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Background: Work stress is one of the most significant issues faced by healthcare professionals, particularly among nurses. Resilience can help individuals mitigate the negative impacts of working in high-pressure environments. A resilient person is able to manage stress and emotions effectively. Objective: The aim of this study is to examine the relationship between resilience and work stress among nurses at RSUD Dr. Soegiri Lamongan. Methods: The research employed a cross-sectional approach, with a sample of 135 nurses selected using cluster random sampling. Data was collected using a questionnaire instrument. Result: The study results indicated that the majority (74.8%) of nurses had a moderate level of resilience, while most (52.6%) experienced mild work stress. Based on Spearman’s Rho test analysis, the study found a p-value of 0.000 (p<0.05) and a correlation coefficient (r?) of -0.500, leading to the acceptance of H1, which confirmed a relationship between resilience and work stress among nurses at RSUD Dr. Soegiri Lamongan. Conclusion: Nurses who have a high level of resilience have low work stress because the level of resilience that each individual has can reflect their ability to maintain balance when life is unstable. .

The quality of nursing services is not solely determined by nurses’ technical competence in providing clinical care, but is also influenced by their ability to establish therapeutic communication with patients. Therapeutic communication is a professional interaction process aimed at helping patients understand their health conditions, express their feelings, and develop a trusting relationship with nurses. Effective communication between nurses and patients can increase patients’ comfort during hospitalization and may influence their level of satisfaction with the nursing services provided. This study aimed to determine the relationship between nurses’ therapeutic communication and patient satisfaction in the inpatient ward of Grha Permata Ibu Hospital in 2025. This study used an observational analytic design with a cross-sectional approach. The sample consisted of 182 patients selected using a purposive sampling technique. Data were collected using a therapeutic communication questionnaire and the Patient Satisfaction with Nursing Care Quality Questionnaire (PSNCQQ) to assess patient satisfaction with nursing care. Data analysis was conducted using the Spearman Rank correlation test to determine the relationship between the two variables. Most respondents assessed nurses’ therapeutic communication as good (87%). However, the majority of patients reported poor satisfaction levels (79.7%). The results of the Spearman Rank analysis showed a Sig. (2-tailed) value of <0.001 with a correlation coefficient of rs = −0.438, indicating a statistically significant relationship with a moderate correlation strength between nurses’ therapeutic communication and patient satisfaction. There is a significant relationship between nurses’ therapeutic communication and patient satisfaction in the inpatient ward of Grha Permata Ibu Hospital.

Patient-Centered Care (PCC) is a healthcare approach that places the patient at the center of every interaction and clinical decision-making. However, a preliminary study at Tarumajaya Hospital showed that 58% of healthcare workers had not yet optimally implemented the PCC approach. This study aimed to analyze the influence of self-efficacy and social support on the implementation of Patient-Centered Care, with safety culture as a mediating variable, at Tarumajaya Hospital. The research method used was quantitative analytic with a cross-sectional design. The study sample used a saturated sampling technique of 132 healthcare workers, consisting of doctors, nurses, and medical support staff. Data analysis used Structural Equation Modeling–Partial Least Squares (SEM-PLS). The results showed that self-efficacy and social support had a positive and significant effect on safety culture and PCC implementation. Safety culture also had a positive and significant effect on PCC implementation. Furthermore, safety culture was shown to mediate the influence of self-efficacy and social support on PCC implementation. The coefficient of determination value indicates that the model has strong ability to explain variations in PCC.

Personality development is a fundamental aspect in the formation of nursing students as prospective professional nurses, especially in services in the Emergency Unit (ER). The personality of nurses in the ER is reflected in the ability to think critically, effectively communicate, caring attitudes, and professional performance that supports the quality of service. This community service activity aims to increase the knowledge of nursing students about personality development in the ER through educational video media. The method used is health education with a pre-test and post-test design involving 19 nursing students. The results of the activity showed an increase in the average score of student knowledge from 14.58 in the pre-test to 19.16 in the post-test. These findings indicate that educational video media is effective in increasing students' understanding of the role of critical thinking, communication, caring, and performance in the ER. In addition, this activity also contributes to strengthening student readiness to face the challenges of clinical practice in an emergency environment. Thus, the use of video media as an educational means can be an innovative strategy in supporting the personality development of nursing students, as well as strengthening the professional competencies needed in emergency health services.

