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Effectiveness of Orem's Theory-Based Diabetic Foot SPA on Glycemic Control and Peripheral Neuropathy in Type 2 DM Wangi, Ni Luh Putu Ayu Puspita; Agustini, Ni Luh Putu Inca Buntari; Megayanti, Sri Dewi; Yusniawati, Yustina Ni Putu; Artsanthia, Jintana
JURNAL INFO KESEHATAN Vol 23 No 1 (2025): JURNAL INFO KESEHATAN
Publisher : Research and Community Service Unit, Poltekkes Kemenkes Kupang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31965/infokes.Vol23.Iss1.1713

Abstract

Type 2 DM remains a challenge both globally and nationally, due to the high incidence of diabetic foot ulcers and patients with uncontrolled glycemia. This is due to poor self-care for foot care and glycemic control. Not treating them quickly will increase lifelong disability, depression, quality of life, and risk of death. Diabetic foot spa based on Orem Theory was tested for glycemic management and peripheral neuropathy in type 2 DM patients. The purpose of this study was to determine the effectiveness of diabetic foot spa based on Orem's Theory on glycemic control and reduction of peripheral neuropathy symptoms in patients with type 2 DM in the work area of East Denpasar Health Center I. This study used a pre-post quasi-experimental design with a control group of 64 respondents with a diagnosis of type 2 DM consisting of 32 control groups given foot exercises and 32 intervention groups given diabetic foot spa. Translated with DeepL.com (free version) Glucose meter, neuropathy symptom score (NSS) questionnaire, and 10 mg monofilament were used. This study consisted of univariate and bivariate analysis. Bivariate analysis used Dependent and Independent t-test to see the difference before and after diabetic foot spa intervention. The results showed that the effectiveness of diabetic foot spa in the intervention and control groups using independent t-test obtained a p-value <0.05 which states that diabetic foot spa is effective in controlling glycemia and reducing peripheral neuropathy in patients with type 2 DM. The conclusion of this study is that diabetic foot spa based on Orem's Theory is effective in controlling glycemic and reducing symptoms of peripheral neuropathy in patients with type 2 DM.       
Pendidkan Kesehatan untuk Meningkatkan Literasi Remaja tentang Kesehatan Mental Agustini, NLP Inca Buntari; Israfil, Israfil; Dewi, Ni Putu Ayu Ratna; Darsana, I Wayan; Cintariasih, Putu; Suryani, Ni Wayan; Paramitasari, Ketut Citra; Cahyadi, Herry Suwaja
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 7, No 9 (2024): Volume 7 No 9 (2024)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v7i9.15741

