More than 1 billion people suffer from chronic respiratory diseases worldwide, accounting for more than 4 million deaths annually. Inhaled corticosteroid is a popular medication for treating chronic respiratory diseases. Its side effects include decreased bone mineral density and osteoporosis. The aims of this study are to investigate the association of inhaled corticosteroids and fracture and to design a clinical support system for fracture prediction. The data of patients aged 20 years and older, who had visited healthcare centers and been prescribed with inhaled corticosteroids within 2002–2010, were retrieved from the National Health Insurance Research Database (NHIRD). After excluding patients diagnosed with hip fracture or vertebrate fractures before using inhaled corticosteroid, a total of 11645 patients receiving inhaled corticosteroid therapy were included for this study. Among them, 1134 (9.7%) were diagnosed with hip fracture or vertebrate fracture. The statistical results showed that demographic information, chronic respiratory diseases and comorbidities, and corticosteroid-related variables (cumulative dose, mean exposed daily dose, follow-up duration, and exposed duration) were significantly different between fracture and nonfracture patients. The clinical decision support systems (CDSSs) were designed with integrated genetic algorithm (GA) and support vector machine (SVM) by training and validating the models with balanced training sets obtained by random and cluster-based undersampling methods and testing with the imbalanced NHIRD dataset. Two different objective functions were adopted for obtaining optimal models with best predictive performance. The predictive performance of the CDSSs exhibits a sensitivity of 69.84–77.00% and an AUC of 0.7495–0.7590. It was concluded that long-term use of inhaled corticosteroids may induce osteoporosis and exhibit higher incidence of hip or vertebrate fractures. The accumulated dose of ICS and OCS therapies should be continuously monitored, especially for patients with older age and women after menopause, to prevent from exceeding the maximum dosage.

Penyakit Tidak Menular (PTM) meliputi asma, PPOK, kanker, gagal jantung, stroke, gagal ginjal kronik. Penyakit tidak menular merupakan masalah kesehatan terbesar di dunia pada abad ke 21. Salah satu faktor penyebabnya adalah kurangnya aktifitas fisik yang dilakukan. Sebagian besar masyarakat beranggapan bahwa aktifitas fisik tidak begitu penting padahal kurangnya aktifitas fisik dapat menyebabkan penyakit tidak menular. Kurangnya aktivitas fisik termasuk pada kategori faktor resiko penyakit tidak menular yang dapat diubah sehingga pendekatan promosi kesehatan dapat dilakukan melalui peningkatan aktivitas fisik. Salah satu upaya promotif dalam meningkatkan aktivitas fisik ialah dengan menggunakan aplikasi mHealth. Penelitian ini menggunakan metode tinjauan pustaka (literatur review) untuk memberikan  gambaran tentang mhealth berhubungan dengan aktivitas fisik dan pengaruh mHealth terhadap peningkatan aktivitas fisik. Berdasarkan hasil telaah dan review sebelas jurnal disimpulkan bahwa mHealth dapat mendorong seseorang untuk mau melakukan aktivitas fisik. Fitur dalam mHealth berhubungan dengan aktivitas fisik yang membantu dalam melakukan aktivitas fisik diantaranya petunjuk melakukan jenis aktivitas fisik, pengingat untuk melakukan aktivitas fisik, motivasi untuk melakukan aktivitas fisik, tujuan yang akan dicapai, evaluasi diri terhadap latihan aktivitas fisik, menganalisa fakor dukungan sosial dan lingkungan dalam aktivitas fisik. Perlu dikembangkannya fitur-fitur yang ada pada aplikasi mHealth berdasarkan sumber yang jelas dan pakar-pakar kesehatan yang terkait oleh pemerintah secara gratis. Kata kunci : mHealth; aktifitas fisik; promosi kesehatan

