scholarly journals Effect of problem-based learning on severity classification agreement by triage nurses

BMC Nursing ◽  
2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Kyeongmin Jang ◽  
Eunmi Jo ◽  
Kyoung Jun Song
Keyword(s):  
Emergency Department ◽  
Self Efficacy ◽  
Problem Based Learning ◽  
Weighted Kappa ◽  
Patient Classification ◽  
Series Design ◽  
Group Time ◽  
Classification Agreement ◽  
Weighted Kappa Coefficient ◽  
Scale Classification

Abstract Background Differences in the classification results among triage nurses in the emergency room can be improved by training or applying an algorithm. This study aimed to confirm whether the agreement among triage nurses could be improved through learner-led problem-based learning. Methods This study had a single-group time series design to investigate the effect of problem-based learning led by triage nurses on the agreement of Korean Triage and Acuity Scale classification results for patients who visited the emergency department. We extracted 300 patients each in May and August 2018 before learning began and 300 patients each in May and August 2019 after learning. Results After problem-based learning was applied, the self-efficacy of triage nurses for emergency patient classification increased statistically significantly compared to before learning (7.88 ± 0.96, p < .001), and the weighted kappa coefficient was also found to be almost perfectly agreement (0.835, p < .001). Conclusions In this study, problem-based learning improved the inter-rater agreement of Korean Triage and Acuity Scale classification results and self-efficacy of triage nurses. Therefore, problem-based learning can contribute to patient safety in the emergency department by enhancing the expertise of triage nurses and increasing the accuracy of triage classification.

scholarly journals Effect of Problem-based Learning on Agreement of Severity Classification Results of Triage Nurses in the Emergency Department

2021 ◽  
Author(s):  
Kyeongmin Jang ◽  
Eunmi Jo ◽  
Kyoung Jun Song
Keyword(s):  
Emergency Department ◽  
Self Efficacy ◽  
Problem Based Learning ◽  
Weighted Kappa ◽  
Problem Solving Skills ◽  
Series Design ◽  
Severity Classification ◽  
Emergency Department Stay ◽  
Scale Classification

Abstract BackgroundProblem-based learning is a learner-led learning method that helps improve critical thinking, problem solving skills, and knowledge. It is necessary to confirm whether it can help to agree the severity classification results among nurses through problem-based learning.MethodsThis study had a single-group time series design to investigate the effect of problem-based learning led by triage nurses on the agreement of Korean Triage and Acuity Scale classification results for patients who visited the emergency department. We extracted 300 patients each in May and August 2018 before problem-based learning began and 300 patients each in May and August 2019 after problem-based learning. ResultsAfter problem-based learning, the length of emergency department stay decreased about 30 minutes, although the decrease was not statistically significant (p=.172). However, self-efficacy for the classification of emergency patients in triage nurses and weighted kappa coefficients were improved (p<.001).ConclusionIn this study, problem-based learning led by triage nurses improved the inter-rater agreement of Korean Triage and Acuity Scale classification results and self-efficacy of triage nurses. Therefore, problem-based learning led by triage nurses can contribute to patient safety in the emergency department by enhancing the expertise of triage nurses and increasing the accuracy of triage classification.

scholarly journals Adaptation of an instrument to classify neonatal patients into care categories

2021 ◽  
Vol 55 ◽  
Author(s):  
Ariane Polidoro Dini ◽  
Andrezza de Cassia Vannucci de Oliveira ◽  
Beatriz Pera de Almeida-Hamasaki ◽  
Norma Mejias Quinteiro ◽  
Elenice Valentim Carmona
Keyword(s):  
Intensive Care ◽  
Pediatric Patients ◽  
Weighted Kappa ◽  
Kappa Coefficient ◽  
Patient Classification ◽  
Methodological Study ◽  
Validity Index ◽  
Nursing Team ◽  
Agreement Coefficient ◽  
Weighted Kappa Coefficient

ABSTRACT Objective: To adapt and validate a patient classification instrument for neonatal units. Method: Methodological study, with adaptation of the Pediatric Patients Classification Instrument for neonatal patients. After content validation by judges, the instrument was tested for reliability, applied to 33 neonates by two nurses, simultaneously. To assess the agreement among nurses regarding the scores of each patient on the classification scale, an intraclass agreement coefficient was applied. To assess the agreement regarding the classification in care categories, the weighted Kappa coefficient was calculated. Results: The adapted instrument consisted of a total of nine indicators, with three care categories: high dependence on care, semi-intensive care and intensive care. The Content Validity Index varied between 0.85 and 0.92 for items of the instrument. The intraclass agreement was 0.87 and the weighted Kappa for care categories was 0.56. Conclusion: An instrument that allows neonatal patients to be classified into care categories, with satisfactory reliability was validated to support the dimensioning of the nursing team.

