Introduction: Healthcare-associated infections remain a major threat to patient safety. Hand hygiene is one of the most effective ways to prevent these infections. Nursing students’ ability to apply appropriate hand hygiene practices has important implications for patient safety and quality of care. This study aimed to analyse the knowledge, attitudes, and practices (KAP) related to hand hygiene among nursing students at Universiti Sultan Zainal Abidin, Malaysia. Method: A cross-sectional study was conducted with 136 Diploma and Bachelor nursing students selected through simple random sampling. Data were collected using a structured questionnaire based on the validated World Health Organization’s hand hygiene tool of knowledge, attitude and practice, and distributed via Google Forms. Data analysis was done using SPSS version 29, including descriptive and bivariate analysis. Results: All 136 students responded (100%). Most were female (n = 120, 88.2%). The average scores for knowledge, attitude, and practice were 18.05 (SD = 1.657), 5.33 (SD = 2.157), and 4.02 (SD = 1.503), respectively. The year of study was significantly associated with knowledge (p = 0.003), attitude (p = 0.002), and practice (p < 0.001). Education level also showed a significant relationship with attitude (p = 0.004). Conclusion: The findings show that academic level and clinical exposure significantly affect nursing students’ hand hygiene behavior. Continuous education and practical training are crucial to improving hand hygiene compliance. Understanding the link between demographics and KAP can support the development of targeted strategies to reduce the risk of HAIs in clinical practice.
Introduction: Employee satisfaction is a key determinant of organizational performance, particularly in healthcare settings where motivated staff are essential for delivering high-quality patient care. Limited regional evidence exists regarding workforce engagement and retention in Kashmir. This study aimed to assess employee satisfaction and its associated demographic and job-related factors among healthcare workers in district hospitals of Kashmir. Method: A descriptive cross-sectional study was conducted among 236 healthcare employees from three district hospitals using consecutive sampling. Data were collected through a validated structured interview schedule covering domains such as job satisfaction, autonomy, recognition, co-worker relationships, pay, supervision, and promotion opportunities. Statistical analysis included descriptive statistics and inferential tests (chi-square, ANOVA, and Kruskal–Wallis), with significance set at p < 0.05. Results: The overall mean job satisfaction score indicated a moderate level of satisfaction (151.57 ± 30.99), reflecting diverse perceptions among employees. Higher satisfaction was observed in teamwork, co-worker relationships, and supervision, while dissatisfaction was reported regarding pay, rewards, promotion opportunities, and job facilities. Satisfaction was significantly associated with designation, professional education, and marital status, whereas age, gender, residence, and general education showed no significant relationship. Conclusion: Healthcare employees in Kashmir’s district hospitals demonstrate moderate but uneven satisfaction. Strengthening compensation policies, ensuring transparent promotion systems, and expanding professional development opportunities are critical to enhancing employee morale, retention, and institutional performance.
Introduction: Handover is a critical nursing responsibility involving the structured transfer of essential patient information, accountability, and continuity of care between healthcare providers. In nursing practice, ineffective or unstructured handover communication has been consistently associated with sentinel events, adverse outcomes, and preventable medical errors, thereby compromising patient safety. Methods: The systematic review approach uses the Cochrane approach and journal sources from several databases including Scopus, Pubmed, BMJ, BMC, NCBI, ProQuest, Science Direct in the last 5 years. This article searched using keyword handover, electronis, SBAR and nursing care. Boolean operators in the search process using AND and OR. Data analysis of review using narrative analysis based on The Joanna Briggs Instritute for Critical Appraisal Tools. Results: Overall, the reviews consist of 15 articles. In this review, this electronic-based handover makes the delivery of information more structured, efficient and effective so that it can reduce ME (Medication Error), improve patient safety. Conclusions: The application of this electronic-based handover makes the delivery of information more effective, efficient and structured, to reduce sentinel events, medical errors, improve patient safety and improve the quality of nursing care.
