2026-04-28T17:51:17Z https://ihc.candle.or.id/index.php/ihc/oai

oai:ojs2.ihc.candle.or.id:article/1 2025-05-20T08:41:45Z ihc:ART

oai:ojs2.ihc.candle.or.id:article/3 2025-12-27T06:44:31Z ihc:ART driver

Effectiveness of Purpose-Oriented Counseling on Postpartum Contraceptive Decision-Making Among Women Pratiwi, Iva Gamar Dian Permatasari, Dian Huzaimah, Nailiy Fatoni, Akhmad Feri Rahmawati, Sylvina Postpartum Contraception Counseling Background: Postpartum contraception is essential for ensuring safe birth spacing and reducing maternal-infant morbidity. However, decision-making regarding contraceptive use remains suboptimal due to inadequate and generalized counseling. This study aimed to evaluate the effectiveness of the One-Purpose Counseling Technique in improving postpartum women's decisions on appropriate contraceptive selection. Methods: A pre-experimental post-test-only control group design was used, involving 40 postpartum women within 40 days of delivery. Participants were divided into two groups: 20 received structured One-Purpose Counseling and 20 received standard counseling. Data were collected at the Pamolokan Community Health Center and analyzed using chi-square and independent samples t-test with SPSS 26. Result: Among women who received One-Purpose Counseling, 75% selected an appropriate contraceptive method, compared to only 15% in the control group. The difference was statistically significant (p = 0.00047), indicating a strong effect of the intervention on informed contraceptive decision-making. Conclusion: The One-Purpose Counseling Technique significantly enhances postpartum women's ability to choose suitable contraception by focusing on goal-oriented, personalized interaction. Health practitioners, especially in low-resource settings, are recommended to adopt this model to improve contraceptive uptake and reproductive autonomy. Future research should assess long-term contraceptive adherence and satisfaction following this intervention. Lembaga Chakra Brahmanda Lentera (Chakra Brahmanda Lentera Institute) [CANDLE] 2025-05-01 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Peer-reviewed Article application/pdf https://ihc.candle.or.id/index.php/ihc/article/view/3 10.55018/ihc.v11.3 International Journal of Health Concord; Vol. 1 No. 1 (2025): International Journal of Health Concord; 1-8 3090-8884 eng https://ihc.candle.or.id/index.php/ihc/article/view/3/1 Copyright (c) 2025 Iva Gamar Dian Pratiwi, Dian Permatasari, Nailiy Huzaimah, Akhmad Feri Fatoni, Sylvina Rahmawati (Author) https://creativecommons.org/licenses/by/4.0/

oai:ojs2.ihc.candle.or.id:article/6 2025-12-26T10:29:08Z ihc:ART driver

Determinants of Basic Immunization Coverage: The Role of Family Knowledge and Support in Central Sulawesi, Indonesia Abustam Ullah, Tariq Immunization Knowledge Family Support Vaccination Background: Indonesia continues to face challenges in achieving optimal immunization coverage, especially in rural and underserved regions. In Central Sulawesi, incomplete basic immunization among children remains prevalent despite government programs. This study aimed to investigate the role of maternal knowledge and family support in predicting complete basic immunization coverage among children aged 1–5 years in Toili II Community Health Center, Banggai Regency. Methods: A cross-sectional correlational study was conducted in August 2024 using a non-probability sampling method. A total of 53 mothers participated. Data were collected using validated and reliable questionnaires measuring maternal knowledge (18 items) and family support (15 items). Immunization status was verified using vaccination cards. Data analysis involved descriptive statistics, bivariate Chi-square tests, and multivariate logistic regression. Result: Results showed that 64.2% of children had complete immunization. Nearly half of the mothers had moderate knowledge (49.1%) and moderate family support (39.6%). Logistic regression revealed that both maternal knowledge (p < 0.001) and family support (p < 0.001) were significant independent predictors of complete immunization. Together, they explained 85.9% of the variance in immunization status. Conclusion: This study concludes that maternal knowledge and family support significantly and synergistically influence childhood immunization completeness. Health promotion strategies should integrate family-based education and support systems into immunization programs, particularly in rural areas. Frontline health workers are encouraged to assess both knowledge and perceived support during routine visits. Policymakers should consider embedding family-engagement modules in immunization guidelines and leveraging household dynamics to strengthen national immunization coverage. Lembaga Chakra Brahmanda Lentera (Chakra Brahmanda Lentera Institute) [CANDLE] 2025-06-30 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Peer-reviewed Article https://ihc.candle.or.id/index.php/ihc/article/view/6 10.55018/ihc.v11.6 International Journal of Health Concord; Vol. 1 No. 1 (2025): International Journal of Health Concord; 9-17 3090-8884 eng https://ihc.candle.or.id/index.php/ihc/article/view/6/5 Copyright (c) 2025 Abustam, Tariq Ullah (Author) https://creativecommons.org/licenses/by/4.0/

