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Shift Work as a Predictor of Fatigue Levels Among Inpatient Nurses: A Cross-Sectional Analysis
Get PDFIntorduction: Hospitals operate continuously to provide essential healthcare services, relying heavily on nurses who often work rotating shifts. These shift patterns, particularly night shifts, can lead to fatigue, which negatively impacts nurses’ health, performance, and patient safety.
Objective: This study aimed to analyze the relationship between work shifts and nurse fatigue in the inpatient department of Dr. A. Dadi Tjokrodipo Hospital in 2024.
Method: A quantitative analytical survey with a cross-sectional design was conducted. The study population included all inpatient nurses, with a total of 57 respondents selected using total sampling. Data were collected using validated questionnaires and analyzed using Chi-Square tests to determine associations.
Result: The findings revealed that nurses working under shift schedules were more likely to experience fatigue compared to those on regular schedules. The statistical analysis demonstrated a significant association between shift work and nurse fatigue (p < 0.05).
Conclusion: Shift work is significantly associated with increased nurse fatigue. Hospital administrators should consider implementing better shift management strategies to reduce fatigue and improve both nurse well-being and the quality of patient care
Biological Nurturing and Baby-Led Feeding Techniques for Pain Reduction in Post-Caesarean Mothers
Get PDFIntroduction: Postoperative sectio caesarea pain management can be done by pharmacological and non-pharmacological means, among others by applying complementary therapy biologic nurturing baby led feeding is one of the non-pharmacological therapies by distraction or diversion. One example of distraction is by adjusting the position of breastfeeding. Research objectives: this case study aims to determine the effect of the implementation of biologic nurturing baby led feeding techniques in reducing the pain scale in post sectio caesarea mothers. Method: case study method using descriptive method with 2 respondents and conducted for 3 days in the Baji Gau room of Labuang baji Hospital Makassar. Research instruments used observation scale sheet, SOP, medical record data, and breast milk production observation. Methods of data collection by interview and observation. Data analysis and data presentation were carried out in textual or narrative form and tables. Results: the implementation of the implementation in both respondents decreased after each implementation by 1 level. Conclusion: it can be concluded that the implementation of biologic nurturing baby leed feeding techniques can reduce pain in post sectio caesarea mothers. Suggestion: it is recommended that the author further improve in applying the existing theory in real terms, especially related to the implementation of biologic nurturing baby leed feeding techniques in reducing the pain scale in post sectio caesarea mothers for the next level of education
Effectiveness of Butterfly Hug Therapy in Reducing Anxiety Symptoms Among Older Adults: A Systematic Review
Get PDFIntroduction: Anxiety is a prevalent mental health concern among older adults, often triggered by chronic illness, cognitive decline, and social isolation. Left untreated, anxiety can significantly impair quality of life and exacerbate physical health issues. While pharmacological treatments exist, they pose potential side effects, especially for the elderly. Therefore, non-pharmacological approaches such as Butterfly Hug Therapy (BHT), a technique involving bilateral self-stimulation to promote emotional regulation, have gained attention as alternative interventions.
Objective: This systematic review aims to evaluate the effectiveness of Butterfly Hug Therapy in reducing anxiety levels among older adults.
Method: Following PRISMA 2020 guidelines, a literature search was conducted across PubMed, ProQuest, Garuda, and JSTOR from 2015 to 2024. Eligible studies involved elderly participants, reported measurable anxiety outcomes, and were published in English or Bahasa. Quality was assessed using the Critical Appraisal Skills Programme (CASP).
Result: Out of 350 initial studies, three met the inclusion criteria. Sample sizes ranged from 2 to 60 participants, with therapy sessions lasting approximately 30 minutes over 1 to 2 weeks. Anxiety levels, measured using GAD-7 or GAI, consistently decreased after the intervention. Despite limitations such as small sample sizes and lack of rigorous controls, the findings support BHT as an effective strategy for anxiety reduction in the elderly.
Conclusion: Butterfly Hug Therapy is a simple, non-invasive, and accessible intervention that shows potential for reducing anxiety in older adults. Further research through randomized controlled trials is recommended to confirm long-term benefits and establish standardized clinical guidelines
Correlation between Spirituality Levels and Coping Mechanism among First-Year Students in Health Science Programs
Get PDFIntroduction: Spirituality plays an important role in influencing an individual's ability to manage stress and challenges, including among students in health-related fields. The level of spirituality reflects the depth of a person's spiritual beliefs, practices, and experiences, which may be linked to coping mechanisms.
Objective: This study aims to determine the relationship between the level of spirituality and coping mechanisms among freshmens in the Health Study Program at Universitas Muhammadiyah Kalimantan Timur.
Methods: This research employed a quantitative method with a descriptive approach. The population consisted of freshmens enrolled in the Health Study Program. Data were collected using validated questionnaires and analyzed using the Spearman Rank correlation test.
