Lentera Perawat with the registered number ISSN 2830-1846 (Online), 2722-2837 (Print), and DOI prefix : 10.52235/lp is a peer-reviewed journal that provides a platform for publication of scientific research relevant to nursing and other health related professions with an Asian focus, offering regional perspectives. Lentera Perawat is open-access journal dedicated to advancing knowledge, research, and practice in the fields of nursing or other health sciences as well as with their development through interdisciplinary and multidisciplinary approach. The journal particularly welcomes studies that aim to evaluate and understand the complex nursing care interventions which employ the most rigorous designs and methods appropriate for the research question of interest. The submission process of the manuscript is open throughout the year. It is published quarterly (four times per year: March, June, September, December). Lentera Perawat is published by STIKes Al-Maarif Baturaja, has been published since 2020 (and see the history of the journal's here). Lentera Perawat being reviewed by Scopus, and has been cited in Scopus indexed publication. Lentera Perawat is indexed by SINTA (Science and Technology Index)| GARUDA (Garba Rujukan Digital) | Google Scholar | Crossref | ROAD| Dimensions | BASE | OCLS World Cat | Harvard Library | and others. Lentera Perawat is part of Open Access | Creative Commons |Committee on Publication Ethics (COPE) | Relawan Jurnal Indonesia (RJI) | Open Journal System (OJS).
Characteristics of low back pain among nurses at general hospital in Medan: A cross-sectional study
Background Low back pain (LBP) remains a major occupational health issue, particularly in developing countries like Indonesia, where nurses are frequently exposed to prolonged standing, heavy lifting, and poor ergonomic practices. These conditions contribute to decreased productivity and quality of life. Objective This study aimed to examine the characteristics of low back pain among nurses at Royal Prima General Hospital Medan and to assess the relationship between postural risk (REBA scores) and disability level (ODI scores). Methods A cross-sectional study was conducted in May 2025, involving 65 nurses selected using proportional stratified random sampling. Data were collected using a demographic questionnaire, the Rapid Entire Body Assessment (REBA) for postural analysis, and the Indonesian version of the Oswestry Disability Index (ODI) to measure disability. Data were analyzed using Spearman correlation and the Mann-Whitney U test. Results The mean REBA score was 5.48 ± 2.67, and the mean ODI score was 11.68 ± 13.42. A significant positive correlation was found between REBA and ODI scores (r = 0.267, p = 0.033), indicating a weak but significant association between poor posture and increased disability. Nurses working ≥8 hours per day had significantly higher ODI and REBA scores (p < 0.05). No significant differences were found based on gender, work unit, or length of employment. Conclusion Prolonged working hours are associated with increased postural risk and disability levels among nurses. A weak but significant correlation exists between postural risk and low back disability. Early ergonomic interventions and better shift duration management are recommended to reduce the incidence of LBP. To our knowledge, this is one of the first studies in Indonesia utilizing both REBA and ODI among hospital nurses, contributing valuable local evidence to inform occupational health strategies
Copyright (c) 2025 Denny Ferdiansyah, Yoshe Jesslyn https://creativecommons.org/licenses/by-nc/4.0/
Analysis of factors affecting the incidence of anemia in adolescent girls at Nawangsasi Health Center: A cross-sectional study
Background Anemia is one of the most common public health problems among adolescent girls, potentially leading to decreased concentration, impaired growth, and reduced immune function. The prevalence of anemia in this age group remains high, both globally and nationally. Objective This study aimed to analyze the factors influencing the incidence of anemia among adolescent girls in the working area of Nawangsasi Public Health Center, Musi Rawas District. Methods A quantitative study with a cross-sectional approach was conducted involving 72 adolescent girls selected using purposive sampling. Data were collected through interviews using a structured questionnaire and analyzed using chi-square tests and logistic regression. Results There were significant associations between nutritional status (p = 0.006), iron tablet consumption (p = 0.009), and dietary patterns (p = 0.019) with the incidence of anemia. The most dominant factor was dietary pattern (p = 0.026), with an odds ratio of 11.00 (95% CI = 1.33–90.61). Conclusion Improving dietary habits and increasing adherence to iron supplementation play a crucial role in anemia prevention among adolescent girls. Continuous nutritional education and behavioral monitoring through multisectoral collaboration are recommended to effectively reduce anemia prevalence in this population.
Copyright (c) 2025 Ema Puspitasari, Chairil Zaman, Ali Harokan, Dewi Suryani https://creativecommons.org/licenses/by-nc/4.0/
Relationship between workload and nurses response time in the emergency room: A literature review
Background The Emergency Department (ED) is a critical hospital unit that requires nurses to provide fast and accurate responses to life-threatening conditions. Nurse response time is a key quality indicator, yet delays often occur due to excessive workload. Studies suggest that high workload negatively affects response time, but a comprehensive review in the Indonesian context remains limited. Objective This study aimed to critically review existing literature on the relationship between nurses’ workload and response time in emergency care settings in Indonesia. Methods A systematic literature review was conducted using Google Scholar and PubMed databases. Articles published between 2019 and 2025 were screened based on inclusion criteria: studies conducted in Indonesian EDs, discussing both workload and response time, available in full-text, and written in English or Indonesian. Quality appraisal was performed using the JBI Critical Appraisal Tools, resulting in 8 eligible articles out of 360 initially identified. Results Most of the reviewed studies found a significant relationship between high workload and delayed nurse response time. Nurses with lower workload were more likely to meet the ≤5-minute standard. Other influencing factors included training, years of experience, facility infrastructure, and patient condition. Variations in study design, data collection methods, and perspectives (nurses vs. patients) contributed to inconsistent findings across studies. Conclusion Nurse workload significantly influences response time in emergency settings. However, this relationship is affected by multiple interacting factors such as work environment, professional competency, and support systems. It is recommended to implement real-time workload assessment tools, enhance training programs, and conduct mixed-method studies that differentiate physical, mental, and emotional workload dimensions to improve emergency response performance and patient safety.
