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JIKO (Jurnal Ilmiah Keperawatan Orthopedi)
Published by SEKOLAH TINGGI ILMU KESEHATAN FATMAWATI
ISSN : 25801112     EISSN : 26556669     DOI : 10.46749
Core Subject : Health,
Health Professions Medicine & Pharmacology Nursing Public Health Veterinary
JIKO (Jurnal Ilmiah Keperawatan Orthopedi) is a Scientific Journal of Health Sciences at Fatmawati Health Sciences College (STIKes), Jakarta which will publish the research results of lecturers in the field of health sciences and health information. This scientific journal is published twice a year every January and July. The editorial team also accepts articles from other health science colleges. The review process in this journal employs a double-blind peer-review, which means that both the reviewer and author identities are hidden from the reviewers, and vice versa.
Arjuna Subject : Keperawatan - Keperawatan (Lain-Lain)
Articles 95 Documents
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The Relationship between Nursing Human Resource Management and Nurse Burnout Levels Siswosuharjo, Partono; Al-Bahra, Al-bahra; Fathiyati, Fathiyati; Qohar, Abdul
JIKO (Jurnal Ilmiah Keperawatan Orthopedi) Vol. 8 No. 1 (2024): 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: 10.46749/4jgvth46

Abstract

Burnout in nurses is a serious problem that impacts the well-being of nursing staff, service quality, and patient safety. High work demands, limited resources, and weak organizational management make nurses a profession vulnerable to burnout. This study aims to analyze the relationship between nursing human resource (HR) management and nurse burnout levels in hospitals. This study used a quantitative design with a cross-sectional approach. The sample consisted of 120 nurses selected using proportional stratified random sampling. Data were collected through a nursing HR management questionnaire and the Maslach Burnout Inventory (MBI) instrument. Data were analyzed univariately, bivariately using the Chi-Square test, and multivariately using ordinal logistic regression. The results showed that most respondents rated nursing HR management as good, but there were still nurses with moderate to high levels of burnout. Bivariate analysis showed a significant relationship between nursing HR management and nurse burnout levels (p < 0.05). The results of the multivariate analysis revealed that nursing HR management was the dominant factor influencing nurse burnout after controlling for age and length of service. Nurses working in units with poor human resource management are at higher risk of burnout compared to nurses in units with good human resource management. This study concludes that strengthening nursing human resource management plays a significant role in reducing nurse burnout rates. Therefore, human resource management policies and strategies oriented toward nurse well-being are needed to improve the quality of nursing services and patient safety
Risk Management in Nursing Services to Improve Patient Safety Rossa, M. Adila; Siswosuharjo, Partono; Mardianti, Lina; Qohar, Abdul
JIKO (Jurnal Ilmiah Keperawatan Orthopedi) Vol. 8 No. 1 (2024): 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: 10.46749/5dq57q70

Abstract

Patient safety is a key indicator of healthcare quality and is the responsibility of all healthcare workers, particularly nurses as caregivers who interact directly and continuously with patients. Adverse events such as medication errors, patient falls, and healthcare-associated infections remain common, demonstrating the need for effective risk management implementation in nursing services. This study aims to analyze the role of risk management in nursing services and its relationship to improving patient safety. The study employed a quantitative approach with a cross-sectional design. The subjects were nurses working in nursing service units, using a purposive sampling technique. Data were collected using a structured questionnaire that measured risk management implementation and patient safety levels. Data were analyzed using univariate, bivariate, and multivariate methods. The results showed that most nurses implemented moderate to high levels of risk management. Bivariate analysis demonstrated a significant relationship between risk management and patient safety. Furthermore, multivariate analysis demonstrated that risk management was the dominant factor influencing patient safety after controlling for other variables such as education and length of service. These findings confirm that systematic risk management implementation, supported by a strong safety culture and organizational commitment, can significantly improve patient safety. Therefore, the integration of risk management into nursing practice needs to be continuously strengthened through ongoing training, clear policies, and a non-punitive incident reporting system to continuously improve the quality of nursing care and patient safety
Clinical Learning Models in Nursing Students and Their Impact on Work Readiness Al-Bahra, Al-bahra; S. Darmojo, Hardjito
JIKO (Jurnal Ilmiah Keperawatan Orthopedi) Vol. 8 No. 1 (2024): 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/a2hepn89

