Abstract:This study applied a Systematic Literature Review (SLR) to identify, appraise, and synthesize open-access empirical evidence on inclusive care models in elderly healthcare. The review followed PRISMA 2020 and searched PubMed,…
bMed, Scopus, Web of Science, DOAJ, and Google Scholar for studies published between 2015 and 2025. Eligible articles were original research (quantitative, qualitative, or mixed methods) focusing on service delivery or care models for older adults and explicitly addressing inclusivity, integration, person-centeredness, or collaborative care, with full-text availability in English or Indonesian. From 1,280 records, 1,010 unique articles were screened, 80 full texts were assessed, and 10 studies were included in the final synthesis. Across studies, inclusive elderly care was most consistently implemented through integrated, person-centred, team-based delivery combining comprehensive assessment, individualized care planning, coordinated follow-up, and cross-sector collaboration. Stronger benefits were typically observed among frail older adults when care intensity was aligned with comlplex needs by risk stratification and case management. Mental health integration emerged as a critical component for community-dwelling older adults, supporting the integration of psychological care into routine elderly healthcare pathways rather than parallel programs. Evidence from institutional settings indicated that partnership-based models involving nurses, caregivers, and older adults can improve functional outcomes. Overall, the findings support scaling integrated community and institutional partnership approaches, while future research should strengthen reporting on implementation fidelity, equity impacts, and cost-effectiveness to guide sustainable adoption of inclusive, gerontic-friendly care models.
Abstract:People Living with HIV/AIDS (PLWHA) face multiple psychosocial challenges, including stigma, discrimination, and mental health problems that may reduce quality of life and treatment adherence. Resilience and psychosocial…
support are recognized as important protective factors that help PLWHA adapt positively to these challenges; however, existing evidence remains fragmented and has not been comprehensively synthesized. This study aimed to examine the role of psychosocial support in strengthening resilience and its implications for mental health among PLWHA through a systematic review approach. A comprehensive literature search was conducted across national and international scientific databases, including quantitative, qualitative, and review studies that addressed resilience, psychosocial support, and mental health among PLWHA, with a particular focus on Asian settings. Articles were selected based on predefined inclusion and exclusion criteria. The findings indicate that psychosocial support—such as support from family, peers, and healthcare providers—plays a significant role in enhancing resilience among PLWHA. Higher levels of resilience are consistently associated with lower levels of depression and anxiety, as well as improved psychological well-being and quality of life. In conclusion, psychosocial support is essential in strengthening resilience and promoting mental health among PLWHA, highlighting the importance of integrating psychosocial interventions into HIV/AIDS care services to support long-term well-being and adaptive coping.
Abstract: Abstract Patient safety incidents remain a critical healthcare problem in Indonesia, particularly within hospital settings. Patient safety goals are an essential priority for healthcare providers, especially nurses, who…
ses, who serve as the frontline workforce delivering continuous care. Optimal implementation of patient safety goals requires adequate knowledge, supportive attitudes, and strong professional performance from nurses. Effective adherence to these goals plays a key role in preventing adverse events that may harm or endanger patients. This study aimed to examine the relationship between nurses’ knowledge and attitudes with the implementation of Patient Safety Goals in a private hospital in West Sumatra, Indonesia. A descriptive quantitative method with a cross-sectional design was used. A total of 35 nurses were selected through total sampling. Data were collected using validated questionnaires (KPSQ, APSQ, IPSG I–VI). Statistical analysis employed the Chi-Square test with a significance level of p < 0.05. Results showed that more than half of the nurses demonstrated good knowledge (51.4%), positive attitudes (57.1%), and good implementation of patient safety goals (54.3%). Chi-Square analysis revealed significant associations between knowledge and patient safety goal implementation (p=0.044<0.05), as well as between attitudes and patient safety goal implementation (p=0.012). The study concludes that nurses’ knowledge and attitudes are significantly related to the implementation of patient safety goals. Continuous training and regular dissemination regarding patient safety standards are recommended to strengthen nurses’ adherence to SOPs and to enhance the overall patient safety culture within the hospital.
