Pengembangan Model Pembelajaran Klinik Experiential Terhadap Capaian Pembelajaran Pembelajaran Klinik Keperawatan Gawat Darurat Mahasiswa Ners

Keperawatan gawat darurat merupakan bagian kompetensi pendidikan profesi yang bertujuan agar mahasiswa mampu berpikir kritis untuk mengatasi masalah keperawatan klien yang mengancam kehidupan. Metode pembelajaran yang digunakan pada tahap ini adalah pembelajaran klinik experiential. Namun kenyataannya mahasiswa mengalami hambatan dalam mencapai tujuan pembelajaran, sehingga berdampak pada rendahnya capaian pembelajaran klinik. Penelitian ini menggunakan metode eksplanatif karena menjelaskan hubungan kausal antar variabel. Sampel penelitian adalah sebagian mahasiswa Ners Fakultas Keperawatan dan Kebidanan Unusa yang memenuhi kriteria penelitian sebesar 72 mahasiswa dengan tehnik simple random sampling. Variabel penelitian ini adalah karakteristik peserta didik, pengamatan, proses berpikir, perilaku belajar, Pembelajaran klinik experiential, dan capaian pembelajaran klinik keperawatan gawat darurat. Hasil uji PLS didapatkan semua indikator valid dan signifikan sedangkan variabel konstrak yang berpengaruh signifikan (T > 1,96) adalah variabel karakteristik peserta didik terhadap pengamatan, proses berpikir, dan pembelajaran klinik experiential, variabel pengamatan berpengaruh terhadap proses berpikir dan perilaku belajar, variabel proses berpikir berpengaruh terhadap perilaku belajar, variabel perilaku belajar berpengaruh terhadap pembelajaran klinik experiential, dan variabel pembelajaran klinik experiential berpengaruh terhadap capaian pembelajaran klinik keperawatan gawat darurat mahasiswa ners. Karakteristik peserta didik sebagai input sangat menentukan pada setiap tahapan pembelajaran klinik experiential, sehingga dengan karakteristik peserta didik yang baik akan mampu meningkatkan capaian pembelajaran klinik karena peserta didik mampu mengikuti proses pembelajaran klinik experiential. Hal ini sesuai dengan konsep sistem pendidikan, bahwa semua bagian komponen harus dilaksanakan dengan baik dan selaras dengan komponen lain, agar tujuan pembelajaran yang telah ditetapkan dapat dicapai secara optima

PENGEMBANGAN MODEL PEMBELAJARAN KLINIK EXPERIENTIAL TERHADAP CAPAIAN PEMBELAJARAN PEMBELAJARAN KLINIK KEPERAWATAN GAWAT DARURAT MAHASISWA NERS

Emergency nursing is a part of competences of profession program aimed to encourage the students to think critically to overcome the nursing problems which threaten the clients' lives. The learning method used in this stage is the experiential clinical learning. However, problems in achieving the learning outcomes still occur recently to result in low outcomes of clinical learning. This study used explanative method to describe the causal relationship among variables. This study involved all nursing students of the Faculty of Nursing and Midwifery of Unusa. 72 students were taken as the samples by using simple random technique. The endogenous variables were the students' characteristics, observation factors, thinking process, learning behaviors, and experiential clinical learning. The exogenous variables, on the other hand, were the outcomes of clinical learning in emergency nursing in ners students. The results of statistic test with Partial Least Square showed that all indicators and constructs variable were valid and significant. the significance test using structural model (t > 1,96), showed that the students' characteristics affected the observation factor, thinking process, and experiential clinical learning. The variable of observation factor affected the thinking process and learning behaviors. The variable of thinking process affected learning behaviors. The variable of learning behaviors affected experiential clinical learning. In addition, the variable of experiential clinical learning influenced the outcomes of clinical learning in emergency nursing in ners students. Experiential clinical learning model is categorized as a good model and has a prediction value if applied can improve learning achievement of clinical learning in emergency nursing in ners students. The dominant factors of successful experiential clinical learning are the characteristics of the students and learning behavior in ners students. Key words: clinical learning of nursing, experiential, emergency in nursin

Obstetric anal sphincter injury: a systematic review of information available on the internet.

OBJECTIVE: There is no systematic evaluation of online health information pertaining to obstetric anal sphincter injury. Therefore, we evaluated the accuracy, credibility, reliability, and readability of online information concerning obstetric anal sphincter injury. MATERIALS AND METHODS: Multiple search engines were searched. The first 30 webpages were identified for each keyword and considered eligible if they provided information regarding obstetric anal sphincter injury. Eligible webpages were assessed by two independent researchers for accuracy (prioritised criteria based upon the RCOG Third and Fourth Degree Tear guideline); credibility; reliability; and readability. RESULTS: Fifty-eight webpages were included. Seventeen webpages (30%) had obtained Health On the Net certification, or Information Standard approval and performed better than those without such approvals (p = 0.039). The best overall performing website was http://www.pat.nhs.uk (score of 146.7). A single webpage (1%) fulfilled the entire criteria for accuracy with a score of 18: www.tamesidehospital.nhs.uk . Twenty-nine webpages (50%) were assessed as credible (scores ≥7). A single webpage achieved a maximum credibility score of 10: www.meht.nhs.uk . Over a third (21 out of 58) were rated as poor or very poor. The highest scoring webpage was http://www.royalsurrey.nhs.uk (score 62). No webpage met the recommended Flesch Reading Ease Score above 70. The intra-class coefficient between researchers was 0.98 (95% CI 0.96-0.99) and 0.94 (95% CI 0.89-0.96) for accuracy and reliability assessments. CONCLUSION: Online information concerning obstetric anal sphincter injury often uses language that is inappropriate for a lay audience and lacks sufficient accuracy, credibility, and reliability

