Factors related to the knowledge of implementing nurses in handling emergency patients

Introduction: The effectiveness of emergency care heavily depends on the knowledge and skills of nurses. Errors in emergency treatment often lead to severe disability or death, highlighting the need for ongoing nurse training. This study aims to identify factors related to the knowledge of implementing nurses in handling emergency patients. Method: An analytical survey with a cross-sectional approach was used, involving 30 respondents. Data were analyzed using univariate and bivariate techniques, including the Chi-Square test, with a significance level of α = 0.05. Results: The majority of respondents were aged 20–30 (80%), had higher education (53.3%), and were relatively new in service (60%). More than half (53.3%) had received emergency training. Bivariate analysis revealed significant relationships between knowledge and education (p = 0.011), length of service (p = 0.007), and training attendance (p = 0.014). Nurses with higher education, longer service, and formal training demonstrated better emergency handling knowledge. Conclusion: Education, experience, and training significantly influence nurses’ knowledge in emergency care. Continuous professional development, through formal education and certified emergency response training, is recommended to improve nursing care quality in emergencie

Level of public knowledge on the use of mefenamic acid painkillers

Introduction: Mefenamic acid is a non-steroidal anti-inflammatory drug (NSAID) with analgesic, anti-inflammatory, and antipyretic effects. This medication is used for mild to moderate pain, including headaches, toothaches, postoperative and postpartum pain, dysmenorrhea, and osteoarthritis. This study aims to provide an overview of public knowledge about mefenamic acid pain relievers. Method: This study uses quantitative descriptive research, which conducts direct research on respondents (the community) who are taken as research subjects. This study describes the level of public knowledge about mefenamic acid anti-pain. Results: The most users of mefenamic acid are women, which is 49 people (62.12%), with the most vulnerable age, namely 17-25 years old, as many as 26 people (35.62%), with the most work, which is not working as many as 37 people (50.68%), with the last education of each respondent in high school, which is 35 people (47.95%). Patient knowledge about the use of mefenamic acid reached 75.02%, which was obtained from the processing of data from community research on mefenamic acid, including quite good knowledge. Conclusion: Mefenamic acid is more commonly found in women, especially in young age groups. Most users are unemployed and have a high school-level education background. The level of public knowledge about the use of mefenamic acid is quite good, but further educational efforts are still needed to increase a more comprehensive understanding of the use of the drug. It is recommended that regular counseling be carried out on the appropriate and rational use of drugs, especially for young age groups and people who do not have a background in health education

Analysis of the use of long term contraceptive methods

Introduction: Indonesia ranked third among ASEAN countries in maternal mortality rate (MMR) in 2017, with 177 deaths per 100,000 live births. This high rate has prompted various governmental initiatives to reduce MMR, with the family planning (FP) program being one of the most effective strategies. However, the uptake of long-acting and permanent contraceptive methods (LAPMs) remains low, particularly due to social and personal barriers. This study aims to analyse the factors influencing the use of long-acting contraceptive methods (LAPMs) among family planning acceptors. Method: A quantitative correlational study with a cross-sectional design was employed. The study involved 35 FP acceptors selected from a population 62 using accidental sampling. Data were collected using a structured questionnaire and analysed through the Chi-square test with a significance threshold of α = 0.05. Results: The findings revealed significant associations between LAPM use and three key factors: knowledge (p = 0.036), attitude (p = 0.027), and husband’s support (p = 0.005). Most respondents who did not use LAPMs had poor knowledge, unfavourable attitudes, and lacked spousal support. Conclusion: There is a statistically significant relationship between knowledge, attitude, husband’s support and the use of long-acting contraceptive methods. These findings highlight the importance of educational interventions and partner involvement in enhancing LAPM uptak

