Journal of Clinical Nursing Studies and Practice

Social Vulnerability in Flood Disaster Preparedness: A Narrative Review

Wed, 29 Oct 2025 00:00:00 +0000

Flood disasters remain among the most common and destructive hazards worldwide, with climate change and rapid urbanization intensifying both hazard severity and susceptibility. This narrative review synthesizes factual and conceptual advancements concerning societal vulnerability in the context of flood catastrophe preparedness. The review integrates peer-reviewed studies and relevant technical and institutional literature, consolidating dominant definitions of vulnerability as a function of exposure, sensitivity, and adaptive capacity, while considering recent developments that situate vulnerability within integrated Social–Ecological–Technological Systems (SETS). This analysis examines key assessment frameworks and tools, including Social Vulnerability Indices (SVIs), the MOVE framework, and the Flood Resilience Measurement for Communities (FRMC), highlighting the use of indicator-based methodologies to pinpoint vulnerability hotspots and inform decision-making. Evidence demonstrates that socioeconomic disadvantage, demographic characteristics, social capital, and institutional capacity consistently affect disparities in flood damage and recovery trajectories, often through intersectional and location-specific mechanisms. The review contends that equitable disaster risk reduction requires the integration of vulnerability metrics into planning and investment, the improvement of methodological transparency and local relevance of indicators, and the strengthening of social protection, inclusive risk communication, and accountable governance to transform assessments into concrete, actionable interventions.

The relationship between family support and the incidence of hypertension in the elderly

Yudho Priyo Utomo, Siswati, Shanti Rosmaharani, Iin Noviana — Wed, 29 Oct 2025 00:00:00 +0000

The number of older people with hypertension has grown, and they are more likely to experience a repeat. One of the main causes of this is a lack of family support. This study sought to ascertain the association between the prevalence of geriatric hypertension in the prolanis group at UPT Puskesmas Kalipare, Malang Regency, and family support. Correlation analysis with a cross-sectional technique was employed in the research design. There were 75 respondents in the population of PRB and Prolanis patients, and 63 respondents made up the sample. Random sampling was used in the sampling procedure. Hypertension was the dependent variable, and family support was the independent variable. Questionnaires and observations were employed to obtain data. According to the study's findings, the majority of participants (71.4%) experienced inadequate familial support.Instead of hypertension (28.6%), respondents reported having hypertension as much as 71.4%. Family support and the incidence of hypertension in the elderly in the prolanis group of UPT Puskesmas Kalipare, Malang Regency, were found to be related, as evidenced by the Spearman rank correlation test results, which showed a probability value (0.000) significantly lower than the significant standard of 0.05 or (pa). As a result, Ho was rejected and H1 was accepted. There was a very substantial correlation (p<0.001). Family support is crucial, particularly in the areas of emotion, knowledge, and assistance. Clients who receive this assistance may be able to overcome obstacles, boost their self-esteem, and receive consistent treatment.In order to prevent hypertension, health professionals at the Kalipare Health Center UPT, Malang Regency, must encourage the community to support families in controlling their diet and maintaining good health.

Association between control reminder message usage and patient adherence to follow-up appointments

Carina Rega Utomo, Adelia Rochma, Kurnia Puji Prastiwi — Wed, 29 Oct 2025 00:00:00 +0000

Patient adherence to control schedules is key to successful chronic disease management. Non-adherence primarily caused by forgetfulness remains a major challenge in clinical practice. This study aimed to examine the association between the use of control reminder messages and patient adherence to follow-up appointments at Manguharjo’s Pulmonary Hospital. This quantitative correlational study with a cross-sectional design involved 161 patients (N=161) using a convenience sampling technique. Data were collected from medical records regarding reminder reception and attendance status. The Chi-Square test results showed a highly significant association between reminder use and patient adherence (p < 0.001). The adherence rate in the group that received reminders was 64.6%, substantially higher than the non-reminder group (35.4%). It is concluded that reminder messages are an effective intervention to mitigate forgetfulness and should be formally integrated into the care system. The main limitation is the cross-sectional design. Prospective Randomized Controlled Trials (RCTs) are recommended to establish causality and optimize message format.

Relationship between characteristics of pregnant women and thelevel of knowledge about dangers signs of pregnancy

Mantasia, Sumarmi, Riska Nuryana, Gcinile Miky Mbukwane — Wed, 29 Oct 2025 00:00:00 +0000

Danger signs of pregnancy are signs that indicate danger that could occur during pregnancy or the antenatal period, which if not detected could cause maternal death. This study aims to determine the relationship between the characteristics of pregnant women and the level of knowledge about the danger signs of pregnancy before and after education at the Barana Community Health Center in 2024. The method used in this research is a descriptive method using a cross sectional approach, namely independent and dependent variables are measured on At the same time using chi-square, the sample obtained was 30 respondents who came to the community health center and were given questionnaires and leaflets. The univariate results of the frequency of knowledge level before education were that respondents who had good knowledge were 18 (60%), while those with sufficient knowledge were 12 (40%). The level of knowledge after education was 28 (93%) respondents who had good knowledge, while 2 (7%) had sufficient knowledge. Bivariate results of knowledge level with age variable before education p-0.070, education variable p-0.053, gradivity variable p-0.511, parity variable p-0.462, employment variable p-0.064. while the level of age knowledge after education is p-0.136, the education variable is p-0.114, the gravidity variable is p-0.289, the parity variable is p-0.249, the employment variable is p-0.957. The conclusion is that the bivariate results of gravidity and employment have a relationship while the others have no relationship.

Relationship between nurses' knowledge about identification in patient safety and the accuracy of patient identification in the inpatient ward

Ika Puspita Sari; M. Malik Ibrahim; Ismawati - — Wed, 29 Oct 2025 00:00:00 +0000

Accurate patient identification is a critical aspect of patient safety to prevent medical errors such as incorrect medication or treatment. This study aims to analyze the relationship between nurses' knowledge of patient identification and the accuracy of its implementation in the inpatient ward of Bangil Regional General Hospital. This quantitative cross-sectional study was conducted on 89 nurses at Bangil Regional General Hospital. Data were collected through a nurse knowledge questionnaire and observation of the accuracy of patient identification, then analyzed using the Chi-Square test. A total of 87.6% of nurses had fairly good knowledge about patient safety identification, while 11.2% had insufficient knowledge. Of the nurses with fairly good knowledge, 76.3% performed identification correctly and 2.7% incorrectly. Meanwhile, among nurses with insufficient knowledge, 0.3% performed identification accurately and 9.0% inaccurately. Statistical analysis showed a significant relationship between knowledge and the accuracy of patient identification (p-value = 0.032).

Based on the results of the study, it can be concluded that there is a relationship between nurses' knowledge of patient identification and the accuracy of patient identification at Bangil Regional General Hospital. The recommendation that can be given is that continuous training and system reinforcement are needed to ensure consistent implementation of patient safety standards.