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Implementation of Group Activity Therapy: Hypertension Exercise for the Elderly at UPT PSTW Jember: Penerapan Terapi Aktivitas Kelompok Senam Hipertensi pada Lansia di UPT PSTW Jember Kurniyawan, Enggal Hadi; Siska Amaylia Putri; Prasita Kusumaningtyas; Maulidatus Sa’adah; Kholid Rosyidi Muhammad Nur; Dicky Endrian Kurniawan; Tri Afandi, Alfid; M. Nur Khamid
Journal of Community Empowerment for Multidisciplinary (JCEMTY) Vol. 4 No. 1 (2026): May 2026
Publisher : KHD Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/jcemty.v3i2.339

Abstract

The elderly are individuals aged over 60 years. Hypertension is a condition characterized by an increase in systolic blood pressure equal to or greater than 140 mmHg and diastolic blood pressure equal to or greater than 90 mmHg. In the elderly, one of the physiological changes that occurs is a decline in cognitive function. The cognitive system refers to functions involved in thinking, remembering, learning, reasoning, and problem-solving processes. Based on screening results conducted by students at UPT PSTW Puger Jember, specifically in Wisma Teratai and Wisma Cempaka, 14 out of 20 elderly residents were found to have high blood pressure. The activities implemented included a pre-implementation stage, which involved measuring blood pressure before performing hypertension exercises. This was followed by health education related to hypertension and the hypertension exercise session itself. The final stage was the evaluation phase, which involved measuring blood pressure again after the exercise. The Group Activity Therapy (GAT) for hypertension exercise was carried out to help the elderly prevent high blood pressure and maintain it within a normal range.
Pesticide Exposure Increases The Incidence Of Low Birth Weight (LBW) In Agricultural Areas Nadhira Faza; Reza Novita; Dian Trisnawati; Enggal Hadi Kurniyawan; Alfid Tri Afandi; Dicky Endrian Kurniawan; Kholid Rosyidi Muhammad Nur
Journal of Nursing Periodic Vol. 2 No. 2 (2025): July
Publisher : LPPM Universitas dr. Soebandi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36858/jnp.v2i2.39

Abstract

Introduction: The involvement of pregnant women in agricultural activities causes pregnant women to be exposed to chemicals contained in pesticides, which will have an impact on the health of pregnant women, especially on reproductive health, which can pose a risk of low birth weight babies. This study aimed to determine the relationship between pesticide exposure and the incidence of low birth weight in agricultural areas. Methods: This research was conducted using the literature review technique; the literature search process used three databases, including Google Scholar, PubMed, and Science Direct, with a publication range from 2020-2024. Results: Pesticide exposure in female farmers influences a determinant of LBW, namely participation in agricultural activities; some articles found that there was no relationship between pesticide exposure and the incidence of LBW; this is because the participation of mothers in agricultural activities is mostly not too long so that the intensity of pesticide exposure in the majority of mothers is still low, in addition, exposure non-organophosphate pesticides had more impact on skin problems in infants rather than low birth weight. Conclusions: Pesticide exposure during pregnancy influences the incidence of LBW; the role of nurses is needed in raising awareness of farmers and their families such as the use of personal protective equipment, managing pesticides according to standards, avoiding direct contact with someone who is bound by pesticides, and storing pesticides out of reach.
Nurses' Compliance with Hospital Accreditation Standards During Patient Admission in Intermediate Care: An Observational Study Fauziyatul Fitriyah; Kholid Rosyidi Muhammad Nur; Ahmad Rifai; Masmuhul Khoir
Health and Technology Journal (HTechJ) Vol. 4 No. 4 (2026): August 2026
Publisher : KHD Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/htechj.v4i4.619

