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Characteristics of Knowledge of Pregnant Women About Pregnancy Exercises in the Working Area of Sungai Bilu Health Center Banjarmasin ari lestari, nur cahyani; Diaty, Rima; Fathiyati, Fathiyati
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.v6i2.89

The purpose of this study was to determine the characteristics of pregnant women's knowledge about pregnancy exercise in the working area of Sungai Bilu Public Health Center. This study used a descriptive method with a population of all third trimester pregnant women who came to the Sungai Bilu Health Center from January to May. While the sampling technique in this study used the accidental sampling technique, namely all third trimester pregnant women who visited Sungai Bilu Health Center with a total of 30 respondents. The results of this study were that most of the respondents did not participate in pregnancy exercise activities, namely from 30 respondents who actively participated in pregnancy exercise activities as many as 10 people (30%) and who were not active as many as 20 people (70%) where respondents who had less knowledge were 11 people (36 ,7%), respondents who have sufficient knowledge are 14 people (46.7%) and respondents who have good knowledge are 5 people (16.6%). The conclusion of this study was that most of the respondents did not participate in pregnancy exercise because they did not know about the benefits and objectives of pregnancy exercise.

Measuring the Impact of Learning Evaluation on the Readiness of Nursing Graduates in the World of Work Hardjito S. Darmojo; Al-bahra Al-Bahra; Fathiyati Fathiyati
JIKO (Jurnal Ilmiah Keperawatan Orthopedi) Vol. 10 No. 1 (2026): 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: 10.46749/75s8bm55

Introduction: The transition from nursing education to professional practice remains a critical challenge, often characterized by a gap between academic assessment systems and real-world clinical demands. Learning evaluation plays a pivotal role not only in measuring academic achievement but also in shaping graduate nurses’ work readiness. However, the extent to which different components of learning evaluation contribute to work readiness remains underexplored. Objective: This study aimed to analyze the impact of learning evaluation on the work readiness of nursing graduates entering the healthcare workforce. Methods: A quantitative cross-sectional correlational design was employed. A total of 236 nursing graduates from diploma and bachelor programs were selected using stratified random sampling. Data were collected using validated questionnaires measuring learning evaluation components (formative assessment, summative assessment, clinical simulation, and preceptor feedback) and the Work Readiness Scale for Graduate Nurses (WRS-GN). Data were analyzed using Pearson correlation and multiple linear regression analysis with a significance level of p < 0.05. Results: Learning evaluation demonstrated a significant relationship with work readiness (r = 0.658, p < 0.001). Multiple regression analysis revealed that learning evaluation explained 56.9% of the variance in work readiness (R² = 0.569). Among the components, preceptor feedback emerged as the most dominant predictor (β = 0.356, p < 0.001), followed by clinical simulation (β = 0.267, p < 0.001) and formative assessment (β = 0.184, p = 0.006). Summative assessment showed no significant effect on work readiness (p = 0.135). Conclusion: Learning evaluation significantly influences nursing graduates’ work readiness, with practice-based evaluation components such as preceptor feedback and clinical simulation playing the most critical roles. The findings highlight the need to shift from traditional summative-based evaluation toward competency-based and clinically integrated assessment systems to better prepare nursing graduates for real-world healthcare demands

The Influence of Simulation-Based Learning Methods on the Clinical Competence of Midwifery Students Fathiyati Fathiyati; Hardjito S. Darmojo
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/ma8fxr34

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.

The Relationship between Nursing Human Resource Management and Nurse Burnout Levels Partono Siswosuharjo; Al-bahra Al-Bahra; Fathiyati Fathiyati; 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: 10.46749/4jgvth46

Burnout in nurses is a serious problem that impacts the well-being of nursing staff, service quality, and patient safety. High work demands, limited resources, and weak organizational management make nurses a profession vulnerable to burnout. This study aims to analyze the relationship between nursing human resource (HR) management and nurse burnout levels in hospitals. This study used a quantitative design with a cross-sectional approach. The sample consisted of 120 nurses selected using proportional stratified random sampling. Data were collected through a nursing HR management questionnaire and the Maslach Burnout Inventory (MBI) instrument. Data were analyzed univariately, bivariately using the Chi-Square test, and multivariately using ordinal logistic regression. The results showed that most respondents rated nursing HR management as good, but there were still nurses with moderate to high levels of burnout. Bivariate analysis showed a significant relationship between nursing HR management and nurse burnout levels (p < 0.05). The results of the multivariate analysis revealed that nursing HR management was the dominant factor influencing nurse burnout after controlling for age and length of service. Nurses working in units with poor human resource management are at higher risk of burnout compared to nurses in units with good human resource management. This study concludes that strengthening nursing human resource management plays a significant role in reducing nurse burnout rates. Therefore, human resource management policies and strategies oriented toward nurse well-being are needed to improve the quality of nursing services and patient safety

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

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

Simulation-Based Nursing Education in Improving Clinical Competence Partono Siswosuharjo; Hardjito S. Darmojo; Fathiyati Fathiyati
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/pbssp846

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

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

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

Analysis of Patient Data Security in Cloud Computing-Based Midwifery Information Systems Ladjamuddin, Siti Madinah; Al-Bahra, Al-Bahra; Fathiyati, Fathiyati
JIKO (Jurnal Ilmiah Keperawatan Orthopedi) Vol. 10 No. 1 (2026): 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/afdetd55

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

Clinical Learning Models in Nursing Students and Their Impact on Work Readiness Partono Siswosuharjo; Al-Bahra Al-Bahra; Fathiyati Fathiyati; Abdul Qohar
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.v8i1.181

The clinical learning model is a crucial component of nursing education because it plays a direct role in shaping students' competencies and work readiness. Work readiness is a key indicator of the success of the educational process, particularly in facing the complex and dynamic demands of professional nursing practice. This study aims to analyze the influence of the clinical learning model on nursing students' work readiness. The study used a quantitative design with a descriptive analytical approach. The study sample consisted of 100 final-year nursing students who had participated in clinical practice, selected using a purposive sampling technique. Data were collected using a structured questionnaire that measured students' perceptions of the clinical learning model and their level of work readiness, which included aspects of clinical competence, self-confidence, communication, and professional readiness. Data were analyzed through univariate analysis, bivariate analysis using the Chi-Square test, and multivariate analysis using logistic regression. The results showed that most respondents rated the clinical learning model as good and had a high level of work readiness. Bivariate analysis showed a significant relationship between the clinical learning model and students' work readiness (p < 0.05). Multivariate analysis revealed that the clinical learning model was the dominant factor influencing nursing students' work readiness after controlling for age, gender, and length of clinical practice. This study concludes that implementing an effective and structured clinical learning model can improve nursing students' work readiness. Therefore, strengthening clinical learning strategies needs to be a priority in nursing education curriculum development.

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

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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