bluuebunny/crossref_metadata_2025 huggingface dataset:
The Challenges Of Integrating Sustainable Practices In Hotels And Lodges: A Case Study Of Victoria Falls
Authors: Rinomhota Anita
Published: February 2025

This study investigates the challenges associated with integrating sustainable practices in the accommodation sector of Victoria Falls, Zimbabwe. Despite the growing recognition of green tourism as vital for all tourist destinations, hotels in developing countries, including Zimbabwe, often struggle to implement effective environmental measures. This research examines the barriers to adopting sustainable operating strategies within the hotels and lodges of Victoria Falls. Using a mixed methods approach, data were gathered from hotel employees and managers. Qualitative insights were obtained through interviews with fifteen purposively selected key informants, while quantitative data were collected via questionnaires distributed to 150 participants using stratified random sampling. Thematic analysis was employed to interpret the qualitative data, and quantitative results were analyzed using Excel and manual calculations. Findings indicate that the hotel sector primarily adopts simple and cost-effective green practices focused on energy management, water conservation, and waste management. However, significant challenges hinder the effective implementation of these initiatives, including the high costs of acquiring green technology, insufficient stakeholder support, and limited financial resources. Additional barriers identified include a lack of awareness, inadequate infrastructure, and weak regulatory frameworks. This research highlights the intricate relationship between internal and external factors that influence the adoption of green strategies. It emphasizes the importance of organizational culture, leadership commitment, stakeholder engagement, and industry collaboration in overcoming these challenges. The study concludes by recommending the development of a stronger green tourism policy, enhanced guest education, and active stakeholder engagement to promote the implementation of sustainable practices in Zimbabwe's hotel sector.
VIVRE SA PRATIQUE DE MEDECIN GENERALISTE NOUVELLEMENT INSTALLE. UNE ETUDE PHENOMENOLOGIQUE INTERPRETATIVE
Authors: NERINE N , GILLES DE LA LONDE J , CADWALLADER D , GAKUNZI S , DOMERC A , DE OLIVEIRA A , CADWALLADER JS
Published: February 2025

Contexte. Les médecins généralistes (MG) sont particulièrement touchés
par le syndrome d’épuisement professionnel, en raison d’un équilibre
précaire de vie. Les jeunes MG étaient particulièrement sensibles à ce
danger ; trouver du sens dans sa pratique de médecin pourrait être un
facteur protecteur.
Objectif. Comprendre comment les jeunes MG donnaient du sens à leur
pratique professionnelle en lien avec leurs valeurs et leurs aspirations.
Méthodes. Étude qualitative inspirée de l’analyse phénoménologie
interprétative (IPA). Échantillonnage raisonné homogène de MG installés
depuis moins de dix ans avec un recrutement boule de neige.
Une analyse phénoménologique par l’émergence de thèmes ordonnés
puis expérientiels a été réalisée par plusieurs chercheurs de discipline
différente.
Résultats. Neuf MG ont été interrogés. Les thèmes expérientiels retrouvés
étaient : être en adéquation avec ses valeurs personnelles en offrant une
qualité des soins selon sa vision du soin, en formant et en se formant
pour continuer d’évoluer, en choisissant une organisation de cabinet ;
s’accomplir sur le plan personnel en maintenant un équilibre de vie et
en voulant ressentir la joie d’exercer ; contribuer socialement, dans une
« non-vocation » et en donnant du sens à une mission sociale.
Conclusion. Les thèmes retrouvés étaient assez proches du concept
japonais d’ikigaï, c’est-à-dire à trouver du sens à sa vie professionnelle
en fonction de sa passion, sa vocation, sa mission. Il semblait nécessaire
d’introduire ce concept pendant la formation médicale initiale en
médecine générale autour de la compétence professionnalisme. Les
séminaires d’aide à l’installation pourraient également contenir une
discussion autour de la mission sociale, de la vocation.
LITERATURE REVIEW : PERAN STATUS GIZI DENGAN PERTUMBUHAN DAN PERKEMBANGAN BALITA
Authors: Maryani Diani , Wisudawati Wida
Published: February 2025

Anak adalah aset yang berharga bagi bangsa. Masa balita adalah masa pembentukan dan perkembangan manusia, usia ini merupakan usia yang rawan karena balita sangat peka terhadap gangguan pertumbuhan serta bahaya yang menyertainya. Proses pertumbuhan dan perkembangan merupakan proses yang teramat penting dalam menentukan masa depan anak baik secara fisik, mental maupun perilaku. Tujuan penelitian ini adalah untuk mendapatkan gambaran terkait peran status gizi dengan pertumbuhan dan perkembangan balita. Metode penelitian yang digunakan dalam penelitian ini adalah metode penelitian kualitatif berupa tinjauan literature review. Metode penelitian ini dilakukan dengan cara mengumpulkan dan menganalisis data dari sumber-sumber tertulis seperti jurnal ilmiah, buku, artikel, dan dokumen lainnya yang terkait dengan topik penelitian. metode penelitiannya lebih bersifat deskriptif. Hasil dan pembahasan didapatkan status gizi merupakan salah satu faktor yang mempengaruhi perkembangan pada anak. Status gizi anak yang kurang menimbulkan banyak masalah mulai dari pertumbuhan yang lambat, baik tinggi maupun berat badan dan juga perkembangan yang tidak sesuai dengan umur anak. Anak yang mempunyai status gizi yang baik atau normal akan memiliki pertumbuhan yang normal, berkembang sesuai dengan usianya, nafsu makannya baik, tubuhnya sehat dan dapat menyesuaikan dengan lingkungan. Kesimpulan dalam tinjauan literature ini adalah adanya hubungan antara statsu gizi dengan pertumbuhan dan perkembangan pada anak balita. Gizi yang baik saat mulai anak berada dalam kandungan, yang dimulai pada 1000 hari pertama keidupan merupakan usia golden age dimana anak tersebut harus ternutrisi zat gizi mikro dan makro agar pertumbuhan dan perkembangan anak pada usia balita optimal.
PERILAKU SEKSUAL REMAJA PRA NIKAH: STUDI LITERATUR
Authors: Maisaroh Siti , Yuliwati
Published: February 2025

