In the United States >80% of postoperative patients experience pain but only 30-50% receive effective treatment. Effective postoperative pain management requires other therapy than pharmacology with minimal side effects such as Benson relaxation. Benson relaxation is a deep breathing relaxation method involving belief factors that are effective in reducing postoperative pain To determine the effect of Benson's relaxation on pain in post-major surgery patients. This literature review uses the thematic analysis method: a simplified approach with publications for 2012-2022 using databases: Google Scholar, MEDLINE, JSTOR. The selection of articles used a modified PRISMA flow diagram. Analysis of article eligibility uses JBI Critical appraisal Checklist tools for RCT and Quasi-Experiment. The findings of 11 articles showed that Benson relaxation combined with pharmacological therapy was proven to be effective in reducing post-major surgery pain in terms of the time of administration, procedure, and mechanism. Benson relaxation also has other benefits such as controlling physical and psychological stress. Benson relaxation has been shown to have an effect on reducing pain in post-major surgery patients. Thus, Benson relaxation can be used as an option for independent non- pharmacological interventions in the management of post-major surgery pain. Keywords : Benson relaxation, Post major surgery, Pain  ABSTRAK Nyeri pasca bedah dirasakan oleh >80% pasien di Amerika, akan tetapi  perawatan nyeri yang efektif hanya terjadi sekitar 30-50%. Manajemen nyeri pasca bedah yang efektif membutuhkan terapi selain farmakologi dengan efek samping minimal seperti relaksasi benson. Relaksasi benson adalah metode relaksasi nafas dalam dengan melibatkan faktor keyakinan yang efektif mengurangi nyeri pada pasien pasca bedah Untuk mengetahui pengaruh relaksasi benson terhadap nyeri pada pasien pasca bedah mayor. Kajian literatur ini menggunakan thematic analysis method: a simplified approach dengan publikasi tahun 2012-2022  menggunakan databases: Google Scholar, MEDLINE, JSTOR. Analisis artikel menggunakan modifikasi flow diagram PRISMA. Kelayakan artikel diuji dengan JBI Critical appraisal Checklist tools for RCT and Quasi-Experiment. Temuan kajian literatur dari 11 artikel menunjukkan relaksasi benson yang dikombinasikan dengan terapi farmakologi terbukti efektif dalam menurunkan nyeri pada pasien pasca bedah mayor ditinjau dari waktu pemberian, prosedur dan mekanisme. Relaksasi benson juga memiliki manfaat lain seperti mengontrol stres fisik dan juga psikologi. Relaksasi benson telah terbukti memberi pengaruh terhadap penurunan nyeri pasien pasca bedah mayor. Sehingga, relaksasi benson dapat dijadikan salah satu pilihan intervensi mandiri non-farmakologi dalam penanganan nyeri pasca bedah mayor Kata kunci: Relaksasi Benson, Pasca Bedah Mayor, Nyeri

<p>Nurse burnout is a significant work-related stress syndrome characterized by emotional exhaustion, depersonalization, and reduced personal accomplishment. Pandemic COVID-19 has various impacts on health conditions. This study aimed to explore factors related to occupational stress on nurses who provide nursing services during the COVID-19 pandemic. A total of 82 cross-sectional original articles and 7 articles were reviewed based on inclusion and exclusion criteria and were retrieved from  Clinical Key, EBSCO, ProQuest, and Wiley Online database with keywords occupational stress, nurse, and Covid-19. The results indicated that some factors that affect occupational stress on nurses who provide nursing services during the Covid-19 pandemic: are workload, anxiety about the risk of occupational hazards, work discomfort, changes in patient conditions, and support system factors. Therefore, various efforts need to be made to overcome the risk of occupational stress experienced by nurses, so that nurses can provide optimal nursing services.</p>

Primary health care is the first form of contact of individuals, families, or communities with the health care service. Optimal primary health care can be achieved, one of which is with the support of family members and clients. Identify family and client involvement in efforts to improve primary health care.Searches of three databases includes EBSCOhost, PubMed and JSTOR, with criteria for primary research, English articles published in 2013-2023. The articles included in this study are articles that discuss family involvement and client involvement in primary health care. The articles found then analyzed using qualitative methods of content analysis. 11 research articles were qualified, and analysis was conducted, so that three main themes of family involvement in primary health care were found: (i) role in communication, (ii) collaboration of families, clients, and primary health care providers, (iii) barriers to family involvement. Families provide communication support as well as collaboration and partnership between families and health professionals. Although not all primary health services are able to collaborate optimally and find obstacles to involve families and clients, efforts to strengthen basic health services, improve the quality and standards of human resources, clarify the duties and responsibilities of health workers and plan programs that involve families and clients in care efforts are carried out to overcome obstacles and improve the quality of services. Keywords: Patient Engagement, Family Engagement, Primary Health Care ABSTRAK Pelayanan kesehatan primer merupakan bentuk kontak pertama individu, keluarga atau masyarakat dengan sistem pelayanan. Pelayanan kesehatan primer yang optimal dapat tercapai salah satunya dengan adanya dukungan dari anggota keluarga dan klien. Tujuan untuk mengidentifikasi keterlibatan keluarga dan klien dalam upaya meningkatkan pelayanan kesehatan primer. Metode penelitian dengan pencarian dari tiga database meliputi EBSCOhost, PubMed dan JSTOR, dengan kriteria artikel penelitian primer, bahasa Inggris yang dipublikasikan pada tahun 2013-2023. Artikel yang diikutsertakan dalam studi ini adalah artikel yang membahas mengenai keterlibatan keluarga maupun keterlibatan klien dalam pelayanan kesehatan primer. Artikel yang ditemukan kemudian dianalisa dengan menggunakan metode kualitatif konten analisis. 11 artikel penelitian memenuhi syarat dan dilakukan analisis, sehingga ditemukan tiga tema utama keterlibatan keluarga dalam pelayanan kesehatan primer: (i) peran dalam komunikasi, (ii) kolaborasi keluarga, klien dan penyedia layanan kesehatan primer, (iii) hambatan keterlibatan keluarga. Keluarga memberikan dukungan komunikasi serta kolaborasi dan partnership antara keluarga dan tenaga kesehatan professional. Meskipun tidak semua pelayanan kesehatan primer mampu berkolaborasi secara optimal dan menemukan hambatan untuk ikut melibatkan keluarga dan klien, namun upaya tenaga kesehatan serta merencanakan program yang turut melibatkan memperkuat pelayanan kesehatan dasar, meningkatkan kualitas dan standar SDM, memperjelas tugas dan tanggung keluarga dan klien dalam upaya perawatan dapat dilakukan untuk mengatasi hambatan dan meningkatkan kualitas pelayanan. Kata kunci: Patient Engagement, Family Engagement, Primary Health Care