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All Journal International Journal of Information Techonology and Education (IJITE)
Rolles N. Palilingan
Doctoral Program in Educational Management, Graduate School, Universitas Negeri Manado, Indonesia
Computer Science & IT Other

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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
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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
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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.
Management Strategies for Enhancing Healthcare Workers’ Competence in Erectile Dysfunction Education at a Primary Healthcare Center in Manado City, Indonesia Grace L.A. Turalaki; Jeffry Sony Junus Lengkong; Joulanda A M Rawis; Rolles N. Palilingan; Ruth Umbase
International Journal of Information Technology and Education Vol. 4 No. 4 (2025): September 2025
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Erectile dysfunction (ED) is a prevalent and treatable condition with substantial impacts on men’s quality of life, mental health, and intimate relationships. Despite its clinical importance, ED education at the primary healthcare level remains limited, particularly in sociocultural contexts where sexual health is considered taboo. This study explores healthcare workers’ competence in delivering ED education, identifies supporting and inhibiting factors, and formulates educational management strategies to strengthen ED education at a single primary healthcare center in Manado City, Indonesia. A qualitative case study design was employed. Data were collected from 46 healthcare workers through in-depth interviews, focus group discussions, observations of service delivery, and review of relevant internal documents. Data were analyzed using an interactive approach comprising data reduction, data display, and conclusion drawing (Miles et al., 2014). The findings reveal that healthcare workers’ competence ranges from low to moderate. While biomedical knowledge of ED is generally present, gaps persist in communication skills, empathy, counseling techniques, and culturally sensitive engagement. ED education is often brief, opportunistic, and non-standardized, limiting patient understanding and behavior change. Supporting factors include availability of private counseling space, leadership support, interprofessional collaboration, culturally appropriate educational media, and partner involvement. Inhibiting factors include time constraints, psychological discomfort among healthcare workers, social stigma, limited structured training, and the absence of standardized operating procedures (SOPs) for ED education. The study proposes a competency-based, continuous educational management strategy integrating planning, implementation, and evaluation (POAC), supported by coaching, supervision, and culturally responsive patient education practices. These findings contribute to educational management in healthcare by demonstrating how organizational systems and competence development can strengthen sensitive health education at the primary care level.
The Roadmap Policy of Junior High School Education in Maybrat Regency: A Qualitative Multi-Case Study on Planning, Implementation, and Evaluation in a 3T Context Kornelius Kambu; Jeffry Sony Junus Lengkong; Joulanda A M Rawis; Rolles N. Palilingan
International Journal of Information Technology and Education Vol. 4 No. 4 (2025): September 2025
Publisher : JR Education

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This study examines the planning, implementation, and evaluation of the Junior High School (SMP) Education Roadmap Policy in Maybrat Regency an Indonesian region categorized as 3T (frontier, outermost, underdeveloped). The study responds to persistent disparities in educational access and quality that are strongly shaped by geographic isolation, uneven teacher distribution, infrastructure gaps, and limited digital readiness. Using a qualitative multi-case design, data were collected through in-depth interviews with key actors (regional head, education office leadership, school principals, teachers, and community representatives), observations, and document analysis across SMP settings. Evidence indicates that the policy planning process has been initiated in a participatory manner and anchored in the region’s medium-term development direction; however, it remains insufficiently integrated with broader regional planning documents and is weakened by data validity constraints arising from uneven data synchronization practices. Implementation has shown tangible governmental commitment through infrastructure development, teacher contracting, local BOS strengthening, scholarships, and teacher training; nevertheless, implementation performance is constrained by structural and managerial challenges particularly shortages of subject teachers, transportation barriers, low parental participation, limited ICT facilities, and low digital literacy. Evaluation practices tend to emphasize administrative reporting rather than outcome-based learning improvements; although national instruments such as the Education Report Card (Rapor Pendidikan) have begun to be used, they are not yet fully integrated into iterative policy refinement. The findings suggest that strengthening evidence-based planning, ensuring consistent implementation mechanisms, improving inter-agency coordination, and adopting comprehensive outcome-oriented evaluation are critical for transforming the roadmap into an effective regional education governance instrument in 3T settings.
Training Management for Patient Education in Critical Care Areas at a Central General Hospital in Manado, Indonesia Mordekhai L Laihad; Joulanda A M Rawis; Rolles N. Palilingan; Joseph Philip Kambey
International Journal of Information Technology and Education Vol. 4 No. 4 (2025): September 2025
Publisher : JR Education

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Patient and family education is a cornerstone of quality healthcare, particularly in critical care areas where clinical uncertainty, high-risk decisions, and emotional distress converge. Despite its recognized importance, patient education in intensive care settings often remains inconsistent due to time pressure, heavy workloads, communication barriers, and limited standardized tools. This qualitative case study analyzes how training management can improve patient education practices in a critical care environment at a central general hospital in Manado, Indonesia. The study examines (1) training planning and needs assessment, (2) training implementation strategies, (3) training evaluation, and (4) contextual factors influencing success. Data were collected through in-depth interviews, FGDs, observation, and document review, and analyzed using an interactive approach supported by triangulation. Findings indicate that patient education quality was initially suboptimal, reflected in frequent refusal of medical procedures (approximately 50 cases per month), high family anxiety (around 80%), and inconsistent use of educational media. Key factors shaping patient education included nurses’ workload and time constraints, cultural and literacy barriers among families, variability in communication competence, and uneven availability and enforcement of SOPs and supporting media. A Training Needs Analysis (TNA) identified gaps across six key competency domains and informed the development of ten training modules. Training was delivered through simulation, role play, and bedside coaching, improving staff compliance with patient education SOPs from 38% to 70%. Evaluation using the Kirkpatrick and CIPP models suggested that training was relevant and impactful, although some outcome targets remained unmet. Recommendations include digitalizing education media, strengthening SOP implementation, embedding training into performance appraisal systems, and expanding training across units.
Transformational Leadership Construction of High School Principals in Raja Ampat Regency: A Grounded-Theory Case Study in an Archipelagic Context Stanly Fictor Metem Sauyai; Rolles N. Palilingan; Henny Nikolin Tambingon; Ruth Umbase
International Journal of Information Technology and Education Vol. 4 No. 4 (2025): September 2025
Publisher : JR Education

