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Hubungan Pengetahuan Triage Perawat dengan Lama Bekerja di Puskesmas: A Cross-Sectional Study: Relationship Between Nurses’ Triage Knowledge and Length of Service in Community Health Centers: A Cross-Sectional Study Suwardianto, Heru; Alfianto, Ahmad Guntur; Amaral, Octavio Daniel Bria; Vijay, P Vijay; Kumar, K. Sesha
Jurnal Abdi Keperawatan dan Kedokteran Vol 5 No 1 (2026): Jurnal Abdi Kesehatan dan Kedokteran
Publisher : Chakra Brahmanda Lentera Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55018/jakk.v5i1.129

Abstract

Emergency and disaster situations demand rapid, accurate, and well-coordinated responses from healthcare professionals. Triage is a critical process for prioritizing patients based on severity, ensuring optimal use of limited medical resources. Nurses are often the first responders responsible for triage implementation, especially in community health centers (Puskesmas) in Indonesia. Knowledge of triage systems, particularly the Simple Triage and Rapid Treatment (START) method, is essential for achieving optimal patient outcomes. This study aimed to examine the relationship between nurses’ triage knowledge and length of service in community health centers, providing insights for targeted training and emergency preparedness strategies. A cross-sectional correlational study was conducted with 32 nurses from 19 community health centers in Cirebon, Indonesia, selected through purposive sampling. Triage knowledge was assessed using a validated 16-item questionnaire, with scores categorized into low, moderate, and high. Length of service was measured in years. Data were collected via an online session and analyzed using descriptive statistics and Pearson correlation analysis with a significance level of p < 0.05. Most nurses demonstrated high triage knowledge (75%) with a mean score of 13.0 ± 2.74. Knowledge was highest in disaster definitions (93.8%) and START triage concepts (93.8%), while the most errors occurred in identifying green-labeled (68.8% incorrect) and white-labeled patients (59.4% incorrect). Pearson correlation showed a weak, non-significant positive relationship between length of service and triage knowledge (r = 0.083; p = 0.650). The findings indicate that length of service alone does not ensure higher triage knowledge, especially in community health centers with limited exposure to emergencies. Continuous professional development, scenario-based simulations, and structured training are essential to maintain and enhance nurses’ triage competence. These results can inform the development of targeted educational programs and policies to strengthen emergency preparedness in primary healthcare settings.
Pelatihan Self-Branding dan Bahasa Inggris Untuk Menjadi Caregiver di Tataran Global Nurhana, Riza; Alfianto, Ahmad Guntur; Sulaksono, Ari Dwi
Yumary: Jurnal Pengabdian kepada Masyarakat Vol 6 No 1 (2025): September
Publisher : Penerbit Goodwood

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35912/yumary.v6i1.4214

Abstract

Purpose: This program aims to increase the self-confidence of students majoring in nursing assistants at SMK NU Miftakhul Huda in communicating in English and providing good and quality care services as their target situation as caregivers in a global setting. Methodology/approach: This program was implemented at SMK NU Miftakhul Huda in the Kepanjen District of Malang Regency, East Java. The partners were 14 class XII students. The method was divided into three sessions: brainstorming, discussion, lectures, case studies, and practice approaches. The tools used for measurement were questionnaires and English practice observation sheets. Results/findings: There was a change in English language skills and knowledge about self-branding (0.000), and practice skills of basic English in health (75.72 ± 12.65), which had a very good meaning. Conclusion: he training program successfully improved students’ English communication skills and self-branding competence, which are essential for preparing them as caregivers in a global setting. The results demonstrate significant progress in knowledge, confidence, and practical abilities, indicating that continuous training and support will strengthen their readiness to compete in the international workforce in the future. Limitation: Partner's motivation and interest in speaking English, the need for familiarization, and repetition of English language competence. Contribution: This program has an impact on the school as a vocational school by improving students’ English competence as a working language in a global setting and self-branding for preparation for work as a form of self-promotion and self-confidence.
Association Between Length of Work Experience and Spiritual Intelligence Among Adult Medical–Surgical Nurses: A Cross-Sectional Study Suwardianto, Heru; Santoso, Teguh; Mahyuvi, Tata; Alfianto, Ahmad Guntur; Amaral, Octavio Daniel Bria; Pinto, Joaquim; Kumar, Sesha
International Journal of Health Concord Vol. 1 No. 2 (2025): International Journal of Health Concord
Publisher : Lembaga Chakra Brahmanda Lentera (Chakra Brahmanda Lentera Institute) [CANDLE]

