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All Journal JIKO(Jurnal Ilmiah Keperawatan Orthopedi) JIKO (Jurnal Ilmiah Keperawatan Orthopedi)
Siti Madinah Ladjamuddin
Department of Information Technology, University of Saintek Muhammadiyah, Jakarta– Indonesia
Health Professions Medicine & Pharmacology Nursing Public Health Veterinary

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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
The Influence of the Use of Interactive Learning Media on the Learning Outcomes of Midwifery Students Al-bahra Al-Bahra; Hardjito S. Darmojo; 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/fx4qt644

Abstract

Background: Technological developments in health education are driving a transformation of learning toward interactive digital media. In midwifery education, interactive learning media such as videos, digital simulations, and e-learning are expected to improve student learning outcomes, encompassing cognitive, affective, and psychomotor aspects. However, the effectiveness of their implementation still requires in-depth study within the context of student experiences. Objective: This study aims to explore the influence of the use of interactive learning media on midwifery student learning outcomes based on their learning experiences. Methods: This study used a qualitative approach with a phenomenological design. Participants consisted of 12 midwifery students selected using purposive sampling based on the criteria of having participated in interactive media-based learning. Data were collected through in-depth interviews, observation, and documentation. Data were then analyzed using the Miles, Huberman, and Saldaña model, encompassing the stages of data reduction, data presentation, and conclusion drawing. Data validity was tested using triangulation of sources, methods, and member checking. Results: The study revealed four main themes: improved understanding of learning materials, increased motivation and engagement in learning, increased readiness for clinical practice, and challenges in implementing technology. Interactive learning media helped students understand complex midwifery concepts through visualization and simulation, increased learning motivation through more engaging learning, and improved readiness for clinical practice. However, limited internet access and technological infrastructure remain barriers to optimal implementation. Conclusion: Interactive learning media positively impacted midwifery students' learning outcomes across cognitive, affective, and psychomotor domains. Integrating interactive learning media into the midwifery education curriculum is highly recommended to improve the quality of competent and adaptable graduates in the digital era.
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.
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 Effectiveness of Blended Learning in Improving Midwifery Students' Skills Fathiyati Fathiyati; Didi Sutisna; Ewin Suciana; Siti Madinah Ladjamuddin
J I K O (Jurnal Ilmiah Keperawatan Orthopedi) Vol 8, No 2 (2024): JIKO (Jurnal Ilmiah Keperawatan Orthopedi)
Publisher : LPPM AKPER FATMAWATI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46749/jiko.v8i2.211

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
The Influence of the Use of Interactive Learning Media on the Learning Outcomes of Midwifery Students Al-Bahra Al-Bahra; Hardjito S Darmojo; Siti Madinah Ladjamuddin
J I K O (Jurnal Ilmiah Keperawatan Orthopedi) Vol 8, No 2 (2024): JIKO (Jurnal Ilmiah Keperawatan Orthopedi)
Publisher : LPPM AKPER FATMAWATI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46749/jiko.v8i2.212

Abstract

Background: Technological developments in health education are driving a transformation of learning toward interactive digital media. In midwifery education, interactive learning media such as videos, digital simulations, and e-learning are expected to improve student learning outcomes, encompassing cognitive, affective, and psychomotor aspects. However, the effectiveness of their implementation still requires in-depth study within the context of student experiences. Objective: This study aims to explore the influence of the use of interactive learning media on midwifery student learning outcomes based on their learning experiences. Methods: This study used a qualitative approach with a phenomenological design. Participants consisted of 12 midwifery students selected using purposive sampling based on the criteria of having participated in interactive media-based learning. Data were collected through in-depth interviews, observation, and documentation. Data were then analyzed using the Miles, Huberman, and Saldaña model, encompassing the stages of data reduction, data presentation, and conclusion drawing. Data validity was tested using triangulation of sources, methods, and member checking. Results: The study revealed four main themes: improved understanding of learning materials, increased motivation and engagement in learning, increased readiness for clinical practice, and challenges in implementing technology. Interactive learning media helped students understand complex midwifery concepts through visualization and simulation, increased learning motivation through more engaging learning, and improved readiness for clinical practice. However, limited internet access and technological infrastructure remain barriers to optimal implementation. Conclusion: Interactive learning media positively impacted midwifery students' learning outcomes across cognitive, affective, and psychomotor domains. Integrating interactive learning media into the midwifery education curriculum is highly recommended to improve the quality of competent and adaptable graduates in the digital era.
The Influence of Digital Literacy on the Learning Readiness of Midwifery Students in the Technology Era Ewin Suciana; Siti Madinah Ladjamuddin; Partono Siswosuharjo
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.v10i1.221

Abstract

Digital transformation in midwifery education requires students to possess adequate digital literacy to effectively engage in technology-based learning processes. This study aims to develop and evaluate a digital literacy learning product and to analyze the impact of digital literacy on the learning readiness of midwifery students in the technological era. The study employs a Research and Development (R&D) approach comprising stages of needs analysis, product design, development, expert validation, limited trials, and effectiveness testing. The research subjects consisted of 100 midwifery students whose digital literacy and learning readiness were measured before and after using the product. Data were collected using digital literacy and learning readiness instruments that had undergone validity and reliability testing. Analysis was conducted using descriptive statistics, paired t-tests, Pearson correlation, and multiple linear regression. The results indicate that the developed learning product was rated as highly feasible by experts. Scores for digital literacy and learning readiness increased following the intervention. Bivariate analysis revealed a positive and significant relationship between digital literacy and learning readiness, while multivariate analysis showed that specific dimensions of digital literacy collectively contributed to students' learning readiness. These findings suggest that the systematic development of digital literacy can serve as a crucial strategy to enhance midwifery students' readiness for increasingly digitized learning and healthcare practice
Information Technology-Based Nursing Management Innovation Siti Madinah Ladjamuddin; Abdul Qohar; Muhammad Hudzaifah Nasrullah
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.v10i2.224

Abstract

Digital transformation in healthcare requires nursing management to adopt information technology capable of enhancing the effectiveness of resource management, service coordination, documentation accuracy, and decision-making quality. This study aims to develop an information technology-based nursing management innovation model that is effective, user-friendly, and aligned with the operational needs of nursing services. The study employs a Research and Development (R&D) design comprising stages such as needs analysis, design, product development, expert validation, revision, limited trials, and product evaluation. Needs analysis was conducted by identifying nursing management issues and user requirements, while validation involved experts in nursing management, health information technology, and nursing practice. The developed product is a nursing management information system that integrates nurse scheduling, nursing care documentation, workload monitoring, service indicator reporting, and the provision of information to support managerial decision-making. Development results indicate that this information technology-based innovation has the potential to improve management process efficiency, information accessibility, documentation accuracy, and staff coordination. The product also received favorable feasibility ratings based on expert validation and user trials. Thus, information technology-based nursing management innovation can serve as a strategic solution to support nursing services that are effective, integrated, adaptive, and focused on quality improvement and patient safety.
Co-Authors Abdul Qohar Al-bahra Al-Bahra Al-bahra Al-Bahra Didi Sutisna Ewin Suciana Ewin Suciana Ewin Suciana Fathiyati, Fathiyati Hardjito S Darmojo Hardjito S. Darmojo Muhammad Hudzaifah Nasrullah Partono Siswosuharjo