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ACTIV-5: A Digital Education Strategy for Tuberculosis Prevention in the Community: ACTIV-5: Strategi Edukasi Digital untuk Cegah TBC di Komunitas Ermayuningsih, Baiq Reny; Sholihah, Mar'atus; Wahyuni, Sri; Tanwirullaily; Asmaningrum, Nurfika; Ardiana, Anisah; Fatimah
Journal of Community Empowerment for Multidisciplinary (JCEMTY) Vol. 3 No. 2 (2025): November 2025
Publisher : KHD Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/jcemty.v3i2.414

Abstract

Tuberculosis remains a serious public health issue in Indonesia. Low public awareness, delayed diagnosis, and poor treatment adherence have worsened the spread of the disease. This community service activity aimed to enhance public understanding of TB prevention through a digital educational video based on the ACTIV-5 strategy, and to evaluate its effectiveness in improving knowledge scores before and after the intervention. The program was conducted from June 30 to July 2, 2025, using a quasi-experimental pretest-posttest design. A total of 172 respondents were purposively selected from a population of 302 individuals. Education was delivered by screening short videos based on the ACTIV-5 strategy in the waiting area of the health center. Respondents’ knowledge was measured using a structured questionnaire administered before and after the intervention. During the educational period, a total of 320 patient visits were recorded. Data were analyzed using basic quantitative methods. Pretest results showed that most respondents lacked understanding of TB symptoms and transmission mechanisms. After the intervention, there was a significant increase in knowledge scores, particularly in recognizing early symptoms and the importance of completing treatment. The average score improved by more than 40% from the baseline. In conclusion, the ACTIV-5-based educational video proved to be effective and holds potential as a sustainable educational strategy in primary healthcare services. It is recommended that the program be replicated in other public health centers to expand its promotive and preventive impact on TB control.
Implementation of SITENSI Digital Application to Improve Hypertension Patient Compliance in Health Management: Penerapan Aplikasi Digital SITENSI untuk Meningkatkan Kepatuhan Pasien Hipertensi dalam Pengelolaan Kesehatan ardiani, Dewi Ulfah Ardiani; Tikfi Andriani; Supiah Farida; Aluh Eka Novianty; Nurfika Asmaningrum; Ardiana, Anisah; Baiq Trisna Satriana; Ida Ayu Manik Fitriani Utami
Journal of Community Empowerment for Multidisciplinary (JCEMTY) Vol. 3 No. 2 (2025): November 2025
Publisher : KHD Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/jcemty.v3i2.415

Abstract

Hypertension is one of the most prevalent chronic diseases in the working area of Karang Taliwang Public Health Center, Mataram City. The main challenges in hypertension management include patients’ low adherence to control schedules and limited health literacy. This community service activity aims to improve patient adherence and understanding through the implementation of a digital application called “SITENSI” (Blood Pressure and Hypertension Education Information System). The activity was conducted from June to July 2025 through initial observation, dissemination, digital education, cadre training, and application trials in local health posts and the primary health center. A total of 20 hypertensive patients participated in the pre- and post-tests. The results indicated a significant increase in knowledge scores from 4.8 (pre-test) to 15.4 (post-test), showing a 10.6-point improvement. Additionally, cadres and health workers responded positively to the application’s user-friendliness and educational features. The implementation of SITENSI proves effective in supporting technology-based primary health care transformation and strengthening the role of nurses and community health workers in hypertension management.
Pengembangan Health Self-Empowerment: Analisis Indeks Massa Tubuh dan Gaya Hidup Masyarakat Agrikultural Fibriansari, Rizeki Dwi; Asmaningrum, Nurfika; Astuti, Anggia
Jurnal Kesehatan Vokasional Vol 10, No 1 (2025): February
Publisher : Sekolah Vokasi Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkesvo.103402

