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Leadership Style and Nurse Performance in the Inpatient Ward of Muhammadiyah Gresik Hospital: A Cross-sectional Study

Introduction: Nurses responsible to perform optimally, adhere to the standards set by the hospital to gain high quality of nursing care. The determining factor for the quality of nursing services is the performance. Leadership style of the head ward is one of the factors that influence the performance of nurses. The aim of this study is to analyze the relationship between the leadership style and the performance of nurses in the inpatient ward at Muhammadiyah Gresik Hospital. Method: The research design is correlational with a cross-sectional approach. The sampling technique in this study was total sampling with a total sample of 44 nurses. Data collection for leadership style using a questionnaire, while the nurse performance using a performance appraisal checklist. The statistical test in this study used the Rank Spearman test to determine the correlation between variables. Results: Most of the leadership style in the inpatient ward of the Muhammadiyah Gresik Hospital is a democratic leadership style (79.5%), most of the nurses have performance at the sufficient category (65.9%). There is a relationship between the leadership style of the head of the ward and the performance of nurses in the inpatient ward at Muhammadiyah Gresik Hospital (p=0,000). Conclusions: The democratic leadership style has a good influence on the nurse performance. Further study for improving nurse performance by optimizing leadership role is needed.

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The Benefits of Telehealth on Quality of Life of People Living with Type 2 Diabetes Mellitus: A Literature Review

Introduction: Advancement technology and information benefit societies by way telehealth access, including those with diabetes mellitus. Telehealth implementation in diabetes mellitus management is a great solution of increasing access to healthcare and reducing geographical inequalities. Nevertheless, the effectiveness of service among people living with diabetes remains inconsistant. This review aims to summarize and evaluate the evidence on the effectiveness of telehealth on quality of life in type 2 diabetes mellitus
 Method: This review considers the Preferred Reporting Items for Systematic Reviews and Meta-Analyzes (PRISMA) guideline. The results reported in descriptive narrative approach. The following databases; Scopus, Science Direct, PubMed, and Web of Science were comprehensively searched to find article from January, 1st 2018 to December 31st 2023. Inclusion was made to English and full-text article. 
 Results: Two articles were included in the final review. A total of 482 type 2 DM patients were used telehealth. Findings on the impacts of the usability of telehealth on the QoL of Type 2 DM is telehealth relevant alternative to the care of DFU patients, with stable health, well-being and quality of life conditions and smartphone application-based interventions in the management of type 2 DM show that the quality of life in the following four dominants; psychological, social, environmental, and physical health revealed significant improvements
 Conclusions: Telehealth has good potential to be developed in the service of diabetes mellitus patients. The following internet-based delivered mode; web, and smartphones improve the quality of life and the well-being of patients with type 2 diabetes mellitus. However, lack of studies measuring the effectivity of telehealth among people with diabetes mellitus. Future development of internet-based interventions should further take into consideration the consolidated set of diabetes mellitus principles.
 Keyword: Type 2 Diabetes Mellitus, Quality of Life, Telehealth, Nursing Practice, Nursing Care

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The Role of Job Satisfaction to Reduce Nurse Turnover Intention: A Systematic Review

Introduction: Job satisfaction is a condition in which a person feels positive about the job and its characteristics. The conditions are synonymous with satisfying, happy, and grateful. A person with high job satisfaction tends to stay longer in the organization and supports the organization. The purpose of systematic review aims to search published articles on job satisfaction among nurses. Methods: This study applied a systematic review. Literature was searched in three databases namely PubMed, Science Direct, and Semantic Scholar with keywords “job satisfaction”, "turnover intention”, “intent to stay”, and “nurse”. Search strategies focused on the published article from January 2018 to December 2022. Results: Fifteen (15) articles were analyzed. The finding revealed job satisfaction significantly reduced turnover intention in nurses. The role of job satisfaction in reducing turnover intention at nurses can be done directly or as a mediating factor. Job satisfaction has a fully mediating role in reducing turnover intention in nurses. Job security, self-seeking, unappreciativeness, negative state of mind, relational coordination, workload, burnout, and work environment are variables that mediated job satisfaction. Meanwhile, job burnout, job organizational, affective and normative commitment have a role as a mediator between job satisfaction and turnover intention in nurses. Conclusions: The current findings underline the urgency of establishing and maintaining supportive and conducive working environment. Nursing management in the clinical setting has a responsibility to create a sustain work setting that in line with the organization goals and professional development.

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Stress and Insomnia among Elderly Living in a Nursing Home: A Cross-sectional study

Introduction: Globally, It was estimated that one in three adults experienced insomnia. In Indonesia, 10% or equal to 28 million of the population was reported this particular sleep problem. Physical illness, environment, drugs used, and stress were reported as the major cause of insomnia. This study aims to analyse the relationship between stress and the incidence of insomnia among elderly living in a nursing, Surabaya, Indonesia. Method: This study applied cross-sectional approach with correlation descriptive design. Population in this study was older adults living in a nursing home. A total of 51 participant recruited through a random simple sampling was involved. The independent variable was stress and dependent was insomnia. A self-report questionnaire was used to collect data from the study participants. Data was statistically test by Contingency Coefficient. Results: There is no relationship between stress and the incidence of insomnia in the elderly (p=0.267). Insomnia might relate to others factors that not explored in the study. Conclusions: The current study highlights insomnia among elderly is not related to stress events. Even insomnia was a common, nurses need to identify other factors that can contribute to insomnia experienced by the elderly. Thus, further study examines insomnia among elderly is warranty.

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