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All Journal International Journal of Public Health Excellence (IJPHE) Journal of Public Health Concerns Jurnal Pengabdian Kolaborasi dan Inovasi IPTEKS West Science Journal Economic and Entrepreneurship
Sasmito, Priyo
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Agriculture, Biological Sciences & Forestry Economics, Econometrics & Finance Education Environmental Science Health Professions Medicine & Pharmacology Nursing Public Health Social Sciences

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STROKE EMERGENCY HEALTH EDUCATION IN THE COMMUNITY OF PULO NYAMUK VILLAGE Sasmito, Priyo; Royani, Royani; Rustini, Ira; Aulia, Gina; Novena Simanjutak, Shania; Shinta Dewi, Yasmin; Robertus, Sumardi; Mutohharoh, Hopipah
Jurnal Pengabdian Kolaborasi dan Inovasi IPTEKS Vol. 1 No. 6 (2023): Desember
Publisher : CV. Alina

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59407/jpki2.v1i6.195

Abstract

The prevalence of stroke every year has increased significantly, and has become the third leading cause of disability and also the third cause of death in the world. In 2015, the World Health Organization (WHO) stated that every year there are 15 million people affected by stroke and become the leading cause of death after ischemic heart Stroke is a functional brain disorder disease in the form of paralysis of the nerves (neurological deficit) Stroke is the third cause of disability in the world due to impaired nerve function that occurs such as visual impairment, pelo speech, impaired mobility, as well as paralysis of the face and extremities. Conditions like this that cause stroke sufferers to have a high dependence on carrying out daily activities on others. (Oktarina &; Mulyani, 2020)Service activities will be carried out on October 22, 2023 in Pulo Mosquito Village Stroke health education activities are carried out at the homes of residents of Pulo Mosquito Village. The number of participants who attended was 22 people, this form of activity was carried out by the lecture method. Before starting health education activities, the community is given pre-test questions to find out the knowledge of the community about stroke. The material is delivered by lecture method using Leaflet media. Stroke health education activities are carried out at the homes of residents of Pulo Mosquito Village. The results of the post test given regarding knowledge about stroke found that the knowledge of the people of Kampung Pulo Nyamuk increased after being given counseling materials with the results of the post test value greater than the pre-test value. But it does not rule out the possibility that there are some people who have post-test values
Pendidikan kesehatan kegawatdaruratan stroke pada ibu rumah tangga Sasmito, Priyo; Susilawati , Susi; Royani, Royani; Madani, Ultra; Sumartini, Sri; Purwanti, Nunuk Sri; Wirawan, Nandar
JOURNAL OF Public Health Concerns Vol. 4 No. 2 (2024): JOURNAL OF Public Health Concerns
Publisher : Indonesian Public Health-Observer Information Forum (IPHORR) Kerja sama dengan: Unit Penelitian dan Pengabdian Kep Akademi Keperawatan Baitul Hikmah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/phc.v4i2.446

