1 10 15 https://repository.horizon.ac.id/files/original/ec95c184f9e3af3a738b9da7680df494.pdf 9dd116044c39aef22409b6797dcf7979 Dublin Core 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/. Title A name given to the resource VOL. 6 NO. 4 2025 Contributor An entity responsible for making contributions to the resource peri irawan Dublin Core 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/. Title A name given to the resource Analysis of Factors Affecting Response Time in the Management of Heart Attacks Based on Pecalang (Buleleng Skilled Ambulance Officers) Subject The topic of the resource ambulance personnel, cardiac arrest, heart attack, pre-hospital, response time Description An account of the resource Introduction: A heart attack is commonly caused by acute coronary syndrome, which may be asymptomatic yet lead to sudden cardiac arrest, particularly outside a hospital setting. Ambulance personnel serve as frontline responders in delivering lifesaving interventions. This study analyzed the factors influencing ambulance response time in heart attack cases in Buleleng. Methods: A mixed-method design was applied in Buleleng Regency, simultaneously integrating quantitative and qualitative strands. This study involved 110 ambulance officers selected purposively from hospitals and community health centers across Buleleng. The qualitative strands involved 10 key informants. Quantitative variables included personnel experience, training, travel time, type of ambulance, and communication delay. Data were collected using structured questionnaires and complemented by interviews and FGDs for qualitative insights. Quantitative data were analyzed using correlation and regression tests, while qualitative data were thematically analyzed. Results: Personnel experience (r = –0.197; p = 0.039) significantly reduced response times, highlighting the importance of clinical competence acquired in the field. Training (r = 0.104; p = 0.278) enhanced service quality but showed limited direct impact without continuous practice and operational support. Travel time (r = 0.672; p < 0.001) emerged as the primary delay factor, influenced by distance, traffic, and road conditions. Type of ambulance (r = –0.235; p = 0.014) also affected mobilization efficiency, while communication barriers (r = 0.844; p < 0.001; OR = 0.002) were the strongest determinant of delays. Conclusion: Reducing ambulance response times requires systemic improvements in communication, fleet readiness, operational management, and infrastructure, beyond individual competence alone. Creator An entity primarily responsible for making the resource Made Martini1* & Aryawan1 Source A related resource from which the described resource is derived https://doi.org/10.37363/bnr.2025.64524 Date A point or period of time associated with an event in the lifecycle of the resource 29 October 2025 Contributor An entity responsible for making contributions to the resource Peri Irawan Format The file format, physical medium, or dimensions of the resource pdf Language A language of the resource english Type The nature or genre of the resource text ambulance personnel, cardiac arrest, heart attack, pre-hospital, response time https://repository.horizon.ac.id/files/original/1024f05df1ad66bf53e221f5d27010db.pdf c79269b8919da4ae5fd4b54541e7ebcd Dublin Core 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/. Title A name given to the resource VOL. 6 NO. 4 2025 Contributor An entity responsible for making contributions to the resource peri irawan Dublin Core 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/. Title A name given to the resource Pharmacists' and Type 2 Diabetes Mellitus Patients' Perceived Barriers to Insulin Therapy at Hospital: A Qualitative Study Subject The topic of the resource Insulin, perceived_barriers, qualitative_study, T2DM Description An account of the resource Introduction: Recent data show that Indonesia ranks fifth in the world for diabetes mellitus (DM). An increase in insulin use accompanies the increasing prevalence of DM. However, several barriers to insulin use remain among patients and healthcare professionals, impacting blood glucose control. This study explored perceptions of barriers to insulin therapy among T2DM patients and hospital pharmacists. Methods: This research was a qualitative study. The recruitment of participants used a consecutive sampling method. Eighteen in-depth interviews were conducted with T2DM patients, and nine were conducted with hospital pharmacists at a private hospital. Thematic analysis was used to generate findings in this research. Results: Barriers faced by patients in insulin therapy include fear and anxiety, insulin use practices, and misconceptions about insulin. Meanwhile, the results of the barriers faced by pharmacists on providing education and consultation on insulin therapy included