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JIKO(Jurnal Ilmiah Keperawatan Orthopedi)
Published by Akademi Keperawatan Fatmawati
ISSN : 25801112     EISSN : 26556669     DOI : 10.46749
Core Subject : Health,
Nursing
JIKO (Jurnal Ilmiah Keperawatan Orthopedi) adalah Jurnal Ilmiah Ilmu Kesehatan pada Akademi Keperawatan Fatmawati Jakarta, yang akan mempublikasikan hasil penelitian dosen bidang ilmu kesehatan dan informasi kesehatan. Jurnal ilmiah ini terbit dua kali dalam satu tahun setiap bulan Januari dan Juli. Redaksi juga menerima tulisan dari perguruan tinggi kesehatan lainnya.
Arjuna Subject : Keperawatan - Keperawatan (Lain-Lain)
Articles 107 Documents
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Interprofessional Education in Nursing as a Strategy to Enhance Healthcare Team Collaboration Al-bahra Al-Bahra; Hardjito S Darmojo
J I K O (Jurnal Ilmiah Keperawatan Orthopedi) Vol 9, No 1 (2025): JIKO (Jurnal Ilmiah Keperawatan Orthopedi)
Publisher : LPPM AKPER FATMAWATI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46749/jiko.v9i1.197

Abstract

Interprofessional education (IPE) is a learning approach that involves students from various health professions to learn together, understand each other's roles, and develop collaborative skills in healthcare. This approach is increasingly important in nursing education given the complexity of patient needs and the demands of effective collaborative healthcare team practices. This study aims to analyze the role of interprofessional education in nursing as a strategy to improve healthcare team collaboration. The research method used a quantitative approach with a quasi-experimental design, involving nursing students and other healthcare professionals participating in an interprofessional education program based on case discussions and clinical simulations. Healthcare team collaboration was measured using a standardized instrument that assesses communication, role understanding, teamwork, and shared decision-making. The results showed a significant increase in healthcare team collaboration skills after the interprofessional education intervention. The most prominent improvements were seen in interprofessional communication and understanding of professional roles. These findings confirm that interprofessional education is an effective learning strategy for preparing nursing students for collaborative practice in healthcare settings. The systematic integration of interprofessional education into the nursing curriculum is recommended to improve the quality of care and patient safety.
The Relationship between Health Education and Nurses' Compliance with Nursing Care Standards Lina Mardianti; Hardjito S Darmojo; Al-Bahra Al-Bahra
J I K O (Jurnal Ilmiah Keperawatan Orthopedi) Vol 7, No 2 (2023): JIKO (Jurnal Ilmiah Keperawatan Orthopedi)
Publisher : LPPM AKPER FATMAWATI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46749/jiko.v7i2.202

Abstract

Background: Nurses' adherence to nursing care standards is an important indicator in ensuring the quality and safety of healthcare services. Nursing care standards serve as professional guidelines for implementing a systematic and evidence-based nursing process. One factor suspected of influencing nurses' adherence is health education, both formal and continuing education through training and competency development. Objective: This study aims to analyze the relationship between health education and nurses' adherence to nursing care standards. Methods: This study used a quantitative analytical design with a cross-sectional approach. The study sample consisted of 225 nurses working in hospital inpatient units, selected using a purposive sampling technique. Data were collected through a structured questionnaire that measured the level of health education and nurses' adherence to nursing care standards. Data analysis was performed using the chi-square test and logistic regression with a significance level of p < 0.05. Results: The results showed a significant relationship between health education and nurses' adherence to nursing care standards (p = 0.001). Nurses with higher health education were more likely to adhere to nursing care standards than nurses with lower health education. Conclusion: Health education plays a significant role in improving nurses' adherence to nursing care standards. Strengthening continuing education and training is recommended as a strategy to improve the quality and safety of nursing services.
The Influence of Managerial Decision Making on the Effectiveness of Nursing Services M. Adila Rossa; Hardjito S Darmojo; Abdul Qohar
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.
The Relationship between Organizational Management and Nurse Job Satisfaction M. Adila Rossa; Hardjito S Darmojo; Al-Bahra Al-Bahra
J I K O (Jurnal Ilmiah Keperawatan Orthopedi) Vol 7, No 2 (2023): JIKO (Jurnal Ilmiah Keperawatan Orthopedi)
Publisher : LPPM AKPER FATMAWATI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46749/jiko.v7i2.208