Health workers contribute up to 80% to the success of health development. For this reason, effective employee performance management is needed according to service performance for communicable and non-communicable diseases. The aim of this research is to analyze the factors that influence the performance of nurses in health services for non-communicable diseases and infectious diseases at the UPT Puskesmas Kuala, Kuala District, Langkat Regency.The research design used was an analytical survey with a cross sectional approach. The population of this study were all 31 nurses with a sample using a total sampling technique of 31 people. The data analysis used is the binary logistic regression test.The research results show that ability has a sig-p value of 0.025, attitude sig-p 0.014, learning sig-p 0.036, motivation sig-p 0.022, leadership sig-p 0.031 and work environment sig-p 0.048, which means it has an influence on nurse performance , while age sig-p 1.000 and perception sig-p 0.496 have no influence on nurse performance. Attitude is the dominant factor with an OR value of 28.446. In conclusion, ability, attitude, learning, motivation, leadership, and work environment influence nurse performance, while age and perception have no effect. Attitude is the most dominant factor influencing nurse performance.

Background: Diabetes mellitus is a chronic metabolic disorder caused by inadequate insulin action. Poor disease control can lead to complications such as neuropathy, commonly marked by tingling or sensory loss. Effective prevention requires structured management through the five pillars of diabetes care. This case study describes the application of these pillars in a patient with hyperglycemia. Case: A 58-year-old male with diabetes mellitus presented with reduced sensation in the feet, abdominal discomfort, and consistently elevated blood glucose levels. The patient had limited disease knowledge and misconceptions related to diabetes self-management. Intervention: Education on the five pillars of diabetes was provided using a structured approach consisting of three self-care pillars and two collaborative pillars. Leaflet-based educational materials developed by the author were used to facilitate understanding for both the patient and family. Results: Following the intervention, the patient demonstrated increased knowledge, awareness, and improved ability to manage hyperglycemia. The family also showed enhanced understanding and support for diabetes care. Conclusion: Nurse-led education using the five pillars of diabetes effectively improves knowledge, awareness, and self-management abilities in individuals with diabetes mellitus, contributing to better glycemic control and prevention of complications.

This study aims to investigate the relationship between Parenting Self-Efficacy and Work-Family Conflict among nurses in Bukittinggi City. Parenting Self-Efficacy refers to the belief of parents in their ability to successfully carry out caregiving roles, while Work-Family Conflict is defined as a condition of role conflict that arises when the demands of work and family interfere with one another, thereby disrupting role balance. Nurses are one of the professions highly vulnerable to experiencing work-family conflict due to the demands of shift work, workload, and responsibilities at home, particularly for those who are married and have children. This research employed a quantitative approach with a correlational design to examine the direction and strength of the relationship between the two variables. The participants consisted of 85 nurses working in Bukittinggi City, selected using purposive sampling with specific criteria, namely being married, having children, and having a minimum of three years of work experience. Data were collected using standardized instruments in the form of the Parenting Self-Efficacy Scale and the Work-Family Conflict Scale, both of which had previously undergone adaptation and validity testing. The data were analyzed using Pearson correlation analysis to determine the relationship between the two variables. The results showed a significant negative relationship between Parenting Self-Efficacy and Work-Family Conflict (r = -0.400, p < 0.01). This finding indicates that nurses with higher levels of Parenting Self-Efficacy tend to experience lower levels of Work-Family Conflict, and conversely, those with lower self-efficacy in parenting are more likely to encounter greater conflicts between work and family roles. These findings highlight the importance of strengthening Parenting Self-Efficacy as a strategy to help nurses manage dual-role demands more effectively.

