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Nicholas Edwin Handoyo
Universitas Nusa Cendana
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HUBUNGAN SELF DIRECTED LEARNING READINESS CSL ONLINE DENGAN KELULUSAN MINI OSCE PADA MAHASISWA FAKULTAS KEDOKTERAN UNIVERSITAS NUSA CENDANA Maria Claudya Nere Sare; Rr. Listyawati Nurina; Efrisca M. Br. Damanik; Nicholas Edwin Handoyo
Cendana Medical Journal Vol 10 No 1 (2022): April (Terbitan 23, Tahun 2022)
Publisher : Universitas Nusa Cendana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35508/cmj.v10i1.6803

Abstract

Menteri Pendidikan dan Kebudayaan Indonesia melakukan kebijakan untuk dilaksanakan pembelajaran online selama pandemi covid hal ini berakibat pada proses belajar keterampilan klinis yang mengalami berbagai perubahan. Pembelajaran online menerapkan karakteristik belajar mandiri, karena pembelajar dituntut untuk berperan aktif, interaktif, dan partisipatif dalam proses belajar yang sedikit sekali mendapatkan bantuan dari pengajar atau pihak lainnya sehingga diperlukan sikap kesiapan belajar mandiri. Salah satu faktor internal yang memengaruhi mini OSCE adalah sikap. Sikap siap belajar mandiri memengaruhi keberhasilan belajar mahasiswa. Tujuan mengetahui hubungan self directed learning readiness CSL online dengan kelulusan mini OSCE pada mahasiswa Fakultas Kedokteran Universitas Nusa Cendana. Metode penelitian ini merupakan penelitian analitikal observasional dengan menggunakan rancangan cross sectional yang dilakukan pada mahasiswa Fakultas Kedokteran Universitas Nusa dan menggunakan kuesioner SDLI. Teknik pengambilan sampel menggunakan total sampling dengan jumlah responden 195 orang yang memenuhi kriteria inklusi. Analisis bivariat menggunakan uji cramer’s V. Hasil penelitian dari 195 responden, 59% memiliki SDLR tinggi, 40% memiliki SDLR sedang dan 1% memiliki SDLR rendah. Hasil mini OSCE terdapat 87,7% yang lulus dan 12,3% yang tidak lulus. Hasil uji analisis bivariat pada penelitiaan ini diperoleh hasil nilai p=0,000 (p<0,05). Kesimpulan penelitian ini terdapat hubungan yang signifikan antara Self Directed Learning Readiness CSL online dengan kelulusan mini OSCE mahasiswa Fakultas Kedokteran Universitas Nusa Cendana.
KORELASI KEEFEKTIFAN DISKUSI TUTORIAL DAN KINERJA TUTOR TERHADAP NILAI UJIAN BLOK PADA MAHASISWA PREKLINIK FK UNIVERTAS NUSA CENDANA Dewi Fadhilah Sari; Rr. Listyawati Nurina; Nicholas Edwin Handoyo
Cendana Medical Journal Vol 10 No 1 (2022): April (Terbitan 23, Tahun 2022)
Publisher : Universitas Nusa Cendana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35508/cmj.v10i1.6808

Abstract

Kurikulum FK UNDANA, mengacu pada SN-DIKTI Tahun 2015 dan Kerangka Kualifikasi Nasional Indonesia (KKNI). Capaian pembelajaran setiap blok dapat dicapai melalui strategi pembelajaran yang mengacu pada penerapan prinsip Student centered, Problem based, Integrated, Community based, Elective, and Sistematic. Salah satu metode pembelajaran yang menerapkan prinsip problem-based learning (PBL) adalah tutorial, dalam tutorial terdapat seorang tutor yang mengarahkan jalannya suatu diskusi tutorial. Tujuan penelitian ini untuk mengetahui korelasi keefektifan diskusi tutorial dan kinerja tutor terhadap nilai ujian blok pada mahasiswa preklinik FK UNDANA. Metode penelitian adalah analitikal observasional dengan rancangan cross sectional menggunakan kuesioner google form. Jumlah sampel 225 responden dari semester 3, 5, dan 7 yang memenuhi kriteria inklusi. Teknik pengambilan sampel menggunakan total sampling. Analisis data secara univariat dan bivariat menggunakan uji korelasi Spearman pada α=0,05. Hasil penelitian rata-rata keefektifan diskusi tutorial sebesar 3,49, lalu rata- rata kinerja tutor sebesar 4,22, serta rata-rata nilai ujian blok pada 3 blok adalah sebesar 73,39. Ada hubungan bermakna dari keefektifan diskusi tutorial dan nilai ujian blok, tidak ada hubungan bermakna dari kinerja tutor dan nilai ujian blok. Kesimpulan penelitian ini, ada hubungan yang bermakna (p=0,015) antara keefektifan diskusi tutorial dengan nilai ujian blok pada mahasiswa preklinik FK UNDANA. Tidak ada hubungan yang bermakna (p=0,078) antara kinerja tutor dengan nilai ujian blok pada mahasiswa preklinik FK UNDANA.
Kesempatan Belajar Dan Melakukan Penelitian Ikut Menentukan Pilihan Lokasi Kerja Lulusan Dokter di Daerah Tertinggal Ika Febianti Buntoro; Rr. Listyawati Nurina; Prisca Deviani Pakan; Nicholas Edwin Handoyo
Berita Kedokteran Masyarakat (BKM) Vol 34, No 11 (2018): Proceedings of the 4th UGM Public Health Symposium
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (831.63 KB) | DOI: 10.22146/bkm.40131

