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The background of this study is bacteriuria, which is a cause of Urinary Tract Infections (UTIs). Bacteriuria indicates the growth of microorganisms in the urine, which is influenced by increased secretion of the hormone progesterone. This study aims to determine the characteristics of asymptomatic bacteriuria in Passo Christian High School students. The method used in this study is a descriptive method with a total sample of 25 students selected using a total sampling technique. The results showed that respondents were aged between 15 and 20 years, with 18 male respondents (72%) and 7 female respondents (28%). The results of urine culture and colony count examinations showed that 25 respondents (100%) had negative results, meaning that no bacteriuria was detected in these students. The conclusion of this study is that no indication of asymptomatic bacteriuria was found in Passo Christian High School students, indicating that in this sample, none of the students experienced urinary tract infections caused by bacteriuria.

The background of this study is the practice of open defecation (OD), which is a public health problem. OD refers to the act of disposing of feces in open areas such as rice fields, fields, bushes, rivers, and beaches, which can pollute the environment, soil, air, and water. This study aims to determine the knowledge, attitudes, and practices of the community in RT 05 Haya Village, Tehoru District, Central Maluku Regency regarding stopping ODD. This study used a descriptive method, with a sample of 40 families selected through a random sampling technique. Data were collected using a questionnaire. The results showed that most people had quite good knowledge about ODD, with 50% of respondents in the quite good category. Community attitudes were also quite good, with 70% of respondents showing a positive attitude towards stopping ODD. However, community actions were still less good, with 42.5% of respondents showing less good actions regarding ODD. The conclusion of this study is that although the knowledge and attitudes of the community in Haya Village were quite good, their actions were still lacking. Therefore, cooperation is needed between the village government, Tehoru Health Center, and community leaders to regularly hold outreach regarding BABS.

High-risk pregnancy is a pregnancy with a number of risk factors that can cause more serious risks or complications and disrupt the pregnancy process until the postpartum period which endangers the life of the mother and fetus, and occurs due to several factors including pregnancies that are too close together, pregnancies with a mother's age that is too young or old, or pregnancies with too frequent births. Too close pregnancy spacing is a pregnancy gap of <24 months (2 years) between the current pregnancy and the previous pregnancy. Based on the midwifery management method described by VARNEY and SOAP, this study aims to offer complete midwifery care services to Mrs. T, from pregnancy to the use of contraceptives, through a qualitative descriptive method with a case study approach. Research findings from the comprehensive midwifery care assessment that has been provided to Mrs. T aged 31 years, in pregnancy found problems spacing of less than 2 years. Mrs. T gave birth spontaneously at Siti Asiyah Bumiayu Hospital with severe preeclampsia. At By. Mrs. T visits I, II, III no problems were found. Mrs. T's postpartum. From 6 hours postpartum to 42 days postpartum, problems were found at the second visit, including hypertension and lower extremity oedema. Proper care from midwives during pregnancy, childbirth, newborn care, postpartum care, and family planning is crucial for the health of both mother and baby.

Maternal mortality remains a challenge in Indonesia, and one contributing factor is chronic malnutrition (CED), which impacts pregnancy, childbirth, the postpartum period, and the newborn. The 2022 registration report shows that of the 3,249,203 pregnant women whose MUAC was measured, 283,833 had a MUAC of less than 23.5 cm (at risk of CED), meaning 8.7% of these pregnant women were at risk of CED. In the Brebes area, the 2022 report recorded 3,475 pregnant women with CED. At the Bantarkawung Community Health Center in 2023, there were 36 cases of preeclampsia, 22 cases of transverse lie, 107 cases of CED, and anemia. Objective: Provide comprehensive midwifery care in accordance with standards of care for pregnant women, women giving birth, newborns, postpartum women, and family planning. Research method: Qualitative descriptive method, the type of research approach used in this study is a comprehensive case study approach. Results: Comprehensive care was provided to Mrs. R who suffered from chronic energy deficiency, and was successfully overcome. Delivery was carried out by caesarean section, the baby was born normally, and the postpartum period went smoothly, and the mother chose a contraceptive method, namely a three-monthly birth control injection. Conclusion: Comprehensive obstetric care has been proven effective in overcoming chronic energy deficiency, ensuring a safe delivery, a normal baby born, a normal postpartum period, and compliance with contraceptive methods.

