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All Journal PROSIDING SEMINAR NASIONAL Jurnal NERS THE JOURNAL OF MUHAMMADIYAH MEDICAL LABORATORY TECHNOLOGIST Jurnal Keperawatan Muhammadiyah International Journal of Nursing and Health Services (IJNHS) Surya Medika: Jurnal Ilmiah Ilmu Keperawatan dan Ilmu Kesehatan Masyarakat FUNDAMENTAL AND MANAGEMENT NURSING JOURNAL Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Journal of Public Health and Pharmacy Strada Jurnal Ilmiah Kesehatan (SJIK)
Abdul Aziz Alimul Hidayat
Department Of Nursing, University Muhammadiyah Of Surabaya, 60113, Indonesia
Decision Sciences, Operations Research & Management Dentistry Education Health Professions Medicine & Pharmacology Nursing Public Health Social Sciences

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Democratic Head Nurse Leadership and Interprofessional Collaboration in Hospital Settings: A Cross-Sectional Study Nur Mukarromah; Berliana Hanifah Alisya; Abdul Aziz Alimul Hidayat; Puji Rahayu; Diah Priyantini
Fundamental and Management Nursing Journal Vol. 9 No. 1 (2026): APRIL 2026
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/fmnj.v9i1.65758

Abstract

Introduction: Effective nurse–doctor collaboration is fundamental to delivering high-quality hospital care. However, interprofessional collaboration often remains suboptimal due to hierarchical dynamics and limited managerial competence among nurse leaders. This study examined the influence of head nurses’ leadership style, particularly democratic leadership, on nurse–doctor collaboration in hospital settings. Methods: a cross-sectional correlational study was conducted at a regional general hospital in Indonesia, with data collected in April 2023. A total of 49 respondents were recruited using purposive sampling. Leadership style was assessed using the Multifactor Leadership Questionnaire (MLQ–5X Rater Form, 45 items), while nurse–doctor collaboration was measured with the Jefferson Scale of Attitudes toward Physician–Nurse Collaboration (JSAPNC, 15 items). Content validity was established through expert judgment (CVI = 0.87), and reliability testing demonstrated good internal consistency (Cronbach’s α = 0.82 for MLQ; α = 0.85 for JSAPNC). Data were analyzed using the Chi-square test with a significance level of p < 0.05. Results: In major (69.4%) respondents perceived their head nurse’s leadership style as democratic. Additionally, 61.2% reported good nurse–doctor collaboration. Statistical analysis revealed a significant association between democratic leadership style and nurse–doctor collaboration (p < 0.001). Conclusions: Democratic leadership among head nurses is significantly associated with stronger nurse–doctor collaboration. Enhancing democratic leadership competencies may promote more effective interprofessional teamwork and contribute to improved quality of care in hospital settings.
Predictors of Quality of Life in Patients Undergoing Hemodialysis for Chronic Kidney Disease (CKD) in Surabaya, Indonesia Abdul Aziz Alimul Hidayat; Ratna Agustin; Sri Mudji Lestari
Journal of Public Health and Pharmacy Vol. 6 No. 1 (2026)
Publisher : Pusat Pengembangan Teknologi Informasi dan Jurnal Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/jphp.v6i1.6517

