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All Journal Jurnal Keperawatan Jiwa (JKJ): Persatuan Perawat Nasional Indonesia JURNAL PENGABDIAN KEPADA MASYARAKAT MITRA: Jurnal Pemberdayaan Masyarakat Jurnal Bidang Ilmu Kesehatan Jurnal Manajemen dan Administrasi Rumah Sakit Indonesia (MARSI) Jurnal Pelayanan dan Pengabdian Masyarakat (Pamas) Community Development Journal: Jurnal Pengabdian Masyarakat Indonesian Journal of Global Health research Jurnal Pelayanan dan Pengabdian Kesehatan untuk Masyarakat Journal of Ageing And Family Jurnal Pengabdian Masyarakat dan Riset Pendidikan Research Psychologie, Orientation et Conseil Journal of Biomedical and Techno Nanomaterials Journal of World Future Medicine, Health and Nursing
Marliana, Thika
Universitas Respati Indonesia
Arts Humanities Biochemistry, Genetics & Molecular Biology Decision Sciences, Operations Research & Management Dentistry Economics, Econometrics & Finance Education Engineering Environmental Science Health Professions Languange, Linguistic, Communication & Media Mathematics Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences Veterinary Other

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THE ROLE OF ELDERLY FAMILY DYNAMICS IN MANAGING CLINICAL DEPRESSION: INSIGHTS FROM THERAPY Thika Marliana; Iis Indriayani; Agung Tri Nugraha; Jamiatun Jamiatun
Research Psychologie, Orientation et Conseil Vol. 3 No. 3 (2026)
Publisher : Yayasan Adra Karima Hubbi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70177/rpoc.v3i3.3870

Abstract

Late-life clinical depression is influenced not only by psychological factors but also by family dynamics that shape treatment adherence and emotional recovery. However, the role of family involvement in geriatric depression management remains insufficiently explored. This qualitative phenomenological study involved 20 older adults diagnosed with clinical depression and 20 family members participating in therapeutic care. Participants were recruited from the teman curhat.ID telecounseling service. Data were collected through semi-structured interviews and analyzed using thematic analysis with independent coding and constant comparative techniques. Three major themes emerged: navigating the burden of care, communication dynamics as a therapeutic catalyst, and structural intersections of professional and familial care. Supportive family communication, emotional validation, and collaborative caregiving improved treatment adherence, emotional resilience, and recovery outcomes. Conversely, caregiver burden, unresolved conflict, and excessive familial control reduced patient autonomy and hindered emotional independence. Balanced family-centered interventions are essential to strengthen therapeutic effectiveness while preserving psychological autonomy in elderly individuals with clinical depression.
OPTIMALISASI EDUKASI DAN KESADARAN KODE INTERNASIONAL PEMASARAN PRODUK PENGGANTI ASI MELALUI APLIKASI “PELANGGARANKODE” UNTUK PERLINDUNGAN GIZI IBU DAN ANAK Kusmayra Ambarwati; Thika Marliana; Suharyanto
JURNAL PENGABDIAN KEPADA MASYARAKAT Vol. 31 No. 4 (2025): OKTOBER-DESEMBER
Publisher : Universitas Negeri Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24114/jpkm.v31i4.71166