Introduction: Aligned with Saudi Vision 2030, the Ministry of Health initiated a comprehensive restructuring plan to enhance the quality and efficiency of healthcare delivery. A central component of this transformation is the establishment of health clusters across the Kingdom and the implementation of the new Model of Care (MoC), which emphasizes preventive health and integrated service delivery. However, the successful implementation of the MoC largely depends on healthcare professionals’ understanding and application of its principles. This study aimed to assess nurses’ knowledge of the MoC within the Eastern Health Cluster of Saudi Arabia. Methods: A descriptive, cross-sectional design was utilized, involving 217 nurses. Data were collected using a validated, MoC-based survey distributed electronically via Google Forms through various social media platforms. Descriptive statistics summarized nurses' MoC knowledge and demographic information. The Shapiro-Wilk test and Kruskal-Wallis test were used to examine differences between groups. Results: Findings indicated a mean knowledge score of 8.52 (SD = 2.44) with a median of 9. There were no statistically significant differences in knowledge scores based on gender (U(215) = 735, p = 0.561), nationality (U(215) = 5271, p = 0.481), nurses’ functions (χ²(4) = 8.43, p = 0.077), or years of experience (χ²(4) = 1.66, p = 0.798). Conclusions: Although nurses show general awareness of the MoC, their familiarity remains basic. The findings emphasize the importance of structured education and ongoing in-service training to support MoC implementation and contribute to realizing Saudi Vision 2030 goals.
Introduction: Sleep disturbances are strongly associated with poor blood pressure control and can worsen the clinical outcomes of hypertensive patients. This study aimed to analyze the application of the Indonesian Nursing Diagnosis Standards (Standar Diagnosis Keperawatan Indonesia or SDKI) in identifying Sleep Pattern Disturbance among hypertensive patients as documented by nursing students. Methods: This descriptive retrospective study utilized secondary data from 169 final year nursing student report’s archived from the year 2023 to 2024. Data were derived from Diploma Nursing Program (D-III), Faculty of Nursing, Universitas Jember, Indonesia. Data were extracted and analyzed using descriptive statistics. Results: The results showed that all nine cases involved patients over 50 years of age, predominantly women (8 out of 9). The most frequent symptoms recorded were difficulty initiating or maintaining sleep (100%), non-restorative sleep (78%), changes in sleep pattern (78%), frequent awakenings (56%), and feeling unrested (56%). Poor sleep control was the primary contributing factor (78%), followed by environmental factors such as noise and unpleasant odors (11% each). All reports consistently documented Sleep Pattern Disturbance as the sole nursing diagnosis using SDKI. Conclusions: Nursing students have begun to apply standardized terminology; however, the limited range of diagnoses and contributing factors suggests a need to strengthen supervision, comprehensive assessment, and diagnostic reasoning skills in nursing education. Future studies with larger samples and primary data are recommended to explore further the integration of SDKI with interventions (SIKI) and outcomes (SLKI).
Introduction: Effective nurse–doctor collaboration is fundamental to delivering high-quality hospital care. However, interprofessional collaboration often remains suboptimal due to hierarchical dynamics and limited managerial competence among nurse leaders. This study examined the influence of head nurses’ leadership style, particularly democratic leadership, on nurse–doctor collaboration in hospital settings. Methods: a cross-sectional correlational study was conducted at a regional general hospital in Indonesia, with data collected in April 2023. A total of 49 respondents were recruited using purposive sampling. Leadership style was assessed using the Multifactor Leadership Questionnaire (MLQ–5X Rater Form, 45 items), while nurse–doctor collaboration was measured with the Jefferson Scale of Attitudes toward Physician–Nurse Collaboration (JSAPNC, 15 items). Content validity was established through expert judgment (CVI = 0.87), and reliability testing demonstrated good internal consistency (Cronbach’s α = 0.82 for MLQ; α = 0.85 for JSAPNC). Data were analyzed using the Chi-square test with a significance level of p < 0.05. Results: In major (69.4%) respondents perceived their head nurse’s leadership style as democratic. Additionally, 61.2% reported good nurse–doctor collaboration. Statistical analysis revealed a significant association between democratic leadership style and nurse–doctor collaboration (p < 0.001). Conclusion: Democratic leadership among head nurses is significantly associated with stronger nurse–doctor collaboration. Enhancing democratic leadership competencies may promote more effective interprofessional teamwork and contribute to improved quality of care in hospital settings.
