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All Journal Jurnal Ners Malahayati International Journal of Nursing and Health Science
Nanang Kosim
Universitas Qamarul Huda Badaruddin Bagu
Health Professions Medicine & Pharmacology Nursing Public Health

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Faktor Determinan yang berhubungan dengan Penanganan Program Tuberkulosis (TB) di Lombok Tengah Saimi Saimi; Nanang Kosim; Lalu Abdul Khalik; Dita Retno Pratiwi
Jurnal Ners Vol. 9 No. 4 (2025): OKTOBER 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i4.49438

Abstract

Introduction: Tuberculosis (TB) is an infectious disease caused by Mycobacterium tuberculosis, mainly attacking the lungs, but can affect other organs. The disease remains a significant global and national health problem, including one of the world's top 10 causes of death and the deadliest infectious disease. TB cases in Central Lombok in 2022–2024 fluctuated, rising from 1,220 to 1,538 and then dropping to 1,467 cases. Pediatric TB increased significantly, the success of therapy increased, but the rate of dropouts, failed treatment was high, and mortality also increased. The main potential barriers include low knowledge, stigma, poor access to services, and limited facilities, these conditions underscore the urgency of research on national TB elimination strategies. Purpose: to analyze determinant factors related to the Handling of the Tuberculosis (TB) Program in Central Lombok. Result: It was found that patient knowledge, access to TB services, social stigma, and medication adherence had a significant effect on the success of TB treatment (p < 0.005). Patients with low knowledge were at risk of 3.97 times of barriers, of difficulty of access increased risk 7.23 times, of stigma 8.13 times, and of low adherence 4.54 times. These findings underscore the need for TB control strategies that prioritize patient education, improved access to services, reduced social stigma, and support for ongoing treatment adherence to improve the success of TB programs. Conclusion: This study shows that successful TB treatment is significantly influenced by patient knowledge, access to services, social stigma, and medication adherence. The risk of treatment barriers increased nearly four times in low-knowledge patients, more than seven times in difficult access, and eight times in high-stigma. Low drug adherence also has a significant impact. TB control strategies must prioritize education, increased access, stigma reduction, and patient compliance assistance on an ongoing basis.
Enhancing patient safety outcomes through SBAR communication: A systematic review Nanang Kosim; Saimi Saimi
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 7 (2025): Volume 8 Number 7
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i7.1046

Abstract

Background: SBAR (Situation, Background, Assessment, Recommendation) is a structured communication framework designed to facilitate the logical and efficient transfer of information among healthcare professionals. This method supports the identification, assessment, and management of patient risks. Ineffective communication is a leading contributor to patient safety incidents; therefore, implementing structured communication like SBAR is essential for enhancing the quality and safety of healthcare delivery. Purpose: To explore and analyze the impact of SBAR communication on improving the effectiveness of patient safety within healthcare settings. Method: A systematic review approach in accordance with the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines. A thorough search was conducted across multiple scholarly databases—Scopus, PubMed, ScienceDirect, and Google Scholar—using the keywords: "SBAR AND communication AND healthcare AND facilities." Results: The implementation of SBAR enhances healthcare workers’ communication competencies, fosters a safer and more reassuring environment for patients, and contributes positively to the overall quality of care. Conclusion: SBAR is a communication tool that promotes timely, accurate, complete, and clear information exchange, thereby supporting the effectiveness of patient safety practices in healthcare services.
Co-Authors Lalu Abdul Khalik Pratiwi, Dita Retno Saimi Saimi