patient, facility, and system barriers. These factors can impact insulin therapy and target outcomes in T2DM patients. Conclusion: Barriers from the patient and pharmacist perspectives are very important to assess, so that comprehensive therapy in the form of collaboration between health workers and patients can be implemented to achieve the target outcomes for T2DM patients. Creator An entity primarily responsible for making the resource Ni Made Suastini1* & Ni Putu Ayu Deviana Gayatri1 Source A related resource from which the described resource is derived https://doi.org/10.37363/bnr.2025.64525 Date A point or period of time associated with an event in the lifecycle of the resource 29 October 2025 Contributor An entity responsible for making contributions to the resource Peri Irawan Format The file format, physical medium, or dimensions of the resource pdf Language A language of the resource english Type The nature or genre of the resource text Insulin, perceived_barriers, qualitative_study, T2DM https://repository.horizon.ac.id/files/original/96ce7ce3b04b5ed620b4c4abc50584f1.pdf 4d32992978b330904d8bb15b483b620c Dublin Core 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/. Title A name given to the resource VOL. 6 NO. 4 2025 Contributor An entity responsible for making contributions to the resource peri irawan Dublin Core 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/. Title A name given to the resource Care and Technology Collaboration for Health: Upgrading Prevention of Chronic Complications through Family Empowerment (CATCH-UP) Subject The topic of the resource chronic disease, family support, health literacy, self- care, disease management Description An account of the resource Introduction: Chronic diseases such as chronic kidney disease (CKD), diabetes mellitus, and hypertension are major contributors to morbidity and mortality worldwide, particularly in Indonesia, where they impose significant healthcare burdens. Suboptimal patient self-care, often due to limited digital literacy and inadequate family support, exacerbates disease progression and complications. This study aimed to evaluate the effectiveness of a family-centered, technology-assisted empowerment program in improving digital health literacy, self-care behaviors, and family empowerment among CKD patients undergoing hemodialysis. Methods: A quasi-experimental design involving 60 families allocated into intervention and control groups was employed. Data were collected at two time points—baseline and after the 4-week intervention—using standardized questionnaires for digital literacy (eHEALS), self-care behaviors (SDSCA-CKD), and family empowerment (FES). Baseline data were collected during an initial face-to-face enrollment session, while post- intervention data were collected using secure digital forms. Statistical analyses included paired and independent t-tests and Pearson correlation. Results: The intervention group showed significant improvements in digital health literacy (mean increase = 8.21; p < 0.001), self-care behaviors (mean increase = 16.65; p < 0.001), and family empowerment (mean increase = 1.79; p < 0.001), with strong positive correlations between between family empowerment and self-care (r = 0.257; p = 0.047) and between digital literacy and family empowerment (r = 0.455; p < 0.001). Conclusion: The CATCH-UP model is an effective approach to enhancing self-care and preventing complications in chronic disease management through empowered family engagement and digital literacy enhancement. Creator An entity primarily responsible for making the resource Ni Made Ayu Sukma Widyandari1*, Ni Wayan Udayani1, Ida Ayu Fla Aganta Wardana1, & Isty Nur Khalimatus Sa'diyah1 Source A related resource from which the described resource is derived https://doi.org/10.37363/bnr.2025.64529 Date A point or period of time associated with an event in the lifecycle of the resource 29 October 2025 Contributor An entity responsible for making contributions to the resource Peri Irawan Format The file format, physical medium, or dimensions of the resource pdf Language A language of the resource english Type The nature or genre of the resource text chronic disease, family support, health literacy, self- care, disease management https://repository.horizon.ac.id/files/original/9d856172b3d166b2e5bc314a23432a55.pdf e9a0c138bb795e4b75a57c0c63a0a9a6 Dublin Core 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/. Title A name given to the resource VOL. 6 NO. 4 2025 Contributor An entity responsible for making contributions to the resource peri irawan Dublin Core 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/. Title A name given to the resource NGS-Based Insights into the Oral Microbiome and Glycemic Control in Pediatric Type 1 Diabetes Mellitus: A Literature Review Subject The topic of the resource child, diabetes