Abstract

Introduction: Hemodialysis is the primary therapy for patients with end-stage chronic kidney disease. While it provides essential medical benefits, the procedure also imposes significant physical, psychological, and social challenges, impacting patients’ quality of life. The quality of life of patients with Chronic Kidney Disease (CKD) is influenced by various factors, including individual characteristics such as age, nutritional status, duration of hemodialysis, occupation, gender, and level of education. Advanced age is often associated with a decline in physiological function and an increased risk of complications. Poor nutritional status or malnutrition is linked to higher morbidity and mortality rates. The length of time a patient undergoes hemodialysis may also affect their physical and psychological adaptation, either positively or negatively. This study aims to analyze the predictive factors influencing the quality of life among chronic kidney disease patients undergoing hemodialysis at a private hospital in Surabaya, Indonesia. Methods: This study employed a cross-sectional design involving 160 respondents selected through probability random sampling. Data were collected using the Kidney Disease Quality of Life-Short Form (KDQOL-SF) questionnaire and analyzed using multiple logistic regression to determine significant factors associated with quality of life. Results: The analysis revealed significant associations between age (p=0.001; OR=0.008), duration of hemodialysis (p=0.010; OR=25.916), and nutritional status (p=0.000; OR=0.003) with patients’ quality of life. Patients with poor nutritional status and prolonged hemodialysis duration were at a higher risk of experiencing a decline in quality of life. Conclusion: This study underscores the importance of routine nutritional assessments and targeted monitoring for elderly patients and those with long-term hemodialysis. These strategies are critical to optimizing the quality of life among hemodialysis patients.
ANALISIS NILAI NLR (Neutrophil-Lymphocyte Ratio) PADA PASIEN COVID-19 DENGAN KOMORDIBITAS DIABETES MELLITUS Anggraini Chaya Dwi Putri; Ellies Tunjung Sari Maulidiyanti; Rahma Widyastuti; Abdul Aziz Alimul Hidayat
THE JOURNAL OF MUHAMMADIYAH MEDICAL LABORATORY TECHNOLOGIST Vol 9 No 1 (2026): The Journal of Muhammadiyah Medical Laboratory Technologist
Publisher : Universitas Muhammadiyah Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/jmlt.v9i1.32825

Abstract

COVID-19 merupakan penyakit yang menginfeksi saluran respirasi. Pada penderita Diabetes Mellitus rentan terhadap infeksi virus COVID-19, hal ini dikarenakan adanya gangguan imunitas. Gangguan tersebut dapat memperparah infeksi dari virus yang masuk ke tubuh. Penderita COVID-19 dengan komorbid Diabetes Mellitus memiliki resiko mengalami kematian lebih besar dibandingkan dengan pasien yang tidak memiliki komorbid. Saat ini telah banyak pemeriksaan laboratorium yang digunakan untuk mendiagnosa COVID-19. Salah satu parameter pemeriksaan laboratorium yang digunakan untuk mendiagnosa adalah NLR (Neutrophil-Lymphocyte Ratio). Penelitian ini bertujuan untuk mengetahui gambaran nilai NLR (Neutrophil-Lymphocyte Ratio) pada pasien coronavirus (COVID-19) dengan komorbid Diabetes Mellitus. Jenis penelitian yang digunakan adalah deskriptif, dengan data yang diperoleh sebanyak 50 responden. Data yang digunakan didapatkan dari data rekam medik pasien COVID-19 di Rumah Sakit Brawijaya Surabaya dalam kurun waktu 1 tahun (Desember 2020 – Desember 2021). Hasil keseluruhan dari data tersebut didapatkan 19 sampel (38%) memiliki nilai NLR normal (< 3,13), dan 31 sampel (62%) memiliki nilai NLR diatas nilai normal.
Predictors of Pulmonary Tuberculosis Prevention in Surabaya, Indonesia Abdul Aziz Alimul Hidayat; Ratna Agustin; Siwi Sabdasih
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 8 No. 1 (2025)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v8i1.6515

