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Peningkatan Pengetahuan dan Sikap Ibu Tentang Pencegahan Gizi Buruk Melalui Inovasi Gem-Heart (Great Mother Healthy Toddler) Fiola Jarini; Sodikin Sodikin; Devita Elsanti; Umi Solikhah; Deisy Sri Hardini
Jurnal Ners Vol. 10 No. 4 (2026)
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i4.62034

Abstract

Masalah gizi balita di Indonesia masih menjadi isu kesehatan yang dipengaruhi oleh rendahnya pengetahuan dan sikap ibu mengenai gizi seimbang. Untuk mengatasi permasalahan tersebut dikembangkan inovasi GEM-HEART (Great Mother Healthy Toddler) berupa video animasi edukatif yang bertujuan meningkatkan pengetahuan dan sikap ibu dalam pencegahan gizi buruk pada balita. Penelitian ini bertujuan menghasilkan serta menguji kelayakan dan efektivitas media edukasi GEM-HEART. Metode yang digunakan adalah Research and Development (R&D) dengan pendekatan kualitatif dan kuantitatif. Data kualitatif diperoleh melalui angket saran dan masukan dari ahli akademisi, praktisi, ahli bahasa, serta uji coba kelompok terbatas. Data kuantitatif dikumpulkan menggunakan angket penilaian skala 1–5 dan kuesioner pengetahuan serta sikap ibu yang diukur melalui pre-test dan post-test. Hasil validasi menunjukkan media dinyatakan layak digunakan dengan beberapa revisi pada aspek desain. Uji coba kelompok terbatas menunjukkan adanya peningkatan pengetahuan dan sikap ibu setelah penggunaan media GEM-HEART. Uji normalitas Shapiro–Wilk menunjukkan data tidak berdistribusi normal (p<0,05), sehingga analisis dilanjutkan menggunakan uji Wilcoxon. Hasil uji Wilcoxon menunjukkan terdapat perbedaan yang signifikan pada skor pengetahuan dan sikap ibu sebelum dan sesudah intervensi (p<0,05). Dengan demikian, inovasi GEM-HEART dinyatakan layak dan efektif sebagai media edukasi untuk meningkatkan pengetahuan dan sikap ibu dalam pencegahan gizi buruk pada balita.
TRANSFORMATIONAL LEADERSHIP, ORGANIZATIONAL CULTURE, AND COMPLETENESS OF ELECTRONIC MEDICAL RECORDS AMONG NURSES: A MIXED-METHODS STUDY Aliffia Yulanda Prabawati; Umi Solikhah; Vivi Leona Amelia; Dedy Purwito
Menara Medika Vol 9, No 1 (2026): VOL 9 No 1 SEPTEMBER 2026
Publisher : Fakultas Kesehatan Universitas Muhammadiyah Sumatera Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31869/mm.v9i1.7934

Abstract

Background: Digital transformation in healthcare has demanded complete and accurate nursing documentation through Electronic Medical Records (EMRs). However, EMR completeness has remained suboptimal, indicating that technological implementation alone is insufficient. Organizational factors, particularly transformational leadership and organizational culture, play a critical role in influencing nurses’ documentation practices. Effective leadership may enhance supervision and engagement, while a supportive culture promotes collaboration and accountability. Nevertheless, evidence regarding their combined influence on EMR completeness remains limited. Purpose: This study aimed to analyze the relationship between transformational leadership style and organizational culture on the completeness of EMRs among nurses. Methods: A mixed-methods research design was employed. Quantitative data were collected from 112 nurses to examine the relationship between transformational leadership, organizational culture and the completeness of electronic medical records, while qualitative data were obtained from eight key informants to identify the contextual factors influencing documentation practices. Results: The findings revealed that the majority of EMR documentation was incomplete (60.7%). A statistically significant but negative correlation was identified between transformational leadership and documentation completeness (p = 0.002; r = -0.287), Qualitative findings highlighted systemic barriers, including high workload, limited system usability, and technical constraints. A perception gap was also identified between nurses and management. Conclusion: Improving EMR documentation completeness required an integrated approach involving leadership effectiveness, organizational culture, system usability, and workload management.
Korelasi nilai rasio neutofil-limfosit dengan kadar ureum dan kreatinin pada pasien hemodialisa rutin di RSU Wiradadi Husada Kintan Yaumi Lailatil Qodri; Retno Sulistiyowati; Umi Solikhah; Kurnia Ritma Dhanti
JOURNAL OF Community Health Issues Vol. 3 No. 3 (2026): August Edition 2026
Publisher : Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Ikatan Perawat Kesehatan Komunitas Indonesia (IPKKI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/chi.v3i3.4088

Abstract

Background: Chronic kidney disease is characterized by a progressive and irreversible decline in kidney function, which may require hemodialysis therapy at an advanced stage. Patients undergoing routine hemodialysis are at risk of chronic inflammation, which can be reflected by the Neutrophil-to-Lymphocyte Ratio (NLR), while urea and creatinine levels can indicate the accumulation of metabolic waste products in the body. Purpose: To determine the correlation between NLR and urea and creatinine levels in patients undergoing routine hemodialysis at RSU Wiradadi Husada. Method: This study used an analytical observational design with a cross-sectional approach and consecutive sampling technique. A total of 42 patients undergoing routine hemodialysis were examined in June 2026. NLR values were obtained from complete blood count results, while urea and creatinine levels were obtained from serum examinations. Data were analyzed using the Spearman correlation test. Results: The results showed no significant correlation between NLR and urea levels (r = 0.054; p = 0.736) or between NLR and creatinine levels (r = −0.189; p = 0.230). Conclusion: There was no significant correlation between NLR and urea or creatinine levels in patients undergoing routine hemodialysis at RSU Wiradadi Husada.