Totok Harjanto
Departemen Keperawatan Dasar Dan Emergensi Program Studi Ilmu Keperawatan Fakultas Kedokteran, Kesehatan Masyarakat, Dan Keperawatan Universitas Gadjah Mada

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Tantangan Dan Peluang Pembelajaran Dalam Jaringan : Studi Kasus Implementas Elok (E-Learning: Open For Knowledge Sharing) Pada Mahasiswa Profesi Ners Harjanto, Totok; Sumunar, Dimas Septian Eko Wahyu
Jurnal Keperawatan Respati Yogyakarta Vol 5 (2018): FEBRUARI 2018
Publisher : Universitas Respati Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (57.491 KB) | DOI: 10.2016/jkry.v5i0.282

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E-learning sebagai metode pembelajaran kontemporer mempengaruhi terjadinya proses transformasi pendidikan konvensional ke dalam bentuk digital. E-learning meningkatkan kesempatan belajar mahasiswa yang otonom dan self-directed-learner. Program Studi Ilmu Keperawatan Fakultas Kedokteran, Kesehatan Masyarakat, dan Keperawatan (FKKMMK) Universitas Gadjah Mada (UGM) mendesain inovasi pembelajaran klinik bagi mahasiswa profesi ners secara blended learningyang kemudian didukung oleh institusi pendidikan keperawatan mitra.Massive open online course (MOOC) digunakan sebagai sistem pengelolaan pembelajaran dalam jaringan yang memungkinkan penyebarluasan ilmu pengetahuan Implementasi e-learning dalam pembelajaran klinis mahasiswa keperawatan profesi ners memunculkan berbagai tantangan dan peluang. Penggunaan e-Learning dalam Praktik Profesi Keperawatan Dasar, serta Praktik Profesi Manajemen Keperawatan telah dilaksanakan. Kebijakan institusi, upaya mencapai tujuan pembelajaran oleh dosen penanggung jawab, serta fleksibilitas media pembelajaran adalah peluang yang ditemukan selama program dislenggarakan. Di sisi lain, kendala teknis, keterbatasan akses internet, serta lemahnya pendampingan dan supervisi menjadi tantangan penyelenggaraan pendidikan profesi ners dengan integrasi e-Learning. Tantangan dan peluang ini perlu dikelola secara tepat agar luaran pendidikan keperawatan dapat dicapaidengan dukungan melalui pembelajaran dalam jaringan.
Factors Affecting the Students’ Coping Strategy Dealing with National Nurse Competence Examination: Which are More Related? Harjanto, Totok; Pratiwi, Widowati Budi; Puspasuci, Sunika; Hapsari, Lesiana Eka
Jurnal Keperawatan Soedirman Vol 13, No 1 (2018)
Publisher : Jurusan Keperawatan FIKES UNSOED

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.jks.2018.13.1.784

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National nurse competency examination (UKNI) aims to measure standards of nurses approved with Nurse’s Register License. This examination could induce anxieties that affect students’ readiness, performance and graduation. The objective of this study was to describe coping strategy in dealing with national nurse competency examination and its related factors which are anxiety and perception. A descriptive study was performed on 80 nursing students at clinical rotation nursing program who enrolled in March 2017’s nurse competency examination. German Test Anxiety Inventory (TAI-G), Perception Questionnaire and Coping Strategy Indicators (CSI) were used to measure exam anxiety, student’s perception and coping strategy respectively. The results show that regarding to students’ perception, 37 students (46,3%) demonstrated good perception and the rest (58,7%) showed poor perception. Forty two students (52.5%) experienced low anxiety and the rest (47.5%) experienced high anxiety. In regards to coping strategy in dealing with competence examination, 44 students were in good category (55%), while 36 students (45%) were in poor category. This study implies that information about the national nurse competence examination should be provided as earlier as possible, so that students could make adequate preparation.
