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Dyah Anantalia Widyastari, BSPH., MPH., Ph.D (Cand.)
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INDONESIA
Global Health Management Journal
ISSN : -     EISSN : 25809296     DOI : 10.35898/ghmj
Core Subject : Health, Education,
GLOBAL HEALTH MANAGEMENT JOURNAL (GHMJ) focuses on health field with strong preference (but not limited) on public health in general, maternal and child health, nursing, midwifery, sexual and reproductive health, public health nutrition, environmental health, occupational health and safety, health promotion, health economics in South East Asia and other regions. Applied science in health also becomes one of our priority, especially in the field of health information and technology, innovation in health, and development of devices, medicines, vaccines, procedures and systems developed to solve a health problem and improve quality of lives.
Arjuna Subject : -
Articles 327 Documents
Prevention and Management of Malaria in Children using a School-Based Program Model Dorcus Nanvuma; Innocent Besigye; Anna Kabona; Patricia Turimumahoro; Maria Nakitende; Andrew John Macnab
GHMJ (Global Health Management Journal) Vol. 9 No. 3 (2026): Online First
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35898/ghmj-931336

Abstract

Malaria continues to be a major cause of mortality and long-term neurologic handicap globally; the burden of disease is particularly high among children. Those living in rural and poorly resourced areas of the world are the most severely affected, in large part because of inequities in health care for malaria that impact children. School-aged children are a subset of the at risk population who are particularly vulnerable to the adverse consequences of delayed diagnosis, sub-optimal care and repeated infection; both the short and long-term neurologic effects that can result are recognized to compromise the learning ability of affected children. Because of this, schools are a logical and appropriate venue for focusing the fight against malaria. This photo essay illustrates how an effective intervention in rural African schools combines the parallel implementation of a prevention strategy based on the promotion of bed net use by pupils, with a teacher-driven strategy to diagnose and treat malaria through the use of rapid diagnostic testing and artemisinin combination therapy. Strategies such as this reduce inequities in care and offer a way to reduce morbidity from malaria; this in turn gives school children a greater chance of achieving their academic potential by avoiding both absence from school and the long term effects that malaria can have on their ability to learn.
Reviewer Acknowledgements and Highlights: Equity, Resilience, and the Human Dimensions of Health – GHMJ (Global Health Management Journal), Volume 9, Number 2, 2026 GHMJ (Global Health Management Journal)
GHMJ (Global Health Management Journal) Vol. 9 No. 2 (2026)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35898/ghmj-921343