Di Indonesia ada sekitar 4,5% remaja laki-laki dan 0,7% remaja perempuan usia 15- 19 tahun yang mengaku pernah melakukan seks pranikah. Remaja usia 15- 19 tahun, proporsi terbesar berpacaran pertama kali yaitu pada usia 15-17 tahun. Sekitar 33,3% remaja perempuan dan 34,5% remaja laki-laki yang berusia 15-19 tahun mulai berpacaran sebelum berusia 15 tahun. Pada usia tersebut dikhawatirkan belum memiliki keterampilan hidup yang mencukupi, sehingga mereka berisiko melakukan pacaran yang tidak sehat seperti berhubungan seks pranikah.2 Berdasarkan hasil survei Komisi Perlindungan Anak Indonesia (KPAI) 2018 mengenai perilaku seksual berisiko pada remaja di 33 Provinsi menyebutkan bahwa 22,6% remaja pernah melakukan hubungan seks, 62,7% remaja Sekolah Menengah Atas (SMA) tidak perawan, 97% pernah menonton pornografi, 21,26% sudah pernah melakukan aborsi. Metode: Metode yang digunakan dalam penelitian ini yakni Literature Review dengan menganalisis sejumlah 4 artikel yang telah ditentukan. Atikel penelitian yang di ambil adalah penelitian yang dilakukan dalam rentang waktu tahun 2020-2023 dengan menggunakan data base yang bereputasi nasional maupun internasional. Database yang digunakan berupa Proquest/ PubMed, Garuda dan Google Scholar dengan menggunakan kata kunci remaja, perilaku seksual, pranikah. Hasil: Dari beberapa jurnal yang telah di telaah menyebutkan bahwa tingkat pengetahuan remaja sangat berpengaruh terhadap perilaku seksual remaja pranikah selain itu teman sebaya memberikan peran terhadap perilaku seksual remaja sebelum menikah. Beberapa penelitian menyatakan bahwa semakin sering remaja terpapar oleh factor penyebab perilaku seksual pranikah di lingkungannya maka semakin tinggi pula angka kejadian seksual pranikah remaja. Selain itu usia, jenis kelamin, sikap, media, peran orang tua juga menjadi factor yang tak kalah penting dalam mencegah perilaku seksual remaja pra nikah. Mendorong komunikasi yang terbuka dan tidak menghakimi, serta memberikan informasi yang akurat dan akses ke layanan kesehatan, dapat membantu remaja membuat pilihan yang terinformasi dan bertanggung jawab terkait kesehatan dan perilaku seksual
STUDY LITERATUR REVIEW: PENGARUH PIJAT BAYI TERHADAP TUMBUH KEMBANG BAYI
Authors: Maryani Diani
Published: February 2025

Masa bayi adalah anak yang berusia 1-12 bulan. Pada masa bayi, pertumbuhan dan perkembangan terjadi secara cepat. Umur 5 bulan berat badan anak 2x berat badan lahir dan umur 1 tahun sudah 3x berat badn saat lahir. Sedangkan untuk panjan badannya pada 1 tahun sudah satu setengah kali panjang badan saat lahir. (Fatmawati, 2023). Tumbuh kembang bayi dan balita merupakan aspek fundamental dalam menentukan kualitas hidup anak di masa depan. Periode emas pertumbuhan, yang terjadi sejak lahir hingga usia lima tahun, adalah waktu yang sangat krusial untuk stimulasi fisik, kognitif, dan emosional (Hadders-Algra, 2018). . Tujuan penelitian ini adalah untuk mendapatkan gambaran terkait pengaruh pijat bayi terhadap tumbuh kembang bayi. Metode penelitian yang digunakan dalam penelitian ini adalah metode penelitian kualitatif berupa tinjauan literature review. Metode penelitian ini dilakukan dengan cara mengumpulkan dan menganalisis data dari sumber-sumber tertulis seperti jurnal ilmiah, buku, artikel, dan dokumen lainnya yang terkait dengan topik penelitian. metode penelitiannya lebih bersifat deskriptif. Hasil dan pembahasan didapatkan beberapa penelitian membuktikan bahwa pijat bayi secara signifikan dapat menaikkan berat badan bayi Penelitian ini menyimpulkan bahwa adanya hubungan antara pijat bayi dengan pertumbuhan dan perkmebangan bayi. Dengan menggunakan pemijatan secara teratur maka secara signifikan mampu menaikkan berat badan bayi dan mampu mengkoordinasi emosional bayi sebagai tahap perkembangan bayi
Studi Literatur: Pengaruh Prenatal Yoga Terhadap Kecemasan Menjelang Persalinan, Lama Persalinan dan Robekan Perineum
Authors: Djannah Roichatul , Susanti Dewi
Published: February 2025

Komplikasi persalinan yang diakibatkan langsung oleh persalinan memanjang 2,8% kematian dari AKI di seluruh dunia yaitu sejumlah 69.000. Faktor yang mempengaruhi kelancaran persalinan adalah power, passage, passanger, psikologis dan penolong. Cara untuk memaksimalkannya adalah dengan melakukan prenatal yoga. Prenatal yoga dapat meningkatkan elastisitas otot panggul yang berperan dalam proses persalinan. Tujuan penelitian ini adalah untuk mengetahui efektivitas prenatal yoga terhadap lama persalinan kala II. Penelitian ini merupakan literature review dengan jenis traditional review, artikel bersumber dari 3 database yakni Google Scholar, PubMed dan ResearchGate dari rentang tahun 2018-2022.. Semua artikel mendapatkan hasil lama persalinan kala II ibu yang melakukan prenatal yoga lebih singkat dibandingkan yang tidak melakukan prenatal yoga. enam artikel memiliki hasil p-value < 0,05 artinya prenatal yoga efektif dalam mempersingkat lama persalinan kala II. Diharapkan bagi tenaga kesehatan untuk memfasilitasi prenatal yoga karena kombinasi gerakannya dapat melatih teknik bernapas, peregangan, relaksasi untuk memperlancar proses persalinan
La Chine, miroir de l’altérité. Un laboratoire du gouvernement impérial d’après Juan de Palafox y Mendoza (1640-1650)
Authors: Valencia Vila Alejandro
Published: February 2025

