scholarly journals DIFFERENCES IN STUDENTS’ ATTITUDES TOWARD COMMUNICATION SKILLS IN A MEDICAL SCHOOL IN INDONESIA

Author(s):  
Farah Noya ◽  
Stazia Noija ◽  
Amanda Manuputty

Background: Communication skills play an important role in clinical practice. Attitudes toward medical communication skills   that are built since a stage of medical student, would affect practice as a doctor later.  Good communication skills based on positive attitude will improve other clinical skills that are needed as a doctor, also will help a doctor to consider the importance of the improvement of the skills quality related to it. A number of studies have explored this context widely using CSAS as an instrument that consists of 2 subscales, a positive (PAS) and a negative (NAS) subscale. This study aimed to determine the difference in attitudes among students in Faculty of Medicine Pattimura University Ambon toward medical communication skills. Method: This was a cross-sectional analytical study that used primary data, obtained using an Indonesian version CSAS questionnaire that is first validated, thus, the scale consists of 24 items within 13 items as PAS and 11 items as NAS. Subjects were 124 active students of the academic year 2014/2015, woh undergo pre-clinical (semesters 2, 4, 6 and 8) and clinical study (Co Ass), obtained through stratified random sampling and complied the restriction criteria. Data were analysed using Mann-Whitney, Kruskall-Wallis, Unpaired t-test, One-Way ANOVA, and Post-Hoc Bonferroni tests with significance level of p<0,05.  Results: There were no difference in attitude toward communication skills between students across most variables; however, there were differences in negative attitudes (NAS) on medical communication skills between each batch of students (p=0.02).Conclusion: The difference in attitude toward communication skills can be seen between students across study batch in Pattimura University Faculty of Medicine.

2019 ◽  
Vol 5 (3) ◽  
pp. 124
Author(s):  
I Made Subhawa Harsa

Abstract Water is a good medium for bacterial growth, so that contamination is happening especially if less attention in terms of hygiene and sanitation. The use of bed water sources can increase the risk of diarrhea. Diarrhea is one of the environmentally based disease is a major cause of morbidity and mortality. Kampung Baru village located around Jagir Kali Surabaya Most people are in the middle to low socioeconomic level.  The lifestyle of them, also pays less attention to environmental hygiene and sanitation, so that it can cause water pollution which can increase the risk of diarrhea. This study was an observational analytic cross sectional study. Entire study population villagers of Kampung Baru. A sample of 75 respondents drawn with simple random sampling technique. The data used is primary data obtained through the distribution of questionnaires, interviews, and observations. Data analysis using the Spearman rank test with a significance level (α = 0.1). The results showed that 53,3% affected diarrhea and 46,7% didn’t affected (P =0.087, r=0.463). The results showed a medium correlation between the source of water with the incidence of diarrhea in Kampung Baru Resident At Ngagelrejo Wonokromo Surabaya. Keyword : Diarrhae, Water Sanitation


Author(s):  
Chitturi Prashanthi ◽  
Prashant B Patil ◽  
Vajendra Joshi ◽  
Kiran Kumar K R ◽  
Shilpa R T

: An emergency can be encountered anytime and anywhere. Minimal knowledge about medical emergency and their etiology, primary protocol for management must be known to avoid potential consequences. Hence, the present study was undertaken to compare the knowledge, and ability to handle the medical emergencies among the dental students. A cross-sectional survey was conducted among 100 randomly selected dental students (post-graduate students and interns) comprising of two groups of students those who had underwent training and those who did not. The data obtained was analyzed using the SPSS for windows version 22.0 released 2013. Independent chi square test was used for comparison of responses and independent student t-test was used for the comparison of mean scores. The significance level was set at p&#60;0.001. : The average mean knowledge and ability score was 68% & 61.4% respectively among the participants. On further comparison of mean knowledge & ability scores between the participants with & without basic life support training, participants with BLS training showed better knowledge than those without training and the difference was statistically significant between the two groups (p&#60;0.001%). The study found deficiencies in the knowledge and ability of untrained graduates to deal with medical emergencies as compared to trained.