Abstract

The Editorial Board gratefully acknowledges the reviewers who contributed their time, expertise, and careful judgment to the manuscripts published in the issue of the Global Health Management Journal (Vol. 9, No. 2, 2026). Many of the contributions in this issue share a common concern with the conditions that shape health opportunities and outcomes. Kpum and Gasa (2026) challenge educational systems to recognize the financial and safety realities faced by women learners, while Mboma et al. (2026) draw attention to the vulnerabilities experienced by street-connected children in Kinshasa. Beyond individual experiences, Ali and Makoni (2026) demonstrate how climate variability can intensify financial hardship and worsen health outcomes among households affected by non-communicable diseases, reinforcing the need for policies that respond to both social and environmental challenges. Looking ahead, Peter and Gasa (2026) highlight the potential of entrepreneurship, innovative education, and cross-sector collaboration in building more sustainable and resilient health systems. The recently completed publications from Faculty of Medicine, Universitas Swadaya Gunung Jati, processed under Special Edition commitment, represent new insights from biomedical and educational research. Genetic studies by Rizqulloh et al. (2026) and Soeroso et al. (2026) explore biological factors associated with diabetes and malaria, offering insights that may guide future research and disease prevention efforts. Within medical education, Maharani et al. (2026) examine the attributes of lecturers facilitating problem-based learning, emphasizing the continuing importance of student-centered approaches in preparing future health professionals. Completing the issue, Sanitaquin et al. (2026) explore cardiovascular endurance and blood pressure among university employees, adding to the ongoing conversation on lifestyle, health, and disease prevention. Together, the articles in this issue remind us that improving health requires not only scientific advances, but also a deeper understanding of the social, educational, economic, and environmental realities in which people live. We are grateful for the Editorial Boards and Reviewers’ commitment to advancing global health research and supporting a rigorous peer-review process. Link to download: https://publications.inschool.id/index.php/ghmj/issue/view/GHMJ.09.02 Editor-in-chief Prof. Andrew John Macnab Managing Editors Doni Marisi Sinaga, M.Sc. Kukuh Madyaningrana, M.Biotech. Ph.D. Journal Managers Suyitno, M.PHM Maretalinia, M.A  External Reviewers Dr. Jude Ali Igyo (Mewar International University, Nigeria) Dr. Agi Christiana Ikpoyi (Joseph Sarwuan Tarka University, Nigeria) dr. Ratih Yulistika Utami, MMedEd (Universitas Muhammadiyah Sumatera Utara, Indonesia) Donny Nauphar, M.Si.Med. (Universitas Swadaya Gunung Jati, Indonesia) dr. Ike Sulistyowati, M.Biomed., Sp.Rad. (Universitas Bengkulu, Indonesia) drg. Musri Amurwaningsih, MMedEd (Universitas Islam Sultan Agung, Indonesia) dr. Ziske Maritska, M.Si.Med (Universitas Sriwijaya, Indonesia) dr. Siti Farhanah Aulia, M.Biomed (Universitas Yarsi, Indonesia) Emmanuel Aondongusha Asue, Ph.D (University of South Africa, South Africa) Dr. Isaac Msughter Peter (University of South Africa, South Africa) Rodrigue Nakasala, MD, MSc., MPH. (SANRU Asbl, Democratic Republic of the Congo) Dr. Tersoo Solomon Shaminja (Rev. Fr. Moses Orshio Adasu University, Nigeria) Dr. Fekumo Bolouembeledo (Federal University Otuoke, Nigeria) In recognition of their service, eligible reviewers may submit one Perspective or Guest Editorial article annually to a Special Edition free of publication charges. We further welcome collaboration with reviewers interested in contributing as members of our Editorial Board. Acceptance Rate   : 25 % Days to First Editorial Decision  : 22 days Days to accept  : 35 days Published: 03 June 2026.
Social Justice Mathematics and Public Health Equity: A Systematic Review of Quantitative Literacy in Health Decision-Making Terungwa James Age
GHMJ (Global Health Management Journal) Vol. 9 No. 3 (2026): Online First
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35898/ghmj-931337

Abstract

Background: Public health decision-making increasingly requires individuals to interpret numerical information such as risks, probabilities, treatment benefits, and epidemiological trends. However, disparities in quantitative literacy may contribute to inequitable health outcomes and reduced participation in informed decision-making. Despite growing interest in health literacy and equity, systematic reviews have examined health numeracy, risk communication, and health literacy; however, limited research has specifically examined the role of social justice mathematics in strengthening equitable health decision-making. Aim: This systematic review examined how quantitative literacy and health numeracy influence health decision-making, explored how numeracy disparities contribute to public health inequities, and assessed how social justice mathematics may support equitable engagement with health information. Methods: Guided by PRISMA 2020, a systematic search of Scopus, Web of Science, PubMed, and ERIC was conducted for studies published between 2000 and 2025. Following screening and eligibility assessment, 50 studies were included in the final synthesis. Two independent reviewers conducted article screening and quality appraisal, with disagreements resolved through discussion and consensus. A narrative synthesis approach was adopted due to methodological heterogeneity across studies. Findings: The review found that limited numeracy contributed to misinterpretation of health risks, reduced screening participation, difficulties in treatment decision-making, and lower engagement in preventive healthcare, particularly among socioeconomically disadvantaged populations. The findings further showed that social justice mathematics may strengthen critical interpretation of health data, improve engagement with public health issues, and support awareness of structural inequities. However, empirical evidence directly linking social justice mathematics interventions to measurable health outcomes remains limited. Conclusion: Quantitative literacy is a critical determinant of equitable health decision-making. Public health systems should adopt numeracy-sensitive communication strategies, while education systems should integrate socially responsive quantitative literacy and authentic health data into mathematics curricula to strengthen informed participation and reduce health inequities.
Mental Health Challenges among Financially Disadvantaged Students at South African Universities: A Scoping Review Tiisetso Aubrey Chuene; Banele Nkosingiphile Siboza
GHMJ (Global Health Management Journal) Vol. 9 No. 3 (2026): Online First
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35898/ghmj-931339

