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Simulation-Based Nursing Education in Improving Clinical Competence Siswosuharjo, Partono; Darmojo, Hardjito S; Fairuza, Filda
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.v8i2.198

Abstract

Nursing education is required to produce graduates with adequate clinical competency to ensure the quality and safety of healthcare services. One rapidly developing innovative learning approach is simulation-based nursing education, designed to bridge the gap between theory and clinical practice. This study aimed to analyze the effect of simulation-based nursing education on improving the clinical competency of nursing students. The study used a quasi-experimental design with a pretest-posttest approach and a control group. The study sample consisted of 80 nursing students divided into an intervention group and a control group. The intervention group received simulation-based clinical learning, while the control group underwent conventional clinical learning. Clinical competency was measured using the Objective Structured Clinical Examination (OSCE) and a standardized clinical skills instrument. Data analysis was performed using paired t-tests and independent t-tests. The results showed a significant increase in clinical competency in the intervention group compared to the control group (p < 0.001) with a strong effect size. These findings indicate that simulation-based nursing education is effective in improving clinical skills, decision-making, and student confidence. Therefore, simulation is recommended as a primary learning strategy in nursing education to enhance graduates' clinical readiness
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 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.
Evaluation of the Nursing Student Performance Assessment Model in Integrated Clinical Practice S. Darmojo, Hardjito; M. Adila Rossa; Filda Fairuza; Al-Bahra
JIKO (Jurnal Ilmiah Keperawatan Orthopedi) Vol. 3 No. 2 (2019): 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: 10.46749/3rwzy763

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.