BackgroundThe transition from paper-based documentation to electronic nursing records (ENRs) is a critical component of digital transformation in healthcare. In intensive care units (ICUs), where timely and accurate documentation is essential, nurses' readiness plays a pivotal role in determining the success of ENR implementation. However, readiness remains uneven across healthcare settings, particularly in resource-constrained context. This study aimed to explore ICU nurses' readiness to adopt ENRs within a hospital setting in Indonesia where nursing documentation remains predominantly manual.MethodsA qualitative descriptive design using thematic analysis was employed. In-depth interviews were conducted with 15 ICU nurses. The study was conducted in the ICU of a hospital in Indonesia. ICU nurses were recruited using purposive sampling based on their direct involvement in patient care and nursing documentation. Semistructured interviews were conducted, with data collection and analysis occurring concurrently. Participant recruitment continued until data saturation was achieved, which occurred after 15 interviews. Interview transcripts were analyzed using thematic analysis.ResultsFive interrelated themes emerged: (1) the current state of ENR implementation characterized by limited digital integration and ongoing reliance on manual documentation, (2) perceived benefit of ENRs including improved efficiency, accuracy, and accessibility of patient data, (3) readiness for ENR implementation required leadership, infrastructure supports, and human resources capacity, (4) anticipated challenges and barriers to implement comprises resistance to change and limited digital literacy, and (5) expectations for ENRs implementation highlighting the need for training, policy development, and system integration. Readiness was found to be conditional and context-dependent rather than solely individual.ConclusionsICU nurses demonstrated cautious yet positive readiness toward ENR adoption. Successful implementation requires coordinated sociotechnical strategies that address organizational, technological, and human factors simultaneously. These findings provide context-specific and transferable insights for similar critical care settings undergoing digital transition.

Introduction: Out-of-hospital cardiac arrest is a life-threatening emergency with a high mortality rate, often associated with delays in bystander response. Limited knowledge and inadequate skills in Basic Life Support among the general public remain major barriers to improving survival outcomes. Educational approaches using simple and practical media, such as CPR mats, have the potential to enhance community readiness in responding to cardiac emergencies. This community service activity aimed to improve the knowledge and skills of community members in performing BLS through the use of innovative CPR mat-based training. Methods: This community-based activity was conducted in Sukolilo Village in collaboration with the local Community Health Center (Puskesmas), involving 33 participants consisting of health cadres, PKK members (Family Welfare Movement), and community representatives. The intervention included structured education and simulation-based BLS training using a CPR mat. Program effectiveness was evaluated using pre- and post-tests, and the data were analyzed using the Wilcoxon signed-rank test. Results: Participants’ knowledge significantly improved after the intervention (p < 0.001), with the mean score increasing from 55.63 to 81.25 and a shift from predominantly poor to good knowledge levels. Practical BLS skills also showed significant improvement based on simulation assessments (p < 0.001), indicating enhanced ability to perform key procedures. Conclusion: CPR mat-based BLS education is effective in enhancing community knowledge, skills, and readiness to act as first responders in cases of cardiac arrest. This approach has strong potential to be implemented as a community-based strategy to improve early emergency response and survival outcomes. KEYWORDS basic life support; community first responders; CPR training; CPR mat-based training; universal health coverage

Introduction: Delivering nursing care in intensive care units has numerous challenges, one of which pertains to cultural concerns. Cultural views of nurses can obstruct the provision of holistic nursing care. This study seeks to identify characteristics related to views of cultural competency among ICU nurses. Methods: This study employed a descriptive-analytic strategy utilizing a cross-sectional approach. The study sample consisted of 208 respondents, chosen using purposive sampling. Data were collected via a questionnaire and analyzed through binomial logistic regression at a significance level of p<0.05. Results: The perception of cultural competence among ICU nurses was significantly connected with age (p = 0.008), gender (p=0.038), and both career and competency level (p=0.031). Perceptions of cultural competency among ICU nurses were often inadequate. Gender was the predominant variable. Conclusions: ICU nurses with a positive sense of cultural competency influence the enhancement of nursing care implementation and quality

