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All Journal Medula Jurnal Medika Hutama
Devi Mutiara Jasmine
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Biochemistry, Genetics & Molecular Biology Education Medicine & Pharmacology Neuroscience Nursing Public Health Veterinary

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Perbedaan Keterampilan Komunikasi Antara Mahasiswa Preklinik Dan Klinik Fakultas Kedokteran Universitas Lampung Devi Mutiara Jasmine; Oktafany; Dwita Oktaria
Medula Vol 9 No 2 (2019): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v9i2.273

Abstract

Communication is needed in daily life because communication is important. Communicating means conveying messages from the giver of the message to one or more recipients of the message with or without using a tool. The communicating component is a giver, message, recipient, and media. Communication skills in medical education are taught from the academic stage to the profession stage. Learning effective communication at the academic stage is applied to the tutorial and Clinical Skill Lab (CSL) with simulated patients. While at the profession stage, young doctors have carried out effective communication learning that is directly applied to patients and their families in real terms. This study used a cross sectional design with 66 respondents selected using proportional stratified sampling techniques. The research data was taken from filling out the Interpersonal Communication Competence Scale questionnaire that was developed by Rubin and Martin assessed with 10 indicators of ICCS. Data were analyzed using T test. A total of 66 respondents filled out a questionnaire and the results showed that there were differences in communication skills between preclinical students and clinical at the Faculty of Medicine, University of Lampung with a value of p = 0.002. Thus, the communication skills of preclinical students are lower than those of clinical students with the result of the mean difference being 0.515. There were differences in communication skills between preclinical students and clinical at the Faculty of Medicine, University of Lampung.
PENGGUNAAN TES MIKROBIOLOGI DI ERA TINGGINYA ANGKA ANTI-MICROBIAL RESISTENCE (AMR) Devi Mutiara Jasmine
Jurnal Medika Hutama Vol. 3 No. 04 Juli (2022): Jurnal Medika Hutama
Publisher : Yayasan Pendidikan Medika Indonesia

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Abstract

Background: Effective use of microbiology test results may positively influence patient outcomes and limit the use of broad-spectrum antibiotics. However, studies indicate that their potential is not fully utilized. We investigated microbiology test ordering practices and the use of test results for antibiotic decision-making in hospitals. Methods: A multicentre cohort study was conducted during five months in 2014 in Medical departments across three hospitals in Western Norway. Patients treated with antibiotics for sepsis, urinary tract infections, skin and soft tissue infections, lower respiratory tract infections or acute exacerbations of chronic obstructive pulmonary disease were included in the analysis. Primary outcome measures were degree of microbiology test ordering, compliance with microbiology testing recommendations in the national antibiotic guideline and proportion of microbiology test results used to inform antibiotic treatment. Data was obtained from electronic- and paper medical records and charts and laboratory information systems. Results: Of the 1731 patient admissions during the study period, mean compliance with microbiology testing recommendations in the antibiotic guideline was 89%, ranging from 81% in patients with acute exacerbations of chronic obstructive pulmonary disease to 95% in patients with sepsis. Substantial additional testing was performed beyond the recommendations with 298/606 (49%) of patients with lower respiratory tract infections having urine cultures and 42/194 (22%) of patients with urinary tract infections having respiratory tests. Conclusions: This study showed that despite a large number of microbiology test orders, only a limited number of tests informed antibiotic treatment. To ensure that microbiology tests are used optimally, there is a need to review the utility of existing microbiology tests, test ordering practices and use of test results through a more targeted and overarching approach. Keywords: Microbiology testing, Antibiotic prescribing, Antimicrobial resistance
Co-Authors Dwita Oktaria Oktafany