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Relationship Between Environmental Sanitation and Dengue Hemorrhagic Fever Incidents Cortés, Rafael Rodríguez; Thanjangreed, Weerapong; Chertenko, Taisia
Journal of Health Innovation and Environmental Education Vol. 2 No. 1 (2025): June
Publisher : Cahaya Ilmu Cendekia Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37251/jhiee.v2i1.1736

Purpose of the study: The purpose of this study was to analyze the relationship between environmental sanitation and the incidence of Dengue Hemorrhagic Fever in the Unidad de Salud Work Area. Methodology: The study employed an analytical design using a survey method with a retrospective case-control approach. A total of 50 respondents were purposively sampled, comprising 25 Dengue Hemorrhagic Fever patients and 25 neighbors within ±10 meters who had no history of Dengue Hemorrhagic Fever. Data collection utilized a validated questionnaire (Cronbach's α = 0.803) focusing on environmental sanitation and vector control practices. Data analysis included univariate analysis for descriptive statistics and bivariate analysis using the chi-square test at a 95% confidence level to determine significant associations between risk factors and Dengue Hemorrhagic Fever incidence. Main Findings: The results of the study showed that there was a significant relationship between the independent variables, namely there was a relationship between house conditions and the incidence of Dengue Hemorrhagic Fever (p-value = 0.023), there was a relationship between water reservoir conditions and the incidence of Dengue Hemorrhagic Fever (p-value = 0.010), and there was a relationship between the waste disposal system and the incidence of Dengue Hemorrhagic Fever (p-value = 0.005) in the Unidad de Salud Work Area. Novelty/Originality of this study: This study offers a comprehensive approach to identify significant environmental determinants in influencing dengue incidence, which can form the basis for developing community-based interventions to improve the effectiveness of vector control.

Development and Validation of an Integrated Electronic Patient Progress Note-Based Healthcare Evaluation Instrument for Diabetes Management Fedor, István; Chertenko, Taisia; Kim, Junhong
Journal of Health Innovation and Environmental Education Vol. 3 No. 1 (2026): June (On Going)
Publisher : Cahaya Ilmu Cendekia Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37251/jhiee.v3i1.2671

Purpose of the study: This research sought to design and rigorously evaluate an Integrated Electronic Progress Note instrument intended to support frailty risk monitoring and strengthen care coordination among older adults. Methodology: A methodological research approach was undertaken, beginning with conceptual framework development and item generation, followed by expert review for content adequacy and empirical validation. Data were obtained from 210 healthcare professionals alongside 320 de-identified electronic progress notes collected at Uzsoki Street Hospital. Psychometric evaluation included content validity indexing, internal consistency assessment, and construct validation using Partial Least Squares Structural Equation Modeling with bootstrapping procedures to test structural relationships. Main Findings: The developed instrument demonstrated high content agreement among experts (S-CVI = 0.93) and strong reliability indicators, with composite reliability values exceeding 0.90. Convergent validity met recommended thresholds (AVE > 0.50), while discriminant validity was confirmed through HTMT ratios below 0.90. The structural analysis indicated that the model accounted for 68% of the variance in documentation quality (R² = 0.68) and showed meaningful predictive capability (Q² = 0.49). Among the examined constructs, Care Coordination exerted the most substantial positive influence on documentation quality (β = 0.41, p < 0.001). Furthermore, improved documentation performance was significantly linked to a lower likelihood of 30-day readmission (β = –0.32, p < 0.01). Novelty/Originality of this study: This study presents a validated multidimensional measurement tool that connects frailty risk assessment elements with the quality evaluation of electronic clinical documentation, thereby advancing the integration of geriatric clinical assessment and digital health governance frameworks.

Relationship Between Environmental Sanitation and Dengue Hemorrhagic Fever Incidents Cortés, Rafael Rodríguez; Thanjangreed, Weerapong; Chertenko, Taisia
Journal of Health Innovation and Environmental Education Vol. 2 No. 1 (2025): June
Publisher : Cahaya Ilmu Cendekia Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37251/jhiee.v2i1.1736

