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The Difference in Junior Doctor's Knowledge of Patient Safety Based on Experiences of Operative Stations at Medical Faculty of Universitas Sebelas Maret. Mini Thesis,Faculty of Medicine, Sebelas Maret University, Surakarta Justinus Kurniabudhi Novarianto; Ari Natalia Probandari; Annang Giri Moelyo
Nexus Pendidikan Kedokteran dan Kesehatan Vol 5, No 2 (2016): Nexus Pendidikan Kedokteran & Kesehatan
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Introduction: Medical students are the key of the future of patient safety culture, yet it development still focused on the staff level, administratives, and other medical professionals. The patient safety system is designed for more efficient and easier recording of errors, to prevent and mitigate the risks and errors of medical procedure. Surgical procedure are one of the riskiest medical procedure. The experience in surgical stations might increase the junior doctor's knowledge on patient safety. This research aimed to study the difference in junior doctor's knowledge on patient safety based on the experience in surgical stations. Methods: This research used an analytical observational approach with cross sectional design. The study was conducted in RSUD Dr. Moewardi Surakarta on October 2015. The subject of this research are junior doctors in RSUD Dr. Moewardi Surakarta who met the inclusion and exclusion criterias determined by the researcher. Sampling technique used in this study was the total sampling method. The total sample of the study were 226 junior doctors. Data collected from the questionnaire on knowledge of patient safety filled by the samples, the questionnaire has gone through validation and reliability testing phase. Collected data was then analyzed with independent t-test and multivariate linear regression test. Results: The result of independent t-test showed that there was statistically insignificant relationship between the experience of operative stations and the knowledge on patient safety (p=>0,102). The result of multivariate linear regression test showed that there was difference in the quesionnary score between the junior doctors that have went through operative stations and those who have not, with the decrease of 0,787 points on sample's questionary score with more experience on operative stations, even though it was not statistically significant (p=0,525). Conclusions: The level of knowledge regarding patient safety of junior doctors with more operative station experiences are not higher compared to those with fewer operative station experiences. Keywords: patient safety, junior doctor. clerkship, patient safety education, medical education
The Correlation between Students Perception about Anatomy Laboratory Peer Mentoring andThe Achievement of Learning Objective of Medical Students in UNS Firdausul Ma'rifah; Ari Natalia Probandari; Sumardiyono .
Nexus Pendidikan Kedokteran dan Kesehatan Vol 4, No 2 (2015): Nexus Pendidikan Kedokteran & Kesehatan
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background: Peer mentoring activity has been applied in medical education system in common university include in UNS. Peer teaching and learning is given to the students so that they understand the material before attend the anatomy laboratory activity. But there is a policy from educational medical faculty of UNS that peer mentoring will be deleted. Methods: This research was an analytic observational research with cross sectional design,and held in Medical Faculty,UNS,in November 2014.The participants were 200 second year UNS medical student.This research was using perception assistance anatomy laboratory questionnaire instrument that had been validated.Data analyzedusing Spearman Rank Correlation. Results: The result of statistic test indicated correlation between peer mentoring perception thoroughly and studying goal achievement was not significant or meaningful. (p = 0,06 and r = 0,133). Conclusion: Students perception about anatomy laboratory peer mentoring is not increase achievement of learning objective of medical students in UNS. Keywords: perception of peer mentoring, learning objective, Anatomy Laboratory.
