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Hardjito S Darmojo
Department of Master of Administrative Sciences, Sheikh Yusuf Islamic University Tangerang, Indonesia
Nursing

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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.
The Relationship between Health Education and Nurses' Compliance with Nursing Care Standards Lina Mardianti; 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.v7i2.202

Abstract

Background: Nurses' adherence to nursing care standards is an important indicator in ensuring the quality and safety of healthcare services. Nursing care standards serve as professional guidelines for implementing a systematic and evidence-based nursing process. One factor suspected of influencing nurses' adherence is health education, both formal and continuing education through training and competency development. Objective: This study aims to analyze the relationship between health education and nurses' adherence to nursing care standards. Methods: This study used a quantitative analytical design with a cross-sectional approach. The study sample consisted of 225 nurses working in hospital inpatient units, selected using a purposive sampling technique. Data were collected through a structured questionnaire that measured the level of health education and nurses' adherence to nursing care standards. Data analysis was performed using the chi-square test and logistic regression with a significance level of p < 0.05. Results: The results showed a significant relationship between health education and nurses' adherence to nursing care standards (p = 0.001). Nurses with higher health education were more likely to adhere to nursing care standards than nurses with lower health education. Conclusion: Health education plays a significant role in improving nurses' adherence to nursing care standards. Strengthening continuing education and training is recommended as a strategy to improve the quality and safety of nursing services.
The Influence of Simulation-Based Learning Methods on the Clinical Competence of Midwifery Students Fathiyati Fathiyati; Hardjito S Darmojo
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.v4i2.210

Abstract

Clinical competence is an important aspect of midwifery education because it is directly related to students' ability to provide safe, effective, and professional midwifery care. One learning method considered capable of improving students' clinical competence is simulation-based learning. This study aims to explore the effect of simulation-based learning methods on the clinical competence 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, participant 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 simulation-based learning methods had a positive impact on improving the clinical competence of midwifery students. Students experienced improvements in clinical practice skills, critical thinking skills, clinical decision-making, therapeutic communication, and teamwork. In addition, simulation also helped increase students' confidence in facing real-life clinical practice because they gained training experiences that resembled actual health care conditions. However, the study also identified several obstacles to implementing simulations, such as limited laboratory facilities, a limited number of simulation tools, and less than optimal practice time. This study concluded that simulation-based learning methods are effective in improving the clinical competence of midwifery students and can be an innovative learning strategy in modern midwifery education.
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
Interprofessional Education in Nursing as a Strategy to Enhance Healthcare Team Collaboration Al-bahra Al-Bahra; Hardjito S Darmojo
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.v9i1.197

Abstract

Interprofessional education (IPE) is a learning approach that involves students from various health professions to learn together, understand each other's roles, and develop collaborative skills in healthcare. This approach is increasingly important in nursing education given the complexity of patient needs and the demands of effective collaborative healthcare team practices. This study aims to analyze the role of interprofessional education in nursing as a strategy to improve healthcare team collaboration. The research method used a quantitative approach with a quasi-experimental design, involving nursing students and other healthcare professionals participating in an interprofessional education program based on case discussions and clinical simulations. Healthcare team collaboration was measured using a standardized instrument that assesses communication, role understanding, teamwork, and shared decision-making. The results showed a significant increase in healthcare team collaboration skills after the interprofessional education intervention. The most prominent improvements were seen in interprofessional communication and understanding of professional roles. These findings confirm that interprofessional education is an effective learning strategy for preparing nursing students for collaborative practice in healthcare settings. The systematic integration of interprofessional education into the nursing curriculum is recommended to improve the quality of care and patient safety.
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 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.
Simulation-Based Nursing Education in Improving Clinical Competence Partono Siswosuharjo; Hardjito S Darmojo; Fathiyati Fathiyati
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.v8i2.198

Abstract

Nursing education is required to produce graduates with adequate clinical competency to ensure the quality and safety of healthcare services. One rapidly developing innovative learning approach is simulation-based nursing education, designed to bridge the gap between theory and clinical practice. This study aimed to analyze the effect of simulation-based nursing education on improving the clinical competency of nursing students. The study used a quasi-experimental design with a pretest-posttest approach and a control group. The study sample consisted of 80 nursing students divided into an intervention group and a control group. The intervention group received simulation-based clinical learning, while the control group underwent conventional clinical learning. Clinical competency was measured using the Objective Structured Clinical Examination (OSCE) and a standardized clinical skills instrument. Data analysis was performed using paired t-tests and independent t-tests. The results showed a significant increase in clinical competency in the intervention group compared to the control group (p < 0.001) with a strong effect size. These findings indicate that simulation-based nursing education is effective in improving clinical skills, decision-making, and student confidence. Therefore, simulation is recommended as a primary learning strategy in nursing education to enhance graduates' clinical readiness
Co-Authors Abdul Qohar Al-bahra Al-Bahra Al-bahra Al-Bahra Al-Bahra Al-Bahra Al-bahra Al-Bahra Al-Bahra Al-Bahra Ewin Suciana Fathiyati Fathiyati Fathiyati, Fathiyati Lina Mardianti M. Adila Rossa Partono Siswosuharjo Siti Madinah Ladjamuddin