Abstract

Latar Belakang: Kesehatan merupakan aspek vital dalam kehidupan manusia dan erat kaitannya dengan indeks massa tubuh (IMT) dan gaya hidup. Konsep self-empowerment atau pemberdayaan diri semakin berkembang dalam dunia kesehatan, dengan fokus pada upaya individu untuk mengambil peran aktif dalam pemeliharaan dan peningkatan kesehatan mereka sendiri.Tujuan: Tujuan penelitian ini adalah menganalisis dan mengukur distribusi IMT dan gaya hidup sehat berbasis pengembangan Model Health Self-Empowerment.Metode: Rancangan penelitian menggunakan desain diskriptif analitik. Teknik pengambilan sampel menggunakan total sampling sebanyak 269 responden di area agrikultural. Pengumpulan data dilakukan dengan cara observasi, mengukur IMT dan kuesioner tentang perilaku gaya hidup sehat. Analisis data menggunakan statistik diskriptif.Hasil: Mayoritas responden adalah laki-laki (88%) dalam kelompok usia <40 tahun (48%). Kategori IMT overweight 55 responden (20,4%) dan obesitas sejumlah 27 responden (10%). Aktivitas gaya hidup sehat yang dominan dilakukan adalah perilaku hidup bersih (67%) dan yang jarang dilakukan makan teratur dan bergizi (54%).Kesimpulan: Usia produktif dengan prevalensi overweight dan obesitas pada kelompok agrikultural masih cukup tinggi. Perlunya perhatian terhadap perilaku makan dan manajemen berat badan sebagai bagian dari promosi gaya hidup sehat. Gaya hidup sehat masyarakat agrikultural perlu ditingkatkan terutama dalam aspek manajemen stres, pola makan, dan pemantauan kesehatan.
Kepatuhan komunikasi SBAR dalam pelaksanaan transfer pasien ruang rawat inap ke ruang intensif oleh PPJA di ruang rinjani: Studi kasus Wanda, Ira Purba; Asmaningrum, Nurfika; Faradisa, Elok; Suparman, Maman
JOURNAL OF Qualitative Health Research & Case Studies Reports Vol 6 No 2 (2026): February Edition 2026
Publisher : Published by: Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Persatuan Perawat Nasional Indonesia (PPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/quilt.v6i2.2461

Abstract

Background: Communication failure during critical patient transfer is a leading cause of patient safety incidents globally. Despite available standards, implementation gaps frequently occur due to high workloads and dynamic clinical situations. Purpose: To analyze the compliance level of SBAR communication during patient transfer from inpatient wards to the intensive care unit. Method: This research is a case study with a descriptive observational design conducted in November 2025. The population included Primary Nurses (PPJA) in the Rinjani Ward. A sample of 14 respondents was selected via accidental sampling. Data were collected through direct observation using a checklist adopted from the hospital's Standard Operating Procedures (SPO). Results: The overall compliance level of SBAR communication was high, averaging 92%, supported by the dominance of nurses with over 5 years of experience and Ners education background. However, a critical gap was found in the read-back verification element (TBAK), which only reached 60%. Conclusion: While a safety culture is established, the closed-loop communication cycle remains incomplete, particularly in the verification aspect.   Keyword: Adherence; SBAR communication; Transfer Patient.   Pendahuluan: Kegagalan komunikasi selama transfer pasien kritis merupakan penyebab utama insiden keselamatan pasien secara global. Meskipun standar baku tersedia, kesenjangan implementasi komunikasi sering terjadi akibat beban kerja tinggi, dan situasi klinis yang dinamis. Tujuan: Untuk menganalisis tingkat kepatuhan komunikasi SBAR dalam pelaksanaan transfer pasien dari ruang rawat inap ke ruang intensif. Metode: Penelitian ini merupakan studi kasus dengan pendekatan deskriptif observasional. Populasi penelitian adalah Perawat Penanggung Jawab Asuhan (PPJA) di Ruang Rinjani dengan sampel sebanyak 14 responden yang diambil menggunakan teknik accidental sampling pada bulan November 2025. Pengumpulan data dilakukan melalui observasi langsung menggunakan lembar checklist sesuai SPO rumah sakit. Hasil: Kepatuhan komunikasi SBAR secara umum tergolong tinggi dengan rata-rata 92%, didukung oleh dominasi perawat dengan masa kerja <5 tahun dan latar belakang pendidikan Ners. Namun, ditemukan kesenjangan kritis pada elemen verifikasi ulang (read-back) yang hanya mencapai 60%. Simpulan: Meskipun budaya keselamatan telah terbentuk, siklus komunikasi tertutup (closed-loop) belum sempurna akibat faktor situasional.   Kata kunci: Kepatuhan; Komunikasi SBAR; Transfer Pasien.
An Islamic-Based Spiritual Program to Improve Workplace Happiness among Inpatient Nurses in Jember, Indonesia Nur, Kholid Rosyidi Muhammad; Asmaningrum, Nurfika; Rondhianto, Rondhianto; Kurniawan, Dicky Endrian; Lumprom, Orachorn
Jurnal Keperawatan Soedirman Vol 21 No 1 (2026): Jurnal Keperawatan Soedirman (JKS)
Publisher : Fakultas Ilmu-ilmu Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.jks.2026.21.1.15849

