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A Literature Review: on the Implementation of the 5S Leadership Model to Improve the Quality of Nursing Care Documentation Julaiha Julaiha; Iskim Luthfa; Dyah Wiji Puspita Sari; Iwan Ardian
Indonesian Journal of Global Health Research Vol. 8 No. 2 (2026): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v8i2.1782

Abstract

The Quality and Safety Education for Nurses (QSEN) program is an educational initiative designed to equip nurses with the knowledge, skills, and attitudes necessary to continuously improve quality and patient safety within healthcare systems. Junior nurses, as frontline providers of nursing care, require adequate competencies in patient safety aspects. This study aims to identify and synthesize scientific findings regarding the effectiveness of the QSEN program in improving the knowledge, skills, and attitudes of junior nurses. This study employed a Systematic Literature Review following the PRISMA guidelines. Articles published between 2021 and 2026 were retrieved from PubMed, Scopus, ScienceDirect, and Google Scholar. The initial search identified 3,500 records. After removing 1,150 duplicates, 1,900 records were screened. A total of 1,600 records were excluded based on title and abstract. Of the remaining 300 articles, 120 could not be retrieved. Subsequently, 180 full-text articles were assessed for eligibility, and 158 were excluded due to not meeting inclusion criteria. Finally, 22 studies were included in the synthesis. The findings indicate that the implementation of the QSEN program has a positive impact on improving junior nurses’ knowledge of patient safety (60–85%), enhancing clinical skills (55–80%), and improving professional attitudes in nursing practice (70–90%). Several factors such as organizational support, effective leadership, clinical supervision, and continuous training play a crucial role in the successful implementation of the QSEN program. The QSEN program is effective in improving the knowledge, skills, and attitudes of junior nurses. The success of its implementation is strongly influenced by organizational support, leadership, and an adequate supervision system.
An Integrative Analysis of Therapeutic Communication, Nurse Competence, and Nursing Service Quality on Patient Satisfaction in Primary Health Care Centers: A Literature Review Hasniati Hasniati; Iwan Ardian; Muh. Abdurrouf; Wahyu Endang Setyowati
Indonesian Journal of Global Health Research Vol. 8 No. 4 (2026): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v8i4.2024

Abstract

Patient satisfaction is a key indicator of service quality in primary health care centers. However, it remains influenced by suboptimal therapeutic communication, nurse competence, and the quality of nursing care. Empirical evidence regarding the relationships among these factors is still fragmented and lacks integration. This literature review aims to analyze the influence of therapeutic communication, nurse competence, and the quality of nursing care on patient satisfaction in primary health care settings. A systematic search was conducted in PubMed, ScienceDirect, Google Scholar, and DOAJ for studies published between 2020 and 2025, following the PRISMA 2020 guidelines. The search strategy was guided by the PICO framework using the keywords “Nurse Competence,” “Patient Satisfaction,” “Primary Health Care Centers,” “Service Quality,” and “Therapeutic Communication.” Inclusion criteria comprised original research articles with cross-sectional designs involving healthcare patients and examining therapeutic communication, nurse competence, service quality, and patient satisfaction. A total of 1,972 articles were initially identified, of which 524 duplicates were removed. After the screening process, 15 articles met the inclusion criteria. Study quality was assessed using the Joanna Briggs Institute (JBI) critical appraisal tool. All included studies demonstrated a statistically significant association between therapeutic communication, nurse competence, and the quality of nursing care with patient satisfaction (p < 0.05). Service quality emerged as the dominant factor, mediating the relationship among variables. Patient satisfaction is influenced by the integration of therapeutic communication, nurse competence, and service quality. Strengthening these three aspects is essential to improve the quality of care in primary health care centers.
Efektivitas Digital Adherence Technologies dalam Meningkatkan Kepatuhan Pengobatan Tuberkulosis: Literature Review Tsalsa Putri Damayanti; Iwan Ardian; Iskim Luthfa
Malahayati Nursing Journal Vol 8, No 9 (2026): Volume 8 Nomor 9 (2026)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v8i9.25835

Abstract

Dukungan keluarga dan pengetahuan sebagai upaya meningkatkan kepatuhan kontrol rutin pada pasien diabetes mellitus Novie Dwi Lestari; Abrori Abrori; Iwan Ardian
JOURNAL OF Community Health Issues Vol. 3 No. 4 (2026): September Edition 2026
Publisher : Indonesian Public Health-Observer Information Forum (IPHORR)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/chi.v3i4.2567

Abstract

Background: Diabetes Mellitus (DM) is a chronic disease that requires continuous management, including adherence to routine follow-up visits to monitor health conditions and prevent complications. Adherence to routine follow-up may be associated with patients’ knowledge and family support. Purpose: To analyze the relationship between family support and knowledge of Diabetes Mellitus and adherence to routine follow-up visits among patients with DM at Batang 2 Public Health Center. Method: This quantitative study used a cross-sectional design. The sample consisted of 51 patients with DM selected using purposive sampling. Data were collected using questionnaires assessing family support, knowledge of DM, and adherence to routine follow-up visits. Data were analyzed using the Spearman rank correlation test with a significance level of α = 0.05. Results: The results showed a significant positive correlation between family support and adherence to routine follow-up visits (r = 0.649; p < 0.001), indicating a strong correlation. A significant positive correlation was also found between knowledge of DM and adherence to routine follow-up visits (r = 0.499; p < 0.001), indicating a moderate correlation. Conclusion: Family support and knowledge of Diabetes Mellitus were significantly and positively correlated with adherence to routine follow-up visits among patients with DM at Batang 2 Public Health Center. Strengthening diabetes education and involving family members in diabetes management should be considered as part of efforts to support patients’ adherence to routine follow-up visits.
Hubungan antara kualitas tidur dengan kadar gula darah pasien diabetes melitus tipe 2 pada program  prolanis di Puskesmas Pandanaran Hamidah Nurul Aini; Iwan Ardian; Iskim Luthfa
JOURNAL OF Community Health Issues Vol. 3 No. 4 (2026): September Edition 2026
Publisher : Indonesian Public Health-Observer Information Forum (IPHORR)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/chi.v3i4.4489

Abstract

Background: Type 2 Diabetes Mellitus (T2DM) is a chronic disease that requires optimal glycemic management. Sleep quality is one of the factors that may be associated with blood glucose regulation, particularly among older adults with T2DM. Purpose: To analyze the relationship between sleep quality and fasting blood glucose levels among patients with T2DM participating in the Chronic Disease Management Program (Prolanis) at Pandanaran Community Health Center. Method: This study employed a quantitative correlational design. A total of 170 patients with T2DM were selected using purposive sampling. The relationship between sleep quality and fasting blood glucose levels was analyzed using the Pearson correlation test. Results: Most respondents were aged 60–69 years (51.9%), female (75.9%), had primary-level education (51.9%), were unemployed (75.0%), and had been diagnosed with T2DM for more than five years (79.6%). Nearly half of the respondents had poor sleep quality (46.3%), while 50.9% had controlled fasting blood glucose levels. Pearson correlation analysis demonstrated a significant positive moderate correlation between sleep quality and fasting blood glucose levels (r=0.401; p<0.001). This finding indicates that poorer sleep quality was associated with higher fasting blood glucose levels. Conclusion: There was a significant positive moderate correlation between sleep quality and fasting blood glucose levels among patients with T2DM participating in the Prolanis program at Pandanaran Community Health Center. Sleep quality should therefore be considered as an important aspect of comprehensive T2DM management in primary healthcare settings.