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Mental health problems that are still of concern to mental health practitioners in Indonesia are serious mental disorders, one of the serious mental disorders that we often encounter and treat is schizophrenia (Mashudi, 2021). According to the World Health Organization (WHO, 2022) there are 300 million people worldwide experiencing mental disorders such as depression, bipolar disorder, dementia, including 24 million people who experience schizophrenia. And one of the most common things found in schizophrenia is the risk of violent behavior. Violent behavior is a response to anger that is expressed by making threats, injuring other people and destroying the environment. To reduce the symptoms of violent behavior, appropriate treatment is needed. One of them is carrying out an implementation strategy. People with mental disorders in Sikka Regency, East Nusa Tenggara, especially in the Kopeta Community Health Center working area, also need nursing actions such as implementation strategies to speed up the healing process and clients can become independent. For this reason, research was carried out by implementing an implementation strategy as the main intervention, because so far only treatment and home visits were carried out but not routinely.

Home care is a comprehensive service for individuals and families at home which aims to minimize the impact of disease and increase the independence of patients and families in the care and treatment of family members who experience health problems. Patient satisfaction with health services is something that needs to get attention from providers. health services in carrying out their role, while obstacles are still found in homecare services. The aim is to determine the level of patient satisfaction with homecare services. Research method This type of research uses a descriptive research design with a survey method. This research was conducted in the Baula Community Health Center working area with a sample size of 30 respondents. The results of this research show that the level of patient satisfaction with homecare services in the Baula Community Health Center working area was that most respondents were satisfied, namely 83.3%. Conclusion Patient satisfaction is an important indicator of quality nursing services.

Bronchial asthma is a chronic inflammatory respiratory disease due to increased sensitivity of the airways to various stimuli. Bronchial asthma is not only a public health problem in developed countries, but also occurs in developing countries (WHO, 2016). Anxiety is a vague feeling of worry due to discomfort or fear accompanied by an autonomic response (the source is often unspecific or unknown to the individual), a feeling of worry caused by the anticipation of danger. Anxiety is a sign of increased alertness to impending danger and allows individuals to take action to face the threat (Doenges, 2015). The prevalence of anxiety disorders ranges from 6-7% of the general population (females are more prevalent than males) (Stuart, 2006). Lecturers and students from the Nursing and Nursing Study Program at Imelda University, Medan, chose to hold health education activities with the aim of helping as well as training both individuals and families regarding deep breathing exercises. This makes them aware and more diligent in practicing their breathing. The health education carried out in the courtyard of the sub-district office in Tanjung Mulia downstream began with holding talk activities and continued with outdoor counseling activities. This health education activity is of great interest to families in the community and it is hoped that it can be used as a lesson and make individuals and families more aware of the importance of deep breathing exercises to reduce anxiety in people with asthma.

Chronic kidney disease is defined as kidney damage that lasts for a long time (chronic) and is characterized by a decrease in the ability of the kidneys to filter blood (Glomerular Filtration Rate/GFR). Patients with CKD often experience no symptoms or signs, until less than 15% of their kidney function remains. Since its early stages, CKD is closely related to the emergence of various complications, such as anemia, bone disease, etc. Hemodialysis is not a therapy to cure or restore kidney function, but it can prevent death more quickly in chronic kidney disease sufferers. The kidneys will still lose their ability for metabolic or endocrine activity so that patients with kidney failure must regularly undergo hemodialysis therapy obediently, which has an impact on the patient's quality of life. The aim is to implement nursing care for clients with chronic kidney failure on hemodialysis using diet education and exercise in the Tanjung Rejo Community Health Center UPT Work Area in 2023. This research uses a case study approach. Participant 2 was a kidney failure patient on hemodialysis at the Tanjung Rejo Community Health Center UPT. Data collection using interviews, observation and physical examination, documentation study and literature study. The instrument used in this research was a SGA form. After the data was collected, data analysis was carried out using the nursing process. The intervention provided diet education and diet training, then an evaluation was carried out. On the 3rd day after the evaluation the problem was resolved. The evaluation results show that nursing interventions providing diet education and diet training are very effective in maintaining the body condition of chronic kidney failure patients on hemodialysis. Conclusions and suggestions require efforts to involve the client's family to implement diet education with diet training so as not to worsen the disease they suffer from and can improve their quality of life.

