Barotrauma is a disease or trauma that occurs when a body experiences sudden changes in pressure when diving. One type of barotrauma that is often experienced by divers is ear barotrauma. The purpose of this study is to determine the risk factors (including age, disease history, depth of diving, dive duration, frequency of diving, rest duration, and diving procedures) that influence the incidence of barotrauma in traditional diver fishermen in BulawaSub-District, Bone Bolango Regency, The method conducted in this study is analytical quantitative method with cross sectional study approach. This studyis conducted through interview, observation, and measurement of divers' hearing loss in divers. The samples in this study are 34 traditional diver fishermen in BulawaSub-District, Bone Bolango Regency. The results obtained p-value for age=0.039, working period=1,000, depth of diving =0.032, dive duration=1,000, frequency of diving =1,000, rest duration=1,000, and diving procedure=1,000. The conclusion of this study is that there is a relationship between the age and depth of diving toward the incidence of ear barotrauma in traditional diver fishermen, while the factors of working period, dive duration, frequency of diving, rest duration, and diving procedures are not related to the occurrence of ear barotrauma in traditional diver fishermen in Bulawa Sub-district Bone BolangoRegency.

Most health workers in hospitals are nurses who have an important responsibility in providing health services. Quality of work life is an important issue in health organizations, has several impacts on nurses and nursing services. The low quality of work life of nurses can lead to feelings of frustration, incompetence, and feelings of guilt. If it continues, it can lead to an incident of turnover for nurses. Quality of Nursing Work Life (QNWL) is an important element for the nursing profession that will affect the quality of health services. The purpose of this study was to determine the quality of working life of nurses in RSUD Dr. M.M. Dunda Limboto.This research is a type of quantitative research using descriptive analysis with a cross-sectional approach. The research population of nurses was 272 people with a sample of 161 respondents using proportionate stratified random sampling technique. Data analysis using univariate test.The results showed that nurses who had a good quality of work life amounted to 124 respondents (77%), had a sufficient quality of work life amounted to 30 respondents (18.6%) and had a poor quality of work life amounted to 7 respondents (4.3%). Quality of working life of nurses in RSUD Dr. M.M Dunda Limboto was mostly in the good category with a percentage of 77%. This research is expected to be an input for hospitals in improving the quality of nurses' work so that they can provide optimal health services.

Mencuci tangan merupakan salah satu pencegahan terjadinya penyebaran kontaminasi silang. Terdapat faktor yang menyebabkan petugas kesehatan tidak patuh terhadap prosedur mencuci tangan sehingga dapat menyebabkan infeksi silang terjadi. Kebaruan penelitian ini adalah meneliti kepatuhan petugas melakukan cuci tangan di fasilitas kesehatan. Tujuan penelitian ini untuk menganalisis dan mensintesis bukti-bukti literature tentang faktor budaya kerja, sarana dan prasarana terhadap pelaksanaan  hand hygiene. Kajian dalam pencarian literature menggunakan tekhnik kajian Litterature Review. Dimana Literature Review ini menggunakan beberapa jurnal penelitian yang relevan dengan Faktor Budaya Kerja, Faktor Fasilitas dapat mempengaruhi pelaksanaan Hand Hygiene di ruang perawatan yang diakses dari basis data berbahasa Inggris dan Indonesia (Pencarian menggunakan PICOT Framework di database: Ebscho, Sciencedirect, Pubmed, Proquest dan Google Scholar) yang diterbitkan dari tahun 2015 sampai tahun 2020. Hasil literature menunjukkan faktor yang mempengaruhi budaya kerja terdiri dari supervisi kepala ruangan dan tipe kepemimpinan, sedangkan fasilitas kerja terdiri dari media poster, cairan antiseptic yang selalu tersedia serta tempat cuci tangan yang mudah dijangkau. Kesimpulan penelitian ini adalah fasilitas cuci tangan, ketersediaan antiseptik dan ksetersediaan tempat cuci tangan yang mudah dijangkau faktor yang dapat meningkatkan kepatuhan petugas dalam melakukan cuci tangan.  Kata kunci: Cuci Tangan; Fasilitas; Petugas Kesehatan. Abstrac Hand washing is one way to prevent the spread of cross-contamination. There are factors that cause health workers to not comply with hand washing procedures so that cross-infection can occur. The novelty of this study was to examine the compliance factor of officers doing hand washing in health facilities, literature review. The purpose of this study was to analyze and synthesize evidence/literature on the factors of work culture, facilities and infrastructure for the implementation of hand hygiene. The study in the literature search used a literature review used several research journal that were relevant to work culture factors, facility factor could affect the implementation of hand hygiene in the treatment room which were accessed from English and Indonesian Language databases (Search method using PICOT Framework in databases: Ebscho, Sciencedirect, Pubmed, Proquest and Google Schola) published  from 2015 to 2020. Literature results show that the factors that influence the work culture consist of supervision of the head of the room and the type of leadership, while the work facilities consist of poster media, antiseptic liquid which is always available and an easily accessible handwashing area. The conclusion of this research is hand washing facilities, the availability of antiseptics and the availability of hand washing facilities that are easily accessible are factors that can increase the compliance of officers in washing hands.