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The Influence of Perceived Subjective Norms on Nurses' Hand Hygiene Behavior: Intention as an Intervening Variable Rondhianto; Fitriani; Ismara Ketut Ima
Jurnal Kesehatan dr. Soebandi Vol 12 No 1 (2024): 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.v12i1.734

Abstract

Hand hygiene is one effort to reduce the risk of Healthcare-Associated Infections (HAIs). Nurses' compliance with hand hygiene is still low. The study aimed to analyze the influence of perceived subjective norms on nurses' hand hygiene behavior through intention as an intervening variable. The type of study is observational analytic with a cross-sectional design. The sample was nurses at Hospital X in Jember Regency (116 respondents) using a total sampling technique. The results show that most of the respondents were aged 26 – 35 years (52.59%), male (56.03%), had a diploma (43.97%), and had a working period of 1 – 5 years (39.66%). Model analysis showed the model fit with good predictive relevance (SRMR = 0.090; NFI = 0.851; Q2 = 0.608). Perceived subjective norms and intentions could explain hand hygiene behavior by 74.6% (R2 = 0.746; f2 = 0.146). Perceived subjective norms positively affected hand hygiene behavior directly (p = 0.001) and indirectly through intention (p = 0.001). Perceived subjective norms can increase nurses' hand hygiene intentions and compliance. Leaders of health institutions can improve the nurses' perceived subjective norms through regular monitoring and evaluation to increase hand hygiene intentions and behavior and reduce the risk of HAIs and patient mortality. 
The Effect of Family Caregiver Empowerment Model Intervention on Resilience in Caregivers of Type 2 Diabetes Mellitus Patients Anggun Afrix Rozana; Rondhianto; Muhamad Zulfatul A'la
Jurnal Kesehatan dr. Soebandi Vol 13 No 2 (2025): Vol. 13 No. 2 (2025): 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.v13i2.784

Abstract

Background: Feelings of fatigue and stress can arise in caregivers when caring for patients with type 2 diabetes mellitus (T2DM) due to responsibility, pressure, and increasing demands. Therefore, the ability to bounce back from difficult situations, known as resilience, is needed. Purpose: This study aims to analyze the effect of the Family Caregiver Empowerment Model (FCEM) intervention on the resilience of caregivers of patients with type 2 diabetes mellitus. Methods: This study is a randomized control group pretest and posttest study with a sample of 74 respondents, randomly selected using cluster sampling (treatment = 35, control = 39). The independent variable is FCEM, and the dependent variable is resilience. The instrument used is the Connor-Davidson Resilience Scale 25 (CD-RISC 25) questionnaire. Statistical analysis was performed using the Wilcoxon Signed Rank Test and Independent T-test. Results: The results showed that there was a significant difference in depression scores between the pretest and posttest in both the intervention and control groups (p = 0.000 and p = 0.002, < α = 0.05). Additionally, there was a significant difference in resilience between the intervention and control groups (t = 13.644, p = 0.000). Conclusions: The findings of the study demonstrated the effect of the FCEM intervention on the resilience of caregivers of T2DM patients. It is essential to increase the resilience of family caregivers by providing empowerment as a form of social support.
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.
EFFECTIVE COUGH AND DEEP BREATH DECREASES THE COLONIZATION OF Staphy lococcus aureus IN SECRET OF POST SURGERY PATIENTS WITH GENERAL AENESTHESIA IN SOEBANDI JEMBER HOSPITAL Rondhianto; Dini Kurniawati; Ayu Kurnia Vidiany
NurseLine Journal Vol. 1 No. 1 (2016): May 2016
Publisher : Program Studi Ilmu Keperawatan Universitas Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19184/nlj.v1i1.60078

Abstract

Surgery is one of procedur to cure of the disease with method cut and slice of the body. Almost surgery use general aenesthesia before the procedure began. After general anes thesia procedure, the acumulation of mucus secretion in respiratory tract have occured. The accamulatin of mucus secretion it it cause by intubation endotracheal tube proce dure or effect of anesthetic agens itself. The mucus accumulation can lead improving of
USING CHLORHEXIDINE 0.2% AND POVIDONE IODINE 1% AS ORAL DECONTAMINATION TO COLONIZATION Staphylococcus aureus AT POST OPERATIVE PATIENTS WITH GENERAL ANESTHESIA Rondhianto; Wantiyah; Febrian Maulana Putra
NurseLine Journal Vol. 1 No. 1 (2016): May 2016
Publisher : Program Studi Ilmu Keperawatan Universitas Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19184/nlj.v1i1.60080