Copyright (c) 2025 M Iqbal Angga Kusuma, Eva Riantika Ratna Palupi, Nandar Wirawan https://creativecommons.org/licenses/by-nc/4.0/
Analysis of risk factors for the incidence of pulmonary tuberculosis in Tebing Tinggi Community Health Center: A cross-sectional study
Background Pulmonary tuberculosis (TB) remains a persistent public health concern in Indonesia, driven by a complex interplay of individual and environmental risk factors. Understanding these determinants is crucial to enhance disease control strategies at the community level. Objective This study aimed to analyze the risk factors associated with the incidence of pulmonary tuberculosis in the working area of Tebing Tinggi Public Health Center, Empat Lawang. Methods A quantitative cross-sectional study was conducted involving 76 respondents selected from 321 suspected TB patients using purposive sampling. Data were collected using structured questionnaires. Bivariate analysis was performed using the Chi-Square test, and multivariate analysis was conducted using logistic regression to determine the dominant risk factors. Results Bivariate analysis showed that age (p = 0.04) and household contact (p = 0.00) were significantly associated with the incidence of pulmonary TB, while gender, knowledge, housing density, and ventilation were not (p > 0.05). Multivariate analysis revealed that household contact was the most dominant factor influencing TB incidence. Conclusion Household contact and older age were significantly associated with pulmonary tuberculosis incidence. Targeted interventions such as household contact tracing and focused health education for older populations are essential to reduce transmission and improve TB control at the community level.
Copyright (c) 2025 Dwi Sartika, Ali Harokan, Lilis Suryani https://creativecommons.org/licenses/by-nc/4.0/
The relationship between maternal knowledge and family support on exclusive breastfeeding: A cross-sectional study
Background Exclusive breastfeeding is vital for optimal infant growth and health, yet its coverage in Indonesia remains suboptimal. Maternal knowledge and family support are key factors influencing breastfeeding success. Objective This study aimed to analyze the relationship between maternal knowledge and family support on exclusive breastfeeding practices. Methods A quantitative study with an analytic survey and cross-sectional design was conducted in the working area of TPMB Ririn Sevda Korini, Ogan Komering Ulu District, in December 2024. A total of 80 respondents were selected using total sampling. Data were collected using a structured questionnaire and analyzed using the Chi-Square test with a 0.05 significance level. Results Most mothers (71.3%) did not practice exclusive breastfeeding. The majority had moderate knowledge (60%) and lacked family support (68.8%). A significant relationship was found between maternal knowledge and family support with exclusive breastfeeding practices (p = 0.000). Conclusion Better maternal knowledge and stronger family support significantly increase the likelihood of exclusive breastfeeding. Breastfeeding promotion interventions should include educational support for mothers and families, workplace-friendly policies, and community-based strategies to foster supportive breastfeeding environments.
Copyright (c) 2025 Yustina Oktarida https://creativecommons.org/licenses/by-nc/4.0/
Analysis of factors affecting employee performance at Tugu Mulyo Community Health Center: A cross-sectional study
Background Employee performance at primary healthcare facilities is crucial for meeting the Minimum Service Standards. At Tugu Mulyo Health Center, several programs failed to meet national targets, allegedly due to poor staff performance. Objective This study aimed to analyze the factors influencing employee performance at Tugu Mulyo Health Center, Ogan Komering Ilir Regency. Methods A quantitative analytic study with a cross-sectional design was conducted involving all 74 health workers using total sampling. Data were collected via validated structured questionnaires covering variables such as competence, motivation, work experience, compensation, workload, and performance. Bivariate analysis was performed using Chi-square tests, and multivariate analysis applied logistic regression to identify dominant factors. Results Bivariate analysis found that only the competency variable had a statistically significant relationship with performance (p = 0.030). Multivariate logistic regression confirmed competency as the dominant factor (OR = 0.311; 95% CI: 0.118–0.819; p = 0.018), explaining 10.2% of the variance in employee performance (pseudo R² = 0.102). Other variables such as motivation, compensation, work experience, and workload were not significantly associated with performance. Conclusion Competency is the dominant factor affecting health worker performance at Tugu Mulyo Health Center. Improving employee competency is critical for achieving optimal performance.
