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A hospital is an organization that, with all its health facilities, is expected to help patients improve their health and achieve optimal healing both physically, psychologically and socially. One profession that has an important role in maintaining the quality of health services is nursing. Nursing is the activity of providing care to individuals, families, groups or communities, whether sick or healthy, because nurses in carrying out nursing practice must always improve the quality of service by following developments in science and technology through education and training according to their field. Work. This research is a type of quantitative research with a cross-sectional design approach. The results of the analysis show that the Chi Square value for extroverted personality characteristics is 0.030 and introverted personality is 0.019, indicating that there is a relationship between personality characteristics and nurses' caring behavior. Based on the characteristics of the respondents, it is known that the majority of respondents are women, with the largest age range being 22-40 years, the dominant education level is D-III nursing and the majority of respondents are single. The results of the chi-square analysis showed that the significant relationship between personality characteristics (extroversion and introversion) has major implications for nursing practice and human resource management in health care settings. A deep understanding of these interrelationships provides a foundation for improving the quality of nursing care, managing balanced care teams, and personalizing approaches to providing care to patients.

The Maternal Mortality Rate (MMR) in Indonesia which is quite high every year makes homework for the government. The government effort to reduce MMR  requiring pregnant women to go for antenatal care the nearest health facility. Success in antenatal care service is measured through indicator coverage of antenatal service, there’s K1, K4 and K6. Look at data from the Haruai Health Center for K1, K4 and K6 the Haruai Health Center is ranking 15, 12 and 15 of 18 Health Center in Tabalong Regency. Based on these data it can be seen that visit in the Haruai Health Center area is very low. The Objective is to Analyze the effect of antenatal care 10T service  visit of pregnant women at the Haruai Health Center. This research uses quantitative descriptive research. The sample is pregnant women in their third trimester, totaling 39 respondents. Sample using accidental sampling technique. Data collection used questionnaire, then data were analyzed using chi-square test, with significance level of 95% (α : 0,05). Result of the research, third trimester pregnant women who didn’t receive standard antenatal care 10T examinations were 66,7% of respondents, and third trimester pregnant women who no have visits according to quantity standards as much as 89,7% of respondents. The results of bivariate analysis p-value is 0,009<value α:0,05 which means there’s a significant relationship between antenatal care 10T and visit to pregnant women. Concluded that there’s an effect on the provision of services between antenatal care 10T on visits to pregnant women

The background of this study is still high Maternal Mortality Rate (MMR), MMR is one indicator to see efforts to succeed in maternal health, mortality rates can occur during pregnancy, childbirth and postpartum. Miscarriage during pregnancy and incomprehensive post-miscarriage care is one of the causes of MMR. The purpose of this study was to find out how the implementation of post-miscarriage care in the working area of the South Paringin Health Center, Balangan Regency. This research method is descriptive quantitative, using secondary data derived from medical records, the population of this study is all post-miscarriage mothers from January 2021 to October 2022, the sample in this study uses total sampling techniques where all populations are sampled, namely 37 post-miscarriage mothers. The results showed that post-miscarriage care has not been said to be comprehensive because it still focuses on medical management and is only based on patient complaints.

Adolescent girls during puberty will experience menstruation. If they cannot properly care for their reproductive organs during menstruation, it will cause several health problems, one of which is pruritus vulvae. Pruritus Vulvae occurs due to poor hygiene practices, to increase knowledge and attitudes of young women, researchers provide Lecture Methods and Peer Group Discussions about personal hygiene during menstruation in preventing Pruritus Vulvae.Objective: to see the effect of a combination of lecture methods and peer group discussions on knowledge and attitudes about personal hygiene during menstruation in preventing pruritus vulvae in young women at. Methods: and Peer Group Discussions about personal hygiene during menstruation in preventing Pruritus Vulvae.: The research design used was a quasy experiment. The analytical survey conducted in this study used the one group pre-test post-test approach design. The population is class VII students. Sampling was taken by purposive sampling, the sample size in this study was 30 young women. Data were collected using a questionnaire before and after being given the lecture method and peer group discussion of the knowledge instrument using the Guttman scale and the attitude instrument using the Likert scale and analyzed using the wilcoxon signed rank test. Result : The result of the study showed that the marginal homogeneity tes was obtained at knowledge p=0,000 and attitudes obtained a significant value p=0,003 in the post test. Suggestion : The lecture method and peer group discussion have a significant effect on the level of knowledge and attitudes of young women in preventing pruritus vulvae. The result showed that lecture methods and peer group discussions can be used us a means of health education to change health behavior for the better and can improve the hygiene of young women during menstruation in preventing pruritus vulvae.

