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All Journal JIKO(Jurnal Ilmiah Keperawatan Orthopedi) JIKO (Jurnal Ilmiah Keperawatan Orthopedi)
M. Adila Rossa
Department of Management, University of Muhammadiyah Jakarta – Indonesia
Health Professions Medicine & Pharmacology Nursing Public Health Veterinary

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Innovation in Nursing Learning Methods to Improve Students' Critical Thinking Hardjito S. Darmojo; Partono Siswosuharjo; Fathiyati Fathiyati; M. Adila Rossa
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/fpe93a33

Abstract

Critical thinking is an essential competency that nursing students must possess to support appropriate clinical decision-making and safe nursing practice. However, the application of conventional learning methods remains a challenge in optimally developing critical thinking skills. This study aims to analyze the effectiveness of innovative nursing learning methods in improving students' critical thinking skills. The study used a quasi-experimental design with a pretest–posttest control group approach. The study subjects consisted of 80 undergraduate nursing students divided into an experimental group and a control group. The experimental group received an innovative learning intervention integrating flipped learning, case-based learning, and clinical simulation, while the control group used conventional learning methods. Critical thinking skills were measured using a validated critical thinking instrument. The results showed a significant increase in critical thinking skills in the experimental group compared to the control group (p < 0.001), with a very strong effect size. The highest increase was found in the clinical reasoning aspect. This study concludes that innovative nursing learning methods are effective in improving students' critical thinking skills and are recommended for integration into the nursing education curriculum
Implementation of Management Functions in Improving the Quality of Nursing Services in Hospitals Lina Mardianti; Partono Siswosuharjo; M. Adila Rossa
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/yzykdh67

Abstract

The quality of nursing care is a key indicator of hospital service quality, significantly influenced by the effectiveness of the implementation of nursing management functions. Management functions, including planning, organizing, directing, and controlling, play a crucial role in coordinating resources, directing nurse performance, and ensuring the delivery of nursing care according to established standards. This study aims to analyze the implementation of management functions in improving the quality of nursing care in hospitals. The study employed a quantitative design with a descriptive correlational approach. The sample consisted of 120 nurses working in the hospital's inpatient unit, selected using a purposive sampling technique. Data collection was conducted through a structured questionnaire that measured the implementation of management functions and the quality of nursing care. Data analysis included univariate analysis, bivariate analysis using the chi-square test, and multivariate analysis using multiple logistic regression. The results showed a significant relationship between the implementation of management functions and the quality of nursing care (p < 0.05). The multivariate analysis revealed that the directing function was the most dominant factor influencing the quality of nursing care compared to other management functions. Good implementation of management functions increases the chances of achieving quality, safe, and patient-oriented nursing care. The conclusion of this study confirms that strengthening the managerial competencies of ward heads and nursing leaders is a crucial strategy for sustainably improving the quality of nursing services in hospitals
Measuring Nursing Students' Competency Achievements Based on Outcome-Based Education M. Adila Rossa; Hardjito S. Darmojo; Partono Siswosuharjo
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/mx7b4m79

Abstract

Measuring nursing students' competency achievement is a crucial component in ensuring the quality of graduates who are ready to practice professionally safely and effectively. The Outcome-Based Education approach emphasizes the achievement of students' actual abilities through alignment of the curriculum, learning process, and a continuous evaluation system. This study aims to explore in-depth the process of measuring nursing students' competency achievement based on Outcome-Based Education from the perspectives of final-year students and clinical supervisors. The study employed a qualitative design with a phenomenological approach. Participants were selected purposively until data saturation was achieved. Data were collected through in-depth interviews, participant observation, and document review, followed by thematic analysis. The results identified five main themes: understanding the concept of Outcome-Based Education, the gradual and continuous process of measuring competency, factors supporting competency achievement, barriers to implementing outcome-based evaluation, and the impact on readiness for professional practice. The outcome-based approach has been shown to improve the integration of theory and practice, improve students' self-confidence, and improve critical thinking skills. However, challenges remain, including variations in assessment standards, limited practice time, the administrative burden of evaluation, and anxiety about competency testing. These findings confirm that measuring competency based on Outcome-Based Education requires standardized instruments, strengthening the capacity of clinical supervisors, and ongoing institutional support.
Integration of Health Education into Nursing Practice to Improve Patient Safety Hardjito S Darmojo; Lina Mardianti; M. Adila Rossa; Ewin Suciana
J I K O (Jurnal Ilmiah Keperawatan Orthopedi) Vol 8, No 1 (2024): JIKO (Jurnal Ilmiah Keperawatan Orthopedi)
Publisher : LPPM AKPER FATMAWATI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46749/jiko.v8i1.186

