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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 17 Documents
 1   2 
Determinants of Basic Immunization Completeness among Infants: An Analysis of Maternal Socio-Demographics, Knowledge, Attitudes, and Practices Putri, Lelin Julita; Arisani, Greiny; Fauziah, Nurul
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.v4i1.680

Abstract

The administration of basic immunization constitutes a fundamental public health intervention in mitigating infant morbidity and mortality rates associated with Vaccine-Preventable Diseases (VPDs). Despite its pivotal role, the achievement of Universal Child Immunization (UCI) in Palangka Raya City remains fluctuating and consistently falls below national targets. This study aims to comprehensively describe the determinants influencing the status of basic immunization completeness among infants at the Independent Midwifery Practice (IMP) “W” in Palangka Raya City. A descriptive quantitative research design with an observational approach was employed. The sample consisted of 53 respondents drawn from the population using the Slovin formula, with primary data collection conducted through a calibrated questionnaire exhibiting a high reliability coefficient (Cronbach’s Alpha 0.86). Data were processed using univariate statistical analysis to describe frequency distributions and proportions. The results revealed that 62.26% of infants had received complete immunization, while the remaining 37.74% were incomplete. Significant findings indicated that respondents with tertiary education, income exceeding the Regional Minimum Wage (UMP), and those with “Good” knowledge, attitude, and practice categories achieved an absolute completeness rate of 100.00%. Conversely, adolescent mothers (< 20 years) and those with primary education showed a 100.00% incompleteness rate. Geographical accessibility within a radius of < 1 km recorded higher completeness (73.68%) compared to a radius of > 2 km (55.88%), while the Dayak ethnicity demonstrated the highest completeness rate (83.33%). The study concludes that economic factors, education levels, physical accessibility, and maternal knowledge and attitudes are decisive determinants in achieving immunization status. Policy implications are directed toward strengthening personalized education and active home-visit service strategies to eliminate spatial and sociocultural barriers at the primary healthcare level.
Responsiveness of Outpatient Care from Patient Perspectives: An Analysis of Administrative Governance and Physical Infrastructure Fitri, A. Ulfiana; Halima, Nurul; Hardianti, Andi
SIGn Journal of Public Health Vol 4 No 2 (2025): Juli – Desember
Publisher : CV. Social Politic Genius (SIGn)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37276/sjph.v4i2.682

Abstract

The responsiveness of non-medical services is a crucial indicator in determining the governance quality of referral healthcare facilities. The phenomenon of disparities in administrative service performance and the limitations of supporting infrastructure remain operational constraints affecting public satisfaction levels. This study aims to explore and analyze outpatient care responsiveness based on the direct experiences of patients at the Regional General Hospital of Syekh Yusuf, Indonesia. This qualitative study with a descriptive case study design employed a purposive sampling technique involving ten informants, primarily comprising patients as the main data source. Primary data were collected through in-depth interviews, which were validated through source triangulation and non-participant field observations. The thematic analysis revealed five fundamental weaknesses in the service system. First, patients experienced inefficiencies in waiting times due to network information system constraints and bureaucratic complexities in the insurance system. Second, there was a discrepancy in interpersonal communication standards, characterized by fluctuating attitudes and the unfriendliness of the registration counter staff. Third, although the verbal delivery of procedural information was considered adequate, the availability of visual guidance facilities was very limited. Fourth, the cramped and narrow waiting room layout significantly degraded physical comfort standards. Fifth, patients’ smooth physical mobility was compromised by broken escalators and by overlapping elevator use. These empirical findings conclude that the failure to meet service responsiveness expectations stems from institutional managerial oversight deficiencies, rather than medical clinical capabilities. Therefore, management is recommended to immediately upgrade the information system’s operational capacity, establish standard operating procedures for frontline staff etiquette, redesign waiting room capacities, and prioritize maintenance of building accessibility infrastructure for vulnerable patient groups.
Association between Personal Hygiene, Personal Protective Equipment Usage, and Exposure Duration with the Occurrence of Allergic Contact Dermatitis among Seaweed Farmers Hamdan, Dian Furqani; Andira, Rifkha Ayu; Sadar, Rini Faramita
SIGn Journal of Public Health Vol 4 No 2 (2025): Juli – Desember
Publisher : CV. Social Politic Genius (SIGn)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37276/sjph.v4i2.684

