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All Journal Contagion: Scientific Periodical Journal of Public Health and Coastal Health Jurnal Kesehatan Husada Gemilang
Ratna Wati
Poltekkes Kemenkes Kalimantan Timur
Dentistry Health Professions Medicine & Pharmacology Nursing Public Health

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The Interplay of Transcultural Competence, Therapeutic Communication, and Self-Efficacy Among Community Health Nurses Dwi Nopriyanto; Bahtiar Bahtiar; Ruminem Ruminem; Rita Puspasari; Mayusef Sukmana; Iwan Samsugito; Ratna Wati
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 8, No 2 (2026): Contagion
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v8i2.26621

Abstract

Nurses working in culturally diverse environment possess valuable knowledge and experience in fostering interpersonal communication and can strengthen their self-efficacy. Nursing competence is defined as a continuous, dynamic process of providing care to patients from diverse cultural backgrounds, aimed at reducing risk and understanding patient needs. This study aimed to investigate the relationship between transcultural nursing competence, therapeutic communication skills, and self-efficacy among community health nurses in Samarinda. A quantitative descriptive cross-sectional study was employed, involving 224 nurses from 26 public health centers in Samarinda.  Data were collected from April to June 2025 using validated questionnaires assessing transcultural nursing competence, therapeutic communication skills, and self-efficacy. Statistical analyses included chi-square tests and logistic regression to explore correlations and predictive relationships. Results showed that 52.7% of nurses demonstrated good transcultural nursing competence, 55.8% exhibited good therapeutic communication skills, and 58.5% reported high self-efficacy. Transcultural nursing competence significantly influenced therapeutic communication skills (OR=2.044, p=0.011) and self-efficacy (OR=2.256, p=0.004). Length of work also positively correlated with self-efficacy (OR=2.574, p=0.016), while demographic factors such as gender, age, and education showed no significant associations. Transcultural nursing competence emerged as a critical factor in enhancing therapeutic communication and self-efficacy among nurses. The findings highlights the importance of cultural competency training to improve nursing care in multicultural settings.Keywords: Transcultural Nursing, Therapeutic Communication, Self-Efficacy, Community Health Nurses.
ANALYSIS OF FACTORS IMPLEMENTATION CERDIK BEHAVIOR IN HYPERTENSION PATIENTS OF PRODUCTIVE AGE AT AIR PUTIH HEALTH CENTER Nahara Isnani; Annisa Nurrachmawati; Ike Anggraeni; Nur Rohmah; Agus Hardito; Ratna Wati
Jurnal Kesehatan Husada Gemilang Vol 8 No 2 (2025): JURNAL KESEHATAN HUSADA GEMILANG
Publisher : STIKES HUSADA GEMILANG

