Publication Search

Needle Stick Injury (NSI) is a serious occupational hazard among healthcare workers due to the risk of transmitting bloodborne pathogens. A preliminary study at Puskesmas X found that 60% of healthcare workers had experienced NSI. This study aimed to analyze the relationship between work standards, skills, and training with the incidence of NSI among healthcare workers (nurses and midwives) at Puskesmas X, East Bolaang Mongondow Regency. An analytical observational study with a cross-sectional design was conducted. A total sampling technique was used, resulting in 37 respondents. Data were collected using a structured questionnaire and analyzed using statistical tests. The results showed majority of respondents were aged 26–34 years (67.6%), female (81.1%), and had experienced NSI (73.0%). Statistical analysis showed a significant association between work standards (p = 0.018), skills (p < 0.001), and training (p = 0.014) with NSI incidence. Poor work standards, inadequate clinical skills, and limited participation in training were strongly associated with higher rates of NSI. Community health centers are recommended to implement regular occupational safety training programs to improve the technical skills of healthcare workers.

Needle Stick Injury (NSI) is a serious occupational hazard among healthcare workers due to the risk of transmitting bloodborne pathogens. A preliminary study at Puskesmas X found that 60% of healthcare workers had experienced NSI. This study aimed to analyze the relationship between work standards, skills, and training with the incidence of NSI among healthcare workers (nurses and midwives) at Puskesmas X, East Bolaang Mongondow Regency. An analytical observational study with a cross-sectional design was conducted. A total sampling technique was used, resulting in 37 respondents. Data were collected using a structured questionnaire and analyzed using statistical tests. The results showed majority of respondents were aged 26–34 years (67.6%), female (81.1%), and had experienced NSI (73.0%). Statistical analysis showed a significant association between work standards (p = 0.018), skills (p < 0.001), and training (p = 0.014) with NSI incidence. Poor work standards, inadequate clinical skills, and limited participation in training were strongly associated with higher rates of NSI. Community health centers are recommended to implement regular occupational safety training programs to improve the technical skills of healthcare workers.

 Toxic work environments are becoming an issue that is getting more and more attention in human resource management because of its destructive impact on the psychological well-being of employees and organizational stability. Unhealthy interpersonal relationships, authoritarian leadership, bullying, and recurrent disrespectful behavior create a work atmosphere full of stress and uncertainty. This condition not only triggers work stress, anxiety, and emotional exhaustion, it further exacerbates these challenges, as high work demands and a lack of work-life balance make employees, especially Generation Z, increasingly vulnerable to mental health disorders. This study aims to analyze the influence of toxic work environments on employees' mental health as well as its impact on the intention to quit their jobs. The method used is a literature study with a qualitative approach, analyzing relevant scientific articles. The results of the study showed that a toxic work environment characterized by violence, bullying, tyrannical leadership, unfriendliness, and exclusion had a significant effect on the increase in work stress, psychological pressure, work stress and intention to quit work. Toxic leadership is the main factor in forming an unhealthy work culture. Social support, especially from supervisors, plays a protective role as a protective factor that mediates these negative relationships. Generation Z was found to be more sensitive to injustice and rights violations in the workplace. The study concludes that organizations need to prioritize psychological safety, implement supportive leadership, and provide tangible organizational policies and support to maintain employees' mental health and reduce work stress rates for long-term organizational sustainability.

Agentic artificial intelligence (AI) systems capable of autonomous goal-directed behavior, multi-step planning, tool use, multi-agent coordination, and iterative self-correction represent a transition from passive clinical AI tools toward systems that can participate in complex healthcare workflows. However, empirical evidence remains fragmented across clinical decision support, patient monitoring, and administrative applications, and no systematic synthesis has evaluated which agentic principles have been technically demonstrated and which have accumulated sufficient evidence to support responsible clinical deployment. We conducted a PRISMA-informed systematic review of peer-reviewed empirical studies published between January 2025 and April 2026. Searches across five bibliographic databases and Google Scholar, supplemented by citation tracking, identified 443 unique records for screening, of which 25 met the predefined PICOS and quality appraisal criteria. Evidence was synthesized using an evidence-informed seven-principle framework derived from the integration of agentic AI, clinical AI, and healthcare governance literature. This framework provides a structured lens for examining how agentic principles are evaluated individually and in combination, enabling a deployment-readiness perspective that extends beyond capability-focused assessments alone. The evidence base was concentrated on technical capability principles, whereas human oversight, safety, compliance, and equity-related evaluation received comparatively limited attention. Most studies remained at the laboratory, benchmark, or proof-of-concept stage, and none reported demographic-stratified performance outcomes. Overall, the findings suggest a structural asymmetry in agentic healthcare AI: empirical research is advancing agentic capabilities more rapidly than it is generating evidence for the oversight, safety, equity, and governance mechanisms required for responsible clinical translation.