BACKGROUND:Older adults living with HIV face multiple health challenges, yet evidence on the impact of exercise on their well-being remains limited. Regular physical activity is known to have multiple benefits in general aging population, but its specific benefits for those with HIV are less established. AIM:This review assessed randomized controlled trials (RCTs) investigating the effects of physical exercise on quality of life, VO₂ max, and sleep quality among seniors with HIV. METHODS:A systematic search was conducted in PubMed, CINAHL, Cochrane Library, and Embase. Eligible studies included RCTs evaluating structured exercise interventions in adults aged 50 years and older living with HIV. Data on participants, interventions, and outcomes were extracted and pooled for meta-analysis. RESULTS:Ten RCTs involving 372 participants met the inclusion criteria. Participants had lived with HIV for 9-25 years. Exercise interventions were associated with significant improvements in quality of life (p < 0.01, Z = 7.16, I² = 70%) and VO₂ max (p < 0.05, Z = 1.99, I² = 88%). However, no significant effect was observed on sleep quality (p ˃ 0.05, Z = 0.16, I² = 79%). CONCLUSION:This systematic review and meta-analysis indicate that physical activity can enhance quality of life and aerobic capacity among older adults living with HIV, although benefits for sleep quality were not demonstrated. These findings highlight the value of incorporating exercise into routine care for this population. Further large-scale, high-quality RCTs are recommended to confirm these outcomes and explore long-term effects.

Background:The quality of nursing work life (QNWL) is essential to maintain nurses' well-being and professional performance, particularly in the intensive care unit (ICU) where workload, stress, and ethical challenges are high. Nurse characteristics, job demands, organizational support, Beliefs, and caring behavior are considered potential determinants of QNWL, but evidence regarding their pathways and mechanisms remains scarce. Aim:To analyze the effects of nurse-related, job-related, and organizational factors on nurses' Beliefs, caring behavior, and QNWL among ICU nurses using a Carolina Care-based structural model, including the partial mediating roles of Beliefs and caring behavior. Study Design:A cross-sectional design was applied to 200 ICU nurses from four hospitals. Data were collected using validated questionnaires assessing nurse characteristics, job factors, organizational support, Beliefs, and caring behavior, and QNWL PLS-SEM was employed to evaluate convergent validity, construct reliability, and the inner model. Results:Nurse factors had a significant negative influence on Beliefs (β = -0.208; p < 0.001), whereas organizational factors strongly and positively affected both Beliefs (β = 0.534; p < 0.001) and caring behavior (β = 0.333; p < 0.001). Beliefs significantly influenced caring behavior (β = 0.242; p = 0.001), while caring behavior strongly predicted QNWL (β = 0.533; p < 0.001). Job factors did not significantly affect Beliefs (β = 0.067; p = 0.390), which was described as nonsignificant. The measurement model showed acceptable convergent validity and composite reliability for the main constructs, although the Beliefs construct was modeled using a single global indicator and the job factor construct showed Cronbach's alpha slightly below the conventional threshold. The evaluation of the structural model showed that the endogenous variable had an R 2 value of 0.284, indicating a relatively modest level of explained variance. In addition, the Q 2 value of 0.219 suggests that the model demonstrates an acceptable level of predictive relevance. Conclusions:Organizational factors were the strongest predictors of Beliefs and caring behavior, both of which significantly improved QNWL. Supportive leadership, institutional policies, and recognition systems play key roles in shaping nurses' Beliefs and behaviors. Organizational support emerges as the most powerful level for change, directly leading to the practice recommendations. Implications for clinical practice include strengthening organizational support, providing structured training, and enhancing recognition programs to improve QNWL and sustain a resilient, caring nursing workforce. Relevance to Clinical Practice:This study highlights that improving ICU nurses' QNWL depends largely on strengthening organizational support, including supportive leadership, clear policies, and meaningful recognition. By fostering nurses' Beliefs and caring behavior through structured education, mentoring, and a caring-based practice environment, hospitals can enhance QNWL and sustain a resilient, compassionate ICU nursing workforce.

