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Asuhan Keperawatan Pada Penurunan Curah Jantung Dengan Intervensi Posisi Semi fowler: Studi Kasus Pada Pasien Acute Decompensated Heart Failure (ADHF) Di Ruang ICCU Ardiyanto, Makhrufi M.A.S.; Zulfatul A'la, Muhamad; Tri Gunarto, Sugito; Zainur Ridla, Akhmad
Jurnal Ilmiah Ners Indonesia Vol 5 No 1 (2024): May 2024
Publisher : Program Studi Keperawatan Fakultas Kedokteran dan Ilmu Kesehatan Universitas Jambi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22437/jini.v5i1.31655

Abstract

Acute Decompensated Heart Failure (ADHF) is characterized by initial complaints such as fatigue, jugular vein distention, cough, shortness of breath, paroxysmal nocturnal dyspnea, CRT<3 seconds, and arrhythmia indicated by auscultation results. In this case study, observations were made of individuals diagnosed with ADHF and a low heart rate, who underwent treatment in a semifowler position for three days in a Bali hospital. An increase in heart rate was observed as a result of the intervention in this case study, along with reduced shortness of breath or dyspnea, less fatigue, and increased ability to engage in minimal bed activity in patients.Similarly, jugular vein distention, coughing, and muscle contractions all contribute to reduced breathing. Semi-fowler positions are used with patients as an alternative to diuretic treatment in cases of elevated heart rate. It is hoped that future researchers will be able to combine a semi-Fowler intervention with other more complex research designs that include more detailed observation sheets or monitoring in order to monitor not only the patient's hemodynamic status, but also the oxygenation status and other factors that contribute to improvement in patients with heart rate reduction disorders Abstrak Gagal jantung dekompensasi atau yang disebut juga Acute Decompensated Heart Failure (ADHF) terjadi secara langsung (akut atau subakut) dengan gejala yang bertahap dari keluhan awal berupa keletihan, distensi vena jugularis, batuk disertai sesak napas, paroksimal nocturnal dispnea, hingga CRT > 3 detik dan hasil auskultasi dengan interpretasi aritmia pada irama bunyi jantung. Penurunan curah jantung menjadi salah satu masalah keperawatan prioritas pada pasien ADHF. Metode dalam studi kasus ini yakni berupa pengamatan yang dilakukan pada pasien ADHF dengan diagnosa keperawatan penurunan curah jantung dan diberikan intervensi posisi semi fowler selama tiga hari di rumah sakit di Bali. kondisi sadar dan tidak takut untuk mengikuti serangkaian intervensi yang diberikan. Hasil dari pemberian intervensi yang dilakukan dalam studi kasus ini yakni berupa peningkatan curah jantung dan hasil evaluasi yang diperoleh dari keluhan pasien berupa sesak napas atau dispnea yang menurun, keletihan menurun, dan juga mampu beraktivitas dengan minimum di tempat tidur. Begitu juga tidak teraba distensi vena jugularis, batuk dan otot bantu napas menurun. Pemberian posisi semi fowler yang diimplementasikan kepada pasien sebagai bentuk alternatif selain pemberian obat diuretik dalam meningkatan curah jantung. Harapan peneliti selanjutnya dapat menerapkan intervensi semi fowler dengan desain penelitian lain yang lebih kompleks dengan lembar observasi atau pengamatan yang lebih lengkap dalam melakukan pengamatan tidak hanya status hemodinamik pasien, namun juga status oksigenasi dan juga faktor lainnya yang menjadi aspek peningkatan pasien dengan gangguan penurunan curah jantung. Kata kunci : Acute Decompensated Heart Failure, Penurunan curah jantung.
Optimizing Knowledge of Clean and Healthy Living Behavior among Santri in Az Zahro Islamic Boarding School through Public Health Podcast Media: Optimalisasi Pengetahuan Perilaku Hidup Bersih dan Sehat pada Santri di Pondok Pesantren Az Zahro, Curahdami Melalui Media Podcast Kesehatan Masyarakat Puskesmas Curahdami, Bondowoso Wira Mustapa, Gesit; Tri Handoko, Yudho; A'la, Muhamad Zulfatul; Retno Wardani, Hamidah
Journal of Community Empowerment for Multidisciplinary (JCEMTY) Vol. 2 No. 1 (2024): May 2024
Publisher : KHD Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/jcemty.v2i1.196