Factors affecting recruitment and retention of community health workers in a newborn care intervention in Bangladesh

<p>Abstract</p> <p>Background</p> <p>Well-trained and highly motivated community health workers (CHWs) are critical for delivery of many community-based newborn care interventions. High rates of CHW attrition undermine programme effectiveness and potential for implementation at scale. We investigated reasons for high rates of CHW attrition in Sylhet District in north-eastern Bangladesh.</p> <p>Methods</p> <p>Sixty-nine semi-structured questionnaires were administered to CHWs currently working with the project, as well as to those who had left. Process documentation was also carried out to identify project strengths and weaknesses, which included in-depth interviews, focus group discussions, review of project records (i.e. recruitment and resignation), and informal discussion with key project personnel.</p> <p>Results</p> <p>Motivation for becoming a CHW appeared to stem primarily from the desire for self-development, to improve community health, and for utilization of free time. The most common factors cited for continuing as a CHW were financial incentive, feeling needed by the community, and the value of the CHW position in securing future career advancement. Factors contributing to attrition included heavy workload, night visits, working outside of one's home area, familial opposition and dissatisfaction with pay.</p> <p>Conclusions</p> <p>The framework presented illustrates the decision making process women go through when deciding to become, or continue as, a CHW. Factors such as job satisfaction, community valuation of CHW work, and fulfilment of pre-hire expectations all need to be addressed systematically by programs to reduce rates of CHW attrition.</p

History of Spinal Neurosurgery and Spine Societies

info:eu-repo/semantics/publishedVersio

Associations between general self-efficacy and health-related quality of life among 12-13-year-old school children: a cross-sectional survey

<p>Abstract</p> <p>Background</p> <p>While research on school children's health has mainly focused on risk factors and illness, few studies have examined aspects of health promotion. Thus, this study focuses on health promotional factors including general self-efficacy (GSE) and health-related quality of life (HRQOL). GSE refers to a global confidence in coping ability across a wide range of demanding situations, and is related to health. The purpose of this study was to examine associations between GSE and HRQOL, and associations between HRQOL and socio-demographic characteristics. Knowledge of these associations in healthy school children is currently lacking.</p> <p>Methods</p> <p>During 2006 and 2007, 279 school children in the seventh grade across eastern Norway completed a survey assessing their GSE and HRQOL. The children were from schools that had been randomly selected using cluster sampling. T-tests were computed to compare mean subscale values between HRQOL and socio-demographic variables. Single and multiple regression analyses were performed to explore associations among GSE, HRQOL and socio-demographic variables.</p> <p>Results</p> <p>Regression analyses showed a significant relationship between increasing degrees of GSE and increasing degrees of HRQOL. In analyses adjusted for socio-demographic variables, boys scored higher than girls on self-esteem. School children from single-parent families had lower scores on HRQOL than those from two-parent families, and children who had relocated within the last five years had lower scores on HRQOL than those who had not relocated.</p> <p>Conclusion</p> <p>The strong relationship between GSE and HRQOL indicates that GSE might be a resource for increasing the HRQOL for school children.</p

Identification and prioritization of critical success factors in faith-based and non-faith-based organizations’ humanitarian supply chain

In the last few decades, an exponential increase in the number of disasters, and their complexity has been reported, which ultimately put much pressure on relief organizations. These organizations cannot usually respond to the disaster on their own, and therefore, all actors involved in relief efforts should have end-to-end synchronization in order to provide relief effectively and efficiently. Consequently, to smoothen the flow of relief operation, a shared understanding of critical success factors in humanitarian supply chain serves as a pre-requisite for successful relief operation. Therefore, any member of the humanitarian supply chain might disrupt this synchronization by neglecting one or several of these critical success factors. However, in this study, we try to investigate how faith-based and non-faith-based relief organizations treat these critical success factors. Moreover, we also try to identify any differences between Islamic and Christian relief organizations in identifying and prioritizing these factors. To achieve the objective of this study, we used a two-stage approach; in the first stage, we collected the critical success factors from existing humanitarian literature. Whereas, in the second stage, using an online questionnaire, we collected data on the importance of selected factors from humanitarian relief organizations from around the world in collaboration with World Association of Non-Governmental Organizations (WANGO). Later, responses were analyzed to answer the research questions using non-parametric Binomial and Wilcoxon Rank-Sum tests. Test results indicate that for RQ1, two but all factors are significant for successful relief operation. For RQ2, we found significant differences for some CSF among faith-based and non-faith-based relief organizations. Similarly for RQ3, we found significant differences for some CSF among Islamic and Christian relief organizations

Societal-level versus individual-level predictions of ethical behavior: a 48-society study of collectivism and individualism

Is the societal-level of analysis sufficient today to understand the values of those in the global workforce? Or are individual-level analyses more appropriate for assessing the influence of values on ethical behaviors across country workforces? Using multi-level analyses for a 48-society sample, we test the utility of both the societal-level and individual-level dimensions of collectivism and individualism values for predicting ethical behaviors of business professionals. Our values-based behavioral analysis indicates that values at the individual-level make a more significant contribution to explaining variance in ethical behaviors than do values at the societal-level. Implicitly, our findings question the soundness of using societal-level values measures. Implications for international business research are discussed