legal and ethical aspects such as integrity and justice are considered in determining compensation, creating a holistic dispute resolution system to maintain justice and the quality of healthcare services.

This study investigates the pivotal role played by the Regional Health Office of North Sulawesi Province in managing the COVID-19 patient referral system. The COVID-19 pandemic has placed immense pressure on healthcare systems worldwide, necessitating efficient coordination and management of patient referrals to ensure timely and appropriate care. The Regional Health Office of North Sulawesi Province plays a critical role in overseeing and optimizing the patient referral process, which includes triage, transportation, and coordination among healthcare facilities. This research aims to analyze the effectiveness and challenges faced by the Regional Health Office in managing COVID-19 patient referrals, with a focus on improving the overall healthcare response to the pandemic.

This study aims to assess patient satisfaction and analyze the quality of dental health services at Svarta Dental Care Bandung clinic. Using a descriptive research design with a sample size of 30 people and accidental sampling, the research instrument was a questionnaire. Data analysis included univariate analysis and Importance Performance Analysis (IPA) using a Cartesian diagram. The results indicated a high level of conformity between reality and expectations across five quality dimensions, emphasizing the need for regular evaluations and improvements in service quality to enhance patient satisfaction.

Health service in home is one of the health service that do in the family’s home stay for improving and defending family’s health. Home care gives priority to the fulfilment of health service with organizing the health service that have a quality with out an affense of code of ethics and standard of the quality of medical care profession in home care service in Batua Public Health Center jobs area in Makassar City. This study was do it with using descriptif survey with cross sectional study appraoach with amount of sampels 76 people wiht total sampling method. The results of this study showed that raliable has a relation with patients family statisfaction with p (0,002) < (0,05), assurance has a relation with patients family statisfac- tion with p (0,000) < (0,05), tangible has a relation with patients family statisfaction with p (0,000) < (0,05), emphaty has a relation with patients family statisfaction with p (0,002) < (0,05), responsiviness has a relation with patients family statisfaction with p (0,003) < (0,05). According to the results, its can be con- cluded that reliable, assurance, tangible, emphaty and responsiviness in home care service have a relation with patients family statisfaction. Suggested to the home care service officer in Batua Public Health Center to promote more about hme care service and always stay defending the nersing care service now.