Abstract

Clean and Healthy Behavior (PHBS) is a behavior carried out on consciousness as a result of learning that makes a person. Problems of clean and healthy living behavior are most commonly found in groups, for instance, in the Training Houses.  This is often demonstrated by inappropriate environmental codes, including the availability of post-training health posts, the low level of knowledge of healthcare professionals such as managers and healthcare providers about clean and healthy living behaviour, and the high number of frequently occurring medical conditions such as scabies, diarrhea, and cold cough. This dedication to the community aims to provide knowledge and understanding of Clean and Healthy Living Behavior to the centurion so that there is a change in behavior and able to practice in his daily life in the Islamic boarding school Az Zahro Curahdami Bondowoso district. The method of implementation is done by means of giving education developed through viewing the public health podcast Primary Health Service Curahdami and is presented with questions and answers. Before conducting the education on Clean and Healthy Living Behavior, 75% of respondents had less knowledge, and 25% had sufficient knowledge about clean and healthy living behavior. Based on the results of observations showed that the activities of devotion to the community can improve the central knowledge about the behavior of a clean and healthy life through watching the Podcast Health Society Primary Health Service Curahdami district of Bondowoso.
Hubungan Fatigue dengan Kualitas Hidup pada Pasien Gagal Ginjal Kronik yang Menjalani Hemodialisis di RSD dr. Soebandi Jember Maulidiyah, Dewi Diniyatul; Murtaqib, Murtaqib; A'la, Muhamad Zulfatul
Jurnal Ilmiah Ners Indonesia Vol 5 No 2 (2024): November 2024
Publisher : Program Studi Keperawatan Fakultas Kedokteran dan Ilmu Kesehatan Universitas Jambi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22437/jini.v5i2.35531

