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This study analyzes the application of collaborative governance in overcoming the phenomenon of overcrowding of visitors and its impact on environmental security at Kaimana Hospital, West Papua. The background of the research is based on the imbalance in the capacity of hospital infrastructure (serving 65,490 people) with the high number of visits, exacerbated by the habit of the community transporting patients en masse and the massive use of JKN services. The descriptive qualitative method is used with data collection techniques through semi-structured interviews, observations, and visual documentation. The analysis refers to the theory of Ansell and Gash (2008) which includes starting conditions, institutional design, facilitative leadership, collaborative process, and outcome. The results of the study show that efforts such as limiting visiting hours and the construction of halfway houses are not optimal due to less participatory policy design, lack of structured dialogue between stakeholders, and top-down leadership. Overcrowding is triggered by narrow waiting rooms, limited facilities, and the disintegration of the queue system. Despite collaborative initiatives, the results are still partial due to weak cross-sector coordination and low community participation. Strategic suggestions include infrastructure improvement, the development of an integrated digital queuing system, intensive socialization, and the formation of collaborative teams across sectors (RSUD, government, TNI/POLRI, and the community). Conflict management training, periodic evaluation, and participatory leadership approaches are also needed to create sustainable service transformation. This study emphasizes that inclusive and transparent collaboration is the key to overcoming overcrowding and strengthening the safety of the hospital environment.

This study aims to describe the strategies used by classroom teachers in addressing students who experience reading difficulties at Al-Hidayah Private Elementary School. Reading difficulties among elementary school students are a common issue and can seriously impact their academic achievement in the future. This research employs a descriptive qualitative approach with data collection techniques including observation, in-depth interviews, and documentation. The findings indicate that reading difficulties are caused by both internal factors, such as a lack of basic phonological skills, and external factors, such as an unsupportive learning environment. To address these challenges, teachers implement adaptive learning strategies, including individual guidance, the use of visual and audio media, and phonetic-based learning approaches. Additionally, collaboration with parents plays an important role in supporting students’ learning processes at home. These strategies significantly help students improve their reading skills and build self-confidence. The study concludes that overcoming reading difficulties requires synergy between teacher strategies, appropriate learning methods, and supportive environments, both at school and at home.  

he digital era brings significant changes in various aspects of life, including early childhood (ECD) parenting patterns. Easy access to gadgets ultimately results in excessive use that has a negative impact on children's growth and development. This study aims to examine strategies for overcoming the impact of excessive gadget use on ECD through optimizing Holistic Integrative Early Childhood Education (PAUD HI) services at TK Negeri Pembina Salakan. The methods used are literature studies and participatory observations of the implementation of the PAUD HI program. The results of the study indicate that the PAUD HI approach that includes integrated education, health, nutrition, care, protection, and welfare services can be an effective solution. At TK Negeri Pembina Salakan, its implementation is realized through learning activities that stimulate all aspects of development, active involvement of parents in digital parenting education, provision of an environment rich in non-gadget stimulation, and collaboration with health services and the community. It is concluded that PAUD HI has a strategic role in mitigating the negative risks of gadgets and supporting optimal growth and development of ECD.

This study investigates doctor–patient communication strategies in overcoming verbal and non-verbal language barriers within the Pain Clinic of RSUD Genteng Banyuwangi, a public hospital in East Java, Indonesia. Pain clinics pose unique communicative challenges, as patients often struggle to express their discomfort clearly due to limited health literacy, cultural norms, or emotional inhibitions. This research aims to identify and analyze the communicative methods employed by doctors to facilitate accurate information exchange and build therapeutic rapport with patients experiencing chronic pain. Utilizing a qualitative approach, this study applies Conversation Analysis (CA) to naturally occurring doctor–patient consultations recorded through non-intrusive video methods. Verbal and non-verbal interactions were transcribed and analyzed to uncover recurring communicative patterns. The data were interpreted through sociolinguistic and pragmatic lenses to account for the local language diversity and cultural context of Banyuwangi. Findings reveal that doctors employ multiple strategies to clarify meaning and adapt communication: repetition, strategic questioning, utterance correction, and linguistic adaptation. Additionally, doctors interpret and respond to patients' non-verbal cues, including vocal tone, facial expressions, and body gestures, to supplement incomplete verbal communication. These strategies not only enhance diagnostic accuracy but also promote empathy, trust, and patient-centered care. The study concludes that effective communication in pain clinics must account for linguistic diversity, cultural sensitivities, and emotional dynamics. Adaptive and empathetic communication fosters better understanding, reduces the risk of diagnostic error, and improves treatment outcomes. The findings offer practical implications for clinical training and healthcare policy, particularly in multicultural and linguistically diverse settings.

