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All Journal KESANS : International Journal of Health and Science Indonesian Journal of Medical Sciences and Public Health AACENDIKIA: Journal of Nursing Mega Buana Journal of Innovation and Community Service (JICS)
Piesesha, Frieska
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Agriculture, Biological Sciences & Forestry Biochemistry, Genetics & Molecular Biology Chemistry Computer Science & IT Economics, Econometrics & Finance Engineering Health Professions Languange, Linguistic, Communication & Media Medicine & Pharmacology Nursing Physics Public Health Veterinary

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The Onset of Lactation among Postpartum Mothers at Private Midwifery Practice Dwilda Ferdinandus, Euvanggelia; Dwi Jayanti, Ratna; Piesesha, Frieska; Zada Fauziyah, Nail Firah; Giyanti Putri, Pionera Seconda
Jurnal KESANS : Kesehatan dan Sains Vol 5 No 4 (2026): KESANS: International Journal of Health and Science
Publisher : Rifa'Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54543/kesans.v5i4.557

Abstract

Introduction: The onset of lactation is the beginning of the breastfeeding process, marked by breast tenderness and the release of colostrum, which occurs ≤72 hours after delivery. Objective: This study aims to explore the onset of lactation in postpartum mothers at Private Midwifery Practices. Method: The study used a descriptive study method involving 83 postpartum mothers in 5 independent midwife practices in Surabaya. Statistical analysis used descriptive statistics through frequency distribution. Result and Discussion: Most postpartum mothers were in the reproductive age group (85.5%) and multiparous (73.5%). However, most postpartum mothers did not engage in Early Initiation of Breastfeeding immediately after giving birth (92.8%). Seventy-three percent of mothers had moderate knowledge about lactation, and 80.7% experienced a rapid onset of lactation. Conclusion: The onset of lactation is an important part that determines the success of breastfeeding to meet the nutritional needs of the baby
Systematic Literature Review Analysis of the Utilization of Artificial Intelligence on the Quality of Healthcare Services in Indonesia Frieska Piesesha Piesesha, Frieska; Wibowo, Bima Ardiyanto
Indonesian Journal of Medical Sciences and Public Health Vol 6 No 2 (2025)
Publisher : Future Science

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Abstract

Digital transformation in the health sector has accelerated the adoption of Artificial Intelligence (AI) as a strategic innovation to improve the quality of healthcare services. AI has the capability to process large volumes of health data quickly and accurately, thereby supporting clinical decision-making, enhancing service efficiency, and improving patient safety. However, the implementation of AI in Indonesia still faces several challenges, particularly related to the readiness of human resources, infrastructure limitations, data security, and ethical and regulatory issues. This study aims to analyze the role of Artificial Intelligence in improving the quality of healthcare services in Indonesia based on a review of recent literature. The research employed a literature review method with a systematic review approach guided by the PRISMA framework. Literature searches were conducted using PubMed, ScienceDirect, and Google Scholar databases, focusing on articles published between 2020 and 2025. Out of 3,380 identified articles, five studies met the inclusion and exclusion criteria and were selected for further analysis. The findings indicate that the implementation of AI contributes positively to the improvement of healthcare service quality, particularly in terms of effectiveness, efficiency, patient safety, and timeliness of care. AI enhances diagnostic accuracy, supports clinical decision-making, optimizes administrative and clinical processes, and improves the quality of nursing care through real-time patient monitoring and more accurate documentation. Nevertheless, the implementation of AI remains constrained by limited healthcare workforce competencies, inadequate technological infrastructure, and concerns related to data security, privacy, and regulatory frameworks. In conclusion, Artificial Intelligence holds significant potential as a strategic instrument for improving the quality of healthcare services in Indonesia. Optimizing the use of AI requires strengthening human resource capacity, developing adequate technological infrastructure, and establishing clear policies and regulations to ensure the ethical, secure, and sustainable application of AI in healthcare services.
The Effect of PHBS Health Education on the Knowledge of 4th Grade Students at SDN 35 Gresik Mahendra, Muamar; Piesesha, Frieska; Putri, Lidia Aditama; Suhartini, Titik; Arfah, Muh.; Wibowo, Bima Ardiyanto
Indonesian Journal of Medical Sciences and Public Health Vol 6 No 2 (2025)
Publisher : Future Science

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Abstract

The implementation of Clean and Healthy Living Behavior (PHBS) in schools must begin at the elementary level, considering that elementary school is a golden period for instilling clean and healthy living habits. The purpose of this study was to determine the knowledge scores of students before and after being given education on PHBS. This study used a descriptive epidemiological design. The study population consisted of all 4th grade students at SDN 35 Gresik. The sample was determined using a total sampling technique, so all 49 students were included as respondents. Data analysis was conducted descriptively and using a paired t-test to determine the effectiveness of increasing students’ knowledge before and after the intervention. The results showed that the students involved in this study consisted of 23 male and 26 female students. There was an increase in the average knowledge score from 77.55 in the pre-test to 86.12 in the post-test. This increase was also accompanied by a decrease in the standard deviation, indicating that the variation in scores among students became more uniform after the education was given. Based on the paired t-test, the p-value was less than 0.05, indicating a significant difference between pre-test and post-test scores. Thus, PHBS education proved to have a real effect on increasing the knowledge of 4th grade students at SDN 35 Gresik.
Penguatan Perilaku Hidup Bersih Dan Sehat (PHBS) Melalui Edukasi Kesehatan Cuci Tangan Pakai Sabun (CTPS) Dan Gizi Seimbang Suhartini, Titik; Arfah, Muh; Afdhal Mahendra, Muamar; Piesesha, Frieska; Ardiyanto W, Bima; Aditama Putri, Lidia
Mega Buana Journal of Innovation and Community Service Vol. 4 No. 2 (2025): Desember 2025
Publisher : LPPM Universitas Mega Buana Palopo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59183/1qaqph64

