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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.

Keamanan dan kesehatan di tempat kerja adalah salah satu hal penting dalam membentuk suasana kerja yang aman, terutama bagi pekerja bongkar muat (TKBM) yang menghadapi risiko kecelakaan kerja yang cukup besar. Pemakaian Alat Pelindung Diri (APD) yang memenuhi standar merupakan salah satu langkah untuk mencegah terjadinya kecelakaan kerja di area pelabuhan. Namun, hasil pengamatan di Pelabuhan Tenau menunjukkan masih ada pekerja yang mengenakan APD tidak sesuai standar SNI dan tidak menggunakan APD secara lengkap saat bertugas. Studi ini bertujuan untuk mengevaluasi dampak pendidikan penggunaan APD terhadap pengetahuan keselamatan kerja pada pekerja bongkar muat (TKBM) di Pelabuhan Tenau. Penelitian ini mengaplikasikan metode kuantitatif dengan desain pre-eksperimental yang menggunakan pendekatan one group pre-test dan post-test. Sampel penelitian terdiri dari 28 responden dengan alat penelitian berupa kuesioner yang berisi 10 pertanyaan. Hasil penelitian menunjukkan bahwa sebelum mendapatkan edukasi, rata-rata responden berhasil menjawab dengan benar 6 pertanyaan (60%) dan memberikan jawaban salah pada 4 pertanyaan (40%). Setelah mendapatkan edukasi, hasil post-test menunjukkan peningkatan pengetahuan di mana sebagian besar responden dapat menjawab dengan benar sebanyak 9 pertanyaan (90%) dan jawaban salah berkurang menjadi 1 pertanyaan (10%). Berdasarkan hasil studi, dapat disimpulkan bahwa pelatihan penggunaan APD berdampak pada peningkatan pengetahuan keselamatan kerja bagi tenaga kerja bongkar muat (TKBM). Sehingga, diperlukan pengawasan dan pendidikan secara berkala mengenai pemakaian APD yang memenuhi standar SNI untuk meningkatkan keselamatan kerja di area pelabuhan.  

The implementation of digital health information systems, such as e-Puskesmas, plays an important role in supporting electronic medical records in primary healthcare facilities. However, technical constraints, including network instability and system integration issues, may affect user satisfaction among healthcare workers. This study aims to analyze healthcare workers’ satisfaction in using e-Puskesmas based on the End User Computing Satisfaction (EUCS) method. This research employed a quantitative analytic approach with a cross-sectional design, involving 35 healthcare workers at Puskesmas Klangenan using total sampling. The variables consisted of five EUCS dimensions, namely content, accuracy, format, ease of use, and timeliness. Data were collected using a structured questionnaire with a Likert scale and analyzed using descriptive statistics and Spearman correlation test. The results showed that user satisfaction was categorized as very satisfied across all EUCS dimensions, with mean scores ranging from 4.11 to 4.47. All EUCS dimensions had a positive and significant relationship with user satisfaction (p < 0.05), with format and ease of use showing the strongest correlations. It can be concluded that the quality of system and information in e-Puskesmas significantly influences healthcare workers’ satisfaction, indicating the need for continuous system development to support optimal healthcare services.

Indonesia ranks 36th among countries most prone to natural disasters, with 216 earthquakes recorded by BNPB between 2009 and 2019. Aceh is one of the high-risk regions, having experienced major disasters such as floods, earthquakes, and the 2004 tsunami. These conditions highlight the importance of knowledge of basic life support (BLS), which is essential for managing respiratory arrest, cardiac arrest, and airway obstruction in emergency situations. This study aimed to determine the level of basic life support knowledge among health workers at the North Lhoksukon Health Center, Aceh. A descriptive observational method with a survey approach was used to provide a general overview of respondents’ characteristics. The study applied univariate analysis and involved a total sample of 139 health workers. The results showed that most respondents had a good level of knowledge (116 people; 83.5%), followed by sufficient knowledge (13 people; 9.4%) and poor knowledge (10 people; 7.2%). These findings indicate that while the majority of health workers demonstrate good understanding, there is still a need for improvement among those in the sufficient and poor categories. Therefore, it is recommended that institutions provide regular BLS training to maintain and enhance the knowledge of health workers.

