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All Journal NURSCOPE: Jurnal Penelitian dan Pemikiran Ilmiah Keperawatan Jurnal Kesehatan Reproduksi Jurnal NERS Jurnal Skolastik Keperawatan (e-Journal) Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Education IJNP (Indonesian Journal of Nursing Practices) Jurnal Keperawatan Padjadjaran Belitung Nursing Journal JURNAL WACANA KESEHATAN Journal Of Nursing Practice Jurnal Kesehatan Reproduksi Media Keperawatan Indonesia Jurnal Keperawatan Respati Yogyakarta Jurnal Persatuan Perawat Nasional Indonesia (JPPNI) Jurnal Menara Medika Jurnal Keperawatan Klinis dan Komunitas (Clinical and Community Nursing Journal) Berita Kedokteran Masyarakat Prosiding University Research Colloquium JHeS (Journal of Health Studies) Jurnal Keperawatan Soedirman (The Soedirman Journal of Nursing) Kesmas: Jurnal Kesehatan Masyarakat Nasional (National Public Health Journal) Journal of Nursing Management Innovations
Elsi Dwi Hapsari
Departemen Keperawatan Anak Dan Maternitas, Fakultas Kedokteran, Kesehatan Masyarakat, Dan Keperawatan, Universitas Gadjah Mada, Daerah Istimewa Yogyakarta
Humanities Computer Science & IT Dentistry Education Environmental Science Health Professions Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Neuroscience Nursing Public Health

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PENGARUH KONSELING LAKTASI TERHADAP PENGETAHUAN KEMAMPUAN DAN KEBERHASILAN IBU DALAM PEMBERIAN ASI Anita Liliana; Elsi Dwi Hapsari; Wenny Artanti Nisman
Jurnal Keperawatan Respati Yogyakarta Vol 4 No 2 (2017): MAY 2017
Publisher : Universitas Respati Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35842/jkry.v4i2.116

Abstract

Modal dasar pembangunan manusia berkualitas dimulai sejak bayi masih dalam kandungan yang kemudian dilanjutkan dengan pemberian Air Susu Ibu (ASI) sejak usia dini, terutama pemberian ASI eksklusif . Target pelaksanaan pemberian ASI eksklkusif sebesar 80%, namun dalam pelaksanaannya ASI eksklusif masih memprihatinkan. Tujuan penelitian ini untuk mengetahui pengaruh konseling laktasi terhadap pengetahuan, kemampuan dan keberhasilan ibu dalam pemberian ASI di RSUD Panembahan Senopati Bantul. Desain penelitian yang digunakan adalah ”quasi experiment with post test-only non equivalent control group design”. Teknik pengambilan sampel dengan consecutive sampling dengan jumlah sampel sebanyak 32 responden pada masing-masing kelompok. Analisis bivariat menggunakan chi square dengan tingkat kemaknaan p<0.05. Hasil penelitian menunjukkan adanya perbedaan pengetahuan yang signifikan setelah dilakukan konseling laktasi pada kelompok intervensi (p value 0.000<0.05), terdapat perbedaan kemampuan menyusui yang signifikan antara kelompok intervensi dengan kelompok kontrol setelah diberikan konseling laktasi (p value 0.012<0.05; RR 1.917) dan terdapat perbedaan keberhasilan dalam pemberian ASI yang signifikan antara kelompok intervensi dengan kelompok kontrol setelah diberikan konseling (p value 0.006<0.05; RR 2.500). Konseling laktasi berpengaruh terhadap pengetahuan, kemampuan dan keberhasilan ibu dalam pemberian ASI.
Pengaruh Media Edukasi via Whatsapp Group terhadap Pengetahuan Ibu tentang Tanda dan Gejala Preeklampsia Rizki Handayani Fasimi; Elsi Dwi Hapsari; Widyawati Widyawati
Jurnal Keperawatan Klinis dan Komunitas (Clinical and Community Nursing Journal) Vol 4, No 1 (2020)
Publisher : PSIK FKKMK UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkkk.49270

