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COMPARISON OF PATIENT SAFETY PERCEPTION IN PRECLINICAL AND CLINICAL STUDENTS 临床前与临床学生患者安全感知的比较
Yopi Simargi, Steven Alvianto
Background: Patient safety is a global problem and patient safety education for medical students is needed to improve the quality of health services. This study aimed to determine the mean difference of perception on nine patient safety key factors between preclinical students and clinical students.Methods: This observational analytic cross-sectional study was conducted on preclinical students and clinical students at the School of Medicine and Health Sciences of Atma Jaya Catholic University of Indonesia (AJCUI) in the academic year 2019/2020, randomly drawn in each batch. The research data was collected using the Attitude to Patient Safety Questionnaire -III (APSQ-III) with 7 Likert scales. Data analysis using independent t-test.Results: From 389 students, significant mean differences of patient safety perception between preclinical students and clinical were found for five key factors: PS training received (p = 0.000), Error reporting confidence (p = 0.000), Working hours as an error cause (p = 0.000), Team functioning (p = 0.001), and Patient involvement in reducing error (p = 0.000).Conclusion: Medical students had positive perceptions of patient safety. However, there were still some significant different perceptions between clinical and preclinical students, which indicated the need for patient safety education integration in the medical education curriculum.
背景:患者安全是一个全球性问题,需要对医学生进行患者安全教育,以提高卫生服务质量。本研究旨在确定临床预科生与临床生对九项患者安全关键因素认知的平均差异。方法:对2019/2020学年印尼阿特玛查亚天主教大学(AJCUI)医学与健康科学学院的临床预科生和临床生进行观察性分析横断面研究,每批随机抽取。研究数据采用7个李克特量表的患者安全态度问卷-III (APSQ-III)收集。数据分析采用独立t检验。结果:在389名学生中,临床前学生和临床学生在五个关键因素上的患者安全感知存在显著差异:接受过的PS培训(p = 0.000)、错误报告信心(p = 0.000)、作为错误原因的工作时间(p = 0.000)、团队功能(p = 0.001)和患者参与减少错误(p = 0.000)。结论:医学生对患者安全有积极的认知。然而,临床学生和临床预科学生对患者安全的认知仍存在显著差异,这表明需要将患者安全教育纳入医学教育课程。
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引用次数: 0
THE LEVEL OF KNOWLEDGE AMONG UNDERGRADUATE MEDICAL STUDENTS ABOUT STROKE 医学生脑卒中知识水平调查
Rita Arsika Fauziah, L. Amalia, Nandina Oktavia, L. E. Rakhmilla
Background: Stroke is a neurological emergency that requires prompt and precise diagnosis and treatment. However, errors in diagnosis and treatment are still frequently seen. One of the main causes of this problem is the lack of doctors’ knowledge. This study aims to determine the level of knowledge among undergraduate medical students about stroke. The results of this study can be used as basic information to provide educational interventions to medical students to prevent and minimize the occurrence of medical errors. Methods: This study used a quantitative-descriptive method with a cross-sectional approach. The study subjects were third-semester medical undergraduate students at the Medical Faculty of Padjadjaran University during the 2018/2019 academic year. Samples were 43 secondary data collected from ischemic and hemorrhagic stroke Students Objective Oral Case Analysis (SOOCA) exam scores and 168 primary data collected using a 30-item questionnaire regarding stroke knowledge. The data obtained was then analyzed descriptively and the result was categorized into 3 levels of knowledge: Good, moderate, and poor. Results: Each variable demonstrates a varying degree of knowledge. However, based on the total scores and averages collected from both the questionnaire and the SOOCA exam, most of the students had a moderate level of knowledge regarding ischemic and hemorrhagic stroke. Conclusion: Most of the students had a moderate level of knowledge about stroke, so educational interventions and student’s capabilities improvement are required to increase knowledge of stroke.
