Publication Search

Children with Autism Spectrum Disorder (ASD) face unique challenges in building attachment relationships, due to ASD children experiencing impairments in communication, social interaction, and emotional regulation. This study aims to identify effective intervention strategies to improve the quality of attachment between parents and children with ASD through a Systematic Literature Review (SLR) approach. The review findings indicate that several interventions have proven effective in enhancing attachment between parents or primary caregivers and children with ASD, including the following interventions: DIR/Floortime, Focused Playtime Intervention (FPI), Parent-Child Interaction Therapy (PCIT), Circle of Security (COS), Positive Behavior Support (PBS), play training, massage therapy, and psychoeducation. The results of these interventions show that changes occur before and after the intervention, including strengthening two-way communication, increasing parental sensitivity, and improving the child's emotional responses. These findings have practical implications for parents, educators, and therapists in designing attachment-based approaches to support the social and emotional development of children with ASD. Responsive and supportive designing attachment-based approaches to support the social and emotional development of children with ASD. Responsive and supportive relationship-based interventions can build secure attachments between children with ASD and their parents and serve as an important reference in attachment-based parenting and therapy practices.

This study aims to determine the relationship between low self-acceptance and the level of self-efficacy in prisoners, as well as its implications on social life after prisoners are released from punishment. The systematic review method  is used with the SPIDER approach to formulate research questions and select relevant articles. The search was conducted through the Publish or Perish, Google Scholar, and Scopus databases with keywords related to self-acceptance, self-efficacy, and inmates. Of the 100 articles identified, 13 studies met the inclusion criteria. The results of the review showed that low self-acceptance was consistently negatively associated with self-efficacy in prisoners, which had an impact on low self-confidence to face social challenges, reintegration, and overcome societal stigma. Psychological factors such as guilt, anxiety, depression, and insecurity can exacerbate low self-acceptance, especially in female inmates. In addition, social support from family, the environment, and psychological interventions have been shown to play an important role in improving self-acceptance and self-efficacy. Interventions such as expressive art therapy, psychoeducation, counseling, skills training, and religious activities have shown effectiveness in improving psychological well-being. These findings underscore the importance of systematic efforts to improve self-acceptance and self-efficacy to support the successful social reintegration of prisoners.

This Community Service Program (PKM) was conducted to address work-related stress experienced by partner institutions amid economic uncertainty and rapid digital transformation, particularly in the era of artificial intelligence (AI). The main issues identified included role ambiguity, job insecurity, and increasing demands for competency adaptation, which contribute to psychological stress, emotional exhaustion, reduced well-being, and declining work effectiveness. To respond to these challenges, the implementation team organized educational activities in the form of seminars and interactive sharing sessions titled “Thriving at Work in the AI Era: The Dynamics of Work Stress.” The program aimed to enhance participants’ understanding, awareness, and skills in identifying sources of work stress and applying adaptive stress management strategies. A participatory education method was applied, beginning with a pre-test and concluding with a post-test to assess changes in participants’ knowledge. The results showed a notable improvement in understanding, as reflected by a decrease in incorrect responses from 27.2% to 10.8% and an increase in correct responses from 72.8% to 89.2%. The implementation process consisted of three stages: preparation (team coordination, partner needs analysis, material development, and technical preparation), implementation (delivery of materials and interactive discussions), and evaluation and reporting. The mandatory outputs of this program include a PKM report and the publication of an article in a community service journal. Additional outputs involve dissemination through mass media and the development of a booklet intended for Intellectual Property Rights (IPR) registration.