Introduction: Organizational Citizenship Behavior (OCB) among nurses plays a crucial role in improving hospital performance, service quality, and patient outcomes. OCB refers to voluntary, extra-role behaviors that go beyond formal job requirements and contribute to organizational effectiveness. Although job satisfaction is often identified as a key predictor of OCB, empirical findings remain inconsistent across different healthcare settings. This study aimed to examine the association between nurses’ job satisfaction and Organizational Citizenship Behavior at Ngimbang Regional Hospital, Indonesia. Methods: A cross-sectional study design was applied. A total of 81 nurses were recruited through purposive sampling based on predefined inclusion criteria, including actively working nurses who consented to participate in the study. Nurses who were on leave or had participated in the preliminary study were excluded. Job satisfaction and OCB were measured using structured questionnaires adapted from validated instruments, each consisting of five key indicators. Data were analyzed using the Spearman Rho correlation test with a significance level set at p < 0.05. Results: The findings indicated that 61.7% of nurses reported high levels of job satisfaction, while 50.6% demonstrated high levels of OCB. Statistical analysis revealed a significant and strong positive correlation between job satisfaction and OCB (p < 0.001; rₛ = 0.602). Conclusion: Nurses’ job satisfaction is significantly associated with Organizational Citizenship Behavior. Enhancing job satisfaction through equitable reward systems, compensation aligned with responsibilities, and supportive work environments may foster positive discretionary behaviors and strengthen overall hospital performance and service quality.
Introduction: Nurses, a vast portion of the healthcare workforce, have made a low contribution to achieving healthcare organizational visions and strategies in producing research. The study aimed to identify the facilitators and barriers to research production among members of a community of practice (CoP). Method: This study utilized a descriptive qualitative research design, conducting a focus group discussion. Those members were provided with education, mentorship, and support over 12 months from January 2023 to January 2024. h a convenience sample of 21 members from the targeted CoP. Results: The online CoP provided members with several opportunities to compensate for any deficit in the existing individual, social, and organizational support system. However, the study highlighted several barriers to research among the community members, including individual factors, i.e., time limitations and lack of member’s knowledge and expertise, social factors, i.e., lack of collaboration among colleagues, and organizational factors, i.e., lack of organization and unit support, resources, and workload. Conclusion: The study revealed satisfactory progress in the members' research projects and recommended extending their learning and training period. The study suggests extending the members' education and training period, including psychological preparation, and providing them with additional skills such as persuasion, negotiation, and interpersonal skills to overcome existing research barriers. Moreover, further studies are required to assess the long-term impact, for example, after one or two years of the online CoP on members' research productivity. Further research to explore the facilitators and barriers of research production among CoP members in various contexts.
Introduction: Nurses play an integral role in the healthcare system, representing the most essential and prominent component of the healthcare sector. To build a resilient organizational plan, it is necessary to engage employees in decision-making and offer them greater autonomy. This is usually accomplished through empowering employees, with the behavior of leaders playing an integral role, especially in empowering leadership. Thus, this study aimed to examine the relationship between structural empowerment among nurses, years of managerial experience, and resistance to change. Method: This cross-sectional, descriptive correlational survey included 148 participants employed in formal or acting leadership roles such as nursing managers, head nurses, or nursing supervisors in a Riyadh university hospital, selected using convenience sampling. Data were collected using the CWEQ-II and RTC scales. Descriptive statistics, Pearson correlation, ANOVA, and multiple regression were used to analyze the data. Results: The results indicated that structural empowerment among nurses is significantly and negatively associated with resistance to change, indicating that an increase in structural empowerment leads to a decrease in resistance to change. However, years of managerial experience showed no significant association with resistance to change, demonstrating that having more or fewer years of managerial experience did not meaningfully impact resistance levels. Conclusion: This study concluded that with more employment empowerment, exposure, and accessibility to information, resistance to change can be reduced.