Abstract

Background: Pulmonary tuberculosis (TB) continues to pose a critical public health challenge in Indonesia, characterized by high transmission rates, particularly within household settings. Despite extensive efforts to mitigate the spread of TB, persistent barriers such as low adherence to prevention and treatment protocols hinder progress. Identifying the factors that influence adherence is essential to optimizing the efficacy of intervention strategies. This study aims to investigate the key predictors influencing adherence to preventive measures for pulmonary TB transmission in Surabaya City. Methods: A quantitative research design employing a cross-sectional approach was utilized. Data were collected from 225 pulmonary TB patients attending community health centers in Surabaya City between September and December 2023. The variables examined included demographic characteristics, perceived benefits, barriers, susceptibility, severity, and self-efficacy. Statistical analysis was conducted using multiple logistic regression, with significance set at p<0.05. Results: Significant predictors of adherence included age (p=0.048; OR=0.413), gender (p=0.009; OR=0.328), socioeconomic status (p=0.033; OR=3.052), perceived benefits (p=0.009; OR=10.086), barriers (p=0.007; OR=0.704), and self-efficacy (p=0.005; OR=29.335). Patients aged above 45 years, those reporting higher perceived benefits, and those with greater self-efficacy demonstrated higher adherence to TB prevention measures. These findings underscore the importance of self-efficacy, perceived benefits, and socioeconomic factors as significant determinants of adherence. The study's contribution lies in its exploration of adherence predictors within a high-risk population, offering valuable insights to inform targeted public health interventions. Conclusion: Age, perceived benefits, barriers, and self-efficacy emerged as critical predictors of adherence to pulmonary TB prevention strategies in Surabaya City. Interventions aimed at strengthening self-efficacy and providing targeted educational programs for younger populations are recommended to enhance TB control efforts. Additionally, integrating these findings into broader public health frameworks, such as national TB control strategies, can amplify their impact and contribute to improved health outcomes.
Social Determinants and Healthcare Access on Health Representations and Self Care in Pulmonary Tuberculosis Patients Anis Rosyiatul Husna; Nursalam Nursalam; Abdul Aziz Alimul Hidayat; Makhfudli Makhfudli
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 9 No. 7 (2026)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v9i7.11440

Abstract

Introduction: Tuberculosis (TB) remains a significant global health challenge despite advances in diagnosis and treatment. Social determinants and healthcare access may be associated with health representations and self-care behaviors among pulmonary tuberculosis (PTB) patients, yet their complex interrelationships remain insufficiently understood. This study examined relationships between social factors (stigma and social support), healthcare access, health representations, emotional responses, and self-care behaviors among PTB patients, contributing an integrative structural test of these constructs in an Indonesian urban primary-care setting. Method: An explanatory observational analytic study with a cross-sectional approach was conducted among 160 PTB patients undergoing treatment at four primary healthcare centers in Surabaya from November 2023 to February 2024. Participants were selected through a multistage sampling design combining random selection at the district level with purposive selection at the facility level. Data were collected using culturally validated questionnaires. Structural equation modeling using Partial Least Squares (PLS-SEM) examined associations between variables. Results: Social factors were significantly associated with health representations (?=0.263, p=0.001), as were healthcare access factors (?=0.201, p=0.002). Health representations were significantly and negatively associated with emotional responses (?=?0.355, p<0.001), indicating that better illness understanding corresponded with reduced emotional distress. Neither health representations (?=0.114, p=0.254) nor emotional responses (?=0.011, p=0.912) demonstrated significant direct associations with self-care behaviors. Conclusion: Social factors and healthcare access factors significantly associated with health representations, which significantly and negatively associated with emotional responses. Neither health representations nor emotional responses directly associated with self-care behaviors, underscoring the complexity of self-care pathways in TB management and suggesting that self-regulatory mechanisms not captured in the present model may play a more proximal role in shaping self-care. These findings may inform the development of nurse-led interventions addressing social support, healthcare access, illness understanding, and psychosocial well-being to promote comprehensive self-care beyond medication adherence, pending evaluation in future intervention studies.
Co-Authors Agustuti, Tri Diani Ana Pratiwi Anggraini Chaya Dwi Putri Anis Rosyiatul Husna, Anis Rosyiatul Berliana Hanifah Alisya Dede Nasrullah Ellies Tunjung Sari Maulidiyanti Farida Murtiani M Noor Ifansyah Makhfudli Makhfudli Musrifatul Uliyah Nur Mukarromah Nursalam, Nursalam Pipit Festy Priyantini, Diah Puji Rahayu Rahma Widyastuti Ratna Agustin Rofiqi, Erfan Siwi Sabdasih Sri Mudji Lestari Stefanus Supriyanto Sukadiono, Sukadiono Tintin Sukartini Sukartini, Tintin Sukartini Tri Kurniati Triharini, Mira