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All Journal Journal Of Nursing Practice Journal of Applied Nursing and Health Journal of Health and Nutrition Research
Trisyani , Yanny
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Biochemistry, Genetics & Molecular Biology Chemistry Dentistry Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Nursing Public Health Veterinary

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Challenges and Opportunities of Artificial Intelligence Implementation in the Management of Out-of-Hospital Cardiac Arrest: Scoping Review Dalle, Heriyansyah; Trisyani , Yanny; Nuraeni, Aan
Journal of Health and Nutrition Research Vol. 4 No. 2 (2025)
Publisher : Media Publikasi Cendekia Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56303/jhnresearch.v4i2.429

Abstract

Out-of-hospital cardiac arrest (OHCA) remains a major global health challenge with low survival rates. Artificial intelligence (AI) has emerged as a promising tool to enhance early detection, response, and management of OHCA cases. This study explores the current use of AI in OHCA, identifying challenges and opportunities related to its implementation. This scoping review followed the PRISMA-ScR guidelines, utilizing a systematic search of international databases to identify relevant literature. A total of 10 studies were included, comprising cohort studies, observational studies, randomized controlled trials (RCTs), and pilot projects from 10 different countries. AI implementation in OHCA management demonstrated several opportunities, including improved early detection (increasing sensitivity by 5.5–15% and reducing EMS response time by up to 26 seconds), enhanced decision support for termination of resuscitation (with specificity up to 99.0%), and increased bystander engagement through real-time CPR guidance. However, challenges remain, such as data privacy, ethical concerns (especially with visual surveillance and GDPR compliance), infrastructure limitations, and variability in local protocol. The paradox between faster detection and improved CPR quality was also noted. AI has significant potential to improve OHCA outcomes by optimizing detection, response, and clinical decision-making. Successful implementation requires multidisciplinary collaboration, robust external validation, and ethical considerations to address privacy and local adaptation. Integrating AI into emergency systems and public training can enhance survival rates, but further large-scale studies are needed to ensure effectiveness and equity.
The Effect of Training on First Aid for Cardiac Arrest on Knowledge and Readiness of Cadres to Provide Emergency Aid to Cardiac Arrest Victims in the Community Trisyani , Yanny; Emaliyawati, Etika; Nuraeni, Aan; Anna , Anastasia; Eli Kosasih, Cecep; Mirwanti, Ristina; Nurhamsyah, Donny; Prawesti, Ayu; Sugiharto, Firman
Journal Of Nursing Practice Vol. 9 No. 2 (2026): January
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v9i2.740

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Background: The incidence of cardiac arrest or Sudden Cardiac Arrest (SCA) in the community that cannot be saved increases every year. This is because they do not get the right and fast action due to the community's ignorance and inability to assist. Objective: This study aimed to evaluate health education on increasing knowledge and readiness of respondents in helping cardiac arrest victims. Methods: This study used a pre-experimental design with a one-group pre-post test approach to 52 respondents, namely the general public. The research sample was recruited using convenience sampling techniques. The sample was given health education on basic life support (BLS) and cardiac arrest management directly with several interactive sessions using visual aids such as posters and presentation slides. Data collection used a valid and reliable questionnaire (Knowledge and Readiness to Help). Data were analyzed univariately through frequency distribution, central tendency, mean difference, and bivariate tests using paired sample t-tests. Results: There was an increase in respondents' BLS knowledge from 6.87 to 11 (p<0.001) and readiness to help, with an average score increasing from 60.4 to 63.3 (p=0.002). These results indicate that health education can increase knowledge about BLS and readiness to help respondents. Research results show that readiness to act in emergencies depends on more than theoretical understanding; it also requires practical training, self-confidence, and direct experience. Conclusion: Health education significantly improved public knowledge and readiness to provide first aid for cardiac arrest victims. These findings indicate that structured Basic Life Support (BLS) education is effective in strengthening community preparedness and timely emergency response. Integrating regular and practical BLS training into community health programs may further enhance public capacity to respond to cardiac arrest events.
Clinical Variables Associated with Quality of Life Among Women with Breast Cancer: A Cross-Sectional Study Anna, Anastasia; Trisyani , Yanny; Nuraeni, Aan; Priambodo, Ayu Prawesti; Sugiharto, Firman
Journal of Applied Nursing and Health Vol. 8 No. 2 (2026): Journal of Applied Nursing and Health
Publisher : Chakra Brahmanda Lentera Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55018/janh.v8i2.615

Abstract

Background: Breast cancer is a major public health concern in Indonesia. Clinical factors such as disease duration, cancer stage, treatment type, and comorbidities may affect patients’ quality of life (QoL), but evidence in Indonesia remains limited. This study aimed to examine the correlation between clinical variables and QoL among breast cancer patients. Methods: This cross-sectional study was conducted between November 2025 and January 2026 at a referral hospital in West Java, Indonesia, and followed the STROBE guidelines. A total of 53 breast cancer patients were recruited using convenience sampling. The independent variables included clinical characteristics such as duration of illness, cancer stage, treatment received, treatment frequency, comorbidities, body mass index (BMI), and family history of cancer, while the dependent variable was QoL. QoL was assessed using the Indonesian version of the European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire-Core 30 (EORTC QLQ-C30), a validated instrument for evaluating functional status, symptoms, and global health status among cancer patients. QoL is categorised into poor, moderate, and good. Bivariate analysis was performed using Fisher’s exact test and the chi-square test. Results: Among the 53 breast cancer patients, the majority had been diagnosed for less than one year (45.3%), underwent surgery combined with chemotherapy (41.5%), and received treatment every three weeks (64.2%). Most patients reported moderate global health status (49.1%), while 35.8% had poor QoL. Significant associations were found between duration of illness (p < .001; Cramer’s V = 0.467), treatment received (p = .030; Cramer’s V = 0.434), and treatment frequency (p = .034; Cramer’s V = 0.396) and global health status. No significant associations were identified between cancer stage, comorbidities, BMI category, or family history of cancer and QoL. Conclusion: Duration of illness and treatment-related factors were significantly associated with quality of life among breast cancer patients. These findings suggest that the illness trajectory and treatment burden may be substantially related to patients’ overall well-being, supporting the need for targeted supportive care and routine QoL monitoring to improve patient-centred outcomes.
Co-Authors Aan Nuraeni Anastasia Anna Cecep Eli Kosasih Dalle, Heriyansyah Donny Nurhamsyah Etika Emaliyawati Priambodo, Ayu Prawesti Ristina Mirwanti Sugiharto, Firman