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All Journal JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) Healthcare Nursing Journal Journal of Telenursing (JOTING) BERNAS: Jurnal Pengabdian Kepada Masyarakat
Ramdan, Mardiana Mochamad
Nursing Department, Faculty Of Health, Muhammadiyah University Of Tasikmalaya, Indonesia
Religion Agriculture, Biological Sciences & Forestry Humanities Dentistry Education Environmental Science Health Professions Languange, Linguistic, Communication & Media Mathematics Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences Veterinary Other

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Analisis Kebutuhan Konsultasi Luka Berbasis Aplikasi Smartphone pada Luka Ramdan, Mardiana Mochamad; Suryati, Yati; Santoso, Budi; Nurlina, Fitri
Journal of Telenursing (JOTING) Vol 6 No 2 (2024): Journal of Telenursing (JOTING)
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31539/joting.v6i2.12852

Abstract

This study aims to analyze the need for smartphone-based wound consultation among patients with wounds. The method used is a qualitative approach through focus group discussions (FGD) involving two groups of participants, namely six wound practitioners and nine wound patients. The results of the study showed that there were four main themes identified from the wound practitioner group, namely: (1) the concept of wound assessment, (2) the implementation of wound assessment, (3) the wound consultation process, and (4) the need for innovation. Meanwhile, the wound patient group identified themes such as: (1) difficulties in accessing information, (2) sources of information, (3) decision making in wound care, and (4) the need for application-based consultation. The conclusion of this study is that both wound practitioners and wound patients need innovation in the form of application-based consultation to facilitate remote consultation, increase access to expert care, and improve patient outcomes. Keywords: Smartphone Application, Wound Consultation, Wound Patients
Feseability study of clinical leadership competency instrument: a strategic approach to strengthening nurse managers’ roles in enhancing hospital service quality Nurlina, Fitri; Sasyari, Usman; Saefulloh, Muhammad; Ramdan, Mardiana Mochamad; Falah, Miftahul; Haq, Dhiqi Abdul
JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) Vol. 13 No. 4 (2025)
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/jnki.2025.13(4).558-568

Abstract

Background: Clinical leadership among nurse managers plays a vital role in ensuring the quality and effectiveness of hospital services. Nurse managers are responsible for integrating professional competence, managerial skills, and interpersonal collaboration to enhance patient outcomes and team performance. However, in Indonesia, there remains a lack of standardized and contextually relevant instruments to measure clinical leadership competencies.Objectives: This study aimed to develop and validate a clinical leadership competency assessment instrument specifically tailored to the Indonesian hospital context and to evaluate its feasibility for practical application in nursing management.Methods: The study employed a research and development design conducted in Tasikmalaya City. The sample consisted of 38 nurse managers selected through accidental sampling. The research process consisted of several stages: instrument design, expert validation, revision, and limited testing. Content validity was examined using the Content Validity Index to ensure conceptual and contextual relevance, while item validity and reliability were analyzed through appropriate statistical methods to ensure measurement accuracy and internal consistency. Results: The developed instrument included 49 items across five core dimensions: communication, collaboration, decision-making, team empowerment, and change management. Validation results showed a CVI of 0.86 (>0.80), and high reliability (Cronbach’s Alpha 0.950). Non-valid items were removed, resulting in a final instrument that is valid, reliable, and contextually appropriate for use by nurse managers.Conclusions: The instrument is valid, reliable, and feasible for assessing nurse managers’ clinical leadership competencies. Beyond its psychometric soundness, it provides a strategic framework to strengthen leadership accountability, improve team coordination, and enhance hospital service quality. The instrument can also serve as a valuable tool in hospital management and nursing education to guide professional development and promote evidence-based leadership practices
Transformasi Pengetahuan dan Keterampilan Perawat dalam Perawatan Luka Modern melalui Edukasi Interaktif dan Pelatihan Hands-on: Indonesia Fitri Nurlina; Bayu Brahmantia; Mardiana Mochamad Ramdan
BERNAS: Jurnal Pengabdian Kepada Masyarakat Vol. 7 No. 3 (2026)
Publisher : Universitas Majalengka