Entre miroir d’altérité et alternative impériale, le livre Historia de la Conquista de la China por el Tártatro interroge le regard posé sur la Chine depuis le monde hispano-américain. Longtemps utilisée comme source sur la querelle des rites, cet article vise au contraire à étudier l’œuvre au moment de sa rédaction, le milieu du XVIIe siècle, afin de réaliser une lecture historiographique des sujets qui intéressent l’auteur : le gouvernement spirituel et le gouvernement temporel. À partir des témoignages des voyageurs et de la place privilégiée de la route interocéanique, Juan de Palafox rédige une histoire sur la conquête mandchoue de la Chine et la fin de la dynastie Ming comme une leçon d’histoire à portée universelle.
La influencia de Taiwán y los Zheng en el memorial de Victorio Riccio de 1677 sobre la expulsión de los sangleyes de Filipinas
Authors: Reviriego José Miguel Herrera
Published: February 2025

La década de 1670 estuvo presidida por una serie de cambios en la región del Asia marítima que modificaron ampliamente las relaciones entre la Gobernación de Filipinas y el entramado desarrollado por la familia Zheng con epicentro en Taiwán. Este nuevo contexto favoreció el surgimiento en Manila de una serie de memoriales que, aprovechando la nueva dinámica internacional, demandaban la expulsión de la población china asentada en el archipiélago. Entre ellos, cabe destacar el del dominico Victorio Riccio de 1677, el cual aprovechó la coyuntura existente y el descenso del potencial de los Zheng para intentar erradicar la dependencia filipina de este clan y su amenaza constante mediante la expulsión de los sangleyes del archipiélago.
Tác động của chính sách tiền tệ đến sự ổn định tài chính của các ngân hàng TMCP tại Việt Nam
Authors: Trịnh Thị Phan Lan  , Trần Thị Liên  , Hữu Thị Lan Anh
Published: February 2025

Nghiên cứu này phân tích tác động của chính sách tiền tệ do Ngân hàng Nhà nước thực thi đối với sự ổn định tài chính của 25 ngân hàng thương mại cổ phần (TMCP) tại Việt Nam, thông qua hai biến: lãi suất tái chiết khấu và cung tiền M2. Mô hình nghiên cứu sử dụng các phương pháp ước lượng gồm Pooled OLS, FEM, REM, GLS và System GMM 2 bước. Kết quả cho thấy, việc gia tăng lãi suất tái chiết khấu và cung tiền M2 làm gia tăng rủi ro, qua đó suy giảm sự ổn định tài chính của các ngân hàng. Ngoài ra, hệ số an toàn vốn có tác động tích cực đến ổn định tài chính, trong khi tỷ lệ dư nợ cho vay trên tổng tài sản lại có tác động tiêu cực. Từ những phát hiện này, nghiên cứu đề xuất một số hàm ý chính sách nhằm củng cố và nâng cao sự ổn định tài chính tại Việt Nam.
Các yếu tố ảnh hưởng tới thu hút vốn ODA của các quốc gia đang phát triển Châu Á
Authors: Cao Thị Hồng Vinh  , Lưu Thị Thơm  , Bùi Thị Minh Thương  , Vũ Ngọc Thúy
Published: February 2025

Hỗ trợ phát triển chính thức (ODA) là dòng vốn đầu tư nước ngoài có nhiều đóng góp quan trọng đối với các nước đang phát triển tại Châu Á. Để thúc đẩy thu hút ODA, bài viết đã chỉ ra các yếu tố quan trọng ảnh hưởng đến dòng vốn này dựa trên dữ liệu của 35 quốc gia đang phát triển ở Châu Á giai đoạn 1997-2021. Kết quả cho thấy: (i) Đầu tư trực tiếp nước ngoài (FDI), trình độ giáo dục có tác động tích cực đến thu hút vốn ODA, trong khi đó thu nhập bình quân đầu người, cơ sở hạ tầng giao thông vận tải và tỷ lệ tử vong có tác động tiêu cực tới ODA; (ii) Khi xem xét nhóm thu nhập trung bình cao (nhóm 1) và nhóm có thu nhập thấp hơn (nhóm 2) - bao gồm thu nhập trung bình thấp, thấp và kém phát triển, FDI (tác động tích cực) và thu nhập bình quân đầu người (tác động tiêu cực) có mức độ ảnh hưởng cao hơn tới ODA ở các nước thuộc nhóm 2. Trong khi đó, cơ sở hạ tầng (tác động tiêu cực) và trình độ giáo dục (tác động tích cực) lại ảnh hưởng lớn hơn tới ODA vào các nước thuộc nhóm 1. Tỷ lệ tử vong có tác động tiêu cực đối với nhóm 1, trong khi không có ý nghĩa thống kê với nhóm nước còn lại.
Tác động của giáo dục đại học đến khởi nghiệp: Nghiên cứu trường hợp các tỉnh ở Việt Nam
Authors: Đồng Văn Chung  , Hoàng Việt Hà  , Trần Quang Tuyến
Published: February 2025

Giáo dục đại học là một trong những ưu tiên hàng đầu, đóng vai trò quan trọng trong sự phát triển kinh tế - xã hội. Sử dụng dữ liệu bảng cân bằng cho 63 tỉnh của Việt Nam trong giai đoạn 2016-2020, nghiên cứu đánh giá tác động của giáo dục đại học đến khởi nghiệp. Kết quả nghiên cứu cho thấy giáo dục đại học tác động tích cực đến khởi nghiệp. Ngoài ra, đầu tư trực tiếp nước ngoài và chỉ số sẵn sàng cho phát triển và ứng dụng công nghệ thông tin và truyền thông cũng có tác động tích cực đến khởi nghiệp. Ngược lại, thu nhập bình quân đầu người có tác động tiêu cực, làm giảm động lực khởi nghiệp. Đặc biệt, nghiên cứu không tìm thấy bằng chứng thực nghiệm về tác động của chỉ số năng lực cạnh tranh cấp tỉnh đối với khởi nghiệp. Hơn nữa, hiệu ứng Bill Gates – quan điểm cho rằng thành công không nhất thiết phải học đại học - không được xác nhận trong bối cảnh Việt Nam.
Nghiên cứu tác động của nhóm nhân tố cá nhân tới hành vi làm việc đổi mới của nhân viên tại các ngân hàng thương mại cổ phần trên địa bàn Hà Nội
Authors: Trần Hải Yến
Published: February 2025