Abstract

Background: Financial constraints are a significant stressor for university students in South Africa, particularly those without stable financial support. These students often face challenges in meeting tuition, accommodation, and other basic needs, which may negatively impact their mental health. Despite growing recognition of student mental health, the experiences of financially disadvantaged students remain underexplored. Aims: This scoping review maps and synthesises evidence on mental health challenges among financially disadvantaged students at South African universities, identifying key stressors, associated factors, and research gaps Methods: A comprehensive search of peer-reviewed and grey literature was conducted across Google Scholar, PubMed, Sabinet, Psych-info, and Web of Science for studies published between January 2020 and December 2025. Eligible studies focused on financially disadvantaged students at South African universities and reported mental health outcomes. Two reviewers independently screened studies and extracted data, with disagreements resolved through consensus. The final search was completed on 31 January 2026. Sixteen studies were included and analysed using a narrative synthesis approach guided by a thematic approach. Results: Financially disadvantaged students consistently reported anxiety, stress, depressive symptoms, and psychological distress associated with financial hardship. The most represented populations were first-year students, low-income or rural students, and NSFAS-funded students. Food insecurity, unstable accommodation, and academic pressure commonly co-occurred with financial hardship, while limited access to mental health services further compounded these challenges. Few studies examined integrated interventions addressing both financial and mental health challenges. Conclusion: Financially disadvantaged students face complex mental health challenges driven by socio-economic and institutional factors. A major gap identified is the lack of integrated interventions addressing both financially disadvantaged students and mental health. The findings highlight an urgent need for coordinated context-specific institutional responses that integrate financial support, mental health services, and academic assistance within South African higher education. 
Reviewer Acknowledgements: Education, Equity and Evidence in Global Health - GHMJ (Global Health Management Journal), Volume 8, Number 3, 2025 GHMJ (Global Health Management Journal)
GHMJ (Global Health Management Journal) Vol. 8 No. 3 (2025)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35898/ghmj-831325

