scholarly journals DO WE NEED ETHICS? – II MBBS STUDENTS PERCEPTIONS IN LEARNING MEDICAL ETHICS.

Author(s):  
Anupriya A ◽  
Priya Banthavi S ◽  
Kamala E ◽  
Thirumalaikolundusubramanian P ◽  
Prabhusaran N

Back ground: An Indian Medical Graduate is expected to have knowledge & acquire competencies during his formal medical course, but an understanding of professional values and ethical conduct is essential for fostering the development of a good doctor.The two major aspects of teaching medical ethics include explicit teaching of cognitive base and stage appropriate opportunities for experiential learning and reflection throughout the curriculum. Material and Methods: It is a classroom based intervention study involving 150 second MBBS students. Self administered, semi-structured questionnaire was devised for this study. The questionnaire consisted of two parts- students perception towards learning medical ethics and their perception on statements of ethical issues which was graded on a 5 point Likert scale. An interactive lecture was done followed by which students were divided into 6 groups and case based discussions were done. Finally reflective narration was done.Statistical analysis was done by EPI Info Software. Results were expressed in mean, standard deviation and paired ‘t’ test was done. Results: The mean pre-test & post-test score of the students towards learning medical ethics in current curriculum were 2.86 and 3.98 respectively. The mean pre-test and post-test score of students regarding statements on ethical issues were 2.82 & 3.92 respectively. Conclusion: Medical ethics is one of the neglected topics in healthcare. To strengthen ethical reasoning and judgment in decision making, we need to expose students to various ethical scenarios based on which debates, seminars, interactive workshops can be conducted utilizing the work experience of multidisciplinary medical expertise. Keywords:  Medical ethics, Medical practice, Students

Author(s):  
Patricia Reddy ◽  
Ancy Ramesh

Background: The skill of intravenous cannulation must be practiced regularly to maintain a high level of competency. This is important to gain quick and efficient intravenous access in populations when required. The insertion of intravenous catheters into peripheral veins is probably the most commonly performed invasive medical procedure in hospitals. This procedure could be difficult sometimes requiring several attempts and causing distress to patients. The high success rates of nurses in intravenous cannulation have been due to the frequent performance of intravenous cannulation Objectives: 1. To assess the existing knowledge regarding intravenous cannulation among staff nurses working in selected hospital. 2. To observe the existing practice regarding intravenous cannulation among nurses. 3. To assess the effectiveness of lecture cum demonstration regarding Intravenous cannulation among staff nurses. 4. To observe the practice of staff nurses regarding intravenous cannulation after lecture cum demonstration. 5. To correlate the knowledge and practice of staff nurses regarding intravenous cannulation .Methodology: Pre experimental one group pre test post test design. Material: Structured knowledge questionnaire and Observational checklist adopted as per WHO guidelines.Sample size: 60. Result: Among the 60 samples, according to age, 39(65%)of subjects were of 21-30 years of age, 14(23.33%) were of 31-40 years, 7(11.67%) were of 41-50 years and no subjects were above 50 yearsAccording to the educational qualification, 38(58.33%) of the subjects were with the qualification of general nurse midwives, 12(20%) were B.sc nursing, 13(21.67%) were PB.B.sc Nursing.Majority of the subjects 45% have work experience of less than 2 years, 23.33% have 3-5 years, 20% have 6-8 years and 11.67% of them have work experience of more than 8 years In relation to area of work, 26.67% of the subjects each were from the Medicine ward and surgical ward, 21.66%were from Intensive care unit and 25% of them were from Casualty/Emergency ward. post test majority of the subjects gained Knowledge regarding intravenous cannulation. 34 (56.67%) subjects had good level of Knowledge score and 23(43.33%) subjects had average level of Knowledge. None of the samples have poor level of Knowledge. the post test the findings shows that 57(95%) subjects had satisfactory level of practice whereas only 3(5%) of subjects had unsatisfactory level of practice. The mean pretest knowledge score was 15.28 and post test knowledge score was 26.58. The mean practice score 7.61 and posttest practice score was 13.76. Student’s paired ‘t’ test is applied at 5% level of significance and The calculated‘t’ value for overall knowledge score of subjects was 35.51 and the calculated ‘t’ value for overall practice score of subjects was 23.44 that statistically interpreted that the lecture cum demonstration regarding intravenous cannulation was effective in increasing the Knowledge and practice of subject. There was significant association between selected demographic variable of year of experience with their pretest knowledge, whereas other demographic variables are not significantly associated.The correlation coefficient of post test knowledge and post test practice score was ‘r’ 0.21, which is indicates a positive correlation. Conclusion: The knowledge of the target population was significantly increased, and there was significant improvement in the level of practice after receiving lecture cum demonstration regarding intravenous cannulation. The improvement in knowledge and practice was found in all subjects irrespective of their demographic variable