Bài viết phân tích tác động của các yếu tố cá nhân - sự sáng tạo, tự tin vào năng lực đổi mới và gắn kết công việc - đến hành vi làm việc đổi mới của nhân viên ngân hàng, cũng như ảnh hưởng của hành vi này đến kết quả công việc. Nghiên cứu sử dụng phương pháp định lượng với dữ liệu từ 250 nhân viên ngân hàng thương mại cổ phần trên địa bàn Hà Nội, phân tích bằng PLS-SEM 3.0. Kết quả cho thấy tất cả các yếu tố trên đều tác động đến hành vi làm việc đổi mới, trong đó sự tự tin có ảnh hưởng lớn nhất, tiếp theo là sự sáng tạo và gắn kết công việc. Ngoài ra, hành vi làm việc đổi mới cũng tác động đáng kể đến kết quả công việc. Từ đó, nghiên cứu đề xuất giải pháp thúc đẩy hành vi làm việc đổi mới để nâng cao hiệu suất làm việc.
Pengaruh Pendidikan Kesehatan terhadap Tingkat Pengetahuan tentang Cuci Tangan Pakai Sabun Pada Siswa MIS Karya Thaiyyibah Kayumalue Pajeko
Authors: Katrina Feby Lestari  , Dewi Kuntuamas  , Sringati Sringati
Published: February 2025

The problem found in MIS Karya Thaiyyibah of Kayumalue Pajeko mentioned that there are 4 students do not understand what meaning and steps of hand washing and 2 students do not understand why hand washing with soap is important. This research aims to obtain the influences of health education toward knowledge level regarding hand washing with soap of MIS Karya Thaiyyibah students, Kayumalue Pajeko. This is quantitative research with pre-experimental design by one grup pretest-postest design. Sampling number is 24 students that taken by total sampling technique. Result of univariate shown that before doing the health education, about 12 students (50%) have enough knowledge and after it about is students (75%) have good knowledge regarding it. Bivariate analyses by Wilcoxon test and found that there is influences of health education toward knowledge level about  hand washing with soap of MIS Karya Thaiyyibah Student of Kayumalue Pajeko with p value = 0,003. Conclusion that there is influences of health education toward knowledge level obout hand washing with soap of MIS Karya Thaiyyibah students of Kayumalue Pajeko. Expeeted that sehoul administration could collaborate with health worker in providing the health education regarding hand washing with soap properly to improve student’s knowledge.
Faktor-Faktor Kualitas Pelayanan Yang Mempengaruhi Kepuasan Pasien Kelas II di RSUD Batara Siang Pangkep
Authors: Frida Yuanita
Published: February 2025

Satisfaction is the level of condition that is felt to be in accordance with the patient's expectations. Audit data on perceptions of satisfaction in 2018 stated that in class II inpatients there was 40.5% dissatisfaction with nurses' attitudes, 37.1% nursing actions, and 51.7% cleanliness. To determine the factors that influence patient satisfaction in class II inpatient rooms at Batara Siang Pangkep Regional Hospital. The research design is descriptive narrative. The patient population is all inpatients, class III at Batara Siang Pangkep Hospital, the average number of patients is 200 patients/month, the population in one week is 50 patients. The sampling technique was purposive sampling, the number of respondents was 44 people. Univariate analysis results show that patients are satisfied with reliability 68.2%, patients are less satisfied with responsiveness 52.3%, patients are satisfied with assurance 61.4%, patients are satisfied with empathy 54.5%), patients are satisfied with tangibles 60.4%. shows that patients are less satisfied with, nurses do not provide special time to help patients (walking, urinating/defecating) 68.2%, patients are less satisfied, nurses do not prepare medication that must be taken 61.4%, nurses do not ask enough about the patient's appetite 53 .3%, and patients are not satisfied. The bathroom floor in the room is not clean, slippery and smells 50%. Suggestions for increasing patient satisfaction, especially responsibility in this case, must pay attention to personal hygiene and patient medication administration.
HUBUNGAN PERILAKU CARING DENGAN KEMAMPUAN PERAWAT DALAM MELAKSANAKAN KESELAMATAN PASIEN DI IGD RSU GMIM PANCARAN KASIH MANADO
Authors: Rahmat Hidayat Djalil  , Helly Katuuk
Published: February 2025

The application of the patient safety system in various hospitals has aspects that must be improved, including the ability and attitude of health service executing officers. Nurses who are competent in patient safety are judged by their behavior when providing nursing care. Attitude or behavior is a nurse's readiness to take an action from experience that is given a dynamic influence on patient response, nurses are influenced by the quality of clinical and non-clinical skills related to the ability to provide nursing care. The purpose of this study was to determine whether there is a relationship between caring behavior and the ability of nurses to carry out patient safety.
This research is a quantitative research design with analytical descriptive method. Samples were taken based on the number of respondents who met the criteria and in accordance with the statistical test requirements as many as 32 respondents using total sampling. The data was collected by distributing questionnaires to each respondent. Furthermore, the data that has been collected is processed using the SPSS version 16.0 computer program to be analyzed by using the Chi-Square statistical test with a significance level of (a) 0.05.
The results in this study that there is a relationship between caring behavior and the ability of nurses to carry out patient safety at GMIM Pancaran Kasih Hospital Manado p = 0.000, this p value is smaller than the value of a = 0.05.
The conclusion in this study is that there is a relationship between caring behavior and the ability of nurses to carry out patient safety at RSU GMIM Pancaran Kasih Manado. Suggestions are expected to take advantage of the results that have been obtained by applying them in health services.
HUBUNGAN FUNGSI MANAJERIAL KEPALA RUANGAN DENGAN TINGKAT KEPATUHAN PERAWAT DALAM PENGENDALIAN INFEKSI NOSOKOMIAL
Authors: Nelfa Fitria Takahepis  , Sri Wahyuni
Published: February 2025