Abstract

Patient admission is a critical phase in hospital services, particularly in semi-intensive units such as the High Care Unit (HCU), where patient safety and continuity of care must be ensured from the initial point of contact. Nurses play a central role in conducting initial screening, coordinating care, and ensuring compliance with hospital accreditation standards. This study aimed to describe the role of nurses in admitting new patients to the High Care Unit (HCU) Melati at Bangil Regional General Hospital based on the Access to Care and Continuity of Care (AKP) 1.2 standard of the Indonesian National Hospital Accreditation (SNARS) 2022. A descriptive case study design was used. Data were collected through direct observation using a checklist adapted from the AKP 1.2 SNARS 2022 instrument. Five nurses working in the HCU were selected through purposive sampling. Data analysis was conducted descriptively using frequency distributions and percentages.The results showed that all nurses demonstrated good performance in implementing the AKP 1.2 standard during the patient admission process, with 100% of respondents categorized as good. High compliance was observed in patient admission criteria, coordination of care, and documentation. However, minor gaps were identified in comprehensive initial assessment and role distribution during periods of high workload. In conclusion, the role of nurses in admitting new patients to the HCU Melati has been implemented in accordance with the AKP 1.2 SNARS 2022 standard. Continuous supervision, clear role allocation, and managerial support are recommended to maintain consistency and further enhance patient safety and quality of care in semi-intensive units.
Behavioral Determinants of Infection Control: Evaluating Hand Hygiene Knowledge and Motivation in Critical Care Nurses Citra Fiona Lutfi Nafisatunisa; Kholid Rosyidi Muhammad Nur; Dodi Wijaya; Masmuhul Khoir
Health and Technology Journal (HTechJ) Vol. 4 No. 4 (2026): August 2026
Publisher : KHD Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/htechj.v4i4.620

Abstract

Strict adherence to the World Health Organization's Five Moments for Hand Hygiene is critical for preventing healthcare-associated infections, especially in High Care Units where vulnerable patients face elevated risks. This study aimed to evaluate the knowledge, attitudes, and motivation regarding hand hygiene protocols among intensive care nurses. A quantitative descriptive design with a case study approach was utilized at the high care unit. Researchers selected participants through specific inclusion and exclusion criteria to ensure appropriate representation. A validated structured questionnaire measured cognitive understanding, psychological dispositions, and internal drive concerning the five moments and six-step handwashing procedures. Quantitative analysis revealed a significant disparity between psychological readiness and technical comprehension among the clinical staff. Sixty percent of nursing personnel demonstrated poor knowledge of standard handwashing protocols and critical moments of transmission. All respondents exhibited universally positive attitudes and strong intrinsic motivation toward infection prevention practices. A critical gap exists between nurses' favorable psychological dispositions and their actual cognitive grasp of evidence-based hygiene guidelines. Hospital administrators must implement targeted educational interventions and robust supervisory frameworks to bridge this cognitive deficit. Translating high motivation and positive attitudes into consistent clinical execution requires continuous professional development. Ultimately, structural support and ongoing evaluation remain essential to elevate patient safety outcomes in intensive care environments.
Knowledge, Attitudes, and Clinical Implementation of Pressure Injury Prevention among Intensive Care Nurses Akmala Dewi, Nur; Kholid Rosyidi Muhammad Nur; Ikha Nurjihan; Masmuhul Khoir
Health and Technology Journal (HTechJ) Vol. 4 No. 4 (2026): August 2026
Publisher : KHD Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/htechj.v4i4.626