Copyright (c) 2025 Ayu Anggia Trida, Nani Sari Murni, M Prima Cakra Randana https://creativecommons.org/licenses/by-nc/4.0/
Student behavior toward the implementation of smoke-free area policy in health higher education institutions: A descriptive study
Background Smoke-Free Area (SFA) policies are an essential public health intervention aimed at reducing tobacco exposure and promoting a healthy environment, particularly in higher education institutions. However, compliance remains a challenge, even in health-focused universities where students are expected to model healthy behavior. Objective This study aims to analyze student behavior toward the implementation of the Smoke-Free Area (SFA) policy in a health higher education institution. Methods A descriptive quantitative study was conducted among 32 male students at STIKes Al-Maarif Baturaja using a total sampling technique. A structured questionnaire was used to assess students’ knowledge, attitude, and practice regarding the SFA policy. Data were analyzed using univariate descriptive statistics. Results The findings revealed that while most students demonstrated a positive attitude toward the SFA policy (62.5%), only 28.1% had good knowledge and 18.8% showed favorable practices. The majority exhibited moderate levels of knowledge (37.5%) and practice (50%), with 34.4% showing poor knowledge and 31.2% demonstrating poor adherence in practice. Students were aware of the health risks of smoking and supported policy enforcement, but lacked sufficient knowledge of policy implementation and institutional mechanisms. Conclusion There is a notable gap between students' positive attitudes and their actual practices and knowledge regarding the SFA policy. This misalignment indicates that students are not yet fully engaged as active change agents in promoting a smoke-free campus. It is crucial for institutions to strengthen educational efforts, provide clear policy communication, and engage students in policy enforcement mechanisms. Integrating SFA values into academic and extracurricular activities may foster better awareness and behavioral alignment among health students.
Copyright (c) 2025 Lina Oktavia, Toto Harto https://creativecommons.org/licenses/by-nc/4.0/
Analysis of community perceptions of families of patients with mental disorders at Lesung Batu Community Health Center: A cross-sectional study
Background Individuals with mental illness often face social stigma that not only affects them personally but also extends to their families. Public perception of families caring for persons with mental illness plays a crucial role in supporting rehabilitation efforts and social reintegration. Objective This study aimed to examine the factors associated with community perceptions toward the families of individuals with mental illness in the working area of Lesung Batu Health Center, South Sumatra, Indonesia. Methods A cross-sectional quantitative study was conducted involving 100 respondents selected through purposive sampling. Data were collected using a structured questionnaire and analyzed using chi-square tests and multivariate logistic regression. Results The results showed that 60% of respondents had a positive perception of the families of persons with mental illness. No significant association was found with age (p = 0.83), gender (p = 1.00), or educational level (p = 0.13). However, knowledge (p = 0.00; OR = 14.14) and attitude (p = 0.00; OR = 9.3) were significantly associated with community perception. Knowledge was identified as the most dominant factor influencing public perception. Conclusion Knowledge and attitude are key determinants of community perception toward families of individuals with mental illness, while demographic factors such as age, gender, and education showed no significant impact. Community-based mental health education programs are strongly recommended to enhance knowledge, foster positive attitudes, reduce stigma, and build stronger community support for families caring for individuals with mental illness.
Copyright (c) 2025 Yogi Permana Putra Lenarki, Ali Harokan, Chairil Zaman https://creativecommons.org/licenses/by-nc/4.0/
Burnout experiences among nurses in Oman: A qualitative study
Background Burnout among healthcare workers, especially nurses, is a growing concern globally, driven by emotional strain, limited autonomy, and organizational challenges. While quantitative studies have identified burnout prevalence, little is known about how nurses in Oman experience and interpret the causes of burnout in their work environments. Objective This study aimed to explore the contributing factors to burnout among nurses in public healthcare facilities in Oman and to gain a deeper understanding of their lived experiences within the healthcare system. Methods A qualitative descriptive design was employed between October 2024 and February 2025. Ten nurses were purposively selected from public hospitals and primary healthcare centers across different regions in Oman. Data were collected through semi-structured, in-depth interviews and analyzed using thematic analysis. Lincoln and Guba’s criteria were applied to ensure trustworthiness. Results Two main themes emerged: (1) emotional and physical burden of undervaluation and its impact on professional satisfaction, and (2) constraints on autonomy and opportunities for empowerment. Nurses reported experiences of fatigue, lack of recognition, restricted decision-making power, inequitable access to training, and marginalization in interdisciplinary settings. Conclusion Burnout among nurses in Oman is shaped by emotional exhaustion, limited autonomy, and systemic inequities. These findings underscore the need for institutional reforms that promote professional recognition, expand development opportunities, and foster supportive workplace cultures. Addressing these challenges is crucial for sustaining the nursing workforce and enhancing care quality.
Copyright (c) 2025 Ahmed Al Busaidi, Fatima Harthy, Salim Al Maawali, Muna Al Zajali https://creativecommons.org/licenses/by-nc/4.0/
Analysis of factors affecting tuberculosis treatment adherence at Lesung Batu Community Health Center: A cross-sectional study
Background Tuberculosis (TB) remains a major global health problem with high rates of morbidity and mortality, particularly in developing countries like Indonesia. One of the main challenges in TB control is the low treatment adherence among patients undergoing long-term therapy. Objective This study aimed to analyze the factors influencing tuberculosis medication adherence among patients at Lesung Batu Community Health Center.. Methods A quantitative cross-sectional study was conducted from May 8 to 27, 2025, involving 56 TB patients registered at the Lesung Batu Health Center. Total sampling was used. Data were collected using a structured questionnaire based on the Morisky Medication Adherence Scale (MMAS-8) and analyzed using Chi-square and multivariate logistic regression. Results Only 51.8% of respondents were adherent to TB medication. Bivariate analysis showed that gender (p=0.01), distance to health facilities (p=0.01), and family support (p=0.00) had significant associations with adherence. Multivariate analysis revealed family support as the most dominant factor (OR=0.16, 95% CI=0.05–0.51), indicating that patients without family support were 6.25 times more likely to be non-adherent. Conclusion Family support, proximity to health services, and male gender significantly influenced TB medication adherence. Interventions should focus on increasing family involvement and improving access to care for patients in remote areas. Primary healthcare providers are advised to implement community-based strategies that include home visits, family counseling, and cross-sectoral collaboration to enhance adherence and improve treatment outcomes.
