Universitas Prima Indonesia: Open Journal Systems
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Peningkatan Kapasitas Perawat di Ruang Rawat Inap dalam Perawatan Luka Modern Dressing Pasien Pasca Operasi dengan Prinsip Moist Wound Healing
No full textPerawatan luka pasca operasi yang tidak tepat dapat menyebabkan terjadinya infeksi, peradangan hingga sepsis. Infeksi luka operasi mengancam kesehatan menjadi penyebab utama morbiditas dan mortalitas. Penerapan modern dressing memberikan hasil yang memuaskan karena pasien merasa lebih nyaman dan mempercepat penyembuhan. Perawatan luka modern mempunyai efektifitas perkembangan luka yang lebih baik dibandingkan dengan perawatan luka konvensional. Intervensi perawatan luka modern efektif dalam mengatasi gangguan integritas kulit pada pasien ulkus diabetikum yang dibuktikan dengan adanya granulasi pada kaki pasien secara objektif. Pengabdian kepada masyarakat dengan skema pengabdian kesehatan ini bertujuan untuk meningkatkan pengetahuan dan ketrampilan perawat di ruang rawat inap dalam melakukan tindakan perawatan luka pasca operasi. Kegiatan pengabdian kesehatan ini memperoleh hasil bahwa terdapat peningkatan pengetahuan perawat ruang rawat inap di Rumah Sakit Umum Royal Prima setelah mengikuti pelatihan perawatan luka modern dressing pasien pasca operasi dengan prinsip moist wound healing. Saran yang diberikan kepada pihak manajemen rumah sakit untuk meningkatkan kegiatan pendidikan keperawatan yang berkelanjutan dalam bentuk pelatihan, seminar atau workshop untuk meningkatkan kompetensi perawat khususnya dalam hal perawatan luka dan dapat mencegah terjadinya komplikasi pada luka pasca operasi yang dapat memperburuk kondisi dari pasien
Identification of risk factors associated with occupational fatigue among employees at PT. XYZ
No full textThis study aimed to identify factors associated with fatigue among employees of PT. XYZ in Medan, a futures brokerage firm where preliminary observations indicated a high prevalence of exhaustion and decreased alertness among employees. This study aimed to identify factors associated with fatigue. A descriptive analytic study with a cross-sectional design was conducted using a total population sample of 45 employees. Data were collected on workload (measured as %CVL), work duration, work environment (assessed through a questionnaire), and occupational fatigue (measured using the IFRC questionnaire). Univariate, bivariate (Chi-square), and multivariate statistical analyses were performed. The results showed that 33.3% of participants experienced fatigue. Bivariate analysis demonstrated statistically significant associations between fatigue and workload (p=0.015), work duration (p=0.001), and work environment (p=0.006). Multivariate analysis further quantified these relationships, identifying the work environment as the most dominant risk factor (OR=3.18), followed by work duration (OR=2.4) and heavy workload (OR=2.4). In conclusion, an unsafe work environment, long work duration, and heavy workload are significant and quantifiable risk factors for occupational fatigue, with the work environment serving as the strongest predictor
Product development of grasshopper pempek as additional food for pregnant woman
No full textThe demand for nutritious protein sources for pregnant women is growing, particularly to address malnutrition in Indonesia. Wood grasshoppers (Valanga nigricornis) offer an environmentally sustainable, nutrient-dense protein alternative. This study developed pempek from wood grasshoppers as a food product for pregnant women. A laboratory experiment used a completely randomized design with three formulations varying wood grasshopper and tapioca flour proportions: F1 (75:25 grasshopper:tapioca), F2 (50:50), and F3 (25:75). Organoleptic tests showed greater preference for F1 and F2 over F3; F2 was selected as the best due to its higher protein and iron content. Wood grasshopper pempek (F2) shows potential as a nutritious alternative to improve nutritional adequacy for pregnant women, particularly in meeting protein and iron needs. Future research should examine nutritional enhancement via amino acid modification, such as addition of methionine-rich foods
Combined physical exercise and mindfulness therapy for psychophysiological and glycemic regulation in type 2 diabetes mellitus: A systematic review
