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All Journal JIKO(Jurnal Ilmiah Keperawatan Orthopedi) JIKO (Jurnal Ilmiah Keperawatan Orthopedi)
Al-bahra Al-Bahra
Department of Information Technology Education University of Raharja, Tangerang, Indonesia
Health Professions Medicine & Pharmacology Nursing Public Health Veterinary

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Measuring the Impact of Learning Evaluation on the Readiness of Nursing Graduates in the World of Work Hardjito S. Darmojo; Al-bahra Al-Bahra; Fathiyati Fathiyati
JIKO (Jurnal Ilmiah Keperawatan Orthopedi) Vol. 10 No. 1 (2026): 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: 10.46749/75s8bm55

Abstract

Introduction: The transition from nursing education to professional practice remains a critical challenge, often characterized by a gap between academic assessment systems and real-world clinical demands. Learning evaluation plays a pivotal role not only in measuring academic achievement but also in shaping graduate nurses’ work readiness. However, the extent to which different components of learning evaluation contribute to work readiness remains underexplored. Objective: This study aimed to analyze the impact of learning evaluation on the work readiness of nursing graduates entering the healthcare workforce. Methods: A quantitative cross-sectional correlational design was employed. A total of 236 nursing graduates from diploma and bachelor programs were selected using stratified random sampling. Data were collected using validated questionnaires measuring learning evaluation components (formative assessment, summative assessment, clinical simulation, and preceptor feedback) and the Work Readiness Scale for Graduate Nurses (WRS-GN). Data were analyzed using Pearson correlation and multiple linear regression analysis with a significance level of p < 0.05. Results: Learning evaluation demonstrated a significant relationship with work readiness (r = 0.658, p < 0.001). Multiple regression analysis revealed that learning evaluation explained 56.9% of the variance in work readiness (R² = 0.569). Among the components, preceptor feedback emerged as the most dominant predictor (β = 0.356, p < 0.001), followed by clinical simulation (β = 0.267, p < 0.001) and formative assessment (β = 0.184, p = 0.006). Summative assessment showed no significant effect on work readiness (p = 0.135). Conclusion: Learning evaluation significantly influences nursing graduates’ work readiness, with practice-based evaluation components such as preceptor feedback and clinical simulation playing the most critical roles. The findings highlight the need to shift from traditional summative-based evaluation toward competency-based and clinically integrated assessment systems to better prepare nursing graduates for real-world healthcare demands
Midwifery E-Learning as a Medium for Improving Midwifery Students' Competence in the Digital Era Al-bahra Al-Bahra; Hardjito S. Darmojo; Ewin Suciana
JIKO (Jurnal Ilmiah Keperawatan Orthopedi) Vol. 10 No. 1 (2026): 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/meq4m871

Abstract

The development of digital technology has driven a transformation in the learning system in midwifery education, one of which is through the implementation of e-learning. This study aims to analyze the effectiveness of e-learning as a medium for improving the competency of midwifery students in the digital era. The study employed a mixed methods approach with a sequential explanatory design that combines quantitative and qualitative methods. The quantitative design employed a quasi-experimental pretest-posttest control group design, involving 80 midwifery students divided into e-learning and conventional learning groups. Data were collected through competency tests, questionnaires, observations, and in-depth interviews. Quantitative data analysis was conducted using paired t-tests, independent t-tests, and effect size tests, while qualitative data were analyzed thematically. The results showed that the e-learning group experienced a higher increase in learning outcomes than the conventional group, with a significant difference (p<0.05). The effect size value indicates a significant impact on improving student competency. Furthermore, e-learning also increased students' learning motivation, active participation, learning independence, and digital literacy. Students expressed positive perceptions of the flexibility, ease of access, and interactivity of digital-based learning. However, the implementation of e-learning still faces obstacles such as limited internet connections, technological readiness, and limited direct clinical practice. This study concludes that e-learning is an effective and innovative learning medium for improving the competencies of midwifery students in the digital era, especially when combined with a blended learning approach.
Evaluation of the Implementation of a Learning Management System (LMS) in Health Higher Education Institutions Ewin Suciana; Al-Bahra Al-Bahra; Siti Madinah Ladjamuddin
J I K O (Jurnal Ilmiah Keperawatan Orthopedi) Vol 10, No 2 (2026): Vol 10, No 2 (2026): JIKO (Jurnal Ilmiah Keperawatan Orthopedi)
Publisher : LPPM AKPER FATMAWATI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46749/jiko.v10i2.223

