ESP nursing materials is an important component in the success of educational programs, especially in the field of nursing. The development of English learning is now more emphasis on the authenticity of the material that is contextual activities or work involved, one of which is in nursing profession. Communicative language teaching (CLT) sets principles about the teaching of communicative competence not confined to verbal communication but also includes written communication, consists of four skills especially on ESP nursing based on nursing care (assessment, nursing diagnosis, planning(intervention & implementation, and evaluation) as the main source of objective achievement in teaching learning process. The development method used is adapted from Borg and Gall's model involved 24 students, 1 expert in English education, 2 experts in nursing education, and 1 practitioner of hospital. Researchers developed materials (4 chapters) based needs analysis (students’ need and reviewing existing syllabus) with four language skills. Result of expert validation (materials evaluation based on contents, exercises, communication, and general elements) was very good (average score 3.5) and result of students’ try out to give the decision of the product quality, the average score was 3.2, it meant the materials was acceptable  and eligible to be used by the nursing students as autonomous learning. In conclusion, the final product can be used as a model of instructional materials to teach English nursing as ESP materials. Keywords: ESP Nursing, CLT, Material Development

Pertumbuhan dan perkembangan anak sangat dipengaruhi oleh lingkungan. Dukungan keamanan lingkungan melalui anstisipatory guidance. Dukungan ini bukan hanya diperlukan pada lingkungan di tempat penitipan anak , tetapi juga pada lingkungan keluarga. Tujuan penelitian ini adalah untuk menggambarkan pertumbuhan dan perkembangan pada anak dengan dukungan anticipatory guidance pada anak di Rumah Bermain Belajar dan Tempat Penitipan Anak (RBB TPA) Permata Baptis Kediri. Desain penelitian ini deskriptif dengan populasi anak di RBB TPA TPA Pemata Baptis Kediri. Sampling yang digunakan Total Sampling dengan subyek 12 responden. Variabel penelitian adalah status gizi (dengan berat/tinggi badan) dan tumbuh kembang anak (dengan Denver Development Screening Test). Data diambil dengan observasi ( pengukuran berat badan dan tinggi badan, serta observasi dengan format Denver Development Screening Test) dan di analisis dengan deskripsi analisis. Hasil penelitian menunjukkan 50% anak memiliki status gizi obesitas dan 33,4% memiliki status gizi kurus. Penilaian tumbuh kembang pada anak didapat hasil perkembangan perilaku sosial 66,7% tidak tercapai, Motorik halus 58,3% belum tercapai, Bahasa 58,3% belum tercapai, Motorik kasar 75% tercapai. Disimpulkan anak mengalami gizi lebih (obesitas) namun sebaliknya juga sebagian mengalami gizi kurang. Perkembangan anak di RBB-TPA dengan dukungan Anticipatory Guidance  yang belum tercapai pada perkembangan perilaku sosial dan perkembangan motorik halus.

Masalah gizi di Indonesia mengami pergeseran dari masalah kurang gizi pada dekade 80-90 an, namun sekarang masalah anomali maslah gizi kurang dan gizi lebih menjadi dominan. Peningkatan prevalensi gizi lebih (kegemukan dan obesitas) pada pria dan wanita dewasa semakin meningkat, hal ini berkontribusi besar munculnya penyakit degeneratif  (DM, Hipertensi, Jantung dll) pada usia lebih muda atau pertengahan. Tujuan penelitian untuk mendeskripsikan asupan gizi pada karyawan Panti Wredha SantoYoseph Kediri. Desain penelitian adalah deskriptif. Populasi adalah semua karyawan di Panti Wredha SantoYoseph Kediri, sampling dilakukan dengan total sampling dengan jumlah sampel yang memenuhi kegiatan penelitian 14 orang. Variabel yang di ukur adalah pemenuhan asupan gizi, Pengukuran asupan gizi  dengan metode food record dan dianalisi dengan software nurisurvei 2017, dan dianalisis dengan analisis deskriftif dengan pengamatan tendensi sentral. Hasil penelitian asupan gizi pada karyawan Panti Wredha SantoYoseph Kediri yang lebih adalah Lemak (86%) dan yang kurang adalah Air (71,4%), Protein (86%), Karbohidrat (93%), Vit A (93%), Vit E (86%), Vit B1 (100%), Vit B2 (93%), Vit B6 (100%), Vit C (79%), Na (93%), Ca (100%), Mg (64%), Fosfor (71%), Fe (71%), Zn (93%). Disimpulkan asupan gizi pada karyawan Panti Wredha SantoYoseph Kediri memiliki pola lebih pada pemenuhan lemak, dan memiliki pola yang kurang pada air,  protein, karbohidrat, mineral dan vitamin.

Introduction: The incidence of infection in school-age children can be caused by the negligence of children in carrying out personal hygiene, namely washing hands and due to contact with individuals who have been infected with pathogens. Infectious diseases that often suffer are upper respiratory infection, diarrhea, and intestinal worms with symptoms of fever. Preventive efforts that can be done by children are personal hygiene (washing hands). Prevention of infection in children is done by teaching school-age children to wash their hands properly. The objective of this study was to analyze personal hygiene skills (hand washing) with the incidence of infection in children. Methods: The method in this study was a pre-experimental study with a pretest-posttest design. The samples were 20 respondents of school-age children. Differences in pretest-posttest personal hygiene skills (hand washing). Results: The results are based on data collected from 20 subjects, the results of the pretest-posttest personal hygiene skills (hand washing) in the Wilcoxon test, there was a significant difference, namely (p = 0.541). Conclusion: There was no correlation between personal hygiene (hand washing) and the incidence of infection.