Technopreneurship Adoption and Innovation Value in Private Wound Care Nursing Practices
Article Sidebar
-
Technopreneurship, Wound Dressings, Nursepreneurship Experience, Technology Adoption, Innovation Value
Abstract
Advanced wound dressings represent a key innovation in chronic wound management, yet their adoption among independent nursing entrepreneurs in Indonesia remains suboptimal due to systemic and contextual challenges. This study investigates nursepreneurs’ experiences in adopting technology-driven wound dressing products and examines how innovation value, evidence-based practice, and environmental factors influence adoption and perceived quality of care. A cross-sectional survey was conducted with 288 certified wound care nursepreneurs across Indonesia. Data were analysed using Partial Least Squares Structural Equation Modelling (PLS-SEM) to evaluate the influence of innovation-related factors, adoption barriers, and clinical expertise on reported care quality. The findings indicate that financial constraints, product accessibility, and limited clinical training substantially restrict the adoption of advanced wound care technologies. Evidence-Based Value (β = 0.185, p < 0.000), Enhanced Value (β = 0.162, p < 0.001), and Innovativeness Value (β = 0.219, p < 0.000) significantly improved nursepreneur experiences, which in turn positively influenced perceived care quality (β = 0.367, p < 0.000). Key Opinion Leaders demonstrated no significant moderating effect (β = −0.127, p = 0.302), particularly among more experienced nursepreneurs. Advancing technopreneurship in wound care requires more than the availability of innovative products; capacity building, product literacy, and supportive systems are essential to improve service delivery. Addressing adoption barriers can enhance utilisation of advanced wound dressings and strengthen clinical outcomes, thereby elevating care standards in independent nursing practices in Indonesia.
Full text article
References
[1] M. Lommi, B. Raffaele, M. Y. Tolentino Diaz, G. Montini, C. Puleio, and B. Porcelli, “Nursing outcomes in wound care management: A mixed method study,” Nursing Open, vol. 10, no. 4, pp. 2249–2263, 2023.
[2] D. W. Soeatmadji, R. Rosandi, M. R. Saraswati, R. P. Sibarani, and W. O. Tarigan, “Clinicodemographic profile and outcomes of type 2 diabetes mellitus in the indonesian cohort of discover: a 3-year prospective cohort study,” Journal of the ASEAN Federation of Endocrine Societies, vol. 38, no. 1, p. 68, 2023.
[3] C. Stott, “4th asean wound summit in indonesia november 2022,” Journal of Stomal Therapy Australia, vol. 43, no. 1, pp. 44–47, 2023.
[4] Y. Sharma, S. Ghatak, C. K. Sen, and S. Mohanty, “Emerging technologies in regenerative medicine: The future of wound care and therapy,” Journal of Molecular Medicine, vol. 102, no. 12, pp. 1425–1450, 2024.
[5] R. Laurano, M. Boffito, G. Ciardelli, and V. Chiono, “Wound dressing products: A translational investigation from the bench to the market,” Engineered Regeneration, vol. 3, no. 2, pp. 182–200, 2022.
[6] R. Tossaint-Schoenmakers, A. Versluis, N. Chavannes, E. Talboom-Kamp, and M. Kasteleyn, “The challenge of integrating ehealth into health care: systematic literature review of the donabedian model of structure, process, and outcome,” Journal of medical Internet research, vol. 23, no. 5, p. e27180, 2021.
[7] W. health statistics 2022, “Monitoring health for the sdgs, sustainable development goals [internet],” 2022.
[8] M. Minsart, S. Van Vlierberghe, P. Dubruel, and A. Mignon, “Commercial wound dressings for the treatment of exuding wounds: an in-depth physico-chemical comparative study,” Burns & Trauma, vol. 10, p. tkac024, 2022.
[9] Y. Jiang, X. Li, H. Luo, S. Yin, and O. Kaynak, “Quo vadis artificial intelligence?” Discover Artificial Intelligence, vol. 2, no. 1, p. 4, 2022.