Results: The majority of respondents were 18 years old (69.7%), female (81.2%), Muslim (98.9%), and from the Public Health undergraduate program (30.0%). Most respondents had a high level of spirituality (59.0%), while 41.0% had a moderate level. Regarding coping mechanisms, 57.9% used adaptive coping, while 42.1% employed maladaptive coping. The Spearman Rank test yielded a p-value of 0.000 (≤0.005), indicating a statistically significant relationship. The correlation coefficient was 0.238, demonstrating a weak but positive correlation between spirituality levels and coping mechanisms.
Conclusion: There is a significant positive relationship between the level of spirituality and coping mechanisms among freshmens in the Health Study Program, although the strength of the correlation is weak. These findings highlight the potential importance of spiritual development in enhancing students' coping strategies
Factors Associated with the Incidence of Breast Cancer in Hospitalized Patients
Get PDFIntroduction: Breast cancer is the most prevalent type of cancer in Indonesia and a leading cause of cancer-related deaths. The annual increase in cases, particularly in the Province of Bangka Belitung Islands, makes this issue important to investigate. Factors such as age, body mass index, and hormonal contraceptive use are known to play a role in the incidence of breast cancer, yet few studies have explored this locally.
Objective: This study aims to determine the factors associated with the incidence of breast cancer based on age, body mass index, and hormonal contraceptive use in the inpatient ward of RSUD Dr. (H.C.) Ir. Soekarno, Bangka Belitung Islands Province, in 2024.
Method: This study employed a case-control design with a total of 176 respondents, consisting of 88 cases and 88 controls, obtained from medical records. The research was conducted from April 7 to May 18, 2025, in the inpatient wards of Class 1 RRD, Class 2 RRD, Class 3 Non-Surgical RRD, and Class 3 Surgical RRD at Dr. (H.C.) Ir. Soekarno Bangka Belitung Regional Hospital. Data collection involved obtaining permission from the Institut Citra Internasional and the hospital, identifying eligible medical records of breast cancer and non-breast cancer female patients, and conducting interviews to complete missing data. Data were then verified using a checklist and analyzed using the Chi-Square and Odds Ratio tests.
Result: The results showed no significant relationship between age and the incidence of breast cancer (p = 1.000). However, there was a significant relationship between body mass index (p= 0.000; OR = 4.956) and hormonal contraceptive use (p = 0.004; OR = 2.571) with the incidence of breast cancer.
Conclusion: In conclusion, excessive body mass index and hormonal contraceptive use are significantly associated with the incidence of breast cancer. This study is important as a basis for education and promotive-preventive interventions to control risk factors
The Relationship Between Family Knowledge and Attitudes Toward the Prevention of Dengue Fever in Children
Get PDFIntroduction: Dengue Hemorrhagic Fever (DHF) remains a major public health concern in tropical countries, including Indonesia, where recurring outbreaks continue to contribute significantly to morbidity and mortality rates. Despite various preventive programs, such as mosquito nest eradication (PSN) and public education, the increasing incidence of DHF—especially among children—indicates that community knowledge and attitudes toward prevention remain insufficient.
Objective: This study aims to determine the relationship between family knowledge and attitudes toward the prevention of DHF in children in the working area of Puskesmas Mentok in 2025.
Method: This study used a cross-sectional design with a correlational analytic approach. The sampling technique was purposive sampling, involving 100 respondents who were families with children in the working area of Puskesmas Mentok. Data were collected using a questionnaire that had been tested for validity and reliability. Data analysis was conducted through univariate and bivariate analysis using the Chi-Square test with a significance level of 0.05
Result: The results of this study showed a significant relationship between family knowledge and DHF prevention in children (p=0.001). There was also a significant relationship between family attitudes and DHF prevention in children (p=0.001). This indicates that family knowledge and attitudes positively influence preventive actions against DHF.
Conclusion: The conclusion of this study is that the higher the level of family knowledge and attitudes, the better the preventive actions for DHF in children. It is recommended that Puskesmas and related institutions continuously enhance health promotion and family health education programs through counseling, healthy environment campaigns, and family education to increase public awareness in DHF prevention
Factors Associated with Parental Compliance in Providing Basic Immunization to Children
Get PDFIntroduction: Basic immunization is a series of vaccines given to infants and children from an early age (from birth to 0-24 Months), to stimulate the immune system to form antibodies against certain diseases. This basic immunization is mandatory as a primary preventive measure against infectious diseases such as tuberculosis (BCG), hepatitis B, polio, diphtheria, pertussis (whooping cough), tetanus and measles.
Objective: The general objective of this study is to determine the factors associated with parental compliance in providing basic immunizations to children in the Lubuk Besar Community Health Center work area in 2025.
Method: The type of research used is quantitative with the research design used being descriptive analytical through an approach Cross Sectionalnamely conducting a cross tab between the dependent variable and the independent variable. The sample in this study were parents who had children aged 0-24 Months as many as 74 people. Data analysis using the testwho squareswith a confidence level of 95%.
Result: The results of the study are to find out between the dependent variable, namely parental compliance in providing basic immunization to children and the independent variables consisting of maternal age, employment status, knowledge and family support. The results of the statistical test of the maternal age variable obtained a value of p = 0.009, the employment status variable obtained a value of p = 0.029, the knowledge variable obtained a value of p = 0.002 and the family support variable obtained a value of p = 0.005.