Abstract

This study aims to evaluate the implementation of a Learning Management System (LMS) in a health sciences higher education institution by analyzing system quality, information quality, service quality, LMS usage, user satisfaction, learning engagement, and learning outcomes. A quantitative approach was employed, utilizing a survey design involving students and lecturers as LMS users. The evaluation was developed based on the DeLone and McLean information systems success model, extended to include the constructs of learning engagement and learning outcomes. The results indicate that the overall implementation of the LMS falls into the "effective" category, with an average score of 4.00 on a 5-point scale. Information quality received the highest score (4.12), followed by system quality (4.08), user satisfaction (4.06), LMS usage (4.01), learning engagement (3.94), and learning outcomes (3.91). Analysis of the relationships between variables reveals that system quality, information quality, and service quality positively influence LMS usage and user satisfaction. Furthermore, LMS usage contributes to user satisfaction, while satisfaction is positively associated with learning engagement. Learning engagement emerged as the strongest predictor of learning outcomes. These findings demonstrate that LMS success is determined not only by technological quality but also by content quality, service support, usage intensity, satisfaction, and active student engagement. The study recommends strengthening infrastructure, content quality, technical support, and interactive learning, as well as utilizing learning analytics to enhance LMS effectiveness in health sciences higher education.
Midwifery E-Learning as a Medium for Improving Midwifery Students' Competence in the Digital Era Al-bahra Al-Bahra; Hardjito S Darmojo; Ewin Suciana
J I K O (Jurnal Ilmiah Keperawatan Orthopedi) Vol 10, No 1 (2026): Vol 10, No 1 (2026): JIKO (Jurnal Ilmiah Keperawatan Orthopedi)
Publisher : LPPM AKPER FATMAWATI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46749/jiko.v10i1.219

Abstract

The development of digital technology has driven a transformation in the learning system in midwifery education, one of which is through the implementation of e-learning. This study aims to analyze the effectiveness of e-learning as a medium for improving the competency of midwifery students in the digital era. The study employed a mixed methods approach with a sequential explanatory design that combines quantitative and qualitative methods. The quantitative design employed a quasi-experimental pretest-posttest control group design, involving 80 midwifery students divided into e-learning and conventional learning groups. Data were collected through competency tests, questionnaires, observations, and in-depth interviews. Quantitative data analysis was conducted using paired t-tests, independent t-tests, and effect size tests, while qualitative data were analyzed thematically. The results showed that the e-learning group experienced a higher increase in learning outcomes than the conventional group, with a significant difference (p<0.05). The effect size value indicates a significant impact on improving student competency. Furthermore, e-learning also increased students' learning motivation, active participation, learning independence, and digital literacy. Students expressed positive perceptions of the flexibility, ease of access, and interactivity of digital-based learning. However, the implementation of e-learning still faces obstacles such as limited internet connections, technological readiness, and limited direct clinical practice. This study concludes that e-learning is an effective and innovative learning medium for improving the competencies of midwifery students in the digital era, especially when combined with a blended learning approach
Measuring the Impact of Learning Evaluation on the Readiness of Nursing Graduates in the World of Work Hardjito S Darmojo; Al-bahra Al-Bahra; Fathiyati Fathiyati
J I K O (Jurnal Ilmiah Keperawatan Orthopedi) Vol 10, No 1 (2026): Vol 10, No 1 (2026): JIKO (Jurnal Ilmiah Keperawatan Orthopedi)
Publisher : LPPM AKPER FATMAWATI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46749/jiko.v10i1.218

Abstract

Introduction: The transition from nursing education to professional practice remains a critical challenge, often characterized by a gap between academic assessment systems and real-world clinical demands. Learning evaluation plays a pivotal role not only in measuring academic achievement but also in shaping graduate nurses’ work readiness. However, the extent to which different components of learning evaluation contribute to work readiness remains underexplored. Objective: This study aimed to analyze the impact of learning evaluation on the work readiness of nursing graduates entering the healthcare workforce. Methods: A quantitative cross-sectional correlational design was employed. A total of 236 nursing graduates from diploma and bachelor programs were selected using stratified random sampling. Data were collected using validated questionnaires measuring learning evaluation components (formative assessment, summative assessment, clinical simulation, and preceptor feedback) and the Work Readiness Scale for Graduate Nurses (WRS-GN). Data were analyzed using Pearson correlation and multiple linear regression analysis with a significance level of p < 0.05. Results: Learning evaluation demonstrated a significant relationship with work readiness (r = 0.658, p < 0.001). Multiple regression analysis revealed that learning evaluation explained 56.9% of the variance in work readiness (R² = 0.569). Among the components, preceptor feedback emerged as the most dominant predictor (β = 0.356, p < 0.001), followed by clinical simulation (β = 0.267, p < 0.001) and formative assessment (β = 0.184, p = 0.006). Summative assessment showed no significant effect on work readiness (p = 0.135). Conclusion: Learning evaluation significantly influences nursing graduates’ work readiness, with practice-based evaluation components such as preceptor feedback and clinical simulation playing the most critical roles. The findings highlight the need to shift from traditional summative-based evaluation toward competency-based and clinically integrated assessment systems to better prepare nursing graduates for real-world healthcare demands
Analysis of Patient Data Security in Cloud Computing-Based Midwifery Information Systems Siti Madinah Ladjamuddin; Al-bahra Al-Bahra; Fathiyati Fathiyati
J I K O (Jurnal Ilmiah Keperawatan Orthopedi) Vol 10, No 1 (2026): Vol 10, No 1 (2026): JIKO (Jurnal Ilmiah Keperawatan Orthopedi)
Publisher : LPPM AKPER FATMAWATI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46749/jiko.v10i1.220