Electronic Medical Record (EMR) is an essential component of hospital digital transformation aimed at improving administrative efficiency and service quality. This study aims to analyze the factors influencing the implementation of EMR in outpatient registration at a private hospital in North Jakarta. A mixed-methods design was employed, combining quantitative data collected from questionnaires completed by 30 registration staff with qualitative data obtained through structured interviews and direct observation. The logistic regression analysis revealed that Training and Staff Competence (X2) had a significant positive effect on outpatient registration (OR 30.663; p=0.040), while System Integration and Data Security (X4) also showed a significant effect (OR 15.121; p=0.047). In contrast, Technological Infrastructure Readiness (X1) was positive but not significant (p=0.112), and Organizational Culture and Managerial Support (X3) was negative and not significant (p=0.954). Simultaneously, the model explained 72.1% of the variation in registration effectiveness (Nagelkerke R²=0.721) with a classification accuracy of 93.3%. Qualitative findings supported the quantitative results, highlighting insufficient staff training, persistent technical issues in BPJS system bridging, and difficulties faced by elderly patients in adapting to digital registration. Elderly patients still required staff assistance and simple educational media such as tutorial videos displayed in hospital waiting areas. This study concludes that staff competence and system integration are the key determinants of successful EMR implementation in outpatient registration. It is recommended that hospitals strengthen continuous training programs, improve network and server stability, and expand patient education initiatives to ensure effective, efficient, and patient-friendly digital services.

The purpose of this study is to assess the impact of halal brands, brand image, and price perceptions on the motivation and purchasing choices of Wardah consumers, as well as to identify the psychological and behavioral factors underlying the phenomenon of "The Wardah Effect" among Indonesian people. This study uses a descriptive quantitative approach supported by qualitative data. A total of 21 Wardah respondents aged 18 to 27 years old in Kudus were selected as respondents through purposive sampling techniques. Data was collected online using a questionnaire with a Likert scale and open-ended questions. The results showed that three main factors greatly influenced "The Wardah Effect", namely value (halal image and pride in local products), economic efficiency (affordable prices), and ease of access (easy to find). Most respondents felt proud of local products (81.0%), found the prices offered affordable (95.2% agreed), and thought that the products were easy to find (90.5%). Halal imagery is also the most influential component, which provides a sense of security and trust (76.2% fully agree). Promotions and advertisements had an impact on 80.9% of respondents. It was concluded that Wardah's purchase decision was based on three types of rationality, namely economic, cultural, and ideological, as well as social-digital, thus making Wardah a symbol of identity and social values for the younger generation.

The family is the primary and primary environment that plays a crucial role in shaping a child's personality, emotional development, and psychological stability. Through the family, children receive love, a sense of security, and values ​​that form the basis for developing their identity. However, broken homes can disrupt a child's emotional balance and lead to childhood trauma that impacts them into adolescence. This study aims to understand the experiences of adolescents from broken homes in coping with childhood trauma and the process of building resilience. The method used was a qualitative approach with a descriptive research type. The study subjects consisted of three adolescents aged 20–23 who experienced broken families since childhood. Data were collected through in-depth interviews, observation, and documentation, then analyzed using an interactive analysis model through the stages of data reduction, data presentation, and conclusion drawing. The results showed that childhood trauma emerged in the form of emotional, relational, physical, and existential trauma due to the loss of parental figures, conflict, emotional neglect, and verbal abuse. The impacts felt include low self-confidence, anxiety, mild depression, and difficulty relating to social relationships. Social support from extended family, friends, and the community has been shown to aid the recovery process and increase resilience. This study emphasizes the important role of parents, educators, and counselors in providing emotional support and a safe environment for adolescents from broken homes.