oai:ojs2.ihc.candle.or.id:article/8 2025-12-26T10:29:08Z ihc:ART driver

Accuracy of Triage and Its Association with Family Satisfaction in the Emergency Department of a General Hospital: A Cross-Sectional Study Delianto Kumar, K. Sesha Triage Family Satisfaction Emergency Department Background: Triage is a critical process in emergency departments (EDs), determining patient prioritization based on condition severity. While triage accuracy is crucial for clinical outcomes, its influence on family satisfaction remains underexplored, particularly in rural Indonesian settings. This study aimed to examine the relationship between triage accuracy and family satisfaction in the emergency department of Mokoyurli General Hospital, Buol Regency. Methods: A cross-sectional design was used involving 113 family members of ED patients selected through accidental sampling. Triage accuracy was assessed based on standard criteria (red, yellow, green), while family satisfaction was measured using a validated questionnaire covering six domains. Data were analyzed using descriptive statistics and Spearman’s rho correlation Result: Among the respondents, 77% experienced accurate triage, while 23% did not. In terms of satisfaction, 18.6% were dissatisfied, 44.2% fairly satisfied, and 37.2% satisfied. A strong, statistically significant correlation was found between triage accuracy and family satisfaction (ρ = 0.710, p < 0.001). Respondents particularly appreciated timely communication and respectful care, although moderate satisfaction remained predominant. Conclusion: Triage accuracy significantly influences family satisfaction, functioning as both a clinical and emotional reassurance mechanism. Enhancing emergency nurses’ triage competencies and interpersonal communication can improve care experiences. Hospitals, especially in rural areas, should integrate structured triage protocols with clear communication strategies to build trust and satisfaction. Future research should include mixed-method approaches to capture nuanced family perspectives and assess long-term satisfaction trends. Lembaga Chakra Brahmanda Lentera (Chakra Brahmanda Lentera Institute) [CANDLE] 2025-06-30 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Peer-reviewed Article application/pdf https://ihc.candle.or.id/index.php/ihc/article/view/8 10.55018/ihc.v11.8 International Journal of Health Concord; Vol. 1 No. 1 (2025): International Journal of Health Concord; 18-26 3090-8884 eng https://ihc.candle.or.id/index.php/ihc/article/view/8/4 Copyright (c) 2025 Delianto, K. Sesha Kumar (Author) https://creativecommons.org/licenses/by/4.0/

oai:ojs2.ihc.candle.or.id:article/9 2025-12-27T06:46:18Z ihc:ART driver

How Knowledge Influences Antibiotic Adherence Among Outpatients: A Cross-Sectional Study at Indonesian Primary Health Centers Fidyawati Oqui, Maximiano Pinto, Joaquim Knowledge Antibiotic Adherence Outpatients Background: Antibiotic resistance poses a significant global health challenge, often exacerbated by inappropriate antibiotic use and poor patient adherence to prescribed regimens. Understanding the factors influencing antibiotic knowledge and adherence among outpatients is critical to improving treatment outcomes and mitigating resistance development. This study aimed to analyze the relationship between patients’ knowledge and their adherence to antibiotic use at Puskesmas Gadung Kab. Buol Methods: A cross-sectional descriptive study was conducted involving 42 outpatient respondents between January and February 2024. Data on sociodemographic characteristics, knowledge of antibiotics, and adherence behavior were collected using structured questionnaires. Descriptive statistics and Spearman’s rho correlation test were applied to analyze the data Result: The findings revealed that a substantial proportion of respondents demonstrated moderate to good knowledge about antibiotics, with a notable association between higher knowledge levels and better adherence to antibiotic regimens. The majority of participants complied with prescribed antibiotic use, particularly those with sufficient understanding of antibiotic resistance and appropriate usage. The study also identified that demographic factors such as age, gender, education, and occupation influenced both knowledge and adherence behaviors. The statistical analysis confirmed a significant positive correlation between knowledge and adherence, underscoring the importance of patient education Conclusion: In conclusion, enhancing patients’ knowledge about antibiotics is essential to improving adherence and combating antibiotic resistance. Healthcare providers should prioritize continuous educational interventions and counseling to reinforce correct antibiotic use among outpatients. Future research with larger samples and diverse settings is recommended to generalize the findings and explore additional factors influencing adherence. Lembaga Chakra Brahmanda Lentera (Chakra Brahmanda Lentera Institute) [CANDLE] 2025-06-30 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Peer-reviewed Article application/pdf https://ihc.candle.or.id/index.php/ihc/article/view/9 10.55018/ihc.v11.9 International Journal of Health Concord; Vol. 1 No. 1 (2025): International Journal of Health Concord; 27-33 3090-8884 eng https://ihc.candle.or.id/index.php/ihc/article/view/9/3 Copyright (c) 2025 Fidyawati, Maximiano Oqui, Joaquim Pinto (Author) https://creativecommons.org/licenses/by/4.0/

