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All Journal e-Journal Pustaka Kesehatan Jurnal Keperawatan Soedirman (The Soedirman Journal of Nursing) Jurnal Kesehatan Masyarakat (IKESMA) UNEJ e-Proceeding Jurnal Keperawatan Sriwijaya Jurnal Kesehatan Vokasional Journal of Islamic Medicine Jurnal Manajemen Kesehatan Yayasan RS.Dr. Soetomo Nurse and Health: Jurnal Keperawatan Jurnal Kreativitas PKM Indonesian Journal for Health Sciences (IJHS) Care : Jurnal Ilmiah Ilmu Kesehatan Jurnal Ilmu dan Teknologi Kesehatan Jurnal Ilmiah Keperawatan Bali Medika Jurnal Jurnal Ners Jurnal Aisyah : Jurnal Ilmu Kesehatan Jurnal Peduli Masyarakat Indonesian Journal of Global Health research Babali Nursing Research Jurnal Kesehatan Pasak Bumi Kalimantan Majalah Kesehatan Indonesia Jurnal Promotif Preventif Jurnal Kesehatan Tambusai MAHESA : Malahayati Health Student Journal Nursing and Health Sciences Journal (NHSJ) Journal of Applied Nursing and Health D Nursing and Health Journal (DNHJ) Indonesian Nursing Journal of Education and Clinic (Jurnal Pendidikan dan Praktik Keperawatan Indonesia) Jurnal Keperawatan Soedirman (The Soedirman Journal of Nursing) Jurnal Kesehatan Komunitas Indonesia Dedikasi Saintek Jurnal Pengabdian Masyarakat Jurnal Keperawatan Merdeka Jurnal Kegawatdaruratan Medis Indonesia JOURNAL OF Qualitative Health Research & Case Studies Reports JOURNAL OF Mental Health Concerns Jurnal Kesehatan dr. Soebandi Journal of Community Empowerment for Multidisciplinary (JCEMTY) Holistik Jurnal Kesehatan DEDIKASI SAINTEK Jurnal Pengabdian Masyarakat
Nurfika Asmaningrum
Faculty Of Nursing, University Of Jember
Agriculture, Biological Sciences & Forestry Humanities Biochemistry, Genetics & Molecular Biology Chemical Engineering, Chemistry & Bioengineering Chemistry Computer Science & IT Dentistry Education Environmental Science Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Library & Information Science Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences Veterinary Other

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The Instruments Measuring Nurses’ Posttraumatic Growth During the Covid-19 Pandemic: A Scoping Review Handoko, Yudho Tri; Asmaningrum, Nurfika; Ardiana, Anisah
Indonesian Journal of Global Health Research Vol 6 No 5 (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.v6i5.3316

Abstract

Posttraumatic growth (PTG) refers to positive psychological changes that occur in individuals who have experienced traumatic events, such as nurses battling an underpressure situation during the COVID-19 pandemic. The attempts at measuring PTG are still limited due to the lack of instruments that suit natural variations caused by culture or language adaptation and sampling types. Although there are many studies regarding PTG, no comprehensive review has been found to identify the instrument measuring nurses' posttraumatic growth. Objective: The study aimed to identify research on instruments measuring nurses’ PTG during the COVID-19 pandemic. Method: Five online databases (PubMed, Wiley Online Library, Proquest, Science Direct, and Google Scholar) were put under analysis to identify studies that report information on instruments measuring nurses’ PTG. Only studies published between 2020-2024 were involved in the analysis. The selection process was done using Preferred Reporting Items for Systematic Reviews (PRISMA). Results: From the identification process, authors found 6,589 articles and after going through the screening and eligibility stages 24 studies were included in this review. Exploring PTG among nurses involves examining how they reflect upon and derive meaning from their experiences during challenging circumstances. Several instruments to measure PTG among nurses were identified, inter alia, Posttraumatic Growth Inventory (PTGI), Posttraumatic Growth Inventory Chinese versions (PTGI-C), Posttraumatic Growth Inventory-Expanded (PTGI-X), Posttraumatic Growth Inventory-Short Form (PTGI-SF), and Turkish, Polish, and Korean versions of PTGI. Conclusion: In general, the original version of PTGI has been adapted and translated into several languages to measure PTG among nurses during the COVID outbreak.
Behaviour of Using Personal Protective Equipment by Midwives During Normal Childbirth Based on Health Belief Model and Social Capital at Maternity Clinics Framudella, Azarine Dwinta; Asmaningrum, Nurfika; Ratnawati, Leersia Yusi
Indonesian Journal of Global Health Research Vol 7 No 1 (2025): 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.v7i1.3997

