scholarly journals Effectiveness of Educational Interventions on Internship Training in Community Medicine in a Tertiary Care Centre in Alappuzha District of Kerala, South India; A Quasi-Experimental Study

2021 ◽  
Vol 8 (41) ◽  
pp. 3500-3505
Author(s):  
Jeena Ramesh ◽  
Reshmi Ramachandran

BACKGROUND India has been facing various challenges in the past decade, which include outbreaks of different communicable diseases and the rising of slow pandemics of non-communicable diseases. The current COVID 19 pandemic brings to light the need to revamp the training in public health during the internship. A standardized and outcome-based approach to internship training is the need of the hour for the Indian medical graduate (IMG). The internship program in community medicine should train the Indian medical graduate to develop patient management and administrative skills to promote health care through a health facility. The training provided is not standardized or evaluated across the medical colleges. Hence, it was aimed to study the effectiveness of educational interventions on internship training during the posting at the rural training health centre (RTHC). METHODS A quasi-experimental study was conducted among the interns posted in the rural training health centre using a validated semi-structured questionnaire as a pretest followed by a post-test after two weeks of training on the primary health care system. The perception of the students towards the training was assessed using the Likert 5 point scale. RESULTS The pre-test score was 5.30 (SD 2.105) and the post-test mean score was 9.35 (SD 2.033) [P < 0.01]. The gender-based analysis also showed significance within genders. Student perception revealed 80 % found the training useful, 90 % agreed that the guidance provided by the field staff helped them and 90 % agreed that the intervention changed their outlook towards the internship training in community medicine. CONCLUSIONS The study has brought a positive outlook towards giving adequate guidance to acquire knowledge and skills to interns by the active involvement of faculty. Rethinking and re-implementation of the existing internship training in the community is the need of the hour. KEYWORDS Internship Training, Community Medicine, Medical Education, Kerala, GMR 2019

2021 ◽  
pp. 204275302098701
Author(s):  
Ünal Çakıroğlu ◽  
Mustafa Güler

This study attempts to determine whether gamification can be used as a pedagogical technique to overcome the challenges in teaching statistics. A post-test quasi-experimental design was carried out in gamified and non-gamified groups in order to reveal the effect of gamification elements in cultivating students’ statistical literacy skills. Students in gamified group were also interviewed to understand the function of gamification process. The results suggest that; although gamifying the instructional process had a positive impact on developing students’ statistical literacy in medium and high score students; surprisingly the influence of the gamification to the low- achieved scores were not positive. The positive impact was discussed in accordance with the gradual structure of statistical literacy and suggestions for successful gamification applications due to the context were included.


2020 ◽  
Vol 12 (1) ◽  
pp. 115-121
Author(s):  
Andi Asrina ◽  
Arsyad Aryadi ◽  
Nilawati Andi

This study aims to determine the comparison of prostaglandin and endorphin levels in adolescents with primary dysmenorrhea with and without warm (37-40oC) and cold (18-20oC) hydrotherapy. This quasi-experimental study with a post-test only controls group design was carried out in Islamic Boarding Schools with a sample of 36 young girls divided into 3 groups: 12 teens given warm hydrotherapy, 12 teens given cold hydrotherapy and 12 teens not given intervention (control). Blood plasma is taken after an intervention is given on the first day of menstruation. Examination of prostaglandin and endorphins levels using the enzyme-linked immunosorbent assay (ELISA) kit method. After cold hydrotherapy, the mean levels of prostaglandins in the cold hydrotherapy group were twice higher (569 pg/ml) compared to controls (394 pg/ml). The mean prostaglandin level in the warm hydrotherapy group also showed an increase prostaglandin (437 pg/ml) compared to the control (394 pg/ml). In addition to increasing levels of prostaglandins, increased levels of endorphins also occurred in the group given warm hydrotherapy (154 pg/ml) and the group was given cold hydrotherapy (187 pg/ml) compared to the control (119 pg/ml) p = 0.001. The conclusion in this study is that warm and cold hydrotherapy can increase levels of prostaglandins and endorphins in adolescents with primary dysmenorrhea. However, cold hydrotherapy increases endorphin levels higher than warm hydrotherapy. Key words: Prostaglandin, Endorphin, Hydrotherapy, Primary Dismenorrhea.