Introduction: The concept of quiet quitting (QQ) gained widespread attention following its popularization on social media’s app ‘TikTok’ in 2022 and has since been recognized as a prevalent phenomenon among nurses and other healthcare professionals. To that effect, literature has alluded to the most concerning dire consequences. The study aimed to synthesize studies on QQ among nurses and suggest measures that can be used to alleviate this phenomenon. Methods: The study applied five steps of the integrative literature review, guided by Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. The review encompassed research articles peer-reviewed and published between 2022 and 2025, in the following databases: Cumulative Index to Nursing and Allied Health Literature EBSCOhost, Education Resources Information Center, Google Scholar, Medline, Psych INFO, Science Direct and Pub Med. Included articles were written in English, published in 2020 to 2025, in peer-reviewed journals, and participants were nurses. Results: Nine articles were ultimately reviewed and revealed three main themes factors contributing to QQ among nurses, including organizational and individual factors and supportive supervision; Consequences of QQ among nurses affected patient care and human resources; Measures that could be used by nurse managers to reduce QQ among nurses. Conclusions: This study revealed interrelated factors that contribute to QQ dire impact of QQ on nurses. Nurse managers and policymakers need to be aware of this phenomenon and urgently put holistic, robust mitigating measures to ensure that working conditions are favourable and there is a balance in nurses’ work lives.
Introduction: Teenage girls often experience acne due to hormonal changes. This condition not only affects their appearance but also lowers self-confidence and impacts their mental health. This study aims to determine the effect of the natural mulberry leaf mask formula (Mours alba L). on acne vulgaris in female students of Vocational School in Jombang, Indonesia Method: The research design used was a One-Group Pre-Experimental, Pre-Test-Post-Test. This study involved 65 students, with a sample of 20 respondents selected through Quota Sampling. Data were collected using observation sheets and analyzed with SPSS 25 using the Wilcoxon Test. Results: Before therapy, 15 respondents (75%) experienced moderate acne vulgaris. After therapy, 15 respondents (75%) experienced mild acne vulgaris. Statistical analysis showed a significance value of 0.000 < α (0.05). Conclusion: Regular use of a natural mulberry leaf mask is beneficial for acne healing. Mulberry leaves contain vitamins A, C, and E, alkaloids, and flavonoids, which act as antibacterials, reduce inflammation, and reduce oxidative stress. This formula can be used as an alternative treatment for acne vulgaris.
Introduction: Patient loyalty serves as an important indicator in evaluating the overall quality of nursing services within hospital settings. Loyalty reflects a crucial determinant of hospital competitiveness and sustainability. This study aims to analyze the relationship between nurse responsiveness, empathy, and patient loyalty in the hospital service environment. Method: This quantitative cross-sectional study involved 62 patients as respondents using accidental sampling techniques. Patient in the ward patients admitted to the ward during January. Data were collected through questionnaires to measure nurses' responsiveness and empathy through patient perceptions, as well as the Patient Loyalty Questionnaire (PLQ), which includes dimensions of attitudinal loyalty, behavioral loyalty, word of mouth, and recommendation intentions. Data were analyzed using Spearman correlation and Ordinal Logistic Regression. Results: Patient perceptions of nurse responsiveness showed that more than half (66.1%) were in the good category. Similarly, patient perceptions of nurse empathy showed that more than half (71%) were in the good category. Some patients (54.9%) had high loyalty. Analysis of the relationship between responsiveness and loyalty (p=0.001 and r=0.69) and between empathy and loyalty (p=0.001 and r=0.59). Both results indicate that responsiveness and empathy are related to loyalty with the strength of the relationship in the strong category Conclusions: Nurses' responsiveness and empathy are important factors influencing patient loyalty. Hospital management needs to develop training programs to strengthen nurses' skills in responding to patient needs quickly and effectively, as well as work systems that support nurses' quick, responsive, and timely responses in interacting with patients, so that patients feel satisfied and become loyal.