The Correlation between Students Perception of Learning Environment and Self Directed Learning Readiness in The Faculty of Medicine Sebelas Maret University Alifa Rizka Apriliananda; Arsita Eka Prasetyawati; Ari Natalia Probandari
Nexus Pendidikan Kedokteran dan Kesehatan Vol 4, No 1 (2015): Nexus Pendidikan Kedokteran & Kesehatan
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Background: Learning environment is everything that happened in the class, departement, faculty or university that plays a very important role in effective student learning. Students perception of the learning environment is also found to influence their behaviour. Student participation in problem-based learning (PBL) curricula leads to use of Self Directed Learning (SDL) skills. SDL, which is a prerequisite for life-long learning can flourishin certain learning environments. This study aimed to investigate the relationship between students perception of learning environment and self directed learning readiness in the Faculty of Medicine Sebelas Maret Universtity. Method: This study was an observational analytic study with cross sectional method approach among 106 medical students of Sebelas Maret University that selected by Systematic Random Sampling method. This research used DREEM (Dundee Ready Educational Environment Measure) that measured the students perception of learning environment and SDLRS that measured students self directed learning readiness. Data analysis used Pearson correlation (? = 0.05). Result: Pearson correlation test results a significant correlation between Students Perception of Learning Environment with Self Directed Learning Readiness in The Faculty of Medicine Sebelas Maret University with p <0.05 (p = 0.000). The test results also showed a moderate correlation between two variables with a correlation coefficient (r) 0.551, with increased students perception of learning environment will increase self directed learning readiness in the Faculty of Medicine Sebelas Maret University. Conclusion: There is a moderate relationship between Students Perception of Learning Environment and Self Directed Learning Readiness in The Faculty of Medicine Sebelas Maret University. Better students perception of learning environment, will increase students self directed learning readiness Keywords: learning environment, perception of learning environment, self directed learning readinesss
Student Perceptions towards Supporting Learning Factors in Skills Lab Farha Naily Fawzia; Ari Natalia Probandari; . Suyatmi
Nexus Pendidikan Kedokteran dan Kesehatan Vol 6, No 1 (2017): Nexus Pendidikan Kedokteran & Kesehatan
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Introduction: Clinical skills competence is one of areas of competence to be achieved by graduate of medical education institutions. As an effort to achieve clinical skills competency for the students, Medical Faculty of Universitas Sebelas Maret (UNS) establishs Skills Lab. In learning clinical skills, there are various components that can support learning. Therefore this study aimed to explore students perceptions of the supporting learning factors in the Skills Lab. Methods: This study was a qualitative research which conducted in Medical Faculty of Universitas Sebelas Maret on October-November 2016. The study participants were the second year, third year, and fourth year students of Medical Faculty of Sebelas Maret University. The method of collecting data was by focus group discussion (FGD) and in-depth interview. The data was analyzed by content anaylis. Data validation using triangulation method, peer debriefing, and member checking. Result: There are various factors influencing on learning in Skills Lab. Several factors were found in this study was instructor, curriculum, students, modules, infrastructure, and system in Skills Lab. According to student, an instructor must have a good character, good communication and interpersonal skills, competence in science, and have the appropriate skills and methods in teaching. In supporting learning, Skills Lab and blocks curriculum should be integrated and aligned. In addition, curriculum also has to be up to date with the development of the medical world. Students themselves have an influence in creating an effective learning. Students ideally should have motivation, adequate prior knowledge, and the attitudes and behavior in both the teaching and learning activities. Modules as well as infrastructure in the Skills Lab also act as a support when such facilities are available and adequate. System in Skills Lab is equally important. Various supporting activities such as monitoring-evaluation activities, and training of instructors need to be improved. Conclusion: In the perspective of a student, there are various factors that influence learning, including the instructors, curriculum, students, modules, infrastructure, and system in the Skills Lab. Keywords: supporting learning factors, Skills Lab, skills learning
The Interprofessional Education (IPE): The Community Outcomes of Health Services within Collaboration Practices in Faculty of Medicine Sebelas Maret University Kevin Pieter Toman; Ari Natalia Probandari; Amandha Boy Timor Randita
Nexus Pendidikan Kedokteran dan Kesehatan Vol 5, No 2 (2016): Nexus Pendidikan Kedokteran & Kesehatan
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Introduction: Interprofessional Education (IPE) is a collaborative practice with two or more health professions that each studying the role of each health profession to improve collaboration and quality of health care. This study aimed to determine the outcomes of interprofessional approach, medical and midwifery students, based on the public perception of the health services using community-based IPE learning method. Methods: This study was a qualitative research, conducted in Puskesmas Sangkrah in January 2016. The subject of the research were patients and their families who received medical care in Faculty of Medicine Sebelas Maret University IPE program in December 2015. The sampling technique was purposive sampling with typical type of sample. The data was taken by using the in-depth interview on the subject with the amount of data retrieval determined by saturation data. The research instrument is the researcher himself. Interview guidelines referring to instruments Attitudes Toward Health Care Teams (ATHCT) Scale were translated and modified. Data were analyzed using thematic content analysis. Results: The outcomes of health services by interprofessional education learning method in faculty of medicine sebelas maret university, it was obtained the category of comprehensive of care, continuity of care, communication between team and patient, and team collaboration. Conclusions: The community founds the outcome of health services with interprofessional education is good. Through public perception, we obtained two perceptions of interprofessional education, it was found that good health care can be obtained through the implementation of a good IPE by implementing patient-centered care and good communication among the health care team with the patients and their families, and also among members in the healthcare team.Keywords: community, interprofessional education (IPE), outcome
