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Nurses' Roles in the Implementation of the Fourth Patient Safety Goals: Literature Review Fairuza Fajar Yumna; Alfid Tri Afandi; Kholid Rosyidi Muhammad Nur; Retno Purwandari; Yulia Kurniawati
Health and Technology Journal (HTechJ) Vol. 3 No. 4 (2025): August 2025
Publisher : KHD Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/htechj.v3i4.397

Abstract

Patient safety is a critical component of healthcare quality. Surgical procedures pose significant risks, with frequent incidents such as wrong-site surgeries and retained surgical instruments. To mitigate these risks, the Fourth Patient Safety Goals emphasize the correct site, correct procedure, and correct surgical patient. Nurses, who are involved in every stage of surgical care, play a vital role in ensuring of the correct site, procedure, and surgical patient. The objective of this research is to analyze and identify the role of nurses in implementing the Fourth Patient Safety Goal, specifically in ensuring the correct site, procedure, and patient in surgical settings. This study employed a literature review method using databases including Google Scholar, PubMed, and Science Direct. A total of 11 articles published between 2024 and 2025 were selected using inclusion and exclusion criteria based on the PICO(S) approach. Article quality was assessed using JBI Appraisal Tools. The findings show that nurses contribute significantly to all three phases of the Surgical Safety Checklist (sign in, time out, sign out). Their roles include verifying surgical information, ensuring team communication, providing emotional support for patients, coordinating interdisciplinary collaboration, and integrating technology-based tools. Barriers identified include lack of training, incomplete documentation, and limited compliance with protocols. Nurses play a central role in ensuring the correct site, procedure, and surgical patient. Strengthening their competence, fostering interprofessional collaboration, and applying technological innovations are essential strategies to enhance patient safety in surgical settings.
Agronursing Approaches in Supporting the Mental Health of Agricultural Workers Nabila Puspita Dewi; Adisyah Maulidina Safi’i; Dynta Eka Anggraeni; Enggal Hadi Kurniyawan; Dicky Endrian Kurniawan; Kholid Rosyidi Muhammad Nur; Alfid Tri Afandi
Health and Technology Journal (HTechJ) Vol. 3 No. 5 (2025): October 2025
Publisher : KHD Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/htechj.v3i5.497

Abstract

Agricultural workers face complex work pressures such as social isolation, weather dependency, and limited access to health services, which impact their mental health. Agronursing is emerging as a nursing approach that is responsive to the specific needs of agrarian communities in a holistic and culturally based manner. This article explores the role of agronursing in supporting farmworkers' mental health through contextualized and sustainable interventions. This literature review employed a systematic search in ScienceDirect, PubMed, and MDPI databases for articles published between 2020 and 2025. From 4,371 identified articles, a multi-stage screening and eligibility process was conducted, resulting in 10 articles that met all inclusion criteria for final analysis. Burnout and mental health problems are prevalent among agricultural workers due to various internal and external stressors. Various approaches, such as increasing psychological and social capital, self-coping strategies, and multimodal interventions, have proven effective in maintaining farmers' mental well-being. An agronursing perspective and community support are important in sustainably building farmers' psychological resilience. Farmers' mental health is adversely affected by economic stress, overwork, and social isolation, with stigma and mistrust hindering access to support. Effective interventions must be context-sensitive and involve farmers to ensure psychological impact and community acceptance.
The Impact of Pesticide Exposure on Farmers' Respiratory Health: An Agronursing Perspective Vanessa Octavia Ramadhani; Kanaya Nugita; Dinda Wahyu Dinanti; Enggal Hadi Kurniyawan; Kholid Rosyidi Muhammad Nur; Alfid Tri Afandi; Dicky Endrian Kurniawan
Health and Technology Journal (HTechJ) Vol. 3 No. 5 (2025): October 2025
Publisher : KHD Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/htechj.v3i5.514

