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                  <text>VOL. 18 NO.2 2025</text>
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                  <text>Sri Wahyuni</text>
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                <text>Barriers To Healthcare Access: Examining Travel Time, Waiting Times, And Service Costs in Indonesia Primary Health Care</text>
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                <text>costs, healthcare access, primary care, travel time, waiting time</text>
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                <text>Access to primary health care in Indonesia faces significant challenges, including long travel times, high &#13;
transportation costs, and poor quality of care due to a lack of health workers. These factors contribute to delays in &#13;
treatment and increase the risk of severe health outcomes. Additionally, out-of-pocket expenses not covered by the &#13;
national insurance program are major barriers, particularly for low-income families. To analyze the relationship &#13;
between travel time, waiting time, transportation costs, service fees and access to health services. A cross-sectional &#13;
study conducted in Banyumas district during May–June 2022 with 100 randomly selected adult respondents. &#13;
Data were collected using a validated structured questionnaire consisting of six sections covering demographics, &#13;
travel time, waiting time, transportation cost, service cost, and accessibility. Chi-Square test was used to examine &#13;
relationships between the independent variables (travel time, transportation cost, service cost, and waiting time) &#13;
and the dependent variable (healthcare accessibility). Travel time was significantly associated with access to health &#13;
services (p = 0.041), as was waiting time (p = 0.035). However, transportation costs (p = 0.405) and service fees &#13;
(p = 0.096) did not show a significant relationship. Improving transportation infrastructure and reducing waiting &#13;
times through more staff and better service processes are key to enhancing healthcare access. Although transport and service costs were not statistically significant, they are still important for inclusive policy planning</text>
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                <text>Dedy Purwito , Kris Linggardini, Arunnee Jaitieng</text>
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                <text>https://doi.org/10.23917/bik.v18i2.9068</text>
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                <text>Universitas Muhammadiyah Surakarta</text>
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                <text>2025</text>
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          <element elementId="37">
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                <text>Sri Wahyuni</text>
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              <elementText elementTextId="115561">
                <text>p-ISSN: 1979-2697&#13;
e-ISSN: 2721-1797</text>
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        <name>Healthcare access</name>
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        <name>primary care</name>
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                  <text>VOL. 18 NO.2 2025</text>
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                  <text>Sri Wahyuni</text>
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                <text>The Correlation of Postpartum Depression, Breastfeeding Prevalence, and Milk Production in Neonatal Intensive Care Unit (NICU)</text>
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          <element elementId="49">
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            <description>The topic of the resource</description>
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                <text>breast milk feeding, breast milk production, Neonatal Intensive Care Unit (NICU), Neonates</text>
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                <text>Breastfeeding is essential, particularly for newborns with severe health issues in the neonatal intensive &#13;
care unit (NICU), where they frequently have to be separated from their mothers. Breastfeeding in the NICU &#13;
requires a sufficient supply of breast milk from the mother, and this can be influenced by the mother's &#13;
psychological condition. This study aimed to examine the correlation of postpartum depression with breast milk &#13;
feeding prevalence and production in mothers with neonates in the NICU. This cross-sectional quantitative study &#13;
included 42 mothers and infant dyads in the NICU in Malang, East Java, and was conducted between September &#13;
and November 2024. The questionnaire of mothers and infants characteristics, the Edinburgh Postpartum &#13;
Depression Scale, and the breast milk feeding prevalence observational sheet were used for the investigation. The &#13;
correlation of postpartum depression with breast milk prevalence and breast milk production was measured by the &#13;
Rank Spearman Test. Breast milk feeding prevalence was 64.3%, partial breast milk feeding was 31%, and &#13;
formula milk was 4.8%. The proportion of mild and severe postpartum depression was 35.7%, and the rest of &#13;
them were without depression (28.5%). Postpartum depression was not associated with the prevalence of breast &#13;
milk feeding (p=0.140), but there was a significant correlation with breast milk production (p=0.04; r= -0.319). &#13;
We found that greater postpartum depression was associated with lower breast milk production, but there was no &#13;
correlation with the prevalence of breast milk feeding in the NICU. These findings highlight the importance of sufficient support for mothers with neonates in the NICU to produce enough breast milk supply.</text>
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            <description>An entity primarily responsible for making the resource</description>
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              <elementText elementTextId="115568">
                <text>Mazaya Ilmi Sabrina, Sholihatul Amaliya, Rinik Eko Kapti</text>
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            <description>A related resource from which the described resource is derived</description>
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                <text>https://doi.org/10.23917/bik.v18i2.10530</text>
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          <element elementId="45">
            <name>Publisher</name>
            <description>An entity responsible for making the resource available</description>
            <elementTextContainer>
              <elementText elementTextId="115570">
                <text>Universitas Muhammadiyah Surakarta</text>
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            <name>Date</name>
            <description>A point or period of time associated with an event in the lifecycle of the resource</description>
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              <elementText elementTextId="115571">
                <text>2025</text>
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          <element elementId="37">
            <name>Contributor</name>
            <description>An entity responsible for making contributions to the resource</description>
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              <elementText elementTextId="115572">
                <text>Sri Wahyuni</text>
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          <element elementId="47">
