Introduction: Low birth weight (LBW) infants are vulnerable to health problems that impact growth and development. However, mothers as primary caregivers may not be able to provide care optimally. Factors associated with maternal characteristics need to be analyzed to determine pediatric nursing interventions to improve LBW infant care. This study aims to analyze factors associated with the nutritional status of Low-Birth-Weight Infants (1-12 months) based on maternal characteristics in agricultural areas of Jember Regency. Methods: The cross-sectional design study was conducted among infant and mother pairs by measuring nutritional status (Weight-for-Age) and distributing questionnaires on maternal characteristics such as age, education, parity, occupation, and responsive caregiving. Total sampling was collected in one of the agricultural areas of Jember that had a high LBW birthrate, resulting in 89 infant-mother pairs with a history of low-birth-weight births. Data collection on nutritional status and maternal demographics was obtained from the Maternal and Child Health Book, while responsive caregiving data was collected from questionnaires to mothers. The Spearman’s rank test analyzed the relationship between infant nutritional status and maternal characteristics. Results: The majority of infants had a normal nutritional status (88%). The characteristics of mothers are mostly aged in early adulthood (95.6%), multiparous (62.9%), elementary school educated (37.1%), not working (87.6%), and responsive caregiving as low as almost as high (50.6%; 49.4%). The results of the study showed that mothers' age, education level, and occupation status were not related to LBW infant nutritional status. However, maternal parity and responsive caregiving were related to the nutritional status (P-value = < .001). Conclusion: The pediatric nurse should play a crucial role as an infant care provider to enhance mothers’ empowerment in caring for LBW infants. The Responsive caregiving practice education could be an alternative pediatric nursing intervention to reduce LBW infant morbidity and mortality. Keywords: low birth weight; nutritional status; pediatric nursing

Introduction: Basic Health Research in 2018 stated Jember as a district with the third highest incidence of undernutrition in East Java. Undernutrition is a threat to future generations because it has short-term and long-term impacts that can be irreversible. This study aimed to determine the factors associated with undernutrition among children under five in Karangrejo Village, Jember Regency.Methods: This research used a cross-sectional method involving 94 mothers and children under five years old registered at Posyandu in Karangrejo Village who were selected by purposive sampling. The dependent variable included the sociodemographic factors of mothers and children and was obtained using a demographic questionnaire. The dependent variable, undernutrition, was determined based on weight-for-age and was obtained by plotting the child’s weight on the WHO weight-for-age curve: 0-5 years (z score) according to the child’s sex. Statistical tests used ordinal logistic regression tests.Results: There are some factors contributing to undernutrition, including the father’s education in elementary school (p=0.002, OR=5.628), the number of children no more than two persons (p=0.038, OR=-2.546), a complete history of immunization (p=0.011, OR=-4.627), history of infection of ARI every month and every two months (p =0.001, OR= -3.897, -7.250) respectively, and the level of mother’s knowledge about fulfilling children nutrition (p=0.000, OR= 5.593).Conclusions: This study suggests that raising parent education, complete immunization, and mothers’ knowledge are recommended to prevent undernutrition among children. Furthermore, the outcome of this study re-emphasizes that educational activities regarding children’s nutritional needs are still needed to improve mothers’ knowledge. Keywords: children; contributing factors; undernutrition

Introduction: Developmental delays in children are signs of chronic malnutrition brought on by unfavorable circumstances since birth. Throughout the first 1000 days of life, stunting might increase mortality and disrupt bodily processes. Toddler malnutrition can also result from their culture, traditions, and social food. This study sought to synthesize earlier research that offered an overview of the cultural perspective on stunting prevention.Methods: Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) Guidelines were employed in the research design, and four databases were used for the literature search method (Scopus, PubMed, ProQuest, and Google Scholar) To find relevant articles, use the Boolean operator “stunting” OR “stunted” AND “culture” OR “cultural” AND “prevention” OR “prevent” by limiting 2017–2022 in English, full-text articles, and open access.Results: There are 12 papers addressing the cultural perspectives in the prevention of stunting, including parenting cultures on the role of fathers, parenting cultures on the role of grandmothers, and cultures of family empowerment. These studies are cross-sectional and quasi-experimental.Conclusions: Values emerge from interpersonal interaction and become part of the culture. A slightly different approach is required for communicating behavior change, especially in regions where ancestors’ customs and beliefs are still practiced. Stunting can be avoided by using the cultural perspective as a preventative measure.Keywords: culture; health care; prevention; stunting

