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Background: Non-communicable chronic diseases are currently a global health problem. Treatment of chronic diseases is serious because it can affect the patient's quality of life and consume quite a large amount of treatment funding. However, pharmacological treatment cannot be effective if chronic disease patients are unable to manage stress. For this reason, therapeutic modalities are needed that are able to treat patients as a whole, both bio-psycho-social and spiritual, one of which is the spiritual emotional freedom technique (SEFT). Purpose: This community service activity aims to increase the resilience of chronic disease patients through SEFT training. Method: Activities were provided for posyandu cadres in Kayuputih Village, Sukasada I Community Health Center Working Area. The training method was carried out by giving lectures, demonstrations, guided re-demonstrations, providing media, and evaluation. Results: SEFT is a non-pharmacological therapy that is acceptable to participants. SEFT can be done independently with the guidance of media leaflets and video demonstrations. SEFT is considered a unique way of praying and is modified by healing efforts by tapping specific points on the body. Conclusion: SEFT can be an alternative choice for chronic disease patients to maintain resilience in long-term self-care.

Introduction : Smart hospital is an emerging and fast-developing innovation in the context of a rapid increase of internet users, an increasing demand for high-quality medical resources, and an aging population worldwide. It generally involves the use of the optimized and automated processes built on an information and communications technology (ICT) environment, especially based on the Internet of things (IoT), to offer assessment, consultation, direct treatment, services, and integrated care. This innovation has the potential and has already gained initial evidence to improve healthcare access, efficiency, or even effectiveness. Yet, along with these positive impacts and promises, a number of issues and challenges also appear.Methods: Study This is study quantitative with design survey research. Study This done on the month of June 2023. Instruments used in study This use questionnaire with the HOT-Fit method consisting of the 47 questions divided in 6 groups question namely: Human, Organization, Technology, Knowledge Users Regulations and Benefits. Subject for this study is hospital managers, administration staff and health workers. Data analysis using analysis multivariate .Result: 22 hospital state that digitization service health to a very smart hospital important one of them is applied For increase quality service House hurts and improves satisfaction patient. In application of smart hospital Sick need integrate between technology, service and regulation.Conclusion : Smart hospitals can influence health and medical policies and create new medical values by defining and quantitatively measuring detailed indicators based on data collected from existing hospitals. Simultaneously, appropriate government incentives, consolidated interdisciplinary research, and active participation by industry are required to foster and facilitate smart hospitals.   Keywords: ,   

Background: Diabetes Mellitus (DM) is a disease that is increasing every year in countries around the world. Reports from various regions in Indonesia show that the incidence and complications of DM are widespread, making it a national problem that requires more attention. A frequently encountered complication of DM is diabetic foot, which can manifest as ulcers, infection and gangrene. Actions to treat diabetic foot include preventive measures which include foot care education, diabetic shoes and foot exercises. Foot exercises are exercises carried out by DM sufferers and non-sufferers to prevent injuries and help improve blood circulation in the legs. Apart from their role in providing health education, nurses as members of the medical team can also play a role in teaching foot exercises so that DM patients are able to do foot exercises independently. Objective: To increase the knowledge and skills of DM sufferers by implementing foot exercises in an effort to prevent diabetes complications in the feet (diabetic foot). Method: Foot exercise activities are carried out on DM sufferers who do not have wounds on the feet. The methods used were lectures, questions and answers, and direct demonstrations using newspapers. Results: The results of the activities obtained were an increase in knowledge before and after providing counseling and demonstrations of foot exercises for DM sufferers. Conclusion: After carrying out this community service, the community's ability to do foot exercises has increased and can be done independently, so it is hoped that this can prevent complications in DM sufferers.

Background: Type 2 diabetes mellitus can affect all aspects of the patient's life so that it can be life threatening if not treated properly. The problems experienced by Type 2 Diabetes Mellitus patients can be minimized by having sufficient knowledge and ability to control their disease with self-care. Self Care describes patient behavior carried out consciously and independently with the aim of optimizing and increasing independence in terms of health. Development of an empowerment program for Type 2 Diabetes Mellitus patients through a cadre approach. Purpose: the aim of this activity is to increase cadres' ability to manage self-care for type 2 diabetes mellitus patients. Method: The method of community service activities is cadre empowerment. Activities were carried out in Sembung Village, Mengwi, Badung with 50 health cadres as partners. Result: The result of this activity is that there has been an increase in understanding by 60% and cadres have increased the ability of type 2 Diabetes Mellitus patients to carry out independent care. Conclusion: The conclusion is that health cadres are able to act as motivators and mentors in carrying out comprehensive self-care for Type 2 Diabetes Mellitus patients.

