ABSTRACT
Career path is a tiered pattern used to improve nurse performance and professional competence. Regional General Hospitals in Aceh Province were used as the research site to enhance nurse competence by implementing a clinical career path pattern. The Objective of the study was to determine the application of the clinical nurse career path pattern from the perspective of a nurse manager at a regional general hospital in Aceh Province. A qualitative method and phenomenological approach involving 10 correspondence was used with characteristics as nurse managers with a minimum educational background of Diploma III in nursing, and had worked for four years in a hospital. Then, the data were analyzed using the Colaizzi method. This research resulted in 3 themes that became obstacles in applying career path, including reduced implementation of clinical nurse re-credential, the lack of management support and commitment, and limited resources for applying career path pattern. The application of the pattern of professional clinical nurse career paths has not run optimally. Therefore, the hospital and nursing management should support and be committed to planning career path pattern. This include planning the HR needs, compiling and ratifying guidelines, conducting explicit socialization and re-credentials. They should also provide rewards through career development in the form of education and training following the competency gap of nurses.

ABSTRACT
Non-communicable diseases such as diabetes mellitus is a problem that needs to be considered by all levels of society because the diseases often increase morbidity and mortality. Generally, sufferers often experience behavioral changes including frustration, aggressive behavior, non-compliance in terms of treatment, anxiety about complications, and obstacles in socializing. This disease causes the patients to experience more stress known as diabetes distress. The Research aims to determine the factors associated with diabetes distress in patients with type 2 diabetes mellitus at the Aceh Tamiang Regional Hospital. The Study was conducted from March to July 2021 among 101 patients with Diabetes Mellitus Type 2. Data processing was carry results showed that the average distress value of type 2 diabetes mellitus patients was 2.71 (SD = 0.411), elderly (79.2%), male (65.7%), highly educated (64, 4%), married status (88.1%), long had diabetes mellitus (52.5%), had complications (67.3%), used oral medication (88.1%), not adhering to treatment (51.5%), did not receive family support (68.3%). Consequently, nurses are needed to educate sufferers concerning the complications of the disease both physically and psychologically.

ABSTRACT
Anemia or low levels of hemoglobin (Hb) in the blood are a health problem that frequently occurs in developing countries. Adolescents who suffer from anemia are easily lethargic and fatigued which has an impact on creativity and productivity. In addition, adolescents are at risk of experiencing susceptibility to diseases and deliveries that might cause the babies to have nutritional problems when they grow up. This study aims to examine the knowledge, attitudes and behaviors of anemia prevention in female adolescents in South Aceh Junior High School (SMP). The research design used a cross-sectional study. Samples were taken by total sampling with a total of 123 female adolescents. The results of the chi-square test showed that the variable associated with anemia prevention behavior was knowledge with p-value of 0.028 (<0.05). The results of the study are expected to be a reference to further increase the knowledge of adolescents regarding anemia prevention.

ABSTRACT
Verbal abuse experienced by nurses has a significant impact on work, which may reduce worker morale and reduce productivity and quality of work. Several factors influence verbal abuse in nurses, including demographics, workplace stress, leadership style and organizational climate. The purpose of this study was to identify factors that influence the verbal violence of nurses in Aceh government hospitals. A quantitative design based on a cross-sectional approach was used in this study. The sample for this study was 391 based on a simple random sampling technique. The findings of this study indicated that the factors that influence verbal abuse among nurses are aging, work stress, employment status, shifts, and organizational climate.

ABSTRACT
Burnout in caregivers of schizophrenic patients continues to increase with unrecovered cases of schizophrenia. Therefore, this study aims to determine the factors associated with burnout in caregivers of patients with schizophrenia in the Psychiatric Intensive Care Unit. A cross-sectional study design was used with a sample of 350 respondents through demographic questionnaire, Way of Coping (WOC), Multidimensional Scale of Perceived Social Support (MSPSS), Morisky Medication Adherence Scale (MMAS-8), Visual Analogue Scale For Anxiety (VAS-A), and Maslach Burnout Inventory (MBI). The results showed that most caregivers were male (68.6%), married (66%), had long cared for patients (81.4%), had moderate economic status (47.1%), had adaptive coping mechanisms (87.4%), moderate social support (68.6%), moderate anxiety (44.0%) and severe burnout (72.9%). The schizophrenic burnout factors analyzed were marital status, length of caregiver, and the coping mechanisms.

ABSTRACT
Background: Antenatal care (ANC) is the continuous care that is accorded to women in the course of pregnancy. Notably, antenatal care is an efficient health intervention aimed at inhibiting maternal mortality and morbidity majorly in areas where women have poor health. This study therefore assessed the facility related factors that influence utilization of ANC at Saku sub-county, Kenya. Methods: This research applied descriptive cross sectional study design. The study was carried out in Saku Sub County in the following randomly selected health facilities: Marsabit County Referral Hospital, Dakabaricha Dispensary and Jirime Dispensary. The study population comprised of post-natal mothers aged between 15-49 years seeking services at maternal and child health clinic (MCH) in Saku Sub County. The Cochran's Sample Size Formula was used to calculate a sample size of 154 respondents. The study employed a researcher- administered semi-structured questionnaire and use of focused group discusions. Descriptive statistics, chi-square tests and logistic regression were used in the analysis. Results: Majority 89.6% (n=133) stated that the health-care facilities and health care personnel were fairly neat during the ANC visit. 90% (n=148) of the respondents did not report delay during ANC visits. 42% (n=65) of the healthcare providers were friendly. 97.4 % (n=150) stated that privacy was maintained during ANC visits. 63% (n=97) stated that the distance to the health facility was below five (5) kilometer.30.5% (n=47) used between three and four hundred shillings as fare when going for ANC clinics. Conclusion: Among Facility related factors, none was statistically significantly associated with utilization of ANC Services.

ABSTRACT
Background: As nursing colleges rapidly closed due to the global coronavirus disease-2019 (COVID-19) pandemic, students and faculty faced unprecedented challenges. COVID-19 pandemic forced the cancellation of all campus curricular and extra-curricular activities. The traditional face-to-face nursing education method was quickly shifted online. It had to be administered via various virtual platforms as distance education. The shift to distance education forced the nursing faculty to reconsider the appropriate method to deliver their course contents to their students. The impact of COVID-19 has prompted rapid changes in nursing education at a pace not previously experienced, which impacted theory classrooms, laboratory demonstrations, and clinical practicum. Implementation of distance education was to safeguard the safety of all involved in the nursing colleges and ensure accomplishing the learning outcomes and professional competencies without any suspension. However, the challenges faced by nursing faculty and students were unprecedented and had to be noted and considered. Nevertheless, it was an opportunity for everyone to learn from such an unanticipated shift in education. Objective: The emphasis of this review article is searching the internet for studies geared towards the effect of COVID-19 on nursing education and the nursing students' perceptions on shifting from traditional face-to-face education to distance education. Methodology: Google Scholar, Medline, and PubMed searches were used for articles selection from 2019 to 2021 that discussed COVID-19 and its effect on nursing education. Conclusion: COVID-19 impacted everyone on earth. It impacted nursing education; however, alternative education methods were used to compensate for the delays and keep the academic calendar running. Students have mixed feelings about their perceptions of the sudden shift of traditional education to distance education.