Preoperative anxiety is one of the psychological problems that patients often experience and can affect physiological stability, response to anesthesia, and the postoperative recovery process. High levels of anxiety in patients leading up to surgery can have negative impacts, both physically and emotionally. One of the interventions that can be done to reduce anxiety is therapeutic communication by nurses. Therapeutic communication has an important role in creating a relationship of mutual trust, providing a sense of security, and helping patients understand the medical procedures to be undertaken. However, there are still conditions where therapeutic communication has not been implemented optimally. This study aims to determine the relationship between nurses' therapeutic communication and the level of anxiety of preoperative patients at RSI Pekajangan. The study used a quantitative approach with a correlational design and involved 72 respondents who were selected through purposive sampling techniques. The research instruments included a therapeutic communication questionnaire and the Amsterdam Preoperative Anxiety and Information Scale (APAIS). Data analysis was carried out using the Spearman Rank test. The results showed that most respondents rated therapeutic communication in the categories of good (81.9%) and moderate anxiety (72.2%). Statistical tests showed a significant relationship between nurses' therapeutic communication and preoperative patients' anxiety levels (p = 0.027) and moderate correlation strength (r = -0.260). The conclusion of this study confirms that therapeutic communication plays a role in lowering patients' anxiety, so it is recommended that nurses improve therapeutic communication skills as part of pre-surgical interventions.

Bullying is a persistent social issue frequently found in school settings and remains a concern in many countries. This study was initiated based on observations at SMPN 17 Pekanbaru, where numerous students were found to have experienced bullying. The purpose of this community service program was to introduce and promote a digital reporting platform for junior high school students, designed to be safe, interactive, and evidence-based, thereby enabling victims or witnesses to report incidents more easily. The methods applied included socialization, practical demonstration, and evaluation, involving 40 students as participants in the program. The intervention introduced the “BeSafe” website, which aims to provide a secure and user-friendly channel for reporting bullying anonymously and independently. The findings indicate that the website achieved a usability score of 82.2%, categorizing it as highly feasible and appropriate for use among adolescents. Furthermore, BeSafe was able to offer comfort, security, and accessibility for students in addressing bullying cases. An evaluation carried out one month after the program revealed that 20 bullying complaints had been successfully submitted through the platform, showing its effectiveness in encouraging students to speak up and utilize digital solutions without fear of exposure. In conclusion, the BeSafe platform is proven to be suitable as a medium for reporting bullying cases and holds significant potential to support preventive measures in schools. Beyond serving as a reporting tool, it can also act as an educational and protective medium that fosters a safer, more inclusive, and supportive school environment, ultimately contributing to the broader efforts of reducing bullying and enhancing students’ psychological well-being.

This study aims to determine the effect of paternal attachment on emotional regulation in late adolescents in Padang City. Paternal attachment is seen as a crucial factor in developing children's emotional regulation skills, particularly during late adolescence, which is the transitional phase toward adulthood. Late adolescence is a crucial period in an individual's psychological development, where the ability to manage and express emotions appropriately determines their mental and social well-being. A strong emotional attachment to a father is believed to provide a foundation of emotional security that helps adolescents regulate their emotional responses to various life pressures and challenges. This study used a quantitative approach with a purposive sampling technique and involved 272 late adolescent respondents in Padang City as a sample. Data were collected through a questionnaire designed to measure the level of paternal attachment and adolescents' emotional regulation skills. Data collection was carried out with attention to the validity and reliability of the instrument so that the research results can be scientifically accounted for. Data analysis was conducted using descriptive and inferential statistics to identify the relationship and influence between paternal attachment variables and emotional regulation. The results showed that the level of father attachment in late adolescents was in the moderate category at 53.3%, while their level of emotional regulation was in the high category at 42.3%. These findings indicate that although father attachment did not reach the high category for most, adolescents' emotional regulation abilities were relatively good. Further statistical analysis revealed that there was an influence of father attachment on emotional regulation in late adolescents, but this influence was very weak. This indicates that although father attachment contributes, there are many other factors that play a role in shaping adolescents' emotional regulation abilities, such as attachment to the mother, peer support, education, and individual experiences.