Gambaran Indikator Klinis Diagnosis Keperawatan Insomnia Menggunakan Insomnia Severity Index pada Pasien Hemodialisis Ayu Dwi Silvia Putri; Totok Harjanto; Intansari Nurjannah
Jurnal Keperawatan Klinis dan Komunitas (Clinical and Community Nursing Journal) Vol 1, No 3 (2017)
Publisher : PSIK FKKMK UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (462.691 KB) | DOI: 10.22146/jkkk.56584

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Background: End Stage Renal Disease is a condition of chronic kidney disease characterized by decreased renal function that requires hemodialysis therapy. Hemodialysis causes several effects, one of which is insomnia.Objective: To identify clinical indicator of nursing diagnosis for insomnia using Insomnia Severity Index (ISI) as the measuring instrument.Methods: This was descriptive research with cross-sectional design. Respondents in this study were patients undergoing hemodialysis which amounting in total to 72 patients. Two instruments, ISI and NANDA-I for Insomnia (an instrument developed from clinical indicators of nursing diagnosis), were used in this research. Then, the most appeared ISI’s clinical indicators at every level of insomnia were analyzed using univariate analysis.Results: The ISI’s clinical indicators which appear in all severe insomnia patients are: early awakening, difficulty in initiating sleep, difficulty in maintaining sleep, alteration in sleep pattern (sleep quantity and quality change), health status shifting, sleep disturbance with an impact on the next-day, exhausted, decreased quality of life, mood swing, and haggard. Only one ISI’s clinical indicator which appears in all moderate insomnia patients which is alteration in sleep pattern (sleep quality change). On the mild insomnia, there is not any clinical indicator which appear in every patient; however, patients are likely to experience alteration in sleep pattern (sleep quantity and quality change).Conclusions: Ten clinical indicators of insomnia nursing diagnosis found in patients with severe insomnia need to be considered as the main indicator in patients with insomniac nursing diagnosis. ABSTRAK Latar belakang: End Stage Renal Disease adalah penyakit ginjal kronis yang ditandai dengan menurunnya fungsi ginjal sehingga membutuhkan terapi hemodialisis. Hemodialisis menimbulkan beberapa dampak, salah satunya adalah insomnia.Tujuan: Mengetahui gambaran indikator klinis diagnosis keperawatan insomnia yang diukur menggunakan Insomnia Severity Index (ISI).Metode: Penelitian ini merupakan penelitian deskriptif dengan rancangan cross-sectional. Responden dalam penelitian ini adalah 72 pasien yang menjalani hemodialisis. Pengukuran insomnia pada responden dilakukan menggunakan dua instrumen yaitu ISI dan instrumen yang disusun dari indikator klinis diagnosis keperawatan insomnia berdasarkan NANDA-I. Peneliti menganalisis indikator klinis yang muncul pada setiap tingkatan insomnia berdasarkan ISI.Hasil: Indikator klinis yang terdapat pada insomnia berat sesuai ISI adalah: bangun terlalu dini, kesulitan memulai tidur, kesulitan mempertahankan tidur, gangguan pola tidur (perubahan kuantitas dan kualitas tidur), perubahan status kesehatan, gangguan tidur yang berdampak pada keesokan hari, tidak berenergi, penurunan kualitas hidup, perubahan suasana hati, dan tidur tidak memuaskan. Indikator klinis yang terdapat pada pasien dengan insomnia sedang sesuai ISI adalah gangguan pola tidur (perubahan kualitas tidur). Pada insomnia ringan, tidak ada indikator klinis yang muncul pada pasien, namun pasien cenderung mengalami gangguan pola tidur (perubahan kuantitas dan kualitas tidur).Kesimpulan: Sepuluh indikator klinis diagnosis keperawatan insomnia yang terdapat pada pasien dengan insomnia berat perlu dipertimbangkan sebagai indikator utama pada pasien dengan diagnosis keperawatan insomnia.