No full textType 2 Diabetes Mellitus (T2DM) is a chronic metabolic disorder with substantial psychophysiological components. Integrated therapeutic approaches combining physical exercise and mindfulness practices may address both glycemic and psychological aspects, yet comprehensive evidence remains limited. This systematic review evaluated the effectiveness of combined physical exercise and mindfulness interventions on glycemic regulation and psychophysiological outcomes in patients with T2DM. A systematic search of PubMed, ScienceDirect, and Google Scholar identified experimental and quasi-experimental studies published between 2021 and 2025. Eligible studies included adult patients with T2DM who received combined physical exercise and mindfulness interventions. Outcomes assessed included glycemic control (HbA1c, fasting blood glucose) and psychophysiological parameters (stress, depression, quality of life). Narrative synthesis and comparison tables were used for qualitative analysis, and risk of bias was evaluated using the Cochrane RoB 2 tool and the Newcastle–Ottawa Scale. Five studies met the inclusion criteria (n = 386 participants). Combined interventions produced greater improvements than single-component or control conditions. Mean HbA1c reduction ranged from 0.7% to 1.1%, fasting blood glucose decreased by 12.5 to 23.07 mg/dL, and depression or stress scores declined by 20% to 45%. Additional benefits included better nerve conduction velocity, self-efficacy, medication adherence, and quality of life. Proposed mechanisms involved modulation of the hypothalamic-pituitary-adrenal axis, enhanced insulin sensitivity, and increased neuroplasticity. In conclusion, combined physical exercise and mindfulness interventions demonstrate superior effectiveness over single-modality or standard care approaches in improving glycemic control and psychophysiological well-being in T2DM. This integrated strategy represents a promising adjunct for T2DM management. Further randomized controlled trials with larger cohorts and extended follow-up are needed to substantiate clinical recommendations
ANALYSIS OF FACTORS INFLUENCING MOTHER'S COMPLIANCE ON BREASTFEEDING PRACTICES ACCORDING TO WHO GUIDELINES
No full textBreastfeeding is an essential step to support the health of mothers and infants, as recommended by the World Health Organization (WHO). However, maternal adherence to breastfeeding practices according to these guidelines still faces various challenges, such as lack of understanding, social support, and health constraints. This study aims to analyze the factors that influence maternal adherence to breastfeeding practices based on WHO guidelines. The research used a descriptive analytic method with a cross-sectional design. The research sample consisted of 200 breastfeeding mothers who were selected through purposive sampling in the urban and rural areas of Malang City. Data were collected using a structured questionnaire that included variables such as maternal education level, family support, information access, and maternal health condition. Data analysis was performed using logistic regression tests to determine the relationship between these variables and the level of maternal adherence to breastfeeding practices. The results showed that maternal education level (OR = 2.35; p < 0.01) and family support (OR = 1.78; p < 0.05) had a significant relationship with breastfeeding adherence. Additionally, adequate information access and good maternal health also contributed to higher adherence levels. Factors such as education, family support, information access, and maternal health significantly influence maternal adherence to breastfeeding practices in accordance with WHO guidelines. The findings underscore the importance of comprehensive breastfeeding education programs, family involvement, and improved healthcare services to support successful breastfeeding practices
STRATEGI SELF PROMOTION DAN INGRATIATION DI TIKTOK PADA AKUN @CORPORIO TERHADAP MINAT BELI