Pharmaceutical Services at the Hospital is an integral part of the Hospital's health care system that is patient-oriented, providing Pharmaceutical Preparations Medical Devices, and Medical Materials that are quality and affordable for all levels of society including clinical pharmacy services (Anonymous, 2016) Besed on the Decree of the Minister of Health of the Republic of Indonesia No 179 Menkes/SK/11/2008, the SPM indicator of hospital pharmacy services includes the waiting time for drug services to be a maximum of 30 minutes while the maximum concoction drug is 60 minutes, the absence of medication errors, stalaction customers at least 80% and prescription writing all must refer to the Hospital formulary This study aims to find out the Waiting Time (Respond Time) of Prescription Services for Finished Medicines and drugs mixed with BPJS patients Outpatient in Bangil Hospital. This research is a non-experimental research with descriptive approach, namely the type of research approach to obtain an overview of the state of a group of data based on observations the real thing is, data collection is done in the Outpatient Pharmacy Service at Hangil Hospital, and is carried out for three months. The total mumber of prescription samples erered in the pharmacy installation for three months a 12.587 prescriptions with details of 10,770 prescriptions of JKN BPJS 85.27% 1,808 peral recipes 14 66% and 9 other insurance recipes 0.07% Among the recipe for JKN BPIS obtained during the study were 90.23% of non-concoction recipes and 9.77% of recipe recipes. The results of the study were obtaining results, the number of prescriptions from patients was 85.27% more than prescriptions from general patients 14 66% and other insurance 0.07%. The average waiting time for non-concoction recipe services in 25 minutes, and concoctions are 62 minutes

Surgical wound infection is a serious problem in patient care in hospitals. This infection can cause increased morbidity, mortality, increased length of stay as well as costs and patient demands. This can be closely related to the quality and services of hospitals, which will also affect the credibility of health services. Nurses are the people who have the most contact with patients, therefore nurses' behavior is very influential in implementing procedures to prevent surgical wound infections. This study aims to determine the relationship between knowledge and length of work with nurses' behavior in efforts to prevent surgical wound infections at Gatot Soebroto Hospital in 2023. This research method is a quantitative study with a cross-sectional design approach. Using a total sampling technique of 60 people. Data collection was carried out by assessment using knowledge questionnaire instruments and intra-operative behavior checklists. Data were analyzed univariately and bivariately using the Spearman rho test correlation technique. The research results showed that 21 nurses (35%) had less knowledge. Nurses who have worked for less than 6 years are 37%, nurses who have worked for more than 10 years are 40%. Nurses with bad behavior had a higher number of 53.3%. The results of the Spearman rho test showed that (1) there was a relationship between nurses' knowledge of the behavior of preventing surgical wound infections with a p value = 0.000, meaning p > 0.05 (r = 0.616), (2) there was a relationship between the length of service of nurses and the behavior of preventing wound infections. operation with a p value = 0.006 means p > 0.05 (r = 0.349). The conclusion is that there is a significant relationship between knowledge and behavior of nurses and there is a significant relationship between length of service and behavior of nurses in efforts to prevent surgical wound infections. The research suggestion is for hospital management to increase nurses' knowledge in the form of training, workshops and regular supervision,