Abstract

Objective: Memahami alasan lulusan dokter memilih daerah tertinggal sebagai lokasi kerja. Methods: Penelitian kualitatif dengan pendekatan fenomenologi. Focused group discussion (FGD) dilakukan di Kota Kupang dan 2 pulau tertinggal lain di Nusa Tenggara Timur (NTT) dengan karakteristik yang berbeda. Penelitian diikuti oleh 24 orang lulusan dokter yang direkrut secara purposive dan bekerja di enam kabupaten yang berbeda. Transkripsi hasil wawancara dianalisis secara tematik oleh dua orang peneliti dengan dibantu program OpenCode 4.03. Results: Upaya intervensi yang telah dilakukan oleh pemerintah selama ini melalui berbagai program seperti beasiswa dengan ikatan kerja, insentif dan perhitungan beban kerja, peningkatan keamanan, fasilitas, dan aksesibilitas daerah tertinggal, serta promosi daerah tertinggal sebagai lokasi wisata merupakan hal yang terbukti sangat mendukung pemilihan daerah tertinggal sebagai lokasi kerja lulusan dokter. Beberapa hal yang telah dipertimbangkan dalam perekrutan dan penempatan tenaga medis di daerah tertinggal (internship, PTT, maupun Nusantara Sehat) pun terbukti berperan besar, misalnya: rural origin (asal daerah dan adanya keluarga di daerah), adanya rekomendasi otoritas setempat yang menunjukkan adanya teman atau kolega di daerah yang dituju. Hal baru yang ditambahkan oleh penelitian ini adalah lokasi yang menyediakan kesempatan dan pendamping untuk belajar lebih lanjut, termasuk melakukan penelitian, dengan disertai adanya otonomi dan kemandirian dalam bertindak mendapatkan prioritas. Manajemen institusi yang mendukung dan mampu menciptakan suasana kerja yang menyenangkan, serta budaya dan politik setempat pun ikut memberikan warna dalam pengambilan keputusan pilihan lokasi kerja. Conclusion: Banyak faktor yang berperan dalam pilihan lokasi kerja telah diintervensi dan berhasil menarik minat lulusan dokter untuk masuk dan bekerja di daerah tertinggal. Keputusan lulusan dalam memberikan prioritas pilihan terhadap daerah yang mampu menyediakan pendamping dokter spesialis dan memberikan kesempatan dan otonomi untuk belajar serta melakukan penelitian perlu mendapatkan perhatian dan memberikan arah bagi pengembangan program intervensi pemerataan tenaga medis ke daerah tertinggal selanjutnya.
Hubungan Pembelajaran Daring dengan Tingkat Stres Akademik Saat Pandemi COVID-19 pada Mahasiswa Fakultas Kedokteran. Sarah Grace Neljti Wilhelmina Emmanuela Saudale; Conrad Liab Hendricson Folamauk; Idawati Trisno; Nicholas Edwin Handoyo
Cendana Medical Journal Vol 11 No 1 (2023): Cendana Medical Journal
Publisher : Universitas Nusa Cendana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35508/cmj.v11i1.10720