The digestive system plays a role in processing food into nutrients so that they can be absorbed and utilized by the body, but it is often found that the digestive system experiences disorders that can be caused by various factors such as infection, inflammation, motility disorders, or even neoplasms (Suryati et al., 2025).One of the diseases caused by digestive system disorders is ileus obstruction, which is a disorder of the digestive system that occurs due to a mechanical blockage in the intestine and is often found in patients with intestinal obstruction. One of the diseases resulting from digestive system disorders isileus obstruction, which is a disorder of the digestive system caused by a mechanical obstruction in the intestines and is commonly found in patients who visit the emergency room. It is estimated that approximately 2-8% and 15% of patients require treatment in the surgical unit (Andi Nailah et al., 2024). Obstructive ileus occurs in the small intestine and can be caused by incarcerated hernia, intussusception, intestinal adhesions or adhesions, ascariasis, volvulus, tumors, or gallstones entering the ileum (Su’un, Gani, & Purnama, 2024). The purpose of this writing is to understand and provide nursing intervention  for Mrs. T with a digestive system disorders: a case of ileus obstruction in Mawar 2 ward dr. Soeselo Regional General Hospital, Tegal Regency. The method used in this writing is a descriptive method. From the case review, it was found that the patient's main complaint was pain in the lower right abdomen. Three diagnoses emerged: acute pain, anxiety, and knowledge deficit. Interventions were developed based on SDKI, SLKI, and SIKI, which can be implemented.

Post-operative care is a critical phase in the recovery process, beginning immediately after the completion of surgery until the patient is stabilized and transferred to the inpatient ward. Among various surgical procedures, lumpectomy is a common intervention performed to manage mammary tumors, aiming to preserve breast tissue while removing the tumor (Arif et al., 2021). This paper presents a case study of Mrs. D, a patient with an endocrine disorder who underwent a right breast lumpectomy at Mawar 2 Ward, Dr. Soeselo Regional General Hospital, Tegal Regency. The study employed a descriptive method to explore the patient’s condition and nursing interventions. Upon assessment, the main complaint reported by the patient was pain localized in the post-operative area. Based on the findings, two primary nursing diagnoses were established: acute pain related to surgical trauma and knowledge deficit related to post-operative care and self-management. Nursing interventions were designed and implemented according to the Indonesian Nursing Diagnosis Standard (SDKI), the Indonesian Nursing Outcomes Standard (SLKI), and the Indonesian Nursing Interventions Standard (SIKI). Interventions included pain management strategies, such as pharmacological support and non-pharmacological relaxation techniques, as well as health education to improve patient knowledge and self-care ability. The case highlights the importance of comprehensive nursing care that addresses both physical discomfort and the patient’s understanding of recovery, thereby promoting optimal health outcomes after breast surgery.

Heart failure or congestive heart failure (CHF) is a condition where the heart is unable to pump blood optimally to meet the body's metabolic needs, resulting in symptoms such as shortness of breath, excessive fatigue, and edema (Majid, 2017). According to WHO data in 2023, CHF is one of the main causes of death with a total of 17.5 million deaths from a total of 58 million cases recorded worldwide. This paper aims to describe and provide an overview of nursing care for patient Mr. H who experiences cardiovascular system disorders in the form of CHF in the Dahlia room of Dr. Soeselo Regional Hospital, Tegal Regency in accordance with nursing practice standards. The method used is a descriptive method through a case study with data collection techniques using interviews and observations. From the results of the case review, the main complaint experienced by the patient was shortness of breath which was quite disruptive to daily activities. Based on this condition, four main nursing diagnoses were found, namely ineffective airway clearance, hypervolemia, activity intolerance, and knowledge deficits related to the disease and self-care. The interventions provided are based on theoretical references in the Indonesian Nursing Diagnosis Standards (IDHS) and the Indonesian Nursing Outcome Standards (SLHS), and are tailored to the patient's actual condition. The implemented action plan is expected to help reduce symptoms, improve the patient's ability to function, and provide a better understanding of CHF so that the patient can actively participate in the care process.