Abstract

The implementation mechanism of normal childbirth care is inseparable from the potential risks to midwifery health disorders. One of the efforts to prevent health problems due to work is to use Personal Protective Equipment (PPE). The behavior of using PPE by midwives is important to prevent work accidents or occupational diseases during normal childbirth assistance which can be reviewed from a person's health behavior. Theories that can describe health behaviors are the Health Belief Model and Social Capital. The purpose of this study is to analyze the influence of the theory of Health Belief Model and Social Capital on the behavior of using PPE in midwives in normal childbirth care at the Surabaya City maternity clinic. The research design uses clinical observation with a cross sectional approach. The population consists of 80 midwives and the sample consisted of 66 respondents. All aspects of HBM and social capital have a sig > 0.05 which means that these aspects are related to the behavior of using PPE in midwives in normal childbirth care at the Surabaya City maternity clinic. All aspects of HBM and social capital have a sig of < 0.05 which means that these aspects affect the behavior of using PPE in midwives in normal childbirth care at the Surabaya City maternity clinic. The vulnerability aspect of HBM theory and the proactive action aspect of Social Capital theory significantly affect normal childbirth care.
Factors Hindering Nursing Care Documentation: A Scoping Review Mardiati, Mardiati; Rahmawati, Iis; Asmaningrum, Nurfika
Indonesian Journal of Global Health Research Vol 7 No 2 (2025): 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.v7i2.5760

Abstract

Nursing documentation is a critical element in ensuring patient safety, continuity of care, and professional accountability. However, the practice of documentation often encounters multiple challenges, including insufficient training, high workloads, limited resources, and the lack of clear operational guidelines. These barriers can impact the quality of care and patient safety, necessitating an in-depth exploration to understand and address them effectively. This scoping review aims to identify and analyze the factors hindering nursing care documentation, focusing on technical, individual, organizational, and contextual barriers across various healthcare settings. This review includes studies involving nurses and the factors affecting nursing care documentation. The concepts reviewed include barriers to documentation, such as individual, technical, organizational, and contextual obstacles. The context encompasses various healthcare settings, including hospitals, clinics, and community healthcare services across different countries. A comprehensive literature search was conducted using databases such as PubMed, ScienceDirect, Google Scholar, and ProQuest. Articles published between January 2020 and December 2024 were assessed using the JBI and MMAT critical appraisal tools. The selection process, based on PRISMA guidelines, identified 15 eligible articles for analysis. Key barriers to nursing documentation include inadequate training, low technological literacy, high workloads, infrastructure limitations, low motivation, and the absence of consistent documentation guidelines. These barriers affect the quality and accuracy of documentation, with implications for patient safety and service efficiency. Additionally, the findings highlight the need for improved supervision, auditing, and investments in documentation technology. Barriers to nursing care documentation require holistic interventions, including continuous training, technological infrastructure enhancement, and the implementation of clear operational guidelines. Further research is needed to explore effective solutions and their applications in diverse contexts.
The Factors Causing Work Fatigue among Nurses after COVID-19 Vaccination Afandi, Alfid Tri; Kurniawan, Dicky Endrian; Nur, Kholid Rosyidi Muhammad; Ardiana, Anisah; Asmaningrum, Nurfika; Purwandari, Retno
Babali Nursing Research Vol. 5 No. 1 (2024): January
Publisher : Babali Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37363/bnr.2024.51289

