Publication Search

Empowering pregnant women in their third trimester through Respectful Maternity Care-based childbirth preparation counseling is a relevant promotive and preventive strategy for improving maternal health. This counseling not only provides knowledge about the signs of labor, stages of labor, pain management options, and birth planning, but also equips mothers with an understanding of their rights in midwifery care. Childbirth preparation education often focuses solely on clinical aspects and fails to fully address the psychosocial aspects and the rights of mothers as service recipients. This has the potential to lead to an unpleasant childbirth experience and even contribute to disrespect and abuse during labor. This counseling can equip mothers with an understanding of their rights in midwifery care. With an empathetic, participatory, and woman-centered approach, pregnant women are expected to be able to recognize their needs, convey their preferences, and communicate effectively with health workers. The purpose of this counseling is to improve pregnant women's knowledge before and after being empowered in their third trimester through Respectful Maternity Care-based childbirth preparation counseling.

This study aims to analyze the influence of Innovative Work Behaviour, Upskilling, and Work Ethic on the Health Workers Performance with Intention to Stay as an intervening variable at RSUD Sumberrejo. The background of this research stems from challenges in improving service quality, high workload, and the need to strengthen competency and retention among health workers. The study employs a quantitative approach using a survey method through the distribution of questionnaires, with data analyzed using Partial Least Squares–Structural Equation Modeling (PLS-SEM) through SmartPLS version 4.0. The population consists of 216 employees, and the sampling technique used is non-probability sampling, resulting in 140 respondents. The findings reveal that Innovative Work Behaviour, Work Ethic, and Intention to Stay have a significant positive effect on the performance of health workers. In addition, Innovative Work Behaviour and Work Ethic significantly influence Intention to Stay. However, Upskilling shows a positive but non-significant effect on both Intention to Stay and Performance, indicating that skill enhancement requires managerial support and motivation to contribute effectively to employee performance. Intention to Stay serves as a mediating variable in several relationships among the constructs. Strengthening innovative behaviour, work ethic, and competency development, accompanied by appropriate retention strategies, is essential for improving the performance of health workers in regional hospitals. Future studies are recommended to develop the research model by incorporating additional variables that may have stronger effects on Intention to Stay and Performance. Keywords: Innovative Work Behaviour; Upskilling, Work Ethic; Intention to Stay; Health Workers Performance

This study aims to analyze the influence of Innovative Work Behaviour, Upskilling, and Work Ethic on the Health Workers Performance with Intention to Stay as an intervening variable at RSUD Sumberrejo. The background of this research stems from challenges in improving service quality, high workload, and the need to strengthen competency and retention among health workers. The study employs a quantitative approach using a survey method through the distribution of questionnaires, with data analyzed using Partial Least Squares–Structural Equation Modeling (PLS-SEM) through SmartPLS version 4.0. The population consists of 216 employees, and the sampling technique used is non-probability sampling, resulting in 140 respondents. The findings reveal that Innovative Work Behaviour, Work Ethic, and Intention to Stay have a significant positive effect on the performance of health workers. In addition, Innovative Work Behaviour and Work Ethic significantly influence Intention to Stay. However, Upskilling shows a positive but non-significant effect on both Intention to Stay and Performance, indicating that skill enhancement requires managerial support and motivation to contribute effectively to employee performance. Intention to Stay serves as a mediating variable in several relationships among the constructs. Strengthening innovative behaviour, work ethic, and competency development, accompanied by appropriate retention strategies, is essential for improving the performance of health workers in regional hospitals. Future studies are recommended to develop the research model by incorporating additional variables that may have stronger effects on Intention to Stay and Performance.

Refusal of Visual Inspection with Acetic Acid (VIA) examination remains a major challenge in cervical cancer early detection, particularly among women of reproductive age. This study aimed to analyze factors influencing refusal of VIA examination among women of reproductive age in Beringin Jaya Village, Oba Tengah District. A quantitative analytic study with a cross-sectional design was conducted involving 74 respondents. Data were collected using a structured questionnaire assessing educational level, knowledge, information, and the role of health workers. Data analysis included univariate analysis, bivariate analysis using the Chi-Square test, and multivariate analysis using ordinal logistic regression.The results showed that most respondents refused or hesitated to undergo VIA examination. Bivariate analysis demonstrated that educational level, information, and the role of health workers were associated with refusal of VIA examination, while knowledge level showed a tendency toward association. However, multivariate analysis revealed that only the role of health workers had a statistically significant effect on refusal of VIA examination. Educational level, knowledge, and information were not significant predictors after adjustment.These findings indicate that service-related factors, particularly the role of health workers, are more influential than individual factors in shaping decisions regarding VIA examination. Strengthening health workers’ roles through effective communication and interpersonal counseling is essential to improve VIA examination uptake.