mellitus type 1, glycemic control, oral microbiome, 16S rRNA Description An account of the resource Introduction: Type 1 Diabetes Mellitus (T1DM) in children is associated with significant alterations in the oral microbiome that can influence glycemic control and oral health. This study aimed to synthesize current evidence on the composition of the oral microbiome in children with T1DM using Next-Generation Sequencing (NGS) and its association with glycemic parameters. Methods: A structured literature review was conducted on studies published between 2020 and 2025 that utilized 16S rRNA sequencing to compare the oral microbiome of children with T1DM and healthy controls. Results: Across the included studies, dysbiosis was consistently observed, characterized by increased pathogenic taxa (Prevotella, Veillonella) and decreased protective genera (Streptococcus), which correlated with elevated HbA1c levels and poor metabolic control. These findings suggest that hyperglycemia-driven shifts in the oral microbiome may exacerbate inflammation and oral disease risk, potentially forming a bidirectional relationship between glycemic regulation and microbial imbalance. Conclusion: Oral microbiome profiling shows promise as a non-invasive indicator of glycemic status in children with T1DM. Further standardized, longitudinal studies in local populations, particularly in Indonesia, are recommended to validate these findings and support the integration of oral microbiome monitoring into pediatric diabetes management. Creator An entity primarily responsible for making the resource Eri Dian Maharsi1*, Pratiwi Pudjilestari Sudarmono1, Diniwati Mukhtar1, & Fadilah2 Source A related resource from which the described resource is derived https://doi.org/10.37363/bnr.2025.64513 Date A point or period of time associated with an event in the lifecycle of the resource 28 October 2025 Contributor An entity responsible for making contributions to the resource peri irawan Format The file format, physical medium, or dimensions of the resource pdf Language A language of the resource english Type The nature or genre of the resource text child, diabetes mellitus type 1, glycemic control, oral microbiome, 16S rRNA https://repository.horizon.ac.id/files/original/07ee2ef0b51a409b815b0fd0227be5bf.pdf c14b31d82fa79b74e564ecffe6e3d69b Dublin Core 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/. Title A name given to the resource VOL. 6 NO. 4 2025 Contributor An entity responsible for making contributions to the resource peri irawan Dublin Core 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/. Title A name given to the resource Enhancing Family Awareness of Stroke Warning Signs through Supportive Education in a Community Setting Subject The topic of the resource family caregivers, stroke, stroke warning signs, supportive education Description An account of the resource Introduction: Health education is a key nursing intervention for individuals, groups, or communities to address health issues and promote behavior change for better outcomes. In stroke management, it increases family knowledge of stroke signs and symptoms, helping prevent recurrence. Supportive education further strengthens understanding and awareness of early stroke warning signs, which is crucial to reducing the risk and severity of recurrent strokes. This study examined the relationship between the effectiveness of supportive education and family awareness of warning signs and symptoms in post-stroke patients. Methods: A quantitative quasi-experimental pre- and post-design was applied without a control group and a cross-sectional approach. Purposive sampling was used based on inclusion and exclusion criteria. Using G*Power 3.1.9.4 with an effect size of 0.55 and 80% power, 22 participants were recruited. Data were analyzed using inferential statistics, including univariate analysis (frequency distribution) and bivariate analysis (Wilcoxon signed-rank test). The Stroke Recognition Questionnaire (SRQ) showed strong content validity, with a CVI of 0.90 for symptom items and 1.00 for risk factors. Ethical approval was obtained under reference number Un.01/F.10/KP.01.1/KE.SP/05.08.054/2025. Results: Among 22 stroke patients, 40.9% were aged over 65 years, and 72.7% were male. Hypertension was the most common risk factor (86.4%), and 68.2% had a prior stroke. The Wilcoxon test produced a p-value < 0.001, indicating significant improvement in family awareness after supportive education. Conclusion: Effective stroke care requires long-term, comprehensive family involvement with strong self-care skills to support recovery and prevent recurrence. Creator An entity primarily responsible for making the resource Siti Latipah1* & Yani Sofiani1 Source A related resource from which the described resource is derived https://doi.org/10.37363/bnr.2025.64514 Date A point