Persepsi Mahasiswa dan Dosen terhadap Early Clinical Experience pada Program SI Keperawatan STIK Immanuel Bandung

https://doi.org/10.22146/jpki.25082

Yuliana Yuliana(1*), Ova Emilia(2), Gandes Retno Rahayu(3)

(1) STIK Immanuel, Bandung
(2) Fakultas Kedokteran Universitas Gadjah Mada, Yogyakarta
(3) Fakultas Kedokteran Universitas Gadjah Mada, Yogyakarta
(*) Corresponding Author

Abstract


Background: Early Clinical Experiences (ECEs) is a learning strategy that helps students integrate their knowledge through clinical learning in classes easily from their initial semester of study. Advantages have been earned by both students and lecturers; nevertheless, obstacles in the implementation have frequently emerged. Ideally, lecturers and students should know their own perception on ECEs for the sake of creating good communication and expected learning results in order to improve preclinical education. The purpose of this study is to find out different perceptions between students and lecturers on ECEs in nursing undergraduate program.

Method: This was a descriptive study using quantitative and qualitative approaches (mix method). Subjects comprised students in the year of 2007 and 2008 as many as 71 nursing students and 21 lecturers, consisting of 11 academic advisors and 10 clinical advisors. Qualitative method was done with Focus Group Discussion for students groups and in-depth interview to academic advisors and clinical advisors. Quantitative analysis used descriptive analysis and comparative analysis used One Way Anova analysis. Qualitative analysis used content analysis that included identification, coding, categorization, and synthesis. In the end, the result of quantitative analysis was integrated with the result of qualitative analysis.

Results: Mean score of students’ perception on ECEs was 3.11 (SD 0.24) which was lower than that of academic advisors (3.27 (SD 0.28)) and of clinical advisors (3.30 (SD 0.25)), (F score of 3.18 and p<0.05) while the result of multiple comparison test of students and clinical advisors showed p=0.047. Perception difference of students and clinical advisors on ECEs components in the supervision process showed p=0.00.

Conclusion: There was a significant difference among three respondent groups on ECEs perceptions. The significant difference between students and clinical advisors was in the component of supervision process while there was no significant difference between students and academic advisors as well as between academic advisors and clinical advisors. Students posed the lowest ECEs perception score compared to both academic and clinical advisors. Problems came up in the components of structure and content, supervision process, learning experience, and student evaluation.


Keywords


Early clinical experience, early clinical exposure, integration, perception, preclinical learning

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References

  1. Gutierrez MC, Soto RG. Alligator attack: an illustration of the impact of early exposure.Med Ed. 2002;36:1182-4.
  2. Harsono. Pengantar problem based learning. Yogyakarta: Medika Fakultas Kedokteran UGM; 2008.
  3. Dornan T, Smithson S. Clinical learning in the early years. In Dent JA, Harden RM, editors. A Practical Guide forMedical Teachers. 3rd edition. Philadelphia: Churchill Livingstone Elsevier; 2009: 23-31.
  4. Wartman S, Davis A, Wilson M, Kahn N, Sherwood R, Nowalk A. Curricular change: recommendations from a national perspective. Acad Med. 2001;76 Suppl 4:S140-5.
  5. Dornan T, Littlewood S, Margolis S, Scherpbier A. How can experience in clinical and community setting contribute to early medical education? A BEME Systematic Review. Med Teach. 2006;28:3–18.
  6. Dornan T, Bundy C.What can experience add to early medical education? consensus survey. BMJ. 2004;329:834-7.
  7. Naga Rani MA, Sharma KS, Koirala S. A brief review of the pre-clinical curriculum of the BP Koirala Institute of Health Sciences, Dharan, Nepal.Med Ed. 2002;36(14):393-4.
  8. Abramovitch H, Shenkman L, Schlank E, Shoham S, Borkan. A tale of two exposures a comparison of two. Educ for Health. 2002;15(3):386-90.
  9. Sekolah Tinggi Ilmu Kesehatan Immanuel Bandung. Kurikulum sarjana keperawatan: kurikulum berbasis kompetensi Sekolah Tinggi Ilmu Kesehatan Immanuel Bandung (STIKI). Bandung: STIKI; 2008.
  10. Sugiyono.Metode penelitian kuantitatif, kualitatif dan research & development. Bandung: Alfabeta; 2008.
  11. Dahlan S. Statistika untuk kedokteran dan kesehatan. Jakarta: PT. Arkans; 2006.
  12. Syarif F, Masoumi S. A qualitative study of nursing student experiences of clinical. BMC Nursing. 2005;4(6).
  13. Hoyles A, Polard C, Leet S, Glossop D. Nursing students’ early clinical exposure to clinical practice: an innovation in curriculum development. Nurse Educ Today. 2000;20:290-8.
  14. Stockhausen L. The clinical learning spiral: a model to develop reflective practitioners. Nurse Educ Today. 1994;14:363–71.
  15. Lau AKL,Chuk KC, So WKW. Reflective practice in clinical teaching. Nursing and Health Sci. 2002;4:201–8.
  16. O’Brien-Gonzales A, Barley G, Hughes E. What did we learn about the impact on students’ clinical education? Acad Med. 2001;76(4):S68-71.
  17. Quinby PM, Papp KK. Adopt a student, early mentoring in family medicine. Med Teach. 1995;17:47-53.
  18. Riley K. A collaborative approach to a primary care preclinical preceptorship for underserved settings. Acad Med. 1991;66:776.
  19. Mann MP. A light at the end of the tunnel: the impact of early clinical experiences on medical students. Paper presented at the Annual Meeting of the American Educational Research Association; Los Angeles. 1994 April 4-8.
  20. Johnson AK, Scott CS. Relationship between early clinical exposure and first-year students’ attitudes toward medical education. Acad Med. 1998;73:430-2.
  21. Ramani S, Leinster S. AMEE guide no. 34: teaching in the clinical environment. Med Teach. 2008;30(34):347-66.
  22. O’Brien-Gonzales A, Barley G, Hughes E. What did we learn about the impact on students’ clinical education? Acad Med. 2001;76 Suppl 4:S68-71.
  23. Collingwood C. Clinical areas as learning environments for student nurses. Int J for Health Care Quality Assurance. 1991;4(1):7–12.



DOI: https://doi.org/10.22146/jpki.25082

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