2021 ◽  
Vol 12 (12) ◽  
pp. 44-49
Author(s):  
Appandraj S ◽  
Sivagamasundari V ◽  
Varatharajan Sakthivadivel

Background: The Jigsaw method is a form of cooperative learning, in which students are actively involved in the teaching-learning process that improves the long-term retention of acquired knowledge. Aims and Objectives: The objective of this study was to assess the knowledge acquired by students using the Jigsaw learning method in Internal Medicine. Materials and Methods: A prospective observational study was conducted with 100 students. The acute coronary syndrome was taken for 1 h as a didactic lecture, and a pre-test was conducted. The students were divided into five groups and were put for the intervention “Jigsaw.” The pre- and post-test were conducted, and feedback was collected from the students. Paired t-test was used to perform analysis of pre- and post-test. Feedback evaluation was done by a 5-point Liker scale. P<0.05 was considered statistically significant, and the data were analyzed using CoGuide software. Results: The mean pre-test score was 8.44 ± 2.33 ranged (3–14) and the mean post-test score was 11.03 ± 2.07 (ranged 6–15). The difference of 2.39 (95% CI: 2.19–2.59) increase in marks post-test after the Jigsaw method was statistically significant (P<0.001). The satisfaction level was 50–55% on the Likert scale based on the questionnaire given. There was a significant improvement in the post-test scores of the students after Jigsaw. Conclusion: The Jigsaw method improved knowledge in the short-term by engaging students in group work and motivation to learn. Overall response based on the questionnaire about the Jigsaw method was positive.


Author(s):  
Daxaben Patel ◽  
Khushbu Patel

Introduction: Tuberculosis is one of the most prominent mycobacterium diseases known to humankind. Increasing cases world-wide led to the World Health Organization (WHO) declaring a global Emergency in April 1993. Despite the availability of „tools‟ for controlling TB, programs have been unable to sustain high cure rate. As a consequence of this, and the increasing problems of drug resistance, the International community, through the WHO, has developed and launched the Directly Observed Treatment Short Course (DOTS) strategy. Directly Observed Treatment, Short course chemotherapy is a strategy to ensure cure by providing the most effective medicine and confirming that it is taken. It is the only strategy which has been documented to be effective Worldwide on a program basis. Design: A quantitative approach using pre-experimental pre-test post-test design with one group. Participants: 50 Staff Nurses were selected using Non-Probability purposive sampling technique in Mehsana District. Interventions: Structured teaching was given to the Staff Nurses. Tool: Self Structured Questionnaire was used to assess the level of Knowledge regarding tuberculosis and dots therapy among staff nurses. Results: The research study shows that in pre test (20%) of sample had a poor knowledge (score 1-10) regarding knowledge about tuberculosis and dots therapy, while average knowledge (score 11-20) was observed in 46% of the sample and (34%) of sample having good (20-41) knowledge score. And in the post test (0%) of sample had a poor knowledge (score 1-10) regarding knowledge about tuberculosis and dots therapy, while average knowledge (score 11-20) was observed in (18%) of the sample and (82%) of sample having good (20-41) knowledge score. And the comparison between pre test and post test observation score regarding knowledge of tuberculosis and dots therapy. The mean pre test observation score was 16.4 and the mean post test score was the 23, and the Standard Deviation was 5.64 in pre test and 7.67 in post test score, also the calculated “t”value was 4.20 was greater than the table value at 0.05 level of significance. The structured teaching was effective in increasing the Knowledge regarding tuberculosis and dots therapy among staff nurses. Chi-square test to associate the level of knowledge and selected demographic variable. Conclusion: The findings of the study indicate that structured teaching programme is effective in increase knowledge regarding tuberculosis and dots therapy among staff nurses.