A work environment condition can be said to be good if employees can carry out activities optimally, healthily, safely and comfortably. Effective communication is very important in the company to ensure that superiors and subordinates are open and transparent. Employee appreciation often occurs in every company for employees who have contributed to the company. Career paths in the company are usually seen from the employee's job performance. Therefore, the company must pay attention to a good work environment or create working conditions or a comfortable working atmosphere in order to be able to provide motivation to work, it will have an influence on the enthusiasm and enthusiasm of employees to work. The hope is that the company must build a pleasant work environment so that every employee is happy to do his job so that he can work optimally. A pleasant work environment, cooperative coworkers, and leaders who always pay attention to the complaints of employees are a dream for employees so that employees can work more enthusiastically and have a high commitment to the company.

According to WHO, the rate of sectio caesarean delivery in Indonesia is 15.3% of a sample of 20,591 mothers who gave birth in the last 5 years surveyed from 33 provinces. While in Central Java Province (2019) who have performed cesarean section delivery as much as 10.10%, while in government hospitals approximately 11% while private hospitals can be more than 30%. The purpose of the research is to provide comprehensive midwifery care services to pregnant women, postpartum women, newborns, postpartum mothers and family planning in a comprehensive manner through the midwifery management approach according to Varney and SOAP. This research uses a qualitative descriptive method with a field observational case study approach. The research results showed that based on comprehensive midwifery care for Mrs. U with a history of caesarean section during pregnancy found no problems. Mrs. U gave birth using a caesarean section because she had a history of caesarean section in a previous pregnancy and to prevent complications for the mother and baby. In the care of newborns, no problems were found. In postpartum care no problems were found. Mrs. U chose 3-month injectable birth control contraception. It can be concluded that comprehensive care provided appropriately by midwives is very important for the health of the mother and baby so that early detection of a history of caesarean section can prevent possible complications.

Background: Diabetes Mellitus (DM) is a chronic, progressive disease characterized by the body's inability to metabolize carbohydrates, fats and proteins, leading to hyperglycemia (high blood sugar levels). Diabetes Mellitus can be associated with serious complications such as kidney damage, eye problems, cardiovascular disease, nerve damage and skin and foot problems, so DM sufferers need to take precautions to avoid complications. There are several ways to prevent diabetic ulcers, several things that families and patients can do independently, checking the condition of the feet every day for Diabetes Mellitus sufferers needs to be done once a day to detect abnormalities such as redness, blisters, cracked skin, swelling and pain. Objective: To determine the relationship between foot care and the incidence of diabetic foot ulcers in diabetes mellitus sufferers in the Sukabumi Health Center Working Area. Method: The method used in this research is the Descriptive Analytical method with a cross-sectional approach. The samples used were 69 patients suffering from diabetes who were at risk of diabetic foot ulcers in the Sukabumi Community Health Center Working Area. Results: Based on the results of statistical tests with chi-square, the resulting P value was 0.000 < 0.05, which can be concluded that there is a relationship between foot care behavior and the incidence of diabetic ulcers in diabetes mellitus sufferers in the Sukabumi Community Health Center Working Area. Conclusion: it can be concluded that there is a relationship between foot care behavior and the incidence of diabetic ulcers in diabetes mellitus sufferers in the Sukabumi Health Center Work Area. Suggestion: DM sufferers are expected to be disciplined in caring for their feet even though diabetic foot ulcers have not yet occurred and families with diabetes are able to get involved and help if the patient has a serious ulcer, without having to visit health personnel.    

AKI according to WHO (2020) is 235,000 people, in Indonesia (2020) 4,627 cases, in Central Java (2020) 530 cases, in Brebes (2020) 62 cases, and AKI at Bumiayu Health Center (2020) is 2 cases. One of the efforts is to provide comprehensive midwifery care with a continuity of care approach that is carried out from pregnancy to birth control. Researchers implement comprehensive midwifery care in pregnant women, childbirth, newborns, postpartum, and family planning using Varney and SOAP documentation. The research method used was descriptive qualitative with a case study approach. Data collection used interviews, observations, physical examinations, supporting examinations, documentation studies, and literature studies, as well as medical record documentation studies. The main informant is Mrs. M with additional informants, namely 1 coordinating midwife and 1 patient's family. Based on the results of pregnancy, childbirth, newborn, postpartum, and family planning there is a problem in pregnancy, namely found PEB at 35 + 4 weeks of pregnancy with blood pressure 159 / 95 MmHg.