Electronic Medical Records (EMR) is one of the health IT applications that is becoming a trend around the world. EMRs are considered to improve the overall quality of care and have an impact on patient safety. EMRs can also help reduce costs, improve accessibility, and improve the quality of hospital services. Therefore, the preparedness analysis of the implementation of EMR with the DOQ-IT approach (Doctor's Office Quality-Information Technology) is the goal of this research. This research uses a type of quantitative descriptive research with a cross sectional approach. The samples were taken from all the officers who were in direct contact with the medical records at AMC Aisyiyah Clinic. Sampling technique using a total sampling of eight officers. Primary data collection is done with a questionnaire. The method of analysis used is descriptive analysis of frequencies, percentages, graphs and tables. From the results of analysis using the DOQ-IT method obtained a total score of 104.75 belongs to category III which shows that human resources, organizational work culture, governance and leadership, IT infrastructure AMC Aisyiyah Clinic is ready to take advantage of EMR as well as overcome the potential challenges for successful adoption of the EMR.

Background: Medical records at Udayana Denpasar Level II Hospital that exceed capacity are caused by double medical records, misfiles occur during the implementation of retrieval, the retention process has not run optimally and the increasing number of patient visits. The purpose of this study was to determine the impact of medical record storage overload on the response time of medical record provision. Methods: The research design used is a quantitative method with a cross sectional approach. The data analysis used is the Chi Squere test. With a total sample of 16 medical record officers and medical record documents contained in 30 medical record storage shelves where each shelf consists of 5 sections.   Results: The results of the Chi Squere test show that the p value is 0.002, the value is less than 0.05. So it can be concluded that there is an impact of overload of medical record storage on the response time of providing medical records, thus impacting the quality of hospital services, the services provided become long because they wait for medical records to be delivered to the polyclinic. Based on these results, it is necessary to transfer media by scanning medical records then stored in sharing folders and uploaded to the interface system. This media transfer is expected to provide a solution in dealing with the overload of medical record storage so that it can be more efficient in providing medical records.       Conclusion: The conclusion in this study is that there is an impact of overloaded medical record storage on the response time of medical record provision, which has an impact on the quality of hospital services, the services provided will be long because they wait for medical records to be delivered to the polyclinic, so that doctors experience problems in patient examinations because they cannot see the patient's previous examination history.

Service quality is the level of perfection in meeting consumer needs. Satisfaction is the feeling of pleasure or disappointment that someone experiences after comparing the performance or results of a product with their expectations. This study aims to analyze the relationship between inpatient service quality and patient satisfaction levels at the Makassar City Regional Hospital. The research method used was descriptive analytical with a cross-sectional design. The instrument used was a questionnaire regarding inpatient service quality and patient satisfaction levels. The study population consisted of inpatients in the Internal Medicine Department of the Makassar City Regional Hospital in October 2023. The sample consisted of 67 individuals according to predetermined criteria. The data collected were analyzed using the Spearman Rank statistical test with a significance level of 0.05. The majority (38.81%) of patients stated that the quality of service provided was high and 68.66% of patients claimed to be satisfied. The analysis results showed that the calculated r value was 0.627, which is greater than the tabled r value of 0.364. From these analysis results, it can be concluded that there is a relationship between inpatient service quality and patient satisfaction levels.

