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                  <text>VOL. 6 NO. 3 2025</text>
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                  <text>peri irawan</text>
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            <name>Title</name>
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                <text>Bibliometric Analysis of Self-Care in Patients with Type 2 Diabetes Mellitus</text>
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                <text>bibliometric, digital&#13;
health, Type 2&#13;
Diabetes Mellitus,&#13;
patient education,&#13;
&#13;
prevalence, self-&#13;
efficacy.</text>
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                <text>Introduction: Type 2 Diabetes Mellitus is a chronic metabolic disorder with&#13;
a high global prevalence and a significant risk of complications. The&#13;
management of this condition heavily relies on effective self-care practices.&#13;
However, many patients face challenges in implementing self-care due to&#13;
limited knowledge, inadequate skills, and insufficient social support.&#13;
Methods: This study employed a quantitative descriptive method with a&#13;
bibliometric approach, analyzing scientific publications retrieved from the&#13;
&#13;
Scopus database for the period 2021–2025. The search keywords (TITLE-&#13;
ABS-KEY: "self-care" AND "patient" AND "type 2 diabetes mellitus")&#13;
&#13;
yielded 55 articles, which were analyzed using VOSviewer software to map&#13;
keyword co-occurrence patterns, topic density, and publication trends.&#13;
Results: The network visualization revealed 179 terms grouped into nine&#13;
thematic clusters, with dominant terms such as “patient,” “self-care,”&#13;
“intervention,” and “self-efficacy.” The overlay visualization indicated a&#13;
shift from conventional educational approaches toward using digital&#13;
technologies and psychosocial strategies (e.g., smartphone applications,&#13;
motivation, and self-regulation models). The density visualization&#13;
identified underexplored areas such as rural contexts, digital technology,&#13;
and behavior-based approaches, highlighting opportunities for innovative&#13;
research.&#13;
Conclusion: This study demonstrates that the topic of self-care in patients&#13;
with Type 2 Diabetes Mellitus is rapidly evolving, with a growing trend&#13;
toward interdisciplinary approaches and personalized care. Future&#13;
research is recommended to explore digital health technologies,&#13;
psychosocial models, and interventions tailored to the patients' cultural&#13;
and social contexts.</text>
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            <description>An entity primarily responsible for making the resource</description>
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                <text>Weny Murni1* &amp; Ernawati1</text>
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            <description>A related resource from which the described resource is derived</description>
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              <elementText elementTextId="127585">
                <text>https://doi.org/10.37363/bnr.2025.63499</text>
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                <text>23 July 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="127587">
                <text>peri irawan</text>
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        <name>bibliometric, digital health, Type 2 Diabetes Mellitus, patient education,  prevalence, self- efficacy.</name>
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                  <text>VOL. 6 NO. 3 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="126945">
                  <text>peri irawan</text>
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            <description>A name given to the resource</description>
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                <text>Unveiling Patient Satisfaction: Analysis of Factors Influencing Patient-Centered Care At Bunda Margonda Hospital</text>
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          <element elementId="49">
            <name>Subject</name>
            <description>The topic of the resource</description>
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                <text>BPJS, Health service,patient-centeredcare, Patient satisfaction,</text>
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                <text>Introduction: The Patient-Centered Care (PCC) model aims to improve the&#13;
quality of healthcare services by upholding human dignity and recognizing&#13;
each patient’s individuality, regardless of nationality, ethnicity, skin color,&#13;
age, gender, political beliefs, religion, or social status. This study aimed to&#13;
identify key factors influencing patient satisfaction with healthcare&#13;
services based on PCC principles, specifically comparingpatients with BPJS&#13;
and non-BPJS payment statuses.&#13;
Methods: This quantitative study employed a cross-sectional design. A total&#13;
of 315 respondents who had been hospitalized for more than 24 hours at&#13;
Bunda Margonda Hospital were selected through convenience sampling.&#13;
Data were collected using the PPE-15 questionnaire and analyzed using&#13;
descriptive statistics, Chi-square tests, and logistic regression.&#13;