Keywords : Knowledge; Attitudes; Patient Safety Goals; Nurses; Hospital
Abstract:The emergence of the COVID-19 pandemic in 2019 has had an impact on all aspects of life, particularly global health. Indonesia is one of the affected countries. The Indonesian government has responded to the conditions of…
f this pandemic, one of which is by imposing access restrictions to prevent the pandemic from spreading. This policy indirectly affects the community's activities, including the utilization of existing healthcare services. Meanwhile, available data show that one of the major issues that the Indonesian state is still dealing with is its status as the third country with the greatest number of TB (Tuberculosis) cases in the world, with some of the TB cases being classified as Drug-Resistant Tuberculosis (DR-TB).
Abstract:Background: Cardiovascular disease (CVD) continues to be the predominant cause of global mortality. Polypill techniques that integrate various cardiovascular drugs into a single formulation have emerged as a potential method…
thod for primary prevention, especially in intermediate-risk populations.
Objective: To systematically review and synthesize evidence regarding the efficacy and safety of polypill formulations (comprising antihypertensive medications, statins, with or without aspirin) in comparison to standard care or placebo for the primary prevention of major adverse cardiovascular events (MACE) in intermediate-risk populations.
Methods: We conducted systematic review and meta-analysis in accordance with PRISMA 2020 standards (Systematic Review Registration: PROSPERO CRD420251184718). Various databases (PubMed, Cochrane Library, ScienceDirect, Scopus) were examined for original research published from January 2015 to October 2024. Studies were eligible if they assessed polypill therapies in individuals aged 30 to 70 years with intermediate cardiovascular risk (10-20% 10-year risk), reported composite major adverse cardiovascular events (MACE) outcomes, and included a minimum follow-up of 6 months. Two independent reviewers conducted screening, data extraction, and risk of bias evaluation utilizing the Cochrane RoB 2.0 tool.
Results: Of the 161 records discovered, 4 randomized controlled studies (HOPE-3, TIPS-3, PolyIran, PolyPars) with 31,501 people fulfilled the inclusion criteria. Polypill therapies showed a substantial decrease in composite MACE relative to control groups (pooled HR 0.67 (95% CI 0.60-0.75, p<0.001). Individual trial hazard ratios varied from 0.50 (PolyPars) to 0.66 (PolyIran) and 0.79 (TIPS-3) with moderate heterogeneity (I²=35.2%, p=0.20). Polypills were generally well- tolerated, with a safety profile consistent with the individual components. Medication adherence was enhanced with the polypill in comparison to multiple-pill regimens.
Conclusions: Polypill techniques markedly reduce major adverse cardiovascular events (MACE) in intermediate-risk patients for primary cardiovascular prevention, achieving around a 33% relative risk reduction. The fixed-dose combination strategy provides benefits in compliance and ease of use. These findings hold significant implications for healthcare systems in low-to-
middle-income nations, such as Indonesia, where the burden of cardiovascular disease is substantial and access to long-term cardiovascular drugs is frequently hindered by cost and complexity.
Abstract:Nurses, as the frontline of healthcare services, are expected to deliver optimal performance that frequently goes beyond their formal duties, thus requiring robust psychological capital to support voluntary work behaviors…
s known as Organizational Citizenship Behavior (OCB). This study aims to analyze the effect of Psychological Capital (PsyCap), which comprises hope, efficacy, resilience, and optimism, on nurses' OCB in regional hospitals and to identify the most dominant dimension influencing OCB. Employing a quantitative correlational approach, this research collected primary data through structured questionnaires distributed to nurses as respondents. The data were analyzed using descriptive statistics, multiple regression analysis, and moderated regression analysis to test variable relationships and the moderating effects of demographic factors. The results indicate that the levels of PsyCap and OCB among nurses are relatively high, with resilience emerging as the most significant predictor of OCB. These findings strengthen the position of PsyCap as an essential psychological resource that fosters prosocial behaviors among nurses, especially in regional hospitals often challenged by limited human resources. The implications suggest that hospital management should design PsyCap enhancement programs, focusing particularly on strengthening nurses' mental resilience to sustainably improve healthcare service quality. This study also contributes theoretically by enriching the literature on organizational behavior within the Indonesian healthcare sector.