The incidence of out-hospital cardiac arrest (OHCA)  continues to increase. The survival rates of out hospital cardiac arrest decrease by 7-10% every minute. Therefore, Emergency medical services (EMS) as a part of the chain of survival needs to implement paramount strategies in order to  increase survival rates. Socialization and discussion to strengthen the strategy  has been conducted on December 2023 which involved pre-hospital team of Manambai Abdulkadir hospital (8 nurses, 1 doctor). It was followed by developing action plans. The pre-hospital team has chosen 2 of 10 action plans (rapid dispatch and community CPR) as main strategy to improve survival rates of out-hospital cardiac arrest patients. The Manambai Hospital are recommended to improve their support to  develop human resources, medical equipment and funding to EMS team in order to improving survival rates of OHCA patients

Drug information services were activities that carried out by pharmacists to provide information about drugs that is impartial, critically evaluated, and with the best evidence in all aspects of drug use to other health professionals, patients, or the public. Providing drug information has an important role in improving the quality of life of patients and providing quality services for them. The purpose of this study was to determine drug information services for outpatients in the pharmaceutical installation of Imelda Pekerja Indonesia Public Hospital. This study used qualitative research methods with a sample of pharmaceutical officers who provided drug information services to outpatients, as many as 100 patients. Data collection was carried out by interview, direct observation, and using a check list sheet of drug information components. The results showed that the percentage of components conveyed when delivering drug information, including the name of the drug, drug dosage, type of preparation, rules of use, how to use, time of use, amount of drug, and efficacy or indications, had a percentage of 100%. While the drug information component that is rarely conveyed is how to store the drug with a percentage of 8%, the drug information component that is not conveyed is the side effects of the drug. The results of this study indicate that drug information services to outpatients carried out by pharmaceutical officers in the pharmaceutical installation of the Imelda Pekerja Indonesia Medan Public Hospital have been well implemented, with a percentage of 80.80%. The results also concluded that the drug information services carried out by the pharmacist of Imelda Pekerja Indonesia Public Hospital, Medan, were in accordance with hospital procedures and Regulation of the Minister of Health of the Republic of Indonesia Number 72 of 2016 concerning Pharmaceutical Service Standards in Hospitals.

Health workers, as the spearhead in providing services, have a very important role in maintaining and improving the quality of life of the community. However, in carrying out their duties, health workers are often faced with various pressures and stressors which can have a significant impact on their performance. Increased service demands, high workloads, and emotional stress inherent in the work environment of health workers can be factors that trigger potentially detrimental stress. For nurses, factors that influence stress include high workloads, limited staff, work demands and responsibilities, interpersonal relationships with fellow nurses and other health workers, knowledge about caring for patients, and changes in work dynamics. The impact of stress experienced by nurses on the performance of health workers can be seen in the quality of health services and the image of the institution, in mental and physical health, in absenteeism and late work, as well as in the relationship with happiness and performance.    

Tuberculosis (TB) is an infectious disease caused by infection with Mycobacterium tuberculosis complex, which is the most frequently found bacteria and is transmitted between humans via the air route. The incidence of TB in Indonesia in 2020 was 301 per 100,000 population. Therefore, family doctors play an important role in promoting health and preventing TB disease, identifying risk factors, clinical problems, and providing management to patients by implementing holistic family doctor services based on evidence based medicine through a patient centered and family approach, the main problem This patient did not wear PPE when in direct contact with other patients while working at PKM Tanah Pasir. In this case report, primary data was obtained through anamnesis (autoanamnesis), physical examination and home visits to complete family data, psychosocial and environmental data. Patient Mr. R, 45 years old, underwent routine TB treatment at the Tanah Pasir Community Health Center and was diagnosed two months ago. The patient has normal nutritional status. Pharmacological and non-pharmacological interventions are carried out for patients in the form of education about TB disease for patients and their families. The results of the evaluation of the intervention are that the patient has started to do physical activity and the family has supported the patient's routine treatment.

Covid-19 is a virus  that can cause disease,  both in humans and in animals, in humans it can cause respiratory tract infections such as Middle East Respiratory Syndroma (MERS) and Severe Acute Respiratory Syndroma (SARS). Research purposes to find out description of the level of satisfaction of nurses in treating covid-19 patients. Type of qualitative research with descriptive research design. The total population is 31 nurses who area in isolation rooms A and B with  total sampling. The results showed that the highest nurse satisfaction was very satisfied as many as 18 people and there were 12 nurses with a satisfied level of satisfaction and the lowest was dissatisfied with 1 person. So it was concluded that most nurses were very satisfied in handling covid-19 . Suggestions are that nurses are expected to continue to provide mutual support and motivation in providing services to patients, in order to get satisfaction in serving and patients also feel satisfied with the services provided.

