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Patient safety during intraoperative procedures is a top priority in nursing services in the operating room. However, patient and family understanding of intraoperative nursing management is still limited, which can have an impact on patient readiness before undergoing surgery. This community service activity aims to improve patient and family knowledge about the important role of intraoperative nursing in maintaining patient safety. The method used is an educational approach through interactive counseling delivered directly to patients and families in the pre-operative room. The material includes patient safety standards, the role of nurses during surgical procedures, and the importance of effective communication between the medical team, patients, and families. Evaluation was carried out by comparing the level of understanding before and after education using a simple questionnaire. The results showed a significant increase in understanding, seen from changes in patient attitudes and readiness to face surgical procedures. Appropriate and easy-to-understand education has been shown to be effective in supporting active participation of patients and families, as well as encouraging the creation of a safer surgical environment.

This study examines the importance of open and honest communication in personal and professional relationships and its impact on group dynamics, team effectiveness, and individual well-being. Through literature review and empirical analysis, it was found that openness in sharing feelings, thoughts, and concerns is key in maintaining healthy and harmonious relationships. Couples who regularly discuss important issues report higher levels of satisfaction in their relationships. Active listening, where full attention is given without distraction, also increases understanding and emotional closeness between couples. However, the study also identified communication challenges such as misunderstandings and conflicts that often trigger disputes, especially among young couples who face difficulties in conveying messages clearly and understanding emotional context. Emotion management during conflict is a major challenge, as many couples find it difficult to remain calm and rational in situations that trigger negative emotions.  overcome this challenge, strategies such as using humor and spending quality time together have proven effective. Humor can ease tension and improve mood after conflict, while quality time without technological distractions strengthens bonding and communication. The influence of technology in couples' communication is also reviewed, with an emphasis on the importance of setting boundaries for technology use to avoid misunderstandings and loss of emotional nuance. Social support from family and friends was found to play an important role in helping couples overcome conflict and strengthen their relationship. Couples who had a strong support network felt more confident and optimistic about the future of their relationship. In addition, the evolution of communication in relationships suggests that couples learn to communicate more effectively and efficiently over time, with improved communication skills such as empathy, emotion management, and constructive problem solving.

One of the benefits of the semiotic approach is being able to examine in more detail the communication conveyed by works of art. In the current digital era, works of art can take the form of photography, videography, and so on, where these works of art can provide meaning or representation of a communication message. One of the works of art in the form of videography is video clips. One example of a video clip is a song entitled "Perfect My Day" sung by Rey Mbayang, which used to be trending 1 on YouTube in the music category. The background of this video is Dinda Hauw's documentary film when she is going through the process leading up to childbirth, this makes the writer interested in analyzing Ferdinand De Saussure's semiotics because the writer also has personal experience in dealing with the birth process. In this research, the researcher uses Ferdinand De Saussure's semiotic analysis method and examines the signs that refer to the video clip for the song "Sempurnaka Hariku" sung by Rey Mbayang. These signs are data such as images and other visual elements, as well as other supporting data, which will be studied and interpreted in the form of words and language. The results of the research on the video clip for the song "Perfect my day" sung by Rey Mbayang has signifiers and signifieds. It can be analyzed that the overall meaning of the various signs in the semiotic analysis is an explanation that the video clip tells about the struggles of the process of giving birth to Rey Mbayang and Dinda Hauw's first child from the beginning of the process full of anxiety, resignation, and pain until after birth it changes with a feeling of emotion, relieved and happy also grateful to have been given the mandate and gift in the form of a son from Allah SWT. The sign is that in the process of struggling to give birth, there is the role of the husband and family which are very important to support the success of the process.

This study aims to examine the relationship between family communication patterns and adolescent stress levels in Bandung City. Using a survey method with 150 adolescent respondents aged 13-18 years, data were collected through a questionnaire measuring the dimensions of openness, support, conflict, and control in family communication as well as adolescent stress levels. Descriptive analysis showed variation in family communication patterns, with high levels of openness and support and low conflict. Pearson correlation tests showed a significant relationship between communication patterns and stress levels. Linear regression analysis revealed that openness and support in family communication significantly decreased stress levels, while conflict and control increased them. The t-test and F-test showed that the regression model was significant overall and each independent variable had a significant effect on stress levels. These findings emphasize the importance of open and supportive communication in the family to reduce stress levels in adolescents.  