or period of time associated with an event in the lifecycle of the resource 28 October 2025 Contributor An entity responsible for making contributions to the resource peri irawan Format The file format, physical medium, or dimensions of the resource pdf Language A language of the resource english Type The nature or genre of the resource text family caregivers, stroke, stroke warning signs, supportive education https://repository.horizon.ac.id/files/original/0e477f158f0d195f085127f33283026d.pdf 3f8fcabf28cccdcb3cba76032a1c2f01 Dublin Core 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/. Title A name given to the resource VOL. 6 NO. 4 2025 Contributor An entity responsible for making contributions to the resource peri irawan Dublin Core 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/. Title A name given to the resource Integrative Emotional Resilience Model to Improve Blood Pressure Control of Hypertensive Patients: A Phenomenological Study Subject The topic of the resource emotional resilience, hypertension, Islamic spirituality, physical activities, social-cultural activities Description An account of the resource Introduction: Emotional states significantly influence blood pressure among hypertensive patients. This study explores the impact of Islamic spiritual practices and emotional resilience in managing hypertension. Methods: We conducted in-depth interviews with 20 Muslim participants using a qualitative transcendental phenomenological approach. Results: Analysis revealed five primary themes: 1) Suppression of anger through Islamic teachings; 2) Enhanced resilience through religious practices; 3) Improvement in mental relaxation via prayer and dhikr; 4) Physical management to alleviate stress-related symptoms; 5) Socio- cultural activities fostering mental stability. Conclusion: The findings suggest that Islamic spiritual practices contribute to emotional resilience by providing coping mechanisms that reduce psychological stress, a known factor in elevated blood pressure. Integrating spiritual, physical, and socio-cultural dimensions creates a holistic approach that supports better hypertension control. This model highlights the importance of culturally and spiritually tailored interventions in chronic disease management. Integrating Islamic spiritual, physical, and socio-cultural approaches enhances hypertension management and patient well-being. Creator An entity primarily responsible for making the resource Sukarmin1*, Edy Soesanto2, Elly Nurachmah3, Sri Yona3, Dewi Gayatri3, & Ratna Aryani3 Source A related resource from which the described resource is derived https://doi.org/10.37363/bnr.2025.64481 Date A point or period of time associated with an event in the lifecycle of the resource 28 October 2025 Contributor An entity responsible for making contributions to the resource Peri Irawan Format The file format, physical medium, or dimensions of the resource pdf Language A language of the resource english Type The nature or genre of the resource text emotional resilience, hypertension, Islamic spirituality, physical activities, social-cultural activities https://repository.horizon.ac.id/files/original/4b1a0fbc8b18f1b4db0a9d1956ce4429.pdf c406cb8d560445720c4f544036f09f90 Dublin Core 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/. Title A name given to the resource VOL. 6 NO. 4 2025 Contributor An entity responsible for making contributions to the resource peri irawan Dublin Core 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/. Title A name given to the resource Bibliometric Performance Analysis for Online Assessment in Health Education Subject The topic of the resource online assessment, health education, bibliometric analysis, e-learning, scientific collaboration Description An account of the resource Introduction: Online assessment has become a crucial component of health professional education, a trend significantly accelerated by the COVID-19 pandemic. This study presents a comprehensive bibliometric analysis of scientific publications on online assessment in health education indexed in Scopus from 2004 to 2024. Methods: The data were cleaned using OpenRefine and analyzed with Biblioshiny. Results: Findings from 339 selected articles revealed that the United States was the leading country in publication output. Gary M. Velan and Rakesh K. Kumar were identified as the most productive authors, while BMC Medical Education emerged as the top journal. Keyword analysis highlighted the prominence of terms such as “health education,” “online assessment,” and “e-learning,” indicating the evolving research focus in this field. Furthermore, the mapping demonstrated strong international collaboration networks, particularly between the United States and the United Kingdom. Conclusion: This study provides valuable insights into the developmental trajectory and