This study examines the importance of legal protection for healthcare workers in medical services, particularly in the Central Surgical Installation of the Regional General Hospital of Mataram City, which involves high medical risks. The background of this research is based on the increasing potential for medical disputes and the vulnerability of healthcare workers to legal claims due to discrepancies between medical outcomes and patient expectations. The objective of this study is to analyze the implementation of legal protection and identify the challenges faced in practice. The research employs a descriptive method with a qualitative approach, utilizing interviews, observations, and documentation studies. The findings indicate that legal protection has been implemented through standard operating procedures, informed consent, and internal hospital policies in accordance with applicable laws and regulations. However, its implementation remains suboptimal due to several constraints, including limited legal awareness among healthcare workers, inadequate legal assistance systems, and increasing public demands. The study implies the need to enhance legal education for healthcare workers and strengthen the role of hospitals in providing effective legal protection to support professional and safe healthcare services.

The performance of health workers is an important element in ensuring the quality of primary health services. In addition to technical and structural factors, psychological aspects such as job meaningfulness and work engagement are increasingly recognized as playing a role in improving performance. Health workers who interpret their work as something of value tend to show higher work attachment, which ultimately has an impact on performance. This study aims to analyze the effect of job meaningfulness on the performance of health workers through work engagement at the Mokoau Health Center, Kendari City. This study used a quantitative approach with a cross-sectional design. All health workers at the Mokoau Health Center as many as 70 people were involved as respondents through the total sampling technique. Data were collected using a structured questionnaire and analyzed using the Partial Least Squares–Structural Equation Modeling (PLS-SEM) method using SmartPLS version 4.0. The results of the analysis showed that job meaningfulness had a positive and significant effect on work engagement (β = 0.563; p < 0.05). Furthermore, work engagement had a positive and significant effect on the performance of health workers (β = 0.638; p < 0.05). The indirect influence test proved that work engagement significantly mediated the influence between job meaningfulness and performance (β = 0.360; p < 0.05). Job meaningfulness improves the performance of health workers through strengthening work engagement. Therefore, the HR management strategy at the Health Center needs to be directed at strengthening the meaning of work and work attachment to improve performance in a sustainable manner.

Penyimpanan obat merupakan salah satu aspek penting dalam pelayanan kefarmasian di apotek yang berperan besar dalam menjamin kualitas, stabilitas, dan keamanan obat sampai ke tangan pasien. Khususnya pada obat-obatan yang termasuk kategori High Alert dan Look-Alike Sound-Alike (LASA), penyimpanan yang tidak sesuai standar dapat meningkatkan risiko kesalahan penggunaan obat (medication error) yang berpotensi menimbulkan efek samping serius hingga membahayakan nyawa pasien. Oleh karena itu, diperlukan sistem penyimpanan yang sesuai dengan standar yang berlaku. Penelitian ini bertujuan untuk mengocok penyimpanan obat High Alert dan LASA di Apotek Kaligelang, Kabupaten Pemalang, berdasarkan standar yang tercantum dalam Peraturan Menteri Kesehatan Republik Indonesia Nomor 73 Tahun 2016 tentang Standar Pelayanan Kefarmasian di Apotek. Penelitian ini menggunakan metode deskriptif dengan pendekatan observasional langsung dan wawancara terstruktur kepada tenaga kefarmasian yang bekerja di apotek. Evaluasi dilakukan terhadap aspek identifikasi, penandaan khusus, dan pemisahan fisik pada penyimpanan obat High Alert dan LASA. Hasil pengamatan Kesesuaian penyimpanan obat High Alert dan obat LASA di Apotek Kaligelang yang mengacu pada Permenkes RI No. 73 Tahun 2016, diperoleh bahwa sebagian besar aspek penyimpanan telah sesuai. Untuk obat High Alert, diperoleh Jumlah Total Prosentase 80% sudah sesuai, Sedangkan untuk obat LASA, diperoleh Jumlah Total Prosentase 75% sudah sesuai. Secara keseluruhan, tingkat kesesuaian penyimpanan obat High Alert dan LASA di Apotek Kaligelang mencapai rata-rata 77,5%, menunjukkan bahwa sistem pengelolaan obat berisiko tinggi di apotek ini telah berjalan dengan baik. Namun demikian, masih diperlukan beberapa perbaikan untuk meningkatkan keselamatan pasien (patient safety) serta mencegah terjadinya kesalahan pengobatan di lingkungan Apotek.