Pulmonary tuberculosis is an infectious disease that can be prevented and cured, but takes a long time so whether treatment is successful or not is influenced by the support of families and health workers. The purpose of this research was to determine the relationship between family support and health workers with medication adherence in pulmonary TB patients. This study used quantitative methods with a cross-sectional approach, Sampling using accidental sampling technique with a total sample of 34 people.. Data collection using questionnaire sheets and data analysis using univariate and bivariate analysis with chi-square test. The results of the study obtained good family support for the majority of compliance by 52.94% and poor family support by the majority of non-compliance by 29.4%, as well as the support of health workers in the majority of compliance by 59.94% and no support of health workers in the majority of non-compliance by 23.53%, the results of the chi-square statistical test obtained there was a relationship of family support (p-value=0.000) and health worker support (p-value= 0.004) with adherence to taking medications. It can be concluded that pulmonary TB patients who receive support from family and health workers can affect the patient's compliance in taking medications.  

In terms of improving human resources in the company, it is necessary to evaluate employee performance. By evaluating employee performance, companies have supporting data and information to evaluate human resources to make them even better. Employee performance is important in a company because it will affect the achievement desired by the company. The purpose of this study was to analyze the significant influence of work motivation, work discipline, and work environment simultaneously on the performance of employees in family companies in Surabaya. This study used a quantitative approach using multiple regression analysis because the sample used was a questionnaire with a total of 73 respondents. The results showed that some work motivation, work discipline, and work environment have a significant effect on employee performance. Simultaneously, work motivation, work discipline, and work environment have a significant effect on the performance of employees in family companies in Surabaya.

The Long-Term Contraception Method is an effective and efficient method to manage the pregnancy and stop the pregnancy of a fertile couple that does not want to have babies. This method is useful for the long-term duration, 10 years ahead. The selection of contraception tools receives various factors, such as socio- demographical factors: education, age, job, and the number of children. This research determined the correlation between education, profession, and family support toward the long-term contraception method selection for fertile women. This analytical survey research used a cross-sectional design. The population consisted of fertile women with active contraception acceptors at the BPJS Clinic, Irma Solikhin, consisting 201 people. The applied sampling technique was purposive sampling. The obtained sample was 134 respondents. The applied instrument was a questionnaire. The applied data analysis technique was Chi-square. The results showed a correlation between education and the selection of the Long-Term Contraception Method with a p-value of 0.000, lower than 0.05. The result showed a correlation between profession and the Long-Term Contraception Method at the clinic with a p-value of 0.000, lower than 0.05. The same result was also observable in the family support toward the Long-Term Contraception Method with a p-value of 0.000, lower than 0.05.   Keywords: Education, Profession, Family Support, LTCM

Broken home families, which are characterized by the breakdown of parental relationships, can have a negative impact on children's development, including spiritual emptiness. In this context, the role of Christian religious teachers is important in filling the spiritual void of children from broken homes. This article aims to investigate the role of Christian religious teachers in filling the spiritual void of children from broken home families and the strategies that can be used to achieve this. In the introduction, the article explains the meaning of a broken home family and identifies its impact on the child's spiritual emptiness. Then, the article continues by discussing the role of Christian religious teachers in filling the spiritual void in children. Christian religious teachers not only serve as teachers, but also as a source of spiritual support and example for children. Furthermore, the article reviews strategies and approaches that can be used by Christian religious teachers in filling the spiritual void of children from broken home families. Relevant and interactive teaching methods, building emotional relationships with children, and efforts to cultivate spiritual awareness through reflection and meditation are some of the recommended strategies.Through case studies that include the real experiences of Christian religion teachers, this article provides inspiring examples illustrating how Christian religion teachers have succeeded in filling the spiritual void of children from broken homes and achieving effective results. In the implications and recommendations section, the article highlights the important role of Christian religious teachers in filling the spiritual void of children from broken home families and emphasizes the need for collaboration between teachers, families and communities in supporting children's spiritual development. In conclusion, this article concludes that the role of Christian religious teachers is very important in filling the spiritual void of children from broken home families. With the right approach, Christian religion teachers can provide the spiritual support children need, assisting them in acquiring a sense of meaning, identity, and spiritual well-being. This article provides useful insights and insights for educators, parents, and practitioners in Christian religious education that aim to support the spiritual development of children from broken home families.