Abstract

Pressure ulcers represent a significant patient safety concern in intensive care units, primarily due to prolonged immobilization, impaired tissue perfusion, and the use of invasive medical devices. Nurses play a pivotal role in prevention through adequate knowledge and positive attitudes toward evidence-based interventions. This study described nurses' knowledge and attitudes regarding pressure ulcer prevention in the Melati Intensive Care Unit at Bangil Regional General Hospital. A descriptive design with purposive sampling was employed, involving three intensive care nurses as respondents. Data collection utilized validated instruments: the Pressure Ulcer Knowledge Assessment Tool (PUKAT) and the Attitude Towards Pressure Ulcer Prevention Instrument (APuP). Descriptive statistical analysis presented findings through frequency and percentage distributions. Results indicated that 66.7% of nurses demonstrated adequate knowledge, 33.3% demonstrated good knowledge, and no respondents exhibited poor knowledge. All respondents (100%) displayed positive attitudes toward pressure ulcer prevention and consistently implemented preventive measures in accordance with standard operating procedures. These findings suggest that nurses possess sufficient cognitive and affective competencies to support effective pressure ulcer prevention practices, including regular repositioning, maintenance of skin integrity, moisture management, and comprehensive risk assessment. The alignment between adequate knowledge, positive attitudes, and optimal implementation reflects a strong patient safety culture within the intensive care unit. However, the lack of formal specialized training among most respondents underscores the need for structured continuing education programs. Institutional support for regular training is essential to maintain evidence-based practice standards and ensure sustainable quality improvement in pressure ulcer prevention, ultimately enhancing patient safety outcomes in critical care environments.
Integrated Agronursing Strategies to Mitigate Occupational Hazards among Global Agricultural Workers Kurniyawan, Enggal Hadi; Afandi, Alfid Tri; Nur, Kholid Rosyidi Muhammad; Kurniawan, Dicky Endrian; Mahardhika Rahmawati, Primasari; Emerson, Iraha; Mukhtar, Madiha; Rany Agustin Wulandari
Health and Technology Journal (HTechJ) Vol. 4 No. 3 (2026): June 2026
Publisher : KHD Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/htechj.v4i3.724

Abstract

Agricultural occupational hazards pose escalating threats to farming populations globally, yet fragmented evidence limits cohesive clinical and policy responses. This systematic review synthesizes contemporary research to inform an integrated agronursing framework addressing occupational health and safety among farmers. Following PRISMA 2020 guidelines, we searched Scopus, PubMed, and ProQuest for English-language, open-access studies published between 2022 and 2026. Ten studies spanning eight countries underwent a Joanna Briggs Institute critical appraisal and narrative synthesis due to methodological heterogeneity. Results indicate strong positive correlations between hazard knowledge and safety behaviors, though high-risk practices persist, including pesticide overconcentration (74.6%) and inconsistent use of personal protective equipment. Panel regression analysis revealed a monotonic escalation in severe agricultural trauma above 20°C, increasing 123% beyond 30°C. Multicomponent educational interventions demonstrated significant short-term improvements in sun safety knowledge and protective behaviors. At the same time, qualitative evidence highlighted structural determinants, piece-rate compensation, infrastructure deficits, and cultural norms that independently mediate risk exposure. Media analyses further revealed tendencies to individualize injury responsibility, obscuring upstream regulatory drivers. These findings confirm that knowledge acquisition alone cannot sustain behavioral change without concurrent environmental and policy-level interventions. Consequently, agronursing practice must evolve from episodic clinical care toward proactive, ecologically grounded models integrating standardized psychosocial screening, climate-responsive surveillance, and advocacy for equitable safety protocols. This framework equips rural health systems with evidence-based strategies to implement contextually tailored interventions, ultimately safeguarding farmer wellbeing and strengthening global agricultural resilience.
Prenatal Pesticide Exposure and Maternal-Fetal Health Outcomes: A Systematic Review Informing Agro-Nursing Practice Kurniyawan, Enggal Hadi; Afandi, Alfid Tri; Nur, Kholid Rosyidi Muhammad; Kurniawan, Dicky Endrian; Emerson, Iraha; Aung, Sa Sa
Health and Technology Journal (HTechJ) Vol. 4 No. 4 (2026): August 2026
Publisher : KHD Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/htechj.v4i4.754