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55018/ihc.v12.21

Abstract

Background: Spiritual Intelligence (SI) is essential for nurses caring for critically ill surgical patients. Previous studies suggest work experience may influence SI, but the extent and specific dimensions affected remain unclear. This study addresses this gap by analyzing the relationship between work experience and four SI dimensions: Critical Existential Thinking (CET), Personal Meaning Production (PMP), Transcendental Awareness (TA), and Conscious State Expansion (CSE) Methods: A cross-sectional study was conducted among 35 nurses working in adult surgical wards at two public hospitals in Kediri, Indonesia. Inclusion criteria were registered nurses with at least six months of experience in surgical wards; exclusion criteria were nurses on leave or with incomplete data. Purposive sampling was used. Independent variable: work experience (years); dependent variable: spiritual intelligence measured using the Spiritual Intelligence Self-Report Inventory (SISRI-24). Data analysis followed the STROBE guideline and was performed using Lambda tests with α < 0.05. Descriptive statistics were reported for key variables, including mean work experience Result: The mean work experience of participants was 7.3 ± 4.1 years. Work experience was significantly associated with Personal Meaning Production (PMP) (p = 0.034) and Conscious State Expansion (CSE) (p = 0.007), indicating that nurses with longer experience are better able to find life meaning and expand spiritual awareness. No significant relationships were observed for Critical Existential Thinking (CET) and Transcendental Awareness (TA). Conclusion: Work experience positively influences certain SI dimensions (PMP and CSE) but not others (CET and TA). These findings suggest that additional factors, such as education, personal experiences, and workplace environment, contribute to SI development. Practical implications: Healthcare institutions should implement spiritual reflection and mindfulness training to support nurses’ well-being. Future research should include larger samples and explore cultural and intervention-based influences on SI development.
Efektifitas Edukasi Video AI (Artificial Intelligence) Terhadap Pengetahuan Dalam Kepatuhan Minum Obat Hipertensi Cindy Novitasari Rahayu; Mizam Ari Kurniyanti; Ahmad Guntur Alfianto
Jurnal Ners Vol. 9 No. 1 (2025): JANUARI 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i1.27192

Abstract

Compliance with taking medication can influence the level of knowledge of elderly people and can be increased through providing health education using educational video media. The aim of this research is to analyze the effectiveness of AI videos on knowledge in adherence to taking medication in elderly people with hypertension. This research used a quantitative method with a pre-experimental design and a one group pre-post test approach carried out on 30 hypertensive elderly respondents who were selected using a purposive sampling technique. The results of the study showed that the dominant age data was >80 years as many as 17 people ((56.7%) with female gender as many as 17 people (56.7%) and the majority of occupations were farmers, the average result given the intervention was 3.06 and the results after intervention was 5.46 and after carrying out the T-test, the P value was 0.000 (<0.05), which means that it was concluded that there was significant effectiveness of AI educational videos on the level of knowledge in medication adherence.
H5J (Hypnotic 5 Fingers) Mobile Application For Reduce Anxiety Problems Chemotheraphy Patient Eky Madyaning Nastiti; Ahmad Guntur Alfianto; Feri Ekaprasetia
Jurnal Kesehatan dr. Soebandi Vol 9 No 2 (2021): Jurnal Kesehatan dr. Soebandi
Publisher : Lembaga Penelitian dan Pengabdian Masyarakat Universitas dr. Soebandi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36858/jkds.v9i2.327

Abstract

Introduction: Chemotherapy as a therapy for cancer patients has several effects, one of which is anxiety. Anxiety can be reduced by using relaxation techniques. One of these relaxation techniques can be done with five finger hypnosis. These efforts can be modified in accordance with the 4.0 industrial revolution by using digital technology. Objective: The purpose of this study was to develop H5J (Mobile Application Hypnotic 5 Fingers) to reduce anxiety problems in chemotherapy patients. Methods: The application was developed through two stages, the first was carried out by creating application content and sophisticated systems by technology experts. Furthermore, in the second stage, a perception test was performed in the fields of mental, medical surgical nursing and information technology expert. Then, 100 patients with chemotherapy were assessed in Jember Regency Malang Regency, East Java, Indonesia using a learning media questionnaire, and Intraclass Correlation Coefficients (ICC) test. The H5J Mobile application contains menu content that provides information about non-pharmacological relaxation therapy material relaxation distraction in the form of five-finger hypnosis (hypnosis guide and five-finger hypnosis wave) in industrial era 4.0. Results: The statistical analysis showed the value of 0.875, while the average of 3 assessors was 0.964> 0.5 (high stability). Furthermore, from the diligence results, 86.78% of the patients stated that the application was very suitable for use, while 13.22% commented that it was feasible. Conclusion: H5J Mobile Application was a health application used for chemotherapy patients and was able to reduce anxiety.
Pendidikan Kesehatan Melalui E-Modul Digital Terhadap Peningkatan Kemampuan Perawatan Diri Kesehatan Jiwa Santri Di Pondok Pesantren Darussalam Pada Remaja Pramudya, Dian; Alfianto, Ahmad Guntur; Kurniyanti, Mizam Ari
JURNAL KESEHATAN TROPIS INDONESIA Vol. 4 No. 2 (2026): Jurnal Kesehatan Tropis Indonesia
Publisher : PT. LARPA JAYA PUBLISHER