Abstract

The Editorial Board would like to express its sincere gratitude to the reviewers who contributed their time, insight, and scholarly judgment to the issue of the Global Health Management Journal (Vol. 8, No. 3, 2025). This issue begins by placing education at the center of global health responsibility. The opening editorial reminds us that preparing young people to engage with health challenges is not simply an academic goal, but a humanitarian one; rooted in equity, empathy, and long-term impact (Macnab, 2025). From this foundation, the perspectives section broadens the conversation and draws attention to the human and structural dimensions of health. Friendship and peer support highlight how care often emerges from relationships (Gasa et al., 2025). The discussions on children’s mental health in post-war settings (Dossen, 2025) and the future of peer review we believe will invite readers to reconsider how systems can better serve those they are meant to protect (Mosa et al., 2025). A review article in this issue challenges readers to think beyond borders when considering responsibility and harm; shaping by unequal power and policy decisions, by framing environmental exposure as an issue of justice rather than geography (Shin & Jung, 2025). The research articles then bring these broader concerns into specific contexts, offering evidence from clinical practice, educational institutions, and communities. Studies on student well-being (Yeyentimalla, 2025), faith-based pharmaceutical services (Latifah et al., 2025), tuberculosis treatment and resistance (Dewi et al., 2025 ; Santoso et al., 2025), experimental approaches to cholesterol management (Putra et al., 2025), and public understanding of vector control technologies (Herawati et al., 2025) collectively show how health outcomes are shaped by knowledge, belief, access, and trust. Link to download: https://publications.inschool.id/index.php/ghmj/issue/view/GHMJ.08.03 Editor-in-chief Prof. Andrew John Macnab Managing Editors Doni Marisi Sinaga, M.Sc. Kukuh Madyaningrana, M.Biotech. Ph.D. Journal Managers Suyitno, M.PHM Maretalinia, M.A  External Reviewers Dr. Linda Welmintje Fanggidae, ST., MT  (Universitas Nusa Cendana, Indonesia)   Dr. Henie Kurniawati, S.Psi., M.A., Psikolog (UIN Prof. K.H. Saifuddin Zuhri Purwokerto, Indonesia)   Dr. Indriyati Hadi Sulistyaningrum, M.Sc. (Universitas Islam Sultan Agung, Indonesia) Dr. apt. Seftika Sari, S.Farm, MPH. (STIFAR Riau, Indonesia) Putu Erma Pradnyani, S.KM., M.Kes. (Universitas Pembangunan Nasional Veteran, Indonesia)   Supim Wongtongtair, Ph.D. (Srinakharinwirot University, Thailand)   Pharm. Tobilola O. Akingbade (North Carolina Central University, United States) dr. Mitra Handini, M.Biomed. (Universitas Tanjungpura, Indonesia)   Sung-Eun Kim, Ph.D. (Oncobix.Co., Ltd., South Korea) Dr. Kahsay Hailu Negash (Adal Medical University, Somaliland)  Olabode Ekerin, MD. (University of Nebraska-Lincoln, United States)   Eligible reviewers will be considered for future roles on our Editorial Board, and receive Exclusive Publishing Opportunity and the chance to publish Guest Editorial Papers at no cost. Simply register on our website and select the "Reviewer" option during sign-up. Acceptance Rate   : 47 % Days to First Editorial Decision  : 39 days Days to accept  : 88 days   Published: 10 January 2026.
The correlation between job satisfaction, compensation, and work environment on nurse's turnover intention in Kotamobagu Regional General Hospital using Structural Equation Modeling path analysis Echa Effendy Siswanto Amir; Eko Winarto; Rita Dewi Sunarno; Shindi Hapsari
GHMJ (Global Health Management Journal) Vol. 6 No. 1 (2023)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35898/ghmj-61925

Abstract

Background: Turnover intention is the tendency of employees to leave the organization or resign voluntarily from their job. Several factors that might influence turnover intention are included job satisfaction, work environment, and compensation. Aims: This study aimed to determine the Path Analysis of the effect of job satisfaction, compensation, and work environment on the turnover intention of nurses at Kotamobagu Regional General Hospitals. Methods: A total of 34 nurses (total sampling method) contributed in this cross-sectional study. The model is presented with a single-directed arrow indicating cause and effect. The regression weights predicted by the model are compared with the correlation matrix from the observed data and then the goodness of fit is calculated. This study uses data analysis that is adapted to the research pattern and the variables studied. A causal model was employed, and to test the proposed hypothesis the SEM analytical technique (Structural Equation Modeling) was operated through the AMOS program. Results: From the statistical analysis, the study shows a significant relationship between job satisfaction and turnover intention (p-value = 0.011), and between the compensation and the turnover intention (p-value = 0.026). However, we found that there was no relationship between work environment and turnover intention among the nurses at Kotamobagu Regional General Hospitals (p-value = 0.935).   Conclusion: This study concluded that there is a correlation between work satisfaction and compensation on turnover intention (direct factor), but there was no correlation between work environment on turnover intention (mediator). It is suggested a need to arrange regular evaluation in terms of job satisfaction and compensation to prevent turnover among the nurses.
Standard Operating Procedures of antenatal care and its relation with pregnant women's satisfaction during pregnancy examination: Results of a survey at Gamping I Public Health Center, Yogyakarta, Indonesia Hilma Triana; Sulistyaningsih Sulistyaningsih; Jumpanata Jumpanata; Yogi Yamani
GHMJ (Global Health Management Journal) Vol. 6 No. 1 (2023)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35898/ghmj-61927