Abstract

Introduction: Work fatigue is a risk for all workers, including nurses, who are constantly working to help meet patient needs. The effects of work fatigue when providing nursing care to patients can have an impact on reducing the quality of work so that it can impact patient satisfaction in receiving services. The aims of the study are to determine the factors that cause work fatigue in nurses after the COVID-19 vaccination program. Method: This research used an observational design with a descriptive-analytical approach. The location of this research is hospitals in Jember with a population of nurses who work in hospital inpatient rooms using a simple random sampling technique. The total number of respondents obtained was 165 nurses. The research instrument used in data collection was the Job Fatigue Feelings Questionnaire, which had been modified from KAUPK2 and consisted of 17 question items. Statistical analysis in this research uses a constant comparative method. Results: Based on the demographic data of respondents as an item from the analysis of nurses' work fatigue, it was found that age, education, and working period influence the level of work fatigue (p=0.01; p=0.04; p=0.04) while gender, marriage, employment, and position didn’t influence the work fatigue of nurses (p=0.82; p=0.93; p=0.14; p=0.48). Conclusion: Work fatigue can affect the performance of nurses. The most influencing factors were age, education, and working period, while marital status, employment, nursing position in work, and gender did not influence the level of work fatigue of nurses.
GAMBARAN PERAN ADVOKASI PERAWAT DALAM PELAYANAN PASIEN DI RUANG RAWAT INAP RUMAH SAKIT TINGKAT III BALADHIKA HUSADA KABUPATEN JEMBER Salsabilla, Ridha Nilna; Asmaningrum, Nurfika
Jurnal Kesehatan Tambusai Vol. 5 No. 1 (2024): MARET 2024
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jkt.v5i1.15995

Abstract

Perawat merupakan garda terdepan yang berhadapan langsung dengan pasien yang bertugas memberikan pelayanan kesehatan kepada pasien. Peran advokasi merupakan kewajiban perawat untuk menghormati dan melindungi hak-hak pasien. Tujuan penelitian ini adalah untuk mengidentifikasi bentuk atau strategi gambaran peran advokasi perawat dalam perawatan pasien di Ruang Rawat Inap Rumah Sakit Tingkat III Baladhika Husada Jember. Penelitian ini dimulai tanggal 6 Maret - 6 April 2023, dilakukan selama 15 Hari. Desain penelitian yang digunakan yaitu deskriptif analitik dengan teknik purposive sampling. Populasi pasien yang di rawat di Ruang Mawar dan Ruang Nusa Indah selama satu bulan terakhir pada bulan Oktober 2022 sebanyak 287 pasien. Jumlah sampel sebanyak 165 responden menggunakan analisa univariat. Penelitian menggunakan kuesioner pelaksana peran advokasi perawat. Hasil penelitian peran advokasi perawat dalam pelayanan pasien di Ruang Rawat Inap Rumah Sakit Tingkat III Baladhika Husada Kabupaten Jember di kategorikan baik dengan persentase 58,2%, persentase tertinggi 70,3% pada indikator pelaksana tindakan dan persentase terendah 53,3% pada indikator mediator. Dapat disimpulkan bahwa peran advokasi perawat menurut persepsi pasien di Ruang Rawat Inap Rumah Sakit Tingkat III Baladhika Husada Kabupaten Jember sudah baik. Perawat harus membantu pasien dalam memberikan pelayanan asuhan keperawatan untuk memenuhi kebutuhan pasien, memberikan pelayanan keperawatan yang berkualitas, membantu pasien dalam mengambil keputusan suatu tindakan, menjaga keselamatan pasien agar pasien tidak merasa dirugikan saat diberikan tindakan keperawatan.
The Six Right Principles of Drug Administration to Patients with Diabetes Mellitus in Hospitals: A Case Study Afandi, Alfid Tri; Maula, Muthiatul; Asmaningrum, Nurfika; Putrha, Gede Dharmawan
Jurnal Kesehatan Komunitas Indonesia Vol 4 No 1: April 2024
Publisher : Al-Hijrah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58545/jkki.v4i1.165

