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Evaluation of the Nursing Student Performance Assessment Model in Integrated Clinical Practice S. Darmojo, Hardjito; M. Adila Rossa; Filda Fairuza; Al-Bahra
JIKO (Jurnal Ilmiah Keperawatan Orthopedi) Vol. 3 No. 2 (2019): JIKO (Jurnal Ilmiah Keperawatan Orthopedi)
Publisher : Unit Penelitian dan Pengabdian Masyarakat STIKES Fatmawati Jakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46749/3rwzy763

Abstract

Integrated clinical practice is an essential component of nursing education because it serves as the primary means for students to apply theoretical knowledge, clinical skills, and professional attitudes in the context of real-life healthcare. Therefore, a performance assessment model capable of evaluating student competency comprehensively, objectively, and sustainably is needed. This study aims to evaluate the nursing student performance assessment model in integrated clinical practice and analyze the influence of assessment components on student clinical performance. The study used a quantitative, descriptive-analytical design with a survey approach. The study sample consisted of 180 final-year nursing students undergoing integrated clinical practice, selected using a stratified random sampling technique. The research instrument was an integrated clinical performance assessment questionnaire covering the domains of clinical knowledge, psychomotor skills, and professional behavior. Data analysis was performed using descriptive and inferential statistics, including a difference test and multiple linear regression. The results showed that the majority of students had high clinical performance, with the highest scores in the professional behavior domain. The performance assessment model, which included rubric clarity, assessment consistency, and preceptor feedback, had a significant effect on student clinical performance. These findings confirm that structured and integrated clinical assessment serves not only as an evaluation tool but also as a learning strategy that supports the holistic development of student competencies. This study recommends the consistent implementation of an integrated clinical assessment model to improve the quality of nursing education and graduates' readiness for professional practice.
Health Literacy as the Foundation of Nursing Education in the Era of Digital Transformation S. Darmojo, Hardjito; Siswosuharjo, Partono; Rossa, M. Adila
JIKO (Jurnal Ilmiah Keperawatan Orthopedi) Vol. 6 No. 2 (2022): JIKO (Jurnal Ilmiah Keperawatan Orthopedi)
Publisher : Unit Penelitian dan Pengabdian Masyarakat STIKES Fatmawati Jakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46749/vytn9e17

Abstract

Digital transformation has significantly changed the way health information is accessed, understood, and utilized, thus requiring nursing staff to have adequate digital health literacy competencies. Health literacy is no longer limited to the ability to understand conventional health information, but also includes critical skills in navigating and evaluating digital-based health information sources. This study aims to analyze the role of health literacy as a foundation in developing digital health literacy in nursing students in the era of digital transformation. The study used a quantitative design with a descriptive-correlation survey approach. The sample consisted of 200 nursing students selected through stratified random sampling. Data were collected using the Health Literacy Questionnaire (HLQ) and the eHealth Literacy Scale (eHEALS), then analyzed using descriptive statistics, Pearson correlation, and multiple linear regression. The results showed that the level of health literacy and digital health literacy of students was in the moderate to high category. There was a significant positive relationship between general health literacy and digital health literacy (r = 0.53; p < .001). The regression analysis showed that general health literacy was the main predictor of digital health literacy, followed by technology-based learning experiences. However, the ability to evaluate the credibility of digital health information remains the lowest. This finding underscores the importance of systematically integrating digital health literacy into the nursing education curriculum to equip students with critical, adaptive, and professional competencies to face the challenges of nursing practice in the digital era.
The Relationship between Health Education and Nurses' Compliance with Nursing Care Standards Mardianti, Lina; S. Darmojo, Hardjito; Al-Bahra, Al-bahra
JIKO (Jurnal Ilmiah Keperawatan Orthopedi) Vol. 7 No. 2 (2023): JIKO (Jurnal Ilmiah Keperawatan Orthopedi)
Publisher : Unit Penelitian dan Pengabdian Masyarakat STIKES Fatmawati Jakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46749/j0dxxd80