No full textThis study aims to explore the implementation of self promotion and ingratiation strategies, as well as consumer purchase intention, on the TikTok account @corporio. It also seeks to analyze the influence of these two strategies on purchase intention, both directly and indirectly. A quantitative approach was used through a survey method. Data were collected via a questionnaire distributed to 100 followers of the @corporio TikTok account and analyzed using path analysis with the help of SPSS software. The results show that the self promotion strategy does not have a significant direct influence on purchase intention. In contrast, the ingratiation strategy has a dominant direct effect. Furthermore, self promotion has an indirect effect through ingratiation, indicating greater effectiveness when combined. These findings suggest that combining self promotion and ingratiation can be an effective strategy to build trust and drive purchase decisions on social media, especially TikTo
Machine Learning Models Prediction Medication Nonadherence Risk in Type 2 Diabetes: A Systematic Review
No full textThe prediction of medication nonadherence among patients with T2DM can be improved in accuracy and speed using machine learning (ML). This study aimed to develop an ML model to predict the risk of medication nonadherence among patients with T2DM. Methods, inclusion criteria comprised English-language, open-access journal articles published between 2020 and 2025 that developed and validated ML–based prediction models, including ensemble methods, gradient-boosting models, SVMs, and neural networks. Exclusion criteria included review articles, non-English papers, studies published before 2020, studies lacking prediction model development or validation, and studies using only traditional statistical methods, such as logistic regression. The article search was conducted in PubMed, Scopus, ScienceDirect, and Google Scholar. Prediction Model Risk of Bias Assessment Tool (PROBAST) to assess the methodological quality and usefulness of the qualified studies. This narrative synthesis examines the characteristics of ML-based prediction models, their performance, and the factors that predict adherence among patients with T2DM. The papers were sourced from various scientific journal databases. The results show that cross-sectional and cohort studies were among the research designs used in the five papers reviewed. The AUROC of the internal test was 0.782, and the AUROC of the external test was 0.771. The learned-feature classification model achieved an average accuracy of 79.7%. Among these algorithms, the AUC of the best-performing algorithm was 0.866 ± 0.082. The SVM classifier outperformed the others, achieving a recall of 0.9979 and an AUC of 0.9998. The conclusion indicates that predictive capacity is influenced by clinical metrics and the number of prescribed medications
The Influence of Organizational Climate and Leadership on Nurse Performance: A Narrative Review
No full textNurse performance is a crucial determinant of healthcare quality and patient safety. Beyond clinical competence, contextual factors such as organizational climate and leadership styles play a crucial role in shaping professional outcomes. This study aims to synthesize empirical evidence regarding the influence of organizational climate and leadership on nurse performance and to identify the mediating mechanisms between these variables. A narrative review was conducted using a systematic search strategy across four major databases: PubMed, ScienceDirect, ProQuest, and Google Scholar. The search was limited to articles published between 2019 and 2025. Following the PRISMA guidelines, a total of 213 initial articles were screened, resulting in 7 articles that met the inclusion criteria for final thematic analysis. The thematic synthesis identified three key themes: (1) The role of organizational climate in well-being and retention, (2) The impact of leadership styles on performance, and (3) The mediating role of organizational climate. Findings indicate that a supportive organizational climate is significantly associated with reduced burnout and increased intention to stay. Furthermore, transformational leadership was found to be the most effective style for improving patient outcomes, whereas toxic leadership negatively impacts retention. Organizational climate and leadership are fundamental determinants that simultaneously influence nurse performance. Effective leadership cannot function in isolation; it requires a supportive organizational climate to optimize nurse engagement and clinical outcomes. Management strategies should focus on creating a synergistic environment that combines visionary leadership with a constructive work atmosphere