Indonesia, as a country with a high level of disaster vulnerability, faces an increased risk of communicable diseases during the emergency response phase due to disrupted sanitation, limited access to clean water, overcrowded evacuation shelters, and weakened health services. This study aims to analyze the strategic role of health workers in health education and the prevention of communicable diseases during disaster emergency response. The method used is a literature review of relevant national and international scientific articles. The findings indicate that health workers have a multidimensional role, not only as providers of curative services but also as educators, change agents, advocates, and collaborators in promotive and preventive efforts. Effective health education, participatory risk communication, strengthened epidemiological surveillance, and the implementation of Infection Prevention and Control (IPC) are key strategies to reduce the risk of communicable disease outbreaks. However, implementation in the field still faces challenges, including limited resources, cross-sectoral coordination constraints, heavy workloads, and suboptimal disaster-related policy systems and standard operating procedures (SOPs). Therefore, strengthening the capacity of health workers through training, policy support, and community-based approaches is necessary to enhance health system resilience in responding to disaster crises.

Perkembangan teknologi informasi dan komunikasi telah mendorong transformasi pelayanan kesehatan, termasuk di bidang kefarmasian. Salah satu inovasi yang berkembang adalah telefarmasi, yaitu pelayanan kefarmasian jarak jauh yang memanfaatkan teknologi digital untuk menjembatani interaksi antara apoteker dan pasien. Studi ini bertujuan untuk mengkaji persepsi apoteker terhadap implementasi telefarmasi melalui pendekatan tinjauan literatur. Metode yang digunakan adalah tinjauan literatur sistematis terhadap 10 artikel yang diperoleh dari basis data ilmiah seperti PubMed, Google Scholar, dan ScienceDirect dalam lima tahun terakhir. Hasil menunjukkan bahwa mayoritas apoteker memiliki persepsi positif terhadap telefarmasi, terutama dalam aspek efisiensi waktu dan biaya, peningkatan akses dan kepatuhan pasien, serta solusi atas kekurangan tenaga apoteker. Namun, ditemukan pula persepsi negatif seperti beban kerja yang meningkat, risiko kesalahan akibat keterbatasan kontak fisik, dan kendala teknis. Temuan ini menegaskan perlunya dukungan infrastruktur, pelatihan tenaga kesehatan, serta literasi digital pasien untuk memastikan keberhasilan implementasi telefarmasi secara berkelanjutan.

Injuries, supported by continuous education, plays an essential role in preventing further injury and Sports injuries are common occurrences in physical activities, with minor injuries being the most frequently experienced by athletes, students, and the general community. Improper initial management of minor sports injuries may lead to more severe conditions and prolonged recovery periods. This study aimed to describe the management of minor sports injuries at Boawae Public Health Center based on observation and interviews with healthcare professionals. A descriptive qualitative method was employed through direct observation and structured interviews with a general practitioner and a nurse at Boawae Public Health Center. The results indicated that the most common minor sports injuries treated were contusions, mild sprains, muscle cramps, and muscle soreness. The initial management applied by healthcare providers was based on the RICE principle (Rest, Ice, Compression, and Elevation), accompanied by injury assessment before and after treatment. In addition, patients were provided with education regarding proper injury management and injury prevention. It can be concluded that appropriate early management of minor sports ensuring safe and sustainable participation in sports activities.