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 Organizational Management and Nurse Job Satisfaction M. Adila Rossa; Hardjito S Darmojo; Al-Bahra Al-Bahra
J I K O (Jurnal Ilmiah Keperawatan Orthopedi) Vol 7, No 2 (2023): JIKO (Jurnal Ilmiah Keperawatan Orthopedi)
Publisher : LPPM AKPER FATMAWATI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46749/jiko.v7i2.208

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
The Influence of Managerial Decision Making on the Effectiveness of Nursing Services M. Adila Rossa; Hardjito S Darmojo; Abdul Qohar
J I K O (Jurnal Ilmiah Keperawatan Orthopedi) Vol 3, No 2 (2019): JIKO (Jurnal Ilmiah Keperawatan Orthopedi)
Publisher : LPPM AKPER FATMAWATI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46749/jiko.v3i2.193

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.
Innovation in Nursing Learning Methods to Improve Students' Critical Thinking Hardjito S Darmojo; Partono Siswosuharjo; Fathiyati Fathiyati; M. Adila Rossa
J I K O (Jurnal Ilmiah Keperawatan Orthopedi) Vol 9, No 1 (2025): JIKO (Jurnal Ilmiah Keperawatan Orthopedi)
Publisher : LPPM AKPER FATMAWATI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46749/jiko.v9i1.196

Abstract

Critical thinking is an essential competency that nursing students must possess to support appropriate clinical decision-making and safe nursing practice. However, the application of conventional learning methods remains a challenge in optimally developing critical thinking skills. This study aims to analyze the effectiveness of innovative nursing learning methods in improving students' critical thinking skills. The study used a quasi-experimental design with a pretest–posttest control group approach. The study subjects consisted of 80 undergraduate nursing students divided into an experimental group and a control group. The experimental group received an innovative learning intervention integrating flipped learning, case-based learning, and clinical simulation, while the control group used conventional learning methods. Critical thinking skills were measured using a validated critical thinking instrument. The results showed a significant increase in critical thinking skills in the experimental group compared to the control group (p < 0.001), with a very strong effect size. The highest increase was found in the clinical reasoning aspect. This study concludes that innovative nursing learning methods are effective in improving students' critical thinking skills and are recommended for integration into the nursing education curriculum
Health Literacy as the Foundation of Nursing Education in the Era of Digital Transformation Hardjito S Darmojo; Partono Siswosuharjo; M. Adila Rossa; Lina Mardianti
J I K O (Jurnal Ilmiah Keperawatan Orthopedi) Vol 6, No 2 (2022): JIKO (Jurnal Ilmiah Keperawatan Orthopedi)
Publisher : LPPM AKPER FATMAWATI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46749/jiko.v6i2.187

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
Nursing Education and Soft Skills Strengthening in Holistic Nursing Services Hardjito S Darmojo; M. Adila Rossa; Al-Bahra Al-Bahra
J I K O (Jurnal Ilmiah Keperawatan Orthopedi) Vol 5, No 2 (2021): JIKO (Jurnal Ilmiah Keperawatan Orthopedi)
Publisher : LPPM AKPER FATMAWATI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46749/jiko.v5i2.189

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
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
Co-Authors Abdul Qohar Abdul Qohar Al-Bahra Al-Bahra Al-Bahra Al-bahra Al-Bahra Al-bahra Al-Bahra Al-Bahra Al-Bahra Ewin Suciana Fathiyati, Fathiyati Filda Fairuza Hardjito S Darmojo Hardjito S Darmojo Hardjito S. Darmojo Lina Mardianti Muhammad Hudzaifah Nasrullah Partono Siswosuharjo