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Burnout among nurses is a serious problem that can reduce the quality of nursing services and the well being of nurses. Work motivation and self efficacy are psychological factors that play an important role in reducing burnout. The aim is to minimize the occurrence of burnout among nurses in their performance.The purpose of this study is to determine the significance of the relationship between work motivation and self efficacy with the level of burnout among nurses. This research is quantitative in nature with a cross-sectional approach. Data collection was conducted using questionnaires administered to 98 respondents from the total population. The instruments used included a work motivation questionnaire (ERG), a general self-efficacy scale (GSES), and a Maslach Burnout Inventory (MBI). The data collected was processed using Spearman's test and ordinal logistic regression. Results researchers found that respondents who reported high work motivation numbered 89 respondents with a percentage of (90.8%), self-efficacy among nurses also showed a high category in 90 respondents with a percentage of (91.8%), and the majority of burnout levels were in the low category range of 65 respondents with a percentage of (66.4). Statistical tests showed a relationship between work motivation and burnout levels with a p-value of 0.000 (a = -0.358), and showed that there was a relationship between self-efficacy and burnout levels with a p-value of 0.013 (a = -0.250). Furthermore, multivariate statistics found that work motivation was the dominant factor influencing burnout with a p-value of 0.012 (E = -2.030). Conclusion there is a significant relationship between work motivation and self-efficacy with the level of burnout among nurses. Nurses with high work motivation and self-efficacy tend to have lower levels of burnout. Work motivation is a dominant factor in influencing burnout.

The increasing complexity of competition in the healthcare industry requires hospitals to adopt adaptive and strategic management practices to enhance organizational competitiveness. This study aims to analyze the role of strategic management in improving hospital competitiveness through a Systematic Literature Review (SLR) approach. A total of 41 national and international scientific articles published between 2014 and 2025 were reviewed, sourced from Scopus, Web of Science, Google Scholar, and Sinta databases, following the PRISMA guidelines for literature selection. The synthesis of findings indicates that strategic management plays a significant role in strengthening hospital competitiveness through clear strategy formulation, consistent implementation, and continuous performance evaluation. Key factors contributing to competitive advantage include strategic leadership, adaptive organizational culture, effective human resource management, utilization of information technology, and integration between strategic planning and operational processes. The results emphasize that hospitals implementing strategic management comprehensively are better equipped to respond to environmental dynamics, improve service quality, and sustain competitive advantage in the long term. This study highlights the importance of strategic management as a foundational element in modern hospital governance and provides a conceptual basis for future empirical research in healthcare management.

The increasing complexity of competition in the healthcare industry requires hospitals to adopt adaptive and strategic management practices to enhance organizational competitiveness. This study aims to analyze the role of strategic management in improving hospital competitiveness through a Systematic Literature Review (SLR) approach. A total of 41 national and international scientific articles published between 2014 and 2025 were reviewed, sourced from Scopus, Web of Science, Google Scholar, and Sinta databases, following the PRISMA guidelines for literature selection. The synthesis of findings indicates that strategic management plays a significant role in strengthening hospital competitiveness through clear strategy formulation, consistent implementation, and continuous performance evaluation. Key factors contributing to competitive advantage include strategic leadership, adaptive organizational culture, effective human resource management, utilization of information technology, and integration between strategic planning and operational processes. The results emphasize that hospitals implementing strategic management comprehensively are better equipped to respond to environmental dynamics, improve service quality, and sustain competitive advantage in the long term. This study highlights the importance of strategic management as a foundational element in modern hospital governance and provides a conceptual basis for future empirical research in healthcare management.