PENINGKATAN SELF EFFICACY SISWA KELAS X MAN 4 MARTUBUNG MEDAN DENGAN MENGGUNAKAN MODEL PEMBELAJARAN BERBASIS MASALAH

2019 ◽  
Vol 8 (2) ◽  
Author(s):  
Anugrah Mulia Tampubolon
Keyword(s):  
Self Efficacy ◽  
Problem Based Learning ◽  
Instructional Approach ◽  
And Gender ◽  
Better Than

The purpose of this research was to identify the inprovement of student’s Self Efficacy as an impact of problem based learnin, asd to find the interaction between the instructional approach and gender with improvement of student’s Self Efficacy. This research was a quasy experiment with the sample of research was 70 students, consisted of X-IPA<sup>2</sup> with 35 students asan experiment class and X-IPA<sup>4</sup> with 35 students as a control class. The data which collected in this research were Self Efficacy. The instruments which used to collect the data were a test of Self Efficacy. The data were analyzed by using two way anava in the SPSS program. Based on the result of this research, it could be concluded that the improvement student’s Self Efficacy by using problem based learning better than improvemet student’s Self Efficacy by using a usuall learning. There was not an interaction between the instructional approach and gender with improvement student’s Self Efficacy.

scholarly journals Penerapan Modul Problem Based Learning terhadap Self Efficacy dan Hasil Belajar Peserta Didik

2021 ◽  
Vol 9 (4) ◽  
pp. 631-641
Author(s):  
Citra Yolantia ◽  
Wiwit Artika* ◽  
Cut Nurmaliah ◽  
Hafnati Rahmatan ◽  
Muhibbuddin Muhibbuddin
Keyword(s):  
Self Efficacy ◽  
Problem Based Learning ◽  
Control Group ◽  
Control Group Design ◽  
Group Design ◽  
Equivalent Control

Self-efficacy memiliki kontribusi penting dalam proses pembelajaran karena dapat digunakan sebagai prediktor kinerja belajar siswa. Self-efficacy mampu merangsang motivasi, proses kognitif, aktivitas, prestasi dan ketekunan siswa. Kurangnya kemampuan efikasi diri merupakan salah satu masalah yang sering terjadi dalam pembelajaran. Permasalahan ini dapat diatasi melalui penerapan media pembelajaran seperti penggunaan modul inovatif. Penelitian bertujuan untuk mengetahui pengaruh penerapan modul pembelajaran berbasis masalah terhadap efikasi diri dan hasil belajar siswa. Selain itu juga bertujuan untuk melihat hubungan antara efikasi diri dengan hasil belajar akibat penerapan modul pembelajaran berbasis masalah materi sistem pencernaan. Penelitian ini dilaksanakan pada semester genap tahun ajaran 2020/2021 di sebuah sekolah menengah atas di Kabupaten Aceh Barat, Aceh, Indonesia. Penelitian ini menggunakan metode eksperimen dengan desain pretest posttest non-equivalent control group design. Sampel penelitian adalah 93 siswa (total sampling). Instrumen yang digunakan dalam penelitian ini terdiri dari angket efikasi diri dan tes kognitif materi sistem pencernaan. Data efikasi diri dan hasil belajar dianalisis dengan uji statistik parametrik menggunakan analisis kovarians, sedangkan efikasi diri dianalisis menggunakan persentase. Hasil penelitian menunjukkan bahwa penerapan modul pembelajaran berbasis masalah berpengaruh terhadap efikasi diri dan hasil belajar siswa. Selain itu, analisis korelasi menunjukkan bahwa r hitung r tabel (0,7277 0. 2461) yang mengartikan adanya hubungan yang signifikan antara efikasi diri dengan hasil belajar siswa. Efikasi diri berpengaruh positif terhadap prestasi belajar siswa: semakin tinggi efikasi diri maka hasil belajar akan semakin tinggi

scholarly journals Ανίχνευση ασβέστωσης των στεφανιαίων αρτηριών με ψηφιακή ακτινοσκόπηση

2016 ◽  
Author(s):  
Μαρία Παπαθανασίου
Keyword(s):  
Weighted Kappa ◽  
Kappa Coefficient ◽  
Weighted Kappa Coefficient