This study investigates the adoption of Electronic Medical Records (EMR) by registration staff at Tangkiling Health Center, Palangka Raya, using the Technology Acceptance Model (TAM) framework. Out of 61 total healthcare workers, five medical record staff with educational backgrounds in midwifery, nursing, dental nursing, and non-medical high school were purposively selected as research participants. The study employed a qualitative descriptive method, combining in-depth interviews and direct field observations. Results indicate that while the staff acknowledged the usefulness of EMR in improving service efficiency and data accessibility, several barriers hindered its effective use—primarily a lack of training, limited digital literacy, unstable internet connectivity, and inadequate hardware such as computers and printers. Observations showed that only the registration unit had a single shared computer, while other units like outpatient clinics, pharmacy, and cashier still relied on manual documentation. This fragmentation has led to duplicate workloads and disrupted patient data continuity. Despite these challenges, the staff demonstrated a positive attitude and strong behavioral intention to adopt EMR if provided with sufficient infrastructure and regular training. The study concludes that successful EMR implementation in primary healthcare requires not only user acceptance but also institutional readiness, adequate resources, and integrated systems across all service units.

The adoption of Hospital Information Systems (HIS) is a crucial step toward improving healthcare service delivery, especially in public hospitals in developing countries. RSUD Prof. Dr. H. Aloei Saboe, a referral hospital in Gorontalo, Indonesia, has implemented the SIMRS Khanza system to digitize inpatient registration and medical documentation. However, limited evaluation has been conducted to assess its effectiveness beyond technical performance. This study aims to evaluate the implementation of SIMRS Khanza using the Human-Organization-Technology Fit (HOT-Fit) framework, which examines the alignment between users, institutional support, and system quality. A qualitative descriptive method was employed, involving in-depth interviews, non-participatory observations, and document reviews with eight informants, including medical record officers, system coordinators, and hospital management. The findings reveal that although most users reported improved efficiency and satisfaction, several issues persist: incomplete training, limited adherence to SOPs, and system performance lags during peak hours. Organizational support was present but inconsistent, and documentation policies lacked specificity for digital contexts. Technologically, the system demonstrated stable output, but responsiveness and integration require enhancement. The synthesis of findings suggests that success in HIS implementation is contingent upon not only system reliability but also continuous user engagement, structured training, and dynamic policy support. Therefore, a holistic strategy integrating human, organizational, and technological components is essential to optimize SIMRS performance and sustainability.

The implementation of Electronic Medical Records (EMR) in outpatient services aims to improve the efficiency, accuracy, and accessibility of clinical information. However, the effectiveness of such systems is highly dependent on user satisfaction. This study evaluated the satisfaction of health personnel using outpatient EMR at Sultan Fatah Regional Hospital, Indonesia, by employing the End User Computing Satisfaction (EUCS) model. The research addressed issues related to incomplete data, low system responsiveness, and interface usability that may affect the quality of service delivery. A qualitative descriptive method was used, involving in-depth interviews, direct observations, and document analysis from 21 informants selected purposively across multiple service units. The EUCS dimensions—content, accuracy, format, ease of use, and timeliness—were used to assess user experience. The findings indicate that users encountered problems such as incomplete patient data and duplicate records (accuracy), non-intuitive interfaces (format and ease of use), and delays in accessing medical information (timeliness). Observations and documentation review further revealed a reliance on manual backups and inconsistencies between digital and physical records. Overall, the study highlights the need for better data integration, enhanced user training, interface redesign, and system infrastructure upgrades to ensure real-time and comprehensive EMR usage. The study concludes that addressing technical and human factors through the EUCS model can enhance user satisfaction and system utilization in outpatient healthcare settings.

