The Experience of Colombian Medical Students in a Pilot Cultural Safety Training Program: A Qualitative Study Using the Most Significant Change Technique

Author(s):  
Juan Pimentel ◽  
Camila Kairuz ◽  
Claudia Merchán ◽  
Daniel Vesga ◽  
Camilo Correal ◽  
...  
KWALON ◽  
2020 ◽  
Vol 25 (2) ◽  
Author(s):  
Mariël Kanne ◽  
Sabrina Keinemans ◽  
Ed de Jonge

Choices with impact: Retrospection and reflection on the ethical dimension of a practice-oriented research project using the Most Significant Change Technique In this publication, we reflect on our use of the Most Significant Change Technique (Davies & Dart, 2005) in a research project on the ethical impact of a training program for social professionals. This method had never before been used in the field of empirical ethics. We describe how we applied the method and account for some alterations we made to bring it in line with the goal of our research. We also illustrate how the analysis of stories, written by participants, as well as the analysis of discussions about these stories with relevant stakeholders (service users, colleagues and managers), led to a stimulating process during which new insights emerged. Reflecting on the results, we conclude that the MSC technique, slightly changed, could be very useful when doing research on the ethical impact of training programs. The narrative component in particular is valuable, in combination with the fact that all relevant stakeholders can contribute in an equivalent way.


Author(s):  
Resty Gustiawati ◽  
Fahrudin Fahrudin ◽  
Febi Kurniawan ◽  
Eka Purnama Indah

Penelitian ini berjudul “Pengembangan Pendekatan Evaluasi The Most Significant Change Technique dalam Pembelajaran Pendidikan Jasmani Olahraga dan Kesehatan”. Penelitian ini bertujuan untuk Mengembangkan Pendekatan Evaluasi The Most Significant Change Technique (MSC) dalam Pembelajaran pendidikan jasmani olahraga dan kesehatan dalam upaya mengetahui hasil partisipatif peserta didik dalam pembelajaran pendidikan jasmani olahraga dan kesehatan (PJOK). Pendekatan Evaluasi MSC ini menggunakan teknik bercerita untuk mengumpulkan bukti/ data yang diinginkan, serta memberikan informasi perubahan positif dan negatifnya. Penelitian ini menggunakan Pendekatan kualitatif dan kuantitatif, menggunakan metode penelitian pengembangan Research & Development (R &D) dari Borg dan Gall. Teknik Pengumpulan data dimulai dari analisis kebutuhan akan pengembangan pendekatan evaluasi, pembuatan draft produk awal, validasi ahli, perbaikan produk, uji coba skala kecil, revisi, uji coba lapangan, revisi, hasil akhir. Sampel penelitian dalam survey analisis kebutuhan 10 orang guru pendidikan jasmani olahraga dan kesehatan (PJOK), hasil dari analisis kebutuhan diperoleh data bahwa guru pendidikan jasmani membutuhkan pengembangan pendekatan evaluasi untu menilai partisipasi siswa dalam pembelajaran yang bersifa kualitatif. Kemudian pengujian pendekatan evaluasi partisipasi ini dalam uji coba skala kecil sebanyak 30 siswa dan  uji lapangan utama sebanyak 60 siswa di SMPN 2 Jayakerta. Segala bentuk kendala dalam implementasi Asesmen dan masukan para praktisi telah di revisi demi kesempurnaan asesmen pendekatan evaluasi partisipatif. Dengan demikian Asesmen pendekatan evaluasi partisipatif dinyatakan layak di gunakan dalam mengevaluasi partisipasi siswa dalam proses pembelajaran pendidikan jasmani olahraga dan kesehatan di sekolah menengah pertama. Kata Kunci: Pendekatan Evaluasi, The Most Significant Change Technique, Pembelajaran, Pendidikan Jasmani Olahraga dan Kesehatan. 


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Juan Pimentel ◽  
Anne Cockcroft ◽  
Neil Andersson

Abstract Background Cultural safety, whereby health professionals respect and promote the cultural identity of patients, could reduce intercultural tensions that hinder patient access to effective health services in Colombia. Game jams are participatory events to create educational games, a potentially engaging learning environment for Millennial medical students. We set out to determine whether medical student participation in a game jam on cultural safety is more effective than more conventional education in changing self-reported intended patient-oriented behavior and confidence in transcultural skills. Methods We conducted a parallel-group, two-arm randomized controlled trial with 1:1 allocation. Colombian medical students and medical interns at University of La Sabana participated in the trial. The intervention was a game jam to create an educational game on cultural safety, and the reference was a standard lesson plus an interactive workshop on cultural safety. Both sessions lasted eight hours. Stratified randomization allocated the participants to the intervention and control groups, with masked allocation until commencement. Results 531 students completed the baseline survey, 347 completed the survey immediately after the intervention, and 336 completed the survey after 6 months. After the intervention, game jam participants did not have better intentions of culturally safe behaviour than did participants in the reference group (difference in means: 0.08 95% CI − 0.05 to 0.23); both groups had an improvement in this outcome. Multivariate analysis adjusted by clusters confirmed that game jam learning was associated with higher transcultural self-efficacy immediately after the intervention (wt OR 2.03 cl adj 95% CI 1.25–3.30). Conclusions Game jam learning improved cultural safety intentions of Colombian medical students to a similar degree as did a carefully designed lecture and interactive workshop. The game jam was also associated with positive change in participant transcultural self-efficacy. We encourage further research to explore the impact of cultural safety training on patient-related outcomes. Our experience could inform initiatives to introduce cultural safety training in other multicultural settings. Trial registration Registered on ISRCTN registry on July 18th 2019. Registration number: ISRCTN14261595.


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