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Introduction: Diabetes mellitus (DM) is a global disease endemic and cause of 4.6 million deaths in the world. The Indonesian government and health insurance [BPJS Kesehatan] formulate a Chronic Disease Care Program [Program Pengelolaan Penyakit Kronis (PROLANIS)] for type 2 diabetes that aims to control the glycemic status and the risk factors of macro and microvascular complications. The purpose of this study was to analyse the correlation between the implementation of PROLANIS and fasting blood sugar, HbA1c, and total cholesterol levels in patients diagnosed with type 2 diabetes at Antang and Pampang community health centres, Makassar, Indonesia. Methods: This study used a descriptive correlation design with a cross-sectional study approach. Subjects were 40 patients diagnosed with type 2 diabetes who joined PROLANIS at PUSKESMAS Antang and Pampang, Makassar, and the sampling technique used was total sampling. The data were analysed using a correlation test to assess the significance (p), the direction (+/-), and the strength of the correlation (r). The implementation of PROLANIS was measured by using the observation sheets developed based on BPJS Kesehatan criteria, while the laboratory checked the fasting blood sugar, HbA1c, and total cholesterol levels. Results: The mean of the implementation of PROLANIS was 15.05 (SD ± 5.62), while the mean levels of fasting blood sugar, HbA1c, and total cholesterol were as follow: 191.80 mg/dL (SD ± 85.15); 8.4% (SD ± 2.08); and 192.87 mg/dL (SD ± 45.07). Using the Spearman's rho test, the study result showed that there was a significant and negative correlation between the implementation of PROLANIS and the levels of fasting blood sugar (p= 0.001; r= -0.724), HbA1c (p= 0.001; r= -0.870), and total cholesterol (p= 0.029; r= -0.35) in patients diagnosed with type 2 diabetes at Puskemas Antang and Pampang, Makassar. Conclusions: The optimal implementation of PROLANIS is very effective for controlling the levels of fasting blood sugar, HbA1c, and total cholesterol in patients with type 2 diabetes.

In Indonesian hospitals, particularly in South Sulawesi Province, one of the activities that needs improvement by design is that of nursing records. This vital task is not completed due mainly to the fact that, incredibly, no model has been implemented to date mainly because of financial constraints and the overall lack of nurses’ computer literacy within the health services area in Indonesia. Although copious nursing recordkeeping is standard practice abroad, this vital task is not the norm in our area. Thus, the aim of this integrative literature review was to investigate the development of the electronic nursing record system (ENRS) in hospital settings across different countries and its effects on the care process and care outcomes. The results of this review showed that ENRS has been used widely in other developed countries and has benefited nurses and other healthcare providers. Hence, the findings of this review can be used by hospital policymakers in other developing countries, where the ENRS have not been implemented yet, as the evidence to consider the use of the ENRS.

Introduction: Progressive Muscle Relaxation is a muscle relaxation technique that does not require imagination, perseverance or suggestion. Muscle relaxation is a skill that can be learned and used to reduce or eliminate tension and stimulate a sense of comfort without being dependent on things / subjects outside of itself. Objectives: reduce pain, reduce blood pressure, reduce anxiety, and reduce stress. Method: this study explores evidence published in electronic data: Pubmed, google scholar. Five studies were included in the last analysis. Results: we were able to see a significant effect in reducing blood pressure in hypertensive disease receiving Progressive Muscle Relaxation compared to the group that did not receive Progressive Muscle Relaxation training. Conclusion: These results show that Progressive Muscle Relaxation can be a non-pharmacological therapy in reducing blood pressure in Hypertension and nurses can participate in providing this training.

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<p><span lang="EN-US">Cancer has many side effects on patient’s physic and mostly on mental which may affect on their quality of life. Physically most patients feel fatigue, insomnia, anorexia, nausea, and vomit while mentally they feel emotional disturbances such as anxiety, stress, or depression. One of the methods to that appropriate to overcome both of the conditions is spiritual care. Many research found that because spiritual care associated with better wellbeing, less emotional disturbance, less substance abuse, greater social support, better health behaviours, so it has impact to longer survival periods. This research aimed to investigate nurse’s spiritual care competencies to patients with end stage cancer. This was descriptive study design employed Spiritual Care Competencies Scale (SCCS) instrument. A total sampling of 24 nurses working in Oncology department in Dr. Wahidin Sudirohusodo Hospital were recruited. This research found that there are 12 nurses (50 %) that work in oncology department have low competencies of spiritual care. Involving spiritual care is associated with better wellbeing and longer survival periods. Therefore, it is necessary to increase the competence of nurses on spiritual care in meeting the spiritual needs of patients with end stage breast cancer. A training of spiritual care can be an alternative for nurses to improve spiritual care in hospitals.</span></p>

Background: Spiritual care is one of the strategies for managing care towards the end of life in the hospital as mentioned in the Nursing Intervention Classification. Aim this study is to describe spiritual care nurse to patient with breast cancer at last stage. Methods: A literature review were obtained from PubMed, and google scholar using the keywords breast cancer AND palliative care and breast cancer AND spiritual care by adding filters: the type of article is Full text with Randomized Controlled Trial, published in the last 5 years, written in English and Indonesian, human studied, specific to cancer, and are in the category of nursing journals and MEDLINE. Result: According to a review of existing research, spiritual care is effective to overcome psychological problems, such as anxiety, stress, or depression as it affects patients to solemnly accept their health condition including the complications in positive ways. Therefore, patients receiving spiritual care will be more adhere to their medical treatments, will have lack of emotional disturbances and substance abuse, have greater social support, will be more frequent performing their health behavior and have a longer period of survival.Conclusion: Spiritual care is highly needed in medical care, especially for those who have serious and life-threatening diseases. Assessing and addressing the spiritual needs of patients is associated with greater satisfaction with care, better quality of life, less depression, less unnecessary health services, and better nurse-patient relationships.