Garuda - Garba Rujukan Digital

Health Literacy as the Foundation of Nursing Education in the Era of Digital Transformation Darmojo, Hardjito S; Siswosuharjo, Partono; Rossa, M. Adila
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

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 Influence of Leadership Style on Nurses' Work Motivation Rossa, M. Adila; Darmojo, Hardjito S; Siswosuharjo, Partono
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.v5i2.188

Background: 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 Darmojo, Hardjito S; Rossa, M. Adila; Siswosuharjo, Partono
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

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

Simulation-Based Nursing Education in Improving Clinical Competence Siswosuharjo, Partono; Darmojo, Hardjito S; Fairuza, Filda
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

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

Effectiveness of Mobile Health-Based Self-Care Education on Symptom Control and Quality of Life in Chronic Heart Failure Patients Rogayah, Rogayah; Yanti, Lastri; Astuti, Yuniawati; Siswosuharjo, Partono
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.v9i1.204

Background: Chronic heart failure is a cardiovascular disease with a high morbidity burden that significantly impacts symptom control and patient quality of life. Self-care education is an important component in heart failure management, but conventional approaches are often suboptimal. The development of digital technology, particularly mobile health (mHealth), offers new potential in improving the effectiveness of education and patient engagement in self-care. Objective: This study aimed to analyze the effectiveness of mobile health-based self-care education on symptom control and quality of life in chronic heart failure patients. Methods: This study used a quasi-experimental design with a randomized controlled trial approach. A total of 80 chronic heart failure patients were randomly divided into an intervention group (n=40) and a control group (n=40). The intervention group received self-care education based on a mobile health application for 8 weeks, while the control group received conventional education. Symptom control was measured using the Heart Failure Symptom Score, and quality of life was assessed using the Kansas City Cardiomyopathy Questionnaire (KCCQ). Data analysis was performed using repeated measures ANOVA and mixed-effects models. Results: The study showed a significant reduction in symptom scores in the intervention group compared to the control group (p<0.001). Furthermore, there was a statistically significant improvement in quality of life in the intervention group (p<0.001). Compliance with application use was positively associated with improved clinical outcomes. Conclusion: Mobile health-based self-care education is effective in improving symptom control and quality of life in chronic heart failure patients and has the potential to be an innovative strategy in nursing practice

Risk Management in Nursing Services to Improve Patient Safety Rossa, M. Adila; Siswosuharjo, Partono; Mardianti, Lina; Qohar, Abdul
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.v8i1.194

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

Measuring Nursing Students' Competency Achievements Based on Outcome-Based Education Rossa, M. Adila; Darmojo, Hardjito S; Siswosuharjo, Partono
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.v6i2.209

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

Effectiveness of Mobile Health-Based Self-Care Education on Symptom Control and Quality of Life in Chronic Heart Failure Patients Rogayah, Rogayah; Yanti, Lastri; Astuti, Yuniawati; Siswosuharjo, Partono
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.v9i1.203

Background: Chronic heart failure is a cardiovascular disease with a high morbidity burden that significantly impacts symptom control and patient quality of life. Self-care education is an important component in heart failure management, but conventional approaches are often suboptimal. The development of digital technology, particularly mobile health (mHealth), offers new potential in improving the effectiveness of education and patient engagement in self-care. Objective: This study aimed to analyze the effectiveness of mobile health-based self-care education on symptom control and quality of life in chronic heart failure patients. Methods: This study used a quasi-experimental design with a randomized controlled trial approach. A total of 80 chronic heart failure patients were randomly divided into an intervention group (n=40) and a control group (n=40). The intervention group received self-care education based on a mobile health application for 8 weeks, while the control group received conventional education. Symptom control was measured using the Heart Failure Symptom Score, and quality of life was assessed using the Kansas City Cardiomyopathy Questionnaire (KCCQ). Data analysis was performed using repeated measures ANOVA and mixed-effects models. Results: The study showed a significant reduction in symptom scores in the intervention group compared to the control group (p<0.001). Furthermore, there was a statistically significant improvement in quality of life in the intervention group (p<0.001). Compliance with application use was positively associated with improved clinical outcomes. Conclusion: Mobile health-based self-care education is effective in improving symptom control and quality of life in chronic heart failure patients and has the potential to be an innovative strategy in nursing practice

Implementation of Management Functions in Improving the Quality of Nursing Services in Hospitals Mardianti, Lina; Siswosuharjo, Partono; Rossa, M. Adila
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.v8i2.206

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

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

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

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