Abstract

Background: The incidence, paralysis, and death due to stroke in Indonesia are increasing. Generally, people do not understand the signs of stroke and the importance of immediate assistance for stroke sufferers. Housewives are the component of the family who are most often at home, where strokes often begin. Purpose: To increase the knowledge of housewives in recognizing the signs of acute stroke, emergencies that can occur, and efforts that can be made to prevent stroke. Method: This counseling uses a lecture method with leaflet media for housewives in Sudimara Barat Village. Results: A total of 13 participants attended this counseling. Education was carried out by providing material on the understanding of stroke, causes of stroke, signs and symptoms of stroke, risk factors for stroke, stroke complications, foods to avoid in stroke patients, how to prevent recurrent stroke and how to modify the home environment. The average knowledge of participants increased from 40% to 80%. Conclusion: Health education on stroke emergencies can increase housewives' knowledge of stroke emergencies and preventive measures that can be taken. With increased knowledge, it is hoped that it can increase public awareness of the importance of immediate assistance for acute stroke. Keywords: Acute stroke; Emergencies; Health education; Housewives Pendahuluan: Angka kejadian, kelumpuhan, dan kematian akibat stroke di Indonesia kian meningkat. Umumnya masyarakat kurang memahami tanda-tanda stroke serta pentingnya pertolongan segera pada penderita stroke. Ibu rumah tangga adalah komponen dalam keluarga yang paling sering berada di rumah, dimana stroke seringkali berawal. Tujuan: Untuk meningkatkan pengetahuan ibu rumah tangga dalam mengenali tanda-tanda terjadinya stroke akut, kegawatdaruratan yang dapat terjadi, serta upaya yang dapat dilakukan untuk mencegah terjadinya stroke. Metode: Penyuluhan ini menggunakan metode ceramah dengan media leaflet pada ibu rumah tangga di Kelurahan Sudimara Barat. Hasil: Sebanyak 13 partisipan menghadiri penyuluhan ini. Edukasi dilakukan dengan pemberian materi mengenai pengertian tentang stroke, penyebab terjadinya stroke, tanda dan gejala stroke, factor resiko terjadinya stroke, komplikasi stroke, makanan yang dihindari pada pasien stroke, cara mencegah stroke berulang dan cara memodifikasi lingkungan rumah. Rata-rata pengetahuan partisipan meningkat dari 40% menjadi 80%. Simpulan: Penyuluhan kesehatan tentang kegawatdaruratan stroke dapat meningkatkan pengetahuan ibu rumah tangga tentang kegawatdaruratan stroke serta upaya pencegahan yang dapat dilakukan. Dengan meningkatnya pengetahuan diharapkan dapat meningkatkan kesadaran masyarakat tentang pentingnya pertolongan segera pada stroke akut.
Pelatihan bantuan hidup dasar (BHD) pada kader kesehatan Sasmito, Priyo; Royani, Royani; Ayinun, Aminah; Kurnelia, Ega; Nadiya, Della; Susiyanti, Hera; Dasopang, Ramadhana S.M.; Asminah , Asminah; Octavia, Marta; Mahdawarti, Mahdawarti; Pramesty, Merrina; Lisdawati, Riska; Mardesela, Ega; Gunawan, Gunawan; Sartika, Sartika; Herdiana, Herdiana; Fitriani, Ayu; Munisah, Yeni; Barus, Lidya Hariaty; Setiawan, Agus
JOURNAL OF Public Health Concerns Vol. 4 No. 3 (2024): JOURNAL OF Public Health Concerns
Publisher : Indonesian Public Health-Observer Information Forum (IPHORR) Kerja sama dengan: Unit Penelitian dan Pengabdian Kep Akademi Keperawatan Baitul Hikmah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/phc.v4i3.447