Abstract

Background: The biggest problem of morbidity and mortality in fetal  is caused by preeclampsia. The cause of preeclampsia in pregnant women is still unknown. Proper educational media in health education are needed to provide information about the problem, for instance, using a smartphone that is common. Using WhatsApp for educational media-related signs and symptoms of preeclampsia has not been discovered before. Objective: to determine the effect of WhatsApp educational media on mother’s knowledge about signs and symptoms of preeclampsia.  Method: This study is  pre experimental research with one group pretest-posttest design. The sample in this study were pregnant women with the age of pregnancy in the second trimester (13 weeks to before term 37 weeks) in Bataraguru Public Health Center. The total sample in this study was 33 pregnant women obtained with purposive sampling techniques and with determined inclusion and exclusion criteria. The intervention was an education through WhatsApp that was conducted for 14 days. Data analysis used Wilcoxon statistical tests. Outcome: The median value of respondents before given educational intervention 11 (7-15) as well as median after given education intervention 19 (15-20).  The p value  from Wilcoxon test was = 0,001 so there is an influence of educational media through WhatsApp groups (p < 0,005). Conclusion: There was a significant increase in knowledge related to preeclampsia signs and phrases through whatsapp group media education.      .      Keywords: education, mothers knowledge, preeclampsia, WhatsAppABSTRAKLatar belakang: Penyebab tertinggi kejadian morbidibitas dan mortalitas pada maternal fetal disebabkan oleh preeklampsia. Sampai saat ini penyebab terjadinya preeklampsia pada ibu hamil masih belum diketahui. Media edukasi yang tepat dalam pemberian pendidikan kesehatan diperlukan untuk memberikan informasi mengenai permasalahan tersebut, salah satunya dengan menggunakan smartphone yang sudah tidak asing lagi. WhatsApp merupakan media sosial yang dapat dimanfaatkan untuk media edukasi terkait tanda dan gejala preeklampsia. Namun penelitian tentang keefektifannya masih belum pernah ditemukan sebelumnya. Tujuan: Untuk mengetahui pengaruh media edukasi WhatsApp terhadap pengetahuan ibu terkait tanda serta gejala preeklampsia.  Metode: Penelitian ini merupakan pre-experimental dengan one group pretest-posttest design. Sampel penelitian ini merupakan ibu hamil dengan usia kehamilan trimester kedua yaitu pada rentang waktu 13 minggu sampai sebelum aterm 37 minggu di Puskesmas Bataraguru. Jumlah sampel pada penelitian ini adalah 33 ibu hamil yang didapatkan dengan teknik purposive sampling dan dengan kriteria inklusi dan eksklusi yang telah ditentukan. Intervensi yang diberikan adalah edukasi melalui WhatsApp yang dilakukan selama 14 hari. Uji analisis data menggunakan uji statistik Wilcoxon. Hasil: Nilai median responden sebelum diberikan intervensi edukasi 11 (7-15) serta nilai median setelah diberikan intervensi edukasi 19 (15-20).  Nilai p dari uji Wilcoxon didapatkan sebesar 0,001 sehingga terdapat pengaruh media edukasi melalui WhatsApp group (p < 0,05). Simpulan: Hasil penelitian menunjukkan bahwa terdapat peningkatan pengetahuan terkait tanda dan gelaja preeklamsia yang signifikan melalui edukasi media WhatsApp group.      
Changes in Women’s Menstruation Patterns Following COVID-19 Infection Nisman, Wenny Artanty; Imam Rahmawati, Natasya Putri; Ramadhani, Hanin; Mardliyah, Ainun Saidatul; Kusumawati, Happy Indah; Wibawa, Shinta Restu; Hapsari, Elsi Dwi; Retno, Hersinta
Jurnal Keperawatan Soedirman Vol 19 No 3 (2024): Jurnal Keperawatan Soedirman (JKS)
Publisher : Fakultas Ilmu-ilmu Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.jks.2024.19.3.11324

