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INTRODUCTION: Healthcare-associated infections (HAIs) are frequently found in patients worldwide each year with varying rates. In November 2021, there were 23 incidents of nosocomial infection at a General Hospital in Banda Aceh. Of these incidents, eight occurred in the surgical inpatient room. Nurses have a significant role in reducing the number of hospital infections. Nurses must utilize the knowledge and skills of nursing practice to facilitate patient recovery while minimizing infection-related complications in patients. AIM: This clinical observation aims to identify the practice of 5 moments of hand hygiene in the surgical inpatient ward, General Hospital Banda Aceh. METHODS: This clinical observation aims to identify the practice of 5 moments of hand hygiene in the surgical inpatient ward, General Hospital Banda Aceh. This clinical observation with a population of 26 nurses. A sample of 16 nurses was obtained through the incidental sampling method. The tool used to collect data is in the form of a hand hygiene observation sheet that was observed at five moments according to World Health Organization (WHO) standards. RESULTS: The five-moment hand hygiene showed that the nurse hand hygiene practice was 68.7%-100%. The sequent percentage values ​​of practicing hand hygiene are: 68.7% of nurses do not apply hand hygiene before contact with patients; 75% of nurses did not apply hand hygiene before aseptic action; 75% of nurses apply hand hygiene after contact with the patient's environment; 93.7% of nurses apply hand hygiene after contact with patients, and 100% of nurses apply hand hygiene after being exposed to the patient's body fluids. Finally, only four respondents (25%) thoroughly applied five hand hygiene moments. CONCLUSIONS: The leadership role of the head nurse is needed to optimize the practicing of hand hygiene in the hospital inpatient room, which is shown through role models, continuous supervision, and evaluation. In addition, good infrastructure is also needed to support these activities.

Background. Anemia is a global maternal health problem that commonly occurs in developing countries. During pregnancy, a woman will receive antenatal services to check her condition and prevent complications. This study aimed to explore barriers towards achieving eradication of iron deficiency anemia among pregnant women in Aceh Besar District, Indonesia. Methods. This qualitative study was conducted on 18 health workers who were recruited through a purposive sampling method. Data were collected through in-depth interviews using open-ended questions to gain insight about participants’ experiences in managing iron deficiency anemia among pregnant women. Data analysis was conducted by an inductive content analysis method to evaluate, encode, and analyze the interview’s result. Result. Three main themes emerged: (1) facilities, infrastructures, and supplement support; (2) sociocultural factors; and (3) health provider competency deficits and no developing guidelines. Conclusion. Our findings provide understanding that there are many obstacles and barriers encountered by health workers in iron deficiency anemia prevention management. Thus, the management of anemia must be supported by a skilled health worker and quality facilities. Health workers and pregnant women must work together to achieve optimal management of anemia prevention.

BACKGROUND: Anemia is one of the most common nutritional problems during pregnancy. Husbands have an important role in supporting their wives in pregnancy to prevent complications. Husband’s culture and beliefs will affect support for the health status of pregnant women. AIM: This study aims to explore husbands’ perceptions regarding anemia and cultural beliefs related to pregnancy. METHODS: This qualitative study was conducted using twelve in-depth interviews (IDIs) with husbands who have pregnant wives who were recruited through a purposive sampling method. Data were collected through IDIs using open-ended questions to gain insight about Husband’s Perception on Anemia among Pregnant Women based on Cultural Perspective. Data analysis was conducted by an inductive content analysis method to evaluate, encode, and analyze the interview’s result. RESULTS: Four themes emerged from interviews: (1) Husbands’ happiness and support to their wives during pregnancy; (2) Husbands’ perceptions and actions related to anemia symptoms; (3) Cultural beliefs during pregnancy believed by Acehnese people; and (4) the importance of local wisdom-based counseling. CONCLUSIONS: Our findings provide new insights into how husbands’ perceptions on anemia during pregnancy, how they support their pregnant wives, and what their believed in cultural views about pregnancy. These findings would assist in developing/adapting more strategic policies to prevent anemia in pregnancy.

