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Healthcare Associated Infections (HAIs) are serious occurrences and problems that are often found in all hospital facilities. HAIs cause extended hospitalization, permanent disability, increased treatment costs, and death. Hand Hygiene has an important role in the prevention and control of HAIs. This study aims to see the compliance of nurses' hand hygiene and nurses' knowledge of healthcare associated infections (HAIs) in the intensive care unit of Santa Elisabeth Hospital Medan in 2024. The type of research design used was descriptive with a sampling technique using a total of 31 respondents. Based on the results of the study, it was found that most nurses were obedient in carrying out hand hygiene (83.9%) and knowledge that is about the prevention of HAIs was found to be a large number of nurses who had high knowledge (67.7%). It is hoped that nurses maintain compliance in performing hand hygiene so that HAIs do not occur.

Background: Cardiac catheterization is the most widely used diagnostic and hemodynamic intervention procedure in the world for the treatment of coronary heart disease (CHD). Cardiac catheterization can cause anxiety in patients who will undergo it. Objective: To analyze the factors that influence the anxiety of patients who will undergo cardiac catheterization. Method: This study is a descriptive analytical study with a cross-sectional approach conducted at Murni Teguh Memorial Hospital Medan. The study population was 40 people, and all of them were used as samples (total sampling). The research instrument was a questionnaire. Data analysis was carried out univariately and bivariately using the Chi-Square test with a significance level of 95% (= 0.05). Results: This study shows that there is a significant influence between knowledge, family support, past experience, and education level on the anxiety of patients who will undergo cardiac catheterization at Murni Teguh Hospital Medan. This is proven by the chi square test with p values for each knowledge (p = 0.000); family support (p = 0.002); past experience (p = 0.003); and education (p=0.003) which are all less than 0.005. Conclusion: Cardiac catheterization patient anxiety is influenced by knowledge, family support, past experience, and education level. Suggestion: It is recommended that further researchers increase the number of samples and independent variables, considering that many factors influence patient anxiety before cardiac catheterization/angiography

Hypertension is a chronic disease that shows blood pressure above normal limits and is a global health problem and is a risk factor for cardiovascular disease. Treatment adherence is defined as the patient's level of willingness and the extent to which they strive and behave to follow medical directives, regulations, or recommendations provided by healthcare professionals in an effort to assist the patient's recovery. Adherence to taking medication allows patients to keep their blood pressure stable in order to avoid complications. This study aims to see the compliance of hypertension drug patients at the Heart Poly of Santa Elisabeth Hospital Medan in 2024. The research method used is a descriptive approach. The population in this study is 178 people, the number of samples is 82 people. Sampling technique with accidental sampling technique. The results of the study showed that from 82 respondents, the data obtained that the most age respondents were 38-53 years old with a total of 36 respondents (47.6%), the data on the most gender respondents were women as many as 48 respondents (48.5%), the data on the most education respondents was education as many as 32 respondents (39%), the data on the most respondents suffering from hypertension was 2 years of hypertension as many as 24 respondents (29.3%). The picture of the level of drug compliance of hypertension patients at the Heart Polyclinic of Santa Elisabeth Hospital Medan in 2024 is at a moderate level of 31 respondents (37.8%).

Anxiety is an emotional response to uncertainty or threats that cause feelings of anxiety, worry, excessive tension, which are continuous and can interfere with the patient's process of action and healing, therefore it is necessary to have good and correct therapeutic communication, to build a relationship of mutual trust, empathy, support and help the patient in problem solving. This study aims to identify the Relationship between Nurse Therapeutic Communication and Anxiety Level in Preoperative Patients at Santa Elisabeth Hospital Medan in 2024. The research design uses correlational with a cross sectional approach, purposive sampling technique with a sample of 64 respondents. The instruments used were the nurse therapeutic communication questionnaire and the anxiety questionnaire. The results of the study showed that the majority of therapeutic communication among nurses in the inpatient room of Santa Elisabeth Hospital Medan was in the good category as many as 34 respondents (53.1%), and the level of anxiety of preoperative patients was majority in the medium category as many as 30 respondents (46.9%). The spearman rank statistical test on SPSS obtained a P-Value = 0.000 which means that there is a relationship between the therapeutic communication of nurses and the level of patient anxiety at Santa Elisabeth Hospital Medan. It is expected that the nurses in Pauline's room will further improve therapeutic communication to pre-operative patients.