Copyright (c) 2025 Puspita Kurnia Sari, Ali Harokan, Lilis Suryani https://creativecommons.org/licenses/by-nc/4.0/
Lived experiences of women with type 2 diabetes in Uzbekistan: A descriptive phenomenological study
Background Type 2 diabetes mellitus (T2DM) presents significant challenges beyond glycemic control, particularly for women in culturally conservative societies. In Uzbekistan, women with diabetes often face psychological burdens, social stigma, and role conflict, yet little is known about their lived experiences. Objective This study aimed to explore the lived experiences of women with type 2 diabetes in Uzbekistan and to understand how they interpret and cope with the condition within their cultural and social environments. Methods A qualitative descriptive phenomenological approach was used. Sixteen women diagnosed with T2DM for at least one year were recruited purposively from outpatient clinics in Tashkent and Samarkand. Data were collected through semi-structured in-depth interviews and analyzed using Colaizzi’s method. Lincoln and Guba’s trustworthiness criteria guided the rigor of the study. Results Four major themes emerged: (1) altered perception of life with diabetes, (2) psychosocial challenges and emotional burden, (3) coping strategies and spiritual resilience, and (4) disruption of family roles and responsibilities. Participants described diabetes as a constant and invisible burden, exacerbated by stigma, misunderstanding, and gendered expectations. Despite these challenges, many women relied on spirituality and structured routines to regain control and meaning. Conclusion Women with T2DM in Uzbekistan experience diabetes as a complex emotional and social phenomenon. Addressing their needs requires culturally sensitive interventions that integrate psychosocial support, family involvement, and gender-responsive health education.
Copyright (c) 2025 Dilshodbek Yuldashev, Nargiza Karimova, Aidos Nursultanov, Aigerim Zhanabekova https://creativecommons.org/licenses/by-nc/4.0/
Analysis of factors influencing adherence to iron tablet consumption among pregnant women at Muara Enim Community Health Center: A cross-sectional study
Background Anemia in pregnancy remains a major global health concern, significantly affecting maternal and fetal outcomes. In Indonesia, particularly in Muara Enim, the prevalence of anemia among pregnant women has been increasing annually. Iron tablets are a key intervention for anemia prevention, yet adherence remains low. Objective This study aimed to analyze the factors influencing adherence to iron tablet consumption among pregnant women at Muara Enim Community Health Center. Methods This study employed a quantitative approach with an analytical survey design using a cross-sectional method. The research was conducted from April 24 to May 14, 2025, at Muara Enim Community Health Center. A total of 93 pregnant women were selected as respondents using purposive sampling from a population. Data were collected through structured interviews using a validated questionnaire comprising demographic characteristics and variables such as knowledge, attitude, economic status, husband support, and adherence to iron tablet consumption. Data were analyzed for descriptive statistics, bivariate analysis using Chi-square tests, and multivariate analysis through binary logistic regression to identify the most dominant influencing factor. Results The results showed that only 40.9% of respondents adhered to iron tablet consumption. Bivariate analysis revealed significant associations between adherence and knowledge (p=0.00), economic status (p=0.02), and husband support (p=0.04). Multivariate logistic regression identified husband support as the most dominant factor (OR=0.34; 95% CI: 0.13–0.88), indicating that women without husband support were 0.34 times less likely to adhere to iron tablet consumption. Conclusion Knowledge, economic status, and husband support significantly affect adherence to iron tablet consumption among pregnant women. However, husband support emerged as the most influential factor. It is recommended that antenatal education programs actively involve husbands to enhance support systems and improve adherence. Community-based interventions and cross-sector collaborations should be strengthened, especially for pregnant women with low socioeconomic status or limited family support
Copyright (c) 2025 Ferra Puspa Sari, Ali Harokan, Chairil Zaman https://creativecommons.org/licenses/by-nc/4.0/
Foot massage among diabetes patients: A concept analysis using Walker and Avant’s method
Background Foot massage is increasingly used as a complementary therapy in diabetes care, particularly for patients suffering from diabetic peripheral neuropathy. Despite its widespread use, the concept remains theoretically underdeveloped, inconsistently defined, and variably applied in nursing practice. Objective This study aimed to clarify the concept of foot massage among diabetes patients through a structured concept analysis using Walker and Avant’s eight-step method. Methods A concept analysis was conducted following the Walker and Avant framework. Literature was reviewed from databases including PubMed, Scopus, CINAHL, and Google Scholar using keywords related to foot massage, diabetes, and non-pharmacological interventions. The defining attributes, antecedents, consequences, model cases, and empirical referents of the concept were identified and analyzed. Results Five defining attributes emerged: (1) manual stimulation of the feet, (2) therapeutic intention, (3) relief of physical and psychological symptoms, (4) enhancement of circulation, and (5) facilitation of self-care awareness. Antecedents included the presence of diabetic neuropathy and patient willingness to engage in complementary care. Consequences ranged from pain reduction and improved circulation to increased self-care adherence. Empirical referents included pain scores, circulation metrics, and patient-reported outcomes. Conclusion Foot massage among diabetes patients is a multidimensional therapeutic concept that holds significant value in holistic nursing care. This analysis provides a theoretical foundation for its application in practice, research, and nursing education, emphasizing its potential to enhance comfort, self-management, and quality of life in diabetic care.