oai:ojs2.ihc.candle.or.id:article/10 2025-12-26T10:29:08Z ihc:ART driver

Effectiveness of Acupressure Therapy in Reducing Blood Pressure Among Older Adults with Hypertension Hartati, Sri Kamesworo Elviani, Yeni Hypertension Elderly Acupressure Blood Pressure Background: Hypertension is a non-communicable disease that remains one of the leading causes of premature death worldwide. However, in the elderly population, there is a decline in muscle mass and strength, decreased heart rate, reduced exercise tolerance, and lowered cardiovascular capacity. The objective of this study was to determine the effect of acupressure therapy on blood pressure reduction in elderly patients with hypertension Methods: This study employed a quantitative research design using a quasi-experimental method to evaluate the effectiveness of the intervention. The research was conducted among elderly individuals with hypertension in the working area of Pagar Agung Public Health Center, Lahat, in 2023 Result: The results of the paired t-test showed a statistically significant difference in blood pressure before and after acupressure therapy, with a p-value of < 0.001 (p < 0.05). This indicates that acupressure therapy had a significant effect on reducing blood pressure in elderly patients with hypertension Conclusion: Acupressure therapy is effective in lowering blood pressure among older adults with hypertension. This non-pharmacological intervention can be considered as an alternative or complementary approach in hypertension management for the elderly population. Lembaga Chakra Brahmanda Lentera (Chakra Brahmanda Lentera Institute) [CANDLE] 2025-06-30 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Peer-reviewed Article application/pdf https://ihc.candle.or.id/index.php/ihc/article/view/10 10.55018/ihc.v11.10 International Journal of Health Concord; Vol. 1 No. 1 (2025): International Journal of Health Concord; 34-41 3090-8884 eng https://ihc.candle.or.id/index.php/ihc/article/view/10/2 Copyright (c) 2025 Sri Hartati, Kamesworo, Yeni Elviani (Author) https://creativecommons.org/licenses/by/4.0/

oai:ojs2.ihc.candle.or.id:article/11 2025-12-26T11:00:46Z ihc:ART driver

Path-Goal Leadership Style and Its Relationship with Nurse Motivation and Performance: A Cross-Sectional Study Batewa, Erny Ellina, Agusta Dian Peristiowati, Yuly Head Of Room Leadership Motivation Performance Path-Goal Theory Background: Nursing services aim to provide optimal care through effective planning, organization, and employee management. Nurses play a key role in health services at hospitals, health centers, and other facilities. Objective: The study analyzed the relationship between the leadership of the head of the family and the work motivation and performance of nurses, based on the Path-goal theory, at the Regional General Hospital of Banggai Regency. Methods: This study employed an observational-analytic design with a cross-sectional approach, involving 146 inpatient nurses. A simple random sampling technique was used to recruit participants. Inclusion criteria included nurses working in inpatient units for at least 6 months and willing to participate, whereas nurses currently on leave, in training, or assigned to non-clinical administration were excluded. The independent variable was the head nurse's leadership style, while the dependent variables were nurse motivation and performance. Data collection and reporting followed the STROBE (Strengthening the Reporting of Observational Studies in Epidemiology) guideline. Data were analyzed using the Spearman rho test with a significance level of α = 0.05 Result: The results showed that directive leadership was not associated with nurse motivation (p = 0.570) or performance (p = 0.257). However, supportive leadership significantly influenced motivation (p < 0.001) and performance (p = 0.049). Participative leadership also demonstrated a positive effect on motivation (p < 0.001) and performance (p = 0.035). Similarly, achievement-oriented leadership was associated with higher motivation (p < 0.001) and better performance (p = 0.031). Conclusion: In conclusion, directive leadership does not affect the motivation or performance of nurses at Banggai District Hospital. Conversely, supportive, participative, and achievement-oriented leadership significantly enhances both motivation and performance. Lembaga Chakra Brahmanda Lentera (Chakra Brahmanda Lentera Institute) [CANDLE] 2025-12-21 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Peer-reviewed Article application/pdf https://ihc.candle.or.id/index.php/ihc/article/view/11 10.55018/ihc.v12.11 International Journal of Health Concord; Vol. 1 No. 2 (2025): International Journal of Health Concord; 121-130 3090-8884 eng https://ihc.candle.or.id/index.php/ihc/article/view/11/7 Copyright (c) 2025 Erny Batewa, Agusta Dian Ellina, Yuly Peristiowati (Author) https://creativecommons.org/licenses/by/4.0/