Background : Adolescents are indeed very vulnerable to promiscuity, this situation is very concerning, from this behavior unwanted pregnancy often occurs which has a negative impact on socio-economic health and others. Therefore, prevention efforts can be made as early as possible based on the knowledge and attitude and support from parents.One of the things that happens to young women is the many cases of unwanted pregnancies (KTD). Like at SMAN 1 Cimarga Rangkas Bitung Lebak Banten in 2022 there were 2 students who were pregnant out of wedlock, and lots of various deviant sexual behaviors. Writing purpose : Aims todetermine the relationship between knowledge, attitudes and family support with efforts to prevent adverse events due to free sex in young women at SMAN 1 Cimarga Rangkas Bitung Lebak Banten in 2023. Research methods : This study used quantitative and analytic methods with a cross sectional approach. A sample of 72 young women was obtained using proportional random sampling. The data was obtained using a questionnaire that had been tested for validity, then the data was analyzed using a frequency distribution and chi square test. Research result : The knowledge of female adolescents is mostly good (56.9%), positive attitude (58.3%), family support including support (59.7%) and prevention of adverse events in young women due to free sex (66.7%). There is a relationship between knowledge and efforts to prevent adverse events due to free sexual intercourse in young women (p value 0.000), there is a relationship between attitudes and efforts to prevent unwanted pregnancy due to free sexual intercourse in young women (p value 0.000) and there is a relationship between family support and efforts to prevent unwanted pregnancy due to free sex in young women (p value 0.000). Conclusions and recommendations : Knowledge, attitude, family support related toefforts to prevent adverse events due to free sex in young women. Therefore, adolescents can increase knowledge and increase positive attitudes and do better pregnancy prevention.

The purpose of this study was to find out how the implementation of Premarital Guidance at the Office of Religious Affairs (KUA) of Kapur IX District and what materials were given by religious counselors at KUA of Kapur IX District during premarital guidance. The research method that the author uses in writing this article is a descriptive qualitative research method with data collection techniques through observation, documentation, and interviews. The sources of data from this study were extension workers at KUA Kapur IX District and books related to this research. The results of this study indicate that the implementation of Premarital Guidance at the KUA of Kapur IX District is carried out every Thursday starting at 10.00 WIB until it is finished. The methods used in providing premarital guidance to the bride and groom are lecture, discussion, and question and answer methods. In the implementation of premarital guidance at KUA Kapur IX District there were several supporting and inhibiting factors in achieving the successful implementation of the premarital guidance. The supporting factors are the willingness of the bride and groom, adequate facilities and infrastructure, and professional extension workers. And the inhibiting factor in the implementation of premarital guidance is that there are still prospective brides who are not punctual in following the guidance and there are still prospective brides who consider this premarital guidance not so important. The pre-marital guidance material given by the counselor to the bride and groom is material about the purpose of marriage, husband and wife's obligations, attitudes that support the realization of a happy/sakinah family, rules for husband and wife association, first night etiquette, mandatory bathing, times when it is forbidden to associate with the husband wife, things that are prohibited in the household, things that can disturb the harmony of the household, and so on.

Children are the seeds of the nation and state that will continue the struggle and ideals of the nation. Therefore, children need guidance and direction from an early age from their parents to face the various struggles they will achieve. While the family is the smallest group unit that is first encountered by children and it is from the family that children get non-formal education for the first time. Therefore, parenting is very important in educating children for their success in the future. Services and fulfillment carried out for children in orphanages are useful so that children can learn to be independent and not depend on others after leaving the orphanage. The education and skills obtained at the Aisyiyah Payakumbuh Orphanage have a strong personal attitude, are optimistic about themselves, and can open themselves up to always be enthusiastic about living the wheel of life. This type of research is descriptive qualitative, using data collection methods, namely observation and interviews. The purpose of this study is to find out how the parenting style of children at the Aisyiyah Payakumbuh Orphanage, the supporting factors and inhibiting factors in improving children's learning achievement at the Aisyiyah Payakumbuh Orphanage. Based on research conducted by researchers, the parenting style that is applied to children at the Aisyiyah Orphanage is democratic parenting, namely by giving affection, providing guidance, looking after, and also providing education and good parenting to children. In addition there are several factors inhibiting children's learning in improving learning achievement, namely limited funds or economy, then the supporting factors are the environment.