Abstract

Background: Most cardiac arrests occur outside of hospital settings (Out-of-Hospital Cardiac Arrest/OHCA). The low knowledge and skills of the public regarding Basic Life Support (BLS) in cardiac arrest cases is one of the factors that contribute to the low survival rates of patients experiencing cardiac arrest. Health cadres are considered to have higher health awareness than other groups in the general population, and they have the potential to receive training and education on Basic Life Support (BLS). Purpose: To improve the understanding and skills of health cadres regarding the provision of Basic Life Support (BLS) for out-of-hospital cardiac arrest. Method: Training was provided to health cadres in the Lengkong Gudang Timur area, Serpong, Tangerang. The material was delivered through an interactive lecture using leaflets and flipcharts as media. Participants' skills were trained using role-play methods with phantom devices. All participants underwent a pre-test and post-test before and after the training. Results: A total of 11 health cadres participated in the activity. Participants' knowledge about cardiac arrest and Basic Life Support (BLS) increased from an average of 53.6% in the pre-test to 85.4% in the post-test, with an average improvement of 31.8%. Conclusion: Basic Life Support (BLS) training for health cadres can improve both knowledge and skills. Further intensive training is needed to enhance retention and confidence in performing Basic Life Support (BLS) in actual cardiac arrest situations. Collaboration between the government, health organizations, and communities is needed to develop affordable and accessible training programs for all groups. Keywords: Basic Life Support; Emergency; Out-of-Hospital Cardiac Arrest; Training Pendahuluan: Sebagian besar henti jantung terjadi di luar rumah sakit (Out-of Hospital Cardiac Arrest/OHCA). Rendahnya pengetahuan dan keterampilan masyarakat mengenai pemberian Bantuan Hidup Dasar (BHD) pada kasus henti jantung merupakan salah satu faktor yang menyebabkan rendahnya peluang hidup pasien dengan henti jantung. Kader kesehatan dinilai memiliki kesadaran kesehatan yang lebih tinggi dibanding kelompok masyarakat awam lainnya memiliki potensi untuk diberi pelatihan dan edukasi mengenai Bantuan Hidup Dasar (BHD).  Tujuan: Untuk meningkatkan pemahaman dan keterampilan kader kesehatan mengenai pemberian Bantuan Hidup Dasar (BHD) untuk henti jantung di luar rumah sakit. Metode: Pelatihan diberikan kepada kader kesehatan yang berada di wilayah Lengkong Gudang Timur, Serpong, Tangerang. Sebanyak 11 orang kader kesehatan terlibat dalam kegiatan ini. Pemberian materi dilakukan dengan metode ceramah interaktif menggunakan media leaflet dan lembar balik. Keterampilan peserta dilatih menggunakan metode role play dengan media phantom. Semua peserta diberikan pre-test dan post-test sebelum dan setelah pelatihan. Hasil:. Pengetahuan mengenai henti jantung dan Bantuan Hidup Dasar (BHD) peserta dari rata-rata 53.6% saat pre-test menjadi 85.4% saat post-test dengan peningkatan rata-rata sebesar 31.8%. Simpulan: Pelatihan Bantuan Hidup Dasar (BHD) pada kader kesehatan dapat meningkatkan pengetahuan dan keterampilan. Diperlukan pelatihan lanjutan yang lebih intensif untuk meningkatkan retensi dan kepercayaan diri dalam melakukan Bantuan Hidup Dasar (BHD) pada setting henti jantung yang sebenarnya. Perlu ada kolaborasi antara pemerintah, organisasi kesehatan, dan komunitas dalam menyusun program pelatihan yang terjangkau dan mudah diakses oleh semua kalangan.
Kegiatan deteksi dini penyakit kardiovaskuler melalui pemeriksaan 3D human disease Astuti, Novia Dwi; Istiana, Fuji; Iswidowati , Irma Tri; Setyowati , Ayu Wulandari; Sasmito, Priyo
JOURNAL of Public Health Concerns Vol. 5 No. 4 (2025): JOURNAL of Public Health Concerns
Publisher : Indonesian Public Health-Observer Information Forum (IPHORR) Kerja sama dengan: Unit Penelitian dan Pengabdian Kep Akademi Keperawatan Baitul Hikmah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/phc.v5i4.999

