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How does portfolio assess interprofessional learning of medical and midwifery students in community-based maternal and children health care Bulan Kakanita Hermasari; Gandes Retno Rahayu; Mora Claramita
International Journal of Evaluation and Research in Education (IJERE) Vol 8, No 3: September 2019
Publisher : Institute of Advanced Engineering and Science

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (371.449 KB) | DOI: 10.11591/ijere.v8i3.20245

Abstract

Top-quality maternal health care requires midwifery and medical students to work together in multidisciplinary interprofessional education (IPE). Achieving IPE learning competencies requires interprofessional assessment methods; one such is portfolio. Study on portfolio as interprofessional assessment is limited. To evaluate interprofessional core competencies illustrated by IPE portfolios. A qualitative design using content analysis to evaluate portfolios of midwifery and medical students attending three weeks’ interprofessional learning in an Indonesian university. Sixty portfolios were analyzed for four IPE core competencies. Fifteen open-ended questionnaires were collected to confirm the data and further explore issues. Four interprofessional core competencies were illustrated in portfolios. While only three portfolios contained objective evidence of learning, over two-thirds of students could plan appropriate, concrete work based on interprofessional learning. The results indicate that the portfolio assesses interprofessional learning with student reflections that illustrate the achievement of four IPE core competencies. The validity of this competency achievement is also supported and confirmed by the evidence of learning and subsequent learning plans. Furthermore, portfolios also can encourage the students to prepare a concrete and appropriate work plan or study plan for students’ interprofessional learning.
Assessing Midwifery and Medical Student’s Interprofessional Learning: the use of portfolio Bulan Kakanita Hermasari; Ari Natalia Probandari; Zulaika Nur Afifah
Journal of Education and Learning (EduLearn) Vol 12, No 4: November 2018
Publisher : Intelektual Pustaka Media Utama

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (262.311 KB) | DOI: 10.11591/edulearn.v12i4.8713

Abstract

To evaluate the portfolio in assessing interprofessional learning between medical and midwifery students. The student portfolio is assessed using a rubric consisting of four assessment criteria. A total of 32 student portfolios were tested for reliability coefficients and interrater agreements. We conducted an in-depth interview with mentors and focus group discussion (FGD) with students for exploring their perceptions of the ability of the portfolio to assess the learning. Interview and FGD data were converted into verbatim transcripts then were analyzed by two coders using open coding techniques. The reliability coefficient is 0.808. Inter-rater agreements for each assessment criteria are ranging from moderate to high. Mentors and students have positive insights toward the assessment system. This study supports the use of portfolios as an interprofessional educational assessment tool.
Progress testing and its effect on medical student motivation Bulan Kakanita Hermasari; Dimar Yudistyaningrum
Journal of Education and Learning (EduLearn) Vol 15, No 4: November 2021
Publisher : Intelektual Pustaka Media Utama

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (214.535 KB) | DOI: 10.11591/edulearn.v15i4.20283

Abstract

Assessment has a pivotal role in medical education, as it can direct student learning. Motivation is an essential factor that determines learning assessment results. One of the aims of assessment is to determine the level of student knowledge, one of which can be measured by a progress test. This study aimed to determine the relationship between progress test and student motivation. This study used a cross-sectional observational analytic method. It was conducted in 2017 at Faculty of Medicine Universitas Sebelas Maret (FM UNS), Indonesia. The respondents consisted of 253 students from batch 2014, 2015, and 2016. The sample was selected by stratified random sampling. The instrument used to assess academic motivation was the academic motivation scale (AMS). The research data were analyzed using the Pearson correlation test. There is a significant positive correlation between progress test results and academic motivation (r=0.500; p=0.000). However, there is no significant difference in motivation level based on gender (p=0.889) and student cohort (p=0.533). In the progress test score, there are significant differences based on gender (p=0.014) and grade-point average (p=0.000). However, there is no significant difference in the progress test scores based on the student batch (p=0.212). The results support that progress test is useful assessment method to support medical student’s motivation.
Association between interprofessional collaboration readiness and clinical decision making ability of midwifery students Bulan Kakanita Hermasari; Brian Sahar Afifah; Erindra Budi Cahya
Journal of Education and Learning (EduLearn) Vol 13, No 4: November 2019
Publisher : Intelektual Pustaka Media Utama

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (182.548 KB) | DOI: 10.11591/edulearn.v13i4.13581

Abstract

Maternal mortality remains a major challenge to health system worldwide. This problem requires the attention of health practitioners and health professional educators including midwives. Effective clinical decision making is among the most important skills required by healthcare practitioners in the intra-profession and interprofessional context.  This study aims to explore the midwifery student's clinical decision-making ability and attitude toward interprofessional learning. This study  used quantitative design with cross-sectional approach. Subjects of research were 50 midwifery students. The instruments were The Readiness  for Interprofessional Learning Scale (RIPLS) questionnaire; and an assessment rubric of the obstetric case study. Most of the students are not ready to collaborate with other health professions (68%), and have low and moderate clinical decision-making abilities (98%). There is a significant positive correlation (p less than 0.05) between student readiness for interprofessional collaboration with clinical decision-making ability. This study emphasizes that the ability of a midwife in clinical decision making, especially in emergency cases, is related to their readiness or experience in collaborating with other health professionals.
DELPHI TECHNIQUE: CONSENSUS OF ANATOMY CIRCULATORY SYSTEM CORE SYLLABUS FOR MEDICAL STUDENT Siti Munawaroh; Farhah Millata Hanifa; Nanang Wiyono; Yunia Hastami; Nur Dewi Kartikasari; Bulan Kakanita Hermasari
Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education Vol 7, No 2 (2018): JULI
Publisher : Asosiasi Institusi Pendidikan Kedokteran Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (254.034 KB) | DOI: 10.22146/jpki.39101