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31949/jb.v7i3.18723

Abstract

Luka kronis merupakan masalah kesehatan yang dapat menurunkan kualitas hidup pasien dan meningkatkan risiko komplikasi serta biaya pelayanan kesehatan. Keterbatasan pengetahuan dan keterampilan perawat dalam penerapan perawatan luka modern menjadi salah satu faktor yang memengaruhi keberhasilan penyembuhan luka. Kegiatan pengabdian kepada masyarakat ini bertujuan meningkatkan kompetensi perawat melalui edukasi interaktif dan pelatihan hands-on perawatan luka modern. Metode yang digunakan meliputi ceramah interaktif, diskusi kasus, demonstrasi, simulasi praktik, serta evaluasi menggunakan pre-test dan post-test. Materi pelatihan mencakup konsep luka kronis, prinsip TIMERS, asesmen luka, teknik debridement, pemilihan balutan modern, dan pencegahan komplikasi luka. Kegiatan dilaksanakan kepada perawat anggota DPD PPNI Kota Tasikmalaya. Hasil kegiatan menunjukkan adanya peningkatan rata-rata nilai pengetahuan peserta dari 78 pada pre-test menjadi 84 pada post-test. Peserta juga menunjukkan peningkatan keterampilan dalam asesmen luka dan penggunaan balutan modern sesuai kondisi luka. Kegiatan edukasi interaktif dan pelatihan hands-on efektif meningkatkan pengetahuan dan keterampilan perawat dalam perawatan luka modern berbasis bukti. Program ini diharapkan dapat meningkatkan kualitas pelayanan keperawatan, mencegah luka kronis, dan meningkatkan kualitas hidup pasien.
Mirror Therapy in Increasing Muscle Strength in Stroke Patients Mardiana Mochamad Ramdan; Fitri Nurlina
HealthCare Nursing Journal Vol. 6 No. 1 (2024): HealthCare Nursing Journal
Publisher : LP3M Universitas Muhammadiyah Tasikmalaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35568/healthcare.v6i1.4261

Abstract

A stroke is a pretty serious health disorder when not treated immediately. A common problem is hemiparesis, where the patient will have difficulty performing daily activities, such as walking, working, eating, drinking, and so on. Mirror Therapy is one of the rehabilitation therapies with the help of mirrors that can be done in patients with hemiparesis. This therapy can be claimed to increase muscle strength in hemiparesis. The purpose of this writing is to analyze the application of mirror therapy to increased muscle strength in stroke patients. The method used is systematic review with search engines elsivier, PubMed, and Proquest. The keywords used are mirror therapy, stroke, and muscle strength. The SLR process step uses PRISMA and produces 8 articles for analysis. The results of the study have been obtained that, the effect of the application of mirror therapy to increase muscle strength, results is a significant difference in motor skills before and after the therapy, this application is effective when performed for 15–30 minutes every 3 times in a week, for 1-2 months or 12-20x exercise in 1-2 months. Mirror therapy can be applied to all stroke patients whether ischemic or hemorrhagic without visual impairment. Therefore, it is expected that mirror therapy can be performed in hospitals or home care as a patient rehabilitation program.
Archetypal Patterns of Leadership in Nurse Managers: A Narrative Inquiry Approach in Clinical Practice Fitri Nurlina; Usman Sasyari; Mardiana Mochamad Ramdan; Nindya Queena Amelia; Dhiqi Abdul Haq
HealthCare Nursing Journal Vol. 8 No. 2 (2026): HealthCare Nursing Journal
Publisher : LP3M Universitas Muhammadiyah Tasikmalaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35568/healthcare.v8i2.7160