oai:ojs2.ihc.candle.or.id:article/12 2025-12-26T10:53:59Z ihc:ART driver

Effect of Mindfulness-Based Breathing Exercise Combined with Lavender Aromatherapy on Anxiety and Sleep Quality among Hemodialysis Patients: A Quasi-Experimental Study Yuwono, Trisno Ellina, Agusta Dian Prasetyo, Joko Wahyuningsih, Atik Setiawan Widyowati, Agustin Breathing Exercises Aromatherapy Mindfulness Anxiety Sleep Renal Dialysis Background: Patients with chronic kidney failure report the sight of blood-filled dialysis tubes, the burden of routine therapy costs, fear of invasive measures, and the uncertainty of recovery triggers their anxiety. This anxiety also carries over into the home, causing difficulty sleeping at night and ongoing feelings of restlessness. Purpose. The Effect of the Combination of Mindfulness based on Breathing Exercise with Lavender Aromatherapy on Anxiety and Sleep Quality in Hemodialysis Patients Methods: This study employed a quasi-experimental pretest–posttest control-group design and was reported in accordance with the TREND guidelines for non-randomized intervention research. The target population comprised 90 hemodialysis patients at Bhayangkara Kediri Hospital, of whom 40 were selected using purposive sampling. The intervention consisted of a combination of mindfulness-based breathing exercises and lavender aromatherapy, with anxiety and sleep quality as outcome variables. Anxiety was measured using the Self-Rating Anxiety Scale (SAS), and sleep quality was measured using the Pittsburgh Sleep Quality Index (PSQI), both of which have demonstrated acceptable validity and reliability in prior research. Data analysis included descriptive statistics and the Wilcoxon signed-rank test to determine pre-post differences between intervention and control groups, with a significance level set at p < 0.05. Result: The general characteristics of respondents were comparable between the intervention and control groups with respect to age, sex, duration of hemodialysis, and comorbid conditions. Specific baseline characteristics related to anxiety levels and sleep disturbances were also similar across groups, indicating initial equivalence. The Wilcoxon signed-rank test showed a statistically significant improvement in anxiety (p < 0.001) and sleep quality (p < 0.001) following the intervention. These findings suggest that combining mindfulness-based breathing exercises with lavender aromatherapy may reduce anxiety and enhance sleep quality among hemodialysis patients. Conclusion: The combination of mindfulness-based breathing exercises with Lavender Aromatherapy reduces Anxiety and improves Sleep Quality in hemodialysis patients. This intervention is very easy to implement, so it can be used as a nursing intervention in the hemodialysis unit to advance nursing science. Lembaga Chakra Brahmanda Lentera (Chakra Brahmanda Lentera Institute) [CANDLE] 2025-12-21 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Peer-reviewed Article application/pdf https://ihc.candle.or.id/index.php/ihc/article/view/12 10.55018/ihc.v12.12 International Journal of Health Concord; Vol. 1 No. 2 (2025): International Journal of Health Concord; 42-56 3090-8884 eng https://ihc.candle.or.id/index.php/ihc/article/view/12/8 Copyright (c) 2025 Trisno Yuwono, Agusta Dian Ellina, Joko Prasetyo, Atik Setiawan Wahyuningsih, Agustin Widyowati (Author) https://creativecommons.org/licenses/by/4.0/

oai:ojs2.ihc.candle.or.id:article/14 2025-12-26T10:54:54Z ihc:ART driver

Range of Motion Therapy to Improve Physical Mobility in an Ischemic Stroke Patient: A Case Study Fadlilah, Nur Septianingrum, Yurike Wijayanti, Lono Soleha, Umdatus Range of Motion physical mobility impairment Ischemic Stroke Background: Stroke is a neurological disease caused by an occlusion or hypoperfusion in the cerebral blood vessels, leading to neurological deficits and resulting in disability or death. Objective: The purpose of this case study is to describe nursing care in addressing impaired physical mobility needs by implementing Range of Motion (ROM) exercises in stroke patients, from initial assessment to evaluation Methods: This study adopted a descriptive single-case study design and was reported in accordance with the CARE (Case Report) guideline. The sampling frame consisted of one postoperative orthopedic patient who met predefined inclusion criteria, namely stable vital signs, the ability to communicate and cooperate with examination procedures, and no contraindication to range-of-motion (ROM) exercises. Data were collected through interviews, physical examination, structured observation, and review of clinical records. Functional status and motor impairment were assessed using the standardized muscle strength grading scale (Medical Research Council [MRC] scale, 0–5), along with clinical monitoring sheets to document changes in movement capacity. The intervention protocol consisted of prescribed ROM exercises—including passive-assisted and active movement techniques—administered twice daily over the observation period, with progression based on clinical tolerance and patient feedback. Result: At baseline assessment, the patient demonstrated unilateral left-sided weakness, with muscle strength graded at 3/5 for both upper and lower extremities based on the Medical Research Council (MRC) scale, indicating movement against gravity but not resistance. After three consecutive days of prescribed ROM intervention, follow-up assessment showed improvement to 4/5 in both extremities, reflecting increased capability to move against moderate resistance. Measurements were conducted by the same trained clinician using the same standardized scale to enhance reliability, although potential subjective scoring bias inherent to manual muscle testing cannot be fully excluded. Conclusion: There was an increase in muscle strength between before and after the intervention. It is expected that ROM therapy can be applied as an intervention to overcome physical mobility impairment in stroke patients. Lembaga Chakra Brahmanda Lentera (Chakra Brahmanda Lentera Institute) [CANDLE] 2025-12-21 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Peer-reviewed Article application/pdf https://ihc.candle.or.id/index.php/ihc/article/view/14 10.55018/ihc.v12.14 International Journal of Health Concord; Vol. 1 No. 2 (2025): International Journal of Health Concord; 57-65 3090-8884 eng https://ihc.candle.or.id/index.php/ihc/article/view/14/9 Copyright (c) 2025 Nur Fadlilah, Yurike Septianingrum, Lono Wijayanti, Umdatus Soleha (Author) https://creativecommons.org/licenses/by/4.0/