The implementation of Electronic Medical Records (EMR) represents a major advancement in health information systems, playing a vital role in improving service efficiency, data security, and the quality of medical documentation. This study utilizes a literature review approach to assess EMR implementation in hospitals by analyzing findings from 20 relevant journals. Literature sources were obtained from indexed national scientific publications, with a focus on the benefits, challenges, and critical success factors of EMR adoption. The results reveal that EMR use can enhance service efficiency by up to 40%, expedite medical decision-making, and increase the accuracy of patient data. Additionally, EMR reduces the risk of data loss, facilitates coordination among healthcare professionals, and supports more effective integration of medical information. Despite these benefits, EMR implementation encounters several challenges, such as inadequate technological infrastructure, resistance from some healthcare personnel toward digital systems, and the need for ongoing training to ensure optimal use. If not addressed properly, these barriers may limit the system’s effectiveness. Key factors influencing successful implementation include strong management commitment, early involvement of end-users during the planning phase, and system flexibility to meet specific clinical requirements. Therefore, EMR implementation should adopt a holistic approach that integrates human resource readiness, technological capacity, and clear regulatory frameworks. With well-structured strategies, consistent institutional support, and comprehensive training programs, EMR has the potential to be a driving force in the digital transformation of healthcare. This transformation can lead to sustainable improvements in service quality, patient data security, and operational efficiency in hospital settings.

Employee performance is a critical determinant of service quality and operational success in hospitals. High-performing employees contribute directly to patient satisfaction, service efficiency, and overall institutional reputation. This study investigates the influence of intrinsic and extrinsic motivation on the performance of employees at Petrokimia Gresik Hospital, aiming to provide empirical evidence to guide strategic human resource management in healthcare settings. A quantitative research design was employed, with data collected using structured questionnaires. The respondents consisted of 85 permanent employees selected through simple random sampling, ensuring that the sample fairly represented the hospital's workforce. The questionnaire was designed to measure aspects of both intrinsic motivation (such as self-fulfillment, recognition, and meaningful work) and extrinsic motivation (such as salary, benefits, and job security), along with indicators of employee performance. Data were analyzed using multiple linear regression analysis to examine the individual and joint effects of the motivational variables on performance. The results revealed that both intrinsic motivation (β = 0.532, p < 0.05) and extrinsic motivation (β = 0.487, p < 0.05) had a statistically significant and positive impact on employee performance. The model showed that the combination of these two factors accounted for 68.2% of the variation in employee performance (R² = 0.682), indicating a strong explanatory power. These findings underscore the importance of a balanced motivational strategy in hospital management. Relying solely on financial incentives is insufficient; efforts must also be made to cultivate a positive and fulfilling work environment. Therefore, hospital administrators are encouraged to design integrated motivation programs that address both intrinsic and extrinsic factors to enhance employee engagement, productivity, and ultimately, the quality of healthcare services provided.

Efforts to realize the implementation of good medical records require supporting elements in the form of medical record folders with a design that meets standards. Medical record folders protect patient documents and simplify the process of identifying, storing, and managing health data. Based on the results of observations at the UMSIDA Physiotherapy Clinic, the medical record folder used is still simple, only made of ordinary paper without a logo, name, clinic address, or columns for writing patient identity and medical record number. This condition has the potential to cause obstacles in the administration and security of patient data. The purpose of this research is to redesign (redesign) medical record folders based on anatomical, physical, and content aspects to make them more professional and functional. The methods used include needs analysis through interviews with users, evaluation of old designs, and the creation of new designs. The redesign was carried out by adding heading elements in the form of the name and address of the clinic, introduction in the form title or medical record folder, and instructions in the form of the text "Confidential Documents." On the body, the patient's identity is contained such as full name and medical record number. From the physical aspect, the folder is designed in the form of a portrait with a size of 21.5 cm × 33.0 cm, using white 260 grams of ivory paper with a blue background. Meanwhile, the content aspects include the identity of the health service facility, the writing "Confidential Document," the patient's name, medical record number, and year of visit. The results of the study concluded that the redesign of the medical record folder has met the anatomical, physical, and content standards needed to support more organized health services.