This study examines the concept of Islamic moral education according to Habib Umar Bin Hafidz and Habib Ali Al-Jufri, the methods of instilling moral values ​​that they use, and the relevance of their thoughts in the context of today's education. Moral education currently faces various complex challenges, such as weak role models, less applicable approaches, and the negative influence of technological advances and social media that trigger moral dilemmas among the younger generation. The lack of integration of moral values ​​in daily practice and the identity crisis due to globalization are also problems that hinder the formation of noble characters. The study used a qualitative approach with library research, collecting data from primary and secondary sources, then analyzed descriptively. The results of the study show that Habib Umar places love for Allah and the Messenger as the core of moral values, with educational methods that prioritize role models and gentleness without coercion, relevant to forming character and spirituality in the modern era. Meanwhile, Habib Ali emphasizes humanitarian values ​​such as compassion and tolerance as the foundation of moral education, with a moderate and inclusive approach that suits the needs of contemporary education. Both approaches provide important solutions in dealing with the problems of moral education, especially in building strong spiritual and social character amidst the dynamics of modern life, while also offering a foothold for overcoming the moral challenges faced by today's students.

Character education in elementary schools is important to prevent bullying behavior among students. This article discusses efforts to prevent bullying attitudes through socialization at SDN 16 Koto Tuо, Kec. Barangin, Sawah Lunto City. The research method used was to deliver the material directly and a question and answer session, attended by 35 students. The results of the socialization showed an increase in students' awareness and motivation not to bully, although there were minor obstacles in the form of a less conducive atmosphere during the socialization. Student participation in this activity was very high, reflecting their enthusiasm for the material presented. This socialization not only aims to provide an understanding of the negative impacts of bullying, but also to build empathy and mutual respect among students. By actively involving students, it is hoped that they can better understand the importance of creating a safe and comfortable environment for all classmates. This effort is expected to be a model for other schools in overcoming the problem of bullying and increasing awareness of the importance of respectful behavior among children. Thus, this socialization is expected to contribute to creating a safer school environment and supporting the development of positive student character, as well as reducing the incidence of bullying in the future.

Islamic microfinance institutions (IMFIs) in Indonesia have experienced notable progress in line with the growing public interest in Islamic economic principles. However, the competition between Islamic and conventional microfinance sectors is becoming increasingly intense. The LKMS BTM Artha Surya Cooperative, located in Tegal Regency, is currently facing pressure due to this competitive environment and must formulate an effective strategy to sustain and grow its business. This study aims to formulate a strategy using the Blue Ocean Strategy framework as an alternative to overcoming business rivalry. A qualitative approach was employed, gathering primary data through interviews and field observations at BTM Artha Surya Tegal, supported by secondary sources from relevant literature. The findings reveal that BTM Artha Surya has undergone transformation into Baitul Tanwil Muhammadiyah (BTM) Artha Surya and now provides various Sharia-compliant financing services. This research further elaborates on the murabahah financing process, including the recognition, measurement, and disclosure practices implemented in the financial statements of BTM Artha Surya Tegal.

cro, Small, and Medium Enterprises (MSMEs) play a strategic role in Indonesia's economy but often face challenges in meeting legal requirements such as Business Identification Numbers (NIB), Household Industry Food Production Permits (PIRT), and Halal Certification. This study aims to analyze the role of Thematic KKN (Community Service Program) students in the Industrial Cluster in enhancing MSME actors' understanding of these legal aspects through entrepreneurship workshops. A case study was conducted on MSMEs in Kayumalue Pajeko Village.The method used was a participatory approach through workshops integrating theory and practice. The results showed that the workshops effectively improved MSME actors' understanding of the procedures for obtaining NIB, PIRT, and Halal Certification. Additionally, the program facilitated MSMEs in initiating the process of managing legal documents independently.Thematic KKN students acted as facilitators, providing direct guidance and assisting in overcoming obstacles such as limited initial knowledge and lack of access to technology. However, challenges such as limited mentoring time and technical barriers were also encountered.In conclusion, the program had a positive impact on MSME development in Kayumalue Pajeko and provided practical experience for students. Recommendations for program development include the need for continuous mentoring, collaboration with the government, and additional training to ensure sustainable outcomes.