Abstract

Background: Nurses' adherence to nursing care standards is an important indicator in ensuring the quality and safety of healthcare services. Nursing care standards serve as professional guidelines for implementing a systematic and evidence-based nursing process. One factor suspected of influencing nurses' adherence is health education, both formal and continuing education through training and competency development. Objective: This study aims to analyze the relationship between health education and nurses' adherence to nursing care standards. Methods: This study used a quantitative analytical design with a cross-sectional approach. The study sample consisted of 225 nurses working in hospital inpatient units, selected using a purposive sampling technique. Data were collected through a structured questionnaire that measured the level of health education and nurses' adherence to nursing care standards. Data analysis was performed using the chi-square test and logistic regression with a significance level of p < 0.05. Results: The results showed a significant relationship between health education and nurses' adherence to nursing care standards (p = 0.001). Nurses with higher health education were more likely to adhere to nursing care standards than nurses with lower health education. Conclusion: Health education plays a significant role in improving nurses' adherence to nursing care standards. Strengthening continuing education and training is recommended as a strategy to improve the quality and safety of nursing services.
The Relationship between Organizational Management and Nurse Job Satisfaction Rossa, M. Adila; S. Darmojo, Hardjito; Al-Bahra, Al-bahra
JIKO (Jurnal Ilmiah Keperawatan Orthopedi) Vol. 7 No. 2 (2023): JIKO (Jurnal Ilmiah Keperawatan Orthopedi)
Publisher : Unit Penelitian dan Pengabdian Masyarakat STIKES Fatmawati Jakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46749/25ryz949

Abstract

This study aims to analyze the effectiveness of Outcome-Based Education (OBE)-based nursing student competency measurement in improving the quality of clinical learning and the professional readiness of graduates. The research method used a quantitative approach with a descriptive-analytical design for nursing students who had participated in integrated clinical practice. The research instruments included competency assessment sheets, student perception questionnaires, and documentation of academic evaluation results. Data were statistically analyzed using descriptive and inferential tests to identify the relationship between OBE implementation and competency achievement levels. The results showed that systematic OBE implementation improved clinical abilities, therapeutic communication skills, and evidence-based nursing decision-making. Furthermore, students demonstrated high levels of learning satisfaction because the learning objectives, evaluation methods, and feedback were clearly structured and measurable. These findings confirm that curriculum integration, authentic assessment, and learning reflection are critical factors in the successful implementation of OBE. Therefore, strengthening the outcome-based competency evaluation system is necessary to ensure the quality of nursing education and the readiness of graduates to face the complex demands of healthcare
Integration of Health Education into Nursing Practice to Improve Patient Safety S. Darmojo, Hardjito; Mardianti, Lina; Rossa, M. Adila; Suciana, Ewin
JIKO (Jurnal Ilmiah Keperawatan Orthopedi) Vol. 8 No. 1 (2024): JIKO (Jurnal Ilmiah Keperawatan Orthopedi)
Publisher : Unit Penelitian dan Pengabdian Masyarakat STIKES Fatmawati Jakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46749/x3zp4a48

Abstract

Patient safety is a primary indicator of healthcare quality and is the responsibility of all healthcare workers, particularly nurses, who provide direct patient care. One strategic effort to improve patient safety is through the integration of health education into nursing practice. This study aims to analyze the relationship between the integration of health education into nursing practice and improved patient safety. The study used a quantitative design with a descriptive correlational approach. The study sample consisted of nurses working in inpatient care units, using a purposive sampling technique. Data collection was conducted using a structured questionnaire that measured the level of integration of health education and patient safety. Data analysis was conducted descriptively and analytically using correlation tests. The results showed that the majority of nurses had integrated health education into nursing practice, with a good level of patient safety. Furthermore, their patient safety level was also high. The correlation analysis revealed a positive and significant correlation between the integration of health education and patient safety, indicating that the better the implementation of health education by nurses, the higher the level of patient safety. The discussion of the research findings reveals that structured, ongoing health education supported by effective therapeutic communication can improve patient knowledge, awareness, and participation in maintaining safety during the care process. The conclusion of this study confirms that integrating health education into nursing practice is a crucial strategy for improving patient safety. Therefore, healthcare facilities are expected to strengthen policies, ongoing training, and a culture of patient safety to support the optimization of nurses' educational role
Clinical Learning Models in Nursing Students and Their Impact on Work Readiness Al-Bahra, Al-bahra; S. Darmojo, Hardjito
JIKO (Jurnal Ilmiah Keperawatan Orthopedi) Vol. 8 No. 1 (2024): JIKO (Jurnal Ilmiah Keperawatan Orthopedi)
Publisher : Unit Penelitian dan Pengabdian Masyarakat STIKES Fatmawati Jakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46749/a2hepn89