oai:ojs2.ihc.candle.or.id:article/18 2025-12-26T11:16:55Z ihc:ART driver

Effectiveness of an IMB-Based Stunting Prevention Model Among Adolescents: A Quasi-Experimental Study Permatasari, Dian Indriyani, Ratna Hannan, Mujib Suprayitno, Emdat Puspitasari, Dian Ika Stunting Adolescent Health Behavior Health Education Motivation Nutrition Background: Stunting remains a significant public health issue in Indonesia. Conventional interventions often focus on pregnancy and early childhood, showing limited sustainability. Adolescents, as prospective parents, represent a strategic target for sustainable prevention, yet evidence on effective behavior change models for this group remains limited. Methods: This quasi-experimental study adhered to the TREND guideline. Female adolescents (N=120) aged 15-20 years from schools and Islamic boarding schools in Sumenep were randomly assigned to an intervention group (n=60) that received a structured IMB-based program or a control group (n=60) that received standard education. The intervention comprised sessions on information, motivation, and behavioral skills. Dependent variables were knowledge, motivation, and behavior, measured via validated questionnaires. Data were analyzed using Mann-Whitney U tests with significance at p < 0.05 Result: The intervention group showed significant improvements in knowledge (85% good post-test vs. 13.3% pre-test, p < 0.001), motivation (75% high post-test vs. 11.7% pre-test, p < 0.001), and behavior (90% good post-test vs. 11.6% pre-test, p < 0.001). The control group showed no significant changes. Conclusion: The IMB model effectively enhances stunting prevention knowledge, motivation, and behavior among adolescents. It is recommended for integration into adolescent health programs in similar LMIC settings. Lembaga Chakra Brahmanda Lentera (Chakra Brahmanda Lentera Institute) [CANDLE] 2025-12-21 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Peer-reviewed Article application/pdf https://ihc.candle.or.id/index.php/ihc/article/view/18 10.55018/ihc.v12.18 International Journal of Health Concord; Vol. 1 No. 2 (2025): International Journal of Health Concord; 66-72 3090-8884 eng https://ihc.candle.or.id/index.php/ihc/article/view/18/10 Copyright (c) 2025 Dian Permatasari, Ratna Indriyani, Mujib Hannan, Emdat Suprayitno, Dian Ika Puspitasari (Author) https://creativecommons.org/licenses/by/4.0/

oai:ojs2.ihc.candle.or.id:article/21 2025-12-26T11:01:52Z ihc:ART driver

Association Between Length of Work Experience and Spiritual Intelligence Among Adult Medical–Surgical Nurses: A Cross-Sectional Study Suwardianto, Heru Santoso, Teguh Mahyuvi, Tata Alfianto, Ahmad Guntur Amaral, Octavio Daniel Bria Pinto, Joaquim Kumar, Sesha Spiritual Intelligence Nurses Work Experience Surgical Nursing Background: Spiritual Intelligence (SI) is essential for nurses caring for critically ill surgical patients. Previous studies suggest work experience may influence SI, but the extent and specific dimensions affected remain unclear. This study addresses this gap by analyzing the relationship between work experience and four SI dimensions: Critical Existential Thinking (CET), Personal Meaning Production (PMP), Transcendental Awareness (TA), and Conscious State Expansion (CSE) Methods: A cross-sectional study was conducted among 35 nurses working in adult surgical wards at two public hospitals in Kediri, Indonesia. Inclusion criteria were registered nurses with at least six months of experience in surgical wards; exclusion criteria were nurses on leave or with incomplete data. Purposive sampling was used. Independent variable: work experience (years); dependent variable: spiritual intelligence measured using the Spiritual Intelligence Self-Report Inventory (SISRI-24). Data analysis followed the STROBE guideline and was performed using Lambda tests with α < 0.05. Descriptive statistics were reported for key variables, including mean work experience Result: The mean work experience of participants was 7.3 ± 4.1 years. Work experience was significantly associated with Personal Meaning Production (PMP) (p = 0.034) and Conscious State Expansion (CSE) (p = 0.007), indicating that nurses with longer experience are better able to find life meaning and expand spiritual awareness. No significant relationships were observed for Critical Existential Thinking (CET) and Transcendental Awareness (TA). Conclusion: Work experience positively influences certain SI dimensions (PMP and CSE) but not others (CET and TA). These findings suggest that additional factors, such as education, personal experiences, and workplace environment, contribute to SI development. Practical implications: Healthcare institutions should implement spiritual reflection and mindfulness training to support nurses’ well-being. Future research should include larger samples and explore cultural and intervention-based influences on SI development. Lembaga Chakra Brahmanda Lentera (Chakra Brahmanda Lentera Institute) [CANDLE] 2025-12-21 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Peer-reviewed Article application/pdf application/pdf https://ihc.candle.or.id/index.php/ihc/article/view/21 10.55018/ihc.v12.21 International Journal of Health Concord; Vol. 1 No. 2 (2025): International Journal of Health Concord; 151-161 3090-8884 eng https://ihc.candle.or.id/index.php/ihc/article/view/21/17 https://ihc.candle.or.id/index.php/ihc/article/view/21/18 Copyright (c) 2025 Heru Suwardianto, Teguh Santoso, Tata Mahyuvi, Ahmad Guntur Alfianto, Octavio Daniel Bria Amaral, Joaquim Pinto, Sesha Kumar (Author) https://creativecommons.org/licenses/by/4.0/

