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M. Adila Rossa
Department of Management, University of Muhammadiyah Jakarta – Indonesia
Health Professions Medicine & Pharmacology Nursing Public Health Veterinary

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Evaluation of the Nursing Student Performance Assessment Model in Integrated Clinical Practice Hardjito S. Darmojo; 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.
The Influence of Managerial Decision Making on the Effectiveness of Nursing Services M. Adila Rossa; Hardjito S. Darmojo; Abdul Qohar
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/zb7fgx97

Abstract

Managerial decision-making is a core competency in nursing management that plays a crucial role in determining the effectiveness of nursing services. Decisions made by nursing managers influence resource management, team coordination, quality of care, and patient safety. This study aims to explore in depth the influence of managerial decision-making on the effectiveness of nursing services in hospitals. This study used a qualitative approach with a phenomenological design. Participants consisted of nursing managers, ward heads, and senior nurses selected using purposive sampling based on their experience and involvement in the managerial decision-making process. Data were collected through in-depth interviews, participant observation, and managerial document review. Data were analyzed using thematic analysis to identify key patterns and themes emerging from participants' experiences. The results identified five main themes: decision-making as a determinant of the direction of nursing services, the influence of managerial competence and experience on decision quality, the importance of nurse participation in the decision-making process, the role of data-driven decisions in improving service quality and safety, and the direct impact of managerial decision-making on the effectiveness of nursing services. Appropriate, participatory, and evidence-based decisions have been shown to improve team coordination, the smoothness of nursing care, and overall service quality. This study concludes that strengthening managerial decision-making capacity is a key factor in increasing the effectiveness of nursing services and should be a focus in developing nursing management in hospitals.
Implementation of Integrated Quality Management in Nursing Services M. Adila Rossa; Hardjito S. Darmojo; Al-Bahra
JIKO (Jurnal Ilmiah Keperawatan Orthopedi) Vol. 4 No. 2 (2020): 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: 10.46749/4rw8gf71

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.
Evaluation of the Effectiveness of the Clinical Learning Assessment System in Nursing Educational Institutions Hardjito S. Darmojo; M. Adila Rossa; Al-Bahra
JIKO (Jurnal Ilmiah Keperawatan Orthopedi) Vol. 4 No. 2 (2020): 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/k33zz858

Abstract

Clinical learning assessment is an essential component of nursing education because it plays a direct role in ensuring comprehensive and continuous student competency achievement. An effective clinical assessment system not only serves to assess final learning outcomes but also supports the learning process through constructive and objective feedback. This study aims to evaluate the effectiveness of the clinical learning assessment system in nursing educational institutions in terms of validity, reliability, learning feedback, and student satisfaction. The study used a quantitative design with a cross-sectional survey approach. The study sample consisted of 220 nursing students who had participated in clinical practice, selected using a stratified random sampling technique. Data were collected through a structured questionnaire that had been tested for content validity and internal reliability. Data analysis was conducted using descriptive and inferential statistics, including reliability tests, difference tests, and multiple linear regression analysis. The results showed that the effectiveness of the clinical learning assessment system was categorized as good. All assessment dimensions had high reliability values, indicating the consistency of the instrument used. Student satisfaction was the dimension with the highest score and had a significant influence on clinical competency achievement. Furthermore, there were differences in perceptions of the effectiveness of the assessment system based on the students' educational level. The conclusion of this study confirms that a standardized, objective, and meaningful feedback-supported clinical learning assessment system can improve the quality of clinical learning and support nursing students' competency achievement. The results of this study are expected to serve as a basis for developing and refining clinical assessment systems in nursing educational institutions.
The Influence of Leadership Style on Nurses' Work Motivation M. Adila Rossa; Hardjito S. Darmojo; Partono Siswosuharjo
JIKO (Jurnal Ilmiah Keperawatan Orthopedi) Vol. 5 No. 2 (2021): 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/cqc4g645