背景:脑卒中是一种神经急症,需要及时准确的诊断和治疗。然而,诊断和治疗上的错误仍然很常见。造成这一问题的主要原因之一是医生知识的缺乏。本研究旨在了解医学生对脑卒中的认知水平。本研究结果可作为医学生预防和减少医疗事故发生的教育干预的基础资料。方法:本研究采用横断面定量描述方法。研究对象为2018/2019学年Padjadjaran大学医学院第三学期的医学本科生。样本收集缺血性和出血性卒中学生客观口腔病例分析(soca)考试成绩的43份二手资料和168份卒中知识问卷收集的第一手资料。然后对获得的数据进行描述性分析,并将结果分为3个等级:良好、中等和较差。结果:每个变量显示了不同程度的知识。然而,从调查问卷和SOOCA考试的总分和平均分来看,大多数学生对缺血性和出血性中风的知识水平中等。结论:大多数学生对脑卒中的知识水平中等,需要通过教育干预和学生能力的提高来增加对脑卒中的知识。
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引用次数: 0
THIRD-YEAR HEALTH PROFESSIONS STUDENTS’ INTERPROFESSIONAL EDUCATION IN THE COMMUNITY SETTING: WHAT DID THEY EXPERIENCE? 社区环境下卫生专业三年级学生的跨专业教育:他们经历了什么?
Siti Rokhmah Projosasmito, R. Riskiyana, S. Supriyati
Background: Learning by experiencing a real situation is believed to be more powerful than using simulation. This hypothesis is also applied to interprofessional learning for students in health professions education. Learning to collaborate and practice students' knowledge of health care in a community became the purpose of the community and family health care (CFHC) program in the Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada.Aim: To describe the third-year students’ experiences of learning interprofessional collaboration in a community setting based on their activity report.Case Discussion: The CFHC team created a particular design for third-year students, focused on community health problems rather than family health problems. The groups conducted focus group discussions to explore health issues and to decide together with the community the main problem that would be given intervention. The groups documented the entire process through a written report, video, and an article about their intervention outcome.Conclusion: The reports showed that students were able to demonstrate interprofessional practice in solving health problems in the community. They learned to work as an interprofessional team while experiencing it. Thus, conducting community-based IPE for undergraduate students is necessary to develop interprofessional collaboration competencies.
背景:通过体验真实情境进行学习被认为比模拟学习更有效。这一假设也适用于卫生专业教育学生的跨专业学习。Gadjah Mada大学医学、公共卫生和护理学院的社区和家庭卫生保健(CFHC)项目的目的是在社区中学习合作和实践学生的卫生保健知识。目的:根据三年级学生的活动报告,描述他们在社区环境下学习跨专业合作的经验。案例讨论:CFHC团队为三年级学生设计了一个特别的设计,重点关注社区健康问题,而不是家庭健康问题。这些小组进行了焦点小组讨论,探讨保健问题,并与社区一起决定将进行干预的主要问题。这些小组通过书面报告、视频和一篇关于他们的干预结果的文章记录了整个过程。结论:报告显示学生在解决社区卫生问题方面具有跨专业的实践能力。他们在经历中学会了作为一个跨专业团队工作。因此,开展以社区为基础的大学生国际政治经济学是培养跨专业合作能力的必要条件。
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引用次数: 0
DO AUTONOMY SUPPORTS IMPROVE MEDICAL STUDENTS’ MOTIVATION IN A DEVELOPING COUNTRY? 自主支持能提高发展中国家医学生的学习动机吗?