Dredger operations in water-based mining areas have a high occupational risk because they involve a combination of wet environments, mechanical equipment, and electrical systems. The presence of electrical panels, power cables, terminal connections, electric motors, inverters/drives, and protection components on the Dredger requires a sound understanding of Occupational Health and Safety, particularly electrical safety. Water splashes, wet walking surfaces, high humidity, and improper procedures during inspection or cleaning may increase the risk of short circuits, protection trips, and electric shock. Therefore, structured basic safety training is required so that operators are able to identify electrical hazards and implement safe working procedures. This activity aimed to improve operators’ understanding of hazardous electrical components, initial safety briefing procedures, measurement practice and safe handling during trips or short-circuit indications, and the correct and safe use of water pumps for unit cleaning. The activity was carried out through field observation, technical briefing, direct demonstration on the electrical panel and work area, simple measurement practice, and safe cleaning practice. The results indicate that field documentation can serve as an effective learning medium to strengthen operators’ understanding of electrical hazard sources on the Dredger, the application of simple lock out-tag out procedures, the control of wet areas, and the limitation of water spray direction during cleaning activities. Overall, the activity shows that improved compliance with safety procedures may reduce the risk of short circuits and electric shock during operation and maintenance.

Ultraviolet (UV) exposure is a significant ocular health risk for outdoor workers, particularly PPSU officers in tropical regions. This community engagement program aimed to improve UV risk awareness and eye protection. Methods included basic eye examinations, interactive education, and counseling on personal protective equipment involving 53 PPSU workers in Pengadegan, South Jakarta. Results indicated that participants initially had limited knowledge and inconsistent use of eye protection. Following the intervention, there was a notable increase in understanding and a willingness to adopt preventive behaviors. In conclusion, simple educational interventions effectively enhance eye health awareness among urban outdoor workers. Such programs should be sustained as part of occupational health promotion and prevention strategies to ensure long-term worker safety.

Effective communication is essential for teamwork effectiveness in healthcare, particularly in inpatient units where patient care requires coordination among multiple professionals. Internal data from Hospital X showed that more than 50% of medical incidents in the last two years were related to miscommunication among healthcare workers. In addition, the 2024 employee satisfaction survey reported that workplace communication satisfaction was only 62%, below the hospital target of 75%. This study aimed to examine the influence of effective communication on teamwork effectiveness with interprofessional collaboration as an intervening variable at Hospital X.This study used a quantitative cross-sectional design involving 226 healthcare workers, including doctors, nurses, and medical support staff. Data were analyzed using the Three-Box Method and PLS-SEM. The findings revealed that effective communication significantly influenced teamwork effectiveness both directly and indirectly through interprofessional collaboration. Interprofessional collaboration also acted as a significant mediating variable between communication and teamwork effectiveness. These results indicate that communication is a key foundation for strengthening collaboration and improving teamwork in hospitals. Therefore, hospitals should enhance communication training and interprofessional collaboration programs to improve healthcare quality and patient safety

The high rate of occupational accidents globally and nationally demands the strengthening of Occupational Health and Safety (OHS) management systems, particularly in the high-risk industrial sectors. The study aims to analyze the implementation of safety induction at PT X and develop audiovisual educational media as a solution to improve occupational safety understanding. The research method employed is descriptive qualitative, with data collection techniques including field observations, in-depth interviews, and review of corporate documents, Problem prioritization was determined using the Urgency, Seriousness, and Growth (USG) method, while root cause analysis was conducted using a Fishbone diagram. Research findings indicate that the current oral delivery method for safety induction is ineffective, as evidenced by 13% of participants needing to retake the comprehension test. As an intervention, “POWER SAFE” video media was developed, which, based on the Methodology, Effectiveness, Efficiency, and Relevance (MEER) analysis, proved to have the highest effectiveness and relevance in delivering standardized safety information. The implications of study emphasize that the use of structured digital media is a strategic step to minimize gaps in understanding and strengthen the safety culture within high-risk work environments.