Abstract

Background: About one-third of adverse events are drug-related medication administration errors (MAE). One method to improve drug administration safety is the application of the six rights of drug administration which include right patient, right drug, correct dose, right time, right route, and proper documentation. Nurses must apply it generously and nursing professional students must be able to use it well too. Purpose: The purpose of this case study is to compare the application of the six right medicine principles between nursing and nursing professional students to Mrs. E with Diabetes Mellitus in Hospital. Methods: This case study uses a quantitative study approach with a comparative descriptive design. Data were obtained through observation for seven days with an observation measuring instrument for applying the six correct drug administration are consist of 33 statements. Respondents were obtained from purposive sampling consisting of 7 Nursing Profession students at the Faculty of Nursing, University of Jember, and seven nurses at the Hospital. Results: The difference in applying the six right principles of drug administration to Mrs. E for seven days (14 shifts) by 11 students and nurses (4.8%).  Conclusion: An indicator that still really needs to be improved by students and nurses is the true indicator of patients who are still below 50%. Meanwhile, the other indicators have achieved a total implementation of >70%.
The Instruments for Measuring Patient-Centred Care in Clinical Care Settings: a Systematic Literature Review Siswanto, Heri; Asmaningrum, Nurfika; Rondhianto, Rondhianto
MAHESA : Malahayati Health Student Journal Vol 4, No 7 (2024): Volume 4 Nomor 7 (2024)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v4i7.14899

Abstract

ABSTRACT Patient-centred care has different dimensions, necessitating a clear definition to facilitate consistent measurement and evaluation of patient-centred care in clinical settings. This systematic literature review aims to identify and compare measuring tools related to patient-centred care in clinical settings. The Prisma framework was employed to explore six databases (i.e., Google Scholar, PubMed, Science Direct, Springer, MDPI, and Sage Journal) for literature review in identifying instruments used to measure patient-centred care in clinical settings. Result Of 13 articles included in this review, 13 articles documented different questionnaires measuring patient-centred care. These questionnaires included The Person-centred Primary Care Measure (PCPCM), Person-centred maternity care (PCMC), Chloe's-Card, Korean version of the Person-centred Care Assessment Tool (K-P-CAT), Health Education Impact Questionnaire (HEI-Q), Patient-centred Matching (PCPM), Quality of Interactions Schedule (QuIS), Person-centred Critical Nursing Care Scale, Patient-centred Quality of Cancer Care Questionnaire (PCQCCQ), Patient-reported Experience Measures (PREMs), Patient-centred Survivorship Care Index (PC-SCI), and Vietnamese Patient-centred Care measure (VPCC). Each instrument had different criteria according to the patient's background and contextual setting. Existing questionnaires have engaged various perspectives in measuring patient-centred care and distinct adjustment to the patient's condition. Some of the reviewed instruments were modified from existing instruments to meet particular settings. Keywords: Measuring, Patient-Centred Care, Clinical Care, Instruments
Differences in Quality of Female Nursing Work Life Based on Gender and Nursing Perspectives Wijaya, Dodi; Rosyidi Muhammad Nur, Kholid; Asmaningrum, Nurfika; Rizky Amalia, Dinda
Nursing and Health Sciences Journal (NHSJ) Vol. 3 No. 4 (2023): December 2023
Publisher : KHD-Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/nhsj.v3i4.298

