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Nurse Performance Based on Clinical Pathway in Inpatient Room
Published by Universitas Abulyatama
ISSN : 29624347     EISSN : 29623723     DOI : https://doi.org/10.37276/sjph.v1i1.149
Core Subject : Health,
Nursing
This study aims to identify the relationship between the variables of Clinical Pathway documentation, Clinical Pathway development, and Clinical Pathway implementation with the quality of nursing services
Arjuna Subject : Keperawatan - Kepemimpinan dan Menejemen
Articles 13 Documents
 1   2 
Formulasi Sediaan Balsem dari Minyak Sereh sebagai Aromaterapi Hamdan, Dian Furqani; Pasomba, Indiani
SIGn Journal of Public Health Vol 2 No 1 (2023): Januari – Juni
Publisher : CV. Social Politic Genius (SIGn)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37276/sjph.v2i1.213

Abstract

This study aims to make a balm formulation from lemongrass essential oil as aromatherapy and to find the results of a physical evaluation of a balm made from lemongrass essential oil. This research uses the experimental method. The research was conducted at the STIKES Bhakti Pertiwi Pharmacy Laboratory, Luwu Raya Palopo. Data obtained from observations and results of laboratory examinations were computerized and presented in tabular form with explanations. The results showed that the preparation of lemongrass leaf balm, which included organoleptic tests, homogeneous tests, pH similarity tests, and irritation tests, resulted in several conclusions. First, formula A, with a concentration of 15% citronella essential oil, meets the requirements for topical balm preparation. Second, formula B, containing 20% citronella essential oil, meets the requirements for topical balm preparation. Third, formula C with a concentration of 25% citronella essential oil does not meet the requirements for topical balm preparation because the preparation undergoes separation between solid and liquid preparations. Therefore, it is recommended for further research to focus on observing the concentration of 25% citronella essential oil so that it can be successfully used as a balsam preparation using laboratory equipment. That is more supportive or can be combined with other chemical substances to make it more homogeneous. In addition, further research is needed regarding more efficient packaging so that it can be easily used by patients, namely in the form of balm sticks, so that the general public likes the aroma of lemongrass. Furthermore, research is needed on the storability test of lemongrass balm formulations.
An Overview of Postpartum Mothers’ Knowledge Regarding Exclusive Breastfeeding at Pahandut Primary Health Center Wei, Ling Ling; Arisani, Greiny
SIGn Journal of Public Health Vol 3 No 2 (2024): Juli – Desember
Publisher : CV. Social Politic Genius (SIGn)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37276/sjph.v3i2.655

Abstract

The low knowledge of postpartum mothers in providing exclusive breastfeeding at the Pahandut PHC was identified as the suspected root cause. This quantitative descriptive study aimed to map the overview of the knowledge level of postpartum mothers regarding exclusive breastfeeding in the area. The study employed a cross-sectional approach using a total sampling technique on 55 postpartum mothers at the Pahandut PHC. Primary data were collected using a 21-item questionnaire and analyzed univariately. The results showed that the respondents’ knowledge levels were distributed across ‘sufficient’ (n = 28; 50.90%), ‘good’ (n = 16; 29.10%), and ‘poor’ (n = 11; 20.00%). The majority of mothers with sufficient knowledge were aged 20–25 years (69.09%), had 2–4 children (53.33%), had secondary education (66.67%), were unemployed (54.00%), did not receive family support (47.06%), and received health worker support (47.73%). Urgent interventions are required to correct specific misconceptions and retrain support providers, both families and health workers, to increase exclusive breastfeeding coverage.
Anxiety Levels among Primigravida Pregnant Women at the Menteng Public Health Center, Palangka Raya Nur’aini, N.; Miden, Destinady K.; Sukriani, Wahidah
SIGn Journal of Public Health Vol 3 No 2 (2024): Juli – Desember
Publisher : CV. Social Politic Genius (SIGn)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37276/sjph.v3i2.656