Environmental issues are one of the complex issues, starting from the state of the environment itself, social-society, to the problems that occur in the environment itself, the state of a dense environment raises problems, namely regarding the waste generated by the community. However, waste is not solely a problem, waste can be reduced in volume and used as an object that can benefit the community itself, one of which is through a community empowerment program through a waste bank, through a waste bank, the community participates in efforts to reduce waste which is expected to produce useful output. The focus of this research is related to the implementation of community empowerment through the waste processing partner program. Empowerment is carried out in several stages, from the awareness, understanding, utilization to the use stage, and involves elements of equality, independence, participation and sustainability. This research was conducted using a descriptive qualitative approach with data collected from interviews, observation, and documentation. The results of the study state that the waste management partner program as a community empowerment effort has succeeded in significantly empowering the community's ability and opportunity to take an active role in overcoming waste problems in their environment both in terms of economy, public awareness of waste reduction and the state of the environment itself.

This study explores the implementation process of the Electronic Health Record (EHR) system at RSUD Loekmono Hadi Kudus. The objective is to gain an in-depth understanding of the implementation phases, identify encountered challenges, and assess the system’s impact on the efficiency of medical record management and quality of healthcare services. A qualitative methodology was employed, using in-depth interviews and direct field observations for data collection. The findings indicate that the EHR system facilitates easier access to patient data, accelerates service delivery, and improves the accuracy and reliability of medical information. Despite facing several challenges related to technical issues and human resources, training and adaptation efforts proved effective in overcoming these obstacles. The study recommends ongoing system enhancements and continuous training for staff to ensure more effective utilization of EHR in the future.

This study reviews the phenomenon of juvenile delinquency and crime in the context of brawl cases in Bekasi. Through a literature review, various factors are examined which are the causes and impacts of teenage brawls in the city. First, social factors such as economic instability, lack of education, and a family environment that is not conducive can trigger juvenile delinquency. Second, environmental factors, including peers and the influence of mass media, also contribute to aggressive adolescent behavior. In addition, psychological factors such as lack of self-control and the need for affiliation also play a role in the formation of criminal behavior. The impact of teenage brawls includes social, economic and psychological losses for individuals and the surrounding community. This study highlights the important role of families, schools and social institutions in preventing and overcoming the phenomenon of juvenile delinquency and brawling crimes in Bekasi. With an in-depth understanding of the factors that influence adolescent behavior, it is hoped that effective intervention strategies can be formulated to reduce cases of brawls and improve the quality of life of adolescents in Bekasi.

This study aims to find out the collaboration of actors in waste management in landfills (TPA). This study uses descriptive research using qualitative research methods and using Ratner's (2012) theory which includes Identification of Barriers and Opportunities, Debate Strategies to Influence, and Collaborative Action Planning. There were 5 informants in this study. The results of the study show that the collaboration that occurs in waste management has gone well, but there are still obstacles in overcoming existing problems. To identify obstacles and opportunities, there are situations and needs as well as resources that must be met, the collaboration that occurs between the Environment and Hygiene Agency and the head of waste management and b3 waste has been running but is not optimal enough due to the lack of resources in facilitating infrastructure facilities at landfills. Debate strategies to influence and increase public awareness and understanding require socialization related to understanding how to manage waste properly. The Head of the Environment and Hygiene Agency together with the Head of the B3 Waste Management Division have collaborated with the Mutiara Timor Waste Bank in providing effective socialization to reduce the volume of existing waste, but many people do not understand the socialization. Planning this cooperation action, there is a collaborative implementation strategy where the actors collaborate in planning the right implementation strategy to reduce the volume of waste in the landfill, but the collaboration between the Head of the Environment and Hygiene Agency and the Mutiara Timor Waste Bank has targeted 20% in handling the volume of waste, but the cooperation is only 5% that can reduce the volume of waste in the landfill because the socialization provided is still not understood by the Public. For the purpose and purpose of this cooperation is the target in reducing and handling waste from 2018-2025, if this cooperation runs effectively and successfully, slowly the volume of waste in landfills will decrease by itself.

