scholarly journals Impact of a work-based feedback intervention on student performance during clinical placements in acute-care healthcare settings: a quasi-experimental protocol for the REMARK programme

BMJ Open ◽  
2020 ◽  
Vol 10 (6) ◽  
pp. e034945
Author(s):  
Christine Ossenberg ◽  
Marion Mitchell ◽  
Amanda Henderson

IntroductionCurrent perspectives present feedback as a dynamic, dialogic process. It is widely accepted that feedback can have an impact on workplace performance, however, how dialogic feedback is enacted with the learner in authentic healthcare settings is less apparent. This paper seeks to describe the design and development of an implementation study to promote the learner voice in the feedback process and improve feedback encounters between learners and learning partners in healthcare settings.Methods and analysisA quasi-experimental study design will be used to evaluate whether implementation of a work-based intervention to improve feedback impacts student performance during clinical placements in healthcare settings. Student performance will be measured at three time points: baseline (pre), mid-placement (post-test 1) and end-placement (post-test 2) in keeping with standard assessment processes of the participating university. The intervention is underpinned by Normalisation Process Theory and involves a layered design that targets learners and learning partners using best-practice education strategies. Data regarding participants’ engagement with feedback during clinical placements and participants’ level of adoption of the intervention will be collected at the completion of the clinical placement period.Ethics and disseminationThis study has ethics approval from both Griffith University and Metro South Health Human Research and Ethics committees. Dissemination of results will be local, national and international through forums, seminars, conferences and publications.

2021 ◽  
Author(s):  
Tessa Fulton ◽  
Kerry Myatt ◽  
Garry W Kirwan ◽  
Courtney R Clark ◽  
Megan Dalton

Abstract Background: During workplace based clinical placements, best practice in assessment dictates that students should expect consistency between assessors rating their performance. To assist clinical educators (CEs) to provide a consistent assessment of physiotherapy student performance, nine paediatric vignettes depicting various standards of student performance, as assessed by the Assessment of Physiotherapy Practice (APP), were developed. The project aimed to evaluate the consistency of physiotherapy educators assessing student competence in a paediatric setting using video vignettes alongside the APP. Methods: Thirty-six CEs, with minimum 3-years clinical experience and had supervised a student within the past year, were sent three videos at four-week intervals. Videos depicted the same clinical scenario, however student performance varied with each video. Consistency among raters was assessed using percentage agreement to establish reliability. Results: The vignettes were assessed a combined total of 60 times. Across scenarios, percentage agreement at the not adequate level was 100%, and combining adequate or better, percentage agreement was >86%. The study demonstrated strong consensus when comparing not adequate to adequate or better student performance. Importantly, no student performance scripted as not adequate was passed by any assessor. Conclusions: Experienced educators demonstrate consistency in identifying a not adequate from adequate or better performance when assessing a one-off student performance using the APP. These validated video vignettes will be a valuable training tool to improve educator consistency when assessing student performance in paediatric physiotherapy.


2020 ◽  
Vol 14 (1) ◽  
pp. 148-158
Author(s):  
Eman Sobhy Elsaid Hussein ◽  
Lobna Mohamed Mohamed Abu Negm

Background: Percutaneous Endoscopic Gastrostomy (PEG) may cause complications when the management is inadequate and inappropriate. To avoid these complications, caregivers’ experiences and practices must be considered. Study Aim: This study aimed to evaluate the effect of nursing- based guidelines on caregivers’ knowledge and practices regarding adult patients with percutaneous endoscopic gastrostomy. Methods: A quasi-experimental design was used. The study was conducted in the medical and surgical departments in the National Cancer Institute, Cairo University, Egypt. Sample: The sample consisted of 30 patients with PEG and their caregivers. A Structured interviewing questionnaire, Self-Administered Structured Questionnaire for caregiver, Caregiver Performance observation checklist, and PEG-specific questionnaire were obtained for data collection Results: The majority of studied patients (86.7%) were suffering from oncologic problems, in post-test and following up, the majority (83.3%) of caregivers had satisfactory level (76.7) (90%) (70%) in knowledge, complication and management of PEG, respectively. During follow up, the majority (73.3%) (90%) of caregivers were well level as regarding nutritional management and care of PEG. There were statistically significant differences between pre/post and follow-up nursing-based guidelines for caregivers’ knowledge and practice regarding patients with percutaneous endoscopic gastrostomy. The results show an improvement in the patients outcomes and the level of caregiver coping with the care of PEG and overall Patient satisfaction at (χ2 = 3.844, 4.097) p<0.001 Conclusion: Nursing-based guidelines were helpful in the improvement of the caregiver's knowledge and practice regarding percutaneous endoscopic gastrostomy. Recommendations Periodic educational training programs regarding PEG were based on the best practice guidelines for caregivers of those patients.


