Juwi Athia Rahmini
Program Studi Keperawatan Fakultas Ilmu Keperawatan Universitas Muhammadiyah Jakarta

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Enhancement of Nurse Migration and Nurse Shortages Solution among G20 Countries Yudi Ariesta Chandra; Achir Yani Syuhaimi Hamid; Fatma Lestari; Nunung Nurhayati; Andrio Adiwibowo; Annida Falahani; Laurentia Dewi; Sri Yulia; Azimatul Aliyah; Juwi Athia Rahmini
NERS Jurnal Keperawatan Vol. 22 No. 1 (2026): NJK Volume 22, Number 1
Publisher : Fakultas Keperawatan Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/njk.v22i1.386

Abstract

Nurse migration among G20 countries increased as consequence of shortage of nurses in developed country members. Concrete strategies needed to address the issues. This study aimed to propose policy recommendation to the G20 Forum to enhance nurse migration system and long-term solution for shortages of nurses. A qualitative study was conducted to collect ideas for policy recommendation through experts sharing and focus group discussion. 190 participants involved. A descriptive qualitative approach was used to analyze the data. A policy recommendation was formulated into four themes and 11 categories. The themes included (a) harmonization for equal nursing competency qualifications, (b) reinforcement of brain drain anticipation and brain gain support, (c) improvement of regulatory and data system for nurse migration, and (d) collaboration enhancement with stakeholders for an enabling environment. The formulated policy recommendation may be used as a reference for current G20 leaders to create more concrete strategies for enhancing nurse migration system and long-term solution of shortages of nurses, as part of commitment on the health agenda. Considering the finding of this study highlighted the role of NNAs and NSAs for collaboration enhancement with stakeholders for enabling environment, we suggest a further study to identify more detail strategies to enhance NNAs and NSAs’ role in enhancing registration, placement, and monitoring processes.
ANALISIS KETERKAITAN KADAR GULA DARAH DENGAN RISIKO NEUROPATI DIABETIK PERIFER PADA PASIEN DM TIPE 2 DI RSIJ CEMPAKA PUTIH iyar siswandi; Rizki Nugraha Agung; Juwi Athia Rahmini
JURNAL KESEHATAN KARTIKA Vol. 21 No. 1 (2026): Jurnal Kesehatan Kartika
Publisher : Faculty of Health Science and Technology, University of Jenderal Achmad Yani

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26874/jkkes.v21i1.537

Abstract

Background: Diabetes mellitus (DM) is a chronic metabolic syndrome characterized by hyperglycemia resulting from impaired insulin secretion or function. Long-term uncontrolled blood glucose levels carry a risk of triggering microvascular complications such as diabetic peripheral neuropathy (DPN), which is characterized by nerve damage and reduced sensitivity. Objective: This study aims to analyze the relationship between hyperglycemia status and the prevalence of peripheral neuropathy in Type 2 DM patients at the outpatient unit of RSIJ Cempaka Putih. Methods: A descriptive correlational study design with a cross-sectional approach was used. The study population consisted of all Type 2 DM patients at the RSIJ Cempaka Putih Outpatient Unit, with a sample size of 94 respondents selected via purposive sampling. The research instruments included medical record review for blood glucose levels and the 10-g monofilament test for neuropathy detection. Results: The majority of respondents were male (51.1%), with an average age of 58.73 years, and had had DM for >5 years (56.4%). A total of 53.2% of respondents were in a state of hyperglycemia ( mg/dL) and 70.2% of respondents had peripheral neuropathy. Chi-square test results showed a statistically significant association between hyperglycemia status and the occurrence of peripheral neuropathy, with a p-value of 0.001 (p < 0.05). Conclusion: There is a significant association between hyperglycemia and the development of peripheral neuropathy. These findings suggest that unstable blood glucose levels are a major determinant of nerve damage in patients with diabetes, underscoring the need for improved glycemic management and foot care education to prevent further complications.