Proceedings Unjaya International Conference of Health Sciences
Proceedings Unjaya International Conference of Health Sciences is a peer-reviewed, open-access publication managed by the Nursing Department, Faculty of Health, Universitas Jenderal Achmad Yani Yogyakarta, Indonesia. This proceeding aims to publish high-quality scholarly works presented at the UNICHS conference, facilitating the dissemination of research, ideas, and innovations in the field of health sciences at both national and international levels. Topics covered include (but are not limited to): nursing science, public health, community health, nursing management, health education, nursing education, maternal and child health, mental health, disaster and emergency care, and other health-related disciplines. Published annually, the proceeding accepts original research articles, systematic reviews, case reports, and scholarly papers in English. It adheres to international standards of academic integrity and publication ethics.
Relationship Between HbA1c Levels and Stroke Risk in the Prolanis Group
Background: Stroke is a major health problem in the community and a cause of death in hospitals. Stroke is caused by modifiable risk factors and non-modifiable risk factors. One of the modifiable risk factors for stroke is diabetes mellitus. One indicator of diabetes mellitus is HbA1c levels. Purpose: To determine the relationship between HbA1c levels and the risk of stroke in the prolanis group. Methods: The study used a quantitative research design with a correlation approach. The study was conducted in June-July 2025 at the Kunduran Community Health Center, Sonokidul Community Health Center, and Ngawen Community Health Center, Blora Regency with a sample of 150 respondents. Results: The results of the study showed that the majority of respondents were female with an average age of 62 years. The majority of respondents worked as farmers and were married. The majority of respondents' last education was elementary school graduates. The majority of respondents had a history of diabetes mellitus and hypertension and a few had a history of stroke. The average HbA1c level for the last 3 months was high at 8.4%. The results indicated diabetes (76%) and respondents had a high risk of stroke (66.7%) as seen from the SRSC questionnaire. The Spearman Rank statistical test results obtained a p value of 0.005 so that there was a significant relationship. Conclusion: Based on the results of the study, it was concluded that there was a relationship between HbA1c levels and the risk of stroke in the prolanis group. The recommendation from the study is that health workers can conduct regular stroke risk screening in the prolanis group. For future researchers, it is hoped that they can evaluate other factors that can influence the risk of stroke. Further researchers are also expected to use more diverse sampling techniques to vary.
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The Relationship Between Cyberbullying and Suicide Risk Among College Students
Background: College students continuously and extensively use internet resources as an essential component of their education. The use of the internet and digital technology can have negative impacts, including cyberbullying, which causes harm. Cyberbullying is a premeditated and aggressive act committed against a defenseless victim thru continuous electronic communication. Cyberbullying can lead to depressive behavior, suicidal ideation, and suicide attempts. Suicide is the second leading cause of death for individuals aged 10-34. Purpose: This study aims to determine the relationship between cyberbullying and suicide risk in university students. Methods: This research is a quantitative study with a cross-sectional design. The research sample consisted of 392 samples, calculated using the proportional stratified random sampling technique. The research instrument used in this study was the cyberbullying behavior scale and the Beck Scale for Suicidal Ideation (BSS). Data analysis was performed using the Spearman rank correlation test. Results: The study results showed that the majority of students had a low level of cyberbullying, totalling 359 (91.6%), and a low level of suicide risk, at 82.7%. There was a significant relationship between cyberbullying and suicide risk, with a p-value of 0.005 (<0.05), as indicated by the correlation coefficient (r) of 0,141, which shows a weak positive relationship. Conclusion: The less cyberbullying experienced, the lower risk of suicide among college students.