Abstract:A complete medical record is a crucial part of healthcare delivery, serving as a communication tool between healthcare professionals, legal evidence, and the basis for evaluating and planning hospital services. The completeness…
eteness of medical record documentation, particularly in the emergency department, is an indicator of service quality that requires serious attention. The purpose of this study was to determine the percentage of completeness of identification, authentication, recording, and important reporting in the medical records of emergency patients diagnosed with hypertension at Wangaya Regional Hospital, Denpasar City. This study used a quantitative descriptive method. The population was all 330 medical records of emergency patients diagnosed with hypertension. A sample of 199 files was drawn using a probability sampling technique using a simple random sampling approach. The results showed that completeness of identification reached 100%, authentication reached 176 documents (88.44%), recording reached 174 documents (84.44%), and reporting reached 159 documents (79.90%). It can be concluded that identification had the highest level of completeness, while reporting had the lowest level of completeness. Researchers suggest that hospitals increase outreach and supervision of medical staff, especially in emergency installations, regarding the importance of completeness and timeliness of filling out medical record documents.
Abstract:This study aims to analyze the implementation of the Hospital Management Information System (HMIS) and its impact on operational efficiency at XYZ Hospital in Pamekasan. In the digital era, hospitals are required to enhance…
nce service quality and operational efficiency through the utilization of information technology. HMIS is an innovation designed to integrate managerial and administrative processes within hospitals, including patient data recording, resource management, and other healthcare service procedures. This research adopts a descriptive qualitative approach with purposive sampling techniques, involving informants such as medical personnel, administrative staff, and hospital management who are directly involved in the use of HMIS.The results indicate that the implementation of HMIS has a positive impact on the hospital’s operational efficiency, including the acceleration of administrative processes, improved data accuracy, and easier coordination between work units. However, the implementation also faces several challenges, such as limited technological infrastructure, user resistance to change, and insufficient training for staff. These findings are supported by the HOT-Fit framework and Technology Acceptance Model (TAM), all of which emphasize the importance of technological readiness, human resource competence, and organizational commitment in ensuring the successful adoption of HMIS.
Abstract:Sunnah cupping therapy (al-hijamah) is a popular Islamic healing method practiced globally. Despite its spiritual roots, it poses clinical risks, including infections, vasovagal shock, and procedural inconsistencies, often…
en due to non-sterile tools and untrained practitioners. This study aims to explore how Islamic ethical values—sincerity (ikhlas), trust (amanah), and halal compliance—can be integrated with clinical responsibilities such as sterilization protocols, informed consent, and therapist competency. A thematic qualitative literature review was conducted using Islamic jurisprudence, fatwas (DSN-MUI), WHO and Ministry of Health (Indonesia) guidelines from 2015–2025. Findings reveal that neglecting the maqashid sharia principle of hifzh an-nafs (protection of life) contradicts both Islamic ethics and medical safety. Sunnah cupping services rooted in both spiritual values and professional protocols are more trusted by Muslim patients and improve therapeutic legitimacy. This study highlights the urgent need for national SOPs, certified training, and the development of Islamic cupping clinics with integrated protocols. These clinics can serve as models of sharia-compliant, clinically responsible health services. The research offers practical recommendations for Islamic medical institutions and policy-makers in strengthening Islamic-based complementary therapies in modern healthcare systems.
Abstract:Sunnah cupping therapy is a traditional Islamic health practice increasingly embraced for its spiritual and therapeutic benefits. However, its widespread use, especially by uncertified practitioners, raises serious concerns…
rns about patient safety and emergency risks. This study aims to identify key systemic risk factors of medical emergencies related to sunnah cupping and propose an integrative framework combining Islamic jurisprudence (fiqh) with modern clinical standards. A qualitative descriptive approach was employed using a systematic literature review of peer-reviewed journals, clinical reports, Islamic texts, and contemporary fatwas. Thematic analysis revealed five major risk categories: lack of medical screening, unlicensed practitioners, hidden comorbidities, absence of emergency protocols, and poor understanding of medical safety. Reported complications included hypovolemic shock, infections, and prolonged wound healing—especially in patients with undiagnosed diabetes or coagulation disorders. The study also found that public misconceptions equating religious merit with clinical safety further worsen these risks. The research highlights the urgent need for standardized medical and sharia-based training, certification systems, and public education. Collaboration among healthcare professionals, Islamic scholars, and educational institutions is essential to establish a safe, accountable, and spiritually valid model of sunnah cupping. Integrating medical protocols with fiqh compliance can significantly reduce emergency incidents, enhance practitioner competency, and preserve the prophetic nature of the practice within a modern health framework. These findings offer a strategic path for safer implementation of prophetic medicine across Muslim communities.