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All Journal JIKO (Jurnal Ilmiah Keperawatan Orthopedi)
Ewin Suciana
Department of Information Technology, University of Yarsi Pratama, Tangerang– Imdonesia
Health Professions Medicine & Pharmacology Nursing Public Health Veterinary

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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.
Integration of Health Education into Nursing Practice to Improve Patient Safety Hardjito S. Darmojo; Lina Mardianti; M. Adila Rossa; Ewin Suciana
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
The Relationship Between Self-Stigma Levels and Medication Compliance in Patients with Severe Mental Disorders Hernida Dwi Lestari; Desy Pramujiwati; Didi Sutisna; Ewin Suciana
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: 10.46749/60esfc20

Abstract

Background: Medication adherence is a key factor in the successful treatment of patients with severe mental illness. However, the level of non-adherence remains relatively high and is often associated with various psychosocial factors, one of which is self-stigma. Self-stigma can influence patients' perceptions of the disease and treatment, potentially reducing adherence to regular medication use. Objective: This study aims to analyze the relationship between self-stigma levels and medication adherence in patients with severe mental illness. Methods: This study used a quantitative design with a cross-sectional approach. A total of 220 patients with severe mental illness undergoing treatment at a mental health service facility became the study respondents. The level of self-stigma was measured using the Internalized Stigma of Mental Illness (ISMI), while medication adherence was measured using the Medication Adherence Rating Scale (MARS). Data analysis was performed descriptively and inferentially using the Spearman correlation test and logistic regression with a significance level of p < 0.05. Results: The results showed that most respondents had moderate to high levels of self-stigma and more than half of respondents were non-compliant with medication. There was a significant negative relationship between self-stigma and medication adherence (r = −0.462; p < 0.001). Patients with high self-stigma are at greater risk of non-adherence to treatment. Conclusion: Self-stigma is significantly associated with medication adherence in patients with severe mental illness. Interventions focused on reducing self-stigma need to be integrated into mental health services to improve medication adherence and patient outcomes.
The Role of Competency-Based Nursing Education in Improving the Quality of Health Services Hardjito S. Darmojo; Al-bahra Al-Bahra; Ewin Suciana
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/x1a9kw47

Abstract

Competency-based nursing education is a strategic approach that emphasizes the mastery of measurable knowledge, skills, and professional attitudes to ensure graduates are capable of providing quality healthcare services. This article aims to analyze the role of competency-based nursing education in improving the quality of healthcare services. The method used is a systematic literature review of journals, institutional reports, and current nursing education policies, as well as a case study of the application of clinical competencies in primary healthcare facilities. The study results indicate that integrating a competency-based curriculum improves nurses' clinical skills, strengthens decision-making, and minimizes errors in care. Competently trained graduates are able to respond effectively to patient needs, improve patient safety, and support the implementation of national and international healthcare standards. Furthermore, competency-based education fosters a culture of continuous professional development, strengthens interprofessional teamwork, and increases patient satisfaction. These findings confirm that strengthening competency-based nursing education not only focuses on academic achievement but also has a direct impact on the quality of healthcare services, making them safer, more effective, and more sustainable. Recommendations from this article emphasize the need for regular curriculum evaluation, strengthening standardized clinical practices, and collaboration across educational institutions and healthcare facilities to ensure the relevance of competencies to the needs of the healthcare system.
The Effectiveness of Blended Learning in Improving Midwifery Students' Skills Fathiyati Fathiyati; Didi Sutisna; Ewin Suciana; Siti Madinah Ladjamuddin
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/dre9st56

Abstract

The development of digital technology has driven changes in the learning system in midwifery education, one of which is through the implementation of blended learning. This learning model combines face-to-face and online learning to improve the effectiveness of students' learning processes. This study aims to explore the effectiveness of blended learning in improving the skills of midwifery students. The study used a qualitative approach with a descriptive phenomenological design. The study participants were 15 midwifery students selected using a purposive sampling technique. Data collection was conducted through in-depth interviews, observation, and documentation. Data analysis used thematic analysis through the processes of data reduction, coding, theme identification, and interpretation of meaning. The results showed that blended learning had a positive impact on the learning process of midwifery students. Students experienced flexibility in accessing learning materials, improved understanding of theory and clinical skills, and increased motivation and independence in learning. The use of learning videos, virtual simulations, and online discussions helped students better prepare for laboratory and clinical practice. In addition, blended learning also increased learning interactivity and student participation in academic discussions. However, the implementation of blended learning still faces several obstacles, such as limited internet connection, online learning fatigue, and limitations in direct clinical practice. This study concludes that blended learning is an effective and adaptive learning method for improving midwifery students' skills in the digital era when supported by optimal technological infrastructure and learning design
Co-Authors Al-bahra Al-Bahra Al-bahra Al-Bahra Desy Pramujiwati Didi Sutisna Fathiyati, Fathiyati Hardjito S. Darmojo Hernida Dwi Lestari Lina Mardianti M. Adila Rossa Siti Madinah Ladjamuddin