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                  <text>VOL. 6 NO. 3 2025</text>
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                  <text>peri irawan</text>
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                <text>Internal and External Factors Influencing Nurses' Compliance in Risk of Fall Prevention Procedures</text>
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                <text>compliance, fall risk, standard operating procedures</text>
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                <text>Introduction: Nursing care is the most essential element in health services.&#13;
Professional nurses must provide safe, effective services and participate in&#13;
maintaining patient safety. Safety for patients is essential because it can&#13;
increase the value of professionalism. The research aims to analyze&#13;
internal and external factors regarding nurses' compliance in&#13;
implementing Standard Operating Procedures to prevent the risk of falls.&#13;
Methods: This research used an analytical observational design with a&#13;
cross-sectional approach using a sample of 107 respondents from two&#13;
hospitals in Jember.&#13;
Results: The results showed that internal factors influenced nurse&#13;
compliance in implementing SOP for patients at risk of falling (p-value&#13;
0.045). Regarding external factors, it was found that compliance in&#13;
implementing SOP for patients with fall risk did not have a significant effect&#13;
(p-value 0.948).&#13;
Conclusion: Continuous training, effective supervision, and work&#13;
environment support are important to increase nurses' compliance in&#13;
implementing SOPs to prevent falls. This research recommends&#13;
strengthening hospital training and supervision strategies to increase&#13;
nurse compliance, ultimately improving overall patient safety.</text>
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                <text>Arif Candra Gunawan1*, Dodi Wijaya1, &amp; Anisah Ardiana1</text>
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                <text>https://doi.org/10.37363/bnr.2025.63474</text>
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                <text>23 July 2025</text>
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                <text>peri irawan</text>
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                  <text>VOL. 6 NO. 3 2025</text>
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                  <text>peri irawan</text>
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                <text>Beyond the Stigma: Leveraging Education and\ Empathy for Effective Tuberculosis Care</text>
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          <element elementId="49">
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                <text>cultural sensitivity,&#13;
healthcare&#13;
communication,&#13;
stigma reduction,&#13;
Tuberculosis</text>
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                <text>Introduction: Tuberculosis (TB) remains a major global health issue, with&#13;
stigma continuing to hinder effective prevention, diagnosis, and treatment.&#13;
Stigma can discourage patients from seeking care, adhering to treatment,&#13;
and engaging with healthcare providers. This systematic review aims to&#13;
identify stigma-related issues in TB and explore practical strategies to&#13;
reduce stigma.&#13;
Methods: A scoping literature search was conducted for studies published&#13;
between 2012 and 2024 using ProQuest, PubMed, and ScienceDirect&#13;
databases. Articles were selected based on predefined inclusion and&#13;
exclusion criteria, and the review followed the Preferred Reporting Items&#13;
for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. The&#13;
Joanna Briggs Institute (JBI) methodology was used for critical appraisal&#13;
and synthesis.&#13;
Results: A total of 15 articles were included in the final analysis. The&#13;
findings indicate that key strategies to reduce TB stigma include health&#13;
&#13;
education to correct misconceptions, promoting empathy, and non-&#13;
discriminatory attitudes among healthcare providers.&#13;
&#13;
Conclusion: The review concludes that current interventions are&#13;
insufficient and that sustained, targeted strategies focusing on education,&#13;
empathy, and cultural competence are essential to reduce stigma and&#13;
improve TB outcomes. A long-term commitment to these approaches is&#13;
critical to advancing TB control efforts globally.</text>
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                <text>Aries Wahyuningsih1*&#13;
&#13;
, Ari Probandari2, Sumardiyono2, I Wayan Gede Artawan&#13;
&#13;
Putra2, &amp; Giovanni Iga Firmanda3</text>
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                <text>https://doi.org/10.37363/bnr.2025.63485</text>
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                <text>21 July 2025</text>
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                <text>peri irawan</text>
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