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63265/jkti.v4i2.204

Abstract

Kesehatan jiwa remaja, khususnya santri di pondok pesantren, menghadapi tantangan signifikan akibat tekanan akademik, religius, dan sosial serta keterbatasan akses terhadap layanan kesehatan mental. Pendidikan kesehatan melalui e-modul digital merupakan salah satu strategi inovatif yang berpotensi meningkatkan kemampuan perawatan diri kesehatan jiwa santri. Penelitian ini bertujuan untuk menganalisis pengaruh pendidikan kesehatan melalui e-modul digital terhadap kemampuan perawatan diri kesehatan jiwa santri di Pondok Pesantren Darussalam. Metode penelitian menggunakan desain quasi eksperimen dengan pendekatan pretest-posttest control group design yang melibatkan 80 santri yang dibagi menjadi kelompok intervensi yang menerima e-modul digital dan kelompok kontrol yang menerima media leaflet. Instrumen penelitian menggunakan Mindful Self-Care Scale untuk mengukur kemampuan perawatan diri kesehatan jiwa santri dan dianalisis menggunakan uji paired t-test. Hasil penelitian menunjukkan bahwa kelompok intervensi mengalami peningkatan signifikan pada seluruh indikator perawatan diri dengan nilai p=0,000–0,001, sedangkan kelompok kontrol juga mengalami peningkatan dengan nilai p=0,001–0,002, namun dengan selisih rerata pretest dan posttest yang lebih kecil. Secara klinis, peningkatan pada kelompok intervensi lebih besar dibandingkan kelompok kontrol. Implikasi penelitian ini menunjukkan bahwa e-modul digital efektif meningkatkan kemampuan perawatan diri kesehatan jiwa santri dan direkomendasikan untuk diterapkan luas di lingkungan pesantren serta layanan kesehatan komunitas.
Pemberdayaan Kemitraan Masyarakat Melalui Program Token Pedia dalam Bentuk Pelayanan Kesehatan Jiwa pada Santri Melalui Pengembangan Pesantren Digital di Pesantren Daarus Salam Alfianto, Ahmad Guntur; Ulfa, Miftakhul; Iriananda, Syahroni; Pramudya, Dian; Ibrohim, Istiyan Maulana Malik; Fitryah, Nahdyatus Nur
Jurnal SOLMA Vol. 15 No. 1 (2026)
Publisher : Universitas Muhammadiyah Prof. DR. Hamka (UHAMKA Press)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22236/solma.v15i1.20403

Abstract

Background: digitalization of Islamic boarding schools and mental health. Token Pedia is an innovation in integrating mental health services and digitalization in Islamic boarding schools. The goal is to facilitate students' access to digital mental health services in Islamic boarding schools through the Token Pedia program. Method: The method comprises 4 steps: socialization, training, technology application, and mentoring/evaluation. The program was implemented for 3 months in 2025 with 10 meetings. Partners of 80 students were located at the Daarus Salam Islamic boarding school. Activities with FGD, interviews, observations, and mental health knowledge questionnaires (MHKQ) with a Cronbach alpha value (0.93) and a paired T-test were carried out. Results: Students' knowledge of health and mental health self-care increased (0.000). 25 students chose to modify their exercise behavior, and students preferred peers (47 students) as a behavior for seeking mental health help. 18 students graduated to become peer counselors. Students were able to apply animated psychoeducational film technology, online games, and mental health applications. Advocacy with the Bantur community health center. Conclusion: Students are provided with digital-based mental health services through the Token Pedia program, resulting in increased knowledge, behavior modification, becoming peer counselors, and the application of mental health technology.
Content Validity and Readability Evaluation of the Waek AI-Based Game Application for Bullying Prevention and Mental Health Promotion Among Generation Z Miftakhul Ulfa; Ari Dwi Sulaksono; Ahmad Guntur Alfianto; Mizam Ari Kurniyanti
Care : Jurnal Ilmiah Ilmu Kesehatan Vol 13, No 3 (2025): EDITION NOVEMBER 2025
Publisher : Universitas Tribhuwana Tunggadewi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33366/jc.v13i3.7447