Author(s):  
Fransiska Astri Kusumastuti

This study aims to see the effectiveness of the use of interactive e-book on student performance. Other than that, this study also discusses the integrating of interactive e-book into science learning activity, so that it can provide learning evaluation as material for e-book development in future studies. This study conducted in quasi-experimental pre-test post-test control group design. 88 students that are involved in this study were selected randomly of two classes from eight classes, and grouped into experiment and control class to see the effectiveness of using interactive e-book in science learning activities. Independent t-test was used to find out the effectiveness of the interactive e-books, and questionnaire was used to see student perceptions of interactive e-book that have been used in the science learning activity. From the Wilcoxon test, found that probability value (p)obtained was 0.000 (p<0.05). This result showed that each class showed significant difference in learning outcomes, where the experimental class get better than the control class. This finding also supported by the results of the questionnaire that students in experimental class has better learning experiences than students in control class.


1970 ◽  
Vol 3 (3) ◽  
Author(s):  
Hendy Lesmana ◽  
Tri Wahyu Murni ◽  
Anastasia Anna

Penurunan kesadaran pada pasien cedera kepala berat akan menimbulkan risiko gangguan jalan napas sehingga perlu dilakukan intubasi endotrakeal untuk mempertahankan perfusi otak. Suctioning diperlukan untuk mempertahankan oksigenasi tetapi dapat menimbulkan penurunan saturasi oskigen, peningkatan TIK dan trauma jalan nafas. Tekanan suction yang tepat sangat diperlukan untuk mengatasi penurunan saturasi oksigen pada klien cedera kepala berat. Penelitian Quasi experiment ini bertujuan mengetahui perbedaan saturasi oksigen pada pasien cedera kepala setelah dilakukan suctioning pada tekanan 100 mmHg, 120 mmHg dan 150 mmHg. Desain penelitian menggunakan one group pre test and post test without control, yang dilakukan pengukuran berulang. Hasil penelitian didapatkan semakin tinggi penggunaan tekanan suction maka akan semakin terjadi penurunan saturasi oksigen. Hasil penelitian ini diharapkan menjadi panduan dalam melakukan suction pada pasien cedera kepala berat dengan memerhatikan saturasi oksigen.Kata kunci: Cedera kepala berat, hiperoksigenasi, suctioning, saturasi oksigen, & tekanan suction. The Use of Different Pressure of Suction and Its Impact on Oxygen Saturation among Patients with Head InjuryAbstractRather maintaining adequate airway patency, suctioning may pose risk of developing diminished oxygen saturation among patient with severe head injury. Patients may also experience intra cranial pressure (ICP) and airway trauma. Therefore, providing appropriate pressure of suction machine is needed to overcome those problems particularly to reduce risk of diminished oxygen saturation. This quasi-experimental study aimed to determine differences in oxygen saturation among patients with head injury after suctioning with three different pressures: 100 mmHg, 120 mmHg and 150 mmHg. The study design used one group pretest and post-test without control that performed with repeated measurements. Findings suggest higher pressure of suctioning tends to decrease their oxygen saturation. Results are expected to provide best practice to conduct suctioning for patients with severe head injury and maintaining oxygen saturation after hyper oxygenation action.Key words: Hyperventilation, oxygen saturation, severe head injury, suctioning, and suction pressure.