Abstract

Pesticide exposure is one of the most significant risks farmers faces, especially regarding respiratory health. Lack of understanding about using personal protective equipment (PPE) and safe work procedures makes farmers vulnerable to respiratory problems. This study aims to identify the impact of pesticide exposure on farmers' respiratory health from an agronursing perspective. This research is a literature review study that uses a quantitative descriptive approach. The sample was taken from 10 articles from PubMed, Science Direct, and Semantic Scholar, which were considered most relevant. The study showed pesticide exposure is significantly associated with increased respiratory disorders such as asthma, chronic cough, and decreased lung function. Risk factors include frequency of spraying, type of pesticide, and lack of PPE use. The agronursing approach is important in the prevention and management of health impacts due to pesticides. The role of nurses as educators, behavior change facilitators, and intervention developers is essential to increase farmers' awareness and health protection.
Analysis of Farmers’ Awareness Level Toward the Use of Personal Protective Equipment (PPE) Enggal Hadi Kurniyawan; Imel Ajeng Lestari; Elysa Apriliani; Julian Ferdinanda Prasetya Eryata; Alfid Tri Afandi; Dicky Endrian Kurniawan; Kholid Rosyidi Muhammad Nur; Ikha Nurjihan; Yopi Darmawan; Elok Faradisa
Health and Technology Journal (HTechJ) Vol. 3 No. 6 (2025): December 2025
Publisher : KHD Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/htechj.v3i6.538

Abstract

The use of pesticides in agriculture increases crop yields, but poses health risks to farmers, especially without PPE. Global data shows a high rate of pesticide poisoning, especially in developing countries. In Indonesia, farmers' awareness and compliance with the use of PPE are still low due to factors related to education, training, and risk perception. This study aims to analyze the level of awareness among farmers regarding the use of PPE and the factors that influence their occupational safety practices when using pesticides. This study employed a literature review method, searching articles from three electronic databases: PubMed, ScienceDirect, and SpringerLink. The selection of articles was carried out in stages based on the keywords used "farmers" OR "agricultural workers" AND "awareness" OR "knowledge" OR "perception" AND "personal protective equipment" OR "PPE" AND "use" OR "utilization" OR "practice" AND "analysis" OR "study" OR "assessment", until 12 primary articles were analyzed in depth. The results show that the use of personal protective equipment (PPE) remains relatively low and inconsistent, despite most individuals having received training and sufficient knowledge. There is a gap between knowledge and practice of PPE use among tobacco farmers, which is influenced by various social and structural factors. Educational interventions based on behavioral models, cross-sectoral involvement, and the provision of adequate PPE are essential to improve farmers' work safety sustainably.
Health Impacts of Pesticide Exposure Among Farmers: A Systematic Review and Implications for Agronursing Practice Enggal Hadi Kurniyawan; Dicky Endrian Kurniawan; Kholid Rosyidi Muhammad Nur; Alfid Tri Afandi; Yeni Fitria; Emi Wuri Wuryaningsih; Robby Prihadi Aulia Erlando
Health and Technology Journal (HTechJ) Vol. 4 No. 1 (2026): February 2026
Publisher : KHD Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/htechj.v4i1.593