Introduction: School-aged children are in the developmental stage of concrete operational thinking, where they begin to think logically and solve problems in a structured way. However, many children at this stage still experience difficulties in subjects which often requires high levels of concentration and problem-solving skills. This study aims to determine the effect of classical music therapy on learning concentration in school-aged children. Method: This study employed a quasi-experimental design with a non-equivalent control group design. Population consisted of 42 school-aged children, a sample of 38 was obtained using a non-probability sampling. Classical music therapy was used as the independent variable, while learning concentration served as the dependent variable. Learning concentration was measured before and after the intervention. Data were analyzed using the Wilcoxon signed-rank test to determine the effect intervention. Results: The results of the Wilcoxon statistical test yielded a ρ value of 0.00, which is smaller than the predetermined significance level (α = 0.05). This finding indicates that classical music therapy has a statistically significant effect on improving learning concentration in school-aged children. The outcome supports the notion that classical music stimulates cognitive, focus, and learning atmosphere. Conclusion: This study concludes that classical music therapy has a significant positive influence on learning concentration. The intervention was shown to enhance students’ ability to maintain focus and sustain attention during learning activities, suggesting that classical music supports environment for academic engagement. Results reinforce the importance of innovative educational interventions that address cognitive, emotional, and environmental factors in the learning process.
Introduction: Delays and errors in providing first aid to victims experiencing syncope can significantly increase the risk of complications and even mortality. Syncope requires immediate, appropriate intervention, making first aid skills essential for students. This study aimed to compare the effectiveness of the roleplay method and the audiovisual method in improving students’ skills in providing first aid for syncope. Method: This study employed a quasi-experimental design with a nonequivalent group posttest-only approach. The population consisted of all 442 students in Class X at SMAN 1 Kedungwaru, Tulungagung, Indonesia. Using purposive sampling with specific inclusion and exclusion criteria, 71 students were recruited. Participants were divided into two groups: the roleplay group (n = 35, Class X-1) and the audiovisual group (n = 36, Class X-2). The independent variable was the health education method, while the dependent variable was the level of syncope first aid skills. Data were collected using an observation checklist, with a Content Validity Index (CVI) of 0.86, confirming its validity. Data analysis was performed using the Mann–Whitney U test. Results: The demographic characteristics showed comparable distributions between groups. In the roleplay group, 49% (n = 17) of students demonstrated good skills, whereas in the audiovisual group, the majority 47% (n = 17) achieved only moderate skill levels. The Mann–Whitney test yielded a p-value of 0.001 (< 0.05), indicating a significant difference between the two methods. Conclusion: Roleplay is more effective than audiovisual because respondents have the opportunity to practice directly so they learn and see more clearly.
Introduction: The administration of chemotherapeutic drugs requires specialized knowledge and skills to ensure optimal patient outcomes and minimize risks. While global guidelines emphasize the importance of safe chemotherapy administration, there is a lack of context-specific data on the knowledge and practices of nurses in tertiary health facilities in Benin City. This study addresses the gap by providing empirical evidence on their competencies and challenges. Hence this study aimed to assess the knowledge and practices of safe handling and administration of chemotherapeutic drugs amongst tertiary health facility, Benin City. Methods: The study adopted a descriptive cross-sectional study design among randomly selected 278 nurse working in the selected hospital. A researcher developed structured validated questionnaire was used as instrument of data collection. Data collected was analyse using descriptive statistics while hypothesis tested using multiple logistic regression at 5% level of significant. Data analysis was done using the IBM Statistical Package for Social Sciences (SPSS) version 28.0 for windows. Results: Overall 17% of participants had poor knowledge, and 63% had fair knowledge. More than half (51%) exhibited poor practice. Most significant factors supporting the safe handling and administration of chemotherapeutic drugs are Training and Certification (3.94), Incident Encounters (3.73), Protocol Adherence (2.93), and Utilization of PPE (2.82). Being married: (OR = 1.136 (95% C.I: 1.10–3.83, p = 0.7369), Female (OR = 4.90, 95% CI: 0.23–3.54, p = 0.479), 18–34 years (OR = 7.03, 95% CI: 0.06–8.28, p = 0.298) , Bachelor Degree (OR = 7.69, 95% CI: 0.05–7.10, p = 0.174) have higher odds of exhibiting a higher level of practice compared to other categories but not statistically significant. Conclusions: The study found that nurses have moderate knowledge and practice levels in handling chemotherapeutic drugs but still face significant gaps. It highlights the need for targeted interventions, in-service education, and institutional policies to improve competency and ensure safe chemotherapy administration.
