Jurnal Cakrawala Promkes

Implementation of the seven steps of patient safety in primary healthcare

Nur Syarianingsih Syam — 2025-01-31

Public health efforts and first-level individual health efforts organize primary health. One of the quality management indicators is patient safety, the safety steps are building awareness of the value of patient safety, leading and supporting staff, integrating risk reporting activities, developing reporting systems, involving and communicating with patients, learning and sharing experiences about patient safety, and preventing injuries through the implementation of patient safety systems. The study aimed to determine the implementation of the seven steps of patient safety at one of the primary healthcare facilities in Yogyakarta City. Qualitative research with phenomenological design. Determination of research subjects using a purposive sampling technique. The informants selected were the head of health care, the person in charge of individual health efforts, the patient safety team, the quality team, and the person in charge of pharmacy, laboratory, nurses, doctors, and midwives. Data collection techniques used include field observations, interviews, and document review. The results showed that one of the primary health care facilities in Yogyakarta City has implemented seven patient safety steps. The reporting culture has not been fully implemented, and not as much as expected. The patient safety assessment survey was used for the assessment process in patient safety, and there has never been a patient safety training program for primary health care officers. The seven patient safety steps have been implemented, but the incident reporting culture is still less than optimal.

The relationship between stress levels and the habits of consuming high-sugar food among undergraduate students

Zulfa 'Azizah — 2025-01-31

The SKI 2023 survey revealed that 81% of students consume foods high in sugar, while a preliminary study found that severe academic stress increases by 34.2% among students aged 21 to 25. High-sugar food consumption is believed to help reduce stress temporarily. This study aims to investigate the relationship between stress levels and the consumption of high-sugar foods among students at Universitas 'Aisyiyah Yogyakarta (UNISA). This analytical observational research employed a cross-sectional design. The sample consisted of 168 students aged 18 to 25 who were selected using purposive sampling. Data were obtained through the UNISA-UiTM (Universitas 'Aisyiyah Yogyakarta and Universitas Teknologi MARA) 2023 Mental Health research. Respondent characteristics were collected using a structured questionnaire, high-sugar food consumption habits were assessed using the Q-FFQ, and stress levels were measured with the DASS questionnaire. Data collection was conducted both online and offline. Spearman rank correlation analysis was performed, with a significance threshold of p < 0.05. The findings revealed that 39.2% of students experienced stress, while 52.98% had a habit of consuming high-sugar foods. However, the analysis showed no statistically significant relationship between stress levels and high-sugar food consumption (p = 0.11). While no direct correlation was established, high-sugar food consumption remains a concern due to its potential health impacts. Students are encouraged to adopt healthier dietary habits by monitoring their sugar intake, reading nutritional labels, and limiting high-sugar foods to 1–3 times per week. Promoting awareness of balanced diets and stress management techniques may help improve students' mental and physical well-being.

The CHSE paradox: tourists at Blue Lagoon know the rules but do not follow them

Muhammad Fadillah Zulhayudin — 2025-02-14

This study examines the relationship between tourists' knowledge of cleanliness, health, safety, and environmental sustainability (CHSE) and their CHSE-related practices at the Blue Lagoon tourist attraction in Sleman, Yogyakarta. Using a cross-sectional design, data were collected from 106 respondents through an accidental sampling technique. The Chi-Square test was employed for statistical analysis. The results revealed no statistically significant correlation between knowledge and CHSE-related practices (cleanliness: p = 0.267, health: p = 0.480, safety: p = 0.724, environmental sustainability: p = 0.257). Despite high levels of knowledge among respondents, this awareness did not necessarily translate into consistent CHSE practices. These findings suggest that factors beyond knowledge, such as behavioral habits, infrastructure availability, and social influences, may be more critical in shaping CHSE practices among tourists. The study has practical implications for improving tourism management by encouraging greater participation from tourism operators in providing adequate CHSE infrastructure, implementing clear regulations, and enhancing supervision. Additionally, tourist compliance with CHSE protocols remains essential for ensuring safety and environmental sustainability in tourism destinations. To strengthen CHSE implementation, advocacy, partnerships, and empowerment programs among stakeholders, including government agencies, tourism managers, universities, media, and the private sector—are crucial. Moreover, policy advocacy should reinforce CHSE compliance through certification mechanisms and sanctions for non-compliance. Continuous and intensive public awareness campaigns are necessary to enhance tourist commitment to CHSE practices, ensuring safer and more sustainable tourism experiences.

Analyzing the diffusion of innovation in health communication: a content analysis of the healthy family talk show

Rafinita Aditia — 2025-02-25

This study examines the role of innovation diffusion in health communication through social media platforms and radio broadcasts by the Ministry of Health of the Republic of Indonesia, focusing on the Healthy Family Talkshow program. The research uses Rogers’ Diffusion of Innovation theory to assess how health information is disseminated and adopted across different audience segments. The program, broadcast on Instagram (@kemenkes_ri) and the Ministry of Health's radio network, aims to provide credible, relevant, and easily understood health information. A content analysis of 35 Instagram posts and radio broadcasts from October to November 2024 was conducted to evaluate the effectiveness of communication and its impact on audience perceptions and behaviors. The findings indicate that the program successfully addressed key health topics, such as disease prevention, vaccination, and healthy lifestyles, reaching a broad audience. The dual-platform approach offered flexibility, allowing individuals to choose their preferred communication channel, which led to high engagement through views, comments, and shares. However, the study also identified challenges, including technological barriers, limited internet access in rural areas, which affected participation, and demographic disparities in adoption rates. Younger, more educated audiences adopted the information more quickly, while older individuals required additional support to implement health recommendations. Despite these challenges, the findings demonstrate the potential of integrating social media and radio to enhance health communication. This research underscores the importance of addressing technological and demographic gaps to improve the effectiveness of health information dissemination. The study provides valuable insights for developing inclusive health communication strategies to increase public health awareness and drive behavioral change.

Exploring teacher's role as motivators and role models in cultivating children's safe behavior: a qualitative study

Hani Auliya Rahmah — 2025-02-28

Children are vulnerable to injuries and accidents in school environments due to cognitive limitations. Teachers play a crucial role in shaping children's safe behavior by transferring knowledge and acting as motivators and role models. This study aims to explore how teachers influence children's safe behavior using a qualitative descriptive approach. Data was collected through observations and focus group discussions (FGDs) and analyzed using thematic analysis. Findings indicate that 67% of children's behavior at school was categorized as safe, while 33% was unsafe. Observations were conducted across the play area, learning spaces, and the street in front of the school. Teachers have actively encouraged safe behavior by providing support and motivation. However, some students continue engaging in unsafe practices despite these efforts. Teachers also attempt to model safe behavior, such as walking calmly in hallways and sitting properly in classrooms. However, FGD findings revealed that half of the teachers did not fully practice safe behavior, notably by failing to wear helmets when riding motorcycles to school. In conclusion, teachers at SD Negeri Krajan have effectively acted as motivators, encouraging students to adopt safe behavior. However, their role as role models remains inconsistent, highlighting the need for greater self-adherence to safety practices. Strengthening teachers' commitment to modeling safe behavior could enhance the effectiveness of safety education in schools.