Elizabeth Sulastri Nugraheni, D. Widyandana, R. Hidayah
Background: Medical students in private schools are mostly high school graduates, ages are around 17 to 18. They were so diverse, the background of the former school, culture, motivation, and study skills. Students from rural might have different motivation and study skills from students of big cities. To give autonomy support to the new medical students, we planned the motivational workshop and study skills mentoring. We assume those will increase their motivation.Aims: To know - What types of motivation do first-year medical students have? Secondly, to evaluate - Whether motivational workshops and mentoring about study strategies can help to increase students’ autonomous motivation based on the Self-Determination Theory.Methods: A mixed-methods research was conducted in this study. The first step was the quantitative study using the Academic Motivation Scale (AMS) to measure the students’ pre and post intervention motivation and the Intrinsic Motivation Inventory (IMI) post intervention, then followed by the qualitative study to capture students’ responses and reflections with convenience sample.Results: The autonomous motivation was high among the male students, home-schooling, does not belong to medical profession family, and students from lower middle income. Quantitative data showed that this approach significantly decreased the amotivation scale of participants (p=0.025). Descriptively, there was an increase in the autonomous motivation of participants after following motivational workshop and study strategies mentoring.Conclusion: Motivational workshops and mentoring on study strategies were found to be valuable, interesting, and facilitate autonomous motivation. Results showed that those activities increased the students’ autonomous motivation.
背景:私立学校的医学生多为高中毕业生,年龄在17 - 18岁之间。他们是如此的多样化,前学校的背景、文化、动机和学习技巧。来自农村的学生可能与来自大城市的学生有着不同的学习动机和学习技巧。为了给新医学生自主支持,我们计划了激励研讨会和学习技巧指导。我们认为这会增加他们的动力。目的:了解医学院一年级学生的学习动机是什么?其次,评估基于自我决定理论的动机研讨会和学习策略指导是否有助于提高学生的自主动机。方法:采用混合方法进行研究。首先采用学业动机量表(AMS)和内在动机量表(IMI)对学生干预前后的动机进行定量研究,然后采用方便样本法对学生的反应和反思进行定性研究。结果:男学生、在家上学、非医学专业家庭、中低收入家庭学生的自主动机较高。定量数据显示,该方法显著降低了被试的动机量表(p=0.025)。描述性地说,在动机研讨会和学习策略指导之后,参与者的自主动机有所增加。结论:动机研讨会和学习策略指导是有价值的,有趣的,并促进自主动机。结果表明,这些活动增加了学生的自主动机。
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引用次数: 1
ADAPTING THE OLDENBURG BURNOUT INVENTORY INTO BAHASA INDONESIA FOR MEASURING BURNOUT IN MEDICAL RESIDENTS 运用印尼文的oldenburg倦怠量表来测量住院医师的倦怠
A. Moelyo, M. Hanafi
 Background: Burnout is common among medical residents, and a non-commercial tool for assessing burnout for medical residents is needed. This study aimed to adapt the Oldenburg Burnout Inventory (OLBI) in Bahasa Indonesia for medical residents and to analyze its validity and reliability.Case Discussion: The English version of OLBI was forward and backward translated to and from Bahasa Indonesia by English-language translation experts, and was appropriately modified by the authors. The respondents of the questionnaire were taken from pediatric residents in the first trial (48 subjects), and from internal medicine, pediatric, dermatology, surgery, and neurology residents in the second trial (109 subjects). The item-test correlation to measured construct validity was good for both trials. A confirmatory factor analysis was then undertaken to evaluate the goodness of fit (GOF), the root mean squared error of approximation (RMSEA), comparative fit index (CFI), Tucker-Lewis index (TLI), standardized root mean squared residual (SRMR), and coefficient of determination (CD) in the second trial. The results of the one-factor model and multidimensional GOF of the 16 items were unsatisfactory (χ2<0.05 and RMSEA>0.08). The GOF of the two-factor analysis of burnout with 8 items (3 exhaustion items and 5 disengagement items) created the following results: χ2=0.378; RMSEA=0.025; CFI=0.995; TLI=0.993; SRMR=0.036; and CD=0.898. The Cronbach’s alphas, for internal consistency reliability, in the first trial, second trial, and final model were 0.73, 0.87, 0.83, and 0.79, respectively.Conclusion: An 8-items modified Bahasa Indonesia translation of the OLBI for medical residents to measure burnout has good reliability and validity. 
