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Mental-Emotional Disorder, Fear and Depression Level of Emergency Nurses During Pandemic Covid-19: A Comparative Study Marliana, Thika; Kurniawati, Indah; Jamiatun, Jamiatun; Safitri, Yeni
Indonesian Journal of Global Health Research Vol 6 No 4 (2024): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v6i4.3233

Abstract

Emergency nursing is specialized nursing that focuses on care that requires immediate medical attention to avoid long-term disability or death. During the COVID-19 pandemic, emergency nurses are on the front lines and must be prepared, and must be able to sort and select patients safely. However, emergency nursing services are very risky in transmitting exposure to the COVID-19 virus. This study aims to assess and compare the levels of mental and emotional disorders, depression, and anxiety suffered by emergency room nurses in the Intensive Care Unit, Operating Room, and Emergency Room. In this comparative study, we collected data from 92 nurses using a cross-sectional correlation design. In addition to the Sociodemographic Characterization, Psychoemotional Disorder Scale, Depression Scale, and COVID-19 Anxiety Scale. Levels of depression were higher in operating room nurses than in the intensive care unit and emergency room nurses (54.17 ± 14.08 vs 48.53 ± 11.92, p<0.01). (48.36 ± 13.40 vs 45.74 ± 11.79, p < 0.01). The pandemic is having a significant impact on the mental health of emergency room caregivers. New specific support measures should be formulated. More research is needed to focus on the psychological resilience of emergency department nurses.
Transformational Leadership and Job Satisfaction: A Study of Creative Industries in Asia. Marliana, Thika; Yanuar , Ignatius Erik Sapta; Sova, Maya; Rosa, Tina; Tamba, Mariati; Boonsawad, Panicha; Kurniawati, Indah
Darussalam: Journal of Psychology and Educational Vol. 3 No. 2 (2024)
Publisher : Yayasan Minang Darussalam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70363/djpe.v3i2.270

Abstract

This research explores the relationship between transformational leadership and job satisfaction in the creative industry in Asia, which is known for its unique dynamics and challenges. In this context, transformational leadership, characterized by the leader's ability to inspire, motivate, and empower employees, is viewed as a key factor in enhancing job satisfaction. This research aims to understand how elements of transformational leadership, such as a clear vision, effective communication, and attention to individual needs, can contribute to employees' feelings of satisfaction and engagement in their work. The research methods used include surveys and in-depth interviews with employees and leaders from various creative sectors, including art, media, and design. The collected data were analyzed to identify significant patterns and relationships between leadership practices and job satisfaction levels. The research results show that leaders who implement transformational leadership strategies not only succeed in creating a work environment that supports innovation and creativity but also enhance employee motivation and commitment. Most respondents reported that they felt more engaged and satisfied when working under leaders who adopted this approach. These findings provide valuable insights for organizations in designing effective leadership strategies in the creative sector, as well as highlighting the importance of paying attention to individual needs in the effort to achieve organizational goals. Thus, this research not only contributes to the academic literature on leadership and job satisfaction but also provides practical guidance for leaders and managers in enhancing job satisfaction in dynamic and creative environments. The recommendations generated from this research can help organizations in building a positive and productive work culture, thereby contributing to long-term success in the creative industry.
Development of Ethical Guidelines for AI-Assisted Educational Counseling Decisions. Marliana, Thika; Osman, Suhaila Binti; Agustin, Dinni; Mawarni, Endang Siti; Azija, Izzatul; Trigono, Ahdun; Wahyuningrum, Maria Aditia
International Journal of Research in Counseling Vol. 4 No. 2 (2025)
Publisher : Yayasan Minang Darussalam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70363/ijrc.v4i2.302

Abstract

The increasing integration of Artificial Intelligence (AI) in educational counseling has introduced new opportunities and ethical challenges in decision-making processes related to student support services. This study aims to develop a set of ethical guidelines tailored to the use of AI-assisted systems in educational counseling, focusing on transparency, fairness, accountability, privacy, and human oversight. Employing a qualitative methodology, the research synthesizes insights from educational technologists, counseling professionals, AI ethicists, and policymakers through in-depth interviews and Delphi-based consensus. The proposed framework addresses ethical dilemmas arising from algorithmic bias, informed consent, data protection, and the balance between human judgment and machine recommendations. Findings suggest that while AI can enhance efficiency and personalization in counseling, it must operate within clearly defined ethical boundaries to safeguard student autonomy, well-being, and equity. The resulting guidelines are intended to serve as a foundational reference for educational institutions, developers, and regulatory bodies in the responsible deployment of AI in student counseling contexts.
A REVIEW OF NANOPARTICLE-BASED STRATEGIES FOR OVERCOMING THE BLOOD-BRAIN BARRIER IN NEURODEGENERATIVE DISEASE THERAPY Marliana, Thika; Magar, Bina; Denis, Samuel
Journal of Biomedical and Techno Nanomaterials Vol. 2 No. 6 (2025)
Publisher : Yayasan Adra Karima Hubbi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70177/jbtn.v2i6.2975

