Background:Clinical education in some countries applies a hospital-based learning approach where each student rotates to one division to another division (call of shifting). However, for clinical midwifery education in Indonesia each student remains in a community midwifery clinic (call of nonshifting). Because of the differences in the shifting system used, the question of “How is feedback in the nonshifting context of the clinical midwifery education being given?” needs to be explored.Materials and Methods:This was a mixed methods study and was carried out in a School of Midwifery in Indonesia during 2014 and 2015. We explored the supervisors’ and students’ perception on the feedback delivery. Students’ perceptions were collected through focus group discussions whereas supervisors’ perceptions were recorded through interviews. The quality of feedback was observed using a checklist. Qualitative data were analyzed using Atlas Ti and quantitative data were analyzed using a descriptive statistic method.Results:From the qualitative data, students and supervisors perceived their feedback as “more intensive.” They reported authenticity in the monitoring and feedback from the day-to-day delivery of patient care with their supervisors. Students and supervisors also described their feedback as “more integrated.” The feedback process stimulated students to value history taking, physical examination, and midwifery care. On the other hand, quantitative data from observations presented that “intensive and integrated feedback” were not supported by the quality of the feedback based on literature of the theory of facilitating learning (the mean was 4.67 on a scale of 0–9).Conclusions:The nonshifting clinical midwifery education can be a better alternative for facilitating the process of providing integrated and intensive feedback. To improve the quality of the feedback, training on providing feedback in a nonshifting context is fundamental in Indonesia.
Lebih dari satu juta orang terinfeksi penyakit menular seksual setiap hari dan diperkirakan 499 juta kasus Infeksi Menular Seksual (IMS) terjadi setiap tahun. Kelompok remaja dan dewasa muda (usia 15-24 tahun) merupakan kelompok umur yang beresiko paling tinggi untuk tertular IMS. Salah satu upaya pencegahan IMS pada remaja adalah dengan memberikan penyuluhan mengenai IMS. Penelitian ini bertujuan untuk mengetahui pengaruh penyuluhan dengan media audiovisual dibandingkan dengan media leaflet terhadap pengetahuan remaja tentang infeksi menular seksual. Penelitian ini merupakan quasi eskperimen dengan pre post test with control group design. Tempat penelitian di SMAN 1 Gamping Sleman. Populasi kelompok eksperimen (audiovisual) 244 dan pada kelompok kontrol (leaflet) 381. Sampel diambil dengan menggunakan teknik proportional random sampling pada kelompok eksperimen 77 responden, pada kelompok kontrol 86 responden. Analisis data menggunakan t-test. Peningkatan pengetahuan pada kelompok eksperimen lebih besar dibandingkan kelompok kontrol (40,05±2,715 VS 37,11±5,494, t-hit=4,401 p-value=0,000). Pemberian penyuluhan dengan media audiovisual dan leaflet berpengaruh terhadap peningkatan pengetahuan remaja, namun audiovisual lebih berpengaruh dibanding lealfet.
BACKGROUND: Lack of knowledge, attitudes, and behavior awareness to prevent anemia among adolescent girls in supporting 1000 HPK has resulted in high anemia incidence in Indonesia. Multimedia counseling is a method of learning that involves audio, visual, and discussion to make it more interesting and easy to understand. AIM: This study analyzed the effect of multimedia counseling about prevention of anemia on adolescent girls behavior to prevent anemia. MATERIALS AND METHODS: This study used pre-test–post-test with control group design, with a quasi-experimental design using the case–control method. The study population was 259, the samples were 90 respondents who were assigned to two groups, namely, 45 people in anemia group and 45 in non-anemia group. The samples were selected by simple random sampling. Respondents were given multimedia counseling about anemia prevention, behavioral questionnaire and food frequency questionnaire (FFQ). Capillary blood test was conducted using Quik-Check, an the respondents were followed up every week and evaluated for 5 weeks. Results were tested using t-test and linear regression. RESULTS: Multimedia counseling had an effect on knowledge (t = 3.097; CI = 95%; 2.229–10.215; p = 0.003), attitude (t = 9.56; CI = 95%; 10.055–15.331; p = 0.001), behavior (t = −2.22; CI = 95%; −4.628–−0.260; p = 0.029), FFQ (t = −2.18; CI = 95%; −4.883 – −0.227; p = 0.032), and BMI (t = −10.40; CI = 95%; −5.094 - −3.460; p = 0.001) among adolescent girls in preventing anemia with R-Square of 0.952 (95%). CONCLUSION: There was an effect of multimedia counseling on the increase in knowledge, attitudes, and behavior in preventing adolescent anemia. Provision of ongoing multimedia counseling and monitoring of female careers in preventing adolescent anemia needs to be improved. Therefore, the role of health-care providers for monitoring and evaluation is very necessary.
<p>Abstract<br /> The problem of adolescent reproduction health is still a problem that needs attention. Many women who experience discomfort in the onset of menstruation, one of them is dysmenorrhea. This study aims to find out effect of combination of warm compress and chocolate to decrease menstruation pain ( dysmenorrhea ) on raja in SMP Negeri 1 Bangkalan.<br />This research uses Quasi Experiment method by using control time series design. The population in this study were female students of SMP Negeri 1 Bangkalan who had dysmenorrhea . Technique of sampling this research was by using simple random sampling with inclusion and exclusion criteria of 54 respondents divided into two groups with each group of 27 respondents . Data analysis was performed withch i-square test and logistic regeresi.<br />The results showed there was influence of combination of warm and chocolate compresses to menstrual pain decrease (p-value 0,050). In addition there are other factors that affect the decrease in menstrual pain that is IMT (p-value 0.032). It is advisable to teenagers who experience menstrual pain to check the health condition of their reproductive organs if pain still occurs during menstruation.<br />Keywords : combination of warm compresses and chocolate, menstruation pain</p>
Latar Belakang: Pandemi Covid-19 pada ibu hamil trimester III dapat meningkatkan resiko pada efek fisik, psikologis ibu dan berdampak pada pertumbuhan janin sehingga dapat mengakibatkan kelahiran prematur, bayi lahir cacat, asfiksia dan IUFD dikarenakan penyebarannya sangat cepat. Tahun 2020 terdapat peningkatan 25% ibu hamil terinfeksi Covid-19, dan terdapat 52,4% ibu hamil mengalami perubahan psikologis yaitu ibu hamil trimester III mengalami kecemasan kategori sedang. Metode: Metode penelitian menggunakan deskriptif, dilakukan pada bulan Januari-Oktober 2021 di Puskesmas Imogiri I dengan populasi sebanayak 60 ibu hamil trimester III dan menggunakan teknik pengambilan sampel total sampling, instrumen yang digunakan adalah kuesioner google form, variabel yang yang digunakan adalah variabel tunggal, dengan analisis data univariat. Hasil: Terdapat perubahan fisik ibu hamil dalam kategori sedang 26 responden (43,3%), antara lain sering buang air kecil, sulit buang air besar, nyeri punggung atas. Perubahan psikologis ibu hamil dalam kategori sedang 44 responden (73,3%) meliputi, kecemasan menghadapi persalinan, ketakutan akan bahaya covid-19 yang berdampak pada ibu dan bayinya, kesiapan dalam mempersiapkan persalinan dalam kategori siap 57 responden (95,0%). Kesimpulan: Dapat disimpulkan bahwa pada ibu hamil trimester III saat ini, mengalami perubahan fisik kategori sedang, perubahan psikologis kategori sedang, mengalami gejala ringan, dan ibu sudah siap dalam persiapan persalinan.
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