Abstract

This study aims to analyze the effectiveness of Outcome-Based Education (OBE)-based nursing student competency measurement in improving the quality of clinical learning and the professional readiness of graduates. The research method used a quantitative approach with a descriptive-analytical design for nursing students who had participated in integrated clinical practice. The research instruments included competency assessment sheets, student perception questionnaires, and documentation of academic evaluation results. Data were statistically analyzed using descriptive and inferential tests to identify the relationship between OBE implementation and competency achievement levels. The results showed that systematic OBE implementation improved clinical abilities, therapeutic communication skills, and evidence-based nursing decision-making. Furthermore, students demonstrated high levels of learning satisfaction because the learning objectives, evaluation methods, and feedback were clearly structured and measurable. These findings confirm that curriculum integration, authentic assessment, and learning reflection are critical factors in the successful implementation of OBE. Therefore, strengthening the outcome-based competency evaluation system is necessary to ensure the quality of nursing education and the readiness of graduates to face the complex demands of healthcare
Evaluation of the Implementation of a Learning Management System (LMS) in Health Higher Education Institutions Ewin Suciana; Al-Bahra Al-Bahra; Siti Madinah Ladjamuddin
J I K O (Jurnal Ilmiah Keperawatan Orthopedi) Vol 10, No 2 (2026): Vol 10, No 2 (2026): JIKO (Jurnal Ilmiah Keperawatan Orthopedi)
Publisher : LPPM AKPER FATMAWATI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46749/jiko.v10i2.223

Abstract

This study aims to evaluate the implementation of a Learning Management System (LMS) in a health sciences higher education institution by analyzing system quality, information quality, service quality, LMS usage, user satisfaction, learning engagement, and learning outcomes. A quantitative approach was employed, utilizing a survey design involving students and lecturers as LMS users. The evaluation was developed based on the DeLone and McLean information systems success model, extended to include the constructs of learning engagement and learning outcomes. The results indicate that the overall implementation of the LMS falls into the "effective" category, with an average score of 4.00 on a 5-point scale. Information quality received the highest score (4.12), followed by system quality (4.08), user satisfaction (4.06), LMS usage (4.01), learning engagement (3.94), and learning outcomes (3.91). Analysis of the relationships between variables reveals that system quality, information quality, and service quality positively influence LMS usage and user satisfaction. Furthermore, LMS usage contributes to user satisfaction, while satisfaction is positively associated with learning engagement. Learning engagement emerged as the strongest predictor of learning outcomes. These findings demonstrate that LMS success is determined not only by technological quality but also by content quality, service support, usage intensity, satisfaction, and active student engagement. The study recommends strengthening infrastructure, content quality, technical support, and interactive learning, as well as utilizing learning analytics to enhance LMS effectiveness in health sciences higher education.
Midwifery E-Learning as a Medium for Improving Midwifery Students' Competence in the Digital Era Al-bahra Al-Bahra; Hardjito S Darmojo; Ewin Suciana
J I K O (Jurnal Ilmiah Keperawatan Orthopedi) Vol 10, No 1 (2026): Vol 10, No 1 (2026): JIKO (Jurnal Ilmiah Keperawatan Orthopedi)
Publisher : LPPM AKPER FATMAWATI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46749/jiko.v10i1.219

