Indonesia is located along the Pacific Ring of Fire and close to some natural hazards, including earthquakes, tsunamis, volcanic eruptions, flooding, and droughts. BNPB (the National Agency for Disaster Management) recorded 436 deaths, 1353 mild injuries, 783 serious injuries, and 77,975 houses also, and schools were damaged. It is important to build awareness of disaster and culture of disaster risk reduction. This article provides information about how to build a culture of alertness and safety in schools by developing a network of fellow stakeholders in the field of disaster management in Indonesia. Therefore, a conceptual framework for schools-based disaster preparedness should be provided. Preparation, resources, simulation, and promotion phases for health policy-makers are the important aspects of school-based disaster preparedness in Indonesia. Many countries have successfully implemented a school-based disaster preparedness strategy. The information about this program is expected to build preparedness in the future, as well as prevent the losses of life and property from the future hazardous event.

Background: Nursing shortages are a significant problem experienced by medical institutions worldwide as well as Indonesia. Understanding nurses’ work environment is a proper strategy for enhancing the retention and overcoming shortages of nurses. The Quality Nursing Work Environment (QNWE) is a well-known tool that has been commonly used to evaluate the working atmosphere of nurses. However, the availability and validated version of the instrument for hospital nurses in Indonesia is not confirmed.Purpose: This study aims to confirm the psychometric evaluation of the Indonesian version of QNWE instruments in hospital settings.Methods: A cross-sectional study design and psychometric analyses were administered. The 65-item, eight-domain questionnaire was translated, adapted, and face-validated using content validity index (CVI) analysis. The construct validity and internal consistency of the translated version were tested using confirmatory factor analysis (CFA) and Cronbach's Alpha to 334 hospital nurses. The intraclass correlation coefficient (ICC) was employed to determine test-retest and interrater reliability analysis to 33 nurses and 10 ratters in the pilot testing.Results: The CVI of the QNWE-I scale ranged from 0.86 to 1.00. The CFA determined an adequate model fit of the instrument. As to overall reliability, test-retest reliability of 0.90, ICC analysis of 0.82, and Cronbach's alpha of 0.96; was confirmed.Conclusions: The psychometric evaluation of the QNWE-I showed excellent acceptability, validity, and reliability. Therefore, the QNWE-I can serve as a comprehensive instrument for assessing the quality of nurses' work environments in Indonesia.

Introduction: Precision Personalized Care (PPC) defines as a new approach to health care service on improving diabetes patients’ self-management. To date, Taipei Veterans General Hospital has started implement the program of PPC. The purpose of this study was to observe the implementation of PPC and its’ beneficial on the improvement of self-management among diabetes patients at the Taipei Veteran General Hospital, Taiwan.Methods: This study applied a clinical observational-exploration method such as supervision by visiting the wards, examination rooms and laboratories in the hospital and further discussing with the health professionals’ and patients with diabetes by direct interview while observing each PPC implementation from April 18th to May 2nd, 2019. The participants of this observational study included three nurses, a nutritionist, a doctor and 3 patients. Descriptive and explorative methods were attempted to analyze the data.Results: The comprehensive and continuous implementation of diabetes self-management education (DSME) and diabetes self-management support (DSMS) programs were the target and focus point of activities to improve diabetes patients’ self-management. It focused on the patient centered-care, tailored, and more precise to find patients’ personal meet as defined as PPC. Clinical laboratory tests (e.g., blood sugar, hemoglobin A1C counts, low-density cholesterol, kidney functions, proteinuria, fundus and peripheral neuropathy examinations) were carried out regularly to support the program. Both programs and clinical assessment test were integrated with the Diabetes Pay for Performance (diabetes -P4P), a large-fund government program which supported by Taiwan National Health Insurance (NHI).Conclusion: The continuous and comprehensive PPC can successfully reduce the incidence of diabetes complications in Taiwan. The PPC approach can be used as a magnificent reference for the development of quality health services and research development for diabetes patients in Indonesia.