Permasalahan sampah memerlukan penangan yang serius, karena jika sampah tidak dikelola dengan baik maka akan menyebabkan masalah estetika, pencemaran bahkan kesehatan penghuni lingkungan tersebut. Pengelolaan sampah di Pasar Telukan yang tak bisa lepas dari sampah hasil kegiatan perdagangan memerlukan penyelesaikan terutama dari pedagang itu sendiri dalam hal sikap dan perilakunya dalam mengelola sampah. Ketersediaan fasilitas sarana dan prasarana pembuangan sampah juga menjadi faktor yang mempengaruhi pengelolaan sampah pasar. Tujuan dari penelitian ini adalah untuk menganalisis faktor-faktor yang mempengaruhi pengelolaan sampah di Pasar Telukan di Kecamatan Grogol Kabupaten Sukoharjo. Pada penelitian ini peneliti menggunakan pendekatan kuantitatif, dengan menggunakan kuesioner dalam pengambilan data pada 111 pedagang di Pasar Telukan Sukoharjo.  Teknik sampling dengan menggunakan simple random sampling dan metode analisa data menggunakan uji chi square.  Hasil penelitian ini terdapat hubungan pengetahuan terhadap perilaku pedagang dalam pengelolaan sampah, terdapat hubungan positif dan signifikan sikap terhadap perilaku pedagang dalam pengelolaan sampah, dan fasilitas sarana prasarana terhadap perilaku pedagang dalam pengelolaan sampah di Pasar Telukan Grogol Sukoharo menunjukkan hubungan yang positif dan signifikan.

The high dependence of national food on imported commodities, especially wheat, creates vulnerabilities in the aspect of National Food Security. This study examines the position and role of Modified Cassava Flour (Mocaf) Micro, Small, and Medium Enterprises (MSMEs) in Padi Village as a pillar of local food diversification and its implications from the perspective of Constitutional Law (HTN) on the internal sector (community, MSMEs, and Village Government). Mocaf, as a gluten-free cassava derivative product, has the potential to be a substitute for wheat flour. The research method used is Empirical Normative Law with a conceptual and legislative approach, reinforced by primary data regarding the operational model of MSMEs in Padi Village. The results of the study indicate that Mocaf MSMEs at the village level act as strategic legal subjects in realizing Article 33 paragraph (3) of the 1945 Constitution (UUD 1945) and Law Number 18 of 2012 concerning Food. The implications of HTN are seen in the need for regulatory harmonization and strengthening village autonomy through budget policies and assistance that ensure the sustainability of production and marketing. The position of MSMEs demands stronger recognition of the internal role of villages in the national food governance structure.

Permasalahan sampah memerlukan penangan yang serius, karena jika sampah tidak dikelola dengan baik maka akan menyebabkan masalah estetika, pencemaran bahkan kesehatan penghuni lingkungan tersebut. Pengelolaan sampah di Pasar Telukan yang tak bisa lepas dari sampah hasil kegiatan perdagangan memerlukan penyelesaikan terutama dari pedagang itu sendiri dalam hal sikap dan perilakunya dalam mengelola sampah. Ketersediaan fasilitas sarana dan prasarana pembuangan sampah juga menjadi faktor yang mempengaruhi pengelolaan sampah pasar. Tujuan dari penelitian ini adalah untuk menganalisis faktor-faktor yang mempengaruhi pengelolaan sampah di Pasar Telukan di Kecamatan Grogol Kabupaten Sukoharjo. Pada penelitian ini peneliti menggunakan pendekatan kuantitatif, dengan menggunakan kuesioner dalam pengambilan data pada 111 pedagang di Pasar Telukan Sukoharjo.  Teknik sampling dengan menggunakan simple random sampling dan metode analisa data menggunakan uji chi square.  Hasil penelitian ini terdapat hubungan pengetahuan terhadap perilaku pedagang dalam pengelolaan sampah, terdapat hubungan positif dan signifikan sikap terhadap perilaku pedagang dalam pengelolaan sampah, dan fasilitas sarana prasarana terhadap perilaku pedagang dalam pengelolaan sampah di Pasar Telukan Grogol Sukoharo menunjukkan hubungan yang positif dan signifikan.