Abstract

Background : The outbreak of COVID-19 ended up as a massive global pandemic, caused government to determine lockdown and social distancing to cut the transmission. People are forced to work and study from home. The change of study method from face to face to online learning caused the study to be ineffective. These problems can cause academic stress in medical student. Demands and diffuculties during pandemic can cause downfall of academic achievement, concentration in study, failure in study and psychology disorders. Objective : To determine the correlations of online learning and academic stress during COVID-19 pandemic in medical student. Methods : This is a research is quantitative analytic using cross sectional that conducted to preclincal student, faculty of medicine nusa cendana university. The data were collected using the questionaire of online studying and academic stress from previous study based on theory. The sampels were chosen using stratified random sampling methods with 157 samples from 2018, 2019 and 2020 batch that fullfiling the inclusion and exclusion criteria. This study was analyzed by univariate and bivariate using the koefisien contigency test. Result and discussion : From this study it is found that out of 157 respondents, 52,9% of the respondents experienced academic stress, and 47,1% had not academic stress. Besides, it is also found that 51,6% had good level of online learning and 48,4% had very good level of online studying. The result of bivariate analyzed was p = 0,000 (p<0,05) using the keofisien contingency test shows there is a correlation between online learning and academic stress during COVID-19 pandemic on preclinical student faculty of medicine. Conclusion : The better online learning occur, the lower the level of academic stress.
Does Facilitative Supervision Made Difference in PHC Readiness to Provide Emergency Maternal and Newborn Care: an Operational Research at Primary Health Centre of Ende District, Eastern Indonesia Sangguana Marthen Jacobus Koamesah; Idawati Trisno; Nicholas Edwin Handoyo; Rr. Listyawati Nurina
Journal of Social Research Vol. 2 No. 8 (2023): Journal of Social Research
Publisher : International Journal Labs

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55324/josr.v2i8.878

Abstract

Purpose: Government of Indonesia (GOI) has commitment to ensure that basic obstetric and newborn care is provided as to standard of care, through a pilot project of facilitative supervision conducted at 5 Primary Health Centre (PHC) of Ende district, in a series of combined online and onsite supervision during a period of 7 months, ended in December 2021. This operational research examined PHC’ readiness in providing emergency obstetric and newborn care, comparing intervened and control PHC. Methods: This present study used quasi experimental method, with Post-test Only Control Group design. Intervention of facilitative supervision only provided in one group, and assessment conducted in those 2 groups, comparing results between those groups. Unit analysis was PHC, 2 PHCs selected as intervened PHC, and 2 PHCs as control. Data were collected through direct observation using check list, assessment of patient’s records, and interview with several health workers. Results: In this operational study we compared the service coverage and readiness in providing emergency obstetric neonatal care, between PHC that received and not received intensive facilitative supervision in the previous 7 months. PHC in urban area handling very few obstetric complications but referred more cases to District Hospital (>90). However, intervened PHC provide obstetric complication care two times higher (8.33%) than control PHC (4.17%). Both intervened and control PHC in rural area, provide far more obstetric complication care (>60%) compared to those in urban area, with the coverage of referral case around 30-35% from total obstetric complication cases. Intervened PHC in rural area managing all neonatal complication cases, and shows the lowest percentage of neonatal death (1,2%) compare to other PHCs. Control PHC in rural area also managed 88.89% of neonatal complication cases, but has the highest percentage of neonatal death (4.17%). The significant difference between intervened and control PHC in the input side, lies in the availability of emergency team which should be minimal of 3 health workers consist of doctor, midwife and nurse; and availability of neonatal emergency kit. In the process side, the difference between intervened and control PHC is more obvious in rural area, the main difference lies in the unavailability of algorithm and SOP for post-partum bleeding, pre/eclampsia, and neonatal resuscitation at control PHC Conclusions: There is difference in the readiness of providing emergency maternal neonatal between intervened and control PHC only in rural area, indicate by higher compliance level value in the intervened PHC (77.14%) compared to control PHC (40%). The difference in the quality of care only obvious in rural area and in emergency neonatal care, indicate by 3,5x lower percentage of neonatal death in intervened PHC compared to the control PHC
PELATIHAN PUBLIC SPEAKING UNTUK MENINGKATKAN KEMAMPUAN KOMUNIKASI DAN KEPERCAYAAN DIRI Buntoro, Ika Febianti; Folamauk, Conrad Liab Hendricson; Nurina, Rr Listyawati; Tanto, Ayu Cyntia; Handoyo, Nicholas Edwin
Jurnal Media Tropika Vol 3 No 2 (2023): Jurnal Media Tropika
Publisher : Universitas Nusa Cendana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35508/mediatropika.v3i2.12791