Voices of Expecting Mother: A Qualitative Inquiry into Desired Features of Maternal Health Mobile Applications
Background: The maternal mortality rate in Indonesia remains high. Pregnant women often encounter various challenges, particularly in terms of obtaining information about nutrition during pregnancy, managing problems experienced during pregnancy, pregnancy schedules, and monitoring fetal development. Digital pregnancy health applications are considered a companion for expectant mothers to obtain information about their pregnancy, so that they can monitor their health development. Purpose: The aim is to explore the needs of pregnant women regarding health applications that are needed as a means of maintaining health and preventing complications during pregnancy. Methods: Qualitative phenomenological research. Data collection using the focus group discussion (FGD) technique was conducted in Kabupaten Tanah Laut, South Kalimantan, in October 2025. The population consisted of pregnant women in Kabupaten Tanah Laut. The sample was selected using criterion sampling, with 10 pregnant women as the main informants. Data collection involved observation and semi-structured interviews with focus group discussions lasting 60-90 minutes. Data validity was tested using Credibility, Transferability, Dependability, and Confirmability. Data analysis was conducted using Interpretative Phenomenological Analysis (IPA). The results of the study identified six themes regarding the features needed in the application according to pregnant women, namely the experience of a risky pregnancy and the themes for information from the application, places to get help and information on pregnancy health, the need for information related to pregnancy from the application, the need for features in the pregnancy health application, the need for application security and validity, and expectations for the application for pregnant women. In conclusion: There is a need to develop a pregnant woman-friendly application that contains pregnancy health information and further research on the development of applications according to the needs of pregnant women, containing pregnancy health information from time to time during pregnancy, fetal development, detection of pregnancy complications, and preparation for childbirth.
Sumarti Endah Purnamaningsih Maria Margaretha
Extrammary Paget’s Disease of The Vulva and Pubis: A Rare Case Report
Background: Extramammary Paget’s disease is a rare neoplasm developing from the apocrine glands. Between the ages of 60 and 80, women had the highest incidence. The erythematous, well-defined lesions typically involve skin that bears apocrine glands and manifest as plaques. Purpose: The purpose of this case report is to highlight a case of extramammary paget’s disease is still rare and with initial symptoms like herpes simplex. Case: A 48-year-old woman came to the hospital with complaints of redness in her vagina spreads gradually and feel painful since 3 years ago. The patient also complained of a small lump in the vagina since 1 year ago that was getting bigger and felt painful. On genital area present erythematous macules and plaques, well demarcated, verrucous nodules measuring 2x1 cm, hard consistency and tenderness. Punch biopsy procedure was performed for histopatology and immunohistochemistry examination. The result were consistent with extramammary Paget’s disease. The patient was referred to surgical oncology. Discussion: Extramammary Paget’s disease is a rare neoplasm, andnecessary to anamnese and examination to get appropriate therapy. Conclusion: EMPD is confirmed by histology examination and immunohistochemistry. The immunohistochemistry used to differentiate primary and secondary EMPD is CK7 and CK20. A sensitive marker for primary EMPD is GATA-binding protein 3 (GATA3).
Work Relationship Design for the Preparation of Regional Property Requirements Plans (RKBMD) at Semarang City Health Office
Background: Managing goods owned by local governments in the health sector is an important part of efficient and accountable governance. However, in preparing the Regional Goods Requirements Plan (RKBMD) at the Semarang City Health Office, there are still difficulties in inter-departmental cooperation and limitations in integrating asset information systems. This has led to an imbalance between the proposed goods and those actually obtained, thereby reducing the efficiency of budget utilization. Purpose: This study aims to analyze interdepartmental workflows in the preparation of the RKBMD and identify factors that influence governance, public planning, and budget management, thereby improving the regional health asset planning process. Methods: This study uses a mixed approach with a sequential explanatory pattern, conducted at the Semarang City Health Office from September to October 2025. The data used included the 2023 RKBMD document, the 2021–2026 Strategic Plan, and related regulations (Permendagri No. 19/2016, Semarang City Regulation No. 1/2024). Quantitative analysis was used to calculate the percentage of imbalance between proposed needs and actual goods obtained. Meanwhile, qualitative analysis was used to understand the governance context, work processes, and policy integration through thematic analysis. Results: The results showed an average imbalance of 34.6% between proposed needs and goods obtained. Departments that collaborated across fields and used the SIPD-BMD system effectively achieved higher realization. An integrative work model based on collaborative governance was also found, which connects the planning, budgeting, and digital asset management processes. Conclusion: RKBMD performance is highly dependent on interdepartmental integration, the quality of the asset information system, and the application of transparent governance principles. This study recommends strengthening cross-sectoral cooperation, increasing workforce capacity, and developing a sustainable health asset governance framework to support budget efficiency and the quality of regional public services.