Nurses’ performance plays a vital role in ensuring the quality of healthcare services provided to patients. However, in Indonesia, nurses’ performance remains relatively low, which is partly attributed to inadequate levels of work motivation. Work motivation itself is shaped by several factors, one of the most influential being self-efficacy, defined as an individual’s confidence in their ability to perform tasks effectively. This study aimed to investigate the relationship between self-efficacy and work motivation among inpatient nurses at Banjarmasin Islamic Hospital. A quantitative correlational design with a cross-sectional approach was used. The study population included all 75 inpatient nurses, with 63 participants selected through quota sampling. Data collection employed two instruments: a self-efficacy questionnaire adapted from Basari’s research and a work motivation questionnaire developed by Mubarok. The collected data were analyzed using the Spearman rank correlation test with a 0.05 significance level. Findings revealed that most nurses (76.2%) had moderate levels of self-efficacy, while the majority also reported moderate levels of work motivation (55.6%). Statistical testing indicated a correlation coefficient (r) of 0.510 and a significance value (p = 0.001), demonstrating a moderate, positive, and statistically significant relationship between self-efficacy and work motivation. These results suggest that the stronger a nurse’s belief in their competence, the greater their motivation to perform work-related tasks. The study concludes that self-efficacy is a critical determinant of work motivation among inpatient nurses, highlighting the need for hospital management to implement strategies that strengthen nurses’ confidence and abilities. Interventions such as training, mentoring, and continuous professional development are recommended to enhance self-efficacy, which in turn can improve work motivation and overall performance, thereby contributing to higher-quality healthcare delivery.

As shipping activities through various modes of transportation increase, the need for adequate understanding of dangerous goods is becoming increasingly important, especially among the younger generation. Unfortunately, many students still do not understand the classification and risks associated with transporting these goods. This community service activity aims to increase awareness and understanding of high school students in the Philippines regarding the classification of dangerous goods and the importance of safety in the shipping process. The activity was carried out through an interactive outreach method that included visual presentations, case studies, and simple simulations to make the material easier to understand and apply. The material provided refers to international standards, namely the International Maritime Dangerous Goods (IMDG) Code and ICAO Technical Instructions (ICAO-TI), which are important references in the classification and handling of dangerous goods globally. Evaluation was carried out through pre-tests and post-tests to measure the level of student understanding before and after the activity. The results showed a significant increase in students' ability to recognize symbols, types of dangerous goods, and initial actions to be taken when faced with these goods. These findings confirm that the right educational approach can increase early awareness among students as potential actors in the logistics chain. It is hoped that similar programs can be implemented widely and sustainably in various educational institutions to minimize the risk of sending dangerous goods due to a lack of public knowledge.

The nursing education process was implemented through clinical practice in hospitals. However, the heavy workload of nurses and clinical instructors often hindered the optimal provision of guidance to students. Therefore, efforts were necessary to enhance the competencies of nursing educators and clinical instructors. The development of these competencies required support from both formal and non-formal education. One form of non-formal education was the implementation of preceptorship and mentorship training programs. These programs were expected to strengthen the quality of student guidance in clinical settings. The methods employed included lectures, role-playing, and hands-on application in inpatient care units. The training outcomes indicated a significant improvement in the clinical instructors’ ability to effectively carry out preceptorship and mentorship roles.

Patients with mental disorders often face a decrease in the quality of their ability to carry out daily activities and social interactions. One of the factors that can affect the quality of life of patients with mental disorders is their self-care ability. The purpose of this study was to determine the relationship between self-care ability and quality of life of schizophrenia patients at Prof. Dr. V. L. Ratumbuysang Mental Hospital. This Method of research is correlation and uses cross sectional research design. The population in this study amounted to 52 patients with schizophrenia, the sampling technique used purposive sampling technique using inclusion criteria so that the sample obtained was 32 patients. The results of this study are based on the Sperman Rho test the result of the p value is 0.000 which is smaller than the significant value (a = 0.05), then the correlation coefficient is also found to be 0.752 which can be interpreted in the strong relationship category, thus it can be said that in this study H0 is rejected and Ha is accepted which means that there is a relationship between self-care skills and the quality of life of schizophrenic patients at Prof. Dr. V. L. Ratumbuysang Mental Hospital. The conclusion of this study is a significant relationship between the role of nurses and the implementation of self-care in schizophrenic patients, the better the self-care skills, the better the quality of life in patients with schizophrenic mental disorders Guidance and coaching provided by nurses can help patients develop better self-care skills