Differences in Perceptions of Learning Environment Between Achievers and Underachievers in Medical College Sebelas Maret University BENAZIER MARCELLA BESMAYA; Ari Natalia Probandari; Amandha Boy Timor Randita
Nexus Pendidikan Kedokteran dan Kesehatan Vol 4, No 1 (2015): Nexus Pendidikan Kedokteran & Kesehatan
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Background: The presence of underachievers becomes a problem for both parents and educators due to waste the potential which is not only the loss of the nation, but also a personal loss to such individual to excel. The learning environment is one of the factors that affect the academic performance of students. It determines students perception and is important to reveal aspects of the learning environment that needs to be evaluated in order to maximize the academic performance of students. Methods: This was a descriptive analytic study with a cross-sectional design and held at the Faculty of Medicine, Sebelas Maret University. This study was using a validated The Dundee Ready Educational Environment Measure (DREEM) and was administered to 192 students of 4th year Medical College Sebelas Maret University. The data was analyzed by unpaired t-test and Mann-Whitney test (? = 0.05). Results: The perception of both achievers and underachievers was more positive than negative (average scores 81.62 and 80.00 out of 132). There were no significant differences between the two groups on total or subscale score. There were significant differences on problem solving skill between the two groups (p<0.05). There were some items indicating as problem areas and thus required remedial steps. Conclusion: Both achievers and underachievers in Medical College Sebelas Maret University assess the learning environment as more positive than negative. There are no significant differences in the perception of learning environments between achievers and underachievers (p> 0.05). Keywords: learning environment, perception, achiever, underachiever, DREEM
The Effect of Personality Traits and Stress on Life Satisfaction in Medical Student of Sebelas Maret University Wahyu Tri Kusprasetyo; Maryani .; Ari Natalia Probandari
Nexus Pendidikan Kedokteran dan Kesehatan Vol 5, No 1 (2016): Nexus Pendidikan Kedokteran & Kesehatan
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Introduction: Higher life satisfaction in medical students produce health services were better in the future. One of the determining factors in life satisfaction is a personality traits. Extrovert and introvert personality can be used as consideration in choosing a policy approach to the education system in favor of life satisfaction. Also, stress in the medical education is very common. The high stress causes a decrease in academic performance and life satisfaction. The level of life satisfaction is one indicator of success in an educational institution. This study aimed to determine the effect of personality type and stress to the level of life satisfaction FK UNS Physician Education students. Methods: This research was using descriptive analytic cross-sectional approach. The study was conducted at the Faculty of Medicine UNS. Respondents were students FK UNS from 2013 to 2015. A sample of 260 students selected using stratified random sampling based on year entrance and selected according to the student identification numbers. Measuring instruments were Perceived Stress Scale (PSS), Eysenck Personality Inventory (EPI) and the Satisfaction With Life Scale (SWLS). Students were gathered in a room then got explanation and welcomed to fill out the questionnaire independently. Furthermore, the data was performed normality test and then analyzed by Pearson correlation test, followed by multiple linear regression analysis (? = 0,05). Results: Pearson correlation test results (0.139) show there is a very weak positive correlation between extrovert personality traits with a level of life satisfaction (p = 0.025). While there is a strong (-0.656) negative relationship between stress and the life satisfaction (p < 0.00). There is no multicollinearity relationship between these variables. Conclusions: Stress has a strong negative correlation to life satisfaction after personality traits variable has been controlled Keywords: Stress, Personality Traits, Life Satisfaction, Medical Education
Hubungan Tingkat Pengetahuan Agamadengan Motivasi Merokok di SMA Al Islam 1 Surakarta Dwi Ariono; Ari Natalia Probandari; Kusmadewi Eka Damayanti
Nexus Kedokteran Komunitas Vol 3, No 1 (2014): Nexus Kedokteran Komunitas
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Background:The smoking behaviour is an important issue for the whole world. Based on Riskesdas 2010, the number of smokers in Indonesia year was 34.7% which ranked the 5th in the world. Smoking behaviour usually begins during adolescence, which is preceded by motivation. In Indonesia, religion is believed to be the source of moral human behavior. This research aimed to identify correlation between the level of religion related knowledge and smoking motivation among students in SMA Al Islam 1 Surakarta. Methods:The study design was analytical observational study with the approach of cross sectional. The population was grade X and XI SMA Al Islam 1 Surakarta. By using the quota sampling, 350students were selected as study sample. The data collection used questionnaires. The data were analyzed by Spearman correlation test. Results:336 people (97.43%) had a good level of religion related knowledge and 335 people (71.77%) had a low motivation to smoking. The data identified very weak negative correlation between the level of religion related knowledge and smoking (r = 0.114 and p = 0.085). Someone who has a good level of knowledge of religion was not always followed by the smoking of low motivation. Conclusions:There is a weak negative correlation but not statistically significant between the level of religion related knowledge and motivation to smoking among students in SMA Al Islam 1 Surakarta. Keywords:adolescent, smoking, motivation, religion related knowledge
Asosiasi Pengetahuan Mengenai Rokok dengan Sikap dan Perilaku Merokok pada Remaja ROCHIMA RIDHA HIDAYAH; ARI NATALIA PROBANDARI; MUTHMAINAH .