oai:ojs2.ihc.candle.or.id:article/22 2025-12-26T10:58:31Z ihc:ART driver

Integrated Stunting Reduction Model through Supplementary Feeding and Deworming: A Cross-Sectional SEM-PLS Study among Toddlers Wardita, Yulia Kurniyati, Eka Meiri Permatasari, Dian Stunting Preschool Child Supplementary Feeding Deworming Coastal Population Background: Stunting remains a major public health problem in coastal areas of Sumenep Regency, Indonesia, with a prevalence of 21.6%, exceeding the provincial average. Government programs such as supplementary feeding (PMT) and deworming have been widely implemented; however, evidence regarding how these interventions interact with maternal characteristics to influence stunting outcomes in coastal populations remains limited. Therefore, an integrated analytical model is needed to clarify the direct and indirect pathways influencing stunting among toddlers in coastal settings Methods: This analytical observational study employed a cross-sectional design and followed the STROBE guideline for cross-sectional studies. The study was conducted from March to September 2025 in two coastal sub-districts of Sumenep Regency (Batang-batang and Dungkek). A total of 352 mothers with toddlers were selected using stratified random sampling. Inclusion criteria were mothers with children under five years of age who were not suffering from severe illness and consented to participate, while exclusion criteria included absenteeism during data collection. Independent variables included maternal education, maternal knowledge, child sex, child age, supplementary feeding, deworming, and exclusive breastfeeding, while the dependent variable was stunting incidence. Data were analyzed using Structural Equation Modeling–Partial Least Squares (SEM-PLS) with SmartPLS version 4, applying a significance level of 5%. Result: SEM-PLS analysis showed that supplementary feeding had the strongest direct effect on stunting incidence (β = 0.438; t = 11.173; p < 0.001). Deworming (β = 0.111; t = 2.925; p = 0.004) and maternal education (β = 0.457; t = 11.480; p < 0.001) also had significant direct effects. Maternal education indirectly influenced stunting through supplementary feeding and deworming pathways, while maternal knowledge influenced exclusive breastfeeding but did not show an indirect association with stunting. A total of nine significant structural paths were retained in the final model. Conclusion: Supplementary feeding is the most influential intervention in reducing stunting among toddlers in coastal areas, supported by deworming and maternal education. An integrated stunting reduction strategy combining regular supplementary feeding, routine deworming, and maternal education strengthening is recommended, particularly for vulnerable coastal populations. These findings provide a clear evidence-based framework to optimize program convergence for stunting prevention. Lembaga Chakra Brahmanda Lentera (Chakra Brahmanda Lentera Institute) [CANDLE] 2025-12-21 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Peer-reviewed Article application/pdf https://ihc.candle.or.id/index.php/ihc/article/view/22 10.55018/ihc.v12.22 International Journal of Health Concord; Vol. 1 No. 2 (2025): International Journal of Health Concord; 85-98 3090-8884 eng https://ihc.candle.or.id/index.php/ihc/article/view/22/11 Copyright (c) 2025 Yulia Wardita, Eka Meiri Kurniyati, Dian Permatasari (Author) https://creativecommons.org/licenses/by/4.0/