Good communication skills form a fundamental principle of the patient- centred clinical consultation. The new Part 3 of the MRCOG, assesses candidates based on their ability to apply the core clinical skills in the context of real- life scenarios. It assesses five core skills domains, with three relating to communication skills; i) Communicating with patients and their families, ii) Communicating with colleagues and iii) Information gathering. Communication skills in the Part 3 clinical assessment can be assessed in many forms: … ● Exploring patient symptoms or concerns (information gathering) ● Explaining a diagnosis, investigation or treatment (information giving) ● Involving the patient in a decision (shared decision making) ● Health promoting activities ● Obtaining informed consent for a procedure ● Breaking bad news ● Communicating with relatives ● Communicating with other members of the health care team … In order to provide patient- centred care, doctors must treat their patients as partners, involving them in the decision making regarding their care and instilling in them a sense of responsibility for their own health. When the patient feels that they are part of the team it increases their satisfaction with care, increases treatment adherence and improves clinical outcomes. It is these skills that are assessed in clinical assessment tasks involving communication. Clinical assessment candidates are often assessed in two communication domains; Process and Content. In order to do well in the information gathering stations, you must be aware of the differential diagnoses that may arise with various presentations and how to explore each one independently and as a collection. When it comes to information giving or shared decision marking, candidates need to be familiar with the most recent Royal College of Obstetrics and Gynaecology guidelines and know how to interpret their meaning to the patient and their families. The Calgary- Cambridge Model is one of the most recognized communication theories in medical education (Kurtz, 1996). This theory can be adapted to fit into most clinical scenarios. Using the Calgary- Cambridge Model, you should be able to obtain the majority of the points related to process.


Author(s):  
María Angustias Sánchez-Ojeda ◽  
Silvia Navarro-Prado ◽  
Adelina Martín-Salvador ◽  
Trinidad Luque-Vara ◽  
Elisabet Fernández-Gómez ◽  
...  

The migrant population has increased in recent years and, as a result, so has cultural diversity. Universities are incorporating specific modules addressing cultural diversity. However, the native population has negative attitudes towards immigrants, as they believe that immigrants receive more social benefits and abuse healthcare services. Nurses may have these attitudes too, which may affect the way they treat patients. The objective of this study was to determine nursing students’ attitudes towards the rights of the migrant population. This is a descriptive ex post facto study using a cross-sectional design, with 821 nursing students in Melilla, Ceuta, and Almeria, Spain. An anonymous questionnaire was used for data collection. Students recognize the same rights for both the immigrant and native populations. More than 80% of the sample upholds the right of undocumented immigrants and their families to access publicly funded healthcare. Attitudes were more positive among students with a Berber background and first-year students. Students approved of the right of immigrants and their families to healthcare and education. The students’ negative attitudes towards the social rights of immigrants need to be addressed with intercultural training to reduce their prejudices as future professionals in a multicultural society.


Pharmacy ◽  
2019 ◽  
Vol 7 (2) ◽  
pp. 48
Author(s):  
Neeltje P. Duijm ◽  
Karin Svensberg ◽  
Casper Larsen ◽  
Sofia Kälvemark Sporrong

As the pharmacy profession evolves, good communication skills are vital for securing the safer and more rational use of medicines. Currently there is a lack of qualitative studies researching European student pharmacists’ and their experience with communication skills training (CST). This qualitative study aimed to fill this gap by exploring Danish student pharmacists’ attitudes towards, and experiences of, CST. Focus group interviews were conducted with a heterogeneous sample of Danish student pharmacists in 2016. Interviews were audio recorded, transcribed verbatim and analyzed inductively. Fifteen students participated in three focus groups. Five categories identified as key aspects were: professional communication vs. normal conversation, motivation to engage in training, how to learn communication skills, experience with CST and universities’ role in teaching communication skills. In conclusion, there were both positive and negative attitudes towards CST among the participants. However, they had little experience with CST. Bloom’s taxonomy of the affective domain and Kolb’s experiential learning model appear to be useful in understanding students’ attitudes towards CST. Pharmacy educators can use this study to structure and improve their CST curricula by knowing what influences students’ attitudes towards CST.


2018 ◽  
Vol 21 (1) ◽  
pp. 15-21
Author(s):  
Sendy Ayu Mitra Uktutias ◽  
Niniek Lely Pratiwi ◽  
Windhu Purnomo