<p><em>A year left before nursing education in Indonesia was even a quarter century, but some issue is unclear nowadays, especially the development of nursing education. This article aims to describe the development of nursing in Indonesia, used education system perspective. Nararative literature review is the method chosen, by searching non-systematically on google scholar by using keywords “nursing education in Indonesia”. The results showed nursing education in Indonesia improvement, proved by 84 doctoral graduates and 9 professors in the field of nursing. However, there are need improvementin some area, such as how to call nurse using “ners”, because the word have no meaning in the dictionary and not all specialist education has been implemented. Based on existing data, it can be concluded that the word "ners" has not been registered as a word that has meaning indictionary, and 3 specialist programs do not yet exist in Indonesia, so it is expected that Ners must be made uniform calls agreed and implemented throughout Indonesia, this is the fundemental for being known society as a profession</em></p><p><em><br /></em></p><p><em><em>Setahun tersisa sebelum pendidikan keperawatan di Indonesia genap berusia seperempat abad, namun masih banyak hal seputar pendidikan keperawatan yang belum tergambarkan terutama perkembangan pendidikan keperawatan. Artikel ini bertujuan memamparkan perkembangan keperawatan di Indonesia dalam perspektif sistem pendidikan yang dimiliki. Nararative literature review adalah metode yang dipilih, dengan cara mencari secara non sistematik di google scholar dengan menggunakan kata kunci pendidikan keperawatan di Indonesia. Hasilnya menunjukkan bahwa<strong> </strong>pendidikan keperawatan di Indonesia berjalan menuju perbaikan, terbukti dengam adanya 84 lulusan doktoral dan dikukuhkannya 9 guru besar di bidang keperawatan. Namun, masih ada beberapa yang membutuhkan perbaikan yaitu belum seragamnya sebutan untuk perawat, disebabkan kata nres belum memiliki makna dalam kamus serta belum semua pendidikan spesialis terlaksana. Berdasarkan data yang ada, dapat disimpulkan kata “ners” belum terdaftar sebagai kata yang mempunyai arti dalam KBBI, dan 3 program spesialis belum ada di Indonesia, sehingga diharapkan Ners wajib dijadikan panggilan seragam yang disepakati dan dilaksanakan di seluruh Indonesia, ini merupakan dasar untuk dikenal masyarakat sebagai sebuah profesi</em></em></p>

Technology in the multimedia field that is currently developing is Augmented Reality (AR). Utilization of Augmented Reality as a medium for children's education provides a new perspective on the existing educational media, not only using real objects but also using virtual objects in the delivery of information. AR is a technology that combines three-dimensional virtual objects into a real three-dimensional environment and displays them in real time. AR can make delivery easier and make information more interesting especially for children. AR is expected to be able to support as one of the media for school-age children in an effort to realize health promotion. This research method uses a literature review that focuses on the use of Augmented Reality as a medium for health education for school-age children. The literature used is in the form of articles originating from national and international journals. The application of AR as an educational medium can increase children's knowledge. In Indonesia the use of AR media has not been implemented much less especially in nursing. The need for the development of this AR media in the world of nursing.

Keselamatan pasien menjadi tujuan sangat penting dalam pemberian pelayanan kesehatan yang berkualitas. Penelitian bertujuan untuk mengetahui hubungan antara sikap keselamatan dengan implementasi keselamatan pasien di rumah sakit dengan menggunakan standar nasional akreditasi rumah sakit (SNARS). Penelitian merupakan penelitian kuantitatif dengan metodean deskriptif dan cross-sectional. Metode sampling dengan purposive sampling, didapatkan sampel sebanyak 345 orang. Terdapat hubungan signifikan antara sikap keselamatan dengan implementasi keselamatan perawat (r= 0,441, P<0,01). Faktor jenis kelamin, usia, pengalaman kerja, dan jenjang karier secara signifikan berpengaruh pada implementasi keselamatan (P<0,05). Rumah  sakit dan manajer perawat memiliki peranan penting dalam meningkatkan keselamatan pasien untuk menghindari terjadinya insiden keselamatan dengan melakukan pemanfaatan sumber daya secara optimal

This study aims to identify problems and develop nurse improvement strategies to speak up in IPCP. The method used in this research is an improvement program based on innovation development with a pilot project approach. The results showed that the characteristics of the respondents in the survey of nurse satisfaction in IPCP conducted during problem identification were that there were more female nurses (91%) than male nurses (9.3%), the age of the most respondents was between 21-30 years. (44%), and age 31 -40 years (33%) or productive age. The education level of most respondents is D3 (83%), the second is Nurses (23%). Respondent's competency level for PK I (25%), PK II (32%), PK III (45%), and PK IV (4%). Most of the respondents who participated in this survey were Associate Nurse (PA) at 91% and Primary Nurse (PP) at 14%. In conclusion, the speak-up method can improve nursing services, the image of the nursing profession, and the achievement of patient safety.   Keywords: Patient Safety, Interprofessional Collaborative Practice, Speak Up

Sikap keselamatan perawat mempengaruhi tindakan dalam menerapkan implementasi asuhan keperawatan yang berbasis keselamatan pasien. Penelitian ini bertujuan mengetahui hubungan karakteristik perawat dan sikap keselamatan, melalui penelitian cross sectional yang melibatkan 330 perawat di 3 rumah sakit veritkal Jakarta. Instrumen yang digunakan adalah Safety Attitudes Questionnaire dengan tambahan data demografi.  Terdapat hubungan signifikan antara karaktersitik perawat dan sikap  keselamatan perawat. Jenis kelamin, posisi, jenjang karir, pendidikan, usia serta pengalaman kerja secara signifikan berpengaruh pada sikap keselamatan (P<0,05). Perbaikan dan peningkatan sikap keselamatan perawat dapat dievaluasi dan diperbaiki dengan mempertimbangkan karaktersitik perawat agar upaya upaya tersebut dapat tepat sasaran dan sesuai dengan kebutuhan.

No abstract