Abstract

Angka stunting dan permasalah gizi masih menjadi fokus utama permasalahan kesehatan di Indonesia. Sebab, angka ini menjadi salah satu tolok ukur indikator kesehatan suatu negara. Indonesia telah melakukan berbagai bentuk intervensi untuk mencegah dan menurunkan angka stunting ini. Namun, tantangan berupa keterbatasan manajemen, sumber daya, serta minimnya pemahaman tentang Kode Internasional Pemasaran Produk Pengganti ASI (PASI) menghambat efektivitas advokasi dalam rangka pencegahan angka stunting. Program pengabdian ini bertujuan mengoptimalkan platform digital “PelanggaranKode” sebagai sarana pelaporan pelanggaran kode PASI. Metode yang digunakan mencakup pelatihan manajemen, kolaborasi teknologi, kampanye kesadaran masyarakat, dan pembentukan kelompok pendampingan. Hasil kegiatan menunjukkan 80% capaian program pada pengurus mitra terlatih, 600 peserta terjangkau melalui kampanye, serta terbentuknya dua kelompok pendampingan. Meskipun capaian sosialisasi dan advokasi meningkat, jumlah laporan pelanggaran yang masuk ke platform masih rendah. Oleh karena itu, diperlukan strategi kampanye digital yang lebih masif, pendampingan berkelanjutan, serta penguatan kolaborasi lintas sektor. Program ini berkontribusi pada peningkatan kesadaran gizi ibu-anak, perlindungan menyusui, serta pencapaian target SDGs dan RIRN.
Edukasi Mitigasi Bencana Berbasis Masyarakat di Wilayah Rawan Risiko : Pengabdian Thika Marliana; Ivonne Fitri Mariay; Novaldi Laudi Angrianto; Christian Soleman Imburi; Liz Yanti Andriyani
Jurnal Pengabdian Masyarakat dan Riset Pendidikan Vol. 4 No. 4 (2026): Jurnal Pengabdian Masyarakat dan Riset Pendidikan Volume 4 Nomor 4 April - Juni
Publisher : Lembaga Penelitian dan Pengabdian Masyarakat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jerkin.v4i4.5716

Abstract

Pengabdian ini bertujuan untuk mengetahui efektivitas edukasi mitigasi bencana berbasis masyarakat di wilayah Papua. Pelaksanaan kegiatan dilakukan melalui beberapa tahapan, meliputi tahap persiapan dan analisis kebutuhan lapangan, koordinasi dan kolaborasi dengan pemangku kepentingan lokal, penyusunan kurikulum dan modul edukasi, sosialisasi, pelaksanaan pelatihan partisipatif dan simulasi lapangan, pembentukan kelompok siaga bencana berbasis komunitas, serta monitoring dan evaluasi. Hasil kegiatan menunjukkan bahwa program edukasi mitigasi bencana berbasis masyarakat di wilayah Papua menunjukkan dampak yang signifikan terhadap penguatan kapasitas komunitas dalam memahami dan mengelola risiko bencana. Kegiatan ini tidak hanya meningkatkan pengetahuan warga mengenai ancaman dan kerentanan, tetapi juga mendorong perubahan cara pandang terhadap bencana sebagai risiko yang dapat dikelola melalui upaya terencana dan kolaboratif. Selain peningkatan pemahaman konseptual, kegiatan ini juga mendorong terbentuknya sikap proaktif, penguatan kelembagaan melalui kelompok siaga bencana, serta peningkatan keterampilan praktis melalui simulasi lapangan. Integrasi antara kearifan lokal dan pendekatan ilmiah memperkaya strategi mitigasi yang kontekstual dan berkelanjutan. Di sisi lain, terbangunnya jejaring kolaborasi dengan pemerintah daerah serta menguatnya solidaritas sosial menjadi fondasi penting bagi terciptanya budaya kesiapsiagaan yang berakar pada kesadaran kolektif. Secara keseluruhan, program ini berkontribusi dalam membentuk komunitas yang lebih tangguh, partisipatif, dan siap menghadapi potensi bencana secara mandiri dan terorganisasi.
A REVIEW OF NANOPARTICLE-BASED STRATEGIES FOR OVERCOMING THE BLOOD-BRAIN BARRIER IN NEURODEGENERATIVE DISEASE THERAPY Thika Marliana; Bina Magar; Samuel Denis
Journal of Biomedical and Techno Nanomaterials Vol. 2 No. 6 (2025)
Publisher : Yayasan Adra Karima Hubbi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70177/jbtn.v2i6.2975