Abstract

Neurodegenerative diseases, including Alzheimer’s disease, Parkinson’s disease, and related disorders, remain difficult to treat effectively due to the restrictive nature of the blood–brain barrier, which severely limits drug delivery to the central nervous system. Many therapeutic agents with proven molecular efficacy fail to achieve clinical success because they cannot reach target sites in the brain at sufficient concentrations. This review aims to critically analyze nanoparticle-based strategies developed to overcome the blood–brain barrier and to evaluate their potential in neurodegenerative disease therapy. A narrative-integrative review method was employed, drawing on peer-reviewed articles indexed in major scientific databases, including studies on lipid-based, polymeric, inorganic, and biomimetic nanoparticles. The reviewed evidence indicates that nanoparticle systems significantly enhance brain delivery through mechanisms such as receptor-mediated transcytosis, adsorption-mediated transport, and biomimicry, leading to improved pharmacokinetics and therapeutic efficacy in preclinical models. Lipid-based and biomimetic nanoparticles demonstrate the greatest translational promise due to favorable safety and biological compatibility, while polymeric systems offer high design flexibility. Despite these advances, challenges related to long-term safety, reproducibility, and clinical translation persist. In conclusion, nanoparticle-based delivery represents a pivotal strategy for overcoming the blood–brain barrier, and continued interdisciplinary research is essential to translate these technologies into effective therapies for neurodegenerative diseases. Keywords: blood–brain barrier; nanoparticles; neurodegenerative diseases; nanomedicine; targeted drug delivery
OPTIMALISASI EDUKASI DAN KESADARAN KODE INTERNASIONAL PEMASARAN PRODUK PENGGANTI ASI MELALUI APLIKASI “PELANGGARANKODE” UNTUK PERLINDUNGAN GIZI IBU DAN ANAK Ambarwati, Kusmayra; Marliana, Thika; Suharyanto
JURNAL PENGABDIAN KEPADA MASYARAKAT Vol. 31 No. 4 (2025): Oktober-Desember
Publisher : Universitas Negeri Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24114/jpkm.v31i4.71166

Abstract

Angka stunting dan permasalah gizi masih menjadi fokus utama permasalahan kesehatan di Indonesia. Sebab, angka ini menjadi salah satu tolok ukur indikator kesehatan suatu negara. Indonesia telah melakukan berbagai bentuk intervensi untuk mencegah dan menurunkan angka stunting ini. Namun, tantangan berupa keterbatasan manajemen, sumber daya, serta minimnya pemahaman tentang Kode Internasional Pemasaran Produk Pengganti ASI (PASI) menghambat efektivitas advokasi dalam rangka pencegahan angka stunting. Program pengabdian ini bertujuan mengoptimalkan platform digital “PelanggaranKode” sebagai sarana pelaporan pelanggaran kode PASI. Metode yang digunakan mencakup pelatihan manajemen, kolaborasi teknologi, kampanye kesadaran masyarakat, dan pembentukan kelompok pendampingan. Hasil kegiatan menunjukkan 80% capaian program pada pengurus mitra terlatih, 600 peserta terjangkau melalui kampanye, serta terbentuknya dua kelompok pendampingan. Meskipun capaian sosialisasi dan advokasi meningkat, jumlah laporan pelanggaran yang masuk ke platform masih rendah. Oleh karena itu, diperlukan strategi kampanye digital yang lebih masif, pendampingan berkelanjutan, serta penguatan kolaborasi lintas sektor. Program ini berkontribusi pada peningkatan kesadaran gizi ibu-anak, perlindungan menyusui, serta pencapaian target SDGs dan RIRN.
The Influence Of Work Environment, Compensation, Workload, And Career Development On The Performance Of Nurses At Bethesda Hospital Wonosari, Special Region Of Yogyakarta In 2025 Widyaningsih, Widyaningsih; Sumijatun, Sumijatun; Andarusito, Nurcahyo; Marliana, Thika
Journal of Ageing And Family Vol 4, No 1 (2024): Journal of Ageing And Family
Publisher : Lembaga Penelitian dan Pengabdian Masyarakat (LPPM Universitas Respati Indonesia)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52643/joaf.v4i1.7227