This study aimed to evaluate the effect of murrotal therapy on pain and anxiety levels in patients after radiofrequency action. This study uses a quantitative approach with a pre-experimental design of one group pretest-posttest involving 50 post-radiofrequency patients at Sultan Agung Hospital Semarang. The research data were collected using the Numeric Rating Scale (NRS) instrument to assess pain levels and the Zung Self-Rating Anxiety Scale (SAS) to assess anxiety levels. Univariate analysis showed that most of the respondents were women with an average age of 44.04 years, included in the intermediate adult category. The results of bivariate analysis with the Wilcoxon Signed Rank Test showed a significant decrease in both pain and anxiety levels after being given murrative therapy, with a p-value of 0.000 for both variables. This shows that murrotal therapy is effective in providing psychological relaxation and spiritual distraction effects, so that it can reduce the intensity of pain while reducing anxiety in patients. Based on these findings, it can be concluded that murrotal therapy is a non-pharmacological intervention that is simple, safe, and easy to apply by health workers. It also has great potential as a complementary therapy that supports the management of pain and anxiety after medical procedures, especially invasive procedures such as radiofrequency. Thus, the application of murrotal therapy can be used as an additional alternative in improving the quality of nursing services in hospitals.

First aid in emergencies is an essential skill that must be possessed by nursing students as prospective health workers. Educational media in the form of practical guidebooks is believed to be able to improve students' knowledge and skills, but their effectiveness needs to be proven empirically. This study aims to determine the effectiveness of the educational media of the Emergency First Aid Guide in improving the knowledge and skills of Basic Life Assistance (BHD) for nursing students. The research design used was pre-experimental with a one group pretest-posttest design approach. The research sample consisted of nursing students selected through purposive sampling techniques. The research instruments include a knowledge questionnaire and a BHD skill observation sheet. Data analysis was carried out by the normality test and the Wilcoxon Signed Rank Test. The results showed a significant improvement in respondents' knowledge from an average of M: 12; SD ± 2.52 to M: 17; SD ± 1.55 (Z = -7.789; p = 0.00), as well as an improvement in BHD skills from M: 83; SD ± 9 to M: 99; SD ± 10.2 (Z = -7.789; p = 0.00). These findings show that educational media in the form of handbooks is effective in improving the ability of nursing students to deal with emergency situations. This media can be used as an alternative strategy in emergency nursing learning to support students' clinical readiness.

The Maternal Mortality Rate (MMR) and Infant Mortality Rate (IMR) are critical indicators in assessing the quality of public health services. In 2024, both MMR and IMR in Lamongan Regency remained relatively high, indicating the need for strengthened health interventions. Health workers, especially midwives, play a vital role in improving maternal and child health. One of the government’s strategies to reduce maternal and infant mortality is expanding midwife service coverage at primary health facilities and ensuring the presence of village midwives as the frontline providers across the region. Village midwives are expected to meet established service standards to ensure the quality of maternal and child health care. Service effectiveness and efficiency are commonly measured through indicators such as first antenatal visit coverage (K1), fourth antenatal visit coverage (K4), postpartum visit coverage (KF3), and delivery assistance by health workers. However, in Lamongan Regency, the performance of village midwives has not been optimal, with several indicators falling short of set performance targets.This study aimed to analyze the relationship between the quality of work life and the performance of village midwives in Lamongan Regency in 2025. The research used a quantitative method with a cross-sectional study design. The study population comprised all village midwives in Lamongan Regency, with a sample of 80 respondents selected randomly. The independent variable in this study was the quality of work life, while the dependent variable was village midwife performance. Data were collected through questionnaires and analyzed using the chi-square statistical test. The results showed no significant relationship between the quality of work life and the performance of village midwives in Lamongan Regency in 2025. These findings suggest that other factors beyond work life quality may influence midwives’ performance.  

