scholarly journals CRITICAL REFLECTION AND FEEDBACK FOR MEDICAL STUDENTS: A COMPARATIVE STUDY

Author(s):  
Imelda Ritunga ◽  
Gandes Retno Rahayu ◽  
Yoyo Suhoyo

Background: The physician who reflects critically will interpret the experience, aware of its limitations, and will become life long learner. When implementing reflection learning in medical education, it is necessary to assess the ability of learners to help improve the ability of reflection. The objective of the research is to know the students 'reflection ability by giving feedback and different of reflection ability between intervention group and control group.Method: Research using pre and post control group design. The subjects of the study were 62 students medical students of Faculty of Medicine UGM year II who had collected narrative reflection to Gamel (n = 176 students) and willing to participate, divided into 2 groups with simple random sampling. Intervention of treatment group are giving feedback based on the result of narrative reflection from Gamel followed by narrative reflection assignment. The subjects' narrative reflection was assessed using the REFLECT rubric, and analyzed by Wilcoxon and Mann-Whitney tests.Results: The results showed that students' pre and post test reflection ability is in the reflection stage. Giving feedback once does not increase the ability from  reflection stage to the critical reflection stage. This result may be due to several things: critical reflection does not occur without significant / dramatic experience that shifts perspective resulting in transformative learning, feedback is given regularly, lack of trustworhty to instructors who are not university lecturers. Another result of a decrease in the ability of reflection in general after 6 months indicates the need to do reflection activity / assignment in each semester to maintain and improve the ability of reflection. Conclusion: Increased reflection ability from reflection stage to critical reflection stage does not occur with single feedback. If reflection is not done regularly, it can cause a decrease in reflection ability.

2019 ◽  
Vol 4 (2) ◽  
Author(s):  
Yurike Septianingrum ◽  
Nety Mawarda Hatmanti

Introduction: Menstrual pain or dysmenorrhea is a common problem that is often complained of by women during menstruation. Menstrual pain can interfere learning activities, especially final year students in completing their thesis. The purpose of this study were to analyze the effect of endorphin massage on menstrual pain in final year nursing students of UNUSA. Method: This study using an experimental with pre-test and post-test control group design. Research subjects of this study was recruited using simple random sampling who was included inclusion and exclusion criteria. Research subjects in this study was of 46 students who were then divided into two groups, 23 students into intervention group and 23 students into control group. Data were collected by using observation with VAS. Data were analyzed by using Wilcoxon and Mann-Whitney U test. Result and Analysis: The results showed that: 1) There was difference VAS score between pre test and post test in intervention group (p= 0,000), 2) There was difference VAS score between intervention and control group (p= 0,017). Conclusion: Endorphin massage could reduce menstrual pain in final year nursing student of UNUSA. Further research, is expected that endorphin massage can be compared with music therapy to reduce menstrual painKeywords: endorphin massage, menstrual pain, primary dysmenorrhea


2019 ◽  
Vol 8 (1) ◽  
Author(s):  
Siti Fadlilah

Hypertension is increased blood pressure in the artery. Signs and indication arise from this disease are a dizzy, headache, pain in the nape of the neck (neck pain), easily angered, and hard to breathe. This neck pain can offend essential hypertension in daily patient activities. One of the non-pharmacological actions to decrease or overcome the neck pain is by a warm compress. The warm compress is giving a sense of warm/heat in a certain area. This research is purposed to find out the influence of warm compress towards neck pain in essential hypertension patients. This research is carried out in Puskesmas Depok I area, Sleman, Yogyakarta. Type of this research is quasi-experiment with pre-test post-test with control group design. Several samples consist of 40 respondents and divided into two groups, which are 20 respondents of the intervention group and 20 respondents of the control group. Statistic test used in this research is Wilcoxon and Mann Whitney tests. Before applying pre-test, 12 respondents (60%) are having moderate pain, and after giving warm compress (post-test), 17 respondents (75%) are having minor pain. There is a significant scale of neck pain before and after the warm compress treatment (p-value = 0,003) as well as contrast scale of neck pain between intervention group and control group (p-value = 0,000). There is the influence of warm compress towards neck pain in essential hypertension patients in Puskesmas Depok I area, Sleman, Yogyakarta.


2021 ◽  
Vol 9 (E) ◽  
pp. 1475-1479
Author(s):  
Trias Mahmudiono ◽  
Su Peng Loh ◽  
Dominikus Raditya Atmaka ◽  
Qonita Rachmah ◽  
Mahmudah Mahmudah ◽  
...  

