Background: Antiretroviral (ARV) therapy is a lifelong treatment in people living with HIV/AIDS (PLWHA). Adherence is the key to the effectiveness of antiretroviral therapy. ARV have side effects that may affect patient adherence.Purpose: The purpose of this study was to examine the impact of ARV side effects on drug adherence in PLWHA.Methods: This study used cross-sectional approach. Sample size in this study was 78 consist of people who were recruited by purposive sampling. These subjects received ARV therapy in Tropical Disease and Infection Polyclinic at General Hospital of Dr. Kariadi SemarangResult : Result showed that eta2 is 0,525625. It means that ARV side effect has impact on ARV adherence. Most of the side effects reported by the respondents were nausea and dizziness. Some respondents also reported experiencing weakness, difficult to concentrate, and diarrhea. Conclusion : Side effects have impact on patient’s ARV therapy adherence. Therefore health care provider for PLWHA should be able to recognize and concern on ARV side effect management.

The improvement of clinical reasoning in nursing students is a benchmark for students' abilities in carrying out nursing care. Disease script-based learning can help students recognize the information. The purpose of this study was to determine the effect of illness scripts on the clinical reasoning ability of nursing students. The research design used was a quasi-experimental approach with a non-equivalent approach with a control group. The sampling technique used consecutive techniques. The number of samples in each group is 35 respondents, data collection using Clinical Reasoning Assessment Tools. Data analysis using Wilcoxon Signed Rank test. The results of this study indicate that there is an increase in the clinical reasoning ability of nursing students in the experimental group from the average value of 40.6 to 50.3. Most of the respondents in the experimental group had clinical reasoning at the intermediate learner level. The results of the Wilcoxon test showed that the Z-count value in the experimental group was 5.092 with a p-value = <0.001. It can be concluded that there is an effect of illness scripts method on the clinical reasoning ability of nursing students.

Penalaran klinis merupakan sebuah kemampuan pengambilan keputusan, pemecahan masalah, berpikir kritis, dan penilaian klinis. Penalaran klinis yang baik pada mahasiswa keperawatan akan menghasilkan sebuah keputusan klinis yang tepat dan asuhan keperawatan yang efektif. Tujuan dari penelitian ini adalah untuk mengetahui kemampuan penalaran klinis mahasiswa perawat tahun keempat pada masalah keperawatan medikal bedah. Desain penelitian yang digunakan adalah studi deskriptif. Populasi dalam penelitian ini adalah mahasiswa keperawatan tahun keempat STIKES Bina Usada Bali dengan sampel sebanyak 103, yang ditentukan dengan teknik sampling purposive. Pengumpulan data menggunakan Nursing Clinical Reasoning Assessment Tools. Analisa data menggunakan univariat. Hasil penelitian menunjukkan sebagian besar responden memiliki kemampuan penalaran klinis pada kategori competent   49(48%), diikuti dengan sejumlah 35(34%) responden dengan kemampuan penalaran klinis advanced beginner, sebanyak 14(13%) responden profecient, yang diikuti sejumlah 5(5%) mahasiswa memiliki kemampuan penalaran klinis novice. Temuan penelitian ini mengindikasikan  perawat pendidik untuk mengambil peran aktif dan menjadi lebih kreatif dengan mengembangkan keterampilan penalaran klinis.

Kepatuhan minum obat sangat penting untuk menekan supresi HIV. Mempertahankan kepatuhan dapat dilakukan dengan menggunakan pendekatan intervensi dukungan peer. Tujuan dari penelitian ini adalah untuk mengetahui pengaruh peer leader support terhadap kepatuhan minum obat orang dengan HIV AIDS. Metode penelitian yang digunakan adalah one group pre-test post-test. Sampel pada penelitian ini ditentukan dengan teknik consecutive, dengan jumlah sampel sebanyak 25 responden. Pengukuran kepatuhan menggunakan instrumen Antiretroviral Adherence Scale. Intervensi peer leader support didasarkan pada pemberdayaan, manajemen diri, eksplorasi pengalaman, motivasi dan pemecahan masalah kepatuhan secara sistematis yang dilakukan selama 14 minggu. Analisa data menggunakan uji t berpasangan. Hasil penelitian menunjukkan terdapat peningkatan nilai rata-rata kepatuhan sebelum diberikan intervensi (3,04) dan setelah diberikan intervensi (4,40). Hasil analisa bivariate diperoleh nilai p<0,000 (α=0.05). Berdasarkan nilai p<α menunjukkan terdapat pengaruh peer leader support terhadap kepatuhan mengkonsumsi obat pada ODHA. Perlu dilakukan model intervensi peer untuk mengeksplorasi perubahan viral load dan nilai CD4 terkait dengan kepatuhan minum ARV.

Emergency patient care is a service that requires immediate service, namely fast, precise, and accurate to prevent death or disability. One of the indicators of service quality is in the form of response time, which is a process indicator to achieve the outcome indicator, namely survival. To achieve a fast response time, a systematic approach system is needed in dealing with patients who experience emergencies, one of which is by using the Early Warning System (EWS). This study aims to determine the effect of early warning system education on the response time of nurses in Emergency Room Tabanan Hospital. This study used an experimental method with a pre-experimental design (one-group pre-test-posttest design) involving 39 samples selected by total sampling technique. Data collection in providing EWS education is in the form of modules, and the research material is in the form of a clock used to measure the response time. Data analysis uses a computerized system with univariate and bivariate analysis. This study showed that the response time for nurses before the early warning system education was fast, namely 15 (39.5%). Most of the nurses' response time after the early warning system education was 26 (66.7%). The results of this study can be concluded that there is an effect of early warning system nurse education on the response time of nurses with a significance value (p) of 0.000.