Abstract

The development of digital technology has driven a transformation in the learning system in midwifery education, one of which is through the implementation of e-learning. This study aims to analyze the effectiveness of e-learning as a medium for improving the competency of midwifery students in the digital era. The study employed a mixed methods approach with a sequential explanatory design that combines quantitative and qualitative methods. The quantitative design employed a quasi-experimental pretest-posttest control group design, involving 80 midwifery students divided into e-learning and conventional learning groups. Data were collected through competency tests, questionnaires, observations, and in-depth interviews. Quantitative data analysis was conducted using paired t-tests, independent t-tests, and effect size tests, while qualitative data were analyzed thematically. The results showed that the e-learning group experienced a higher increase in learning outcomes than the conventional group, with a significant difference (p<0.05). The effect size value indicates a significant impact on improving student competency. Furthermore, e-learning also increased students' learning motivation, active participation, learning independence, and digital literacy. Students expressed positive perceptions of the flexibility, ease of access, and interactivity of digital-based learning. However, the implementation of e-learning still faces obstacles such as limited internet connections, technological readiness, and limited direct clinical practice. This study concludes that e-learning is an effective and innovative learning medium for improving the competencies of midwifery students in the digital era, especially when combined with a blended learning approach
The Influence of Simulation-Based Learning Methods on the Clinical Competence of Midwifery Students Fathiyati Fathiyati; Hardjito S Darmojo
J I K O (Jurnal Ilmiah Keperawatan Orthopedi) Vol 4, No 2 (2020): JIKO (Jurnal Ilmiah Keperawatan Orthopedi)
Publisher : LPPM AKPER FATMAWATI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46749/jiko.v4i2.210

Abstract

Clinical competence is an important aspect of midwifery education because it is directly related to students' ability to provide safe, effective, and professional midwifery care. One learning method considered capable of improving students' clinical competence is simulation-based learning. This study aims to explore the effect of simulation-based learning methods on the clinical competence of midwifery students. The study used a qualitative approach with a descriptive phenomenological design. The study participants were 15 midwifery students selected using a purposive sampling technique. Data collection was conducted through in-depth interviews, participant observation, and documentation. Data analysis used thematic analysis through the processes of data reduction, coding, theme identification, and interpretation of meaning. The results showed that simulation-based learning methods had a positive impact on improving the clinical competence of midwifery students. Students experienced improvements in clinical practice skills, critical thinking skills, clinical decision-making, therapeutic communication, and teamwork. In addition, simulation also helped increase students' confidence in facing real-life clinical practice because they gained training experiences that resembled actual health care conditions. However, the study also identified several obstacles to implementing simulations, such as limited laboratory facilities, a limited number of simulation tools, and less than optimal practice time. This study concluded that simulation-based learning methods are effective in improving the clinical competence of midwifery students and can be an innovative learning strategy in modern midwifery education.
Measuring the Impact of Learning Evaluation on the Readiness of Nursing Graduates in the World of Work Hardjito S Darmojo; Al-bahra Al-Bahra; Fathiyati Fathiyati
J I K O (Jurnal Ilmiah Keperawatan Orthopedi) Vol 10, No 1 (2026): Vol 10, No 1 (2026): JIKO (Jurnal Ilmiah Keperawatan Orthopedi)
Publisher : LPPM AKPER FATMAWATI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46749/jiko.v10i1.218

