Banyaknya pasien yang datang di IGD membuat perawat harus memilah pasien dengan cepat dan tepat sesuai prioritas. Hal tersebut memerlukan pengetahuan dan sikap dalam hal pemisahan jenis dan kegawatan pasien dalam triase, sehingga penanganan pasien bisa lebih optimal dan terarah. Penelitian ini bertujuan untuk mengetahui hubungan antara pengetahuan dan sikap perawat tentang triage. Penelitian ini menggunakan metode penelitian korelasi dengan pendekatan cross-sectional. Penelitian dilakukan di IGD RSUD Dr. H Kumpulan Pane Kota Tebing Tinggi, RSUD Rantau Prapat, dan RSUD Tuan Rondahaim Simalungun dari bulan Januari sampai Agustus 2020. Sampel dalam penelitian ini sebanyak 46 perawat yang bertugas di IGD RSUD Dr. H Kumpulan Pane Kota Tebing Tinggi, RSUD Rantau Prapat, dan RSUD Tuan Rondahaim Simalungun yang diambil secara total sampling. Instrumen penelitian menggunakan kuesioner. Analisis data menggunakan korelasi spearman rank pada taraf kepercayaan 95%. Hasil analisis univariat menunjukkan mayoritas perawat memiliki pengetahuan tentang triase yang cukup (48%) dan mayoritas perawat bersikap positif (77%). Hasil analisis statistik spearman rank memperoleh nilai koefisien korelasi spearman sebesar 0,753 dengan ρ-value 0,000 < 0,05, sehingga Ha diterima. Kesimpulan dalam penelitian ini terdapat hubungan antara pengetahuan dan sikap perawat tentang triase di RSUD Dr. H Kumpulan Pane Kota Tebing Tinggi, RSUD Rantau Prapat, dan RSUD Tuan Rondahaim Simalungun.

Kondisi gawat darurat dapat terjadi akibat dari trauma atau non trauma yang mengakibatkan henti nafas, henti jantung, kerusakan organ serta perdarahan. Kegawatdaruratan bisa terjadi pada siapa saja dan dimana saja, biasanya berlangsung secara cepat dan tiba-tiba sehingga tak seorangpun yang dapat memprediksikan. Dengan pemahaman yang utuh tentang konsep dasar gawat darurat, maka angka kematian dan kecacatan dapat ditekan serendah mungkin. Salah satu bentuk pertolongan medik yang perlu dimiliki adalah Bantuan Hidup Dasar. SMK Kesehatan Sentra Medika Johor berdasarkan peta geografis bahwa sekolah tersebut berada didaerah jalan protokol yang memungkinkan banyak terjadinya kasus kecelaakaan. Kegiatan pengabdian Masyarakat ini bertujuan untuk meningkatkan kemampuan siswa SMK Kesehatan Sentra Medika Medan Johor untuk melakukan simulasi pelaksanaan bantuan hidup dasar. Kegiatan ini dilaksanakan di SMK Kesehatan Sentra Medika Medan Johor. Peserta yang mengikuti kegiatan ini sebanyak 45 orang dan mereka sangat antusias mengikuti kegiatan simulasi pelaksanaan bantuan hidup dasar ini. Hasil kegiatan pengabdian masyarakat menunjukkan bahwa pengetahuan siswa/siswi sebelum dilakukan simulasi BHD mayoritas pengetahuan nya adalah kurang, yaitu sebesar 55,5%, pengetahuan siswa/siswi sesudah dilakukan simulasi BHD mayoritas pengetahuan nya adalah Baik, yaitu sebesar 77,8%, keterampilan siswa/siswi sebelum dilakukan simulasi BHD mayoritas keterampilan nya adalah kurang, yaitu sebesar 71,1%. Diharapkan pihak pengelola SMK Kesehatan Sentra Medika Johor melakukan perencanaan pelatihan BHD secara rutin, menyediakan alat dan bahan seperti pantom RJP Bayi, Anak dan Dewasa untuk digunakan siswa praktik tindakan BHD agar dapat meningkatkan pengetahuan siswa dalam memberikan BHD pada pasien/korban kondisi darurat.

Background: Depression level among elderly remains high in Indonesia. One of efforts to decrease depression is laughter therapy, which is assumed able to lower depression.Objective: This study aimed to examine the effect of laughter therapy on depression level in elderly at Nursing Home of Binjai Integrated Social Service Unit for the Elderly, North Sumatra, Indonesia.Methods: This was a quasi-experimental study with pretest posttest with control group design. Forty-two participants were selected using a purposive sampling, with twenty-one participants were randomly assigned in each group. An experimental group received one-hour laughter therapy for 3 times a week in 4 weeks, and a control group received usual care. Depression was measured using Geriatric Depression Scale-15. Data were collected from April to June 2018. Independent and dependent t-test were used for data analysis.Results: Findings revealed that the level of depression in elderly significantly decreased in the experimental group (p<.05), but there was no significant change of it in the control group (p=.648). Between the two groups, there was a significant difference in depression level in elderly (p<.05).Conclusion: Laughter therapy could reduce depression among elderly. Therefore, this therapy can be used as one of interventions in nursing practice, especially at nursing homes.

Background : It is importan to promote physical activity for elderly people, but to improve level of physical activity of elderly people is a challange for health workers. Purpose : The purpose of this quasi- experimental study was to determine the effect of exercise consultation program by using Transtheoretical Model (TTM) approach on physical activity level in elderly people at Darussalam’s Community Health Center. Research method :The two comparison groups for this study were purposively designed for pre-test/post-test procedures; sixty elderly people at Darussalam’s Community Health Center with randomly allocated into the experimental (30 people) and the control (30 people) groups. While the experimental group received the exercise consultation for 8 weeks, the control group received routine care. Physical Activity Scale for Elderly (PASE) was use to assess the the physical activity of elderly. Comparative assessments on differences in level of physical activity both within group using Wilcoxson macthed-pairs and between group using Mann Withney U Test. Results : The results of this study found that after receiving exercise consultation program, level of physical activity in elderly people significantly increased in the experimental group (P < 0.05), but there was no significant difference in the control group. Between groups,  level of physical activity significantly increased after receiving the exercise consultation while no change was found among those who did not (P < 0.05).Conclusion: The exercise consultation program by using TTM approach could increase level of physical activity of elderly people.

Self-isolation for COVID-19 suspects plays a crucial role due to a lack of medical personnel and hospital capacity in Jakarta. The ongoing COVID-19 pandemic has taken an unprecedented toll on health services because the number of infections continues to climb and is thought to be far higher because many people have not been tested. This phenomenon opens an opportunity to support innovative collaborations between government and city co-creators (e.g. start-up companies) to develop a digital application for monitoring the self-isolation activity of COVID-19 suspects. This paper proposes a conceptual framework for developing a self-isolation app by conducting in-depth interviews with 20 participants from the Jakarta Health Office and mobile health app start-up companies. The result of this paper figures out the key features of the app, such as suspects database, daily monitoring form, geotagging, chatroom, test scheduling, panic button, and daily notification. In this paper, Jakarta was selected as a case study since it is stated as a collaboration city which initiates the opportunity to business sectors for increasing access and public service quality. This paper uses design thinking methods as an evidence base to develop a self-isolation app. The conceptual framework provides the foundation for the input-process-output model and insights into what an appropriate approach for the requirements of the self-isolation app development. This paper provides a better understanding of common elements in building the app. Its conceptual framework fits in any government sector. Also, it can inspire other cities to consider the model in developing a similar application with structural and systematic phases in every development step. Further research should be carried out to build an extension model of the design thinking approach to get specific quantitative and qualitative results.