2018 ◽  
Vol 4 (2) ◽  
pp. 99-110
Author(s):  
Paskah Rina Situmorang ◽  
Edy Syahputra Ritonga

Sikap kerja 5S (Seiri, Seiton, Seiso, Seiketsu dan Shitsuke) merupakan suatu sikap yang harus dimiliki seorang pekerja dalam sebuah organisasi. Dimana sikap kerja ini berawal dari kebulatan tekat yang dimiliki oleh anggota dalam suatu organisasi untuk mencapai suatu tujuan dalam hal pemilahan alat-alat di Rumah Sakit. Dengan proses pemilahan, penataan, pembersihan, pemantapan dan pembiasaan terhadap alat-alat kesehatan serta komitmen yang kuat dari seluruh perawat sangat dibutuhkan dalam melaksanakan pekerjaan sehingga asuhan keperawatan dapat dilaksanakan dengan baik. Salah satu komponen penting dalam mendukung upaya penyembuhan adalah peralatan kesehatan. Penelitian ini bertujuan untuk mengidentifikasi pengaruh pelatihan dan penerapan metode 5S oleh kepala ruangan terhadap perencanaan logistik di Rumah Sakit Swasta Kota Medan. Jenis penelitian ini adalah penelitian kuantitatif dengan metode quasi experimental study dengan desain one group pre test-post test. Populasi dalam penelitian ini adalah kepala ruangan rawat inap yang ada di rumah sakit swasta kota medan berjumlah 25 orang. Teknik pengambilan sampel adalah total sampling. Hasil penelitian didapatkan bahwa ada pengaruh pelatihan dan penerapan metode 5S terhadap perencanaan logistik dimana Uji Mc Nemar pada fungsi perencanaan, penyimpanan, pemeliharaan dan pengendalian sebesar 0,002. Setelah intervensi penerapan metode 5S perencanaan logistik kepala ruangan yang meliputi fungsi perencanaan, penyimpanan, pemeliharaan, dan pengendalian mengalami peningkatan yaitu dalam kategori baik sebanyak 25 orang (100 %). Hasil observasi yang dilakukan peneliti kepada seluruh kepala ruangan di ruang rawat inap rata-rata sudah melaksanakan penerapan metode 5S yaitu pemilihan kebutuhan alat sesuai dengan pedoman penerapan metode 5S. Saran kepada seluruh kepala ruangan dan perawat yang ada di rumah sakit khususnya diruangan untuk terus melakukan perencanaan logistik dengan baik dan melaksanakan tugas pokok masing-masing sehingga fungsi perencanaan berjalan optimal sesuai prosedur dan pengadaan alat dilakukan secara efektif dan efisien sehingga dapat meningkatkan mutu asuhan keperawatan.


2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Enikő Kovács ◽  
Zsigmond Máté Jenei ◽  
Katalin Csordás ◽  
Gábor Fritúz ◽  
Balázs Hauser ◽  
...  

Abstract Background Proper basic life support (BLS) is key in improving the survival of out-of-hospital cardiac arrest. BLS skills deteriorate in three to 6 months after training. One method to improve skill retention may be using the “testing effect” to test skills at the end of a BLS course. The aim of our study was to investigate whether either testing or the timing of such testing after BLS training have any influence on skill retention. Methods This was a post-test only, partial coverage, prospective quasi-experimental study designed to evaluate a BLS training course among 464 fifth year medical students at Semmelweis University in the first semester of 2013/2014. Groups were systematically but non-randomly assigned to either a control group that took no exam or one of two experimental groups that took an exam (N = 179, NoExam group; N = 165, EndExam group – exam at the end of the BLS training; N = 120, 3mExam group – exam 3 months after the BLS training). The ability to perform ten prescribed essential BLS steps was evaluated during a skill retention assessment 2 months after the course in the NoExam, 2 months after the course (and the exam) in the EndExam and 5 months after the course (2 months after the exam) in the 3mExam group to measure skill retention and the effect of our intervention. Scores were calculated for each BLS step, and also summed up as a total score. We used Kruskal-Wallis test to assess differences in skill retention. Results Overall, NoExam and EndExam groups showed similar skill retention. The mean total score (and many of the sub-scores) of students was significantly higher in the 3mExam group compared to both the NoExam and the EndExam groups, and there was no difference in the total score (and many of the sub-scores) of the latter two groups. The 3mExam group had less variability in total scores (and many of the sub-scores) than the other two groups. Conclusion Our study provides evidence that testing these skills 3 months after BLS training may be more effective than either testing immediately at the end of the course or no testing at all.


