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Transcultural nursing theory (transcultural nursing), this theory is seen as knowledge about individuals, families, groups, communities, and institutions in diverse health care systems. The aim of this research is to determine the relationship between nurse competency regarding transcultural nursing and experience in implementing therapeutic communication in the internal inpatient room at RSU GMIM Pancaran Kasih Manado. This research design uses descriptive analysis with a cross sectional approach. The sample in this research was carried out using total sampling, namely the sampling technique is the same as the population size. So the total sample in the study was 36 nurses. Data collection was carried out by direct interviews with subjekts and distributing questionnaires. Furthermore, the data that had been collected using computer assistance with IBM SPSS Version 23 was analyzed using the chi-square test with a significance level (α) <0.05. The results of the research using the Chi-Square Test show a p value of 0.003, which is smaller than α ≤0.05, meaning Ha is accepted and Hο is rejected. The conclusion in this research is that there is a relationship between nurse competency regarding transcultural nursing and experience in implementing therapeutic communication in the internal inpatient room at RSU GMIM Pancaran Kasih Manado. It is hoped that the results of this research will allow nurses to respond to and carry out nursing care from cultural diversity by using therapeutic communication that can be adapted to the patient's condition.

Air pollution has a broad impact on the people of South Kalimantan and causes the incidence of ISPA. TOGA utilization is still low due to a lack of public knowledge about plant types and their uses. The aim of this activity is to increase the knowledge of traditional independent health care groups. This activity was held on Monday, October 9 2023 at 13.30 – 15.30 WITA which was attended by 10 cadres. Activities are carried out using the lecture method and using leaflets. The leaflet material contains the definition of ISPA, general instructions regarding the processing of natural ingredients as potions, the composition of potions for coughs and colds, sore throats, shortness of breath and potions to increase body endurance. Evaluation of activities is carried out using pretest and posttest methods. The activity went well and succeeded in increasing the knowledge of the cadres.

This study aims to explore and analyse the implementation of caregiver attention in children's social interaction at Hanifah III Gadut Orphanage, Tilatang Kamang District, Agam Regency, West Sumatra. The main focus of this research is to understand how caregivers at the orphanage provide attention to the children living there and how this affects their social interactions. This research uses a qualitative approach with a case study method. Data were collected through in-depth interviews with caregivers, observation of the social interactions of children in the orphanage, and analysis of relevant documents. The results showed that caregivers' attention to children at Hanifah III Gadut Orphanage is very important in shaping healthy social interactions. The implementation of this attention includes psychological, emotional, and social aspects, all of which have an impact on children's development. In the context of orphanages, caregiver attention also has a significant role in forming interpersonal bonds between caregivers and foster children. This research is expected to provide further understanding of caregiving practices in orphanages and contribute to our understanding of the importance of mindfulness in shaping the social interactions of children living in such environments.

Nowadays, the level of competition between health service providers is increasingly high. Compared to inpatient care, outpatient services are developing more rapidly. One effort to win the competition is to improve the quality of health services and provide services according to patient needs so that it will provide patient satisfaction. In this study, patient satisfaction was identified based on 5 determinants of service quality, namely Reliability, Responsiveness, Assurance, Empathy and Tangibility. The aim of this research is to determine patient satisfaction based on determinants of service quality. The research was carried out using a survey method of filling out online questionnaires by respondents. The sampling technique used was Malhotra's theory with a sample size of 160 people. The research results show that the Customers Satisfaction Index (CSI) value for outpatients at health service facilities in Batam City is 79.6%, including in the satisfied category. All gap values ​​show negative results, the highest gap value is - 0.84 for the attribute of readiness to respond to patient requests and staff who are always polite. Meanwhile, the lowest gap value is -0.04 for the facility/service place attribute that looks attractive to look at. Therefore, it is necessary to gradually improve the quality of service in order to increase patient satisfaction which can be implemented based on service improvement priorities starting from the attribute that has the highest negative gap value. Keywords: patient satisfaction, outpatient, health service facilities.