Abstract

Anxiety among third-trimester primigravida is a significant public health issue that increases the risk of delivery complications, as well as maternal and infant morbidity and mortality. This study aimed to determine anxiety levels among primigravida based on age, education, occupation, income, and family support in the working area of the Menteng Primary Health Center (PHC) in Palangka Raya City. This quantitative study, with a descriptive cross-sectional design, involved 55 respondents selected through purposive sampling. Primary data were collected using the Perinatal Anxiety Screening Scale (PASS) questionnaire and a Likert-scale questionnaire for the family support variable, which were subsequently analyzed using univariate frequency distributions and percentages. The results showed that the majority of respondents experienced moderate anxiety (63.64%) and severe anxiety (18.18%). Moderate anxiety was predominantly experienced by the ideal reproductive age group of 20–35 years (62.50%), those with secondary education (63.89%), and the unemployed (housewives) (59.38%). Specifically regarding socio-economic indicators, moderate anxiety remained dominant among those with a husband’s income below the Regional Minimum Wage (RMW) (64.10%). Notably, the group receiving good family support (73.80%) contributed the highest rate of moderate anxiety. These empirical facts demonstrate that age maturity, financial stability, and family support do not automatically eliminate maternal anxiety approaching the first childbirth. Therefore, it is recommended that the PHC integrate psychological screening instruments into routine Antenatal Care (ANC) service standards to reduce the risk of complications at an early stage.
Early Marriage Incidence Before and During the Covid-19 Pandemic: A Case Study in Palangka Raya City Annah, Itma; Hadina, Meirinda; Damiti, Sukmawati A.
SIGn Journal of Public Health Vol 3 No 2 (2024): Juli – Desember
Publisher : CV. Social Politic Genius (SIGn)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37276/sjph.v3i2.657

Abstract

The COVID-19 pandemic has triggered a significant global surge in early marriage cases; however, specific local-level dynamics with unique urban demographic characteristics, such as in Palangka Raya City, are rarely investigated in depth. This quantitative descriptive study with a comparative design aimed to analyze the differences in the incidence and demographic characteristics of individuals entering early marriage in Palangka Raya City before (2019) and during (2020) the pandemic, utilizing secondary data from 172 marriage dispensation applications at the Religious Court. The results demonstrated a drastic increase in cases by more than threefold, from 40 cases in 2019 to 132 cases in 2020. This surge was dominated by the late adolescence age group (15 – 19 years), which accounted for 73.48% of the total cases in 2020. The most prominent finding was a shift in the educational profile, where the involvement of senior high school-educated adolescents increased sharply to 46.21% during the pandemic, indicating that educational disruption and online schooling fatigue served as driving factors equally as strong as economic pressure. Furthermore, the Dayak ethnic group experienced a significant proportional increase in involvement, affirming the role of local cultural factors in responding to the crisis. This study concludes that the COVID-19 pandemic exacerbated adolescent vulnerability to early marriage through the mechanisms of learning loss and economic instability, which carries serious implications for increased risks of reproductive health issues and future stunting. Consequently, this demands multisectoral interventions that integrate educational and economic strengthening with cultural approaches.
The Effect of Video-Based Health Education on Improving Students’ Knowledge of Helminthiasis Prevention Hasjuni, Wira; Hamdan, Dian Furqani
SIGn Journal of Public Health Vol 3 No 2 (2024): Juli – Desember
Publisher : CV. Social Politic Genius (SIGn)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37276/sjph.v3i2.658

Abstract

Infections caused by Soil-Transmitted Helminths (STH) remain a major public health issue in Indonesia, particularly among primary school students. This high prevalence is closely associated with poor personal hygiene practices driven by a lack of knowledge about prevention (a predisposing factor). This study aimed to analyze the effect of video-based health education on improving students’ knowledge regarding helminthiasis prevention at SDN 101 Salu Simbuang, Luwu Regency. A quantitative pre-experimental approach with a one-group pretest-posttest design was utilized. A total of 30 students were selected through stratified sampling to serve as respondents. Primary data were collected using a structured questionnaire to measure knowledge before (pretest) and after (posttest) the intervention. Data were analyzed using the Wilcoxon Signed-Rank Test (α = 0.05). The results revealed a substantial increase in the students’ mean knowledge score from 5.00 (SD = 0.788) at baseline to 7.63 (SD = 0.615) post-intervention. The statistical analysis confirmed that this improvement was highly significant (p < 0.001). Item analysis identified significant improvements across most prevention concepts, although understanding of specific handwashing procedural details showed no improvement (remaining at 50.00% incorrect). In conclusion, video-based health education significantly and effectively improves primary school students’ knowledge (predisposing factors) of helminthiasis prevention, making it a highly recommended health promotion tool in school settings.
Analysis of Maternal Anxiety Levels in Breastfeeding Practices at Primary Healthcare Facilities during the Pandemic Transition Sartika, Yuni Ayu; Fauziah, Nurul
SIGn Journal of Public Health Vol 3 No 2 (2024): Juli – Desember
Publisher : CV. Social Politic Genius (SIGn)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37276/sjph.v3i2.659