Nosocomial infection or also called hospital acquired infections (HAIS) is a hospital-acquired infection that occurs in patients who have been hospitalized for at least 72 hours and the patient shows no symptoms of infection at hospital admission Purpose to analyze the Relationship of Managerial Functions of the Head of Room With the Level of Nurse Compliance in the Control of Nosocomial Infection in Rsu Gmim Pancaran Kasih Manado.Descriptive analytic research method that is cross sectional. The sampling technique in this study used accidental sampling. Data collection was carried out by questionnaire and assisted by Observation. Furthermore, the data collected has been processed using SPSS Version 16.0.Chi-square Test results obtained a significant value of p = 0,000 which indicates that p value is smaller than α 0.05.The conclusion in this study there is a relationship between the Managerial Function of the Head of the Room with the Level of Compliance of Nurses in the Control of Nosocomial Infection in the Inpatient Room at the GMIM General Hospital Pancaran Kasih Manado, indicated by the Chi-square Test Results obtained (p) = 0.000 <0.05. The value of 0,000 is below the Alpha value of 5% (0.05).
Hubungan Tingkat Pengetahuan Perawat Dengan Perilaku Kepatuhan Melaksanakan Prinsip Pemberian Obat di RSU Pancaran Kasih GMIM Manado
Authors: Tirza Olgarni Mampuk  , Sri Wahyuni  , Kristine Dareda
Published: February 2025

Karakteristik profesi yaitu memiliki ilmu pengetahuan sikap, bertanggung jawab dan akuntabel tenaga kesehatan profesional  harus bertanggung gugat, dengan demikian mengurangi resiko pelanggaran keselamatan pasien. Pengetahuan adalah salah satu faktor dari manusia yang berpengaruh terhadap keselamatan pasien. Keselamatan pasien menjadi bagian penting dalam pelayanan keperawatan. Perawat sebagai tenaga terdepan yang bersentuhan langsung dengan pasien bertanggung jawab menyediakan layanan yang menunjang keselamatan tersebut. Tujuan penelitian ini untuk mengetahui hubungan tingkat pengetahuan perawat dengan prilaku kepatuhan melaksanakan prinsip pemberian obat di RSU Pancaran Kasih GMIM Manado. Penelitian dilakukan dengan menggunakan metode penelitian deskriptif analitik yang bersifat cross sectional. Jumlah populasi adalah 38 orang. Sampel diambil berdasarkan jumlah responden sebanyak 38 orang dengan menggunakan purposive sampling. Pengumpulan data di lakukan dengan cara mengisi kuesioner dan dibagikan kepada subjek yang di teliti dengan menekankan pada masalah-masalah etika yaitu informed concent, confidentiality dan anonimity. Selanjutnya data yang telah terkumpul di olah dengan menggunakan bantuan komputer program SPSS versi 16,0 untuk di analisa dengan uji Chi Square dengan tingkat kemaknaan (ɑ) 0,05. Hasil penelitian menunjukkan bahwa di dapatkan perawat yang memiliki pengetahuan kurang berjumlah 11 responden (28,9%). hubungan antara tingkat pengetahuan perawat dengan perilaku kepatuhan melaksanakan prinsip pemberian obat p= 0,018. Nilai p ini lebih kecil dari nilai ɑ = 0,05.Kesimpulan dalam penelitian ini terdapat hubungan antara tingkat pengetahuan perawat tentang perilaku kepatuhan melaksanakan prinsip pemberian obat. Saran  agar supaya perawat selalu menerapkaan prinsip pemberian obat.
Hubungan Komunikasi Terapeutik Perawat Dengan Kepuasan Pasien Rawat Jalan di Rumah Sakit Robert Wolter Mongisidi Manado
Authors: Wa Seti Lahaja  , Minar Hutauruk  , Irama M. Yahya
Published: February 2025

Latar belakang : proses komunikasi terapeutik meliputi kemampuan dan komitmen yang tulus pada pihak perawat untuk membantu pasien mencapai kesembuhan. Salah satu unsur penilaian pasien terhadap pelayanan yang diberikan adalah komunikasi, karena komunikasi mempunyai peran yang besar dalam kepuasan pasien. Tujuan Komunikasi yang dilakukan secara terapeutik akan banyak menghindari   resiko yang tidak perlu terjadi dan akan membuat pasien merasa lebih nyaman dan puas terhadap pelayanan yang diberikan oleh perawat.
Metode Penelitian : Penelitian ini menggunakan metode Deskriptif Analitik yang bersifat Cross Sectional. Cara penarikan sampel dengan menggunakan Accidental Sampling dengan jumlah sampel sebanyak 95 responden. Adapun instrument penelitian yang digunakan adalah kuesioner dan data dianalisis menggunakan uji chi-square dengan tingkat signifikan ( = 0,05).
 
Hasil penelitian  menunjukkan  adanya  hubungan  yang  signifikan  antara
komunikasi terapeutik perawat dengan kepuasan pasien dengan hasil uji Continuity Correction diperoleh nilai p = 0,002 < nilai  = 0,05. maka artinya H0 ditolak dan Ha  diterima atau ada hubungan  antara komunikasi terapeutik perawat dengan kepuasan pasien.
Kesimpulan dalam penelititan ini terdapat hubungan antara komunikasi terapeutik perawat dengan kepuasan pasien rawat jalan.Berdasarkan hasil penelitian, maka perawat perlu mempertahankan sikap keterampilannya dalam berkomunikasi dengan pasien. Hal ini dikarenakan komunikasi berhubungan erat dengan tingkat kepuasan pasien.
Hubungan Penerapan Model Praktik Keperawatan Profesional/Dengan Tingkat Kepuasan Pasien di Paviliun Sarah
Authors: Yoan M. Paparang  , Silvia D. M. Riu  , Lorantina A
Published: February 2025