oai:ojs2.ihc.candle.or.id:article/23 2025-12-26T10:59:26Z ihc:ART driver

Burnout Differences Between Critical Care and Inpatient Nurses: A Cross-sectional Study Suwardianto, Heru Doku, John Foster Atta Ferede , Abebaw Jember Burnout Nurses Critical Care Inpatient Units Emotional Exhaustion Patient Background: Burnout is a common occupational risk among nurses, affecting well-being and patient care. However, limited evidence from low- and middle-income settings compares burnout across different clinical units. The extent of variation between Critical Care and Adult Inpatient Units remains unclear. This study therefore aimed to measure and compare burnout levels between nurses in these two settings and examine their implications for staff well-being and care quality. Methods: A cross-sectional study was conducted and reported in accordance with the STROBE guidelines. A purposive sampling technique was used to recruit 97 nurses (21 from Critical Care Units and 76 from Adult Inpatient Units). Inclusion criteria were registered nurses with ≥6 months of experience in their assigned unit, while nurses on extended leave or undergoing training were excluded. The independent variable was the clinical unit type, and the dependent variable was burnout. Burnout was assessed using the validated Maslach Burnout Inventory (MBI), which measures emotional exhaustion, depersonalization, and reduced personal accomplishment. Data were collected through self-administered questionnaires under researcher supervision, and analyzed using descriptive statistics and the Mann–Whitney U test, with statistical significance set at p < 0.05. Result: Nurses in Adult Inpatient Units experienced higher levels of burnout, with 42.1% reporting moderate burnout and 5.3% high burnout, whereas nurses in Critical Care Units reported primarily low burnout (85.7%) and no high burnout. Emotional exhaustion was the most prominent dimension, followed by depersonalization and reduced personal accomplishment. The difference in burnout levels between units was statistically significant (U = 528.000, Z = -2.751, p = 0.006). Conclusion: Burnout is more pronounced among nurses in Adult Inpatient Units, which may compromise patient care quality, safety, and communication. Targeted interventions—including workload management, psychosocial support, and resilience training—are essential to mitigate burnout, enhance staff well-being, and improve patient outcomes. Lembaga Chakra Brahmanda Lentera (Chakra Brahmanda Lentera Institute) [CANDLE] 2025-12-21 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Peer-reviewed Article application/pdf application/pdf https://ihc.candle.or.id/index.php/ihc/article/view/23 10.55018/ihc.v12.23 International Journal of Health Concord; Vol. 1 No. 2 (2025): International Journal of Health Concord; 110-120 3090-8884 eng https://ihc.candle.or.id/index.php/ihc/article/view/23/15 https://ihc.candle.or.id/index.php/ihc/article/view/23/16 Copyright (c) 2025 Heru Suwardianto, John Foster Atta Doku, Abebaw Jember Ferede (Author) https://creativecommons.org/licenses/by/4.0/

oai:ojs2.ihc.candle.or.id:article/24 2025-12-26T10:56:33Z ihc:ART driver

Baby Food Labelling Compliance with FDA Standards in Ghana: A Cross-sectional Assessment of 104 Products Dapaah, Vicentia Opoku, Oscar Agyemang Mensah, Samuel Sebe Afful, George Kelvin, Duah Prempeh Infant food Food labelling Regulatory compliance Ghana Food and Drug Authority Packaged foods Background: Despite extensive research on consumer knowledge and attitudes toward food labelling, empirical evidence on actual manufacturer compliance with FDA labelling requirements for infant food in Ghana remains limited. Previous studies have largely focused on consumer behavior, leaving a knowledge gap regarding whether producers adhere to the 1992 Food and Drug Law and Ghana FDA standards. This study, therefore, aimed to assess the degree of compliance of infant food manufacturers in Ghana with FDA labelling requirements Methods: A cross-sectional study was conducted using purposive sampling to select 104 pre-packaged infant food products from various retail channels, including stalls, supermarkets, and malls in Kumasi, Ghana. Only commercially available pre-packaged baby foods were included; homemade or unpackaged foods were excluded. The independent variables were product origin (foreign vs. local), and the dependent variables were compliance with 15 FDA-required labelling elements. Data were collected using a structured FDA-based checklist, and data collection was supervised by the research team over a 3-week period. Reporting followed the STROBE guidelines for cross-sectional studies. Data were analyzed using Microsoft Excel 2020 for descriptive statistics (frequencies and percentages) and the chi-square test to examine associations between manufacturer origin and compliance level. Statistical significance was set at p < 0.05 Result: Overall, most products demonstrated moderate to high compliance with FDA labelling standards. Foreign manufacturers showed a higher proportion of high compliance compared to local producers. The most frequently missing labelling elements included nutrient content details and manufacturing dates. Chi-square analysis revealed a significant association between manufacturer origin and compliance level (p < 0.001), indicating that foreign companies were more likely to fully comply with FDA labelling requirements Conclusion: Infant food manufacturers in Ghana generally comply with FDA labelling standards, with foreign producers showing higher adherence than local producers. These findings highlight the need for enhanced monitoring and educational initiatives targeting local manufacturers to improve consumer safety and ensure regulatory compliance. Lembaga Chakra Brahmanda Lentera (Chakra Brahmanda Lentera Institute) [CANDLE] 2025-12-21 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Peer-reviewed Article application/pdf https://ihc.candle.or.id/index.php/ihc/article/view/24 10.55018/ihc.v12.24 International Journal of Health Concord; Vol. 1 No. 2 (2025): International Journal of Health Concord; 73-84 3090-8884 eng https://ihc.candle.or.id/index.php/ihc/article/view/24/13 Copyright (c) 2025 Vicentia Dapaah, Oscar Agyemang Opoku, Samuel Sebe Mensah, George Afful, Duah Prempeh Kelvin (Author) https://creativecommons.org/licenses/by/4.0/