Abstract

Background: Cardiovascular disease is a leading cause of death in Indonesia, making early detection crucial for reducing morbidity and mortality. Purpose: To detect potential cardiovascular disorders non-invasively and quickly. Methods: A health screening using 3D Human Disease technology was conducted during a plenary session of the Dharma Wanita Persatuan (DWP) of the Tuban Regency Regional Disaster Management Agency (BPBD) involving 25 members and 10 BPBD staff. The method used included a 3D Human Disease examination, which utilizes a laptop to detect the entire human body, providing immediate analysis of the condition of organs and the circulatory system. This was followed by a brief interview regarding lifestyle and interpretation of the results. Results: Some participants showed early signs of cardiovascular disorders, such as hypertension and metabolic disorders, as indicated by the device's interpretation. Most of those diagnosed with cardiovascular disorders were members over 40 years of age. Conclusion: This activity demonstrates that a technology-based preventive approach can increase health awareness and become part of a routine health screening program within women's organizations. Suggestion: This activity demonstrates the need for further examinations by medical personnel and increased health education for Dharma Wanita members. Keywords: Cardiovascular disease; Early detection; 3D Human Disease Pendahuluan: Penyakit kardiovaskuler merupakan salah satu penyebab utama kematian di Indonesia, sehingga upaya deteksi dini menjadi sangat penting dalam menurunkan angka morbiditas dan mortalitas. Tujuan: Untuk mendeteksi potensi gangguan kardiovaskuler secara non-invasif dan cepat. Metode: Pelaksanaan pemeriksaan kesehatan menggunakan teknologi 3D Human Disease dalam kegiatan pleno Dharma Wanita Persatuan (DWP) Badan Penanggulangan Bencana Daerah (BPBD) Kabupaten Tuban sebanyak 25 anggota dan 10 staf BPBD Kabupaten Tuban. Metode yang digunakan meliputi pemeriksaan menggunakan alat 3D Human Disease yang menggunakan perantara lapotop ini mampu mendeteksi seluruh tubuh manusia dengan hasil langsung menganalisis kondisi organ dan sistem peredaran darah, dilanjutkan dengan wawancara singkat terkait gaya hidup dan interpretasi hasil pemeriksaan. Hasil: Menunjukkan bahwa sebagian peserta menunjukkan indikasi awal gangguan kardiovaskuler, seperti hipertensi dan gangguan metabolik yang ditunjukkan di interpretasi alat tersebut, dengan sebagian besar yang terdeteksi gangguan kardiovaskuler adalah anggota dengan usia di atas 40 tahun. Simpulan: Kegiatan ini menunjukkan bahwa pendekatan preventif berbasis teknologi dapat meningkatkan kesadaran kesehatan dan menjadi bagian dari program rutin pemeriksaan kesehatan di lingkungan organisasi perempuan. Saran: Kegiatan ini adalah perlunya pemeriksaan lanjutan oleh tenaga medis serta peningkatan edukasi kesehatan bagi anggota Dharma Wanita.
The Effect of Sports Massage and Acupressure on Lactic Acid Levels, Physical and Psychological Fatigue, and the Effect on Nurse Performance Prasetya, Fika Indah; Hartono, Soetanto; Wahyuni, Endang Sri; Muhammad, Heryanto Nur; Tyas, Eka Suryaning; Sasmito, Priyo
International Journal of Public Health Excellence (IJPHE) Vol. 3 No. 1 (2023): June-December
Publisher : PT Inovasi Pratama Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55299/ijphe.v3i1.732

Abstract

Background: The increasing number of elderly service users in nursing homes and the small number of geriatric specialist nurses have made nurses who work in nursing homes vulnerable to burnout. Therefore, it's crucial to develop methods to anticipate and overcome burnout in geriatric nurses, particularly through non-pharmacological approaches. Purpose: The purpose of this study is to analyze the effect of sports massage and acupressure on lactic acid levels, physical and psychological fatigue, and nurse performance. Method: A quantitative research was carried out with a quasi-experimental approach. The study population comprised nurses working at the Tresna Wredha Social Institution (TWSI). The sample included 30 participants, selected through a total sampling technique, and divided into three groups. The collected data was analyzed using ANOVA. Results: A total of 30 nurses participated in the study. After receiving the intervention, the sports massage group showed the lowest lactic acid levels at 2.7 mmol/L, the lowest physical fatigue with an average value of 25.0, and the highest performance score with an average value of 135.0. The results of statistical calculations indicate a relationship between sports massage and acupressure with outcomes (lactic acid levels, physical and psychological fatigue, and nurse performance) with a p-value of less than 0.05. Additionally, the Pairwise Comparison test found that sports massage is more effective than acupressure in reducing lactic acid levels and physical and psychological fatigue. Conclusion: The study shows that sports massage and acupressure significantly decrease lactic acid levels and physical/psychological fatigue, and can improve the performance of nurses. Furthermore, sports massage is more effective than acupressure in achieving these outcomes.
The Effect of Abdominal Stretching, Yoga, and Dysmenorrhea Exercises on Prostaglandin Levels and Pain Tyas, Eka Suryaning; Hartono, Soetanto; Wahyuni, Endang Sri; Muhammad, Heryanto Nur; Prasetya, Fika Indah; Sasmito, Priyo
International Journal of Public Health Excellence (IJPHE) Vol. 3 No. 1 (2023): June-December
Publisher : PT Inovasi Pratama Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55299/ijphe.v3i1.734

