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Health and Technology Journal (HTECHJ)
Published by KHD Production
ISSN : 29865662     EISSN : 2985959X     DOI : https://doi.org/10.53713/htechj.v1i1
Core Subject : Health,
Dentistry Health Professions Medicine & Pharmacology Nursing Public Health
Health and Technology Journal (HTECHJ) is peer-reviewed and open access international journal which published by KHD Production, to accommodate researchers and health practitioners publishing their scientific articles. NHSJ accepts original papers, review articles, short communications, case reports and letters to the editor in the fields of nursing, midwifery, public health, pharmacy, medicine, nutrition, and allied health sciences.
Arjuna Subject : Profesi Kesehatan - Profesi Kesehatan (Lain-Lain)
Articles 622 Documents
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Pediatric Massage as an Adjunctive Sensorimotor Strategy for Early Language Development in Toddlers with Speech Delay: A Structured Review Farohatul Fitriyah; Reny Retnaningsih
Health and Technology Journal (HTechJ) Vol. 4 No. 4 (2026): August 2026
Publisher : KHD Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/htechj.v4i4.607

Abstract

Speech delay in early childhood is a developmental problem that can affect communication skills, social interaction, and a child's future readiness. Various stimulation approaches have been developed to support language development, one of which is through non-pharmacological intervention in the form of massage therapy. This study aims to examine the effectiveness of massage therapy in stimulating language development in children with speech delay aged 2–3 years through a literature review method. Articles were searched using the Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) technique through the Google Scholar database with inclusion criteria of relevant research articles, full text, and involving early childhood subjects. The search and selection resulted in four articles that were analyzed in depth. The findings showed that massage therapy, including baby massage and oromotor massage, had a positive effect on sensory stimulation and children's communication readiness. The biological mechanisms underlying this intervention are related to sensorimotor stimulation, which can increase nerve activity, nervous system regulation, and the quality of vocal interaction between children and caregivers, thereby supporting the language acquisition process. Based on the results of the review, massage therapy has the potential to be an effective, safe, and easy-to-apply supportive intervention in stimulating language development in children aged 2–3 years
Cardamom Aromatherapy for Nausea and Vomiting of Pregnancy in the First Trimester: A Structured Literature Review Aura, Annisa; Sri Purwanti, Anik
Health and Technology Journal (HTechJ) Vol. 4 No. 4 (2026): August 2026
Publisher : KHD Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/htechj.v4i4.609

Abstract

Nausea and vomiting of pregnancy (NVP), commonly referred to as emesis gravidarum in early pregnancy, is highly prevalent and may impair nutrition, hydration, daily functioning, and quality of life. Pharmacological treatment is available, but many pregnant women prefer low-risk complementary approaches when symptoms are mild to moderate. Cardamom (Elettaria cardamomum) aromatherapy has been proposed as a practical non-pharmacological option, yet the evidence base remains scattered and methodologically uneven. Objective: This structured literature review synthesized DOI-traceable evidence on cardamom aromatherapy and related complementary aromatherapy approaches for NVP in first-trimester pregnancy. A PRISMA-informed search was conducted across PubMed/MEDLINE, ScienceDirect, Scopus, Web of Science, Cochrane Library, and Google Scholar. Only peer-reviewed sources with active DOI links were retained. Evidence was grouped into direct cardamom evidence, pregnancy aromatherapy evidence, NVP guidelines and measurement literature, and cardamom pharmacology or safety evidence. Direct evidence specific to cardamom in first-trimester NVP was limited, but one pregnancy-focused cardamom essential oil study and one cardamom inhalation trial in cesarean-related nausea support biological plausibility and potential antiemetic effects. Broader aromatherapy trials using lemon, peppermint, or mint reported reductions in nausea severity. At the same time, guidelines and systematic reviews recommend cautious use of complementary approaches as adjuncts rather than replacements for standard care. Cardamom aromatherapy is a promising supportive intervention for mild-to-moderate emesis gravidarum, but current evidence is insufficient to support a strong clinical recommendation. Larger randomized controlled trials using validated tools such as PUQE-24, careful safety monitoring, placebo control, and standardized essential oil protocols are needed.
Nurses' Compliance with Hospital Accreditation Standards During Patient Admission in Intermediate Care: An Observational Study Fauziyatul Fitriyah; Kholid Rosyidi Muhammad Nur; Ahmad Rifai; Masmuhul Khoir
Health and Technology Journal (HTechJ) Vol. 4 No. 4 (2026): August 2026
Publisher : KHD Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/htechj.v4i4.619