Abstract

The clinical learning model is a crucial component of nursing education because it plays a direct role in shaping students' competencies and work readiness. Work readiness is a key indicator of the success of the educational process, particularly in facing the complex and dynamic demands of professional nursing practice. This study aims to analyze the influence of the clinical learning model on nursing students' work readiness. The study used a quantitative design with a descriptive analytical approach. The study sample consisted of 100 final-year nursing students who had participated in clinical practice, selected using a purposive sampling technique. Data were collected using a structured questionnaire that measured students' perceptions of the clinical learning model and their level of work readiness, which included aspects of clinical competence, self-confidence, communication, and professional readiness. Data were analyzed through univariate analysis, bivariate analysis using the Chi-Square test, and multivariate analysis using logistic regression. The results showed that most respondents rated the clinical learning model as good and had a high level of work readiness. Bivariate analysis showed a significant relationship between the clinical learning model and students' work readiness (p < 0.05). Multivariate analysis revealed that the clinical learning model was the dominant factor influencing nursing students' work readiness after controlling for age, gender, and length of clinical practice. This study concludes that implementing an effective and structured clinical learning model can improve nursing students' work readiness. Therefore, strengthening clinical learning strategies needs to be a priority in nursing education curriculum development
Innovation in Nursing Learning Methods to Improve Students' Critical Thinking S. Darmojo, Hardjito; Siswosuharjo, Partono; Fathiyati, Fathiyati; Rossa, M. Adila
JIKO (Jurnal Ilmiah Keperawatan Orthopedi) Vol. 9 No. 1 (2025): 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/fpe93a33

Abstract

Critical thinking is an essential competency that nursing students must possess to support appropriate clinical decision-making and safe nursing practice. However, the application of conventional learning methods remains a challenge in optimally developing critical thinking skills. This study aims to analyze the effectiveness of innovative nursing learning methods in improving students' critical thinking skills. The study used a quasi-experimental design with a pretest–posttest control group approach. The study subjects consisted of 80 undergraduate nursing students divided into an experimental group and a control group. The experimental group received an innovative learning intervention integrating flipped learning, case-based learning, and clinical simulation, while the control group used conventional learning methods. Critical thinking skills were measured using a validated critical thinking instrument. The results showed a significant increase in critical thinking skills in the experimental group compared to the control group (p < 0.001), with a very strong effect size. The highest increase was found in the clinical reasoning aspect. This study concludes that innovative nursing learning methods are effective in improving students' critical thinking skills and are recommended for integration into the nursing education curriculum
Effectiveness of Mobile Health-Based Self-Care Education on Symptom Control and Quality of Life in Chronic Heart Failure Patients Rogayah, Rogayah; Yanti, Lastri; Astuti, Yuniawati; Siswosuharjo, Partono
JIKO (Jurnal Ilmiah Keperawatan Orthopedi) Vol. 9 No. 1 (2025): 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/zkvnyw78

Abstract

Background: Chronic heart failure is a cardiovascular disease with a high morbidity burden that significantly impacts symptom control and patient quality of life. Self-care education is an important component in heart failure management, but conventional approaches are often suboptimal. The development of digital technology, particularly mobile health (mHealth), offers new potential in improving the effectiveness of education and patient engagement in self-care. Objective: This study aimed to analyze the effectiveness of mobile health-based self-care education on symptom control and quality of life in chronic heart failure patients. Methods: This study used a quasi-experimental design with a randomized controlled trial approach. A total of 80 chronic heart failure patients were randomly divided into an intervention group (n=40) and a control group (n=40). The intervention group received self-care education based on a mobile health application for 8 weeks, while the control group received conventional education. Symptom control was measured using the Heart Failure Symptom Score, and quality of life was assessed using the Kansas City Cardiomyopathy Questionnaire (KCCQ). Data analysis was performed using repeated measures ANOVA and mixed-effects models. Results: The study showed a significant reduction in symptom scores in the intervention group compared to the control group (p<0.001). Furthermore, there was a statistically significant improvement in quality of life in the intervention group (p<0.001). Compliance with application use was positively associated with improved clinical outcomes. Conclusion: Mobile health-based self-care education is effective in improving symptom control and quality of life in chronic heart failure patients and has the potential to be an innovative strategy in nursing practice
The Relationship Between Self-Stigma Levels and Medication Compliance in Patients with Severe Mental Disorders Dwi Lestari, Hernida; Pramujiwati, Desy; Sutisna, Didi; Suciana, Ewin
JIKO (Jurnal Ilmiah Keperawatan Orthopedi) Vol. 9 No. 1 (2025): 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: 10.46749/60esfc20