Hubungan Nyeri Menstruasi dengan Konsentrasi Belajar pada Siswi SMA Negeri di Wilayah Cangkringan Rina Dewi Anggraeni; Wiwin Lismidiati; Totok Harjanto
Jurnal Keperawatan Klinis dan Komunitas (Clinical and Community Nursing Journal) Vol 1, No 3 (2017)
Publisher : PSIK FKKMK UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (520.435 KB) | DOI: 10.22146/jkkk.56586

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Background: Menstruation marks an important process in the life of adolescent girl because it shows that the adolescent is mature sexually. One of the occurring menstrual disorders is menstrual pain. Menstrual pain might hinder learning activities such as decreasing learning concentration, reducing sports activities, and skipping class, school, or social activities.Objective: To determine the relationship between menstrual pain and students’ learning concentration in a public high school in Cangkringan District.Method: This research used analytic survey with cross sectional research design. The sample was 37 female students at class X (Tenth) in a public high school in Cangkringan District. The data were obtained using two instruments, i.e. Visual Analog Scale (VAS) to measure the level of menstrual pain and Wechsler Adult Intelligance Scale (WAIS) to measure the respondents’ learning concentration. Data were analysed using Pearson Correlation Test.Result: The data analysis showed that most of the respondents had mild menstrual pain, 28 (75,7%) in their first cycle and 22 (59,5%) in second cycle. During luteal period (the last 14 days of menstrual cycle), most of the respondents (68% in first cycle and 78% in second cycle) had good learning concentration. On the other hand, during menstruation period, most of them (76% in the first cycle and 78% respondents in the second cycle) had less learning concentration. The result of Pearson Correlation Test showed significant relationship (p≤0,05) between menstrual pain and students learning concentration (p=0,000*, r = -0,663).Conclusion: There was a significant relationship between menstrual pain and students learning concentration in a public high school in Cangkringan District. ABSTRAKLatar belakang: Menstruasi menandai proses penting dalam kehidupan remaja putri karena menunjukkan kematangan seseorang secara seksual. Salah satu gangguan menstruasi yang dapat terjadi adalah nyeri menstruasi. Dampak nyeri menstruasi antara lain siswa dapat mengalami penurunan konsentrasi belajar, kurangnya aktivitas olahraga dan aktivitas sosial, serta absen pada saat jam pelajaran.Tujuan: Mengetahui  hubungan  nyeri  menstruasi  dengan  konsentrasi  belajar  siswi  di  salah  satu  SMA Negeri di Kecamatan Cangkringan.Metode: Penelitian ini merupakan penelitian survei analitik dengan rancangan penelitian cross sectional. Sampel penelitian yang digunakan adalah siswi kelas X di sebuah SMA Negeri di Kecamatan Cangkringan sebanyak  37  responden.  Data  diperoleh  dengan  2  instrumen  yakni  Skala  Analog  Visual  (SAV)  untuk mengukur  tingkat  nyeri  menstruasi  dan Wechsler  Adult  Intelegence  Scale (WAIS)  untuk  mengukur konsentrasi belajar responden. Analisis penelitian menggunakan uji korelasi Pearson.Hasil: Sebagian  besar  responden  mengalami  nyeri  menstruasi  ringan (75,7%  pada  siklus  pertama dan pada 59,5%siklus kedua). Pada masa luteal (14 hari terakhir masa menstruasi) sebagian besar responden memilikikonsentrasi belajar yang baik (68%pada siklus pertama dan 78%pada siklus kedua). Pada fase menstruasi, sebagian besar responden mengalami kurang konsentrasi (76%pada siklus pertama dan 78%pada  siklus  kedua).  Hasil  uji  korelasi Pearsonmemperlihatkan  hubungan  yang  signifikan  antara  nyeri menstruasi dengan konsentrasi belajar siswi (p= 0,000,r = -0,663).Kesimpulan: Terdapat hubungan signifikan antara nyeri menstruasi dan konsentrasi belajar siswi di salah satu SMA Negeri di Kecamatan Cangkringan.
