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All Journal Jurnal Keperawatan Padjadjaran Indonesian Nursing Journal of Education and Clinic (Jurnal Pendidikan dan Praktik Keperawatan Indonesia)
Indriani Yauri
Catholic University of De La Salle Manado
Health Professions Neuroscience Nursing Public Health

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Improving Student Nurses’ Clinical-Reasoning Skills: Implementation of a Contextualised, Guided Learning Experience Indriani Yauri; Robyn Nash; Joanne Ramsbotham
Jurnal Keperawatan Padjadjaran Vol. 7 No. 2 (2019): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (181.919 KB) | DOI: 10.24198/jkp.v7i2.1166

Abstract

Well-developed clinical reasoning skills are central to the process of clinical judgement. However, the results of recent studies suggest that curricula and teaching approaches that support student nurses’ development of clinical reasoning skills have not yet been fully achieved. Cognitive apprenticeship offers a new approach to facilitate the development of complex thinking skills, for example, reasoning skills in making clinical decisions. This study examined the effect of an educational intervention utilizing principles of cognitive apprenticeship on students’ ability to apply clinical reasoning skills within the context of a purpose-built clinical vignette.A quasi-experimental, non-equivalent control-group design was used to evaluate the effect of the educational intervention on students’ accuracy, inaccuracy and self-confidence in clinical reasoning. Eighty-five undergraduate nursing students participated in the study. A purpose-built clinical vignette was utilised to collect data from study participants. Mixed-Design ANOVA with a significant level of p< 0.05 was employed. Both quantitative and qualitative data were collected. A statistically significant increase in students’ accuracy in clinical reasoning was found after the six-weeks educational intervention. Examination of the quantitative data at time 2 discovered a statistically significant higher accuracy in clinical reasoning score (p<0.00) of the intervention group as compared to the control group. Results from inaccuracy and self-confidence in clinical reasoning did not reach significance. Results from the qualitative data are reported separately. It is argued that interplay of small group discussion of domain specific case-scenarios and the provision of guided learning experience may play a role in achieving partially successful results.   This study makes an important contribution to nursing education by providing evidence to understand how best to facilitate nursing students’ development of clinical reasoning.
Sexual Behaviour and Reproductive Health of Women in North Sulawesi Province: A Secondary Data Analysis Indriani Yauri; Brigitte Inez Maitimo; Vervando J. Sumilat; Junita J J. Koilam
INDONESIAN NURSING JOURNAL OF EDUCATION AND CLINIC (INJEC) Vol 5, No 1 (2020): INJEC
Publisher : Asosiasi Institusi Pendidikan Ners Indonesia (AIPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (279.85 KB) | DOI: 10.24990/injec.v5i1.267

Abstract

Introduction: Although health promotion strategies have been made to promote reproductive health, women’s reproductive health problems have not dropped significantly. This study aimed to examine the relationship between early sexual behavior and reproductive health of women of reproductive-aged 15-49 years old for North Sulawesi Province, Indonesia. Methods: Descriptive correlational design was used to examine the relationship between the age of first sexual intercourse and pregnancy complications, decision making about the use of birth control, and knowledge about HIV-AIDS.  Data were obtained from 585 women aged 15-49-year-old selected from the 2017 Indonesia Demographic and Health Survey (SDKI 2017). Results: Cramer’s V correlation coefficient showed a strong correlation between age at first sexual intercourse and pregnancy complications and moderate correlation between decision making about the use of birth control, and knowledge about HIV-AIDS. Forty percent of sexually active women were 10-19 years old. In addition, decisions about the use of contraceptive strategies among those ages have the potential to be not users in accordance with rational contraception use because they might not seek health workers’ advice. This study also found a low proportion of women understood HIV transmission. Conclusions: Findings from this study affirm the hypothesis that women’s sexual behavior correlates with their reproductive health. Therefore, improving sexual behavior may improve reproductive health. These findings also may be used to inform the effectiveness of the implemented reproductive health programs in North Sulawesi Province.  Several culturally sensitive strategies are recommended to overcome problems and improve reproductive health.
Co-Authors Brigitte Inez Maitimo Joanne Ramsbotham Junita J J. Koilam Robyn Nash Vervando J. Sumilat