Objective: Pandemic causes an increase in the poverty rate. The consequences will be many, including the birth of stunting babies. The COVID-19 pandemic has had an impact on stunting. Analyzing the factors that cause stunting during a pandemic will provide suggestions for effective stunting prevention strategies at the national, regional, community, and household levels. This study aims to determine the factors that influence stunting during the pandemic. Method: We use mixed methods. The respondents of this study were 152 mothers of the Maternal and Child Nutrition Security project, and the sampling technique is Cluster Sampling. Quantitatively using a baseline survey whose analysis uses multiple logistic regression to determine the unadjusted and adjusted odds ratio. The qualitative data used focus group discussions which were analyzed using Nvivo 12 with a questionnaire, and anthropometric measurements of children from surveyed households. Results: This study summarizes the multivariate analysis of stunting determinants in the pandemic era, revealing statistically significant interactions between household sanitation facilities and household water treatment. Significant risk factors for severe stunting during the pandemic were male gender, older child age, coming from a low socioeconomic quintile, not participating in prenatal care at a health facility, and mother’s involvement in choices about what to prepare for Community House. The FGDs identified misinformation about childcare and consumption of sweetened condensed milk as significant contributors to child malnutrition. Conclusions: Lack of sanitation facilities and untreated water are contributing factors. Water, sanitation, and hygiene initiatives must be included into Indonesian policies and programs to combat child stunting during a pandemic. The need for further research related to government assistance for improving toddler nutrition, as well as the relationship between WASH and linear development in early infancy should be explored.

Psychological health spans several domains, including mental health and quality of life. Mental Toughness is the most widely used but its understanding is limited when applied in sports psychology. Mental Toughness can affect athlete’s performance, Mental Toughness plays an important role in maintaining overall athlete performance during intense matches. The total number of articles obtained at the beginning of the search matched the keywords that has been set is 33 articles. Furthermore, of the remaining 12 articles were identified after an extensive search of the literature in accordance to the PRISMA guidelines, there were four articles included in the exclusion criteria with details, two articles included in the qualitative articles, one article was a duplicate article, and one article was a case study article after a critical appraisal was carried out. The results of a systematic review on twelve articles, the authors found an effect of mental toughness on improving athlete performance. Each of the results found resulted in three major themes, namely: (1) the relationship between mental toughness, mindfulness, and psychological skills in athletes. (2) factors impact athletes' performance, well-being, and ability to handle challenges in sports. (3) the influence of various demographic and educational factors on mental toughness in athletes. The study emphasizes Mental Toughness's impact on both physical performance and mental health in athletes, highlighting its role in managing stress and pressure during sports challenges. Additionally, it underlines the importance of implementing Mental Toughness and mindfulness training programs, along with providing robust psychological support, to enhance athletes' mental strength and overall well-being in sports. Keywords: Adolescent, Child, Mindfulness, Quality of Life, Athletic Performance, Athletes, Anxiety.

Purpose: The pandemic makes everyone alert, including nurses who are in emergency rooms at community health centers, the importance of their experiences is a lesson for nurses to maintain themselves and be effectivein providing services. This study aimed to explore the experience of nurses who are in emergency rooms at rural area during the coronavirus disease pandemic. Methods: This qualitative research was conducted based on the Nvivo 12 analysis method using in-depth semistructured interviews. Data saturation was reached after 20 interviews were completed. Data collection lasted for 1 month from February to March 2020. Results: Semistructured interviews with 20 nurse participants obtained the following participant characteristics. Eight participants were males and 12 were females with an age ranged from 28 to 43 years (average age 36.4 years). The majority had vocational education (75%), with long experience that ranged from 5 to 15 years (average 11 years). The findings of four themes and seven subthemes. The theme of the findings is Expressions of care, Compliance increases using Personal Protective Equipment (PPE), Focus to refer to, Triage at the forefront. Conclusion: This research reveals that Expressions of care, Compliance increases using PPE, Focus to refer to, Triage at the forefront is the main theme identified in this study. Further investigation of the readiness of nurses in handling patients in the emergency room is considered to be of benefit to the results of this study.