Abstract

Patient admission is a critical phase in hospital services, particularly in semi-intensive units such as the High Care Unit (HCU), where patient safety and continuity of care must be ensured from the initial point of contact. Nurses play a central role in conducting initial screening, coordinating care, and ensuring compliance with hospital accreditation standards. This study aimed to describe the role of nurses in admitting new patients to the High Care Unit (HCU) Melati at Bangil Regional General Hospital based on the Access to Care and Continuity of Care (AKP) 1.2 standard of the Indonesian National Hospital Accreditation (SNARS) 2022. A descriptive case study design was used. Data were collected through direct observation using a checklist adapted from the AKP 1.2 SNARS 2022 instrument. Five nurses working in the HCU were selected through purposive sampling. Data analysis was conducted descriptively using frequency distributions and percentages.The results showed that all nurses demonstrated good performance in implementing the AKP 1.2 standard during the patient admission process, with 100% of respondents categorized as good. High compliance was observed in patient admission criteria, coordination of care, and documentation. However, minor gaps were identified in comprehensive initial assessment and role distribution during periods of high workload. In conclusion, the role of nurses in admitting new patients to the HCU Melati has been implemented in accordance with the AKP 1.2 SNARS 2022 standard. Continuous supervision, clear role allocation, and managerial support are recommended to maintain consistency and further enhance patient safety and quality of care in semi-intensive units.
Behavioral Determinants of Infection Control: Evaluating Hand Hygiene Knowledge and Motivation in Critical Care Nurses Citra Fiona Lutfi Nafisatunisa; Kholid Rosyidi Muhammad Nur; Dodi Wijaya; Masmuhul Khoir
Health and Technology Journal (HTechJ) Vol. 4 No. 4 (2026): August 2026
Publisher : KHD Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/htechj.v4i4.620

Abstract

Strict adherence to the World Health Organization's Five Moments for Hand Hygiene is critical for preventing healthcare-associated infections, especially in High Care Units where vulnerable patients face elevated risks. This study aimed to evaluate the knowledge, attitudes, and motivation regarding hand hygiene protocols among intensive care nurses. A quantitative descriptive design with a case study approach was utilized at the high care unit. Researchers selected participants through specific inclusion and exclusion criteria to ensure appropriate representation. A validated structured questionnaire measured cognitive understanding, psychological dispositions, and internal drive concerning the five moments and six-step handwashing procedures. Quantitative analysis revealed a significant disparity between psychological readiness and technical comprehension among the clinical staff. Sixty percent of nursing personnel demonstrated poor knowledge of standard handwashing protocols and critical moments of transmission. All respondents exhibited universally positive attitudes and strong intrinsic motivation toward infection prevention practices. A critical gap exists between nurses' favorable psychological dispositions and their actual cognitive grasp of evidence-based hygiene guidelines. Hospital administrators must implement targeted educational interventions and robust supervisory frameworks to bridge this cognitive deficit. Translating high motivation and positive attitudes into consistent clinical execution requires continuous professional development. Ultimately, structural support and ongoing evaluation remain essential to elevate patient safety outcomes in intensive care environments.
Knowledge, Attitudes, and Clinical Implementation of Pressure Injury Prevention among Intensive Care Nurses Akmala Dewi, Nur; Kholid Rosyidi Muhammad Nur; Ikha Nurjihan; Masmuhul Khoir
Health and Technology Journal (HTechJ) Vol. 4 No. 4 (2026): August 2026
Publisher : KHD Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/htechj.v4i4.626