PURPOSE:To determine the prevalence and factors associated with metabolic syndrome (MetS) in adolescents and young adults in Indonesia. DESIGN AND METHODS:Data were obtained from the Indonesian Health Survey 2023, conducted across 38 provinces using a cross-sectional design and stratified sampling. This study analyzed 2992 adolescents and young adults aged 16-24 with complete data on all variables. Data analysis used binary logistic regression and is presented as unadjusted odds ratio (OR) and adjusted odds ratio (AOR), with each variable and its 95% confidence interval (CI) shown. RESULTS:The prevalence of MetS among adolescents and young adults in Indonesia is 13.36%, as reported in a study of 2992 individuals in this age group. In the adjusted analysis, high-risk consumption behavior categorized as frequent (AOR 9.88, 95% CI 2.57-37.88, P-value 0.001) and a body mass index (BMI) classified as obese (AOR 15.60, 95% CI 11.30-21.53, P-value 0.000) were significantly associated with higher odds of MetS in this population. CONCLUSION:High-risk consumption behavior and obesity are the main risk factors significantly associated with MetS in adolescents and young adults in Indonesia. PRACTICAL IMPLICATIONS:Health services for adolescents and young adults should include education on the prevention of MetS, focusing on obesity prevention, maintaining a balanced diet, and reducing high-risk consumption behaviors. Furthermore, early detection of MetS in this population should be a top priority in health services.

Introduction: Fishermen often face extreme climates and weather that are life-threatening when at sea. The lack of knowledge of fishermen about first aid for drowning victims can increase the death rate due to drowning. This community service activity aimed to increase the knowledge and skills of fishermen in providing first aid to drowning victims. Methods: This community service was carried out on 30 fishermen who live in the Coastal Area of Paciran Village, Lamongan Regency. The method used is through education and training which includes health promotion and training for drowning victims. Education activities are carried out directly to fishermen with the theme of handling drowning victims. The training materials provided to fishermen are basic life support and handling choking victims. The training is carried out through lectures, demonstrations - simulations and discussions. Results: Fishermen's knowledge before the activity was 6 people (20%) in the poor category, 10 people (33.3%) in the sufficient category, and 14 people (46.7%) in the good category. While knowledge after the activity 1 person (3.3%) had poor knowledge, 2 people (6.7%) in the sufficient category, and 27 people (90%) in the good category. The pre-test and post-test results showed an increase in fishermen's knowledge about first aid for drowning victims. Conclusion: Increasing the capacity of fishermen in providing first aid to drowning victims can be done through health education and training. Training activities can be integrated into fishermen's programs or activities so that fishermen's capacity will be more optimal.

Background: Diabetes Mellitus (DM) is a metabolic disorder that often leads to diabetic ulcers and persistent hyperglycemia. This condition can cause vascular and metabolic abnormalities, affecting bone marrow performance and altering the hematological profile of patients. This study investigates the correlation between blood glucose levels and hematological profiles in DM patients with diabetic ulcers. Materials and Methods: A quantitative, experimental laboratory study was conducted with 30 blood samples from DM patients at Ulin Hospital Banjarmasin, Indonesia, in February 2023, using purposive sampling. Hematological profiles were analyzed with an automatic hematology analyzer, while blood glucose levels were measured using Point-of-Care Testing (POCT). The Erythrocyte Sedimentation Rate (ESR) was assessed by the Westergren method. Pearson and Spearman coefficients were used to compare ESR results at different intervals, and a regression equation was derived to predict conventional ESR values from micro ESR results. Statistical analysis was performed using multiple correlation regression. Results: The correlation analysis revealed significant relationships between blood glucose and hematological parameters: hemoglobin (p = 0.013), hematocrit (p = 0.011), Mean Corpuscular Volume (MCV) (p = 0.044), and Mean Corpuscular Hemoglobin (MCH) (p = 0.152). No significant correlation was found between blood glucose and the number of erythrocytes (p = 0.997), Mean Corpuscular Hemoglobin Concentration (MCHC) (p = 0.152), total leukocytes (p = 0.082), or platelet count (p = 0.484). Conclusions: A moderate correlation (r = 0.422) was observed between blood glucose levels and the hematological profile in DM patients with diabetic ulcers.