Abstract

Generation Z faces increasing mental health challenges, often worsened by bullying and cyberbullying. Digital-based interventions need to be both engaging and understandable for this demographic. This study aimed to evaluate the content validity and readability of the Waek AI-based game application designed for bullying prevention and mental health promotion among Generation Z youth. A descriptive quantitative design was employed with six expert validators, consisting of three psychiatric nursing lecturers and three IT professionals. Data were collected using structured validation sheets and analyzed using the Aiken’s V coefficient for content validity and the Indonesian Digital Readability Index (IDRI) for readability.The application achieved an Aiken’s V score of 0.947, indicating excellent content validity, and an IDRI score categorized as moderate-to-easy (71–80), demonstrating high readability. The Waek AI-based game application possesses strong content validity and readability, supporting its feasibility as a digital tool for bullying prevention and mental health promotion among Generation Z.
Resilience in Flood Disaster Volunteers in Indonesia: The Role of Self-Efficacy, Empathy, and Social Support Ida Rahmawati; Dwi Putri Sulistiya Ningsih; Mika Oktarina; Violita Siska Mutiara; Feri Eka Prasetya; Dini Prastyo Wijayanti; Agus Sulistyowati; Ahmad Guntur Alfianto; Manda Marclida Agustin
Care : Jurnal Ilmiah Ilmu Kesehatan Vol 14, No 2 (2026): EDITION JULY 2026
Publisher : Universitas Tribhuwana Tunggadewi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33366/jc.v14i2.8569

Abstract

Volunteer resilience during flood disasters denotes an individual's capacity to endure, adapt, and psychologically recover from the stressors encountered during emergency responses. This quality is modulated by internal and external determinants, including personal coping mechanisms and external buffering systems. This study examined the relationships between self-efficacy, empathy, social support, and resilience among flood response volunteers in Indonesia. Employing a quantitative, cross-sectional design, the study sampled 70 volunteers from Bengkulu and East Java provinces via purposive sampling technique that met inclusion and exclusion criteria. Data were collected online (via Zoom) using a structured questionnaire. Resilience was measured using the Connor-Davidson Resilience Scale (CD-RISC), the self-efficacy via the General Self-Efficacy Scale (GSE), the empathy through the Interpersonal Reactivity Index (IRI), and social support using the Multidimensional Scale of Perceived Social Support (MSPSS). Construct validity was verified via Pearson Product Moment Correlation, and reliability was confirmed using Cronbach's alpha. Statistical evaluation involved univariate and bivariate chi-square test (X²). The findings revealed that self-efficacy, empathy, and social support correlated significantly with the volunteer’s resilience. Specifically, social support demonstrated the strongest association (p = 0.000; OR = 8.457; 95% CI (2.732-26.180)), followed by self-efficacy (p = 0.001; OR = 7.410; 95% CI (2.396-22.917)), and empathy (p = 0.040; OR = 3.319; 95% CI (1.175-9.370)). Strengthening volunteer’s resilience during flood emergencies requires a comprehensive framework. This approach must simultaneously enhance individual psychological capacities and provide sustainable socio-organizational support structures to optimize ongoing disaster relief efforts across Indonesia.
Efektivitas Edukasi Booklet Terhadap Pengetahuan Kepatuhan Minum Obat Lansia Diabetes Dhesta Pratama; Ahmad Guntur Alfianto; Mizam Ari Kurniyanti
Media Husada Journal Of Nursing Science Vol. 7 No. 2 (2026): Juli
Publisher : STIKES Widyagama Husada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33475/mhjns.v7i2.970