[10] U. Rahardja, P. A. Sunarya, Q. Aini, S. Millah, and S. Maulana, “Technopreneurship in healthcare: Evaluating user satisfaction and trust in ai-driven safe entry stations,” Aptisi Transactions on Technopreneurship (ATT), vol. 6, no. 3, pp. 404–417, 2024, https://doi.org/10.34306/att.v6i3.489.
[11] M. F. Brown, V. K. Cheruvu, J. B. VanGeest, T. C. Smith, and D. L. Langkamp, “Covid-19 vaccination among adolescents and young adults: Test of the triandis model of interpersonal behavior and the health belief model,” Clinical Pediatrics, vol. 64, no. 2, pp. 210–229, 2025.
[12] H. S. Kim, K. M. Cho, and M. Kim, “Information-sharing behaviors among sports fans using# hashtags,” Communication & Sport, vol. 9, no. 4, pp. 646–669, 2021.
[13] B. Rawat, A. S. Bist, D. Supriyanti, V. Elmanda, and S. N. Sari, “Ai and nanotechnology for healthcare: A survey,” Aptisi Transactions on Management (ATM), vol. 7, no. 1, pp. 86–91, 2023.
[14] S. De Rosis, K. Jamieson Gilmore, and S. Nuti, “Reverse compassion: value-in-use and value-in-context of healthcare services during crisis,” The TQM Journal, vol. 35, no. 9, pp. 332–351, 2023.
[15] E. A. Natasya, N. P. L. Santoso, L. Pasha, C. T. Hua, and C. Perez, “Enhancing adaptive learning environments in learning factories through artificial intelligence,” International Transactions on Education Technology (ITEE), vol. 4, no. 1, pp. 1–13, 2025.
[16] D. Sahputra, P. Lumbantobing, and C. P. Tuppal, “Assessment of the quality of independent nursing practice in indonesia based on total quality management indicators,” Belitung Nursing Journal, vol. 7, no. 4, p. 294, 2021.
[17] S. Ozkan, E. Yilmaz, H. Baydur, and M. B. Ertugrul, “Factors affecting the quality of life of hospitalized persons with chronic foot and lower leg wounds,” Advances in skin & wound care, vol. 34, no. 12, pp. 645–650, 2021.
[18] J. E. Squires, A. M. Hutchinson, M. Coughlin, K. Bashir, J. Curran, J. M. Grimshaw, K. Dorrance, L. Aloisio, J. Brehaut, J. J. Francis et al., “Stakeholder perspectives of attributes and features of context relevant to knowledge translation in health settings: a multi-country analysis,” International Journal of Health Policy and Management, vol. 11, no. 8, p. 1373, 2021.
[19] S. I. Al-Hawary, J. R. N. Alvarez, A. Ali, A. K. Tripathi, U. Rahardja, I. H. Al-Kharsan, R. M. Romero-Parra, H. A. Marhoon, V. John, and W. Hussian, “Multiobjective optimization of a hybrid electricity generation system based on waste energy of internal combustion engine and solar system for sustainable environment,” Chemosphere, vol. 336, p. 139269, 2023.
[20] R. Widayanti, M. H. R. Chakim, C. Lukita, U. Rahardja, and N. Lutfiani, “Improving recommender systems using hybrid techniques of collaborative filtering and content-based filtering,” Journal of Applied Data Sciences, vol. 4, no. 3, pp. 289–302, 2023.
[21] B. Rawat, A. S. Bist, U. Rahardja, C. Lukita, and D. Apriliasari, “The impact of online system on health during covid 19: A comprehensive study,” ADI Journal on Recent Innovation, vol. 3, no. 2, pp. 195–201, 2022.
[22] C. Janerka, G. D. Leslie, and F. J. Gill, “Development of patient-centred care in acute hospital settings: a meta-narrative review,” International Journal of Nursing Studies, vol. 140, p. 104465, 2023.
[23] N. Lutfiani, D. A. Astrieta, V. Wildan, H. Sulistyaningrum, M. R. Anwar, and E. D. Astuti, “Emotional well-being and psychological support in infertility a multi-modal ai approach,” International Journal of Cyber and IT Service Management, vol. 5, no. 1, pp. 81–92, 2025.
