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Rossa, M. Adila
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Nursing

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Analysis of Risk Factors for Diarrhea in Children Under Two Years of Age at Koja Regional General Hospital, North Jakarta Mardianti, Lina; Fathiyati, Fathiyati; Rossa, M. Adila; 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).
Evaluation of the Effectiveness of the Clinical Learning Assessment System in Nursing Educational Institutions Darmojo, Hardjito S; Rossa, M. Adila
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.v4i2.191

Abstract

Clinical learning assessment is an essential component of nursing education because it plays a direct role in ensuring comprehensive and continuous student competency achievement. An effective clinical assessment system not only serves to assess final learning outcomes but also supports the learning process through constructive and objective feedback. This study aims to evaluate the effectiveness of the clinical learning assessment system in nursing educational institutions in terms of validity, reliability, learning feedback, and student satisfaction. The study used a quantitative design with a cross-sectional survey approach. The study sample consisted of 220 nursing students who had participated in clinical practice, selected using a stratified random sampling technique. Data were collected through a structured questionnaire that had been tested for content validity and internal reliability. Data analysis was conducted using descriptive and inferential statistics, including reliability tests, difference tests, and multiple linear regression analysis. The results showed that the effectiveness of the clinical learning assessment system was categorized as good. All assessment dimensions had high reliability values, indicating the consistency of the instrument used. Student satisfaction was the dimension with the highest score and had a significant influence on clinical competency achievement. Furthermore, there were differences in perceptions of the effectiveness of the assessment system based on the students' educational level. The conclusion of this study confirms that a standardized, objective, and meaningful feedback-supported clinical learning assessment system can improve the quality of clinical learning and support nursing students' competency achievement. The results of this study are expected to serve as a basis for developing and refining clinical assessment systems in nursing educational institutions
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

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
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

Abstract

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

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
Implementation of Integrated Quality Management in Nursing Services Rossa, M. Adila; Darmojo, Hardjito S
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.v4i2.190

Abstract

Integrated Quality Management (IQM) is a strategic approach oriented towards continuous improvement to enhance the quality of healthcare services, including nursing care. Nurses, as frontline care providers, play a crucial role in ensuring patient quality and safety. Therefore, the implementation of IQM in nursing care is a relevant issue that merits in-depth study. This study aims to explore the implementation of IQM in nursing care and identify supporting factors, barriers, and its impact on service quality. The study employed a qualitative approach with a phenomenological design. Data were collected through in-depth interviews, participant observation, and document review in the nursing care unit. The informants included nurses, ward heads, nursing managers, and the quality management team, selected purposively. Data were analyzed using thematic analysis to identify key patterns and themes. The results indicate that the implementation of IQM in nursing care has been ongoing, but remains partial and tends to be administrative. Nursing leadership and active nurse involvement play a crucial role in the success of IQM implementation. Key barriers include high workload, limited resources, and lack of ongoing training. Nevertheless, the implementation of Integrated Quality Management (TMM) has had a positive impact on compliance with care standards, nursing documentation, and patient safety awareness. This study concludes that strengthening a culture of quality, visionary leadership, and nurse empowerment are necessary to optimize the implementation of Integrated Quality Management (TMM) in nursing services
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

Abstract

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

Abstract

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
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

Abstract

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

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
Co-Authors Al-Bahra, Al-Bahra Fathiyati, Fathiyati Filda Fairuza Hardjito S Darmojo Lina Mardianti Qohar, Abd. siswosuharjo, partono Suciana, Ewin