Results: Among BPJS patients, satisfaction was significantly influenced by&#13;
gender (p = 0.029), marital status (p = 0.023), education (p = 0.020), and&#13;
length of treatment (p = 0.025). In the non-BPJS group, age (p = 0.029) and&#13;
marital status (p = 0.024) were significant factors. Logistic regression&#13;
analysis revealed that length of stay was the most influential factor for BPJS&#13;
patients (aOR = 2.3; p = 0.023), whereas marital status was the primary&#13;
factor for non-BPJS patients (aOR = 1.3; p = 0.024).&#13;
Conclusion: A shorter length of hospital stay is positively associated with&#13;
higher satisfaction among BPJS patients, while marital status significantly&#13;
influences satisfaction among non-BPJS patients. These findings highlight&#13;
the need for tailored approaches in delivering patient-centered care based&#13;
on payment status and demographic characteristics.</text>
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            <name>Creator</name>
            <description>An entity primarily responsible for making the resource</description>
            <elementTextContainer>
              <elementText elementTextId="127574">
                <text>Putu Agus Sujana Putra1*&#13;
&#13;
, NLP Dina Susanti1, Made Rismawan1, &amp; Made Dian&#13;
&#13;
Shanti Kusuma1</text>
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            <name>Source</name>
            <description>A related resource from which the described resource is derived</description>
            <elementTextContainer>
              <elementText elementTextId="127575">
                <text>https://doi.org/10.37363/bnr.2025.63495</text>
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          <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="127576">
                <text>23 July 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="127577">
                <text>peri irawan</text>
              </elementText>
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          <element elementId="44">
            <name>Language</name>
            <description>A language of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="127579">
                <text>english</text>
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        <name>BPJS, Health service,patient-centeredcare, Patient satisfaction,</name>
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              <name>Title</name>
              <description>A name given to the resource</description>
              <elementTextContainer>
                <elementText elementTextId="126944">
                  <text>VOL. 6 NO. 3 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="126945">
                  <text>peri irawan</text>
                </elementText>
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    <elementSetContainer>
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        <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>
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              <elementText elementTextId="127561">
                <text>Legal Analysis of the Implementation of the TenSteps to Successful Breastfeeding in Government Regulation Number 28 of 2024 to Support the Exclusive Breastfeeding Program in Indonesia</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="49">
            <name>Subject</name>
            <description>The topic of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="127562">
                <text>exclusive&#13;
breastfeeding,&#13;
government&#13;
regulations,&#13;
implementation</text>
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          <element elementId="41">
            <name>Description</name>
            <description>An account of the resource</description>
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              <elementText elementTextId="127563">
                <text>Introduction: Efforts to advance the welfare of Indonesian society require&#13;
the development of quality human resources. However, health issues such&#13;
as stunting and obesity in children can hinder these aspirations, partly due&#13;
to suboptimal breastfeeding from birth. Although there has been a&#13;
significant increase in exclusive breastfeeding, there are still obstacles in&#13;
its implementation, such as a lack of family support and violations of the&#13;
International Code of Marketing of Breastmilk Substitutes. This study aims&#13;
to analyze the implementation of the Ten Steps to Successful Breastfeeding&#13;
(TSSB) advocated by WHO and UNICEF in Government Regulation Number&#13;
28 of 2024 to support the Exclusive Breastfeeding program in Indonesia.&#13;
Methods: This study used a descriptive-analytical method with a normative&#13;
juridical approach, referring to Government Regulation Number 28 of&#13;
2024 concerning the Implementation Regulation of Law Number 17 of&#13;
2023 concerning health.&#13;
Results: Almost all TSSB and all the rules of the International Code of&#13;
Marketing of Breastmilk Substitutes have been included in the articles to&#13;
subsequently serve as protection against inappropriate promotion of&#13;
formula milk for infants and to achieve Exclusive Breastfeeding.&#13;
Conclusion: It is necessary to immediately create specific follow-up&#13;
regulations regarding the safe provision and administration of donor&#13;
breast milk for infants in healthcare institutions and a sustainable data&#13;