Abstract

ABSTRAK Data menyebutkan satu dari tujuh anak berusia 10-19 tahun mengalami gangguan mental, terhitung 13% dari beban penyakit global dalam kelompok usia remaja dan merupakan salah satu kelompok yang rentan terhadap masalah kesehatan mental. Perilaku yang terkait dengan kesehatan mental yang buruk adalah kurangnya keterlibatan baik dengan kegiatan belajar dan rekreasi serta literasi kesehatan mental. Intervensi pendidikan kesehatan diperlukan untuk meningkatkan pengetahuan remaja mengenai konsep kesehatan mental. Intervensi ini diharapkan mampu meningkatkan pengetahuan partisipan mengenai konsep dasar kesehatan mental. Tujuan setelah dilakukan penelitian dan pendidikan kesehatan diharapkan siswa SMP Negeri 2 Susut Bangli dapat memiliki pengetahuan mengenai konsep dasar kesehatan mental. Dari intervensi ini diharapkan pengetahuan remaja mengenai konsep dasar kesehatan mental bertambah. Kegiatan ini dilakukan dengan metode pendidikan kesehatan. Jumlah siswa-siswa yang diberikan pendidikan kesehatan sebanyak 50 orang. Berdasarkan hasil uji statistik Wilcoxon Sign Rank Test didapatkan Zhitung = 6,188 > Ztabel = 1,96 dan  nilai p value = 0,000  <  0,05 hasil ini menunjukkan ada pengaruh pendidikan kesehatan terhadap pengetahuan remaja tentang pengetahuan tentang kesehatan jiwa  di Sekolah Menengah Pertama Negeri 2 Susut Bangli sehingga dapat disimpulkan hasil bahwa ada peningkatan pengetahuan partisipan dalam intervensi literasi meningkatkan kesehatan mental ini. Penerapan IPE dalam pendidikan kesehatan jiwa meningkatkan pengetahuan siswa serta mengembangkan keterampilan yang diperlukan dalam menjaga dan meningkatkan kesehatan jiwa remaja. Perlu usaha yang konsisten dan pendekatan multilevel untuk mencapai hasil yang lebih baik. Kata Kunci:  Pendidikan Kesehatan, Literasi Kesehatan Mental, Remaja  ABSTRACT Data indicates that one out of seven children aged 10-19 years experiences mental disorders, accounting for 13% of the global disease burden in the adolescent age group. This group is particularly vulnerable to mental health issues. Poor mental health-related behaviors include insufficient engagement in learning and recreational activities, as well as low mental health literacy. Health education interventions are necessary to enhance adolescent’s knowledge of mental health concepts. These interventions are expected to improve participants’ understanding of basic mental health principles. The goal after conducting research and health education is for students at SMP Negeri 2 Susut Bangli to have knowledge about basic mental health concepts. Through this intervention, it is hoped that adolescent’s knowledge of basic mental health will increase. The activity is carried out using health education methods, with 50 students receiving health education. Based on the results of the Wilcoxon Sign Rank Test, Z-score = 6.188 > Z-table = 1.96, and the p-value = 0.000 < 0.05. These results indicate that health education has an impact on adolescent’s knowledge of mental health in Sekolah Menengah Pertama Negeri 2 Susut Bangli. Therefore, it can be concluded that there is an increase in participant’s knowledge through this literacy intervention to enhance mental health. The implementation of IPE in mental health education enhances students' knowledge and develops the necessary skills in maintaining and improving adolescent mental health. It needs consistency and multilevel approach for better outcome. Keywords: Health Education, Mental Health Literacy, Adolescents
Program Edukasi dan Pendampingan Pertolongan Pertama Manajemen Nyeri Pada Trauma Muskuluskeletal Sebagai Upaya Perawatan Jangka Panjang bagi Remaja di Sekolah Yusniawati, Yustina Ni Putu; Putra, I Gde Agus Shuarsedana; Lewar, Emanuel Illeatan; Agustini, Ni Luh Putu Inca Buntari; Wahyunadi, Ni Made Dewi; Sanjana, I Wayan Edi; Harditya, I Kadek Buja
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 7, No 8 (2024): Volume 7 No 8 (2024)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v7i8.14916