Abstract

The COVID-19 pandemic has created persistent psychological challenges for breastfeeding mothers, where concerns regarding infection and situational uncertainty potentially inhibit the physiological mechanism of lactation through oxytocin suppression. Although the acute phase of the pandemic has passed, mapping the mental condition of breastfeeding mothers at the primary healthcare level (Independent Midwifery Practices) remains rarely explored compared to studies in referral hospitals. This study aimed to provide an overview of maternal anxiety levels regarding breastfeeding during the 2022 pandemic transition period at Independent Midwifery Practice (IMP) W. It employed a quantitative descriptive approach with a cross-sectional design. The research sample consisted of 73 breastfeeding mothers, selected purposively from a population of 194 respondents. The research instrument used an anxiety questionnaire, which was analyzed univariately to generate frequency distributions and characteristic proportions. The results showed that the majority of respondents (60.27%) experienced mild anxiety, while 39.73% experienced no anxiety, with no cases of moderate or severe anxiety found. Specifically, this mild anxiety profile was substantially concentrated in vulnerable groups, namely mothers with a basic educational background (70.45%) and unemployed mothers/homemakers (70.45%). This study concludes that the pandemic residue manifests as mild yet chronic hypervigilance, particularly among groups with limited health literacy. These findings recommend the urgency of integrating routine mental health screening and personalized lactation education into primary midwifery care to prevent exclusive breastfeeding failure due to latent anxiety.
The Influence of Work Motivation on the Performance of Clinical Nurses at the Regional Public Hospital (RPH) Haji Makassar Fitri, A. Ulfiana; Ariani, Ni Wayan; Fitriani, Dian Ayu
SIGn Journal of Public Health Vol 4 No 1 (2025): Januari – Juni
Publisher : CV. Social Politic Genius (SIGn)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37276/sjph.v4i1.660

Abstract

In the dynamic post-pandemic healthcare landscape, RPH Haji Makassar faces the dual challenge of transitioning to electronic medical records and optimizing operational efficiency, as reflected by a Bed Occupancy Rate (BOR) that has yet to meet national standards. Although nurses play a central role as frontline providers, inefficiencies in care management are frequently observed, indicating the need for an in-depth evaluation of the psychological factors underlying clinical performance. This study aims to comprehensively analyze the effects of intrinsic and extrinsic work motivation on the performance of staff nurses in the inpatient wards of RPH Haji Makassar in 2025. This study employed a quantitative, cross-sectional design and involved 144 staff nurses as respondents, using a total sampling (census) technique. Primary data were collected using a validated, structured questionnaire, and analysis was conducted using a simple linear regression to test the hypothesis. Empirical findings revealed that the majority of nurses possessed a very high level of work motivation (93.75%), consistently accompanied by a high rate of performance achievement (94.44%). Statistical analysis confirmed a positive and significant effect of work motivation on nurse performance (p-value = 0.001; p < 0.05), with the regression coefficient indicating that strengthening motivation directly contributes to improved service quality. The high motivation of nurses proved to be a primary pillar of service resilience amidst work pressure and the adaptation to new technology; however, a gap remains between excellent individual performance and macro-level organizational efficiency. Work motivation is a vital predictor of nurses’ clinical performance. This study recommends managerial strategies that focus not only on financial incentives but also on strengthening psychosocial support and creating an adaptive work environment to align individual performance with the hospital’s strategic goals.
The Association Between Knowledge and Vulvar Hygiene Practices Among Adolescent Girls Pransiska, Widia; Miden, Destinady K.; Annah, Itma; Migang, Yena Wineini
SIGn Journal of Public Health Vol 4 No 1 (2025): Januari – Juni
Publisher : CV. Social Politic Genius (SIGn)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37276/sjph.v4i1.677