Self-Directed Learning Mahasiswa Keperawatan pada Implementasi E-Learning di Pembelajaran Praktik Profesi Ners Kharisma Eka Suryani; Made Satya Nugraha Gautama; Eri Yanuar Budi Akhmad Sunaryo; Totok Harjanto
Jurnal Keperawatan Klinis dan Komunitas (Clinical and Community Nursing Journal) Vol 6, No 1 (2022)
Publisher : PSIK FKKMK UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (172.554 KB) | DOI: 10.22146/jkkk.71675

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Background: E-learning method could develop student’s self-directed learning abilities, as its advantage. Self-directed learning (SDL) becomes essential in education since it encourages student to learning, skill development, and professional practice. Educators need to combine current learning process with information technology and e-learning to promote student readiness for SDL abilities.Objective: To describe self-directed learning readiness (SDLR) for nursing students during e-learning implementation in clinical rotation nurse professional program.Method: This was a descriptive-quantitative study with a cross-sectional design conducted at PSIK FK-KMK UGM. Total sampling was applied and included 102 respondents. They were nurse professional program students who were taking basic nursing practice and nursing management courses from August to December 2018. Self-Directed Learning Readiness Scale (SDLRS) was used as data collection instrument which consisted of 40 items. Data was analysed using univariate approach.Result: There were 60,8% of Nurse Professional Program students who took e-learning courses had high SDLR scores (Mean=152,75; SD=13,362; Min=121; Max=195). The average SDLR scores in each subscale were reaching 3,61 on self-management, 3,98 on the desire to learn, and 3,86 on self-control.Conclusion: The SDLR level of nurse professional program students who took basic nursing practice and nursing management courses showed high results in the implementation of e-learning. ABSTRAKLatar belakang: E-learning memiliki keunggulan dalam mengembangkan kemampuan belajar mandiri siswa (self-directed learning). Self-directed learning (SDL) penting dalam pendidikan karena memotivasi mahasiswa untuk belajar, mengembangkan keahlian, serta melatih profesionalitas. Pendidik perlu menggabungkan proses pembelajaran dengan teknologi informasi dan e-learning guna memfasilitasi kesiapan mahasiswa terhadap kemampuan SDL (self-directed learning readiness).Tujuan: Untuk mengetahui gambaran SDLR mahasiswa profesi ners.Metode: Penelitian ini merupakan penelitian descriptive-quantitative dengan rancangan cross sectional yang dilakukan di PSIK FK-KMK UGM. Pengambilan responden secara total sampling, responden sebanyak 102 mahasiswa profesi ners stase praktik keperawatan dasar dan manajemen keperawatan pada periode Agustus-Desember 2018. Instrumen yang digunakan adalah Self-Directed Learning Readiness Scale (SDLRS) yang terdiri atas 40 pertanyaan. Data penelitian dianalisis menggunakan analisis univariat.Hasil: Sebanyak 60,8% mahasiswa profesi ners pada pembelajaran e-learning ini memiliki nilai SDLR yang cenderung tinggi (Mean=152,75; SD=13,362; Min=121; Max=195). Rata-rata skala SDLR pada tiap sub-skala adalah 3,61 pada manajemen diri, 3,98 pada keinginan untuk belajar, dan 3,86 untuk kontrol diri.Simpulan: Tingkat SDL mahasiswa profesi ners menunjukkan kecenderungan tinggi pada pembelajaran e-learning.