Abstract

Perilaku Hidup Bersih dan Sehat (PHBS) di tatanan sekolah merupakan kunci pencegahan penyakit menular serta peningkatan status kesehatan anak usia sekolah. Salah satu indikator utama PHBS di sekolah adalah kebiasaan cuci tangan pakai sabun (CTPS) dan konsumsi makanan bergizi. Namun, berbagai studi menunjukkan praktik CTPS dan pemilihan jajanan sehat pada siswa sekolah dasar di Indonesia masih rendah sehingga anak rentan diare, infeksi saluran pernapasan, dan masalah gizi. Tujuan kegiatan pengabdian ini bertujuan meningkatkan pengetahuan dan praktik PHBS, khususnya CTPS enam langkah dengan sabun dan air mengalir serta kebiasaan memilih makanan bergizi, pada siswa UPT SD Negeri 35 Gresik melalui penyuluhan interaktif, demonstrasi, praktik langsung, dan pendampingan pembiasaan sebelum makan. Sasaran utama adalah siswa kelas rendah dan menengah, dengan melibatkan guru serta orang tua sebagai pendukung keberlanjutan program. Kegiatan dilaksanakan melalui tahapan: (1) persiapan dan koordinasi dengan sekolah, (2) asesmen awal pengetahuan dan praktik siswa, (3) edukasi dan demonstrasi CTPS dan gizi seimbang, (4) praktik dan pembiasaan rutin sebelum waktu makan, serta (5) evaluasi perubahan pengetahuan dan perilaku. Luaran yang diharapkan adalah meningkatnya pengetahuan dan keterampilan CTPS yang benar, meningkatnya kebiasaan mencuci tangan sebelum makan dan setelah aktivitas berisiko, serta terbiasanya siswa memilih makanan bergizi, didukung oleh lingkungan sekolah yang kondusif. Hasil pelaksanaan kegiatan program kemitraan masyarakat khususnya kepada anak sekolah dasar kelas 4 (empat) diperoleh bahwa sebelum dilakukan penyuluhan tentang Penyuluhan Kesehatan PHBS Tentang Cuci Tangan Pakai Sabun Dan Makanan Bergizi belum teridentifikasi kemampuan anak dalam mengimplementasikan PHBS cuci tangan pakai sabun,  setelah dilakukan intervensi berupa penyuluhan kesehatan, anak mampu memahami dan mengimplementasikan PHBS cuci tangan pakai sabun. Hasil pelaksanaan kegiatan juga didapatkan bahwa belum teridentifikasi pemahaman anakt, setelah dilakukan penyuluhan, kepada dapat teridentifikasi terbukti dengan beberapa anak dapat mempraktikkan secara langsung cara cusi tangan pakai sabun dengan baik. Hasil secara keseluruhan diperoleh bahwa dengan dilakukannya kegiatan PKM khususnya kepada anak sekolah dasar kelas 4 (empat) sangatlah berguna. Penjelasan yang telah diberikan dapat memberikan kepuasan kepada sasarna/anak. Keberhasilan kegiatan pengabdian masyarakat ini juga tidak terlepas dari peran dan konstribusi dari para tim PKM, kepala sekolah dan guru kelas yang juga sangat maksimal membantu terlaksananya kegiatan pengabdian masyarakat ini, yang di sekolah.
Optimizing the Role of Nurses: Self-Efficacy and Nurse Effective Communication as the Key to Patient Satisfaction Suhartini, Titik; Piesesha, Frieska; Ardiyanto Wibowo, Bima
AACENDIKIA: Journal of Nursing Vol. 4 No. 2 (2025): AACENDIKIA: Journal of Nursing
Publisher : Althar Cendikia Education

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Abstract

Self-efficacy is a crucial determinant affecting the quality of nursing care. Nurses who lack confidence in their ability to deliver quality patient care may precipitate unforeseen incidents that adversely affect the standard of nursing care (Nita & Agustika, 2023). Therapeutic Employee Performance is essential; it is a deliberately strategised and concentrated form of Employee Performance that seeks to facilitate the patient's recovery. All actions and communications from the nurse must be therapeutic for the patient. This study examines nurses' self-efficacy and therapeutic Employee Performance models regarding patient satisfaction. The employed research strategy is a correlational analysis using a cross-sectional design. The sample comprises 100 inpatients at Wijaya Kusuma Hospital, chosen through accidental sampling. The research variables include self-efficacy, therapeutic employee performance, and patient satisfaction. Data collection was conducted via questionnaires, and the data were processed through editing, coding, scoring, and tabulation steps. Subsequently, it underwent analysis using regression testing. The research revealed a P-value of 0.000, demonstrating a significant link among self-efficacy, therapeutic employee performance, and patient satisfaction. This strong association indicates that self-efficacy and therapeutic employee performance may significantly enhance patient satisfaction, thereby benefiting patient visits.
Co-Authors Aditama Putri, Lidia Afdhal Mahendra, Muamar Ardiyanto W, Bima Ardiyanto Wibowo, Bima Arfah, Muh Arfah, Muh. Dwi Jayanti, Ratna Dwilda Ferdinandus, Euvanggelia Giyanti Putri, Pionera Seconda Lidia Aditama Putri Mahendra, Muamar Suhartini, Titik Wibowo, Bima Ardiyanto Zada Fauziyah, Nail Firah