Abstract

The Coronavirus Disease 2019 (COVID-19) has been demonstrated to disrupt the body's immune response, adversely affecting the reproductive system. Consequently, this study has focused on the changes in the menstruation patterns of survivors of the disease in women of reproductive age with asymptomatic, mild, and severe cases. This study employed an observational cross-sectional approach. The sample comprised 207 women who had recovered from COVID-19 within the past six months and met the inclusion and exclusion criteria. The sampling technique utilized consecutive sampling, and menstrual characteristics were assessed using a questionnaire. Several respondents in the severe group experienced changes in their menstrual patterns. Their duration of menstruation was shortened by 11.11%, and 13.58% had a more extended menstrual period. Some respondents’ cycles were elongated by 20.98%, some decreased their initial menstrual volume by 32.09%, and some increased by 27.16%. Meanwhile, their menstrual volume decreased by 17.28% at the end of menstruation, and their duration lengthened by 24.69%. 12.1% of respondents also reported changes in menstrual regularity. Additionally, 19.75% of respondents stated that their menstrual pain decreased, and 13.58% had increased menstrual pain. The multivariate analysis revealed that the severity of the COVID-19 infection was the primary factor influencing menstrual patterns.
Building Community Resilience to COVID-19: An Interprofessional Collaborative Model Nursalam, Nursalam; Hapsari, Elsi Dwi; Setiawan, Setiawan; Priyantini, Diah; Pradipta, Rifky Octavia
Jurnal Ners Vol. 20 No. 1 (2025): VOLUME 20 ISSUE 1 FEBRUARY 2025
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v20i1.57229

Abstract

Introduction: Coronavirus Disease 2019 (COVID-19) is a significant global health issue, requiring vigilance and adherence to health protocols to prevent transmission. This study aimed to develop an interprofessional collaborative model based on community sectoral coordination. Methods: A mixed-methods explanatory research design was employed, involving 934 respondents selected through convenience sampling. The research instrument was a modified version of a validated and reliable questionnaire covering interprofessional collaboration, community health nursing, alertness, compliance, and resilience. The data was analyzed using Partial Least Squares (PLS) to test the model's fit and predictive relevance. Results: The coefficient of determination (R²) was 0.772, indicating that 77.2% of the variance in interprofessional collaborative community sectoral coordination could be explained by individual, team, task, and work structure characteristics, as well as community leaders and cross-sectoral factors. The remaining 22.8% was attributed to other variables not included in this study. The Predictive Relevance (Q²) value was greater than 0, suggesting that the model was adequately predictive. Significance testing showed that the exogenous variables had a significant impact on endogenous variables with a total T-statistics value of 1.96 or P value <0.05. Conclusion: The developed interprofessional collaborative model based on community sectoral coordination significantly enhances community alertness, compliance, and resilience, contributing to the achievement of COVID-19 herd immunity.
Hubungan Pengetahuan Pola Asuh Berbasis Budaya dengan Efikasi Diri Ibu dalam Pencegahan Stunting pada Anak Usia 6-59 Bulan Kusumaningtyas, Khariza; Lusmilasari, Lely; Hapsari, Elsi Dwi
Jurnal Keperawatan Klinis dan Komunitas (Clinical and Community Nursing Journal) Vol 9, No 2 (2025)
Publisher : PSIK FKKMK UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkkk.104920