背景:职业倦怠在医疗住院医师中很常见,需要一个非商业的工具来评估医疗住院医师的职业倦怠。本研究旨在将印尼文的Oldenburg倦怠量表(OLBI)应用于医疗住院医师,并分析其效度与信度。案例讨论:英文版的OLBI由英语翻译专家将其前后翻译成印尼语,并由作者进行适当修改。问卷的受访者分别来自第一次试验的儿科住院医师(48名)和第二次试验的内科、儿科、皮肤科、外科和神经内科住院医师(109名)。两个试验的项目检验与测量的构念效度的相关性都很好。然后进行验证性因子分析,评估第二次试验的拟合优度(GOF)、近似均方根误差(RMSEA)、比较拟合指数(CFI)、塔克-刘易斯指数(TLI)、标准化均方根残差(SRMR)和决定系数(CD)。16项指标的单因素模型和多维GOF结果均不理想(χ20.08)。8个条目(3个耗尽项和5个脱离项)的倦怠双因素分析的GOF结果如下:χ2=0.378;RMSEA = 0.025;CFI = 0.995;TLI = 0.993;SRMR = 0.036;和CD = 0.898。第一次试验、第二次试验和最终模型的内部一致性信度Cronbach 's alpha分别为0.73、0.87、0.83和0.79。结论:医疗住院医师职业倦怠量表的8项修正印文译本具有良好的信效度。
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引用次数: 0
COMMUNICATION SKILLS: FACILITATING STUDENTS’ INVISIBLE BUT SIGNIFICANT SKILLS TO IMPROVE HEALTH OUTCOMES 沟通技巧:促进学生学习无形但重要的技能,以改善健康结果
Hikmawati Nurrokhmanti,, A. P. Susilo, R. Indah, M. Claramita
Background: Communication skills are the core skills throughout medical professional life and embedded with cultural factors. Although students have learned communication skills in the undergraduate education, adequate training during clinical rotation and continuing professional development is necessary. Facilitating the students to build partnership relationship in the communicating with patients is challenging, considering its contexts, facilities, and opportunities. The influence of student-teacher relations in this hierarchical context is also influential. Gaps: Facilitating partnership communication skill requires blending two paradigms: medical knowledge and communication. These complex skills can be optimally facilitated by using specific strategies such as role-play, simulated patient (SP), and real-case encounter. Thus, the communication skills curriculum needs a comprehensive program planning, preparation on the students’ ability to be able to receive feedback and reflect upon it, simulated patients’ contribution for students training, and teachers to provide effective feedback.Recommendation: Facilitating students' communication skills needs 'two to tango,' combining between mastery of medical knowledge and partnership communication. A better communication curriculum should consider incorporating cultural competencies and applying the principles in effective training course design such as authenticity, variability, gradually from simple to complex, integrated, and scaffolding by specific evidence. Thus, should be supported by a good faculty development program that will facilitate safe environment and constructive feedback. In addition, the need for simulated patients or even now, a virtual patient, is inevitable.
背景:沟通能力是贯穿整个医学职业生涯的核心技能,其中蕴含着文化因素。虽然学生在本科教育中已经学会了沟通技巧,但在临床轮转和持续的专业发展中,充分的培训是必要的。考虑到其环境、设施和机会,促进学生在与患者交流中建立伙伴关系是具有挑战性的。在这种等级语境中,师生关系的影响也是有影响的。差距:促进伙伴关系沟通技巧需要融合两种范式:医学知识和沟通。这些复杂的技能可以通过使用特定的策略,如角色扮演、模拟病人(SP)和真实案例接触来最佳地促进。因此,沟通技巧课程需要一个全面的方案规划,对学生接受反馈和反思的能力进行准备,模拟患者对学生培训的贡献,教师提供有效的反馈。建议:提高学生的沟通能力需要“二对探戈”,将医学知识的掌握与伙伴沟通相结合。更好的传播学课程应考虑融入文化能力,并在有效的培训课程设计中应用真实性、可变性、由简到繁、综合、具体证据支撑等原则。因此,应该有一个良好的教师发展计划来支持,这将促进安全的环境和建设性的反馈。此外,对模拟病人甚至现在的虚拟病人的需求是不可避免的。
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引用次数: 0
THE DIFFERENCE IN GRADE POINTS BETWEEN MORNING AND EVENING CHRONOTYPES AMONG PRECLINICAL MEDICAL STUDENTS 临床前医学院学生早晚时间型的成绩差异
Cindy Leona Wangsa, N. Prastowo, Veronica Dwi Jani Juliawati, Francisca Tjhay