[24] L. P. Dewanti, L. Sitoayu, and A. Idarto, “Digital tele-counseling for sustainable maternal health services in indonesia focus on telelactation,” IAIC Transactions on Sustainable Digital Innovation (ITSDI), vol. 6, no. 1, pp. 10–20, 2024.
[25] S. Sunanto, K. Kasmad, and J. Andriani, “Predicting professional entrepreneurial intention through core determinants of entrepreneurial attitude,” International Journal of Cyber and IT Service Management (IJCITSM), vol. 6, no. 1, pp. 25–36, 2026.
[26] J. F. Hair Jr, G. T. M. Hult, C. M. Ringle, M. Sarstedt, N. P. Danks, and S. Ray, Partial least squares structural equation modeling (PLS-SEM) using R: A workbook. Springer Nature, 2021.
[27] F. Magno, F. Cassia, and C. M. Ringle, “A brief review of partial least squares structural equation modeling (pls-sem) use in quality management studies,” The TQM Journal, vol. 36, no. 5, pp. 1242–1251, 2024.
[28] S. Sindhu, M. Luthra, S. Vashist et al., “Technopreneurship in the digital age: Merging technology and entrepreneurship for global innovation,” in Technopreneurship and Sustainability. CRC Press, pp. 65–83.
[29] Y. Y. R. Rachmawati, Y. P. A. Sanjaya, and S. Edilia, “Web-based temperature, oxygen saturation, and heart rate monitoring system,” IAIC Transactions on Sustainable Digital Innovation (ITSDI), vol. 4, no. 1, pp. 38–45, 2022.
[30] O. Jayanagara and A. Patricia, “Analyzing healthpreneur determinants for low-socioeconomic ethnic families,” Aptisi Transactions on Technopreneurship (ATT), vol. 7, no. 3, pp. 738–750, 2025, https://doi.org/10.34306/att.v7i3.679.
[31] J. Cheng, J. Sun, K. Yao, M. Xu, and Y. Cao, “A variable selection method based on mutual information and variance inflation factor,” Spectrochimica Acta Part A: Molecular and Biomolecular Spectroscopy, vol. 268, p. 120652, 2022.
[32] P. M. Podsakoff, N. P. Podsakoff, L. J. Williams, C. Huang, and J. Yang, “Common method bias: It’s bad, it’s complex, it’s widespread, and it’s not easy to fix,” Annual Review of Organizational Psychology and Organizational Behavior, vol. 11, no. 1, pp. 17–61, 2024.
[33] A. G. Pamungkas, A. Suharko, D. Apriani, E. A. Nabila et al., “Analysis of the effect of quality, service price and satisfaction on patients and their impact on visits to exclusive dental clinics in south jakarta,” APTISI Transactions on Management (ATM), vol. 7, no. 1, pp. 8–14, 2023.
[34] M. of Health of the Republic of Indonesia, “Ministry of health learning management system,” https://lms.kemkes.go.id/courses/9fcaba9a-10f4-4ea3-b9bf-5c01c0ceb966, 2024, accessed on June 26, 2025.
[35] P. A. Sunarya, U. Rahardja, S. C. Chen, Y.-M. Lic, and M. Hardini, “Deciphering digital social dynamics: A comparative study of logistic regression and random forest in predicting e-commerce customer behavior,” Journal of Applied Data Sciences, vol. 5, no. 1, pp. 100–113, 2024.
[36] R. Azhari and A. N. Salsabila, “Analyzing the impact of quantum computing on current encryption techniques,” IAIC Transactions on Sustainable Digital Innovation (ITSDI), vol. 5, no. 2, pp. 148–157, 2024.
[37] A. Sunarya, R. A. Sunarjo, M. Abbas, O. A. Al-Kamari, and S. Maulana, “Ai-driven educational data analytics and intelligent tutoring in learning factory environments,” International Transactions on Education Technology (ITEE), vol. 4, no. 1, pp. 14–30, 2025.