monitoring and management system.</text>
              </elementText>
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          <element elementId="39">
            <name>Creator</name>
            <description>An entity primarily responsible for making the resource</description>
            <elementTextContainer>
              <elementText elementTextId="127564">
                <text>Ni Made Garnis Dolesgit1*&#13;
&#13;
, I Wayan Parsa1, Ika Widi Astuti1, I Gede Sastra Winata1</text>
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            </elementTextContainer>
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          <element elementId="48">
            <name>Source</name>
            <description>A related resource from which the described resource is derived</description>
            <elementTextContainer>
              <elementText elementTextId="127565">
                <text>https://doi.org/10.37363/bnr.2025.63471</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>
            <elementTextContainer>
              <elementText elementTextId="127566">
                <text>23 July 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="127567">
                <text>peri irawan</text>
              </elementText>
            </elementTextContainer>
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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="127569">
                <text>english</text>
              </elementText>
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    <tagContainer>
      <tag tagId="14912">
        <name>exclusive breastfeeding, government regulations, implementation</name>
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              <name>Title</name>
              <description>A name given to the resource</description>
              <elementTextContainer>
                <elementText elementTextId="126944">
                  <text>VOL. 6 NO. 3 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="126945">
                  <text>peri irawan</text>
                </elementText>
              </elementTextContainer>
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    <elementSetContainer>
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        <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>
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                <text>Organizational Culture and Personality on Lecturer Performance: The Role of Burnout as a Mediator</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="49">
            <name>Subject</name>
            <description>The topic of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="127552">
                <text>big five factor, burnout, lecturer performance, organizational culture</text>
              </elementText>
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          <element elementId="41">
            <name>Description</name>
            <description>An account of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="127553">
                <text>Introduction: Increasing academic positions indicate that lecturers fulfill&#13;
the Tri Dharma of Higher Education. The high demands placed on lecturers&#13;
and the discrepancy between reality and expectations often make lecturers&#13;
feel stressed and uncomfortable for a long time, leading to burnout. The&#13;
lack of research on burnout in lecturers makes it important to conduct&#13;
research. This research aims to look at the mediating role of burnout in the&#13;
relationship between organizational culture and lecturer performance,&#13;
and the relationship between personality and lecturer performance.&#13;
Methods: Increasing academic positions indicate that lecturers fulfill the&#13;
Tri Dharma of Higher Education. The high demands placed on lecturers&#13;
and the discrepancy between reality and expectations often make lecturers&#13;
feel stressed and uncomfortable for a long time, leading to burnout. The&#13;
lack of research on burnout in lecturers makes it important to conduct&#13;
research. This research aims to look at the mediating role of burnout in the&#13;
relationship between organizational culture and lecturer performance,&#13;
and the relationship between personality and lecturer performance.&#13;
Results: The research findings show that burnout cannot mediate the&#13;
relationship between organizational culture and lecturer performance.&#13;
Meanwhile, burnout can partially mediate the relationship between&#13;
personality and lecturer performance.&#13;
Conclusion: Lecturer performance is influenced by personality, however&#13;
exhaustion can reduce or enhance this effect. This study emphasizes the&#13;
need for an organizational culture that encourages and regulates burnout&#13;
to enhance lecturer effectiveness.</text>
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          <element elementId="39">
            <name>Creator</name>
            <description>An entity primarily responsible for making the resource</description>
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              <elementText elementTextId="127554">
                <text>Ni Made Dwi Meilyaningsih1* &amp; I. A. Oka Martini1</text>
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            <description>A related resource from which the described resource is derived</description>
            <elementTextContainer>