Background: Every person has a different diurnal preference, sleep-wake cycle, and alertness known as chronotype. There are three chronotypes, that is morning, evening, and intermediate type. Medical students with evening chronotype are still forced to follow the standard academic schedule in the morning, hence their sleep time is reduced. This problem results in lower grade points since sleep quality affects academic achievement. This study aimed to analyze the difference in grade points between morning and evening chronotypes among medical students.Methods: A comparative cross-sectional study was performed among 102 preclinical students class 2018 of School Medicine and Health Sciences of Atma Jaya Catholic University Indonesia. All personal data, grade points, and chronotypes were taken using google form. Chronotypes and sleep characteristics were determined with Munich ChronoType Questionnaire (MCTQ) by calculating weekend mid-sleep time and sleep debt. Unpaired t-test and binary logistic regression were used to analyze the statistical significance.Results: The results of evening chronotype 44.1% respondents, morning chronotype 31.4% respondents, and intermediate chronotype 24.5% respondents were obtained from 102 respondents. There were 65.7% of students with grade points greater than or equal to three and 34.4%  lower than three. There was no significant difference in grade points between morning and evening chronotypes on semester 1, 2, 3, nor grade point average 3 (p>0.05). Conclusion: There is no significant difference in grade points between morning and evening chronotypes among preclinical students class 2018 of School Medicine and Health Sciences Atma Jaya Catholic University of Indonesia.
背景:每个人都有不同的昼夜偏好、睡眠-觉醒周期和警觉性,也就是我们所说的时型。有三种时间类型,即早晨型、晚上型和中间型。具有晚睡型的医学生在早上仍然被迫遵循标准的学习时间表,因此他们的睡眠时间减少了。由于睡眠质量会影响学习成绩,这个问题会导致学生成绩下降。本研究旨在分析医学生早睡型和晚睡型在成绩上的差异。方法:对印尼Atma Jaya天主教大学医学与健康科学学院2018级102名临床前学生进行比较横断面研究。所有的个人数据、成绩和生物钟都是用谷歌表格填写的。采用慕尼黑睡眠类型问卷(Munich ChronoType Questionnaire, MCTQ),通过计算周末中期睡眠时间和睡眠债务来确定睡眠类型和睡眠特征。采用非配对t检验和二元logistic回归分析统计显著性。结果:从102名被调查者中获得了夜间睡眠类型的44.1%、早晨睡眠类型的31.4%和中间睡眠类型的24.5%。65.7%的学生成绩在3分以上或等于3分,34.4%的学生成绩在3分以下。在第一学期、第二学期和第三学期,早晨和晚上的时间类型之间的成绩没有显著差异,平均成绩也没有3分(p>0.05)。结论:印尼Atma Jaya天主教大学医学与健康科学学院2018级临床前学生的早晚时间型成绩无显著差异。
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引用次数: 0
THE RELATIONSHIP BETWEEN TYPES OF ADMISSION SELECTION AND ACADEMIC ACHIEVEMENT IN THE FIRST-YEAR STUDENTS DURING THE TRANSITION TO DISTANCE LEARNING DUE TO COVID-19 PANDEMIC 新冠肺炎大流行导致的一年级学生远程学习转学过程中录取类型与学业成绩的关系
Nikla Sekar Salsabila, Kurnia Wahyudi, Y. Pratiwi, E. Ariyanto, A. Achadiyani
Background: In 2019, there were three admission pathways in the Faculty of Medicine Universitas Padjadjaran (FMUP), which were SNMPTN (Seleksi Nasional Masuk Perguruan Tinggi Negeri), SBMPTN (Seleksi Bersama Masuk Perguruan Tinggi Negeri), and Seleksi Mandiri Universitas Padjadjaran (SMUP). SNMPTN was based on previous academic achievements in senior high school. SBMPTN was held through a highly competitive national examination, while SMUP was conducted through the test held by Universitas Padjadjaran. In their first year, batch 2019 students had to adapt to college life, and also to the transition into distance learning due to the COVID-19 pandemic. This study aimed to know whether types of student admission selection contribute to academic achievements of the first-year students in the Hemato-immunology system (HIS), where the learning process was held during the transition into distance learning.Methods: This study compared the academic achievement of first-year students (batch 2019) on the second semester’s second half, using their HIS Multidisciplinary Examination (MDE) scores, for three selection methods. The data were 256 MDE scores of those students. Statistical analysis was performed using One Way ANOVA test, followed by Post-hoc Tukey test.Results: There was a statistically significant difference of HIS MDE scores for each selection method. The highest mean was by SNMPTN group (68.29+10.44), followed by SBMPTN group (64.90+11.29) and SMUP group (63.25+9.95).Conclusion: Students of SNMPTN group, who were selected based on previous academic achievements in senior high school, had higher HIS MDE scores than the other groups. 