            <name>Rights</name>
            <description>Information about rights held in and over the resource</description>
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              <elementText elementTextId="115573">
                <text>p-ISSN: 1979-2697&#13;
e-ISSN: 2721-1797</text>
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            <name>Format</name>
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                <text>PDF</text>
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            <name>Language</name>
            <description>A language of the resource</description>
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                <text>English</text>
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        <name>breast milk feeding</name>
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        <name>breast milk production</name>
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        <name>Neonatal Intensive Care Unit (NICU)</name>
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        <name>Neonates</name>
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                  <text>VOL. 18 NO.2 2025</text>
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              <name>Contributor</name>
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              <elementTextContainer>
                <elementText elementTextId="115148">
                  <text>Sri Wahyuni</text>
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            <name>Title</name>
            <description>A name given to the resource</description>
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                <text>Educational Program to Improve Self-Care in Heart Failure Patients</text>
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          <element elementId="49">
            <name>Subject</name>
            <description>The topic of the resource</description>
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                <text>Cardiac failure, Health education, Monitoring, Self-management</text>
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            <description>An account of the resource</description>
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                <text>Knowledge of heart failure patients' self-care influences patient adherence and readiness for &#13;
independent care at home. Self-care enhancement is a significant focus of heart failure management programs. &#13;
Efforts can be made by providing self-care education using conventional media and the web. This study aimed to &#13;
determine the effectiveness of web-based versus booklet-based self-care education in improving self-care behaviors &#13;
among heart failure patients. Using a pretest-posttest experimental design, 76 eligible respondents were divided &#13;
into two groups: a web-based education group and a booklet-based education group. The questionnaire used the &#13;
Self-Care Heart Failure Index to measure the patient's self-care score. An Independent t-test was used to analyze &#13;
differences in self-care scores in the two groups. Of 76 respondents in this study, &gt;50% were male, and most were &#13;
in the adult age range (36-55 years old). Based on the results of the independent t-test in both groups (web and &#13;
booklet) showed a significant difference in the mean self-care score (p-value = 0.001). It illustrates that web media &#13;
is more effective than booklet media. Providing education using media that health workers follow up is important to do as an effort to improve self-care in heart failure patients.</text>
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            <description>An entity primarily responsible for making the resource</description>
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              <elementText elementTextId="115590">
                <text>Dian Hudiyawati, Ida Imamah, Sulastri, Mazlinda Musa, Siti Mutiara Sari Dewi, Lia Astuti</text>
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            <description>A related resource from which the described resource is derived</description>
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                <text>https://doi.org/10.23917/bik.v18i2.7262</text>
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            <description>An entity responsible for making the resource available</description>
            <elementTextContainer>
              <elementText elementTextId="115592">
                <text>Universitas Muhammadiyah Surakarta</text>
              </elementText>
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            <name>Date</name>
            <description>A point or period of time associated with an event in the lifecycle of the resource</description>
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              <elementText elementTextId="115593">
                <text>2025</text>
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          <element elementId="37">
            <name>Contributor</name>
            <description>An entity responsible for making contributions to the resource</description>
            <elementTextContainer>
              <elementText elementTextId="115594">
                <text>Sri Wahyuni</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="47">
            <name>Rights</name>
            <description>Information about rights held in and over the resource</description>
            <elementTextContainer>
              <elementText elementTextId="115595">
                <text>p-ISSN: 1979-2697&#13;
e-ISSN: 2721-1797</text>
              </elementText>
            </elementTextContainer>
          </element>
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            <name>Format</name>
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              <elementText elementTextId="115596">
                <text>PDF</text>
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            <name>Language</name>
            <description>A language of the resource</description>
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              <elementText elementTextId="115597">
                <text>English</text>
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        <name>Cardiac failure</name>
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      <tag tagId="1058">
        <name>health education</name>
      </tag>
      <tag tagId="1279">
        <name>Monitoring</name>
      </tag>
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        <name>Self-management</name>
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                  <text>VOL. 18 NO.2 2025</text>
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            <element elementId="37">
              <name>Contributor</name>
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              <elementTextContainer>
                <elementText elementTextId="115148">
                  <text>Sri Wahyuni</text>
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      <name>Text</name>
      <description>A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.</description>
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          <element elementId="50">
            <name>Title</name>
            <description>A name given to the resource</description>
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              <elementText elementTextId="115609">
                <text>Phenomenology Study: The Role of the Head Nurses in Maintaining Occupational Safety and Health Nurses</text>
              </elementText>