Abstract

Neurodegenerative diseases, including Alzheimer’s disease, Parkinson’s disease, and related disorders, remain difficult to treat effectively due to the restrictive nature of the blood–brain barrier, which severely limits drug delivery to the central nervous system. Many therapeutic agents with proven molecular efficacy fail to achieve clinical success because they cannot reach target sites in the brain at sufficient concentrations. This review aims to critically analyze nanoparticle-based strategies developed to overcome the blood–brain barrier and to evaluate their potential in neurodegenerative disease therapy. A narrative-integrative review method was employed, drawing on peer-reviewed articles indexed in major scientific databases, including studies on lipid-based, polymeric, inorganic, and biomimetic nanoparticles. The reviewed evidence indicates that nanoparticle systems significantly enhance brain delivery through mechanisms such as receptor-mediated transcytosis, adsorption-mediated transport, and biomimicry, leading to improved pharmacokinetics and therapeutic efficacy in preclinical models. Lipid-based and biomimetic nanoparticles demonstrate the greatest translational promise due to favorable safety and biological compatibility, while polymeric systems offer high design flexibility. Despite these advances, challenges related to long-term safety, reproducibility, and clinical translation persist. In conclusion, nanoparticle-based delivery represents a pivotal strategy for overcoming the blood–brain barrier, and continued interdisciplinary research is essential to translate these technologies into effective therapies for neurodegenerative diseases. Keywords: blood–brain barrier; nanoparticles; neurodegenerative diseases; nanomedicine; targeted drug delivery
The Effect of Lean Six Sigma Implementation, Information Technology Utilization, and Bed Capacity on Length of Inpatient Stay at Karya Medika Hospital, Bantar Gebang, Bekasi, in 2025 Astri Gunardi; Atik Kridawati; Herawati Herawati; Thika Marliana
Journal of Ageing And Family Vol 4, No 2 (2024): Journal of Ageing And Family
Publisher : Lembaga Penelitian dan Pengabdian Masyarakat (LPPM Universitas Respati Indonesia)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52643/joaf.v4i2.7229

Abstract

The Length of stay is a crucial indicator in hospital service systems. This study aims to analyze the influence of Lean Six Sigma implementation, the use of information technology, and bed capacity on the length of stay at RS Karya Medika Bantar Gebang. The research method used is a quantitative approach with a descriptive analytical design. Data were collected through questionnaires and analyzed using univariate, bivariate, and multivariate tests. The univariate analysis results show that the majority of respondents are aged 20-35 years (59.00%), female (64.10%), and work as nurses (56.40%). Bivariate analysis using Pearson correlation test shows that Lean Six Sigma implementation has a strong relationship with length of stay (r = 0.855, p = 0.000), the use of information technology has a very strong relationship (r = 0.906, p = 0.000), and bed capacity also has a strong relationship (r = 0.838, p = 0.000). Multivariate analysis results using multiple linear regression indicate that Lean Six Sigma implementation (β = 1.583, p = 0.000) and the use of information technology (β = 0.954, p = 0.043) significantly affect the length of stay, while bed capacity (β = 0.505, p = 0.243) does not have a significant effect. The regression model used has an R value of 0.944 and an R Square value of 0.892, indicating that 89.2% of variations in length of stay can be explained by the three independent variables. The conclusion of this study is that Lean Six Sigma implementation and the use of information technology significantly contribute to reducing the length of stay, while bed capacity does not have a direct impact. Therefore, hospitals are advised to further optimize the implementation of Lean Six Sigma and information technology to improve service efficiency.
The Influence Of Work Environment, Compensation, Workload, And Career Development On The Performance Of Nurses At Bethesda Hospital Wonosari, Special Region Of Yogyakarta In 2025 Widyaningsih Widyaningsih; Sumijatun Sumijatun; Nurcahyo Andarusito; Thika Marliana
Journal of Ageing And Family Vol 4, No 1 (2024): Journal of Ageing And Family
Publisher : Lembaga Penelitian dan Pengabdian Masyarakat (LPPM Universitas Respati Indonesia)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52643/joaf.v4i1.7227