              <elementText elementTextId="127555">
                <text>https://doi.org/10.37363/bnr.2025.63490</text>
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                <text>23 July 2025</text>
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            <elementTextContainer>
              <elementText elementTextId="127557">
                <text>Peri Irawan</text>
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        <name>big five factor, burnout, lecturer performance, organizational culture</name>
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                <text>The Relationship between Body Mass Index (BMI) and Gestational Diabetes Mellitus (GDM)</text>
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          <element elementId="49">
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                <text>antenatal care, body mass index, gestational diabetes&#13;
mellitus, obesity, pregnancy</text>
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                <text>Introduction: Gestational Diabetes Mellitus (GDM) is a growing metabolic&#13;
complication in pregnancy, affecting 1 in 6 births globally. In Indonesia,&#13;
obesity prevalence among women of reproductive age reached 26.7% in&#13;
2022, with local studies in East Java reporting GDM rates as high as 27.4%.&#13;
Methods: This cross-sectional study involved 42 pregnant women at&#13;
Puskesmas Jelakombo, Jombang, in December 2024. Participants were&#13;
selected using purposive sampling based on gestational age ≥24 weeks&#13;
and complete OGTT results. The study used weight and height&#13;
measurements to calculate Body Mass Index (BMI) and Oral Glucose&#13;
Tolerance Test (OGTT) results to diagnose Gestational Diabetes Mellitus&#13;
(GDM). These tools helped determine if there is a link between BMI and&#13;
GDM risk in pregnant women. BMI was categorized using WHO standards,&#13;
and GDM was diagnosed using the 2013 WHO OGTT criteria. Data were&#13;
analyzed using the chi-square test.&#13;
Results: Of the participants, 57.1% were diagnosed with GDM. Among&#13;
them, 45.2% were overweight and 11.9% were obese. Statistical analysis&#13;
showed a significant association between BMI and GDM risk: p = 0.00052;&#13;
OR = 8.6; 95% CI: 2.4–30.8.&#13;
Conclusion: Higher BMI is strongly linked to increased GDM risk. This&#13;
highlights the importance of routine BMI screening and nutritional&#13;
counseling during antenatal care, especially in primary healthcare settings&#13;
with limited access to specialized services.</text>
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                <text>Muarrofah1*, Anita Rahmawati1, &amp; Nur Asiyah Afifah1</text>
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                <text>https://doi.org/10.37363/bnr.2025.63502</text>
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            <elementTextContainer>
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                <text>peri irawan</text>
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        <name>antenatal care, body mass index, gestational diabetes mellitus, obesity, pregnancy</name>
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                <text>Relationship between Motivation and Caring Behavior in Indonesian Nurses</text>
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          <element elementId="49">
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                <text>caring behavior,&#13;
caring motivation,&#13;
Indonesian nurses,&#13;
Increased&#13;
motivation</text>
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            <description>An account of the resource</description>
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                <text>Introduction: The number of nurses has increased from year to year. Since&#13;
2016, there have been 300,000 nurses, which continues to grow. This large&#13;
number has not had an impact on Health Development. A survey in five&#13;
major cities in Indonesia stated that some nurses do things that are&#13;
considered unsympathetic. Therefore, this study analyzed the relationship&#13;
between motivation and caring behavior.&#13;
Methods: Researchers used a quantitative research method by analyzing&#13;
the relationship between 2 variables. A sample of 400 nurses from 5 cities&#13;
in Indonesia, representing several nursing competencies, were asked to&#13;
answer a validated questionnaire. This study has received ethical approval&#13;
number SPUP_2023_0026_SR_MJ.&#13;
Results: Some situations, such as things that cause motivation to care,&#13;
motivation to behave in caring for patients, show significant results with a&#13;
p value &lt;0.005. Several factors can increase caring attitudes towards&#13;
patients, but there are also obstacles in showing quality caring behavior&#13;
caused by caring attitudes and empathy towards patients.&#13;
Conclusion: Every professional behavior is always accompanied by&#13;
motivation, meaning that providing work motivation to subordinates is&#13;
necessary so that they are willing to work seriously to achieve&#13;
organizational goals. For that, every nurse who works uses something that&#13;
can encourage motivation.</text>
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            <name>Creator</name>
            <description>An entity primarily responsible for making the resource</description>