Relationship of nurse therapeutic communication to inpatient satisfaction

Introduction: Patient satisfaction is a key indicator of healthcare service quality. One of the most influential factors in determining patient satisfaction is the quality of communication between nurses and patients. As a purposeful and goal-oriented interaction, therapeutic communication plays a critical role in building trust, reducing anxiety, and improving patient outcomes. This study analyzes the relationship between nurse therapeutic communication and inpatient satisfaction in a hospital setting. Research Methodology: This research used a quantitative, cross-sectional design. Data were collected through questionnaires distributed to 120 inpatients across medical and surgical wards in a general hospital. The instrument measured nurse therapeutic communication using a standardized scale and patient satisfaction using a validated satisfaction questionnaire. The data were analyzed using the Pearson correlation test and multiple linear regression to determine the strength and significance of the relationship. Result: The study found a significant positive correlation between nurse therapeutic communication and inpatient satisfaction (r = 0.68, p < 0.001). Regression analysis showed that therapeutic communication contributed to 46% of the variance in patient satisfaction (R² = 0.46). Empathy and active listening were the strongest predictors of patient satisfaction among the dimensions of therapeutic communication. Conclusion: Therapeutic communication by nurses has a strong and significant relationship with inpatient satisfaction. Enhancing nurses’ skills in empathetic interaction, active listening, and clear communication may improve overall patient experiences and satisfaction levels

Effect of implementing childbirth preparation classes on women's self-efficacy and pregnancy outcomes

Introduction: Childbirth preparation classes play a crucial role in equipping pregnant women with the knowledge and skills necessary to face labor with confidence. Low maternal self-efficacy is often associated with increased anxiety, longer labor duration, and negative birth experiences. This study examines how implementing childbirth preparation classes affects women’s self-efficacy and pregnancy outcomes. Research Methodology: This quasi-experimental study used a pre-test and post-test control group design. 60 pregnant women in their third trimester were recruited and randomly assigned to either the intervention group (n=30), who received childbirth preparation classes, or the control group (n=30), who received standard antenatal care. The classes were conducted over four sessions, covering the labor process, pain management, relaxation techniques, and postpartum care. Self-efficacy was measured using the Childbirth Self-Efficacy Inventory (CBSEI), while pregnancy outcomes were assessed through medical records and post-delivery interviews. Result: The results showed a statistically significant increase in self-efficacy scores in the intervention group compared to the control group (p < 0.01). Additionally, women in the intervention group experienced shorter labor durations, lower cesarean section rates, and higher satisfaction with their birth experience. There were no significant differences in neonatal outcomes between the two groups. Conclusion: Implementing childbirth preparation classes positively influences maternal self-efficacy and improves several pregnancy outcomes. Integrating such programs into routine antenatal care can enhance maternal confidence and promote safer, more positive birth experience

Relationship between knowledge and parity with parental participation in child developmental screening

Introduction: Child development is a fundamental aspect determining their future quality of life. Stunting, as a long-term nutritional disorder, remains a significant health issue in Indonesia, with a prevalence of 30.8%, according to Riskesdas 2018. Developmental check-ups play a key role in detecting developmental deviations. Yet, parental involvement remains low and is closely related to the level of understanding and number of children they have. Method: his research employed a cross-sectional approach using a questionnaire on parental knowledge and participation in child development screening, involving 47 respondents. Results: Chi-square test results showed a significant correlation between knowledge level and parental participation (p=0.01), while parity was not significantly associated with parental involvement (p=0.60). Conclusion: The analysis results indicate a significant relationship between knowledge and parental participation in child developmental screening, whereas parity does not show a statistically significant relationship with parental involvement

Monitoring 30° Head Elevation to Enhance Cerebral Perfusion in Traumatic Brain Injury Patients

Introduction: Traumatic Brain Injury (TBI) is one of the critical conditions that requires quick and appropriate treatment to prevent further damage to brain tissue. One non-invasive approach that can be applied is a head elevation of 30°, which is believed to increase cerebral tissue perfusion and reduce intracranial pressure. This study aims to evaluate the effectiveness of monitoring and the application of 30° head elevation in improving cerebral perfusion in patients with captive trauma. Research Methodology: This study uses an observational design with a pre-post test approach. The study subjects were patients with capitis trauma who performed a 30° head elevation action. Parameters observed before and after the intervention included the Glasgow Coma Scale (GCS), blood pressure, body temperature, pulse, pain, frequency of vomiting, nausea intensity, and dizziness level. Result: After applying a head elevation of 30°, the patient's GCS remained stable at a value of 15 (composmentis). Body temperature decreased from 38.6°C to 36.8°C, and pulse rate from 118x/min to 80x/min. The pain scale decreased from 8 to 3, vomiting from 5x/day to 1x/day, nausea from a score of 5 to 1, and dizziness from a score of 4 to 1. Blood pressure did not change significantly (140/90 mmHg). Conclusion: The application and monitoring of 30° head elevation are effective in increasing the perfusion of cerebral tissue and lowering clinical symptoms related to capitis trauma. This intervention can be used as the first step in the nursing management of TBI patients

