Background: Family caregivers play an important role in providing long-term care for people with diabetes mellitus because it is a chronic disease that requires critical attention. This increases the burden of family caregivers which affects the health status of people with this disease. Therefore, the aim of this study is to determine the correlation between the burden of family caregivers and the health status of people with diabetes mellitus. Design and methods: This is an analytic observational study which was carried out in the work area ofpublic health centers in Malang City using a cross-sectional design approach. The subjects used were 327 people with diabetes mellitus and their families were selected using the cluster sampling technique. Data collection was carried out using demographic data instruments, Zarit Burden Interview (ZBI) questionnaire to measure the burden of family caregivers and the SF 12 questionnaire to measure the health status of people with diabetes mellitus.Results: The results of the Spermank-Rank statistical test showed that there was a negative relationship between the burden of family caregivers and the health status of people with diabetes mellitus (p-value 0.000 and coefficient value of -0.333).Conclusions: It was concluded that the lesser the burden on family caregivers, the better the health status of people with diabetes mellitus. Therefore, interventions are needed to reduce the burden of family caregiver and improve the health status of patients with diabetes mellitus.

Depression is a chronic prevalence and recurrence disturbance. Depression in the elderly characterized by sadness, low interested in doing activity, and inability to feel happiness. But most families ignore it because they think it is a common problem in the elderly. Family psychoeducation therapy is one of the elements of family mental health care programs by providing information, education through therapeutic communication to reduce the scale of depression in the elderly. This systematic review aimed to determine family psychoeducation in reducing the occurrence of depression in the elderly.This systematic review begins with a question in advance and specify the destination, then search for the exact keyword searching to identify the data required in accordance with the purpose of the method of "AND" and "OR". After getting data from the searching results from 2005 to 2019 using proquest international databases, PubMed, science direct, and then proceed with the selection of DOAJ PRISMA flow diagram and criticism JBI tool to obtain the relevant article 23 to be analyzed into a systematic review. Family psychoeducation can improve cognitive abilities because in therapy contains elements that can improve family knowledge about the disease, teach techniques that can help families to know the symptoms of deviant behavior, as well as increased support for the family members themselves. This therapy can also reduce the scale of depression in the elderly. Family psychoeducation therapy can improve cognitive and psychomotor abilities significantly. Thus it can be used to improve the elderly and families coping itself. This therapy is not only used for people with schizophrenia, but also the patient's psychosocial, including depression in the elderly.

The family has an important role in elderly care at home, where the majority of assistance and long-term care for the elderly is provided by the family. The nurse is responsible for assisting the family in caring for the elderly, so that in the end the family is able to provide elderly care independently at home. This study aims to explore family experiences in caring for the elderly at home. Researchers used qualitative research methods with a phenomenological approach. Data obtained through semi-structured interviews with 6 (six) participants. The research produced 5 themes: care for the elderly is a form of devotion to parents, care for the elderly requires physical and mental readiness, care for the elderly requires knowledge related to the elderly and how to care for the elderly, care for the elderly requires support from extended families, and feel the importance of supporting cadres and health workers. For conclusion, elderly families have a responsibility to meet the needs of the elderly, so that efforts are needed to improve the knowledge and skills of the family in order to properly care for and meet the needs of the elderly.

Grade inflation is a condition when there is an increase of grade point average without the same increase in students’ ability. Grade inflation also occurs in nursing education that needs to be solved since its existence is threatening nursing professionalism. The case shows that the average grade for subjects in clinical stage is close to the maximum point, while the average grade in academic stage is in normal distribution. In this qualtitative research, six clinical facilitators from six different nursing programs were included. The participants were asked regarding the presence of grade inlfation in their institutions. Further, the gap between grade in academic and clinical stages were questioned the factor(s) that make the different, how real the given grade reflect students’ ability, the impact of it to the students and all related elements, and the action to solve this problem. The factors which cause grade inflation in universities especially in nursing are related to the whole aspect of learning and teaching. They are including the institution or nursing program, the faculty, the students and the grading system. The implication of grade inflation among nursing students can be both short and long term such as student’s disatisfaction and their career once they graduated. The process of measuring students’ clinical performance can be made such as evaluation method, number of clinical facilitator, the ability to use evaluation instrument, and the grading system.

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Background:Stroke is an emergency condition that can cause a decrease in nerve function that is affected by injuries to the central nervous system. The initial examination is needed by nurses to find out the type of stroke that can determine the right treatment and quickly. Determination of the type of stroke is done by using a CT scan tool that has limited facilities in some hospitals, so we need a tool in the form of a stroke scoring that can be used. Aim: This study aims to determine the accuracy of Allen's score in predicting the type of stroke in patients. Methods: This study uses an observational analytic method with a cross-sectional design. The sample selection uses purposive sampling with the number of respondents as many as 100 stroke patients. Observations were made using the Allen score. Results: The results showed 100 patients. Demographic characteristics of patients who have the most strokes are men, the age group that has the most strokes is 54-64 years, working privately. The sensitivity, specificity, NPP, NPN, and accuracy of Allen scores were 98.6%, 100%, 100%, 96%, and 99.0% in predicting the type of ischemic stroke. Whereas in predicting the type of hemorrhagic stroke, sensitivity, specificity, NPP, NPN, and accuracy are 83.3%, 92.6%, 71.4%, 96.2%, and 91%. Conclusion: Determining the type of stroke quickly and precisely, help is needed by using stroke scoring that can be done by nurses as a basis of providing collaborative care in patient management.

Background: Indonesia is one of the areas classified as disaster prone area, because every year has increased between 1,500-2,000 times and most are hydro-meteorological disasters such as floods. Efforts to reduce threat to flood disasters are to do prevention, mitigation, and preparedness. Objective: To identify and analyze the relationship between community attitudes and flood mitigation in the Welang watershed in the Karangketug Urban Village, Pasuruan City. Methods: This study used an analytic observational design with a cross-sectional approach. The population was 143 householders and the samples were 105 householders living in the river flood disaster-prone areas Welang RW. 01 / RT. 02-03 Karangketug Urban Village, Pasuruan City. The sampling method is purposive sampling. The Spearman rank correlation test was used for data analysis with a significant level (α) = 0.05. Results: The Spearman Rank test correlation indicates that there is a significant correlation between attitude and the mitigation of floods (p = 0.000 and r = 0.546). Conclusion: Personal factor such as attitude significantly correlate with community mitigation in the face of flood disasters in the Welang watershed in the Karangketug Urban Village, Pasuruan City.

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