Abstract

Introduction: Dysmenorrhea, or pain during menstruation, affects a high percentage of women of reproductive age. It can disrupt learning activities at school, cause a lack of concentration, and lead to frequent absences, ultimately decreasing the quality of life for young women. The purpose of this study was to analyze the effect of abdominal stretching, yoga, and dysmenorrhea exercises on prostaglandin levels and pain in school-age adolescents. Method: A quasi-experimental study with an experimental laboratory design was used, with pretest and posttest control groups. The sampling technique used was probability sampling with simple random sampling of 32 female students divided into four groups, with three groups receiving abdominal stretching, yoga therapy, and dysmenorrhea exercises, respectively, and one group serving as the control group. Data was analyzed using one-way ANOVA and the Kruskal-Wallis test. Results: The average prostaglandin levels after treatment were highest in the abdominal stretching group at 31.7 pg/mL and lowest in the dysmenorrhea group at 19.0 pg/mL. The difference in prostaglandin levels was highest in the dysmenorrhea exercise group at 42.5 pg/mL and lowest in the control group at 14.4 pg/mL. Most participants who experienced moderate pain before and after the intervention generally complained of mild pain. Conclusion: The study found a significant effect of abdominal stretching therapy, yoga therapy, and dysmenorrhea exercises on prostaglandin levels and pain. Dysmenorrhea exercises were found to be the most effective therapy in reducing prostaglandin levels and dysmenorrhea pain, compared to abdominal stretching and yoga therapy.
Public Health Center Emergency Referral Quality Analysis: Based on National Standard Sasmito, Priyo; Prasetya, Fika Indah; Yektiningtyastuti, Yektiningtyastuti; Rasmita, Dina; Amsyah, Ummul Khairi; Ahmadi, Ahmadi; Aljufri, Salim; Librianty, Nurfanida
International Journal of Public Health Excellence (IJPHE) Vol. 3 No. 2 (2024): January-May
Publisher : PT Inovasi Pratama Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55299/ijphe.v3i2.757

Abstract

The referral quality will affect the outcome of referred patients. The quality of emergency referrals from the Public Health Center (PHC) in Banten Province has not been examined. This study aims to analyze the quality of emergency referrals from PHC and the factors that influence it. Observational analytics with a retrospective approach to a PHC in Banten Province, Indonesia. The reference data for March-May 2023 is taken consecutively. Data on the demographics of referrers and referral cases are recorded. The quality of referrals is analyzed using national personal referral standards. A total of 52 referral cases were involved in the study. Referrals were made by nurses with an average age of 28.2 years with a range of 23-43 years, men (38/73.1%), and with diploma education (30/57.7%). Most of the referring nurses have a valid Basic Life Support (BLS) certificate (46/88.5), are non-civil servants, and work for an average of 3.3 years. Most of the referred cases are surgical (28/53.8) and urgency cases (32/61.5). Forty-four referral cases (84.6%) did not meet national referral standards. The referring nurse's educational background and the urgency of the case had a significant relationship with the quality of referrals with p values < α values of 0.05 (0.000 and 0.000 respectively). There was no significant relationship between referral quality and patient/family satisfaction. Conclusion: Most PHC's emergency referrals to hospital emergency departments (ED) have not complied with national standards. There was a significant relationship between the education of the referring nurse and the level of urgency of the case with the quality of PHC referrals. There is no relationship between referral quality and patient/family satisfaction. National technical guidelines for individual referrals for emergency cases are needed.
A Systematic Review: Early Warning System for Hospital Wards Sasmito, Priyo; Aljufri, Salim; Mulyati, Leli; Rasmita, Dina; Syafridawita, Yetti; Deviana, Elina; Komariah, Elis; Gayatri, Sri Wahyuni; Arifani, Nisa
International Journal of Public Health Excellence (IJPHE) Vol. 3 No. 2 (2024): January-May
Publisher : PT Inovasi Pratama Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55299/ijphe.v3i2.782

