Pembelajaran klinik merupakan kebutuhan primer dalam proses pendidikan tahap profesi ners. Pembelajaran klinik yang baik harus didukung oleh instruktur klinik yang mampu menjadi role model. Pelatihan diperlukan untuk meningkatkan pemahaman dan kesiapan instruktur klinik dalam melaksanakan peran dan tanggung jawabnya. Kegiatan ini bertujuan untuk memberikan kejelasan peran fungsi dan tanggung jawab instruktur klinis dalam membimbing peserta didik. Pemberian materi melalui pendidikan pembelajaran klinik, diskusi interaktif dan simulasi pembelajaran klinik. Strategi pembelajaran yang digunakan yaitu ceramah, metode demonstrasi untuk memberikan keterampilan tentang preceptorship dan proses evaluasi, simulasi, metode diskusi, dan pendampingan bimbingan klinik. Berdasarkan hasil evaluasi didapatkan sebagian besar peserta menyatakan tema pelatihan bagus (63,4%), ketepatan waktu cukup (49,6%), suasana bagus (60,1%), kelengkapan materi bagus (70,6%), pelayanan atau sikap penyelenggaraan bagus (61,6%), media atau alat bantu bagus (57,2%). Rerata nilai pembicara sebesar 84,85 termasuk dalam kategori baik. Rerata nilai pre-test sebesar 30,45 dan nilai post-test sebesar 45,5 dengan rerata peningkatan nilai antara pre dan post-test sebesar 10,9. Kegiatan ini dapat meningkatkan pemahaman pembimbing klinik tentang metode perceptorship dan dapat diadopsi untuk dilaksanakan di lahan praktik lain. Ketepatan waktu pelatihan perlu diperhatikan. Evaluasi kegiatan tidak hanya menilai pengetahuan instruktur klinik tetapi juga menilai sikap atau kesiapan dalam pelaksanaan metode preceptorship.

The purpose of this study was to determine the effect of murottal and acupressure combination therapy on anxiety levels and blood sugar levels in patients with coronary heart disease, as well as describing the level of anxiety and pre and post blood sugar levels in the administration of combination therapy and non-combination therapy, and analyze the effect and differences in therapy combination and non-combination of anxiety and blood sugar levels. This study was a paired comparative analytic study using an experimental design with a control group pretest posttest design. Significant results in the Anova repeated measurement test on anxiety levels obtained p value <0.05 which means there is a significant influence of murottal and acupressure on anxiety levels, on blood sugar levels p values> 0.05 which means there is no significant effect of murottal and acupressure on blood sugar level. Conclusion, combination therapy between murottal with acupressure for 2x15 minutes a day is more effective in reducing anxiety of coronary heart patients in measurement 1 and measurement 2. Murottal therapy with acupressure and murottal therapy has no effect on blood sugar in measurement 1 and measurement 2.   Keywords: Acupressure, Blood Sugar Levels, Anxiety, Al-Qur'an Murottal, Coronary Heart Disease