Nowadays, the level of competition between health service providers is increasingly high. Compared to inpatient care, outpatient services are developing more rapidly. One effort to win the competition is to improve the quality of health services and provide services according to patient needs so that it will provide patient satisfaction. In this study, patient satisfaction was identified based on 5 determinants of service quality, namely Reliability, Responsiveness, Assurance, Empathy and Tangibility. The aim of this research is to determine patient satisfaction based on determinants of service quality. The research was carried out using a survey method of filling out online questionnaires by respondents. The sampling technique used was Malhotra's theory with a sample size of 160 people. The research results show that the Customers Satisfaction Index (CSI) value for outpatients at health service facilities in Batam City is 79.6%, including in the satisfied category. All gap values ​​show negative results, the highest gap value is - 0.84 for the attribute of readiness to respond to patient requests and staff who are always polite. Meanwhile, the lowest gap value is -0.04 for the facility/service place attribute that looks attractive to look at. Therefore, it is necessary to gradually improve the quality of service in order to increase patient satisfaction which can be implemented based on service improvement priorities starting from the attribute that has the highest negative gap value. Keywords: patient satisfaction, outpatient, health service facilities.

Background: Type 2 diabetes mellitus can affect all aspects of the patient's life so that it can be life threatening if not treated properly. The problems experienced by Type 2 Diabetes Mellitus patients can be minimized by having sufficient knowledge and ability to control their disease with self-care. Self Care describes patient behavior carried out consciously and independently with the aim of optimizing and increasing independence in terms of health. Development of an empowerment program for Type 2 Diabetes Mellitus patients through a cadre approach. Purpose: the aim of this activity is to increase cadres' ability to manage self-care for type 2 diabetes mellitus patients. Method: The method of community service activities is cadre empowerment. Activities were carried out in Sembung Village, Mengwi, Badung with 50 health cadres as partners. Result: The result of this activity is that there has been an increase in understanding by 60% and cadres have increased the ability of type 2 Diabetes Mellitus patients to carry out independent care. Conclusion: The conclusion is that health cadres are able to act as motivators and mentors in carrying out comprehensive self-care for Type 2 Diabetes Mellitus patients.

Abortion is the termination of a pregnancy before 20 weeks of age and can also occur at 12 weeks of gestation or when the fetus weighs less than 500 grams. According to the World Health Organization (WHO), the incidence of abortion in Indonesia is the highest among other Southeast Asian countries, namely 2 million out of 4.2 million people. Incomplete abortion, that is, only part of the conception is removed, what remains is the decidua or placenta. Initially there is bleeding in the decidua basalis, followed by necrosis of the surrounding tissue, then part or all of the products of conception are released. Other complications of incomplete abortion are infection, perforation, and shock. The purpose of this study was to provide nursing care for patients with incomplete abortion in the couch room at Aisyiyah Pariaman Hospital. The research used a descriptive approach in the form of a case study to find out the problem of nursing care in patients with incomplete abortions in the couch room of Aisyiyah Pariaman Hospital with one patient. This research was conducted on 20-24 February 2023, The results of the study after the study found 3 diagnoses, namely: Anxiety related to situational crises,Riskfor hypovolemia related to active fluid lossand Acute pain related to physiological injury,. During the 5 days of the study the patient went home with thesuggestion that the patient could carry out home care and control according to the recommendations from the hospital.

Background: Non-communicable chronic diseases are currently a global health problem. Treatment of chronic diseases is serious because it can affect the patient's quality of life and consume quite a large amount of treatment funding. However, pharmacological treatment cannot be effective if chronic disease patients are unable to manage stress. For this reason, therapeutic modalities are needed that are able to treat patients as a whole, both bio-psycho-social and spiritual, one of which is the spiritual emotional freedom technique (SEFT). Purpose: This community service activity aims to increase the resilience of chronic disease patients through SEFT training. Method: Activities were provided for posyandu cadres in Kayuputih Village, Sukasada I Community Health Center Working Area. The training method was carried out by giving lectures, demonstrations, guided re-demonstrations, providing media, and evaluation. Results: SEFT is a non-pharmacological therapy that is acceptable to participants. SEFT can be done independently with the guidance of media leaflets and video demonstrations. SEFT is considered a unique way of praying and is modified by healing efforts by tapping specific points on the body. Conclusion: SEFT can be an alternative choice for chronic disease patients to maintain resilience in long-term self-care.