Introduction: Head ward nurse (HWN) is the one who, within a social and health care organization, plays a key role in the functioning of the ward, organizing work and that co-workers.This study aims to identify the HWN's core competencies, mapping and grading them according to the level considered most strategic and making them evident through the configuration of a conceptual map defined by the Balanced Scorecard (BSC) model. Methods: This study was conducted in a mixed-method methodology, with a qualitative and quantitative exploratory sequential approach. In the quantitative part, by using the administration of surveys of consecutive convenience samples consisting in doctors, nurses, healthcare worker assistants and therapists staff from the surgical department of the Azienda Unità Sanitaria Locale (AUSL) of Piacenza Italy, 39% of the population of possible respondents for the qualitative part. Another sample of only nurses ward manager from surgery department of AUSL, which is the Local Health Authority of Piacenza, located in the Emilia-Romagna region of northern Italy. It was identified for the quantitative part, 100% of the population of possible respondents. Results: The BSC makes it possible to identify, represent, and measure the performance of nurses especially with a view to enabling the attainment of skills deemed most significant, to be able to have a balance of them within the professional's portfolio, to ensure the presence of appropriate skills in care settings, and to be able to represent a graduation and eventual measurement of them. Conclusions: The definition, mapping, graduation and representation of the core competencies of the HWN according to the BSC model, allow to make explicit the professional act in order to maintain or improve the exercised performances of the function as well as to lay the basis for their possible evaluation.
Introduction: Parents have their own parenting style in educating, guiding and disciplining children which is relatively consistent from time to time, and this can affect the moral development of children. There are three types of parenting styles used, namely democratic, authoritarian, and permissive. The purpose of this study is to analyze the relationship between parenting style and the moral development of preschool-age children. Method: The method of this study is correlation analysis with a cross-sectional approach with a population of 35 respondents. The research sample was 32 respondents from parents of preschool children aged 4-6 years with purposive sampling. The research instrument for parental parenting and children's moral development uses a questionnaire. Data analysis using the Chi-Square test. Results: The results showed that most parents had a democratic parenting style in 19 respondents (59.4%), and the moral development of children mostly showed good moral development in as many as 17 respondents (53.2%). The results of the Chi-Square analysis of parental parenting with children's moral development showed that the p-value of < α was 0.011<0.05 which means that there is a relationship between parental parenting and the moral development of preschool-aged children. Conclusion: Parenting plays a pivotal role in shaping the moral development of preschool-aged children. The application of an appropriate parenting style is essential for effectively guiding and educating children during this critical stage of development. Given the unique characteristics and needs of early childhood, this study highlights the importance of adopting a democratic parenting style—characterized by warmth, responsiveness, and appropriate boundaries—as a means of fostering positive moral growth. This study underscores the urgency of promoting parenting approaches that support moral understanding, empathy, and pro-social behavior. Future research is encouraged to further explore and develop intervention strategies and educational programs aimed at enhancing children’s moral development through supportive parenting practices.