Abstract

The presence of nurses as human resources is a valuable asset for the sustainability of the hospital, which needs attention so they can work optimally. An initial survey at RS Bethesda Wonosari DIY found that very few nurses performed at a level categorized as competent according to the hospital's expectations. This research was conducted in December 2024, aiming to analyze the factors influencing nurse performance at RS Bethesda Wonosari DIY using a quantitative design and a cross-sectional approach. The respondents in this study are all 50 nurses. Primary data collection was conducted through the distribution of questionnaires that had been tested on 30 people at RS Panti Waluyo Solo. The univariate results show that the majority of respondents are female, have an Associate's degree in Nursing, are of productive age, and have less than 5 years of work experience. The lowest achievements obtained from the variables studied: work environment (73.5%), provision of new information (73%), performance bonuses for employees (46%), work for patient safety (79%), fully responsible nursing care (52.5%), completion of work according to targets (74.5%). Completion of work on time (76.5%) and communication with superiors (67.5%). The bivariate results show that the variables positively affecting nurse performance are workload (p: 0.002), work environment (p: 0.002), and career development (p: 0.005), each with a very weak influence, while the variable that does not have an effect is compensation (p: 0.173). The multivariate results indicate that workload, work environment, compensation, and career development collectively have a significant impact on nurse performance (p: 0.001), with the most influential factor being workload (β) 0.623 (p: 0.017). The recommendation from this study is that the workload of nurses needs to be balanced, fair, and evenly distributed to avoid fatigue, improve workspace layout, provide bonuses for outstanding nurses, increase responsibility in nursing care, and for management to allocate time for discussions with nurses regarding career development programs.
AI and Robotics in Elderly Care: Sustainable Solutions for Aging Populations Thika Marliana; Dilara Sert Kasim; Samsuni Samsuni; Ton Kiat
Journal of World Future Medicine, Health and Nursing Vol. 3 No. 5 (2025)
Publisher : Yayasan Adra Karima Hubbi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70177/health.v3i5.2565

Abstract

The global rise in aging populations poses urgent challenges to healthcare systems, social welfare, and labor sustainability. Traditional caregiving models are increasingly strained by workforce shortages and escalating medical costs. Artificial Intelligence (AI) and robotics have emerged as transformative technologies offering innovative and sustainable approaches to elderly care. This study aims to examine how AI-driven systems and assistive robots enhance healthcare delivery, autonomy, and quality of life among older adults. Using a mixed-method design, the research combines a systematic review of 120 peer-reviewed studies (2012–2024) with case analyses of robotic implementations in Japan, Sweden, and Singapore. Findings reveal that AI-enabled monitoring, predictive diagnostics, and social robots significantly improve health outcomes, emotional well-being, and caregiving efficiency. However, ethical concerns regarding privacy, human empathy, and digital inequality remain critical barriers to widespread adoption. The study concludes that sustainable elderly care requires integrating technological innovation with human-centered design and policy frameworks that ensure inclusivity, accountability, and data ethics.   
Analisis Faktor Penyebab Burnout Pada Tenaga Kesehatan di Rumah Sakit Umum Kasih Ibu Denpasar Odilia Dea Novena; Nurcahyo Andarusito; Thika Marliana
Jurnal Manajemen dan Administrasi Rumah Sakit Indonesia (MARSI) Vol 9, No 4 (2025): Jurnal Manajemen dan Administrasi Rumah Sakit Indonesia (MARSI)
Publisher : LPPM Universitas Respati Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52643/marsi.v9i4.7203