Stunting merupakan masalah kesehatan masyarakat yang masih menjadi prioritas di Indonesia dan dipengaruhi oleh berbagai faktor, termasuk faktor lingkungan. Pengelolaan sampah rumah tangga yang tidak aman berpotensi meningkatkan risiko penyakit infeksi yang dapat mengganggu pertumbuhan anak. Penelitian ini bertujuan untuk menganalisis hubungan antara pengelolaan sampah rumah tangga dengan kejadian stunting pada balita di Desa Ngadirojo Kidul, Kecamatan Ngadirojo, Kabupaten Wonogiri. Penelitian ini menggunakan desain observasional analitik dengan pendekatan case control. Sampel penelitian berjumlah 72 balita yang terdiri dari 36 kasus (stunting) dan 36 kontrol (tidak stunting) dengan perbandingan 1:1. Data dikumpulkan melalui pengukuran status gizi berdasarkan indikator tinggi badan menurut umur serta wawancara menggunakan kuesioner untuk menilai praktik pengelolaan sampah rumah tangga. Analisis data dilakukan secara bivariat untuk mengetahui hubungan antara variabel paparan dan kejadian stunting. Hasil penelitian menunjukkan bahwa sebagian besar keluarga belum menerapkan pengelolaan sampah yang aman, dan terdapat hubungan antara pengelolaan sampah rumah tangga dengan kejadian stunting pada balita. Penelitian ini menyimpulkan bahwa praktik pengelolaan sampah rumah tangga merupakan salah satu faktor lingkungan yang berpotensi berkontribusi terhadap kejadian stunting. Oleh karena itu, diperlukan intervensi berbasis lingkungan untuk mendukung upaya percepatan penurunan stunting di tingkat desa.

Stunting merupakan masalah kesehatan masyarakat yang masih menjadi prioritas di Indonesia dan dipengaruhi oleh berbagai faktor, termasuk faktor lingkungan. Pengelolaan sampah rumah tangga yang tidak aman berpotensi meningkatkan risiko penyakit infeksi yang dapat mengganggu pertumbuhan anak. Penelitian ini bertujuan untuk menganalisis hubungan antara pengelolaan sampah rumah tangga dengan kejadian stunting pada balita di Desa Ngadirojo Kidul, Kecamatan Ngadirojo, Kabupaten Wonogiri. Penelitian ini menggunakan desain observasional analitik dengan pendekatan case control. Sampel penelitian berjumlah 72 balita yang terdiri dari 36 kasus (stunting) dan 36 kontrol (tidak stunting) dengan perbandingan 1:1. Data dikumpulkan melalui pengukuran status gizi berdasarkan indikator tinggi badan menurut umur serta wawancara menggunakan kuesioner untuk menilai praktik pengelolaan sampah rumah tangga. Analisis data dilakukan secara bivariat untuk mengetahui hubungan antara variabel paparan dan kejadian stunting. Hasil penelitian menunjukkan bahwa sebagian besar keluarga belum menerapkan pengelolaan sampah yang aman, dan terdapat hubungan antara pengelolaan sampah rumah tangga dengan kejadian stunting pada balita. Penelitian ini menyimpulkan bahwa praktik pengelolaan sampah rumah tangga merupakan salah satu faktor lingkungan yang berpotensi berkontribusi terhadap kejadian stunting. Oleh karena itu, diperlukan intervensi berbasis lingkungan untuk mendukung upaya percepatan penurunan stunting di tingkat desa.

Digital transformation has brought fundamental changes to the structure and dynamics of modern industrial economics. Technologies such as Artificial Intelligence (AI), the Internet of Things (IoT), and big data not only modify production and distribution processes but also revolutionize marketing strategies and patterns of industrial competition. This study is motivated by the need to understand how digital marketing transformation influences the development of competitive advantage through changes in digital market structure from an industrial economics perspective. In this context, digital marketing functions as a strategic instrument that integrates technology, data, and consumer behavior into market mechanisms. The analysis shows that digitalization creates a network-based market structure characterized by the concentration of economic power in major digital platforms and dominance in data control. This structure affects the intensity of competition, the direction of innovation, and patterns of industry differentiation. Digital marketing transformation enhances efficiency, expands market access, and lowers entry barriers for new players, yet it also creates competitive imbalances due to the dominance of large platforms.Through a digital Structure–Conduct–Performance (SCP) approach, the study finds that market structure acts as an intermediary variable that channels the impact of digitalization on competitive advantage. Digitalization significantly promotes industrial efficiency, innovation, and profitability. Proposed strategic solutions include strengthening digital literacy, developing adaptive regulations, and fostering cross-sector collaboration to create an inclusive, competitive, and sustainable digital industrial ecosystem