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This study describes and analyzes the construction of transformational leadership among high school (SMA) principals in Raja Ampat Regency and identifies determinant factors shaping that construction within an archipelagic and remote-area setting. The research employs a qualitative case study design and applies grounded-theory procedures to generate an empirically grounded leadership construction model. Data were gathered through in-depth interviews, observation, and document analysis, involving principals as main informants and teachers as supporting informants. Findings show that transformational leadership is constructed through eight interrelated dimensions manifested in daily leadership practices: (1) work direction, (2) communication of vision and mission, (3) trust building, (4) creativity development, (5) motivation provision, (6) role modeling, (7) optimism cultivation, and (8) instilling pride in the school. The construction of transformational leadership is influenced by two groups of determinant factors: internal factors (personal values, motivation, experience, competence, and self-reflection) and external factors (training, teacher support, professional interactions, educational policy, and the socio-cultural context of the archipelago). The study contributes a contextual leadership construction model relevant for remote and island-based education systems and offers implications for principal capacity development and policies to improve educational quality in geographically constrained regions.
Enhancing Quality Assurance in Teacher Education: Development of a PPEPP-Based Micro Teaching Assessment System Keith Francis Ratumbuisang; Herry Sumual; Orbanus Naharia; Mario Tulenan Parinsi; Hendry Tamboto; Ruth Umbase; Donal Ratu; Rolles N. Palilingan
International Journal of Information Technology and Education Vol. 4 No. 4 (2025): September 2025
Publisher : JR Education

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Micro teaching assessment plays a strategic role in preparing prospective teachers to develop professional teaching competencies. However, in many teacher education institutions, the assessment process is still conducted manually, inconsistently, and without adequate integration into institutional quality assurance systems. These limitations reduce the effectiveness of assessment as a tool for educational management and continuous improvement. This study aims to develop and evaluate a Micro Teaching Assessment Information System based on the PPEPP cycle (Planning, Implementation, Evaluation, Control, and Improvement) to support more systematic, transparent, and accountable assessment management. The research employed a Research and Development (R&D) approach consisting of needs analysis, system design, prototype development, expert validation, field testing, and product revision. Data were collected through observations, interviews, questionnaires, and system usability testing, and were analyzed using descriptive and inferential statistics as well as thematic analysis. The results indicate that the developed system achieved high levels of feasibility and usability, improved assessment efficiency, standardized evaluation procedures, enhanced the quality of feedback, and enabled real-time monitoring of student performance. The study concludes that the PPEPP-based assessment information system provides an effective technological solution for strengthening micro teaching management, supporting data-driven decision-making, and promoting sustainable quality improvement in teacher education.
The Disconnect between Financial Compliance and Pedagogical Utility in School Management: A Phenomenological Study on “Sleeping Assets” and Bureaucratic Rituals Novie Noldy Johanes Rompis; Henny Nikolin Tambingon; Rolles N. Palilingan; Ruth Umbase
International Journal of Information Technology and Education Vol. 5 No. 2 (2026): March 2026
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In the landscape of decentralized school-based management, principals hold a complex dual autonomy: as accountable fiscal managers and as visionary instructional leaders. However, the pressure of bureaucratic isomorphism often creates an extreme disparity in focus. This phenomenological study investigates how principals in Public Junior High Schools (SMP) in Tomohon City, Indonesia, navigate the existential tension between the demands for state financial reporting compliance and the effectiveness of asset utilization for learning. Through in-depth interviews, document analysis, and physical observation of schools, this study uncovers a chronic phenomenon of “Loose Coupling.” The findings indicate that: (1) An Asymmetry of Accountability occurs, where leadership energy is exhausted pursuing an administrative “clean audit” status, while the evaluation of pedagogical impact is neglected; (2) The emergence of the “Sleeping Assets” phenomenon, where teaching aids and learning technologies undergo an ontological death—purchased as symbols of modernity but unused in classroom practice; and (3) External evaluation tends to be blunt and normative, failing to diagnose the gap between budget expenditure and learning quality. This study concludes that without reforming accountability mechanisms to balance fiscal and pedagogical indicators, educational decentralization will only produce symbolic compliance without substantial quality improvement.
Co-Authors Donal Ratu Grace L.A. Turalaki Hansje Tommy Wuwungan Hendry Tamboto Henny Nikolin Tambingon Herry Sumual Iwan W. Joseph Jeffry Sony Junus Lengkong Jimmy F. Rumampuk Joseph Philip Kambey Joulanda A M Rawis Keith Francis Ratumbuisang Kornelius Kambu Mario Tulenan Parinsi Mordekhai L Laihad Mozes M. Wullur Novie Noldy Johanes Rompis Orbanus Naharia Rizki R. Najoan Ruth Umbase Shienty Gaspersz Stanly Fictor Metem Sauyai Tinneke E. M. Sumual Viktory N. J. Rotty