The Implementation of Expressive Writing Therapy to Improve Self-Esteem in Patients with Low Self-Esteem at Hosital Grhasia Yogyakarta
Background: Low self-esteem is a psychological condition in which individuals hold a negative perception of themselves, feel worthless, incapable, and lack self-confidence. Among psychiatric patients, particularly those treated in mental hospitals, low self-esteem can hinder the recovery process. One non-pharmacological intervention used to address this condition is expressive writing therapy, which allows patients to freely express their deepest thoughts and feelings through writing. Objective: To describe the implementation of expressive writing therapy in reducing the signs and symptoms of low self-esteem in psychiatric patients at Grhasia Mental Hospital, Yogyakarta. Method: This study used a descriptive case study design involving one patient with chronic low self-esteem. The intervention was carried out over five consecutive days, with a duration of approximately 15 minutes per day. The instruments used included an observation sheet for signs and symptoms of low self-esteem and the Rosenberg Self-Esteem Scale (RSES). Results: The study showed a decrease in the number of low self-esteem signs and symptoms from 13 to 2 (a reduction of 84.61%), as well as an increase in the RSES score from 12 to 16, indicating a shift from low to moderate self-esteem. Conclusion: Based on the case study conducted at the Sembodro Ward of Grhasia Mental Hospital, expressive writing therapy was proven effective in helping patients express negative feelings, improve self-perception, and gradually increase their self-esteem. Keywords: Expressive writing therapy, Low self-esteem, Mental disorders, Psychiatric nursing, Rosenberg Self-Esteem Scale
The Relationship Of Oral Hygiene Compliance To The Severity Of Oral Mucositis In Cancer Patients Undergoing Chemotherapy At Panembahan Senopati Hospital
Background: The World Health Organization estimates that the number of cancer patients will continue to increase and based on the SKI 2023, cancer affects all age groups. Cancer is a health disorder that has the potential to affect the entire limb. One of the therapies that is widely done is chemotherapy, but this therapy has side effects, one of which is oral mucositis. Oral mucositis is a highly debilitating condition characterized by erythema, edema, and ulceration of the oral mucosa. Patients are strongly advised to do oral hygiene or oral care. Objective: To determine the relationship between oral hygiene adherence to the severity of oral mucositis in cancer patients undergoing chemotherapy. Methods: This study used a correlational study with a cross-sectional approach. The number of samples was 52 cancer patients undergoing chemotherapy using purposive sampling techniques. Data collection was conducted using a questionnaire on the level of oral hygiene compliance and the Oral Assessment Guide (OAG) with a statistical test of the sommers'd test. Result: The results of this study showed that oral hygiene compliance that underwent chemotherapy was the most adherent in sufficient compliance (65%) for 34 respondents, while the severity of oral mucositis had a moderate severity (92.3%) for 48 respondents. Bivariate analysis showed no significant relationship between oral hygiene adherence to the severity of oral mucositis (p-value = 0.191). Accompanied by the results of cross-tabulation of oral hygiene compliance, most of the respondents experienced moderate oral mucositis severity as much as 32 reonden (94.1%), while high adherence also mostly experienced moderate severity as many as 16 respondents (88.9%). Conclusion: This study showed that oral hygiene compliance who underwent chemotherapy mostly had a sufficient level of compliance (65%) of 34 respondents, while the severity of oral mucositis had a moderate severity (92.3%) of 48 respondents.