In health care, the interaction between nurses and patients is essential to build good relationships, increase trust, and meet patient needs and expectations. The success of nursing services depends on the ability of nurses to communicate effectively. One of the causes of unexpected events (KTD) is due to communication errors both verbally and in writing between multidisciplinary and between shifts. Bedside handover can reduce patient safety incidents caused by miscommunication and strengthen employment relations between nurses, thus creating a more collaborative work environment. The purpose of this community service activity in this study is to improve the interaction of nurses when handover to the management of patient-centered care. Data collection techniques are carried out using questionnaires, interviews and direct observations in the treatment room of Karunia Kasih Hospital. In analysing the problems of the data obtained in this study, researchers used Fishbone Analysis which outlined existing problems and analysed using the method of USG (urgency, seriousness, growth) to determine the priority of the problem. The implementation carried out was changing the traditional handover method to bedside handover with the SBAR technique, revising the SOP, conducting socialisation about bedside handover conducting supervision and auditing the implementation of bedside handover. From the data analysis on observations, it can be concluded that bedside handover is an effective strategy to improve interaction between nurses and patients. The results of the analysis of the observation data can conclude that bedside handover is an effective strategy to improve the interaction between nurses and patients in patient-centred care. 

Background: Nurses are the profession that suffers the most from Burnout with a prevalence of 43% due to low ability to manage emotional intelligence. Nurses who are emotionally intelligent will be better able to understand and manage their own emotions and others, motivate themselves so that burnout is lower. The purpose of this study was to determine the relationship between emotional intelligence and burnout in nurses.  Methods: this study was observational analysis research with cross-sectional study design. The sample size of 42 people was selected by total sampling. Instruments to measure emotional intelligence using a self-report questionnaire and burnout using a questionnaire, analysis using the Spearman Rank test. Results: The results of the study of nurses' emotional intelligence were mostly in the moderate category, namely 25 respondents (59.5%). Burnout experienced by nurses is mostly moderate category as many as 27 respondents (64.3%). Rank Spearman test results obtained p value = 0.000 (<0.05) indicates there was a relationship between emotional intelligence with burnout in nurses. Conclusion:  this study can be concluded that emotional intelligence is significantly related to burnout. It is recommended for nurses to consult with leaders if they experience symptoms of burnout so that they can be treated and given a quick and appropriate solution according to the symptoms experienced.  

Background: Leadership is one of the crucial aspects in managing a health care unit, especially in nursing. A leadership style that focuses on attention and empathy, or known as Caring Leadership, has been shown to improve the quality of service and patient satisfaction. This community service aims to improve the understanding and ability of the head of the room in implementing the Caring Leadership style. Methods: This activity is carried out through a series of training and interactive discussions involving the head of the room in various hospitals. Educational materials include an introduction to the concept of Caring Leadership, effective communication techniques, and strategies in supporting the nursing team. Results: The results of this activity show an increase in participants' knowledge and skills in applying Caring Leadership in their work environment. The impact is expected to create a more harmonious work atmosphere and support the improvement of the quality of health services. Conclusion: This activity also contributes to improving the welfare of the nursing team and patient satisfaction.

Development care is an effort to modify the environment and respond to changes in the behavior of newborns, especially in infants Low Birth Weight, The purpose of this study was to determine the effect of training on developmental care on nurses' ability to care for babies with low birth weight. The design of this study used "quasi experiment pre and post test control", which involved 19 nurses in the perinatology room of Al Islam Bandung Hospital. The results showed a significant increase in the mean score of nurses' knowledge, attitudes and actions after the intervention (p value = 0,000, α = 0.05). This training is effective in increasing nurses' knowledge and attitudes. The recommendation of this study is the need for socialization to all health workers supported by the hospital policy to implement development care and evaluate the implementation of development care in LBW care.  

Seeing a frightening image or hearing a voice as a result of hallucinations often causes a person to be disturbed, which has an impact on the individual's ability in the work environment, relationships with partners, and fulfilling daily life needs. One intervention used for people with audio-visual hallucinations is music therapy. Music therapy is carried out by the nurse on duty in the room for ± 20 minutes with music requested by the client (which tends to be music that is liked). At the beginning and end of the study, an assessment of audio-visual hallucinations was carried out with the Washington Early Recognition Center Affectivity and Psychosis (WERCAP) Screen. Significant change from audio-visual hallucinations with initial WERCAP score 78 to 28 (score > 30: high risk of psychotic disorders). It is proven that Electronic Dance Music (EDM) and selawat will tend to get clients' attention. In effect, hallucinations: audio-visual, anxiety, non-aggressive behaviour, eating habits and indiscriminate defecation will eventually decrease over time. Further research is needed regarding the categories of music that people like, remembering that each person has their music preferences. This can strengthen the findings in this case report study or provide new contradictory evidence.

