http://localhost:8080/xmlui/handle/123456789/11334 2026-04-18T10:24:02Z http://localhost:8080/xmlui/handle/123456789/11370 Title: Why Did They Fail? Investigating The Eight Invalid Dimensions of Patient Safety Culture: Mixed Method Research Authors: Setiawan, Felicia; Antonio, Ferdi Abstract: Resistance to adopting patient safety culture practices or technologies can hinder improvements in patient safety. This study contributes to enhancing the understanding of patient safety culture (PSC) assessment by identifying the specific factors that render some PSC dimensions invalid and offering actionable recommendations for improvement in healthcare settings. Primary data were gathered using a mixed method of explanatory sequential design, with quantitative data collection and analysis followed by qualitative data collection and analysis. The study was conducted in the leading Private Hospital XYZ, one of the private hospital groups internationally accredited with Joint Commission International with a 110-patient bed capacity. Among the 12 dimensions, only feedback communication about error, handoffs and transitions, and teamwork across units were determined to be valid and reliable. Therefore, eight dimensions, including communication openness, continuous improvement, frequency of error reported, management support, overall patient safety, supervisor/manager expectation, and staffing were explored further through a focus group discussion (FGD). Delving into quantitative and qualitative insights has identified critical nuances that extend beyond mere quantitative metrics. The qualitative insights gleaned from healthcare professionals through the FGD illuminated the nuanced human aspects of safety culture that traditional measurements may overlook 2024-01-01T00:00:00Z http://localhost:8080/xmlui/handle/123456789/11369 Title: Traditional Art Dance Therapy to Reduce Stress Levels of Elementary School Students Authors: Restu Wibawa, Shinta; Effendy, Christantie; Suseani Pangastuti, Heny; Novianti Subagya, Ami; Budi Wijoyo, Eriyono; Puteri Andari, Aisya; Apriliana, Dwi; Aini Zahrotu Sholikhah, Qurrota Abstract: COVID-19 pandemic has accelerated the development of new learning systems that are more student-centered. Unfortunately, elementary school students experienced stress and difficulties in adapting from face-to-face to online learning system. Online learning environment lacks in accommodating outdoor activities which are important for children. Several techniques can be applied to reduce stress, including dancing. This research aimed to examine the effectiveness of Traditional Art dance Therapy (TATA) for elementary school students in reducing stress. In this quasi-experimental research, one-group pretest-posttest design without control group was applied, involving 84 students at one elementary school in Yogyakarta, Indonesia. Students’ levels of stress were measured using the school-based stressors scale and were analyzed using bivariate Wilcoxon test. The results of the data analysis showed that older students had relatively lower stress levels than younger ones. A significant decrease in stress (p < 0.001) from 61.90 to 41.99 was identified between the stress levels before and after the implementation of TATA. It concludes that TATA effectively reduces the stress levels among elementary school students adapting to the new learning system in the new normal era after COVID-19 pandemic. 2024-01-01T00:00:00Z http://localhost:8080/xmlui/handle/123456789/11366 Title: Self-Management: A New Eight-Minute Stretching Program for Employees with Musculoskeletal Disorders (MSDs) Authors: Latipah, Siti; Nur Azizah Ahmad, Shieva Abstract: Musculoskeletal disorders (MSDs) are the main cause of workplace injuries. MSDs are health problems that attack the body’s propulsion systems, such as muscles, tendons, ligaments, joints, cartilage, and nerves. This study aims to determine the effectiveness of Self-Management: A New Eight-Minute Stretching Program against MSDs in a company X, Tangerang, Indonesia. A quantitative, quasi-experimental research method using a non-equivalent control group pre-test-post-test design was conducted on 90 respondents, who were divided into two sample groups by using side probability with a simple random sampling technique. The MSD risk measurement instrument used the Nordic Musculoskeletal Questionnaire. The results obtained showed that the majority of respondents were adults (51.3%), male (67.2%), and had more than three years of working experience (43.7%). The results of a Mann–Whitney U test found that there were differences in the level of complaints about MSDs between the intervention group and the control group (p = 0.00). However, using Wilcoxon, there were differences in complaints about MSDs during the pre-test and post-tests (p = 0.00). Based on the research results, it is suggested that every company provide continuous education to employees so that they can implement this program independently while working or at home. This prevention can reduce complaints of MSDs, so that, together with reduced complaints, the quality of health will improve. 2024-01-01T00:00:00Z http://localhost:8080/xmlui/handle/123456789/11365 Title: Self-Efficacy in Salt Consumption Among Patients Undergoing Hemodialysis Authors: Listyaningrum, Desy; Perdana, Melyza; Kustanti, Anita Abstract: Salt consumption restriction has many advantages in patients on hemodialysis (HD), but it is also very challenging for them. Self-efficacy is a crucial aspect of successful disease management. Factors related to self-efficacy have been evaluated in many countries. However, the different demographic characteristics in Indonesia may show different significant results. Understanding this problem may contribute to the development of nursing interventions and the patients’ self-management ability while undergoing HD. Hence, the present study aimed to determine the factors associated with self-efficacy for restricting salt consumption among HD patients. Altogether, 98 HD patients participated in this cross-sectional study. The Self-efficacy for Restricting Dietary Sodium in Hemodialysis Scale questionnaire was completed to assess the patients’ self-efficacy. Linear regression was performed to evaluate the relationship between self-efficacy and patient characteristics. The participants’ mean age was 50.11 ± 1.29 years and the mean self-efficacy score was 73.56 ± 14.85. Mostly, participants were male (60.2%), married (82.7%), and had hypertension (85.7%). Age (p = 0.000; r = 0.384), HD duration (p = 0.004; r = −0.287), and interdialytic weight gain (IDWG) (p = 0.008; r = −0.267) significantly correlated with self-efficacy for restricting salt consumption. These three variables determined 21% of the variance of self-efficacy among HD patients. The present study provides primary evidence that age, HD duration, and IDWG are associated with self-efficacy for restricting salt consumption among HD patients. Thus, nurses could develop innovative interventions to enhance the self-efficacy among patients with younger age, longer HD duration, and more IDWG. 2024-01-01T00:00:00Z