Family Caregiver Based Stroke Rehabilitation Assistance: Its Effect on Caregiver Burden and Quality of Life
Background: The Special Region of Yogyakarta has the highest prevalence of stroke in Indonesia. Post-stroke rehabilitation remains predominantly institutional and is not based on family caregivers. Family caregivers are key to providing home care for patients with stroke. Currently, no structured family caregiver based stroke rehabilitation assistance model has been identified. Purpose: This research aimed to develop and evaluate the effectiveness of a family caregiver–based stroke rehabilitation assistance model in reducing caregiver burden and improving caregivers’ quality of life. Methods: This research employed a non-randomized pretest–posttest control group design involving 34 respondents in the intervention group and 34 respondents in the control group. The intervention program was delivered over four weeks, with each session lasting 60 minutes. The content was provided through a blended learning approach using a web-based platform and direct home visits. Results: The study demonstrated significant improvements in the intervention group, with increased effect sizes in knowledge, attitudes, self-efficacy, behaviors, family roles, and quality of life, as well as a significant reduction in caregiver burden, compared with the control group. Conclusion: The stroke rehabilitation assistance model was proven effective in enhancing caregivers’ knowledge, self-efficacy, attitudes, behaviors, family roles, and quality of life while reducing caregiver burden. This model may be integrated into primary health care services to strengthen family caregiver based stroke rehabilitation.
The Relationship Between Lifestyle and The Incidence of Insomnia in Nursing Student at Universitas Jenderal Achmad Yani Yogyakarta
Background: Insomnia is a common sleep disorder among university students and can negatively impact physical and psychological health, including decreased concentration and learning productivity. One of the factors associated with the incidence of insomnia is lifestyle. It can be seen from the lifestyle such as physical activity, diet, smoking habits, and sleep patterns among Unjaya Nursing students. Objective: Knowing the relationship between lifestyle and the incidence of insomnia among Unjaya Nursing students. Method: This study used a quantitative research design with a correlational approach. The sample was 86 nursing students in semester 2, 4, and 6 using purposive sampling technique. Data collection tools in the form of a lifestyle questionnaire and the Jakarta Biological Psychiatry Study Group-Insomnia Rating Scale (KSPBJ-IRS) questionnaire. Data analysis was performed using Somers'd statistical test with a confidence interval level of 95%. Result: The gender of the respondents was mostly female (75.6%), with the majority in semester VI (37.2%). The majority of students have an unhealthy lifestyle (69.8%) with mild insomnia (66.7%). The results of the correlation relationship obtained a p value of 0.000 with a correlation coefficient of 0.426 positive. Conclusion: There is an association between lifestyle and the incidence of insomnia in nursing students at Unjaya.
Analysis of Mental Health Literacy and Coping Mechanisms Based on Big Five Personality Traits in Nursing Students
Background: Mental health problems that occur in nursing students are still a concern in education. The reason is that nursing students have higher academic stressors than other majors. The situation makes nursing students more vulnerable to mental health problems. Based on research, many mental health problems experienced by students are depression, self-harm, and even suicide attempts. Those problems are influenced by several factors, including students' coping ability with stressors. Students' coping ability is closely related to literacy about mental health and personality type. Purpose: The study aimed to analyze the correlation between coping style, mental health literacy, and personality traits in nursing students. Methods: This study used a quantitative analytic design with data analysis using correlation test analysis. The study involved nursing students in semesters 2-8, totaling 120 people. Results: The study showed that most mental health literacy was in the moderate (60%) and high (30%) categories. Most coping mechanisms students activate are problem-focused coping mechanisms, which amounted to 58.3%. The most common personality type is neuroticism, which is 30.8%. When analyzed with a correlation test, there was no association between mental health literacy and student coping (p=0.08) and no association between mental health literacy and personality (p=0.07). Conclusion: This indicates that coping mechanisms and personality styles do not contribute to mental health literacy in university students
