Article Per Year (5 Year)
p-Index From 2021 - 2026
0.408
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This Author published in this journals
All Journal Media of Health Research
Asti Melani Astari
Department of Nursing, Brawijaya University, Malang, East Java, Indonesia
Dentistry Health Professions Medicine & Pharmacology Nursing Public Health Veterinary

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Factors Contributing Door-to-Balloon Delays Among STEMI Patients in Low- and Middle-Income Countries (LMICs): Literature Review I Gede Hendra kusuma Darmawan; Asti Melani Astari; Suryanto Suryanto
Media of Health Research Vol. 4 No. 3 (2026): Media of Health Research, August 2026
Publisher : Lembaga Publikasi Ilmiah Nusantara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70716/mohr.v4i3.609

Abstract

Low- and middle-income countries (LMICs) bear a disproportionate burden of mortality from ST-Elevation Myocardial Infarction (STEMI), largely due to difficulties in meeting the recommended door-to-balloon (D2B) time of ≤90 minutes, a delay proven to increase in-hospital mortality. This review aims to identify and map the factors influencing door-to-balloon (D2B) delay in ST-Elevation Myocardial Infarction (STEMI) patients in low- and middle-income countries (LMICs). This study employed a literature review methodology to identify factors influencing door-to-balloon (D2B) delays in STEMI patients in low- and middle-income countries (LMICs). A systematic search following PRISMA guidelines was conducted in ProQuest, Google Scholar, and EBSCO for publications from 2021–2025 using PCC-based keywords related to LMICs, STEMI, reperfusion, and delay. The results of this review show that factors causing door-to-balloon (D2B) delay can be grouped into four main pillars. Internal hospital factors were the most dominant, followed by patient-related factors, pre-hospital system barriers, and external factors such as pandemics and conflicts that further prolonged delays. It is recommended to strengthen collective commitment and synergy among all stakeholders, including policymakers, hospital management, healthcare workers, pre-hospital personnel, and the community. Improvements should be implemented through a simultaneous, holistic approach to achieve significant, sustainable outcomes.
Implementing a Standardized Prehospital Medical Record in Emergency Nursing Practice: A Qualitative Study in an Urban EMS Service Deswita Aridhya Anjali; Asti Melani Astari; Rinik Eko Kapti; Suryanto Suryanto
Media of Health Research Vol. 4 No. 3 (2026): Media of Health Research, August 2026
Publisher : Lembaga Publikasi Ilmiah Nusantara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70716/mohr.v4i3.653

Abstract

Documentation is a fundamental component of professional nursing practice, supporting clinical accountability, continuity of care, and patient safety. In prehospital emergency settings, documentation is often challenged by time constraints, dynamic environments, and limited standardization. This study explored ambulance nurses' experiences following the implementation of a standardized prehospital medical record form in a municipal emergency medical service in Indonesia. A qualitative descriptive design was conducted at a Public Safety Center (PSC 119) in an urban setting. Four active ambulance nurses participated in a two-week implementation of the standardized form. Data were collected through a focus group discussion and analyzed using inductive content analysis, with independent coding and an audit trail to enhance trustworthiness. Six themes emerged: perceived additional workload, clinical benefits, operational barriers, administrative and communication barriers, professional challenges in documenting clinical aspects, and expectations for system optimization. Although initially viewed as increasing the workload, the standardized form was perceived as improving systematic assessment and completeness of documentation. Time pressure, operational demands, and uncertainty regarding diagnostic authority affected nurses' confidence and documentation practices. Overall, standardized prehospital documentation offers important professional and patient safety benefits but requires workflow-sensitive implementation, organizational support, and strengthened clinical confidence within nurses' scope of practice to promote sustainable adoption.
Co-Authors Deswita Aridhya Anjali I Gede Hendra kusuma Darmawan Rinik Eko Kapti Suryanto Suryanto