Abstract

Background: The first five years of life are critical for achieving optimal growth and development. The main risk factor for growth failure in children is stunting. One cause of stunting is parenting patterns, particularly that of mother, who is often the primary caregiver. Therefore, maternal self-efficacy is essential for positive parenting. Maternal self-efficacy in parenting begins with knowledge of stunting prevention.Objective: To determine the correlation between cultural-based parenting knowledge and maternal self-efficacy to prevent stunting among children aged 6-59 months.Method: This quantitative cross-sectional study involved 82 respondents, selected using consecutive sampling. Data were collected in November 2023 in Candibinangun Village, Sleman, Yogyakarta. Spearman’s rank correlation analysis was used for the analysis.Results: Fifty-seven percent of mothers had good knowledge and 50% had good self-efficacy, as indicated by scores equal to or greater than the median value for each variable. The p-value was 0,007 indicating a positive correlation between the two variables, with a correlation coefficient (r) of 0,298.Conclusion: There is a significant positive correlation between mothers’ knowledge of cultural-based parenting and self-efficacy in stunting prevention in children aged 6-5 months. Therefore, mothers are encouraged to continuously improve their knowledge and self-efficacy by seeking information related to stunting and practicing positive parenting to reduce the risk of stunting.INTISARILatar belakang: Lima tahun pertama kehidupan merupakan masa kritis bagi anak untuk dapat mencapai tumbuh kembang yang optimal. Faktor risiko utama kegagalan tumbuh kembang anak disebabkan oleh stunting. Salah satu penyebab stunting adalah pola asuh yang diberikan, terutama oleh ibu yang kerap menjadi pengasuh utama. Oleh karena itu, efikasi diri ibu diperlukan untuk dapat memberikan pengasuhan yang positif. Efikasi diri ibu dalam memberikan pengasuhan dimulai dari proses kognitif terhadap pengetahuan dalam pencegahan stunting.Tujuan: Mengetahui hubungan antara pengetahuan pola asuh berbasis budaya dan efikasi diri ibu dalam pencegahan stunting pada anak usia 6-59 bulan.Metode: Penelitian ini menggunakan metode kuantitatif cross-sectional yang melibatkan 82 responden dengan pemilihan sampel menggunakan teknik consecutive sampling. Pengumpulan data dilakukan pada November 2023 di Kalurahan Candibinangun, Sleman, Yogyakarta. Data dianalisis menggunakan analisis korelasi Spearman’s Rank.Hasil: Sebanyak 57,3% ibu memiliki pengetahuan yang baik, serta 50% ibu memiliki efikasi diri baik ditandai dengan skor ≥ nilai tengah pada tiap variabel. Sementara itu, hasil nilai p-value adalah 0,007 yang menunjukkan dua variabel terdapat hubungan dengan arah positif dengan nilai r adalah 0,298. Simpulan: Terdapat hubungan positif signifikan antara pengetahuan pola asuh berbasis budaya dan efikasi diri ibu dalam pencegahan stunting pada anak usia 6-59 bulan. Oleh karena itu, ibu diharapkan senantiasa meningkatkan pengetahuan dan efikasi diri sehingga dapat menurunkan risiko stunting dengan cara mencari tahu informasi terkait stunting serta mempraktikkan dalam pengasuhan positif. 
Merawat di Bawah Tekanan: Faktor Risiko Kejadian Burnout pada Perawat Maternitas dan Bidan: Scoping Review Puspitasari, Halfie Zaqiyah Gusti; Selwis Raistanti, Sihqina Ramadhani; Tsauroh, Salsabila Fiqrotu; Agustin, Agustin; Hutami, Nurfitria Anisa; Riyati, Riyati; Mokodompit, Hariansyah; Viegas, Bonifacio de Jesus; Hapsari, Elsi Dwi
Jurnal Keperawatan Klinis dan Komunitas (Clinical and Community Nursing Journal) Vol 9, No 2 (2025)
Publisher : PSIK FKKMK UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkkk.107591