Hypertension substantially increases the risk of developing secondary conditions, including stroke, renal disease, coronary heart disease, and heart failure. Early management is therefore essential to prevent complications and adverse outcomes. Evidence indicates that untreated hypertension contributes to approximately 60% of stroke cases. Public knowledge regarding hypertension-related complications remains limited, and many individuals are unable to identify early signs of stroke the most common complication associated with hypertension. This study aimed to assess the knowledge of hypertensive patients regarding stroke risk and management at Santa Elisabeth Hospital Medan in 2024. A descriptive research design was employed. The sample consisted of 67 hypertensive patients attending the outpatient clinic, selected through purposive sampling. Data were presented using frequency distribution tables. The findings revealed that 52.2% of respondents demonstrated poor knowledge, 32.8% had moderate knowledge, and only 14.9% showed good knowledge regarding stroke risk and management. These results underscore the need for patients to adopt healthier lifestyles and for the hospital to strengthen educational efforts by providing more engaging and interactive learning materials for patients and their families.

MSMEs are a sector that plays a vital role in the Indonesian economy, both as labor absorbers and significant contributors to Gross Domestic Product (GDP). However, amidst increasingly competitive business competition, the sustainability of MSMEs is largely determined by the ability of entrepreneurs to formulate and implement appropriate business strategies. This study aims to analyze the role of business strategies in increasing revenue by taking a case study of the Dimsum Mentai MSME in Medan City. The research method used is a qualitative approach with data collection techniques through interviews, observation, and documentation. The research results show that the business strategies implemented by the Dimsum Mentai MSME include product innovation through a combination of traditional and modern flavors, the implementation of value-added packages to reach consumers with diverse purchasing power, the selection of a strategic business location near student activity centers, and the use of social media as a digital promotional tool. These strategies have been proven to increase consumer appeal, expand market reach, and positively contribute to increasing business revenue. Thus, it can be concluded that business strategy plays a crucial role in maintaining competitiveness and increasing revenue for MSMEs in the culinary sector. The findings of this study are expected to contribute academically to the development of MSME business strategy studies and provide practical recommendations for entrepreneurs to optimize their business potential amidst constantly changing market dynamics.

This study aims to examine the contribution of business ethics and the implementation of Corporate Social Responsibility (CSR) to the business sustainability of the Micro, Small, and Medium Enterprise (MSME) Depot Air Barokah in Medan City. Using a case study approach, the research explores how ethical practices in service, honesty in product quality, and social concern for the environment and surrounding community can build consumer trust and enhance business competitiveness. These ethical and social dimensions are seen as essential components in sustaining long-term business operations, especially in competitive markets. Data were collected through interviews, direct observations, and supporting documentation, and were analyzed using a descriptive qualitative method to provide a comprehensive understanding of the enterprise's practices. The results indicate that the application of ethical and socially responsible business practices has a positive impact on customer loyalty, brand image, and the operational sustainability of Depot Air Barokah. Therefore, MSMEs that consistently uphold business ethics and implement CSR not only achieve economic benefits but also foster harmonious relationships with consumers, stakeholders, and the broader community.

Background: Patient safety in hospitals is a crucial aspect in efforts to prevent unwanted events (KTD) that can endanger patients. Unwanted events (KTD) often occur during the patient transfer process in hospitalized patients. Objective: To determine nurses' compliance with the implementation of the sbar method in patient transfers to improve patient safety. Method: This study is a quantitative study with a descriptive approach. The study was conducted in the inpatient ward of Murni Teguh Hospital Medan. The population, namely 252 implementing nurses and 50 samples were obtained. Sampling was carried out using purposive sampling. Analysis was carried out univariately in a frequency distribution table. Results: This study shows that the characteristics of nurses at Murni Teguh Hospital Medan are mostly female (92.0%), aged 20-35 years (52.0%), with a Bachelor's degree in Nursing (76.0%). Nurses' compliance in carrying out SBAR communication during patient transfers at Murni Teguh Hospital Medan is in the compliant category (60.0%), fairly compliant category (34.0%), and less compliant category (6.0%). Conclusion: Nurses are compliant in implementing the SBAR method during patient transfers to improve patient safety. Suggestion: Nurses at Murni Teguh Hospital Medan are advised to continue to improve their competence in using SBAR communication, especially in critical patient transfer situations.