2000 ◽  
Vol 6 (4) ◽  
pp. 687-692 ◽  
Author(s):  
A. A. Yacoub ◽  
N. A. Ajeel

The University of Basra Medical College introduced a course on medical ethics for undergraduate students in 1994. We explored the opinions of 54 graduates and 52 final-year medical students about the benefits they perceive they gained from the course and its relevance to their training or practice. About 31% of students and 34% of graduates thought the course was practically and theoretically useful. Over 80% of graduates and students thought the course was either very relevant or relevant to some extent to the practice of medicine. When asked to recall the important ethical issues taught in the course, 52% of graduates and 44% of students listed patient-doctor relationship. Confidentiality, physician liability and ethical issues concerning recent medical innovations were listed by few respondents. Only 6% of both graduates and students were able to list the four principles of medical ethics as described by Raanan. The self-learning component of the course should be developed to strengthen ethical reasoning and judgment in decision-making


Author(s):  
Netty Huzniati Andas, Et. al.

Speaking is the art of conveying ideas and feelings by generating and sharing meaning through oral contact. Pow-Tega is a speaking skill teaching technique that combines a power teaching technique with a game to allow students to practice their speaking skills. Students' focus and excitement in speaking are developed using the power teaching technique. Students were inspired to study while playing the game because the classroom environment was more colorful. Researchers used a quantitative method by assigning pre-experimental studies with one group pre-test and post-test to determine the impact of the Pow-Tega technique on students' speaking performance. This study included 33 students as participants. The researchers used a spoken test and video recording to gather data. Before beginning treatment, researchers gave all of the samples a pre-test, then began treatment by using the Pow-Tega Technique for six meetings, and eventually, researchers gave all of the samples a post-test. The results revealed that the mean post-test score (3,93) was higher than the pre-test score (3,39). Furthermore, at the significant stage of 0,05 and degree of freedom -19, the ttest (6,75) was higher than the ttable (2.093). H0  has been  refused, while H1 has been accepted. That means there was a significant effect of students’ speaking ability after they were taught by using Pow-Tega.


2021 ◽  
Vol 7 (1) ◽  
pp. 8-11
Author(s):  
Novita Hasiani Simanjuntak

Background: Dengue Hemorrhagic Fever (DHF) in Indonesia is a “re-emerging infectious disease”. DHF can be prevented by vector control. Human behavior is very influential on dengue vector control, namely the cleanliness of the house and activities. In 2017, DHF cases in Indonesia were 59,047 cases. In North Sumatra Province, there were 5,327 cases, in Medan City as many as 1216 cases, with Medan Deli District as the sub-district with the most cases, with 100 cases. Objective: This study aims to see the improvement of mother's behavior by using the roleplay method and simulation games. Methods: The research is a quasi-experimental non-equivalent group design. The target population is mothers who live in Medan Deli District. The selection of research subjects by purposive sampling, with the number of subjects in each group is 15 people. This study uses the method of role play and games as a comparison method, with a questionnaire as a measuring tool. Paired t-test to see the increase in the mean of each group, and unpaired t-test to see the difference in the mean value. Results: The results of the paired t-test data analysis found that these two methods showed significant results, with p values ​​of 0.000 and 0.001 with a mean increase in the role play method of 1.40 and the game method of 1.53. The unpaired t-test was found to have a significant difference between the average post-test scores between the role play method and the game method, the mean post-test score for the role-play method was found to be lower than the post-test score for the game method. Conclusions: Counseling using the role play method and games provides significant results in increasing maternal behavior about DHF. The game method shows a greater average increase than the role play method.