Introduction : Smart hospital is an emerging and fast-developing innovation in the context of a rapid increase of internet users, an increasing demand for high-quality medical resources, and an aging population worldwide. It generally involves the use of the optimized and automated processes built on an information and communications technology (ICT) environment, especially based on the Internet of things (IoT), to offer assessment, consultation, direct treatment, services, and integrated care. This innovation has the potential and has already gained initial evidence to improve healthcare access, efficiency, or even effectiveness. Yet, along with these positive impacts and promises, a number of issues and challenges also appear.Methods: Study This is study quantitative with design survey research. Study This done on the month of June 2023. Instruments used in study This use questionnaire with the HOT-Fit method consisting of the 47 questions divided in 6 groups question namely: Human, Organization, Technology, Knowledge Users Regulations and Benefits. Subject for this study is hospital managers, administration staff and health workers. Data analysis using analysis multivariate .Result: 22 hospital state that digitization service health to a very smart hospital important one of them is applied For increase quality service House hurts and improves satisfaction patient. In application of smart hospital Sick need integrate between technology, service and regulation.Conclusion : Smart hospitals can influence health and medical policies and create new medical values by defining and quantitatively measuring detailed indicators based on data collected from existing hospitals. Simultaneously, appropriate government incentives, consolidated interdisciplinary research, and active participation by industry are required to foster and facilitate smart hospitals.   Keywords: ,   

Proper complementary nutrition is critical for child growth. Currently, UPF consumption is common, affecting IYCFP, where many older persons use CCF. Indeed, CCF has a negative impact on children's growth and development. Many factors contribute to this, one of which is a lack of assistance from other health providers, especially midwives. In Indonesia, midwives are the primary health workers that offer direct care to mothers. According to several sources, midwives continue to provide little support in this area due to insufficient experience and expertise. The purpose of this study is to determine the level of awareness of UPF and ICYFP among midwives. The method employed is a hybrid strategy that employs successive explanation strategies. 114 midwives participated in the online study in 2022. The results of this study showed that there are still many midwives who do not know about UPF and IYCFP education and advocacy. There needs to be government support to conduct comprehensive education in the health sector, including midwives.

Electronic Medical Records (EMR) is one of the health IT applications that is becoming a trend around the world. EMRs are considered to improve the overall quality of care and have an impact on patient safety. EMRs can also help reduce costs, improve accessibility, and improve the quality of hospital services. Therefore, the preparedness analysis of the implementation of EMR with the DOQ-IT approach (Doctor's Office Quality-Information Technology) is the goal of this research. This research uses a type of quantitative descriptive research with a cross sectional approach. The samples were taken from all the officers who were in direct contact with the medical records at AMC Aisyiyah Clinic. Sampling technique using a total sampling of eight officers. Primary data collection is done with a questionnaire. The method of analysis used is descriptive analysis of frequencies, percentages, graphs and tables. From the results of analysis using the DOQ-IT method obtained a total score of 104.75 belongs to category III which shows that human resources, organizational work culture, governance and leadership, IT infrastructure AMC Aisyiyah Clinic is ready to take advantage of EMR as well as overcome the potential challenges for successful adoption of the EMR.

Background: Diabetes Mellitus (DM) is a disease that is increasing every year in countries around the world. Reports from various regions in Indonesia show that the incidence and complications of DM are widespread, making it a national problem that requires more attention. A frequently encountered complication of DM is diabetic foot, which can manifest as ulcers, infection and gangrene. Actions to treat diabetic foot include preventive measures which include foot care education, diabetic shoes and foot exercises. Foot exercises are exercises carried out by DM sufferers and non-sufferers to prevent injuries and help improve blood circulation in the legs. Apart from their role in providing health education, nurses as members of the medical team can also play a role in teaching foot exercises so that DM patients are able to do foot exercises independently. Objective: To increase the knowledge and skills of DM sufferers by implementing foot exercises in an effort to prevent diabetes complications in the feet (diabetic foot). Method: Foot exercise activities are carried out on DM sufferers who do not have wounds on the feet. The methods used were lectures, questions and answers, and direct demonstrations using newspapers. Results: The results of the activities obtained were an increase in knowledge before and after providing counseling and demonstrations of foot exercises for DM sufferers. Conclusion: After carrying out this community service, the community's ability to do foot exercises has increased and can be done independently, so it is hoped that this can prevent complications in DM sufferers.