Abstract

The presence of nurses as human resources is a valuable asset for the sustainability of the hospital, which needs attention so they can work optimally. An initial survey at RS Bethesda Wonosari DIY found that very few nurses performed at a level categorized as competent according to the hospital's expectations. This research was conducted in December 2024, aiming to analyze the factors influencing nurse performance at RS Bethesda Wonosari DIY using a quantitative design and a cross-sectional approach. The respondents in this study are all 50 nurses. Primary data collection was conducted through the distribution of questionnaires that had been tested on 30 people at RS Panti Waluyo Solo. The univariate results show that the majority of respondents are female, have an Associate's degree in Nursing, are of productive age, and have less than 5 years of work experience. The lowest achievements obtained from the variables studied: work environment (73.5%), provision of new information (73%), performance bonuses for employees (46%), work for patient safety (79%), fully responsible nursing care (52.5%), completion of work according to targets (74.5%). Completion of work on time (76.5%) and communication with superiors (67.5%). The bivariate results show that the variables positively affecting nurse performance are workload (p: 0.002), work environment (p: 0.002), and career development (p: 0.005), each with a very weak influence, while the variable that does not have an effect is compensation (p: 0.173). The multivariate results indicate that workload, work environment, compensation, and career development collectively have a significant impact on nurse performance (p: 0.001), with the most influential factor being workload (β) 0.623 (p: 0.017). The recommendation from this study is that the workload of nurses needs to be balanced, fair, and evenly distributed to avoid fatigue, improve workspace layout, provide bonuses for outstanding nurses, increase responsibility in nursing care, and for management to allocate time for discussions with nurses regarding career development programs.
Referral Acceptance System For Patients With Non-Communicable Diseases Of The Elderly In The Tough Doctor Program To Rsud Haji Abdoel Madjid Batoe Taqwin, Ahmad; Kidrawati, Atik; Nurhayati, Nurhayati; Marliana, Thika
Journal of Ageing And Family Vol 4, No 1 (2024): Journal of Ageing And Family
Publisher : Lembaga Penelitian dan Pengabdian Masyarakat (LPPM Universitas Respati Indonesia)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52643/joaf.v4i1.7220

Abstract

Non-communicable diseases are chronic illnesses such as hypertension, diabetes mellitus, heart disease, and stroke. This study aims to analyze the challenges in the referral acceptance system for elderly NCD patients within the Tangguh Doctor Program at RSUD Haji Abdoel Madjid Batoe. This qualitative research was conducted at RSUD Haji Abdoel Madjid Batoe. The informants consisted of the Acting Head of the Batang Hari District Health Office, Sub-coordinator of Primary Health Services, representatives from BPJSKesehatan Batang Hari, representatives from RSUD Haji Abdoel Madjid Batoe, representatives from Bapperida of Batang Hari Regency, elderly NCD patients, Doctors (Tangguh Doctor Team), and staff of the TPPRJ at RSUD Haji Abdoel Madjid Batoe. Data collection used document review, in-depth interviews, and FGDs. The research findings indicate that each region has 1 Tangguh Doctor Team. The funding (Money) comes from APBD. Materials include stationery, medical devices, proof sheets and visit logbooks, visit registration books, and referral sheets. There is an existing SOP (Method). The equipment (Machine) includes a vehicle, but laptops/tablets and the Integrated Referral Information System (SISRUTE) are not yet available. The target (Market) is elderly patients with NCDs. The process involves the doctor determining the need for referral, the team taking the patient to the primary health center (puskesmas), and ensuring the patient receives care. The system's output issuboptimal, impacting efficiency and effectiveness. The primary cause is the team's lack of SISRUTE integration with P-Care for printing referrals. The main recommendation is the development of SISRUTE for Tangguh Doctors. Referral acceptance to RSUD Hamba is suboptimal due to the absence of SISRUTE- P-Care integration. It is suggested to develop a digital referral application to eliminate the need for patients to visit the primary health center for referral letters. This application should be connected with P-Care BPJS and SISRUTE.
Analysis of Factors Influencing Compliance with Electronic Medical Record Documentation by Nurses and Midwives in the Inpatient Department of Siloam Hospital Bangka Winardi, Novia; Sumijatun, Sumijatun; Nugroho, Dedy; Marliana, Thika
Journal of Ageing And Family Vol 4, No 2 (2024): Journal of Ageing And Family
Publisher : Lembaga Penelitian dan Pengabdian Masyarakat (LPPM Universitas Respati Indonesia)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52643/joaf.v4i2.7234