Abstract

ABSTRAK Cidera akibat kecelakaan lalu lintas menyebabkan kematian 1,2 juta jiwa per tahunnya. Saat terjadi kecelakaan sering kali korban mengalami multiple trauma yang perlu dilakukan tata laksana dengan baik di prehospital. Hal yang menjadi penatalaksanaan awal saat korban mengalami kecelakaan yaitu airway, breathing dan circulation. Penatalaksanaan lanjutan setelah 3 hal penting dilakukan adalah manajemen dalam tatalaksana nyeri berupa penatalaksanaan fraktur, balut tekan, dislokasi, aputasi dan log roll sehingga perlu dilakukan tata laksana yang baik saat di pre hospital. Secara umum keterlambatan atau kurang tepatnya pemberian pertolongan pertama pada fraktur muskuluskeletal sering kali terjadi karena kurangnya pengetahuan dan kepedulian penolong yang menemukan kejadian tersebut. Remaja menjadi target pengabdian masyarakat saat ini dikarenakan remaja merupakan komunitas produktif yang aktif dalam bermasyarkat sehingga merupakan generasi penerus yang perlu di didik untuk dapat menjadi agen perubahan kesehatan. Memberikan edukasi dan pendampingan kepada remaja sekolah dalam melakukan tindakan pertolongan pertama pada trauma muksuluskeletal, kontrol pendarahan, dislokasi, aputasi dan log rolling. Masalah yang ditemukan yaitu remaja belum memahami cara melakukan penatalaksanaan manajemen nyeri pada patah tulang dengan baik, remaja belum mengetahui cara melakukan penatalaksanaan nyeri pada dislokasi sendi, remaja belum mengetahu cara melakukan transportasi pasien trauma. Kegiatan pendekatan yang dilakukan kepada sekolah dan remaja berjalan dengan baik, dimana remaja mau kooperatif dalam kegiatan yang telah dilakukan, hasil post test baik pengetahuan memiliki peningkatan sebanyak 49 responden memiliki pengetahuan yang baik, dan terdapat 49 responden memiliki kemampuan yang baik dalam praktik pertolongan pertama dan transport pasien trauma. Remaja sekolah memahami pertolongan pertama pada kecelakaan lalulintas dan mampu melakukan pertolongan pertama pada fraktur, dislokasi dan melakukan transport pasien dengan benar Kata Kunci: Edukasi, Pendampingan, Remaja, Manajemen Nyeri, Trauma Muskuluskeletal ABSTRACT Injuries resulting from traffic accidents cause 1.2 million deaths per year. When an accident occurs, the victim often experiences multiple trauma which needs to be managed properly at the prehospital. The initial management when a victim experiences an accident is airway, breathing and circulation. Follow-up management after 3 important things have been done is pain management in the form of fracture management, compression dressings, dislocations, aputations and log rolls so that good management needs to be carried out in the pre-hospital setting. In general, delays or inaccurate provision of first aid for musculoskeletal fractures often occur due to a lack of knowledge and concern of the rescuers who discover the incident. Teenagers are currently the target of community service because teenagers are a productive community who are active in society so that they are the next generation who need to be educated to be agents of health change. Objective: to provide education and assistance to school teenagers in carrying out first aid measures for mucosal-keletal trauma, bleeding control, dislocation, amputation and log rolling. Provide education and assistance to school teenagers in carrying out first aid measures for muxuluskeletal trauma, controlling bleeding, dislocations, amputations and log rolling. Problems found are that teenagers do not understand how to properly manage pain in fractures, teenagers do not know how to manage pain in joint dislocations, teenagers do not know how to transport trauma patients. The approach activities carried out for schools and teenagers went well, where teenagers were willing to cooperate in the activities that had been carried out, the results of the post test were good, knowledge had increased as many as 49 respondents had good knowledge, and there were 49 respondents who had good abilities in first aid practices and transport of trauma patients. The approach activities carried out for schools and teenagers went well, where teenagers were willing to cooperate in the activities that had been carried out, the results of the post test were good, knowledge had increased as many as 49 respondents had good knowledge, and there were 49 respondents who had good abilities in first aid practices and transport of trauma patients Keywords: Education, Mentoring, Adolescents, Pain Management, Musculoskeletal Trauma
Pelatihan dan Pendampingan Manajamen Kasus untuk Kelompok Lanjut Usia yang Membutuhkan Perawatan Jangka Panjang Sutini, Ni Kadek; Suyasa, I Gede Putu Darma; Nuartini, Ni Nyoman; Agustini, Ni Luh Putu Inca Buntari; Israfil, Israfil Israfil
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 8, No 6 (2025): Volume 8 No 6 (2025)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v8i6.19337