Abstract

Abstrak Burnout menjadi masalah yang nyata karena dampaknya langsung terhadap efektivitas pelayanan kesehatan. Ketika tenaga kesehatan mengalami burnout, mereka cenderung kehilangan fokus, menurunkan kualitas perawatan, dan meningkatkan risiko kesalahan medis. Dampak burnout dapat dilihat dari skala individu hingga sistem. Pada tingkat individu, burnout memengaruhi kesejahteraan fisik dan mental tenaga kesehatan. Pada tingkat unit kerja, hal ini memengaruhi efektivitas tim dalam memberikan pelayanan. Pada tingkat institusi, burnout dapat merusak reputasi rumah sakit dan menurunkan kepuasan pasien. Penelitian ini menggunakan pendekatan kuantitatif dengan desain cross-sectional serta melibatkan 197 orang responden yang merupakan tenaga kesehatan di Rumah Sakit Umum Kasih Ibu Denpasar yang dipilih secara total sampling. Kuesioner digunakan sebagai instrumen utama penelitian dengan proses analisis data yaitu analisis statistik deskriptif, uji asumsi klasik, uji regresi linear berganda, uji hipotesis, dan uji koefisien determinasi menggunakan software SPSS. Hasil penelitian menunjukkan analisis faktor yang menyebabkan burnout pada tenaga kesehatan tersebut dapat disimpulkan bahwa (1) Lama bekerja berpengaruh negatif terhadap burnout (2) Usia berpengaruh negatif terhadap burnout (3) Pendidikan tidak berpengaruh signifikan terhadap burnout (4) Status pernikahan tidak berpengaruh signifikan terhadap burnout (5) Beban kerja berpengaruh positif terhadap burnout (6) Lingkungan kerja berpengaruh negatif terhadap burnout tenaga kesehatan (7) Konflik kerja berpengaruh positif terhadap burnout (8) Keseimbangan antara pekerjaan dan kehidupan pribadi berpengaruh negatif terhadap burnout. Untuk mengurangi dampak burnout pada tenaga kesehatan tersebut terdapat beberapa hal yang dapat dilakukan oleh pihak manajemen yaitu membangun lingkungan kerja yang sehat, produktif, dan inovatif, mengoptimalkan pengembangan program kesejahteraan, menerapkan kebijakan kerja yang lebih fleksibel, dan memfasilitasi program pelatihan dan pengembangan secara professional. Kata Kunci: Burnout, Faktor Burnout, Tenaga Kesehatan
Analisa Kebutuhan Perawat Berdasarkan Beban Kerja dengan Menggunakan Metode Time And Motion Study pada Pediatric Intensive Care Unit di RSUD dr. Chasbullah Abdulmadjid Kota Bekasi Dewi Ayunanda; Elise Garmelia; Thika Marliana
Jurnal Manajemen dan Administrasi Rumah Sakit Indonesia (MARSI) Vol 9, No 4 (2025): Jurnal Manajemen dan Administrasi Rumah Sakit Indonesia (MARSI)
Publisher : LPPM Universitas Respati Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52643/marsi.v9i4.7145

Abstract

Abstrak Latar belakang: Perawat di Pediatric Intensive Care Unit (PICU) memiliki tanggung jawab besar dalam memberikan asuhan keperawatan. Jumlah perawat di rumah sakit seringkali lebih sedikit dibandingkan dengan beban kerja. Tujuan penelitian: menganalisa kebutuhan perawat berdasarkan beban kerja dengan menggunakan metode Time and Motion Study pada PICU di RSUD dr. Chasbullah Abdulmadjid Kota Bekasi. Metode penelitian: pendekatan kuantitatif dengan formulir time and motion study untuk beban kerja objektif dan kuesioner untuk beban kerja subjektif, perhitungan kebutuhan tenaga dengan menggunakan Workload Indicators of Staffing Need (WISN). Total sampling sebanyak 25 perawat. Hasil: sebanyak 64% perawat mengalami beban kerja berat, dengan total waktu kerja efektif sebesar 89,90%, terdapat kekurangan tenaga perawat sebanyak 29 orang. Saran: rumah sakit perlu mengoptimalkan beban kerja perawat melalui rekam medis elektronik, penambahan tenaga keperawatan sesuai perhitungan WISN, serta pelatihan manajemen stres dan kompetensi klinis. Selain itu, penelitian selanjutnya dapat memperluas cakupan ke unit lain, menggunakan metode kombinatif seperti wawancara mendalam, serta mengeksplorasi teknik alternatif lain dalam perhitungan beban kerja untuk hasil yang lebih komprehensif. Kata kunci : Beban kerja perawat, time and motion study, PICU, WISN
Hubungan Komunikasi, Ketersediaan Fasilitas, Pengembangan Karir dan Kompensasi dengan Kinerja Perawat di RS Bhayangkara Tk II Moh Hasan Tahun 2024 Maulini Rizky; Nurcahyo Andarusito; Thika Marliana
Jurnal Manajemen dan Administrasi Rumah Sakit Indonesia (MARSI) Vol 9, No 4 (2025): Jurnal Manajemen dan Administrasi Rumah Sakit Indonesia (MARSI)
Publisher : LPPM Universitas Respati Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52643/marsi.v9i4.7080