This study aims to analyze the role of human resource management (HRM) in improving performance and retention among healthcare professionals in health service facilities. Using a systematic literature review approach based on the PRISMA method, this study reviewed 25 international and national journal articles published between 2015 and 2025. The findings indicate that strategic HRM practices—such as competency-based recruitment, continuous professional development, fair compensation, and transformational leadership—positively influence both performance and retention of healthcare workers. Additionally, factors like organizational culture, work-life balance, and psychological well-being play a mediating role in enhancing job satisfaction and organizational commitment. The results highlight that HRM practices are not merely administrative functions but strategic elements that determine healthcare organizations’ sustainability and competitiveness. The study contributes to the development of theoretical frameworks in strategic HRM and provides practical recommendations for healthcare managers to design more adaptive, fair, and human-centered HR policies.

This study aims to explore the communication styles and experiences of healthcare workers in enhancing public service communication skills at Petir Community Health Center (Puskesmas Petir) in Tangerang City. Effective communication is a crucial factor in the quality of healthcare services for patients; however, various challenges such as time constraints, differences in patients’ backgrounds, and work pressure often hinder optimal interactions. This research employs a qualitative approach with a case study method, involving in-depth interviews, participatory observations, and document analysis to uncover the experiences, perceptions, and practices of healthcare workers in communicating with patients and the community. The findings indicate that communication skills are improved through internal training, peer mentoring, and the adaptation of communication strategies to match patient characteristics. Additionally, personal motivation, managerial support, and a conducive work environment play significant roles in the successful implementation of communication strategies. The results of this study provide an in-depth understanding of public service communication practices within the community health center context and serve as a basis for recommendations in developing training programs and policies to enhance the quality of interactions between healthcare workers and the community.

Medical emergency services demand swift and precise action; however, medical personnel are often hindered by the risk of criminalization resulting from unintended outcomes. Although Law Number 17 of 2023 concerning Health mandates the provision of assistance, the regulation has not yet provided explicit criminal protection for good-faith rescuers, thereby triggering the practice of defensive medicine. This study aims to examine the implementation of the Good Samaritan Law (GSL) concept as an alternative legal protection for health workers. The research methods employed are juridical-normative and juridical-empirical, utilizing statutory, comparative, and case approaches. The findings indicate that current regulations, including Article 531 of the Criminal Code (KUHP) and Law No. 17/2023, have limitations as they emphasize the obligation to assist rather than the protection of the rescuer. In comparison, the international GSL concept offers a standard of "limited immunity," which explicitly protects rescuers from civil and criminal liability, provided the actions are performed without gross negligence. The impact of implementing GSL in Indonesia is projected to provide stronger legal certainty than existing regulations, reduce the psychological burden on medical personnel in emergency situations, and encourage social solidarity without the fear of unnecessary lawsuits. The study concludes that the adoption of GSL is an urgent legal reconstruction to ensure the professional protection of health workers in Indonesia.

The work behavior of health workers is a key factor in determining the quality of service and patient safety in hospitals. In healthcare organizations with high work demands, feedback and rewards are important instruments of human resource management to form positive work behaviors. However, empirical evidence on the role of rewards as a mediating variable in the relationship between feedback and work behavior of health workers, particularly in Indonesian regional hospitals, is limited. This study aims to analyze the influence of feedback on work behavior through the role of reward mediation in health workers at Konawe Hospital, Southeast Sulawesi Province, Indonesia. This study used a quantitative approach with a cross-sectional design. Data was collected through a survey using a structured questionnaire based on the Likert scale of 170 health workers with ASN status at Konawe Hospital. The sampling technique used a combination of purposive and accidental sampling. Data analysis was carried out with Partial Least Squares–Structural Equation Modeling (PLS-SEM) using SmartPLS software version 4.0. The results showed that rewards had a positive and significant effect on work behavior (β = 0.579; t = 10.308; p = 0.000), and feedback had a positive and significant effect on rewards (β = 0.805; t = 25.851; p = 0.000). In addition, feedback also had a positive and significant effect on work behavior through rewards (β = 0.466; t = 8.362; p = 0.000), which confirms the mediating role of rewards. There is an influence of appraisal on work behavior and feedback on awards and awards has been shown to significantly mediate the influence of feedback on the work behavior of health workers. These findings emphasize the importance of effective feedback management and an integrated reward system as a managerial strategy to encourage positive work behavior and improve the quality of health services in regional hospitals.

