Anxiety and Competence Achievement of Midwifery students During Midwifery Clinical Practice of Maternal Neonatal Emergency

Anis Kusumawati; Titi Savitri Prihatiningsih; Yayi Suryo Prabandari

doi:10.22146/jpki.32257

Anxiety and Competence Achievement of Midwifery students During Midwifery Clinical Practice of Maternal Neonatal Emergency

https://doi.org/10.22146/jpki.32257

Anis Kusumawati^(1*), Titi Savitri Prihatiningsih⁽²⁾, Yayi Suryo Prabandari⁽³⁾

(1) Faculty of Medicine, Purwokerto Muhammadiyah University, Purwokerto – INDONESIA
(2) Faculty of Medicine, Universitas Gadjah Mada, Yogyakarta - INDONESIA
(3) Faculty of Medicine, Universitas Gadjah Mada, Yogyakarta - INDONESIA
(*) Corresponding Author

Abstract

Background: Anxiety is often experienced by students when following clinical education. Anxiety at moderate level is required for the learning process, but at high level it lowers the learning. The objective is to determine the level of anxiety, competency achievement, the relationship between them and the things that are perceived by the students and the clinical instructors when following clinical practice.

Methods: A quantitative, cross sectional study using questionnaires to 42 midwifery students continued with the qualitative by in-depth interviews with three students and six clinical instructors.

Results: The level of anxiety was no to mild anxiety by 19.05%, mild to moderate anxiety by 66.67%, and moderate to severe anxiety by 14.28%. Around 2.38% of the students earned a grade of a B, 45.24% earned a B + and 52.38% earned an A. The relationship between the level of anxiety and competency achievement was shown with an r value of -0.043.

Conclusion: The level of anxiety in clinical practice of midwifery students was mild to moderate, and the competency achievement was excelent. There was a negative and very weak correlation between the level of anxiety and competency achievement. Things perceived by the student following clinical practice were a matter of personalization, innovation, individualization, involvement, task orientation, and satisfaction, while things perceived by the clinical instructors were a matter of time constraints, much work load, student preparedness, student ability level, challenge to patient, student motivation, and hospital environments.

Keywords

Anxiety, competency achievement, clinical practice

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References

Lucas MPP. Mental illness nursing documents for nurses and midwives. Queenslad: Queensland Mind essentials; 2010.
Melincavage SM. Anxiety in student nurses in the clinical setting: a phenomenological study [dissertation]. Pennsylvania: The Pennsylvania State University; 2008.
Nadeem M, Ali A, Maqbool S, Zaidi SU. Impact of Anxiety on the Academic Achievement of Students Having Different Mental Abilities at University level in Bahawalpur (Southern Punjab) Pakistan. IOJES. 2012;4 (3):519-28.
Flynn K. The use of standardized patients to minimize anxiety in undergraduate nursing students in the clinical setting [Master of Arts in Nursing Theses]. St. Catherine University; 2012.
Carvalho R, Farah OGD, Galdeano LE. Nursing undergraduates' anxiety about the first surgical instrumentation. Rev. Latino-Am. Enfermagem. 2004;12(6).
Keputusan Menteri Pendidikan Nasional Republik Indonesia nomor 045/U/2002 tentang kurikulum pendidikan tinggi.
Panduan Akademik. Fakultas Ilmu Kesehatan Universitas Muhammadiyah Purwokerto. 2014.
Panduan Praktik Klinik Kebidanan Kegawatdaruaratan Maternal Neonatal. Program Studi Diploma III Kebidanan Fakultas Ilmu Kesehatan Universitas Muhammadiyah Purwokerto. 2014.
Emilia O. The Relationship between the clinical learning environment and the approach to learning of medical students [thesis]. New South Wales Medical Education School of Public Health and Community Medicine. The University of New South Wales. 2003.
Cheung RY, Au TK. Nursing students’ anxiety and clinical performance. J Nur Educ. 2011; 50: 286-9.
Eka, A.R. Hubungan antara tingkat kecemasan dennan keberhasilan memberikan obat melalui infus pada mahasiswa FIK UI angkatan 2010. [skripsi]. Jakarta (Indonesia). Universitas Indonesia;2012.
Amir, D.P. Hubungan tingkat kecemasan dalam menghadapi Objective Structured Clinical Examination (OSCE) dengan nilai OSCE mahasiswa Fakultas Kedokteran Universitas Andalas [skripsi]. Padang (Indonesia). Universitas Andalas; 2014
Al-Kadri HMF, Al-Moamary MS, Elzubair M, Magzoub ME, Al-Mutairi A, Roberts C, Cees van deeeer Vleuten. Exploring factors affecting undergraduate medical students΄study strategies in the clinical years: a qualitative study. Health Sci Educ. 2011;16:553-67.
Chan DSK. Combining qualitative and quantitative methods in assessing hospital learning environments. Int J Nur Stud. 2001;38:447–59
Wing G. Pre-registration student nurses perception of the hospital-learning environment during clinical placement. Nurse Educ Today. 2006;26:338-45.
Yim WIP, Chan DSK. Hong Kong nursing student’s perception of clinical environment: a qustionanaire survey. IJNSTU. 2005;42:665-672.
Spencer J. ABC of learning and teaching in medicine. Learning and teaching in the clinical environment. BMJ. 2003; 326:591-4.
Ramani S, Leinster S. Amee guide no. 34: teaching in the clinical environment. Med Teach. 2008;30:347-64.
Sundler JA, Bjork M, Bisholt B, Ohlsson U, Engstrom AK, Gustafsson M. Student nurses’experiene of the clinical learning environment in relation to the organizastion of supervision: A questionnair survey. Nurs Educ Today 2014.
Dent JA. AMEE Guide No 26: clinical teaching in ambulatory care settings: making the most of learning opportunities with outpatients. Med Teach. 2005;27(4):302–15.
Ames CA. Motivation: what teachers need to know. Teacher College Record. 1990;91(3):409-21.
Hunt LA, McGee P, Gutteridge R, Hughes M. Assessment of student nurses in practice: A comparison of theoretical and practical assessment results in England. Nurse Educ Today. 2011;2-5.