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Sonhaji Sonhaji
Karya Husada Health And Science College Of Semarang
Computer Science & IT Dentistry Education Health Professions Languange, Linguistic, Communication & Media Medicine & Pharmacology Nursing Public Health Social Sciences Veterinary

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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): JULI 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.
Implementation of Family Emotional Support on the Level of Compliance With a Low Salt Diet in Elderly Hypertension Rahmawati Rahmawati; Sonhaji Sonhaji
Jurnal EduHealth Vol. 17 No. 02 (2026): Jurnal EduHealt, April - June
Publisher : Sean Institute

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

Abstract

Background: Hypertension, or high blood pressure, is a common non-communicable disease and a leading cause of illness and death worldwide. One way to manage hypertension is through diet, one of which is adopting a low-salt diet. Consuming too much salt can cause high blood pressure. Emotional support from family is crucial in helping the elderly. This support can take the form of attention, affection, empathy, motivation, and moral encouragement provided by family members. Objective: To describe nursing care with the Implementation of Family Emotional Support with the Level of Low Salt Diet Compliance in Hypertensive Elderly at Health Center, Semarang City. Method: Descriptive case study was used as the following type of research, with elderly subjects Mrs. K 71years old female and Mrs. S 75 years old female. Data were collected by conducting interviews, physical examinations and observations, as well as data collection based on documentation studies. Results: Based on the analyzed study on the provision of interventions with a diagnosis of acute pain related to physiological injury agents of hypertension, knowledge deficit related to lack of exposure to information and sleep pattern disorders related to pain and anxiety, there was a significant decrease in high blood pressure in Mrs. K; Pretest: 174/95 mmHg and Posttest 152/82 mmHg, in Mrs. S; Pretest: 184/92 mmHg and Posttest 160/78 mmHg which was carried out for 15 minutes in one meeting. Conclusion: can overcome high blood pressure levels in Mrs. K and Mrs. S with hypertension.
Benson relaxation for pain-related discomfort in older adults with hypertension: A two-patient case study Siti Masrukah; Indah Pujiati; Suliati Suliati; Yuli Ari Setyowati; Sonhaji Sonhaji
JOURNAL OF Medical Surgical Concerns Vol. 6 No. 4 (2026): August Edition 2026
Publisher : Published by: Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Himpunan Perawat Medikal Bedah Indonesia (HIPMEBI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/msc.v6i4.3964

Abstract

Background: Older adults with hypertension may experience pain-related discomfort, headache, dizziness, and sleep disturbance arising from multiple causes. Benson relaxation is a non-pharmacological technique intended to promote a relaxation response and may be used as an adjunct to routine nursing care. Purpose: To describe nursing care using Benson relaxation for pain-related discomfort in older adults with hypertension. Method: This study used a descriptive case-study design and involved two older adults with hypertension who received nursing care in the Dahlia 2 Ward of Dr. Loekmono Hadi Regional General Hospital, Kudus, Indonesia, between March 9 and 11, 2026. Data were obtained from nursing assessments, a pain assessment form, the hospital Benson-relaxation standard operating procedure, implementation records, and evaluation notes. Results: Both patients presented with headache, dizziness, sleep disturbance, and pain-related discomfort. For Patient 1, for whom complete pre- and post-care numerical data were available, pain intensity decreased from 5 to 2, blood pressure from 171/93 to 155/89 mmHg, and respiratory rate from 22 to 20 breaths/min, while oxygen saturation increased from 96% to 98% over the nursing-care period. Equivalent complete numerical pre- and post-intervention outcomes were not reported for Patient 2. Conclusion: Benson relaxation was documented as part of nursing care and was accompanied by reduced pain and improved comfort in the patient for whom complete outcome data were available. Because this was a two-patient descriptive case study without a control condition and with incomplete outcome documentation for the second patient, the observations cannot establish treatment effectiveness.
Co-Authors Bayu Aji Clara Novita Anggraini Dwi Kustriyanti Fatriana Dwi Aulia Fery Agusman Ikha Siswiyanti Indah Pujiati Intan Marliana Safitri Lailia Rahmawati Lestari Puji Astuti Lutfiatun Nayyiroh Ni Nyoman M A Nindya Nurulia Puji Lestari, Sri Rahmawati Rahmawati Retno Apriliyanti Rizal Fauzi Roland Lekatompessy Rose Nurhudariani Sawitry Sawitry Selgia Siahaya Shindi Hapsari Shindi Hapsari Siti Masrukah Siti Nur Umariyah Febriyanti, Siti Nur Umariyah Sri Haryani Saraswati Suliati Suliati Umi Hani Wiji Setiani Witri Hastuti Yeni Dwi Ratnasari Yuli Ari Setyowati Yulina Anggi Mawar Dani