Introduction: Breast cancer is a type of cancer with the highest incidence among women worldwide. It has an impact on the patient’s physical, psychological, social, and functional health. Breast cancer patients have a greater burden of symptoms, which can lead to decreased quality of life. This study had the objective to describe breast cancer patients’ quality of life in a hospital.Methods: A descriptive observational study design was used. The research population was breast cancer patients in a public hospital. The sample in this study was based on the inclusion and exclusion criteria, with a total of 110 respondents obtained through the proportional sampling technique. The data were analyzed using descriptive analysis. Data were collected by referencing demographic data and distributing a quality-of-life questionnaire (FACT-B). Results: Regarding the quality-of-life variable, findings show that 32 patients had very bad physical well-being (29.1%). Most of the social well-being relations were good, with 40 respondents in this category (36.4%). The majority were in the bad category in terms of functional well-being, with 52 respondents being identified (47.3%). Emotional well-being was considered good for 66 respondents (60.0%). In terms of additional concerns, as many as 60 respondents were in the bad category (54.2%).Conclusions: Chronic conditions can negatively impact patients’ physical health and quality of life. Low quality of life is related to the burden of symptoms experienced by patients, such as anxiety, depression, and fatigue. This suggests that social support can strengthen effective coping and improve patients’ quality of life.Keywords: breast cancer; breast carcinoma; health-related quality of life; quality of life; patients

Introduction: The rate of exclusive breastfeeding in Indonesia is still low. Internal and external factors mother can cause a low rate of exclusive breastfeeding. This also happens because of the belief and traditional factors that can inhibit exclusive breastfeeding for babies. This study aimed to analyze the correlation of psychological factors, family support, and socio-culture with the behaviour of Madurese ethnic mothers in exclusive breastfeeding.Methods: This study used descriptive-analytical with a cross-sectional approach. The research sample collected 100 respondents with nonprobability sampling method is purposive sampling.Results: There was a moderate correlation between family support (p= 0.000; r = 0.373) and socio-culture (p= 0.000; r = 0.396) with the behaviour of Madurese ethnic mothers in exclusive breastfeeding. The analysis showed no relation between psychological factors and the behaviour of Madurese ethnic mothers in exclusive breastfeeding (p=0.071; r= 0.181).Conclusion: The Behaviour of Madurese ethnic mothers in exclusive breastfeeding in The Sidotopo Wetan Community Health Center, Surabaya, was related to family support and socio-culture. So, the research can be used as this information to optimize factors that increase exclusive breastfeeding behaviour.

Introduction:Diarrhea was one of the common diseases that easily acquired by school-age children. It is caused by a lack of health education about hygiene and health. Clean And healthy lifestyle education is one of the viable solutions to prevent diarrhea in elementary school-age children. The purpose of the research is to analyze the effect of health education hygiene and health behavior by using a card-telling method toward child elementary school-aged diarrhea prevention behavior.Methods: This study used a quasi-experimental design. The total number of respondents is 60 children. The respondents were recruited by purposive sampling method. The instrument of study is a card telling and modified the questionnaire adjacent to the previous study. The data were collected used questionnaires and observations than analyzed used significance of <0.05 Wilcoxon sign rank test and Mann-Whitney U test.Results: The Wilcoxon sign rank test result by using a card telling method has a total value p=0.000, then <0.05 there is the effect of the card telling method on hygiene and health behavior to preventing diarrhea knowledge, attitude, and action of the child elementary school age. The statistical analysis showed differences in post-test results between the control group and the treatment group with p=0.000.Conclusion: The card telling method could increase the level of knowledge, attitude, and skill of the child elementary school age. The nurse could use a card telling to achieve optimal results in giving the health education of children.

Introduction: Menarche can affect the physical and psychological changes of a young woman; one of them is anxiety. The purpose of this research was to know the relationship between knowledge, mother's support, and peer support with adolescent's anxiety in confronting menarche.Methods: This study was an analytic correlational-cross sectional design. The population is a fourth-grade student of Elementary School Rungkut Menanggal 1, Rungkut Menanggal 2, and Rungkut Kidul 1 school year 2018/2019, which has not experienced menarche, totaling 148 students. The respondents were 108 students that had been recruited by the Random Sampling method with slovin formula. The Independent variables are knowledge, maternal support, and peer support. The dependent variable was adolescent's anxiety in confronting menarche. The data were collected using a questionnaire, analyzed using the spearmen rank correlation test.Results: The result of statistical test showed that knowledge (r = -0.626 p = 0.018), mother’s support (r = -0.725 p = 0.000) and peer support (r = -0.581 p = 0.000) correlated with the anxiety of adolescent’s anxiety in confronting menarche.Conclusion: Knowledge, mother's support, and peer support can reduce adolescent's anxiety in confronting menarche because it can be used as a provision to prepare for menstruation.