            </elementTextContainer>
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          <element elementId="49">
            <name>Subject</name>
            <description>The topic of the resource</description>
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                <text>head nurses, nurses, occupational health and safety</text>
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            <name>Description</name>
            <description>An account of the resource</description>
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              <elementText elementTextId="115611">
                <text> The head nurse's role in maintaining the occupational health and safety of nurses. This research aimed to &#13;
gain head nurses' experience in maintaining the safety and occupational health nurses. This study used a qualitative &#13;
design with a phenomenological method in one of the type A referral hospitals in Jakarta. The number of participants &#13;
in this study was 7 heads nurses from different rooms selected using the purposive sampling method with the &#13;
maximum variation sampling type. The data collection process was carried out using in-depth interview techniques &#13;
(50-60 minutes), field notes, and recording devices. Data analysis using the Colaizzi method. This research identified &#13;
seven themes: 1) Concern for the condition of the human resources of nurses. 2) Enhance nurses' awareness of the &#13;
importance of maintaining personal safety and health. 3) Give aid and special treatment to injured nurses. 4) Observe &#13;
the accidents and illnesses often occurring in the room. 5) Provide a conducive working atmosphere for the &#13;
management, facilities, health care team, and work climate. 6) Minimize or eliminate the risk of danger and illness &#13;
occurring. 7) Reflection of head nurses on the efforts that have been made. Conclusion: the head nurses played an &#13;
important role in preventing work accidents in nurses, because the head nurses is a nursing manager who interacts &#13;
directly with nurses in the room. The head nurse can improve the role and function of the head of the of leadership and management of the Head nurses, improving knowledge about occupational safety and health management, and leadership ability</text>
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            <description>An entity primarily responsible for making the resource</description>
            <elementTextContainer>
              <elementText elementTextId="115612">
                <text>Rahma Yulis, Enie Novieastari, Imami Nur Rachmawati, M Akbar Nugraha</text>
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              <elementText elementTextId="115613">
                <text>https://doi.org/10.23917/bik.v18i2.10142</text>
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          <element elementId="45">
            <name>Publisher</name>
            <description>An entity responsible for making the resource available</description>
            <elementTextContainer>
              <elementText elementTextId="115614">
                <text>Universitas Muhammadiyah Surakarta</text>
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            <description>A point or period of time associated with an event in the lifecycle of the resource</description>
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              <elementText elementTextId="115615">
                <text>2025</text>
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          <element elementId="37">
            <name>Contributor</name>
            <description>An entity responsible for making contributions to the resource</description>
            <elementTextContainer>
              <elementText elementTextId="115616">
                <text>Sri Wahyuni</text>
              </elementText>
            </elementTextContainer>
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          <element elementId="47">
            <name>Rights</name>
            <description>Information about rights held in and over the resource</description>
            <elementTextContainer>
              <elementText elementTextId="115617">
                <text>p-ISSN: 1979-2697&#13;
e-ISSN: 2721-1797</text>
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          </element>
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            <name>Format</name>
            <description>The file format, physical medium, or dimensions of the resource</description>
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          <element elementId="44">
            <name>Language</name>
            <description>A language of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="115619">
                <text>English</text>
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      <tag tagId="13600">
        <name>head nurses</name>
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      <tag tagId="52">
        <name>Nurses</name>
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      <tag tagId="3094">
        <name>Occupational health and safety</name>
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                  <text>VOL. 18 NO.2 2025</text>
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                <elementText elementTextId="115148">
                  <text>Sri Wahyuni</text>
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          <element elementId="50">
            <name>Title</name>
            <description>A name given to the resource</description>
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                <text>A Cross-Sectional Study of Depression, Insomnia, and Quality of Life Level among Community-Dwelling Older Adults</text>
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          <element elementId="49">
            <name>Subject</name>
            <description>The topic of the resource</description>
            <elementTextContainer>
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                <text>Community-Dwelling, Depression, Insomnia, Older Adult, Quality of Life</text>
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          <element elementId="41">
            <name>Description</name>
            <description>An account of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="115633">
                <text>Older adults with depression and insomnia had increased, which affected their quality of life. This &#13;
study investigates the correlation between depression and insomnia in older adults and their quality of life (QoL).&#13;
This study used a quantitative descriptive method with a cross-sectional approach among 215 older adults in &#13;
Indonesia, utilizing the Geriatric Depression Scale Short Form, insomnia rating scale, and WHO-QoL Bref for &#13;
QoL assessment. The study was using the Spearman Correlation Test and multiple linear regression. The results &#13;
show that depression is unrelated to physical, psychological, social, or ecological QoL. Insomnia was related to &#13;
QoL of physical health (r = 0.138, p = 0.04) and QoL of psychological health (r = 0.140, p = 0.03), but insomnia &#13;
was not associated with QoL of social health (r = 0.120, p = 0.06) or environmental health (r = 0.05, p = 0.38). &#13;
Furthermore, the regression hierarchy analysis found that insomnia was the most dominant variable affecting the &#13;
QoL on physical health (β = 0.17). There is a notable correlation between rates of insomnia and physical and &#13;
psychological QoL that has essential implications for the health status and well-being of older adults. This finding suggests that nursing intervention may be necessary to address sleep disorders among older persons </text>