Covid-19 is a virus  that can cause disease,  both in humans and in animals, in humans it can cause respiratory tract infections such as Middle East Respiratory Syndroma (MERS) and Severe Acute Respiratory Syndroma (SARS). Research purposes to find out description of the level of satisfaction of nurses in treating covid-19 patients. Type of qualitative research with descriptive research design. The total population is 31 nurses who area in isolation rooms A and B with  total sampling. The results showed that the highest nurse satisfaction was very satisfied as many as 18 people and there were 12 nurses with a satisfied level of satisfaction and the lowest was dissatisfied with 1 person. So it was concluded that most nurses were very satisfied in handling covid-19 . Suggestions are that nurses are expected to continue to provide mutual support and motivation in providing services to patients, in order to get satisfaction in serving and patients also feel satisfied with the services provided.

The quality of health services is a manifestation of the results of the performance of health workers which results in patient satisfaction, if the service meets or exceeds what the patient expected (Antari, 2019). Service quality is assessed from five variables, namely Reliability, Responsiveness, Physical Evidence, Guarantee and Empathy. The aim of the research was to determine the relationship between the quality of nursing services and the level of outpatient satisfaction at RSBT Karimun in 2023. The research carried out was descriptive correlational research and a cross-sectional approach. The sampling method used was consecutive sampling with a sample size of 174 outpatients at Bakti Timah Karimun Hospital in 2023. Research data was collected by filling in questionnaires by respondents. The research data were analyzed univariately with frequency tables and bivariate tests with the Chi Square test. The results of the univariate analysis show a picture of Service Quality from the reliability variable. The results of the bivariate analysis of the Reliability and Satisfaction variables were obtained, so it can be concluded that there is a significant relationship between service quality and satisfaction of outpatients at Bakti Timah Karimun Hospital in 2023. It is hoped that this research's suggestions will enable the educational institution at Awalbros University, Batam, to increase nurses' knowledge about the quality of nursing services. to increase patient satisfaction.

Introduction: Mojosongo Village is one of the Villages in Jebres District, Surakarta. Diabetes Mellitus is a non-communicable disease which is one of the challenges in the development of the health sector, where the majority of people exposed to it are of productive age. The method used is to provide counseling in the form of self-care management for diabetes mellitus patients to the community in the working area of the Sibela Community Health Center, Mojosongo Village. Objective: The aim of the physiotherapy program in cases of diabetes mellitus is education and demonstration of self-care management to control the incidence of diabetes mellitus Results: It is hoped that the results of this Community Service activity will become a reference for physiotherapists and other health professions so that similar activities can be carried out, so that The benefits can improve public health, especially in cases of diabetes mellitus.  

Therapeutic communication is a nurse-client relationship designed to facilitate the goal of therapy in achieving an optimal and effective level of healing so as to obtain patient satisfaction which can be interpreted as a personal evaluation of services with health service providers. The aim of the research is to determine the relationship between therapeutic communication and the level of patient satisfaction. The research method used in this research is correlation analysis with a cross sectional approach. Sampling used Simple Random Sampling, totaling 50 respondents. Statistical analysis uses the Chi Square Test. Result: The research results showed that 82% of nurses' therapeutic communication was good, 52% of patients were satisfied, 30% were dissatisfied. The p-value of 0.024 < 0.05 shows that there is a significant relationship between therapeutic communication and the level of patient satisfaction and an Odd Ratio of 6.067. The research conclusion is that there is a relationship between nurse therapeutic communication and patient satisfaction levels.

In this journal, the level of patient satisfaction with physiotherapy services is predicted using the C4.5 algorithm. The aim of this research is to create a predictive model based on patient feedback to help hospitals or healthcare facilities enhance the quality of physiotherapy services. Data collected from this study includes various variables such as age, patient name or gender, duration of physiotherapy services, health status, and patient name. This data is processed and constructed using the C4.5 algorithm. The research results indicate that the C4.5 algorithm can accurately predict the level of patient satisfaction with physiotherapy services. This model can assist healthcare providers in improving efficiency and patient satisfaction. Furthermore, the model can aid in making better decisions on how to enhance physiotherapy services and ensure patient satisfaction. The conclusions of this research can help healthcare facilities improve physiotherapy services and ensure patient satisfaction