Introduction: This study was aimed to explore the effectiveness of 2-months online-based nutrition education related to the reduction of obesity and the risk factor of overweight in adulthood aged 17-25 years compared to the control group. The nutrition education was followed by 800 participants which consist of intervention and control groups. The intervention group was given pre-test and post-test each module, on the other hand, control groups only had to join webinar nutrition education. Materials and method: 800 early adulthood participants coming from various regions in Indonesia were invited to join the WhatsApp group to get intervention by modules and webinars on different topics about nutrition. This is a randomized control trial study by giving nutrition education modules to adults. This study targets adult aged 17-25 years using a quasi-experiment design with a pre-post test control group design. The study will be conducted online in 8 urban areas (center) in Indonesia, namely: Surabaya, Yogyakarta, Jember, Medan, Bali, Samarinda, Kupang, Palu City.


2020 ◽  
Vol 9 (2) ◽  
pp. 893-899
Author(s):  
Hilma Triana ◽  
Suharyo Hadisaputro ◽  
Masrifan Djamil

This research was Quasy Experiment with a pre-test-post-test with control group design. Sample this research was 30 pregnant women, that were divided into 2 groups :  the intervention group who were given beet with Fe supplementation (n = 15) and the control group was given Fe tablets (n = 15). Supplementation of beetroot to a pregnant women with anemia who were recieived Fe supplementation could increase hemoglobin levels (p = 0,000), hematocrit levels (p = 0,000), number of erythrocytes (p = 0.001), so there were significant differences in mean delta hemoglobin levels, hematocrit, and erythrocyte counts. There were differences in hemoglobin and erythrocyte levels in the intervention and control groups before and after treatment. Supplementation of 8 gram beetroot powder for 14 days to pregnant mother with anemia who were receive Fe tablets could increase hemoglobin and hematocrit levels, and number of erythrocytes


Biosfer ◽  
2018 ◽  
Vol 7 (1) ◽  
pp. 17-24
Author(s):  
Laela Ferliyati ◽  
Tri Handayani Kurniati ◽  
Ade Suryanda

Biotechnology includes topic about gene and nuclear cloning is a very challenging subject to study at high school. Without proper Media aid, misconception will more likely to occur among students. The use of Inquiry-based Interactive Multimedia was expected to reduce the misconception about cloning process since it is visualized more clearly. This study was aimed to measure slope misconception of student and to analyze the application of Inquiry-based Interactive Multimedia to minimize student misconception on Biotechnology subject. The research was conducted at MAN 8 Jakarta on May 2012 using a quasi experimental method and pretest-posttest control group design. A total of 40 science students were taken equally from IPA 1 and IPA 2 classes at grade 10 to become experimental and control groups. They were selected by simple random sampling. A test of multiple choice questions with five alternative answers was used as the study instrument. To detect for any misconception, the test result was measured by Certainty of Response Index (CRI). Using this technique, there were 8 % misconception found on the pre-test and 7% on the post-test. As the conclusion, the use of Inquiry-based Interactive Multimedia was effective to minimize student misconception on Biotechnology subject.


2020 ◽  
Vol 4 (1) ◽  
pp. 58-62
Author(s):  
Eka Roshifita Rizqi ◽  
Yuni Sartika

A lot of students consumed snack that has imbalanced food quality and nutritional values. Preliminary study showed that 54,5% students at 001 Teratak elementary school had low level of knowledge on healthy snack choice. Nutrition education is needed with efficient and simple method such as guessing picture. The aim of this study was to analyze the effect of guessing picture media method on student’s knowledge on healthy snack choice in 001 Teratak Elementary School. This was quasy experimental study with a pre-test post-test control group design. 42 samples selected from 46 students in class 5 by purposive sampling technique with inclusion and exclusion criteria. Samples divided into intervention (n=21) and control group (n=21). The intervention group had guessing healthy snack choice picture while the control group had guessing ordinary pictures. Research variables were the level of knowledge in intervention and control group based on the value of the pre-test and post-test. The results showed that there was significant increase of knowledge that were given nutritional education of healthy snack choice using guessing picture media method (p


2018 ◽  
Vol 10 (2) ◽  
Author(s):  
Taufan Arif ◽  
Joni Haryanto ◽  
Esty Yunitasari

Leprosy disease is caused by Mycobacterium leprae which attacks the skin and peripheral nerves. Currently leprosy still remains a world problem. Leprosy patients should not experience severe structural and functional damage. The combination of the empowerment education, peer support can improve symptoms and signs of impairment, behavioral prevention defects. The objective of this study was describes empowerment education, peer support to behavior prevention of dissability. This study used true experimental randomized pre-post test control group design. The sampel was recruited using simple random sampling consisting of 16 respondents. The independent variable are empowerment education, peer support. The dependent variable are knowledge of disability prevention, attitude of disaility prevention, action of medication compliance. The data were collected by distributing questionnaires and check card patient treatment. Data were analized by Mann-Whitney Test and Wilcoxon Signed ranked Test. The result showed that 1) There is influence on knowledge, 2) There is influence on attitude , 3) There is influence on medication adherence. Supportive interventions through empowerment education, peer support can help leprosy patients in the treatment process. Proven knowledge, attitude, adherence to medication, and self efficacy intervention group increased after given intervention. Suggestions for further research is to examine the development of leprosy impairment prevention models based on other nursing theories and with a longer duration of study. 