Author(s):  
Abdullah Farih

The objective of this study is to measure whether there is or not significant effect of teaching reading by utilizing Hot Potatoes software toward students’ reading comprehension of descriptive text. The variables used were the teaching treatment of Hot Potatoes Software as the independent variable and the students’ reading comprehension of Descriptive Text as dependent variable. Then, the research designed was Quasi-experimental design and the presentation of data used was quantitative. The data were obtained from the eleventh grade, of which 28 students were taken as sample. The students are divided into two groups; experiment group consisted of 12 students and control group consists of 16 students. To get the data, the pre-test and post-test were applied and then analyzed using t-test formula. The researcher had concluded that there is Significant effect of Hot Potatoes Software toward the students’ reading comprehension achievement. The result showed that mean of students’ post-test was increased. It is proved by the t-test (8.54) which is higher than t-table (2.05) at level of significance 5%. It means that the alternative hypothesis was accepted and it proved that Hot Potatoes Software had significant effect toward students’ reading comprehension of Descriptive Text


2019 ◽  
Vol 1 (1) ◽  
pp. 108-114
Author(s):  
I Made Wirta

The main objective of the present study is to investigate the effect of implementing innovative learning approaches upon English students’ achievement. The study was quasi experimental study using the post-test only control group design involving 35 students altogether selected using census sampling technique. The instrument which is used to gather data in the study was test. There were two tests used to gather intended data. They were linguistic test and student achievement test. The obtained data were analyzed statistically using descriptive and inferential analysis. The analysis of covariance was conducted to test the hypotheses.


1970 ◽  
Vol 1 (2) ◽  
Author(s):  
Irma Nurbaeti ◽  
Kustati Budi Lestari

Pemberian Air Susu Ibu (ASI) masih merupakan masalah bagi pemenuhan kebutuhan nutrisi bayi baru lahir. Dukungan agar ibu menyusui bayi merupakan hal penting dalam menginisiasi dan mempertahankan pemberian ASI. Strategi dibutuhkan untuk mendukung keberhasilan menyusui. Tujuan penelitian adalah menganalisis efektivitas comprehensive breastfeeding education terhadap keberhasilan pemberian (ASI) pada periode postpartum. Jenis penelitian ini menggunakan kuasi eksperimen one group pre post test repeated measured design. Jumlah sampel sebanyak 22 ibu dengan menggunakan teknik accidental sampling. Pengumpulan data dilaksanakan pada bulan September–Oktober 2013 di Puskesmas wilayah Kota Tangerang Selatan. Intervensi dilakukan selama 30 menit. Pengumpulan data dilakukan sebelum intervensi, 3 hari setelah intervensi (post1), dan 10 hari setelah intervensi (post 2). Pengumpulan data menggunakan kuesioner dan observasi. Keberhasilan pemberian ASI berdasar pada parameter pengetahuan, langkah menyusui, perlekatan bayi, dan kecukupan ASI. Analisis data menggunakan general linear model repeated measureANOVA. Hasil penelitian menunjukkan adanya signifikansi comprehensive breastfeeding education (p=0.001). Rata-rata keberhasilan pemberian ASI sebelum dan setelah intervensi meningkat. Sebesar 93,9% intervensi memengaruhi tingkat keberhasilan. Rata-rata sebelum intervensi 56,74 (SD 5,92), post 1 sebesar 60,83 (SD 6,38) dan post2 sebesar 74,55 (SD 5,32). Subvariabel yang memiliki efek secara signifikan setelah intervensi adalah pengetahuan (p=0.001) dan langkah menyusui (p=0.001), sedangkan subvariabel perlekatan bayi (p=0.061) dan kecukupan ASI (p=0.162) tidak secara signifikan berbeda antara sebelum dan setelah intervensi. Pelaksanaanbreastfeeding education disarankan pada ibu agar dapat melakukan posisi perlekatan bayi yang benar sehingga dapat mengurangi masalah-masalah berkaitan dengan perlekatan yang tidak sesuai seperti puting perih, lecet atau berdarah, dan bayi kurang puas dalam menyusu yang bisa mengakibatkan gagalnya program ASI ekslusif.Kata kunci:Menyusui, pendidikan, perlekatan, postpartum AbstractBreastfeeding have still been problem for adequate newborn nutrition. Adequate breastfeeding support is essential for mothers to initiate and maintain optimal breastfeeding practices. A strategic needed to support successful breastfeeding. The purpose of research is to analyze the effectiveness comprehensive breastfeeding education on successful breastfeeding at postpartum periods. A quasi-experimental one group pretest, post test, repeated mesaured was used. This study was conducted at public health in Tangerang Selatan municipality in September–October 2013 among 22 postpartum mothers, convenience sampling methods. Intervention was done 30 minute. Data were collected before intervention (pretest), third day after intervention (post 1) and tenth day after intervention (repeated/post 2) using four parameter, that are knowledge, breastfeeding steps, proper lacth-on and adequate breastmilk. Using repeated measures analysis of variance there was a significant increase (p=0.001) in the overall Successful breastfeeding mean. Around 93,9% the effectiveness of intervention influence on successful. The mean before intervention is 56,74 (SD 5,92), increased at post 1:60,83 (SD 6,38) and post 2:74,55 (SD 5,32). Subvariable which has effect significantly after intervention is knowledge (p=0.001) and breastfeeding steps (p=0.001), in contrary, proper latch-on (p=0,061) and adequate breastmilk (p=0.162) have no significant effect after intervention. Suggestion to support breastfeeding education and counselling proper latch-on adequately that can decrease the problem such as painful, creaks or bloody putting.Key words: Breastfeeding, education, latch-on, postpartum