Abstract

Chronic kidney failure was a disease that occurred due to progressive problems with kidney function that could not be changed, often requiring kidney replacement therapy, specifically hemodialysis. Hemodialysis was a treatment that individuals with chronic kidney failure had to undergo throughout their lives. However, hemodialysis therapy could cause several side effects, such as fatigue. Sustained fatigue that was not treated promptly reduced a patient’s quality of life. This study aimed to analyze the relationship between fatigue and quality of life in chronic kidney failure patients who underwent hemodialysis at RSD dr. Soebandi Jember. This research used a correlative quantitative research design with a cross-sectional approach. The total sample consisted of 93 respondents, with a 10% addition for potential dropouts, processed using G*Power. The sampling technique used non-probability sampling in the form of consecutive sampling. The instruments that were used were the FACIT-Fatigue Scale and WHOQOL-BREF. The hypothesis test employed Kendall's Tau-C. The results of the correlation test analysis showed a p-value of 0.000 (< 0.05) and a calculated r value of -0.418. The conclusion of this study was that there was a relationship between fatigue and quality of life in hemodialysis patients, with the strength of the relationship being moderate and the direction negative. This meant that the higher the level of fatigue felt, the more a patient’s quality of life decreased. Therefore, it was necessary to conduct a more in-depth study regarding the symptoms of fatigue so that appropriate interventions could reduce fatigue levels, thereby improving patients’ quality of life. Abstrak Gagal ginjal kronik merupakan penyakit yang terjadi akibat adanya gangguan fungsi ginjal yang bersifat progresif dan tidak dapat diubah sehingga memerlukan terapi pengganti ginjal yaitu hemodialisis. Hemodialisis merupakan terapi yang harus dijalani oleh penderita gagal ginjal kronis sepanjang hidupnya. Namun terapi hemodialisis dapat menimbulkan beberapa efek samping seperti fatigue atau kelelahan. Fatigue yang berkepanjangan dan tidak segera ditangani dapat menurunkan Kualitas Hidup pasien. Penelitian ini bertujuan untuk menganalisis hubungan fatigue dengan kualitas hidup pada pasien gagal ginjal kronik yang menjalani hemodialisis di RSD dr. Soebandi Jember. Penelitian ini menggunakan desain penelitian kuantitatif korelatif dengan pendekatan cross sectional. Jumlah sampel adalah 93 responden yang diolah menggunakan G*Power dengan penambahan 10% untuk dropout. Teknik pengambilan sampel menggunakan non-probability sampling yang berbentuk konsekutif sampling. Instrumen yang digunakan adalah FACIT-Fatigue Scale dan WHOQOL-BREF. Uji hipotesis yang digunakan adalah Kendall Tau-C. Hasil analisis uji korelasi menunjukkan nilai p sebesar 0,000 < 0,05 dan nilai r hitung sebesar -0,418. Kesimpulan dari penelitian ini yaitu terdapat hubungan antar fatigue dengan kualitas hidup pada pasien hemodialisis dengan kekuatan hubungan kedua variabel adalah sedang dan arah hubungan negatif. Artinya semakin menurun fatigue yang dirasakan maka semakin tinggi kualitas hidup pasien. Oleh karena itu, perlu dilakukan kajian lebih mendalam mengenai gejala – gejala fatigue sehingga dapat diberikan intervensi yang tepat untuk menurunkan tingkat fatigue sehingga dapat meningkatkan kualitas hidup pasien. Kata kunci : Fatigue, Gagal Ginjal Kronik, Hemodialisis, Kualitas Hidup.
Pengaruh Pelatihan dan Kompetensi Tenaga Medis terhadap Daya Tanggap Stroke Center: Suatu Tinjauan Sistematis Kustiarini, Ari; Rondhianto, Rondhianto; A'la, Muhamad Zulfatul
Jurnal Ilmiah Permas: Jurnal Ilmiah STIKES Kendal Vol 15 No 3 (2025): Jurnal Ilmiah Permas: Jurnal Ilmiah STIKES Kendal: Juli 2025
Publisher : Sekolah Tinggi Ilmu Kesehatan Kendal

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32583/pskm.v15i3.3754

Abstract

Pelatihan dan peningkatan kompetensi tenaga medis memainkan peran penting dalam meningkatkan daya tanggap pusat layanan stroke, terutama dalam mempercepat penanganan dan meningkatkan kualitas perawatan. Penelitian ini bertujuan untuk meninjau secara sistematis pengaruh pelatihan dan kompetensi tenaga medis terhadap daya tanggap Stroke Center serta dampaknya pada kualitas perawatan dan keselamatan pasien  stroke.  Penelitian ini merupakan tinjauan sistematis terhadap enam artikel yang dipilih dari berbagai basis data daring terkemuka antara tahun 2020 hingga 2024, yang membahas pengaruh pelatihan dan kompetensi terhadap respons pusat layanan stroke. Seleksi artikel dilakukan secara ketat dengan menggunakan alat penilaian kritis dari lembaga internasional. Sumber data diperoleh dari pencarian di Google Scholar, ProQuest, Wiley, dan BMC untuk mengidentifikasi studi yang relevan. Artikel yang disertakan adalah yang menggunakan metode kuantitatif, kualitatif, atau campuran. Hasil kajian menunjukkan bahwa pelatihan tenaga medis berdampak positif dalam mempercepat respons waktu, meningkatkan akurasi diagnosis, dan memperbaiki koordinasi tim dalam pelayanan stroke. Meskipun terdapat temuan bahwa pelatihan tertentu dapat menambah beban kerja, manfaatnya terhadap keselamatan pasien dan efisiensi layanan lebih menonjol. Penelitian ini menyimpulkan bahwa pelatihan dan pengembangan kompetensi tenaga medis secara berkelanjutan sangat esensial untuk peningkatan respons pusat layanan stroke.
Eksplorasi Resiliensi Psikologis dan Mekanisme Koping pada Pasien Kanker: Tinjauan Scoping Sanaah, Sanaah; Rahmawati, Iis; A'la , Muhamad Zulfatul
Jurnal Ilmiah Permas: Jurnal Ilmiah STIKES Kendal Vol 15 No 4 (2025): Jurnal Ilmiah Permas: Jurnal Ilmiah STIKES Kendal: Oktober 2025
Publisher : Sekolah Tinggi Ilmu Kesehatan Kendal