Abstract

ABSTRAK Lansia merupakan populasi rentan dan memiliki banyak masalah Kesehatan yang kompleks karena proses degeneratif. Manajemen kasus Kesehatan lansia dimasyarakat menjadi sangat penting dilakukan untuk memastikan bahwa lansia mendapatkan pelayanan Kesehatan yang baik. Keterlibatan kader Kesehatan lansia dalam manajemen kasus Kesehatan lansia dimasyarakat menjadi salah satu solusi yang dapat dilakukan untuk mencapai tujuan Kesehatan lansia. Kegiatan pengabdian kepada masyarakat ini bertujuan untuk memberikan pelatihan dan pendampingan kepada kader Kesehatan lansia dalam melaksanakan manajemen kasus Kesehatan lansia dimasyarakat. Kegiatan ini dilaksankan di Desa Melinggih, Provinsi Bali. Peserta dalam kegiatan ini adalah kader kesehatn lansia diwilayah desa setempat yang berjumlah 10 orang. Kegiatan PKM dilaksanakan dengan pendekatan PARE (Preparation, Action, Reflection dan Evaluation). Hasil kegiatan ini menemukan adanya peningkatan pengetahuan dan kemampuan kader Kesehatan lansia dalam manajamen kasus Kesehatan lansia dimasyarakat dengan nilai uji statistik Wilcoxon Signed Ranks Test didapatkan nilai Z= -2.675b dengan p value = < 0,001. Kegiatan pelatihan dan pendampingan kepada kader Kesehatan lansia dimasa mendatang harus terus dilakukan untuk membangun meningkatkan pelayanan Kesehatan yang berbasis peran serta masyarakat untuk Kesehatan lansia yang membutuhkan perawatan Kesehatan. Kata Kunci: Lanjut Usia, Gerontik, Kader, Manajemen Kasus, Perawatan Jangka Panjang  ABSTRACT Elderly people are a vulnerable population and have many complex health problems due to the degenerative process. Health case management for the elderly in the community is very important to ensure that the elderly receive good health services. The involvement of elderly health cadres in the management of elderly health cases in the community is one solution that can be done to achieve elderly health goals. This community service activity aims to provide training and assistance to elderly health cadres in implementing elderly health case management in the community. This activity was carried out in Melinggih Village, Bali Province. Participants in this activity were elderly health cadres in the local village area totally 10 people. PKM activities were carried out using the PARE approach (Preparation, Action, Reflection and Evaluation). The results of this activity found an increase in the knowledge and abilities of elderly health cadres in managing elderly health cases in the community with the Wilcoxon Signed Ranks Test statistical test value obtained Z = -2.675b with p value = <0.001. Training and mentoring activities for elderly health cadres in the future must continue to be carried out to build improvements in health services based on community participation for the health of elderly people who need health care. Keywords: Elderly, Geriatric, Cadres, Case Management, Long-Term Care
Implementasi Interpersonal Edukasi dan Kolaborasi Dalam Rangka Peningkatan Kesehatan Pada Pasien Diabetes Melitus Tipe II di Club Diamed RS Balimed Denpasar Megayanti, Sri Dewi; Agustini, Ni Luh Putu Inca Buntari; Yusniawati, Yustina Ni Putu; Kamaryati, Ni Putu; Arka, I Gede Widhi; Juliani, Made; Trisna, Made Oktaviani Bulan; Halimah, Nur
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 8, No 7 (2025): Volume 8 No 7 (2025)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v8i7.18571

Abstract

ABSTRAK Diabetes melitus merupakan penyakit metabolik yang ditandai dengan adanya kenaikan gula darah disebabkan oleh terganggunya hormon insulin yang memiliki fungsi untuk menjaga homeostasis tubuh dengan cara menurunkan kadar gula dalam darah. Tujuan dilakukannya pengabdiam masyarakat ini yaitu meningkatkan pengetahuan dan kesadaran masyarakat dan memandirikan masyarakat terkait upaya pencegahan penyakit diabetes mellitus tipe II. Adapun metode yang digunakan yaitu melakukan kerja sama IPE dan IPC oleh beberapa prodi di ITEKES Bali yaitu prodi anestesiologi, prodi farmasi, prodi kebidanan, prodi keperawatan dan prodi akupuntur. Hasil pengabdian masyarakat adanya peningkatakan pengetahuan dengan nilai rata-rata nilai pre test sebesar 64 dan rata-rata nilai post test sebesar 90. Artinya dengan adanya pelaksanaan kolaborasi IPE dan IPC adanya peningkatan pengetahuan terkait upaya pencegahan diabetes mellitus pada pasien dengan diabetes mellitus tipe II. Sehingga kedepannya diharapkan menjadi kegiatan rutin dalam proses pemberian edukasi khususnya pasien dengan diabetes mellitus. Kata Kunci: Diabetes Mellitus Tipe II, Kolaborasi IPE dan IPC, Tatalaksana DM  ABSTRACT Diabetes mellitus is a metabolic disease characterized by an increase in blood sugar caused by disruption of the hormone insulin which has a function to maintain the body's homeostasis by lowering blood sugar levels. The purpose of this community service is to increase public knowledge and awareness and make the community independent related to efforts to prevent type II diabetes mellitus. The method used is to collaborate on IPE and IPC by several study programs at ITEKES Bali, namely the anesthesiology study program, pharmacy study program, midwifery study program, nursing study program and acupuncture study program. The results of community service are an increase in knowledge with an average pre-test score of 64 and an average post test score of 90. This means that with the implementation of IPE and IPC collaboration, there is an increase in knowledge related to efforts to prevent diabetes mellitus in patients with type II diabetes mellitus. So that in the future it is expected to become a routine activity in the process of providing education, especially for patients with diabetes mellitus. Keywords: Type II Diabetes Mellitus, IPE and IPC Collaboration, DM Management
Integrasi pertolongan pertama dan aktivasi ambulans: Sebuah tinjauan literatur Susila, I Pasek Wayan Agung; Agustini, Ni Luh Putu Inca Buntari; Diyu, Ida Ayu Ningrat Pangruating; Sanjana, I Wayan Edi
Holistik Jurnal Kesehatan Vol. 19 No. 8 (2025): Volume 19 Nomor 8
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v19i8.1687