Introduction: Cervical cancer is the third cancer cause and the fourth leading cause of death for all types of cancer in women worldwide. Cervical cancer can be prevented and cured by early detection because it has a long preinvasive phase. The purpose of this study was to describe the prevention behavior of cervical cancer in woman couple of reproductive ages in Rewarangga Community Health Center.Methods: This research method was a descriptive study involving 196 respondents, taken by cluster random sampling. Data were collected using a questionnaire about respondent characteristics and prevention behavior of cervical cancer.Results: Most of the respondents aged between 36-45 years were 109 people (55.6%), seen from the education level almost half had elementary school education as many as 92 people (46.9%), in terms of employment almost half of the respondents did not work as many as 91 people (46.4%), and in terms of family income almost all of them have family income below the UMR <Rp 1,000,000 as many as 174 people (88.8%), the majority of respondents had a behavior of prevention of positive cervical cancer by 143 people (72.9%).Conclusion: The results showed a description of the prevention behavior of cervical cancer in women couple of reproductive ages based on demographic data of age, education, occupation, family income in obtaining the majority of positive cervical cancer prevention behaviors in the form of non-smoking behavior, not having free sex, consuming vegetables and fruit and not using KB long pill, but the behavior of cervical cancer screening with IVA method almost all respondents have never done it. It is expected that the efforts of health workers in providing education related to cervical cancer screening using the IVA method as an effort to prevent cervical cancer.

Introduction: Pain in the neonate may result in negative behavior, physiology and metabolic responses. This study aims to analyze the behavior of nurses in the implementation of non-pharmacological pain management in neonates who performed minor invasive action with the approach of Theory of Planned Behavior (TPB).Methods: This research was a descriptive study of analysis with research design cross sectional. The population of this study were nurses working in the neonatal ward and neonatal intensive care unit dr. Soetomo general Hospital Surabaya. Total sample of 55 respondents selected using simple random sampling. The independent variable was the background factor of age, education, knowledge, attitude, subjective norm, perceived behavior control (PBC) and intention. Dependent variable was nurse’s attitude. The data were obtained using questionnaires then analyzed using logistic regression with a degree of significance of 0.05.Results: Background factor age (p = 0.02) and knowledge (p = 0.004) correlated with attitude, education (p = 0.023) correlated with subjective norm, knowledge (p = 0.004) related to PBC, attitude (p = 0.010) and subjective norm (p = 0.006) relate to intention, and intention is related to behavior (p = 0.024).Conclusion: This study concludes that the management of behavior to be more directed to the factors that relate in shaping the behavior of knowledge, attitude, education, subjective norms, and intention.

Introduction: : Fluor albus is experienced by adolescents which is equal to 75%, especially adolescents in islamic boarding schools because less of information about their reproductive health. Promotive and preventive efforts need to be carried out by conducting appropriate health education, namely the Jigsaw and Make a Match methods about personal hygiene. This study aims to determine the effect of Jigsaw and Make a Match health education methods to prevent fluor albus.Methods: This study used the Quasy Experiment design which was divided into 3 groups (Jigsaw, Make a Match, and control). The number of samples used was 108 of 1,856 students. The sampling technique uses Simple Random Sampling by randomizing Nomer Induk Siswa Nasional. Independent variables are Jigsaw and Make a Match health education methods. Dependent variable is fluor albus prevention behavior. The instruments used were 3 questionnaires and 1 observation sheet that had been tested for validity and reliability with results in the knowledge category r = 0.935, attitude categories r = 0.936, and actions r = 0.921. Data analysis using the Wilcoxon Signed Rank Test and Kruskal Wallis test.Results: Health education using the Jigsaw method has a greater result than the Make a Match method in increasing fluor albus prevention behavior with the results of Willcoxon analysis p = 0.0000 and the mean in the Kruskall Wallis analysis the knowledge category is 84.35, attitude is 82.03, action is 79.49, and action observations amounted to 79.46.Conclusion: Health education using Jigsaw and Make a Match methods is used to develop health promotion nursing interventions to improve fluor albus prevention behavior.