Abstract

Most of the unexpected events occur in the hospital wards. An Early Warning System (EWS) is a system created to identify worsening patients outside the Intensive Care Unit (ICU). EWS is one of the requirements that must be met to get hospital accreditation. Hospitals have to choose the appropriate EWS to get optimal outcomes. This study aims to describe some of the EWS in the wards that have been researched and developed, as well as their performance in predicting severe adverse events (SAE). This study is a literature review design, conducting a systematic review by selecting relevant articles on Pub Med and Science Direct using the keyword "Early Warning Systems" in the 2018-2023 period. Out of 269 articles, only 12 articles that met the criteria. The selected articles are then systematically reviewed and analyzed. Based on the extraction results of 12 articles, 9 EWS were grouped into National Early Warning Score (NEWS) and its variants, Modified Early Warning Score (MEWS) and its variants, and EWS integrated with Electronic Medical Record (EMR). In choosing an EWS, hospitals must consider the complexity of the cases being managed and the capabilities of existing resources. The recommended EWS in hospital wards with limited resources is weighted EWS or EWS with combinations, such as NEWS and MEWS with variants. Meanwhile, hospitals that have used EMR can choose EWS integrated with EMR to increase their predictive value for SAE, as well as improve protocol compliance.
Introducing Jaga-rasa Jaga-tangga: A Community Program that Can Reduce Tuberculosis Stigma in Sleman, Indonesia Purwanti, Nunuk Sri; Ghofur, Abdul; Khairani, Wittin; Sasmito, Priyo
International Journal of Public Health Excellence (IJPHE) Vol. 3 No. 2 (2024): January-May
Publisher : PT Inovasi Pratama Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55299/ijphe.v3i2.829

Abstract

The low number of cases found compared to the incidence of Tuberculosis (TB) shows that the control of this disease becomes a serious problem. The stigma is suspected to be one of the obstacles to solving the TB problem in Indonesia. This study aims to analyze the ability of the Jaga-rasa Jaga-tangga program to decrease TB stigma in two Public Health Centers (PHCs) in Sleman Regency, Indonesia. This is a quasi-experimental study design with a control method. Both intervention and control groups get health education about TB stigma. The intervention group also gets an education about the Jaga rasa Jaga tangga (take care of your neighbors as well as take care of their feelings) program. The outcome measure was the TB stigma scale that measure before and after the intervention. Data were analyzed using paired t-tests and independent t-tests. 106 respondents were involved in this study divided into intervention and control groups. Age (p=0.006) and social status (p=0.015) are associated with TB stigma in the community. There were significant changes in the TB stigma scale after the intervention (paired =0.305; p=0.001). The Jaga-rasa Jaga-tangga program along with health education reduces TB stigma more effectively than health education only. Further studies are needed to confirm this result.
Influencing Factors on Nurses' Hand Washing Compliance Amalia, Linda; Sumartini, Sri; Sasmito, Priyo; Yulianingsih, Nengsih; Sutresna, Nina
International Journal of Public Health Excellence (IJPHE) Vol. 4 No. 1 (2024): June-December
Publisher : PT Inovasi Pratama Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55299/ijphe.v4i1.1002