Abstract

Background: The achievement parameter for maternal health services program is the access of pregnant health services, as indicated by measuring the coverage of antenatal care services. In Indonesia, examination of pregnant women according to antenatal standards is regulated by Ministry of Health Indonesia Number 21 of 2021, where pregnancy checks must fulfill the standard 10 T criteria. Aims: This study aimed to identify the Standard Operating Procedures of antenatal care in Gamping I Public Health Center, Yogyakarta, Indonesia, and determine its relation with pregnant women's satisfaction during pregnancy examination. Methods: Of 70 TM III pregnant women, who routinely visit for antenatal care service at the Public Health Center Gamping I, a total of 40 pregnant women were selected using consecutive sampling with 10% margin of error. A set of questionnaires was distributed to the respondents to asses: (1) The implementation of the antenatal care service standard (20 questions, and weighted using a dichotomy scale) and (2) The pregnant women satisfaction (22 questions, and weighted using the Likert scale. The data obtained from respondents were then tabulated and processed using Microsoft Office Excel 2010 and then analyzed using the SPSS Statistics 16.0 program (Pearson Product Moment formula with an error rate of 5%). Results: There are 10 pregnancy tests (10T) received by the pregnant women at the health center including the measurement of Height, Weight, Blood pressure, upper arm circumference, Uterine fundus height, Presentation & Fetal heart rate, Provision of  90 Fe Tablets, Laboratory examinations, Case handling, TT Immunization Screening, and Counseling & mental health assessment. According to the findings of the research conducted by the researchers, antenatal examinations were not carried out in a comprehensive and thorough manner in instances. This article provides the women satisfaction to the antennal care on different dimensions of satisfaction including Physical Proof, Reliability, Responsiveness, Guarantee, and Empathy. Even though the analysis shows that the respondents was satisfied with the antennal care services; however, the relation is not statistically significant (p-value of 0.652). Conclusion : One's satisfaction is very difficult to measure and someone's satisfaction is different from the satisfaction of someone else. According to the findings of the study, every time a midwife performed an antenatal checkup, she had never provided complete 10T-based antenatal care. In addition, this research has been carried out through direct observation of prenatal care, where pregnant women and midwives' perceptions of antenatal care examinations do not differ.
The supervision and transformational leadership styles on nurses' compliance in prevention and control of infection risks at a hospital in Kotamobagu, Indonesia Widya Astuti; Tri Ismu Pujiyanto; Susi Nurhayati
GHMJ (Global Health Management Journal) Vol. 6 No. 1 (2023)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35898/ghmj-61928

Abstract

Background: The quality of health services cannot be separated from the collaboration of all components of human resources, including nurses. Transformational leadership supported by supervision can also improve the prevention and control of infection risk in order to optimize their work performance. Supervision activities carried out by the head of the room might have a positive impact on nurse commitment.  Aims: The objective of this study is to analyze the influence of supervision and transformational leadership style on nurse compliance in infection risk prevention and control at GMIBM (Gereja  Masehi Injili at Bolaang Mongondow) Monompia General Hospital, Kotamobagu, Indonesia. Methods: This original research used an analytic observational with a quantitative approach and a cross sectional study design. A total of 72 nurses who worked at GMIBM Monompia Kotamobagu General Hospital, Kotamobagu Regency, Indonesia, was selected in August 2022 using a total sampling technique based on the data from the human resources division. Two combined questionnaires were distributed to define the leader supervision (20 questions) and the nurses' compliance and their transformational leadership styles (18 questions) for prevention and control the infection risks. The results of this study were analyzed using SPSS Software (univariate and bivariate parameters). Results: This study shows that a sufficient supervision frequency (59.7%) among the participated nurses. We identify there were four transformational leadership styles among the nurses at the selected hospital:  Ideal influence (33.3%), Inspirational motivation (27.8%), Individual consideration (20.8%) and Intellectual stimulation (18.1%). Moreover, the majority of nurses performed good compliance in the preventing and controlling the infection risks (80.6%). The lack of compliance might be significantly resulted by the leader supervisions (p-value: 0.002). By the bivariate analysis, this study suggested that there is a relationship between transformational leadership style and compliance (p value: 0.001). We also noticed that the leader supervision and transformational leadership style are moderating variables to strengthen the nurse compliance (R Square = 0.336). Conclusion : This present study strongly suggested the hospital manager and head departments to pay attention to the two strong factors (Supervision and transformational leadership style) affecting the nurses compliance in updating and implementing the prevention and risk control programs.
Emotional intelligence and transformational leadership: The two factors affecting the nurses' performance at a general hospital in Bolaang Mongondow Monompia, Kotamobagu, Indonesia Juritno Harmi Gaib; Fery Mendrofa; Rita Dewi
GHMJ (Global Health Management Journal) Vol. 6 No. 1 (2023)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35898/ghmj-61929