背景:2019年,Padjadjaran大学医学院(FMUP)有三个入学途径,分别是SNMPTN (Seleksi Nasional Masuk Perguruan Tinggi Negeri)、SBMPTN (Seleksi Bersama Masuk Perguruan Tinggi Negeri)和Seleksi Mandiri Universitas Padjadjaran (SMUP)。SNMPTN是基于以前的高中学业成绩。SBMPTN是通过竞争激烈的国家考试进行的,而SMUP是通过Padjadjaran大学举行的考试进行的。在第一年,2019届学生必须适应大学生活,也要适应因新冠肺炎大流行而过渡到远程学习。本研究旨在了解学生入学选择类型是否有助于血液免疫学系统(HIS)一年级学生的学业成绩,在向远程学习过渡的过程中,学习过程是进行的。方法:本研究采用三种选择方法,比较2019届一年级学生在第二学期下半年的学业成绩,采用HIS多学科考试(MDE)成绩。数据为这些学生的256个MDE分数。统计学分析采用单因素方差分析(One - Way ANOVA),再进行Post-hoc Tukey检验。结果:各选择方法的HIS MDE评分差异均有统计学意义。平均评分最高的是SNMPTN组(68.29+10.44),其次是SBMPTN组(64.90+11.29)和SMUP组(63.25+9.95)。结论:基于高中学业成绩选拔的SNMPTN组学生HIS MDE得分高于其他组。
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引用次数: 1
STRESS LEVELS AMONG UNDERGRADUATE MEDICAL STUDENTS ON EXPOSURE TO ONLINE LEARNING 医科本科生在线学习的压力水平
Sanian Inama, Y. Sarastri
Background: Adolescence is a time of significant psychosocial and physiological changes, such as changes in the reactivity of the hypothalamic-pituitary-adrenal (HPA) axis, which causes an increase in stress-induced hormonal responses. Mental health disorders in medical students are often reported. Moreover, during the COVID-19 pandemic, most medical schools have changed the pre-clinical learning curriculum to online learning, hence most of the student's needs cannot be fulfilled. This study aims to determine the overview of the stress level among undergraduate medical students in Indonesia on exposure to online learning.Methods: This research uses a descriptive cross-sectional design. The primary data was taken with Medical Student Stressor Questionnaire, with undergraduate medical students, especially semester III-VII, as the target population. The minimal population was calculated using a stratified random sampling technique. Data were analyzed using the descriptive method.Results: In this study, most of the students experienced moderate stress (49.1%). Based on their age, the highest stress level was found in students aged 20 years (37%). Based on their gender, a higher stress level was found in female students (61.1%), compared to male students (38.9%). Based on the year, the highest stress level was found in the class of 2019 students (35.2%).Conclusion: Most of the students of the Faculty of Medicine in Indonesia experienced moderate stress during online learning. There is no significant difference between the stress levels of undergraduate medical students before and after the implementation of the online learning system
背景:青春期是一个重要的社会心理和生理变化的时期,如下丘脑-垂体-肾上腺(HPA)轴反应性的变化,导致应激性激素反应的增加。医学生的心理健康障碍经常被报道。此外,在新冠肺炎疫情期间,大多数医学院将临床前学习课程改为在线学习,因此大部分学生的需求无法得到满足。本研究的目的是确定在印度尼西亚的本科医学生的压力水平暴露于在线学习的概述。方法:本研究采用描述性横断面设计。主要数据采用《医学生压力源调查问卷》,调查对象为医科本科学生,尤其是三至七学期的医学生。最小总体采用分层随机抽样技术计算。采用描述性方法对数据进行分析。结果:在本研究中,大多数学生有中等压力(49.1%)。从年龄来看,20岁的学生压力最大(37%)。从性别上看,女生(61.1%)的压力水平高于男生(38.9%)。从年份来看,2019届学生的压力水平最高(35.2%)。结论:印度尼西亚医学院的大多数学生在在线学习过程中都有适度的压力。实施网络学习系统前后医本科生的压力水平无显著差异
