Rolles N. Palilingan
Doctoral Program in Educational Management, Graduate School, Universitas Negeri Manado, Indonesia

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Managing Education and Training for Electronic Medical Records to Improve Medical Service Quality at Gunung Maria General Hospital, Tomohon Rizki R. Najoan; Mozes M. Wullur; Rolles N. Palilingan; Ruth Umbase
International Journal of Information Technology and Education Vol. 5 No. 2S (2026): Special Issue, April 2026
Publisher : JR Education

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The digitalization of health services has shifted hospital management toward integrated information systems, more accurate data governance, and stronger human resource capability. One of the most consequential changes in this transition is the adoption of Electronic Medical Records (EMR), which replaces fragmented paper-based documentation with digital records that can support continuity of care, patient safety, and managerial efficiency. Yet the success of EMR implementation depends not only on software and infrastructure but also on how hospitals manage education and training for the personnel who use the system. This article develops a journal-style synthesis of a qualitative dissertation on the management of EMR training at Gunung Maria General Hospital, Tomohon, Indonesia. The study focused on four managerial dimensions: planning, organizing, implementation, and evaluation of training. Using a qualitative descriptive design, data were gathered through in-depth interviews, observations, and document analysis involving hospital management, medical personnel, and administrative staff. The findings show that EMR utilization has been constrained by high rates of input error, uneven user competence, inadequate needs analysis, limited continuity in post-training support, and weak supervision and evaluation mechanisms. Although EMR training has been implemented, it has not yet been managed as a systematic competency-based program grounded in continuous improvement. The study further shows that effective EMR utilization requires alignment between training design, organizational support, workflow integration, supervision, and evaluation. Based on these findings, the article proposes an integrated education and training management model that emphasizes competency mapping, adaptive instructional strategies, structured mentoring, ongoing supervision, and periodic evaluation linked to service quality outcomes. The model is expected to reduce human error, improve the accuracy of medical data, strengthen user confidence, and enhance the quality of care. This article contributes to educational management and health information systems literature by demonstrating that digital transformation in hospitals must be supported by a human-centered training system rather than by technology adoption alone.
Healthcare Team Education Management for Improving Antihypertensive Medication Adherence Among Older Adults in Manado City, Indonesia Jimmy F. Rumampuk; Mozes M. Wullur; Rolles N. Palilingan; Viktory N. J. Rotty
International Journal of Information Technology and Education Vol. 5 No. 2S (2026): Special Issue, April 2026
Publisher : JR Education

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This article analyzes the implementation of stunting management policies in Minahasa Regency. The study uses a descriptive qualitative approach to examine the policy process, the delivery of health services, community empowerment, health-supporting infrastructure, and determinant factors influencing policy performance. Data were obtained through observation, in-depth interviews, and documentation involving local government actors, district and village officials, health workers, community cadres, and community representatives. The analysis follows an interactive qualitative model consisting of data condensation, data display, and conclusion drawing. The findings show that stunting management has been implemented through structured planning, primary-health-service mechanisms based on puskesmas and posyandu, food supplementation, maternal and child health monitoring, community education, and village-level support. However, the implementation has not yet achieved full effectiveness because cross-sector integration remains weak, community participation is uneven, infrastructure and data quality are still limited, and program execution often depends on the capacity and commitment of local implementers. Determinant factors include policy communication, human and financial resources, bureaucratic coordination, implementer disposition, and socio-economic conditions. The article argues that stunting policy implementation requires stronger convergence governance, integrated local data, continuous cadre capacity building, culturally grounded health communication, and a family-centered service model that links specific nutrition interventions with sensitive interventions in sanitation, poverty reduction, education, and local economic empowerment.
Integrated Phlebotomy Training Model for Healthcare Workers in a Private Hospital in North Minahasa Iwan W. Joseph; Tinneke E. M. Sumual; Rolles N. Palilingan; Viktory N. J. Rotty
International Journal of Information Technology and Education Vol. 5 No. 3 (2026): June 2026
Publisher : JR Education

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Phlebotomy is a high-frequency clinical procedure whose quality strongly affects laboratory accuracy, patient safety, service efficiency, and public trust in hospital care. This article examines the governance of a phlebotomy training model for healthcare workers in a private hospital in North Minahasa by focusing on planning, implementation, evaluation, and formulation of an integrated model. The study used a qualitative descriptive approach. Data were collected through in-depth interviews, participatory observation, focus group discussion, and documentation of training plans, standard operating procedures, learning activities, and evaluation records. Data were analyzed thematically through transcription, coding, categorization, triangulation, and interpretation based on educational management and health-training theories. The findings show that training planning had been initiated through curriculum preparation, competency-need identification, standard operating procedures, and management involvement. However, planning remained more administrative than performance-based because it was not fully supported by a measurable competency map, modern simulation facilities, certified instructors, and digital learning infrastructure. Training implementation combined lectures, demonstrations, and laboratory practice, but it was still dominated by conventional methods and limited simulation. Evaluation showed improvement in knowledge, but psychomotor skill, workplace behavior, and organizational outcomes were not yet measured consistently. The proposed model integrates ADDIE, POAC, blended learning, simulation, mentoring, Kirkpatrick-based evaluation, clinical audit, and continuous professional development. The model is expected to strengthen technical competence, communication ethics, patient safety, data-based monitoring, and sustainable service quality improvement.
Behavior Change Management Model for Patients with Skin Diseases in Hospital-Based Dermatological Care: A Qualitative Educational Management Study Shienty Gaspersz; Herry Sumual; Rolles N. Palilingan; Jeffry Sony Junus Lengkong
International Journal of Information Technology and Education Vol. 5 No. 3 (2026): June 2026
Publisher : JR Education

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This article presents a qualitative educational management study on the development of a behavior change management model for patients with skin diseases in hospital settings in Manado City. The study is grounded in the problem that clinical treatment for dermatological conditions is frequently not followed by consistent patient adherence to therapy, self-care routines, trigger avoidance, and long-term follow-up. The study employed a phenomenological qualitative design involving physicians, health professionals, and patients. Data were collected through in-depth interviews, focus group discussion, observation, and document analysis, and analyzed through data reduction, coding, thematic categorization, display, verification, and triangulation. The findings show that patient education has already been practiced as part of dermatological consultation; however, educational planning remains largely individual, implicit, situation-based, and dependent on each physician's experience. The implementation of education is mostly verbal, informative, and clinic-centered, while participatory dialogue, family involvement, written materials, follow-up documentation, and behavioral evaluation remain limited. Patients interpret behavior change as a gradual learning process involving cognitive understanding, emotional acceptance, confidence, professional support, and personal experience. The article proposes a contextual model consisting of needs-based planning, collaborative organization, participatory implementation, meaning reconstruction, reinforcement, and continuous evaluation. The model contributes to educational management by framing hospitals as non-formal learning spaces and patients as adult learners whose sustained behavioral change requires structured, empathetic, culturally sensitive, and continuously monitored education. The model also strengthens promotive and preventive functions in dermatological care by linking clinical management with patient learning and behavior change.