Christian education, which is based on the teachings of the Christian religion, has an important role in forming individual character and morals. This education system aims to instill Christian moral and ethical values in students as a guide throughout their lives. However, in the modern era which is full of dynamics and change, Christian education faces big challenges in overcoming moral decline in society. Technological developments, cultural changes, and greater access to information create an increasingly complex moral landscape. Thus, Christian education has a key role in shaping individual character and morals and providing a solid ethical foundation, although there are a series of challenges that hinder its effectiveness. This research explores how Christian ethical principles guide interactions within families and communities, as well as their role in facing moral challenges in the modern era. The family is the main center in the formation of individuals and society, where values and ethics are practiced and passed from one generation to the next. This study emphasizes the importance of respecting parents as a spiritual basis that shapes the character and morality of Christian families. Generations, born in the digital era, are faced with various moral and ethical challenges. Christian education in the family environment can provide a strong moral foundation to face the pressures and temptations around them. Character is not a fixed trait, but rather the result of various influences in a person's life. Christian education provides a deep spiritual dimension, teaching ethical values, compassion, and commitment.

Early Childhood Education (PAUD) is a crucial stage in shaping children's character and personality. This study aims to identify the characteristics of early childhood and analyze the role of teachers in supporting children's character development through an observational approach. The research method used is descriptive qualitative with direct observation techniques in one of the Kindergartens in Gorontalo City. The results of the observation show that early childhood has unique characteristics, such as spontaneity, high curiosity, and egocentric tendencies. However, challenges were also found in character development, such as lack of independence and unstable emotions. Teachers have a strategic role in overcoming these challenges through an individual approach, effective communication, and the creation of a conducive learning environment. The strategies implemented include providing examples of positive behavior, routine habits, and play activities that support children's character development. This study emphasizes the importance of a deep understanding of the characteristics of early childhood by educators to create an effective and enjoyable learning process, as well as to shape children's characters who are independent and emotionally stable.

Loading and unloading is the activity of moving goods from land transportation, and to carry out the activity of moving the load, adequate facilities or equipment are needed in a shipping method or procedure. The implementation of loading and unloading occurs various obstacles that often slow down loading and unloading activities, especially in the 3T (Underdeveloped, Frontier, and Outermost) areas. The equipment and facilities available by the port greatly affect how fast or slow the loading and unloading activities take place. This study aims to determine: 1) What are the factors that cause delays in the loading and unloading process of containers in the 3T area 2) What efforts are made by company and port management in overcoming delays in the loading and unloading process of containers in the 3T area. The method used by the researcher this time is descriptive qualitative. Primary data in this study were obtained directly through interviews, observations (observations) and also documentation. The main factors that are the main causes of why loading and unloading activities in the 3T area are ineffective and inefficient, namely the lack of adequate loading and unloading equipment and port facilities, the lack of human resources and skills from TKBM, as well as geographical conditions and bad weather. This situation causes loading and unloading activities to be ineffective.

The integration of telemedicine and artificial intelligence (AI) into critical care has emerged as a revolutionary development in the healthcare sector, aiming to enhance patient care and outcomes. This research aims to explore the impact of these technologies on improving the quality of patient care in intensive care units (ICUs). A systematic review of recent studies published between 2018 and 2023 was conducted to analyze the role of telemedicine in improving access to healthcare and the application of AI in enhancing diagnostic accuracy and monitoring patients in real-time. The findings suggest that both telemedicine and AI significantly reduce response times, improve decision-making processes, and increase the accuracy of diagnoses, which ultimately contribute to better patient safety and outcomes. The research also highlights challenges, including infrastructure limitations and the need for specialized training for healthcare professionals. The study’s implications underline the importance of integrating these technologies in critical care units to improve overall healthcare delivery, while addressing barriers to implementation. Future research should focus on overcoming these challenges and exploring long-term outcomes of technology use in critical care environments.