2019 ◽  
Vol 7 (2) ◽  
Author(s):  
Fatma Gustina ◽  
Khadijah Khadijah ◽  
Fauziah Nasution

<p><em>This research was conducted at TK Islam Ibnu Qoyyim, Medan Selayang District. Tthe type of research is experimental research with uses Quasi Experimental Designs. This study aims to determine the influence of Maria Montessori's learning model on the discipline of children in TK Islam Ibnu Qoyyim. The results showed that the Montessori learning model had an effect on the discipline of group A children. The results of the pretest class were 9.3 and the post-test average was 16.80 with the highest post-test 20 and the lowest post-test 12. Class control with an average pre test 9.7 and the average post test 11.7 with the highest value 16 and the lowest value 7. The results of hypothesis testing obtained t count&gt; t table is 18.31&gt; 2.048 with significant numbers. Thus the hypothesis Ho is rejected and Ha is accepted so that it is stated that there is a Significant Effect of Maria Montessori's Learning Model on the Discipline of Group A Children 4-5 Years Old in the TK Islam Ibnu Qoyyim.</em><em></em></p>


1970 ◽  
Vol 4 (2) ◽  
Author(s):  
Ignasia Yunita Sari

Krisis situasi orang tua akibat kondisi anak yang dirawat di Pediatric Intensive Care Unit (PICU) menghambat peran serta orang tua dalam merawat anak. Psikoedukasi dapat menurunkan stress sehingga meningkatkan peran serta orang tua dalam mendukung perawatan anak. Tujuan penelitian ini adalah mengetahui pengaruh psikoedukasi terhadap perilaku orang tua dalam merawat anak kritis di PICU. Metode yang digunakan adalah quasi experimental dengan pre-test and post-test without control, pada bulan Maret-April 2015. Populasi adalah orang tua yang anaknya sedang dirawat di PICU RSUP Dr. Sardjito Yogyakarta. Teknik consecutive sampling menghasilkan 37 orang tua yang memenuhi kriteria. Variabel bebas adalah psikoedukasi, variabel terikatnya adalah perilaku orang tua dalam merawat anak kritis. Test dilakukan dengan cara observasi oleh observer yang telah dilakukan uji reliabilitas pengamatan menggunakan cohen cappa dengan hasil antara 0,60-0,73(baik). Analisis data menggunakan Wilcoxon Sign Rank Test dengan batas kemaknaan 95%. Psikoedukasi berpengaruh terhadap perilaku orang tua dalam merawat anak kritis di PICU. Kata kunci: psikoedukasi - perilaku orang tua - anak kritis