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              <elementText elementTextId="127534">
                <text>Mohamad Judha1*</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/10.37363/bnr.2025.63500</text>
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                <text>peri irawan</text>
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            <description>The file format, physical medium, or dimensions of the resource</description>
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        <name>caring behavior, caring motivation, Indonesian nurses, Increased motivation</name>
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                <text>Social Isolation and Its Impact on the Health Status of Older People in the Community: A Narrative Review</text>
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          </element>
          <element elementId="49">
            <name>Subject</name>
            <description>The topic of the resource</description>
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              <elementText elementTextId="127522">
                <text>aged, social&#13;
isolation, loneliness,&#13;
older people’s&#13;
health problems</text>
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            </elementTextContainer>
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          <element elementId="41">
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            <description>An account of the resource</description>
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              <elementText elementTextId="127523">
                <text>Introduction: Older people often face multifaceted challenges&#13;
encompassing physical, psychological, and social dimensions. Among&#13;
these, social isolation is a significant concern, frequently resulting from&#13;
age-related degenerative changes, the loss of loved ones, or abandonment&#13;
by family members. Numerous studies have indicated that social isolation&#13;
can adversely affect the health and well-being of older people. However,&#13;
comprehensive syntheses of recent research examining the impact of&#13;
social isolation on the health status of community-dwelling older people&#13;
remain limited and insufficiently explored. This study aimed to identify&#13;
and summarize the latest findings regarding social isolation's impact on&#13;
older people's health status.&#13;
Methods: This narrative review design used databases PubMed, Science&#13;
Direct, and EBSCOhost. Keywords include "social isolation" OR "loneliness"&#13;
&#13;
AND "older people". Literature selection was carried out non-&#13;
systematically and analyzed descriptively.&#13;
&#13;
Results: Our search found 87 articles; 11 met the inclusion criteria. Most&#13;
studies were from China (4), the United States (3), and others from&#13;
England, Brazil, and Colombia. Key finddings indicated that older people&#13;
living with social isolation have a high risk of depression, cognitive decline,&#13;
dementia, Alzheimer's disease, changes in biochemical parameters in&#13;
blood glucose and triglycerides, physical weakness and disability,&#13;
difficulties in ADL and IADL, disorders, low self-assessment of health, risk&#13;
of falls, low utilization of health care facilities, poor emotional well-being,&#13;
and higher risk of death.&#13;
Conclusion: Social isolation has been shown to have a very negative impact&#13;
on the health status of older people. Community nurses need to enhance&#13;
the implementation of home visit programs to support socially isolated&#13;
older people better. Future research should focus on conducting&#13;
longitudinal and intervention-based studies to investigate the causal&#13;
relationships between social isolation and health outcomes.</text>
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                <text>I Gede Putu Darma Suyasa1*</text>
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            <description>A related resource from which the described resource is derived</description>
            <elementTextContainer>
              <elementText elementTextId="127525">
                <text>https://doi.org/10.37363/bnr.2025.63501</text>
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            <elementTextContainer>
              <elementText elementTextId="127527">
                <text>Peri Irawan</text>
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            <elementTextContainer>
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                  <text>VOL. 6 NO. 3 2025</text>
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              <elementTextContainer>
                <elementText elementTextId="126945">
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          <element elementId="50">
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                <text>A Systematic Review of Educational Interventions to Improve Self-Care Behaviors in Hypertensive Patients</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="49">
            <name>Subject</name>
            <description>The topic of the resource</description>
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              <elementText elementTextId="127512">
                <text>educational&#13;
intervention,&#13;
behaviour,&#13;
&#13;
hypertension, self-&#13;