Surgery with spinal anesthesia techniques often causes complications such as hypothermia with shivering symptoms that can affect hemodynamics, one method of overcoming shivering is the provision of blanket warmers. Knowing the effect of blanked warmer on hemodynamics in shivering patients after spinal anesthesia in IBS RSUD dr.Tjitrowardojo Purworejo. This study used a type of quasi-experimental research with a pretest posttest control group design approach, sampling with purposive sampling. The research sample amounted to 30 respondents of post-spinal anesthesia patients. The results showed that there was an effect on hemodynamics as evidenced by the Wilcoxon Signed Rank Test in the experimental group of blood pressure P value 0.001 and pulse 0.000 in the control group obtained p value 1.000, and a different test using the mann whitney test obtained a significant value of blood pressure and pulse p value of 0.000 (α < 0.05). There is an effect of giving blanket waremer on hemodynamics in post-spinal anesthesia patients in IBS RSUD dr.Tjitrowardojo Purworejo. As an alternative and can improve the comfort of patients who experience hemodynamic disorders in postoperative shivering patients with spinal anesthesia.

This study aims to examine the implementation of competency-based human resource management (HR) in improving employee professionalism at Devos Jok, an SME engaged in the automotive interior manufacturing sector. A descriptive qualitative approach is used to explore in depth the HR practices carried out, the challenges faced, and the impact on employee work quality. The results of the study indicate that the transformation of the HR system from an administrative pattern to a competency-based one has made a significant contribution to improving individual and organizational performance. The strategies implemented include competency-based recruitment, ongoing training, flexible payroll systems, and adaptation to digital platforms. However, challenges remain, especially in overcoming resistance to change and limited training resources. This study provides theoretical and practical contributions to the development of a competency-based SME HR system in the context of today's creative and digital industries.

The problem of waste, especially inorganic waste, is becoming an increasingly serious environmental issue in Indonesia, including in the Tunas Bangsa Orphanage. Lack of awareness and skills in waste management has an impact on environmental pollution and the potential for flooding. This leadership project activity aims to build environmental awareness in the children of the Tunas Bangsa Orphanage through education and training in waste management into appropriate products. The methods used include observation, preparation of tools and materials, implementation of education and practice in making flower pots from used bottles, and evaluation through Focus Group Discussion (FGD) with supervising lecturers, administrators and children of the Tunas Bangsa Orphanage. The results of the activity show that this leadership project not only increases the knowledge and skills of children in managing waste, but also fosters awareness and concern for the environment. In addition, this activity encourages the creativity and independence of the children of the orphanage. However, the evaluation also shows that it is necessary to extend the duration and sustainability of the program so that the benefits obtained can be more optimal. Overall, this leadership project is relevant as an educational and solution-oriented effort in overcoming the problem of waste and building environmental awareness from an early age.

Limited land in the urban area of Jayapura Regency is a major challenge in the provision of Green Open Space (RTH), even though the existence of RTH is very important to maintain ecological balance and the quality of the community's living environment. In this context, the Dosay Public Cemetery (TPU) has great potential to be optimized as an alternative green space that is multifunctional-ecological, social, and aesthetic. This study aims to assess community perceptions of the utilization of TPU Dosay as a green space, as well as to formulate a strategy for its sustainable development. The approach used was mixed methods, with data collection through a survey using a Likert scale to 35 respondents, open interviews with 9 key informants, as well as SWOT and AHP analysis. The results showed that most people support the development of TPU Dosay as a reflective green space that is comfortable and ecologically valuable. From the results of AHP analysis, policy and regulation aspects are the top priorities in the development strategy, followed by vegetation and accessibility aspects. Strategic recommendations include the preparation of adaptive vegetation zoning, strengthening the local policy framework, active involvement of indigenous communities, and cross-sector collaboration between local governments, academics and the private sector. With the right strategy, the development of TPU Dosay is expected to be an innovative solution in overcoming the shortage of green spaces in Jayapura Regency.