Quality health services are an important factor in increasing patient trust in medical facilities and health workers. One of the crucial aspects is accuracy in providing drug recommendations that suit the patient's needs. Drug recommendations are influenced by various criteria, including effectiveness, safety, price, availability, and potential side effects. However, in practice, there is often a gap between the patient's expectations and the reality of the treatment received. This can affect patient satisfaction and perception of health services. To overcome these challenges, a Decision Support (SPK) is needed that is able to provide drug recommendations in a more objective, measurable, and structured manner. This study uses the Simple Additive Weighting (SAW) method because of its advantages in processing various complex and diverse criteria. SAW works by giving weight to each attribute, normalizing the data, and then calculating the preference value to determine the best alternative from several available drug options. The results of the study show that the SAW method is able to produce more structured and consistent recommendations than manual determination. In this study, the drug with the highest preference value, which is 92.00, was recommended as the top choice. These findings confirm that SPK and SAW-based approaches can be an effective solution in supporting medical personnel, especially in the selection of external drugs. In addition to improving decision accuracy, this SPK also has the potential to be further developed, for example by integrating into an electronic medical record (EMR) or based on a mobile application, so that its use becomes more practical and accessible. Thus, the implementation of the SAW method in SPK not only provides benefits on the technical aspect, but also contributes to improving the quality of health services as a whole.

The Emergency Department is one of the busiest hospital units dealing with patients with various medical conditions, including high-risk patient cases requiring intensive care. This requires competent health workers. However, a stressful work environment can lead to high levels of job stress and burnout, which negatively impacts job satisfaction. This study aims to examine the effect of competence, job stress, and burnout on job satisfaction of health workers, especially doctors and nurses in the emergency room of Tzu Chi Hospital. This study used a quantitative approach with a questionnaire involving 38 respondents, analyzed using the Structural Equation Modeling (SEM) Partial Least Squares (PLS) technique through the SmartPLS application. The results showed that competence significantly affects job satisfaction, indicating that increasing competence increases job satisfaction. and competence also has a positive effect on burnout where the higher the competence, the lower the risk of burnout. In contrast, job stress and burnout have a negative influence on job satisfaction; the higher the stress and burnout, the lower the level of job satisfaction. These findings emphasize the importance of competency development as a strategic measure to reduce stress and burnout and increase job satisfaction. These results provide guidance for hospital management in designing effective competency improvement and stress management programs.

This study aims to find out and analyze the legal basis for considering the regulation of fine sanctions of Kupang Mayor Regulation Number 7 of 2013 concerning the health of mothers, infants and children under five and to find out and assess the effectiveness of the enforcement of Kupang Mayor Regulation Number 7 of 2013 concerning the Health of Mother, Infants and Children under five through the regulation of fine sanctions. This type of research is empirical normative research using interviews and data analysis methods that are carried out qualitatively. In this study, the author uses a type of empirical normative research or legal research that examines written law from the aspects of theory, history, philosophy, comparison, structure and composition, scope and material, general explanation of article by article, formality and binding force of a law but not binding aspects of its application or implementation. The results of the study show the legal basis for considering the regulation of fine sanctions in Kupang Mayor Regulation Number 7 of 2013 concerning the health of mothers, infants and children under five, because there are still incidents of childbirth outside health facilities in the working area of the Bakunase Health Center which can be at risk of maternal and infant mortality rates. This happens because there are still pregnant women who give birth at home because of impromptu childbirth so that childbirth does not occur in health facilities but outside health facilities or at home and childbirth is still helped by birth attendants. The risk of maternal and infant mortality can still occur. The effectiveness of the enforcement of Kupang Mayor Regulation Number 7 of 2013 concerning the Health of Mothers, Infants and Children Under Five through the regulation of fine sanctions in the working area of the Bakunase Health Center has been effective for health workers. For the public, there are still many who do not know about the Regulation of the Mayor of Kupang Number 7 of 2013 concerning the Health of Mothers, Babies and Children under five so that there are still incidents of childbirth outside health facilities and childbirth assisted by shamans. Knowledge about childbirth, attitudes and family support in this study also has an important role in determining mothers to have a safe delivery. It is suggested that new regional regulations need to be socialized to the community so that existing regulations can run effectively. An obedient society is also a basic thing so that regulations can run effectively.

