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The Health Literacy Level among Adult Patients in Rural and Urban Public Health Centers of Pandalungan Region: A Dual-Center Comparative Study Sofyan Nurdiansyah; Nurfika Asmaningrum; Retno Purwandari; Anisah Ardiana; Kholid Rosyidi Muhammad Nur
Jurnal Kesehatan dr. Soebandi Vol 10 No 1 (2022): Jurnal Kesehatan dr. Soebandi
Publisher : Lembaga Penelitian dan Pengabdian Masyarakat Universitas dr. Soebandi

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Abstract

Introduction: Health literacy is an important component to ensure healthy behavior which is a determinant to a person’s health and life quality. Health literacy contributes to improving a person's health to make healthy lifestyle choices, prevent disease, seek information about appropriate treatment, and determine the best remedies to treat a disease. Objective: This study was aimed to determine the differences in the level of adult patients’ health literacy in rural and urban health centers in Pandalungan region in Jember regency, East Java, Indonesia. Methods: The study was designed as comparative descriptive research. Purposive sampling was conducted on 216 adults who visited two public health centers (henceforth PHCs) in rural and urban areas which were determined based on the highest visitors of 2019 in each rural and urban region. Data was collected using HLS-EU-16Q. The data analysis were descriptive analysis, Mann Whitney U Test, and chi-square test. The level of statistical significance was set at p<0.05. Results: The study found a significant difference in the level of health literacy among adults who visited urban and rural PHCs (p<0.001). The level of health literacy in respondents who visited PHCs urban areas (132.29) was higher than those who visited PHCs rural areas (84.71). The three sub domains of health literacy showed a significant difference between rural and urban areas (p<0.001). The location of PHCs, age, education level, and occupation were the factors associated with health literacy level. Conclusion: Our findings highlight the impact of geographical areas as a driving variable to the level of adults’ personal health literacy. The role of the rural-urban areas affects the individual skills and abilities as the precursor to health literacy. Thus, reducing health literacy barriers is an essential element for promoting health equity, which further can reduce health disparities and promotes the human rights principles of nondiscrimination and equality.
Effectiveness of a Local Wisdom–Based Spiritual Intervention on Work Happiness and Caring Behavior among Nurses: A Randomized Mixed-Methods Nur, Kholid Rosyidi Muhammad; Asmaningrum, Nurfika; Wijaya, Dodi; Kurniawan, Dicky Endrian; Rondhianto, Rondhianto
Journal of Applied Nursing and Health Vol. 8 No. 1 (2026): Journal of Applied Nursing and Health
Publisher : Chakra Brahmanda Lentera Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55018/janh.v8i1.529

Abstract

Background: Nurses often face high job demands and emotional stress that may reduce work happiness and caring behavior. Previous studies have examined workplace well-being interventions; however, culturally grounded spiritual programs integrating local wisdom remain insufficiently tested using rigorous experimental designs, particularly in low- and middle-income countries (LMICs). This study aimed to evaluate the effectiveness of a local wisdom–based spiritual program in improving work happiness and caring behavior among inpatient nurses in Indonesia. Methods: A mixed-methods randomized controlled trial following CONSORT guidelines was conducted with 120 inpatient nurses at two hospitals in Jember, Indonesia. Eligible nurses (>1-year inpatient experience) were randomly assigned to either an intervention group (n = 60) or a control group (n = 60). The intervention group participated in a 12-week spiritual program (Pengajian and Tari Molong Kopi) that included routine activities. The independent variable was program participation, and the dependent variables were work happiness and caring behavior measured using the Oxford Happiness Questionnaire (OHQ) and Caring Behavior Inventory (CBI) at baseline, week 6, and week 12. Data were analyzed using repeated-measures ANOVA, effect sizes (Cohen’s d), correlation, and 95% confidence intervals. Qualitative responses were analyzed thematically. Results: Participants were mostly female (87%) with a mean age of 32 years. The intervention group showed significantly greater improvements in OHQ and CBI scores at weeks 6 and 12 compared with controls (p < 0.001), with moderate-to-large effects (d = 0.65–0.82). Work happiness correlated with caring behavior (r = 0.52). Themes included enhanced mindfulness, emotional release, renewed professional meaning, and stronger collegial relationships. Conclusion: Local wisdom–based spiritual programs significantly enhance nurses’ work happiness and caring behavior. Integrating culturally grounded spiritual practices into workplace well-being initiatives may strengthen the quality of nursing care in LMIC hospital settings.
RELATIONSHIP BETWEEN NURSING TEAMWORK AND MISSED NURSING CARE IN INTENSIVE CARE UNITS Isfadillah, Onny Ega; Purwandari, Retno; Nur, Kholid Rosyidi Muhammad; Asmaningrum, Nurfika; Kurniawati, Yulia
Indonesian Journal of Health Science Vol 10 No 1 (2026): March
Publisher : Universitas Muhammadiyah Ponorogo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24269/ijhs.v10i1.12222

Abstract

Nurses play a vital role in providing nursing care, especially in intensive care units. Low levels of nursing teamwork can contribute to the occurrence of missed nursing care, which refers to nursing actions that are delayed or not performed. Given that patients in intensive care units require comprehensive and continuous care, optimal nursing teamwork is essential to ensure the quality of patient care. This research aimed to determine the relationship between the level of nursing teamwork and the incidence of missed nursing care in patient care in the intensive care units of dr. Soebandi General Hospital, Jember. Method: This research was non-experimental quantitative study with a correlational design and a cross-sectional approach. The study sample consisted of 72 active nurses who worked in the intensive care units of RSD dr. Soebandi Jember. Data analysis was conducted using the Spearman Rank correlation test. Results: The results of the analysis showed a moderate level of teamwork and low missed nursing care with a significant negative correlation between the level of nursing teamwork and the incidence of missed nursing care, with a p value <0.05 (0.000 <0.05) and a correlation coefficient of -0.404. Conclusion: The bivariate analysis showed that there was a significant relationship between teamwork and missed nursing care. Hospitals need to support nurse training programs, particularly in enhancing teamwork skills.
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