Abstract

Background: Emotional intelligence and transformational leadership are two important factors for nurses to be able to motivate themselves and build intra relationships in hospitals, and may affect to the nurses' performance. Aims: The purpose of the study was to determine how emotional intelligence and leadership affecting the nurses' performance at the General Hospital of the Evangelical Masehi Church, Bolaang Mongondow Monompia, Kotamobagu, Indonesia Methods: This original research employed an analytic observational with a quantitative approach and a cross sectional study design. A set of questionnaires was distributed to the participated nurses to define the respondents' characteristics, emotional intelligence (10 questions), leadership transformation (12 questions), and the nurses' performances (8 questions). A total of 48 nurses were selected in August 2022 using a total sampling technique, and their answers were included to the further statistical analysis using PSS software version 15. Results: Not different with other hospitals, at the Regional General Hospital of Kotamobagu the majority of nurses was female, and relatively has worked for more than 5 years. It has been noted that the nurses were measured with sufficient emotional intelligence (43.8%), transformational leadership (54.1%), and performances (58.3%). However, the number of nurses having poor emotional intelligence and performance were relatively high, respectively at 12.4% and 14.6%. It is indicated that the nurses performance were significantly resulted by the two factors: Emotional intelligence (p-value: 0.025) and transformational leadership (p-value: 0.005). Conclusion: This study concludes that the emotional intelligence and transformational leadership are moderating variables to strengthen the nurses' performance. This study noted that the higher number of nurses highly perform if having good emotional intelligence and good transformational leadership. Therefore, it is recommended to pay attention to the two strong indicators from this study if a hospital manager plans to improve the nurses' performance.
The effect of Professional Nursing Practice Model Training (MPKP) with the implementation of Pillar IV Nursing Care Delivery System (Pillar IV NCDs) at a Hospital in Kotamobagu, Indonesia Tri Ismu Pujiyanto; Helkim Sarino Laode Manika; Rita Dewi
GHMJ (Global Health Management Journal) Vol. 6 No. 1 (2023)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35898/ghmj-61934

Abstract

Background: Professional Nursing Practice Model Training (Model Praktik Keperawatan Profesional; MPKP) is one of the efforts to improve the quality of service in hospitals in nursing services to minimize errors or omissions that can occur. The training carried out is expected to be able to improve the implementation of pillar IV NCDS in hospitals. Aims: This study aimed to determine the effect of MPKP training with the application of pillar IV NCDS at the General Hospital of the Evangelical Masehi Church Bolaang Mongondow Monompia Kotamobagu. Methods: This research is a quantitative research type with a pre-experimental research design one group pre-test post-test design. This research was conducted in August 2022 as many as 52 nurse respondents working at the Monompia GMIBM Hospital Kotamobagu. Results: From the survey, it shows that the intervention will increase the number of nurses implementing the Pillar IV Nursing Care Delivery System (Pillar IV NCDs) including the assessment element (from 76.9% to 90.4%), nursing diagnosis (from 36.5% to 75.0%), planning (from 51.9% to 88.5%), action or measurement (from 84.6% and 92.3%), evaluation (from 46.2% to 90.4%), and nursing care notes (78.8% and 98.1%). There are differences in the implementation of pillar IV NCDS before and after being given MPKP training (p-value: <0.001). it is known that education level and the work experience of the nurses will significantly determine the success of the training, respectively with p value of <0.001 and 0.004. Conclusion: From the survey, we may note how the Professional Nursing Practice Model Training (MPKP) affecting the number of nursing implementing the Pillar IV NCDs. Data from the results can be used as recommendation to the hospitals' human resources department in designing their program in order to increase the nurses' competences.