Dasawisma groups have strategic potential in supporting family independence, but have not been optimally empowered. This Community Service activity aims to strengthen Dasawisma's capacity as agents of social change in enhancing family independence through the internalization of independence spirit values. The method used was a participatory and educational community organizing approach, implemented at Dasawisma Asoka RT.007, Bukit Timah Sub-district, Dumai City, on August 10, 2024. Activities included interactive material delivery, group discussions, work program preparation simulations, and reflective evaluations. The results showed increased understanding among Dasawisma members regarding their strategic roles, emergence of initiative and self-confidence, ability to formulate solutions based on local potential, and formation of more structured cooperation patterns and emergence of local mobilizer figures. The participatory approach based on independence values proved effective in driving Dasawisma's transformation from administrative implementers to subjects of independent and sustainable family and community development.

TT ​​immunization is the provision of immunity through TT absorbent vaccine containing purified tetanus toxoid to provide active immunity against tetanus.. Objective : To determine the relationship between Age, Knowledge, Family Support with completeness of TT immunization for pregnant women in the working area of ​​Madello Public Health Center, Barru City in 2022. Methods : This study uses cross sectional method. The population in this study were all pregnant women who visited the Puskesmas. The sampling technique is purposive sampling. Data was processed using SPSS and analyzed by univariate and bivariate with chi-square statistical test and presented in the form of a frequency distribution table. The results of the study: Shows that there is is a relationship between family support and completeness of immunization where the p value = 0.01, this means that the p value < (0.05) because the p value is less than 0.05. Conclusion: There is a relationship between Age, Knowledge, and Family Support with the completeness of TT immunization in the working area of ​​the Madello Health Center, Barru City in 2022. 

This community service activity aims to enhance the human resource capacity of Dasawisma members in effective administration management as a family development data base at the sub-district level. The assistance was conducted using a participatory approach and hands-on practice, including socialization, technical administrative training, and reflective discussion. The results indicated an increase in Dasawisma members' understanding of the importance of orderly, systematic, and integrated administration in supporting social activities. Members' technical skills in managing family data, filling administrative books, classifying information, and preparing simple reports improved significantly. Furthermore, the assistance strengthened communication and coordination between Dasawisma and sub-district officials, promoted group independence, and strengthened Dasawisma's role as a key data source for family development. These findings confirm that planned and participatory higher education assistance plays a strategic role in community empowerment, supports good governance at the local level, and can serve as a replicable model for other community development programs.

The low quality of Dasawisma administrative management remains a major challenge in supporting the effectiveness of the Family Empowerment and Welfare (PKK) programs at the community level. This problem is characterized by poorly organized family data records, weak documentation of activities, and limited understanding among administrators regarding the strategic role of administration as a basis for planning and decision-making. This Community Service Program (PKM) aims to improve the quality of Dasawisma administration through collaboration between higher education institutions and Dasawisma groups as an effort to strengthen community organizational governance. The method employed is a participatory community organizing approach, encompassing stages of joint planning, technical administrative assistance, training, and reflective evaluation. The results indicate an improvement in administrators' understanding and skills in managing administrative tasks, the establishment of more systematic data and activity recording systems, and increased participation and organizational ownership among Dasawisma members. Furthermore, the program encouraged the emergence of local leadership and collective awareness of the importance of as an instrument for institutional strengthening. Overall, collaboration with higher education institutions proved effective in promoting sustainable improvements in Dasawisma administrative governance.

Household environmental problems such as poor waste management, the practice of burning waste, and limited use of home yards remain major challenges in creating clean and healthy residential areas. Dasawisma, as the smallest unit within the PKK structure, holds a strategic role in fostering environmental awareness and pro-environmental behavior at the family level. This Community Service Program (PkM) aims to build an environmentally caring community through strengthening the role of Dasawisma, improving members' knowledge, and encouraging new habits in household environmental management. The method used a participatory approach consisting of problem identification, interactive counseling sessions, hands-on practice in waste management and yard utilization, and field mentoring. The results indicate an increase in members' understanding of environmental issues, behavioral changes in sorting organic and inorganic waste, simple composting practices, and the cultivation of plants in home yards. In addition, collective awareness and the emergence of local leaders helped sustain the environmental movement within the community. This program demonstrates that strengthening Dasawisma is an effective family-based empowerment strategy to support social transformation toward a cleaner, healthier, and more sustainable environment.

