Prysmian Group (United Kingdom)

Background: The implementation of the Indonesian Nursing Diagnosis Standards (IDHS) in clinical practice continues to encounter obstacles, including limited time for assessment, documentation burden, and inconsistency in diagnostic interpretation among nurses. Advancements in artificial intelligence (AI) offer opportunities to design clinical decision support systems that may enhance the accuracy, uniformity, and efficiency of nursing diagnoses. Objective: This study aimed to explore nurses’ experiences, challenges, and expectations regarding the use of IDHS and to assess the initial feasibility of developing an AI-based system to support standardized nursing diagnoses. Methods: A descriptive qualitative design was employed using in-depth interviews with five nurses from diverse clinical settings, including emergency, critical care, inpatient, outpatient, and community services. Thematic analysis was conducted to identify perceptions and needs related to IDHS and AI. Content validity of the preliminary system design was evaluated by three expert validators using the Item-Level Content Validity Index (I-CVI) and the Scale-Level Content Validity Index/Average (S-CVI/Ave). Results: Five major themes emerged: (1) varied experiences in formulating nursing diagnoses, (2) inconsistent use of IDHS in practice, (3) challenges related to documentation and diagnostic interpretation, (4) positive attitudes toward AI integration in clinical workflows, and (5) the need for features such as automated diagnostic suggestions, clarification of clinical criteria, and integration with electronic medical records. Content validity testing demonstrated strong agreement among experts, with I-CVI values ranging from 0.80 to 1.00 and an S-CVI/Ave of 0.92. Conclusion: The study indicates that integrating AI into the IDHS-based diagnostic process holds substantial potential to improve diagnostic quality, standardization, and clinical efficiency. The content validity results support further development and prototype testing in subsequent research phases

Stunting di wilayah kerja Puskesmas Sawah Lega merupakan masalah kesehatan masyarakat yang kompleks, dipengaruhi oleh berbagai faktor termasuk pola asuh, kondisi ekonomi, dan akses terhadap layanan kesehatan. Meskipun terdapat upaya yang signifikan untuk mengatasi masalah ini melalui program-program intervensi, tantangan tetap ada dalam mencapai hasil yang optimal. Oleh karena itu, diperlukan upaya kolaborasi untuk meningkatkan kesadaran akan pentingnya gizi dan pola asuh yang baik demi masa depan anak-anak di wilayah tersebut. Solusi yang ditawarkan untuk permasalahan prioritas tersebut adalah Intervensi interprofesional kolaboratif (IPC) tenaga Kesehatan dengan Kader melalui pendekatan Case Management. Kegiatan yang dilakukan meliputi Identifikasi bertujuan untuk mengidentifikasi pengetahuan kader dan keterampilan komunikasi kader. 2) Perencanaan yang bertujuan menyusun perencanaan sesuai kebutuhan kader meliputi Pelatihan dan pembinaan bagi kader dan Pendampingan serta pembinaan kader, 3) Implementasi, yaitu menyelenggarakan pelatihan penguatan pengetahuan kader tentang stunting dan melakukan pendampingan oleh tenaga Kesehatan, 4) Evaluasi. Metode pelaksanaan yang digunakan untuk kegiatan kolaborasi ini menggunakan pendekatan case management. Peningkatan pengetahuan kader tentang pencegahan, penanganan, dan pengendalian stunting dapat dilihat dari perbedaan nilai rat-rata pre-test dan post test. Nilai rata-rata pengetahuan pre test adalah 77,72 sedangkan untuk nilai rata-rata post-test adalah 82,5. Kegiatan IPC ini dapat dilakukan secara berkala dan berkesinambungan sebagai bentuk dukungan bagi kader dan wujud tanggung jawab seluruh pihak dalam mewujudkan Masyarakat bebas stunting.

