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The Effect of Haryani Leadership Model Training (Harmonious, Adaptive, Responsive, Confident, Authentic, Nurturing, Integrative) on Communication Effectiveness and Nurses’ Performance Sri Haryani Saraswati; Fery Agusman; Sonhaji Sonhaji
Jurnal Ners Vol. 10 No. 3 (2026)
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i3.57684

Abstract

Effective communication and nurses’ performance are critical determinants of healthcare service quality in hospital settings. The HARYANI Leadership Model was developed as an innovative framework to enhance both communication effectiveness and nursing performance. This study aimed to examine the effect of HARYANI Leadership Model training on communication effectiveness and nurses’ performance at Columbia Asia Special Surgical Hospital Semarang. This research employed a quantitative approach with a quasi-experimental non-equivalent control group design. A total of 58 nurses were recruited using purposive sampling, comprising 29 participants in the intervention group and 29 in the control group. The intervention group received 40 hours of HARYANI Leadership Model training over a two-week period, while the control group received no intervention. Data were collected using a 51-item communication effectiveness questionnaire and a 42-item nurses’ performance questionnaire. Statistical analyses included paired t-tests, Wilcoxon signed-rank tests, Mann–Whitney U tests, and ANCOVA for multivariate analysis. This study received ethical approval from the Research Ethics Committee of Universitas Karya Husada Semarang (No. 079/KEP/UNKAHA/LPPM/III/2026). The findings demonstrated a substantial increase in communication effectiveness scores in the intervention group (130.14 to 213.90; p = 0.000), compared to a minimal increase in the control group (123.59 to 125.52; p = 0.002). Similarly, nurses’ performance scores in the intervention group improved significantly (91.14 to 170.31; p = 0.000), whereas the control group showed only slight improvement (90.28 to 93.45; p = 0.000). Between-group comparisons revealed statistically significant differences (p < 0.05). The effect sizes were notably large (Cohen’s d = 5.53 for communication effectiveness and 5.59 for performance). Multivariate analysis indicated that demographic variables did not significantly influence the outcomes (p > 0.05). In conclusion, the HARYANI Leadership Model training significantly enhances communication effectiveness and nurses’ performance, suggesting its potential as an effective strategy for strengthening nursing leadership and improving healthcare quality.
Revitalisasi Manajemen Posyandu Remaja Sebagai Upaya Preventif Kejadian Stunting Melalui Media Berbasis Internet of Thing Dwi Kustriyanti; Sonhaji Sonhaji; Retno Apriliyanti; Fatriana Dwi Aulia; Lutfiatun Nayyiroh; Yulina Anggi Mawar Dani; Bayu Aji
Journal of Community Development Vol. 5 No. 3 (2025): April
Publisher : Indonesian Journal Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47134/comdev.v5i3.1465

Abstract

Mawar Youth Integrated Service Post (Posrem Mawar) is located in Ngesrebalong Village, Limbangan District, Kendal, Central Java, which is located on the slopes of Mount Ungaran. Posrem in Ngesrepbalong Village contributed 34 (10.86%) stunted children out of a total of 313 cases in Limbangan Kendal District. The teenage problems that arise are early marriage as many as 37 (6%) in 2021 in the age range 15-18 years, 5 (13.5%) men and 32 women (86.5%), juvenile delinquency such as drinking alcohol, fights between groups/individuals, free sex and theft. Mawar Youth Integrated Service Post activities currently provide health check services and occasionally provide education about adolescent health, but do not yet have structured activity programs. It hasn’t had a youth cadre; the cadres are still affiliated with Toddlers and School-aged Integrated Service Post. This activity was aimed to increase teenagers' knowledge and understanding about reproductive health and prevention of early pregnancy; increasing access to information & getting interesting and interactive education; Helping teenagers make the right decisions about reproductive health; preventing early pregnancy, improving maternal and child health; The realization of quality and comprehensive services.  The active participation of teenagers in discussions shows changes in attitudes and increased commitment to reproductive health and prevention of early pregnancy. Post-activity questionnaire evaluation showed an increase of 12.3% in understanding reproductive health and prevention of early pregnancy for teenagers.
Intervensi RIZAL (Reminder Informasi Zealous Support Assistance Lifestyle Monitoring)Berbasis Keluarga Terhadap Kemandirian Pasien Hipertensi Rizal Fauzi; Fery Agusman; Sonhaji Sonhaji
Jurnal Ilmiah Keperawatan IMELDA Vol. 11 No. 2 (2025): Jurnal Ilmiah Keperawatan IMELDA
Publisher : Program Studi S1/DIII-Keperawatan Universitas Imelda Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52943/jikeperawatan.v11i2.1895

Abstract

Di Indonesia, situasi hipertensi menunjukkan pola yang mengkhawatirkan. Khusus di wilayah kerja Puskesmas Ciranjang, data tahun 2024 menunjukkan prevalensi hipertensi mencapai 23.158 atau 80% dari total populasi dewasa dengan tingkat kepatuhan pengobatan sebesar 25.842 (Profil Kesehatan Puskesmas Ciranjang, 2024). Penerapan Intervensi RIZAL (Reminder Informasi ZealousSupport Assistance Lifestyle Monitoring) adalah salah satu metode untung meningkatkan kemandirian pasien dengan melibatkan peran keluarga. Tujuan : Menganalisis dan mengukur pengaruh intervensi RIZAL berbasis keluarga terhadap kemandirian pasien hipertensi di wilayah kerja Puskesmas Rawat Inap Ciranjang. Metode : Jenis penelitian yang digunakan adalah penelitian kuantitatif dengan desain quasi eksperimental, dengan rancangan penelitian menggunakan one group pretest-posttest dengan total sampel sebanyak 35 orang. Hasil : Hasil penelitian menunjukkan bahwa sebelum intervensi RIZAL diberikan, mayoritas responden berada pada tingkat kemandirian I (54,3%) dan tingkat kemandirian II (34,3%), yang menunjukkan bahwa bahwa pasien hipertensi sering memiliki kemandirian rendah dalam pengelolaan penyakitnya, terutama terkait pengetahuan tentang kondisi dan kepatuhan pengobatan, sedangkan setelah dilakukan intervensi RIZAL terjadi perubahan signifikan pada tingkat kemandirian pasien hipertensi. Mayoritas responden berada pada tingkat kemandirian III (51,428%), diikuti tingkat kemandirian II (25,714%), dan tingkat kemandirian IV (20,0%). Ini menunjukkan adanya peningkatan kemampuan pasien dalam mengelola penyakit hipertensinya secara mandiri. Kesimpulan : berdasarkan hasil penelitian didapatkan pengaruh yang signifikan terhadap peningkatan kemandirian pasien hipertensi di wilayah kerja Puskesmas Rawat Inap Ciranjang. Hal ini dibuktikan dengan hasil uji Wilcoxon Signed Rank Test yang menunjukkan nilai p=0,000 (p<0,05), dengan 88,6% responden mengalami peningkatan tingkat kemandirian setelah intervensi diberikan.