1,720,964 research outputs found
A Literature Review on Factors Influencing Non-Adherence to Antiretroviral (ARV) Among People Living with HIV
No full textNon-adherence to antiretroviral therapy (ART) among people living with HIV (PLHIV) remains a significant global challenge in the effort to control the HIV/AIDS epidemic. In Indonesia, although access to ART continues to expand, adherence rates remain below the optimal threshold, thereby compromising treatment effectiveness and increasing the risk of drug resistance and secondary transmission. This literature review aims to explore and categorize the factors contributing to ART non-adherence among adult PLHIV. A narrative literature review was conducted through systematic searches of four major databases: PubMed, ScienceDirect, Scopus, and SpringerLink. Articles were selected based on inclusion criteria such as publication year (2019–2025), relevance to ART adherence, and focus on adult PLHIV populations. Ten eligible articles were analyzed thematically to identify common barriers to adherence. The findings indicate that ART non-adherence is influenced by a combination of individual, social, and health system-related factors. Individual-level barriers include depression, anxiety, medication side effects, and lack of motivation. Social factors such as stigma, insufficient family or peer support, and cultural beliefs significantly hinder adherence. Meanwhile, health system barriers encompass unwelcoming services, inflexible schedules, lack of patient education, and complex administrative procedures. These results underscore the importance of a comprehensive, multidisciplinary approach involving psychosocial support, stigma reduction, community-based interventions, and health system reform. This review also recommends future empirical studies employing more rigorous methodologies and localized research that can inform the development of contextually and culturally appropriate interventions
The implementation of a caring safety model to decrease adverse events
Get PDFPatient safety is the most crucial health service orientation. An appropriate clinical risk management system is needed to sustain the safety culture in the hospital. This study aimed to examine the implementation of the caring safety model (CSM) in reducing the adverse events (AEs) in patients. A quasi-experimental design (pretest-posttest control group design) was conducted, involving samples in two hospitals in Indonesia. Nurses in the experimental group followed the CSM training and applied it to nursing care, while nurses in the control group followed the standard care. AEs were assessed on indicators of medication error, patient falls, phlebitis, decubitus, and surgical site infection. The implementation of CSM was evaluated for it is impact on AEs reduction. CSM-based care could reduce AEs in patients better than standard care. The final observation variable of the experimental and the control groups resulted in a value of sig o
Perilaku Kepemimpinan dan Penghargaan Terhadap Kepuasan Kerja Perawat di Rumah Sakit Umum Daerah (RSUD) Kota Mataram
Full text linkThe success key of health services in hospitals is intrinsically linked to various factors associated with nursing services. In this context, an anticipated increase in employee job satisfaction is expected to enhance performance, thereby facilitating the delivery of satisfactory service. Nurse job satisfaction is a critical determinant of nursing productivity. This study explored the relationship between leadership behavior and recognition concerning the job satisfaction of non-civil servant nurses at the Mataram City Regional General Hospital (RSUD). Employing a quantitative descriptive methodology with a cross-sectional design, the study involved a sample of 125 non-civil servant nurses. The data collected were primary, sourced from a questionnaire, and analyzed descriptively using the Chi-square test. The findings revealed a significance value of 0.000 (p 9.488). The contingency coefficient calculation yielded a value of 0.30, suggesting a low correlation between job satisfaction and leadership behavior. For the reward variable (X2) to job satisfaction (Y), a significance value of 0.000 (p 9.488). The contingency coefficient calculation produced a value of 0.50, indicating a moderate relationship between rewards and job satisfaction among non-civil servant nurses. In conclusion, the data analysis suggests that both leadership behavior and rewards positively influence the job satisfaction of non-civil servant nurses
ANALYSIS OF FACTORS CAUSED BY PATIENT COMPLAINTS AT PUYUNG HEALTH CENTER
Full text linkOne of the issues that health facilities, including community health centers, had to address was patient complaints. Therefore, the aim of this research was to analyze the factors that caused patients to complain at the Puyung Health Center. To identify these causal factors, several hypothetical variables were used, such as patient perceptions, facilities and infrastructure, service procedures, officer competency, and officer discipline. The research design employed was analytical-observational, using a cross-sectional approach. The sample in the study consisted of 94 patients. The instrument in this research was a questionnaire for each variable. The data were then analyzed using bivariate analysis (crosstab) to determine the relationship between the independent and dependent variables and a multivariate logistic regression test to identify the independent variables that caused patient complaints. The results of the research revealed that there was an individually significant relationship between patient complaints and patient perceptions, facilities and infrastructure, service procedures, officer competence, and officer discipline. In addition, information was obtained that service procedures were the dominant factor that significantly caused patient complaints at the Puyung Community Health Center
Analisis Faktor-Faktor yang Berhubungan dengan Kepuasan Pasien Rawat Jalan di Puskesmas Kabupaten Lombok Timur
