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All Journal Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education Journal of Community Empowerment for Health Journal Of Health & Cardiovascular Nursing
Nurokhmanti, Hikmawati
Department Of Medical Education And Bioethics, Faculty Of Medicine, Public Health, And Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia
Education Electrical & Electronics Engineering Health Professions Medicine & Pharmacology Nursing Public Health

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Culture Influence to Students' Interaction due to Achieving Deep Learning Process in Problem Based Learning Hikmawati Nurokhmanti; Herma Roebertsens
Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education Vol 4, No 2 (2015): JULI
Publisher : Asosiasi Institusi Pendidikan Kedokteran Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1783.464 KB) | DOI: 10.22146/jpki.25267

Abstract

Background: In order achieving deep learning in tutorial process, collaboration among member of tutorial group becomes important factor. The quality of collaboration is determined by the students’ interaction which is influenced by students’ perception sourced from culture. This study aimed to reveal the relationship between students’ cultural perception with their interaction in tutorial.Method: This study used quantitative approach with distributing questionnaire to students in lecturer session during June – July 2012. The Pleijers et al questionnaire was used in this study. While question for cultural perception were extracted from theoretical background: teacher dependencies, group influence, learning orientation, ethnic influence, and response to feedback. Pearson or Spearman correlation test was chosen for further analysis.Results: There is correlation between students’ interaction with their perspectives since each type of interaction had significant r-value with specific students’ perspectives. Explorative and cumulative reasoning type of interaction could be endangered by students who have negative learning orientation, easily influenced by inactive group, and negative response to feedback. While handling conflict type of interaction is influenced by students’ perception on their ethnicity and response to feedback.Conclusion: Expected interaction during tutorial is complex situation which is influenced by students’ perspectives. Thus also involve teacher as tutor who also has perspectives derived from culture. Another research on tutor derived culture perspectives should be further explored.
WHAT CHANGES IN IMPLEMENTING COMPETENCE-BASED MEDICAL EDUCATION IN INDONESIA: A QUALITATIVE STUDY Titi Savitri Prihatiningsih; Hikmawati Nurokhmanti; Geraldine Baujea
Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education Vol 10, No 1 (2021): Maret
Publisher : Asosiasi Institusi Pendidikan Kedokteran Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jpki.64125

Abstract

Background: Competence-based Medical Education (CBME) is the latest curriculum model adopted by many countries since 1970s. Reforming medical curriculum to adopt CBME implicates major changes in all aspects and research on this is still lacking. This study aims at identifying changes in implementing CBME from the aspects of organization and structural changes, curricular design, implementation and evaluation and cultural changes. Methods: Retrospective qualitative method is applied using purposive sampling. Selected documents are used as the data and analysed using thematic analysis. Results: Four themes are identified for the first aspect, i.e. the role of central authority, multidepartment committees, committed change agents, and decision-making procedures. Whereas for the second aspect, five themes are pinpointed, consisting of curriculum design at macro level, meso and micro level, faculty development program, learning resources, implementation, and monitoring and qualitative evaluation. For the third aspect, four themes emerge, namely enabling factor, inhibiting factor, the paradox of the new curriculum and quality assurance. Conclusion: Major changes taking place in the design and implementation of CBME have been identified from three aspects inductively. Awareness of the kinds of changes and using them for curriculum planning could improve the success in shifting towards CBME.
Combining SRQ20 and PHQ9 for tackling mental problem in community Hikmawati Nurokhmanti; Fitriana Fitriana; Irwan Supriyanto
Journal of Community Empowerment for Health Vol 3, No 3 (2020)
Publisher : Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jcoemph.43942

Abstract

Mental health influences people’s productivity from individual-level to enterprise level. This important factor should be assessed and tackled by the primary care unit since healthy community is their ultimate goal. Sixty of two screening tools (self-rating questionnaire [SRQ20] and patient health questionnaire [PHQ9]) were randomly distributed by primary care unit through cadres at Kricak, Tegalrejo District to community which is attending the cadre launching. SRQ had an 83,33% response rate, whereas PHQ9 has only 41,7% response rate. By comparative distributive analysis, it was found that one person who fallen into moderately severe symptoms of depression in PHQ9 was had not fallen into the person who has mental problem based on SRQ20, and two persons who fall into the moderate symptom of depression in PHQ9 were had not fallen into person who has mental problem based on SRQ20. There was 20% inconsistency between the two tools of mental health assessment. Using two tools assessing mental health problem is fruitful since it will cover each other. This study proved that there could be divergent result from both questionnaires. A decision before continuity management care of depression should be taken carefully. There should be another step taken by primary care unit before they undergo management care for depression. 
MULTIDISCIPLINARY COLLABORATION IN DEVELOPING AN ALERT THERAPY HEMODYNAMIC DEVICE FOR HALLUCINATION PATIENTS: AN EVIDENCE-BASED NURSING INNOVATION : KOLABORASI MULTIDISIPLIN DALAM PENGEMBANGAN ALAT TERAPI PERINGATAN DINI HEMODINAMIK BAGI PASIEN HALUSINASI: INOVASI KEPERAWATAN BERBASIS BUKTI Nurhaeni, Heni; Nurokhmanti, Hikmawati
Journal of Health and Cardiovascular Nursing Vol. 5 No. 2 (2025): Journal of Health and Cardiovascular Nursing
Publisher : Politeknik Kesehatan Kemenkes RI Jakarta I

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36082/jhcn.v5i2.2764

Abstract

Severe mental disorders such as schizophrenia can cause autonomic nervous system dysfunction, leading to hemodynamic changes including increased heart rate, elevated blood pressure, and decreased heart rate variability. These physiological changes often appear before hallucinations, indicating the need for early detection technology based on physiological signals to prevent symptom escalation. This study developed the Hemodynamic Early Warning System (Alert Therapy Hemodynamic) to detect pre-hallucination hemodynamic patterns and to strengthen patient self-efficacy. The study used a simplified Borg & Gall Research and Development (R&D) model, consisting of five stages: needs identification, system design, prototype development, user testing, and revision. The prototype was created through multidisciplinary collaboration and includes multimodal sensors (HR, HRV, blood pressure), a pattern-detection algorithm, and a biofeedback module. Initial user testing evaluated function, comfort, and usability using the Functionality, Usability, Look-and-Feel, Evaluation (FULE) approach. The results showed that the pre-hallucination hemodynamic patterns were consistent with the literature, and the prototype functioned well and was accepted by users. This innovation is important for nurses, who play a key role in early detection of patient condition changes and in preventing symptom worsening. The system has the potential to improve recognition of early physical signs, enhance patient self-control, and increas clinical safety. Considering this urgency, future studies should include pre-clinical and limited clinical trials to assess the effectiveness, efficiency, and safety of this real-time HR/HRV-based pre-hallucination early detection tool in real patient populations.
Co-Authors Fitriana Fitriana Geraldine Baujea Heni Nurhaeni Herma Roebertsens Irwan Supriyanto Titi Savitri Prihatiningsih