Abstract

Post-operative patients with general anesthesia are highly risk of mucus hypersecretion and respiratory distress as the effect of anesthesia caused by secretions accumulation in oropharynx. One of nursing interventions to decrease accumulation of mucus is by oral hygiene. The purpose of this study was to determine the differences of using chlorhexidine 0.2% and povidone iodine 1% as oral decontamination to the colonization of Staphylococcus aureus of post-operative patients in mawar ward at Dr. Abdoer Rahem Hospital Situbondo. This study was a quasy experimental research with non-equivalent control group design. The samples in this study were 20 samples divided into two groups 10 as the treatment group was given chlorhexidine 0.2% and 10 as the control group was given povidone iodine 1%. Data were analyzed by using Mann-Whitney. The result of Mann-Whitney test showed p value (0.490) > alpha (0.05). However, there was no difference between chlorhexidine 0.2% and povidone iodine 1% as oral decontamination for colonization of Staphylococcus aureus of post-operative patients in mawar ward at Dr. Abdoer Rahem Hospital Situbondo. The conclusion is chlorhexidine 0.2% and povidone iodine 1% can be used as oral decontamination for post-operative patients with general anesthesia.
DEVELOPMENT OF CALM (CASE-BASED ADVANCED LEARNING FOR PAIN MANAGEMENT) TO IMPROVE THE ATTITUDES, KNOWLEDGE, AND BEHAVIOR OF FINAL-YEAR NURSING STUDENTS ON PAIN MANAGEMENT Rondhianto, Rondhianto; Susanti, Ika Adelia; A’la, Muhamad Zulfatul; Qomariyah, Farida Nur
INDONESIAN NURSING JOURNAL OF EDUCATION AND CLINIC (INJEC) Vol 11, No 1 (2026): INJEC
Publisher : Asosiasi Institusi Pendidikan Ners Indonesia (AIPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24990/injec.v11i1.1072

Abstract

Background: Pain is a primary complaint among patients in healthcare services. The failure in pain management can increase morbidity and mortality rates. There is a need to improve nursing students' competencies through innovative Web-Based Learning (WBL) models, which leverage technology to create a comprehensive and interactive learning environment. This study aims to develop CALM (Case-based Advanced Learning for Pain Management) to enhance the attitudes and knowledge of final-year nursing students regarding pain.Method: The research design used was Research and Development (R & D), involving final-year nursing students from the Faculty of Nursing, University of Jember, who met the inclusion and exclusion criteria. The sampling technique used was purposive sampling. The research instruments used were the Knowledge and Attitude Survey Regarding Pain (KASRP), Nurse Behavior Questionnaire in Pain Management (NBQ-P), Focus Group Discussion (FGD) guide, and System Usability Scale (SUS). Data analysis was performed using descriptive statistical analysis.Results: The results of the study indicated that the knowledge and attitudes of final-year nursing students regarding pain fall into the low category (53.8%). In terms of pain management behavior, the majority of respondents were in the good category (55.90%). The development of CALM learning media resulted in six modules to be developed: pain assessment and evaluation; pain pharmacology; non-pharmacological interventions; pain in special populations; and cultural, spiritual, and ethical aspects of pain management. The feasibility test of CALM learning media showed positive results.Conclusions: The development of CALM learning media was highly accepted, functions optimally, facilitating access to pain-related information, and aligning with previous evidence regarding the effectiveness of e-learning and interprofessional curricula, which have the potential to enhance knowledge, assessment skills, and learning satisfaction among students
Optimizing community-based management of hypertension and diabetes mellitus through the SEHATI book innovation: Optimalisasi pengelolaan hipertensi dan diabetes melitus berbasis komunitas melalui buku SEHATI Sutriani Undariningsih; Evan Wahyuningsih; Dodi Wijaya; Rondhianto
Journal of Community Empowerment for Multidisciplinary (JCEMTY) Vol. 4 No. 1 (2026): May 2026
Publisher : KHD Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/jcemty.v4i1.420

