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Implementasi metode pembelajaran campuran berbasis sistem manajemen pembelajaran pada pelatihan keperawatan: A literature review Yuni Azizah; Roro Tutik Sri Hariyati
Holistik Jurnal Kesehatan Vol 17, No 9 (2024)
Publisher : Program Studi Ilmu Keperawata Fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v17i9.13035

Abstract

Background: Technical competency nursing training is the basis for efforts to develop nurse competency, the implementation of which can be modified using the blended learning method or mixed system. The blended learning system combines face-to-face and online learning both virtual synchronously and virtual asynchronously. In accommodating virtual asynchronous learning, one of the learning technologies that can be used is a Moodle-based Learning Management System (LMS).Purpose: To provide views and descriptions of the use of the Learning Management System in nursing training using the blended learning method, analyzing the effectiveness of use, inhibiting and supporting factors, accuracy of target use, and outcomes resulting from LMS-based learning.Method: This research uses a literature review design, namely collecting and analyzing previous literature or research references that have been selected from various sources to become a conclusion on new ideas or a compilation of new ideas. The literature study selection process is based on Preferred Reporting Items for Systematic Reviews (PRISMA-ScR). The literature used in this study is various articles discussing topics with three categories of keywords, namely learning management system (LMS); blended learning; and nursing training. Search for articles via online databases, including Scopus, ProQuest Clinical Key, Ebscohost, and Pubmed. Based on these keywords, they were input using "and" and "or" which were then filtered to produce specific literature findings by narrowing the year range, namely 2018-2023.Results: Based on a review of 10 articles, the use of LMS produces positive effects in blended learning for teachers, students or participants with good preparation and media. International literature shows that the use of Learning Management Systems (LMS) as a mode of asynchronous learning can accommodate and provide a positive impact in the development of blended learning. In its implementation, blended learning with LMS also influences the success of learning in this electronic evaluation model investigation, namely that it depends on the learning strategies used by the students themselves, the environment where the learning takes place, the teaching design brought by the teacher into the classroom, and student learning behavior.Conclusion: A Moodle-based Learning Management System is an alternative form of developing competency improvement in effective and efficient nursing practice. Support for interactive and creative learning media modifications can increase interest in learning. Keywords: Blended Learning; Learning Management System (LMS); Nursing TrainingPendahuluan: Pelatihan keperawatan teknis kompetensi menjadi dasar upaya pengembangan kompetensi perawat yang mana dalam pelaksanaannya dapat dimodifikasi dengan metode blended learning atau sistem bauran. Sistem pembelajaran blended learning menggabungkan pembelajaran tatap muka dan online baik secara sinkronus maya maupun asinkronus maya. Dalam mengakomodir pembelajaran asinkronus maya salah satu teknologi pembelajaran yang dapat digunakan adalah Learning Management System (LMS) berbasis moodle.Tujuan: Untuk memberikan pandangan dan gambaran terhadap pemanfaatan Learning Management System pada pelatihan keperawatan dengan metode blended learning, menganalisa efektifitas pemanfaatan, faktor-faktor yang menghambat dan mendukung, ketepatan sasaran penggunaan, serta luaran yang dihasilkan dari pembelajaran berbasis LMS.  Metode: Penelitian ini menggunakan rancangan literature review yaitu melakukan pengumpulan dan menganalisis literatur-literatur atau referensi penelitian terdahulu yang telah dipilih dari berbagai sumber hingga menjadi sebuah kesimpulan gagasan baru atau satu kompilasi ide baru.  Proses pemilihan studi literatur berdasarkan oleh Preferred Reporting Items for Systematic Reviews (PRISMA-ScR). Literatur yang digunakan dalam studi ini adalah berbagai artikel yang membahas topik dengan tiga kategori kata kunci yakni learning management system (LMS); blended learning; dan nursing training. Penelusuran artikel melalui online database antara lain, Scopus, ProQuest Clinical Key, Ebscohost, dan Pubmed. Berdasarkan kata kunci tersebut diinput dengan menggunakan “and” dan “or” yang kemudian dilakukan penapisan untuk menghasilkan temuan literatur yang spesifik dengan mempersempit penetapan rentang tahun yaitu tahun 2018-2023.Hasil: Berdasarkan telaah 10 artikel, pemanfaatan LMS menghasilkan efek yang positif dalam pembelajaran bauran (blended learning) baik bagi pengajar, siswa atau peserta dengan persiapan dan media yang baik. Literatur internasional menunjukkan bahwa pemanfaatan Learning Management System (LMS) sebagai salah satu moda pembelajaran asinkron dapat mengakomodir dan memberikan dampak yang positif dalam pengembangan pembelajaran blended learning. Dalam Pelaksanaannya juga pembelajaran blended learning dengan LMS yang mempengaruhi keberhasilan pembelajaran dalam penyelidikan model evaluasi elektronik ini yaitu bergantung kepada strategi pembelajaran yang digunakan oleh siswa itu sendiri, lingkungan tempat pembelajaran berlangsung, desain pengajaran yang dibawa oleh guru ke dalam kelas, dan perilaku belajar siswa. Simpulan: Learning Management System berbasis moodle menjadi salah satu alternatif bentuk pengembangan peningkatan kompetensi dalam praktik keperawatan yang efektif dan efisien. Dukungan modifikasi media pembelajaran yang interaktif dan kreatif dapat meningkatkan minat pembelajaran. Kata Kunci: Blended Learning; Learning Management System (LMS); Pelatihan Keperawatan.
Strengthening the Role of Head Nurses in Managing Quality Improvement (QI) Programs for Pressure Injury Prevention in Hospitals Hendra Firmansyah; Roro Tutik Sri Hariyati; Lilis Rayatin
Indonesian Journal of Global Health Research Vol 7 No 1 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i1.5322