Pendahuluan. pasien merupakan konsumen yang penting dan untuk menjamin kepuasan pasien maka sangat perlu adanya pelayanan yang berkualitas tinggi sesuai dengan keinginan pasien. Tujuan penelitian ini untuk mengidentifikasi Hubungan Penerapan Model Keperawatan Profesional dengan Tingkat Kepuasan Pasien. Metode Penelitian dilakukan dengan menggunakan metode penelitian kuantitatif dengan menggunakan pendekatan Cross Sectional. Sampel diambil berdasarkan jumlah responden 57 orang dengan menggunakan teknik Non Probability Sample. data yang telah terkumpul diolah dengan menggunakan bantuan komputer program SPSS versi 16.0 untuk dianalisa dengan uji statistik Chi Sqaure dengan tingkat kemaknaan (α) 0.05. Hasil didapatkan nilai ρ = 0,001 dengan OR = 156. Kesimpulan Dalam penelitian ini terdapat hubungan penerapan MPKP dengan Tingkat Kepuasan Pasien di Paviliun Sarah. Saran Rumah Sakit lebih mempertahankan dan meningkatkan kualitas penerapan model praktik keperawatan professional metode tim di RSU GMIM Pancaran kasih Manado.
Gambaran Pengetahuan Ibu Hamil Tentang Anemia Di Pulau Buru
Authors: Asih Dwi Astuti  , Windatania Mayasari  , Erlin Kiriwenno
Published: February 2025

Anemia in pregnancy is anemia due to iron deficiensy, iron deficiency anemia in pregnant women is a health problem experienced by women all over the world, especially in developing countries. The Wold Health Organitation (WHO) reports that pregnant women who experience iron deficency are around 35-75% and it increases with increasing gestational age. Anemia is the most common health disorder in pregnancy according to WHO, the diagnosis of anemia in pregnosis is confirmed when the hemoglobin (Hb) level is < 11g/dL (7.45 mmol/L) and hematoric < 0.33. The prevalence of anemia in pregnant women worldwide is 41.8%. This study aims to describe the knowledge of pregnant women obout anemia in the working area of the Buru Islands. This research is a descriptive research design using a cross sectional approach. The sampel is 80 respondents. The research instrumet used a questionnaire. The results of the research, the level of knowledge about anemia to be good  in the Pulau Buru.
Mothers' Knowledge and Attitudes About Milk Eczema in Infants (0-24 Months) in Sianipar Village, Sub-District Balige Toba District
Authors: Jane Wilda Irmawati Sirait  , Ricard F. Marpaung
Published: February 2025

Milk eczema is a chronic, recurring skin inflammation accompanied by itching that is often experienced by infants. This milk eczema problem is actually not caused by breast milk (ASI) because from the results of a study conducted by Osborn (2007) it was found that babies who received breast milk intake for a longer time were less likely to experience milk eczema when compared to babies who had been given formula milk or solid food too early. The purpose of this study was to determine the knowledge and attitudes of mothers about milk eczema in infants (0-24 months) in Sianipar Sihail Hail Village, Balige District, Toba Regency in 2024. The design of this study was descriptive with a cross-sectional approach with a sample size of 38 people with a total sampling method. This study was conducted from October to November 2024. The instruments in this study were in the form of a questionnaire covering demographic data and a questionnaire on the knowledge and attitudes of mothers about milk eczema in infants (0-24 months). The results of the study showed that the majority of mothers had sufficient knowledge as many as 23 people (60.5%) and had a positive attitude 26 people (68.4%) about milk eczema. From this study, it is expected to be an input for every health worker in hospitals and private practices in improving the provision of information and understanding about milk eczema that occurs in infants, especially during immunization, considering that the incidence of milk eczema is still found today.
Nursing Care for Diabetic Ulcer Clients Treated at Kabanjahe Regional Hospital
Authors: Juli Evianna Br. Purba  , Miftahul Jannah
Published: February 2025

Diabetic ulcers are defined as erosion of the skin that extends from the dermis to deeper tissues, due to various factors and is characterized by the inability of the injured tissue to repair itself in a timely manner, resulting in damage to the integrity of the patient's skin. What can be done is to close the wound, closing the wound is an important way to prevent infection and moisture. Removing the wound and minimizing the possibility of bacterial infection can also help speed up the healing process. This study aims to obtain an overview of nursing care for clients with diabetic ulcers at Kabanjahe Regional Hospital, North Sumatra. This study uses a literature review method with a Nursing Care approach by taking one case as a unit of analysis. The unit of analysis is a client with diabetic ulcers. The data collection method is by interview, physical examination and supporting examination. The data collection instrument uses the Nursing Care format according to the provisions in force in the Arta Kabanjahe nursing study program. Based on data analysis, it was concluded that the assessment requires effective communication skills, nursing diagnoses are adjusted to the client's condition, planning and implementation are supported by supporting facilities and means, evaluations are carried out directly, both formative and summative. In client 1, 5 diagnoses were obtained, 3 diagnoses were not resolved and 2 diagnoses were resolved. In client 2, 4 diagnoses were obtained, 2 diagnoses were resolved.
Pengaruh Hospitalisasi terhadap Tingkat Kecemasan pada Anak Pra Sekolah di Rumah Sakit Permata Medika Semarang
Authors: Wahyuningsih Wahyuningsih  , Niken Sukesi
Published: February 2025

Hospitalization is a state of crisis in children when they are sick and hospitalized. This condition occurs because children try to adapt to a foreign and new environment, namely the hospital, so that this condition becomes a stressor factor for children and their families. Anxiety as an emotional state that has characteristics of physiological arousal, unpleasant feelings of tension, and fear that something bad will happen. Anxiety responses in toddlers are indicated by crying, protesting, reacting with anger, strong emotions, restlessness and screaming Pain and anxiety are two things that are interrelated and influence each other. Pain can cause children to feel afraid and anxious.The purpose of this study was to determine the effect of hospitalization and anxiety levels in preschool children at Permata Medika Hospital.Method: This type of research is quantitative, with a cross-sectional approach, where the cause variable or independent variable and the effect variable or dependent variable are measured at the same time and for a moment.The results of the study showed that there was a significant effect between hospitalization and children's anxiety levels with a significance value (p) of 0.000. hospitalization on children's anxiety levels. Thus, the better the Hospitalization, the lower the Child's Anxiety Level. The results of the statistical test using the Spearman's Rank test obtained a p-value of 0.00 (p <0.05) with an r value = 0.415 and a positive correlation direction. P value 0.00 (p <0.05) means that the research hypothesis is accepted. Conclusion: There is an influence between hospitalization on children's anxiety levels and hospitalization on children's anxiety levels. Thus, the better the hospitalization, the lower the child's anxiety level.
Hubungan Jumlah Asupan Natrium dengan Kejadian Hipertensi pada Penderita Usia 45-59 Tahun di Kelurahan Sungai Harapan Wilayah Kerja Puskesmas Sekupang Kota Batam Tahun 2023
Authors: Irma Suryani  , Nelli Roza  , Haqqelni Nur Rosyidah
Published: February 2025