Abstract

Pesticide exposure among farmers poses significant health risks globally; however, comprehensive recent evidence on the role of nursing in mitigating these hazards remains underexplored. This systematic review aims to synthesize empirical findings from 2024 to 2025 on the health impacts of pesticide exposure in farming populations and discusses implications for agronursing practice. Following the PRISMA 2020 guidelines, a systematic search was conducted across Scopus, PubMed, and ProQuest using the keywords "pesticide," "farmer," and "nursing." From an initial pool of 2,757 records, 10 original research articles published between 2024 and 2025 met the inclusion criteria: full-text, English-language, open-access, peer-reviewed research articles with ethical clearance, an active DOI, and no study design restrictions beyond excluding non-original works. The 10 included studies were conducted in Thailand, Spain, Greece, Ethiopia, Indonesia, Türkiye, and India. These studies revealed consistent associations between pesticide exposure and adverse health outcomes, including sleep disorders, depression, suicide attempts, oxidative stress, DNA damage, elevated inflammatory markers, and increased stroke risk biomarkers. Behavioral assessments indicated widespread deficiencies in safe pesticide handling and low risk perception. Importantly, nurse-led interventions demonstrated effectiveness in improving occupational health service delivery and farmer knowledge. Pesticide exposure continues to pose a risk to farmers' health across diverse global settings. Agronursing emerges as a vital interdisciplinary approach to address this challenge through education, early detection, advocacy, and community-based prevention. Integrating agronursing competencies into primary healthcare and nursing curricula is crucial for protecting agricultural workers and promoting sustainable rural health.
The Role of Agronursing in Managing Hypertension Among Farmers Kurniyawan, Enggal Hadi; Khodijah Damanhuri; Siti Nur Aisyah; Halimatus Sufiyani; Afandi, Alfid Tri; Kurniawan, Dicky Endrian; Nur, Kholid Rosyidi Muhammad
International Health Sciences Journal Vol. 3 No. 2 (2026): IHSJ Vol 3 No 2 (2026)
Publisher : Rajaki of Tulip Medika Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61777/ihsj.v3i2.106

Abstract

Hypertension remains a significant public health challenge among agricultural workers, particularly in rural areas with limited access to healthcare services. The unique occupational and environmental risk factors faced by farmers, such as heavy physical workload, prolonged heat exposure, unhealthy dietary habits, and low health literacy, contribute to the high prevalence of hypertension in this population. Agronursing, an integrative approach that combines nursing practices with agrarian contexts, has emerged as a promising model for managing hypertension in farming communities. This literature review evaluates the effectiveness of agronursing interventions in reducing blood pressure and improving health outcomes among farmers. A comprehensive literature search across four databases (Semantic Scholar, PubMed, Springer, and ScienceDirect) yielded 10 eligible studies published between 2020 and 2025. These studies explored various interventions, including plant-based diet modifications, community-led health education, involvement of local health cadres, non-pharmacological therapies such as slow stroke back massage, and nurse-led hypertension management. Findings indicate that agronursing interventions significantly contribute to lowering blood pressure, increasing health awareness, and promoting sustainable lifestyle changes. The most successful interventions were those that integrated cultural sensitivity, utilized local resources, and involved trained community health workers or nurses in delivering care. Despite the positive outcomes, several limitations were identified, including short follow-up periods, small sample sizes, lack of randomization, and challenges related to program sustainability and generalizability. This review highlights the importance of context-specific, community-centered strategies for addressing hypertension among rural populations. It provides policymakers, nursing educators, and healthcare practitioners with insights to develop scalable, evidence-based agronursing programs. Further research is needed to assess the long-term impact of these interventions and their integration into national rural health systems.
Determinants of Hypertension Among Farmers: A Literature Review Afandi, Alfid; Kurniyawan, Enggal Hadi; Nur, Kholid Rosyidi Muhammad
International Health Sciences Journal Vol. 3 No. 2 (2026): IHSJ Vol 3 No 2 (2026)
Publisher : Rajaki of Tulip Medika Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61777/ihsj.v3i2.107

Abstract

Hypertension among agricultural workers is a complex public health issue driven by a synergy of lifestyle choices, occupational hazards, and environmental exposures. Despite its prevalence, the specific interplay between farming-related risk factors and high blood pressure remains under-synthesized. This study aims to comprehensively analyze the key determinants ranging from sociodemographic to occupational factorsthat contribute to the risk of hypertension among farmers. A comprehensive literature review was conducted using ProQuest, Springer, and Science Direct databases. The search strategy utilized keywords such as “Hypertension,” “Farmers,” and “Blood Pressure.” Inclusion criteria focused on original research articles published between 2020 and 2025 that assessed risk factors in agricultural populations. A total of ten articles met the eligibility criteria and were analyzed. The review identified significant determinants categorized into occupational and behavioral factors. Key risk factors included age (>30 years), farming duration exceeding 8 years, and inadequate use of Personal Protective Equipment (PPE), suggesting a link to chemical exposure. Behavioral determinants included smoking, high sodium consumption, and psychological stress. Furthermore, the review highlights that non-pharmacological interventions, specifically health education and community-based promotion, effectively improve blood pressure control. Hypertension in farmers is associated with distinct occupational exposures (duration of work, PPE non-compliance) alongside traditional lifestyle risks. An integrated preventive strategy combining occupational safety education with lifestyle modification programs is essential for sustainable health management in agricultural communities.
Preventing Health Problems Impact toward Pesticide Exposure among Rice Farming Group in Mayang Village, Mayang District, Jember Regency: Upaya Pencegahan Masalah Kesehatan Dampak Pajanan Pestisida Pada Kelompok Petani Padi Di Desa Mayang Kecamatan Mayang Kabupaten Jember Nur, Kholid Rosyidi Muhammad; Wijaya, Dodi; Asmaningrum, Nurfika
Journal of Community Empowerment for Multidisciplinary (JCEMTY) Vol. 1 No. 1 (2023): May 2023
Publisher : KHD Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/jcemty.v1i1.70