Copyright (c) 2025 Maria Kristina Dela Cruz, Jose Reyes Manuel, Anurak Chiyapan https://creativecommons.org/licenses/by-nc/4.0/
Analysis of factors associated with the incidence of anemia in adolescent girls at the Muara Enim Health Center: A cross-sectional study
Background Anemia among adolescent girls is a significant public health issue in Indonesia, including in Muara Enim District, with a steadily increasing prevalence. The causes of anemia are multifactorial, including knowledge, nutritional status, adherence to iron (Fe) tablet consumption, and economic status. Objective This study aims to identify the factors associated with the incidence of anemia among adolescent girls in the working area of Muara Enim Health Center, Muara Enim District, in 2025. Methods This research employed a quantitative cross-sectional design. A total of 95 respondents were purposively selected from the population of adolescent girls in the Muara Enim Public Health Center area in 2024. Data were collected using a structured questionnaire and medical records, and analyzed using univariate, bivariate (chi-square test), and multivariate (multiple logistic regression) methods. Results Most respondents experienced anemia (53.7%), had good knowledge (57.9%), normal nutritional status (97.0%), were non-adherent to Fe tablet consumption (53.7%), and came from families with income below the regional minimum wage (72.6%). Bivariate analysis showed that adherence to Fe tablet consumption (p = 0.00) and economic status (p = 0.00) were significantly associated with anemia incidence, while knowledge (p = 0.99) and nutritional status (p = 0.21) were not. Multivariate analysis identified economic status as the most dominant factor (p = 0.002; OR = 0.20), indicating that adolescent girls from families earning ≥ regional minimum wage had an 80% lower risk of anemia. Conclusion Adherence to Fe tablet consumption and economic status are key factors in preventing anemia among adolescent girls, with economic status being the most influential. Integrated interventions should focus on strengthening Fe supplementation adherence and empowering families economically to reduce anemia prevalence in this population
Copyright (c) 2025 Cici Destiana, Ali Harokan, Chairil Zaman https://creativecommons.org/licenses/by-nc/4.0/
Analysis of factors affecting the incidence of hypertension in the productive age group at the Muara Beliti community health center: A cross-sectional study
Background Hypertension is one of the leading non-communicable diseases with increasing prevalence, including among the productive age group. Several risk factors such as age, occupation, body weight, family history, smoking habits, physical activity, and fruit and vegetable consumption are suspected to influence the incidence of hypertension. Objective This study aimed to analyze the factors affecting the incidence of hypertension among productive age individuals in the working area of Muara Beliti Public Health Center in 2025. Methods This was a quantitative study using a cross-sectional approach. A total of 93 respondents aged 16–64 years were selected using purposive sampling. Data were collected through questionnaires and medical records, then analyzed using Chi-Square and multivariate logistic regression tests. Results The results showed significant relationships between age (p=0.031), body weight (p=0.001), smoking habits (p=0.030), physical activity (p=0.016), and fruit and vegetable consumption (p=0.011) with the incidence of hypertension. No significant relationship was found between occupation and family history with hypertension. Multivariate analysis revealed that physical activity was the most dominant factor (p=0.002; OR=4.80; 95% CI=1.80–12.80). Conclusion Physical activity is the most dominant factor influencing the incidence of hypertension among the productive age population.Health interventions should prioritize increasing physical activity, promoting healthy eating habits, and controlling other risk factors to reduce the incidence of hypertension among productive age individuals.
Copyright (c) 2025 Mislia Indrasari, Ali Harokan, Lilis Suryani https://creativecommons.org/licenses/by-nc/4.0/
Analysis of patient satisfaction with electronic medical record services at general hospital: A cross-sectional study
Background Patient satisfaction is a critical indicator for evaluating the quality of healthcare services, including electronic medical record (EMR) services in hospitals. As one of the main healthcare providers in Ogan Komering Ilir Regency, Tugu Jaya Regional General Hospital has not yet provided specific data regarding patient satisfaction in its registration unit. Objective This study aimed to analyze factors associated with patient satisfaction with electronic medical record services in the registration unit. Methods A quantitative study with a cross-sectional design was conducted. The study population consisted of all patients registered at the hospital registration unit between January and April 2025. A total of 93 respondents were selected using purposive sampling based on inclusion and exclusion criteria. Data were collected through a structured questionnaire that had been tested for validity and reliability. Data analysis was performed using univariate analysis, bivariate analysis with Chi-square test, and multivariate analysis with multiple logistic regression. Results The findings indicated that education, tangibles, empathy, and assurance were significantly associated with patient satisfaction (p<0.05). Multivariate analysis revealed that tangibles (OR=3.93; 95% CI: 1.44–10.74) and assurance (OR=3.61; 95% CI: 1.15–11.31) were the dominant predictors of patient dissatisfaction. Conclusion Patient satisfaction with electronic medical record services in the registration unit of general hospital was significantly influenced by the dimensions of tangibles, empathy, and assurance, with tangibles identified as the dominant factor. Efforts to improve patient satisfaction should prioritize enhancing physical facilities, fostering empathetic attitudes, and strengthening trust through professional and reliable services.
