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All Journal PengabdianMu: Jurnal Ilmiah Pengabdian kepada Masyarakat Klabat Journal of Nursing
Mambu, Ian Ruddy
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Agriculture, Biological Sciences & Forestry Economics, Econometrics & Finance Education Health Professions Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Nursing Public Health Social Sciences

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Edukasi Kesehatan tentang Pola Hidup Sehat dan Pemeriksaan Payudara Sendiri: Health Education on Healthy Lifestyles and Breast-Self Examinations Cathryne, Joice; Houghty, Grace Solely; Mambu, Ian Ruddy; Kasenda, Edson
PengabdianMu: Jurnal Ilmiah Pengabdian kepada Masyarakat Vol. 9 No. 11 (2024): PengabdianMu: Jurnal Ilmiah Pengabdian kepada Masyarakat
Publisher : Institute for Research and Community Services Universitas Muhammadiyah Palangkaraya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33084/pengabdianmu.v9i11.7531

Abstract

Breast cancer is the number one cause of death for women. Many women realize they have breast cancer after being in the final stage, as experienced by two church members who are currently undergoing breast cancer treatment. The interview results revealed that some church members had a family history of breast cancer, underscoring the importance of implementing prevention education and breast self-examination within the church. One of the causes of breast cancer is an unhealthy lifestyle, a lack of awareness, a lack of information, and the feeling that they are fine. No family history of the disease makes women too lazy to do breast self-exam. This activity was carried out in March 2024 with the target of women aged 15-55 years totaling 33 people. This activity is in the form of providing education on healthy lifestyles and how to prevent them by doing breast self-exam. At the beginning and end of the activity, participants were given a pretest and posttest to measure their level of knowledge, then continued with a demonstration and redemonstration of breast self-exam practice. The results of the pretest were 66.1% and the posttest was 79.5%, where there was an increase in knowledge about healthy lifestyles and breast self-exam. This increase is expected to be followed by the routine implementation of breast self-exam practices every month, correctly and appropriately, so that the mortality rate of women due to breast cancer can decrease.
LITERATURE REVIEW: DILEMA ETIS DAN LEGAL DALAM PENERAPAN TEKNOLOGI MEDIS DALAM PERAWATAN PASIEN Kasenda, Edson; Mambu, Ian Ruddy
Klabat Journal of Nursing Vol. 7 No. 2 (2025): Nursing Insights: Bridging Science and Care
Publisher : Fakultas Keperawatan, Universitas Klabat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37771/kjn.v7i2.1315

Abstract

Background: The application of medical technology in patient care, such as telemedicine, artificial intelligence (AI), and robotics, provides convenience and improves access to health services. However, this technology also raises ethical and legal challenges related to data privacy, algorithmic bias, and the responsibility of health professionals. Objective: To identify and understand the ethical and legal dilemmas that arise in the application of medical technology. Methods: Descriptive analysis with a literature review approach of publications from 2015 to 2025. Searches were conducted on PubMed, Scopus, ScienceDirect, and Google Scholar using relevant keywords. Inclusion criteria: original research articles or peer-reviewed reviews, full-text manuscripts, Indonesian/English language, and discussing ethical/legal dilemmas in the application of medical technology in clinical practice. Exclusion criteria: editorials/opinions/short comments, non-peer-reviewed proceedings, non-health studies, duplicates, and articles outside the year range. Results: Many health professionals feel unprepared to face the ethical dilemmas that arise; while a number of policies, especially in developing countries, are not yet fully adequate to address these challenges. Conclusion: There is a need to develop ethical guidelines, adaptive legal frameworks, and training programs for healthcare professionals to support the fair and safe application of medical technology. Latar Belakang: Penerapan teknologi medis dalam perawatan pasien, seperti telemedicine, kecerdasan buatan (AI), dan robotika, memberikan kemudahan dan meningkatkan akses layanan kesehatan. Namun, teknologi ini juga menimbulkan tantangan etis dan legal terkait privasi data, bias algoritma, dan tanggung jawab profesional kesehatan. Tujuan: Mengidentifikasi serta memahami dilema etis dan hukum yang muncul dalam penerapan teknologi medis. Metode: Analisis deskriptif dengan pendekatan tinjauan pustaka terhadap publikasi 2015–2025. Pencarian dilakukan pada PubMed, Scopus, ScienceDirect, dan Google Scholar menggunakan kata kunci yang relevan. Kriteria inklusi: artikel penelitian asli atau tinjauan yang melalui peer review, naskah full-text, bahasa Indonesia/Inggris, dan membahas dilema etis/ legal penerapan teknologi medis pada praktik klinis. Kriteria eksklusi: editorial/opini/komentar singkat, prosiding tanpa peer review, studi non-kesehatan, duplikasi, dan artikel di luar rentang tahun. Hasil: Banyak profesional kesehatan merasa tidak siap menghadapi dilema etis yang muncul; sementara sejumlah kebijakan, terutama di negara berkembang, belum sepenuhnya memadai untuk menjawab tantangan ini. Kesimpulan: Diperlukan pengembangan pedoman etis, kerangka hukum yang adaptif, serta program pelatihan bagi profesional kesehatan untuk mendukung penerapan teknologi medis yang adil dan aman.
A SCOPING REVIEW: PEMETAAN BUKTI HUBUNGAN MASA KERJA DAN TINGKAT KEPUASAN PERAWAT DALAM PENGGUNAAN ELECTRONIC MEDICAL RECORD Makarewa, Grace Christy Melinda; Mambu, Ian Ruddy
Klabat Journal of Nursing Vol. 7 No. 2 (2025): Nursing Insights: Bridging Science and Care
Publisher : Fakultas Keperawatan, Universitas Klabat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37771/kjn.v7i2.1317

