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All Journal Malahayati International Journal of Nursing and Health Science
Alberta Widya Kristanti
Universitas Katolik Soegijapranata
Health Professions Nursing Public Health

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Emerging concern of supportive supervision in hospital waste management: A formative delphi study Markus Kaban; Suhartono Suhartono; Purwanto Adhi Pireno; Alberta Widya Kristanti; Perigrinus Hermin Sebong
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 5 (2025): Volume 8 Number 5
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i5.752

Abstract

Background: Improper management of all types of hospital waste has become a significant problem relevant to public health issues. However, even though there are regulations regarding waste management, the implementation still varies between hospitals. The most neglected factor is the waste management supervision frameworks.  Purpose: To identify the emerging concern of supportive supervision in hospital waste management. Method: This formative delphi study employed qualitative methods and focus group discussions (FGDs). Each FGD lasted 60 minutes. The study incorporated the concept of stakeholder engagement in hospital waste governance, focusing on factors driving stakeholder participation, knowledge-sharing structures, information exchange, decision-making processes, and the institutionalization of various centers of power and decision-making to diversify waste management oversight. Results: Participants were most likely to decide to improve waste management. Of the 18 questions, three received a higher number of "yes" responses (53.8%). The first question concerned managers in the environmental, occupational safety, and health department providing recognition/appreciation for staff performance or achievements in waste management at the hospital. The second question concerned information provided by managers to staff regarding open and periodic performance appraisals. The third question concerned the use of audit results to improve the existing waste management system. Conclusion: Supervision is an activity aimed at improving service quality. It requires a conditional and open environment to accept problem-solving. To enhance the quality of service, supervision must be systematic and require continuous follow-up.
Fasting plasma glucose and serum uric acid levels in the peri‐urban region Cynthia Tjitradinata; Perigrinus Hermin Sebong; Edward Hartono; Henrita Ernestia; Eviana Budiartanti Sutanto; Alberta Widya Kristanti; To Lidwina Prillya Indra Christyana; Vania Angeline Bactiar
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 4 (2025): Volume 8 Number 4
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i4.730

Abstract

Background: The prevalence of hyperuricemia has increased, yet there is a gap in empirical studies regarding the association between hyperuricemia and diabetes mellitus in Indonesia. Purpose: To determine the baseline association between serum uric acid and fasting blood glucose in the peri-urban population. Method: A quantitative approach was employed, with particular emphasis on a formative method. The study was conducted in Sampangan, Semarang, from January to April 2023. Uric acid levels served as the independent variable, while fasting blood glucose was designated as the dependent variable. A total of 44 participants were selected through total sampling, based on predetermined inclusion and exclusion criteria. Data analysis involved univariate testing to assess the frequency distribution of participant characteristics, followed by bivariate analysis utilizing one-way ANOVA and Kruskal-Wallis tests. Results: Significant differences were observed in fasting blood glucose, serum uric acid, and systolic blood pressure levels across the healthy, prediabetic, and type 2 diabetic groups, as well as between individuals with normal uric acid levels and those with hyperuricemia. Conversely, no significant differences were found for age, diastolic blood pressure, body mass index (BMI), or cholesterol levels. Conclusion: This study offers a deeper understanding of serum uric acid levels among healthy individuals, prediabetic patients, and individuals with type 2 diabetes mellitus. Factors such as uric acid concentration, presence of hypertension, and patient initiative contribute to decisions regarding the continuation of screening.
Co-Authors Cynthia Tjitradinata Edward Hartono Eviana Budiartanti Sutanto Henrita Ernestia Markus Kaban Perigrinus Hermin Sebong Purwanto Adhi Pireno Suhartono, Suhartono To Lidwina Prillya Indra Christyana Vania Angeline Bactiar