This study aims to understand the factors that influence elderly satisfaction in a nursing home environment, focusing on social, physical and psychosocial aspects. Through a qualitative approach, data was collected from in-depth interviews with residents and direct observation at the nursing home, which was then thematically analyzed. The results showed that harmonious social relationships with fellow residents and staff play a crucial role in increasing the sense of security, respect and acceptance of the elderly. In addition, a clean and comfortable physical environment supports their well-being, while the various activities provided help maintain mental and physical health. These findings emphasize the importance of building a family atmosphere and paying attention to the holistic needs of the elderly to improve their quality of life in nursing homes.

Nurses have a very important role as educators in meeting basic human needs. One of them is that nurses act as educators in fulfilling the patient's sense of security and comfort. The patient's need for security and comfort is very important because it affects the length of treatment. The impact if the patient's need for safety and comfort is not met is that the patient results in injury. The aim of this research is to determine the relationship between the role of nurses as educators and fulfilling the patient's need for security and comfort in the inpatient room at Sultan Agung Islamic Hospital. This research uses a quantitative approach with a cross sectional design. A total of 132 respondents participated in this research, the sampling technique used was total sampling. The analysis used is the Chi Square test. This research reveals a significant relationship between the role of nurses as educators and fulfilling patients' needs for safety and comfort in the RSI Sultan Agung inpatient room. This relationship is indicated by a p-value of 0.000, which shows a positive direction of the relationship.. Suggestions for future researchers to expand the scope of research by involving more educational institutions and hospitals in order to obtain more generalizable results.

The support of husbands and family members in safe childbirth preparation is crucial for pregnant women. Husbands serve as both emotional and physical companions, providing comfort and security during the birthing process. Challenges encountered in community service partnerships related to spousal and familial support in safe childbirth preparation can encompass several aspects. Firstly, a lack of understanding among husbands and family members regarding the childbirth process can result in minimal emotional and physical support. Many husbands do not participate in prenatal education, leaving them unprepared to provide the necessary support. Secondly, cultural norms that limit the husband's role in childbirth can pose challenges. In some communities, there is still a belief that the husband's role is insignificant in childbirth preparation, leading to decreased participation. This can diminish the pregnant woman's self-confidence and create discomfort. Based on the challenges faced by partners, the proposed solution is the creation of engaging informational media to facilitate the dissemination of information to the public, particularly to husbands and family members, in support of safe childbirth preparation, a program referred to as DuGaLiMan. This initiative was implemented in September 2024 at Babirik Community Health Center, Hulu Sungai Utara Regency, South Kalimantan Province. The DuGaLiMan program, which focuses on spousal and familial support in safe childbirth preparation at Babirik Community Health Center, demonstrates its success in achieving its objectives. The program has successfully increased the knowledge and awareness of husbands and family members regarding the importance of their roles during the childbirth process. With appropriate education, they can provide the necessary emotional and physical support to pregnant women, creating a safer and more comfortable environment.

Electronic Health Records (EHRs) have become an important component in the digital transformation of the healthcare system in Indonesia. However, EHR implementation in many health facilities in Indonesia is still fragmentary and not fully integrated. The main challenges in integrating health data into the national health system are issues of interoperability, data security, and inter-institutional coordination. This study aims to identify and analyze the main challenges in integrating health data from various EHR systems into Indonesia's national health system and its impact on the quality of health services, operational efficiency, and data security. The research method used was a descriptive qualitative approach, which combined literature study and in-depth interviews with experts in the field of health information technology and health policy. A literature study was conducted to identify technical, operational, and policy challenges faced in EHR implementation in Indonesia. Expert interviews were used to validate the findings obtained from the literature and provide additional insights into the local context. Thematic analysis techniques were used to organize and interpret the data. The results showed that the lack of common data standards is a major obstacle in the integration of EHR systems in Indonesia.A total of 45% of healthcare facilities adopt HL7 standards, 30% adopt FHIR, and 25% use proprietary systems, leading to the inability to efficiently share data between institutions. In addition, data security issues are also a major concern, with many healthcare facilities yet to implement adequate security protocols. Limited coordination between health institutions also hinders wider integration. Nonetheless, EHR integration has the potential to improve operational efficiency, with up to 25% reduction in administrative time in institutions that have integrated their systems.