This study aims to analyze variations in flood inundation heights in Medan City through 2024 using a quantitative approach based on Geographic Information Systems (GIS). The data used include field surveys, flood hazard maps, rainfall data, land use, and regional topography. The results show that flood heights vary between 0 and 100 cm, with distribution influenced by a combination of rainfall intensity, land use changes, drainage capacity, and topographic characteristics. The northern area of ​​the city has the highest flood heights and risk, driven by low elevation, inadequate drainage systems, and proximity to the coast and major rivers. This study emphasizes the importance of drainage management, river normalization, and spatial utilization control as effective and sustainable flood mitigation measures in Medan City. The findings of this study recommend improvements to the drainage system, river normalization, spatial utilization control, and the use of spatial data as a basis for more effective and sustainable flood mitigation planning in Medan City.

Sexual violence within the family is a serious criminal act that not only violates the law but also causes profound physical and psychological suffering for victims. The complexity of such cases increases as the perpetrators are often close family members, resulting in trauma and obstacles in law enforcement. Decision Number 2068/Pid.Sus/2020/PN.Medan serves as the basis for analyzing the extent to which legal protection can be provided to victims. The research problems addressed are: (1) what forms of legal protection are available for victims of sexual violence within the family under Indonesian positive law, and (2) how such protection is implemented in Decision Number 2068/Pid.Sus/2020/PN.Medan. The research method applied is normative juridical with statutory, conceptual, and case study approaches. Data sources include legislation, legal literature, and court decision analysis. The findings reveal that legal protection for victims is regulated under the Child Protection Law, the Criminal Code, and other legal instruments emphasizing preventive, repressive, and rehabilitative measures. The Medan District Court imposed a severe sentence on the perpetrator in accordance with the law; however, protection for victims remains limited to formal aspects without comprehensive psychological recovery programs. In conclusion, the protection of victims of sexual violence within the family has been clearly regulated on a normative basis, but its implementation remains weak. Greater collaboration between law enforcement authorities, child protection institutions, and professionals is necessary to ensure the holistic recovery of victims.

This research aims to explore the role of service excellence in enhancing consumer loyalty in culinary MSMEs, with a case study at RM Kamang Jaya in Medan City. In facing intense competition in the food industry, excellent service becomes an important strategy to maintain and expand the customer base. A qualitative approach with a case study method was employed to deeply examine customer experiences, perceptions, and service practices through interviews, observations, and documentation. The findings show that the consistent application of service standards, friendly attitudes of staff, and attention to detail in service delivery greatly contribute to customer satisfaction and loyalty. Good service has been proven to encourage repeat orders, create positive experiences, and enhance word-of-mouth promotion. Despite some technical obstacles, such as order errors or menu limitations, the quick response and professional attitude of employees were able to minimize their impact. These findings confirm that service excellence not only meets the functional needs of consumers but also builds emotional attachment, which becomes the foundation of long-term loyalty. The implications of this research are significant for other MSME actors in designing superior service strategies to face increasingly complex business competition.

This study aims to analyze the operational strategies, promotional practices, and implementation of business ethics at the small and medium enterprise (SME) Warung Makan (RM) Bunda in Medan City. The research employs a case study approach with a qualitative-descriptive method. Primary data were collected through semi-structured interviews with the owner, employees, and selected customers using purposive sampling, complemented by participatory observation and document analysis such as sales records, simple financial reports, and promotional materials. Data were analyzed through inductive and deductive coding processes to identify key themes, including understanding of business ethics, implementation of marketing strategies, the impact of these strategies on customer loyalty and brand image, as well as challenges faced in business management. The validity of findings was strengthened through data source triangulation and member checks with key informants. The results indicate that the marketing and promotional strategies implemented have positively influenced the improvement of the business image and customer loyalty, although the SME still faces limitations in resources and market competition challenges. These findings provide important implications for the development of sustainable business strategies for SMEs in the culinary sector.

