Jatuh merupakan kejadian yang sering dijumpai pada lansia dan resiko jatuh meningkat dengan seiring bertambahnya umur. Lansia akan mengalami kemunduran fisik pada sistem muskoloskeletal yang menyebabkan penurunan keseimbangan, sehingga rentan mengalami jatuh. Gangguan keseimbangan penyebab utama terjadi resiko jatuh pada lansia karena gangguan visual, vestibular dan somatosensory. Resiko jatuh pada lansia dapat menyebabkan komplikasi patah tulang bahkan kematian.  Latihan keseimbangan lansia dapat digunakan sebagai salah satu upaya untuk meningkatkan kualitas hidup pada lansia di komunitas. Penelitian ini bertujuan untuk mengetahui pengaruh latihan keseimbangan (forward stepping) terhadap tingkat resiko jatuh pada lansia. Desain penelitian menggunakan pre eksperimen dengan rancangan One-Group Pretest-Posttest Design. Teknik pengambilan sampel menggunakan random sampling dengan jumlah 16 responden dengan kriteria Usia diatas 65 tahun, mobilitas mandiri dan tidak mengalami gangguan pendengaran dan penglihatan. Intervensi yang diberikan berupa latihan keseimbangan forward stepping 3 kali seminggu selama 4 minggu dengan durasi 15 menit. Pengukuran risiko jatuh menggunakan Time Up and Go Test (TUGT). Hasil penelitian menunjukkan rerata usia lansia 72,38 ± 3,46 tahun, dengan  jumlah lansia perempuan lebih banyak 12 (75%) daripada laki-laki. Risiko jatuh sebelum diberikan latihan lansia termasuk dalam kategori ringan dengan rata-rata nilai TUGT adalah 17,06 detik dan sesudah latihan terjadi penurunan menjadi rata-rata 13,24 detik. Uji Wilcoxon Test menunjukkan adanya pengaruh antara latihan keseimbangan (forward stepping) terhadap resiko jatuh pada lansia dengan dengan p-value = 0,000 < 0,05. Kesimpulan: Hasil penelitian ini menunjukkan bahwa latihan keseimbangan (foward stepping) dapat menurunkan risiko jatuh pada lanjut usia.

Peningkatan jumlah kunjungan pasien menyebabkan peningkatan beban kerja perawat, banyaknya tugas tidak sebanding dengan kemampuan maka akan menjadi sumber stres. Hal ini tentunya akan berpengaruh terhadap mutu pelayanan yang dilakukan oleh perawat. Tujuan penelitian ini adalah untuk mengetahui hubungan beban kerja dengan tingkat stres kerja perawat  di  Instalasi Gawat Darurat RSUP dr. Soeradji Tirtonegoro Klaten. Penelitian ini menggunakan desain kuantitatif korelasional dengan pendekatan cross sectional. Jumlah sampel yang diambil sebanyak 22 orang perawat dengan tehnik purposive sampling. Pengumpulan data beban kerja perawat dilakukan dengan melakukan observasi Time And Motion Study sedangkan data tingkat stres kerja diambil dengan kuisioner Personal Stres Inventory. Hasil penelitian beban kerja perawat didapatkan data perawat dengan beban kerja sedang sebanyak 8 responden (36,4%), dan beban kerja tinggi sebanyak 8 orang (36,4%), sedangkan tingkat stres kerja perawat didapatkan data perawat dengan stres kerja sedang sebanyak 16 responden (72,7 %).  Setelah dilakukan analisa data menggunakan korelasi Spearman Rank didapatkan nilai p value sebesar 0.01  lebih kecil dari 0.05 dengan Correlation Coefficient sebesar 0.536. Kesimpulan dari penelitian ini adalah ada hubungan antara Beban Kerja Dengan Tingkat Stres Kerja Perawat Di Ruang IGD RSUP dr. Soeradji Tirtonegoro Klaten. Saran peneliti perlu adanya poliklinik 24 jam sehingga dapat menurunkan beban kerja perawat IGD sehingga tidak mengakibatkan peningkatan tingkat stres kerja pada perawat

Background: The aging process results in changes in the musculoskeletal system causing a decrease in function of joints, loss of elasticity and limited mobility. This condition also causes joint pain, especially in the joints supporting the body weight, namely the knee. The previous studies discussed the method of reducing pain using a contras bath which was implemented by soaking parts of the body that experience pain alternately with hot and cold water, this was difficult to apply if the pain occurs in the upper body. Modifications in contrast baths using compresses to the knee joint have never been implemented before.Objective: This study aimed to figure out the effect of the contras bath method using compresses to reduce knee joint pain in the elderly.Method: The design of this study was pre-experimental with one group of pretest-posttest. The sample used was 16 elderly who were selected by random sampling at Posyandu (a center for pre- and postnatal health care and information for elderly) in village of Sawit Gantiwarno, Klaten. Contrast bath is applied by giving compresses of warm and cold water alternately with a ratio of three minutes: one minute per-day during 20 minutes, for a week. Pain measurement is performed using the Visual Analog Scale (VAS) instrument.Result: The mean of knee pain before giving a contrast bath was 5.44, whereas after a contrast bath was 3.50. Bivariate analysis used Wilcoxon, it showed p value <0.05 which means there was a significant difference in knee joint pain before and after contrast baths were applied.Conclusion: Administration of contrast bath can reduce knee joint pain in the elderly.

Work fatigue is one factor that can cause errors at work. Burnout is an individual problem that requires physical, mental, and emotional transition due to long-term stress. Burnout is a problem for organizations that cause a decrease in work productivity. The nurse is one of the health workers who determine the quality of service in the hospital. The high workload of nurses raises errors in the actions given to patients. Objective: was to determine the relationship between burnout with nurses' work behavior in the hospital. This research was conducted on nurses working in hospitals. The sampling technique uses proportional random sampling method with a total of 44 people. Retrieval of burnout data include three domains, emotional exhaustion, depersonalization, and personal achievement. Results: The average age of nurses was 26.09 years, women (84. 1%), diploma education (97. 7%), and worked for 1-5 years (77.3%). There is a relationship between burnout and nurse's work behavior (p value <0.05). The higher the emotional exhaustion, the decreasing nurse's work behavior (r = -0,537). The higher the depersonalization, the lower the work behavior (r = -0.687), the higher the personal achievement, the lower nurse's work behavior (r = -0.439). Conclusion: There is a relationship between burnout and nurse's work behavior. The higher the emotional exhaustion, depersonalization and personal achievement, the nurse's work behavior decreases. The strongest close relationship is found in the depersonalization relationship with nurse's work behavior compared to other Burnout domains.

Introduction: Therapeutic communication is communication between nurses and patient.  Some cases and action done by nurses make nurses only focus on the action carried out without regard to therapeutic communication. This study aims to determine the correlation of nurses' workload with therapeutic communication in RSU Islam Klaten. Methods: The research design was correlation with cross sectional approach. The population in this study was inpatient room nurses. Questionnaire was used as the instrument to collect the data from the total 80 respondents which were taken as sample using the purposive sampling technique. The data was analyzed using Kendall tau. Results: Based on the research show that most respondents stated that work as a nurse did not become a workload of 66,3% and able to implement communication well at 63,8%. There was correlation between nursing workload with therapeutic communication with p value= 0,000. Consulsion: Based on the results analysis, there was a correlation between nursing workload with therapeutic communication implementation. The task rolling should be applied to avoid the workload and to conduct development of therapeutic communication training.