Kanker payudara merupakan jenis kanker dengan prevalensi tertinggi pada perempuan Indonesia, namun kesadaran deteksi dini di kalangan remaja putri masih rendah. Pendekatan digital edukatif berbasis video interaktif dan QR code berpotensi menjawab kesenjangan ini. Mengevaluasi efektivitas edukasi digital kanker payudara berbasis video interaktif dan QR code dalam meningkatkan pengetahuan dan perilaku deteksi dini di kalangan generasi muda. Program dilaksanakan di wilayah kerja Puskesmas Sukawarna, Bandung, selama 3 bulan. Intervensi mencakup produksi video edukatif, distribusi QR code di ruang publik, penyuluhan remaja, dan pelatihan kader. Evaluasi dilakukan melalui survei pre-post, pemantauan pemindaian QR code, dan wawancara evaluatif. Terjadi peningkatan signifikan pada pemahaman langkah Sadari (21,7% menjadi 78,3%) dan tanda bahaya kanker payudara (28,3% menjadi 83,3%). Sebanyak 95% peserta merasa video mudah dipahami dan 76,7% termotivasi membagikan informasi. QR code dipindai 486 kali dalam 4 minggu, dan 10 kader remaja berhasil menyebarluaskan edukasi ke 200 orang. Edukasi digital berbasis video interaktif dan QR code merupakan pendekatan efektif, murah, dan mudah direplikasi untuk meningkatkan literasi dan perilaku deteksi dini kanker payudara pada generasi muda. Program ini mendorong kolaborasi lintas sektor dan pemberdayaan komunitas sebagai strategi pencegahan berbasis bukti.

Effective self-care is essential for individuals with heart failure to maintain physical stability, prevent symptom progression, and detect early signs of clinical deterioration. Despite its importance, many patients experience difficulties in adhering to self-care behaviors. Previous studies have indicated that various factors—including educational background, depressive symptoms, digital health literacy, knowledge of heart failure, and social support—may influence self-care capacity. This study aims to examine the factors that contribute to self-care behaviors among heart failure patients. A quantitative approach was applied using a cross-sectional design. A total of 119 participants were recruited from a cardiac outpatient clinic using convenience sampling. Data collection instruments included demographic questionnaires, the Self-Care of Heart Failure Index (SCHFI), Patient Health Questionnaire-9 (PHQ-9), eHealth Literacy Scale (eHEALS), Dutch Heart Failure Knowledge Scale (DHFKS), and the Medical Outcomes Study Social Support Survey (MOS-SSS). Pearson’s correlation was used for bivariate analysis, and linear regression was conducted for multivariate analysis. The findings indicated a significant relationship between depressive symptoms and self-care (p = 0.004, r = 0.259), and between eHealth literacy and self-care (p = 0.003, r = 0.267). No significant associations were observed between self-care and education level (p = 0.062), knowledge level (p = 0.399), or social support (p = 0.644). In summary, depressive symptoms and eHealth literacy were found to be significant predictors of self-care in individuals with heart failure. Among these, eHealth literacy had the greatest impact, highlighting the importance of digital competency in managing chronic conditions.

Background: Early-childhood social-emotional development (SED) is strongly related to lifelong well-being and academic development and mental health resilience. The absence of tools that are suitably culturally and linguistically validated for assessing SED in Indonesia nevertheless limits early opportunities for identifying developmental concerns. The objective of this study was to translate and validate the Ages and Stages Questionnaire: Social-Emotional (ASQ:SE) into Bahasa Indonesia so that it can be reliably and validly used in assessing SED for Indonesian children. Purpose: this study aimed to translate, cultural adaptation, and the validation of the ASQ:SE for Indonesian children 6 to 60 months of age, thus ensuring the soundness of any psychometric properties when applied in the local context. Methods: This cross-sectional study involved 350 parents or caregivers of children aged 6–60 months from community health centers and early childhood education programs across urban and rural areas of Java, Indonesia. The ASQ:SE was translated forward and back, reviewed by experts, and subjected to cognitive debriefing. Psychometric properties were measured by confirmatory factor analysis (CFA) for its construct validity, using Cronbach’s alpha for internal consistency, an intraclass correlation coefficient (ICC) for test-retest reliability, and known-groups validity to distinguish typically developing children from those with clinician-identified developmental delays. Results: The model fit from the CFA was acceptable (χ²/df = 2.15, CFI = 0.91; TLI = 0.89, RMSEA = 0.06). Internal consistency was very high (α = 0.86), and the test-retest reliability revealed very high stability (ICC = 0.89, 95% CI = 0.85–0.92). Known-groups validity established that the scores were significantly different (t = 5.62, p < 0.001) between typically developing children and those with developmental delays, confirming the discriminative ability of the tool. Conclusion: The Indonesian version of ASQ:SE is marked by reliability and validity that are strong enough to render it a culturally appropriate instrument for assessing the SED of Indonesian children. In clinical and educational settings, this can provide an avenue for building towards and supporting further developmental delay and thus child development.