The high rate of occupational accidents globally and nationally demands the strengthening of Occupational Health and Safety (OHS) management systems, particularly in the high-risk industrial sectors. The study aims to analyze the implementation of safety induction at PT X and develop audiovisual educational media as a solution to improve occupational safety understanding. The research method employed is descriptive qualitative, with data collection techniques including field observations, in-depth interviews, and review of corporate documents, Problem prioritization was determined using the Urgency, Seriousness, and Growth (USG) method, while root cause analysis was conducted using a Fishbone diagram. Research findings indicate that the current oral delivery method for safety induction is ineffective, as evidenced by 13% of participants needing to retake the comprehension test. As an intervention, “POWER SAFE” video media was developed, which, based on the Methodology, Effectiveness, Efficiency, and Relevance (MEER) analysis, proved to have the highest effectiveness and relevance in delivering standardized safety information. The implications of study emphasize that the use of structured digital media is a strategic step to minimize gaps in understanding and strengthen the safety culture within high-risk work environments.

The implementation of Occupational Safety and Health (OSH) is a crucial aspect in construction projects to minimize workplace accidents and improve labor productivity. This internship report aims to evaluate the implementation of the OSH system at PT. X on the RSPTN Universitas X Project. The methods used include field observations, interviews with related personnel, and documentation review. The results indicate that OSH implementation has been carried out through the provision of personal protective equipment (PPE), safety induction programs, installation of safety signs, and routine supervision. However, several violations in PPE usage were still observed. Consistent and continuous OSH implementation is necessary to achieve the zero accident target in the project environment.

The implementation of Occupational Safety and Health (OSH) is a crucial aspect in construction projects to minimize workplace accidents and improve labor productivity. This internship report aims to evaluate the implementation of the OSH system at PT. X on the RSPTN Universitas X Project. The methods used include field observations, interviews with related personnel, and documentation review. The results indicate that OSH implementation has been carried out through the provision of personal protective equipment (PPE), safety induction programs, installation of safety signs, and routine supervision. However, several violations in PPE usage were still observed. Consistent and continuous OSH implementation is necessary to achieve the zero accident target in the project environment.

The Free Nutritious Meal Program (MBG) is one of the government’s strategic policies aimed at improving students’ nutritional status and learning quality, particularly at the junior high school level. Early adolescence, aged 13–15 years, is a critical growth period that requires optimal nutritional intake, while national surveys still indicate deficiencies in energy and protein intake among this age group. This study aims to describe the implementation of the MBG Program and the level of student satisfaction as direct beneficiaries. The research employed a quantitative descriptive design conducted over one month in the working area of SPPG Yayasan Bina Bangsa Semarang, Gunungpati, Semarang City. The sample consisted of 101 junior high school students selected using purposive sampling techniques. Data were collected through structured questionnaires covering program implementation and student satisfaction aspects. The findings revealed that most students assessed the program implementation as high to very high. Student satisfaction was also categorized as high, particularly regarding food quality, portion adequacy, cleanliness, safety, and service. The MBG Program was considered effective in improving learning concentration, reducing unhealthy snacking habits, and encouraging healthy eating patterns. This study concludes that the MBG Program has been implemented effectively and is relevant in supporting sustainable improvements in students’ nutritional status and educational quality.

The Free Nutritious Meal Program (MBG) is one of the government’s strategic policies aimed at improving students’ nutritional status and learning quality, particularly at the junior high school level. Early adolescence, aged 13–15 years, is a critical growth period that requires optimal nutritional intake, while national surveys still indicate deficiencies in energy and protein intake among this age group. This study aims to describe the implementation of the MBG Program and the level of student satisfaction as direct beneficiaries. The research employed a quantitative descriptive design conducted over one month in the working area of SPPG Yayasan Bina Bangsa Semarang, Gunungpati, Semarang City. The sample consisted of 101 junior high school students selected using purposive sampling techniques. Data were collected through structured questionnaires covering program implementation and student satisfaction aspects. The findings revealed that most students assessed the program implementation as high to very high. Student satisfaction was also categorized as high, particularly regarding food quality, portion adequacy, cleanliness, safety, and service. The MBG Program was considered effective in improving learning concentration, reducing unhealthy snacking habits, and encouraging healthy eating patterns. This study concludes that the MBG Program has been implemented effectively and is relevant in supporting sustainable improvements in students’ nutritional status and educational quality.