Full text linkKepuasan pasien merupakan indikator penting dalam menilai kualitas pelayanan di puskesmas. Faktor-faktor seperti komunikasi petugas kesehatan, persepsi pasien terhadap layanan, dan aksesibilitas pelayanan menjadi tantangan utama di puskesmas Kabupaten Lombok Timur. Penelitian ini bertujuan menganalisis hubungan antara faktor-faktor tersebut dengan kepuasan pasien rawat jalan. Penelitian menggunakan desain kuantitatif potong lintang dengan sampel 379 pasien rawat jalan dari 35 puskesmas, dipilih secara acak. Data dikumpulkan melalui kuesioner yang mencakup komunikasi petugas, persepsi pasien, aksesibilitas layanan, dan kepuasan pasien, dianalisis secara univariat, bivariat, dan multivariat. Hasil univariat menunjukkan 71,5% pasien menilai komunikasi petugas memadai dan 78,9% cukup puas dengan layanan. Analisis bivariat menunjukkan komunikasi petugas, persepsi pasien, dan aksesibilitas layanan berpengaruh signifikan terhadap kepuasan pasien. Analisis multivariat menegaskan komunikasi petugas kesehatan sebagai faktor dominan (koefisien = 1,351; p = 0,002), diikuti persepsi pasien (p = 0,002). Temuan ini menegaskan bahwa komunikasi yang baik dan persepsi positif pasien menjadi kunci utama kepuasan pasien rawat jalan. Oleh karena itu, peningkatan keterampilan komunikasi petugas kesehatan menjadi strategi penting untuk meningkatkan kualitas layanan dan kepuasan pasien di puskesmas
Problem-Based Learning in Phytochemistry Courses: Its’ Effectiveness in Improving Medical Students’ Critical Thinking Ability Viewed from Cognitive Style
Full text linkThe implementation of the Problem-Based Learning (PBL) model for medical students has long been initiated to be integrated into the learning system and curriculum, however, empirical support for the application of the PBL model to medical students is still weak, becoming an obstacle. On the one hand, the need for critical thinking development among medical students is increasingly urgent, this is related to their future assignments in a more complex health care system that requires critical thinking ability. Our current study aims to evaluate the effectiveness of the problem-based learning (PBL) model on improving the critical thinking ability of medical students in terms of cognitive style. This study is an experimental study (one group pretest-posttest design) involving 21 medical students (medical students') in phytochemistry courses at one of the universities providing medical and nursing science programs in Indonesia. The study started by giving a cognitive style test using the GEFT (Group Embedded Figure Test) instrument to classify students into FD and FI cognitive styles, pretest, learning implementation using the PBL model (carried out for five meetings), and posttest. The pretest and posttest used a critical thinking ability test instrument in the form of an essay test. Descriptive and statistical analyzes were performed to evaluate the effectiveness of the PBL model. The results of the study show that the PBL model has been convincingly effective in improving students' critical thinking ability in phytochemistry courses for both FD/FI cognitive style modes. Based on these findings, we recommend the use of the PBL model in extensive and intensive learning to develop the critical thinking ability of medical student
Going Beyond Counting First Authors in Author Co-citation Analysis
Full text linkThe present study examines one of the fundamental aspects of author co-citation analysis (ACA) - the way co-citation
counts are defined. Co-citation counting provides the data on which all subsequent statistical analyses and mappings
are based, and we compare ACA results based on two different types of co-citation counting - the traditional type that
only counts the first one among a cited work's authors on the one hand and a non-traditional type that takes into
account the first 5 authors of a cited work on the other hand. Results indicate that the picture produced through this non-traditional author co-citation counting contains more coherent author groups and is therefore considerably clearer. However, this picture represents fewer specialties in the research field being studied than that produced through the traditional first-author co-citation counting when the same number of top-ranked authors is selected and analyzed. Reasons for these effects are discussed
Variations on the Author
Full text link“Variations on the Author” discusses two of Eduardo Coutinho’s recent films (Um Dia na Vida, from 2010, and Últimas Conversas, posthumously released in 2015) and their contribution to the general question of documentary authorship. The director’s filmography is characterized by a consistent yet self-effacing form of authorial self-inscription: Coutinho often features as an interviewer that rather than express opinions propels discourses; an interviewer that is good at listening. This mode of self-inscription characterizes him as an author who is not expressive but who is nonetheless markedly present on the screen. In Um Dia na Vida, however, Coutinho is completely absent form the image, while Últimas Conversas, on the contrary, includes a confessional prologue that moves the director from the margins to the center of his films. This article examines the ways in which these works stand out in the filmography of a director who offers new insights into the notion of cinematic authorship
Appropriate Similarity Measures for Author Cocitation Analysis
Full text linkWe provide a number of new insights into the methodological discussion about author cocitation analysis. We first argue that the use of the Pearson correlation for measuring the similarity between authors’ cocitation profiles is not very satisfactory. We then discuss what kind of similarity measures may be used as an alternative to the Pearson correlation. We consider three similarity measures in particular. One is the well-known cosine. The other two similarity measures have not been used before in the bibliometric literature. Finally, we show by means of an example that our findings have a high practical relevance.information science;Pearson correlation;cosine;similarity measure;author cocitation analysis
- …
