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  • Open Access

    Effects of theory-based education versus simulation-based training on knowledge and skills in managing shortness of breath among university health volunteers

    Agus Nur Wahyuda1, Marji Marji2, Nurnaningsih Herya Ulfah3, Anita Sulistyorini4
    1. State University of Malang , ID
    2. State University of Malang , ID
    3. State University of Malang , ID
    4. State University of Malang , ID
    2026-01-14
    doi https://doi.org/10.56003/phosj.v1i2.671
    Creative Commons Attribution-ShareAlike License OPEN ACCESS
    Published Online: 14 January 2026
    |
    page 163-173
    Abstract

    Background: First aid skills for respiratory emergencies, particularly shortness of breath, are crucial for university health volunteers who often serve as the first responders. However, theory-based learning alone is not always adequate for developing practical competencies.

    Objectives: This study aims to evaluate the effectiveness of theoretical education compared to the combination of theory and simulation in enhancing the knowledge and skills of university health volunteers in managing cases of shortness of breath.

    Methods: A quasi-experimental pre-posttest design was conducted among 40 student volunteers of the Indonesian Red Cross Volunteer Corps (KSR-PMI), aged 18-20 years, who were equally assigned to a theory-only group or a theory-plus-simulation group. The intervention consisted of two 45-minute sessions. Knowledge and skills were assessed before and after the intervention. Data were analyzed using the Wilcoxon Signed Rank Test and the Mann–Whitney U Test with a significance level of α = 0.05.

    Results: Knowledge significantly improved in both groups (p < 0.05), with no significant difference between them (p = 0.204). Skill performance improved markedly in the simulation group, increasing from 0% to 100%, compared with only 20% in the theory-only group (p < 0.001).

    Conclusions: While theoretical education effectively enhances knowledge, it is insufficient for developing practical skills. Integrating simulation-based training significantly improves psychomotor competence and better prepares university health volunteers to manage respiratory emergencies.

    APA Citation Style
    Wahyuda, A. N. , Marji, M. , Ulfah, N. H. , & Sulistyorini, A. (2026). Effects of theory-based education versus simulation-based training on knowledge and skills in managing shortness of breath among university health volunteers. Public Health and Occupational Safety Journal, 163-173. https://doi.org/10.56003/phosj.v1i2.671
  • Open Access

    The effect of leaflet-based education and simulation of first-aid in accidents (P3K) on the knowledge and skills of tourism workers in Indonesia

    Adelia Permatasari1, Anita Sulistyorini2, Supriyadi Supriyadi3, Nurnaningsih Herya Ulfah4
    1. State University of Malang , ID
    2. State University of Malang , ID
    3. State University of Malang , ID
    4. State University of Malang , ID
    2025-06-15
    doi https://doi.org/10.56003/phosj.v1i1.596
    Creative Commons Attribution-ShareAlike License OPEN ACCESS
    Published Online: 15 June 2025
    |
    page 127-138
    Abstract

    Background: Law Number 1 of 1970 concerning Occupational Safety requires all sectors, including tourism, to implement Occupational Safety and Health (K3). Taman Dolan Batu City, as a tourist destination, has a risk of work accidents, so it needs mitigation efforts through First Aid for Accidents (P3K).

    Objectives: This study aims to analyze the effect of leaflet-based education and simulation on workers' knowledge and first aid skills.

    Methods: The research design used a quasi-experiment conducted with a sample of 16 people divided into two different intervention groups. This study uses questionnaire instruments and observation sheets that have been proven valid and reliable through statistical tests (Pearson, Aiken's V, and Cronbach Alpha) and experts' validation of leaflet educational media. Data analysis used Wilcoxon Signed Rank, and Mann-Whitney U tests with a significance level of 0.05.

    Results: The results of hypothesis testing showed that both educational methods significantly improved workers' knowledge and skills (p<0.05). The combined intervention of leaflet and simulation proved more effective than the single method.