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32583/pskm.v15i4.3817

Abstract

Ketahanan psikologis sangat penting bagi pasien kanker dalam menyesuaikan diri dengan tantangan emosional dan psikologis setelah diagnosis. Mekanisme koping yang efektif membantu mengelola stres, kecemasan, dan depresi, yang pada gilirannya meningkatkan kesejahteraan secara keseluruhan. Namun, interaksi antara faktor psikologis, sosial, dan budaya dalam mengembangkan ketahanan, terutama pada tahap awal diagnosis, masih kurang dieksplorasi. Tinjauan scoping ini bertujuan untuk mengeksplorasi faktor-faktor yang memengaruhi ketahanan psikologis dan mekanisme koping pada pasien kanker, dengan fokus pada dampaknya terhadap penyesuaian psikologis dan kesejahteraan pada tahap awal diagnosis serta mengidentifikasi intervensi yang efektif untuk meningkatkan ketahanan. Tinjauan ini mengikuti kerangka tinjauan scoping oleh Arksey dan O'Malley, yang kemudian disempurnakan oleh Levac et al. Pencarian sistematis dilakukan di berbagai basis data (Scopus, Science Direct, PLOS ONE, Wiley) dengan menggunakan istilah pencarian Boolean yang berkaitan dengan kanker, ketahanan, dan strategi koping. Kriteria inklusi adalah studi empiris dari tahun 2020 hingga 2025, yang melibatkan pasien kanker dari berbagai jenis kanker, dengan fokus pada ketahanan psikologis, koping, dan penyesuaian psikologis pada tahap awal pasien di diagnosa kanker. Tujuh belas studi memenuhi kriteria inklusi. Temuan menunjukkan bahwa pasien kanker menggunakan mekanisme koping yang berfokus pada masalah, berfokus pada emosi, dan berbasis agama. Strategi koping positif (misalnya, penerimaan, dukungan sosial, praktik spiritual) dikaitkan dengan peningkatan kesehatan mental, sementara strategi negatif (misalnya, penyangkalan, koping agama yang maladaptif) berhubungan dengan stres yang lebih tinggi. Pengaruh budaya membentuk strategi koping, yang bervariasi tergantung pada konteks budaya dan agama. Ketahanan psikologis dan strategi koping sangat penting bagi penyesuaian psikologis pasien kanker. Strategi positif seperti penerimaan dan dukungan sosial meningkatkan kesehatan mental, sementara koping maladaptif memperburuk stres. Intervensi yang menargetkan koping adaptif dan dukungan sosial sangat penting.
The instruments for measuring QoL in hemodialysis patients: A scoping review Baiq Reny Ermayuningsih; Muhammad Zulfatul A'la; Iis Rahmawati
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 6 (2025): Volume 8 Number 6
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i6.1403