The rapid development of the Industrial Revolution (IR) 4.0  and the transition towards Society 5.0 demand an increase in digital literacy and a basic understanding of technology systems starting from secondary education. The Community Service (CS) Program conducted by the Department of Electrical Engineering Universitas Presiden aims to introduce the concepts of logic gates and digital systems to students of SMA 1 Cikarang Pusat. This CS integrates theoretical explanations and simulation practice using the online platform Circuitverse. This CS was evaluated using a Likert scale (1–4) questionnaire instrument, namely Expectation (Importance) and Performance, with a total of 40 student respondents. The analysis results show that all indicators received an average performance score above 3.30, with satisfaction indices ranging from 82.50% to 90.62%, which falls into the very high category. The indicator for the use of appropriate technology received the highest score of 90.62%, indicating the relevance of the material to current technological developments. The Importance–Performance Analysis (IPA) shows that most indicators are in the 'maintain performance' quadrant, indicating alignment between participants' expectations and the activity's performance. These findings suggest that the workshop is effective in enhancing students' understanding of basic digital system concepts while also fostering interest in engineering and technology fields. The activity underscores the strategic role of universities in bridging the technology literacy gap at the secondary education level in response to the challenges of the IR4.0 and Society 5.0.

Every nation, including Indonesia, has a problem with population growth. A high birth rate is the consequence of an expanding population, which causes childhood malnutrition. Family planning is an attempt to regulate the quantity and spacing of children. The AKDR is the recommended method of contraception. Indonesia's AKDR coverage is still inadequate. Because the husband is the head of the household, his support is crucial since he has the power to decide whether or not to use contraception. At the Ibu Community Health Center, this research aims to explore the connection between husband support and a lack of interest in using IUD contraception among couples of reproductive age. With 25 individuals in the study group, a cross-sectional research design with total sampling methodologies was employed. A survey was used as the research method, and the data was subjected to Chi-Square analysis with SPSS. The chi-square statistical test produced a P-value (asymp. Sig 2-tailed) of 0.000 < 0.05, indicating that there is a correlation between husband support and a low desire among couples of reproductive age to utilize IUD contraception. Consequently, since H0 was disproved and H1 was proven, it can be inferred that there is a link between husband support and couples of childbearing age having a low interest in using IUD contraception.

Indonesia ranks 36th among countries most prone to natural disasters, with 216 earthquakes recorded by BNPB between 2009 and 2019. Aceh is one of the high-risk regions, having experienced major disasters such as floods, earthquakes, and the 2004 tsunami. These conditions highlight the importance of knowledge of basic life support (BLS), which is essential for managing respiratory arrest, cardiac arrest, and airway obstruction in emergency situations. This study aimed to determine the level of basic life support knowledge among health workers at the North Lhoksukon Health Center, Aceh. A descriptive observational method with a survey approach was used to provide a general overview of respondents’ characteristics. The study applied univariate analysis and involved a total sample of 139 health workers. The results showed that most respondents had a good level of knowledge (116 people; 83.5%), followed by sufficient knowledge (13 people; 9.4%) and poor knowledge (10 people; 7.2%). These findings indicate that while the majority of health workers demonstrate good understanding, there is still a need for improvement among those in the sufficient and poor categories. Therefore, it is recommended that institutions provide regular BLS training to maintain and enhance the knowledge of health workers.

Services in the health sector are a form of public service that must be implemented properly by the government. In the context of health services, the importance of effective and efficient implementation cannot be ignored because this has a direct impact on people's quality of life. In order for health services to achieve their goals, various requirements must be met, including the availability of adequate facilities and infrastructure, a harmonious relationship between patients and service providers, easy accessibility, and high quality. The aim of this research is to determine the description of the service quality of administrative staff. at the Kelapa Gading Community Health Center. The method used is descriptive with a quantitative approach which produces univariate results. This research was conducted at the Kelapa Gading Community Health Center with a total of 150 respondents. The variables in this research are Service Procedures, Completion Time, Service Costs, Service Products, Facilities and Infrastructure, Accreditation of Service Officers. The population in this study were all 1.216 outpatients with a sample of 150 respondents.