Hyperthermia is a condition of failure to regulate body temperature (thermoregulation) due to the body's inability to release or remove heat or excessive heat production by the body with heat release at a normal rate. Determine nursing problems that arise in patients based on the results of the assessment, determine interventions, carry out implementation according to the plans that have been determined and evaluate the actions / implementations that have been carried out. In accordance with the problems experienced by these partners, efforts have been made, among others, by implementing the implementation of a water tepid sponge in pediatric patients who experience hyperthermia who are treated in the pediatric ward. The specific target of this PKM activity is to teach mothers of child patients who experience hyperthermia, but through education by nurses in the children's ward. water tepid sponge therapy can reduce milk quickly and prevent fever, especially in pediatric patients who experience hyperthermia at Permata Medika Hospital Semarang. Teach the nurse in the pediatric ward how to reduce fever by using a water tepis sponge and the nurse will later educate the parents of child patients with fever. The method used in this PKM activity is to apply the implementation of a water tepid sponge in pediatric patients who experience hyperthermia. Demonstration of water tepid sponge according to SOP. The result of this community service activity is that the level of knowledge of nurses and parents of patients who experience hyperthermia at Permata Medika Hospital in Semarang has increased after being given material on reducing fever management, besides that the patient is able to carry out a simulation on how to reduce fever with a water tepid sponge.

This community service aims to enhance the quality of life and independence of residents in the Social Rehabilitation Center for the Disabled (UPT) through appropriate nursing interventions. The community service method involves a participatory approach, where collaboration between the team and relevant stakeholders is employed to design and implement the SP (1-4) strategy. The steps include problem identification, intervention planning, action implementation, and result evaluation. The evaluation results also indicate that the implementation of this strategy can be adopted and adapted to the needs of similar service units in various contexts. In conclusion, the application of the SP (1-4) implementation strategy is effective in improving self-care and the quality of life of residents at the Social Rehabilitation Center for the Disabled. The implications of this community service can serve as a reference for similar institutions and relevant stakeholders to develop intervention models that are suitable for the context and characteristics of the served community.

The elderly are an age group of humans who have entered the final stage of their life phase. With increasing age, physiological functions decrease due to the aging process so many non-communicable diseases appear in the elderly, one of the diseases that often occurs in the elderly community is hypertension. Hypertension is a vascular disorder characterized by systolic blood pressure equal to or above 140 mmHg, and or diastolic blood pressure equal to or above 90 mmHg. Community nursing is the practice of maintaining and improving public health by using knowledge from nursing science. In this community service, one way to maintain and improve public health is by providing hypertension health education and hypertension gymnastics that aim to control blood pressure.

Nursing is a profession that is oriented towards health services with all independent planning or action to help improve the welfare of people's lives. Definitions of community are also many and varied. According to McKenzie et al. (2016) in (Alvian Fabanyo, 2022). A community is a group of people who have similar characteristics. The similarity of these characteristics is determined by location, race, ethnicity, age, occupation, similarity of interest in solving certain problems, results, or other common ties (Alvian Fabanyo, 2022). The aim of this nursing care is to provide an overview of the implementation of community nursing care in the Kp region. Pengasinan RW 03, Periuk Jaya Village, Periuk District, Tangerang City, Banten. Case study design using nursing care. The case study sample used 96 people in Rw. 03. The evaluation stage is an activity to assess the implementation of interventions and implementation that has been implemented at this stage, there is still a lot that needs to be evaluated because it takes a long time, so a follow-up plan is needed with the community in accordance with the existing nursing plan. Meanwhile, short evaluations in the form of verbal and nonverbal responses have been carried out, such as during outreach activities, distributing leaflets, discussions and putting up posters. The existence of good cooperation between students, and community participation as well as support from village officials, cadres, RW/RT and local health centers are very helpful in determining activity criteria.