Conclusion: It is recommended to improve ongoing education through counseling, information media and direct counseling to parents about the importance of basic immunization for children, as well as facilitating access to immunization services with flexible schedules and easily accessible locations to improve parental compliance
Factors Associated with Incomplete Electronic Medical Records by Nurses after the Transition from Manual Documentation
Get PDFIntroduction: Electronic medical records are a crucial part of healthcare. Nursing staff have a crucial responsibility to document all nursing actions or care provided to patients. Incomplete medical records can impact the quality of care and patient safety.
Objective: The purpose of this study was to determine factors associated with incomplete electronic medical records by nurses following the transition from manual documentation.
Method: This type of research was conducted with a cross-sectional design through a quantitative method approach. The population in this study were all nurses in the inpatient ward at Dr. (H.C) Ir. Soekarno Regional General Hospital in 2025 with a total of 160 nurses and a sample of 125 people. The sampling technique used in this study was the Non-Probability Sampling Technique with the Quota Sampling method. Data analysis used univariate analysis and bivariate analysis with the chi-square test with a 95% confidence level (α = 0.05).
Result: This study shows that there is a relationship between workload (p = 0.033, POR = 2.526), motivation (p = 0.003 and POR = 5.238) and attitude (p = 0.004, POR = 3.441) with incomplete electronic medical records by nurses after the transition to manual documentation. In the variables of age (p = 0.210) and length of service (p = 0.127) it was concluded that there was no relationship with incomplete electronic medical records by nurses after the transition to manual documentation.
Conclusion: The suggestion from this study is the importance of maintaining and improving nurse motivation, maintaining nurse attitudes, regulating the distribution of nurse workload in inpatient rooms and conducting a refresher regarding the use of electronic medical records in the hospital environment
Effect of Non-Rebreathing Mask Oxygenation and 30-Degree Head-Up Positioning on Consciousness and Hemodynamics in Pulmonary Tuberculosis Patients: A Case Study
Get PDFIntroduction: Tuberculosis is transmitted by bacteria called Mycrobacterium tuberculosis and is lassified as an infectious disease. Transmission occurs when an individual inhales airborne particles containing sputum droplets from a tuberculosis sufferer.
Objective: To determine the level of consciousness and hemodynamic changes in pulmonary tuberculosis patients before and after the implementation of non-rebreathing mask oxygenation and a 30 degree head up position.
Method: The strategy applied in compiling this paper is a case study method used to describe the situation descriptively in accordance with the topic of discussion, namely the Implementation of Non-Rebreathing Mask Oxygenation and 30° Head Up Position on the Level of Consciousness and Hemodynamic Changes in Pulmonary Tuberculosis Patients.
Result: Before administering non-rebreathing mask oxygenation and 30-degree head-up position, Mr. S experienced a decreased level of consciousness with a GCS of 8 and shortness of breath. After administering non-rebreathing mask oxygenation and 30-degree head-up position for 3 days, Mr. S's level of consciousness increased with a GCS of 10.
Conclusion: Based on the author's observations in the implementation of the case study related to "Implementation of Non-Rebreathing Mask Oxygenation and 30° Head Up Position on the Level of Consciousness and Hemodynamic Changes in Pulmonary Tuberculosis Patients" for 3 days starting from April 16-18, 2025 at Faisal Islamic Hospital, Makassar, it can be concluded that after the Implementation of Non-Rebreathing Mask Oxygenation and 30° Head Up Position on the Level of Consciousness and Hemodynamic Changes in Pulmonary Tuberculosis Patients, awareness and hemodynamic changes can be increased
Analysis of Factors Contributing to Low Bed Occupancy Rate in Inpatient Wards
Get PDFIntroduction: The Bed Occupancy Rate (BOR) is an important indicator in assessing the efficiency of hospital bed utilization. A low BOR can reflect poor service quality and impact hospital revenue.
Objective: This study aims to analyze the factors causing the low BOR in inpatient wards of Sejiran Setason Regional General Hospital in 2025 based on the 5M management approach (Man, Material, Method, Machine, and Money).
Method: This study used a qualitative design with a phenomenological approach. The research informants consisted of primary, supporting, and key informants selected purposively. Data collection techniques included in-depth interviews, observation, documentation, and focus group discussions (FGDs). Data analysis employed the Miles and Huberman technique, which encompassed data reduction, data presentation, and conclusion drawing.
Result: The results indicate that the low BOR is caused by a shortage of healthcare workers, limited facilities and infrastructure, suboptimal service flow, underutilization of information systems, and budget constraints. Furthermore, external factors such as transportation access, socioeconomic conditions, and community preferences also contribute.
Conclusion: The study concluded that the low BOR is influenced by a combination of internal and external factors. It is recommended that hospitals conduct a comprehensive evaluation of their service management systems, improve resources and facilities, and strengthen public education and promotion strategies to increase patient trust and visits