Abstract

Public speaking is one of the skills needed in the global era and can affect success at work. With good communication, a person will be able to convey messages appropriately, build various relationships with many people and agencies, motivate others, and also be able to influence various decisions. Without good communication skills, misunderstandings will arise, reducing opportunities for building relationships and collaboration with other parties. However, public speaking often causes anxiety, stress, and intense negative behavioral responses. An initial survey by the team found that the faculty of medicine and veterinary medicine of Universitas Nusa Cendana (FKKH Undana) leadership had never received capacity-building training on public speaking. These inadequate speaking skills can undermine the ability to convey important messages or bore the audience. A person's lack of self-confidence will also hinder his/her self-development and make him pessimistic in facing challenges. Therefore, the community service team conducted public speaking training for leaders and the Undana FKKH academic community. In this activity, the participants were trained on the basics of public speaking, namely how to master themselves, master the material, and master the audience. This training received a positive response from the participants, where the participants felt an increase in their abilities and self-confidence. Public speaking can help speakers convey messages more precisely to the audience. The training is expected to improve performance in public speaking and overcome anxiety.
THE RELATIONSHIP BETWEEN PREMENSTRUAL SYNDROME WITH INSOMNIA IN MEDICAL STUDENTS AT UNIVERSITAS NUSA CENDANA Permatasari, Gusti Ayu Angeliene; Lidia, Kartini; Handoyo, Nicholas Edwin; Kareri, Dyah Gita Rambu
Indonesian Journal for Health Sciences Vol 8, No 1 (2024): March
Publisher : Universitas Muhammadiyah Ponorogo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24269/ijhs.v8i1.6715

Abstract

Menstrual disorders, one of which is Premenstrual Syndrome (PMS), are still Indonesia's most common health problem. PMS symptoms appear during the luteal phase that occurs 7-14 days before menstruation. During premenstrual syndrome, there will be a hormonal imbalance that can cause insomnia. Insomnia is difficulty sleeping, difficulty maintaining sleep (frequent awakenings at night), or waking up too early accompanied by drowsiness during the day, as well as poor sleep quality that occurs at least three times a week for a month. Insomnia can interfere academic performance of students. This study aims to analyze the relationship between PMS and insomnia in Medical students of Universitas Nusa Cendana. The research design used cross-sectional, and it was attended by 137 medical students of Universitas Nusa Cendana who were selected with total sampling. Data collection online used The Shortened Premenstrual Assessment Form (SPAF) and the Pittsburgh Sleep Symptom Questionnaire-Insomnia (PSSQ_I). The data analysis used is the Chi-Square test. There was a significant relationship between PMS and insomnia in medical students of Universitas Nusa Cendana, with a p-value of 0.000.
Factors Associated with Quality of Life among People Living with HIV/AIDS in Kupang Buntoro, Ika Febianti; Arsita, Elli; Handoyo, Nicholas Edwin; Nurina, Rr. Listyawati; Folamauk, Conrad Liab Hendrixson
Jurnal Kedokteran Meditek Vol 30 No 2 (2024): MEI
Publisher : Fakultas Kedokteran Universitas Kristen Krida Wacana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36452/jkdoktmeditek.v30i2.3191

Abstract

It is known that HIV/AIDS remains a global health problem. Living with HIV/AIDS can have significant impacts on various aspects of life, including mental health, social relationships, and overall well-being. Addressing stigma and discrimination is crucial in improving the quality of life for people living with HIV/AIDS, along with providing access to proper medical care and support services. This study aims to investigate factors that impact the quality of life of people living with HIV/AIDS (PLWHA) in   Kupang City, Indonesia from April 2023 to July 2023 in hospitals and NGOs in the city. The design of this study was a cross-sectional study. The study involved 98 respondents, who were PLWHA taking ARV therapy at Prof. Dr. WZ Johannes Public Hospital Kupang and Wirasakti Army Hospital Kupang. The data was collected using the Oslo Social Support Scale (OSSS-3) Questionnaire. This study found that most respondents have moderate social support. The study identified several factors significantly impacting the quality of life for HIV/AIDS patients such as social support (p 0.001), adherence to ARV therapy (p 0.000), depression levels (p 0.007), education level (p 0.002), income level (p 0.012), and the duration of the diagnosis (p 0.044). This study contributes to add valuable information for a comprehensive understanding of the multifaceted challenges faced by individuals living with HIV/AIDS, paving the way for targeted interventions and support strategies.
Analyzing the Risk Factors of Early Neonatal Deaths in Kupang District, Rural Eastern Indonesia Sangguana Marthen Jacobus Koamesah; Idawati Trisno; Listyawati Nurina; Nicholas Edwin Handoyo; Mariana Archoon Sailana
Jurnal Syntax Admiration Vol. 5 No. 10 (2024): Jurnal Syntax Admiration
Publisher : Syntax Corporation Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46799/jsa.v5i10.1706

