ProHealth Journal

Mixed Methods Exploratory Study: Analisis Penerapan Budaya Keselamatan Pasien

2025-12-31T08:51:38+00:00

Patient safety is a fundamental principle in healthcare services and a global challenge. This study analyzes the implementation of a patient safety culture at BIMC HospitalKuta. Using a mixed-methods approach with a sequential exploratory design, qualitative data were collected through in-depth interviews and observations of the nursing director, safety officer, head nurse, and implementing nurses. Qualitative analysis was conducted using the Miles and Huberman model, followed by quantitative research using the HSOPSC questionnaire which was analyzed descriptively. Qualitative findings indicate that the patient safety culture in this hospital has been integrated into the staff's work habits, despite challenges such as fear of sanctions when reporting incidents and technical issues with the electronic reporting system. On the other hand, the quantitative results show a positive perception, with a Mean of 4.602 and a Median of 5.000 for positive statements, as well as a Mean of 1.347 with a Median of 1.000 for negative statements, indicating that respondents do not perceive any obstacles in the implementation of the patient safety culture. The difference in results between qualitative and quantitative research is caused by differing individual and public perceptions. The implementation of a safety culture in this hospital is influenced by nursing leadership and management support, with an effective incident reporting system through the MedBlaze platform that prioritizes the principles of just culture.

Gambaran Persepsi Remaja tentang Triad Kesehatan Reproduksi Remaja dengan Teori Health Belief Model

2025-12-31T08:51:38+00:00

The Health Belief Model is an appropriate instrument for predicting adolescent health behavior. It provides an overview of the perception of internal factors, external factors and produces adolescent beliefs related to the KRR Triad. The purpose of the study was to determine the overview of adolescent perceptions of the KRR Triad with the Health Belief Model Theory at SMAN 1 Kuta. The type of research was descriptive. The sample size of 64 was taken by proportional random sampling, namely Grade XI students were divided into 12 classes, from each class a number of male and female students were taken, the instrument used was the Health Belief Model - Perceived Susceptibility (HMPBB) questionnaire with a total of 90 statements. The results showed negative perceptions in the perception of vulnerability as many as 61 people (95.3%), and perceptions of obstacles as many as 53 people (82.8%), positive perceptions in the perception of seriousness 57 people (89.1%), perceptions of benefits 42 people (65.6%), self-efficacy 41 people (64.1%), and cues to action 46 people (71.9%). Data collection was conducted on April 21, 2025, at SMA N 1 Kuta. The conclusion is that adolescents have a negative perception of the KRR triad in terms of perceived vulnerability and perceived barriers. Suggestions for KSPAN activities include using intervention strategies that involve active adolescent participation, interactive media, and peer-based approaches.

Hubungan Tingkat Pengetahuan dan Perilaku Mencuci Tangan terhadap Kejadian Diare pada Siswa Sekolah Dasar

2025-12-31T08:51:38+00:00

Diarrhea is an infectious disease in the gastrointestinal tract as a result of poor environmental sanitation and personal hygiene so that it can attack and kill all ages, but cases of diarrhea in children and infants can be at risk of causing death. Research purposes to analyze the relationship between the Level of Knowledge and Handwashing Behavior to the incidence of diarrhea in elementary students in the Puskesmas I area of West Denpasar. This research design uses quantitative descriptive with a cross-sectional approach. The total sample was 101 respondents using random sampling techniques. The data collection tool used was a questionnaire sheet. This research uses the Chi-Square test. Research Results: The Hand Washing Behavior variable has a significant relationship with the incidence of diarrhea because the results of the P-value show results <0.05, and have a 3.075 greater influence on the incidence of diarrhea. The conclusion from this research is The Hand Washing Behavior variable has a significant relationship with the incidence of diarrhea because the results of the P-value show results <0.05, and have a 3.075 greater influence on the incidence of diarrhea.

Hubungan Pengetahuan dan Motivasi dengan Kepatuhan Minum Obat Anti Tuberkulosis (Oat) pada Pasien TB

2025-12-31T08:51:38+00:00

TB patients' knowledge and motivation will have an impact on their compliance in implementing the treatment program. The better a person's knowledge, the more obedient they will be in carrying out quality treatment and the higher a person's motivation, the higher a person's enthusiasm will be to achieve healing. The aim of this research is to determine and describe the relationship between knowledge and motivation and adherence to taking anti-tuberculosis medication. The type of research used is cross-sectional. The population in this study was 136 patients with tuberculosis in the work area of South Denpasar Health Center II with a sample size of 114. The measuring tool used was a questionnaire. Data analysis used univariate and bivariate analysis with the chi-square test. The results show that knowledge and adherence to taking medication shows there is a relationship (p value 0. 089), motivation and adherence to taking medication shows there is no relationship (p value 0.279). Discussion: It can be concluded that there is no relationship between knowledge and motivation and compliance with taking anti-tuberculosis medication in TB patients, as community health center nurses need to carry out health education about TB and provide motivation to TB patients using a therapeutic approach.