Abstract

Pressure ulcers represent a significant patient safety concern in intensive care units, primarily due to prolonged immobilization, impaired tissue perfusion, and the use of invasive medical devices. Nurses play a pivotal role in prevention through adequate knowledge and positive attitudes toward evidence-based interventions. This study described nurses' knowledge and attitudes regarding pressure ulcer prevention in the Melati Intensive Care Unit at Bangil Regional General Hospital. A descriptive design with purposive sampling was employed, involving three intensive care nurses as respondents. Data collection utilized validated instruments: the Pressure Ulcer Knowledge Assessment Tool (PUKAT) and the Attitude Towards Pressure Ulcer Prevention Instrument (APuP). Descriptive statistical analysis presented findings through frequency and percentage distributions. Results indicated that 66.7% of nurses demonstrated adequate knowledge, 33.3% demonstrated good knowledge, and no respondents exhibited poor knowledge. All respondents (100%) displayed positive attitudes toward pressure ulcer prevention and consistently implemented preventive measures in accordance with standard operating procedures. These findings suggest that nurses possess sufficient cognitive and affective competencies to support effective pressure ulcer prevention practices, including regular repositioning, maintenance of skin integrity, moisture management, and comprehensive risk assessment. The alignment between adequate knowledge, positive attitudes, and optimal implementation reflects a strong patient safety culture within the intensive care unit. However, the lack of formal specialized training among most respondents underscores the need for structured continuing education programs. Institutional support for regular training is essential to maintain evidence-based practice standards and ensure sustainable quality improvement in pressure ulcer prevention, ultimately enhancing patient safety outcomes in critical care environments.
Acute Prioritization Over Transitional Preparation: An Observational Study of Discharge Planning in the Emergency Department Khoirotin Anisa; Alfid Tri Afandi; Dicky Endrian Kurniawan; Sujarwanto
Health and Technology Journal (HTechJ) Vol. 4 No. 4 (2026): August 2026
Publisher : KHD Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/htechj.v4i4.629

Abstract

Discharge planning must commence during emergency department admission to ensure continuity of care. Ineffective transitional preparation frequently leads to patient deterioration, medication errors, and increased hospital readmissions. This study evaluated the implementation of discharge planning within the emergency department of Jember Regency Hospital. Researchers employed a descriptive cross-sectional case study design to assess nursing practices. The sample included five emergency nurses and five patients across priority levels one through three. Data collection utilized direct observation and structured Guttman-scale checklists over five days. Findings revealed optimal execution during the initial patient admission phase, specifically regarding comprehensive healthcare needs assessment and interprofessional collaboration. Conversely, the preparatory phase exhibited significant clinical deficiencies, particularly in patient education concerning activity regulation, medication adherence, and dietary management. Critical patients prioritized for immediate life-saving interventions frequently bypassed these educational components. The final discharge and transfer phases demonstrated high compliance with logistical protocols, including medical order verification and transportation coordination. Systemic barriers, including high patient acuity, unpredictable emergency workflows, and the absence of standardized documentation templates, severely restricted comprehensive educational interventions. Emergency discharge planning requires urgent structural reforms to integrate proactive patient education directly into acute care workflows. Hospitals must develop standardized electronic protocols to enhance nursing standards, reduce preventable readmissions, and ensure seamless continuity of care across all patient priority levels.
Determinants of Primary Healthcare Utilization in Remote Archipelagic Communities: The Roles of Patient Attitudes, Provider Support, and Social Networks Korjesin, Jeane Westy; Prasetyo, Joko; Wardani, Ratna
Health and Technology Journal (HTechJ) Vol. 4 No. 4 (2026): August 2026
Publisher : KHD Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/htechj.v4i4.670

Abstract

Community Health Centers serve as critical primary healthcare providers, yet optimizing patient utilization in remote regions remains challenging. This study analyzes the influence of patient attitudes, health worker support, and social support on the interest in utilizing health services at the Larat Community Health Center. An observational, quantitative, cross-sectional design was employed to evaluate these psychosocial determinants among 389 respondents selected through purposive sampling from a total population of 14,354. Multiple linear regression analysis assessed the simultaneous and partial effects of the independent variables on interest in service utilization. Descriptive statistics revealed that 48.8% of respondents had adequate attitudes, 56.3% perceived sufficient health worker support, and 55.0% reported adequate social support, while 51.9% demonstrated a medium level of interest in utilization. The regression model demonstrated a highly significant simultaneous influence (p-value = 0.000), with these three variables collectively explaining 67.7% of the variance in patient interest. Healthcare utilization interest emerges as a complex behavioral outcome driven by the dynamic interplay among individual mindsets, clinical staff support, and community networks, rather than by isolated individual choices. Policymakers must implement integrated, holistic interventions that address all three psychosocial pillars to sustainably enhance primary care engagement, improve health literacy, and reverse declining visit rates in marginalized archipelagic communities.
Community-Embedded Hypertension Prevention: A Qualitative Study of Promotive and Preventive Strategies in Urban Indonesia Apir; Widyowati, Agustin; Nurwijayanti
Health and Technology Journal (HTechJ) Vol. 4 No. 4 (2026): August 2026
Publisher : KHD Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/htechj.v4i4.675

