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World Health Organization (WHO) approximates 1.28 billion individual suffers hypertension, with 46% of them does not realize it, and only 1 of 5 hypertensive individual has their blood pressure controlled. Hypertension prevalence is still relatively high in the elderly population who live in nursing home. This is one of the main health adversities that often happens and should not be underestimated due to its risk of complications. Uncontrolled blood pressure is one of the main risk factor to the global disease burden and total of global death, contributing up to 9,4 millions of deaths (8,5% of the global total) annually. This activity aims to increase the knowledge of the community about hypertension in elderly who lives in nursing home to increase the quality of life and reducing the cost burden of therapies and treatments. We use PDCA activity method to ensure the program could run smoothly and efficiently. This activity included 34 elderly respondents of the St Fransiscus Community with the mean age of 4 (11,8%) years. We found that 4 (11,8%) of the respondents have uncontrolled blood pressure. With the implementation of this program, it is hoped that the public awareness of elderly hypertension and its prevention is increased, so that there will be increase of quality of life for the elderly in the future and relieving the economical burden.

Community service for the D-III Nursing Study Program in Central Tapanuli, Medan Ministry of Health Polytechnic, is carried out in the form of education about community empowerment through balanced nutrition education as an effort to prevent stunting. The target of service activities is 40 pregnant women and mothers with early childhood children who are in the working area of the Hutabalang Community Health Center. The aim of this Community Service is to realize community service as one of the Tri Darma activities of higher education, increase the knowledge of pregnant women and mothers with early childhood regarding stunting and balanced nutrition and provide training on how to make naget as an effort to minimize the occurrence of stunting in the work area. Hutabalang Health Center, Lack of Knowledge about Stunting is caused by multi-dimensional factors and is not only caused by poor nutrition experienced by pregnant women and toddlers. Several factors that influence the incidence of stunting include maternal factors, home environmental factors, low food quality, inadequate feeding, food and drink safety, breastfeeding (breastfeeding phase), infection, political economy, health and health services, education, social and culture, agricultural and food systems, water, sanitation and the environment. Community service activities carried out in the working area of the Hutabalang Health Center, Badiri District, Central Tapanuli Regency by providing education to participants by means of lectures and question and answer/discussion, succeeded in increasing the knowledge of pregnant women and mothers with early childhood. Before the education was carried out, the level of knowledge in the good category was 40% and after the education was carried out it increased to 85%.

The elderly are an age group that is prone to falls. The purpose of this service is to detect the risk of falls in the elderly and provide assistance in balance training as an effort to prevent the risk of falls in the elderly. Falls occur due to unintentional loss of balance resulting in failure of postural stability, or unexpected and sudden changes resulting in a position landing on the floor. Associated risk factors include current health status (living in the community, nursing home, hospital, frail or active state), diseases suffered (diabetes, hip fracture, stroke) and general changes related to aging (decreased balance, coordination, muscle strength, visual impairment, etc.). The output targets to be achieved are in the form of publications in accredited national journals and copyright for videos of community service activities. The method used is a fall risk detection examination using the Time Up and Go Test and continued with the provision of balance training, so that the elderly who have a risk of falling can be recognized as early as possible so that the provision of balance training can maintain and improve the balance of the elderly body.

This study aims to determine the influence of motivation on nurse performance, the influence of the work environment on nurse performance and the influence of motivation and the work environment on nurse performance in the nursing and ER fields at the Mamasa Community Health Center. The type of data used in this research is quantitative data obtained from questionnaires distributed and related to the problem being studied with a sample size of 44 people. The research results show that the motivation variable has a significant level of 0.000, which is smaller than 0.05 with a coefficient value of 0.465 indicating that the influence given is positive on the independent variable. The work environment variable has a significance level of 0.000 with a coefficient value of 0.0448 indicating that the influence given is positive on the independent variable

Gouty arthritis is a degenerative disease caused by abnormal purine metabolism which is characterized by increased levels of uric acid in the blood (hyperuricemia). Gouty arthritis can attack men aged 30 - 50 years and is a disease inherited from previous generations, but not in women. Women can develop gouty arthritis after experiencing menopause. This is related to the presence of the hormone estrogen which plays a role in the process of regulating uric acid in the blood. Uric acid levels are said to be high, if the uric acid level in the blood is more than normal levels. The normal level of uric acid in men is 3.4 - 7.0 mg/dl while in women it is 2.4 - 5.7 mg/dl (Yulianingsih et al., 2022). The prevalence of gout arthritis in Central Java based on doctors' diagnoses in the elderly group 75 years and over was ranked first at 16.03%, then in the elderly group 65-74 years it was 13.90%, and in the elderly group 55-64 years it was 13.69 % (Access et al., 2022). Based on data from the Kutamendala Community Health Center, the prevalence of gouty arthritis in Kutayu Village reached 4.3%. The percentage of residents suffering from gouty arthritis in Kutayu Village is 15 people out of 346 elderly people (Kutamendala Health Center, 2022).