Εισαγωγή:Η μελέτη αυτή διερευνά τη διαγνωστική ακρίβεια της ψηφιακής ακτινοσκόπησης επίπεδων ανιχνευτών (FPDD) για την ανίχνευση ασβέστωσης των στεφανιαίων αρτηριών λαμβάνοντας ως μέθοδο αναφοράς την πολυτομική αξονική τομογραφία καρδιάς (MDCT).Μέθοδος:Μελετήθηκε η ασβέστωση των στεφανιαίων σε ασυμπτωματικούς ενήλικες χαμηλού έως μετρίου καρδιαγγειακού κινδύνου χωρίς γνωστή στεφανιαία νόσο με πολυτομική αξονική τομογραφία και με ψηφιακή ακτινοσκόπηση καρδιάς με την τεχνολογία FPDD. Η ασβέστωση κατηγοριοποιήθηκε με βάση την ακτινοσκοπική εξέταση ημιποσοτικά σε απούσα (0), ήπιου (1), μέτριου (2) και σοβαρού βαθμού (3). Εφαρμόζοντας τη μεθόδο Agatston υπολογίστηκε το σκορ ασβεστίου των στεφανιαίων αρτηριών στην MDCT.Αποτελέσματα:Στη μελέτη συμμετείχαν συνολικά 151 ασυμπτωματικοί εθελοντές, 40-60 ετών (μέση ηλικία 53,1 ± 7,4). Οι άνδρες συνιστούν το 76,5% του πληθυσμού της μελέτης. Η ύπαρξη στεφανιαίας ασβέστωσης ανιχνεύθηκε σε 79 (52,3%) και 69 (45,7%) άτομα με την MDCT και την ακτινοσκόπηση αντίστοιχα. Η συμφωνία ανάμεσα στην MDCT και την ακτινοσκόπηση ήταν 77,5% (weighted kappa coefficient 0,75). Η ακτινοσκόπηση ανίχνευσε ασβέστιο σε 50% των ατόμων με ελάχιστη ασβέστωση στην MDCT (σκορ ασβεστίου <10). Με τη χρήση ROC ανάλυσης και λαμβάνοντας ως ουδό σκορ ασβεστίου μηδέν, η AUC ήταν 0,89 (95% CI 0,83-0,93, p=0,0001) με ευαισθησία 82,3% και ειδικότητα 94,4%. Για σκορ ασβεστίου 10, η AUC ήταν 0,91 (95% CI 0,86-0,95 p=0.0001) με ευαισθησία 91,8% και ειδικότητα 85,6%. Για σκορ ασβεστίου 400, η AUC ήταν 0,97 (95% CI 0,94-0,99, p=0,0001) με ευαισθησία 100% και ειδικότητα 88,7%. Η ενεργός δόση ακτινοβολίας ήταν 1,8 ± 0,09 mSv για την MDCT και 0,26 ± 0,13 mSv για την ακτινοσκόπηση.Συμπεράσματα:Η ψηφιακή ακτινοσκόπηση με την τεχνολογία FPDD έχει εξαιρετική διαγνωστική ακρίβεια σε σύγκριση με την καθιερωμένη MDCT για τη διάγνωση της ασβέστωσης των στεφανιαίων σε ασυμπτωματικά άτομα μέσης ηλικίας, με χαμηλό έως μέτριο καρδιαγγειακό κίνδυνο, με το πλεονέκτημα της μειωμένης έκθεσης σε ακτινοβολία.

scholarly journals The Implementation of Problem-Based Learning (PBL) Model to Improve Creativity and Self-Efficacy of Field Dependent and Field Independent Students

2020 ◽  
Vol 3 (1) ◽  
pp. 13 ◽  
Author(s):  
Farrah Maulidia ◽  
Saminan Saminan ◽  
Zainal Abidin
Keyword(s):  
Self Efficacy ◽  
Problem Based Learning ◽  
Sampling Technique ◽  
Control Group ◽  
Paper Test ◽  
Field Independent ◽  
Field Dependent ◽  
Conventional Methods ◽  
Pbl Model ◽  
Better Than

Students’ creativity and self-efficacy in solving mathematical problems remain low. Students with Field Dependent (FD) and Field Independent (FI) cognitive styleshave different creativity and self-efficacy. One learning model that is believed to increase students' creativity and self-efficacyis Problem Based Learning (PBL) model. This study aimed to increase the creativity and self-efficacyof FD and FI students through the application of PBLmodel. This research is an experimental study with pre-test and post-test control group design.The population of this research was grade VIII students in State Islamic School (MTsN) 1 Banda Aceh,while the sample consisted of two classes out of 11 classes. The sampling technique usedrandom samplingwith one experimental class and one control class. Data collection was carried out by using two instruments; a paper-test to measure students’ creativity and a questionnaire to measure students’self-efficacy. The grouping of FD and FI students was based on the results of the Group Embedded Figure Test (GEFT). Furthermore, a paired t-test was conducted to obtain an increase in students' creativity and self-efficacy. At the same time, a correlation test was performed to see the relationship between creativity and the self-efficacy ofstudents. The results of the study revealed that the increase of FD and FI students’ creativity who were taught by the PBL model was better than students taught by conventional methods. The results also reported that the increase of FD and FI students’ self-efficacy who were taught with the PBL model was better than the students who were taught with conventional methods. In addition, there was a significant relationship between FI and FD students' creativity and self-efficacy.

Sign in / Sign up

Export Citation Format

Share Document