Abstract

Indonesia is an agrarian society where most of the population work as farmers. Technological advances in this century have penetrated not only the field of telecommunications but also agriculture. This progress has made agricultural production increase but has also been accompanied by an increase in the use of pesticides. The problems caused by pesticide exposure include skin diseases and respiratory and digestive tract diseases. This community service aims to prevent health problems, especially the impact of pesticide exposure on the Ambarukmo rice farmer group in Mayang Village, Jember Regency. The service activity was carried out on May 22, 2022, and was attended by 26 farmers who are members of the Ambarukmo Farmer Group in Mayang Village. Activities include outreach, counseling, and handing over personal protective equipment to farmers. The counseling material includes an understanding of pesticides, the impact of pesticides on health, and efforts to prevent diseases caused by pesticides. Efforts to prevent health problems related to the impact of pesticide exposure on farmer groups to improve the health status of farmers so that they can remain productive and prosperous.
An Islamic-Based Spiritual Program to Improve Workplace Happiness among Inpatient Nurses in Jember, Indonesia Nur, Kholid Rosyidi Muhammad; Asmaningrum, Nurfika; Rondhianto, Rondhianto; Kurniawan, Dicky Endrian; Lumprom, Orachorn
Jurnal Keperawatan Soedirman Vol 21 No 1 (2026): Jurnal Keperawatan Soedirman (JKS)
Publisher : Fakultas Ilmu-ilmu Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.jks.2026.21.1.15849

Abstract

Happiness at work (HAW) plays a critical role in nurses’ performance and their ability to deliver compassionate care, as it affects nurses’ motivation, empathy, and caring behavior. However, culturally grounded interventions to improve nurses’ happiness, particularly within Islamic spiritual frameworks, remain underexplored. Therefore, this study examined the effect of an Islamic-based spiritual program based on local religious and cultural values on nurses’ HAW. This research employed a quasi-experimental design with a non-equivalent control group. The intervention included a structured religious talk on the meaning of life and daily listening to Quranic recitations (murottal) during work for four weeks. The study involved 64 inpatient nurses from hospitals. The participants were assigned to an intervention group (n = 32) and a control group (n = 32). Data were collected using the Shortened HAW questionnaire and analyzed using repeated-measures ANOVA and the Kruskal–Wallis test. The results showed that happiness scores increased significantly in the intervention group (mean difference = 1.53, p < 0.001; η² = 0.354). In contrast, the control group showed minimal change. These findings indicate that Islamic-based spiritual programs can effectively enhance nurses’ happiness at work and may contribute to nurse retention, strengthen caring values, and improve healthcare quality.
The Nurse’s Caring Behavior on Multicultural Hospital Settings: A Literature Review Ulfiatun Hasanah; Nurfika Asmaningrum; Kholid Rosyidi Muhammad Nur
Jurnal Kesehatan dr. Soebandi Vol 9 No 2 (2021): Jurnal Kesehatan dr. Soebandi
Publisher : Lembaga Penelitian dan Pengabdian Masyarakat Universitas dr. Soebandi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36858/jkds.v9i2.316