Abstract

Non-communicable diseases (NCDs), particularly hypertension and diabetes mellitus, remain major contributors to morbidity and mortality in Indonesia. Suboptimal patient engagement and poor adherence to therapy continue to hinder effective NCD management at the primary care level. This community-based intervention aimed to enhance patients’ knowledge, treatment adherence, and self-management through the use of a print-based educational tool, the SEHATI book. The program was implemented over a one-week period at Tanjung Karang Primary Health Center, Mataram City, involving 17 participants, including healthcare providers, community health cadres, and patients with hypertension and diabetes. The intervention consisted of group education sessions, simulation activities, cadre-led home visits, and pre- and post-intervention assessments. The results demonstrated a substantial improvement in participants’ knowledge, increasing from 52% to 89%, and medication adherence, rising from 61% to 90%. Qualitative findings indicated that the SEHATI book facilitated self-monitoring practices and enhanced patient motivation. Additionally, health cadres reported that the tool strengthened their capacity as community educators. This community-based approach, particularly through the active involvement of health cadres, proved effective in promoting patient engagement, especially in settings with limited access to digital health resources. The intervention is consistent with the Health Belief Model, as it enhances perceived benefits and self-efficacy among patients. Overall, the SEHATI book represents a practical, scalable, and contextually appropriate educational strategy for sustainable NCD management in primary healthcare settings.
Implementation of the MANDIRI-D innovation program for effective digital-based patient discharge planning in the hospital: Implementasi program inovasi MANDIRI-D untuk perencanaan pemulangan pasien berbasis digital yang efektif di rumah sakit Ningsih, Sri Wahyuningsih; Karuniawaty, Sari Dewi Karuniawathy; Rondhianto, Rondhianto; Triandana, I Komang Leo Triandana
Journal of Community Empowerment for Multidisciplinary (JCEMTY) Vol. 4 No. 1 (2026): May 2026
Publisher : KHD Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/jcemty.v4i1.475

Abstract

Suboptimal discharge planning in hospitals remains a critical issue, contributing to high readmission rates and inadequate patient and family readiness for post-hospital care. This community service activity aimed to improve the effectiveness of discharge planning through the implementation of the MANDIRI-D innovation program, a digital-based approach utilizing QR Codes. The program provided accessible discharge information, including care guidelines, flowcharts, and patient education materials tailored to patient needs. The activity involved 20 patients and family members using a quasi-experimental pre–post design without a control group. Interventions included structured education delivered at least one day prior to discharge, access to QR Code-based educational media, and reinforcement through the teach-back method. The results demonstrated an improvement in patient knowledge and readiness for discharge (Δ total score 1.05), increased nurse compliance with discharge planning standard operating procedures (≥85%), and more efficient delivery of patient education. The MANDIRI-D program effectively enhanced patient and family preparedness, improved the quality of nursing services, and has the potential to reduce readmission rates. This innovation is recommended for broader implementation and integration into hospital electronic medical record systems to support sustainable and standardized discharge planning practices.
Enhancing Wound Repair With Carica Papaya -Based Formulation: A Pretest-Posttest Control Group Trial Mokh. Sujarwadi; Mukhammad Toha; Ida Zuhroidah; Rondhianto Rondhianto; Dimas Hadi Prayoga; Fatimah Zahra; Nadia Rohmatul Laili
An Idea Health Journal Vol 6 No 01 (2026)
Publisher : PT.Mantaya Idea Batara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53690/ihj.v6i01.652