Copyright (c) 2025 Muhamad Tito Aristian, Nani Sari Murni, Chairil Zaman https://creativecommons.org/licenses/by-nc/4.0/
Analysis of factors affecting the use of implantable contraceptives in couples of fertile age: A cross-sectional study
Background The use of contraceptive implants as a long-acting contraceptive method remains low in Indonesia, including in the working area of the Muara Enim District Extension Center. Despite its high effectiveness in preventing pregnancy, several factors may influence implant adoption among women of reproductive age, such as age, knowledge, attitude, socioeconomic status, parity, and husband’s support. Objective This study aimed to identify the factors associated with the use of contraceptive implants among reproductive-age couples in the Muara Enim District Extension Center in 2025. Methods This study applied a quantitative cross-sectional design involving 93 respondents selected through purposive sampling. Inclusion criteria were women of reproductive age residing in the study area and willing to participate, while exclusion criteria included serious illness and illiteracy. Data collection was conducted from May 2 to 17, 2025, using a validated structured questionnaire supported by medical record checks. Variables measured included age, knowledge, attitude, socioeconomic status, parity, and husband’s support, with implant use as the dependent variable. Data analysis was performed in three stages: univariate to describe frequencies, bivariate using Chi-square tests to assess associations (p < 0.05), and multivariate using logistic regression to determine dominant factors. Ethical clearance was obtained, and informed consent, anonymity, and confidentiality were ensured.. Results ge (p=0.02), attitude (p=0.005), and socioeconomic status (p=0.02) were significantly associated with implant use, while knowledge (p=1.00), parity (p=0.90), and husband’s support (p=0.18) were not. Logistic regression confirmed attitude as the most dominant predictor (p=0.003; OR=0.26). Conclusion Age, attitude, and socioeconomic status significantly influence implant use, with attitude being the strongest determinant. Health promotion should focus on shaping positive attitudes through couple-based counseling and interpersonal education, especially for younger women and low-income groups.
Copyright (c) 2025 Hilaliah, Ali Harokan, Erna Gustina, Dewi Suryanti https://creativecommons.org/licenses/by-nc/4.0/
Nursing management of oral rehydration therapy in pediatric patients with gastroenteritis and hypovolemia at a general hospital: A case study
Background: Gastroenteritis is an inflammation of the stomach and small intestine caused by bacterial or viral infection, characterized by symptoms such as defecation more than three times per day. This condition often leads to nursing problems including impaired skin integrity, discomfort or pain, hyperthermia, and, most commonly, fluid volume deficit (hypovolemia). Oral rehydration therapy (ORT) plays an essential role in preventing hypovolemic complications, particularly dehydration ranging from mild to severe. ORT not only restores the balance of sodium and potassium concentrations in the body but also accelerates the recovery process. Objective: This study aimed to provide nursing care and to evaluate the effectiveness of oral rehydration therapy in children with gastroenteritis and hypovolemia in a general hospital. Methods: A case study approach was applied to explore nursing care management for pediatric patients with gastroenteritis and hypovolemia receiving oral rehydration therapy. The study compared two pediatric clients aged 1–5 years, admitted in July 2024 with gastroenteritis and hypovolemia. Data were collected through informed consent forms, interviews, observations, physical examinations, pediatric nursing assessment formats, and documentation. The case study was conducted over three consecutive days in a general hospital setting. Results: After three days of nursing interventions, with the primary diagnosis of hypovolemia related to active fluid loss, the administration of oral rehydration therapy demonstrated effective outcomes. Nursing care interventions— including observation, therapeutic actions, education, and collaboration—led to the resolution of the problem on the third day of care. Conclusion: This case study highlights the comparison of nursing care in two pediatric clients with gastroenteritis and hypovolemia undergoing oral rehydration therapy, showing that the intervention effectively resolved the problem within three days. Continued parental education was provided as part of the follow-up care.
Copyright (c) 2025 Helda Apriliana, Fitri Afdhal, Muhammad Romadhon, Ria Wulandari https://creativecommons.org/licenses/by-nc/4.0/
A phenomenological study on factors influencing women of childbearing age in the use of intrauterine devices at Gumawang Community Health Center
Background: The Intrauterine Device (IUD) is one of the most effective long-acting reversible contraceptives, yet its utilization remains low in Indonesia, including at Gumawang Community Health Center, Ogan Komering Ulu Timur District. Predisposing factors such as knowledge, beliefs, and cultural perceptions are believed to contribute to the low uptake of IUDs. Objective: This study aimed to analyze the factors influencing IUD use among women of reproductive age. Methods: A qualitative study with a phenomenological approach was conducted to explore participants’ experiences and perceptions. Data were collected through in-depth interviews and focus group discussions (FGDs) involving 17 informants, including IUD acceptors, non-IUD acceptors, unmet need groups, health workers, and family planning program officers. Data analysis employed reduction, data presentation, and conclusion drawing, supported by source triangulation to ensure trustworthiness. Results: Three major themes emerged: (1) knowledge—variations in understanding IUD definition, duration, benefits, and side effects; (2) beliefs—dominated by fear, shame, and mixed religious views; and (3) culture—community myths and narratives surrounding IUD safety that shape perceptions negatively. These findings demonstrate that misinformation and limited exposure strongly influence decision-making regarding IUD adoption. Conclusion: Knowledge, beliefs, and cultural perceptions significantly affect women’s decisions to use IUDs. Strengthening health education, counseling, and partnerships with community and religious leaders is essential to counter misinformation and improve IUD acceptance.