MBSR with Dhikr as a Spiritual Intervention to Reduce Anxiety Levels in Pregnant Women
Background: Mindfulness is a form of meditation. Mindfulness-based interventions are useful for managing stress. Anxiety is a term describing a psychological disorder that causes feelings of discomfort, disrupting routines and activities. High levels of anxiety have the potential to reduce health and lead to various non-communicable diseases and psychological disorders. If not addressed promptly, it can lead to more serious problems. Mindfulness-Based Stress Reduction (MBSR) is a form of awareness-based stress reduction combined with spiritual therapy and dhikr (remembrance of God) for pregnant women. Purpose: The purpose of this study was to determine the impact of MBSR therapy using dhikr on pregnant women's anxiety. Methods: This study used a quantitative descriptive method. It was conducted in October 2025. It examined the impact of anxiety on pregnant women after a Mindfulness-Based Stress Reduction (MBSR) approach using the dhikr method. The study involved 50 pregnant women in the Pleret Community Health Center (Puskesmas) area in Bantul. The anxiety questionnaire used the Hamilton Anxiety Rating Scale (HARS). Results: There were 50 pregnant women who participated in the MBSR program, with the characteristics of the majority of mothers being in the reproductive age 88 %, the history of pregnancy of the majority of multigravida 70%, and the history of pregnancy mostly in the second trimester 58 %. The results of the anxiety assessment in pregnant women showed that most of the mothers were not anxious 62%. Conclusion: Efforts to reduce anxiety through MBSR with dhikr have been shown, from the first time it was introduced, to have a visible impact, with mothers experiencing or even no anxiety. Healthcare workers can help mothers recognize anxiety in pregnant women by introducing MBSR with dhikr to them.
The Relationship between Academic Stress and Stress Levels in Adolescents
Background: The phenomenon of stress among adolescents is of growing concern as academic pressure increases in the modern education system. Academic stress is a condition universally experienced by students regardless of gender, which can have a significant impact on their academic achievement. Purpose: This study aims to analyze the relationship between academic pressure with stress levels in adolescents. Methods: The design used is a quantitative design with a correlation method. Sampling technique using non probability sampling. Research respondents were 248 adolescents by filling out the Pressure Stress Student (PSS) and Student-Life Stress Inventory (SLSI) questionnaires. Bivariate analysis of research using Spearman. Results: The results of the study obtained a significant value of p value 0.000 (<0.05) can be interpreted that the two variables there is a relationship with a correlation value of 0.607 this shows positive with moderate correlation strength Conclusion: Academic pressure has a significant relationship to stress levels in adolescents. Academic pressure and stress levels of respondents are in the moderate category. Schools can increase the frequency and quality of counseling services to support adolescent well-being.
How Prepared and Aware Are Students Toward Disaster Risks?
Background: School-age children are among the most vulnerable groups to the impacts of disasters. Strengthening their awareness and preparedness is crucial to minimizing risks and enhancing disaster resilience. Understanding the relationship between disaster mitigation awareness and preparedness can inform the development of effective school-based disaster education programs. Purpose: This study aimed to examine the relationship between disaster mitigation awareness and disaster preparedness among school students. Methods: This research used a correlational analytic design with a cross-sectional approach. A total of 154 students were selected using proportional random sampling. Data were collected using the Disaster Mitigation Awareness questionnaire and the General Disaster Preparedness Scale: Indonesian Version. Statistical analysis was conducted using Spearman’s rho correlation test. Results: The analysis revealed a correlation coefficient (r)= 0.185 with a p-value= 0.04 (p<0.05), indicating a significant positive relationship between disaster mitigation awareness and disaster preparedness among students. This means that students with higher disaster mitigation awareness tend to demonstrate better disaster preparedness. Conclusion: There is a significant positive correlation between disaster mitigation awareness and disaster preparedness among students. Strengthening school-based disaster education and regular simulation programs is recommended to further improve students’ readiness and resilience in facing potential disasters.