care</text>
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          <element elementId="41">
            <name>Description</name>
            <description>An account of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="127513">
                <text>Introduction: Hypertension remains one of the most prevalent non-&#13;
communicable diseases worldwide, including in Indonesia. One strategy to&#13;
&#13;
improve self-care behavior in hypertensive patients is through education.&#13;
This study aims to systematically review the effectiveness of various&#13;
educational interventions in enhancing self-care behavior among&#13;
hypertensive patients.&#13;
Methods: This study employed the PRISMA Flowchart for article selection&#13;
across three databases—ScienceDirect, PubMed, and Google Scholar—&#13;
with inclusion criteria limited to articles published between 2021 and&#13;
2025. Of 394 initially identified articles, 15 met the inclusion criteria after&#13;
PRISMA-based screening.&#13;
Results: The review analyzed 15 studies comprising diverse educational&#13;
interventions, including group-based education sessions, video-assisted&#13;
learning, digital and mobile health (mHealth) tools, individualized&#13;
counseling, and community-based programs. These interventions&#13;
significantly improved key aspects of self-care, such as medication&#13;
adherence, dietary regulation, physical activity, stress management, and&#13;
regular blood pressure monitoring.&#13;
Conclusion: This systematic review demonstrates that a wide range of&#13;
educational interventions effectively enhance self-care behaviors among&#13;
hypertensive patients. Tailoring interventions to patient needs and&#13;
utilizing technology may further improve outcomes. These findings&#13;
underscore the importance of incorporating structured education into&#13;
hypertension management strategies.</text>
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                <text>Ni Ketut Erawati1, I Gede Putu Darma Suyasa1*&#13;
&#13;
, I Kadek Nuryanto1, Ni Made Manik&#13;
&#13;
Elisa Putri1</text>
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                <text>https://doi.org/10.37363/bnr.2025.63496</text>
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        <name>educational intervention, behaviour,  hypertension, self- care</name>
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                  <text>VOL. 6 NO. 3 2025</text>
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              <description>An entity responsible for making contributions to the resource</description>
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                  <text>peri irawan</text>
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                <text>Legal and Ethical Analysis of the Implementation of Informed Consent in Medical Practice in Indonesia</text>
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                <text>informed consent,&#13;
law health, ethics&#13;
medicine, autonomy&#13;
patient</text>
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                <text>Introduction: Implementing informed consent in medical practice in&#13;
Indonesia is fundamental to protecting the rights of patients, but it is not&#13;
quite enough to answer the law’s power. Research This analyzes the legal&#13;
and ethical aspects of the application of informed consent in medical&#13;
practice in Indonesia, with a review of applicable laws and regulations as&#13;
well as principles of the underlying bioethics.&#13;
Methods: This study uses a normative juridical and qualitative descriptive&#13;
approach to analyze legal and ethical aspects of informed consent in&#13;
medical practice. Data were obtained from 15 secondary sources, including&#13;
laws, academic literature, and court decisions, and analyzed through&#13;
qualitative methods. Source triangulation linking legal, health, and&#13;
bioethical perspectives was applied to ensure validity. The study aims to&#13;
contribute theoretically and practically to the improvement of informed&#13;
consent policy and practice.&#13;
Results: Research results show that although the regulation related to&#13;
informed consent is sufficiently comprehensive, there are still challenges&#13;
in its implementation, such as a lack of understanding of the patient,&#13;
limitations in the time doctors have to give adequate information and&#13;
aspects of culture that influence the decision-making process in medical&#13;
care.&#13;
Conclusion: required improvement in socialization, education for power&#13;
medical and patient, as well as strengthening the regulation use ensure&#13;
informed consent can be obtained and applied in a way effective and fair&#13;
in medical practice in Indonesia.Keywords: word; another word; lower&#13;
case except names.</text>
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            <name>Creator</name>
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                <text>Gusti Ayu Made Purnama Dewi1* &amp; I Putu Gede Adiatmika1</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="127505">
                <text>https://doi.org/10.37363/bnr.2025.63491</text>
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            <name>Date</name>
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              <elementText elementTextId="127506">