Health services are one of the factors that influence the community's health, and the community's recovery, treatment, and nursing are primarily determined by the health institution. With a system that prioritizes user satisfaction and focuses on five variables content, accuracy, format, convenience of use, and timeliness the goal of this study is to ascertain the degree of satisfaction of Telemedicine users utilizing the EUCS model approach to end-user satisfaction. 56 respondents were given a questionnaire to complete in order to gather data for this study. The study's findings show how pleased telemedicine users are with the following variables: 62.1% are satisfied with the content variable, 57.9% are satisfied with the accuracy variable, 61.1% are satisfied with the format variable, 70.5% are satisfied with the ease of use measure, and 64.2% are dissatisfied with the timeliness variable. The Jatinegara District Health Center, particularly with regard to Telemedicine, can benefit from the study's results, which are linked to five current variables that still require improvement. The degree of user satisfaction will influence how well the system is implemented.

The WISN method is a resource management tool that calculates staff needs based on workload for certain staff categories and clearly the facility and type of health facility. This tool can be applied nationally, regionally, in health facilities, namely it is easy to use both technically, comprehensive, realistic and makes it easy to determine variations in human resource needs in various types of health services such as community health centers and hospitals. The aim of this research is to analyze the need for nursing staff based on workload using the Workload Indicator Staff Need (WISN) method in the Inpatient Room at RSUD dr. R.M. Djoelham Binjai in 2023. The research design used was descriptive research using observational techniques. The population in this study were all nurses in the Inpatient Room at RSUD dr. R.M. Djoelham Binjai, numbering 61 nurses, this population sampling was carried out using purposive sampling. The number of samples to be studied was 61 people. Data analysis was carried out using the WISN analysis. After the data was obtained from filling out the questionnaire by the researcher based on observations, recording and adjustments were made to the work documentation carried out by the nursing staff in the Inpatient Room. The results of research based on WISN method calculations show that the need for nursing staff in the Inpatient Room at RSUD dr. R.M. Djoelham Binjai still lacks 3 nursing staff. The conclusion was that there was an influence between working time, activities of nursing staff, workload standards, slack factors and calculations of nursing staff needs for nursing staff on the need for nursing staff in the Inpatient Room at RSUD dr. R.M. Djoelham Binjai, it is recommended that the Head of the Inpatient Room need to evaluate the division of tasks so that the nursing service process can be carried out well and improve the quality of service in the Inpatient Room at RSUD dr. R.M. Djoelham Binjai

World Health Organization (WHO) approximates 1.28 billion individual suffers hypertension, with 46% of them does not realize it, and only 1 of 5 hypertensive individual has their blood pressure controlled. Hypertension prevalence is still relatively high in the elderly population who live in nursing home. This is one of the main health adversities that often happens and should not be underestimated due to its risk of complications. Uncontrolled blood pressure is one of the main risk factor to the global disease burden and total of global death, contributing up to 9,4 millions of deaths (8,5% of the global total) annually. This activity aims to increase the knowledge of the community about hypertension in elderly who lives in nursing home to increase the quality of life and reducing the cost burden of therapies and treatments. We use PDCA activity method to ensure the program could run smoothly and efficiently. This activity included 34 elderly respondents of the St Fransiscus Community with the mean age of 4 (11,8%) years. We found that 4 (11,8%) of the respondents have uncontrolled blood pressure. With the implementation of this program, it is hoped that the public awareness of elderly hypertension and its prevention is increased, so that there will be increase of quality of life for the elderly in the future and relieving the economical burden.