Abstract

Abstract Background: Diabetes mellitus is a chronic metabolic disease requiring strict medication adherence, particularly among the elderly. Low health literacy significantly contributes to non-adherence. Educational media such as booklets offer structured visual information suitable for elderly cognitive characteristics.  Objective: This study aimed to determine the effect of booklet-based educational media on elderly knowledge regarding medication adherence in diabetes mellitus. Methods: A quasi-experimental study with a pretest-posttest control group design was conducted at Puskesmas Pakis. A total of 60 elderly patients with type 2 diabetes were selected via purposive sampling and divided into an intervention group (n=30) receiving booklet education and a control group (n=30) receiving standard care. Data were gathered using validated questionnaires and analyzed using the Wilcoxon Signed-Rank Test. Ethical approval was obtained (No. 3261/KEPK/UNIV-NHM/EC/IV/2026).  Results: Before intervention, both groups predominantly exhibited moderate to low knowledge levels. Post-intervention, the intervention group demonstrated a significant increase in knowledge, with 22 respondents (73.3%) reaching the good category, whereas the control group showed less pronounced improvement. The Wilcoxon test yielded a p-value of 0.001 (p < 0.05) for the intervention group, confirming a statistically significant effect. Conclusion: Booklet media significantly enhances elderly knowledge regarding medication adherence in type 2 diabetes mellitus.
Co-Authors Abdul Qodir Alvin Huda Choirullah Alvin Huda Choirullah Amalia, Waifti Amaral, Octavio Daniel Bria Anugerah Aprioni Apriyanto, Frengki Arfa Faiz Putri Alamaera Ari Dwi Sulaksono Ari Dwi Sulaksono Ayu Safitri Ayu Safitri Behuku, Freodisa Meilisa Bete, Dominggas Candra Aprilia Kartika Choirullah, Alvin Huda Choirulloh, Alvin Huda Cindy Novitasari Rahayu Dahlia Putri Pratama de deus Araujo, Novenia Agustina Dea Adella Febrianita Dentika Jaatsiyah Maurenne Dhesta Pratama Diana, Maltri Dini Prasteyo Wijayanti Dini Prastyo Dini Prastyo Wijayanti Dwi Putri Sulistiya Ningsih Dwi Putri Sulistiyaningsih Dwi Soelaksono, Ari Effendi Effendi Eky Madyaning Nastiti erna wati Ernawati Ernawati Fatmawati, Rosida Feri Eka Prasetya Feri Eka Prasetya Feri Ekaprasetia Feri Ekaprasetia Fernalia Fernalia Fitryah, Nahdyatus Nur Frengki Apriyanto Hamdan Anggara Septiyadi Heri Susanto Heru Suwardianto Hungan, Stefanny Florensa Cristiana Ibrohim, Istiyan Maulana Malik Ida Rahmawati IDA RAHMAWATI Ika Sukmawati Ika Sukmawati, Ika Indari Putri Rahmadanty Indriyawati Indriyawati Indriyawati Indriyawati Iriananda, Syahroni Jamali Jamali Jamali Jayanti, Nicky Danur Jiarti Kusbandiyah Khan, Bachal Khoirotun Nisa Kumar, K. Sesha Kumar, Sesha Lani Tiara Karlina Putri Leksono, Didit Puji Mahyuvi, Tata Maltri Diana Manda Marclida Agustin Maria Yustina Suprihatining Tyas Maria Yustina Suprihatining Tyas Masnunah Rahmawati Mefti Anggraini Miftakhul Ulfa Miftakhul Ulfa2 Mika Oktarina Mizam Kurniyanti Mochammad Imron Awalludin Muanjan, Montira Muhammad Arizki Illahi Adi Putra Muntaha Mutiara, Violita Siska Nariswari, Luluk Tantri Ngoranubun, Selestina Vilmas Nina Rizka Rohmawati Nur Laili Sa’adah Nurhana, Riza onisimus Umbu Daha pawiliyah Pinto, Joaquim Pramudya, Dian Rachel Cezia Devinda Natalia Putri Rahmania Ramadhani Rahmawati, Masnunanh Renaldi, Shefi Rivan Rosly Zunaidi Rufaindah, Ervin Sanisahhuri Sanisahhuri Sediawan, MN Lisan Shella Ayu Wandira Shella Ayu Wandira Soares, Florinda Lavore Helena Subagiyono Subagiyono Sulaksono, Ari Dwi Sulistyowati, Agus Teguh Santoso Tyas, Dila Eka Ayuning Ulfa, Miftakhul Utami, Apriliyani Tri Veni Eka Septiyana Hidayanti Veni Eka Septiyana Hidayanti Vijay, P Vijay Wenny Rahmawati Wicaksono, Kurniawan Erman Wijayanti, Dini Prastyo Wulandari, Angernani Trias Wulandari, Nita Octa Yulia Candra Ismawati Yuliyanik yuliyanik Yuniarta, Dona Vetrisia Yusniawati, Yustina Ni Putu Yustina Ni Putu yusniawati Zainal, Malik