Abstract

Seaweed farmers in coastal areas face a high occupational risk of allergic contact dermatitis due to persistent exposure to aquatic environments. This study aimed to analyze the determinants of this skin disease by evaluating its association with personal hygiene levels, compliance with personal protective equipment (PPE) usage, and exposure duration. A quantitative, analytical cross-sectional design was employed, involving 47 respondents selected via simple random sampling based on strict inclusion and exclusion criteria. Primary data were collected through a validated questionnaire and physical examinations, followed by Chi-square analysis at a 0.05 significance level. The results indicated a dermatitis prevalence of 55.32% among the sample. Poor personal hygiene (p = 0.003) and inadequate compliance with PPE usage (p = 0.016) were identified as significant determinants of the disease. Interestingly, analysis of the work duration revealed an anomaly: the group with less than 8 hours of daily contact exhibited the highest morbidity rate (p < 0.001), suggesting a potentially strong influence of individual genetic susceptibility and seawater contamination. Based on these findings, local primary healthcare authorities should implement targeted educational programs on behavioral modification and facilitate the construction of clean-water rinsing facilities to effectively interrupt the pathogen transmission chain.
Determinants of Smoking Behavior among Migrant Students: A Socio-Ecological Analysis of Spatiotemporal Dynamics in Dormitory Environments Fransiska Hong; Rosdiana Rosdiana; A. Suyatni Musrah
SIGn Journal of Public Health Vol 4 No 2 (2025): Juli – Desember
Publisher : CV. Social Politic Genius (SIGn)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37276/sjph.v4i2.720

Abstract

Smoking behavior among migrant students represents a complex public health issue that reflects an inconsistency between academic status and lifestyle choices, exacerbated by urban socio-spatial transitional stress. This study aims to contextually analyze the socio-environmental influences on the smoking behavior of migrant students in male dormitories through a multidimensional ecological approach. Employing a qualitative case study design, primary data were gathered through semi-structured in-depth interviews with three informants (comprising one primary informant and two supporting informants), and direct observation on the dormitory front porch, subsequently analyzed using thematic analysis. The findings indicate that smoking initiation is triggered by academic stress associated with the undergraduate thesis as a predisposing factor, reinforced by the transmission of domestic habitus through visual modeling of the actively smoking father as a reinforcing factor, and facilitated by the social territorialization of the dormitory front porch as a permissive smoking zone due to indoor physical restriction policies as an enabling factor. This study concludes that the smoking behavior of migrant students is systemically perpetuated by the conditioning of behavioral architecture and a spatial regulatory vacuum from the regional government of origin as the asset owner. An urgent policy implication is to formulate formal, legally binding Smoke-Free Area (Kawasan Tanpa Rokok/KTR) regulations for official housing contracts and to establish integrated smoking cessation support services within the dormitory.
The Effect of CERDIK-Based Leaflet Health Education on the Knowledge Level of Hypertensive Patients in a Primary Health Center A. Ulfiana Fitri; Nabila Gita Salsabila; Irwandi Rachman
SIGn Journal of Public Health Vol 5 No 1 (2026): Januari – Juni
Publisher : CV. Social Politic Genius (SIGn)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37276/sjph.v5i1.721