Abstract

Background: Several factors such as high job demands, unsupportive health care environment, and low salary contribute to burnout among maternity nurses and midwives. Untreated burnout can have a negative impact on the quality of care, the mental health of midwifery nurses and midwives, and therefore patient well-being.Objective: To identify risk factors for burnout among maternity nurses and midwives.Method: This study was a scoping review in accordance with Updated Methodological Guidance for The Conduct of Scoping Reviews 2020. Articles were obtained from three electronic data sources, namely PubMed, ScienceDirect, and Wiley. Inclusion criteria included English-language article, published between 2020 and 2024, and original research articles on burnout among maternity nurses and midwives. Articles that did not meet the criterion, such as focusing on maternity nurses and midwives in education context, were excluded. Article selection followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses for Scoping Review (PRISMA-ScR) Guidelines 2020 and quality assessment used the Joanna Briggs Institute (JBI) Critical Appraisal Checklist 2020 and Mixed Methods Appraisal Tool (MMAT) 2018.Results: A total of 32.803 articles were found in the search. After screening, eight articles that met the criteria were selected and analyzed further. Based on the analysis results, it was found that the identified risk factors causing burnout in maternity nurses and midwives included socioeconomic status, work experience and duration, unpleasant experiences, job demands, and commitment.Conclusion: Socioeconomic status, work experience and duration, unpleasant experiences, job demands, and commitment contribute to burnout among maternity nurses and midwives. Therefore, further research is needed to develop burnout prevention strategies to improve the well-being of maternity nurses and midwives.INTISARILatar belakang: Tuntutan pekerjaan yang tinggi, lingkungan fasilitas kesehatan yang kurang mendukung, hingga gaji yang rendah, menjadi beberapa faktor pemicu burnout pada perawat maternitas. Burnout yang tidak ditangani dapat berdampak negatif pada kualitas pelayanan, kesehatan mental perawat maternitas dan bidan, serta kesejahteraan pasien.Tujuan: Mengidentifikasi faktor risiko burnout pada perawat maternitas dan bidan.Metode: Penelitian ini merupakan tinjauan cakupan sesuai dengan pedoman Updated Methodological Guidance for The Conduct of Scoping Reviews tahun 2020. Artikel diperoleh dari tiga sumber data elektronik, yaitu PubMed, ScienceDirect, dan Wiley. Kriteria inklusi mencakup artikel berbahasa Inggris yang diterbitkan antara 2020–2024 dan merupakan artikel penelitian orisinal tentang burnout pada perawat maternitas. Artikel yang tidak memenuhi kriteria, yakni berfokus pada perawat atau bidan dalam konteks pendidikan, telah dikeluarkan. Seleksi artikel mengikuti pedoman Preferred Reporting Items for Systematic Reviews and Meta-Analyses for Scoping Review (PRISMA-ScR) tahun 2020 serta penilaian kualitas menggunakan Joanna Briggs Institute (JBI) Critical Appraisal Checklist tahun 2020 dan Mixed Methods Appraisal Tool (MMAT) tahun 2018.Hasil: Sebanyak 32.803 artikel ditemukan dalam penelusuran. Setelah dilakukan skrining, didapatkan 8 artikel yang memenuhi kriteria untuk dianalisis lebih lanjut. Berdasarkan hasil analisis, didapatkan bahwa faktor risiko yang teridentifikasi menyebabkan burnout pada perawat maternitas dan bidan di antaranya adalah status sosial demografi, pengalaman dan waktu kerja, pengalaman tidak menyenangkan, tuntutan pekerjaan, dan komitmen.Simpulan: Status sosial demografi, pengalaman dan waktu kerja, pengalaman tidak menyenangkan, tuntutan pekerjaan, dan komitmen, dapat berkontribusi menyebabkan burnout. Oleh karena itu, penelitian lebih lanjut diperlukan untuk mengembangkan strategi pencegahan burnout dalam rangka meningkatkan kesejahteraan kerja pada perawat maternitas dan bidan. 
Effect of using the SICARE Application on Knowledge about Chronic Energy Deficiency and the Dietary Patterns of Adolescent Girls Helieniastuti, Riris Chintya; Lismidiati, Wiwin; Hapsari, Elsi Dwi
Jurnal Keperawatan Soedirman Vol 20 No 2 (2025): Jurnal Keperawatan Soedirman (JKS)
Publisher : Fakultas Ilmu-ilmu Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.jks.2025.20.2.13736

Abstract

The high prevalence of chronic energy deficiency (CED) among adolescent girls may be due to a lack of knowledge and unhealthy dietary practices. This study aimed to evaluate the effect of the SICARE application in improving healthy dietary knowledge among adolescent girls. This study employed a quasi-experimental design with a non-equivalent control group comprising 59 participants in each group. The study was conducted at a high school. The researchers used a knowledge questionnaire and the Food Frequency Questionnaire (FFQ) as measurement tools. The results showed a significant improvement in CED knowledge in the intervention group after using the application, from 12.68 ± 2.35 to 20.85 ± 1.37 (p < 0.05). The participants’ eating habits also improved over the two weeks, with increased consumption of rice as a staple food, eggs as the primary source of animal protein, and tempeh and tofu as plant protein sources. Water spinach and papaya were the most frequently consumed vegetables and fruits. The findings suggest that the SICARE app is an effective educational tool for increasing knowledge about CED and promoting healthier eating habits among adolescent girls. Thus, the app can be used to address the high prevalence of CED in this population.
Tradisi dan Lingkungan Sosial Memengaruhi Dukungan Menyusui pada Bayi Berat Badan Lahir Rendah di Kota Malang Choiriyah, Muladefi; Hapsari, Elsi Dwi; Lismidiati, Wiwin
Kesmas Vol. 10, No. 1
Publisher : UI Scholars Hub