CLINICAL NURSING STUDENTS’ SELF CONFIDENCE DURING E-LEARNING IMPLEMENTATION Made Satya Nugraha Gautama; Sugiarsih Sugiarsih; Totok Harjanto
Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education Vol 9, No 2 (2020): July
Publisher : Asosiasi Institusi Pendidikan Kedokteran Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jpki.49840

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Background: E-learning as a learning method with a flexible and interactive pedagogical approach has a positive impact on the value of self-confidence of nursing students. School of Nursing, Faculty of Medicine Public Health and Nursing Universitas Gadjah Mada (FMPHN UGM) develop e-learning for nursing students in clinical practice learning which requires an evaluation to e-learning implementation by describing the self-confidence of the nursing student after use e-learning. The purpose of this study was to describe self-confidence (SC) of the clinical nursing students based on 3 selfconfidence’s components that consist of cognitive, affective, and psychomotor.Methods: A Descriptive study with a cross-sectional design toward 95 clinical nursing students in the stage of nursing management and basic nursing practice in September 2018 period at the School of Nursing FMPHN UGM. Data analysis used the univariate analysis with descriptive statistic test to describe respondent characteristic and variable. Student Satisfaction and Self-Confidence in Learning Instrument by National League for Nursing (NLN) in 2005 was used in this study. The instrument was through cultural adaptation and modification first.Results: The self-confidence of nursing students as e-learning evaluation found that the majority of respondents (90,5%) had high levels of self-confidence. Components of self confidence, consist of cognitive, affective and psychomotor also showed that the majority of respondents were in the high category (84,2%; 88,4%; 66,3%).Conclusion: Clinical nursing students have high self-confidence after going through e-learning.
TEACHER-CENTERED LEARNING AND STUDENT-CENTERED LEARNING APPROACHES IN NURSING SCHOOL: WHICH ONE IS BETTER? Intansari Nurjannah; Fatihatul Husniyah; Totok Harjanto
Belitung Nursing Journal Vol. 3 No. 2 (2017): March - April
Publisher : Belitung Raya Foundation, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (228.159 KB) | DOI: 10.33546/bnj.59

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Background: Student academic achievement is influenced by learning instruments such as: teaching staff, facility and infrastructure as well as the curricular component. Teacher-Centered Learning (TCL) or Student-Centered Learning (SCL) will also contributes to student’s outcomes as an approach to apply a curricular component. Objective: To compare students’ academic achievement levels between undergraduate students who follow TCL and SCL approaches in nursing school. Methods: This was a quantitative research with a descriptive analytic method comparative study. The entire undergraduate student population in one of nursing school in Indonesia from 1999 to 2011 was included in this research. The relevant data in this study was GPA score and length of study. A total sampling method was performed to select 918 subjects involved in the study. The data were analyzed using Mann-Whitney test. Results: Academic achievement was assessed from GPA score and length of study. The average GPA of students who followed a TCL approach was 3.28, while the score for those who followed a SCL approach was 3.54 with p-value of 0.00. The average length of study of students who followed a TCL approach was 4 years 3 months; while those with a SCL approach was 4 years 1 month with p-value of 0.279. Conclusions: There was a significant difference on GPA score and no significant differences on the length of study between the undergraduate students who followed a TCL versus a SCL approaches.
Interrater Reliability dari Checklist OSCE Keterampilan Mencuci Tangan dan Memakai Sarung Tangan di Program Studi Ilmu Keperawatan UGM Nur Fajriyah Rosyidah; Eri Yanuar Akhmad Budi Sunaryo; Totok Harjanto