Digital health interventions hold promise for patient-centered care, as they enable remote monitoring of patients and can be used to easily remind patients to take their medications. This study used a literature review technique with research collecting 30 research publications related to the use, opportunities and challenges of digital health in the treatment of tuberculosis. The literature review technique aims to evaluate and analyze previous research to provide context, show gaps in research, and support arguments for the research to be conducted. Several conclusions from this literature review research include: (1) Digital health has a significant role as an intervention in the management of tuberculosis patients. (2) Digital health offers great opportunities to improve the management and treatment of tuberculosis patients. The opportunity for digital health as an intervention for tuberculosis patients is very promising and can have a significant impact on various aspects of managing this disease. (3) Although digital health offers many opportunities for managing tuberculosis, there are also various challenges that must be faced in its implementation, including: challenges of technology access, patient compliance and engagement, data security and privacy, integration with traditional health systems, costs and funding, quality content and information as well as cultural and language barriers.

Background: Infants aged 2 months have begun to learn body movements in the form of gross motor skills. Starting with kicking movements, straightening the hands of sideways movements and then on the stomach until at the age of 1 year the baby can walk independently. Gross motor can develop faster and better when there is stimulus from the surrounding environment. Baby gym can provide a stimulus for gross motor development. Baby gym exercises done with the person closest to the baby will be better for the baby's emotional security. Objective: Providing counseling and practice in mother and baby classes at the kendalsari health center makes mothers who have babies under 1 year old and who will have a baby can apply it at home to train their children's gross motor skills. Methods: the method used in this counseling is to provide leaflets and then education and practice. Giving some questions on the pretest and postest to find out the picture of knowledge in mothers. Results: from this activity an increased understanding of baby gym procedures and their benefits was obtained. 

The implementation of digital health insurance systems represents a pivotal shift in healthcare management globally, aiming to streamline processes, enhance accessibility, and mitigate financial barriers to healthcare services. This study investigates the impact of digital health insurance on health expenditure and health security in Bangladesh, a country striving to improve its healthcare infrastructure and financial accessibility. However, in Bangladesh health insurance does not exist and people has to bear all treatment cost alone. The insurer in development countries is changing its role toward a more preventive and connected approach. Connected or digital health insurance has the potential to contribute toward better health and the general well-being of the population. Digital technologies are evolving and innovative applications are transforming the medical and health insurance sector. New technologies like wearable, mobile platforms and IoT base health monitoring systems can help to deal with several critical issues of the rising number of people, patients with chronic disease, and aging people, the insurer can help them to be healthier and protect them by insurance coverage. This study aims to look at the innovation of Health insurers and how they include themselves in the health ecosystem that adds value for the insured and patients globally, and can proposed a model that can introduce in Bangladesh.

Participation from all parties is important in post-disaster rehabilitation and reconstruction because it is the most complex activity in disaster management from the planning process, funding, and implementation. A Tsunami that struck Sunda strait in December 2018 caused a great loss and immediate response is necessary. The delay of rehabilitation and reconstructions affected the stability of national security. Therefore, all parties need to take part in post-tsunami recovery so that the disaster recovery process implemented effectively and efficiently. The purpose of this study was to analyze the participation of society in the post-tsunami rehabilitation and reconstruction management in Pandeglang district, coordination networking, and contributions to national security. The qualitative method is used in this research from the primary and secondary databases. For the purposes of this study, the primary data were gathered through face-to-face interviews from the subjects of research who were chosen based on purposive sampling and snowball methods. The data analyzed qualitatively and simulation by UCINET 6 is used for coordination networking. The result shows that all parties had taken part in the Pandeglang post-tsunami recovery management from the planning process, implementation, monitoring, and evaluations. The level and form of community participation are diverse.