Abstract
Culture is results work born human _ along with creation man as well as documented in a way down hereditary in accordance with periodization the time. Culture born and developed as well as experience change along with development era. Progress something nation, tribe and region Certain things are also determined by culture something area or tribe. Problem solving in improving the status of health and nursing services with the aim of improving service arrangements, shortening length of stay. and improving public health welfare is by equipping health and nursing workers with the ability to provide effective services. Services are provided with the aim of equipping them with technical skills in providing services to patients and families. The method used is training in the form of providing material and simulation at the end of the activity in the form of study cases and Play Group Simulation in team work. In carrying out the activity, an evaluation of the activity and evaluation of the presenters was carried out in the form of a questionnaire. The results of the questionnaire showed that 96 percent said that the presenters and the material presented were very satisfying, and 4 percent were satisfactory. Meanwhile, 85 percent of activity evaluations said they were very satisfactory, 7 percent said they were satisfactory and 8 percent said they were quite satisfactory. Based on the evaluation results of the training, participants said that this activity was very useful and should become a routine agenda for improvement quality service health.
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