                <text>23 July 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="127507">
                <text>peri irawan</text>
              </elementText>
            </elementTextContainer>
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            <name>Format</name>
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              <elementText elementTextId="127508">
                <text>pdf</text>
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            </elementTextContainer>
          </element>
          <element elementId="44">
            <name>Language</name>
            <description>A language of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="127509">
                <text>english</text>
              </elementText>
            </elementTextContainer>
          </element>
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            <name>Type</name>
            <description>The nature or genre of the resource</description>
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      <tag tagId="14906">
        <name>informed consent, law health, ethics medicine, autonomy patient</name>
      </tag>
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          <elementContainer>
            <element elementId="50">
              <name>Title</name>
              <description>A name given to the resource</description>
              <elementTextContainer>
                <elementText elementTextId="126944">
                  <text>VOL. 6 NO. 3 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="126945">
                  <text>peri irawan</text>
                </elementText>
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    <elementSetContainer>
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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">
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                <text>Vascular Access Management in Inpatients Based on the Vessel Health and Preservation Model</text>
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          <element elementId="49">
            <name>Subject</name>
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                <text>device, infusions,&#13;
intravenous, vascular,&#13;
vascular catheters</text>
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            <name>Description</name>
            <description>An account of the resource</description>
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                <text>Introduction: Maintaining vascular access is a complex process that involves&#13;
various clinical factors, the competence of healthcare staff—particularly&#13;
nurses—and the products used in treatment. Administering drug and fluid&#13;
therapy through the intravenous route is intricate and carries significant&#13;
risks of complications. Therefore, the Vessel Health and Preservation (VHP)&#13;
model approach is crucial for administering effective therapy. To date, no&#13;
studies have been conducted on comprehensive vascular access&#13;
management in Indonesia. This study aimed to describe vascular access&#13;
management in inpatient care using the VHP Model.&#13;
Methods: Using an accidental sampling technique, the study employed a&#13;
descriptive design, with 224 nurses from two private hospitals in Indonesia&#13;
serving as respondents. The instrument was an observation sheet, and data&#13;
collection was conducted on 224 vascular access installations in patients,&#13;
based on observations made in March 2024. The data were analyzed using&#13;
descriptive statistics.&#13;
Results: Vascular access management, including the four quadrants in the&#13;
VHP model, is critical to apply because phlebitis complications still&#13;
occurred in 17 (7.59%) of 224 cases, and only 181 (80.80%) of intravenous&#13;
access insertions were successful on the first puncture.&#13;
Conclusion: These results indicate the need for ongoing nurse education and&#13;
training in vascular access management. The complexity of administering&#13;
drug and fluid therapy through the intravenous route, with a reasonably&#13;
high risk of complications, requires an approach model that can be used in&#13;
administering therapy through the intravenous route.</text>
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                <text>Marisa Junianti Manik1*, Fiolenty Sitorus1, Yulia S1, Aryanto Kaburito2, Nurochman&#13;
Rizal2, Cicilia2, Gita Amelia3, Stevanie Yelti3, Dian Astari3, Haidy Anesta4</text>
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            <description>A related resource from which the described resource is derived</description>
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              <elementText elementTextId="127495">
                <text>https://doi.org/10.37363/bnr.2025.63505</text>
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            <name>Date</name>
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                <text>22 July 2025</text>
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              <elementText elementTextId="127497">
                <text>peri irawan</text>
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            <name>Format</name>
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        <name>device, infusions, intravenous, vascular, vascular catheters</name>
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