Healthcare-Associated Infections (HAIs) remain a major global challenge in healthcare services, contributing significantly to increased morbidity, mortality, and healthcare costs. Nurses’ compliance with the use of Personal Protective Equipment (PPE) is a critical component in infection prevention and control programs. Supervision by Infection Prevention and Control Nurses (IPCNs) is considered a key factor in improving compliance. This study aimed to analyze the relationship between IPCN supervision and nurses’ compliance with PPE usage in inpatient wards at Grha Permata Ibu Hospital, Depok, in 2025. This study employed a quantitative approach using a correlational analytic design with a cross-sectional method. The population consisted of all 56 nurses working in four inpatient wards, and total sampling was applied. Data were collected using a structured IPCN supervision questionnaire and direct observation checklists of PPE compliance. Data analysis included univariate and bivariate analysis using the Chi-square test. The results revealed that most respondents perceived IPCN supervision as moderate (58.9%), while the majority demonstrated compliance with PPE usage (62.5%). Bivariate analysis indicated a statistically significant relationship between IPCN supervision and PPE compliance (p = 0.001). Nurses receiving high-level IPCN supervision were 33.85 times more likely to comply with PPE usage compared to those receiving moderate supervision. In conclusion, IPCN supervision plays a crucial role in enhancing nurses’ compliance with PPE usage. Strengthening IPCN supervisory functions through structured monitoring, continuous education, and consistent evaluation is strongly recommended to improve patient and healthcare worker safety and to reduce the incidence of HAIs in hospital settings.

Patient safety culture is a critical component in healthcare organizations, reflecting the values, attitudes, competencies, and behavioral patterns that ensure safe patient care. This study aims to analyze the influence of knowledge and work environment on patient safety culture, with attitude serving as an intervening variable. A quantitative approach with an explanatory causal design was employed, involving 118 nurses as respondents selected through total population sampling. Data were collected using structured questionnaires and analyzed using Structural Equation Modeling with Partial Least Squares. The findings reveal that both knowledge and work environment have a significant direct effect on patient safety culture. Additionally, knowledge and work environment significantly influence attitudes, while attitudes themselves have a significant effect on patient safety culture. However, attitude does not mediate the relationship between knowledge and patient safety culture, but it does mediate the influence of the work environment on patient safety culture. These results indicate that improving nurses’ knowledge and creating a supportive work environment are essential strategies for strengthening patient safety culture. The study also highlights the importance of fostering positive attitudes through organizational support and conducive working conditions. The implications suggest that hospital management should focus on continuous training programs, enhancing workplace conditions, and developing systems that promote positive behavioral attitudes among healthcare workers to improve overall patient safety outcomes.

Ballast water plays a crucial role in maintaining ship stability during shipping, but it also carries environmental and human health risks due to the heavy metals it carries. This study aims to examine the health risks posed by exposure to heavy metals in ballast water and to assess the effectiveness of management practices implemented in the maritime industry. Using a literature review method, this study examines various scientific sources related to the content of heavy metals such as lead (Pb), cadmium (Cd), copper (Cu), and zinc (Zn) in ballast water, as well as their impacts on human health and marine ecosystems. The results indicate that heavy metals in ballast water can cause long-term toxic effects such as neurological disorders, kidney damage, and respiratory and reproductive disorders. The greatest risk is experienced by maritime workers who are directly exposed through inhalation or skin contact during the ballast water sampling and processing process. To minimize these risks, strict work safety protocols, improved ballast water treatment technology, and regular monitoring of heavy metal levels are required. Thus, this study emphasizes the importance of strengthening ballast water management policies and practices that are oriented towards human health and environmental sustainability.  