Abstract

Happiness at work (HAW) plays a critical role in nurses’ performance and their ability to deliver compassionate care, as it affects nurses’ motivation, empathy, and caring behavior. However, culturally grounded interventions to improve nurses’ happiness, particularly within Islamic spiritual frameworks, remain underexplored. Therefore, this study examined the effect of an Islamic-based spiritual program based on local religious and cultural values on nurses’ HAW. This research employed a quasi-experimental design with a non-equivalent control group. The intervention included a structured religious talk on the meaning of life and daily listening to Quranic recitations (murottal) during work for four weeks. The study involved 64 inpatient nurses from hospitals. The participants were assigned to an intervention group (n = 32) and a control group (n = 32). Data were collected using the Shortened HAW questionnaire and analyzed using repeated-measures ANOVA and the Kruskal–Wallis test. The results showed that happiness scores increased significantly in the intervention group (mean difference = 1.53, p < 0.001; η² = 0.354). In contrast, the control group showed minimal change. These findings indicate that Islamic-based spiritual programs can effectively enhance nurses’ happiness at work and may contribute to nurse retention, strengthen caring values, and improve healthcare quality.
The Nurse’s Caring Behavior on Multicultural Hospital Settings: A Literature Review Ulfiatun Hasanah; Nurfika Asmaningrum; Kholid Rosyidi Muhammad Nur
Jurnal Kesehatan dr. Soebandi Vol 9 No 2 (2021): Jurnal Kesehatan dr. Soebandi
Publisher : Lembaga Penelitian dan Pengabdian Masyarakat Universitas dr. Soebandi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36858/jkds.v9i2.316

Abstract

Introduction: Cultural diversity means a different ethnic group in a country or region; these conditions bring different beliefs and understandings to health care and has an impact on the caring behaviour of nurses. Objective: To describe caring behaviour of nurses on patients in multicultural settings in hospitals. Methods: A Literature review and used 5 comprehensive electronic databases such as Google Scholar, PubMed, Science Direct, ProQuest and Garuda. Results: 10 articles used in this research, 3 themes were analysed, including: forms, barriers, and nursing care strategies for multicultural patients. Forms of nurse caring such as understanding and focus on patient, cultural sensitivity, and verbal and non-verbal communication. The caring barriers were ethnocentrism, conflicting perceptions, lack of cultural knowledge, language differences, inadequate hospital facilities, religious differences, patient family behaviour, ineffective coping, and body exposure. The strategies were providing translators, increasing education, organizational support, and improving coping strategies. Conclusion: The researcher concludes that when nurses do caring, they must pay close attention to the culture of the patient, and the strategies found in this study can be used to reduce the barriers that occur while nurses were caring for multicultural patients so that the patient does not feel different during health care.
The Health Literacy Level among Adult Patients in Rural and Urban Public Health Centers of Pandalungan Region: A Dual-Center Comparative Study Sofyan Nurdiansyah; Nurfika Asmaningrum; Retno Purwandari; Anisah Ardiana; Kholid Rosyidi Muhammad Nur
Jurnal Kesehatan dr. Soebandi Vol 10 No 1 (2022): Jurnal Kesehatan dr. Soebandi
Publisher : Lembaga Penelitian dan Pengabdian Masyarakat Universitas dr. Soebandi