Purpose of the study: The purpose of this study was to analyze the relationship between environmental sanitation and the incidence of Dengue Hemorrhagic Fever in the Unidad de Salud Work Area. Methodology: The study employed an analytical design using a survey method with a retrospective case-control approach. A total of 50 respondents were purposively sampled, comprising 25 Dengue Hemorrhagic Fever patients and 25 neighbors within ±10 meters who had no history of Dengue Hemorrhagic Fever. Data collection utilized a validated questionnaire (Cronbach's α = 0.803) focusing on environmental sanitation and vector control practices. Data analysis included univariate analysis for descriptive statistics and bivariate analysis using the chi-square test at a 95% confidence level to determine significant associations between risk factors and Dengue Hemorrhagic Fever incidence. Main Findings: The results of the study showed that there was a significant relationship between the independent variables, namely there was a relationship between house conditions and the incidence of Dengue Hemorrhagic Fever (p-value = 0.023), there was a relationship between water reservoir conditions and the incidence of Dengue Hemorrhagic Fever (p-value = 0.010), and there was a relationship between the waste disposal system and the incidence of Dengue Hemorrhagic Fever (p-value = 0.005) in the Unidad de Salud Work Area. Novelty/Originality of this study: This study offers a comprehensive approach to identify significant environmental determinants in influencing dengue incidence, which can form the basis for developing community-based interventions to improve the effectiveness of vector control.

Development and Validation of an Integrated Electronic Patient Progress Note-Based Healthcare Evaluation Instrument for Diabetes Management Fedor, István; Chertenko, Taisia; Kim, Junhong
Journal of Health Innovation and Environmental Education Vol. 3 No. 1 (2026): June (On Going)
Publisher : Cahaya Ilmu Cendekia Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37251/jhiee.v3i1.2671

Purpose of the study: This research sought to design and rigorously evaluate an Integrated Electronic Progress Note instrument intended to support frailty risk monitoring and strengthen care coordination among older adults. Methodology: A methodological research approach was undertaken, beginning with conceptual framework development and item generation, followed by expert review for content adequacy and empirical validation. Data were obtained from 210 healthcare professionals alongside 320 de-identified electronic progress notes collected at Uzsoki Street Hospital. Psychometric evaluation included content validity indexing, internal consistency assessment, and construct validation using Partial Least Squares Structural Equation Modeling with bootstrapping procedures to test structural relationships. Main Findings: The developed instrument demonstrated high content agreement among experts (S-CVI = 0.93) and strong reliability indicators, with composite reliability values exceeding 0.90. Convergent validity met recommended thresholds (AVE > 0.50), while discriminant validity was confirmed through HTMT ratios below 0.90. The structural analysis indicated that the model accounted for 68% of the variance in documentation quality (R² = 0.68) and showed meaningful predictive capability (Q² = 0.49). Among the examined constructs, Care Coordination exerted the most substantial positive influence on documentation quality (β = 0.41, p < 0.001). Furthermore, improved documentation performance was significantly linked to a lower likelihood of 30-day readmission (β = –0.32, p < 0.01). Novelty/Originality of this study: This study presents a validated multidimensional measurement tool that connects frailty risk assessment elements with the quality evaluation of electronic clinical documentation, thereby advancing the integration of geriatric clinical assessment and digital health governance frameworks.

Clinical Skills Development and Competency Assessment Needs among Nursing Assistant Students: A Design and Development Study Manchev, Lachezar; Hailu, Gedamu Gebreamlak; Brain, Maurizio Martin Cavani; Ratt, Pichayaporn; Chertenko, Taisia
Journal of Health Innovation and Environmental Education Vol. 3 No. 1 (2026): June (On Going)
Publisher : Cahaya Ilmu Cendekia Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37251/jhiee.v3i1.2916

Purpose of the study: This study aimed to develop and validate a competency-based clinical skills development model for nursing assistant students and evaluate its effectiveness in improving clinical performance, procedural competence, and self-efficacy. Methodology: A Design and Development Research (DDR) approach with a sequential exploratory mixed-methods design was employed. Phase 1 involved qualitative needs assessment with 24 students and 6 clinical instructors to identify competency gaps. A competency-based learning model integrating structured simulation, standardized rubrics, DOPS-based formative feedback, and OSCE assessment was subsequently constructed and validated by seven experts (S-CVI = 0.92). Effectiveness was evaluated using a quasi-experimental pre-test–post-test control group design with 64. Outcomes included OSCE performance, DOPS ratings, and clinical self-efficacy. Data were analyzed using ANCOVA and effect size calculations. Main Findings: The intervention group demonstrated significantly higher post-test OSCE scores (82.6 ± 5.9 vs. 69.4 ± 6.7; p < 0.001; d = 1.95), improved DOPS ratings (4.3 ± 0.4 vs. 3.5 ± 0.5; p < 0.001), and increased self-efficacy (81.1 ± 7.5 vs. 64.3 ± 8.1; p < 0.001; d = 2.09) compared to controls. Skill retention at four weeks remained significantly higher in the intervention group (p < 0.001). Novelty/Originality of this study: Findings support structured operationalization of competency-based education in assistant-level nursing training and provide an empirically grounded framework for curriculum reform.

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