The purpose of this research is to know and analyze the influence of authentic leadership and servant leadership partially and simultaneously on performance of health workers in Batam City. The method used in this research uses a method, namely the type of research used in this research is a quantitative research method. This research uses an analytical tool is SPSS Version 23. The population in this study is all health workers spread across Batam City whose numbers cannot be known and recorded with certainty. The sampling method in this study used accidental sampling technique. By using the Zikmund formula, the final sample size used was 100 people. The results of this research are (1) Authentic leadership partially has a positive and significant effect on performance of health workers, (2) Servant leadership partially has a positive and significant effect on performance of health workers (3) Authentic leadership and servant leadership together or simultaneously have a positive effect and significant to the performance of health workers. The coefficient of determination (adjusted R square) is 0.669 or equal to 66.9%. This figure means that the independent variables consisting of authentic leadership and servant leadership affect performance of health workers variable while the remaining 29.1% of the performance of health workers variable is influenced by other variables not examined in this study

Health is a basic right guaranteed by the Indonesian constitution, as stipulated in Article 28H of the 1945 Constitution and Article 34 paragraph (3), which states that the state is responsible for the provision of adequate health care facilities for all citizens. Nonetheless, challenges in the provision of health services in remote areas are still significant, especially related to the limitations of facilities, medical personnel, and service quality. The development of technology, particularly telemedicine, has opened up new opportunities in the delivery of health services, which can overcome geographical limitations and improve community access to medical services. The type of research in this study is normative juridical. The research results in this discussion are the protection of doctors and the regulation of telemedicine policies in Indonesia, by reviewing Law Number 17 of 2023 concerning Health regarding the implementation of telemedicine between health service facilities. Although telemedicine can expand access to health, the risks associated with remote diagnosis and treatment require special attention in terms of legal protection of health workers. Therefore, adaptive legal tools are needed to accommodate the growing development of health technology and provide legal protection for the parties involved in the implementation of online-based health services.

In Indonesia, traditional medicine has a legal position that is recognized and protected by state law in the provisions of article 50 paragraph (1) and paragraph (2) of Law Number 36 of 2009 concerning Health. It is also stated in the new Law Number 17 of 2023 concerning health article 192 paragraph (1). Although traditional medicine is recognized and regulated by national law, traditional medicine practitioners can also engage in malpractice acts. Currently, people have a lot of problems with traditional medicine, which is too prone to mishandling patients' diseases because of its methods that have not been clinically tested. The increasing number of cases of fracture infection caused by fracture shamans every year is one example of inappropriate handling that occurs in the Kemak Tribe in Kampung Sadi, Belu Regency. This research is a socio-legal research supported by an empirical approach that uses primary data and secondary data collected using interview and observation techniques and processed and dialysed using Editing, Coding, Verification, and Interpretation techniques. The results of this study show that (1) Negligence in traditional medicine is a serious problem that has a wide impact on individuals and society. (2) In traditional medicine, the prevention and control of negligence requires a comprehensive approach through education, regulation, and cooperation between the government, practitioners, and conventional health workers.

Professional ethics is not only a moral guideline for health workers, but is also an integral part of the legal system that regulates the relationship between health workers, patients and society. In a legal context, professional ethics is the foundation that guarantees that every action of health workers is carried out in accordance with professional standards and aims to protect patient rights. The aim of this research is to analyze the obstacles and impact of obstacles faced in law enforcement on violations of professional ethics for health workers in Indonesia. The research method used is normative research, using secondary data. The research results show that obstacles to law enforcement against violations of professional ethics for health workers in Indonesia stem from various factors, such as weak regulations, lack of coordination between institutions, slow and complicated legal processes, and minimal understanding of ethics and law among health workers. Furthermore, there is a significant impact on the protection of patient rights and the professionalism of health workers in Indonesia. On the one hand, patients become vulnerable to violations of their rights, such as the right to safe and quality medical services.

The discontinuity of regulations concerning health workers in health law legislation poses a challenge for the application of the principle of legal certainty in Indonesia. The principle of legal certainty is an essential foundation in the legal system that guarantees the rights and obligations of health workers and the community. However, there is a gap between the regulations for health workers and the principle of legal certainty, which impacts the clarity of the legal status, rights, and obligations of health workers. This research aims to examine the discontinuity between health workers' laws and the application of the principle of legal certainty, as well as the impact arising from this inconsistency. Additionally, this research identifies efforts that can be made to align labor regulation and health worker regulations with the principle of legal certainty. Using normative legal research methods through legislative and conceptual approaches, this study finds that regulatory harmonization is necessary to strengthen legal certainty in health worker regulation in Indonesia.