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          </element>
          <element elementId="39">
            <name>Creator</name>
            <description>An entity primarily responsible for making the resource</description>
            <elementTextContainer>
              <elementText elementTextId="115634">
                <text>Bahtiar Bahtiar, Dwi Nopriyanto , Iskandar Muda, Nurlaila Fitriani, Muhammad Kamil Che Hasan</text>
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            </elementTextContainer>
          </element>
          <element elementId="48">
            <name>Source</name>
            <description>A related resource from which the described resource is derived</description>
            <elementTextContainer>
              <elementText elementTextId="115635">
                <text>https://doi.org/10.23917/bik.v18i2.8680</text>
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            </elementTextContainer>
          </element>
          <element elementId="45">
            <name>Publisher</name>
            <description>An entity responsible for making the resource available</description>
            <elementTextContainer>
              <elementText elementTextId="115636">
                <text>Universitas Muhammadiyah Surakarta</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="40">
            <name>Date</name>
            <description>A point or period of time associated with an event in the lifecycle of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="115637">
                <text>2025</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="37">
            <name>Contributor</name>
            <description>An entity responsible for making contributions to the resource</description>
            <elementTextContainer>
              <elementText elementTextId="115638">
                <text>Sri Wahyuni</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="47">
            <name>Rights</name>
            <description>Information about rights held in and over the resource</description>
            <elementTextContainer>
              <elementText elementTextId="115639">
                <text>p-ISSN: 1979-2697&#13;
e-ISSN: 2721-1797</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="42">
            <name>Format</name>
            <description>The file format, physical medium, or dimensions of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="115640">
                <text>PDF</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="44">
            <name>Language</name>
            <description>A language of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="115641">
                <text>English</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="51">
            <name>Type</name>
            <description>The nature or genre of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="115642">
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    <tagContainer>
      <tag tagId="13602">
        <name>Community-Dwelling</name>
      </tag>
      <tag tagId="259">
        <name>Depression</name>
      </tag>
      <tag tagId="907">
        <name>Insomnia</name>
      </tag>
      <tag tagId="13521">
        <name>Older adult</name>
      </tag>
      <tag tagId="389">
        <name>quality of life</name>
      </tag>
    </tagContainer>
  </item>
  <item itemId="10815" public="1" featured="1">
    <fileContainer>
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          <elementContainer>
            <element elementId="50">
              <name>Title</name>
              <description>A name given to the resource</description>
              <elementTextContainer>
                <elementText elementTextId="115147">
                  <text>VOL. 18 NO.2 2025</text>
                </elementText>
              </elementTextContainer>
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            <element elementId="37">
              <name>Contributor</name>
              <description>An entity responsible for making contributions to the resource</description>
              <elementTextContainer>
                <elementText elementTextId="115148">
                  <text>Sri Wahyuni</text>
                </elementText>
              </elementTextContainer>
            </element>
          </elementContainer>
        </elementSet>
      </elementSetContainer>
    </collection>
    <itemType itemTypeId="1">
      <name>Text</name>
      <description>A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.</description>
    </itemType>
    <elementSetContainer>
      <elementSet elementSetId="1">
        <name>Dublin Core</name>
        <description>The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.</description>
        <elementContainer>
          <element elementId="50">
            <name>Title</name>
            <description>A name given to the resource</description>
            <elementTextContainer>
              <elementText elementTextId="115653">
                <text>Enhancing Parenting to Prevent Negative Discipline in Yogyakarta: Mixed Methods Study</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="49">
            <name>Subject</name>
            <description>The topic of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="115654">
                <text>Children, Discipline, Parenting skills, Prospective parents</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="41">
            <name>Description</name>
            <description>An account of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="115655">
                <text>Data show that 60% of children aged 2 to 14 have experienced physical punishment from their parents. &#13;
Based on data from the Simfoni PPA KemenPPPA (Online Information System for the Protection of Women and &#13;
Children), in 2023, there were 29,884 cases of violence recorded throughout Indonesia. Objective: This study &#13;
aimed to enhance the parenting skills of prospective parents in the Bantul region to prevent the use of negative &#13;
disciplinary methods on children.This study employed a mixed-methods design with a Sequential Explanatory &#13;
approach. The quantitative phase used a pre-experimental design with a one-group pretest-posttest design, &#13;
involving 37 prospective parents as the sample. The qualitative phase utilised Participatory Action Research, &#13;
recruiting a sample of 5 couples of prospective parents, 2 counsellors, and 1 policy maker. The average attitude &#13;
score of prospective parents before the intervention was 62.11, which increased to 80.38 after the intervention. A &#13;
significant p-value of 0.000 &lt; 0.05 indicates the rejection of the null hypothesis. This implies that the intervention &#13;
concerning negative disciplinary measures on children has a significant impact on the attitudes of prospective &#13;
parents. Several challenges faced by prospective parents in enhancing parenting skills include a lack of experience &#13;
in child-rearing, mental unpreparedness for parenthood, and limited time due to work and other activities. The &#13;
government needs to formulate policies that encourage positive parenting approaches and non-violent discipline, and launch awareness campaigns to educate the public about the dangers of negative disciplinary measures and the importance of positive parenting methods.</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="39">
            <name>Creator</name>
            <description>An entity primarily responsible for making the resource</description>
            <elementTextContainer>