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Background: Rapid response to medical emergencies is a crucial factor in reducing patient mortality and morbidity. However, the ambulance calling system in Indonesia still faces various challenges, such as limited access to information, delayed responses, and lack of integration with emergency command centers. Purpose: To review various studies related to the development of mobile/web-based applications for emergency medical services, and to identify research gaps and opportunities for further development. Methods: A search was conducted using the PubMed and ScienceDirect databases, followed by a review and synthesis process using PRISMA. An initial 219 articles were found, of which 15 were included in the study. Results: The application is capable of facilitating ambulance ordering, real-time location tracking, and accelerating emergency response. However, most studies are limited to technical function tests with small sample sizes and have not measured the application's effectiveness on clinical indicators. Conclusion: Innovation in web-based and mobile emergency applications has significant potential to improve response speed, ambulance calling accuracy, and community empowerment in first aid. However, further research is still needed with a broader scope, strong quantitative methods such as quasi-experiments or RCTs, as well as multi-dimensional evaluations involving technical, clinical, and user experience aspects.   Keywords: Emergency Medical Services; First Aid; Mobile Application.   Pendahuluan: Respon cepat terhadap keadaan gawat darurat medis menjadi faktor penting dalam menurunkan mortalitas dan morbiditas pasien. Namun, sistem pemanggilan ambulans di Indonesia masih menghadapi berbagai kendala, seperti keterbatasan akses informasi, keterlambatan respon, dan kurangnya integrasi dengan pusat komando darurat. Tujuan: Untuk meninjau berbagai penelitian terkait integrasi pertolongan pertama dan aktivasi ambulans. Metode: pencarian artikel dilakukan database PubMed dan ScienceDirect kemudian proses review dan sintesis dilakukan menggunakan PRISMA. Artikel awal yang ditemukan adalah 219, kemudian 15 artikel disertakan dalam penelitian. Hasil: Menunjukkan bahwa aplikasi mampu memfasilitasi pemesanan ambulans, pelacakan lokasi real-time, dan percepatan respon darurat. Namun, sebagian besar studi masih terbatas pada uji fungsi teknis dengan sampel kecil, belum mengukur efektivitas aplikasi pada indikator klinis. Simpulan: Inovasi aplikasi darurat berbasis web maupun mobile memiliki potensi besar dalam meningkatkan kecepatan respon, akurasi pemanggilan ambulans, dan pemberdayaan masyarakat dalam pertolongan pertama. Namun, masih diperlukan penelitian lanjutan dengan cakupan yang lebih luas, metode kuantitatif yang kuat misalnya quasi-experiment atau RCT, serta evaluasi multi-dimensi yang melibatkan aspek teknis, klinis, dan pengalaman pengguna. Kata Kunci: Aplikasi Seluler; Layanan Medis Darurat; Pertolongan Pertama.
Procedure for Using Crystalloid and Colloid Fluids in Blood Pressure in Sectio Caesaria Patients Using Spinal Anesthesia Technique Sanjaya, Dwi Arymbhi; Agustini, Ni Luh Putu Inca Buntari; Putra, I Gede Agus Shuarsedana; Lewar, Emanuel Ileatan
JURNAL KESEHATAN PRIMER Vol 3 No 2 (2018): JKP (Jurnal Kesehatan Primer)
Publisher : Poltekkes Kemenkes Kupang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.5281/jkp.v3i2.255