Abstract

This study aims to analyze patient data security within a cloud-based midwifery information system using the Health and Risk (H&R) approach. While digital transformation in midwifery services enhances the availability and accessibility of patient information, it simultaneously introduces risks regarding confidentiality, integrity, privacy, and unauthorized access to health data. The study employed a descriptive quantitative approach, involving 100 healthcare professionals who use the cloud-based midwifery information system as respondents. Data collection was conducted via a questionnaire covering five security dimensions: confidentiality, integrity, availability, access control, and privacy. Analysis was performed using descriptive statistics and a risk assessment based on a combination of probability and risk impact. The results indicate that the overall level of data security falls into the high category, with a mean score of 3.998. The availability dimension achieved the highest score at 4.18, followed by confidentiality at 4.12 and integrity at 4.05. Meanwhile, access control scored 3.86, and privacy was the lowest-scoring dimension at 3.78. Risk analysis revealed that unauthorized access and data breaches posed the highest risks, each with a risk score of 20. The findings demonstrate that cloud implementation has supported the availability of midwifery information; however, strengthening access controls, privacy protection, authentication, audit trails, encryption, and user security awareness remains essential. This study recommends periodic, risk-based security evaluations to enhance patient data protection and the reliability of the midwifery information system.
The Influence of Digital Leadership, Employee Engagement, and Organizational Support on the Performance of Healthcare Workers in Hospitals Partono Siswosuharjo; M. Adila Rossa; Al-Bahra Al-Bahra
J I K O (Jurnal Ilmiah Keperawatan Orthopedi) Vol 10, No 2 (2026): Vol 10, No 2 (2026): JIKO (Jurnal Ilmiah Keperawatan Orthopedi)
Publisher : LPPM AKPER FATMAWATI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46749/jiko.v10i2.222

Abstract

Digital transformation in healthcare requires hospitals not only to adopt technology but also to strengthen leadership capacity, healthcare worker engagement, and organizational support to achieve optimal service performance. This study aims to analyze the influence of Digital Leadership, Employee Engagement, and Organizational Support on the performance of healthcare workers in hospitals. A quantitative approach with a cross-sectional design was employed. The study involved 200 healthcare workers selected based on established inclusion criteria. Data were collected using Likert-scale questionnaires and analyzed using Partial Least Squares-Structural Equation Modeling (PLS-SEM). Model evaluation encompassed convergent validity, discriminant validity, construct reliability, the coefficient of determination (R²), effect size, predictive relevance, and hypothesis testing via bootstrapping. The results indicate that Digital Leadership has a positive and significant effect on healthcare worker performance (β = 0.218; p < 0.001). Employee Engagement exerts a positive and significant influence, representing the strongest effect (β = 0.421; p < 0.001), while Organizational Support also shows a positive and significant impact (β = 0.287; p < 0.001). Collectively, these three variables explain 68.4% of the variance in healthcare worker performance (R² = 0.684). These findings demonstrate that enhancing performance in the digital transformation era requires adaptive digital leadership, high levels of employee engagement, and sustained organizational support. The study offers implications for hospital management in designing digital-based human resource development strategies
Implementation of Integrated Quality Management in Nursing Services M. Adila Rossa; Hardjito S Darmojo; Al-Bahra Al-Bahra
J I K O (Jurnal Ilmiah Keperawatan Orthopedi) Vol 4, No 2 (2020): JIKO (Jurnal Ilmiah Keperawatan Orthopedi)
Publisher : LPPM AKPER FATMAWATI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46749/jiko.v4i2.190

Abstract

Integrated Quality Management (IQM) is a strategic approach oriented towards continuous improvement to enhance the quality of healthcare services, including nursing care. Nurses, as frontline care providers, play a crucial role in ensuring patient quality and safety. Therefore, the implementation of IQM in nursing care is a relevant issue that merits in-depth study. This study aims to explore the implementation of IQM in nursing care and identify supporting factors, barriers, and its impact on service quality. The study employed a qualitative approach with a phenomenological design. Data were collected through in-depth interviews, participant observation, and document review in the nursing care unit. The informants included nurses, ward heads, nursing managers, and the quality management team, selected purposively. Data were analyzed using thematic analysis to identify key patterns and themes. The results indicate that the implementation of IQM in nursing care has been ongoing, but remains partial and tends to be administrative. Nursing leadership and active nurse involvement play a crucial role in the success of IQM implementation. Key barriers include high workload, limited resources, and lack of ongoing training. Nevertheless, the implementation of Integrated Quality Management (TMM) has had a positive impact on compliance with care standards, nursing documentation, and patient safety awareness. This study concludes that strengthening a culture of quality, visionary leadership, and nurse empowerment are necessary to optimize the implementation of Integrated Quality Management (TMM) in nursing services
Co-Authors Ewin Suciana Fathiyati, Fathiyati Hardjito S Darmojo Hardjito S Darmojo Hardjito S. Darmojo M. Adila Rossa Partono Siswosuharjo Siti Madinah Ladjamuddin