dynamics of research on online assessment in health education and identifies key opportunities for future exploration. It recommends integrating cross-database analyses (e.g., WoS, PubMed) and employing mixed bibliometric approaches to capture a broader research landscape. Creator An entity primarily responsible for making the resource Rahwan Ahmad1, Hamdan Hariawan1*, Ratna1, & Prasetyawati1 Source A related resource from which the described resource is derived https://doi.org/10.37363/bnr.2025.64522 Date A point or period of time associated with an event in the lifecycle of the resource 28 October 2025 Contributor An entity responsible for making contributions to the resource Peri Irawan Format The file format, physical medium, or dimensions of the resource pdf Language A language of the resource english Type The nature or genre of the resource text health education, bibliometric analysis, e-learning, scientific collaboration https://repository.horizon.ac.id/files/original/20d53e0e5a6215cbb5cc553d5eb651c9.pdf 92b9c373db3e47dd2f96f34591d6b046 Dublin Core 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/. Title A name given to the resource VOL. 6 NO. 4 2025 Contributor An entity responsible for making contributions to the resource peri irawan Dublin Core 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/. Title A name given to the resource Impact of Social Interaction and FOMO on Adolescent Mental Health in the Digital Age Subject The topic of the resource adolescent, FOMO, mental health, social interaction, social media Description An account of the resource Introduction: Social interaction in the digital era shapes adolescents' mental well-being. While online platforms promote social connection, they also increase exposure to cyberbullying, social pressure, and Fear of Missing Out (FOMO), which may lead to psychological distress. This study investigated how social interaction and FOMO simultaneously affect adolescents' mental health in Bali. Methods: This cross-sectional study examined the relationship between social interaction, FOMO, and adolescent mental health among 345 adolescents aged 10–18 in Bali Province. Participants were active social media users recruited through consecutive sampling. Data were collected using a validated 106-item Likert-scale questionnaire (Cronbach's α = 0.968) and analyzed using logistic regression with a significance level of p < 0.05. Results: Multivariate analysis showed that poor face-to-face interaction (AOR = 9.75; 95% CI: 4.99–19.03; p = 0.036), high online interaction (AOR = 17.10; 95% CI: 8.51–33.99; p = 0.001), and identified FOMO status (AOR = 6.13; 95% CI: 3.36–11.16; p = 0.018) were significantly associated with higher psychological distress among adolescents. Conclusion: A combination of reduced in-person social interaction, excessive online engagement, and FOMO substantially increases the risk of mental health problems in adolescents. Limited offline interaction restricts emotional support and social validation, while high online activity and FOMO contribute to anxiety, social comparison, and feelings of exclusion. These findings highlight the importance of promoting balanced social interaction and digital literacy in the digital age to support adolescent mental health. Creator An entity primarily responsible for making the resource Ni Putu Diwyami1*, Ni Made Ayu Sukma Widyandari1, & Ni Putu Veny Narlianti1 Source A related resource from which the described resource is derived https://doi.org/10.37363/bnr.2025.64528 Date A point or period of time associated with an event in the lifecycle of the resource 28 October 2025 Contributor An entity responsible for making contributions to the resource peri irawan Format The file format, physical medium, or dimensions of the resource pdf Language A language of the resource english Type The nature or genre of the resource text adolescent, FOMO, mental health, social interaction, social media https://repository.horizon.ac.id/files/original/1fcf9b0b49e2b2100374610bf2c56642.pdf ed55ab03e2996e529919cfc6273ea6fa Dublin Core 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/. Title A name given to the resource VOL. 6 NO. 4 2025 Contributor An entity responsible for making contributions to the resource peri irawan Dublin Core 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/. Title A name given to the resource Influence Culture on Perceptions, Behaviors, and Risk of Repeat Attacks in Patients with Heart Disease: A Literature Review Based on Transcultural Nursing Subject The topic of the resource coronary heart disease, culture, transcultural nursing Description An account of the resource Introduction: Differences in values, norms, and customs across societies shape how patients understand their illness, make decisions about seeking care, and undergo treatment and recovery. Based on a transcultural