The Sensor TB Application As a Monitoring Tool For Tuberculosis Patients to Support Tuberculosis Control Program
Background: Tuberculosis (TB) cases are still found mainly in developing countries, including Indonesia. The large number of TB patients found in the Sukoharjo Regency area has led to a risk of transmission to the community, and there is no application that facilitates monitoring the location and condition of TB-positive patients, resulting in patients discontinuing treatment or being lost to follow-up, which hinders the Tuberculosis Control Program. Purpose: To address this challenge, the purpose of this study was to develop a TB Sensor Application that supports the Tuberculosis Control Program, offering benefits for TB patients and facilitating the monitoring of tuberculosis cases. Method : This research was the mixed-method method. In addition, the system development life cycle (SDLC) approach was conducted to support it. The observational and in-depth interview was obtained to measure more information about TB sensor and technology acceptance model (TAM) approach was undertaken on this process. Results: The Sensatis application is a Sensor-TB application used to monitor the activities of tuberculosis patients who use smartwatches, providing clinical data and data captured via mobile phones or computers that can be accessed by TB officers and the Health Office. Conclusion: In conclusion, the implementation of the TB Sensor application is anticipated to strengthen the monitoring of TB patients throughout Indonesia, contributing to the achievement of the End TB 2030 goal.
The Correlation Between Attitude and Preparedness in Dealing With Earthquake And Tsunami Disasters Among Students of SMP Negeri 2 Kretek
Background: Bantul Regency has the potential to experience earthquakes reaching up to magnitude 8.7. SMP Negeri 2 Kretek is located in a zone identified with a potential tsunami inundation depth of 6 – 10 meters, as it is situated 2,500 meters from the coastline. Student preparedness in dealing with earthquakes and tsunamis is influenced by various factors, one of which is attitude. This research is crucial for investigating student preparedness in this high-risk area. Objective: To determine the correlation between attitude and preparedness in dealing with earthquakes and tsunamis among students of SMP Negeri 2 Kretek. Method: This study employed a descriptive quantitative method with a cross-sectional study approach. The sampling technique used was purposive sampling, involving a sample of 82 students. Data collection methods included an attitude questionnaire adapted from GDPB (General Disaster Preparedness Belief) and a preparedness questionnaire adapted from LIPI/UNESCO/ISDR. Statistical data analysis utilized univariate and bivariate analyses with Spearman's Rank Correlation Test. Results: The attitude level of students at SMP Negeri 2 Kretek showed an average of moderate attitude in 63 students (76.8%). The students' preparedness level predominantly demonstrated moderate preparedness in 64 students (78%). A significant correlation was found between attitude and preparedness, indicated by a significance value (p=0.000) with a correlation coefficient of 0.549, which falls into the moderate category. Conclusion: There is a correlation between attitude and preparedness in dealing with earthquakes and tsunamis among students of SMP Negeri 2 Kretek. The school is advised to more actively socialize disaster preparedness, particularly concerning earthquakes and tsunamis, to all students through training and educational programs.
The Implementation Of Splinting To Reduce Pain Intensity in Patients With Closed Fractures at The Emergency Department Of Panembahan Senopati Hospital
Background: Closed fractures are common injuries that often cause severe pain and require prompt management. One of the non-pharmacological interventions that can be implemented is splinting. Splinting aims to reduce bone fragment movement, decrease muscle spasms, and alleviate pain. Objective: To determine the effectiveness of splint application in reducing pain intensity among patients with closed fractures in the Emergency Department of RSUD Panembahan Senopati Bantul. Method: This study used a descriptive case study approach involving a 60-year-old female patient diagnosed with a Closed Intertrochanteric Femur Fracture Dextra. Pain intensity was measured using the Numeric Rating Scale (NRS) modified with the Wong-Baker Faces Pain Scale before and after a 10-minute splint application. Results: Prior to splinting, the patient reported a pain score of 6 (moderate). After the 10-minute splint application, the pain score decreased to 4, indicating a reduction in pain intensity following the intervention. Conclusion: Splinting is effective in reducing pain intensity in patients with closed fractures. This intervention can be integrated as an initial non-pharmacological pain management strategy in emergency care settings.