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61129/jkhg.v8i2.123

Abstract

Hypertension is a serious health issue worldwide that can lead to stroke, myocardial infarction, heart failure, dementia, kidney failure, and vision problems, and it poses a significant issue especially for the productive age, as it can reduce work productivity. The CERDIK behavior (Check health regularly, Eliminate cigarette smoke, Regular physical activity/exercise, Healthy and balanced diet, Enough rest, and Manage stress) is one of the ways that can be done to prevent and control hypertension. This study aims to analyze the factors influencing the application of CERDIK behavior among productive age hypertensive patients at Air Putih Community Health Center. This research is an observational study with a cross-sectional approach. The research was conducted from April to June 2024 at the Air Putih Public Health Center in Samarinda City. The sample consisted of 130 people who regularly underwent hypertension checks, selected through simple random sampling. Data was collected using a questionnaire and analyzed using multiple logistic regression testing. The results of the multiple logistic regression analysis indicate that the most significant factors related to CERDIK behavior are self-efficacy (p= 0.000) and self-regulation (p= 0.017). Self-efficacy is a key concept in social cognitive theory. Self-efficacy affects how a person thinks, feels, motivates themselves, and acts. The self-regulation of individuals with hypertension is shaped by beliefs that enhance their ability to implement CERDIK behavior. Hipertensi merupakan masalah kesehatan yang cukup berbahaya diseluruh dunia yang dapat mengakibatkan stroke, infark miokard, gagal jantung, demensia, gagal ginjal, dan gangguan penglihatan dan menjadi permasalahan besar khususnya bagi usia produktif, karena dapat menurunkan produktivitas kerja. Perilaku CERDIK (Cek kesehatan secara berkala, Enyahkan asap rokok, Rajin aktivitas fisik/olahraga, Diet sehat dan seimbang, Istirahat cukup dan Kelola stres) merupakan salah satu cara yang dapat dilakukan untuk mencegah dan mengontrol hipertensi. Penelitian ini bertujuan untuk menganalisis faktor-faktor penerapan perilaku CERDIK pada Penderita Hipertensi Usia Produktif di Puskesmas Air Putih. Penelitian ini adalah penelitian observasional dengan pendekatan cross-sectional. Penelitian dilakukan pada bulan April-Juni 2024 di Puskesmas Air Putih Kota Samarinda. Sampel berjumlah 130 orang yang rutin melakukan pemeriksaan hipertensi yang diambil secara acak sederhana. Pengumpulan data menggunakan kuesioner dan data dianalisis menggunakan uji regresi logistik berganda. Hasil uji analisis regresi logistik berganda menunjukkan faktor yang paling signifikan berhubungan dengan perilaku CERDIK adalah efikasi diri (p= 0,000) dan regulasi diri (p= 0,017). Efikasi diri merupakan gagasan kunci dari teori sosial kognitif (social cognitive theory). Efikasi diri mempengaruhi bagaimana seseorang berpikir, merasa, memotivasi diri sendiri dan bertindak. Regulasi diri penderita hipertensi dibentuk oleh keyakinan yang akan meningkatkan kemampuan untuk menerapkan perilaku CERDIK.
ASUHAN KEBIDANAN KOMPREHENSIF DAN BERKESINAMBUNGAN (CONTINUITY OF CARE) PADA IBU S DI KLINIK UMUM DAN BERSALIN KUSUMA SAMARINDA TAHUN 2025 Bella Rizki Az Zahra; Jasmawati Jasmawati; Sutrisno Sutrisno; Desy Eka Prastiwi; Ratna Wati
Jurnal Kesehatan Husada Gemilang Vol 8 No 2 (2025): JURNAL KESEHATAN HUSADA GEMILANG
Publisher : STIKES HUSADA GEMILANG

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61129/jkhg.v8i2.131

Abstract

Comprehensive Midwifery Care is continuous care for mothers during pregnancy, childbirth, postpartum, newborns and family planning to reduce MMR and IMR. Varney's midwifery management method is in the form of SOAP. Care for Mrs. S, 33 years old, G4P3003, at the Kusuma Clinic and home visits began on January 31 to April 12, 2025, and data collection was carried out through anamnesis, observation, physical examination and supporting. In the comprehensive care that has been carried out, there is a gap between theory and practice, namely: in Antenatal Care examinations only 2 times, in the care of the First Stage of labor went well, in the First Stage the mother used Oxygen assistance, RL infusion installation 20 tpm, the Second Stage for 10 minutes, the Third Stage lasted for 5 minutes, and the Fourth Stage lasted for 2 hours there was a first-degree rupture. The baby was born spontaneously, weighing 3805 grams, body length 53 cm and neonatal visits were carried out 3 times. The postpartum period was normal without any complications. Four visits were conducted, and Mrs. S chose family planning with a 3-monthly injection. These results indicate that the comprehensive care provided to Mrs. S met her needs. Asuhan Kebidanan Komprehensif adalah asuhan yang diberikan secara berkesinambungan kepada ibu selama kehamilan, persalinan, nifas, bayi baru lahir dan keluarga berencana untuk menurunkan AKI dan AKB. Metode pendekatan dengan manajemen kebidanan pola pikir varney yang dituangkan dalam bentuk SOAP. Asuhan diberikan pada Ny. S umur 33 tahun G4P3003 di Klinik Umum dan Bersalin Kusuma dan kunjungan rumah dimulai tanggal 31 Januari sampai 12 April 2025 serta dilakukan pengumpulan data melalui anamnesa, observasi, pemeriksaan fisik dan pemeriksaan penunjang. Pada asuhan komprehensif yang telah dilakukan terdapat kesenjangan antara teori dan praktik yaitu : pada pemeriksaan Antenatal Care hanya 2 kali, pada asuhan Kala I persalinan berjalan dengan baik, di kala I ibu menggunakan bantuan Oksigen, pemasangan infus RL 20 tpm, kala II berlangsung selama 10 menit, Kala III berlangsung selama 5 menit, dan kala IV berlangsung selama 2 jam terdapat ruptur derajat I. Bayi lahir spontan, berat badan 3805 gr, panjang badan 53 cm dan dilakukan kunjungan neonatus sebanyak 3 kali. Masa nifas berjalan normal tanpa ada penyulit, dilakukan kunjungan sebanyak 4 kali dan asuhan keluarga berencana Ny. S memilih keluarga berencana suntik 3 bulan. Dari hasil tersebut dapat disimpulkan bahwa asuhan komprehensif yang diberikan pada Ny. S sesuai dengan kebutuhan pasien.
ASUHAN KEBIDANAN CONTINUITY OF CARE PADA NY. R UMUR 25 TAHUN, GIIP1001 DI UPT PUSKESMAS SUNGAI TURAK TAHUN 2025 Noorjanah Noorjanah; Ratna Wati; Siti Khodijah; Jasmawati Jasmawati
Jurnal Kesehatan Husada Gemilang Vol 8 No 2 (2025): JURNAL KESEHATAN HUSADA GEMILANG
Publisher : STIKES HUSADA GEMILANG