Abstract

Documentation using Electronic Medical Records (EMR) significantly improves the quality of patient medical record completion. Siloam Hospital Bangka has implemented EMR; however, several challenges have arisen in its application within the inpatient department. This study aims to analyze the factors influencing compliance with EMR documentation among nurses and midwives in the inpatient department, focusing on aspects of knowledge, motivation, supervision, and infrastructure availability. This study employs a quantitative approach with a cross-sectional design. The sample consists of 33 nurses and midwives in the inpatient department, selected using a total sampling technique. Data were collected through questionnaires and an audit observation checklist of inpatient medical records during the period from January 15 to January 22, 2025. Fisher’s exact test and multiple logistic regression were used to determine the dominant variables influencing documentation compliance. The research results indicate a significant relationship between knowledge (p-value = 0.000; OR = 184.000) and supervision (p-value = 0.000; OR = 46.000) with nurses and midwifes compliance in documentation. However, no significant relationship was found between motivation or infrastructure availability and documentation compliance. This study concludes that documentation compliance is influenced by knowledge and supervision, with knowledge being the most dominant factor. Since documentation compliance in electronic medical records supports the quality of healthcare services at Siloam Hospital Bangka, the hospital is recommended to implement regular training programs on the use of electronic medical records.
The Effect of Lean Six Sigma Implementation, Information Technology Utilization, and Bed Capacity on Length of Inpatient Stay at Karya Medika Hospital, Bantar Gebang, Bekasi, in 2025 Gunardi, Astri; Kridawati, Atik; Herawati, Herawati; Marliana, Thika
Journal of Ageing And Family Vol 4, No 2 (2024): Journal of Ageing And Family
Publisher : Lembaga Penelitian dan Pengabdian Masyarakat (LPPM Universitas Respati Indonesia)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52643/joaf.v4i2.7229

Abstract

The Length of stay is a crucial indicator in hospital service systems. This study aims to analyze the influence of Lean Six Sigma implementation, the use of information technology, and bed capacity on the length of stay at RS Karya Medika Bantar Gebang. The research method used is a quantitative approach with a descriptive analytical design. Data were collected through questionnaires and analyzed using univariate, bivariate, and multivariate tests. The univariate analysis results show that the majority of respondents are aged 20-35 years (59.00%), female (64.10%), and work as nurses (56.40%). Bivariate analysis using Pearson correlation test shows that Lean Six Sigma implementation has a strong relationship with length of stay (r = 0.855, p = 0.000), the use of information technology has a very strong relationship (r = 0.906, p = 0.000), and bed capacity also has a strong relationship (r = 0.838, p = 0.000). Multivariate analysis results using multiple linear regression indicate that Lean Six Sigma implementation (β = 1.583, p = 0.000) and the use of information technology (β = 0.954, p = 0.043) significantly affect the length of stay, while bed capacity (β = 0.505, p = 0.243) does not have a significant effect. The regression model used has an R value of 0.944 and an R Square value of 0.892, indicating that 89.2% of variations in length of stay can be explained by the three independent variables. The conclusion of this study is that Lean Six Sigma implementation and the use of information technology significantly contribute to reducing the length of stay, while bed capacity does not have a direct impact. Therefore, hospitals are advised to further optimize the implementation of Lean Six Sigma and information technology to improve service efficiency.
Dampak Kepadatan Pasien IGD Terhadap Stres, Kecemasan dan Depresi Pada Dokter Jaga Di RSUD Dr. Chasbullah Abdulmadjid Kota Bekasi Sidauruk, Keyko Lampita Mariana; Garmelia, Elise; Marliana, Thika
Jurnal Manajemen dan Administrasi Rumah Sakit Indonesia (MARSI) Vol 10, No 1 (2026): Jurnal Manajemen dan Administrasi Rumah Sakit (MARSI)
Publisher : LPPM Universitas Respati Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52643/marsi.v10i1.7885

Abstract

Kepadatan IGD mengakibatkan dampak psikologis bagi kesehatan mental dokter jaga IGD. Tujuan penelitian untuk menunjukkan karakteristik dokter pelayan kegawatdaruratan, menunjukkan tingkat kepadatan yang terjadi, menganalisa terjadinya stres, cemas dan depresi dikaitkan dengan kepadatan di IGD RSUD dr. Chasbullaah Abdulmadjid Kota Bekasi. Metode penelitian dengan deskriptif kuantitatif, desain cross-sectional. Total sampling melibatkan 27 dokter jaga IGD. Hasil penelitian menunjukkan mayoritas responden berusia