Abstract

The quality of a nurse’s work life is the degree of satisfaction regarding personal and organizational needs based on experience in a work organization. A nurse with a dual role is the nurse who acts as a mother and a professional nursing staff at the same time. The purpose was to determine differences in the quality of female nurses’ work life in gender and nursing perspective at Balung General Hospital and Kalisat General Hospital in Jember Regency. The research method uses a comparative study with a quantitative research type. The sampling technique in this research is random sampling with a total of 115 samples. Data collection was conducted by using questionnaires about the quality of nurses’ work life from the nursing perspective and questionnaires conflict with women’s dual role from the gender perspective. Data processing using the Mann-Whitney analysis test with a 95% significance level (α=0.05). The results using Mann-Whitney analysis showed that there is a difference between the gender perspective and the nursing perspective (p=0.000). The mean results showed that the nursing perspective () is higher than the gender perspective (). The conclusion shows that the quality of female nursing work life from the gender perspective needs to be improved. The hospital needed to review further regarding work schedules and shift time; the family needed to provide full support and good cooperation; and female nurses themselves must also have good coping control, time, and energy management. Apart from that, it is necessary to have a policy from the room head and team leader regarding the distribution of schedules for female nursing staff without reducing the feeling of unfairness for male health workers.
Identification of Self-Concept among Cancer’s Farmer Patients Undergoing Chemotherapy: A Descriptive Study Septiani Wahdaniyah, Mellinia; Asmaningrum, Nurfika; Endrian Kurniawan, Dicky
Nursing and Health Sciences Journal (NHSJ) Vol. 3 No. 4 (2023): December 2023
Publisher : KHD-Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/nhsj.v3i4.313

Abstract

Occupation in the agriculture sector is one of the contributors to health problems, one of which is cancer. The general treatment that can be given to cancer patients is chemotherapy. However, the side effects of chemotherapy can interfere with daily activities and cause feelings of helplessness. This condition influences changes in the self-concept of farmers. The purpose of this study is to identify the self-concept of farmers undergoing chemotherapy at Level III Baladhika Husada Hospital, Jember Regency. This study used a descriptive quantitative design. The sampling technique used purposive sampling with a total of 58 respondents. The data collection was conducted using a self-concept questionnaire. The data analysis technique used univariate analysis. The results of this study indicate that more than half of the farmers had a negative self-concept as many as 31 people (53.4%). Based on the evaluation of indicators, 31 people (53.4%) showed weak self-identity, 34 people (58.6%) had negative body image, 37 people (63.8%) had negative self-ideals, 33 people had low self-esteem (56.9%), and the disturbed role of 33 people (56.9%). The majority of farmers had a negative self-concept, which can be caused by several factors, such as changes in body condition, roles in the family, and changes in social relations. This study can be a basis for nurses to improve nursing practice by providing support and motivation to patients undergoing chemotherapy during the treatment process.
Correlation between Nurse Altruism Attitudes and Levels of Workplace Violence in Nurses at the Agroindustrial Regional Hospital in Jember Regency Wijaya, Dodi; Rifatul Ula, Shobrina; Rosyidi Muhammad Nur, Kholid; Asmaningrum, Nurfika
Nursing and Health Sciences Journal (NHSJ) Vol. 4 No. 1 (2024): March 2024
Publisher : KHD-Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/nhsj.v4i1.327

