Airlangga Medica Hospitalia

Family Perspectives on ICU–ICCU Nurses’ Assertive Communication at Universitas Airlangga Hospital for Service Excellence

2025-07-09T07:38:44+07:00

Assertive communication by staff in intensive care units (ICU–ICCU) is essential for delivering family-centered care and achieving service excellence. This study aimed to explore patient families’ perceptions of ICU–ICCU nurses’ assertive communication at Universitas Airlangga Hospital, Surabaya. A quantitative descriptive-analytic design was employed involving 30 purposively selected family members. Data were collected using a validated 10-item assertive communication questionnaire (α = 0.93; r = 0.514–0.929) and analyzed using descriptive statistics, one-sample t-test, one-way ANOVA, and Pearson correlation. The mean total assertive communication score was 36.9 ± 3.7, with 74.2% of respondents rating the nurses’ communication as very assertive. The highest-rated indicators were empathetic listening (mean = 3.87) and comfort in asking for help (mean = 3.80), while openness to criticism received the lowest rating (mean = 3.07). A one-sample t-test showed the mean score was significantly higher than the theoretical midpoint of 25 (t(29) = 17.80; p < 0.001). No significant differences were found based on gender, age, education, or duration of accompaniment. However, a significant difference was observed based on the respondent’s relationship to the patient (F(3, 26) = 3.40; p = 0.032). Although ICU–ICCU nurses were generally perceived as highly assertive communicators, the low rating for feedback openness reveals a relational gap. Assertive communication training should therefore emphasize not only clarity and confidence, but also empathy, receptiveness to criticism, and inclusive, relationship-centered approaches to strengthen family engagement in care.

Preventing Employee Turnover in Hospital Management

2025-07-09T07:57:11+07:00

Turnover intention can be triggered by organizational and job factors. there are several studies related to work factors, namely, job involvement and organizational citizenship behavior while to organizational factors namely employee engagement, job involvement or employee work involvement is a form of responsibility or full commitment of employees in involving themselves through roles and concern with their work both in terms of physic, knowledge, and emotional. The research used a quantitative research approach, and the analytical method used validity and reliability tests as a measure of accuracy instruments in the measurement and testing of data collection tools and as a test tool to determine consistency instrument measurement.

The Impact of Reverse Osmosis Water on the Prognosis of Dialysis Patients at Universitas Airlangga Hospital, Indonesia

2025-07-14T08:48:19+07:00

Mortality after introducing hemodialysis was high at the beginning of the project. St Mary’s hospital has started the cooperation to improve Reverse Osmosis (RO) water, by changing the hemodialysis circuit to the hygienic piping route, verifying bacteriological tests with adequate sampling, and introducing endotoxin filter. The above interventions were only implemented in ward 1 but not in ward 6. Totally, 415 patients who had hemodialysis from March 2018 to December 2023 were enrolled. 181 patients were in Ward 1 and 234 were in ward 6. These patients were followed until they dropped off. Biochemical data from 68 patients and culture and endotoxin data from RO water were analyzed at the available period of the month. The outcome of ward 1 became better than that of ward 6 and the improvement of prognosis was more obvious under 55 patients. The viable bacteria data in RO water showed the eminent fluctuations in Ward 1. Biochemical data were not significantly different, except for the anemia level. Endotoxin level was drastically improved and have reached National standards. The improvement of RO water was attributed to the better prognosis and its effect was more obvious in younger patients. Further study is needed to clarify factors, such as renal function, complications of patients.