              <elementText elementTextId="115656">
                <text>Khilda Durrotun Nafisah, Andari Wuri Astuti, Islamiyatur Rokhmah, Warsiti, Ayano Kit</text>
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            </elementTextContainer>
          </element>
          <element elementId="48">
            <name>Source</name>
            <description>A related resource from which the described resource is derived</description>
            <elementTextContainer>
              <elementText elementTextId="115657">
                <text>https://doi.org/10.23917/bik.v18i2.8808</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="45">
            <name>Publisher</name>
            <description>An entity responsible for making the resource available</description>
            <elementTextContainer>
              <elementText elementTextId="115658">
                <text>Universitas Muhammadiyah Surakarta</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="40">
            <name>Date</name>
            <description>A point or period of time associated with an event in the lifecycle of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="115659">
                <text>2025</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="37">
            <name>Contributor</name>
            <description>An entity responsible for making contributions to the resource</description>
            <elementTextContainer>
              <elementText elementTextId="115660">
                <text>Sri Wahyuni</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="47">
            <name>Rights</name>
            <description>Information about rights held in and over the resource</description>
            <elementTextContainer>
              <elementText elementTextId="115661">
                <text>p-ISSN: 1979-2697&#13;
e-ISSN: 2721-1797</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="42">
            <name>Format</name>
            <description>The file format, physical medium, or dimensions of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="115662">
                <text>PDF</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="44">
            <name>Language</name>
            <description>A language of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="115663">
                <text>English</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="51">
            <name>Type</name>
            <description>The nature or genre of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="115664">
                <text>Text</text>
              </elementText>
            </elementTextContainer>
          </element>
        </elementContainer>
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    <tagContainer>
      <tag tagId="31">
        <name>children</name>
      </tag>
      <tag tagId="10596">
        <name>Discipline</name>
      </tag>
      <tag tagId="13604">
        <name>Parenting skills</name>
      </tag>
      <tag tagId="13605">
        <name>Prospective parents</name>
      </tag>
    </tagContainer>
  </item>
  <item itemId="10817" public="1" featured="1">
    <fileContainer>
      <file fileId="10853">
        <src>https://repository.horizon.ac.id/files/original/b6356eb21c3ac38896ef6d7d4c49ef01.pdf</src>
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          <name>Dublin Core</name>
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          <elementContainer>
            <element elementId="50">
              <name>Title</name>
              <description>A name given to the resource</description>
              <elementTextContainer>
                <elementText elementTextId="115147">
                  <text>VOL. 18 NO.2 2025</text>
                </elementText>
              </elementTextContainer>
            </element>
            <element elementId="37">
              <name>Contributor</name>
              <description>An entity responsible for making contributions to the resource</description>
              <elementTextContainer>
                <elementText elementTextId="115148">
                  <text>Sri Wahyuni</text>
                </elementText>
              </elementTextContainer>
            </element>
          </elementContainer>
        </elementSet>
      </elementSetContainer>
    </collection>
    <itemType itemTypeId="1">
      <name>Text</name>
      <description>A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.</description>
    </itemType>
    <elementSetContainer>
      <elementSet elementSetId="1">
        <name>Dublin Core</name>
        <description>The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.</description>
        <elementContainer>
          <element elementId="50">
            <name>Title</name>
            <description>A name given to the resource</description>
            <elementTextContainer>
              <elementText elementTextId="115675">
                <text>GEMATI Program: Reducing the Incidence of Stunting</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="49">
            <name>Subject</name>
            <description>The topic of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="115676">
                <text>Baduta (Bawah Dua tahun), Gemati, Stunting, Village’s program</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="41">
            <name>Description</name>
            <description>An account of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="115677">
                <text>Chronic malnutrition can cause growth and development disorders in children. This case is named &#13;
stunting. Stunting is often experienced by toddlers in Indonesia. One of the main concerns of Tegal Regency &#13;
Government is the high incidence of stunting. Efforts to decrease the incidence of stunting with structured &#13;
interventions involving the community, especially parents who have children below two years of age. The study &#13;
aimed to assess the efficacy of the Gemati program, namely the community assistance movement in Tegal Regency. &#13;
The study took a quantitative approach and used a pre-experimental design with a single-group pretest-posttest &#13;
design. All of the respondents were mothers of toddlers who were small in height. The sampling method was a &#13;
total sampling. The study’s findings revealed an improvement in toddler mothers’ knowledge and skills in &#13;
detecting and preparing a balanced nutritional menu. The government and the community must collaborate to &#13;
ensure that the stunting prevention program is carried out effectively in order to reduce stunting. The government &#13;
determines the policies to control stunting and protect the rights of mothers and children, increasing food security &#13;
and environmental sanitation, and giving health education about stunting continually. The Gemati program has &#13;
to be implemented sustainably and applied to all villages that have a high incidence of stunting so that the acceleration of handling stunting in Tegal Regency can achieve the results optimally</text>
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            </elementTextContainer>
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          <element elementId="39">
            <name>Creator</name>
            <description>An entity primarily responsible for making the resource</description>
            <elementTextContainer>
              <elementText elementTextId="115678">
                <text>Anisa Oktiawati, Arif Rakhman, Khodijah, Ita Nur Itsna</text>
              </elementText>
            </elementTextContainer>
          </element>
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            <name>Source</name>