AIM: This research aims to evaluate the awareness of warning signs of pregnancy among adolescent females in Indonesia. METHODS: This study adopted a cross-sectional research design, analyzing data sourced from the 2017 Demographic and Health Survey. The Demographic and Health Survey Phase 7 Questionnaire was utilized, and a two-stage stratified cluster sampling technique was employed, resulting in a sample size of 7936 respondents. The study focused on female adolescents aged 19 years or younger in Indonesia. Binary logistic regression was used in the final analysis stage. All statistical analyses were performed using IBM SPSS (IBM SPSS Corp.; Armonk, NY, USA) version 21, focusing on determining the significance of various predictors. Variables that achieved a p-value of less than .05 were considered statistically significant in the multivariable analysis, indicating that these factors had a meaningful impact on the studied outcomes. RESULTS: Factors affecting the awareness of warning signs in pregnancy among young women include their place of residence (AOR = 1.546; 95% CI = 1.545–1.546), age (AOR = 6.769; 95% CI = 6.762–6.776), educational level (AOR = 1.796; 95% CI = 1.794–1.797), working status (AOR = 1.117; 95% CI = 1.116–1.117), and socioeconomic status (AOR = 1.650; 95% CI=1.649–1.652). CONCLUSION: This study offers insight into adolescent knowledge and the factors influencing awareness of warning signs in pregnancy. The findings can inform the development of teenage health policies for the Ministry of Health of the Republic of Indonesia. Cite this article as: Bekti Prasetyo, Y., Dwi Laksono, A., Setiya Dewi, Y., & Latif, R. A. (2025). Understanding warning signs in pregnant adolescents in Indonesia: results from a national assessment. Florence Nightingale Journal of Nursing, 33, 0181, doi: 10.5152/FNJN.2025.24181.

Pendahuluan: Desa Ngebel rawan longsor. Mereka memiliki relawan lokal bencana (DESTANA) namun tidak aktif selama 2 tahun. Kegiatan ini bertujuan untuk meningkatkan kapasitas DESTANA dalam kesiapsiagaan bencana dan tanggap darurat. Metode: Action Research berupa pengabdian kepada masyarakat dengan memberikan pelatihan peningkatan kapasitas 30 kader dan penelitian perubahan pengetahuan kader sebelum dan sesudah diberikan intervensi. Hasil: Terjadi perubahan pengetahuan sedang. Sebelum intervensi semua relawan memiliki pengetahuan rendah, pasca intervensi 90% memiliki pengetahuan sedang. Pihak DESTANA juga menyatakan siap terlibat dalam penanggulangan bencana. Kesimpulan: Kapasitas kader DESTANA dalam penanggulangan bencana meningkat. Rekomendasi kegiatan selanjutnya adalah melakukan kegiatan serupa secara rutin dan berkesinambungan. Lebih penting lagi jika simulasi dilakukan seperti keadaan sebenarnya. Introduction: Ngebel Village is prone to landslides. They have local disaster volunteers (DESTANA) but have not been active for 2 years. This activity aims to increase DESTANA's capacity in disaster preparedness and emergency response. Method: Action Research in the form of community service by providing capacity building training for 30 cadres and research on changes in cadre knowledge before and after being given the intervention. Result: There is a moderate change in knowledge. Before the intervention all volunteers had low knowledge, after the intervention 90% had moderate knowledge. DESTANA also stated that they are ready to be involved in disaster management. Conclusion: The capacity of DESTANA cadres in disaster management has increased. The recommendation for the next activity is to carry out similar activities regularly and continuously. It is more important if the simulation is carried out like the real situation

Context: Ineffectively implemented community-based noncommunicable disease (NCD) programs can severely impact public health, often leading to a rise in chronic conditions such as diabetes and cardiovascular diseases. Aims: This study aims to fill this gap by exploring the insights and experiences of nurses through qualitative research, offering a deeper understanding of the factors influencing the effective delivery of NCD services in Indonesia. Materials and Methods: This qualitative research focuses on six nurses implementing NCD programs at community health centers. Data were collected through in-depth, semistructured interviews and analyzed using thematic analysis. Participants were selected through purposive sampling, targeting those with a minimum of two years of experience in NCD program implementation. Recruitment was facilitated through collaboration with local health departments, who assisted in identifying eligible nurses and inviting them to participate in the study. Results: Thematic analysis identified three key supporting factors: (1) cadre empowerment as a driving force, (2) cross-sectoral and village support as crucial resources, and (3) community engagement through collaboration. Conversely, three main challenges were identified: (1) resource constraints that hinder program execution, (2) timing conflicts affecting participant engagement, and (3) data entry bottlenecks that complicate monitoring and evaluation. Conclusion: The study concludes that while cadre empowerment, cross-sectoral support, and community involvement are vital for the program’s success, overcoming barriers such as resource limitations, engagement issues, and data management challenges is crucial for improving the program’s effectiveness and sustainability in managing NCDs at the community level.