Abstract

Nurses with an altruistic attitude should prioritize the patients' interests over their own and strive to care for the welfare of others. This significantly affects the level of workplace violence among nurses, where violence in the workplace is a prevalent issue in the nurses' work environment. This research aims to analyze the relationship between nurses' altruism and the level of workplace violence among nurses in hospitals in the agro-industrial area of Jember district. This study employs a quantitative correlational design with a cross-sectional approach. Sampling was conducted using purposive sampling, resulting in a sample of 178 nurses. Data collection involved an altruism scale questionnaire and a workplace violence questionnaire. The research utilizes the Kendall Tau-C test. The research results revealed that 84.8% of respondents exhibited a high level of altruism, and 64.6% of respondents displayed a low level of workplace violence. Both variables show a p-value of 0.008 (p-value < 0.05), indicating a relationship between nurses' altruism and the level of workplace violence. This study shows a negative correlation value of r = -0.159, indicating a weak correlation. The lower the nurses' altruism attitude, the higher the level of workplace violence among them. The nurses' altruism attitude significantly influences patient assessment; the better the patient assessment provided by nurses, the lower the occurrence of conflicts.
Co-Authors Ahmad Rifai Alfid Tri Afandi Allyarista, Dhea Firnanda Airin Aluh Eka Novianty Anandarma, Sustyarko Onny Andiny, Aliya Nuri Angelina Paramitha Astuti Dos Santos Anisah Ardiana Anisah Ardiana ardiani, Dewi Ulfah Ardiani Arifatunnahriyah, Octavia Astuti, Anggia Ayu Rahmawati AYU RAHMAWATI Azizah Abdullah, Syamsiah Nur Baehaqi Baiq Trisna Satriana Budi Anna Keliat Chandra Aji Wijaya Chandra Aji Wijaya, Chandra Aji Chandra, Eka Yufi Septriana Dani Saputra Darmawan , I Kade Iman Denny Rifki Desy Listyaningrum, Desy Devi Chintya Ayu Palupi Dewi Karuniawathy, Sari Dewi, Sonia Mila Dodi Wijaya Dwi Nuria Arifin Dwifarin, Septa Edyawati, Eka Eka Edyawati Eka Yufi Septriana Candra Eko Prasetyo Endrian Kurniawan, Dicky Ermayuningsih, Baiq Reny Erti Ikhtiarini Dewi Faradisa, Elok Fatimah Fauzatul Walidanik Fauziah, Nur Hasanatil Fauziah, Wahyuni Firman Ramadhan Framudella, Azarine Dwinta Gesit Wira Mustapa Handoko, Yudho Tri Hartini Mansyur Heri Siswanto Heri Siswanto Huriah, Luluk Ida Ayu Manik Fitriani Utami Intan Ayu Nur Aini Isdayana, Mulenda Isfadillah, Onny Ega Jihadiah Nur Ikromah Kholid Rosyidi Muhammad5 Kiki Maria Kustiarini, Ari Lantin Sulistiyorini, Lantin Leersia Yusi Ratnawati Lumprom, Orachorn Lutfian, Lutfian Maman Suparman Mardiati Mardiati Marsya Nurrahmawati Maula, Muthiatul Moh Taufiqurrahman Muhamad Zulfatul A’la Muhammad Nur, Kholid Rosyidi Mukhammad Toha Mulenda Isdayana Musta'adah, Iftitatul Mustapa, Gesit Wira Nabawi, Darodjadien Naofal Naela Farah Anisa Nanda, R.A Arsyifa Nguyen, Tuan Van Novi Putri Cahyanti Novi Putri Cahyanti Nur Jannah Nur, Kholid Rosyidi M Nurrahmawati, Marsya Nuzula , Indana Firdausi Pathiaturrohmi, Siti Pujiyono, Aldi Rahardian Puthro, Gede Darmawan Putrha, Gede Dharmawan R.A Arsyifa Nanda Rahmawati, Iis ramadhan, firman Restanto, Didik Pudji Retno Purwandari Retno Purwandari Retno Purwandari Retno Wardani, Hamidah Rifatul Ula, Shobrina Rizeki Dwi Fibriansari Rizka Maulida Rizka Maulida Rizky Amalia, Dinda Rondhianto Rondhianto Saktiningtiyas, Devi Ruchama’ Salsabilla, Ridha Nilna Saputra, Dani Sarah Wulan Putrianti Sari Dewi Karuaniawathy Septiani Wahdaniyah, Mellinia Sholihah, Firdha Amaliatus Sholihah, Mar'atus Sofyan Nurdiansyah Sonia Mila Dewi Sri Wahyuni Sri Wahyuningsih Suciati Suciati Suciati Suciati Sugiyanta Sugiyanta Suhari Suhari Suhari Sujarwadi, Mokhammad SUJARWANTO Supiah Farida Supriadi, Zaroan Sustyarko Onny Anandarma Sutanto Priyo Hastono Suyanti Suyanti syamsidar syamsidar Sya’roni, Sya’roni Syifa Hajarul Istiqomah Tantut Susanto Tantut Susanto Tanwirullaily Tikfi Andriani Tsai, Yun Fang Ulfah, Choiria Firdatul Ulfiatun Hasanah Umi Latifah Vindika Winda Ancarani Perijingga Wanda, Ira Purba Wibowo, Suhendra Agung Wijaya, Alwan Yeni Pusparini Yiyi Adelia Yudho Tri Handoko Yulia Kurniawati Zuhroidah, Ida Zuhrotul Rofiqoh