According to Maramis (2008), health is one of the most valuable things in life, as is mental health, which is still a significant problem in the world, including in Indonesia. Mental health is a condition where an individual can develop physically, mentally, spiritually and socially so that the individual is aware of his own abilities, can overcome pressure, can work productively and is able to contribute to his community (Febrianto et al., 2019). Mental health is a dynamic condition ranging from mental health to mental disorders. The types of mental disorders that can be found in society are mild mental disorders, for example emotional mental disorders and severe mental disorders, one of which is schizophrenia (Ramadhani et al., 2021).

A hospital is an institution or health service organization with broad and comprehensive functions, dense in expertise and capital intensive. Hospitals carry out broad functions so they must have resources, both capital and experienced and professional humans. Nursing service is part of the health service system in hospitals which has the function of maintaining the quality of service, which is often used as a barometer by the community, in assessing the quality of hospitals, thus demanding the professionalism of nurses in their work as shown by the results of the performance of nurses, both implementing and nursing nurses. management in providing nursing care to clients. Maximum implementation of nurse work in quality health services occurs when the nursing care implementation system supports professional nursing practice according to standards (RI Law No. 38, 2014). Motivation is the factors that exist within a person that move and direct his behavior or encouragement that causes him to do something or do something to satisfy individual needs to achieve certain goals (Rini, 2015).

Reproductive health greatly determines the fertility of each individual. So it is important for someone to get the right and correct information about reproductive health. The current low level of awareness for healthy living behavior among adolescents and adults is an indicator of the need for correct and clear education, education, information or health promotion. The pocket book is an effective health promotion medium in an effort to create new behaviors. The purpose of this activity is to empower students in making pocket books as a medium for promoting reproductive health. The methods used in this activity are surveys and direct demonstrations. The target of this activity is 38 students of the Bachelor of Nursing study program. As a result of this community service activity, students are focused on making pocket books by paying attention to 3 points, namely the concept of youth, the concept of adolescent reproductive health and reproductive health problems in adolescents. This community service activity encourages students as a youth group to be able to participate actively, so that there is an increase in knowledge related to adolescent reproductive health.  

The increasing number of elderly people will have an impact on all arrangements in the community or family. Problems that often occur in the elderly will be a burden on the elderly, one of the problems that occur is insomnia. So this study aims to find out the relationship between insomnia and blood pressure in the elderly. Research method with quantitative survey analysis design, crossectional. The research was conducted in a nursing home with a sample size of 30 active elderly respondents with insomnia disorders. The results showed that there was no relationship between the level of insomnia and blood pressure with a significance value of 0.757> p value 0.05. These results indicate that statistically there is no relationship between the elderly with insomnia and blood pressure. Suggestions for home managers to provide interventions for elderly people who experience insomnia disorders with light therapy that is fun and has a positive impact on the elderly..

Community nursing or community health nursing is the practice of maintaining and improving public health using knowledge from nursing, social sciences and public health sciences. Another definition of community nursing is a form of professional service based on nursing knowledge and tips aimed primarily at high-risk groups to improve community health status by emphasizing efforts to improve health, disease prevention and not neglecting curative and rehabilitative (Kholifah & Widagdo, 2016). In RW 04 Kelurahan Periuk Jaya, which is a village with densely populated residential houses with houses attached to one another, the average building in Pabuaran village has new buildings but is not well maintained and settlements are dominated by old buildings. own property, in terms of the environment the area of ​​the house has a yard, there are several cattle pens around the settlement. The characteristics of the area and health problems that arise in RW 04 Periuk Jaya Village are information about prevention and diet for Hypertension, Gout Arthritis and ISPA. To carry out this task requires a person nurses who are competent in providing community nursing care, to get optimal results requires experience in addition to knowledge. One way to gain experience is through community nursing practice in Periuk Jaya Village RW 04 Periuk District, Tangerang City