2018 ◽  
Vol 4 (2) ◽  
pp. 163
Author(s):  
Cut Zaitun Umara ◽  
Cut Nurmaliah ◽  
Khairil Khairil

The purpose of this study is to improve science processing skills of students of SMPN 8 Banda Aceh in the concept of pollution and environmental degradation by using project-based learning. An experimental method with pretest-posttest control group design was used in this study. The population was all students of class VII SMPN 8 Banda Aceh which consisted of 5 classes with total number was 130 students. The samples were selected by using simple random sampling technique. There were 44 students from VII-1 acted as control group and class VII-2 acted as experimental group. The data were gathered by using pre-test and post-test. The research instruments used were essay questions to measure science processing skills, student’s work sheet, and work assessment’s rubrics based on science processing skills. The data then analyzed by calculating the post-test and pre-test gain and t-test to compare between the experimental class and control class. They were analyzed by using independent sample t-test. The results showed that there were improvement in the average of science processing skills of students in project-based learning’s class for about 51.86 (high) and conventional learning class for about 38.02 (medium). T-test results obtained as follows: tvalue was 2.680 and ttable was 2.021, so tvalue>ttable. The conclusion was the implementation of project-based learning in the concept of pollution and environmental degradation improved the science processing skills of student of SMPN 8 Banda Aceh.


2020 ◽  
Vol 6 (4) ◽  
pp. 116-121
Author(s):  
Mei Rianita Elfrida Sinaga ◽  
Megah Andriany ◽  
Artika Nurrahima

Background: Life in prison may cause negative feelings and thoughts which triggers depression for female inmates. This results in difficulty in finding purpose in life and loss of interest or motivation. Group-based hope intervention seems to be effective in decreasing depression, but it has not yet been applied in female inmates in a prison.Objective: To determine the effect of group-based hope intervention on depression level in female inmates.Methods: This study used a quasi-experimental study with pre-test post-test and control group design. Eighty-eight participants were selected using proportionate stratified random sampling, with 44 assigned into intervention and control groups. Data were collected from September to November 2019.  The level of depression was measured using Beck Depression Inventory-II (BDI-II). Mann Whitney U and Wilcoxon tests were used for data analyses.Results: Both group-based hope intervention in the intervention group and routine intervention in the control group has a significant effect on depression level (p<.01). However, further analysis showed that the group-based hope intervention was much more effective than the routine group in decreasing depression level in female inmates (p<.01).Conclusion: Group-based hope intervention is effective in lowering the depression in female inmates. Therefore, this therapy can be used as a valuable intervention in nursing practice, especially in a correctional setting.


Author(s):  
Yuli Astuti

Background: The delivery process need a lot of energy from food. Juice preparation is one of the recommended food forms during labor. This study was purposed to analyze the effect of giving mixed juices of young green coconut and dates on the duration of the active phase of the first stage of labor. Methods: A quasi-experiment with a post-test only with control group design include 18 pregnant women (10 intervention and 8 control. Purposive sampling was used, respondents were multigravida (P2-P4) in active phase of labor, without previous section caesarean, no augmentation with oxytocin, estimated birth weight was 2500-4000 gr, singleton pregnancy, aterm labor, and without any other complication during delivery at Alian Public Health Center, Kebumen Regency in October - December 2020. The intervention group given 500 mL of mixed juice of young green coconut and dates during the first stage of labor and control group received standard care. Mann-Whitney test was used to analyze median difference between two groups. Results: There was no difference in the duration of the active phase of the first stage of labor between the intervention and control group (P-value 0,756). There was no difference of the rate of cervix dilatation between the two groups (P-value 0,408). The median of the active phase of the first stage of labor was 197,5 minutes and 147,5 minutes respectively. The median of rate cervix dilatation in the intervention group was 1,96 cm per hour and 1,94 cm per hour respectively. The rate of cervix dilatation in both groups was in normal category. Respondent in standard group was not forbidden eating and drinking, so both groups received enough energy and hydration during labor. Conclusion: Mixed juice of young green coconut and dates can be given during labor to fulfill the energy need during labor.


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