Abstract

Nursing managers face challenges in implementing Quality Improvement (QI) programs for pressure injury prevention in hospitals. Objectives: To identify problems faced by nurse managers in implementing QI programs and to develop problem-solving solutions. Mini-project on improving the quality of care room management and analysis of results and implementation gaps based on literature review. Data collection through interviews, observations, and questionnaires in the internal medicine inpatient ward. Data were analyzed using the 5 Whys technique and fishbone diagram. Problem-solving solutions used the FOCUS PDSA approach. It was found that the direction and control functions of the quality improvement program in efforts to prevent pressure injuries were not optimal. The implementation of solutions in the form of improving pressure injury data management, staff re-education, making mini posters, and evaluating the impact of pressure injuries on costs. The evaluation results showed that all at-risk patients had received preventive interventions and no new cases of pressure injuries were found. Strengthening the direction function of the head of the room through staff re-education, poster installation, and effective monitoring can improve the implementation of the QI program in preventing pressure injuries in hospitals.
Enhancing Nurses' Ethical Knowledge in Hospitals Through the Initiation of Nursing Ethic Navigation and A Nurses' Ethical Guideline E-Book Citra Hafilah Shabrina; Krisna Yetti; Hanny Handiyani; Shanti Farida Rachmi; Erna Puspita Sari; Roro Tutik Sri Hariyati
Indonesian Journal of Global Health Research Vol 7 No 4 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i4.6399

Abstract

Nurses in hospitals often face complex ethical situations; however, there are still gaps in the understanding and application of nursing ethical principles, and a structured, easily accessible ethical guideline is not yet available. This study aims to develop two main solutions Nursing Ethic Navigation (an ethical guideline web search engine) and the Nurses' Ethical Guideline E-Book using John Kotter’s Eight-Step Change Model approach. The method used is a case study conducted at Hospital X during September–October 2024, encompassing problem identification, action planning, implementation, and evaluation. The respondents in this study were the Head Nurse, Primary Nurse, Nursing Department staff, members of the Nursing Committee, and nurses in the IGD-COT unit at Hospital X. Data were collected through interviews, observations, and questionnaires, then analyzed using problem priority scoring and a fishbone diagram to identify root causes as the basis for developing action plans and change strategies. The results showed a significant improvement in nurses’ knowledge, awareness, and ability to apply ethical principles after the intervention. Digital media such as the e-book and web-based tools proved effective as learning platforms and practical references that can be accessed anytime. This study recommends expanding the implementation of ethical guidelines to other service units, supported by managerial involvement and continuous evaluation, to ensure integration into the organizational culture and daily nursing practice.