Digital transformation in the health sector requires hospitals to improve service effectiveness through the use of Hospital Management Information Systems (HMIS). Berkah Pandeglang Regional General Hospital, as a regional hospital, still faces challenges in utilizing HMIS, such as limitations in infrastructure and user competence. This study aims to analyze the effect of SIMRS implementation and evaluation on the effectiveness of healthcare services. The research method uses a quantitative approach with a descriptive-verificative design. The research population consists of 278 healthcare workers, and 74 respondents were selected using proportionate stratified random sampling. Data were collected through closed questionnaires and analyzed using multiple linear regression to test the influence of variables. The results of the analysis show that the implementation and evaluation of SIMRS have a positive and significant effect on the effectiveness of health worker services. The most dominant components in implementation are the availability of hardware and human resource competence, while in evaluation, the most decisive aspects are the perception of usefulness and ease of use of the system. The conclusion of this study confirms that the success of SIMRS depends on the synergy between optimal implementation and systematic evaluation. Improvements in technological facilities, user training, and periodic monitoring are recommended to strengthen the effectiveness of health worker services at Berkah Pandeglang Regional General Hospital.

Electronic Medical Records (EMR) are crucial for the quality of healthcare services, but compliance remains a challenge. This study analyzed factors influencing compliance among healthcare workers at a type B private hospital in North Jakarta using a quantitative cross-sectional design with 58 respondents through total sampling. Data were obtained through questionnaires related to individual factors (age, length of service, knowledge), psychological factors (attitude, motivation), and organizational factors (leadership, work design, rewards). The results showed that 72.4% of respondents were compliant. The chi-square test revealed a significant relationship between compliance and age (p=0.042), length of service (p=0.000), knowledge (p=0.001), attitude (p=0.017), motivation (p=0.002), leadership (p=0.046), and rewards (p=0.010), while work design was not significant (p>0.05). Multivariate analysis found age, length of service, knowledge, and leadership as the dominant factors. Healthcare workers with younger age, shorter tenure, good knowledge, positive attitudes, high motivation, good leadership, supportive work designs, and adequate reward systems tend to have higher compliance rates. Improving compliance in completing EMRs depends not only on individual factors but also requires organizational support through effective leadership and management systems. Recommended interventions include improving digital literacy, regular training, strengthening a work culture that emphasizes the importance of medical documentation, and implementing peer learning strategies among healthcare workers to accelerate adaptation and share best practices in completing EMRs.

Kemiskinan ekstrem masih menjadi permasalahan serius di wilayah pesisir, khususnya pada masyarakat nelayan di Desa Darat Pantai, Kecamatan Talibura, Kabupaten Sikka. Penelitian ini bertujuan untuk menganalisis faktor-faktor yang memengaruhi kemiskinan ekstrem serta mengkaji upaya penanganannya melalui program Kuliah Kerja Nyata (KKN) Universitas Nusa Nipa. Metode yang digunakan meliputi observasi langsung dan wawancara dengan perangkat desa, tenaga kesehatan, serta masyarakat setempat. Hasil penelitian menunjukkan bahwa kemiskinan ekstrem di Desa Darat Pantai bersifat struktural dan multidimensi, dipengaruhi oleh rendahnya pendapatan nelayan, keterbatasan aset produksi, ketergantungan pada pemilik modal, serta minimnya akses terhadap pendidikan, kesehatan, sanitasi, dan infrastruktur dasar. Program KKN berfokus pada pendataan valid masyarakat miskin ekstrem (P3KE), perbaikan ketepatan sasaran bantuan sosial, serta pelaksanaan Focus Group Discussion (FGD) untuk merumuskan solusi bersama. Penelitian ini merekomendasikan pemutakhiran data kemiskinan secara berkala, penguatan program pemberdayaan ekonomi masyarakat, serta peningkatan infrastruktur dasar sebagai langkah berkelanjutan dalam menanggulangi kemiskinan ekstrem di wilayah pesisir.

