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All Journal Nurse Media Journal of Nursing Media Karya Kesehatan Makara Journal of Health Research International Journal Of Pedagogical Novelty (IJOPNOV)
Ramoo, Vimala
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Education Health Professions Languange, Linguistic, Communication & Media Library & Information Science Medicine & Pharmacology Nursing Public Health Other

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Patient Experience of Inpatient Care and Services Received at a Teaching Hospital in Malaysia: A Cross-Sectional Study Wan Nawawi, Wan Nor Fatihah; Ramoo, Vimala; Chong, Mei Chan; Ahmad, Nor Zehan
Makara Journal of Health Research Vol. 26, No. 2
Publisher : UI Scholars Hub

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Abstract

Background: Patients’ experience reflects the quality of healthcare services from the end user’s perspective and therefore is an essential indicator of healthcare quality. This study aimed to measure patient experience of inpatient care and services received at a teaching hospital. Methods: A total of 321 patients were enrolled in this quantitative, cross-sectional study during their discharge. Data were collected from May to September 2018 through a validated self-administered questionnaire adapted from the Hospital Consumer Assessment of Healthcare Providers and Systems survey. Analysis of patient experience and overall hospital quality rating was conducted using SPSS version 25. Results: The majority of the patients (91%) reported a positive experience of inpatient care and perceived a high quality of service provided by the hospital. Further analysis revealed that the patients’ experiences varied significantly with their age, ethnicity, religion, employment status, type of ward, and perceived health status (all p < 0.05). Meanwhile, the level of patient experience was significantly correlated with the overall rating of the hospital (r = 0.804, p < 0.001). Conclusions: The findings served as benchmark data for hospital management to address issues related to hospital services. Future studies should be extended to patients from multidisciplinary wards and outpatient units to provide a significant reflection of hospital service quality.
Instilling Confidence in the Clinical Performance of Nursing Students Wiratmo, Puji Astuti; Ramoo, Vimala; Nurachmah, Elly
International Journal Of Pedagogical Novelty (IJOPNOV) Vol 1 No 1 (2022): International Journal of Pedagogical Novelty
Publisher : Pustaka Galeri Mandiri

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There is existing concerns from clinical education that nursing students need to improve confidence on clinical performance. Confidence is basis of nursing education and determines graduates’ level of competence to enter workforce. Confidence promotes safe and effective patient care. However, it is challenging to understand concept of confidence and how nurse educators instill confidence with innovative teaching strategies. The purpose of this review is to discuss concept of confidence, factors influencing confidence, and teaching strategies to improve students’ confidence. Science Direct, EBSCOhost, and Pubmed databases were used to identify evidence based research related to students’ confidence and teaching strategies. The key words included confidence, nursing students, teaching strategies, and clinical performance. The articles were selected based on objectives, relevance, and year published. The result suggested that simulation should be modified by other strategies such as repeated simulation, team based learning, and self-debriefing. Another strategy is multidisciplinary teaching using technological tool such as video podcasting, immersive 3d interaction, game-based learning and video-based learning. Clinical confidence is an essential element in students’ clinical performance. Innovative and creative teaching strategies are needed to instill nursing student’s confidence. Further studies are needed in assimilation of teaching strategies for nurturing students’ clinical confidence.
The Risk of Diabetic Peripheral Neuropathy among Patients with Type 2 Diabetes Mellitus in Urban and Rural Areas Qona'ah, Arina; Pratiwi, Ika Nur; Pawanis, Zulfayandi; Yamani, Laura Navika; Pratiwi, Eskarani Tri; Nursalam, Nursalam; Ramoo, Vimala
Nurse Media Journal of Nursing Vol 15, No 2 (2025): (August 2025) [In Progress]
Publisher : Department of Nursing, Faculty of Medicine, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/nmjn.v15i2.56936

Abstract

Background: Diabetic Peripheral Neuropathy (DPN) is a common complication of type 2 diabetes mellitus (T2DM) and is closely linked to poor glycemic control. However, little is known about how environmental and lifestyle differences between urban and rural settings affect the risk of DPN.Purpose: This study aimed to identify and compare the risk factors of DPN among T2DM patients living in rural and urban areas.Methods: A comparative cross-sectional design with purposive sampling was used to recruit 156 T2DM patients from both urban (Surabaya) and rural (Lamongan) areas of East Java, Indonesia. Data were collected using the Vascular Quality of Life-6 (VQ-6), Diabetic Neuropathy Symptom (DNS), Diabetic Neuropathy Examination (DNE), and Ankle-Brachial Index (ABI). Logistic regression was performed, with a significance level set at p<0.05.Results: The mean age of rural participants was 55.8 years, slightly younger than that of urban participants. Urban residents had higher levels of education (37.7%) but engaged less in regular physical activity (51.9%). The risk of DPN differed significantly between rural and urban participants. Vascular function (ABI, OR = 4.526, range = 0.7–4.00), peripheral nerve symptoms (DNS, OR = 2.838, range = 0–2), neurological deficits (DNE, OR = 1.571, range = 0–5), and neuropathy-related quality of life (VQ-6, OR = 0.663, range = 0–24, p=0.020) were more pronounced among rural participants.Conclusion: Rural T2DM patients are at greater risk of DPN due to vascular and neuropathic complications, combined with sociodemographic disadvantages. These findings highlight the importance of early detection and tailored education programs for rural communities to prevent and manage DPN.
Efforts to Improve Knowledge in Formulating Nursing Diagnoses through Mini Seminar Training Somantri, Irman; Ibrahim, Kusman; Mediawati, Ati Surya; Ramoo, Vimala; Yudianto, Kurniawan
Media Karya Kesehatan Vol 8, No 2 (2025): Media Karya Kesehatan
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/mkk.v8i2.66835

Abstract

Nursing professional organizations in Indonesia have established standardized guidelines for nursing documentation. However, the formulation of nursing diagnoses is still carried out as a routine activity by nursing teams, resulting in cases where diagnoses are not established according to proper standards. This community service program aimed to improve nurses’ understanding of nursing diagnosis formulation in accordance with Indonesian standards. The activity was implemented using a mini-seminar method involving 30 participants from two hospitals in the Bandung area. It was part of an activity based on Kemmis and McTaggart’s theory. In the preliminary phase, evaluation was conducted using a knowledge scale measurement and documentation observation to assess the number of nursing diagnoses implemented. The results showed an improvement in nurses’ ability to formulate nursing diagnoses, marked by an increase in understanding from only 10% before the activity to 83.33% after, with a p-value <0.001. In addition, the average number of nursing diagnosis labels increased from two to five per nurse. These findings indicate that the mini-seminar method is effective in enhancing nurses’ ability to formulate nursing diagnoses in accordance with established standards. Keywords: Nursing diagnosis, partisipatory research.
Co-Authors Ahmad, Nor Zehan Chong, Mei Chan Elly Nurachmah Ika Nur Pratiwi Irman Somantri Kusman Ibrahim Laura Navika Yamani Mediawati, Ati Surya Nursalam Nursalam Pawanis, Zulfayandi Pratiwi, Eskarani Tri Qona'ah, Arina Wan Nawawi, Wan Nor Fatihah Wiratmo, Puji Astuti Yudianto, Kurniawan