Background of study: Psychological well-being is a major concern for employees at UPTD Puskesmas Mojosari, particularly those facing high job demands. Social support plays an important role in this context.
Aims and scope of paper: This study aims to identify the relationship between social support and psychological well-being among these employees. Using a quantitative approach, the study involved 44 respondents from all UPTD Mojosari Health Center employees, selected through a total sampling technique.
Methods: Data were collected using questionnaires that measured both social support and psychological well-being.
Result: The results indicated that a significant portion of respondents experienced low social support, which was associated with low psychological well-being. Analysis using Spearman's rho test revealed a significant correlation (p < 0.05) between social support and psychological well-being. This finding suggests that higher levels of social support are linked to better psychological well-being among employees.
Conclusion: The implications of this study emphasize the importance of social support in maintaining mental and emotional health in the workplace. Therefore, there is a need to strengthen social support systems to create a healthier and more productive work environment.

Background of study: Delay time in arrival of ischemic stroke patients to the hospital is a special concern because the "golden period" for receiving thrombolysis therapy is missed.
Aims and scope of paper: The purpose of this study was to analyze the relationship between knowledge, residence status, distance of residence and use of ambulances with delays time in arrival of ischemic stroke patients.
Methods: The design of this study was correlational analytic with a cross-sectional design. The total population was 79 ischemic stroke patients in May 2025. The number of samples was 66 patients taken using the simple random sampling technique. Data collection using questionnaires, data analysis using the Spearman test.
Result: The results of the study based on the Spearman statistical test with a significance level = 0.05, obtained the results that there was a relationship between the knowledge factor and delays time in arrival (0.001 <0.05), there was a relationship between the residence status factor and delays time  in arrival (0.001 <0.05), there was a relationship between the ambulance use factor and delays time in arrival (0.002 <0.05) and there was no relationship between distance of residence factor and delays time in arrival (0.160>0.05).
Conclusion: There are many factors that cause delays time in the arrival of ischemic stroke patients. The researcher hopes that further researchers can continue research on factors that influence the delay time in arrival of ischemic stroke patients so that they can find the right solution to overcome the problem of late arrival of ischemic stroke patients.

Background of study: The increasing need for quality health center services, the service function needs to be improved to be more effective and efficient and provide satisfaction to patients and the community.

Aims and scope of paper: This study aimed to determine the relationship between the quality of health services and the level of satisfaction of outpatients

Methods: The design of this study used correlation analysis with a cross-sectional approach. The population in this study were all patients who had received health services totaling 142 people. The sampling technique of this study was consecutive sampling with a sample size of 44 people. The research instrument used a questionnaire. Data analysis used Spearman Rho.

Result: The results of the study showed that almost all respondents considered the quality of service sufficient, namely 37 people (84.1%) and more than 50% of respondents were satisfied, namely 25 people (56.8%). The results of the Spearman Rho test showed a p value = 0.001 < α = 0.05 with a coefficient correlation value of 0.499, which means that there is a relationship between service quality and patient satisfaction.

Conclusion: Semakin baik kualitas pelayanan, maka akan semakin puas pasien. Kualitas pelayanan yang baik memberikan dampak yang positif bagi kesembuhan pasien sesuai dengan hakekat pelayanan dasar dari pelayanan kesehatan adalah memenuhi kebutuhan dan pasien.

Background of Study: Nurses frequently experience high levels of occupational stress due to demanding workload conditions, leading to Burnout Syndrome (BOS). Burnout is characterized by emotional exhaustion, depersonalization, and reduced personal accomplishment, significantly impacting nurse well-being and healthcare service quality.
Aims and Scope of Paper: This study examines the relationship between workload and burnout syndrome among nurses at Aisyiyah Siti Fatimah Tulangan Hospital, Sidoarjo, aiming to identify the prevalence of burnout and its association with workload levels.
Methods: This study used a cross-sectional quantitative analytical design, involving 40 nurses from inpatient and outpatient units selected through total sampling. Data were collected using a structured workload questionnaire and the Maslach Burnout Inventory (MBI), which measures three dimensions of burnout: Emotional Exhaustion, Depersonalization, and Decreased Personal Accomplishment. Statistical analysis used the Chi-Square test with SPSS software to determine the significance of the relationship (p < 0.05).
Result: The majority of nurses (75%) reported moderate workload, while 25% experienced low workload; there were no cases of high workload. Despite this, the prevalence of burnout was very high, with 82.5% of nurses experiencing moderate burnout and 7.5% experiencing high burnout symptoms. Chi-square analysis confirmed a significant relationship (p < 0.05) between workload and burnout syndrome. Nurses with moderate workload were more likely to experience moderate to high burnout (93.3%). Emotional exhaustion emerged as the most affected component of burnout.
Conclusion: This study highlights that even moderate levels of workload can significantly contribute to burnout in nurses. These findings challenge the traditional view that only high workloads cause burnout, suggesting that psychological distress plays a crucial role. These results emphasize the need for effective workload management strategies, mental health support, and institutional interventions

Background: Indonesia has a high smoking rate and is a leading tobacco producer, with adolescent smoking prevalence increasing from 18.3% to 19.2% in 2019. This study explored smoking knowledge and behavior among 60 male adolescents in rural areas during the COVID-19 pandemic.
Methods: This study was conducted in rural areas in Indonesia. We employed a cross-sectional research design and included 60 adolescents, especially males, using data from a questionnaire about smoking knowledge and behavior. The dependent variables included knowledge and behavior of smoking in adolescents that occurred during COVID-19. The independent variables included adolescent-related factors about smoking during COVID-19.
Results: Individuals from rural areas in Indonesia started smoking at a very young age and had years of smoking experience using conventional cigarette since then. Receiving counseling about the dangers of smoking was statistically significantly related to good knowledge. Moreover, learning about the susceptibility of smoking to contract (p = 0.007), spread (p = 0.029), worsen symptoms (p < 0.001), and create a higher risk of COVID-19 infection (p = 0.001) can promote good knowledge. More than 50% of adolescents had the intention to decrease smoking around individuals and in the house during COVID-19.
Conclusion:Interventions targeting individuals at an early school age are needed. To develop knowledge and behavior about smoking among adolescents in Indonesia, schools should cooperate with other agencies.