Hypertension is one of the most prevalent non-communicable diseases and a major risk factor for heart disease, stroke, and kidney disorders. The high prevalence of hypertension cases in the community, particularly in the working area of Puskesmas Kota Rantau Prapat, highlights the urgent need for more effective early detection efforts to prevent severe complications in the future. However, the limited capacity of healthcare workers in utilizing data analysis technologies has resulted in hypertension risk detection being dominated by conventional methods, which are often less accurate and inefficient. To address this issue, this community service program was conducted through training on the application of the Random Forest algorithm to analyze patients’ medical history data in order to detect hypertension risks. The training method included an introduction to the fundamentals of machine learning, data pre-processing stages, implementation of the Random Forest algorithm, and interpretation of prediction results. The outcomes of the program demonstrated that healthcare workers were able to understand the use of data analysis technologies to support more accurate early detection of hypertension. Furthermore, the participants gained practical skills in utilizing medical datasets to produce predictions that can serve as a decision-support tool for preventive medical actions.Thus, this training contributed to enhancing the capacity of community healthcare workers in integrating machine learning-based technologies into preventive healthcare services. This program is expected to serve as an initial step toward developing more effective, efficient, and sustainable data-driven health systems.

Pernikahan dini yang berkembang dikalangan masyarakat Indonesia, dipandang sebagai sebuah komitmen untuk mengikat dua insan lawan jenis yang masih remaja dalam suatu ikatan keluarga. Usia remaja perempuan yang melakukan pernikahan dini diusia muda adalah mereka yang berusia dibawah umur-20 tahun yang melakukan pernikahan dini. Penelitian ini bersifat deskriptif dengan data primer yang ditinjau langsung yang bertujuan untuk mengetahui bagaimana tingkat pengetahuan remaja putri tentang tantang dampak pernikahan dini pada kesehatan reproduksi di Dusun VI desa Telaga Sari Tahun 2023 populasi penelitian ini seluruh remaja putri di Dusun Telaga Sari. Seluruh populasi dijadikan sampel sebanyak 30 orang. Dari hasil penelitian mengenai Tingkat Pengetahuan Remaja Putri Tentang dampak Pernikahan Dini diperoleh berdasarkan umur, mayoritas umur 16-18 tahun sebanyak 19 orang (63%) dan minoritas umur 19-20 tahun sebanyak 2 orang (7%), berdasarkan pendididkan mayoritas berpendidikan SMA sebanyak 19 orang (63%) dan minoritas berpendidikan SD sebanyak 1 orang (3%), berdasarkan sumber informasi mayoritas pada kelompok tenaga kesehatan sebanyak 13 orang (43%) dan minoritas pada media cetak sebanyak 3 orang (10%), dan  mayoritas berpengetahuan cukup sebanyak 18 orang (60%) dan minoritas berpengetahuan baik sebanyak 5 orang (17%). Diharapkan kepada seluruh remaja putri agar lebih meningkatkan pengetahuannya untuk mencegah terjadinya pernikahan dini dan untuk mengetahui dampak dalam pernikahan dini, hal ini bertujuan untuk menghindari remaja putri dari dampak melakukan pernikahan dibawah umur dan mengurangi resiko dalam resiko kesehatan reproduksi.