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Berat badan lahir rendah (BBLR) merupakan salah satu penyebab utama kematian bayi di dunia. World Health Organization tahun 2003 telah merekomendasikan menyusui sebagai salah satu penanganan BBLR. Namun, ibu yang memiliki bayi BBLR mengalami kesulitan di awal persalinan. Selain itu, menyusui di Indonesia juga dipengaruhi oleh sosial dan budaya yang dipercayai sehingga memengaruhi keputusan ibu untuk memilih tetap menyusui atau tidak sama sekali di periode awal postpartum. Tujuan penelitian ini untuk mengeksplorasi makna pengalaman ibu untuk tetap menyusui bayi dengan BBLR. Penelitian kualitatif ini dengan pendekatan fenomenologi. Tujuh orang partisipan adalah ibu yang pernah menyusui bayi BBLR. Pengumpulan data dilakukan dengan wawancara mendalam semiterstruktur, observasi, dan data sekunder pada bulan Mei – Juni 2015. Analisis data menggunakan metode Colaizzi tahun 1978. Ditemukan empat tema, yaitu pengenalan menyusui sejak dini untuk bayi BBLR, pemberian makanan pendamping air susu ibu dini sebagai alternatif dalam mengatasi kesulitan menyusui, tradisi yang dipercayai, dan lingkungan sosial memengaruhi dukungan bagi ibu menyusui serta menerima menyusui sebagai bagian dari kodrat seorang perempuan. Menyusui bayi BBLR memiliki tingkat kesulitan yang tinggi serta adanya tradisi yang dipercayai keluarga dan pengaruh lingkungan sosial sangat memengaruhi dukungan yang diberikan kepada ibu dalam menyusui. Low birthweight (LBW) is one of main causes of infant mortality in the world. World Health Organization in 2003 had recommended breastfeeding for LBW handling. However, LBW mothers face many difficulties during early postpartum period. Moreover, breastfeeding in Indonesia is also influenced by social and cultural belief, so it may influence mothers’ decision whether remain breastfeeding or not in early postpartum period. This study aimed to explore the meaning of the experience of mothers to remain breastfeeding their LBW infants. This qualitative study was conducted using phenomenological approach. Seven participants were mothers ever breastfeeding their LBW infants. Data were collected through semi-structured in-depth interview, observation and secondary data on May – June 2015. Data analysis used Colaizzi method (1978). There were four themes found namely introduction of breastfeeding since early for LBW infants, granting of early complementary feeding as an alternative to overcome breastfeeding problem, cultural belief and social environment influencing support for breastfeeding mothers as well as accepting breastfeeding as the very nature of woman. Breastfeeding LBW infants has higher difficulty le-vel, also any tradition family believe and social environment really affect support given to mothers in breastfeeding.
Training Preschool Teachers in Early Detection of Emotional-Behavioral Problems and ADHD using Audiovisual and Booklet Media Khalida Ziah Sibualamu; Elsi Dwi Hapsari; Sri Hartini
Journal Of Nursing Practice Vol. 9 No. 1 (2025): October
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v9i1.925

Abstract

Background: Early identification of emotional and behavioral problems, including attention-deficit/hyperactivity disorder (ADHD), is essential for optimizing preschool children’s development. In Indonesia, many preschool teachers lack sufficient competence due to limited structured training. Evidence comparing audiovisual and booklet-based instructional media is scarce. This study addresses this gap, providing insights to enhance teacher preparedness in early detection. Purpose: This study compared the effectiveness of audiovisual and booklet-based training programs in improving preschool teachers’ knowledge and skills in the early detection of emotional behavior problems and ADHD. Methods: A quasi-experimental study with a non-equivalent group design was conducted among 58 preschool teachers selected through purposive sampling. Preschools were assigned to two formats that delivered identical training content through either audiovisual or booklet-based media. Participants’ knowledge was assessed using a questionnaire, and practical skills were evaluated with a checklist, both of which were validated and reliable. Data were analyzed using independent t-tests and Mann–Whitney U tests. Results: Audiovisual training produced significantly greater improvements in participants’ knowledge (p < 0.001) and skills in early detection of emotional behavior problems (p < 0.001) and ADHD (p = 0.009) compared with booklet training. The audiovisual group achieved higher post-test scores and demonstrated better knowledge retention. Conclusion: Audiovisual-based training was more effective than booklet-based training in enhancing preschool teachers’ knowledge and skills for identifying early emotional and behavioral problems in children. These findings highlight the importance of integrating audiovisual learning into teacher development programs to strengthen early childhood mental health surveillance.
The time is ripe: a scoping review of risk factors and barriers in preconception care Puspitasari, Halfie Zaqiyah Gusti; Widyawati; Hapsari, Elsi Dwi; Nuzulullail, Agung Subakti; Irawan, Dana Prayoga
BKM Public Health and Community Medicine Vol 41 No 09 (2025)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v41i09.23771