    Conclusions: Leaflet-based education and simulation together are more effective in improving the knowledge and skills of first aid workers at Dolan Park. Researchers recommend that managers routinely hold K3-related training to reduce the risk of workplace accidents. Future research is recommended to involve a larger sample and evaluate the long-term effectiveness of the intervention provided.

    APA Citation Style
    Permatasari, A. , Sulistyorini, A. , Supriyadi, S. , & Ulfah, N. H. (2025). The effect of leaflet-based education and simulation of first-aid in accidents (P3K) on the knowledge and skills of tourism workers in Indonesia. Public Health and Occupational Safety Journal, 127-138. https://doi.org/10.56003/phosj.v1i1.596
  • Open Access

    The relationship between quality and quantity of antenatal care services and stunting in children 24–59 months of age

    Aulia Pramesti1, Hartati Eko Wardani2, Tika Dwi Tama3, Anindya Hapsari4
    1. State University of Malang , ID
    2. State University of Malang , ID
    3. State University of Malang , ID
    4. State University of Malang , ID
    2025-06-14
    doi https://doi.org/10.56003/phosj.v1i1.539
    Creative Commons Attribution-ShareAlike License OPEN ACCESS
    Published Online: 14 June 2025
    |
    page 97-113
    Abstract

    Background: Stunting is a chronic nutritional problem whose causes include unmet nutrition in pregnant women, lack of infant nutritional intake, and socioeconomic conditions. Dinoyo Health Center covers an area with a high stunting rate in Malang City, particularly Lowokwaru District. Previous research stated that the dominant factor causing stunting in toddlers is antenatal care (ANC).

    Objectives: This study aims to determine whether stunting in toddlers in the Dinoyo Community Health Center area is caused by the quality and quantity of ANC.

    Methods: The research method is observational analytic with a case-control design using a retrospective approach. The population was 1643 mothers taken from three villages: Tlogomas, Dinoyo, and Sumbersari. The research sample amounted to 69 people using purpose sampling. The research was conducted in February - March 2023. Quality measurement was based on a minimum 10T service standard, while quantity measurement was based on a minimum frequency of 4 visits using a checklist sheet instrument and MCH book with Chi-Square analysis.

    Results: The results obtained for ANC quality with stunting p-value = 0.609 with OR value = 1.30 (95% CI: 0.47-3.55), while ANC quantity with stunting p-value = 0.864 with OR value = 1.09 (95% CI: 0.40-2.97).

    Conclusions: It is concluded that the quality and quantity of antenatal care have no association with the incidence of stunting in children under 24-59 months in the Dinoyo Community Health Center (Puskesmas) area. These findings highlight the need for multifactor interventions beyond ANC to reduce stunting, such as improved maternal nutrition and environmental sanitation.

    APA Citation Style
    Pramesti, A. , Wardani, H. E. , Tama, T. D. , & Hapsari, A. (2025). The relationship between quality and quantity of antenatal care services and stunting in children 24–59 months of age. Public Health and Occupational Safety Journal, 97-113. https://doi.org/10.56003/phosj.v1i1.539
  • Open Access

    Correlation analysis of vaccination coverage, positivity rate, and community mobility rate on COVID-19 effective reproductive rate: SIR modeling study from Indonesia

    Meirina Nur Asih Susanti1, Siti Nurrochmah2, Lucky Radita Alma3, Supriyadi Supriyadi4
    1. State University of Malang , ID
    2. State University of Malang , ID
    3. State University of Malang , ID
    4. State University of Malang , ID
    2025-06-03
    doi https://doi.org/10.56003/phosj.v1i1.534
    Creative Commons Attribution-ShareAlike License OPEN ACCESS
    Published Online: 03 June 2025
    |
    page 80-96
    Abstract

    Background: Effective Reproduction Rate (Rt) is used to evaluate COVID-19 transmission; although Tegal City has the lowest cumulative cases in Central Java, the spread of the virus remains rapid. Intervention efforts are carried out through vaccination coverage, positivity rate, and level assessment as a shared responsibility to reduce the transmission rate.

    Objectives: The purpose of this study was to estimate the spread of COVID-19 with the intervention and to determine whether there is a correlation between the COVID-19 Rt Number and vaccination coverage, positivity rate, and level assessment situation in Tegal City.