Copyright (c) 2025 Bella Putri Lanida, Nani Sari Murni, Lilis Suryani, Yusnilasari Yusnilasari https://creativecommons.org/licenses/by-nc/4.0/
Implementation of tandem walking and balance exercise combination for fall prevention among older adults with balance disorders : A case study
Background: The aging process leads to a progressive decline in physiological function, including muscle strength and body balance, which increases the risk of falls among older adults. Falls are one of the leading causes of injury-related morbidity and mortality in the elderly, significantly reducing quality of life.. Objective: This study aimed to implement a combination of tandem walking and balance exercises as an intervention to prevent falls in older adults with balance impairments at the Tanjung Agung Community Health Center. Methods: A descriptive case study design with a nursing process approach was applied. Two elderly participants with moderate fall risk, as assessed by the Berg Balance Scale (BBS), were included. The intervention consisted of tandem walking and balance exercise sessions twice weekly for four weeks. Balance outcomes were measured pre- and post-intervention using the BBS, complemented by structured interviews and direct observation.. Results: Both participants demonstrated improvement in balance performance. The BBS score of Participant 1 increased from 40 to 51, shifting from moderate to low fall risk. Participant 2 improved from 39 to 46, reflecting enhanced postural stability, though still within moderate risk. Both reported greater confidence and stability during standing and walking, with reduced reliance on external support. Conclusion: The combination of tandem walking and balance exercises was effective in improving static and dynamic balance while reducing fall risk in older adults with balance disorders. This intervention is recommended as a practical fall-prevention strategy in community and primary healthcare settings.
Copyright (c) 2025 Lisdahayati Lisdahayati, Gunardi Pome, Saprianto Saprianto, Umar Hasan Martadinata, Nelly Rustiati, Ratna Sukmawati https://creativecommons.org/licenses/by-nc/4.0/
Analysis of service satisfaction factors in the internal medicine polyclinic of a general hospital: A cross-sectional study
Background: Patient satisfaction is a key indicator for evaluating the quality of health care services. Various factors can influence patient satisfaction, ranging from demographic characteristics to attributes of public service delivery. However, studies on patient satisfaction in the Internal Medicine Outpatient Clinic at Kepahiang District General Hospital remain limited. Objective: This study aimed to analyze the factors associated with the level of patient satisfaction with services in the Internal Medicine Outpatient Clinic at Kepahiang District General Hospital in 2025. Methods: This research employed a quantitative analytic design with a cross-sectional approach. A total of 98 respondents were selected through purposive sampling. Data were collected using a structured questionnaire that had been tested for validity and reliability. Data analysis included chi-square tests for bivariate associations and multiple logistic regression for multivariate analysis with a significance level of α = 0.05. Results: The findings revealed that all service-related variables—requirements, procedures, service completion time, costs/fees, service product specifications, staff competence, staff behavior, complaint handling, and facilities and infrastructure—were significantly associated with patient satisfaction (p < 0.05). The dominant factors influencing patient satisfaction were staff competence and staff behavior, both of which were strongly related to patients’ experiences in receiving care. Conclusion: Patient satisfaction is influenced by the synergy of all service aspects; therefore, quality improvement efforts must be comprehensive, integrative, and sustainable. This study recommends that hospitals strengthen the competence of health care providers, improve facilities and infrastructure, and simplify administrative processes to enhance patient satisfaction.
Copyright (c) 2025 Wiladatika, Ali Harokan, Lilis Suryani https://creativecommons.org/licenses/by-nc/4.0/
Correlation of various risk management factors for risk control at general hospital: A cross-sectional study
Background: Hospitals are high-risk workplaces requiring effective risk management to protect healthcare workers, patients, and the environment. In Indonesia, implementing Hospital Occupational Health and Safety (K3RS) remains challenging, particularly in identifying factors that influence successful risk control. Objective: To determine the factors associated with risk management at Dr. Rivai Abdullah General Hospital in Banyuasin and to identify the most dominant factor. Methods: A quantitative study with a cross-sectional design involved 77 healthcare workers and managerial staff. Data were collected using a structured questionnaire and secondary documents, then analyzed with Spearman’s rho correlation and multiple logistic regression. Results: Significant factors associated with risk management included occupational health training (p=0.02), attitude (p=0.006), human resources availability (p=0.007), budget (p=0.010), facilities and infrastructure (p<0.001), effective communication (p<0.001), environment (p<0.001), and hospital occupational health and safety implementation (p=0.003). The most dominant factor was the environment (OR=0.016; 95%CI 0.002–0.130), explaining 35.1–48.1% of risk management variation. Conclusion: Risk management is influenced by both individual and organizational factors, with the environment as the key determinant. Hospitals should prioritize improving the work environment, strengthening K3RS programs through monitoring and evaluation, enhancing inter-unit communication, and ensuring adequate support in human resources, budget, and training.