            <description>A related resource from which the described resource is derived</description>
            <elementTextContainer>
              <elementText elementTextId="115679">
                <text>https://doi.org/10.23917/bik.v18i2.10468</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="45">
            <name>Publisher</name>
            <description>An entity responsible for making the resource available</description>
            <elementTextContainer>
              <elementText elementTextId="115680">
                <text>Universitas Muhammadiyah Surakarta</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="40">
            <name>Date</name>
            <description>A point or period of time associated with an event in the lifecycle of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="115681">
                <text>2025</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="37">
            <name>Contributor</name>
            <description>An entity responsible for making contributions to the resource</description>
            <elementTextContainer>
              <elementText elementTextId="115682">
                <text>Sri Wahyuni</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="47">
            <name>Rights</name>
            <description>Information about rights held in and over the resource</description>
            <elementTextContainer>
              <elementText elementTextId="115683">
                <text>p-ISSN: 1979-2697&#13;
e-ISSN: 2721-1797</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="42">
            <name>Format</name>
            <description>The file format, physical medium, or dimensions of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="115684">
                <text>PDF</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="44">
            <name>Language</name>
            <description>A language of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="115685">
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        <name>Stunting</name>
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                  <text>VOL. 18 NO.2 2025</text>
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                  <text>Sri Wahyuni</text>
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                <text>Spirituality Well-Being, Health Status, Nutritional Status and Their Relation to Illness Perception in Chronic Obstructive Pulmonary Disease</text>
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                <text>COPD (Chronic Obstructive Pulmonary Disease) is a lung disease characterized by persistent &#13;
progressive airflow limitation. COPD is one of the respiratory disorders that are often found in developed and &#13;
developing countries with increasing prevalence. The purpose of this study was to determine spirituality well�being, nutritional status, and health status and their relationship to the perception of illness. This study used a &#13;
quantitative correlational research design with a cross-sectional approach. The population of this study were &#13;
patients at the pulmonary polyclinic of the Respira Lung Hospital Yogyakarta who suffered from COPD, totaling &#13;
100 respondents. The data collection method was carried out by distributing the Revised Illness Perception &#13;
Questionnaire IPQ-R, Spiritual Well-Being Scale (SWBS), Mini Nutritional Assessment (MNA) and COPD &#13;
Assessment Test (CAT) questionnaires. The results showed that 61% of respondents were male, 78% of &#13;
respondents were over 55 years old, 75% of respondents were in the high spiritual well-being category, 63% of &#13;
respondents had moderate health status, 35% of respondents were malnourished and at risk of malnutrition, 85% &#13;
of respondents had a moderate perception of illness. The results of the bivariate test showed that the p-value for &#13;
spirituality well-being (SWB), health status, and nutritional status on the perception of illness were 0.257; 0.72 &#13;
and 0.28, respectively. It can be concluded that there is no relationship between SWB, health status, and &#13;
nutritional status with the perception of illness in COPD patients. Suggestions are the need for family assistance in caring for COPD patients, providing diet, and the need for peer groups among COPD patients</text>
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            <description>An entity primarily responsible for making the resource</description>
            <elementTextContainer>
              <elementText elementTextId="115691">
                <text>Scholastica Fina Aryu Puspasari, Margareta Kurniastuti, Kosen d'Aristo McGenggeng</text>
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            <name>Source</name>
            <description>A related resource from which the described resource is derived</description>
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              <elementText elementTextId="115692">
                <text>https://doi.org/10.23917/bik.v18i2.10159</text>
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          <element elementId="45">
            <name>Publisher</name>
            <description>An entity responsible for making the resource available</description>
            <elementTextContainer>
              <elementText elementTextId="115693">
                <text>Universitas Muhammadiyah Surakarta</text>
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            <name>Date</name>
            <description>A point or period of time associated with an event in the lifecycle of the resource</description>
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              <elementText elementTextId="115694">
                <text>2025</text>
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            <name>Contributor</name>
            <description>An entity responsible for making contributions to the resource</description>
            <elementTextContainer>
              <elementText elementTextId="115695">
                <text>Sri Wahyuni</text>
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          </element>
          <element elementId="47">
            <name>Rights</name>
            <description>Information about rights held in and over the resource</description>
            <elementTextContainer>
              <elementText elementTextId="115696">
                <text>p-ISSN: 1979-2697&#13;
e-ISSN: 2721-1797</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="42">
            <name>Format</name>
            <description>The file format, physical medium, or dimensions of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="115697">
                <text>PDF</text>
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            <name>Language</name>
            <description>A language of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="115698">
                <text>English</text>
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        <name>COPD (Chronic Obstructive Pulmonary Disease)</name>
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        <name>health status</name>
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      <tag tagId="737">
        <name>Nutritional status</name>
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        <name>Perception  of Illness</name>
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    <fileContainer>
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                  <text>VOL. 18 NO.2 2025</text>
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              <elementTextContainer>
                <elementText elementTextId="115148">