Sleep is a basic need for every human being. Every human being needs adequate sleep in order to obtain a healthy and good body. Poor sleep quality is one of the causes of many medical ailments and has a strong relationship between physical, psychological and sleep health. According to several studies on sleep quality, a person's sleep quality is influenced by several factors such as physical activity, stress and emotion, surfing the internet, watching television and having other habits such as drinking alcohol, smoking and fast food. The student group is a group that has a fairly solid activity. Students can experience disturbances in the circadian cycle due to increased pressure from the academic environment so that groups of students do not have enough sleep. Some of the stressors from Medical Faculty students include busy class schedules, piled up assignments, anxiety before exams that affect the sleep quality of the Medical Faculty students. To determine the relationship between physical activity and emotional stress on decreased sleep quality in students of the Faculty of Medicine, UMSU class 2018. This study used an analytical descriptive method with a cross sectional design. The data was processed using the SPSS Chi-Square test in June 2022 at the Faculty of Medicine, University of Muhammadiyah North Sumatra. Based on the results of the analysis, the demographic characteristics of the average age of respondents were 22 (range 22-24) years and 97 (74%) of respondents were women, the frequency of poor sleep quality was the highest (79.4%), the frequency of light physical activity as much as (55%) and the frequency of moderate emotional stress (84%). Multivariate analysis showed that the factors that influence the decrease in sleep quality were emotional stress with p value = 0.001. Physical activity statistically did not affect the decrease in sleep quality with p value = 0.993. There is a significant relationship between emotional stress and decreased sleep quality in students of the Faculty of Medicine, University of Muhammadiyah North Sumatra, Class of 2018.

The smoking habits of family members are one  the causes of Bronchopenumonia in toddlers since smoking can damage the air quality around toddlers. The purpose of this research was to find out the correlation between family members' smoking behavior with the incidence of bronchopneumonia in toddlers at the GMIM Pancaran Kasih General Hospital Manado. This study used an analytic descriptive method with a cross-sectional approach. It was conducted at the GMIM Pancaran Kasih General Hospital Manado from January to February 2025. The sample of this study amounted to 30 respondents. Data collection used a family member smoking behavior questionnaire and Bronchopneumonia data observation sheet. The results showed that there are 22 toddlers had severe bronchopneumonia with severe smoking of their family members, and 8 toddlers had mild bronchopneumonia with mild smoking behavior of their family members. The Chi-Square test showed p=0.007, with a p value smaller than alpha (α) = 0.05. The conclusion in this study is  that there is a highly significant correlation between family members' smoking behavior and the incidence of bronchopneumonia in toddlers at the GMIM Pancaran Kasih General Hospital Manado. Suggestions for families should be able to stop smoking behavior that will have an impact on toddlers and surrounding people.

Pulmonary tuberculosis (pulmonary TB) is an infectious disease that attacks the respiratory system, especially the lungs, and can cause various clinical symptoms, one of which is decreased oxygen saturation (SpO₂). Decreased oxygen saturation can worsen the patient's condition and affect their quality of life. Therefore, effective interventions are needed to increase oxygen levels in the body, especially through safe and easy-to-implement non-pharmacological approaches. One intervention commonly used in nursing practice is the semi-Fowler position, which is a lying position with the head of the bed elevated around 30–45 degrees, which is believed to improve lung expansion and increase ventilation. This study aims to evaluate the effectiveness of implementing the semi-Fowler position on increasing oxygen saturation in pulmonary TB patients. The study was conducted using a descriptive method through a case study approach on three pulmonary TB patients treated in the Mawar Room of Subang District Hospital. Data were collected through direct observation of oxygen saturation using a pulse oximeter at minute 0 (before intervention), minute 10, minute 30, and more than minute 60 after the patient was placed in the semi-Fowler position. The results showed a significant increase in the SpO₂ values of the three patients after 30 minutes in the semi-Fowler position, with an average increase from 92–93% to 95–96%, and these values tended to be stable for more than 60 minutes after the intervention. These findings suggest that the semi-Fowler position can be an effective non-pharmacological nursing intervention option to increase oxygen saturation in pulmonary TB patients. The application of this position is recommended in daily nursing practice to help overcome respiratory disorders, increase comfort, and accelerate the recovery process of pulmonary TB patients.