Abstract

Hypertension remains a critical non-communicable disease requiring comprehensive control strategies beyond purely curative clinical interventions. This study explores promotive and preventive health strategies used to mitigate the rising incidence of hypertension in the Palangka Raya City community. Employing a qualitative phenomenological design, researchers captured the lived experiences and strategic implementations of frontline health practitioners. Data collection encompassed in-depth interviews, direct observations, and comprehensive document reviews, utilizing rigorous source and method triangulation to ensure analytical credibility. The diverse participant cohort included public health workers, non-communicable disease program coordinators, community health cadres, hypertension patients, and Community Health Center directors. Ethical approval was obtained prior to data collection. Thematic analysis guided the systematic data reduction, presentation, and conclusion phases. Findings reveal that effective hypertension control relies on four interconnected operational pillars: data-driven advocacy, robust social support, grassroots community empowerment, and integrated promotive-preventive health services. These operational strategies strongly align with the Ottawa Charter principles and Social Support Theory, demonstrating how familial and communal networks facilitate sustained behavioral modifications. The research ultimately concludes that successful hypertension mitigation necessitates synergistic cross-sectoral collaboration, continuous social reinforcement, and sustainable community engagement. Integrating promotive and preventive paradigms through targeted health promotion offers a highly effective, scalable framework for reducing cardiovascular risks and improving long-term population health outcomes across diverse resource-constrained urban settings globally.
Employee Performance and Patient Retention: Service Quality as a Mediating Mechanism for Institutional Growth Beny Irawan; Wiliyanarti, Pipit; Mochamad Mochklas; Setya Haksama
Health and Technology Journal (HTechJ) Vol. 4 No. 4 (2026): August 2026
Publisher : KHD Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/htechj.v4i4.685

Abstract

Escalating patient volume is a critical metric of healthcare institutional efficacy, fundamentally driven by internal organizational dynamics. This study investigates the impact of employee performance on perceived patient volume growth at Qonaah Hospital, utilizing service quality as a mediating variable. A quantitative exploratory design with a cross-sectional approach was adopted. Data were synthesized from structured interviews with 100 outpatients and analyzed via multiple linear regression and the Sobel mediation test. Employee performance was operationalized through work quality and efficiency metrics, service quality was evaluated using the SERVQUAL framework, and patient volume was quantified through satisfaction and revisit intention indicators. Statistical analysis revealed that employee performance exerts a positive and significant influence on service quality (β = 0.413; p = 0.001) and perceived patient volume (β = 0.416; p < 0.001). Service quality also significantly predicts perceived patient growth (β = 0.353; p < 0.001). The Sobel test confirmed that service quality partially mediates the relationship between performance and patient volume (t = 3.135; p < 0.05). Optimizing workforce efficacy directly drives institutional growth within competitive healthcare environments. This internal operational excellence achieves maximum impact when systematically translated into tangible, patient-centered care experiences. Hospital administrators must adopt a synergistic management paradigm integrating continuous professional development with rigorous quality assurance protocols to ensure sustainable market viability.
Orchestrating Sustainable Waste Management: A Pentahelix Collaborative Governance Model in Resource-Extraction Regions Wahyudin, Wahyudin Noor; I Nyoman Sudayana; Heriamariaty; Johanna Maria Rotinsulu
Health and Technology Journal (HTechJ) Vol. 4 No. 4 (2026): August 2026
Publisher : KHD Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/htechj.v4i4.734

Abstract

Rapid urbanization and aggressive mining and plantation expansions in East Barito Regency have severely complicated regional waste management systems. This study analyzes the strategic role of local government and identifies the critical factors that shape participatory policy models for designing an effective waste management framework. Researchers employed a mixed-methods sequential explanatory design integrating Structural Equation Modeling-Partial Least Squares, SWOT analysis, and the Analytic Hierarchy Process. Quantitative results demonstrate that environmental awareness, community participation, economic incentives, social dynamics, and private sector engagement significantly and positively influence sustainable waste management policies. Environmental factors emerge as the most dominant predictor of policy success within this specific industrial context. The local government functions simultaneously as a regulator, facilitator, coordinator, motivator, and evaluator to drive systemic transformation. Implementing community-based waste banks, circular economy initiatives, and Corporate Social Responsibility funding substantially amplifies active public participation. The research ultimately produces a novel participatory policy model grounded in collaborative governance and a comprehensive pentahelix approach. This integrated framework unites local authorities, residents, private enterprises, academics, and the media to deliver a sustainable waste management system tailored to resource-extraction regions. The proposed model provides actionable policy recommendations for regional authorities aiming to mitigate severe ecological deficits while fostering robust community empowerment and long-term environmental resilience.

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