Abstract

The clinical learning model is a crucial component of nursing education because it plays a direct role in shaping students' competencies and work readiness. Work readiness is a key indicator of the success of the educational process, particularly in facing the complex and dynamic demands of professional nursing practice. This study aims to analyze the influence of the clinical learning model on nursing students' work readiness. The study used a quantitative design with a descriptive analytical approach. The study sample consisted of 100 final-year nursing students who had participated in clinical practice, selected using a purposive sampling technique. Data were collected using a structured questionnaire that measured students' perceptions of the clinical learning model and their level of work readiness, which included aspects of clinical competence, self-confidence, communication, and professional readiness. Data were analyzed through univariate analysis, bivariate analysis using the Chi-Square test, and multivariate analysis using logistic regression. The results showed that most respondents rated the clinical learning model as good and had a high level of work readiness. Bivariate analysis showed a significant relationship between the clinical learning model and students' work readiness (p < 0.05). Multivariate analysis revealed that the clinical learning model was the dominant factor influencing nursing students' work readiness after controlling for age, gender, and length of clinical practice. This study concludes that implementing an effective and structured clinical learning model can improve nursing students' work readiness. Therefore, strengthening clinical learning strategies needs to be a priority in nursing education curriculum development
Innovation in Nursing Learning Methods to Improve Students' Critical Thinking S. Darmojo, Hardjito; Siswosuharjo, Partono; Fathiyati, Fathiyati; Rossa, M. Adila
JIKO (Jurnal Ilmiah Keperawatan Orthopedi) Vol. 9 No. 1 (2025): JIKO (Jurnal Ilmiah Keperawatan Orthopedi)
Publisher : Unit Penelitian dan Pengabdian Masyarakat STIKES Fatmawati Jakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46749/fpe93a33

Abstract

Critical thinking is an essential competency that nursing students must possess to support appropriate clinical decision-making and safe nursing practice. However, the application of conventional learning methods remains a challenge in optimally developing critical thinking skills. This study aims to analyze the effectiveness of innovative nursing learning methods in improving students' critical thinking skills. The study used a quasi-experimental design with a pretest–posttest control group approach. The study subjects consisted of 80 undergraduate nursing students divided into an experimental group and a control group. The experimental group received an innovative learning intervention integrating flipped learning, case-based learning, and clinical simulation, while the control group used conventional learning methods. Critical thinking skills were measured using a validated critical thinking instrument. The results showed a significant increase in critical thinking skills in the experimental group compared to the control group (p < 0.001), with a very strong effect size. The highest increase was found in the clinical reasoning aspect. This study concludes that innovative nursing learning methods are effective in improving students' critical thinking skills and are recommended for integration into the nursing education curriculum
Interprofessional Education in Nursing as a Strategy to Enhance Healthcare Team Collaboration Al-Bahra, Al-bahra; S. Darmojo, Hardjito
JIKO (Jurnal Ilmiah Keperawatan Orthopedi) Vol. 9 No. 1 (2025): JIKO (Jurnal Ilmiah Keperawatan Orthopedi)
Publisher : Unit Penelitian dan Pengabdian Masyarakat STIKES Fatmawati Jakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46749/6v3ekb50