Jurnal Keperawatan Klinis dan Komunitas (Clinical and Community Nursing Journal) Vol 2, No 3 (2018)
Publisher : PSIK FKKMK UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkkk.44249

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Background: Objective Structured Clinical Examination (OSCE) is a method to evaluate students’ nursing skills. OSCE uses checklist as an instrument to test hand washing and gloving skills. While reliability values of both checklists are vital aspect for the instrument, they have not been measured in PSIK FKKMK UGM.Objective: To identify the interrater reliability in the hand washing and gloving skills of OSCE checklists at PSIK FKKMK UGM.Method: This research used non-experimental descriptive quantitative research type with cross-sectional design. The respondents were 92 first-year students at PSIK FKKMK UGM participating in the OSCE examination. Assessment on students performance were conducted using hand washing and gloving checklists by two raters. The scores were analyzed using Kappa and percent agreement (PA).Result: Hand washing checklist had Kappa value of 0,146 (quite poor) and PA 80,40% (acceptable). Gloving checklist had Kappa value of 0,228 (poor) and PA 78,20% (acceptable). The results were divided into two categories, first Kappa not acceptable and PA acceptable or called Kappa paradox consisting of 14 checklist items. Furthermore, there were 11 checklist items in the second category namely Kappa not acceptable and PA not acceptable.Conclusion: Hand washing and gloving skill checklists which are used by PSIK FKKMK UGM do not possess good interrater reliability in measuring the skills of nursing students. These checklists need revision and statistical test in order to improve education quality at School of Nursing at FKKMK UGM.ABSTRAKLatar belakang: Salah satu metode untuk mengevaluasi keterampilan keperawatan mahasiswa adalah menggunakan Objective Structured Clinical Examination (OSCE). Instrumen yang dapat digunakan dalam OSCE adalah checklist. Reliabilitas merupakan aspek penting dalam suatu instrumen. Pengujian reliabilitas dari checklist mencuci tangan dan memakai sarung tangan di PSIK FKKMK UGM belum pernah dilakukan.Tujuan: Untuk mengetahui interrater reliability pada checklist OSCE keterampilan mencuci tangan dan memakai sarung tangan di PSIK FKKMK UGM.Metode: Penelitian ini merupakan jenis penelitian deskriptif kuantitatif non-eksperimental dengan rancangan penelitian cross-sectional. Responden pada penelitian adalah 92 mahasiswa PSIK FKKMK UGM tahun pertama yang mengikuti ujian OSCE. Penilaian performa mahasiswa dilakukan menggunakan instrumen checklist mencuci tangan dan memakai sarung tangan oleh dua orang penguji. Hasil penelitian dianalisis menggunakan Kappa dan percent agreement (PA).Hasil: Checklist mencuci tangan memiliki nilai Kappa 0,146 (cukup buruk) dan PA 80,40% (dapat diterima). Checklist memakai sarung tangan memiliki nilai Kappa 0,228 (buruk) dan PA 78,20% (dapat diterima). Terdapat 14-unit checklist yang masuk dalam kategori Kappa tidak dapat diterima, namun PA dapat diterima (paradoks Kappa). Terdapat 11-unit checklist yang masuk dalam kategori Kappa dan PA tidak dapat diterima.Kesimpulan: Checklist keterampilan mencuci tangan dan memakai sarung tangan di PSIK FKKMK UGM belum memiliki interrater reliability yang baik dalam mengukur keterampilan mahasiswa. Checklist tersebut memerlukan perbaikan untuk menghasilkan reliabilitas baik demi kualitas pendidikan di Program Studi Ilmu Keperawatan FKKMK UGM yang lebih baik.
PERSEPSI MAHASISWA KEPERAWATAN TENTANG PASIEN STANDAR OSCE DI INSTITUSI PENDIDIKAN DI YOGYAKARTA Sunika Eka Puspasuci; Totok Harjanto
Jurnal Persatuan Perawat Nasional Indonesia (JPPNI) Vol 3, No 2 (2018)
Publisher : Jurnal Persatuan Perawat Nasional Indonesia (JPPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (333.241 KB) | DOI: 10.32419/jppni.v3i2.104