Children are one of the age groups that are very vulnerable to nutritional problems. Nutritional problems do not only occur when the mother is pregnant, nutritional problems also arise during infancy. The occurrence of nutritional problems in infants, namely, allergies to food ingredients, excess nutrition or obesity, and diarrhea can lead to malnutrition which has the potential to cause poor nutritional status and even malnutrition. This case report aims to carry out midwifery care for under-fives with malnutrition comprehensively and sustainably through the SOAP documentation approach. Case collection was carried out by conducting patient home visits. Conclusion of midwifery care An. A with poor nutrition, after carrying out midwifery care for 3 visits to the patient, the results obtained in the last study were an increase in weight in An. A from 9.2 to 9.7 kg body weight but still in the stage of undernourishment with the KMS curve status category according to BW/U is in yellow. The community is expected to comply with posyandu visits so that the growth and development of children can be monitored. For health services to be able to provide education to the public about the importance of monitoring the growth and development of children to avoid the incidence of malnutrition.

Stunting is a growth disorder caused by inappropriate nutritional disorders, where the prevalence of stunting in Indonesia reaches 29.7% and Surakarta is ranked second in the number of stunting cases in Central Java with 1,050 cases. Banyuanyar sub-district, toddlers who experience nutritional disorders are 37.5% of the total number of toddlers, namely 24 people. The aim of conducting outreach activities in the form of education is to be a promotive and preventive method in preventing stunting by providing oral motor exercises so that toddlers are stimulated to breastfeed, chew and swallow food. The method used was education in the form of counseling and distribution of leaflets to parents or caregivers of toddlers at the toddler post RW 03 Banyuanyar Community Health Center. The results obtained from measurements were an increase in understanding using pretest and posttest questionnaires, namely there was a significant increase in understanding related to counseling with an average pretest score of 15 and an average posttest score of 90.

This comprehensive analytical overview provides a meticulous exploration of the incidence, types, and management of tumors impacting women's reproductive organs in Indonesia. Drawing upon authentic references spanning 2016 to 2023, the study delved into the epidemiological landscape with a specific focus on uterine fibroids, ovarian tumors, and cervical cancers. A detailed analysis of regional variations and demographic influences on tumor occurrence sheds light on the intricate interplay between health disparities and reproductive organ tumors. The management section underscores personalized treatment modalities, encompassing surgery, chemotherapy, and radiotherapy, emphasizing a multidisciplinary approach. This holistic strategy integrates psychological and palliative care, acknowledging the diverse aspects of a patient's journey. The findings contribute significantly to informed healthcare policies, urging the development of targeted interventions based on the nuanced understanding of reproductive organ tumors in the Indonesian context. Furthermore, the study suggests fruitful directions for future research in women's health, paving the way for continuous advancements in the field.

According to the World Health Organization (WHO), in 2021 around 329,000 women died due to complications related to pregnancy or childbirth throughout the world, MMR in Indonesia until 2022 was 305/100,000 live births, WHO data for 2021 states the Infant Mortality Rate (IMR) in the world amounted to 235 deaths per 100,000 live births. Brebes Health Office (2022) MMR 50 cases, IMR 259 cases. Data from Bantarkawung Community Health Center (2022) MMR 1 case, IMR 5 cases. This researcher is able to carry out comprehensive midwifery care for Mrs. R aged 26 years with Preeclampsia using Varney's seven-step obstetric management and SOAP. Based on the background above, the problem formulation is how Comprehensive Midwifery Care for Mrs. R aged 26 years in the working area of the Bantarkawung Community Health Center, Brebes Regency in 2023. The research design used by the author is qualitative descriptive research. Comprehensive Care for Mrs.R found problems early in pregnancy with preeclampsia. Labor was induced, and the newborn was normal. During the postpartum period, the uterine involution process goes well. Conclusion: Through this scientific paper, it is hoped that health center health workers can maintain and improve the quality of health services in accordance with service standards and the application of theory.

