Purpose Stunting is a public health problem in Indonesia with a relatively high incidence, thereby making its prevention a priority for the Indonesian government. It potentially causes short and long effects on the quality of human resources as well as the productivity of stunted children when they grow up. Therefore, prevention and early detection efforts are needed by health professionals and cadres. Earlier studies have identified complexities associated with the determinant factors of stunting. This study aims to examine the association between sociodemographic factors as well as the knowledge and motivation of health cadres in stunting prevention in West Java. Methods A correlational study with a cross-sectional approach was conducted on health cadres samples from 8 districts/cities in West Java Province namely Karawang, Tasikmalaya, Garut, Bandung, Subang, Sukabumi, Cianjur, and West Bandung. A total of 363 health cadres participated and the sampling technique used is the stratified method. The data were collected using a questionnaire developed specifically for this study and were analyzed using a correlation with chi-square test and presented in the form of a frequency distribution. Results The results showed the majority of health cadres namely 81.27% had good knowledge, which was significantly influenced by education level and marital status with a P-value <0.05. Meanwhile, approximately half of the respondents had moderate motivation with 47.66%, while one-third or 39.12% had high motivation. This motivation was significantly influenced by education level, marital status, and age with p <0.05. Conclusion Based on the results, it was concluded that the roles and functions of health cadres need to be improved in the prevention and early detection of stunting in West Java by providing continuous guidance, stunting prevention training, and award presentations.

IntroductionNurses are on the front line and are at high risk of experiencing a mental health crisis during the pandemic due to the psychological impact and stigma. The aim of this study was to identify the role of psychological status and social stigma in anxiety, fear, depression, and mental health crises during the pandemic.Materials and MethodsA cross-sectional design during December 2020–August 2021. A total of 2,156 nurses who work in health facilities, either hospitals, or communities based on the criteria of nurses who interact directly with COVID-19 patients, work at least 3 months, age 20–54 years, are literate, have internet access, and have the ability to access the electronic form. The eligible participants filled in online questionnaires that were sent to them via WhatsApp. Data were analyzed using Spearman rho correlation test with statistically significant p value &lt; 0.05.ResultsA total of 2,156 respondents responded to the questionnaire, and the response rate was 100%. The psychological status of nurses was 78.4% moderate, 18.5% experienced social stigma, 44.0% showed an anxiety response, 53.5% fear, 64.5% depression in the very severe category, and 63.5% fell into a mental health crisis. The results of the inferential analysis showed that all P &lt; 0.05 which indicated that psychological status and social stigma had a significant relationship with anxiety, fear, depression, and mental health crisis in nurses.ConclusionThe psychological status and social stigma experienced by nurses during the COVID-19 pandemic indicate a bad situation and lead to a mental health emergency crisis.

Background:  Adolescents require life skills and individual and interpersonal abilities to grow into adults with a healthy lifestyle. Although the majority of the literature indicates that life skills increase teenagers’ cognitive, social, and emotional abilities, there is a lack of data correlating life skills to sexual risk behaviors. Objective: This study aimed to examine the relationship between life skills and sexual risk behaviors among adolescents aged 15–19 in Bandung, Indonesia. Methods: This study was conducted using a cross-sectional survey of 480 adolescents from April to May 2021. A representative sample was drawn from the students aged 15–19 years. The participants were selected using simple random sampling generated by computer software. Life Skill Training Questionnaire High School (LSTQ-HS) and sexual risk behaviors instruments were used for data collection, and logistic regression was used for data analysis. Results: From a total of 480 respondents, about 23.3% had masturbation experience, 25.8% had petting experience, 8.3% had sexual intercourse, 5% had sex before 18 years of age, and 4.2% had oral sex experience. Sexual risky behaviors were associated with unfavorable refusal skill (AOR = 6.46, 95% CI = 2.37, 17.53), assertiveness skill (AOR = 3.51, 95% CI = 1.32, 4.33), problem-solving skill (AOR = 5.35, 95% CI = 2.88, 11.39), and self-control skill (AOR = 7.31, 95% CI = 2.79, 17.24). Conclusion:  Life skills are important protective aspects for those who engage in sexually risky behavior. Considering the study findings, tailored life skills programs are critical for adolescent wellbeing and risk reduction. Nurses who take a proactive role in providing sexual and reproductive health services may provide more accurate information and provide early screening and assessment for sexual and reproductive behavior to reduce risky sexual behavior among adolescents. Schools are also encouraged to work with local health departments to conduct sexual education counseling programs.

