Dwi Rahma Wati(1*), Ova Emilia(2), Yekti Satriandari(3), Yoyo Suhoyo(4)

(*) Corresponding Author


Background: One of the competencies that must be mastered by health workers is therapeutic communication. Effective communication can increase patient satisfaction but on the contrary communication failure can cause poor information exchange, misdiagnosis, decreased participation and stressors in patients, and even death. Poor communication can be caused by low self efficacy. Bedside teaching learning through preseptor modeling can affect self efficacy in communication. The study aimed to determine the effectiveness of bedside teaching learning method towards the self-efficacy of therapeutic communication in midwifery students in clinical practice.
Method: This research is a quantitative descriptive study. The research sample was all midwifery students in the fifth semester who had clinical practice at PKU Muhammadiyah Hospital of Gamping, and Queen Latifa Hospital as many as 20 students. The sampling technique used saturated features. The research instrument used SE-12 and the preceptor’s
assessment in bedside teaching. The bivariate analysis used paired t-test and independent t-test.
Results: The results showed that the self-efficacy analysis of prior and after bedside teaching therapeutic communication in the certified group obtained mean different of 19.50 and those in the non-certified group obtained mean different of 5.13. There were differences, but not statistically significant with p-value of 0.153.
Conclusion: Bedside teaching effectively increased the self-efficacy of midwifery student communication taught by certified preceptors compared to non-certified preceptors. The stages of bedside teaching in the certified group had a better
level of preceptor competence than the group that had not been certified. Clinical advisors are suggested to follow preceptors
certification to increase knowledge.


bedside teaching, communication self-efficacy.