Hubungan Pengetahuan dan Sikap Ibu Nifas tentang Perawatan Luka Perineum

2025-12-31T08:51:38+00:00

A postpartum mother's knowledge of perineal wound care is crucial in wound healing and preventing infection. The purpose is to find out the relationship between knowledge and attitudes of postpartum mothers about perineal wound care. Type of research Analytical survey with a crosssectional approach, The research location is in the Work Area of the Sukaraja Health Center, the research was conducted in May-June 2025, The population is all postpartum mothers who gave birth in the working area of the Sukaraja Health Center and experienced perineal tears, the sample in this study amounted to 45 postpartum mothers who experienced perineal injuries with accidental sampling techniques. The instrument uses a questionnaire. Test the statistic with a chi-square. The results were obtained that the age of most of the people was 20-35 years old as many as 29 people (64.4%), education was mostly low as many as 23 people (51.1%), work was mostly not working as many as 25 people (55.6%) and parity was mostly primipara as many as 26 people (57.8%), knowledge was mostly lacking as many as 23 people (51.1%) and perineal wound care was mostly not carried out as many as 31 people (68.9%). The chi-square statistical test obtained a value of p=0.000 <0.05, meaning that there is a meaningful relationship between the knowledge and attitude of postpartum mothers about perineal wound care in the work area of the Sukaraja Health Center. To increase the knowledge of postpartum mothers, health workers and health centers must provide educational information on how to properly treat perineal wounds..

Efektivitas Penggunaan TikTok sebagai Media Edukasi terhadap Pengetahuan Remaja dalam Persiapan Pernikahan

2025-12-31T08:51:38+00:00

Marriage is one of the important steps in human life that binds men and women as husband and wife. There are regulations that setthe ideal age limit for marriage. However, there is still a high rate of early marriage dispensation. In line with technological developments, social media has become a means of information and education, TikTok is a social media platform that is trendingamong adolescents and has great potential as a means of education. This study aims to determine the effectiveness of using TikTok as an educational medium for adolescent knowledge in preparing for marriage at SMA Negeri 1 Gorontalo. This type of research is quantitative research using Quasi-experimental with a one group pretest-posttest design. The research sample was 41 class XII students at SMA Negeri 1 Gorontalo who were selected using the purposive sampling technique. The instrument used was a pretestand posttest questionnaire that had been tested for validity and reliability. Data analysis was carried out univariately and bivariately using the Wilcoxon Signed rank test. The results of the study showed a significant increase in adolescent knowledge after being given education through TikTok videos for six days, with a significance value of p = 0.000 (<0.05). It can be concludedthat TikTok media is effective as a means of education in increasing adolescent knowledge about marriage preparation. It is hoped that this study can be considered as a premarital education strategy in marriage preparation.

Pengaruh Massage Effleurage terhadap Peningkatan Kualitas Tidur pada Ibu Hamil Trimester III

2025-12-31T08:51:38+00:00

Trimester III adalah salah satu periode kehamilan yang memerlukan perhatian khusus. Keluhan atas ketidaknyamanan ibu pada kehamilan Trimester III menyebabkan ibu mengalami insomnia (susah tidur), sehingga menyebabkan kualitas tidur ibu menurun. Kualitas tidur ibu diukur menggunakan lembar kuisioner PSQI. Salah satu penatalaksanaan yang dapat dilakukan untuk mengatasi hal tersebut adalah dengan melakukan tehnik Massage Effelurage. Tujuan dari penelitian ini adalah untuk mengetahui Pengaruh Massage Effleurage Terhadap Peningkatan Kualitas Tidur Pada Ibu Hamil Trimester III di Rumah Sakit Bhayangkara Denpasar

Design Penelitian ini adalah Pre-Eksperimental melalui One Group Pretest-Postest Design. Jumlah sampel sebanyak 30 orang ibu hamil trimester ke III dengan teknik pengambilan sampel Non-Probability Sampling , jenis Purposive Sampling. Data dianalisis dengan menggunakan Uji Wilcoxon untuk mengetahui kualitas tidur ibu sebelum dan sesudah dilakukan intervensi,

Setelah pemberian intervensi berupa massage effleurage, semua responden menunjukkan peningkatan menjadi kualitas tidur cukup (100,0%). Berdasarkan hasil dari perhitungan wilcoxon, didapat p value sebesar 0,000< 0,05, maka pada taraf kepercayaan 95%, Ha diterima, artinya Ada Pengaruh Massage Effleurage Terhadap Peningkatan Kualitas Tidur Pada Ibu Hamil Trimester III di Rumah Sakit Bhayangkara.