Many diseases that occur are caused by poor living behavior of the community itself. This includes illnesses experienced by kindergarten students. At Asisyiyah Kindergarten Bustanul Athfal 2 Grogol Jakarta Barat, on average every week there are students who do not go to school because they are sick, Among others: diarrhea, cold cough, typhoid, etc. Observation results show that: students cannot wash yet hands properly, students are not used to washing their hands, there are no washing facilities in the classroom hands, students are accustomed to snacking carelessly in front of school, students do not throw rubbish in the trash, Many students have difficulty eating and more often snack on instant food at food stalls. Implementation method:promotive by providing education on clean and healthy living behavior to kindergarten students involving students and their parents, facilitate clean hand washing stations in each class, forming an alert group cleanliness in schools consisting of teachers, students and food sellers. Results of implementing activities among others students' knowledge and awareness about clean and healthy living behavior has increased, students have practicing clean hand washing before and after eating, the school's hygiene monitoring group is in place formed and functioning. Kindergarten students' clean and healthy living behavior includes: washing hands, throwing away rubbish in place, brushing your teeth, avoiding cigarette smoke, eating nutritious food, defecating and in the bathroom, cutting nails, brushing shoes, cleaning clothes. Conclusion: with implementation of community service by Universitas Muhammadiyah Jakarta lecturers at ABA 2 Grogol Jakarta Barat Kindergarten, then there is a change in the healthy clean behavior of ABA 2 Kindergarten students who were previously unhealthy to become healthy behavior

This policy paper examines the problem of still not optimal efforts to fulfill staff at Primary Health Care, which is indicated by the large number of staff vacancies at Primary Health Care, starting from the planning stage to staff placement. Based on the problems above, policy recommendations that can be implemented to accelerate the fulfillment of medical personnel and health workers in Primary Health Care, namely formulating new regulations that regulate the restructuring of the management of medical personnel and health workers as well as regulations that give authority to the Central Government (Menkes) to issue Practice Permits (SIP) so that it can expand the reach of health facilities according to needs The research method used is a descriptive approach from data on the availability of Primary Health Care and the number of health workers from the Ministry of Health, as well as secondary data based on performance report documents and literature studies of other documents from various sources. Accelerating equal distribution of health workers is carried out through cross-sectoral collaboration. Meanwhile, by paying attention to various aspects so that the efforts made can comprehensively encourage the achievement of the desired goals, possible policy options consist of filling health workers in Primary Health Care with the Government Employee with Work Agreement (PPPK) scheme, a policy of redistributing health workers from excess areas to areas that lack certain types of health workers, arranging practice permits, determining incentive indices for health workers, career development for health workers, cross-program and cross-sector collaboration, and fulfilling health facilities in one package with fulfilling health workers. The Ministry of Health and cross-sectoral support in accelerating the fulfillment of medical personnel and health workers in Primary Health Care to formulate new regulations governing the restructuring of the management of medical personnel and health workers as well as regulations that give authority to the Central Government (Menkes) to issue SIPs so that they can expand the reach of health facilities according to needs.