Abstract

Background: In Indonesia, the study about effectivity and side effect of colloid and crystalloid fluid have been completed, but the study about standard operating procedures (SOP) never have been done. The aim of this research was to describe and evaluate the SOP for the use of crystalloid and colloid fluids on blood pressure in sectio caesarea by using spinal anesthesia techniques. Method: The research employed a descriptive quantitative method by using a questionnaire. The basic features of crystalloid and colloid fluid selection were analyzed by multiple response tests. This research was conducted in type A hospitals in the Denpasar area by involving 30 anesthesiologist as a respondent. Result: The results indicated that 76.7% of respondents stated that there was no SOP for crystalloid and colloid fluids to prevent maternal hypotension in sectio caesarea by using spinal anesthesia techniques. In the multiple response tests, the effectiveness and side effects (21.3%) were the factors that had to be considered in the crystalloid and colloids fluid selection to prevent maternal hypotension in sectio caesarea by using spinal anesthesia techniques. The National Guideline of Medical Services for Anesthesiology and Incentive Therapy have been followed in determining the use of crystalloid and colloid fluids at section Caesarea. However, the guideline did not explain the basis for selecting crystalloid and colloid fluids to prevent maternal hypotension in sectio caesarea by using spinal anesthesia techniques in more detail, therefore the factors of effectiveness and risk of side effects are the main consideration.
DETERMINANT FACTORS ASSOCIATED WITH DIGITALIZATION OF LEADERSHIP COMMUNICATION AT HOSPITAL Agustini, Ni Luh Putu Inca Buntari; Wardana, Dewa Gede Wisnu; Negara, I Gusti Ngurah Made Gusti Kusuma; Yusniawati, Yustina Ni Putu; Israfil, Israfil; Suyasa, I Gede Putu Darma
Nurse and Health: Jurnal Keperawatan Vol. 14 No. 2 (2025): Nurse and Health : Jurnal Keperawatan
Publisher : Institute for Research and Community Service of Health Polytechnic of Kerta Cendekia, Sidoarjo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36720/nhjk.v14i2.768