Nexus Kedokteran Komunitas Vol 1, No 2 (2012): Nexus Kedokteran Komunitas
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Background: The level of knowledge on smoking may influences the attitudes and behavior of smoking. A previous research found that, smoking behavior began in the early years of teenage (11-15 years old). This study aimed to determine the association between the level of knowledge about the dangers of smoking cigarettes and attitudes toward smoking and smoking behavior in early adolescence. Methods: The study design was an observational analytic cross-sectional study which was conducted during March 2012 among 98 students of SMP Negeri 01 Colomadu, Karanganyar. Sampling technique in this study was multi-stage cluster sampling. We used a questionnaire to measure current knowledge on smoking and the dangers of smoking, attitudes, and smoking behavior, which had been tested validity and reliability. Data analysis used the Fisher Exact Test and Chi-Square Test. Results: This study found no statistical significant relationship between the level of knowledge of the attitudes toward smoking (p = 0,509; OR = 1,86; Cl95% = 0,45-7,66). The level of knowledge increased the risk of smoking behavior in the past by 0,7 times (p = 0,366; OR = 1,50; Cl95% = 0,62-3,62), but not statistical significantly. There were no statistical significant relationship between the level of knowledge of the behavior of current smoking (p = 0,311; OR = 4,23; Cl95% = 0,42-42,20) and past smoking (p = 0,366; OR = 1,50; Cl95% = 0,62-3,62). Conclusions: The knowledge has no statistical significant association with adolescent attitudes toward smoking and smoking behavior of adolescents. Further research with stronger study designs are needed to study the association between knowledge, attitude on smoking and smoking behavior among early teenagers. Keywords: Level of knowledge challenged cigarettes, attitudes, smoking behavior.
A Comparison of Recovery Times Using Aldrete Score Between General Anesthesia Propofol and Ketamine Putu Ayu Apriliani Trisna Dewi; R.Th Suprapromo; Ari Natalia Probandari
Nexus Kedokteran Klinik Vol 5, No 2 (2016): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Background: Intravenous anesthesia is an anesthetic agent that is administered intravenously, the advantages of using intravenous anesthetic agent is more convenient for patients and a short onset duration and recovery time. Propofol and ketamine are two intravenous anesthetic agent that is often used as an anesthetic induction or as the induction and maintenance of anesthesia in shor time surgical. After surgical procedure, patient must be kept under clinical observation at all times in a recovery facility until patient have reached normal level of consciousness. Level of consciousness after surgary can be measured by using Aldrete score that includes skin tone, respiration, circulation, level of consciousness and motor activity. The time required to recover fully normally ? 15 minutes. The objective of this study was to determine and to compare the recovery state between usage of general anesthesia propofol and ketamin. Methods: An analytical observational cross sectional study was conducted with both general anesthetics propofol and ketamin as independent variable and recovery state as dependent variable. Subjects recruited for this study were patients who underwent curatage surgery under intravenous anesthetics at Dr. Moewardi Regional General Hospital, Regional General Hospital of Ngipang, and Amanah Ibu Mother and Children Hospital. Subjects were selected using consecutive sampling technique. For the purpose of this study, recovery characteristics were measured using Aldrete score and were obtained after transported to a recovery room. Total subjects were 72, which were 36 subjects as propofol group and 36 subject as ketamin group. Statistical analyses were assessed by Chi square test using IBM SPSS 22.0. Results: This study found that 94,4% patients receiving propofol gained full recovery and 63,9% patients receiving ketamin gained full recovery as well. The statistical results stated that the p value is 0.001 (<0.05). Hence, statistically there was a significant difference between usage of general anesthesia propofol and ketamin. Conclusions: These findings statistically significant difference between usage of general anesthesia propofol and ketamin Keywords: aldrete score, recovery times, propofol, ketamin