Abstract

Background: Quality of life (QoL) is a crucial indicator for evaluating the well being of patients undergoing hemodialysis, encompassing physical, psychological, social, and environmental dimensions. Accurate measurement of QoL serves as a fundamental basis for clinical decision making, care planning, and the development of patient centered policies. Purpose: To identify, synthesize, and analyze the instruments used to measure QoL in hemodialysis patients within the international literature. Method: The PRISMA-ScR approach, employing a systematic search across four major databases: ProQuest, BMC, PubMed, Wiley, and other sources. The search yielded seven articles that met the inclusion criteria and were subsequently analyzed thematically. Results: Seven primary instruments were identified, namely the KDQOL-SF™, KDQOL-36, QDIS-7, HARQ, WHOQOL-BREF, EQ-5D-5L, and the Caregiver Quality of Life Inventory. Each instrument demonstrated specific strengths related to construct design, contextual applicability, and target population, with adequate validity and reliability. However, variations in dimensional coverage, limited cross cultural validation, and a predominance of cross-sectional designs without longitudinal evaluation were observed. Conclusion: The findings highlight the importance of contextual adaptation, multi-cultural validation, and integration of QoL instruments into clinical evaluation systems. They also provide a foundation for developing more responsive and culturally relevant tools to improve care quality and patient well-being.
Diabetic Foot Exercise to Reduce High Blood Sugar Levels in Diabetes Mellitus Patient: A Case Study Musarrofa, Faise Lailatul; Rondhianto; A’la, Muhammad Zulfatul; Sujarwanto
Jurnal Kegawatdaruratan Medis Indonesia Vol. 3 No. 2: August 2024
Publisher : Al-Hijrah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58545/jkmi.v3i2.365

Abstract

Diabetes mellitus is a metabolic disorder in the pancreas organ so that sugar levels increase due to a decrease in the amount of insulin in the pancreas. Therapeutic management pharmacology, namely administering insulin and administering oral hypoglycemic drugs, while non-pharmacological includes health education, diet, and exercise or physical training such as diabetes foot exercises. This research uses a case study method using pre and post methods carried out before and after the intervention. The data collection location was in the Lavender room at dr. Soebandi Hospital starts on 30 October 2023. Based on these results, it shows a change in blood sugar levels before and after administering diabetic foot exercise therapy is carried out for three consecutive days once a day, carried out in the morning 1-2 hours after breakfast. Diabetic foot exercises that are done regularly are expected to prevent complications often occurs in patients such as infected wounds on the feet. The results of the nursing evaluation are related to the diagnosis of instability in blood glucose levels which indicates changes in the patient's blood sugar levels where the patient's blood sugar values decreased after the intervention.
Tinjauan Ruang Lingkup Alat Pengukuran Kepatuhan Kemoterapi di Asia: Implikasi untuk Penggunaan di Indonesia Sholihah, Mar'atus; A’la, Muhamad Zulfatul; Asmaningrum, Nurfika
Journal of Islamic Medicine Vol 9, No 2 (2025): JOURNAL OF ISLAMIC MEDICINE EDISI SEPTEMBER 2025
Publisher : Faculty of Medicine and Health Science, Universitas Islam Negeri Maulana Malik Ibrahim