Perubahan fleksibilitas sendi pada lanjut usia dapat ditangani dengan menggunakan latihan Range of Motion (ROM) aktif. Beberapa penelitian menunjukkan bahwa latihan ROM aktif secara signifikan meningkatkan fleksibilitas sendi lutut sebesar 35° pada 43,75% responden dari total sampel. Penelitiam ini bertujuan untuk menganalisa pengaruh latihan ROM aktif pada ekstremitas bawah terhadap peningkatan fleksibilitas sendi lutut pada lansia. Metode penelitian ini menggunakan pendekatan quasy-eksperiment dengan pendekatan one group pre-test and post-test design.Teknik sampling menggunakan total sampling yaitu sebanyak 25 lansia. Pengkuran dilakukan pada saat hari ke-1, hari ke-4 dan hari ke-8 penelitian dengan menggunakan alat ukur goniometer. Hasil analisa data pada hari ke-1 menunjukkan bahwa rata-rata fleksibilitas sendi lutut pada responden adalah sebesar 117,52o. Selanjutnya analisa pada hari ke-4 menunjukkan adanya peningkatan rata rata fleksibilitas sendi lutut yaitu menjadi 122,24o (meningkat menjadi 4,72o). Pengukuran terakhir juga meperlihatkan adanya peningkatan rata rata fleksibilitas sendi lutut yaitu menjadi 125,88 o (meningkat sebesar 8,36o apabila dibandingkan dengan fleksibilitas sendi lutut hari ke-1yang meningkat sebesar 3,64 o apabila dibandingkan dengan hari ke-2) sehingga dapat disimpulkan bahwa latihan ROM aktif dapat meningkatkan fleksibilitas sendi lutut pada lansia. AbstractChanges of joint flexibility in the elderly can be treated by using active ROM (Range of Motion) exercises. Several studies have shown that active ROM exercises significantly increase the flexibility of the knee joint by 35° among 43.75% of the total sample. The aim of this study was to analyze the effect of active ROM exercises on the lower extremities on increasing the flexibility of the knee joint in the elderly. The Study employed a quasi-experimental approach with One group pre-test and post-test design and ulitilized total sampling method. The Measurrement is carried out on the 1st day, 4th day and 8th day of the study using a goniometer instrument. Data analysis on the 1st day showed that the average ROM among respondents was 117.52o. Furthermore, the analysis on the 4th day showed an increase in the average knee joint ROM, which was 122.24o (increased to 4.72o). The last measurement also showed an increase in the mean angle of the knee joint ROM which was 125.88o (increased by 8.36o when compared to the 1st day ROM and increased by 3.64o when compared to the 2nd day). It can be concluded that active ROM exercise can increase the range of joint motion in the elderly.

Background : Joint flexibility decreases in old age due to a degenerative process resulting in changes in joints, connective tissue and cartilage in the elderly. Decreasing flexibility is also due to reduced elasticity of muscle fibers, where connective tissue in muscle fibers increases (Mariyam, 2008).Objective : The aim of this study was to analyze the effect of active exercise (ROM) on the lower extremities on increasing the flexibility of the knee joint in the elderlyMethods : This study using a quasi-experimental approach with One group pre-test and post-test design. The sampling technique uses the Slovin method of 42 people, obtained a sample of 25 elderly. Exercise is done twice a day for 8 days. Measurements were made on day 1, day 4 and day 8 of the study using a Goniometer measuring instrument..Result : The results of measurement I average of the right knee joint 117.52o, measurement II = 122.24, measurement III = 126, 36o. From the analysis with Paired simple t-Test between the measurements I and II, it was found that the different test measurements I and II t count value was equal to -1.908 with 0.068. Because sig 0.05, it can be concluded that Ho is accepted, meaning that the average angle of ROM before and after training is the same (not different). In the different test measurements II and III the value of t count is equal to -2.152 with sig 0.042.Conclusion : Because sig 0.05, it can be concluded that Ho is rejected, meaning that there is a difference in ROM angle after training between days 4 to 8 with the first day to day 4. Thus it can be stated that active ROM exercises affect the angle of ROM of the knee joint elderly after exercise ROM between day 4 to day 8. Keywords: active ROM exercise, flexibility of knee joint, elderly.

Research background : Primary Health Care one of the public health services has the main task of providing community health development and basic health services, through increasing public access to health services with a priority for promotive and preventive efforts combined in a balanced manner with curative and rehabilitative efforts. (MOH, 2003). One of the indicators of the success of individual health services at primary health care is patient satisfaction. Satisfaction according to Kotler (in Supranto, 2001) is defined as a post-consumption assessment, that a selected product can meet or exceed consumer expectations, thereby affecting the decision-making process for repurchasing the same product.Research purposes: To determine the level of patient satisfaction with basic health services in Primary Health Care throughout Blora Regency which is seen from the dimensions: responsiveness (responsiveness), reliability (reliability), assurance (assurance), empathy (empathy) and tangible (direct evidence).Research Methods: Design This study was a cross-sectional descriptive survey, conducted in 10 primary health care included in the Blora Regency area. The research subjects were inpatients and outpatients. Samples were taken as many as 300 respondents. The sampling technique in this study was cluster and random sampling in the selection of health centers and the selection of respondents using accidental sampling. Data were collected using a questionnaire consisting of 42 question items. To analyze data using a frequency distribution using a computerResearch Discusion : shows the tendency of patients to be satisfied and very satisfied with the services provided by the health center. Although few are dissatisfied. However, from one puskesmas to another varies in the level of satisfaction.Conclusion: Patients are more satisfied and very satisfied than those who are less satisfied with the services of health workers at the primary health care