Pendidikan Karakter Sebagai Pilar Bela Negara
No full textBuku ini mengkaji peran strategis pendidikan karakter sebagai fondasi utama dalam membangun kesadaran bela negara. Bela negara dipahami tidak semata-mata sebagai upaya pertahanan militer, tetapi mencakup dimensi sosial, ekonomi, politik, dan budaya yang terintegrasi dalam kehidupan sehari-hari. Melalui penguatan pendidikan karakter, individu diharapkan memiliki kesadaran, sikap tanggung jawab, serta komitmen untuk menjaga keutuhan dan kedaulatan bangsa. Buku ini menguraikan pilar-pilar utama bela negara, meliputi cinta tanah air (nasionalisme), kesadaran berbangsa dan bernegara, serta partisipasi aktif dalam kehidupan demokrasi, termasuk dalam pemilihan umum. Strategi implementasi pendidikan karakter dalam bela negara dibahas melalui penguatan kurikulum, kegiatan ekstrakurikuler, dan keterlibatan dalam komunitas sosial-kebangsaan. Selain itu, buku ini menelaah tantangan penerapan nilai-nilai bela negara di era modern, seperti globalisasi, pengaruh budaya asing, dan berbagai persoalan sosial yang berpotensi melemahkan nasionalisme. Secara keseluruhan, buku ini menegaskan bahwa bela negara merupakan hak dan kewajiban setiap warga negara, serta menempatkannya sebagai bagian integral dari kehidupan masyarakat yang menjunjung persatuan dalam keberagaman. Buku ini ditujukan bagi pelajar, mahasiswa, pendidik, dan masyarakat umum yang ingin memperdalam pemahaman tentang pentingnya pendidikan karakter dalam menumbuhkan semangat bela negara
Buku Monograf DAMPAK AKTIVITAS PERKEBUNAN KELAPA SAWIT TERHADAP KUALITAS AIR SUNGAI
No full textPuji dan syukur penulis panjatkan ke hadirat Tuhan Yang Maha Esa atas limpahan rahmat dan karunia-Nya, sehingga monograf yang berjudul “Dampak Aktivitas Perkebunan Kelapa Sawit terhadap Kualitas Air Sungai” ini dapat disusun dan diselesaikan dengan baik. Monograf ini disusun sebagai bagian dari upaya akademik untuk memahami hubungan antara aktivitas pemanfaatan lahan, khususnya perkebunan kelapa sawit, dengan kondisi kualitas air sungai sebagai salah satu komponen penting dalam sistem lingkungan. Perkebunan kelapa sawit merupakan sektor strategis yang berkontribusi besar terhadap pembangunan ekonomi dan kesejahteraan masyarakat. Namun, perkembangan aktivitas perkebunan yang pesat juga memerlukan perhatian terhadap aspek lingkungan, terutama yang berkaitan dengan keberlanjutan sumber daya air. Sungai sebagai bagian dari daerah aliran sungai (DAS) memiliki fungsi ekologis, sosial, dan ekonomi yang vital, sehingga perubahan kualitas air sungai dapat berdampak luas terhadap kehidupan masyarakat dan ekosistem di sekitarnya. Monograf ini membahas berbagai aspek yang berkaitan dengan sungai dan daerah aliran sungai, meliputi gambaran umum sungai, karakteristik DAS, aktivitas pemanfaatan lahan di sekitarnya, potensi sumber pencemaran, serta kerangka regulasi yang mengatur pengelolaan dan pengendalian pencemaran air. Kajian yang disajikan dalam monograf ini disusun berdasarkan hasil penelitian lapangan yang dilaksanakan pada tahun 2018 di Sungai Ular, yang kemudian diperkaya dengan telaah literatur ilmiah dan regulasi lingkungan yang relevan. Pembahasan disusun berdasarkan kajian literatur ilmiah, laporan resmi pemerintah, peraturan perundang-undangan yang berlaku, serta sumber informasi terpercaya lainnya. Dengan pendekatan tersebut, monograf ini diharapkan mampu menyajikan kajian yang objektif dan berimbang mengenai dampak aktivitas perkebunan kelapa sawit terhadap kualitas air sungai.
Penulis menyadari bahwa kajian mengenai dampak lingkungan merupakan isu yang kompleks dan dinamis, serta memerlukan data dan analisis yang berkelanjutan. Oleh karena itu, monograf ini diharapkan dapat menjadi salah satu referensi awal bagi akademisi, mahasiswa, peneliti, praktisi lingkungan, serta para pemangku kepentingan dalam memahami permasalahan kualitas air sungai dan mendorong upaya pengelolaan lingkungan yang lebih baik dan berkelanjutan.
Akhir kata, penulis berharap monograf ini dapat memberikan manfaat dan kontribusi positif bagi pengembangan ilmu pengetahuan serta menjadi bahan pertimbangan dalam pengambilan kebijakan terkait pengelolaan kualitas air sungai di wilayah dengan aktivitas perkebunan kelapa sawit. Kritik dan saran yang bersifat membangun sangat diharapkan demi penyempurnaan karya ini di masa yang akan datang