Abstract

Prenatal pesticide exposure poses significant risks to maternal and child health in agricultural communities worldwide. This systematic review evaluated recent empirical evidence on the impact of agricultural chemical exposure during pregnancy to inform agro-nursing practice directly. A systematic literature search was conducted in Scopus, PubMed, and ProQuest following PRISMA guidelines. Studies published within the last year, written in English, and featuring active DOIs were strictly included. Methodological quality was rigorously assessed using the Joanna Briggs Institute critical appraisal tools. Ten studies ultimately met the inclusion criteria, comprising seven cohort studies, one case-control study, one cross-sectional study, and one ecological analysis. Eight studies demonstrated high methodological quality. The synthesized evidence revealed strong associations between prenatal pesticide exposure and a range of adverse health outcomes. Specifically, exposure to organochlorines and organophosphates correlated with impaired early childhood neurodevelopment and increased childhood neuroblastoma risk. Maternal exposure to pyrethroids and organophosphates significantly elevated the risk of gestational diabetes mellitus and disrupted maternal thyroid homeostasis. Spatial analyses further confirmed increased risks of low birth weight in high-application agricultural zones. Agricultural chemical exposure during pregnancy constitutes a critical determinant of adverse perinatal outcomes. Agro-nurses must integrate comprehensive histories of environmental exposures into standard prenatal assessments. Proactive patient education and targeted clinical surveillance are essential for mitigating toxicological risks and optimizing maternal-fetal health trajectories globally
Analisis kepatuhan perawat pelaksana dalam penerapan dual identification patient Nur Faiza Iswatiningtyas; Nurfika Asmaningrum; Kholid Rosyidi Muhammad Nur; Suciati Suciati
JOURNAL OF Qualitative Health Research & Case Studies Reports Vol 6 No 7 (2026): July Edition 2026
Publisher : Published by: Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Persatuan Perawat Nasional Indonesia (PPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/quilt.v6i7.3739