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ABSTRAKObjective Structured Clinical Examination (OSCE) merupakan salah satu metode evaluasi keterampilan klinik mahasiswa keperawatan. OSCE juga digunakan dalam blok 4.5 CCNS (Comprehensive Clinical Nursing Skills) yang bertujuan untuk mempersiapkan mahasiswa memasuki tahap pembelajaran klinik. Pembentukan OSCE sebagai metode penilaian membutuhkan beberapa persiapan diantaranya mempersiapkan pasien standar. Pasien standar berperan sebagai pasien OSCE. Penggunaan pasien standar dalam OSCE sangat diperlukan agar mahasiswa terbiasa untuk berinteraksi dengan pasien sesungguhnya di klinik. Tujuan Penelitian: Penelitian ini bertujuan untuk mengeksplorasi persepsi dan pengalaman mahasiswa tentang penggunaan pasien standar Objective Structured Clinical Examination blok 4.5 tahun ajaran 2014/2015 di Program Studi Ilmu Keperawatan FKKMK UGM. Metode: Penelitian ini dirancang menggunakan desain kualitatif deskriptif eksploratif. Dua belas mahasiswa pendidikan profesi Program Studi Ilmu Keperawatan FKKMK UGM periode September 2015-Oktober 2016 yang telah mengikuti blok 4.5 CCNS diwawancara tentang pengalaman mereka saat berinteraksi dengan pasien standar. Teknik wawancara mendalam menggunakan semi terstruktur sehingga pewawancara dapat mengembangkan pertanyaan. Data yang terkumpul dianalisis dengan menggunakan teknik content analysis. Hasil: Terdapat tiga tema utama yang menggambarkan persepsi dan pengalaman mahasiswa tentang penggunaan pasien standar yaitu 1) persepsi mahasiswa tentang penggunaan pasien standar dengan dua kategori: pemahaman tentang peran pasien standar dan tipe pasien standar; 2) pengalaman berinteraksi dengan pasien standar: pengalaman yang bermanfaat, realistik dan kurang realistik; 3) Kinerja pasien standar digambarkan dengan penampilan dan respon pasien standar saat ujian OSCE. Kesimpulan: Penggunaan pasien standar saat OSCE blok 4.5 di PSIK FKKMK UGM membantu mahasiswa dalam menggambarkan kondisi klinik sebenarnya.Kata kunci: Mahasiswa keperawatan, OSCE, pasien standar, pembelajaran klinik, sarjana keperawatanPERCEPTION OF NURSING STUDENTS ON STANDARDIZED PATIENTS IN OSCE AT EDUCATIONAL INSTITUTION IN YOGYAKARTAABSTRACTObjective Structured Clinical Examination (OSCE) is one evaluation method to measure nursing students ’ clinical skills. OSCE also utilized in block 4.5 CCNS (Comprehensive Clinical Nursing Skills) in purpose to prepare student before following clinical rotation nursing education. OSCE as an assessment method requires some arrangements, including preparation of a standardized patients. Standardized OSCE patients necessary to accustom student’s interaction with real patients at the clinical setting. Objective: This study aimed to explore students ’perceptions and experiences during OSCE block 4.5 using standardized patients in the 2014/2015 academic year at School of Nursing Faculty of Medicine Public Health and Nursing Universitas Gadjah Mada. Methods: This study designed in an exploratory descriptive qualitative research. Twelve undergraduate clinical rotation nursing students of School of Nursing Faculty of Medicine Public Health and Nursing period September 2015 until October 2016 who has been passing through block 4.5 CCNS interviewed about their experience during interaction with standardized patient. An in-depth semi-structured interview used to explore students ’perception. Data were analyzed using content analysis technique. Results: Three main themes reflected students ’ perceptions and experiences identified during their interaction with standardized patients. The themes are 1) Students’ perception on the use of standardized patient consists of two main categories: the understanding of standardized patient roles and standardized patient types; 2) Students ’ interaction experience with the standardized patients: supportive, realistic and unrealistic experience; 3) Standardized patients ’performance measured on the patients ’ appearance and responses during block 4.5 of OSCE. Conclusion: Use of standardized patient during OSCE block 4.5 at School of Nursing Faculty of Medicine Public Health and Nursing UGM help students to describe real clinical situations.Keywords: clinical rotation nursing education, OSCE, undergraduate nursing students, standardized patient.