The development of digital technology has changed the paradigm of MSME businesses, including in building brand image. This study analyzes strategies for enhancing brand image through digital business at Ayam Celup Juaro’s MSMEs in Medan City. The research method uses a qualitative approach with a case study design. Data were collected through in-depth interviews, participatory observation, and documentation studies. The results show that multi-platform digital integration (Instagram, TikTok, WhatsApp) is effective in building brand image. Instagram serves as a medium for visual representation of the brand, TikTok as a driver for acquiring new customers through viral content, and WhatsApp as a means of personal communication to maintain customer loyalty. The key factors for success are content consistency and timely service. The main obstacles faced are budget constraints and challenges in maintaining content consistency. This research provides practical contributions for SMEs in developing integrated digital strategies to enhance brand image in the era of the 4th Industrial Revolution.

Tax fairness has become a central concern in improving individual taxpayer compliance in Indonesia, particularly amid increasingly complex regulations and declining public trust in fiscal institutions. This study stems from the urgent need to understand how individual taxpayers interpret the notion of tax fairness and how these interpretations shape their willingness to comply. The primary objective is to explore the underlying dimensions of tax fairness procedural, distributive, and interactional and to explain how these dimensions relate to the development of voluntary compliance. Employing an interpretive qualitative approach, this research relies on in-depth interviews with 15 individual taxpayers located in Jakarta, Yogyakarta, and Medan, selected through purposive sampling. The data were examined using Interpretative Phenomenological Analysis (IPA) to uncover recurring themes and the subjective experiences shared by participants. Findings reveal that perceptions of procedural and interactional fairness exert the strongest influence on compliance behavior, while distributive fairness is often viewed negatively due to perceived inequality in public benefit allocation and the complexity of tax rules. Trust in government and social morality emerge as critical mediators linking fairness perceptions to voluntary compliance. The study contributes theoretically by integrating Equity Theory, Tax Morale Theory, and the Slippery Slope Framework within the Indonesian cultural context, emphasizing that tax fairness forms the moral foundation of voluntary compliance. Practical implications highlight the need for equitable public services, stronger fiscal transparency, and value-based tax education. Future research is encouraged to adopt mixed-methods designs to provide deeper quantitative insights into the relationship between fairness, trust, and tax compliance across diverse social settings.

The absence of a father or fatherlessness in a family is a serious problem that affects children's social, psychological, and educational development. This condition becomes even more complex when experienced by street children who live in limited economic conditions and lack family support. The purpose of this study is to reveal the social life of street children on Jalan Krakatau Ujung, Medan Deli District, find the factors that cause fatherlessness, and study the consequences. This study is a qualitative study conducted through a descriptive approach. Data were collected through documentation and in-depth interviews with street children, parents, and community leaders. The results of the study show that the factors causing fatherlessness include divorce, abandonment, and the death of the father. Fathers may also migrate or engage in deviant behavior, such as drug abuse. Children without parents have visible impacts in the form of psychological vulnerability, such as loneliness, lack of self-control, and lack of self-confidence; social impacts, such as difficulty socializing, vulnerability to bullying and exploitation; and educational impacts, such as lack of desire to learn and limited access to education. The lives of street children at the traffic light intersection on Jalan Krakatau Ujung show weak family functioning, especially the role of the father, which encourages children to earn their own living from an early age.

The floods that struck Medan City between late November and early December 2025 significantly affected the psychosocial wellbeing of children aged 4–7 years living in evacuation shelters. Children in this developmental stage are highly vulnerable to stress, anxiety, and behavioral changes following disaster exposure. This community service program aimed to implement an Integrated Psychosocial Support Model designed to promote emotional recovery among children and strengthen the capacities of parents and shelter facilitators. The methods included play-based psychosocial activities, safe digital literacy education, parental engagement sessions, and capacity-building for local volunteers. The intervention was conducted at two evacuation shelters in Medan Labuhan and Belawan, involving approximately 220 children. The results demonstrated substantial improvements in adaptive behavior indicators—group participation, ability to follow instructions, positive emotional expression, and peer interaction—with an average increase of 1.25 points. Social transformations also emerged, including the establishment of child-friendly spaces, enhanced supportive parenting practices, and the rise of local leaders within the community. These findings indicate that integrated psychosocial support is an effective approach for post-disaster child recovery and can be replicated in similar humanitarian settings.