This study aims to analyze the difference in anxiety levels before and after the administration of Qur’anic murottal therapy among third-trimester pregnant women. The third trimester is often associated with increased physical discomfort and psychological stress, which may lead to higher anxiety levels. This research employed a pre-experimental design using a one-group pretest-posttest approach involving 25 respondents selected through purposive sampling. Anxiety levels were measured using the Perinatal Anxiety Screening Scale (PASS), and the data were analyzed using the Wilcoxon Signed Ranks Test. The findings showed that before the intervention, 48% of respondents experienced moderate anxiety and 52% experienced severe anxiety. After the intervention, 40% experienced mild anxiety, 48% moderate, and only 12% severe anxiety. The statistical test result indicated a Z value of -4.376 with a p-value of 0.000 (p < 0.05), which means there was a significant difference in anxiety levels before and after the intervention. These results suggest that murottal therapy is effective in reducing anxiety among third-trimester pregnant women and can be considered as a safe non-pharmacological intervention.

This study analyzes the Public Relations communication strategy of PT Kereta Api Indonesia (Persero) Daerah Operasi 8 Surabaya in socializing the Access by KAI digital application to the Surabaya community. Using a descriptive qualitative approach, data were collected through in-depth interviews with PR staff and Railfans Surabaya community members, participatory observation of socialization activities, and documentation of digital publications. Data analysis followed the interactive model of Miles, Huberman, and Saldana (2014). The findings reveal that PR communication strategies are implemented through a synergy of push communication, pull communication, and pass communication, supported by Two-Way Symmetrical Communication principles developed by Grunig and Hunt (1984). Push communication disseminates official information via social media platforms; pull communication attracts audiences through visually compelling and educational content; while pass communication emphasizes two-way engagement that builds public trust and loyalty. The study demonstrates that public engagement, interactive dialogue, and message adaptation to local audience characteristics positively contribute to increasing public understanding and acceptance of the Access by KAI application. The integration of these three strategies creates a holistic communication ecosystem that effectively bridges the gap between digital innovation and user behavior. Future research is recommended to examine similar strategies in other operational regions or employ quantitative approaches to measure adoption levels.

Problems: Based on data from the Batam City Health Office, the 3 Community Health Centers with the highest incidence of anemia include Sei Panas 15.7%, Sambau 10.24%, Nongsa 8.24%. Objective: This study aims to determine the relationship between maternal age and parity with the incidence of anemia in pregnant women in the working area of UPT Puskesmas Sei Panas Batam City in 2024. Methods: This study used a descriptive correlation research design with a cross-sectional research design. The sampling technique used was Non Probability Sampling. Respondents in this study were 66 pregnant women. Results: Based on the Chi- Square test, the age variable obtained a P-value of 0.000 (ρ <0.05) and the parias variable with a P-value of 0.000 (ρ>0.05). This study shows that there is a relationship between age and the incidence of anemia in pregnant women and the relationship between parity and the incidence of anemia in pregnant women in the working area of UPT Puskesmas Sei Panas Batam City in 2024. Conclusion: there is a relationship between age and parity of mothers with the incidence of anemia in pregnant women. Suggestion: It is hoped that prospective mothers understand the ideal safe age and parity in preparing for a healthy pregnancy in order to avoid anemia during pregnancy. And pregnant women must be diligent in consuming Fe tablets and also make 6 ANC visits during pregnancy so that pregnant women's health is monitored, especially their Hb levels.

This research aims to design and develop a simple Dino-themed game based on a microcontroller, with the display using an I2C LCD. The game is inspired by the offline Dino game on Google Chrome, adapted to run on an Arduino Uno microcontroller. The research method used is Research and Development (R&D), consisting of stages such as needs analysis, system design, simulation using Wokwi, hardware assembly, programming, and testing. The system uses push buttons as input and a 16x2 I2C LCD as the output display. The testing results show that the system can respond quickly to user input and display character movement and score updates dynamically on the LCD screen. Although the graphical capability of the LCD is limited, the game runs well and successfully demonstrates the basic concepts of microcontroller programming as well as interactive input-output processing. Further development is recommended to enhance the graphical interface and add features such as sound effects and progressive difficulty levels.

