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Clinical Learning Models in Nursing Students and Their Impact on Work Readiness Al-Bahra, Al-Bahra; Darmojo, Hardjito S
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.v8i1.195

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 Relationship between Health Education and Nurses' Compliance with Nursing Care Standards Mardianti, Lina; Darmojo, Hardjito S
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.v7i2.200

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.
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
The Relationship between Health Education and Nurses' Compliance with Nursing Care Standards Mardianti, Lina; Darmojo, Hardjito S
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.v7i2.201

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.
Evaluation of the Nursing Student Performance Assessment Model in Integrated Clinical Practice Darmojo, Hardjito S; Rossa, M. Adila; Fairuza, Filda
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.v3i2.192

Abstract

Integrated clinical practice is an essential component of nursing education because it serves as the primary means for students to apply theoretical knowledge, clinical skills, and professional attitudes in the context of real-life healthcare. Therefore, a performance assessment model capable of evaluating student competency comprehensively, objectively, and sustainably is needed. This study aims to evaluate the nursing student performance assessment model in integrated clinical practice and analyze the influence of assessment components on student clinical performance. The study used a quantitative, descriptive-analytical design with a survey approach. The study sample consisted of 180 final-year nursing students undergoing integrated clinical practice, selected using a stratified random sampling technique. The research instrument was an integrated clinical performance assessment questionnaire covering the domains of clinical knowledge, psychomotor skills, and professional behavior. Data analysis was performed using descriptive and inferential statistics, including a difference test and multiple linear regression. The results showed that the majority of students had high clinical performance, with the highest scores in the professional behavior domain. The performance assessment model, which included rubric clarity, assessment consistency, and preceptor feedback, had a significant effect on student clinical performance. These findings confirm that structured and integrated clinical assessment serves not only as an evaluation tool but also as a learning strategy that supports the holistic development of student competencies. This study recommends the consistent implementation of an integrated clinical assessment model to improve the quality of nursing education and graduates' readiness for professional practice.
The Role of Competency-Based Nursing Education in Improving the Quality of Health Services Darmojo, Hardjito S; Rossa, M. Adila; Suciana, Ewin
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.v8i2.207

Abstract

Competency-based nursing education is a strategic approach that emphasizes the mastery of measurable knowledge, skills, and professional attitudes to ensure graduates are capable of providing quality healthcare services. This article aims to analyze the role of competency-based nursing education in improving the quality of healthcare services. The method used is a systematic literature review of journals, institutional reports, and current nursing education policies, as well as a case study of the application of clinical competencies in primary healthcare facilities. The study results indicate that integrating a competency-based curriculum improves nurses' clinical skills, strengthens decision-making, and minimizes errors in care. Competently trained graduates are able to respond effectively to patient needs, improve patient safety, and support the implementation of national and international healthcare standards. Furthermore, competency-based education fosters a culture of continuous professional development, strengthens interprofessional teamwork, and increases patient satisfaction. These findings confirm that strengthening competency-based nursing education not only focuses on academic achievement but also has a direct impact on the quality of healthcare services, making them safer, more effective, and more sustainable. Recommendations from this article emphasize the need for regular curriculum evaluation, strengthening standardized clinical practices, and collaboration across educational institutions and healthcare facilities to ensure the relevance of competencies to the needs of the healthcare system.
Interprofessional Education in Nursing as a Strategy to Enhance Healthcare Team Collaboration Al-Bahra, Al-bahra; Darmojo, Hardjito S
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.
The Relationship between Health Education and Nurses' Compliance with Nursing Care Standards Mardianti, Lina; Darmojo, Hardjito S
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 Managerial Decision Making on the Effectiveness of Nursing Services Rossa, M. Adila; Darmojo, Hardjito S; Fairuza, Filda
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 Organizational Management and Nurse Job Satisfaction Rossa, M. Adila; Darmojo, Hardjito S; Siswosuharjo, Partono
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