                  <text>Sri Wahyuni</text>
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      <name>Text</name>
      <description>A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.</description>
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        <name>Dublin Core</name>
        <description>The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.</description>
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          <element elementId="50">
            <name>Title</name>
            <description>A name given to the resource</description>
            <elementTextContainer>
              <elementText elementTextId="115700">
                <text>Strategies to Increase Family Resilience to Disasters Based on Pentahelix Perspectives: A Qualitative Study</text>
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            </elementTextContainer>
          </element>
          <element elementId="49">
            <name>Subject</name>
            <description>The topic of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="115701">
                <text>adaptation, disaster, Pentahelix, refugee, resilience</text>
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          <element elementId="41">
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            <description>An account of the resource</description>
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              <elementText elementTextId="115702">
                <text>Disasters affect family dynamics as the smallest social unit in society. Disasters that occur in &#13;
communities have a considerable impact on the lives and property, and mental health of survivors. In addition, it &#13;
also affects human health, which risks undermining the well-being of families, due to the health problems that can &#13;
occur. The family's unpreparedness in these tasks can increase the psychological and physical impacts experienced &#13;
by its members. Therefore, strategies in disaster preparedness are important to reduce the impact. This study aims &#13;
to explore strategies to improve family resilience in disaster mitigation. The number of interviews is 21 people, &#13;
consisting of women and men with an average age of 45 years, who have different backgrounds. Including &#13;
academians, business, community, government, and journalists. The results showed that the strategy to increase &#13;
family resilience to disaster is based on 5 family tasks from Maglaya's theory, including that families must have &#13;
a preparedness plan and knowledge about disaster management through education to families about the steps that &#13;
must be taken before, during, and after a disaster is very helpful in increasing family resilience. The conclusion is &#13;
that disaster training and simulation programs involving family members have proven effective in building &#13;
confidence and necessary skills. This research can be concluded that family disaster preparedness depends on good &#13;
knowledge and planning. Disaster nurses play an important role in education and training, which helps reduce &#13;
psychological and physical impacts. Thus, community safety and well-being can be improved by exploring strategies to improve family resilience in disaster mitigation.</text>
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            <name>Creator</name>
            <description>An entity primarily responsible for making the resource</description>
            <elementTextContainer>
              <elementText elementTextId="115703">
                <text>Suhari, R Endro Sulistyono, Primasari Mahardhika Rahmawati, Dwi Ochta Pebriyanti</text>
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            </elementTextContainer>
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            <name>Source</name>
            <description>A related resource from which the described resource is derived</description>
            <elementTextContainer>
              <elementText elementTextId="115704">
                <text>https://doi.org/10.23917/bik.v18i2.8655</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="45">
            <name>Publisher</name>
            <description>An entity responsible for making the resource available</description>
            <elementTextContainer>
              <elementText elementTextId="115705">
                <text>Universitas Muhammadiyah Surakarta</text>
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            <name>Date</name>
            <description>A point or period of time associated with an event in the lifecycle of the resource</description>
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              <elementText elementTextId="115706">
                <text>2025</text>
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          <element elementId="37">
            <name>Contributor</name>
            <description>An entity responsible for making contributions to the resource</description>
            <elementTextContainer>
              <elementText elementTextId="115707">
                <text>Sri Wahyuni</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="47">
            <name>Rights</name>
            <description>Information about rights held in and over the resource</description>
            <elementTextContainer>
              <elementText elementTextId="115708">
                <text>p-ISSN: 1979-2697&#13;
e-ISSN: 2721-1797</text>
              </elementText>
            </elementTextContainer>
          </element>
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            <name>Format</name>
            <description>The file format, physical medium, or dimensions of the resource</description>
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              <elementText elementTextId="115709">
                <text>PDF</text>
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          <element elementId="44">
            <name>Language</name>
            <description>A language of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="115710">
                <text>English</text>
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            <name>Type</name>
            <description>The nature or genre of the resource</description>
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                <text>Text</text>
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        <name>Adaptation</name>
      </tag>
      <tag tagId="39">
        <name>Disaster</name>
      </tag>
      <tag tagId="13612">
        <name>Pentahelix</name>
      </tag>
      <tag tagId="13613">
        <name>refugee</name>
      </tag>
      <tag tagId="3716">
        <name>Resilience</name>
      </tag>
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  <item itemId="10822" public="1" featured="1">
    <fileContainer>
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        <src>https://repository.horizon.ac.id/files/original/88d761669ef5920740cfead072581698.pdf</src>
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          <name>Dublin Core</name>
          <description>The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.</description>
          <elementContainer>
            <element elementId="50">
              <name>Title</name>
              <description>A name given to the resource</description>
              <elementTextContainer>
                <elementText elementTextId="115147">
                  <text>VOL. 18 NO.2 2025</text>
                </elementText>
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            <element elementId="37">
              <name>Contributor</name>