Abstract

Background: Nurse managers play a crucial role in shaping the quality of nursing care and organizational culture. However, their leadership characteristics often remain implicit and deeply embedded within personal experiences and professional narratives. Archetypal patterns provide a lens to uncover symbolic dimensions of leadership that influence managerial practices in clinical settings. Objective: This study aimed to investigate the leadership characteristics of nurse managers through archetypal patterns using a narrative inquiry approach in clinical practice. Methods: A qualitative narrative inquiry design was employed. Data were collected from [X] nurse managers working in [hospital/clinical setting] through in-depth interviews, reflective journals, and field observations. Narrative data were analyzed thematically, guided by archetypal frameworks (e.g., caregiver, ruler, warrior, sage), to identify underlying leadership patterns. Results: Findings revealed four dominant archetypal patterns shaping nurse managers’ leadership: the Caregiver (emphasizing compassion and protection), the Ruler (prioritizing structure, authority, and decision-making), the Warrior (focusing on resilience and advocacy), and the Sage (highlighting wisdom and reflective practice). These archetypes manifested differently depending on situational demands, organizational context, and personal values. Conclusion: Nurse managers’ leadership is characterized by dynamic interplay between multiple archetypal patterns. Recognizing these patterns provides new insights into leadership development, mentoring, and strengthening clinical governance. Future research should explore archetypal leadership across diverse healthcare contexts to support transformative nursing leadership.
Family Experiences with Patient Care Using Ventilators in the ICU Septa Permana; Sri Hendrawati; Aam Amaliah; Lili Sali; Mardiana Mochamad Ramdan
HealthCare Nursing Journal Vol. 8 No. 1 (2026): HealthCare Nursing Journal
Publisher : LP3M Universitas Muhammadiyah Tasikmalaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35568/healthcare.v8i1.7565

Abstract

Family members of patients receiving mechanical ventilation in the Intensive Care Unit (ICU) often experience significant emotional and psychological distress. The highly technological environment, limited patient access, and uncertainty regarding prognosis can profoundly affect family experiences and coping processes. This study aimed to explore family experiences during ICU care for patients receiving ventilator support. A qualitative descriptive study was conducted using Focus Group Discussions (FGDs) involving six family members of mechanically ventilated patients in the ICU of Welas Asih Regional General Hospital. Participants were selected using purposive sampling. Data were analyzed using thematic analysis to identify recurring patterns and meanings in family experiences. Five major themes emerged: (1) emotional shock at the initiation of ventilator use, characterized by fear, anxiety, sadness, and trauma; (2) uncertainty and psychological burden related to unclear diagnosis, limited patient interaction, and lack of regular information; (3) generally positive communication with healthcare professionals, though families desired more structured and routine updates; (4) firm hopes for patient recovery, rapid clinical response, and humane care; and (5) the need for comprehensive support, including emotional, informational, spiritual, social, and financial support. Family experiences during ventilator-assisted ICU care are complex and multidimensional. Implementing a comprehensive family-centred care approach, particularly through structured communication and holistic family support, is essential to improve family well-being and the quality of critical care services.
Designing a User-Centered Smart Wound Consultation Model for Smartphone-Based Wound Care Mardiana Mochamad Ramdan; Fitri Nurlina; Mochamad Budi Santoso; Heri Budiawan; Miftahu Falah
HealthCare Nursing Journal Vol. 8 No. 2 (2026): HealthCare Nursing Journal
Publisher : LP3M Universitas Muhammadiyah Tasikmalaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35568/healthcare.v8i2.8054

Abstract

Wound care faces increasing challenges due to the growing prevalence of chronic wounds, limited access to wound care specialists, and the need for continuous healthcare services. Smartphone technology provides opportunities to improve access to integrated wound consultation. This study aimed to develop a user-centered smartphone-based Smart Wound Consultation model, identify its essential features, and establish a workflow for wound consultation and digital documentation. A Design Science Research approach with user-centered design principles was employed. The study was conducted in Tasikmalaya, Indonesia, involving four purposively selected experts in information technology, medical-surgical nursing, and wound care. Data were collected through expert discussions and design validation forms and analyzed using thematic analysis. The proposed model integrates six core features: wound screening, medication services, self-care support, homecare services, health education, and educational videos within a single smartphone platform. The workflow includes initial wound assessment, telenursing consultation, treatment recommendations, digital documentation, and referral pathways. Expert validation confirmed the feasibility of the model following minor revisions to medical terminology, screening content, educational materials, and referral mechanisms. The proposed model provides a comprehensive user-centered framework for digital wound consultation and offers a foundation for developing smartphone-based applications to improve access, continuity, and quality of Medical-Surgical Nursing services.
Co-Authors Aam Amaliah Bayu Brahmantia Dhiqi Abdul Haq Dwi Budi Santoso Fitri Nurlina Haq, Dhiqi Abdul Heri Budiawan Lili Sali Miftahu Falah Miftahul Falah Mochamad Budi Santoso Muhammad Saefulloh Nindya Queena Amelia Sasyari, Usman Septa Permana Sri Hendrawati Usman Sasyari Yati Suryati, Yati