Abstract

Background: Natural products are increasingly favored in wound care due to concerns about antibiotic resistance and side effects of synthetic drugs. Carica papaya L., a tropical plant native to Central America and widely grown in Indonesia, contains bioactive compounds with properties essential for tissue repair. This study tests whether a topical Carica papaya formulation speeds up wound healing by measuring granulation and epithelialization. Methods: Using a quasi-experimental design. A total of 50 participants were divided into a control (standard wound care) and a treatment group (standard care + C. papaya extract). Analysis used the Paired T test. Result: Paired t-tests indicated no significant changes in the control group (p = 1.00). In contrast, the treatment group demonstrated statistically significant improvements in granulation (pre: 0.44 ± 0.51; post: 1.56 ± 0.51; t = -9.35, p < 0.001) and epithelialization (pre: 0.68 ± 0.47; post: 1.72 ± 0.46; t = -10.25, p < 0.001). Independent-samples t-tests confirmed significant differences between groups after the intervention (granulation: t = -9.35, p < 0.001; epithelialization: t = -10.25, p < 0.001). These results support the incorporation of C. papaya extract into evidence-based complementary wound management protocols. Conclusion: Carica papaya extract significantly enhances wound healing, promoting granulation and epithelialization. Thus, it may serve as an effective adjunctive therapy in clinical wound management.
OPTIMAL CARE: Pemberdayaan Keluarga dan Kader Dukung Kepatuhan Terapi TBC di Jember Siswoyo Siswoyo; Nur Widayati; Ana Nistiandani; Zahratul Umniyyah; Esti Utarti; Rondhianto Rondhianto; Mulia Hakam; Jon Hafan Sutawardana; Kadek Novi Andani; Sinta Wijayanti; Dhimas Rizky Handoko
ABDIMASKU : JURNAL PENGABDIAN MASYARAKAT Vol 9, No 1 (2026): JANUARI 2026
Publisher : LPPM UNIVERSITAS DIAN NUSWANTORO