Abstract

Background: Medication adherence is a key factor in the successful treatment of patients with severe mental illness. However, the level of non-adherence remains relatively high and is often associated with various psychosocial factors, one of which is self-stigma. Self-stigma can influence patients' perceptions of the disease and treatment, potentially reducing adherence to regular medication use. Objective: This study aims to analyze the relationship between self-stigma levels and medication adherence in patients with severe mental illness. Methods: This study used a quantitative design with a cross-sectional approach. A total of 220 patients with severe mental illness undergoing treatment at a mental health service facility became the study respondents. The level of self-stigma was measured using the Internalized Stigma of Mental Illness (ISMI), while medication adherence was measured using the Medication Adherence Rating Scale (MARS). Data analysis was performed descriptively and inferentially using the Spearman correlation test and logistic regression with a significance level of p < 0.05. Results: The results showed that most respondents had moderate to high levels of self-stigma and more than half of respondents were non-compliant with medication. There was a significant negative relationship between self-stigma and medication adherence (r = −0.462; p < 0.001). Patients with high self-stigma are at greater risk of non-adherence to treatment. Conclusion: Self-stigma is significantly associated with medication adherence in patients with severe mental illness. Interventions focused on reducing self-stigma need to be integrated into mental health services to improve medication adherence and patient outcomes.
Interprofessional Education in Nursing as a Strategy to Enhance Healthcare Team Collaboration Al-Bahra, Al-bahra; S. Darmojo, Hardjito
JIKO (Jurnal Ilmiah Keperawatan Orthopedi) Vol. 9 No. 1 (2025): 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: 10.46749/6v3ekb50

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.
Measuring Nursing Students' Competency Achievements Based on Outcome-Based Education Rossa, M. Adila; S. Darmojo, Hardjito; Siswosuharjo, Partono
JIKO (Jurnal Ilmiah Keperawatan Orthopedi) Vol. 6 No. 2 (2022): 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/mx7b4m79

Abstract

Measuring nursing students' competency achievement is a crucial component in ensuring the quality of graduates who are ready to practice professionally safely and effectively. The Outcome-Based Education approach emphasizes the achievement of students' actual abilities through alignment of the curriculum, learning process, and a continuous evaluation system. This study aims to explore in-depth the process of measuring nursing students' competency achievement based on Outcome-Based Education from the perspectives of final-year students and clinical supervisors. The study employed a qualitative design with a phenomenological approach. Participants were selected purposively until data saturation was achieved. Data were collected through in-depth interviews, participant observation, and document review, followed by thematic analysis. The results identified five main themes: understanding the concept of Outcome-Based Education, the gradual and continuous process of measuring competency, factors supporting competency achievement, barriers to implementing outcome-based evaluation, and the impact on readiness for professional practice. The outcome-based approach has been shown to improve the integration of theory and practice, improve students' self-confidence, and improve critical thinking skills. However, challenges remain, including variations in assessment standards, limited practice time, the administrative burden of evaluation, and anxiety about competency testing. These findings confirm that measuring competency based on Outcome-Based Education requires standardized instruments, strengthening the capacity of clinical supervisors, and ongoing institutional support.
Simulation-Based Nursing Education in Improving Clinical Competence Siswosuharjo, Partono; S. Darmojo, Hardjito; Fathiyati, Fathiyati
JIKO (Jurnal Ilmiah Keperawatan Orthopedi) Vol. 8 No. 2 (2024): 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/pbssp846

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
Implementation of Management Functions in Improving the Quality of Nursing Services in Hospitals Mardianti, Lina; Siswosuharjo, Partono; Rossa, M. Adila
JIKO (Jurnal Ilmiah Keperawatan Orthopedi) Vol. 8 No. 2 (2024): 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/yzykdh67

Abstract

The quality of nursing care is a key indicator of hospital service quality, significantly influenced by the effectiveness of the implementation of nursing management functions. Management functions, including planning, organizing, directing, and controlling, play a crucial role in coordinating resources, directing nurse performance, and ensuring the delivery of nursing care according to established standards. This study aims to analyze the implementation of management functions in improving the quality of nursing care in hospitals. The study employed a quantitative design with a descriptive correlational approach. The sample consisted of 120 nurses working in the hospital's inpatient unit, selected using a purposive sampling technique. Data collection was conducted through a structured questionnaire that measured the implementation of management functions and the quality of nursing care. Data analysis included univariate analysis, bivariate analysis using the chi-square test, and multivariate analysis using multiple logistic regression. The results showed a significant relationship between the implementation of management functions and the quality of nursing care (p < 0.05). The multivariate analysis revealed that the directing function was the most dominant factor influencing the quality of nursing care compared to other management functions. Good implementation of management functions increases the chances of achieving quality, safe, and patient-oriented nursing care. The conclusion of this study confirms that strengthening the managerial competencies of ward heads and nursing leaders is a crucial strategy for sustainably improving the quality of nursing services in hospitals

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