Journal of Midwifery and Nursing

The culture of betel nut chewing and its relationship to chronic energy deficiency (CED) in pregnant women at the Karang Indah Community Health Center

Erma Retnaningtyas — 2026-07-24

Betel nut consumption is closely linked to an increased risk of Chronic Energy Deficiency (CED). The active ingredients in it inhibit the absorption of essential nutrients and can reduce appetite, resulting in inadequate macro and micronutrient intake for mothers. This study aims to determine the relationship between the betel nut culture and the incidence of CED in pregnant women at the Karang Indah Community Health Center. The study design was quantitative and analytical with a cross-sectional approach. A purposive sampling technique was used to select 40 pregnant women from Papua who consume betel nut. Data were collected through a questionnaire to determine the consumption behavior of betel nut and pita lila (lila) to determine whether pregnant women had CED and a lila (lila) <23.5 cm. Data were analyzed using univariate and bivariate methods using the Chi-Square test with an ? value of 0.05. The results showed that the majority of respondents had a habit of consuming betel nut (52.5%), those with CED (45.0%), and those without CED (7.5%). Bivariate analysis showed a significant association between the betel nut culture and the incidence of CED in pregnant women (p = 0.010) with strong relationships. These results indicate that CED is more common in pregnant women who consume betel nut compared to those who do not. Therefore, health education for pregnant women is needed to reduce betel nut consumption.

Association Between Compliance with SBAR Communication During Handover and Patient Safety at Anugerah Regional General Hospital Tomohon, Indonesia

Christiane Prisilia Sarayar — 2026-07-24

Communication failures during handovers contribute to more than 60% of adverse events in hospitals. The implementation of SBAR (Situation, Background, Assessment, Recommendation) communication is a key strategy for improving patient safety. This study aimed to analyze the relationship between compliance with SBAR communication during handovers and patient safety among nurses at Anugerah Regional General Hospital. A quantitative cross-sectional analytical design was employed. Total sampling was used to recruit 53 nurses from four inpatient wards (Anyelir, Upper Aster, Lower Aster, and Alamanda). Data were collected using the Ministry of Health SBAR Observation Checklist (2022) and the Hospital Survey on Patient Safety Culture (HSOPSC) 2.0. Data were analyzed using the Chi-Square test and Spearman correlation. The results showed that most nurses demonstrated good compliance with SBAR communication (58.5%), experienced a heavy workload (49.1%), and reported a moderate level of patient safety (41.5%). A significant relationship was found between SBAR communication compliance and patient safety (?² = 21.202; p = 0.0003; Cramér’s V = 0.447). Nurses who complied with SBAR communication demonstrated a good patient safety level of 38.7%, compared to 0% among those who were non-compliant. Compliance with SBAR communication during handovers was significantly associated with patient safety. Continuous supervision and regular SBAR training are recommended to improve compliance and enhance patient safety.

The impact of menstrual education through “rapor kesehatanku” on awareness and preparedness for menarche

Eka Kusumawati — 2026-07-24

Menarche is a significant milestone in the maturation of adolescent girls and requires adequate physical and psychological preparedness. However, many eleentary school girls experience menarche without sufficient knowledge and readiness. The Health Report Card, known as Rapor Kesehatanku, is an educational medium developed by the Indonesian Ministry of Health as a reference for adolescent health, including menstrual health information. This study aimed to evaluate the effect of menstruation education using Rapor Kesehatanku on knowledge and preparedness for menarche among 4th, 5th, and 6th-grade elementary school girls in Giriwangi Village, Gunungtanjung District, Tasikmalaya Regency. This study employed a pre-experimental design with a one-group pretest-posttest approach. The sample size was determined using total sampling because the accessible population was relatively small; therefore, all 42 eligible female students from SDN Poponcol and SDN Cikembang were included. The research instruments consisted of a 27-item menstruation knowledge questionnaire and a 22-item menarche preparedness questionnaire. The knowledge questionnaire had been tested for validity, with r-count greater than r-table (0.361), and demonstrated good reliability with a Cronbach’s alpha of 0.854. The preparedness questionnaire had also been tested for validity, with r-count greater than r-table (0.396), and showed excellent reliability with a Cronbach’s alpha of 0.936. The intervention consisted of menstruation education using Rapor Kesehatanku, followed by a post-test seven days after the intervention. Data were analysed using the Wilcoxon Signed Rank Test, and effect sizes were calculated using the formula r = Z/?N. The results showed a significant increase in students’ knowledge of menstruation after the intervention, with p < 0.001 and a large effect size (r = 0.69). The proportion of students with good knowledge increased from 14.3% before the intervention to 40.5% after the intervention. Preparedness for menarche also increased significantly, with p = 0.030 and a moderate effect size (r = 0.34). The proportion of students who were ready to face menarche increased from 81.0% to 95.2%. The use of Rapor Kesehatanku significantly improved knowledge and preparedness for menarche among elementary school girls. These findings indicate that Rapor Kesehatanku can be used as an effective promotive and preventive educational medium to support menstrual health education among adolescent girls.