Objective: To evaluate the impact of electronic nursing documentation on patient safety, quality of nursing care and documentation. Method: The systematic review was conducted in December 2022, and comprised a comprehensive search on Scopus, ScienceDirect, ProQuest, PubMed, Cumulative Index to Nursing and Allied Health Literature, Sage Journals and Google Scholar databases for English-language human studies published between 2018 and 2022. The key words used in the search included "Nursing", "care", "documentation", "record", "electronic", "process" and "health services". The risk of bias was assessed using Strengthening the Reporting of Observational Studies in Epidemiology tool. Results: Of the 469 items initially identified, 15(3.2%) were analysed in detail, indicating a positive influence of electronic nursing documentation on patient safety, care quality, and documentation. However, shortcomings were observed in the development of electronic nursing documentation for optimal effectiveness. Conclusion: Electronic nursing documentation significantly enhanced patient safety, care quality and documentation. To facilitate its integration into clinical settings, a standardised and logically structured electronic nursing documentation system is essential. Key Words: Documentation, Electronic health documentation, Nursing, Patient safety, Quality of healthcare.

Trail runs have a high risk of injury like ankle sprains. Proper ankle sprain first aid requires preparedness to prevent more serious danger and ensure its success in the pre-hospital setting. This study aimed to explore key determinants of trail run athletes’ preparedness to perform pre-hospital first aid for ankle sprain using the PRECEDE-PROCEED Model theory. The research method used a descriptive correlational which approached cross-sectionally. The research recruited 120 trail run athletes of two professional clubs who were selected by simple random sampling. Data was collected using questionnaires. The variables measured were knowledge, belief, value, attitude, and confidence. Bivariate analysis used chi-square and spearman-rho tests. Multivariate analysis used a logistic regression test. All of the statistical analyses used α = 0,05. The research results show that half of the respondents was 18 – 35 years old. The factors correlated to the trail run preparedness to perform pre-hospital first aid for ankle sprain was as follows. The majority had a medium level of knowledge (54,2%) and a significance level of p = 0.000. Similar trends were found between belief, value, and confidence in which there were no low levels of those variables with the same significance value of p = 0.000. Lastly, respondent’s percentages of attitudes were almost equally distributed between negative (45%) and positive (66%) with a significance level of p = 0,000. In multivariate analysis, all the variables had p-values < 0,05. The OR was as follows, knowledge 14,713; belief 77,919; value 27,554; attitude 7,213; and confidence 12,408. The conclusion is found that knowledge, belief, value, attitude, and confidence were significantly correlated with the athlete’s preparedness Together all variables were correlated significantly to the athlete’s preparedness to perform pre-hospital first aid for ankle sprain. In conclusion, to improve athlete safety during trail runs is by improving the preparedness for any adverse event including trail runs. All of the factors could increase preparedness, but some factors resulted in higher preparedness. The factors that have more effect on preparedness than the others are belief and value.