Abstract

Poor hand washing of nurses and unhealthy hospital environments contribute to the occurrence of nosocomial infections. Nurses who do not wash their hands before and after the procedure can become an intermediary for infection in patients at the service site or hospital and spread various multi-resistant organisms. This research aims to identify nurses' hand washing compliance and related factors. A descriptive correlation design was conducted in a hospital in West Java. Data on nurse characteristics and hand washing compliance were taken using a five moments test questionnaire cross-sectionally among nurses using the total sampling method and analyzed univariately and bivariately using descriptive analysis and the chi square test. A total of 67 nurses were involved in this research, the majority of respondents were aged 25-35 years (43/64.2%), women (42/62.7%), had a bachelor's degree (36/53.8%), had worked less than 5 years (42/62.7%) , lack of knowledge (35/52.2%), and have a positive attitude (38/56.7%), generally do not comply with hand washing protocols (34/50.7%). The nurse's age is related to hand washing compliance (p 0.002 < α 0.05), while gender (p 0.242), education (p 0.534), length of work (p 0.874), knowledge (p 0.907), and attitude (p 0.397) have α value > 0.05. Nurses' hand washing compliance is still less than the target. Age is related to nurses' compliance in implementing hand hygiene. Meanwhile, gender, education, length of work, knowledge and attitudes are not related to nurse compliance. Efforts are needed to increase nurses' knowledge to increase nurses' compliance in washing hands.
Co-Authors Abdul Ghofur Agus Setiono AHMADI Akmal, Samsul Al-Hidayat, Rahmat Aljufri, Salim Amaliah, Lili Amsyah, Ummul Khairi Apparesya, Nabila Afifah Aprila, Rizki Ari Riswanto, Ari Arifani, Nisa Asminah , Asminah Assayuti, Abdul Aziz Ayinun, Aminah Ayu Fitriani Azzahra, Bella Rakhmawati Barus, Lidya Hariaty Baso, Andi Sabirin Bernadus, Janno Berty Bradly Cecep Eli Kosasih cindy, Aghestine Amara Darmawardana, Arif Dasopang, Ramadhana S.M. Deviana, Elina Diana Ulfah Eka Nursafitri Elis, Andi Gayatri, Sri Wahyuni Gina Aulia Gunawan Gunawan HARTONO, SOETANTO Haryanti, Eka Hasanah Hasanah Herdiana, Herdiana Heryanto Nur Muhammad Hilda, Aril Hutasoid, Daud Letare Innekerisnawati, Duwi Islamiani, Ayudita Istiana, Fuji Iswidowati , Irma Tri Joko Prasetyo Khairani, Wittin Komariah, Elis Kurnelia, Ega Kurniawan Kusuma, Fitriana Kusuma, Widya Tresna Leli Mulyati Librianty, Nurfanida Linda Amalia Lisdawati, Riska Madani, Ultra Mahdawarti, Mahdawarti Mallinah, Mallinah Mardesela, Ega Maryam, Andi Mita Sonaria Mukhofi, Lutfi Munandar, Ihsan Haris Munaya Fauziah Munisah, Yeni Mutohharoh, Hopipah Nadiya, Della Nengsih Yulianingsih Nina Sutresna Novena Simanjutak, Shania NOVIA DWI ASTUTI Nunuk Sri Purwanti Nurhajra, Andini Nurlaila, Riffalni Dela Octavia, Marta Pramesty, Merrina Prasetya , Fika Indah Prasetya, Fika Indah R, Retno Pramudyaningtyas Rafi, Rafi Rahmawati, Silviah Rasmita, Dina Robertus, Sumardi ROYANI ROYANI Royani Royani Rustini, Ira Sartika Sartika Setyowati , Ayu Wulandari Shinta Dewi, Yasmin Siswahyudianto Sitorus, Astrid Napita Sri Sumartini Supriandi Supriandi, Supriandi Susilawati , Susi Susiyanti, Hera Syafridawita, Yetti Tafwidhah, Yuyun Thursina, Fazrian Titin Sutini Treesia Sujana Tyas, Eka Suryaning Wirawan, Nandar Yektiningtyastuti Yektiningtyastuti Yuly Peristiowati Yusuf Iskandar Zulfikri, Agung