Hubungan Harga Diri dan Komunikasi Terapeutik Mahasiswa Profesi Keperawatan Kristofora Erma Kurniawati; Totok Harjanto
Jurnal Persatuan Perawat Nasional Indonesia (JPPNI) Vol 2, No 3 (2017)
Publisher : Jurnal Persatuan Perawat Nasional Indonesia (JPPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (397.665 KB) | DOI: 10.32419/jppni.v2i3.91

Abstract

ABSTRAKTujuan Penelitian: Praktik klinik keperawatan memiliki stresor tinggi yang dapat mempengaruhi harga diri mahasiswa. Komunikasi terapeutik merupakan skill mendasar dan penting dalam mencegah kesalahan medis dan memberikan pelayanan optimal terhadap pasien. Tujuan penelitian ini adalah mengetahui hubungan skor harga diri dan skor komunikasi terapeutik mahasiswa profesi di Program Studi Ilmu Keperawatan, Fakultas Kedokteran, Kesehatan Masyarakat, dan Keperawatan, Universitas Gadjah Mada. Metode: Jenis penelitian ini adalah kuantitatif korelasional dengan rancangan cross-sectional dengan subyek 60 mahasiswa profesi. Pengambilan data dilakukan selama 1 bulan. Harga diri diukur dengan Kuesioner State Self-Esteem Scale dan komunikasi terapeutik dengan checklist observasi. Hasil penelitian dianalisis dengan Uji Pearson. Hasil: Harga diri sebagian besar responen berada pada kategori rendah atau kurang dari rata-rata (53,4%). Komunikasi terapeutik sebagian besar responden berada pada kategori kurang (86,7%). Uji korelasi skor harga diri dan skor komunikasi terapeutik menghasilkan r=0,057 dan p=0,664. Diskusi: Sebagian responden memiliki harga diri rendah, hal ini disebabkan responden baru tiga minggu mengikuti pendidikan profesi sehingga dalam proses adaptasi dan proses menumbuhkan harga diri. Skor komunikasi terapeutik yang kurang pada sebagian besar responden disebabkan responden terfokus pada tindakan keperawatan untuk menghindari kesalahan. Hasil korelasi skor harga diri dan skor komunikasi terapeutik dalam penelitian ini tidak mendukung adanya hubungan antara skor harga diri dan skor komunikasi terapeutik. Hasil ini disebabkan komunikasi terapeutik tidak hanya ditentukan oleh faktor internal, namun juga faktor eksternal serta perbedaan jenis tindakan keperawatan yang memiliki kesulitan yang berbeda dan perbedaan ruang rawat inap. Kesimpulan: Tidak ada hubungan antara harga diri dan komunikasi terapeutik.Kata Kunci: harga diri, komunikasi terapeutik, mahasiswa profesi keperawatan, pasienCORRELATION BETWEEN SELF-ESTEEM AND THERAPEUTIC COMMUNICATION OF STUDENTS OF PROFESSIONAL NURSING PROGRAM, FACULTY OF MEDICINE, UNIVERSITAS GADJAH MADA WITH PATIENTS AT RSUP Dr. SARDJITO YOGYAKARTAABSTRACTObjective: Nursing clinical practice has high stressors that may affect student self-esteem. Therapeutic communication is a basic and important skill in preventing medical errors and providing optimum services to patients. This research aims to identify the correlation between self-esteem scores and therapeutic communication scores in students in Nursing Professional Program, Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada. Methods: This research is quantitative correlational using cross-sectional design with the subjects of 60 professional students. Data were collected for 1 month. Self-esteem was measured by using State Self-Esteem Scale Questionnaire and therapeutic communication was measured using an observation checklist. The data were analyzed using Pearson Test. Results: 53.4% of respondents had low self-esteem or less than the average. 86.7% of respondents had poor therapeutic communication. The score of correlational test of self-esteem and therapeutic communication score indicated r=0.057 and p=0.664. Discussion: Some respondents had low self-esteem because they had just been three weeks in professional education so that they were in the process of adaptation and the process of developing self-esteem. Low therapeutic communication scores on the majority of respondents were caused by respondents focus on nursing procedures in order to avoid errors. The results of the correlation between self-esteem scores and therapeutic communication scores in this research did not support the correlation between self-esteem scores and therapeutic communication scores. This was because therapeutic communication is not only determined by internal factors, but also external factors and differences in types of nursing actions which have different difficulties and different inpatient rooms. Conclusion: There is no correlation between self­esteem and therapeutic communication.Keywords: self-esteem, therapeutic communication, students of professional nursing program, patients