Claim Missing Document
Check
Articles

Pengaruh Pemberian Buah Kurma (Phoenix Dactylifera) Terhadap Peningkatan Kadar Hemoglobin Pada Remaja Putri Dengan Anemia Filda Fairuza; Elva Febri Ashari; Fathiyati Fathiyati; Intan Noviana
Jurnal Ners Vol. 10 No. 3 (2026): JULI 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i3.60884

Abstract

Anemia merupakan salah satu masalah kesehatan yang masih sering terjadi pada remaja putri. Kondisi ini umumnya disebabkan oleh meningkatnya kebutuhan zat besi selama masa pertumbuhan dan kehilangan darah saat menstruasi. Salah satu upaya nonfarmakologis yang dapat dilakukan untuk meningkatkan kadar hemoglobin adalah dengan mengonsumsi buah kurma (Phoenix dactylifera) yang mengandung zat besi, vitamin C, asam folat, dan berbagai mineral yang berperan dalam pembentukan sel darah merah. Berdasarkan studi pendahuluan di MTsN 2 Kota Serang, terdapat 31 siswi kelas VII yang mengalami anemia. Tujuan penelitian ini adalah untuk mengetahui pengaruh pemberian buah kurma terhadap peningkatan kadar hemoglobin pada remaja putri dengan anemia kelas VII di MTsN 2 Kota Serang Banten Tahun 2026. Metode penelitian ini menggunakan desain Quasi Experimental dengan pendekatan One Group Pretest-Posttest Design. Populasi penelitian berjumlah 31 remaja putri yang mengalami anemia dengan teknik pengambilan sampel menggunakan total sampling. Intervensi dilakukan dengan pemberian buah kurma selama 14 hari. Pengukuran kadar hemoglobin dilakukan sebelum dan sesudah intervensi menggunakan alat EasyTouch GCHB. Analisis data menggunakan uji Wilcoxon Signed Rank Test dengan tingkat signifikansi α = 0,05. Hasil penelitian menunjukkan nilai signifikan sebesar 0,000 lebih kecil dari hasil signifikan 5% (p-value = 0,000 < 0,05) setelah pemberian buah kurma selama 14 hari menunjukkan adanya pengaruh yang signifikan antara pemberian buah kurma terhadap peningkatan kadar hemoglobin pada remaja putri dengan anemia. Kesimpulan pemberian buah kurma (Phoenix dactylifera) efektif meningkatkan kadar hemoglobin pada remaja putri yang mengalami anemia. Buah kurma dapat dijadikan sebagai salah satu alternatif terapi nonfarmakologis dalam upaya pencegahan dan penanggulangan anemia pada remaja putri.
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

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
Analysis of Risk Factors for Diarrhea in Children Under Two Years of Age at Koja Regional General Hospital, North Jakarta Lina Mardianti; Fathiyati Fathiyati; M. Adila Rossa; Al-Bahra Al-Bahra
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.v9i1.173

Abstract

The purpose of this study was to analyze the risk factors for diarrhea in children under two years old at the Koja Regional General Hospital, North Jakarta. While the specific objective is to identify the relationship between child factors (age, sex, exclusive breastfeeding, nutritional status, measles immunization, hand and nail hygiene) and the risk of diarrhea, maternal factors (age, education, knowledge, habit of washing hands before feeding children with a risk of diarrhea, socioeconomic factors (family income) with a risk of diarrhea, and dominant risk factors for diarrhea in children under 2 years old. The sampling technique used was purposive sampling. The results showed that the incidence of diarrhea had a significant relationship with nutritional status (p value = 0.037), and the habit of mothers washing hands before feeding children (p value = 0.038).
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

Abstract

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.
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
The Relationship of Family Support, Internal Motivation and Incentives with The Performance of Posyandu Cadres in Karawaci District, Tangerang City Lina Mardianti; Fathiyati Fathiyati; M. Adila Rossa; Al-Bahra Al-Bahra
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.v8i1.174

Abstract

One of the benefits of Posyandu for the community is that the growth of children under five is monitored so that it improves the health status of the community (Kemenkes RI, 2011). The aim of this research is to determine the relationship between family support, internal motivation and incentives on the performance of posyandu cadres in Karawaci District, Tangerang City. The research design used is correlational analytics with a quantitative approach. This research was conducted at Posyandu in the Karawaci District, Tangerang City, which was carried out from March to May 2022. The population in this research was all Posyandu cadres in the Karawaci District, Tangerang City in 2022, namely 60 people. The number of samples in this research was 60. To reduce bias in sampling, sampling criteria are used Inclusion Criteria and Exclusion Criteria. The inclusion criteria for respondents are: (1) Posyandu cadres for toddlers, (2) Willing to be a respondent and (3) Can read and write, and Exclusion criteria are criteria for research subjects who cannot be used as samples because they do not meet the requirements as research samples due to various reasons. The exclusion criteria in this study were not present during the research. This result concluded that most respondents had good performance, namely 71.67%, family support was 78.33%. There is a relationship between family support and the performance of Posyandu cadres. Most respondents had internal motivation as much as 53.33%. There is a relationship between internal motivation and the performance of Posyandu cadres. Most respondents have received incentives, namely 70.00%. There is a relationship between incentives and the performance of Posyandu cadres
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
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.v10i1.218

Abstract

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
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