    Methods: Observational quantitative research design. The type of research used was SIR (Susceptible Infected Removed) mathematical modeling and descriptive analysis through an ecological study approach and Spearman correlation statistical analysis.

    Results: The results of the study showed a decrease in the number of cases of vulnerable and infected subpopulations after public health interventions, followed by the results that the positivity rate and level assessment situation were significantly correlated with the strength of the relationship powerful to the Covid-19 Effective Reproductive Rate with values (r=0.856; p=0.00) and (r=-0.712; p=0.00), while vaccination coverage was not statistically significantly correlated with a value of (r=-0.209; p=0.137).

    Conclusions: The positivity rate and COVID-19 level assessment situation were statistically significantly correlated to the effective reproductive rate of COVID-19 in Tegal City with a strong correlation. Meanwhile, vaccination coverage did not correlate statistically with effective reproductive rate. Further studies must evaluate the effectiveness of combined interventions (vaccination + testing + mobility restriction) in various epidemiological settings.

    APA Citation Style
    Susanti, M. N. A. , Nurrochmah, S. , Alma, L. R. , & Supriyadi, S. (2025). Correlation analysis of vaccination coverage, positivity rate, and community mobility rate on COVID-19 effective reproductive rate: SIR modeling study from Indonesia. Public Health and Occupational Safety Journal, 80-96. https://doi.org/10.56003/phosj.v1i1.534
  • Open Access

    Impact of large-scale social restrictions on air quality (NO₂, CO, O₃) during COVID-19: Surabaya case study, Indonesia

    Asmaul Nur Fitria1, Supriyadi Supriyadi2, Muhammad Al-Irsyad3, Anindya Hapsari4
    1. State University of Malang , ID
    2. State University of Malang , ID
    3. State University of Malang , ID
    4. State University of Malang , ID
    2025-04-23
    doi https://doi.org/10.56003/phosj.v1i1.528
    Creative Commons Attribution-ShareAlike License OPEN ACCESS
    Published Online: 23 April 2025
    |
    page 27-39
    Abstract

    Background: The COVID-19 pandemic galvanized the world at the end of 2019. It was identified as an attack on humans and spread very quickly almost all over the world. As the person in charge of protecting the community, the government makes a policy that can suppress the spread of the COVID-19 virus.

    Objectives: This study aims to determine whether implementing large-scale social restrictions (PSBB) in the COVID-19 period (2020 to 2021) impacts air quality in Surabaya City, East Java.

    Methods: This quantitative research uses an Analysis of Secondary Data (ADS) approach by utilizing secondary data as the primary source. This research was conducted at the Surabaya City Environmental Service, East Java Province, in July - August 2021, with the total population being all the results of NO2, O3, and CO air quality measurements in 2020-2021 during the COVID-19 pandemic in January 2020 to December 2021 at monitoring stations in Surabaya City. This study uses Wilcoxon test analysis.

    Results: The results showed that implementing the first phase of large-scale social restrictions had no significant impact on NO₂ air quality in Surabaya City (p = 0.068). Implementing the transitional PSBB (second stage) had no significant impact on NO₂ air quality in Surabaya City (p = 0.068). Implementing the first and second phases of the PSBB has no significant impact on NO₂ air quality in Surabaya City (p = 0.173).

    Conclusions: The implementation of PSBB Phase One and PSBB Phase Two (transition period) did not significantly impact the air quality of NO2, CO, or O3 gases in Surabaya City. This finding challenges the common assumption that lockdowns automatically improve air quality and emphasizes the need for more comprehensive environmental policies.

    APA Citation Style
    Fitria, A. N. , Supriyadi, S. , Al-Irsyad, M. , & Hapsari, A. (2025). Impact of large-scale social restrictions on air quality (NO₂, CO, O₃) during COVID-19: Surabaya case study, Indonesia. Public Health and Occupational Safety Journal, 27-39. https://doi.org/10.56003/phosj.v1i1.528
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