The elderly are an age group that is prone to falls. The purpose of this service is to detect the risk of falls in the elderly and provide assistance in balance training as an effort to prevent the risk of falls in the elderly. Falls occur due to unintentional loss of balance resulting in failure of postural stability, or unexpected and sudden changes resulting in a position landing on the floor. Associated risk factors include current health status (living in the community, nursing home, hospital, frail or active state), diseases suffered (diabetes, hip fracture, stroke) and general changes related to aging (decreased balance, coordination, muscle strength, visual impairment, etc.). The output targets to be achieved are in the form of publications in accredited national journals and copyright for videos of community service activities. The method used is a fall risk detection examination using the Time Up and Go Test and continued with the provision of balance training, so that the elderly who have a risk of falling can be recognized as early as possible so that the provision of balance training can maintain and improve the balance of the elderly body.

This study aims to determine the influence of motivation on nurse performance, the influence of the work environment on nurse performance and the influence of motivation and the work environment on nurse performance in the nursing and ER fields at the Mamasa Community Health Center. The type of data used in this research is quantitative data obtained from questionnaires distributed and related to the problem being studied with a sample size of 44 people. The research results show that the motivation variable has a significant level of 0.000, which is smaller than 0.05 with a coefficient value of 0.465 indicating that the influence given is positive on the independent variable. The work environment variable has a significance level of 0.000 with a coefficient value of 0.0448 indicating that the influence given is positive on the independent variable

Gouty arthritis is a degenerative disease caused by abnormal purine metabolism which is characterized by increased levels of uric acid in the blood (hyperuricemia). Gouty arthritis can attack men aged 30 - 50 years and is a disease inherited from previous generations, but not in women. Women can develop gouty arthritis after experiencing menopause. This is related to the presence of the hormone estrogen which plays a role in the process of regulating uric acid in the blood. Uric acid levels are said to be high, if the uric acid level in the blood is more than normal levels. The normal level of uric acid in men is 3.4 - 7.0 mg/dl while in women it is 2.4 - 5.7 mg/dl (Yulianingsih et al., 2022). The prevalence of gout arthritis in Central Java based on doctors' diagnoses in the elderly group 75 years and over was ranked first at 16.03%, then in the elderly group 65-74 years it was 13.90%, and in the elderly group 55-64 years it was 13.69 % (Access et al., 2022). Based on data from the Kutamendala Community Health Center, the prevalence of gouty arthritis in Kutayu Village reached 4.3%. The percentage of residents suffering from gouty arthritis in Kutayu Village is 15 people out of 346 elderly people (Kutamendala Health Center, 2022).

According to Maramis (2008), health is one of the most valuable things in life, as is mental health, which is still a significant problem in the world, including in Indonesia. Mental health is a condition where an individual can develop physically, mentally, spiritually and socially so that the individual is aware of his own abilities, can overcome pressure, can work productively and is able to contribute to his community (Febrianto et al., 2019). Mental health is a dynamic condition ranging from mental health to mental disorders. The types of mental disorders that can be found in society are mild mental disorders, for example emotional mental disorders and severe mental disorders, one of which is schizophrenia (Ramadhani et al., 2021).

A hospital is an institution or health service organization with broad and comprehensive functions, dense in expertise and capital intensive. Hospitals carry out broad functions so they must have resources, both capital and experienced and professional humans. Nursing service is part of the health service system in hospitals which has the function of maintaining the quality of service, which is often used as a barometer by the community, in assessing the quality of hospitals, thus demanding the professionalism of nurses in their work as shown by the results of the performance of nurses, both implementing and nursing nurses. management in providing nursing care to clients. Maximum implementation of nurse work in quality health services occurs when the nursing care implementation system supports professional nursing practice according to standards (RI Law No. 38, 2014). Motivation is the factors that exist within a person that move and direct his behavior or encouragement that causes him to do something or do something to satisfy individual needs to achieve certain goals (Rini, 2015).