Abstract

Introduction: Cultural diversity means a different ethnic group in a country or region; these conditions bring different beliefs and understandings to health care and has an impact on the caring behaviour of nurses. Objective: To describe caring behaviour of nurses on patients in multicultural settings in hospitals. Methods: A Literature review and used 5 comprehensive electronic databases such as Google Scholar, PubMed, Science Direct, ProQuest and Garuda. Results: 10 articles used in this research, 3 themes were analysed, including: forms, barriers, and nursing care strategies for multicultural patients. Forms of nurse caring such as understanding and focus on patient, cultural sensitivity, and verbal and non-verbal communication. The caring barriers were ethnocentrism, conflicting perceptions, lack of cultural knowledge, language differences, inadequate hospital facilities, religious differences, patient family behaviour, ineffective coping, and body exposure. The strategies were providing translators, increasing education, organizational support, and improving coping strategies. Conclusion: The researcher concludes that when nurses do caring, they must pay close attention to the culture of the patient, and the strategies found in this study can be used to reduce the barriers that occur while nurses were caring for multicultural patients so that the patient does not feel different during health care.
Co-Authors Adelia Dewi Oktaviana Adisyah Maulidina Safi’i Aditya Bintang Imani Afandi, Alfid Ahmad Hykal Adlan Zein Ahmad Rifai Aisyah, Ica Nur Aisyah, Rifanti Dwi Akhmad Ramdhani Alfid Tri Afandi Alvita Galuh Nurprastiwi Anandarma, Sustyarko Onny Angela Irena Junanda Anggun Dyah Pramita Anisah Ardiana Anisah Ardiana Anisah Ardiana Anisah Ardiana Annisa Maulida Sabrina Fitriani Aprinia Fajar Sukmawati Ariska Anisa’ul Khoiriyah Aziz Putra Adhitama Azizah Abdullah, Syamsiah Nur Azizah, Nuha Aliyah Nur Bagus Dwi Cahyono Bahri, Dinar Auliyatul Baskoro Setioputro Chicha Amilia Putri Damiri, Dini Dewi Novi Maharani Dewi, Ratna Kusuma Diah Estingtias Dianita, Eka Mei Dinda Wahyu Dinanti Dini Kurniawati Diyanti, Sister Putri Dodi Wijaya Dwi Nanda Pratiwi Dwi Nuria Arifin Dwi Putri Maharani Dynta Eka Anggraeni Edyawati, Eka Efendi, Anggit Drajad Eka Aprilia Wulandari Eka Edyawati Elok Faradisa Elsiana Dwi Cahya Elysa Apriliani Emi Wuri Wuryaningsih Endrian Kurniawan, Dicky Enggal Hadi Kurniyawan Erti I. Dewi Evy Aristawati Fadhilla, Ailsa Ayu Fairuza Fajar Yumna Faisal Kevin Asti Purnomo Faizatul Ulya Fajar, Aulana Ikhsan Faridatul Khasanah Fatikah Rizki Arum Mauliya Faza, Nadhira Fazah Nur Alif Fathur Rahmah Femas Agusta Regi Darmawan Futuwwah Sotya Cahyani Gede Darmawan Puthro Gipsy Rayhan Ghafur Grace Pakilaran Hafan Sutawardana, Jon Halimatus Sufiyani Handhias Pramudya Sukma Hanny Rasni Harishoh, Liana Wafdatul Harum Putri Permata Hati Hersanti Maulia Putri H Hidayaturrohkim, Riski Ida Ayu Made