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All Journal Jurnal Kedokteran Brawijaya Indonesian Journal of Global Health research Babali Nursing Research Jurnal Visi Pengabdian Kepada Masyarakat Lux Mensana: Journal of Scientific Health Jurnal Keperawatan Babali Emergency and Disaster Research Genitri: Jurnal Pengabdian Masyarakat Bidang Kesehatan Malahayati International Journal of Nursing and Health Science Holistik Jurnal Kesehatan Jurnal Info Kesehatan
I Wayan Edi Sanjana
Institut Teknologi Dan Kesehatan Bali
Arts Humanities Biochemistry, Genetics & Molecular Biology Chemistry Dentistry Economics, Econometrics & Finance Education Engineering Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Mathematics Mechanical Engineering Medicine & Pharmacology Nursing Public Health Social Sciences Other

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DEVELOPMENT AND PRELIMINARY EVALUATION OF A WEB-BASED EMERGENCY RESPONSE PLATFORM FOR PREHOSPITAL FIRST AID I Pasek Wayan Agung Susila; Ni Luh Putu Inca Buntari Agustini; Ida Ayu Ningrat Pangruating Diyu; I Wayan Edi Sanjana; I Gede Putu Darma Suyasa; Asti Puspita Rini
Lux Mensana: Journal of Scientific Health Vol. 5 Issue 3 (2026)
Publisher : jfpublisher

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Abstract

Introduction. Delayed emergency recognition, limited first aid knowledge, communication difficulties, and barriers to ambulance access may hinder timely prehospital care. This study aimed to develop and preliminarily evaluate a web-based emergency response platform for prehospital first aid. Method. A research and development study guided by the ADDIE framework included needs analysis, platform design and development, expert validation, revision, and preliminary user evaluation. Needs were identified through literature review and focus group discussion. The platform integrated first aid education, emergency communication, location sharing, and ambulance activation. Content and media were assessed by experts, followed by community evaluation of application quality and technology acceptance. Result & Analysis. Needs assessment identified first aid information, emergency communication, location sharing, and ambulance access as key requirements. The platform included eleven educational modules covering emergency preparedness, victim assessment, cardiopulmonary resuscitation, medical emergencies, trauma and bleeding, burns, poisoning, disaster preparedness, home safety, road safety, and emergency activation. Expert and community evaluations showed favorable content, media, application-quality, and technology-acceptance ratings. Discussion. The platform demonstrated promising preliminary feasibility and acceptance as a digital approach to supporting community first aid and prehospital emergency access. Further real-world evaluation is required to determine effects on emergency activation, first aid performance, prehospital response, and patient outcomes.
Educational Approaches to Stepwise ECG Interpretation and the Unexplored Role of P-Wave Analysis: A Systematic Review Informing a Conceptual Framework I Wayan Santika Wiadnyana; Ni Luh Putu Inca Buntari Agustini; Ni Made Dewi Wahyunadi; I Wayan Edi Sanjana
Babali Nursing Research Vol. 7 No. 4 (2026): October
Publisher : Babali Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37363/bnr.2026.74611

Abstract

Background: Electrocardiogram (ECG) interpretation places substantial demands on novice learners. Educational studies support several instructional approaches, but direct evidence for beginning a structured interpretation sequence with P-wave analysis remains absent from the included literature. Purpose: To synthesize ECG educational approaches and use Cognitive Load Theory (CLT) to propose a conceptual framework for P-wave-first rhythm interpretation that can guide future empirical testing. Methods: A systematic search of PubMed and ScienceDirect in May 2026, supplemented by manual searching, identified 15 eligible studies published between 2021 and 2026. Methodological quality was assessed using Joanna Briggs Institute (JBI) tools, and findings were synthesized narratively. The educational evidence and CLT informed a separate conceptual development step; three supplementary articles were used for contextual discussion without changing the original review sample. Results: Eleven intervention or comparative educational studies reported improvement in at least one learning outcome. Other studies described foundational knowledge gaps, educators’ perspectives, or exploratory differences in visual attention. None directly tested P-wave analysis as the first step or established that this sequence reduces cognitive load. The proposed framework uses a limited initial set of questions about atrial activity, followed by progressive integration of rhythm, rate, atrioventricular relationships, ventricular conduction, and repolarization. Conclusion: This article offers a CLT-informed conceptual framework grounded in a systematic review of ECG education. P-wave-first instruction is hypothesized to organize attention and manage the number of interacting elements considered initially; its effects on cognitive load, accuracy, retention, and transfer remain to be tested against other structured sequences.
Co-Authors Asti Puspita Rini Desak Made Widyanthari I Gede Edy Sagitha I Gede Putu Darma Suyasa I Kadek Astika I Nengah Adiana I Nyoman Arya Maha Sri Putra I Pasek Wayan Agung Susila I Pasek Wayan Agung Susila I Wayan Santika Wiadnyana I Wayan Sumandya I Wayan Widana Ida Ayu Agung Ekasriadi Ida Ayu Ningrat Pangruating Diyu Ida Ayu Ningrat Pangruating Diyu Kadek Cahya Utami Ni Luh Dwi Indrayani Ni Luh Putu Inca Buntari Agustini Ni Luh Putu Inca Buntari Agustini Ni Luh Putu Inca Buntari Agustini Ni Luh Putu Inca Buntari Agustini Ni Made Ayu Sukma Widyandari Ni Made Dewi Wahyunadi Ni Made Dewi Wahyunadi Ni Putu Kamaryati Ni Putu Sri Haryati Ni Wayan Sukerti Nur Halimah Nurul Muslihah Titin Andri Wihastuti Yusniawati Ni putu