Abstract

Adolescent reproductive health requires critical attention due to the high prevalence of reproductive tract infections, such as pathological leukorrhea, which are frequently triggered by poor intimate hygiene. This issue is exacerbated by inadequate health literacy among adolescents, posing long-term health risks. This study aimed to analyze the association between reproductive health knowledge and vulvar hygiene practices among adolescent girls at a senior high school in Central Katingan, Indonesia. A quantitative, descriptive-analytic study with a cross-sectional design was conducted involving 110 respondents selected via simple random sampling. A structured questionnaire was used to measure knowledge and practices, followed by descriptive statistics and cross-tabulation. The results indicated that the majority of respondents demonstrated good knowledge (66.40%) and good vulvar hygiene practices (59.10%). Data analysis revealed a consistent positive association: students with strong knowledge generally exhibited adequate hygiene practices. However, a discrepancy was identified among a subset of respondents who possessed adequate knowledge but did not demonstrate ideal practices, suggesting potential barriers related to motivation or facility access. In conclusion, while knowledge serves as a fundamental basis for establishing preventive practices, interventions focusing solely on cognitive aspects are insufficient. This study recommends implementing holistic health education programs that integrate family support and utilize technology-based visual media. This approach ensures the sustainable internalization of hygiene values, thereby effectively reducing the risk of reproductive morbidity among adolescents.
Determinants of Low Utilization of Integrated Health Posts (Posyandu) in Tumbang Samba: The Role of Age, Educational Level, Knowledge, and Motivation Susanti, Sri; Istiningsih, Titik
SIGn Journal of Public Health Vol 4 No 1 (2025): Januari – Juni
Publisher : CV. Social Politic Genius (SIGn)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37276/sjph.v4i1.678

Abstract

The health monitoring coverage for children under five in Katingan Regency remains low at 45.6%, falling significantly below the national strategic target. This situation necessitates an epidemiological evaluation to identify the underlying determinants of this phenomenon. This study aimed to quantitatively analyze the factors associated with the utilization of Integrated Posyandu by mothers of under-five children within the catchment area of Tumbang Samba Public Health Center. An analytic observational study with a cross-sectional design was conducted among 108 mothers of children under five, selected through purposive and incidental sampling. Data were collected using structured questionnaires and Maternal and Child Health (MCH) handbooks, and bivariate analysis was performed using the nonparametric Chi-Square test (α = 0.05). Statistical results demonstrated that consistent utilization was significantly associated with maternal reproductive age (p = 0.037), a high level of knowledge (p < 0.001), and strong internal motivation (p < 0.001). Mothers aged 20–35 years, those with good knowledge (83.33% consistent attendance), and those with high motivation (80.00% consistent attendance) accounted for the majority of Posyandu utilization. Conversely, no significant association was found regarding formal educational level; although the population was dominated by those with basic education (89.81%), this factor did not significantly influence the probability of utilization (p = 0.398). In conclusion, the utilization of primary healthcare services in rural areas is primarily driven by cognitive understanding and psychological motivation rather than formal educational attainment. Therefore, policy interventions should transition toward behavioral engineering approaches, in which community health workers (CHWs) are actively empowered as health educators to enhance specific literacy and sustain motivation among the target population.
Determinants of Breast Self-Examination Practices Among Female Vocational High School Students Pengsin, Nathanya Abigail Hery; Meyasa, Ola
SIGn Journal of Public Health Vol 4 No 1 (2025): Januari – Juni
Publisher : CV. Social Politic Genius (SIGn)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37276/sjph.v4i1.679

Abstract

Breast cancer remains a global public health challenge with increasing morbidity, necessitating secondary prevention efforts as early as possible, particularly among adolescents. This study aims to analyze the relationship between knowledge, attitudes, and breast cancer early detection practices using the BSE method among female adolescents at SMKN 2 Palangka Raya. Methodologically, an analytical observational research design with a cross-sectional approach was employed. The sample consisted of 79 female students selected through purposive sampling. Primary data were collected via structured questionnaires and analyzed using the Chi-Square statistical test at a 5% significance level. Based on the results, univariate analysis revealed that most respondents (54.44%) had knowledge in the “fair” category and demonstrated highly positive attitudes toward BSE (73.42%). Nonetheless, field findings indicated that the majority of students (58.20%) had never practiced early detection. Bivariate testing proved a statistically significant relationship between knowledge and BSE practice (p=0.005). Conversely, no significant relationship was found between attitudes and these preventive practices (p=0.906). Consequently, it can be concluded that knowledge is the primary determinant driving students to perform self-examinations, whereas positive attitudes alone are insufficient to trigger actual practice without additional support. These findings recommend the need for health education innovation in schools, shifting from theoretical counseling to practical training using breast phantoms to bridge the gap between intention and optimal early-detection implementation.

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