Abstract

Latar Belakang: Kinerja perawat merupakan faktor utama dalam meningkatkan mutu pelayanan rumah sakit. Beberapa faktor yang mempengaruhi kinerja perawat meliputi komunikasi, ketersediaan fasilitas, pengembangan karir, dan kompensasi. RS Bhayangkara TK II Moh Hasan menghadapi tantangan dalam optimalisasi kinerja perawat, dengan adanya keluhan terkait komunikasi, keterbatasan fasilitas, serta minimnya pengembangan karir dan kompensasi yang kurang memadai. Penelitian ini bertujuan untuk menganalisis hubungan antara faktor-faktor tersebut dengan kinerja perawat. Metode Penelitian: Penelitian ini menggunakan desain cross-sectional dengan pengumpulan data melalui kuesioner kepada perawat di RS Bhayangkara TK II Moh Hasan. Analisis data dilakukan menggunakan uji chi-square dan regresi logistik berganda. Hasil Penelitian: Hasil analisis bivariat menunjukkan bahwa komunikasi (p sama dengan 0,004), ketersediaan fasilitas (p sama dengan 0,001), pengembangan karir (p sama dengan 0,014), dan kompensasi (p sama dengan 0,001) memiliki hubungan signifikan dengan kinerja perawat. Analisis multivariat menunjukkan bahwa hanya kompensasi yang tetap signifikan (p sama dengan 0,001). Kesimpulan Penelitian:Terdapat hubungan signifikan antara komunikasi, ketersediaan fasilitas, pengembangan karir, dan kompensasi dengan kinerja perawat, dengan kompensasi sebagai faktor dominan. Manajemen rumah sakit disarankan untuk meningkatkan kompensasi, memperbaiki komunikasi internal, menyediakan fasilitas yang memadai, serta memperluas peluang pengembangan karir guna meningkatkan kinerja perawat dan mutu pelayanan.
Co-Authors Agung Tri Nugraha Astri Gunardi Atik Kridawati Bina Magar Bryany Titi Santi Budi Anna Keliat Christian Soleman Imburi Desi Pramujiwati Dewi Ayunanda Dian Sulasmy Dilara Sert Kasim Dinni Agustin Elise Garmelia Erlin Ifadah Herawati Herawati Ifadah, Erlin Ignatius Erick Yanuar Iis Indriayani Indah Kurniawati Ivonne Fitri Mariay J, Jamiatun Jamiatun Jamiatun, Jamiatun Karuni Dianita Islami kusmayra Ambarwati Lia Octavia Livana Budi PH Liz Yanti Andriyani Maulini Rizky Novaldi Laudi Angrianto Nur Fitriah Nur Hartaningtyas, Sri Nurcahyo Andarusito Nurlina Supartini NURUL HIDAYAH Odilia Dea Novena Patiroh, Yeti Rifki Heryandi Samsuni Samsuni Samuel Denis Sholiha, Nur Suharyanto Sumijatun Sumijatun Susanti, Fajar Titik Widayati Ton Kiat Uswatun Chasanah Widyaningsih Widyaningsih Yeni Safitri