Abstract

Background: The digital era has accelerated the digitalization of organizational processes, including leadership communication. The emergence of digital leadership requires leaders to adapt their communication and leadership styles to dynamic, technology-mediated work environments. In hospital settings, effective digital leadership communication is essential to support coordination, decision-making, and quality nursing care. Purpose: This study aimed to identify determinants associated with the digitalization of leadership communication in hospitals. Methods: A cross-sectional study design was employed involving 131 nurses recruited through purposive sampling based on predefined inclusion criteria. Data were collected using structured questionnaires measuring leadership style, communication style, leadership skills, leader enthusiasm, and the implementation of digital leadership communication. Statistical analyses included the Spearman rho test, contingency coefficient, and multiple logistic regression to examine associations between variables. Results: The findings indicated that 94.7% of respondents perceived the implementation of digital leadership communication as good. Leadership style showed a moderate positive correlation with digital leadership communication (p = 0.000; r = 0.512). Communication style was not significantly associated with digital leadership communication (p = 0.434; r = 0.068). Leadership skills demonstrated a strong positive relationship (p = 0.000; r = 0.589), while leader enthusiasm showed the strongest association (p = 0.000; r = 0.698). Multivariate analysis confirmed that leadership skills and enthusiasm were the most influential determinants. Conclusion: Leader enthusiasm and leadership skills are key determinants of effective digitalization of leadership communication in hospital settings. Strengthening these competencies may enhance digital leadership practices and improve organizational communication in healthcare institutions.
Co-Authors Abdul Haris Abdurrahman, Firman Adi Satriani Adnyani, Putu Desi Agustini, Ni Komang Tri Anak Agung Istri Wulan Krisnandari, Anak Agung Istri Wulan Arka, I Gede Widhi Arnaya, I Gede Putu Suka Artawan, I.K Artsanthia, Jintana Aryana, I Gusti Ngurah Budiningsih, Vinda Eka Cahyadi, Herry Suwaja Cintariasih, Putu Dewa Gede Wisnu Wardana Dewa Gede Wisnu Wardana Dewi, Ni Putu Ayu Ratna Dewi, Putu Sundari Diah Priyantini Diyu, Ida Ayu Ningrat Pangruating Drs. I Wayan Darsana,M.Ed . Dwi Arymbhi Sanjaya Edi Sanjana, I Wayan Elsi Dwi Hapsari Emanuel Ileatan Lewar Gandamayu, Ida Bagus Maha Gede Khrisna Eka Yudha Gustiawan, Sastro Putre Handi Partiwi, Putu Harditya, I Kadek Buja I Gede Agus Shuarsedana Putra I GEDE PUTU DARMA SUYASA I Gusti Ayu Puja Astuti Dewi I Gusti Ngurah , Aryana I Gusti Ngurah Made Kusuma Negara I Kadek, Miki Indra Bela I Ketut Alit Adianta I Ketut Swarjana I Made Dwi Krisma Prataba I Nyoman Windhu Paramarta I Putu Arya Wijayanatha I Putu Budiarsana I Wayan Edi Sanjana Ida Ayu Manik Damayanti Ida Ayu Ningrat Pangruating Diyu Ida Ayu Ningrat Pangruating Diyu IGP Darma Suyasa Indrayani, Ni Luh Dwi Israfil, Israfil Israfil, Israfil Israfil Juliani, Made Ketut Widia Khatijah Lim Lim Abdullah Komang Ardidhana Nugraha Putra Krisnandari D, Anak Agung Istri Wulan Lestari, Putu Indah Jelita LEWAR, EMANUEL ILEATAN Lewar, Emanuel Illeatan Luh Gde Nita Sri Wahyuningsih Made Dian Shanti Kusuma Made Rismawan Maha Putra, I Nyoman Arya Mahaputra, I Nyoman Arya Nadya Treesna Wulansari Nadya Treesna Wulansari Nadya Tressna Wulansari Negara, I Gusti Ngurah Made Gusti Kusuma Negara, I Gusti Ngurah Made Kusuma Ni Kadek Sutini Ni Kadek, Nefi Widiastuti Ni Ketut Erawati Ni Luh Adi Satriani Ni Luh Adi Satriani Ni Luh Gede Hari Nugrahini Ni Luh Putu Manik Mas Puspa Sari Ni Made Ayu Sukma Widyandari Ni Made Candra Citra Sari Ni Made, Ratih Comala Dewi Ni Nyoman Nuartini Ni Putu Ayu Ratna Dewi Ni Putu Ayu Ratna Dewi Ni Putu Kamaryati Ni Wayan Sintia NLP Dina Susanti Nur Halimah Nursalam Nursalam Nuryanto , I Kadek Nuryanto, Kadek Oka Putra, I Nyoman Trisna Oka Putra Only Hufana Pangruating Diyu, Ida Ayu Ningrat Paramitasari, Ketut Citra Purnama Dewi, Sagung Mirah Purwadadi, I Kadek Putra, I Gde Agus Shuarsedana Putra, I Gede Agus Shuarsedana Putra, I Komang Ardidhana Nugraha Putra, I Nyoman Arya Maha Putra, I Nyoman Trisna Oka Putra, Ida Bagus Ardhi Putra, Komang Ardidhana Nugraha Putra, Putu Agus Sujana Putri, Ni Made Manik Elisa Putu Agus Sujana Putra Putu Desi Yulistina Putu Sundari Dewi Rittiruang, Amonwan Sagita, Ni Wayan Riska Sagung Mirah Purnama Dewi Sanjana, I Wayan Sanjana, I Wayan Edi Sastrawati, Desak Kadek Sastro Putre Gustiawan Satriani, Adi Satriani, Ni Luh Adi Setiawan Setiawan Sri Dewi Megayanti Sriasih, Ni Kadek Suryani, Ni Wayan Susanti, Ni Putu Aries Susila, I Pasek Wayan Agung Tanuparbrungson, Supawan Trisna, Made Oktaviani Bulan Wahyu Krisna Yoga Wahyu, I Made Yudi Wahyunadi, Ni Made Dewi Wahyuni, Ni Komang Sri Wangi, Ni Luh Putu Ayu Puspita Wardana, Dewa Gede Wisnu widia, ketut Widiadnyana, I Nyoman Wijayanatha, I Putu Arya Witarini, Ni Wayan Sri Wulandari, Sarah Kartika Yudha, Gede Khrisna Eka Yudi Apriani, Ni Luh Putu Yulistina, Putu Desi Yusniawati, Yustina Ni Putu Yustina Ni Putu yusniawati Yustina Ni Putu Yusniawati Yustina Ni Putu Yusniawati