The increase in the population of Medan City has a direct impact on the increasing demand for housing and settlements, which is not always in line with environmental carrying capacity and the fulfillment of livable housing standards. Residential buildings contribute significantly to energy and water consumption, as well as environmental degradation, thus requiring a sustainable design approach. This study aims to formulate criteria and principles for the design of simple, livable houses by applying the concept of green buildings. The research method used is descriptive qualitative with a focus on the design of class 1a residential buildings. The study was conducted through a review of relevant regulations and standards, including the Ministry of Public Works and Public Housing's Green Building principles, the GREENSHIP Homes assessment system by the Green Building Council Indonesia, and livable housing indicators from the North Sumatra II Housing Provision Implementation Center. The results of the study show that the application of green building concepts in Small Houses can be realized through proper site management, optimization of natural lighting and ventilation, efficient use of energy and water, sustainable waste and wastewater management, and the selection of environmentally friendly building materials. The application of these principles can produce Small Houses that not only meet livable standards but also contribute to environmental sustainability.

This community service activity was conducted by lecturers from STIM Sukma in October 2025 at Medan Tembung District. The aim was to enhance the awareness and understanding of construction workers regarding the importance of using Personal Protective Equipment (PPE) as a preventive measure against occupational accidents. Ten construction workers participated in the socialization activity, which included interactive lectures, group discussions, and simple demonstrations on the proper use of PPE. The results indicated a positive improvement in workers’ knowledge and awareness toward PPE use, although some limitations were observed regarding tool availability and habitual work behaviors. This activity highlights the significance of an educational and humanistic approach in cultivating a culture of safety within the informal construction sector. Through follow-up programs and regular mentoring, it is hoped that changes in worker behavior will develop more consistently. Furthermore, collaboration with local stakeholders is crucial to ensure the availability of PPE and the desire for a culture of workplace safety within the community.

This study aims to analyze the disparity between the number of job seekers and available job vacancies in Medan City during 2023–2024, a condition that reflects a significant imbalance in the local labor market. The background of this research arises from the persistent surplus of job seekers, coupled with the sharp decline in job openings that suggests the presence of structural unemployment and a mismatch between educational qualifications and labor market needs. Using a quantitative-descriptive approach through literature review and secondary data analysis from official labor statistics, this study provides a comprehensive overview of the labor market dynamics in Medan City. The findings show that in 2023, there were 4,661 registered job seekers compared to only 2,777 available vacancies, resulting in a surplus of 1,884 individuals. The situation worsened in 2024 as job vacancies dropped drastically to 1,016 positions, while the number of job seekers reached 2,293, leaving a surplus of 1,277 individuals. The study also reveals that job seekers are predominantly senior high school graduates, accounting for approximately 80 percent of the total, while job vacancies are concentrated in the manufacturing and trade sectors—both of which experienced severe contraction in 2024. These conditions reflect multidimensional mismatches in the labor market, including vertical and horizontal mismatches, as well as a structural shift towards a service-based economy that has not fully absorbed the workforce. The implications of this study highlight the urgency of strengthening vocational training programs, aligning educational curricula with industry needs, diversifying the local economy, and enhancing job seekers’ competencies to improve competitiveness in an increasingly challenging labor market.

The purpose of this study is to evaluate income inequality and poverty as key indicators of uneven economic development in North Sumatra Province in 2024. This study analyzed various secondary sources, including BPS reports, SINTA-indexed national journals, and regional economic policy publications. The results show that regencies in the west coast and mountainous regions of North Sumatra tend to be lagging behind, while urban areas such as Medan and Deli Serdang have the highest concentration of economic growth, meaning that income inequality remains at a moderate-high level. The finding that economic progress remains uneven is reinforced by the fact that the poverty rate remains higher than the national average. From the results of this study, not only economic factors influence inequality and poverty, but also structural factors such as infrastructure access, human labor quality, and regional fiscal inequality. Therefore, more inclusive and integrated policies are needed to address inequality and improve welfare across all provinces.