The Nutrition Care Center (NCC) is a teaching factory (TEFA) at the Jember State Polytechnic (Polije) which provides assessment and diagnostic services for nutritional problems, comprehensive nutritional assessments, diagnostic services, nutritional counseling, and customized diet plans for clients. Health services, including nutrition, require accurate medical records that include patient identification, examination, treatment, interventions, and other relevant information. However, NCC faces challenges, namely that the medical recording system is still manual paper-based. Medical record numbers do not comply with numbering regulations, age is still used instead of date of birth, the nutritional assessment section is not yet standardized and disease code classification does not yet exist. This manual system is susceptible to damage, loss, and requires dedicated storage time and space. Since it was inaugurated in November 2021, the number of NCC visits has continued to increase both from internal clients and external clients of Polije with initiations with several educational institutions, offices and elderly groups. The use of EMR which is made easier with QR Codes and the application of Whatsapp Bot is the main alternative to build or improve the management of assessment and diagnostic services for nutritional problems according to client needs. Socialization of assistance in implementing Electronic Medical Records (EMR) with QR Code and WhatsApp Bot at NCC aims to make things easier for experts. nutrition to access the client's examination history, allergy history and previous therapy in one view and make it easier for clients to access medical record numbers without a card. This initiative is in line with the Department of Health Research Masterplan 2022 and the development of TEFA services. NCC recognized the need for a more efficient system and proposed implementing EMR with QR Codes and WhatsApp Bots to optimize patient care. This socialization was carried out at the Jember State Polytechnic NCC with the presence of participants from nutritionists, students, the community and administrators from NCC. This socialization obtained results in the form of increasing public understanding of nutritional care, especially in relation to the existence of NCC as a teaching factory at the Jember State Polytechnic, the use of EMR via QR codes and WhatsApp Bot as a solution implemented by NCC in optimizing patient care and increasing the empowerment of partners in using it. and implementation of EMR with QR codes and WhatsApp Bot in patient nutrition care at NCC.

Circumcision is one of the teachings of Prophet Ibrahim AS which is an obligation for men. Literally, circumcision is the act of cutting or removing part or all of the foreskin of the penis. Circumcision is very beneficial for health, namely reducing the risk of urinary tract infections, overcoming phimosis, paraphimosis, balaniditis and can reduce the risk of malignancy of the penis and the spread of sexually transmitted diseases. Seeing the urgency of circumcision, during a pandemic, as well as the conditions in the midst of a coronavirus pandemic, many people were afraid to carry out circumcision and receive treatment. Therefore, a mass circumcision was carried out with the application of health protocols, which was carried out by the STIUDA Bangkalan Community Service Team. This program partners to provide free mass circumcision assistance for children in community service social service events in Kajan village during a pandemic with health protocols. The purpose of this mass circumcision social service activity is to mass circumcise Muslim children who are about to reach puberty in Kajan village, especially children who are economically disadvantaged. The method used in this activity is to disseminate information on community service activities through direct visits to foundations, social media. In other words, holding a promotion of community service activities for the Kajan village, then those who are interested register to the committee. The committee will conduct a screening for mass circumcision participants according to indications. The result of this community service activity was that mass circumcision was carried out on Sunday, March 22, 2020. It started at 08.00 - finished in the al-Mukhlishin Kajjan area. The STIUDA service team works closely with the Health Office and the surrounding community. There were 4 medical personnel involved and 2 medical assistant assistants. There were 23 participants in the mass circumcision from various hamlets in Kajan village. The conclusion of this community service has been circumcision and mass treatment of economically disadvantaged patients

Dr. Hospital Soetomo Surabaya with minimum service standard data that must be met is customer satisfaction ≥ 90% and waiting time ≤ 60 minutes in accordance with Ministry of Health (Kemenkes) decree no. 129 of 2008. Therefore, the problems faced by the Outpatient Institution Children's Polyclinic include service time Administration takes too long and quality must be improved. The most critical slowness of services at the Children's Polyclinic is in the registration administration section, namely the number of double registrations, disruptions in facilities and nurses who are still lacking in discipline. Applying Lean Healthcare and Failure Mode and Effects Analysis to improve service quality and prevent failures, such as slow service and lack of facilities will help find recommendations for improving these problems, namely reducing double registration of patients by improving data management and registration, repairing and improving maintenance of computer facilities for reducing waiting time due to disturbances and tightening discipline according to SOP.