Abstract

Interprofessional education (IPE) is a learning approach that involves students from various health professions to learn together, understand each other's roles, and develop collaborative skills in healthcare. This approach is increasingly important in nursing education given the complexity of patient needs and the demands of effective collaborative healthcare team practices. This study aims to analyze the role of interprofessional education in nursing as a strategy to improve healthcare team collaboration. The research method used a quantitative approach with a quasi-experimental design, involving nursing students and other healthcare professionals participating in an interprofessional education program based on case discussions and clinical simulations. Healthcare team collaboration was measured using a standardized instrument that assesses communication, role understanding, teamwork, and shared decision-making. The results showed a significant increase in healthcare team collaboration skills after the interprofessional education intervention. The most prominent improvements were seen in interprofessional communication and understanding of professional roles. These findings confirm that interprofessional education is an effective learning strategy for preparing nursing students for collaborative practice in healthcare settings. The systematic integration of interprofessional education into the nursing curriculum is recommended to improve the quality of care and patient safety.
Measuring Nursing Students' Competency Achievements Based on Outcome-Based Education Rossa, M. Adila; S. Darmojo, Hardjito; Siswosuharjo, Partono
JIKO (Jurnal Ilmiah Keperawatan Orthopedi) Vol. 6 No. 2 (2022): JIKO (Jurnal Ilmiah Keperawatan Orthopedi)
Publisher : Unit Penelitian dan Pengabdian Masyarakat STIKES Fatmawati Jakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46749/mx7b4m79

Abstract

Measuring nursing students' competency achievement is a crucial component in ensuring the quality of graduates who are ready to practice professionally safely and effectively. The Outcome-Based Education approach emphasizes the achievement of students' actual abilities through alignment of the curriculum, learning process, and a continuous evaluation system. This study aims to explore in-depth the process of measuring nursing students' competency achievement based on Outcome-Based Education from the perspectives of final-year students and clinical supervisors. The study employed a qualitative design with a phenomenological approach. Participants were selected purposively until data saturation was achieved. Data were collected through in-depth interviews, participant observation, and document review, followed by thematic analysis. The results identified five main themes: understanding the concept of Outcome-Based Education, the gradual and continuous process of measuring competency, factors supporting competency achievement, barriers to implementing outcome-based evaluation, and the impact on readiness for professional practice. The outcome-based approach has been shown to improve the integration of theory and practice, improve students' self-confidence, and improve critical thinking skills. However, challenges remain, including variations in assessment standards, limited practice time, the administrative burden of evaluation, and anxiety about competency testing. These findings confirm that measuring competency based on Outcome-Based Education requires standardized instruments, strengthening the capacity of clinical supervisors, and ongoing institutional support.
Simulation-Based Nursing Education in Improving Clinical Competence Siswosuharjo, Partono; S. Darmojo, Hardjito; Fathiyati, Fathiyati
JIKO (Jurnal Ilmiah Keperawatan Orthopedi) Vol. 8 No. 2 (2024): JIKO (Jurnal Ilmiah Keperawatan Orthopedi)
Publisher : Unit Penelitian dan Pengabdian Masyarakat STIKES Fatmawati Jakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46749/pbssp846

Abstract

Nursing education is required to produce graduates with adequate clinical competency to ensure the quality and safety of healthcare services. One rapidly developing innovative learning approach is simulation-based nursing education, designed to bridge the gap between theory and clinical practice. This study aimed to analyze the effect of simulation-based nursing education on improving the clinical competency of nursing students. The study used a quasi-experimental design with a pretest-posttest approach and a control group. The study sample consisted of 80 nursing students divided into an intervention group and a control group. The intervention group received simulation-based clinical learning, while the control group underwent conventional clinical learning. Clinical competency was measured using the Objective Structured Clinical Examination (OSCE) and a standardized clinical skills instrument. Data analysis was performed using paired t-tests and independent t-tests. The results showed a significant increase in clinical competency in the intervention group compared to the control group (p < 0.001) with a strong effect size. These findings indicate that simulation-based nursing education is effective in improving clinical skills, decision-making, and student confidence. Therefore, simulation is recommended as a primary learning strategy in nursing education to enhance graduates' clinical readiness