The challenges of the 21st century nursing world demand that nursing educators be able to prepare future nurses who can adapt to changes in the health care system, new technologies, changes in information systems (computerized), changes in pharmacological therapy, increased workload for nurses, increased infectious diseases in the community. , increasing cases of antibiotic-resistant infections, increasing aging population, and increasing number of chronic and co-morbid conditions (Aiken, Clarke, Cheung, Sloane, & Silber, 2003). Nurse educators are responsible for preparing graduates who can adapt to this rapidly changing health system. The simulation learning strategy is proposed as a suitable method to overcome this problem and can bridge the gap between education and clinical practice in hospitals. This literature search aims to analyze the results of related research that focuses on the effect of Simulation-Based Learning on the critical thinking of nursing students. This study was conducted using the review method of research results from 2010 – 2020 which have been published in electronic media such as ProQuest, Pubmed, and CINAHL. The number of journals obtained was 10 journals and 6 of them met the criteria. The conclusion of the research results obtained was that simulation is an interactive teaching-learning process, learning knowledge about critical care from a simulation of real patient situations, learning clinical skills and presenting holistic patient care by playing a role , and bridging the theory-practice gap to enhance critical thinking. In addition, simulations can hone critical thinking skills through feedback from simulators and monitor displays, develop communication skills through teamwork, and improve task delegation skills in complex situations.

Parenting is a technique used by parents to educate, protect, and supervise their children in the family. Balanced parenting implementation is very important for the growth and development of children. This study used a descriptive method with a community health nursing approach including the assessment, intervention, implementation, and evaluation. The study on parenting patterns of parents was carried out on an elementary school children aggregate in the Meuraxa Public Health Center area, Banda Aceh using the windshield survey, questionnaires, and interviews with program administrators, parents, teachers, and elementary school students. The assessment was carried out based on Pender's theory (Health Promotion Model/HPM). The study results showed that 104 parents (43.15%) used authoritarian parenting, 137 (56.85%) used democratic parenting, and 0 (100%) used permissive parenting. It is advised that this study be put into practice to support healthy parenting practices through the use of community nursing care processes.

A disaster becomes an extraordinary event that disrupts and threatens life and livelihoods caused by nature and humans, or both. The existence of natural disasters can have both small and large impacts on the environment. The thing that can be done to reduce the consequences of disasters is that synergy from various parties is needed, one of which is the involvement of nurses. Nurses have a huge role to play in preparing and handling communities in the face of disasters.  As health workers, nurses are at the forefront of disaster management so that they can anticipate the prevention of disasters and their impacts (Doondori, A. K., & Paschalia, Y. P. 2021). Cianjur Regency is one of the areas that experienced the impact of natural disasters, namely earthquakes.  The earthquake occurred on November 21, 2022 at 13:21:10 WIB with a magnitude of 5.6 in the Cianjur area, West Java. The earthquake caused a lot of infrastructure damage and casualties. This has a great influence on the condition of the community, one of which is in terms of health biopsychosocially and spiritually. Based on the phenomenon that occurs along with the existence of the role of the nurse as a healthcare provider. Universitas Esa Unggul sent a team of health volunteers to carry out several activities for the community such as, providing comprehensive nursing services, becoming collaborators, conducting education and trauma healing. This action is considered sufficient to help patients who have health problems both who come to the post and who are in refugee tents. They feel happy because of the existence of health service facilities so that the public can consult, get education and also trauma healing.

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

One way to improve the quality of life for the elderly is to do physical exercise. Physical exercise can maintain or improve flexibility, cardiopulmonary endurance, agility, strength and balance. Several studies show that physical exercise has a consistent effect in reducing the risk of falls in healthy older adults. Kuptniratsaikul's research in 2009-2010 showed that simple balance exercises carried out by elderly people with a history of falls could reduce the incidence of falls in the elderly and significantly improve body balance. A 2017 Cuevas meta-analysis study showed that balance training programs showed the greatest effect in reducing the risk of falls in the elderly. For elderly people who are not yet able to do balance exercises independently, they need assistance from professional staff. Elderly people are an age group that is vulnerable to falls. The aim of implementing this service is to detect the risk of falls in the elderly and provide assistance with balance exercises as an effort to prevent the risk of falls in the elderly. Falls occur due to an unintentional loss of balance which results in failure of postural stability, or an unexpected and sudden change which results in the position landing on the floor . Associated risk factors include current health status (living in the community, nursing home, hospital, weak or active state), existing diseases (diabetes, hip fracture, stroke) and general changes related to aging (decreased balance, coordination, strength muscle, visual disturbances, etc.). The output targets to be achieved include publication of accredited national journals and copyright for videos of community service activities. The method used is a fall risk detection examination using the Time Up and Go Test and continued by providing balance training, so that elderly people who are at risk of falling can be identified as early as possible so that providing balance training can maintain and improve the elderly's body balance.