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61129/jkhg.v8i2.132

Abstract

This study aims to evaluate the continuity of care in midwifery for Mrs. R, a 25-year-old mother with pregnancy GIIP1001 at UPT Puskesmas Sungai Turak. The method used is a case study with a comprehensive approach, including antenatal, intranatal, postnatal, and neonatal assessments. Data was collected through observation, interviews, and document analysis. The analysis results show that the midwifery care provided is in accordance with service standards, where Mrs. R experienced a normal pregnancy process despite having mild anemia detected during the examination. The discussion reveals that the health education provided to Mrs. R and support from her family play a crucial role in improving the health of mothers and babies. Furthermore, the implementation of continuity of care management has proven effective in monitoring and managing risks that may arise during pregnancy and childbirth. The conclusion of this study emphasizes that continuous midwifery care can enhance the quality of health services for pregnant women. The recommendation given is the need for increased training for healthcare personnel to strengthen their knowledge and skills in providing comprehensive and responsive midwifery care to meet patient needs. Penelitian ini bertujuan untuk mengevaluasi asuhan kebidanan continuity of care pada Ny. R, seorang ibu berusia 25 tahun dengan kehamilan GIIP1001 di UPT Puskesmas Sungai Turak. Metode yang digunakan adalah studi kasus dengan pendekatan komprehensif, mencakup pengkajian antenatal, intranatal, postnatal, dan neonatal. Data dikumpulkan melalui observasi, wawancara, dan analisis dokumentasi. Hasil analisis menunjukkan bahwa asuhan kebidanan yang diberikan sesuai dengan standar pelayanan, di mana Ny. R mengalami proses kehamilan yang normal meskipun terdapat anemia ringan yang terdeteksi selama pemeriksaan. Pembahasan mengungkapkan bahwa pendidikan kesehatan yang diberikan kepada Ny. R dan dukungan dari keluarga berperan penting dalam meningkatkan kesehatan ibu dan bayi. Selain itu, penerapan manajemen continuity of care terbukti efektif dalam memantau dan mengelola risiko yang mungkin terjadi selama kehamilan dan persalinan. Kesimpulan dari penelitian ini menegaskan bahwa asuhan kebidanan yang berkesinambungan dapat meningkatkan kualitas pelayanan kesehatan ibu hamil. Saran yang diberikan adalah perlunya peningkatan pelatihan bagi tenaga kesehatan untuk memperkuat pengetahuan dan keterampilan dalam memberikan asuhan kebidanan yang komprehensif dan responsif terhadap kebutuhan pasien.
Co-Authors Agus Hardito Annisa Nurrachmawati Bahtiar Bahtiar Bella Rizki Az Zahra Desy Eka Prastiwi Dwi Nopriyanto Ike Anggraeni Iwan Samsugito Jasmawati Jasmawati Mayusef Sukmana Nahara Isnani Noorjanah Noorjanah Nur Rohmah Rita Puspa Sari Ruminem Ruminem Siti Khodijah Sutrisno Sutrisno