Breast cancer is when cells lose their ability to run mechanisms as they should and function normally. The global prevalence of breast cancer is 2.3 million women diagnosed with the disease. The side effects of treatment and the cancer itself often cause fatigue, one of the most common complaints of breast cancer patients. The most common management is a non-pharmacological therapy of Benson relaxation and lavender aromatherapy to manage fatigue. This quasi-experimental research determined the influence of Benson relaxation and lavender aromatherapy on fatigue in breast cancer patients with a one-group pretest-posttest approach. This study involved a total of 31 breast cancer patients, selected through a purposive sampling technique. The Wilcoxon test found a p-value of 0.014 (<0.05), indicating the effect of Benson relaxation and lavender aromatherapy collaboration toward fatigue in breast cancer patients. Nurses anticipate the application of this research to manage patients' fatigue levels, while non-pharmacological therapeutic research could potentially lower fatigue rates in other chronic diseases by incorporating new variables and extending therapy duration for a more substantial impact.

Restless legs syndrome (RLS) is a sensorimotor disorder that affects a person's desire to move the legs. Physical activity is considered to be one way to reduce RLS symptoms. The purpose of this study was to analyze the relationship of physical activity with RLS in patients with chronic kidney disease (CKD) in the hemodialysis room of RSUD Kab Subang. This research is a type of quantitative research, correlational descriptive research design using cross-sectional. The sample in this study was 62 respondents, with purposive sampling techniques. Data collection using the Global Physical Activity Questionaire (GPAQ) and International Restless Legs Syndrome Group (IRLS) questionnaires, and data analysis using the spearmen rank test. The results showed that most respondents had a low level of physical activity, with a prevalence of 64.5%, and most respondents experienced severe symptoms of RLS, with a prevalence of 40.3%. Statistical tests show that there is a relationship between the physical activity variable and RLS (p-value 0.001), with the coefficient value is -0.741. It can be concluded that there is a solid relationship between physical activity and RLS in CKD patients in the hemodialysis room of RSUD Kab Subang with an antagonistic relationship direction. It is expected that nurses can intervene in chronic kidney disease patients to perform physical activity in accordance with their ability to reduce RLS.

Patient safety is a system that makes care safer, including risk assessment, identification and management of patient risks, reporting, incident analysis, the ability to learn from incidents and follow up, implementation of solutions to minimize risks and prevent injuries caused by errors resulting from carry out an action or take action that should be taken. This study aims to determine the factors that influence the implementation of patient safety by nurses at Hospital X in Medan. The type of research used is quantitative research with a cross sectional approach. The population in this study were 85 inpatient nurses at Hospital X in Medan. The number of samples in the study was 75 respondents according to the criteria, using the total sampling technique. The statistical test used is the Chi Square Test. The results of the research show that there is a relationship between nurses' knowledge (p-value=0.004), Hospital Organization/Management (p- value=0.030) and the implementation of patient safety by nurses at Hospital in Medan. Increasing the knowledge and skills of nurses' performance by holding training regularly and continuously, Create organizational policies by implementing a punish and reward system for nurses according to their performance.    

Caring is an important aspect that must be carried out by a nurse in the practice of providing nursing care. In general, caring is defined as an ability to be dedicated to others, to provide supervision by showing attention, feelings of empathy for others, feelings of love and love that must be done in providing nursing care. The purpose of this study was to determine whether or not there is a relationship between the caring attitude of nurses towards compliance with treatment control of pulmonary TB patients. This study is a quantitative study with a cross sectional approach. This sampling technique uses purposive sampling. Statistical test analysis used is chi-square using SPSS computer program. Results: The results of the bivariate test obtained a p-value of 0.033 is smaller than 0.05, which means that there is a relationship between the caring attitude of nurses towards compliance with treatment control of pulmonary TB patients. There is a relationship between the caring attitude of nurses towards compliance with treatment control of pulmonary TB patients.