Reproductive health greatly determines the fertility of each individual. So it is important for someone to get the right and correct information about reproductive health. The current low level of awareness for healthy living behavior among adolescents and adults is an indicator of the need for correct and clear education, education, information or health promotion. The pocket book is an effective health promotion medium in an effort to create new behaviors. The purpose of this activity is to empower students in making pocket books as a medium for promoting reproductive health. The methods used in this activity are surveys and direct demonstrations. The target of this activity is 38 students of the Bachelor of Nursing study program. As a result of this community service activity, students are focused on making pocket books by paying attention to 3 points, namely the concept of youth, the concept of adolescent reproductive health and reproductive health problems in adolescents. This community service activity encourages students as a youth group to be able to participate actively, so that there is an increase in knowledge related to adolescent reproductive health.  

The increasing number of elderly people will have an impact on all arrangements in the community or family. Problems that often occur in the elderly will be a burden on the elderly, one of the problems that occur is insomnia. So this study aims to find out the relationship between insomnia and blood pressure in the elderly. Research method with quantitative survey analysis design, crossectional. The research was conducted in a nursing home with a sample size of 30 active elderly respondents with insomnia disorders. The results showed that there was no relationship between the level of insomnia and blood pressure with a significance value of 0.757> p value 0.05. These results indicate that statistically there is no relationship between the elderly with insomnia and blood pressure. Suggestions for home managers to provide interventions for elderly people who experience insomnia disorders with light therapy that is fun and has a positive impact on the elderly..

Community nursing or community health nursing is the practice of maintaining and improving public health using knowledge from nursing, social sciences and public health sciences. Another definition of community nursing is a form of professional service based on nursing knowledge and tips aimed primarily at high-risk groups to improve community health status by emphasizing efforts to improve health, disease prevention and not neglecting curative and rehabilitative (Kholifah & Widagdo, 2016). In RW 04 Kelurahan Periuk Jaya, which is a village with densely populated residential houses with houses attached to one another, the average building in Pabuaran village has new buildings but is not well maintained and settlements are dominated by old buildings. own property, in terms of the environment the area of ​​the house has a yard, there are several cattle pens around the settlement. The characteristics of the area and health problems that arise in RW 04 Periuk Jaya Village are information about prevention and diet for Hypertension, Gout Arthritis and ISPA. To carry out this task requires a person nurses who are competent in providing community nursing care, to get optimal results requires experience in addition to knowledge. One way to gain experience is through community nursing practice in Periuk Jaya Village RW 04 Periuk District, Tangerang City

The challenges of the 21st century nursing world demand that nursing educators be able to prepare future nurses who can adapt to changes in the health care system, new technologies, changes in information systems (computerized), changes in pharmacological therapy, increased workload for nurses, increased infectious diseases in the community. , increasing cases of antibiotic-resistant infections, increasing aging population, and increasing number of chronic and co-morbid conditions (Aiken, Clarke, Cheung, Sloane, & Silber, 2003). Nurse educators are responsible for preparing graduates who can adapt to this rapidly changing health system. The simulation learning strategy is proposed as a suitable method to overcome this problem and can bridge the gap between education and clinical practice in hospitals. This literature search aims to analyze the results of related research that focuses on the effect of Simulation-Based Learning on the critical thinking of nursing students. This study was conducted using the review method of research results from 2010 – 2020 which have been published in electronic media such as ProQuest, Pubmed, and CINAHL. The number of journals obtained was 10 journals and 6 of them met the criteria. The conclusion of the research results obtained was that simulation is an interactive teaching-learning process, learning knowledge about critical care from a simulation of real patient situations, learning clinical skills and presenting holistic patient care by playing a role , and bridging the theory-practice gap to enhance critical thinking. In addition, simulations can hone critical thinking skills through feedback from simulators and monitor displays, develop communication skills through teamwork, and improve task delegation skills in complex situations.