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62411/ja.v9i1.3209

Abstract

Tuberkulosis (TBC) merupakan tantangan kesehatan serius di Kabupaten Jember, yang menempati peringkat ketiga tertinggi di Jawa Timur. Keberhasilan pengobatan TBC sering terhambat oleh rendahnya kepatuhan terapi yang berakar dari minimnya pengetahuan, dukungan keluarga, dan tingginya stigma sosial. Kegiatan pengabdian melalui program "OPTIMAL CARE" ini bertujuan memberdayakan keluarga dan kader kesehatan untuk mendukung keberhasilan terapi pasien TBC. Metode yang digunakan adalah pemberdayaan komunitas melalui empat tahapan: identifikasi kebutuhan, perancangan program, implementasi, dan evaluasi. Hasil dari tahap identifikasi dan perancangan menunjukkan adanya kesenjangan pengetahuan yang signifikan, di mana 90% keluarga pasien belum memahami praktik perawatan pendukung di rumah. Selain itu, teridentifikasi pula keterbatasan peran kader yang belum optimal sebagai edukator dan motivator. Berdasarkan temuan tersebut, program ini secara spesifik dirancang untuk meningkatkan kapasitas keluarga dan kader melalui edukasi terstruktur dan pendampingan intensif. Kesimpulan dari tahap awal ini menegaskan bahwa intervensi pada keluarga dan kader merupakan langkah strategis untuk membangun ekosistem pendukung yang kuat guna meningkatkan keberhasilan pengobatan TBC.
Co-Authors Abdillah, Achlish Afandi, Alfid Agus Meriroja Agustin, Agil Ahdya Islaha Widyaputri Ahdya Islaha Widyaputri, Ahdya Ahmad Fathoni Ahmad Kudlori Ahmad Rifai Ahsan Ahsan Ajeng Dian Sandika Akhmad Zainur Ridla Al Alawi, Rafi Izuddin Alfid Tri Afandi Alwan Wijaya Alwan Wijaya Alya 'Izzatur Rohmah Amadea Yollanda Ana Nistiandani Anggun Afrix Rozana Anis Fitri Nurul Anggraeni Anisah Ardiana Annisa Putri Zalsabila ARIF HIDAYATULLAH Artha Artha Artha, Artha Ayu Kurnia Vidiany Ayu Kurnia Vidiany Baehaqi Baskoro Setioputro Baskoro Setioputro Basuki, Pinky Issabella Nanda Benjayamas Pilayon Chanicha Chaitonthueng Chasanah, Nur Fitria Ulfa Devy Meylina Christy Dewi Amaliyah Wahidah Dhimas Rizky Handoko Dicky Andriansyah Dimas Hadi Prayoga Dina Helianti DINI KURNIAWATI Dini Kurniawati Dodi Wijaya Dodi Wijaya Dodi, Dodi Wijaya Dwi Ochta Pebriyanti Dwi Yuni Lestari Eka Yufi Septriana Candra Endrian Kurniawan, Dicky Enggal Hadi Kurniyawan Eni Yuriasti Erna Hartatik Erti Ikhtiarini Dewi Esti Utarti Evan Wahyuningsih Evan Wahyuningsih Faiqoh Salsabillah Ufaidah Farida Nur Qomariyah Fatimah Zahra Febrian Maulana Putra Febrian Maulana Putra FITRI NURCAHYANI Fitriani Fitriani Fitriani Fuad Hasim Wafi Gigih Permana Kusuma Putra Gunarto, Sugito Tri Hafan Sutawardana, Jon Hartatik, Erna Hasan, Hafifah Heri Siswanto Heri Siswanto Heri Siswanto Iis Rahmawati Indriana Noor Istiqomah Intan Nur Annisa Iriawandani, Debie Saktyana Ismara Ketut Ima Iswatiningtyas, Nur Faiza Jannah, Latifah Nur Jon Haffan Sutawardana Juthaluck Saentho Kadek Novi Andani Karuniawaty, Sari Dewi Karuniawathy Ketut Ima Ismara Kiki Maria Kiki Maria Kudlori, Ahmad Kurniawan Setia Budi, Fandi Ahmad Kushariyadi Kushariyadi Kushariyadi Kushariyadi Kusnanto Kusnanto Kusnul Kotimah Kustiarini, Ari Laili Nur Azizah Laili, Nadia Rohmatul Lantin Sulistiyorini, Lantin Latifah Nur Jannah Lianawati Lianawati Linda, Baiq Linda Agustina Lumprom, Orachorn Mahdi , Nabilla Novia Mardiati Mardiati Mashuri Mashuri Mei Syafriadi Mohammad Shodikin Mohammad Shodikin Mokh. Sujarwadi Muhamad Zulfatul A’la Muhammad Aldi Muhammad Fakhrur Rozsy Muhammad Nur, Kholid Rosyidi Mukarromah, Siti Murdiyati Mukhammad Toha Mulia Hakam Murtaqib Murtaqib Musarrofa, Faise Lailatul Mustakim Mustakim Mustakim Mustakim Nailul Aizza Rizqiyyah Ningsih, Sri Wahyuningsih Nining Wahyuni Yuriasti Niruwan Turnbull Nisak, Efir Rifatun Nistiandani, Ana Noor Ika Wardani Novianty, Aluh Eka Novita Nurkamilah Nur Widayati Nurfika Asmaningrum Nurfika Asmaningrum Nursalam, Nursalam Olifia Nafa Jelita Olifia Nafa Jelita Pairin Yodsuban Pasanti, Jesicha Melni Peni Perdani Juliningrum, Peni Perdani Pinky Issabella Nanda Basuki Pradika Ghozi Syamsir Primasari Mahardhika Rahmawati Putri, Nicky Septiana R Endro Sulistyono RA. Arsyifa Nanda Fedora Rachmawati, Iis Rahma Yunita Rahman, Zaiful Rahmatullah, M. Nauval Rahmawati, Iis ramadhan, firman Ratna Sari Hardiani Rini Riyanti Ririn Halimatus Sa`diah Rismawan Adi Yunanto Rizki Fitriani, Atmim Rohananingsih, Rohananingsih Rohkmah, Dewi Rosalind Prihandini Rubiansyah, Getha Maharani Ruris Haristiani Ruris Haristiani Salma Dena Sinta Qur'aini Sinta Wijayanti SISWOYO Siswoyo Siswoyo Siswoyo Siswoyo Siswoyo Siti Marina Wiastuti Soenarnatalina Melaniani Sri wahyuni Sugih Utami, Wiwien Sugito Tri Gunarto Suhari Suhari Suhari Suharsono SUHARSONO SUJARWANTO Sujarwanto Susanti, Ika Adelia Sutriani Undariningsih Sutriani Undariningsih Sutrisno Sutrisno Sutrisno, Sutrisno Syamsiar, Pradika Ghozi syamsidar syamsidar Tantut Susanto Tantut Susanto Triandana, I Komang Leo Triandana Umardi , Adhelia Ananda Umayanah Umayanah Wahyuni, Ika Sri Wantiyah Wantiyah Wantiyah Wardani, Noor Ika Wardani, Novita Putri Eka Widya Maulina Cantika Putri Wulandari, Winda Cindy Yonda, Nila Nabila Yulia, Yulia Misni Yuriasti, Eni Yuriasti, Nining Wahyuni Zahratul Umniyyah Zahreni Hamzah Zaiful Rahman Zaiful Rahman Zuhroidah, Ida