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Introduction: Health literacy is an important component to ensure healthy behavior which is a determinant to a person’s health and life quality. Health literacy contributes to improving a person's health to make healthy lifestyle choices, prevent disease, seek information about appropriate treatment, and determine the best remedies to treat a disease. Objective: This study was aimed to determine the differences in the level of adult patients’ health literacy in rural and urban health centers in Pandalungan region in Jember regency, East Java, Indonesia. Methods: The study was designed as comparative descriptive research. Purposive sampling was conducted on 216 adults who visited two public health centers (henceforth PHCs) in rural and urban areas which were determined based on the highest visitors of 2019 in each rural and urban region. Data was collected using HLS-EU-16Q. The data analysis were descriptive analysis, Mann Whitney U Test, and chi-square test. The level of statistical significance was set at p<0.05. Results: The study found a significant difference in the level of health literacy among adults who visited urban and rural PHCs (p<0.001). The level of health literacy in respondents who visited PHCs urban areas (132.29) was higher than those who visited PHCs rural areas (84.71). The three sub domains of health literacy showed a significant difference between rural and urban areas (p<0.001). The location of PHCs, age, education level, and occupation were the factors associated with health literacy level. Conclusion: Our findings highlight the impact of geographical areas as a driving variable to the level of adults’ personal health literacy. The role of the rural-urban areas affects the individual skills and abilities as the precursor to health literacy. Thus, reducing health literacy barriers is an essential element for promoting health equity, which further can reduce health disparities and promotes the human rights principles of nondiscrimination and equality.
Eksplorasi Kepuasan Terhadap Pemenuhan Kebutuhan Dasar Manusia Berbasis Hirarki Maslow Pada Petani Garam di Desa Pinggir Papas, Kabupaten Sumenep Novi Putri Cahyanti; Nurfika Asmaningrum; Alfid Tri Afandi
Jurnal Kesehatan dr. Soebandi Vol 11 No 2 (2023): Jurnal Kesehatan dr. Soebandi
Publisher : Lembaga Penelitian dan Pengabdian Masyarakat Universitas dr. Soebandi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36858/jkds.v11i2.406

Abstract

The basic human needs are satisfied when they are fully met. Maslow's theory classifies basic human needs into physiological needs, the needs for safety, the needs for belongingness and love, esteem needs, and self-actualization needs. This study analyzed the satisfaction of basic human needs in salt farmers in Pinggir Papas village, Kalianget district, Sumenep regency, Madurese Island. This descriptive study involved a sample group of 75 salt farmers selected through total sampling. Research data was collected using a need satisfaction inventory questionnaire. The results showed that the satisfaction of basic human needs among salt farmers was marked by a mean score of 194.51, meaning that the farmers had satisfied their basic needs. The satisfaction of basic needs was close to the maximum mean in each category, inter alia, physiological needs (36.79), the needs for safety (38.56), belongingness and love (39.85), self-esteem needs (39.75), and self-actualization needs (39.56). The study found the highest to lowest basic needs’ satisfaction were the needs for belongingness and love, self-esteem needs, and self-actualization, the needs for safety, and physiological needs. Nurses can act as educator and advocate to provide comprehensive information, advocacy to be motivated on the fulfillment of basic needs to ensure maximum satisfaction in each category of basic needs. Keyword: Basic Human Needs, Descriptive, Salt Farmers, Satisfaction
Personality types and therapeutic communication skills of nurses in hospital Musta'adah, Iftitatul; Asmaningrum, Nurfika; Kurniawati, Yulia; Faradisa, Elok
JOURNAL OF Mental Health Concerns Vol. 4 No. 7 (2026): March Edition 2026
Publisher : Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Unit Penelitian dan Pengabdian Kep Akademi Keperawatan Baitul Hikmah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/mhc.v4i7.2418