Copyright (c) 2025 Retno Marlangen https://creativecommons.org/licenses/by-nc/4.0/
The effectiveness of postnatal gymnastics on reducing diastasis rectus abdominis and improving knowledge in postpartum women: A case study
Background: Diastasis rectus abdominis (DRA) is a common condition in postpartum women characterized by abdominal muscle separation, which may lead to functional disorders and reduced quality of life. One of the effective interventions is postpartum exercise, a simple physical activity designed to strengthen the abdominal muscles and accelerate recovery. Objective: This study aimed to describe the implementation of education and postpartum exercise to reduce DRA and increase knowledge among postpartum mothers. Methods: A descriptive case study design with a nursing care approach was applied to two multiparous postpartum mothers with DRA >2.5 cm. Interventions consisted of health education and postpartum exercise training conducted over seven consecutive days. Data were collected through interviews, observations, questionnaires, and DRA measurements using a simple caliper. Results: The findings showed a reduction in DRA size, from 2.96 cm to 2.78 cm in client I and from 2.86 cm to 2.64 cm in client II. Knowledge scores also increased significantly, with correct responses on the questionnaire improving from 4–5 to 10 out of 10 items. Conclusion: Education and postpartum exercise with a nursing care approach were proven to reduce DRA size and enhance maternal knowledge. Postpartum exercise can be recommended as a simple, cost-effective, and practical nursing intervention to support abdominal muscle recovery in postpartum mothers.
Copyright (c) 2025 Aisyah Aisyah, Eni Folendra Rosa, Lisdahayati Lisdahayati, Nelly Rustiati, Rahayu Dini Lestari https://creativecommons.org/licenses/by-nc/4.0/
Risk factor analysis of falls in elderly patients at the geriatric and internal medicine clinics of a general hospital: A cross-sectional study
Background: Increasing life expectancy has led to a larger elderly population vulnerable to health problems, particularly fall risk. Falls in older adults can result in injury, disability, and death, thus requiring comprehensive risk analysis. Objective: This study aimed to analyze risk factors associated with falls among elderly patients in the Geriatric and Internal Medicine Clinics of a General Hospital. Methods: A cross-sectional quantitative study was conducted among 85 elderly respondents at Dr. Rivai Abdullah General Hospital, Banyuasin. Data were collected using structured questionnaires, environmental observation, and medical records. Data analysis consisted of univariate, bivariate using Chi-Square test, and multivariate logistic regression. Results: Multivariate analysis revealed that independence level was the most dominant factor significantly associated with fall risk (p=0.000; OR=0.176; 95% CI=0.069–0.450). Non-independent elderly had a 73.9% probability of experiencing falls. Other factors such as age, gender, education, comorbidities, environment, and polypharmacy showed no significant association (p>0.05). Conclusion: Independence level is the main determinant influencing fall risk in elderly patients. Fall prevention strategies should focus on promoting independence through physical exercise, occupational therapy, family support, and interprofessional interventions. Further studies should explore psychosocial, lifestyle, and nutritional factors.
Copyright (c) 2025 Riana Puspa, Nani Sari Murni, Chairil Zaman https://creativecommons.org/licenses/by-nc/4.0/
Factor analysis of nurses’ satisfaction with educational installation training in hospitals: A cross-sectional study
Background: Nurse job satisfaction plays an essential role in improving the quality of nursing care and patient safety. Several factors, including leadership, work environment, promotion opportunities, training, educational installation activities, and work tenure, have been shown to influence nurses’ satisfaction. Objective: This study aimed to analyze factors associated with nurses’ satisfaction regarding educational installation training in hospitals. Methods: This research applied a quantitative cross-sectional design. The study population comprised 90 inpatient nurses at dr. AK Gani Hospital Palembang, selected through total sampling. Data were collected using a validated and reliable structured questionnaire. Data analysis employed chi-square tests for bivariate analysis and multiple logistic regression for multivariate analysis with a 95% confidence level. Results: Bivariate analysis revealed significant factors including work tenure (p=0.000; OR=0.093), leadership (p=0.001; OR=4.984), work environment (p=0.003; OR=4.054), promotion opportunities (p=0.034; OR=2.737), training (p=0.007; OR=3.575), and educational installation activities (p=0.002; OR=4.516). Multivariate analysis identified work tenure as the most dominant factor (OR=412.585), followed by educational installation activities (OR=57.295), training (OR=27.712), work environment (OR=28.014), promotion opportunities (OR=24.429), and leadership (OR=19.420). Conclusion: Nurse satisfaction is significantly influenced by organizational factors and work experience, with work tenure serving as the strongest predictor. Hospitals should strengthen leadership, create supportive work environments, ensure fair promotion opportunities, and provide continuous training and educational installation activities to enhance nurse job satisfaction.
Copyright (c) 2025 Nur Akli, Ali Harokan, Gema Asiani https://creativecommons.org/licenses/by-nc/4.0/