Patient safety is a top priority in healthcare services in hospitals. One of the critical elements is the accuracy of patient identification to prevent incidents such as procedural errors or medication administration. The purpose of this study was to determine the relationship between nurses' compliance in implementing SBAR communication with the accuracy of patient identification at Hospital X, West Jakarta. This study is a quantitative analytical study. The research design used was a cross-sectional study. The population in this study were nurses working at Hospital X, West Jakarta with a sample of 50 respondents taken using the total sampling technique. The data collection technique used an instrument in the form of an observation sheet for SBAR compliance and patient identification accuracy. Data analysis used the Chi-Square statistical test method. Based on the results of the study, it was found that most nurses were not compliant in implementing SBAR communication, namely 27 people (54%) and the majority were not accurate in identifying patients, namely 30 people (60%). The results of the statistical test showed a p value = 0.000 (p <0.05), which means there is a significant relationship between nurses' compliance in implementing SBAR communication with the accuracy of patient identification at Hospital X, West Jakarta. This study indicates that the better nurses' adherence to SBAR communication, the better the accuracy of patient identification. Hospitals are recommended to increase routine supervision and ongoing training to strengthen a culture of patient safety through effective communication.  

The purpose of this community service program is to enhance the capacity and independence of Micro, Small, and Medium Enterprises (MSMEs) by providing improved training in business management. The program covers the use of digital technology in the agricultural sector, the implementation of occupational safety and health practices, intellectual property protection, and simple financial record-keeping practices. In Pugeran Village, the activities were carried out using a collaborative approach involving the village government, MSME actors, and university students participating in the Community Service Program (Kuliah Kerja Nyata). A qualitative descriptive approach was employed through observation, interviews, and focus group discussions, complemented by direct mentoring and counseling sessions. The results indicate that MSME actors have begun to understand the importance of maintaining simple financial records, utilizing digital technology to market their products, and becoming more aware of workplace safety as well as legal protection for their businesses. The program also encouraged MSME actors to shift their perspectives and manage their enterprises in a more professional manner. However, the speed of implementation varied depending on differences in age, educational background, and established business habits. Overall, this community service activity contributed to strengthening the capacity of MSMEs and supporting sustainable economic growth in the village

Occupational Health and Safety (OHS) is a crucial aspect in manufacturing industries due to the high risk of workplace accidents caused by heavy machinery, chemical substances, and intensive production activities. Companies usually provide Standard Operating Procedures (SOP) as safety guidelines; however, SOPs are often delivered in long textual formats that are less engaging, making workers reluctant to read or difficult to understand quickly. This study aims to design an infographic-based SOP media as an effective visual communication tool to improve workers’ understanding of safety procedures. The research applies a qualitative method with a design approach through workplace observation, interviews with HSE personnel, literature review, and design validation using questionnaires. The results produce infographic media in the form of posters and signage presenting PPE usage procedures, hazard warnings, and evacuation steps using safety color codes, icons, and readable typography. The conclusion indicates that infographic SOP media is more effective than text-based SOP because it improves readability, comprehension, and workers’ memory of safety procedures.

This research investigates climate change adaptation frameworks for Indonesian port infrastructure and workforce safety through integrated risk management approaches addressing physical facility resilience and human resource protection. Through qualitative analysis involving 37 stakeholders including port authorities, terminal operators, marine engineers, climate scientists, occupational health specialists, and port workers, this study examines how climate threats including sea level rise, extreme weather, flooding, and heat stress affect both port operations and worker safety requiring coordinated adaptation strategies. Results demonstrate that integrated frameworks can reduce climate-related operational disruptions by 50-70%, decrease worker heat illness by 60-80%, improve emergency response effectiveness by 55-75%, and enhance infrastructure resilience by 45-65% when combining physical hardening with workforce protection measures. Key challenges include immediate infrastructure damage (ports already experiencing 3-8 annual flooding shutdowns), worker heat illness epidemic (150+ cases in 2023 with 300% increase), investment decision urgency ($15-25 billion infrastructure commitments 2024-2030), and organizational coordination across fragmented stakeholders. Findings reveal that successful climate adaptation requires holistic sociotechnical approaches treating ports as integrated human-infrastructure systems where worker safety and facility resilience prove inseparable, supporting Indonesia's maritime economic security and coastal community welfare through comprehensive climate risk management.