Hypertension is one of the chronic diseases suffered by many people in Indonesia, including in the Kebondalem Health Center area, Pemalang District. In its treatment, some patients choose to use herbal medicine as a complementary therapy in addition to medical treatment. However, patients' understanding of the benefits and risks of using herbal medicine is still not fully known. Objective: This study aims to examine the level of knowledge of hypertensive patients regarding the benefits and risks of using herbal medicine as a complementary therapy at the Kebondalem Health Center, Pemalang District. Method: This study uses a descriptive method with a quantitative approach. The research sample was hypertensive patients who visited the Kebondalem Health Center and met the inclusion criteria. Data were collected through a validated closed questionnaire, then analyzed descriptively. Results: The results showed that most patients had a moderate level of knowledge regarding the benefits of herbal medicine, but were still low in understanding the risks that might arise from using it simultaneously with medical drugs. Some patients also still believe in myths related to herbal medicine without a strong scientific basis.

The use of drugs for hyperuricemia and gout arthritis is given for conditions that cause higher purine metabolism in the body. This study was conducted at RSU Royal Prima Marelan to determine the pattern of drug use for hyperuricemia and gout arthritis due to inflammation caused by uric acid deposits in the joints. Data collection in this study was carried out retrospectively by collecting medical records of patients with hyperuricemia and gout arthritis. The descriptive method used in this study was a cross-sectional plan. Qualitative descriptive analysis was applied to the data. Tables or narratives were used to present the data in this study. The results showed that 30 patients out of 50 were male and 20 were female. The results of the evaluation of the rationality of drug use for hyperuricemia and gout arthritis showed that patients who were given several versions of drugs with the xanthine oxidase inhibitor group 64% were allopurinol with patients with the most appropriate indications, the right patient, and the right dose of 96%.

The implementation of Electronic Medical Records (EMR) in healthcare institutions aims to improve the efficiency, accuracy, and accessibility of medical data. RSUD Weda, a regional hospital in Indonesia, has adopted an EMR system in its outpatient services to replace conventional manual processes. However, this transition has faced several challenges, including inadequate training, unstable network infrastructure, and inconsistent adherence to Standard Operating Procedures (SOPs). This study aims to evaluate the performance of the EMR implementation using a qualitative descriptive method based on the 5M framework—Man, Material, Machine, Method, and Money. Data were collected through interviews, direct observation, and document analysis involving stakeholders such as medical staff, administrators, and IT personnel. The findings indicate that while users acknowledge improvements in data accuracy and accessibility, key issues remain, particularly in training quality, infrastructure readiness, and system reliability. The study also observed gradual improvements in SOP compliance and reduced system failures over time. These results suggest that successful EMR adoption requires a balance of technical infrastructure, human resource readiness, financial support, and continuous system monitoring. The use of the 5M framework proved effective in identifying multidimensional challenges and offering holistic insights into the implementation process. This study contributes to the broader literature on EMR evaluation by providing contextualized evidence from a district-level hospital and offers practical recommendations for enhancing EMR system performance in similar healthcare settings.    