Stroke is still the main cause of disability in the world. The impact of a stroke relies heavily on the location and extent of damage, and age. Post-stroke is the most difficult period for patients in they personal care. Family support is essential to increase confidence for rehabilitation in post-stroke patients. Rehabilitation  in post-stroke patients is done so that post-stroke patients are able to perform daily activities independently. The aims of this study to determine the relationship family support with increasing muscle strength rehabilitation in  post-stroke adult. The Method : This research was an analytical observational and was conducted in Bukittinggi City on July, 2023. The variables studied family support with muscle strength. This research is a quantitative research with Cross-sectional design. The population in this study were post-stroke patients 50 people and the sample amounted to 42 respondent. Results : The result of this research shows that there is a strong relationship between family support and increasing muscle strength in rehabilitation p-value 0.006<0.05. The conclusion is family support has impact to inceasing muscle strength rehabilitation of post-stroke adult patients. It is recommended for health workers to provide counseling to improve family support in curing stroke patients. The study confirms the importance of family support in terms of information support and awards support to the quality of life of patients with post-stroke.

Antenatal Care (ANC) is the most important component of pregnant women's health services to reduce maternal and infant mortality rates. With ANC, the progress of the pregnant woman's condition will be well monitored at all times and knowledge about childbirth preparation will increase. Based on the background above, the researcher is interested in taking the title Counseling Pregnant Women Through Antenatal Care Services to Prevent Chronic Energy Deficiency which aims to improve and maintain the health of mothers and babies, prepare for the birthing process so that the baby can be delivered safely and minimize trauma that may occur in the child. during childbirth and reduce the number of deaths and morbidity rates in mothers. The data collection method that the author uses is the survey method. The survey method is a method used as a general category of research, one of which uses a questionnaire. The research results showed that the average knowledge score before and after the health education was carried out increased by 42.21 points, which means that the health education carried out had an impact on increasing the knowledge of Health Information Management students about ANC disease in pregnant women who experience CED. The increase in the average knowledge score is possible because health education uses appropriate methods and media such as lectures and discussions. Leaflet media also helps health education participants to easily remember the material. Using appropriate methods and media in health education can help health education participants understand the material

Teenage pregnancy is a pregnancy that occurs at a young age <20 years which is the result of sexual behavior either intentionally (married) or unintentionally (not married). Based on data from the Batam City Health Office for 2022 regarding reproductive health, it shows that teenage pregnancies are experienced by adolescents aged 15-18 years, namely 129 souls of the teenage target, namely 117,411 souls. Of the 21 puskesmas in Batam City, there are three puskesmas with the highest Teenage Pregnancy rate (≤20 years) obtained at the Tanjung Sengkuang puskesmas with 22.48% with 29 cases, Lubuk Baja 16.27% with 21 cases and Sei Lekop 10.85% with 14 cases. This Final Project aims to provide midwifery care for Adolescent Pregnancy at the Tanjung Sengkuang Health Center in Batam City in 2023. This case study method uses a descriptive method with a case study approach. Based on the results of the case study it can be concluded that Mrs. D, 17 years old G1P0A0, 31 weeks' gestational age with normal results of pregnancy care for 12 days, indicated by the good condition of the mother and fetus, the mother has accepted her pregnancy and has had her pregnancy checked at the health service. It is expected that the role of health workers is to detect the risk of complications in teenage pregnancy by being aware of emergency symptoms that require immediate action.

This paper aims abnalyze The physical and psychosocial development of children and adolescents is a broad topic and complex. Children begin to develop the ability to think, learn, and remember, and begin to develop the ability to control emotions and interact with people other. In adolescence, individuals experience a transition between childhood and adulthood adult life is characterized by biological growth and development and psychological. Children's physical and psychosocial development of adolescents can begin with an explanation of the importance of understanding physical and psychosocial development during childhood and adolescence. Matter This is because this period is a very important period in a person's life, in where many significant changes and developments occurred. Additionally, understanding of Physical and psychosocial development during childhood and adolescence is also very important for parents, teachers and health workers in providing appropriate care and upbringing. Physical development during childhood and adolescence includes growth and development of body organs, nervous system, and motor abilities. Meanwhile development Psychosocial includes emotional, social and cognitive development. During childhood, Physical and psychosocial development is greatly influenced by the environment and upbringing accepted. Meanwhile, during adolescence, physical and psychosocial development is influenced by internal and external factors, such as hormonal changes, social environment, and pressure from friends peer. In discussing children's physical development and adolescent psychosocial development, it needs to be emphasized that each individual has different developments, depending on factors which influences it.