oai:ojs2.ihc.candle.or.id:article/26 2025-12-27T09:49:25Z ihc:ART driver

The Relationship Between Nurse Burnout and the Implementation of Patient Safety Goals: A Cross-Sectional Study Panjaitan, Jismer Linawati Togatorop Anastasia, Cahaya Artha Burnout Professional Patient Safety Nurses Hospitals Occupational Stress Background: Nurse burnout is a persistent challenge in hospital settings and has been associated with compromised patient safety performance. Although previous studies have examined burnout and general safety outcomes, empirical evidence directly linking nurse burnout to the implementation of standardized Patient Safety Goals remains limited, particularly in low- and middle-income country contexts. Therefore, this study aimed to examine the relationship between nurse burnout levels and the implementation of patient safety goals among hospital nurses in Indonesia. Methods: A quantitative cross-sectional correlational study was conducted in October 2025. The study involved 97 registered nurses providing direct patient care, selected using purposive sampling. Inclusion criteria were nurses with a minimum of six months of work experience, while nurses in managerial positions or on leave were excluded. Nurse burnout (independent variable) was measured using the Maslach Burnout Inventory, and patient safety goal implementation (dependent variable) was assessed using a structured observation checklist based on World Health Organization and Indonesian Ministry of Health indicators. Data were collected anonymously following ethical approval and informed consent. Statistical analysis was performed using Spearman’s rank correlation test. This study followed the STROBE guidelines for reporting cross-sectional studies. Result: Most participants were female (86.6%) and aged 25–35 years (75.3%). Moderate burnout levels were reported by 58.8% of nurses, while 61.9% demonstrated good implementation of patient safety goals. A statistically significant correlation was identified between nurse burnout and patient safety goal implementation (r = 0.456; p < 0.001), indicating that higher burnout levels were associated with lower adherence to patient safety practices. Conclusion: Nurse burnout is significantly associated with the implementation of patient safety goals, indicating that nurses’ psychological well-being plays a critical role in ensuring safe care delivery. These findings highlight the need for organizational and psychosocial interventions targeting burnout reduction as an integral component of patient safety improvement strategies. Lembaga Chakra Brahmanda Lentera (Chakra Brahmanda Lentera Institute) [CANDLE] 2025-12-21 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Peer-reviewed Article application/pdf https://ihc.candle.or.id/index.php/ihc/article/view/26 10.55018/ihc.v12.26 International Journal of Health Concord; Vol. 1 No. 2 (2025): International Journal of Health Concord; 99-109 3090-8884 eng https://ihc.candle.or.id/index.php/ihc/article/view/26/20 Copyright (c) 2025 Jismer Panjaitan, Linawati Togatorop, Cahaya Artha Anastasia (Author) https://creativecommons.org/licenses/by/4.0/

oai:ojs2.ihc.candle.or.id:article/27 2025-12-26T11:01:14Z ihc:ART driver

Phenomenological Experiences of Grief Among Elderly Following Family Loss in Indonesia: A Roy’s Adaptation Model–Based Inquiry Maulidina, Nur Hasanah Hidayat, Syaifurrahman Huzaimah, Nailiy Salat, Sri Yunita Suraida Andrian, Maulana Widi Grief Elderly Psychological Adaptation Problem-Coping Skills Roy's Adaptation Model Background: The loss of a family member presents a deeply emotional challenge for older adults, often disrupting their physical, psychological, and social equilibrium. Elderly individuals experiencing grief commonly face intense sorrow, isolation, and alterations in their daily routines. Without effective coping mechanisms, these emotional responses may negatively impact their bodily functions and social relationships. This study aimed to explore the grief experiences of elderly individuals in coping with family loss using the Roy Adaptation Model as a guiding framework. Methods: A qualitative phenomenological design was employed, underpinned by the Roy Adaptation Model. Participants were selected through purposive sampling, with inclusion criteria consisting of elderly individuals aged 60 or above who had lost a nuclear family member within the past 6 to 12 months. Exclusion criteria included the presence of cognitive, sensory, or severe physical impairments. The study involved seven elderly participants, two family members, and one healthcare provider from Kalianget District in 2025. Data were collected via in-depth interviews and analyzed thematically through open, axial, and selective coding. Data saturation was confirmed after the seventh participant. The research adhered to COREQ reporting standards and received ethical clearance from the Health Research Ethics Committee of Wiraraja University (No: 1234/EC/2025) Result: Participants experienced grief through crying, withdrawal, and denial. Coping strategies included engaging in religious practices, sharing stories, and staying occupied. Four central themes emerged: grief experience, coping mechanisms, physiological changes, and interdependence Conclusion: Grief significantly affects the emotional, physical, and social well-being of the elderly. Support from families, healthcare professionals, and communities is vital to promote adaptive coping. Lembaga Chakra Brahmanda Lentera (Chakra Brahmanda Lentera Institute) [CANDLE] 2025-12-21 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Peer-reviewed Article application/pdf https://ihc.candle.or.id/index.php/ihc/article/view/27 10.55018/ihc.v12.27 International Journal of Health Concord; Vol. 1 No. 2 (2025): International Journal of Health Concord; 131-150 3090-8884 eng https://ihc.candle.or.id/index.php/ihc/article/view/27/19 Copyright (c) 2025 Nur Hasanah Maulidina, Syaifurrahman Hidayat, Nailiy Huzaimah, Sri Yunita Suraida Salat, Maulana Widi Andrian (Author) https://creativecommons.org/licenses/by/4.0/