Abstract

Hypertension is a growing global health issue, triggered by poor self-management and patient non-adherence to treatment due to a knowledge deficit. At the primary care level, such as Tamamaung Public Health Center, high morbidity rates indicate the urgency for targeted health promotion strategies. Although educational approaches are frequently implemented, the integration of the national CERDIK message into specific print media for outpatients remains highly limited. This study aimed to analyze the effect of CERDIK-based leaflet education on the knowledge level of hypertensive patients at Tamamaung Public Health Center. A pre-experimental, one-group pretest-posttest design without a control group was employed, involving 30 respondents selected through an accidental sampling technique. Data collection was conducted in three stages (pretest, posttest 1, and posttest 2) using a structured questionnaire, and the data were analyzed using the nonparametric Wilcoxon Signed Ranks Test. The results demonstrated that the educational intervention was highly effective in significantly increasing knowledge scores at posttest 1 (p<0.001; mean difference=30.83). Although the long-term evaluation revealed a significant decrease in information retention (p=0.003; mean difference=7.83), the final achievement at posttest 2 remained significantly higher (p<0.001; mean difference=23.00) than in the baseline condition. In conclusion, the educational intervention utilizing the printed CERDIK leaflet had a highly positive effect on the patients’ cognitive understanding. These findings suggest the need for message reiteration and continuous monitoring at the community level to mitigate memory decay and facilitate more effective patient lifestyle modifications.
Knowledge of Early Marriage Risks among Senior High School Students in Pulang Pisau Regency: A Descriptive Analysis Heti Mariani; Itma Annah; Happy Marthalena Simanungkalit; Greiny Arisani
SIGn Journal of Public Health Vol 4 No 2 (2025): Juli – Desember
Publisher : CV. Social Politic Genius (SIGn)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37276/sjph.v4i2.722

Abstract

Early marriage in the rural areas of Central Kalimantan remains a persistent threat to the reproductive health and psychosocial stability of adolescents. This study aims to conduct a descriptive analysis of knowledge levels regarding early marriage risks among senior high school students in Pulang Pisau Regency, focusing on mapping respondents’ sociodemographic profiles. The study employed a quantitative descriptive design. Sampling was conducted using a purposive technique involving 70 respondents from a population of 174 students at SMAN 2 Kahayan Tengah. Primary data collection used a closed-ended questionnaire tested for validity and reliability, which was analyzed univariately using frequency distributions and percentages. The results showed that the majority of respondents possessed a knowledge level in the good category (52.86%). A good level of understanding was predominantly found among female adolescents (68.57%), respondents with parents having a higher education (83.33%), the family group with an income below the minimum wage threshold (55.10%), and respondents without a history of early marriage in their family structure (54.54%). Novel findings of this research revealed that non-mass media information channels relying on interpersonal communication interactions from teachers, health workers, and family were the most dominant and effective educational tools (58.06%). In conclusion, adolescents’ high cognitive ability serves as strong social capital. Family education levels and interpersonal communication played a much more significant role than economic income levels. As a policy implication, health promotion interventions in schools need to be revitalized by positioning educators and peer cadres as the primary drivers of early marriage prevention education.
The Service Capacity of Posyandu Cadres in Stunting Mitigation Programs: A Qualitative Literature Review Nurul Fauziah
SIGn Journal of Public Health Vol 4 No 2 (2025): Juli – Desember
Publisher : CV. Social Politic Genius (SIGn)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37276/sjph.v4i2.724

Abstract

The prevention of stunting in Indonesia relies heavily on the service capacity readiness of Community Health Workers (CHWs) as the primary unit of primary health care; however, in practice, they continue to face multidimensional barriers that degrade the quality of basic services. This qualitative literature review aims to analyze and formulate a typology of service capacity barriers for CHWs within cognitive-procedural, interactional-behavioral, and structural-administrative dimensions in stunting mitigation programs. The method employed is a descriptive, qualitative literature review, examining secondary data comprising three textbooks and 17 reputable journal articles with active DOIs on Crossref, which were analyzed using thematic synthesis. The synthesis results indicate that weaknesses in CHWs’ anthropometric procedural capacity stem from disparities in basic education, sociopsychological tensions in the form of parental rejection due to stigma, and the administrative workload of digital reporting unmatched by infrastructure and clear boundaries of clinical authority. In conclusion, strengthening CHW capacity requires a transition from incidental training to a continuous, multidisciplinary team mentoring model, supported by the Ministry of Health’s simplification of clinical modules and the assurance of consistent village fund budget allocations from relevant ministries to guarantee the sustainability of primary health care services at the village level.

Page 2 of 2 | Total Record : 17

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