The impact of drug use is extremely harmful in the long run. In this regard, this article aims to reflect more deeply on the real impacts of drug use in our society. Through a better understanding of this issue, it is hoped that a stronger collective consciousness can be formed to face this challenge in a more effective and holistic way. The method used in this research is qualitative. The result is that drug use is not only an individual problem, but also a complex social problem that requires a holistic approach from various parties, including the government, health institutions, education, and society as a whole. Prevention, education, and access to adequate rehabilitation and health care services are key to addressing the negative impacts of drug use.

Background: Data obtained from the Palembang city health office that the incidence of head injuries in 2018 there were (16.15) patients. Head injury (trauma capitis) is a mechanical injury that directly or indirectly affects the head that results in head wounds, fractures of the bones of the skull, tearing of brain membranes, and damage to brain tissue, as well as resulting in neurological disorders. One of the nonpharmacological therapies that can be given to patients who experience pain in minor head injuries is music therapy. Objectives: to gain real experience and knowledge and to document the application of music therapy to pain scales in nursing care for minor head injuries. Methods: this type of scientific paper uses a descriptive method with a case study approach to explore the problem of nursing care in two patients with minor head injuries. Nursing care was carried out on two patients, which was carried out on June 15 to 17, 2022. Results: from music therapy actions to Mr. A and Mr. D with the first diagnosis of acute pain related to physical injury agents. The results of the evaluation of the first patient, Mr. A, found that the patient experienced a decrease in the pain scale to 3 (mild), before music therapy the pain scale was 5 (moderate), the pain problem was resolved, and the intervention was stopped. For the evaluation, the second patient, Mr. D, obtained a pain scale of 2 (mild), before music therapy the pain scale was 4 (moderate), the pain problem was resolved, and the intervention was stopped. Conclusion: the results of the nursing evaluation on Mr. A and Mr. D problems resolved the intervention was stopped. It can be concluded that music therapy can reduce pain in patients with mild head injuries.

. Parents are the main and first educators of their children, because it is from them that the child first receives education. The role of parents as the main and first educators for children is also because heredity they are destined to be parents who give birth. So by nature, inevitably parents who are the main and first responsible for children can receive education. The dedication of parents in caring for children with special needs has a very impact on the survival of children with special needs in the future, the child's growth and development process will be affected if parents cannot determine the right caregiver style. Children who have unique needs need additional care from classmates, parents, teachers, and other family members. In order for children with special needs to reach their full potential, it is important that they should be given support rather than ignored or ostracized.  Children suffering from physical or mental health problems should receive different care than other children.  Similarly, to improve learning achievement and, in particular, to give priority to the improvement of physical and mental growth they must be equipped with the necessary means and facilities for their activities.

Anemia in pregnancy may have a bad effect on the mother and fetus. The anemia occurred in a pregnant mother will increase the risk of mortality of the mother compared to those without anemia. The presence of iron-deficiency anemia during pregnancy could be identified through ANC examination through the admission of iron (FE) tablet supplementation which is very vital for the increase of hemoglobin (Hb) of the blood of the pregnant mothers. According to the research conducted  in Aceh Regency, any pregnant mother who does not receive a standard ANC service could result in inconstancy of FE tablet consumption, which later will increase the risk of anemia.To find out the effect of antenatal care frequency on the constancy of FE tablet consumption on pregnant mothers in Puskesmas (Community Health Center) of  Meukek. The research design used in this research is the quantitative research with cross-sectional approach. The sampling was conducted by using total sampling method with a total of 40 pregnant mothers as the respondents. The instruments used in this research are the KIA card for pregnant mothers on the antenatal care visit variable and the questionnaire on the constancy of FE tablet consumption variable. The bivariate analysis was conducted using Chi-square test.The x2 value obtained is 9,401 and the p value = 0,002 (p<0,05) and OR=17,889 (95% CI [1,919-166,782), which showed that there is an effect of the antenatal care frequency on the constancy of Fe tablet consumption on the 3rd trimester pregnant mothers.The antenatal care frequency has an effect on the constancy of Fe tablet consumption on the 3rd trimester pregnant mothers.