The use of Maternal and Child Health (KIA) books for toddlers at Posyandu Melati 2 in 2023 falls short of the national target of 85%. This low usage rate raises concerns about potential negative impacts on the health of children under five. Cadres play a crucial role in promoting maternal and child health by providing guidance and encouragement regarding the use of KIA books. This study aims to assess the correlation between cadre support and the utilization of KIA books among mothers of toddlers at Posyandu Melati 2 from April to May 2024. A cross- sectional analysis was conducted with a total population of 57 mothers of toddlers, using a total sampling technique. Data on maternal characteristics, cadre support, and KIA book usage were collected through a survey with a questionnaire and analyzed using the chi-square method with a significance level of α = 0.05. Results indicated that only 10.5% of mothers used the KIA books properly, and 28.1% received good support from health workers. The analysis revealed a significant correlation between cadre support and the use of KIA books, with an odds ratio (OR) of 6.5 and a Fisher Exact Test result of p = 0.046. These findings highlight the importance of cadre support in enhancing the use of KIA books among mothers of toddlers, suggesting that increased support could improve usage rates and potentially benefit child health outcomes.  

The main aim of this social service is awareness and deeper understanding of the dangers of drugs, their legal and health impacts, as well as inspiring positive changes in attitudes and behavior in social settings among the younger generation and the general public. The service method used is legal advice, including legal sources from the police, doctors and public health workers. Activities carried out through communication include discussions, presentations and comparisons of legal aspects related to drugs. The results of this service show that anti-fraud training has succeeded in achieving its goals. Participants saw increased awareness of illegal drugs, their negative impact on health, and the legal consequences they face. Participants felt more responsible for their personal and community health. Information provides insight into prevention strategies to help participants develop healthy lifestyle skills and avoid high-risk behaviors.

Law Number 17 of 2023 concerning Health brings significant changes in the handling of medical professional errors in Indonesia. This research aims to analyze the mechanism for the formation and authority of the Medical Dispute Settlement Council as well as the role of the state in Gustav Radbruch's legal perspective. The research method used is a normative juridical approach with descriptive analysis. The research results show that this law integrates various previous regulations, establishing a permanent or ad hoc assembly to uphold ethical standards and professionalism for health workers. The Assembly is tasked with handling complaints and alleged disciplinary violations before they enter the realm of criminal law, offering fairer and more efficient dispute resolution through a restorative and non-litigation approach. The role of the state is very important to guarantee justice, legal certainty and benefits, ensure that the assembly operates fairly and transparently, and provides fair legal protection for patients and medical personnel.

Nurses' compliance in carrying out hand hygiene is very important because infection and disease transmission can be caused by health workers who are not compliant in carrying out hand hygiene every time they carry out health service actions. Health workers' compliance in carrying out hand hygiene both before and after carrying out procedures for providing health services can be a problem that must be considered due to various factors that are closely related to compliance in carrying it out. This research was conducted to analyze factors related to health workers' compliance in implementing hand hygiene at the Peulumat Health Center, South Aceh. The design used is descriptive correlation with a cross sectional approach. The total sample was 80 health workers. Data was obtained by interview using a questionnaire. There is an influence on attitudes with results (p 0.003) and length of service (p 0.002) the availability of hand hygiene facilities (p 0.000) which influences the compliance of health workers in implementing hand hygiene at the Peulumat Health Center in South Aceh. Based on statistical tests, it was found that factors that can influence the health of workers in carrying out hand hygiene consist of attitude, length of service, availability of facilities for carrying out hand hygiene. The implication for recommended services is that supervision and motivation of health workers need to be increased to carry out hand hygiene in accordance with recommendations. The research implication is that it is hoped that there will be research with a larger sample size, involving other people as researchers and using video.

This study aims to determine the relationship between health facility measures and reference service measures on the quality of service for patients participating in BPJS Health at the Sukodono Community Health Center, Sidoarjo. This research also aims to describe the quality of BPJS Health services at the puskesmas. The results of previous research show that the quality of BPJS Health services at the Sukodono Community Health Center still needs to be improved, especially in the aspects of waiting time, patient satisfaction and communication with health workers. This research uses survey methods and data to find out how the quality of BPJS Health services at the Sukodono Community Health Center and how health facility actions and referral service actions influence service quality. It is hoped that the results of this research can become a reference for improving the quality of health services provided by the Sukodono Community Health Center, so that people who use BPJS Health services can receive better and more effective services.