Abstract

The neonatal mortality rate in East Nusa Tenggara (NTT) remains high, with 80% of neonatal deaths occurring in the early period. This study aims to analyze the risk factors contributing to early neonatal death in Kupang District. A retrospective case-control study was conducted, involving 31 cases of early neonatal death and 69 controls from medical records from January 2023 to June 2024. Multinomial logistic regression analysis was used to identify the influence of maternal health, birth, neonatal factors, and healthcare facility readiness. The results showed that birth weight, frequency of antenatal visits, and the completeness of medical equipment were significant predictors of early neonatal death. More frequent antenatal visits were found to reduce the risk of death by 24%, while low birth weight increased the risk by 30%. In conclusion, interventions focusing on preventing low birth weight, ensuring compliance with minimum antenatal visits, and improving the readiness of basic healthcare facilities could reduce early neonatal death in this region.
Issues and Challenges in Implementing Braden Scale to Assess Pressure Injury Risk: A Participatory Action Research in South-Eastern Indonesia Buntoro, Ika Febianti; Datusanantyo, Robertus Arian; Koamesah, Sangguana M. J.; Wijaya, R. Pasifikus Christa; Handoyo, Nicholas Edwin
Jurnal Plastik Rekonstruksi Vol. 12 No. 1 (2025): (2025): Jurnal Plastik Rekonstruksi
Publisher : The Lingkar Studi Bedah Plastik Foundation and is affiliated with the Department of Plastic Surgery, Faculty of Medicine, Universitas Indonesia.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14228/jprjournal.v12i1.386

Abstract

Background: Pressure injury (PI) is chronic wound over bony prominence that should be managed to avoid morbidity and increased costs. Braden scale (BS) has been used worldwide for almost forty years as PI's standard risk assessment tool. This study aimed to identify issues among nurses regarding the implementation of the PI risk assessment tool in a referral hospital in rural Indonesia.Methods: We performed two cycles of participatory action research (PAR) to initiate the BS implementation and to establish follow-ups accordingly in inpatient units. The PAR ensured the active roles of the 12 nurses and midwives who initially implemented the tool. The transcribed focused-group discussion (FGD) recordings were analysed following six steps of thematic analysis.Results: There were three main themes emerged. The themes were the nurses' understanding of the need for PI risk assessment, the increasing workload when implementing PI risk assessment, and the importance of the primary nurse role. The themes reflects the need for nurse practitioners to further implement the tool by seeking confirmation from the primary nurse's group. The ease and trialability of the BS enhanced the nurses' compliance with the new tool. The nurse manager and leader needed to concentrate on perceived innovation attributes to implement the PI risk assessment tool further.Conclusion: The PAR cycles have recruited early adopters and suggested implementing BS to assess PI risk. The role of hospital managers and leaders in ensuring continuity of implementation is crucial.
Co-Authors Datusanantyo, Robertus Arian Dewi Fadhilah Sari Efrisca M. Br. Damanik Elli Arsita Folamauk, Conrad Liab Hendricson Halena Meldy Asa Herjuni Oematan Idawati Trisno Idawati Trisno Idawati Trisno Ika Febianti Buntoro Kabosu, Aereldio Anchel Kareri, Dyah Gita Rambu Koamesah, Sangguana M. J. Koamesah, Sangguana Marthen Jacobus Lidia, Kartini Listyawati Nurina Maria Claudya Nere Sare Mariana Archoon Sailana Muhajirin Dean Muntasir, Muntasir Nurina, Rr. Listyawati Permatasari, Gusti Ayu Angeliene PRISCA DEVIANI PAKAN Rusnah, Fauziyah Nadira Riani Sangguana Marthen Jacobus Koamesah Sangguana Marthen Jacobus Koamesah Sarah Grace Neljti Wilhelmina Emmanuela Saudale Tanto, Ayu Cyntia Wijaya, R. Pasifikus Christa