Nurses as A Crucial Part in Disaster Response: A Systematic Review
Background: Disasters have complex and unavoidable impacts that influence socioeconomic, infrastructure, and health aspects. Nurses have to understand their roles and competencies in disaster response. Purpose: This systematic review explored nurses' experiences, roles, and competencies in the disaster response phase. Methods: PubMed, SAGE Journal, and Scopus were the primary databases utilized for literature searching, using keywords 'nurses,' 'disaster nursing,' 'experience,' 'nursing roles,' 'nursing competencies', 'nursing care,' 'disaster,' and 'disaster response.' Results: As many as 11 articles were included in the final review following the eligibility criteria. Review results from this study as follows: 1) 8 of 11 (72 %) articles discuss the experiences of nurses in the disaster phase which include motivation as responders, problems and dilemmas in caring, coping with stressors, perceived impacts, and gaining resilience, 2) 6 out of 11 ( 54.5 %) articles discuss the role of nurses in the disaster response which included holistic care (80%) and deal with role conflict (20%), and 3 ) 5 of 11 (45%) articles discuss nurse competencies in the disaster phase which include clinical and ethical competencies, interprofessional and managerial competencies, and disaster nurses' competencies in general. Conclusion: This systematic review gives evidence that disaster response has its complexity. Hence, training, simulation, and socialization are recommended to optimize nurses' roles and competencies during disaster response.
Factors Related To Disaster Preparedness Among Palu City BPBD Employees
Background: The Palu City Regional Disaster Management Agency (BPBD) is responsible for managing local disasters. However, following the Palu earthquake, the agency’s disaster preparedness was found to be inadequate across pre-disaster, emergency response, and post-disaster stages. Preliminary interviews with BPBD employees revealed limited participation in disaster response and training activities. In addition, the shortage of personnel hindered the effective implementation of disaster preparedness efforts.. Purpose: The purpose of this study was to analyze the relationship between attitudes, emergency response plans, and disaster mobilization with disaster preparedness among Palu City BPBD employees. Methods: This type of research is quantitative research with an analytical design and uses a cross-sectional approach. The sample in this study was 83 Palu City BPBD employees with total sampling. Data analysis was carried out using univariate and bivariate methods. Results: The results of the study indicate a relationship between attitudes and disaster preparedness among employees at the Palu City BPBD (p-value=0.035), an association between emergency response plans and disaster preparedness among employees at the Palu City BPBD (p-value=0.042), and a relationship between resource mobilization and disaster preparedness among employees at the Palu City BPBD (p-value=0.046). Conclusion: It is recommended that the Palu City BPBD conduct outreach regarding disaster planning to employees.
The Relationship Between Interpersonal Communication And Teamwork Among Nursing Students At Universitas Jenderal Achmad Yani Yogyakarta
Introduction: Nursing students (Ners students) are nursing graduates who continue to the professional stage of education to become professional nurses equipped with clinical competencies, including technical skills, effective communication, and professional ethics. During the learning process, students are frequently engaged in group-based learning methods that require strong teamwork and interpersonal communication skills. However, field observations indicate that students—particularly those from Generation Z—often face challenges in communication and team collaboration. Lack of individual contributions, miscommunication, and differing work preferences hinder the achievement of group objectives. A preliminary study conducted among Nursing students at Universitas Jenderal Achmad Yani Yogyakarta revealed that the majority of respondents experienced communication problems within their teams, negatively impacting team effectiveness. This condition highlights the importance of interpersonal communication in supporting effective teamwork. Therefore, this study aims to examine the relationship between interpersonal communication and teamwork among Ners students. Method: This study employed a quantitative research design with a cross-sectional approach. The research was conducted from January to June 2025. The population consisted of Ners students at Universitas Jenderal Achmad Yani Yogyakarta. A total of 112 Ners students participated as respondents in this study. Data were analyzed using univariate and bivariate analyses with the Gamma test. Result and discussion: The majority of respondents demonstrated a good level of interpersonal communication (70.5%), and most respondents also showed a good level of teamwork ability (93.8%). This study confirms that interpersonal communication has a positive correlation with teamwork, with a significance value of P = 0.015. Conclusion: Interpersonal communication has a positive correlation with teamwork.