Hypertension is the most commonly experienced health problem that is often referred to as a silent killer because it is often without complaints. One of the factors causing hypertension is sodium intake. The purpose of this study was to determine the relationship between sodium intake and the incidence of hypertension at the age of 45-59 years in Sungai Harapan Village, Batam City. The research method used was a cross sectional design with a total sample of 96 people. The results showed that most respondents had high sodium intake as many as 57 people (59.4%) and most respondents experienced hypertension as many as 60 people (62.5%). Based on statistical analysis using the chi-square statistical test with a confidence level of α 0.05, the p value of 0.000 <0.05 was obtained. Thus, there is a relationship between sodium intake and the incidence of hypertension at the age of 45-59 years in Sungai Harapan Village, Sekupang Health Center Working Area, Batam City.
Hubungan Status Imunisasi dengan Kejadian Diare pada Balita Usia 3-5 Tahun di Kelurahan Baloi Permai Wilayah Kerja Puskesmas Baloi Permai Kota Batam Tahun 2023
Authors: Pitria Ramadani  , Nelli Roza  , T. Eltrikanawati
Published: February 2025

This study aims to identify and determine the relationship between immunization status and the incidence of diarrhea in toddlers aged 3-5 years. The sample in this study amounted to 72 toddlers, namely 36 cases (diarrhea) and 36 controls (no diarrhea). This study uses Case Control design with systematic sampling technique and Chi Square data analysis. The results showed a relationship between immunization status and the incidence of diarrhea in toddlers with a significance value of 0,03 < α (0,05). Children with incomplete immunization are more at risk of suffering from diarrhea with Odd Ratio = 2.864. To prevent the occurrence of diarrhea in toddlers, health centers can provide information or provide counseling and education about the importance of immunization and improve efforts to overcome risk factors for diarrhea in toddlers.
Implementasi Rekam Medis Elektronik di Rumah Sakit
Authors: Amelia Septi Ayuni  , Fita Rusdian Ikawati  , Anis Ansyori
Published: February 2025

Electronic Medical Records (EMRs) are a crucial element in advancing healthcare services, driven by technological and legal advancements, offering benefits such as efficiency, data accuracy, and enhanced patient safety. However, EMR implementation faces challenges, including differences in user perceptions and technical obstacles, necessitating effective strategies to optimize their use. This study aims to describe the challenges and benefits of implementing electronic medical records in hospitals. This study is a literature review using the PRISMA (Preferred Reporting Items for Systematic Review and Meta-Analyses) framework. It was found that the success of EMR implementation in hospitals is influenced by ease of use, benefits, human resource readiness, and infrastructure. However, challenges such as medical staff resistance, budget constraints, accessibility, and data security risks persist. Effective change management and cost management strategies are necessary to ensure system sustainability. The implementation of Electronic Medical Records (EMRs) enhances healthcare service efficiency, information access, and patient safety. However, it faces challenges such as low digital literacy, system limitations, and inadequate medical staff commitment. Effective strategies are required for optimal EMR implementation..
Identifikasi Keselamatan dan Kesehatan Kerja dengan Metode Job Safety Analysis (JSA) di Industri Bengkel Farisna, Semarang
Authors: Ismi Elya Wirdati  , Annisa Nur Utami  , Lutfi Muzaqi  , Izzatul Alifah Sifai
Published: February 2025

Hazard identification and risk assessment in the Farisna workshop are classified based on the work performed. The use of machinery, equipment, supporting materials, workshop environment, and mechanical work procedures can be a source of potential hazards for workers in the workshop, therefore it is necessary to evaluate health in the Farisna workshop to prevent the risk of harm.  This study aims to determine the planning and evaluation of occupational health in the engineering sector in the Farisna workshop. This research method is descriptive qualitative. Using total sampling technique. Data collection by observation with research instruments using JSA or Job Safety forms. The results of this study indicate that of the 7 work activities in the workshop there are 5 activities with medium or medium risk, and there are 2 high risk or high. Medium risks such as being crushed and crushed by heat stress montors, heat disorders, slipping and skin irritation, skin blisters, scratches and punctures, back pain. While the high risk of work activities in the workshop is exposed to explosions, burns, skin irritation, and respiratory problems. Prevention to avoid the risk of work in the workshop should be when working using PPE, doing work carefully, and putting tools in place, and providing fire extinguishers to prevent accidents.
Analisis Beban Kerja Petugas Rekam Medis RSUD DR. R. Soedarsono Pasuruan
Authors: Tatsbita Sabrina  , Lilik Afifah  , Fita Rusdian Ikawati
Published: February 2025

Medical records are a hospital service that stores patient identity data and plays a role in making medical decisions. Analysis of the workload of medical records officers is needed to ensure efficiency and effectiveness in implementation. This study aims to identify and evaluate the workload of medical records officers at RSUD dr. R. Soedarsono Pasuruan using the Health Workload Analysis (ABK-KES) method. This study is quantitative descriptive in nature with data collection methods in the form of observation, interviews, questionnaires, and document review. Research findings reveal that there is inequality in the distribution of workload in various medical records units, which can impact the quality of hospital services. Therefore, researchers suggest that the workforce with D3 and D4 qualifications still needs to be increased to support higher quality services and it is necessary to optimize the number of workers and make the workload distribution more balanced. Hospital management is also advised to recruit D3 and D4 staff to be more competent in medical record management and training to increase the effectiveness of services at the hospital. Optimizing the workforce by ABK-KES, medical services are expected to operate more effectively so a strategy for optimizing the number and distribution of the workforce is needed to increase service efficiency.
Stres pada Siswa Madrasyah Aliya “B” di Mariana Kabupaten Banyuasin
Authors: Santi Rosalina  , Heriziana. Hz
Published: February 2025