Disease Perception and Duration of Suffering with Self-Care Management in Patients with Diabetes Mellitus

Introduction: Diabetes Mellitus (DM) is a chronic metabolic disorder requiring continuous medical care and patient self-management to prevent complications. Perception of disease and the duration of suffering may influence how patients manage their condition through self-care behaviors. Understanding this relationship is crucial for developing targeted interventions to improve patient outcomes. This study examines the relationship between disease perception and duration of illness with self-care management in patients with diabetes mellitus. Research Methodology: This quantitative analytical study employed a cross-sectional design involving 150 patients diagnosed with diabetes mellitus at a public health center. Data were collected using validated questionnaires assessing disease perception and self-care management, along with patient medical records to determine the duration of the disease. Statistical analysis was performed using Pearson correlation and multiple regression tests to examine the relationship between disease perception, duration of suffering, and self-care management. Result: The study found a significant positive correlation between disease perception and self-care management (r = 0.62, p < 0.01). Additionally, patients with a longer duration of suffering demonstrated better self-care practices (r = 0.45, p < 0.05). Multiple regression analysis revealed that disease perception was a stronger predictor of self-care management than duration of illness (β = 0.58, p < 0.01). Conclusion: A higher perception of the seriousness and controllability of diabetes mellitus positively influences patients' self-care management. Duration of illness also contributes, though to a lesser extent. Health practitioners should enhance patients’ understanding and perception of their disease to improve self-care outcomes

Impact of PPE availability and safety training on occupational health implementation in rural construction projects: a cross-sectional study

Introduction: The construction sector remains one of the most hazardous industries worldwide, with significantly higher rates of fatal and major injuries. In Indonesia, construction accidents contribute to a considerable proportion of national occupational incidents. This study evaluates the implementation of Occupational Health and Safety (OHS) programs in a rural water supply infrastructure project. Method: A cross-sectional quantitative study was conducted involving 54 construction workers selected through total sampling. The study assessed three key variables: availability of Personal Protective Equipment (PPE), PPE usage, and OHS training participation. Data were collected through structured interviews and direct observation. Statistical analysis was performed using the Chi-Square test with a significance level 0.05. Results: The study found significant associations between OHS program implementation and PPE availability (p = 0.003), PPE usage (p = 0.001), and OHS training (p = 0.008). Workers with complete PPE availability and proper usage and those who had received safety training demonstrated a higher adherence to OHS protocols. Conclusion: The successful implementation of OHS programs in construction sites, particularly in rural water infrastructure projects, relies heavily on the availability and use of PPE and structured safety training. Strengthening these components can lead to a safer work environment and significantly reduce workplace accident

Economic Income as a Cause of Stunting: an Analysis Based on the Perspective of Karl Marx: Literature Review

Introduction: Stunting begins to appear when the child is two years old and begins when the fetus is still in the womb. The increase in child morbidity and mortality is the impact caused by the incidence of stunting. Stunting children will be able to experience disturbances in their intelligence level, susceptibility to diseases, decreased productivity, and stunted economic growth, which impacts poverty. Method: This study is a literature review using the PRISMA method. Articles published in 2022-2024 were found by conducting database searches (Garuda and Google Scholar) and using the keywords "Stunting" and "Economic Income," and limited to using Chi-Square analysis so that articles meet the criteria for analysis, as many as 10 articles. Results: The search results for the ten articles were obtained, all stating the relationship between economic income and stunting. The author claims that Karl Marx's point of view highlights this problem as a social problem from a social system that subjugates a particular economic class. Dependence on the wage system, inadequate social security, and the exploitation of labor by capitalism trap many proletarian families in a cycle of poverty. This leaves children in these homes vulnerable to chronic malnutrition, which adversely affects their physical and cognitive development. Conclusion: The problem of low economic income in society as the cause of stunting is not only technical interventions, such as supplementary nutrition programs, but rather more fundamental structural changes, as seen from a Marxist perspective. Systematic reduction of economic inequality and stunting prevention can be achieved through wealth redistribution, wage system improvement, and labor exploitation elimination