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18860/jim.v9i2.32182

Abstract

Latar belakang:  Berbagai alat ukur telah dikembangkan untuk menilai tingkat kepatuhan pasien terhadap kemoterapi, namun belum ada standar yang disepakati secara luas di Indonesia. Oleh karena itu, diperlukan kajian yang sistematis untuk mengidentifikasi alat ukur kepatuhan kemoterapi yang telah digunakan di Asia dan mengevaluasi kesesuaiannya dalam konteks Indonesia. Tujuan: Penelitian ini bertujuan untuk melakukan scoping review terhadap alat ukur kepatuhan kemoterapi yang digunakan di Asia serta mengevaluasi relevansinya bagi penerapan di Indonesia. Metode: Penelitian ini menggunakan Scoping Review dengan framework Arksey O’Malley. Pencarian artikel dilakukan di PubMed, Scopus, Web of Science, dan Google Scholar. Data diekstraksi menggunakan PRISMA-ScR, dengan variabel utama meliputi nama alat ukur, metode, validitas, reliabilitas, serta konteks penggunaannya. Hasil:.Hasil tinjauan menunjukkan bahwa alat ukur kepatuhan kemoterapi yang paling sering digunakan di Asia adalah Morisky Medication Adherence Scale (MMAS-8), Medication Possession Ratio (MPR), Medication Event Monitoring System (MEMS), Beliefs about Medication Questionnaire (BMQ), dan aplikasi berbasis mobile. Masing-masing alat ukur memiliki kelebihan dan keterbatasan. Kesimpulan: Berdasarkan hasil analisis, tidak ada satu alat ukur yang ideal untuk semua konteks, sehingga kombinasi beberapa metode direkomendasikan. Adaptasi dan validasi lokal diperlukan untuk memastikan alat ukur yang digunakan sesuai dengan konteks budaya dan sistem kesehatan di Indonesia.
The Impact of Permanent Pacemaker Implantation on the Quality of Life in Elderly Patients: A Scoping Review Artha, Artha; A'la, Muhamad Zulfatul; Rondhianto, Rondhianto
Indonesian Journal of Global Health Research Vol 7 No 2 (2025): 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.v7i2.5761

Abstract

The implantation of a permanent pacemaker has become a primary strategy for managing cardiac arrhythmias in elderly patients to enhance quality of life, reduce cardiovascular symptoms, and improve physiological function. While pacemakers have been proven effective in enhancing mobility, emotional well-being, and physical endurance, their impact varies among patients depending on health conditions, social support, and psychological readiness. Therefore, further exploration of the clinical and psychosocial implications of pacemaker implantation in elderly individuals is required. This scoping review aims to identify and analyze the impact of permanent pacemaker implantation on the quality of life of elderly patients, with a focus on patient safety, psychosocial adaptation, and implementation challenges.Methods: A systematic search was conducted in ScienceDirect, ProQuest, and PubMed to identify relevant articles published between January 2015 and December 2024. Out of 1,321 articles initially identified, 33 articles were selected for full-text review after applying inclusion and exclusion criteria. A critical appraisal using the Joanna Briggs Institute (JBI) framework determined that 9 articles met the final criteria for analysis. The studies included in this review involved elderly patients with pacemakers across various healthcare settings, including hospitals, outpatient clinics, and community healthcare services, to assess the impact of pacemakers on physical and mental well-being as well as patient satisfaction. Results: Pacemaker implantation generally improves the quality of life of elderly patients, particularly in terms of cardiovascular function, mobility, and independence. Additionally, pacemakers help reduce the risk of arrhythmia-related complications, enhance patient confidence, and improve adherence to medical therapy. However, several challenges persist, including post-implantation infection risks, psychosocial disturbances, and limited access to pacemaker technology in certain regions. The studies also identified research gaps, particularly in longitudinal evaluations of the impact of pacemakers on elderly patients with comorbidities and cognitive impairment.Conclusion: Pacemaker implantation is an effective intervention for improving the quality of life of elderly patients with cardiac arrhythmias. However, a more comprehensive patient-centered approach, including psychosocial support, pre-implantation education, and optimized post-procedural monitoring, is crucial. Further research is recommended to explore the long-term effects of pacemaker implantation and develop more adaptive care strategies for vulnerable elderly populations.
Evaluating the Impact of the Primary Nursing Care Model on Nursing Outcomes: A Scoping Review Agustina, Baiq Linda; Ardiana, Anisah; A'la, Muhamad Zulfatul
Indonesian Journal of Global Health Research Vol 7 No 3 (2025): 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.v7i3.6077