Hypertension is a non-communicable disease often referred to as a silent killer because it generally does not present noticeable symptoms. Several risk factors contribute to the development of hypertension, including high body mass index (BMI) and low levels of physical activity. However, data regarding the association between BMI, physical activity, and hypertension at Pakuan Baru Public Health Center, Jambi City, remain limited. Therefore, this study aimed to determine the relationship between body mass index and physical activity with hypertension among adults at Pakuan Baru Public Health Center, Jambi City. This study employed a quantitative approach with a cross-sectional design. The research was conducted at Pakuan Baru Public Health Center, Jambi City, from November 19 to December 6, 2025. The study population consisted of all adult patients with hypertension at Pakuan Baru Public Health Center, totaling 2,797 individuals. A sample of 93 respondents was selected using an accidental sampling technique. Data were collected using observation sheets through measurements of height and weight to calculate BMI, as well as the Global Physical Activity Questionnaire (GPAQ). Data analysis was performed using univariate and bivariate analyses with the chi-square statistical test. The univariate analysis showed that 27 respondents (29.0%) were classified as severely obese, 42 respondents (45.2%) had a low level of physical activity, and 28 respondents (30.1%) were categorized as having stage 2 hypertension at Pakuan Baru Public Health Center, Jambi City. The bivariate analysis revealed a significant relationship between body mass index and physical activity with blood pressure among patients with hypertension (p = 0.000). It is expected that healthcare providers at Pakuan Baru Public Health Center will continue to provide education regarding the importance of controlling body mass index and engaging in regular physical activity, as these factors contribute to increased blood pressure among patients with hypertension.

Immunization is a preventive measure used to protect against Tuberculosis, Diphtheria, Pertussis, Polio, Hepatitis B, and Measles. Immunization administration must be continuous, comprehensive, and conducted according to standards to provide effective health protection. The objective of this study was to determine the correlation between paternal support and the immunization status of children aged 0 to 1 year in the Tamban Baru Community hEalth Center area, Kapuas Regency. This study used a cross-sectional correlation design. The independent variable was paternal support, and the dependent variable was immunization status. The sample was selected using total sampling technique, consisting of 50 respondents. Data collection was performed using a questionnaire. The results showed a significant correlation between paternal support and the immunization status of children aged 0 to 1 year, indicated by p = 0.000017 < 0.005; thus, the null hypothesis (H0) was rejected and the alternative hypothesis (H1) accepted. This means that there is a correlation between paternal support and the immunization status of children aged 0 to 1 year. It is recommended that that cross-sector collaboration and Community Health Center authorities enhance efforts so that every immunization officer provides health education, such as counseling about immunization, and that family involvement in spreading immunization programs is increased to achieve targeted coverage through cooperation with health professionals.

This study aims to analyze the influence of the work environment on employee productivity at PT Harmoni Reka Cipta. The research employs a descriptive c method using Spradley’s approach, which includes place, actor, and situation. Informants were selected based on inclusion and exclusion criteria, resulting in one key informant and four main informants relevant to the data requirements. Data were collected through in-depth interviews and field observations. The research findings, based on NVIVO analysis visualized through a word cloud, indicate that the most dominant aspect in discussions of the work environment is workplace facilities, followed by work relations, work atmosphere, and operational constraints. Interviews revealed that lighting and coworker relationships are generally in good condition; however, challenges remain, including limited workspace, insufficient facilities, and suboptimal air circulation, especially in the production area. These conditions affect employee comfort, focus, and work effectiveness. NVIVO results related to productivity show that quantity, quality, and timeliness are influenced by a work environment that is not yet fully supportive. Some delays occur due to high production intensity, heavy workloads, and inadequate facilities. This study concludes that improving facilities, reorganizing workspace layouts, and enhancing physical comfort are necessary to support optimal employee productivity