Aims: The primary aim is to raise catastrophe awareness and preparedness, especially in disaster-prone areas. Health education and consulting by nurses using digital media like modules to teach disaster planning, first aid, and recovery can assist communities recover from disasters. Method: This research is a Quasi Experiment research with a research design. Quasi-Experimental Two Group pretest-posttest design . The number of respondents was 60. Inclusion criteria in this study were aged 17-35 years . Results: Mann-Whitney Test Analysis . The average value of the intervention group was greater than the control group. The Sig. (2-tiled) value shows that there is a significant influence of the Digital Module intervention on the level of disaster preparedness in the community with a p-value of 0.000 <0.05. Conclusion: In this study, it can be concluded that the Digital Module has an influence on increasing community preparedness in the intervention and control groups, there is a significant difference.

Background: Physical activity and fear of childbirth (FoC) are recognized as influential factors on QoL. However, the interplay of these factors remains underexplored in the Indonesian context, where cultural and healthcare settings differ from high-income countries. Objective: To investigate the relationships between physical activity, fear of childbirth, and quality of life among pregnant women in Indonesia. Methods: This cross-sectional study involved 250 pregnant women recruited through convenience sampling from healthcare facilities in Indonesia. Data were collected using validated instruments: the Physical Pregnancy Activity Questionnaire (PPAQ), Wijma Delivery Expectation Questionnaire (WDEQ-A) for FoC, and Quality-of-Life Gravidarum (QOL-GRAV) questionnaire. Multiple regression analysis was employed to assess the relationships among physical activity, FoC, and QoL, adjusting for confounders. Results: The mean age of participants was 28.4 years (SD = 5.6), with 67.6% reporting moderate physical activity levels. FoC was prevalent, with 45.2% experiencing high levels, while 34.8% reported high QoL. Physical activity was positively associated with QoL (r = 0.52, p < 0.001), while FoC was negatively associated (r = -0.61, p < 0.001). Multiple regression revealed that physical activity (β = 0.39, p < 0.001) and FoC (β = -0.46, p < 0.001) were significant predictors of QoL, explaining 42.5% of the variance (R² = 0.425, p < 0.001). Conclusion: These findings underscore the importance of incorporating physical activity promotion and FoC mitigation into antenatal care to enhance maternal well-being.

Introduction: The coaching clinic is one of the strategies designed to increase nurses' knowledge in conducting genetic counseling for patients and families of thalassemia patients. Nurses will not only be given information, but they will also be taught how to communicate and how to use genetic counseling to make sure the coaching clinic's goals are met. Objective: This study aims to describes the effect of a simple coaching clinic on nurses' knowledge of genetic counseling implementation in thalassemia care. Methods: This research used a quantitative approach and was conducted on August 20th–21st , 2022. The design of this study was quasi-experimental without a control group. This study obtained a total sample of 29 nurses using a proportional sampling technique and inclusion criteria. The inclusion criteria in this study were nurses with a diploma degree, an undergraduate education background, and registered nurses. The data collection instrument was a 30-questions genetic counseling questionnaire. IBM SPSS version 25.0 was used to analyze the data using the Wilcoxon test. Results: Simple coaching clinic proved to have a significant effect in improving the knowledge level of nurses in general with p-value = 0.004. Knowledge level improvement can be seen from Mean (+SD) 53.67 (+13.64) to 69.67 (+8.26). Likewise with nurses' knowledge about thalassemia, genetic counseling and bio-informatics, the majority of respondents experienced positive changes. In contrast to the genetic topic, the majority of respondents did not experience a change in their level of knowledge so that a p-value >0.05 was obtained. Conclusions: Changes in level of knowledge indicated that the coaching clinic's effects on level of knowledge are significant and have an impact on health services across a variety of health institutions, including clinics and hospitals. As a result, it is critical to have a health strategy that promotes the accessibility of genetic counseling services for patients with thalassemia and other genetic illnesses.