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引用次数: 0
QUALITATIVE INTERVIEW WITH SENSITIVE PARTIPANTS 对敏感参与者进行定性访谈
R. Indah
Background: Interview is the most frequent data collection method utilized in qualitative research. It is used to explore perceptions and/or life experiences of participants related to a particular research topic. When a research investigates a traumatic topic, participants may show sensitive reactions. However, there is scant literature talks about these reactions and how researchers dealt with them, especially in Indonesian context. This case study aims to discuss the author’s experiences interviewing sensitive participants and ways she overcame dilemmas of stopping the interview or continuing it with caution.Case discussion: The case study draws on reflective practices during interviewing 21 disaster-affected participants in a larger ethnographic study exploring medical education in Aceh, Indonesia, inspired by methodological memos written during data collection processes. Sensitive participants may offer three sensitive reactions: 1) Refuse to do interview, 2) regret the interview after revealing many traumatic experiences, 3) show negative symptoms such as crying during the interview. In dealing with these sensitive reactions, researchers may implement strategies, such as  1) conducting interview at a proper time, 2) avoiding ‘normalization’, 3) putting emotion provoking questions at the last part of an interview, 4) applying communication approaches, such as CARE communication dan 3L actions (Look, Listen, and Link), 5) offering participants some alternative ways to do interviews.Conclusion: The findings suggest researchers exploring traumatic topics to prepare themselves with various interpersonal communication skills that are useful in showing acceptance toward sensitive reactions of their participants.  
背景:访谈是定性研究中最常用的数据收集方法。它用于探索与特定研究主题相关的参与者的看法和/或生活经历。当一项研究调查一个创伤性的话题时,参与者可能会表现出敏感的反应。然而,很少有文献讨论这些反应以及研究人员如何处理它们,特别是在印度尼西亚的背景下。本案例研究旨在讨论作者采访敏感参与者的经历,以及她如何克服停止采访或谨慎继续采访的困境。案例讨论:在一项探索印度尼西亚亚齐省医学教育的大型人种学研究中,受数据收集过程中编写的方法学备忘录的启发,本案例研究借鉴了对21名受灾害影响的参与者进行访谈时的反思做法。敏感的参与者可能会有三种敏感的反应:1)拒绝接受采访;2)在透露了许多创伤经历后后悔接受采访;3)在采访中表现出消极的症状,如哭泣。在处理这些敏感反应时,研究人员可以实施一些策略,如1)在适当的时间进行访谈,2)避免“规范化”,3)在访谈的最后部分提出引发情绪的问题,4)应用沟通方法,如CARE沟通和3L行动(看,听,链接),5)为参与者提供一些替代的访谈方式。结论:研究结果表明,研究人员在探索创伤性话题时,需要准备好各种人际沟通技巧,这有助于他们接受参与者的敏感反应。
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引用次数: 0
期刊
Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education
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