How well the ergonomic work tool fits the human size determines how comfortable and uncomfortable it is to use it. Determining the suitability of the work tool with the anthropometry of the employees of the Belu District Health Office is the purpose of this study. Descriptive methods combined with quantitative approaches are used in this kind of research. 30 participants are the population and sample used in this study, which includes seven types of chairs and all sampling techniques. The findings of the study showed that, among the staff of the Belu District Health Office, 12 (40%) were male and 18 (60%) were female in terms of anthropometric measurements. The dimensions of the 7 types of chairs used by male employees are categorized as appropriate because the height of the chair legs with the height of the employee's knees are included in the anthropometric measurements. While for female employees, the appropriate one is a computer chair because the height of the chair legs can be adjusted according to the needs of female employees in anthropometric measurements. The most common type of complaint is in the mild category with 17 people (56.7%), the moderate category with 12 people (40%), and the severe category with 1 person (3.3%).

Background: Diabetes mellitus is a metabolic disorder caused by increased blood glucose levels in the bloodstream or hyperglycemia, which is caused by abnormalities in insulin secretion or abnormalities in insulin work. Physical activity can also affect blood sugar levels, one of which is the physical activity of foot exercises which is recommended for people with diabetes mellitus. Objective: To determine the effectiveness of foot exercise activities in reducing blood glucose levels in diabetes mellitus sufferers. Method: The research design used a descriptive method with a nursing process approach with a case study design. This research was carried out by providing foot exercise physical activity intervention for 3 consecutive days. Results: Based on the application of EBP, the results obtained from 3 patients who experienced a decrease in blood glucose levels before and after being given foot exercise therapy, there was an average decrease in P1 of 13.66mg/dL, P2 of 11.66mg/dL, and P3 of 13mg/dL every day. Suggestion: It is hoped that the results of this research can provide insight to diabetes mellitus sufferers in efforts to manage diabetes mellitus with foot exercise physical activity and be able to apply it.

Diabetes mellitus (DM) is a metabolic disorder characterized by chronic hyperglycemic conditions. The hyperglycemic condition is caused by abnormalities in insulin secretion, insulin action, or both. DM is a global epidemic that causes high rates of morbidity and mortality, primarily due to microvascular and macrovascular complications. The number of diabetes mellitus (DM) patients has dramatically increased in the last 20 years. The purpose of this research is to identify the factors influencing the occurrence of Diabetes Mellitus at Imelda Pekerja Indonesia General Hospital in 2024. The research method uses a descriptive method to describe the object being studied. The research population consists of 292 with non-probability sampling using the consecutive sampling method. A sample of 40 respondents. Using a questionnaire. The research results show that out of 40 respondents, 15 respondents (37.5%) have good knowledge criteria, 24 respondents (60%) have sufficient knowledge criteria, and 1 respondent (2.5%) has poor knowledge criteria. It can be concluded that there are two factors influencing a person's knowledge: internal factors and external factors. The internal factors are education, age, and occupation, while the external factors are the environment and socio-cultural aspects.

The medical committee is a non-structural body whose members are selected from among the heads of functional medical staff (SMF) or those representing SMF in the hospital. Objective : This study aims to evaluate the role of the nursing medical committee and its influence on the quality of inpatient services at Labuang Baji Hospital Makassar. Method : Analytic descriptive method with the design used crosssectional design Result : Logistic regression analysis showed a significant influence between the role of the medical committee and the quality of inpatient services with a value of p=0.002. Further quality of inpatient services with a value of p=0.002. Further logistic regression analysis showed that the role of the medical committee had a very large influence on service quality, with an Exp(B) value of 44,000. This indicates that each increase in the role of the medical committee can increase the likelihood of good service quality by 44 times. Overall, the results of this study indicate that the role of the nursing medical committee is very influential in improving the quality of inpatient services at Labuang Baji Hospital Makassar. This finding is expected to be the basis for developing strategies to improve service quality in the hospital. Suggestion : Ensure that the roles and responsibilities of the medical committee and nurses are clear and mutually supportiveThe medical committee should have a deep understanding of the care process, while nurses need to know how the role of the medical committee can influence and support their practice.