[38] R. G. Munthe, Q. Aini, N. Lutfiani, I. Van Persie, and A. Ramadhan, “Transforming scientific publication management in the era of disruption: Smartpls approach in innovation and efficiency analysis,” APTISI Transactions on Management, vol. 8, no. 2, pp. 123–130, 2024.
[39] Q. Aini, P. Purwanti, R. N. Muti, E. Fletcher et al., “Developing sustainable technology through ethical ai governance models in business environments,” ADI Journal on Recent Innovation, vol. 6, no. 2, pp. 145–156, 2025.
[40] R. Raghavan, “Unjani clinic network: an innovative and scalable hybrid enterprise model that achieves social impact through entrepreneurship,” Journal of Organization Design, vol. 10, no. 3, pp. 109–113, 2021.
[41] N. Azizah, P. A. Sunarya, U. Rahardja, A. B. Mutiara, P. Prihandoko, and C. Pasha, “Improving smear negative tuberculosis detection using data augmentation and faster r-cnn,” International Journal of Cyber and IT Service Management (IJCITSM), vol. 6, no. 1, pp. 65–77, 2026.
[42] L. Su, Y. Jia, L. Fu, K. Guo, and S. Xie, “The emerging progress on wound dressings and their application in clinic wound management,” Heliyon, vol. 9, no. 12, 2023.
[43] M. S. Ahmad, M. Barattucci, T. Ramayah, T. Ramaci, and N. Khalid, “Organizational support and perceived environment impact on quality of care and job satisfaction: a study with pakistani nurses,” International Journal of Workplace Health Management, vol. 15, no. 6, pp. 677–693, 2022.
[44] K. McCullough, L. Andrew, A. Genoni, M. Dunham, L. Whitehead, and D. Porock, “An examination of primary health care nursing service evaluation using the donabedian model: A systematic review,” Research in nursing & health, vol. 46, no. 1, pp. 159–176, 2023.
[45] D. Juliastuti, E. Alexandrina, E. Sana, R. N. Muti, and G. P. Cesna, “Integrating artificial intelligence for academically challenged students education and health,” International Transactions on Artificial Intelligence, vol. 4, no. 1, pp. 13–24, 2025.
[46] L. Connor, J. Dean, M. McNett, D. M. Tydings, A. Shrout, P. F. Gorsuch, A. Hole, L. Moore, R. Brown, B. M. Melnyk et al., “Evidence-based practice improves patient outcomes and healthcare system return on investment: Findings from a scoping review,” Worldviews on Evidence-Based Nursing, vol. 20, no. 1, pp. 6–15, 2023.
[47] E. Nasarian, R. Alizadehsani, U. R. Acharya, and K.-L. Tsui, “Designing interpretable ml system to enhance trust in healthcare: A systematic review to proposed responsible clinician-ai-collaboration framework,” Information Fusion, vol. 108, p. 102412, 2024.
[48] United Nations, “Sustainable development goals,” https://sdgs.un.org/goals, Perserikatan Bangsa-Bangsa (UN), 2026.
[49] R. Royani, S. D. Maulina, S. Sugiyono, R. W. Anugrah, and B. Callula, “Recent developments in healthcare through machine learning and artificial intelligence,” IAIC Transactions on Sustainable Digital Innovation (ITSDI), vol. 6, no. 1, pp. 86–94, 2024.
[50] U. Rahardja, Q. Aini, A. S. Bist, S. Maulana, and S. Millah, “Examining the interplay of technology readiness and behavioural intentions in health detection safe entry station.” JDM: Jurnal Dinamika Manajemen, vol. 15, no. 1, 2024.
Authors
Copyright (c) 2026 Widasari Sri Gitarja, Roro Tutik Sri Haryati, Ferdi Antonio
This work is licensed under a Creative Commons Attribution 4.0 International License.
This journal permits and encourages authors to post items submitted to the journal on personal websites while providing bibliographic details that credit its publication in this journal.
Authors are permitted to post their work online in institutional/disciplinary repositories or on their own websites. Pre-print versions posted online should include a citation and link to the final published version in Journal of Librarianship and Scholarly Communication as soon as the issue is available; post-print versions (including the final publisher's PDF) should include a citation and link to the journal's website.