Abstract

Introduction: The transition from nursing education to professional practice remains a critical challenge, often characterized by a gap between academic assessment systems and real-world clinical demands. Learning evaluation plays a pivotal role not only in measuring academic achievement but also in shaping graduate nurses’ work readiness. However, the extent to which different components of learning evaluation contribute to work readiness remains underexplored. Objective: This study aimed to analyze the impact of learning evaluation on the work readiness of nursing graduates entering the healthcare workforce. Methods: A quantitative cross-sectional correlational design was employed. A total of 236 nursing graduates from diploma and bachelor programs were selected using stratified random sampling. Data were collected using validated questionnaires measuring learning evaluation components (formative assessment, summative assessment, clinical simulation, and preceptor feedback) and the Work Readiness Scale for Graduate Nurses (WRS-GN). Data were analyzed using Pearson correlation and multiple linear regression analysis with a significance level of p < 0.05. Results: Learning evaluation demonstrated a significant relationship with work readiness (r = 0.658, p < 0.001). Multiple regression analysis revealed that learning evaluation explained 56.9% of the variance in work readiness (R² = 0.569). Among the components, preceptor feedback emerged as the most dominant predictor (β = 0.356, p < 0.001), followed by clinical simulation (β = 0.267, p < 0.001) and formative assessment (β = 0.184, p = 0.006). Summative assessment showed no significant effect on work readiness (p = 0.135). Conclusion: Learning evaluation significantly influences nursing graduates’ work readiness, with practice-based evaluation components such as preceptor feedback and clinical simulation playing the most critical roles. The findings highlight the need to shift from traditional summative-based evaluation toward competency-based and clinically integrated assessment systems to better prepare nursing graduates for real-world healthcare demands
Analysis of Patient Data Security in Cloud Computing-Based Midwifery Information Systems Siti Madinah Ladjamuddin; Al-bahra Al-Bahra; Fathiyati Fathiyati
J I K O (Jurnal Ilmiah Keperawatan Orthopedi) Vol 10, No 1 (2026): Vol 10, No 1 (2026): JIKO (Jurnal Ilmiah Keperawatan Orthopedi)
Publisher : LPPM AKPER FATMAWATI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46749/jiko.v10i1.220

Abstract

This study aims to analyze patient data security within a cloud-based midwifery information system using the Health and Risk (H&R) approach. While digital transformation in midwifery services enhances the availability and accessibility of patient information, it simultaneously introduces risks regarding confidentiality, integrity, privacy, and unauthorized access to health data. The study employed a descriptive quantitative approach, involving 100 healthcare professionals who use the cloud-based midwifery information system as respondents. Data collection was conducted via a questionnaire covering five security dimensions: confidentiality, integrity, availability, access control, and privacy. Analysis was performed using descriptive statistics and a risk assessment based on a combination of probability and risk impact. The results indicate that the overall level of data security falls into the high category, with a mean score of 3.998. The availability dimension achieved the highest score at 4.18, followed by confidentiality at 4.12 and integrity at 4.05. Meanwhile, access control scored 3.86, and privacy was the lowest-scoring dimension at 3.78. Risk analysis revealed that unauthorized access and data breaches posed the highest risks, each with a risk score of 20. The findings demonstrate that cloud implementation has supported the availability of midwifery information; however, strengthening access controls, privacy protection, authentication, audit trails, encryption, and user security awareness remains essential. This study recommends periodic, risk-based security evaluations to enhance patient data protection and the reliability of the midwifery information system.
The Effectiveness of Blended Learning in Improving Midwifery Students' Skills Fathiyati Fathiyati; Didi Sutisna; Ewin Suciana; Siti Madinah Ladjamuddin
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.v8i2.211

Abstract

The development of digital technology has driven changes in the learning system in midwifery education, one of which is through the implementation of blended learning. This learning model combines face-to-face and online learning to improve the effectiveness of students' learning processes. This study aims to explore the effectiveness of blended learning in improving the skills of midwifery students. The study used a qualitative approach with a descriptive phenomenological design. The study participants were 15 midwifery students selected using a purposive sampling technique. Data collection was conducted through in-depth interviews, observation, and documentation. Data analysis used thematic analysis through the processes of data reduction, coding, theme identification, and interpretation of meaning. The results showed that blended learning had a positive impact on the learning process of midwifery students. Students experienced flexibility in accessing learning materials, improved understanding of theory and clinical skills, and increased motivation and independence in learning. The use of learning videos, virtual simulations, and online discussions helped students better prepare for laboratory and clinical practice. In addition, blended learning also increased learning interactivity and student participation in academic discussions. However, the implementation of blended learning still faces several obstacles, such as limited internet connection, online learning fatigue, and limitations in direct clinical practice. This study concludes that blended learning is an effective and adaptive learning method for improving midwifery students' skills in the digital era when supported by optimal technological infrastructure and learning design

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