2017 ◽  
Vol 25 (0) ◽  
Author(s):  
Thais Marques Lima ◽  
◽  
Ana Izabel Oliveira Nicolau ◽  
Francisco Herlânio Costa Carvalho ◽  
Camila Teixeira Moreira Vasconcelos ◽  
...  

ABSTRACT Objective: to test the effects of behavioral and educational intervention by telephone on adherence of women with inappropriate periodicity to colpocytological examination. Method: quasi-experimental study with a sample of 524 women, selected with the following inclusion criteria: be aged between 25 and 64 years, have initiated sexual activity, have inappropriate periodicity of examination and have mobile or landline phone. The women were divided into two groups for application of behavioral and educational intervention by telephone. It was used an intervention script according to the principles of Motivational Interviewing. Results: on comparing the results before and after the behavioral and educational interventions, it was found that there was a statistically significant change (p = 0.0283) with increase of knowledge of women who participated in the educational intervention. There was no change in the attitude of women of any of the groups and there was an increase of adherence to colpocytological examination in both groups (p < 0.0001), with greater adherence of women participating in the behavioral group (66.8%). Conclusion: the behavioral and educational interventions by phone were effective in the adherence of women to colpocytological examination, representing important strategies for permanent health education and promotion of care for the prevention of cervical cancer.


2017 ◽  
Vol 21 (3) ◽  
pp. 1 ◽  
Author(s):  
Sandra Ruperta Pérez-Lisboa

This study analyzed the development of phonological, semantic, and syntactic aspects by using augmented reality and interactive whiteboard with boys and girls in the kindergarten of Liceo San Felipe, San Felipe, Chili. With the implementation of these tools, learning experiences were carried out, enhancing the understanding of sentences and words in their successive components: linguistic segmentation, phonological awareness, and reflection on the meaning of words and sentences. The experiments were carried out in a didactic classroom of the course of Educacion Parvularia (Pre-School Education) at the University of Playa Ancha, San Felipe Campus, for 60 minutes, once a week for four months. It was a quasi-experimental study, and through pre- and post-tests, it was possible to verify the development of 18 children of a municipal school in San Felipe. The instruments used were the Linguistic Segmentation Test, Comprehensive and Expressive Language Examination Test (ELCE); Subtest semantic aspect, Test Evaluation O; Subtest words and phrases. The results, based on the comparison of pre- and post-test, showed changes in the management of the semantic, syntactic, and phonological aspects achieved by the children with this methodology. However, more research is needed to validate this proposal in teaching metalinguistic.


AAOHN Journal ◽  
2002 ◽  
Vol 50 (10) ◽  
pp. 460-467 ◽  
Author(s):  
Barbara Thomas ◽  
Lynnette Leeseberg Stamler ◽  
Kathryn D. Lafreniere ◽  
Tabitha D. Delahunt

Health education programs supported by women's groups or workplaces have been successful in reaching large populations and changing intentions to perform breast health behaviors. This study examined the responses women working in the automotive industry had to two health education interventions, mailed pamphlets, and a combination of mailed material and classes at the worksite compared to a control group. A quasi-experimental design was used. Of the 948 women completing the pre-test, 437 also completed the post-test and were highly representative of the initial sample. The findings suggest that although the mailed information produced some change in practices and intentions, the classes in combination with the mailed pamphlets produced greater change. In addition, confidence in breast self examination as a method of detecting an existing breast lump increased from pre-test to post-test across all age groups. The reported influences on the women's decisions related to breast health varied across the life span. The results of this study can be used to support the development of effective health promotion programs for use at workplaces to increase the likelihood of women engaging in healthy breast practices.