2017 ◽  
Vol 3 (2) ◽  
Author(s):  
Nia Agustiningsih ◽  
Setyawati Soeharto ◽  
Rinik Eko Kapti

Abstract : Patient with chronical diease such as Hemodialysis more likely need psycotherapy because until now medical atention only focus on physical aspect. Psycotherapy that can be used on Hemodialysis that going through depression is cognitive therapy and logo therapy. This study was to analysed the difference of influence between cognitive therapy and logo therapy on Hemodialysis patient that going through depression. This study was used quasi experimental pre–post test design. Respondent taking part in this study was 15 respondent for cognitive therapy and 15 respondent for logo therapy with puporsive sampling procedure. Study was conducted on Hemodialysis unit on RS Wava Husada Kepanjen from 21 April until 26 Mey 2017. Data analysis used on this study was dependent t test  and independent t test. Dependent t test  analysis showed  significant value is 0,000 (less than < 0,05).Analysis showed  significant value is 0,000 (less than < 0,05) that means there is difference between cognitive therapy and logo therapy to decrease depression on hemodialysis patient with mean value cognitive therapy (1,62) dan logo therapy (3,82). Conclussion on this study is that logo therapy more effective to reduce depression on Hemodialysis patient than cognitive therapy so logo therapy can applicated in hemodialysis patient.Keyword : cognitive therapy, logo therapy, depression in hemodialysis patient Abstrak : Pasien dengan penyakit kronis dengan hemodialisis diperlukan psikoterapi karena selama ini fokus penanganan di pelayanan kesehatan hanya pada masalah fisik. Psikoterapi yang bisa digunakan pada pasien hemodialisis yang mengalami depresi adalah cognitive therapy dan logo therapy. Penelitian ini bertujuan untuk menganalisis perbedaan pengaruh cognitive therapy dan logo therapy terhadap depresi pada pasien dengan hemodialisis. Penelitian ini menggunakan desain penelitian quasi experimental pre – post test design. Jumlah responden dalam penelitian ini 15 responden untuk kelompok cognitive therapy dan 15 responden untuk kelompok logo therapy yang didapatkan dengan menggunakan tehnik purposive sampling. Penelitian dilakukan di unit hemodialisis RS Wava Husada Kepanjen mulai tanggal 21 April – 26 Mei 2017. Pemberian terapi dilakukan oleh peneliti sendiri yang telah mendapatkan lisensi dari perawat spesialis jiwa. Analisis data yang digunakan dalam penelitian ini adalah dependent t test dan independent t test. Hasil analisis dependent t test  pada kelompok sebelum dan setelah diberikan cognitive therapy dan logo therapy didapatkan hasil nilai signifikansi 0,000 < 0,05 yang berarti bahwa ada perbedaan skor depresi antara sebelum dan sesudah diberikan pemberian cognitive therapy dan logo therapy  Sedangkan hasil analisis independent t test menunjukkan bahwa nilai signifikansi 0,000 < 0,05 yang berarti  ada perbedaan yang bermakna antara cognitive therapy dan logo therapy dalam menurunkan depresi pada pasien dengan hemodialisis yaitu dengan rata – rata penurunan terhadap depresi untuk cognitive therapy dan logo therapy masing – masing yaitu 1,62 dan 3,86.  Hal ini berarti bahwa logo therapy lebih efektif menurunkan depresi pada pasien hemodialisis dari pada cognitive therapy. Berdasarkan hasil penelitian tersebut diharapkan bahwa logo therapy bisa diaplikasikan sebagai alternatif psikoterapi pada pasien hemodialisis.Kata Kunci: cognitive therapy, logo therapy, depresi pada pasien hemodialisis


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