              <description>An entity responsible for making contributions to the resource</description>
              <elementTextContainer>
                <elementText elementTextId="115148">
                  <text>Sri Wahyuni</text>
                </elementText>
              </elementTextContainer>
            </element>
          </elementContainer>
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      </elementSetContainer>
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    <itemType itemTypeId="1">
      <name>Text</name>
      <description>A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.</description>
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    <elementSetContainer>
      <elementSet elementSetId="1">
        <name>Dublin Core</name>
        <description>The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.</description>
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          <element elementId="50">
            <name>Title</name>
            <description>A name given to the resource</description>
            <elementTextContainer>
              <elementText elementTextId="115722">
                <text>The Effect of Simple Triage and Rapid Treatment (START) Training on Cognitive, Affective, and Psychomotor Skills in Performing START Triage Among Medical Staff and Healthcare Professionals</text>
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            </elementTextContainer>
          </element>
          <element elementId="49">
            <name>Subject</name>
            <description>The topic of the resource</description>
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              <elementText elementTextId="115723">
                <text>affective, cognitive, health professionals, medical personnel, psychomotor, Triage training</text>
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            <name>Description</name>
            <description>An account of the resource</description>
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                <text>The increasing incidence of disasters globally underscores the importance of preparedness to minimize &#13;
errors during disaster triage. Inadequate triage can elevate mortality and disability rates. The commonly used and &#13;
easily applicable triage system is known as the START method. Currently, there is no effective training available &#13;
for medical and healthcare professionals to enhance cognitive, affective, and psychomotor skills in the context of &#13;
disaster triage. This study aims to understand the significance of Simple Triage and Rapid Treatment (START) &#13;
training on cognitive, affective, and psychomotor skills in performing START triage among Medical and &#13;
Healthcare Professionals at Cangkringan, Pakem, and Turi Health Centers. The research design employed in this &#13;
study is a quasi-experiment utilizing a pre- and post-test without a control group design. The respondents for &#13;
this study are medical and healthcare professionals at Puskesmas Cangkringan, Pakem, and Turi, totaling 43 &#13;
individuals. The intervention applied involves providing START triage training conducted over one day. Both &#13;
pre-test and post-test assessments are carried out on the same day, with the post-test immediately following the &#13;
completion of the training. While this approach may not fully capture long-term knowledge, attitude, and skill &#13;
improvements, it is useful for assessing the direct impact of the training. Data collection involves the use of &#13;
cognitive and affective questionnaires, along with a psychomotor observation sheet. The data analysis is conducted &#13;
using a paired t-test. There is an increase in the average scores for cognitive (57.21 vs. 78.60), affective (33.56 vs. &#13;
36.35), and psychomotor (18.98 vs. 23.02) aspects before and after the training. The training in Simple Triage &#13;
and Rapid Treatment has a significant influence on the cognitive (p &lt; 0.001), affective (p &lt; 0.001), and &#13;
psychomotor (p &lt; 0.001) skills of medical and healthcare professionals in performing START triage. The START &#13;
training is crucial and should be conducted in every community health center (puskesmas) to enhance the competence of medical and healthcare professionals in performing START triage.</text>
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            <name>Creator</name>
            <description>An entity primarily responsible for making the resource</description>
            <elementTextContainer>
              <elementText elementTextId="115725">
                <text>Novia Faizatiwahida, Bagus Alfrisa, Intansari Nurjannah, Syahirul Alim</text>
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            </elementTextContainer>
          </element>
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            <name>Source</name>
            <description>A related resource from which the described resource is derived</description>
            <elementTextContainer>
              <elementText elementTextId="115726">
                <text>https://doi.org/10.23917/bik.v18i2.9861</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="45">
            <name>Publisher</name>
            <description>An entity responsible for making the resource available</description>
            <elementTextContainer>
              <elementText elementTextId="115727">
                <text>Universitas Muhammadiyah Surakarta</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="40">
            <name>Date</name>
            <description>A point or period of time associated with an event in the lifecycle of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="115728">
                <text>2025</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="37">
            <name>Contributor</name>
            <description>An entity responsible for making contributions to the resource</description>
            <elementTextContainer>
              <elementText elementTextId="115729">
                <text>Sri Wahyuni</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="47">
            <name>Rights</name>
            <description>Information about rights held in and over the resource</description>
            <elementTextContainer>
              <elementText elementTextId="115730">
                <text>p-ISSN: 1979-2697&#13;
e-ISSN: 2721-1797</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="42">
            <name>Format</name>
            <description>The file format, physical medium, or dimensions of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="115731">
                <text>PDF</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="44">
            <name>Language</name>
            <description>A language of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="115732">
                <text>English</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="51">
            <name>Type</name>
            <description>The nature or genre of the resource</description>
            <elementTextContainer>
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                <text>Text</text>
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      <tag tagId="10847">
        <name>affective</name>
      </tag>
      <tag tagId="4884">
        <name>Cognitive</name>
      </tag>
      <tag tagId="2842">
        <name>Health professionals</name>
      </tag>
      <tag tagId="13614">
        <name>medical personnel</name>
      </tag>
      <tag tagId="13615">
        <name>psychomotor</name>
      </tag>
      <tag tagId="13616">
        <name>Triage training</name>
      </tag>
    </tagContainer>
  </item>
</itemContainer>