2020 ◽  
Vol 2 (2) ◽  
pp. 1
Author(s):  
Mohammad Ridho Kholid ◽  
Dhanan Abimanto ◽  
Wiwied Pratiwi

This article was to find out about the effectiveness of applying dictogloss technique on students’ narrative text. A Quasi-Experimental design was used in this method, with using pre-test and post test design. Subject of this research was at the eleventh grade  at state senior high 10 Bandar Lampung.  The result of this study showed that the value of to  (tobservation ) was 5.2. The value of t table with degree of freedom 38 in significance degree 5 % was 2.02 and in significance degree 1% was 2.71. It indicated that to was higher than or 2.02 < 5.26 > 2.71. for those analysis, the null hypothesis (Ho) was rejected and t alternative hypothesis (Ha) was accepted. Hence, it was inferred that there were significant difference between students’ narrative writing score who were taught by dictoglos technique. Keywords: Dictogloss Technique, Experimental Design, Narrative Text


2020 ◽  
Vol 3 (2) ◽  
pp. 57 ◽  
Author(s):  
La Sahara ◽  
Nafarudin Nafarudin ◽  
Suritno Fayanto ◽  
Babajanova Asal Tairjanovna

This study aimed to analyze students' conceptual understanding by using a multi-representation assisted discovery learning model in measurement. This research was conducted in Public High School 1 Kendari. This research is a quasi-experimental study using a one-group pre-post test design. The research method consisted of a conceptual comprehension test using a caliper and a screw micrometer in an essay in the form of a multi-representational test on long measurements. The analysis showed an increase in conceptual understanding between the pre-test and post-test with an average pre-test score of 16.24 (SD = 14) and a post-test of 61.4 (SD = 21). These results indicate an increase in students' understanding of concepts after learning with an average N-gain increase of 0.5 (SD = 0.2) in the medium category. It also obtained the most significant increase in students' understanding of the indicators mentioned parts caliper and micrometer with an N-gain average of 0.6 in the medium category.


2020 ◽  
Author(s):  
Gedamu Bushen ◽  
Hailu Merga ◽  
Fasil Tessema

Abstract Background: Diarrheal disease is one of the main causes of morbidity and mortality in children under five years of age in low and middle-income countries. Lack of improved sanitation is the most important contributing factor to diarrheal disease. Promotion of water, sanitation, and hygiene technologies combined with hygiene promotion is a key strategy for reducing diarrheal diseases in resource poor settings. Few studies have been conducted in rural areas of low-income countries where Community-Led Total Sanitation and Hygiene intervention is implemented. To our knowledge, no study was conducted in the study area to evaluate the effect of this intervention. This study was designed with the aim of finding the effects of Community-led Total Sanitation and Hygiene implementation for preventing diarrhea among under-five children.Methods: A community-based Quasi-Experimental study was conducted from March 01- April 10, 2019 in Kersa and Manna districts. Community-led Total Sanitation and Hygiene intervention is being implemented in Kersa district since 2005 Ethiopian calendar. Sample of 846 households were selected from intervention and comparison districts using four-stage random cluster-sampling method. Semi-structured questionnaire was used to collect data. Data was collected by 8 data collectors who attended secondary school. Data was cleaned, coded and entered into Epi data entry version 3.1 and exported to SPSS version 20 for analysis. Difference-in Difference method with McNemar’s tests was used to compare the prevalence of diarrhea between the intervention and comparison districts, and significance of change between the pre-test and post-test was declared at p-value of less than 0.05 with 95% confidence interval.Results: The intervention led to decreased diarrhea prevalence [pp = -8.2, 95% CI: -15.9, -0.5], increased latrine ownership [pp = 5.6, 95% CI: 0.5, 10.8], and increased latrine utilization [pp = 10.7, 95% CI: 4.7, 16.6] in intervention district at post-test compared to the baseline; while presence of hand washing facility near latrine, home based water treatment, and proper water storage and handling practice were decreased at post-test compared to the baseline.Conclusion: Implementation of Community-Led Total Sanitation improved sanitation and hygiene status of community that resulted in reduction of diarrhea prevalence in children less than five years of age. Further implementation, evaluation, and scale-up of the intervention is needed to reduce diarrheal disease in children less than five years of age.


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