Family support is assistance that can be given to other families in the form of goods, services, information, and advice which makes the recipient of support feel loved and appreciated. In this case, family support will bring a sense of joy, security, satisfaction, and comfort that makes pregnant women feel emotionally supported which will affect their mental well-being. Objective: This study aims to determine the relationship between family support and anxiety in Primigravida pregnant women in the third trimester in the work area of  the Simeulue Tengah Health Center UPTD, Simeulue Regency. Method: This research method is an analytical survey with a cross-sectional approach with a sample size of 36 respondents using the total sampling technique. The study began on December 16-20, 2022. Results: Family support is in the sufficient category with 16 respondents (44.4%) and the level of anxiety in Primigravida pregnant women in the third trimester is in the moderate and severe categories, each with 12 respondents (33.3%). Conclusion: Based on the results of the study, it was found that there was a relationship between family support and anxiety levels in Primigravida pregnant women in the third trimester at the UPTD Simeulue Tengah Health Center, Simeulue Regency with a p-value = 0.043. Suggestion: It is hoped that medical personnel at the Health Center can provide counseling to families who have pregnant women.

Elderly background is defined as someone who is already 60 years old and above. Posyandu Lansia is an activity in community health services and family health services in a certain community-driven area where they can get health services. This study aims to determine the implementation of posyandu for the elderly  during the Covid-19 period  at the Putri Ayu Health Center, Jambi City. Method: this research method  is  qualitative.  Data collection  was carried out by in-depth interviews of  12 informants,  selection of informants by purposive sampling.  Result: The posyandu for the elderly in the work area of  the putri ayu  health center is not constrained by facilities and infrastructure. The Health Office provides an support in the form of facilities and infrastructure.   Operational costs  have been assigned to the  elderly Posyandu so that it  can run  well.  When Covid 19 occurred, all posyandu activities  of  the elderly stopped.  Conclusion:  Elderly people cannot be done during the Covid-19 pandemic due to the outbreak  and  the government's policy   of limiting activities during the Covid-19 period.

The purpose of this study is to investigate both the influences of perceived organizational support and work-family conflict on job satisfaction. In addition, this research aims to investigate the impact of the mediation of work-family disputes in the connection between perceived organizational support and job satisfaction. We utilize a quantitative approach to acquire data from the subject of the study. For the sampling strategy, we employ random sampling with questionnaire distribution as the data collection tool. The data analysis method was called Structural Equation Modeling Partial Least Square (SEM-PLS). In addition, the findings of this research indicate that a favorable and significant influence on work satisfaction may be attributed to a perceived high level of organizational support. The perception of organizational support is another factor that contributes negatively to work-family conflict. Meanwhile, the tension between work and family life has a positive and noticeable impact on job satisfaction. The latest finding is that work and family conflict might be a negative mediator in the association between perceived organizational support and job satisfaction.

Anemia during pregnancy is still a global problem. The government synergizes with health workers to reduce the prevalence of anemia, one of which is by administering iron supplements. However, this alternative has not been able to reduce the incidence of anemia in Indonesia. Therefore, the aim of this study was to determine strategies to reduce the incidence of anemia in pregnant women. Qualitative research with a single holistic case study approach. Research informants were heads of puskesmas, midwives, nutritionists, ATLM, doctors, and anemic pregnant women. Data collection for 1 month. Data analysis using Miles and Huberman models. The data collection instruments were interview guides, study documentation, observations, logbooks and field notes. The results of this study, there are 4 themes namely: 1) increasing the competence of human resources; 2) providing more comprehensive health education and simpler word choices; 3) Educational media innovation by utilizing online platforms; and 4) husband and family support. Therefore, increasing human resources can be through training and technical guidance on the management of anemia during pregnancy and anemia hematology examination, utilizing social media platforms such as Instagram, TikTok, Youtube and Whatsapp. increased blood especially drinks that can block the absorption of iron. Also, husbands encourage and remind pregnant women to regularly consume iron tablets every day.