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1. Xie J, Ding S, Wang C, Liu A. An evaluation of nursing students’ communication ability during practical clinical training. Nurse Educ Today.
2. Joint Commission on Accreditation of Healthcare Organizations. W, Joint Commission
Resources I. Joint Commission journal on quality and safety. Jt Comm J Qual Patient Saf.
3. Bohren MA, Vogel JP, Hunter EC, Lutsiv O,Makh SK, Souza JP, et al. The Mistreatment of
Women during Childbirth in Health Facilities Globally: A Mixed-Methods Systematic Review.
PLoS Med. 2015;12(6):1–32.
4. Kementerian Kesehatan RI Badan Penelitian dan Pengembangan. Hasil Utama Riset
Kesehatan Dasar. Kementrian Kesehatan Republik Indonesia. 2018.
5. world health organization. Monitoring Health For The Sustainable development goals. 2015.
6. Presiden RI. Undang-Undang Republik Indonesia Nomor 20 Tahun 2003 Tentang Sistem Pendidikan Nasional. 2003.
7. Daryanto. Evaluasi Pendidikan. Jakarta Ri. Vol.53. 2008. 1689–1699 p.
8. Gonzalo JD, Heist BS, Duffy BL, Dyrbye L, Fagan MJ, Ferenchick G, et al. Content and timing of feedback and reflection: A multicenter qualitative study of experienced bedside
teachers. BMC Med Educ. 2014;14(1):1–10.
9. Currie SM. Aspects of the preparation of student midwives for autonomous practice. Midwifery.1999;15(4):283–92.
10. Williams KN, Ramani S, Fraser B, Orlander JD. Improving bedside teaching: Findings from a focus group study of learners. Acad Med.
11. Arikunto. Prosedur penelitian: suatu pendekatan praktik. 2010;
12. Alwisol. Psikologi Kepribadian edisi revisi.Malang : UMM Press; 2009. 76 p.
13. Spencer J, Blackmore D, Heard S, McCrorie P,McHaffie D, Scherpbier A, et al. Patient-oriented learning: A review of the role of the patient in
the education of medical students. Med Educ.2000;34(10):851–7.
14. Pajares F. Self-Efficacy During Childhood and Adolescence and Implications for Teachers and Parents. In: Self-Efficacy Beliefs of Adolescents.
2005. p. 339–67.
15. Press W, Roberts P, Godfrey JR. Freire, P. (1998).Teachers as Cultural Workers: Letters to Those Who Dare Teach. Boulder, CO, Westview Press.
16. Spencer J. ABC of learning and teaching in medicine: Learning and teaching in the clinical environment. Br Med J. 2003;326(7389):591–4.
17. Bengtsson M, Carlson E. Knowledge and skills needed to improve as preceptor: Development of a continuous professional development course - a qualitative study part I. BMC Nurs. 2015;14(1):1–7.
18. Jones R, Higgs R, De Angelis C, Prideaux D.Changing face of medical curricula. Lancet.
19. T1. Tavabie O, Baker P. Foundation doctors and bedside teaching. BMJ. 2011; avabie O, Baker P.Foundation doctors and bedside teaching. BMJ.
20. Asani M. Bedside teaching: An indispensable model of patient-centred teaching in
undergraduate medical education. Niger J Basic Clin Sci. 2014;11:2.
21. Ramani S. Twelve tips to improve bedside teaching. Med Teach. 2003;25(2):112–5.
22. Jones R, Higgs R, De Angelis C, Prideaux D.Changing face of medical curricula. Lancet.
23. Wright SM, Kern DE, Kolodner K, Howard DM, Brancati FL. Attributes of excellent
attending-physician role models. N Engl J Med.1998;339:27.
24. Busari JO, Scherpbier AJJA. Why residents should teach: A literature review. J Postgrad
Med. 2004;50(3):205–10.
25. Mcleod PJ, Harden RM. Clinical teaching strategies for physicians. Med Teach.
26. Brewer G, Williams A, Sher W. Utilising learning contracts to stimulate student ownership of learning. In: December 2007 AaaE Conference Melbourne [Internet]. 2007. p. 1–8. Available from:
27. Turner EL, Nielsen KR, Jamal SM, von Saint André-von Arnim A, Musa NL. A review of
pediatric critical care in resource-limited settings:A look at past, present, and future directions.Front Pediatr. 2016;4(FEB):1–15.
28. Janicik RW, Fletcher KE. Teaching at the bedside:a new model. Med Teach. 2003;25(2):127–30.
29. Vancouver Coastal Health. Preceptor Resource Guide: Supporting Clincial Learning. In 2006.p. 1–45.
30. Asmara FY. Bedside Teaching : Is it Effective Methods in Clinical Nursing Students Learning.J Ners. 2014;9(1):19–25.
31. Byszewski A, Hendelman W, McGuinty C,Moineau G. Wanted: Role models - Medical
students’ perceptions of professionalism. BMC Med Educ. 2012;12:115.
32. Rothrock JC. Shared cognition: Reflecting,considering, deliberating. AORN J.
33. Buchel TL, Edwards FD. Characteristics of effective clinical teachers. Fam Med.
34. Amaral G, Bushee J, Cordani UG, Kawasita K,Reynolds JH, Almeida FFM, et al. Teaching Today A Practical Guide. In: Geoff Petty [Internet].2009. p. 1–605. Available from: x . d o i . o r g / 1 0 . 1 0 1 6 / j .pre c a m r e s . 2 014 .12 . 018%0Aht tp: / /d x . d o i . o r g / 1 0 . 1 0 1 6 / j .precamres.2011.08.005%0A
35. Clay AS, Que L, Petrusa ER, Sebastian M,Govert J. Debriefing in the intensive care unit:
A feedback tool to facilitate bedside teaching.Crit Care Med. 2007;35(3):738–54.
36. Rudolph JW, Simon R, Raemer DB, Eppich WJ. Debriefing as formative assessment: Closing performance gaps in medical education. Acad
Emerg Med. 2008;15(11):1010–6.
37. Maslow AH. A theory of human motivation.Psychol Rev. 1943;50(4):370–96.
38. S Hartley, D Gill, F Carter, K Walters PB.Teaching Medical Students in Primary and
Secondary Care: a Resource Book. J T H E ROYAL Soc O F M EDICINE. 2004;97(8):305–7.
39. Derek S. Wheeler, Hector R. Wong and TPS.Science and Practice of Pediatric Critical Care Medicine. In: Science and Practice of Pediatric Critical Care Medicine. 2009. p. 1–193.
40. Divaris K, Barlow PJ, Chendea SA, Cheong WS, Dounis A, Dragan IF, et al. The academic
environment: The students’ perspective. Eur J Dent Educ. 2008;12(1):120–30.
41. Hewison D, Kuras M. Book reviews: Book reviews. J Anal Psychol. 2005;50(3):395–403.


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