AMA Prasetyo Y, Velinda C, Dewi Y. DETERMINANTS OF MENTAL HEALTH DISORDERS IN THE COMMUNITY DURING THE COVID-19 PANDEMIC: A LITERATURE REVIEW. Health Problems of Civilization. 2024. doi:10.5114/hpc.2024.134772. APA Prasetyo, Y., Velinda, C., & Dewi, Y. (2024). DETERMINANTS OF MENTAL HEALTH DISORDERS IN THE COMMUNITY DURING THE COVID-19 PANDEMIC: A LITERATURE REVIEW. Health Problems of Civilization. https://doi.org/10.5114/hpc.2024.134772 Chicago Prasetyo, Yoyok Bekti, Cindy Velinda, and Yulis Setiya Dewi. 2024. "DETERMINANTS OF MENTAL HEALTH DISORDERS IN THE COMMUNITY DURING THE COVID-19 PANDEMIC: A LITERATURE REVIEW". Health Problems of Civilization. doi:10.5114/hpc.2024.134772. Harvard Prasetyo, Y., Velinda, C., and Dewi, Y. (2024). DETERMINANTS OF MENTAL HEALTH DISORDERS IN THE COMMUNITY DURING THE COVID-19 PANDEMIC: A LITERATURE REVIEW. Health Problems of Civilization. https://doi.org/10.5114/hpc.2024.134772 MLA Prasetyo, Yoyok Bekti et al. "DETERMINANTS OF MENTAL HEALTH DISORDERS IN THE COMMUNITY DURING THE COVID-19 PANDEMIC: A LITERATURE REVIEW." Health Problems of Civilization, 2024. doi:10.5114/hpc.2024.134772. Vancouver Prasetyo Y, Velinda C, Dewi Y. DETERMINANTS OF MENTAL HEALTH DISORDERS IN THE COMMUNITY DURING THE COVID-19 PANDEMIC: A LITERATURE REVIEW. Health Problems of Civilization. 2024. doi:10.5114/hpc.2024.134772.

OBJECTIVE:Vaccine hesitancy is a global concern and a significant threat to COVID-19 vaccination programs. This study aimed to explore vaccine hesitancy from the perspective of the Indonesian community related to policies and cultural beliefs. DESIGN:A descriptive qualitative approach was utilized in this study. SAMPLE:Twenty participants were recruited from various settings to ensure the representation of experiences in different contexts in Indonesia. MEASUREMENT:Audio-recorded, semi-structured, individual, in-depth interviews were carried out. Content analysis was performed to identify the main key themes. RESULTS:Twenty participants were recruited from various regions of Java Island, Indonesia. The participants revealed hesitancy about the COVID-19 vaccine, including the themes of mistrust, controversy, and the culture and beliefs of the community. CONCLUSIONS:This study highlights COVID-19 vaccine hesitancy in Indonesia, which may have implications for the community's perceptions and beliefs regarding the uptake of the COVID-19 vaccine. The trust issue remains a major challenge to convincing the community to accept the vaccine at the grassroots level. Targeted education and communication strategies are essential in addressing trust issues surrounding COVID-19 vaccines among critical stakeholders and religious leaders in Indonesia. Public health nursing plays a crucial role in fostering community acceptance and ensuring the success of vaccination programs.

Dehydration remains a critical issue in children and can pose a risk of mortality. Nurses play a crucial role in promptly and accurately preventing dehydration, beginning with the recognition of its causes and symptoms in patients. A thorough assessment by nurses is key to ensuring proper and timely treatment of dehydrated patients, especially in high-activity emergency units. The integration of technology into emergency units is essential for enhancing patient services and decision-making processes. This study aims to conduct a systematic review by analyzing the use of mobile phone applications in assessing signs of dehydration and possible management in hospital services. Four databases (Scopus, Science Direct, and Pubmed) were used in this study using the keywords assessment, smartphone, and dehydration management. Access to the quality of this study using a cross-sectional design from Joanna Briggs Institute. Use the PRISMA flowchart to summarize the study selection. Limit for the last eight years, namely 2017 – 2022. The results of this study met the inclusion criteria, including patients with dehydration caused by gastroenteritis problems and pediatric or pediatric patients. inclusion and exclusion criteria applied to the PICOS framework. The result of eleven studies in the article found that a digital-based dehydration management approach is very beneficial for the effectiveness of services and initial assessment of the patient's clinical condition. The integrity of digital technology in healthcare has revolutionized many aspects of healthcare management and delivery. By implementing digital solutions such as dehydration management documents, health workers can improve their ability to prevent and treat dehydration.