Basic Health Research Results (Riskesdas) conducted by the Ministry of Health shows that the coverage of K4 during the last 3 years in 2010–2013 is the year 2010 by 86.85% and the year 2013 of 87.48%. The lack of utilization of ANC by pregnant women is associated with many factors, one of which is the lack of awareness of pregnant women about the importance of pregnancy care. The purpose of this study analyzed the influence of awareness of the situation of pregnant women with the frequency of antenatal visits. The research method was analytic observational with cross sectional  study design. The study sample was 38 pregnant women who lived in the working are at waru public health center’s. The sampling technique using simple random sampling. Data collection using primary data by questionnaire and secondary data with the instrument KIA book. Data were processed and analyzed by using frequency distribution and inferential analyze of linier regression with a significance level of 5% (p = 0.05). The results of linear regression analysis in pregnant women showed significant value of β 0.684 (β > 0.500), that the awareness of the situation had an effect on the frequency of antenatal care. A good situation awareness is a necessary process to influence the decision to act, it is a pregnancy test and can be seen the frequency of antenatal care of a pregnant woman. This conclusion Waru public health center’s is a health clinic located in the highlands. Still less maximal antenatal care visits because of the support and access to antenatal care. It is suggested to raise awareness of pregnant women situation through family involvement, husband as reinforcement factor in support of improvement of antenatal care examination.


2019 ◽  
Vol 12 (11) ◽  
pp. 22
Author(s):  
Kadek Wulandari Laksmi P ◽  
Ni Wayan Lasmi ◽  
Desak Made Sukarnasih ◽  
I Gusti Ayu Wirati Adriati

This aimed at analyzing the level of productivity of rice produced by organic rice farmers and non-organic rice farmers in Subak farmer group in Peguyangan Village, Denpasar. From these results, an efficient and effective alternative solution was further formulated by a farmer group to determine the decision on growing organic or non-organic rice. This research was prompted by the concepts of food security, theory of productivity and costs. The research used primary data sourced from subak farmer groups in Peguyangan Village, Denpasar and from documents that existed in the farmer group. The analysis results showed that the difference in the level of significance of organic rice was 0.740 while the non-organic rice had a significant level of 0.581. This result means that the level of productivity produced for organic rice is greater than that of non-organic rice. Based on these results, it is recommended that subak farmer groups in Peguyangan Village, Denpasar plant organic rice because its significance level is greater than that of non-organic rice but also not have to completely ignore growing non-organic rice to stabilize the food needs of Balinese people.


2020 ◽  
Vol 1 (2) ◽  
pp. 151-164
Author(s):  
O. D. Awaritefe ◽  
◽  
Danny Ochuko Ejemeyovwi ◽  

Purpose: The empirical research study evaluated environmental potentials of site locations for Tourism development along River Ethiope, Abraka Delta State, Nigeria, Four(4)sites’ 40 environmental features were considered important in the tourism sites evaluation. The primary data sources used include oral interview and administration of questionnaires. Research methodology: These are physical, biological and human components of tourism destinations, evaluated for each of the 4sites, and compared. Each of the 40 factors was measured using appropriate instruments like measuring tape and floater (for velocity). Students t test was undertaken to compare the evaluations of the two groups of professional and non-professional assessors. With a calculated value of 0.143, and table value of 0.283, with df2:3 at 0.05 level, the difference in site ranking between the first and second evaluation was not considered significant. High confidence or reliability can therefore be placed on the tourism site evaluation results obtained at the 0.05 significance level. The use of nominal or interval scales was to estimate variables, which were not subject to direct measurements in interval scale. Three groups of sites emerged from the preliminary survey of those selected: Natural or undeveloped sites, relate. Results: Result obtained showed that undeveloped and natural sites emerged most highly rated in environmental potentials for tourism site development compared to underdeveloped or highly developed sites. Limitation: The area lies within tropical equatorial rain forest vegetation which is an impenetrable ticket of under growth with trees and climbers. Moreover, dangerous reptiles especially (snakes and crocodile) as well as insect (Mosquitos and tsetse fly) are present and harmful to man in the environment. Contribution: The study concludes and suggests natural sites be accord priority in tourism site development along River Ethiope and invariably other related natural area worldwide for maximum patronage implications based on advocated research methodology. Keywords: Tourism, Site, Evaluation, Development, River Ethiope, Abraka


2020 ◽  
Vol 10 (1) ◽  
pp. 1238-1245
Author(s):  
Suzana Indragiri ◽  
Liha Salihah