nursing approach, this study aims to synthesize findings from various literatures that identify cultural influences on heart disease management and their implications for preventing recurrent heart attacks. Methods: This study was a narrative literature review with the PICO framework, using PubMed, ScienceDirect, Google Scholar, and relevant sources (2016–2025). Of the 1,539 articles identified, 15 met the criteria and were analyzed narratively. Results: The study identified six aspects of the role of culture in heart disease: disease perception (local beliefs and spirituality), coping and treatment seeking (family norms, traditional practices, access), ethnic and gender inequalities, immigrant acculturation (Western lifestyle), collectivism and family roles (compliance vs. delay of help), and local environmental factors/traditions (e.g., solid fuels). Culture can be both a risk and a protective factor through family support, spirituality, and community. Conclusion: Culture is important in preventing and managing heart disease, particularly in reducing the risk of recurrent heart attacks. Transcultural nursing sensitive to cultural diversity is needed to improve health literacy, medication adherence, and reduce cardiovascular inequalities across populations. Creator An entity primarily responsible for making the resource Made Oktaviani Bulan Trisna1, I Gede Putu Darma Suyasa1*, Israfil1, & Putu Inge Ruth Suantika1 Source A related resource from which the described resource is derived https://doi.org/10.37363/bnr.2025.64517 Date A point or period of time associated with an event in the lifecycle of the resource 27 October 2025 Contributor An entity responsible for making contributions to the resource peri irawan Format The file format, physical medium, or dimensions of the resource pdf Language A language of the resource english Type The nature or genre of the resource text https://repository.horizon.ac.id/files/original/fe4a1ae702f9e2687b4e7c4ccd31164f.pdf 04c3a6e48915ad45d63789c1ecd2df01 Dublin Core 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/. Title A name given to the resource VOL. 6 NO. 4 2025 Contributor An entity responsible for making contributions to the resource peri irawan Dublin Core 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/. Title A name given to the resource Integrating the MERDEKKA Intervention into Palliative Care for Tuberculosis Patients: A Mixed- Methods Study Subject The topic of the resource Tuberculosis, palliative care, holistic health Description An account of the resource Introduction: WHO has established a target for treating tuberculosis patients aligned with Asta Cita 4 in the health sector, specifying that Indonesia would be TB-free by 2030. Given the severity of TB patients' symptoms from diagnosis to treatment, a comprehensive palliative care strategy is essential. Palliative care does not only mean end-of-life care. Methods: This study used a mixed-methods sequential explanatory design. Quantitative data were first collected using a one-group pre- and post-test design with 80 samples, and the results were used as the basis for qualitative analysis with 15 participants. The instrument used to implement the MERDEKKA intervention based on the RESPECT Model consists of assignment of pain, ethical support, education, spiritual, communication, and interprofessional collaboration. Results: The majority of respondents (35.8%) were aged 62 to 72, largely male (96.1%), and had completed junior high school (43.5%). Most respondents were farmers (48.7%), had tuberculosis in their family (96.1%), and had been on treatment for at least 6 months. The MERDEKKA intervention had a substantial impact, with a p-value of 0.001 for knowledge and 0.003 for attitudes. The effect size value was larger than 1.0, indicating a potent influence. Patients' experiences after the MERDEKKA intervention are described in three themes: Developing good trust between the patient and the nurse, providing proper and necessary care, and being enthusiastic about healing within six months. Conclusion: The palliative care model, including the MERDEKKA intervention, is critical in caring for TB patients. Creator An entity primarily responsible for making the resource Ni Luh Seri Astuti1*, Aditha Angga Pratama1, I Dewa Ayu Rismayanti1, Triya Resti Ramandhani2, & Luh Sumardiani2 Source A related resource from which the described resource is derived https://doi.org/10.37363/bnr.2025.64523 Date A point or period of time associated with an event in the lifecycle of the resource 27 October 2025 Contributor An entity responsible for making contributions to the resource Peri Irawan Format The file format, physical medium, or dimensions of the resource pdf Language A language of the resource english Type The nature or genre of the resource text uberculosis, palliative care, holistic health