Introduction: Multi Drug Resistant Tuberculosis (MDR-TB) sufferers experience decreased lung function. Non-pharmacological therapy such as slow deep breathing has been widely applied to improve lung function of individuals with Tuberculosis. However, the results were inconsistant. The aim of this research is to analyze the effect of slow deep breathing on lung function pf individuals with multi-drug resistant (MDR-TB) at the MDR-TB Polyclinic Ibnu Sina General Hospital Gresik, Indonesia. Method: This study employed a quasi-experimental design with a pre-test and post-test. The population consisted of 294. A total of 35 participants were selected using purposive sampling based on inclusion and exclusion criteria. Data collection involved a Standard Operating Procedure (SOP)-guided intervention in slow deep breathing exercises as the independent variable. Lung function, the dependent variable, was measured using a calibrated spirometry device before and after the intervention. An accidental sampling method was applied, focusing on the availability and willing to participate. Results: The results showed of 19 (54.3%) and almost half of participants had abnormal lung function, 16 (45.7%) people. After being given intervention, the majority of particupants presented normal lung function, 21 (65.7%) of them and almost half of them had abnormal lung function, 12 (34.3%) of them. Mc Nemar test to determine the effect of slow deep breathing on lung function was p-value of 0.125 > 0.05. Conclusion: This study documented that slow deep breathing exercises had no significant effect on lung function in individuals with MDR-TB. This likely attributable to other contributing factors, such as routine pharmacological treatment, consistent physical activity, and improved adherence to therapy. These confounding variables may have played a more substantial role in the observed changes. Further research with rigorous experimental designs, involved larger sample sizes, and longer duration of intervention is needed.
Introduction: Diabetes mellitus (DM) is a metabolic disease represented by hypoglycemia due to abnormalities in insulin secretion, insulin action, or both. Normal blood glucose levels influence the healing process for DM complications. Reducing blood glucose levels can be achieved by releasing the hormone endorphin, secreted when the patient is calm and comfortable. One way to achieve self-calm is by getting spiritual care. Spiritual care is a process of healing by fulfilling spiritual needs. The objective assessment of DM is seen in hematological parameters, one of them is Glycate Haemoglobin (HbA1c). This study to identifying the analysis between the knowledge of spiritual care and HbA1c assessment. Methods: This was a quantitative research correlation analysis design using person correlation. The dependent variable is the patient's knowledge of spiritual care, while the independent variable is HbA1C levels. The sample is 32 from 115 DM patients with new cases in RSUD Cibinong, Bogor 2022. questionnaire used to collect the knowledge of spiritual care and HbA1c assessment was taken at the same time. Results: The results showed that the majority were female (68.8%), aged 56-65 years (46.9%), knowledge level high category (56.3%), and HbA1c levels were normal (81.3%.) Bivariate analysis has significant results in identifying the relationship between the knowledge of spiritual care and HbA1c levels in DM patients (p-value 0.02). Conclusions: This study concludes that spirituality care can influence HbA1c assessment to a normal level. Spirituality care could be non-pharmacological therapy for DM patients.
Introduction: Patient loyalty represents a critical challenge for hospitals and other healthcare organizations. A low level of patient loyalty may negatively affect an institution’s competitiveness and reflect poorly on the quality of healthcare services and workforce performance. In increasingly diverse healthcare settings, incorporating values that align with patients’ beliefs and expectations may play a role in fostering satisfaction and loyalty. This study aims to analyze the relationship between implementing Islamic values in inpatient care and patient loyalty. Method: This study applied a correlational analytic design with a cross-sectional approach. Data were collected from a sample of 100 inpatients, selected through consecutive sampling over a two-week period. The study investigated the relationship between the implementation of Islamic values and patient loyalty. Two instruments were used to measure the study variables: the Islamic Service Questionnaire and the Patient Loyalty Questionnaire. Data were analyzed using the Spearman rank-order correlation test to determine the strength and direction of the association between the two variables. Results: A total of 66% of patients perceived the implementation of Islamic values by nurses to fall within the moderate category. Similarly, 70% of patients demonstrated a moderate level of loyalty. Statistical analysis using the Spearman rank-order correlation test showed a significant relationship between the implementation of Islamic values and patient loyalty (p = 0.009; rₛ = 0.260), indicating a positive, albeit weak, correlation between the two variables. Conclusion: This study demonstrates a significant positive relationship between the implementation of Islamic values in nursing care and patient loyalty in inpatient settings. By addressing spiritual needs, modifying the care environment to reflect Islamic principles, and providing adequate worship facilities, healthcare institutions may enhance the overall patient experience and increase retention. Future research is recommended to explore the long-term impact of faith-based care models on patient outcomes in broader and more diverse hospital settings.