2018 ◽  
Vol 7 (1) ◽  
Author(s):  
Nur Azizah

The objectives of the study are: 1) To find out the ability to express the fact of the students taught using selfie photos. 2) To find out the ability to express the fact of the students taught without selfie photos. 3) To find out the significant differences of the ability to express the fact between the students taught using selfie photos and those taught without selfie photos. The study uses descriptive quantitative research. The population of this research is the seventh grade students of SMP Negeri 1 Kragan Rembang. The writer takes VII I as experimental group that consists of 36 students and VII D as control group that consists of 36 students as sample. The writer found that the mean score for experimental group in pre-test is 71.44, and after this class is given a treatment by using selfie photos, the result of post-test is 81.33. The mean score for control group in pre-test is 70.22, and the post-test score is 73.89. The writer uses t-test formula to know the significant difference of the ability to express the fact between the students taught using selfie photos and those taught without using selfie photos. The t-test score is 3.455 for 5 percent (0.05) alpha level of significance. The percentage of t-table 5% is 1.99. The calculation shows that t-test is higher than t-table (3.455>1.99). It shows that there is significant difference of the ability to express the fact of the seventh grade studentsat SMP Negeri 1 Kragan Rembang those taught using selfie photos and those taught without using selfie photos. It can be concluded that selfie photos as a media in improving the ability to express the fact of the students is effective. Selfie Photos makes the students active and enjoy in learning English in the classroom. So, the writer suggests to all of the teacher in general to apply selfie photos media in teaching learning process, especially in learning English.


Author(s):  
Irma Khoirot Daulay ◽  
Kristina Br. Hasugian

The research was conducted to discover the effect of using guessing game media themed local tourism on students’ achievement in writing narrative text. The research was conducted to the grade tenth students of SMA GKPI PAMEN. This research used experimental design. To collect the data 2 classes get involved. There are X-1 as the experimental class that taught by using the guessing game media and X-2 as the control class that taught using the conventional method. The students consist of 30 students. In experimental class, the mean score for the pre-test was 45,46 and the score of post-test was 81,4. In control class, the mean of pre-test score was 46,5 and the post-test was 73,06. The analysis of the t-test showed that tscore > ttable or 3,53 > 1,672 at the level of significance 0,05 with the degree of freedom (df) 58. The alternative hypothesisi (Ha) is accepted. It point out that using guessing media themed local tourism is effective in teaching writing narrative text for the tenth grade students of SMA GKPI PAMEN.


Author(s):  
Dinesh Kumar ◽  
Gomathy . ◽  
Hemam Sangeeta Devi

An experimental study was conducted to assess the effectiveness of vitis vinifera soak on hemoglobin level among anemic students in selected colleges at Vellore. Quantitative evaluative approach was used for this study and the researcher adopted a true experimental research design. The sample was conducted among 60 anemic students in selected colleges at Vellore, in which 30 were in experimental group and 30 were in control group. The sample was selected by using Probability simple random sampling technique with lottery method. The researcher adopted Kristen M. Swanson theory as a conceptual framework. There are six different hypothesis were tested in this study. The Structured interview schedule was used to collect the demographic and clinical variable. Sahli’s hemoglobinometer was used to assess the hemoglobin level. Experimental group received intervention of vitis vinifera soak for 21 days in the morning and control group advised to follow daily routine and no intervention is given. In both groups, on 22nd day the researcher was conducted post test by using same tool. The data were analyzed using both descriptive and inferential statistics. The study revealed that the mean post test score in control group was 9.29 where as in experimental group the mean post test score was 9.82, the mean difference was 0.53. The obtained ‘t’ value was 2.24 which was statistically significant (P<0.01). These findings revealed that the students in experimental group had increased hemoglobin level after administering vitis vinifera soak compared to the control group.


2012 ◽  
Vol 02 (03) ◽  
pp. 75-79
Author(s):  
Preethi Cony Pinto ◽  
Shynee Paul

AbstractThe study was conducted to identify the effect of foot reflexology on the quality of life among menopausal women employed in various schools from 01.08.2011 to 01.10.2011. An evaluative approach with one group pre-test post-test design was used for the study. The present study was conducted among various schools in Mangalore. The collected data from 117 samples were analyzed using descriptive and inferential statistics. Distribution of the samples based on the quality of life revealed that 78.6% had a good quality of life, 15.4% had an average quality of life and 6% had a very good quality of life. With regard to the menopausal symptoms, 55.6%, 24.8% and 19.7% experienced mild, moderate and severe symptoms respectively. 52 women with moderate to severe symptoms were selected and administered foot reflexology for 10 consecutive days. The mean post-test scores of the subjects in the quality of life was 59.43 were significantly greater than the mean pre-test score of 53.89 and the mean post-test scores in the menopausal symptoms was 16.82 which was significantly lower than the mean pre-test score of 21.82. The study also revealed a negative correlation (r= -0.653, p<0.005) between the quality of life and menopausal symptoms. There was significant association between the demographic variables and the quality of life.


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