As technology develops in health, hospitals are using electronic health records. SOAP method nursing documentation is an important element in nursing services, one of the documentation that uses electronics is nursing documentation regarding handover. The aim of this research is to determine the relationship between electronic nursing documentation and handover quality. This type of quantitative research is Analytic Correlation using a cross sectional design. The population in this study was 69 nurses. Sampling used a total sampling technique so that a sample of 69 respondents was obtained. The research instrument is an observation sheet. The statistical test in this study used the Chisquare test. The results of the research obtained an overview of the relationship between the completeness of electronic nursing documentation and the quality of handover. Of the 20.3% of incomplete nursing documentation, 5.8% had good handover quality, and for complete nursing documentation 26.1% had good handover quality of 47.8%. In the chi-square analysis, the significance was p < 0.002. So Ha is accepted, meaning there is a relationship between the completeness of nursing documentation and the quality of electronic-based handover. In conclusion, the results obtained from electronic nursing documentation were mostly complete, and the quality of handover was mostly good. So it can be concluded that there is a relationship between the completeness of electronic documentation and the quality of handover.

Nursing care is a process or series of activities in nursing practice that is provided directly to clients/patients in various health service settings. In implementing nursing care based on self-transcendence theory, nurses play the role of facilitators to help individuals experience growth and development through the self-transcendence process. Self-transcendence theory was developed by Pamela G. Reed and emphasizes the spiritual and transpersonal aspects of treatment. Reed explained that nurses act as facilitators to explore positive things and build bio-psycho-social spiritual well-being. Self Transcendence Theory aims to understand a person's movement in transcending self-limitations and achieving higher well-being. This theory focuses on five concepts, namely vulnerability, self-transcendence, well-being, moderating-mediating factors, and point of intervention. This self-transcendence offers the best for living in peace and prosperity. Apart from that, this theory is also used in the context of counseling services to help individuals utilize inner resources that empower patient capacities. Thus, the aim of the Self Transcendence theory is to understand and encourage individuals to achieve higher well-being through holistic self-understanding and development.  

 Mother and Child Health (MCH) requires efforts through a holistic approach known as Continuity of Care (COC). Continuity is essential throughout a woman's life cycle, including during pregnancy, childbirth, and the postpartum period. To achieve COC, it can be implemented through monitoring and services such as ANC, INC, PNC, and Newborn Care, as well as connecting healthcare facilities to ensure prompt and accurate handling of emergencies. The aim of this research is to provide comprehensive midwifery care for pregnant women in the third trimester, during labor, postpartum, care for the newborn, neonates, and family planning. The study was conducted from April to May 2023 at the Special Regional Hospital for Mother and Child, Siti Fatima, Makassar. The care method in this research involves interviews, observations, and management of the subject's care. The subject in this care is Mrs. "H," a woman in her second pregnancy, who has given birth once, is currently at 37 weeks and 4 days gestation. The results of comprehensive midwifery care for Mrs. "H" during the third trimester of pregnancy showed well-preparedness for childbirth. Normal delivery occurred, followed by normal care for the newborn and neonatal care. The conclusion of this research is that comprehensive care allows for data collection, determination of actual and potential diagnoses, and timely referral or collaboration with other healthcare providers in case of issues.

The prevalence of nosocomial infections worldwide has become a serious concern for healthcare professionals, especially in hospitals. One contributing factor is the inadequate implementation of the five moments hand hygiene in handwashing procedures that do not conform to operational procedure standards. The aim of this research is to determine how the implementation of the five moments hand hygiene among nurses in the surgical medical care ward at Santa Elisabeth Hospital in Medan. This study utilized a descriptive cross-sectional approach, employing observation sheets. The sample size included 30 nurses in the Surgical Medical Care Ward at Santa Elisabeth Hospital in Medan, using total sampling technique. The measurement tool was an observation sheet, and the data analysis employed univariate analysis. The research findings revealed that, in the first moment before patient contact, 56.7% of nurses did not adhere to the practice, while 43.3% did. In the second moment, before aseptic procedures, 56.7% of nurses did not comply, and 43.3% did. In the third moment, after exposure to patient body fluids, all nurses (100%) adhered to the practice. In the fourth moment, after patient contact, all nurses (100%) complied. In the fifth moment, after contact with the patient's environment, all nurses (100%) followed the practice. It is hoped that nurses can consistently implement the five moments hand hygiene to prevent disease transmission and nosocomial infections, fostering a habit of incorporating these practices into nosocomial infection prevention.