Abstract

The Primary Nursing Care Model (PNCM) aims to enhance continuity of care, nurse autonomy, and therapeutic nurse-patient relationships. While widely implemented, its outcomes vary across settings, requiring a comprehensive assessment of its broader impact on nursing outcomes. This scoping review examines the influence of PNCM on patient care quality, nurse competence, and patient satisfaction in diverse healthcare environments. This study aims to explore and analyze the impact of PNCM on nursing outcomes, focusing on patient care quality, nurse competence, and patient satisfaction. Additionally, it seeks to identify existing research gaps and provide insights into the model’s effectiveness across different healthcare settings. A systematic search was conducted in ProQuest, ScienceDirect, and PubMed for studies published between January 2020 and December 2024. From 880 identified articles, 212 underwent full-text screening, and 15 met the final inclusion criteria based on the Joanna Briggs Institute (JBI) framework. The review focuses on studies involving nurses and patients in hospitals, outpatient clinics, and community healthcare settings where PNCM is implemented. Key outcomes assessed include patient care quality, nurse competence, and patient satisfaction. PNCM enhances nursing outcomes by strengthening nurse-patient relationships, improving competence, and fostering a safety culture. It reduces care fragmentation, increases nurse accountability, and promotes holistic care. However, research gaps persist in evaluating long-term outcomes and its application to vulnerable populations. PNCM is effective in improving nursing outcomes and patient satisfaction. Further research should explore its long-term impact and adaptation for underserved populations to optimize its benefits.
Co-Authors Agus Meriroja Agustina, Baiq Linda Agustiningsih Agustiningsih Akhmad Zainur Ridla Amaningrum, Nurfika Anggun Afrix Rozana Anisah Ardiana Ardiyanto, Makhrufi M.A.S. Arif Eko Cahyono Arini, Puji Artha, Artha Baiq Reny Ermayuningsih Baskoro Setioputro Batrisyia, Irdina Benjayamas Pilayon Chanicha Chaitonthueng Chyntia, Meideline Chyntia Defi Efendi Dewi, Dwi Puspita Dodi Wijaya Emi Wuri Wuryaningsih Endrian Kurniawan, Dicky Esoh, Nahyeni Bassah Evita Rohmaniah Farida Nur Qomariyah Fauziah, Oktaviani Fauziah Gunarto, Sugito Tri Hafan Sutawardana, Jon Hana R. Agustina Hana Rizmadewi Agustina Heri Siswanto Ifka Wardaniyah Ika Adelia Susanti Iwan Setiawan Iyus Yosep Juthaluck Saentho Juwarti Juwarti Karisa, Putri Karisa Khanitta Nuntaboot, Khanitta Komarudin Komarudin Kurniasari, Reni Hesti Kushariyadi Kushariyadi Kustiarini, Ari Latifa Aini Susumaningrum Lianawati Lianawati Linda Novema Maghfiroh, Rahmawati L. Mas’ulyatul Hukmiyah Maulidiyah, Dewi Diniyatul Maysaroh, Salma Miftah Salsabila Misni, Yulia Muhamad Hasan Basri Muhamad Hasan Basri Mulia Hakam Murtaqib Murtaqib Musarrofa, Faise Lailatul Niruwan Turnbull Nistiandani, Ana Nurfika Asmaningrum Pairin Yodsuban Puja Sheylla Riskita Cahyani Rahmawati, Iis Retno Wardani, Hamidah Rismawan Adi Yunanto Rochmawati, Erna Rochmawati Rondhianto Rondhianto Rungreangkulkij, Somporn Ruris Haristiani Sanaah, Sanaah Sholihah, Mar'atus Siswoyo Siswoyo Siswoyo Siswoyo Siswoyo Siswoyo Siti Ulfah Rifa’atul Fitri Sriwardani, Endang SUJARWANTO Sulis Setyowati Susanti, Ika Adelia Tantut Susanto Tita Saskia Asmoro Tri Gunarto, Sugito Tri Handoko, Yudho Ulfi Bini’Matillah Wantiyah Wantiyah Wijaya, Dodi Wira Mustapa, Gesit Yudho Tri Handoko Yudho Tri Handoko Yudho Tri Handoko Yunanto, Rismawan Zetti Finali Zumrotul Farikhah