Organoleptic Test of Moringa Noodle Soup Among Nursing Students at Universitas Jenderal Achmad Yani Yogyakarta
Background: Noodles are one of the most widely consumed foods in society. The innovation of adding Moringa (Moringa oleifera) leaves to noodle products aims to enhance their nutritional value, particularly in terms of iron and vitamin content. However, consumer acceptance of such products needs to be evaluated through an organoleptic test. Objective: To determine the level of preference among Nursing students at Universitas Jenderal Achmad Yani Yogyakarta (Unjaya) toward Moringa Noodle Soup based on color, aroma, taste, and texture. Methods: This study employed a quantitative descriptive method with an organoleptic (hedonic) test approach. A total of 150 respondents were selected using purposive sampling. Data were collected through an organoleptic assessment questionnaire and analyzed using descriptive percentage analysis. Results: Most respondents rated taste as the most preferred attribute (56.66%), followed by color (52.66%), texture (49.33%), and aroma (49.33%). Overall, 58% of respondents expressed a liking for the Moringa Noodle Soup. Conclusion: Moringa Noodle Soup was well accepted by respondents, particularly in terms of taste and color. Further product development is recommended to improve the aroma and texture to enhance consumer preference. Keywords: Moringa noodle, organoleptic test, consumer acceptance, Moringa oleifera, functional food
Vaccination Knowledge and Literacy of Travel Health Resources Still Needs to be Improved among Travel Health Doctor in Bali
Background: The health problems of international tourists are increasing, but the competence of doctors in Indonesia in travel medicine has not been described comprehensively. Objective:This study aims to analyze the competencies of doctors on duty at the Travel Health Center in Bali, including knowledge, communication skills, and pre-travel consultation. Methods: The method used is mixed methods with an exploratory sequential design. Qualitative data were collected through in-depth interviews and observations, while quantitative data were obtained through self-reflection modified from Royal College of Physicians and Surgeons of Glasgow questionnaires. Data analysis involves thematic analysis for qualitative data and descriptive statistics as well as inferential for quantitative data. Results: The results showed that the majority of doctors had good competence in patient communication and travel-related health risk management. However, knowledge about vaccination and literacy of travel health resources still needs to be improved. Only a small percentage of respondents had formal training in travel medicine. Conclusion:The implications of this study are the need to develop a travel medicine curriculum, organize certified short training, and provide evidence-based practice guidelines to improve tourism health services in Bali. This effort is expected to strengthen Bali's position as a world-class tourist destination with quality medical tourism and travel health services.
Background: Management of regional government assets in the health sector is an essential component of efficient, accountable, and sustainable public governance. This challenge is not unique to Indonesia but also represents a global issue among middle-income countries undergoing a transition toward evidence-based health system strengthening and digital governance. Purpose: This study aims to analyze the work relationship mechanism between units in the formulation of the Regional Asset Requirement Plan (Rencana Kebutuhan Barang Milik Daerah/RKBMD) at the Semarang City Health Office and to identify governance, public planning, and budget management factors influencing the effectiveness of regional health asset planning. Methods: The research employs a mixed-methods sequential explanatory design conducted between September and October 2025. Quantitative data were obtained from document analysis of the 2023 RKBMD and the 2021–2026 Strategic Plan (Renstra), while qualitative data were derived from semi-structured interviews and thematic policy analysis (Minister of Home Affairs Regulation No. 19/2016 and Semarang City Regulation No. 1/2024). Results: Findings indicate an average disparity of 34.6% between proposed and realized assets. However, units that implemented cross-sectoral collaboration and utilized the Regional Management Information System (SIMDA) more effectively achieved a realization rate of 65.4%. Conclusion: The study proposes an integrative work model based on collaborative governance to link planning, budgeting, and digital asset management processes. These findings underscore the urgency of harmonizing public asset planning and advancing digital transformation in regional health sectors. Furthermore, this approach holds potential for replication in other global contexts facing similar challenges in optimizing public sector asset management. Keywords: Asset planning, Budgeting, Disparity, Governance, Information systems