Pengaruh Aromaterapi Lavender terhadap Tingkat Kecemasan pada Ibu Nifas

2025-12-31T08:51:38+00:00

The postpartum period is the most critical period in the life of mother and baby. Complaints that often arise in mothers with postpartum anxiety are feeling anxious, worried about her the condition and the baby, having sleep disorders, concentration disorders, feeling afraid of being alone. Postpartum maternal anxiety is measured using the DASS questionnaire sheet. Management that can be done to overcome this is by providing Lavender Aromatherapy. This research design is Pre-Experimental through One Group Pretest-Postest Design. The number of samples is 30 postpartum mothers with Non-Probability Sampling sampling technique, Purposive Sampling type. Data were analyzed using the Wilcoxon test to determine the difference in anxiety levels before and after being given lavender aromatherapy. Description of postpartum maternal anxiety before being given lavender aromatherapy at Bhayangkara Hospital, namely from a total of 30 respondents, most of the respondents before being given Lavender aromatherapy experienced moderate anxiety, namely 28 respondents (93.3%). The average level of maternal anxiety was 11.37. After the intervention, most of the respondents, namely 23 people (76.7%), were in the mild anxiety category. The average level of anxiety after the intervention was 8.53. Based on the results of the Wilcoxon calculation, a p value of 0.000 <0.05 was obtained, meaning that there is an effect of Lavender Aromatherapy on the level of anxiety in postpartum mothers at Bhayangkara Hospital, Denpasar. Health workers, especially midwives, can begin to integrate aromatherapy into postnatal care practices as a safe, inexpensive, and easy-to-apply supporting intervention.

Pengaruh Pemberian Terapi Musik Tradisional Bali terhadap Penurunan Intensitas Nyeri pada Ibu Kala I Fase Aktif

2025-12-31T08:51:38+00:00

Labor pain is a physiological process. Most women begin to feel pain during the latent phase of the first stage, and the intensity gradually increases as the process of delivering the fetus progresses. Labor pain in this study was measured using the Numeric Rating Scale (NRS) questionnaire. One method of managing this pain is distraction therapy through the use of traditional Balinese music. The intervention was conducted by providing 30 minutes of traditional Balinese music therapy to women in labor during the active phase of the first stage.

This study used a quasi-experimental design with a one-group pretest-posttest design. The sample consisted of 30 women in labor during the active phase of the first stage, selected using non-probability purposive sampling. Data were analyzed using the Wilcoxon test to determine the difference in pain intensity before and after the intervention.

The description of pain before the intervention showed that 15 women (50.0%) experienced moderate pain, and 15 women (50.0%) experienced severe pain. After receiving the intervention, 17 women (56.7%) reported mild pain, and 13 women (43.3%) experienced moderate pain. Based on the Wilcoxon test, the p-value was 0.000 < 0.05, indicating that at a 95% confidence level, there was a significant difference in pain intensity before and after traditional Balinese music therapy. Therefore, traditional Balinese music therapy has a significant effect on reducing labor pain. It is recommended that midwives and healthcare providers begin to integrate non-pharmacological approaches in pain management during labor, including the use of traditional Balinese music therapy.

Pengaruh Konsumsi Air Kelapa Muda terhadap Peningkatan Kadar Hemoglobin pada Ibu Post Partum

2025-12-31T08:51:38+00:00

Anemia is a condition characterized by a decrease in hemoglobin levels. One common complication during the postpartum periode is postpartum hemorrhage, which can be caused by anemia of mothers, as it can slow down wound healing, increase the risk of infection, recude brrast milk production, and cause extreme fatigue that interferes with mothers’ ability to care for newborns. Young coconut water consumption on increasing hemoglobin levels in postpartum mothers. The design used was a quasi-experiment with a pre-post test and a control group design involving a sample 0f 32 postpartum mothers divided into 16 intervention and 16 control groups. The result indicated that 10 mothers experienced an increase in hemoglobin levels after being given youngcoconut water, while six mothers experienced a decrease in hemoglobin levels. The p-value obtained was 0.045 < 0.05. Conclusion: young coconut water consumption increased hemoglobin levels in postpartum mothers at Limboto Health Center.