ABSTRAKKetika melakukan asuhan keperawatan, perawat perlu berinteraksi dengan klien. Interaksi dapatdilaksanakan dengan baik apabila perawatannya mampu beradaptasi dengan beban kerja mentalyang dimanifestasikan ke dalam gejala fi sik, psikologis, dan perilaku yang ditampilkan. Tujuanpenelitian: mengembangkan alat ukur beban kerja mental saat berinteraksi dengan klien dalampemberian asuhan keperawatan. Metode: Penelitian menggunakan metode deskriptif analitis. Alatukur dikembangkan dengan menggunakan pendekatan interpretasi terhadap skala interval danskala ordinal yang diisi oleh 596 partisipan yang diproses melalui sebelas case processing data.Penelitian dilaksanakan di provinsi Jawa Barat, Jawa Tengah, Sumatra Barat, dan Sulawesi Selatan.Validitas dan reliabilitas variabel persepsi Teruji (p=0,996 sebelum interaksi dan p=0,993 setelahinteraksi), observasi (p=0,844 sebelum interaksi, p=0,711) orientasi (p=0,711), identifi kasi (p=0,769),eksplorasi (p=0,773), resolusi (p=0,820), setelah interaksi (p=0,772), angket klien (p=0,64). Hasil:Hasil pengujian model Con fi rmatory Factor Analysis (CFA) melalui program Lisrel menghasilkanp-value=0,150 (p>0,05) dan RMSEA=0,075 (RMSEA<0,1). Diskusi: Diperlukan dukungan regulasisebagai implikasi dalam penggunaan alat ukur. Simpulan: alat ukur ini vaild dan reliabel sebagaiinformasi diagnostik pengukuran beban kerja mental.Kata Kunci: alat ukur, beban kerja mental, interaksi.ABSTRACTNurses in providing nursing care need to interact with clients. Such interaction can be successfullyperformed if the treatment can adapt to mental workload which is manifested into physical,psychological and behavioral symptoms. Objectives: developing a mental workload instrumentwhen interacting with clients in providing nursing care. Methods: It employed a descriptive analyticmethod. The instrument was developed by employing the approach to the interpretation of scaleinterval and ordinal scale which were fi lled by 596 participants and processed through 11 caseprocessing data. The research was conducted in the provinces of West Java, Central Java, WestSumatra and South Sulawesi. Validity and reliability of the perception variables were tested (p=0.996before the interaction and p=0.993 after the interaction), observation (p=0.844 before the interaction,p=0.711), orientation (p=0.711), identifi cation (p=0.769), exploration (p=0.773), resolution (p=0.820),after the interaction (p=0.772), client questionnaire (p=0.64). Results: The results of Con fi rmatoryFactor Analysis (CFA) usingLisrel software indicated p-value=0.150 (p>0.05) and RMSEA=0.075(RMSEA <0.1). Discussion: Regulatory support is needed as an implication for the use of theinstrument. Conclusion: This instrument is valid and reliable to measure mental workload fordiagnostic information.Keywords: instrument, mental workload, interaction.

The responsibility of nurses as nursing care providers is a factor that affects the mental workload. The mental workload of nurses as caregivers who have to work and interact with patients professionally for 24 hours would arise. It may because of continuous adaptation of time constraints in providing nursing care for 24 hours, unclear job demands, limited ability, lack of motivation and mood, and the psychological burden of the nurse. This study aimed to describe the mental workload in carrying out their role as the nursing care provider at eight inpatient wards, Sumedang public hospital. This research applied descriptive quantitative design. The mental workload was measured using the NASA-TLX instrument. The samples were 94 who works inpatient rooms, they were randomly selected through cluster sampling techniques. Analysis of the data was descriptive analysis. The results of the study showed that 67% of nursing nurses had a mental workload that was in the role of providing nursing care. Nurses have a high mental workload in providing nursing care in special surgical wards (53.8%) and child wards (50%). It is recommended that hospitals evaluate the work system of nurses to examine the physical, psychological and behavioral changes that occur to nurses. It is expected that nurses show good performance in carrying out their role as nursing care providers.