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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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Psychometric Evaluation of a START Triage Psychomotor Observation Instrument: Content Validity and Interrater Reliability Irnu, Julfilkar Adnan; Faizatiwahida, Novia; Fadilah, Superzeki Zaidatul; Listyaningrum, Desy
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.v4i4.739

Abstract

Accurate psychomotor assessment in Simple Triage and Rapid Treatment (START) is critical during mass-casualty incidents. Observation-based evaluations often yield inconsistent judgments when utilizing unvalidated instruments, compromising competency assessments. This study aimed to establish the content validity and interrater reliability of a newly developed psychomotor observation sheet for START triage among healthcare professionals. This methodological study evaluated a 12-item dichotomous observation sheet derived from standard START protocols. Content validity was determined by three emergency and disaster nursing experts using a four-point relevance scale, analyzed with Aiken's V. Interrater reliability was assessed with 36 medical staff members, independently evaluated by two trained raters. Agreement metrics included percent agreement and Cohen's kappa. Expert evaluation yielded a perfect Aiken's V of 1.00 across all 12 items, indicating exceptional content validity. Interrater reliability testing demonstrated percent agreement ranging from 94.44% to 100%, alongside Cohen's kappa coefficients between 0.85 and 1.00. These metrics significantly exceeded minimum acceptability thresholds, reflecting outstanding consistency and minimal scoring ambiguity among raters. The START triage psychomotor observation sheet exhibits robust content validity and excellent interrater reliability. This validated instrument provides educators with a standardized, objective tool for evaluating clinical competencies in disaster preparedness training, though future validation in high-fidelity simulation environments is recommended.
Prenatal Pesticide Exposure and Maternal-Fetal Health Outcomes: A Systematic Review Informing Agro-Nursing Practice Kurniyawan, Enggal Hadi; Afandi, Alfid Tri; Nur, Kholid Rosyidi Muhammad; Kurniawan, Dicky Endrian; Emerson, Iraha; Aung, Sa Sa
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.v4i4.754

Abstract

Prenatal pesticide exposure poses significant risks to maternal and child health in agricultural communities worldwide. This systematic review evaluated recent empirical evidence on the impact of agricultural chemical exposure during pregnancy to inform agro-nursing practice directly. A systematic literature search was conducted in Scopus, PubMed, and ProQuest following PRISMA guidelines. Studies published within the last year, written in English, and featuring active DOIs were strictly included. Methodological quality was rigorously assessed using the Joanna Briggs Institute critical appraisal tools. Ten studies ultimately met the inclusion criteria, comprising seven cohort studies, one case-control study, one cross-sectional study, and one ecological analysis. Eight studies demonstrated high methodological quality. The synthesized evidence revealed strong associations between prenatal pesticide exposure and a range of adverse health outcomes. Specifically, exposure to organochlorines and organophosphates correlated with impaired early childhood neurodevelopment and increased childhood neuroblastoma risk. Maternal exposure to pyrethroids and organophosphates significantly elevated the risk of gestational diabetes mellitus and disrupted maternal thyroid homeostasis. Spatial analyses further confirmed increased risks of low birth weight in high-application agricultural zones. Agricultural chemical exposure during pregnancy constitutes a critical determinant of adverse perinatal outcomes. Agro-nurses must integrate comprehensive histories of environmental exposures into standard prenatal assessments. Proactive patient education and targeted clinical surveillance are essential for mitigating toxicological risks and optimizing maternal-fetal health trajectories globally

Page 63 of 63 | Total Record : 622

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