Introduction: Hospitals in Indonesia are obligated to implement Integrated Patient Progress Notes (IPPNs), also known as the "Catatan Perkembangan Pasien Terintegrasi". A progress note contains the entire interaction between patients and health professionals, including physicians, nurses, pharmacists, dietitians, and physiotherapists. However, since the first launch in 2012, obstacles and problems in completing this integrated documentation remains nationwide. Aim: The objective of this investigation was to identify health professional's perspectives on obstacles and problems using IPPNs and facilitators that may optimize their use. Methods: Five focus group discussions (FGDs) involving 37 participants took place. All FGDs were recorded, translated, and transcribed verbatim. A thematic analysis was used to interpret the data. Results: The thematic analysis of the material revealed three main categories for each of the two topics; Topic 1. Perceived problems hindering integrated documentation: lack of supervision, competence, workload; topic 2: perceived strategies to optimize integrated documentation: organizational support, joint practices, integrating technology with IPPN. Conclusion: The results indicate that health professionals see the importance of using IPPNs but only if implemented with educational and organizational support and that the use of an electronic patient record may be more effective than a paper record. To continue the implementation of IPPNs, it is suggested that it is preceded by educational and organizational support.

Introduction: Indonesia has the highest risk and vulnerability to both natural and non-natural disasters in the world. Aceh Province located on the confluence of two earth fault plates has been discovered to be exposed to a higher risk leading to significant physical, emotional, and psychological problems. Therefore, there is a need for immediate disaster response efforts to reduce the impacts, and nurses are the largest care providers with adequate competencies to ensure effectiveness.Objective: The study aims to develop a study protocol to measure the effectiveness of the intervention program to improve nurses’ competencies in disaster response.Methods: A sequential exploratory mixed-method study design will be used. A qualitative phase is to explore nurses’ competencies in disaster response according to nurses, disaster survivors, hospitalized patients, members of the Ulama Consultative Assembly of Aceh, and hospital policymakers using FGDs and in-depth interviews. The result of this phase is to develop intervention and instruments. Data are analyzed using a content analysis. A quantitative phase is to examine the effectiveness of the initiated intervention programs on nurses’ competencies in disaster response with a randomized controlled trial study design. There will be three groups in this phase, namely Evidence-Based Intervention (EBI) group, Islamic-Based Intervention (IBI) group, and Control Group (CG). The nurses’ competencies related knowledge, skill, and attitude will be measured using valid and reliable instruments. Data will be analyzed using independent t-test, and a repeated measure one way ANOVA. Discussion: The findings are expected to be the basis for the development of appropriate tools and better intervention in nursing practice and education in relation to evidence and Islamic-based disaster curriculum as well as a guide for future research.Trial registration: on process with request number ANZCTR 378930

Background: Tabletop Exercise (TTE) is a specific learning method through a simulation designed to test the competency and the ability of a group to respond to disasters. Using the map of disaster events is considered effective to prepare disaster drills rather than other methods. TTE method has been carried out annually to train the students, however no studies reported the effect of this method.Purpose: The study aimed to evaluate the effect of TTE on enhancing nursing students’ knowledge and attitude in a disaster drill. Methods: This study was conducted with one-group pre and post-test of a quasi-experimental design. The total samplings were 80 nursing students of the fourth year who undertook the disaster nursing course. The intervention of the study was started using the scenario of an earthquake disaster simulation using TTE media divided into four groups. The instruments consisted of two questionnaires: Students’ Knowledge on Tabletop Exercise (SKTE), and Students' Attitude on Tabletop Exercise (SATE) which were tested for their validity and reliability. The data were analyzed using a dependent paired t-test. Results: The study showed that TTE had a positive effect in enhancing the knowledge (p=0.001) and the attitude of nursing students in disaster drills (p=0.001) (df=79). Conclusion: TTE intervention was an effective direct learning method to improve students’ competencies in disaster response. TTE might be considered as a learning method in improving students' competencies in preparing disaster drills.