Sri Handayani Iftita Khoiril Waroh Ika Mardiyah Bratajaya Ikha Nurjihan imel Ajeng Lestari Indah Listiyawati Indah, Agnes Rosalia Indrasasi, Adzraa Sadira Ranu Ira Purba Wanda Isfadillah, Onny Ega Isyroq, Haidar Fadhilatin Ivada Dea Nintiarso Joni Haryanto Julian Ferdinanda Prasetya Eryata Kanaya Nugita Khodijah Damanhuri Kholifatu Rosyidah Kholifatur Rosyidah Lantin Sulistiyorini, Lantin Latifa Aini Susumaningrum Latifa Aini Susumaningrum Leni Agustin Liandini, Sheila Anugrah Lulu Dewanti Lulu Dewanti Lumprom, Orachorn M. Anugrah Maulana Maharani, Ceria Dwi Karla Malikal Balqis Maria M. Dwi Wahyuni Maulidia, Aulia Mayasari, Yunita Melani Adelia Efendi Meri Katrin Dwi Cayani Modest, Bunga Misselvy Lovely Muchamad Ferdy Rivaldi Muhammad Cholilurrohman Hadi Muhammad Irfan Aditya Pratama Muhammad Nur Khamid Mulyana, Nonica Musta’adah, Iftitatul Mutiara Baiq Qatrunnada Nabela, Mareta Nabila Meyra Anindita Nabila Puspita Dewi Nadirotul Umami Nadya Anfa Askiya Irham Nasywa, Adinda Nathasya Alfisyahr Sasongko Ndun, Marini Aprilia Nguyen, Tuan Van Ni Made Arik Mulyanti Ningrum, Teysya Dwi Nisa, Indika Khoirun Novi Anoegrajekti Novita, Reza Nur Jannah Nur Rohmawati Nurfatekha, Esa Darma Nurfika Asmaningrum Nurfika Asmaningrum Nurfika Asmaningrum Nurfika Asmaningrum Nurul Firdaus, Azzahra Ganandya Nurul Huda Nurul Izzah Regita Cahyani Onny Ega Isfadillah Puja Sheylla Riskita Cahyani Purnawan, Sigit Putri Hidayatur Rochmah Putri Nabilah Putri Shofiyyah Firdaus Putri, Chicha Amilia Putri, Inka Mawardi Putri, Jovanka Maylafaisya Putri, Melsanda Holipin Rahmawati, Iis Rakasiwi, Sabella Ramadhan, Ibadillah Hilmy Dzulfiqar Rany Agustin Wulandari Restanto, Didik Pudji Retno Purwandari Rifa’i, Achmad Rismawan Adi Yunanto Rizanti, Ayunda Puteri Rizki Yahya Fahrezi Robby Prihadi Aulia Erlando Rondhianto Rondhianto Rusmawati, Adinda Athalia Saadah, Nila Uli Safa Tri Wulandari Safira Risqi Aprianti Safitri, Andini Eka Saktiningtiyas, Devi Ruchama’ Salsabhila Nasywa Ramadhanti Salsabila, Yolanda Nandin Sari, Firli Riana Selfi Dwi Cahyani Selvia Amelinda Novianti Shafira Anindyah Sindi Arika Putri Siswoyo Siswoyo Siti Amalia Galuh Putri Mawardi SITI NUR AISYAH Siti Nurmalasari Soekma Yeni Astuti Sofyan Nurdiansyah Sri Wahyuni Sri Wahyuni Sriyono Sriyono Susanti, Nadia Indri Sustyarko Onny Anandarma Swastika Ayu Olyvera Sya’roni, Sya’roni Tambunan, Cristina Esria Valentin Tantut Susanto Tia Rachman Cahyaningrum Tiara Aprilia Riyanti Titik Sandiva Yustiana Titin Ratnaningsih Trisnawati, Dian Ulfi Yuliyani Ulfiatun Hasanah Vanessa Octavia Ramadhani Vani Dekasari Vinda Prihatini Rahmatillah Vinna Melindayanti Wahyu Novia Fajriati Wahyuningtias Rahmadani Wisnu Phambudi Wulandari, Eka Aprilia Yanti, Nurhalida Indra Yeni Fitria Yopi Darmawan Yudho Tri Handoko Yulia Kurniawati Yunidar Dwi Puspitasari Yusnitasari, Engelina Za'im, Putra Pramadita Fachruz Zalsabilla, Adhelia Reisa Zenitha Gelina Inachys Zhafira Puspitarini Zuhroidah, Ida