Pengaruh Penyuluhan Menggunakan Media Video dengan Phantom Gigi terhadap Tingkat Pengetahuan Kesehatan Gigi dan Mulut pada Anak

2025-12-31T08:51:38+00:00

School-age children are a vulnerable group regarding dental and oral health because during this period children begin to develop habits of maintaining healthy teeth and mouth that will last until adulthood. A person's habits are determined by the level of knowledge they have, one way to increase a person's knowledge is through health education. This research aimed to understand the comparison of the effect of counseling using video media with dental phantoms on the level of dental and oral health knowledge of grade V children at elementary school pembina negeri tulang ampiang. Methods : Quasi- experimental study using a two group pretest-posttest design approach. The sample used was 80 respondents divided into 2 groups using the lottery method. Data collection uses questionnaires. Result there is a significant difference in the average level of dental and oral health knowledge before and after being given health education using dental phantom media, with a value of p = 0.00. There is a significant difference in the average level of dental and oral health knowledge before and after being given health education using video media with a value of p = 0.00. There is a significant difference in mean comparison between counseling using dental phantom media and video media with a value of p = 0.038. Conclucion : counseling using dental phantom media is more effective than counseling using video media.

Pengaruh Terapi Musik terhadap Tingkat Nyeri Anak Usia Prasekolah Saat Dilakukan Pemasangan Infus

2025-12-31T08:51:38+00:00

IV infusion is a medical procedure that can cause discomfort, including pain, particularly in children. Children's pain can be quantified using the Wong Baker Faces Rating Scale questionnaire. One treatment option for overcoming this is to provide music therapy during IV infusion. The research design was a pre-experimental with an intact-group comparison design. The sample size was 34 respondents, divided into 17 experimental groups and 17 control groups, and the sampling technique was non-probability sampling, namely purposive sampling. The amount of pain among children in the control group when the infusion was performed in the Cilinaya ward of Mangusada hospital was described as follows: all 17 respondents (100% reported moderate pain). The average pain level among children in the control group was 3.76. In the intervention group, all respondents reported minor pain. Children in the intervention group reported an average pain level of 1.71. The Mann-Whitney statistical test yielded a p-value of 0.000 <0.05, indicating that music therapy affected pain levels in preschool children when administered in the Cilinaya ward.

Faktor-faktor yang Berhubungan dengan Siklus Menstruasi pada Remaja Putri

2025-12-31T08:51:38+00:00

The menstrual cycle is an important indicator of adolescent girls' reproductive health, which can be influenced by various physiological and psychological factors. Menstrual cycle disorders include menorrhagia, oligomenorrhea, polymenorrhea, and amenorrhea, which are generally associated with ovarian dysfunction, anovulation, and luteal phase disorders. If left untreated, these disorders can have long-term impacts on adolescent fertility and quality of life. Management efforts include weight management, regular exercise, adequate rest, stress management, and a nutritious diet. This study aims to determine the factors associated with the menstrual cycle in adolescent girls at MAN 1, Gorontalo City. The study used a quantitative approach with a cross-sectional design. A sample of 75 respondents was drawn using accidental sampling. The research instruments consisted of questionnaires and BMI measurements, with data analysis using the Chi-Square test. The results showed a significant relationship between BMI (p = 0.001) and a history of disease (p = 0.004) and the menstrual cycle, and no significant relationship between stress levels and the menstrual cycle (p = 0.599). It was concluded that BMI and a history of disease were related to menstrual cycle regularity, while stress was not related to the menstrual cycle. This study is expected to serve as a reference for adolescent reproductive health education and interventions.

Hubungan Gaya Kepemimpinan Demokratis Kepala Ruangan dengan Kepuasan Kerja Perawat

2025-12-31T08:51:38+00:00

Democratic leadership is a type of leadership that involves the participation of members in the decision-making process to build work commitment in achieving organizational goals. Democratic leadership is one of the factors that can influence nurses' job satisfaction. Aim to determine the relationship between democratic leadership style and nurses' job satisfaction. Method this study used a cross sectional approach with a sample of 80 nurses in inpatient ward at Empat Lawang Hospital, and chosen with total sampling. Data was collected using a questionnaire. Data analysis was performed in univariate and bivariate (chi-square).Result The results of the study were obtained by most of the 57 (71.3%) showed that most respondents assessed the head nurse’s leadership style as high and job satisfaction was categorized as very satisfied (72.5%). The bivariate analysis indicated a significant relationship between democratic leadership style and nurses’ job satisfaction (p= 0.000). Conclusion nurse job satisfaction is significantly influenced by the democratic leadership style of the ward head, so the researcher suggests that the hospital management be more consistent in implementing a democratic leadership style.