Abstract

Background: Patient identification is one of the patient safety goals aimed at ensuring the accuracy of patient recognition before healthcare services are delivered. The implementation of dual patient identification is essential to prevent medication errors, incorrect procedures, and other medical incidents. However, nurses’ compliance with patient identification procedures remains a challenge in healthcare settings. Objective: To analyze nurses’ compliance in implementing dual patient identification. Methods: This study employed a descriptive observational case study design. Data were collected through questionnaires and direct observations conducted over three consecutive days using a patient identification checklist comprising nine indicators. Results: Questionnaire findings indicated that all nurses reported 100% compliance with all dual patient identification indicators. However, observational results demonstrated a decline in compliance over the three-day observation period, from 82.4% on the first day to 76.5% on the second day and 44.1% on the third day. Conclusion: Although nurses demonstrated good knowledge and understanding of dual patient identification, its implementation in daily practice was not yet optimal and was performed inconsistently.   Keywords: Dual Patient Identification; Hospital Safety; Nurse Compliance; Patient Identification; Patient Safety.
Co-Authors Adela Qiyas Aulawi Adela Qiyas Aulawi Adelia Dewi Oktaviana Adisyah Maulidina Safi’i Aditya Bintang Imani Afandi Alfid Tri Afandi, Alfid Agustin, Leni Ahmad Hykal Adlan Zein Ahmad Rifai Ahmad Rifai Ahmad Rifai Aisyah, Ica Nur Aisyah, Rifanti Dwi Akhmad Ramdhani Akmala Dewi, Nur Alfid Tri Afandi Alvita Galuh Nurprastiwi Ananda Kurniasari Anandarma, Sustyarko Onny Angela Irena Junanda Anggun Dyah Pramita Anisah Ardiana Anisah Ardiana Anisah Ardiana Anisah Ardiana Anisah Ardiana Anisah Ardiana Anisah, Ardiana Annisa Maulida Sabrina Fitriani Aprinia Fajar Sukmawati Ardiana Anisah Ariska Anisa’ul Khoiriyah Aung, Sa Sa Aziz Putra Adhitama Azizah Abdullah, Syamsiah Nur Azizah, Nuha Aliyah Nur Bagus Dwi Cahyono Bahri, Dinar Auliyatul Baskoro Setioputro Chicha Amilia Putri Citra Fiona Lutfi Nafisatunisa Damiri, Dini Dewi Novi Maharani Dewi, Ratna Kusuma Diah Estingtias Dian Trisnawati Dianita, Eka Mei Dinda Rizky Amalia Dinda Wahyu Dinanti Dini Kurniawati Dita Septia Pratiwi Diyanti, Sister Putri Dodi Wijaya Dodi Wijaya Dwi Nanda Pratiwi Dwi Nuria Arifin Dwi Putri Maharani Dynta Eka Anggraeni Dzakia Raisa Edyawati, Eka Efendi, Anggit Drajad Eka Aprilia Wulandari Eka Edyawati Elok Faradisa Elsiana Dwi Cahya Elysa Apriliani Emerson, Iraha 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 Fauziyatul Fitriyah 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 Ifnadilla Ritma Sari Iftita Khoiril Waroh Ika Mardiyah Bratajaya Ikha Nurjihan Ikha Nurjihan Ilma Khoiro Maulidia imel Ajeng Lestari Indah Fatimatus Zahro Indah Listiyawati Indah, Agnes Rosalia Indrasasi, Adzraa Sadira Ranu Ira Purba Wanda Isyroq, Haidar Fadhilatin Ivada Dea Nintiarso Joni Haryanto Julian Ferdinanda Prasetya Eryata Kanaya Nugita Khamid M. Nur Kharisma Putri Sonya Khodijah Damanhuri Kholifatu Rosyidah Kholifatur Rosyidah Lantin Sulistiyorini, Lantin Latifa Aini Susumaningrum Latifa Aini Susumaningrum Leni Agustin Leni Agustin, Leni Liandini, Sheila Anugrah Lulu Dewanti Lulu Dewanti Lulu Dewanti M. Anugrah Maulana M. Nur Khamid M. Nur, Khamid Madiha Mukhtar Madiha Mukhtar madiha mukhtar, madiha Maharani, Ceria Dwi Karla Malikal Balqis Maria M. Dwi Wahyuni Marini Aprilia Ndun Masmuhul Khoir Maulidatus Sa’adah Maulidia, Aulia Mayasari, Yunita Melani Adelia Efendi Meri Katrin Dwi Cayani Modest, Bunga Misselvy Lovely Muchamad Ferdy Rivaldi Muhammad Cholilurrohman Hadi Muhammad Haidar Putra Kahono Muhammad Irfan Aditya Pratama Muhammad Nur Khamid Mulyana, Nonica Murni Herawaty Sitanggang Musta’adah, Iftitatul Mutiara Baiq Qatrunnada Nabela, Mareta Nabila Meyra Anindita Nabila Puspita Dewi Nadhira Faza Nadirotul Umami Nadya Anfa Askiya Irham Najwa Zahira Shofa Nasywa, Adinda Nathasya Alfisyahr Sasongko Nguyen, Tuan Van Ni Made Arik Mulyanti Ningrum, Teysya Dwi Nisa, Indika Khoirun Nisak Berliana Ahmad Novi Anoegrajekti Nur Faiza Iswatiningtyas Nur Hana Nur Jannah Nur Rohmawati Nurfatekha, Esa Darma Nurfika Asmaningrum Nurfika Asmaningrum Nurfika Asmaningrum Nurfika Asmaningrum Nurfika Asmaningrum Nurfika Asmaningrum Nurul Firdaus, Azzahra Ganandya Nurul Huda Nurul Izzah Regita Cahyani Onny Ega Isfadillah Onny Ega Isfadillah Orachorn Lumprom Pramesti Arnetha Indriyanti Prasita Kusumaningtyas Primasari Mahardhika Rahmawati 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 Rany Agustin Wulandari Restanto, Didik Pudji Retno Purwandari Retno Purwandari Retno, Purwandari Reza Novita Rifa’i, Achmad Rismawan Adi Yunanto Rizanti, Ayunda Puteri Rizki Yahya Fahrezi Robby Prihadi Aulia Erlando Rondhianto Rondhianto Rusmawati, Adinda Athalia Sa Sa Aung Sa Sa Aung 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 Selvia Wulandari Selvia Wulandari Shafira Anindyah Shobrina Rifatul Ula sihqina ramadhani Sindi Arika Putri Siska Amaylia Putri Siswoyo Siswoyo Siti Amalia Galuh Putri Mawardi SITI NUR AISYAH Siti Nurmalasari Soekma Yeni Astuti Sofyan Nurdiansyah Sri Wahyuni Sri Wahyuni Sriyono Sriyono Suciati Suciati 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 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 Yennike Tri Herawati Yopi Darmawan Yudho Tri Handoko Yulia Kurniawati Yulia Kurniawati Yunidar Dwi Puspitasari Yusnitasari, Engelina Za'im, Putra Pramadita Fachruz Zalsabilla, Adhelia Reisa Zenitha Gelina Inachys Zhafira Puspitarini Zuhroidah, Ida