Basic Health Research Data (Riskesdas) in 2018, the prevalence of adolescents aged >15 years who experience emotional disorders in the form of stress, depression and anxiety disorders reached 9.8% (Ministry of Health of the Republic of Indonesia, 2018) . The large number of academic assignments makes students have to work on these assignments until late at night and become tired and sleepy in class. This causes students to be lazy to study and less able to concentrate on lessons in class. Students also often feel anxious during exams and are afraid of lowering their grades . This study aims to obtain a description of academic stress and the characteristics of students at Madrasah Aliyah "B" in Mariana, Banyuasin Regency. This study is a descriptive study, which was conducted at Madrasah Aliyah "B" in Mariana, Banyuasin Regency . The study population was all students at Madrasah Aliyah "B" totaling 80 students so that respondents were taken using the total population method. Data collection was carried out using the DASS 42 questionnaire (Depression Anxiety Stress Scales 42). The DASS 42 questionnaire used in this study will only measure stress levels through 14 statements. The measurement results will be grouped into stress (>15) and non-stress (0-14). Data analysis used in this study is univariate analysis to obtain an overview of the distribution and proportion of all variables studied. The results of the study showed that the majority of respondents were male 41 students (51.25%), the highest age was 17 years (36.25%). Almost all of the respondents' parents worked as daily laborers (66.25%), lower middle socioeconomic status (58.75%), parents' education was junior high school/equivalent (65%), did not have conflict with family (86.35%). Students who experienced stress were 45 people (56.25%), male 53.33%, 17-year-old age group 57.7%, came from families with lower middle economic status 68.8%, did not have family conflict 51.1% and parents' education < junior high school as much as 71.1%. An emotional approach to teenagers by providing more attention and spiritual education to prevent stress in teenagers.
Perbedaan Pengaruh Birth Ball dan Hypnobirthing Terhadap Penurunan Nyeri Persalinan Kala I Fase Aktif di Wilayah Kerja Puskesmas Sei Langkai
Authors: Nurfaida Kamarullah  , Mona Rahayu Putri  , Ditte Ayu Suntara
Published: February 2025

Labor pain is needed to detect uterine contractions during childbirth, but pain also increases the mother's anxiety and fear during the birth process. Management of labor pain that can be done is birth ball therapy and hypnobirthing. The aim is to determine the difference in the effect of Birth Ball therapy and Hypnobirthing on reducing labor pain in the I phase active for maternity women in the working area of Puskesmas Sei Langkai Batam City. The design of this research is Quasi experimental with a Two-group interrupted time series design. Respondents were divided into 16 experimental groups and 16 control groups. The sampling technique used was purposive sampling and data collection using observation sheet. The results of the study were (p = 0.305 > 0.05), meaning there was no significant difference between the birth ball and hypnobirthing groups in reducing pain, (p = 0.003 < 0.05) meaning there is a significant difference between the pre-test and post-test scores on pain reduction, (p = 0.718 > 0.05) meaning there is no interaction between group (birth ball and hypnobirthing) and score (pre-test and post-test) on reducing pain. Based on these results, it can be concluded that measurement time (pre-test and post-test) has a significant effect on pain scores, but there is no significant effect between different groups, and there is no significant interaction between group and time on reducing labor pain.
Frieden gibt es nur im Jenseits
Authors: Weidringer Walter
Published: February 2025

Die Wiener Staatsoper präsentiert eine neue «Zauberflöte», an der Volksoper Wien wird – unter dem Titel «KaiserRequiem» – Ullmanns «Kaiser von Atlantis» mit Mozarts Requiem verschränkt

VON WALTER WEIDRINGER
«Die Utopie ist da, es gibt sie!»
Authors: Otten Jürgen
Published: February 2025

Eigentlich wollte er Cellist werden. Doch dann entdeckte LORENZO FIORONI die Musiktheaterregie und zeigt seither, wie richtig diese Entscheidung war. Seine bildmächtigen Arbeiten durchweht ein höchst erfinderischer Geist, der Scharfsinn mit Esprit und Humor verbindet. Ein Gespräch über Intuition, Widersprüche, den Vorteil von Teamarbeit und die Frage, wie man die Welt neu erfinden kann und muss

VON JÜRGEN OTTEN
IN DIE TIEFE GEBOHRT
Authors: Adler Silvia
Published: February 2025

Wagner: Der fliegende Holländer

WIESBADEN | HESSISCHES STAATSTHEATER
ENTMYSTIFIZIERT
Authors: Kaminski Michael
Published: February 2025

Wagner: Tristan und Isolde

LIÈGE | OPÉRA ROYAL DE WALLONIE
SANFT SARKASTISCH
Authors: Schreiber Wolfgang
Published: February 2025

Zemlinsky: Kleider machen Leute

COTTBUS | STAATSTHEATER
URBI ET ORBI
Authors: Chernomordik Anna
Published: February 2025

Für die Stadt und immerhin den Landkreis: Das «THEATER FÜR NIEDERSACHSEN» bedient seit 2007 nicht nur Hildesheim, sondern auch 60 Orte im Bundesland. Eine Aufgabe, der Intendant Oliver Graf aus Überzeugung gerecht werden möchte. Sein Rezept für die Spielplangestaltung lautet: Neues, Unbekanntes – und das «Trilogie-Prinzip»
Haus der Geschichte(n)
Authors: Müller Regine
Published: February 2025

Nach nur zwei Jahren Sanierung eröffnet das (Musik-)Theater an der Wien mit einer vergessenen Operette von Johann Strauss und erstrahlt im neuen Glanz
lebenskünstler
Authors: Weickmann Dorion
Published: February 2025

Vor zehn Jahren tauchte der Choreograf Eyal Dadon erstmals in Deutschland auf. Seitdem gastiert er hier regelmäßig. In Kassel hat er gerade «Shuv» inszeniert, kurz vor der Premiere beobachtet

Von Dorion Weickmann
rollenwechsel
Authors: Watts Graham
Published: February 2025

Jurgita Dronina, die neue Künstlerische Leiterin des Litauischen tionalballetts, verwandelte sich von der Spitzentänzerin in eine Führungskraft. Von Graham Watts
gewalt
Authors: Wesemann Arnd
Published: February 2025

Die Wissenschaftler*innen Sandra Noeth, Sandra Umathum und Janez Janša untersuchen, wie sich Körper vor Verletzungen, Angriffen und Diskriminierung
schützen. Interview: Arnd Wesemann