Abstract

Purpose: Preconception care (PCC) is fundamental to preparing for a healthy pregnancy by reducing risk factors. However, there are still various obstacles to its implementation. This review aims to identify risk factors and barriers to accessing and implementing PCC. Methods: The research design used a scoping review compiled from articles obtained from four databases: PubMed, ScienceDirect, ProQuest, and Web of Science. The inclusion criteria include original articles published between 2020 and 2025 that are fully accessible, written in English, and reports on PCC risk factors and barriers. Exclusion criteria include theoretical articles without practical applications, research related to specific medical conditions, and articles that are not relevant to the research objectives. The selection process was conducted in accordance with the PRISMA-ScR (2020) guidelines. Data from selected articles were extracted and synthesized narratively in accordance with the Update Methodological Guidance for the Conduct of Scoping Reviews (2020). Results: A total of 896 articles were found in the search. After screening, 14 articles were selected for analysis. These articles represented eight countries, including Ethiopia, the United States of America, and Australia. Low PCC knowledge, poor obstetric history, and maternal age were the most frequently discussed risk factors for PCC. Meanwhile, barriers to PCC implementation were attributed to the lack of PCC guidelines and service standards, low PCC education and promotion, and low motivation and knowledge of healthcare workers. Conclusion: The implementation of PCC remains hindered by policy limitations, system readiness, and health worker capacity, underscoring the need for further research as a basis for developing comprehensive guidelines.
Co-Authors Agatha, Naysilla Gisha Agung Subakti Nuzulullail Agustin Agustin Ami Novianti Subagya Ana Permatasari Anis Rahmawati Anita Liliana Aulia Hanif Fathudin Budi Wahyuni Citrawati, Ni Ketut Dewi Kusumaningtyas Dewi, Tri Kesuma Diah Astutiningrum Dora Samaria Dwi Sri Handayani Dwina Oktavia Deli Erviana Dewi Muslikhah Fauziah H Wada Fitri Haryanti Halfie Zaqiyah Gusti Puspitasari Handitya Daniswari Happy Indah Kusumawati Haryanti Fitri Heny Suseani Pangastuti Hery Ernawati Hutami, Nurfitria Anisa I Nyoman Adikarya Nugraha Ibrahim Rahmat Ika Nur Pratiwi Imam Rahmawati, Natasya Putri Indah Wulaningsih Irawan, Dana Prayoga Irma Fidora Jelita Siska Herlina Hinonaung Khatijah Lim Lim Abdullah Kusumaningtyas, Khariza Lely Lusmilasari, Lely Machmudah Machmudah Machmudah, Machmudah Machmudah, Machmudah Mae Sri Hartati Wahyuningsih Mardliyah, Ainun Saidatul Mar’atun Ulaa Maulida Rahmawati Emha Mokodompit, Hariansyah Muladefi Choiriyah Nadia Amalia Puspitasari Ni Luh Putu Inca Buntari Agustini Nikmatul Khayati Nuring Pangastuti Nuring Pangastuti Nuring Pangastuti Nursalam Nursalam Nuzulullail, Agung Subakti Primastika Supadmi Priyantini, Diah Purwanta Purwanta Purwanta Purwanta Purwanta Purwanta Purwanto Puspitasari, Halfie Zaqiyah Gusti Rahayu, Anisa Rini Rahmawati, Nadia Ramadhani, Hanin Retno, Hersinta Rifky Octavia Pradipta Riris Chintya Helieniastuti Riyati, Riyati Rizki Handayani Fasimi Rizky Junitasari Robert Priharjo S Sulastri Sari, Apriani Susmita Selwis Raistanti, Sihqina Ramadhani Setiawan Setiawan Setiawan Setiawan Shofwal Widad Sibualamu, Khalida Ziah Sri Hartini Sri Widodo Sri Widodo Sulastri, S Totok Harjanto tri kusuma dewi Tsauroh, Salsabila Fiqrotu Ujang Sumarwan Ulaa, Mar’atun Viegas, Bonifacio de Jesus Wahyuni, Triska Septi Wasis Pujiati Wenny Artanti Nisman Wenny Artanti Nisman Wenny Artanty Wenny Artanty Nisman, Wenny Artanty Wibawa, Shinta Restu Widyandana Widyandana Widyandana Widyandana Widyawati Widyawati Widyawati Widyawati Widyawati Wiwin Lismidiati Yanita Trisetiyaningsih Yayi Suryo Prabandari Yenny Tangke Layuk