Abstract

Background: Personality type is an individual characteristic that influences how nurses interact, communicate, and establish relationships with patients in clinical practice. One of the essential forms of professional interaction in nursing practice is therapeutic communication, which plays a crucial role in building mutual trust between nurses and patients and supporting the healing process. Differences in personality type are presumed to affect nurses’ ability to demonstrate empathy, engage in effective interactions, and respond appropriately to patients’ needs. Purpose: To analyze the relationship between personality type and the therapeutic communication skills of inpatient ward nurses in a hospital setting. Method: A quantitative correlational design with a cross-sectional approach. The study population consisted of all nurses working in the inpatient wards at Jember Klinik Plantation Hospital, totaling 82 nurses. Total sampling was used as the sampling technique. The research instruments included the Jung’s Type Indicator (JTI) to measure personality type and the Global Interprofessional Therapeutic Communication Scale (GITCS) to assess therapeutic communication skills. Data were analyzed using univariate and bivariate analyses, with the point-biserial correlation test applied at a significance level of 5%. Results: The majority of nurses had an introverted personality type (76%). The mean score of nurses’ therapeutic communication skills was 113.82 ± 4.77, which was above the minimum value. The correlation test results showed a significant relationship between personality type and nurses’ therapeutic communication skills (p = 0.000), with a correlation coefficient of r = 0.489, indicating a positive relationship of moderate strength. Conclusion: There was a significant relationship between personality type and the therapeutic communication skills of nurses in inpatient wards. Personality characteristics should be considered as one of the factors in developing strategies to improve therapeutic communication skills in order to enhance the quality of nursing care services. Keywords: Hospital; Nurses; Personality Type; Therapeutic Communication.
Effectiveness of a Local Wisdom–Based Spiritual Intervention on Work Happiness and Caring Behavior among Nurses: A Randomized Mixed-Methods Nur, Kholid Rosyidi Muhammad; Asmaningrum, Nurfika; Wijaya, Dodi; Kurniawan, Dicky Endrian; Rondhianto, Rondhianto
Journal of Applied Nursing and Health Vol. 8 No. 1 (2026): Journal of Applied Nursing and Health
Publisher : Chakra Brahmanda Lentera Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55018/janh.v8i1.529

Abstract

Background: Nurses often face high job demands and emotional stress that may reduce work happiness and caring behavior. Previous studies have examined workplace well-being interventions; however, culturally grounded spiritual programs integrating local wisdom remain insufficiently tested using rigorous experimental designs, particularly in low- and middle-income countries (LMICs). This study aimed to evaluate the effectiveness of a local wisdom–based spiritual program in improving work happiness and caring behavior among inpatient nurses in Indonesia. Methods: A mixed-methods randomized controlled trial following CONSORT guidelines was conducted with 120 inpatient nurses at two hospitals in Jember, Indonesia. Eligible nurses (>1-year inpatient experience) were randomly assigned to either an intervention group (n = 60) or a control group (n = 60). The intervention group participated in a 12-week spiritual program (Pengajian and Tari Molong Kopi) that included routine activities. The independent variable was program participation, and the dependent variables were work happiness and caring behavior measured using the Oxford Happiness Questionnaire (OHQ) and Caring Behavior Inventory (CBI) at baseline, week 6, and week 12. Data were analyzed using repeated-measures ANOVA, effect sizes (Cohen’s d), correlation, and 95% confidence intervals. Qualitative responses were analyzed thematically. Results: Participants were mostly female (87%) with a mean age of 32 years. The intervention group showed significantly greater improvements in OHQ and CBI scores at weeks 6 and 12 compared with controls (p < 0.001), with moderate-to-large effects (d = 0.65–0.82). Work happiness correlated with caring behavior (r = 0.52). Themes included enhanced mindfulness, emotional release, renewed professional meaning, and stronger collegial relationships. Conclusion: Local wisdom–based spiritual programs significantly enhance nurses’ work happiness and caring behavior. Integrating culturally grounded spiritual practices into workplace well-being initiatives may strengthen the quality of nursing care in LMIC hospital settings.
Co-Authors Ahmad Rifai Alfid Tri Afandi Allyarista, Dhea Firnanda Airin Aluh Eka Novianty Anandarma, Sustyarko Onny 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 Devi Chintya Ayu Palupi 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 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 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 Rosyidi Muhammad Nur, Kholid 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 Suciati Suciati Suciati Suciati Sugiyanta Sugiyanta Suhari Suhari Suhari Sujarwadi, Mokhammad SUJARWANTO Supiah Farida 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 Wijaya, Alwan Yeni Pusparini Yiyi Adelia Yudho Tri Handoko Yulia Kurniawati Zuhroidah, Ida Zuhrotul Rofiqoh