In Silico Insight of Endothelin Signaling in Idiopathic Pulmonary Fibrosis (IPF)

2025-07-14T08:56:04+07:00

Idiopathic pulmonary fibrosis (IPF), a form of interstitial lung disease (ILD), is characterized by progressive lung scarring with a poor prognosis. Endothelin signalling has emerged as a key player in lung fibrogenesis under various pathological conditions. However, its specific contribution to IPF pathogenesis remains poorly elucidated. We propose that leveraging in silico modelling approaches can provide valuable insights into the role of endothelin signalling in IPF, potentially paving the way for novel therapeutic and diagnostic strategies. We employed datasets curated from the Gene Expression Omnibus (GEO) database. Comprehensive data analyses from lung, bronchoalveolar lavage cells, blood and human primary fibroblast samples from both control and IPF patients were utilized to uncover the expression patterns and clinical correlations of endothelin genes. Furthermore, single-cell RNA-sequencing (scRNA-seq) was leveraged to explore the cellular heterogeneity and specific cell types harboring aberrant endothelin expression in the IPF lung microenvironment. Our analysis revealed a significant changes of endothelin genes expression pattern in IPF patient samples as compared to healthy control. Notably, IPF patients with upregulation of endothelin-1, demonstrated a statistically significant poorer survival. These findings implicate endothelin signalling as a novel and potentially targetable pathway in IPF. Further investigations are warranted to validate these findings and explore the therapeutic potential of modulating endothelin signalling in this lung disease.

The Correlations Between Brand Image and Patient Loyalty at the Universitas Airlangga Hospital

2025-07-14T13:42:19+07:00

The rapid progression of technology and information has revolutionized public awareness and decision-making in healthcare, leading people to become more discerning based on perceived competency and brand reputation rather than only on cost or proximity. This research examines the correlation between brand image and patient loyalty at Universitas Airlangga Hospital (RS UNAIR), a teaching hospital in Surabaya that has seen substantial development since its inception in 2018. Data were acquired using a cross-sectional observational approach using questionnaires provided to 80 outpatient visitors (general and BPJS patients) chosen via purposive selection. The independent variable, brand image, was evaluated by hospital choice, strength, and uniqueness, whilst the dependent variable, patient loyalty, was quantified by interest in repeat visits and the propensity to suggest the hospital. Statistical analysis included descriptive and correlation tests, with significance established at p < 0.05. The findings revealed that patients with over three years of visits reported a more robust brand image than fresher patients. The research revealed that, while a favorable brand image correlates with increased competitiveness, employee morale, and public trust, there is no statistically significant relationship between brand image and patient loyalty. The results indicate that while brand image affects the hospital's reputation, other variables may impact long-term patient loyalty.

Potential Role of Ferritin Levels in Distinguish the Severity and Predict the Outcome of COVID-19 Patients

2025-08-20T14:49:14+07:00

Ferritin is a key mediator of immune dysregulation through its direct pro-inflammatory effects, which contribute to inflammatory cytokine storms and tissue damage. This study aims to analyze ferritin roles in distinguish the severity and predict the outcome of COVID-19 patients. An observational analytic study, using a cross-sectional design, enrolled 142 patients which subsequently divided into a non-severe (mild to moderate cases) and a severe (severe to critically ill cases) group. The levels of ferritin was examined using Enzyme Immunoassay Test Kit on the first day patients was hospitalized. Mann Whitney test was used to analyze the correlation between ferritin levels with severity and outcome of COVID-19 patients. The median of ferritin level was higher in the severe group (1532.1 ng/ml, SD= 1715.552) compared to non-severe group (413.3 ng/ml, SD= 459.804) with a statistically significant difference (p< 0.001), cut off point of 865.1 ng/ml, sensitivity of 86.96% (95% CI: 76.68%–93.86%), and specificity of 87.67% (95% CI: 77.88%–94.20%). Ferritin levels were also higher in non-survivors (1496.55 ng/ml, SD = 1798.677) than in survivors (662.05 ng/ml, SD = 1293.026), with a significant difference (p < 0.001), cut off point of 1032.85 ng/ml, sensitivity of 63.33% (95% CI: 43.86% to 80.07%), and specificity of 63.39% (95% CI: 53.76% to 72.29%). This results showed that ferritin levels may not good enough to predict the outcomes, with Contingency coefficient of 0.244 that showed a very weak correlation. The baseline ferritin levels at admission was closely related to the severity of COVID-19, thus it may be considered a potential biomarker for assessing disease severity. However, ferritin levels appear to be insufficiently accurate for predicting clinical outcomes in COVID-19 patients.