Tuberculosis treatment is carried out daily for a long time, causing boredom with taking medication and reducing medication adherence. It results in drug resistance and more prolonged treatment. In response to the situation, this study developed an android-based application called the education, calendar, and medication alarm (EKA) app to improve medication adherence and self-efficacy of tuberculosis patients. Research and development with four steps: evaluation of health education, medication adherence, and self-efficacy; application development; feasibility test; and application socialization. The sample in this study was 38 respondents. This study also uses morisky medication adherence scale (MMAS-8), self-efficacy, and system usability scale (SUS) questionnaires and evaluation sheets to collect the data. Data analysis was done descriptively. The outcomes of the application feasibility test showed that the EKA application received an acceptable value of 81.5 based on acceptance, B value (81.5) based on value scale, an excellent value (81.5) based on adjective rating, and good score (81.5) based on percentile. Socialization on the use of the application goes well, and the patient gets a good understanding and can use the EKA application easily. It proves that the android-based EKA application tested using the SUS questionnaire can be used as a medium for health education and supports medication adherence and self-efficacy.

This study aimed to identify the determinant factors to mental health disorders in the community during the COVID-19 pandemic. The Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) guide was used in this study. The article search was conducted through PubMed, Proquest, Cambridge University Press, and SpringerLink by using the keywords “Determinant Factors” and “Mental Disorder” or “Mental Health” and COVID-19” or “Corona Virus Diseases 2019”. The articles were selected from the studies published from 2019 to 2021. According to the research results, younger people are three times more likely to experience mental disorders than older people. Women tend to experience mental disorders twice as much as men. People who are afraid of being infected are three times more likely to experience mental health problems than people who are not afraid of being infected. People with chronic diseases tend to experience health problems twice as much as people who do not have chronic diseases (OR 1.30-1.84). The results of this literature review can help nurses determine and control factors that affect mental health in the community during the COVID-19 pandemic and to achieve good outcomes in order to prevent more serious conditions due to COVID-19.

Introduction: Active faults in Surabaya move at 0.05 millimeters per year, causing earthquakes. Disaster preparedness is crucial for safety, reducing risks, enhance capabilities, and mitigate the impact of disasters. This study analyzes the relationship between knowledge, social support, and earthquake preparedness in Surabaya using the Precede-Proceed model. Methods: The method used in this study was correlational design with a cross-sectional approach. The total population of the study was 11,062 Ngagel residents, and a sample of 386 respondents from the Ngagel district was selected through purposive sampling. The independent variables in this study were knowledge and social support, while the dependent variable was the disaster preparedness behaviors of the local residents in facing earthquakes. The data were collected through a questionnaire and analyzed with logistic regression tests with a significance level of p≤0.05. Results: The analysis results showed that there was a significant relationship between knowledge (p=0.000) and social support (p=0.000) with disaster preparedness behaviors. Conclusion: Knowledge and social support have a positive relationship with disaster preparedness behavior, indicating a direct correlation. It is hoped that future researchers can conduct research with a wider range and add other factors that can initiate maladaptive responses.

Background: The decision-making process to search for child health services involves interaction among the mother, partner, and other family members. Parental decision-making is highly complex since it involves an emotional consideration between the benefit and the child's future. The common problem in deciding the service is the lack of capabilities, such as facility, knowledge, and skill.Objective: The purpose of this study is to analyze the influence of socio-demographic factors on parents' decision-making in obtaining health services for their children Methods: This study design was cross-sectional data from the Indonesia Demographic and Health Survey (IDHS) of 2017, which was applied in this study. The respondents involved were 8,838 women aged 15-49 who had given birth in the last five years. This study employed descriptive, chi-square, and regression statistics analysis. The results were provided as adjusted odds ratios (AORs) with 95 percent confidence intervals. The statistical analysis utilized SPSS version 21.0 software (SPSS Inc., Chicago, IL, USA).Results: Bivariate analysis revealed a significant relationship between decision-making and age, living place, educational background, and wealth index (p-values 0.030, <0.001, 0.002, and 0.006), but not with health insurance ownership (p=0.242). After multivariate analysis, only age-related decisions were associated with a significant risk. It explained that younger group (15-29) has a 0.325 times chance of making a joint decision than the 40 to 49-year-old group (AOR: 0.325; 95%CI: 0.144-0.733). Conclusion: Parental decision-making regarding childcare is related to several factors, namely age, living place, educational background, and socioeconomic status. Health education is a strategy to promote child health in Indonesia by facilitating proper decision-making.