Objective: This study aims to increase understanding of the process of nursing students at risk of completing suicide attempts that facilitates the transition from suicidal ideation to action. And The Central Bureau of Statistics, there were 812 suicide cases throughout Indonesia. Methods: The qualitative research involved 15 nursing students who were selected purposively. data collection in rural East Java Data were collected through semi-structured interviews and analyzed using the Colaizzi phenomenological method. Results: We identified six main themes; 1 (the dimension of individual history). 2 (socio-cultural dimension) describes the problems experienced by nursing students on campus and off campus. 3 (interpersonal dimension). 4 (intrapersonal dimension); Factors of family conflict, peer conflict, and psychiatric and/or medical disorders. 5 (emotional dimension). 6. (be a good listener). Conclusion: The intrapersonal element is the most influential catalyst in the progression from suicidal ideation to action. As prospective targets for preventive interventions and practices with nursing students at risk of suicide, our findings suggest the need for specific measures addressing freshman recruitment during selection for faculty, emotional dysregulation, and feelings of invalidity and entrapment. Nursing students need intrapersonal training. Being a good listener for all students, lecturers and staff is important to create a support system for suicide prevention in the nursing environment.

The family, at community, must be an important part of elderly care. However, most of the elderly experience a decrease in psychological well-being and quality of life. This is not in accordance with the concept of the family-centered care (FCC) model and can endanger the continuity of the elderly with chronic illnesses. The aim of this study was to explore experience of FCC among patients with chronic illness, nurses, families, and volunteers. This study examines the contextual-based FCC model qualitatively. In-depth interviews and focus group discussions were conducted by 12 elderly people, 3 nurses, 10 family members, and 3 volunteers. In total, 36 people, where several were FGD participants, were also interviewed in depth. Data were analyzed using thematic analysis, with codes organized into larger themes. In total, 36 interviews and FGDs were conducted. The concept of information interaction, the phenomenon of emotional interaction, the practical interaction, and various factors that can either facilitate or impede interaction, were considered the four significant themes. FCC acceptance is found in interactions between parents, nurses, family, and volunteers who are not optimistic. Lack of communication and collaboration was noted between community nurses and volunteers. Offer a new perspective on developing and implementing interventions that facilitate positive interactions, reduce family burdens, provide high-quality treatment for parents with chronic diseases, and improve the quality of care for those with advanced chronic conditions. These insights provide a fresh perspective on how to develop and implement effective interventions in this context. It is recommended that future research should employ multiple methodologies to investigate FCC across diverse health practices for the elderly population.

Introduction: In recent years, mobile health (mHealth) applications have revolutionized healthcare by improving accessibility, boosting patient engagement, and simplifying health management processes. However, despite their increasing popularity, there is still a significant lack of understanding regarding how demographic factors shape user perceptions and interactions with these tools. Objective: This research aims to assess user satisfaction and the perceived value of the Sehhaty app among residents of Hail City, Saudi Arabia, while also examining how demographic variables influence user engagement. The findings emphasize the necessity of incorporating demographic insights into the design of mHealth applications and introduce the Integrated Digital Health Engagement Model (IDHEM) as a novel theoretical framework. Method: A cross-sectional study design was implemented, using an electronic survey distributed to 333 users of the Sehhaty app. The survey evaluated key aspects such as ease of use, user satisfaction, system information organization, and perceived usefulness. Convenience sampling was utilized to ensure participation from a wide range of demographic groups. Descriptive statistics and Pearson correlation analysis were conducted to explore the relationships between demographic characteristics and user perceptions. Results: The study revealed high levels of user satisfaction, with 94% of participants reporting that the app was easy to use, resulting in an overall satisfaction score of 4.56 out of 5. Significant correlations were identified between demographic factors like age, gender, and employment status, suggesting that personalized development approaches can significantly enhance user engagement. Conclusion: The Sehhaty app shows great promise in enhancing healthcare access and management, especially among younger and female users. The findings underscore the importance of considering demographic factors in the design of mHealth applications to better meet diverse user needs. Additionally, this study introduces the IDHEM, providing a new framework for understanding user behavior and guiding the development of future digital health solutions.