Abstract

The implementation of Electronic Medical Records (EMR) has become an essential component of the digital transformation of healthcare services. However, nurses’ dissatisfaction as primary users can negatively impact documentation quality, work efficiency, and the overall success of system adoption. This scoping review aims to map the scientific evidence regarding the relationship between nurses’ length of service and their satisfaction with EMR use in various healthcare settings. This review employed the Joanna Briggs Institute (JBI) methodology and followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews (PRISMA-ScR) guidelines. Literature searches were conducted in PubMed, ScienceDirect, and SpringerLink, with a descriptive thematic analysis approach. Nine quantitative articles were included. The mapping results indicate that nurses with less than five years of experience tend to have a more positive perception of EMR. Identified advantages of EMR include improved documentation efficiency, faster data access, and enhanced clinical decision support, while drawbacks include increased administrative burden, limited training, and technical challenges. Organizational factors such as system design quality, managerial support, and digital readiness also influence nurses’ satisfaction. These findings map current empirical evidence while highlighting research gaps, emphasizing that length of service is an important but not the sole determinant. Adaptive EMR implementation strategies that consider work experience, user needs, and institutional conditions are essential to enhance satisfaction and ensure successful system adoption. Implementasi Electronic Medical Record (EMR) telah menjadi komponen esensial dalam transformasi digital layanan kesehatan. Namun, ketidakpuasan perawat sebagai pengguna utama dapat berdampak pada kualitas dokumentasi, efektivitas kerja, dan keberhasilan adopsi sistem. Scoping review ini bertujuan untuk memetakan bukti ilmiah terkait hubungan masa kerja perawat dan tingkat kepuasan penggunaan EMR di berbagai konteks pelayanan kesehatan. Tinjauan ini menggunakan metode Joanna Briggs Institute (JBI) dan pelaporan mengikuti pedoman Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews (PRISMA-ScR). Pencarian dilakukan pada PubMed, ScienceDirect, dan SpringerLink, dengan analisis deskriptif tematik. Sembilan artikel kuantitatif terinklusi. Hasil pemetaan menunjukkan bahwa perawat dengan masa kerja kurang dari lima tahun cenderung memiliki persepsi yang lebih positif terhadap EMR. Kelebihan EMR yang diidentifikasi meliputi peningkatan efisiensi dokumentasi, akses data yang lebih cepat, dan dukungan pengambilan keputusan klinis, sedangkan kelemahannya mencakup beban administratif tambahan, keterbatasan pelatihan, dan kendala teknis. Faktor organisasi seperti kualitas desain sistem, dukungan manajerial, dan kesiapan digital juga memengaruhi kepuasan perawat. Temuan ini memetakan bukti empiris terkini sekaligus mengidentifikasi kesenjangan penelitian, menekankan bahwa masa kerja merupakan faktor penting tetapi bukan satu-satunya determinan. Strategi implementasi EMR yang adaptif terhadap pengalaman kerja, kebutuhan pengguna, dan kondisi institusional diperlukan untuk meningkatkan kepuasan dan keberhasilan adopsi sistem.
Co-Authors Grace Solely Houghty, Grace Solely Joice Cathryne Kasenda, Edson Makarewa, Grace Christy Melinda