Salah satu upaya pencegahan kecelakaan tenaga kerja adalah dengan mengharuskan memakai Alat Pelindung Diri (APD) yang memenuhi syarat, yaitu nyaman dalam penggunaan, tidak menghalangi dalam proses bekerja, dan memberikan perlindungan efektif terhadap jenis-jenis bahaya. Dalam meningkatkan kepatuhan  penggunaan APD pada pekerja juga diperlukan adanya faktor pengawasan yang berfungsi sebagai pengendalian pelaksanaan setiap kegiatan yang  merupakan usaha pencapaian tujuan yang telah ditentukan. Pengawasan ini pada dasarnya adalah pengawasan terhadap proses dan hasil serta orang yang melakukan pekerjaan. Tujuan penelitian ini adalah untuk mengetahui Hubungan pengawasan dan kelengkapan dengan tingkat kepatuhan penggunaan alat pelindung diri (APD) pada pekerja produksi area bagging off  di PT Japfa Comfeed Indonesia Tbk. Unit Cirebon tahun 2018. Rancangan dalam penelitian ini adalah pendekatan kuantitatif dengan desain cross sectional. Populasi penelitian adalah seluruh Pekerja produksi area bagging off  PT Japfa Comfeed Indonesia Tbk. Unit Cirebon yang berjumlah 55 orang pada bulan Mei 2018. Jumlah sampel menggunakan total sampling karena jika jumlah populasi kurang dari 100 maka seluruh populasi dijadikan sampel penelitian. Metode pengumpulan data menggunakan data primer berupa observasi dan wawancara dan instrumen pengumpulan data menggunakan kuesioner. Data dianalisis dengan menggunakan Uji Chi Square pada tingkat kemaknaan 5% (0,05). Hasil uji statistik didapatkan bahwa ada hubungan antara pengawasan dengan kepatuhan penggunaan APD diperoleh p value sebesar 0,049. Dan ada hubungan antara kelengkapan APD terhadap kepatuhan penggunaan APD diperoleh p value sebesar 0,001.Kata kunci : ABSTRACTOne effort to prevent workplace accidents is to require that you wear Personal Protective Equipment (PPE) that meets the requirements, which is comfortable in use, does not hinder the work process, and provides effective protection against types of hazards. In increasing the compliance of PPE usage to workers, it is also necessary to have a supervisory factor that functions as a control for the implementation of each activity which is an effort to achieve the stated goals. This supervision is basically the supervision of the process and results and the people who do the work. The purpose of this study was to determine the relationship of supervision and completeness with the level of compliance with the use of personal protective equipment (PPE) on workers producing bagging off areas at PT Japfa Comfeed Indonesia Tbk. Cirebon Unit in 2018.The design in this study is a quantitative approach with cross sectional design. The study population was all workers producing bagging off areas of PT Japfa Comfeed Indonesia Tbk. The Cirebon unit which numbered 55 people in May 2018. The number of samples uses total sampling because if the population is less than 100 then the entire population is used as a sample. Data collection method uses primary data in the form of observation and interviews and data collection instruments using questionnaires. Data were analyzed using Chi Square Test at a significance level of 5% (0.05).Statistical test results showed that there was a relationship between supervision with compliance with PPE obtained p value of 0.049. And there is a relationship between the completeness of PPE to the APD usage compliance obtained p value of 0,001.


2019 ◽  
Vol 32 ◽  
Author(s):  
Carlene Silva Santos ◽  
Manoel Gomes de Araújo Neto ◽  
Ana Lourdes Avelar Nascimento ◽  
Glícia Lorainne Moreira Silva ◽  
Adriana Sousa Rêgo ◽  
...  

Abstract Introduction: Musicians may present musculoskeletal pain, weakness, numbness, and tingling due to repetitive exercises. Objective: To evaluate the severity index of musculoskeletal symptoms (MS) in keyboard players. Method: A cross-sectional study including volunteers of both sexes, aged between 18 and 40 years, who performed professionally for at least 2 years, played the keyboard for at least 3 hours a week, and did not present previous history of trauma or rheumatic, neurological, and systemic diseases. The MS and its severity index were evaluated using the Nordic Musculoskeletal Questionnaire and the intensity was assessed on a scale of 4. The difference between the prevalence of musculoskeletal pain according to the anatomical region was analyzed using Fisher’s exact test. For all analyses, a significance level of 5% was adopted. This research was conducted after the ethics committee approval (No. 2,627,609). Results: Thirty-nine volunteers with discomfort were evaluated. Pain in the thoracic and lumbar spine in the last 12 months was most common (n = 27, 69.24%; p < 0.031), and in the last seven days, lumbar spine pain occurred in 12 (30.76%; p < 0.001). A severity index of 2 was the most frequent (n = 21, 54%). Conclusion: Keyboardists present with MS mainly in the vertebral column, and the severity of the symptoms is significant, suggesting the importance of prevention and treatment of MS before their onset.


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