Abstract

Nurses are healthcare workers who play a central role in the provision of healthcare services in hospitals. The level of nurse work motivation significantly determines the quality of nursing care, patient safety, and the successful achievement of organizational goals. One factor influencing nurse work motivation is the leadership style implemented by the ward head or nursing manager. Effective leadership is believed to create a supportive work environment, increase work morale, and encourage nurse involvement in the implementation of nursing care. Objective: This study aims to analyze the influence of leadership style on nurse work motivation in hospitals. Methods: This study used a quantitative design with a cross-sectional approach. The study sample consisted of 150 nurses working in inpatient units, selected using a total sampling technique. Data were collected using a structured questionnaire that measured nurses' perceptions of leadership style and work motivation levels. Data were analyzed univariately to describe respondent characteristics and variable distribution, and bivariately using the chi-square test to determine the relationship between leadership style and nurse work motivation. Results: The study showed that transformational leadership style was the most dominant style. Most nurses had high work motivation. There was a significant relationship between leadership style and nurse work motivation (p < 0.05), with transformational and participative leadership styles more associated with high work motivation than laissez-faire leadership styles. Conclusion: Leadership style significantly influences nurse work motivation. The implementation of an effective leadership style needs to be optimized to improve nurse work motivation and the quality of nursing services.
Nursing Education and Soft Skills Strengthening in Holistic Nursing Services Hardjito S. Darmojo; M. Adila Rossa; Al-Bahra
JIKO (Jurnal Ilmiah Keperawatan Orthopedi) Vol. 5 No. 2 (2021): 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: 10.46749/3r2vd281

Abstract

Nursing education plays a strategic role in developing professionally competent nurses capable of providing holistic nursing services. One of the main challenges in nursing education is strengthening soft skills, including communication, empathy, teamwork, problem-solving, and clinical decision-making. This study aims to analyze the relationship between nursing education and strengthening soft skills in holistic nursing services. This study used a quantitative design with a cross-sectional approach. The study sample consisted of 110 respondents, consisting of final-year nursing students and novice clinical nurses, selected using a proportionate stratified random sampling technique. Data were collected using a structured questionnaire based on a Likert scale that had been tested for validity and reliability. Data analysis included univariate analysis, bivariate analysis using the Pearson correlation test, and multivariate analysis with simple linear regression. The results showed that the majority of respondents rated nursing education as high, and the level of respondents' soft skills was also in the good category. There was a strong and significant positive relationship between nursing education and strengthening soft skills (r = 0.621; p < 0.001). Nursing education contributed 38.6% to the variation in soft skills in holistic nursing services. This study concludes that integrated nursing education with a holistic approach and active learning strategies plays a crucial role in developing nurses' soft skills. These findings are expected to form the basis for developing a nursing education curriculum that balances technical and non-technical competencies.
Health Literacy as the Foundation of Nursing Education in the Era of Digital Transformation Hardjito S. Darmojo; Partono Siswosuharjo; M. Adila Rossa
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 Organizational Management and Nurse Job Satisfaction M. Adila Rossa; Hardjito S. Darmojo; 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 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
Risk Management in Nursing Services to Improve Patient Safety M. Adila Rossa; Partono Siswosuharjo; Lina Mardianti; Abdul Qohar
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: 10.46749/5dq57q70

Abstract

Patient safety is a key indicator of healthcare quality and is the responsibility of all healthcare workers, particularly nurses as caregivers who interact directly and continuously with patients. Adverse events such as medication errors, patient falls, and healthcare-associated infections remain common, demonstrating the need for effective risk management implementation in nursing services. This study aims to analyze the role of risk management in nursing services and its relationship to improving patient safety. The study employed a quantitative approach with a cross-sectional design. The subjects were nurses working in nursing service units, using a purposive sampling technique. Data were collected using a structured questionnaire that measured risk management implementation and patient safety levels. Data were analyzed using univariate, bivariate, and multivariate methods. The results showed that most nurses implemented moderate to high levels of risk management. Bivariate analysis demonstrated a significant relationship between risk management and patient safety. Furthermore, multivariate analysis demonstrated that risk management was the dominant factor influencing patient safety after controlling for other variables such as education and length of service. These findings confirm that systematic risk management implementation, supported by a strong safety culture and organizational commitment, can significantly improve patient safety. Therefore, the integration of risk management into nursing practice needs to be continuously strengthened through ongoing training, clear policies, and a non-punitive incident reporting system to continuously improve the quality of nursing care and patient safety
Co-Authors Abdul Qohar Abdul Qohar Al-Bahra Al-Bahra Al-Bahra Al-bahra Al-Bahra Ewin Suciana Fathiyati, Fathiyati Filda Fairuza Hardjito S. Darmojo Lina Mardianti Partono Siswosuharjo