Abstract

Background: Anatomy is a very important basic science in medical education. However, the advance of science and technology affected medical curriculum. One of the changes is the decreased time available for anatomy learning. Therefore, an anatomy lecturer needs to sort and choose from many existing anatomical materials to adjust with time allocation. The purpose of this study is to gain consensus on what minimum anatomical knowledge is for a physician candidate in order to practice safely. Method: This study was design in qualitative approach with two round Delphi Technique. Using purposive sampling method, the subjects of the study were 20 general-physicians in Indonesia. The questionnare was arranged based on anatomy text book and the research about anatomic core syllabus. The firts Delphi aimed to select the anatomical course material and additional course material. The second Delphi round intended to provide level range from 1-4. The consensus level established by researcher at 60% point.Results: There is not any additional topics in the first Delphi round. So the number of first and second round topics is 270 topics. The Delphi second round agree that anatomic core syllabus of circulation system is 110 of 270 topics. There are 30 topics of cor, 3 topics of pericardium, 10 topics of mediastinum, 37 topics of artery, 9 topics of vena, 9 topics of lymphathic system, 4 topics of postnatal circulation, 5 topics of prenatal circulation, and 3 topics of portal hepatic system.Conclusion: The anatomy core syllabus consists of 110 of the 270 anatomical circulatory system topics.
ASSOCIATION BETWEEN PERCEPTION OF CLINICAL LEARNING ENVIRONMENTS AND LEARNING APPROACH ON CLERKSHIP STUDENTS OF MEDICAL FACULTY Bulan Kakanita Hermasari; Erinda Kusuma Wardani; Agus Jati Sunggoro
Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education Vol 8, No 1 (2019): Maret
Publisher : Asosiasi Institusi Pendidikan Kedokteran Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (47.106 KB) | DOI: 10.22146/jpki.44872

Abstract

Background: Learning environment is one parameter to evaluate the quality of learning. The learning approach reflects how a student learns in various situations that affect learning. This study aims to know the relationship between the perceptions of the learning environment and the learning approaches in the clerkship students of Medical Faculty.Methods: This research used an analytical observational method with cross-sectional technique. The sample selection technique used cluster sampling. Respondents consisted of 178 students from all clinical rotations. Each respondent was given two questionnaires to assess perceptions of the learning environment and learning approaches. Data were analyzed using contingency coefficient test.Results: Student perceptions of the learning environment show similar results between the number of clinical rotations that have the category of 'good but need improvement' (9 clinical rotations) and the 'many problems' category (9 clinical rotations). Most of the students (84.27%) used the in-depth learning approach, the remaining 10.67% used the strategic approach, and 5.06% used the surface approach. There was relationship between learning environment perception and learning approach with contingency coefficient value C = 0.312, and value p = 0,001 (p <0.05).Conclusion: There is a weak relationship between perception of clinical learning environments and learning approach on clerkship students of the medical faculty, University Sebelas Maret..   
Learning of empathy among first-year medical students Bulan Kakanita Hermasari; Dian Nugroho
International Journal of Evaluation and Research in Education (IJERE) Vol 11, No 3: September 2022
Publisher : Institute of Advanced Engineering and Science

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11591/ijere.v11i3.22915

Abstract

Empathy is one of the core competencies that doctors must possess. Teaching empathy is carried out since students are in undergraduate medical education. One of the learning activities that can be used to improve empathy skills is reflection. Many studies have reported on the empathic abilities of medical students. In addition, there have also been many scientific articles discussing the factors that affect the ability of empathy. However, how medical students learn empathy is still unclear, especially for first-year students who have just been exposed to medical science after graduating from high school. This study aimed to understand how first-year medical students learn empathy. A qualitative study with a phenomenological approach was carried out. We selected randomly, a total of 30 medical student reflection journals were analyzed using content analysis techniques. There are three themes, namely stimulus, process, and effect. Medical students learn empathy driven by internal and external stimuli so that a thinking process occurs through several learning activities. The existence of this stimulus and process influences both the self and the patient/client. The whole process of empathy learning can show how early-year students learn and the factors that influence student empathy learning. This study supports other research that discusses the learning process and factors that affect medical students' empathy. This result can encourage curriculum planners to design appropriate empathy learning for students.
Implementation of the SMart-Punakawan Covid-19 (Sebelas Maret-Pendampingan UNtuk mAsyarakat dan KeluargA melaWAN Covid-19) in Surakarta Eti Poncorini Pamungkasari; Bulan Kakanita Hermasari; Sri Anggarini Parwatiningsih; Sri Mulyani; Hartono Hartono; Lely Tri Pangesti
Journal of Community Empowerment for Health Vol 5, No 3 (2022)
Publisher : Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jcoemph.71397

Abstract

The Covid 19 pandemic cannot be predicted when it will end. In June 2021, there has been very significant increase in new cases. The government has tried to control transmission by launching the 5M propaganda, consists of wearing masks, maintaining distance, washing hands with soap, avoiding crowds and reducing mobility. However, there are still problems existing related to community compliance in preventing the transmission of Covid 19, for example the use of masks and avoiding crowds. The aim of this project is develop and implement health education media related to Five M and Covid-19 vaccination.This project begins with development education media considering cultural wisdom, in order to easily accepted by the community. The term SMart-Punakawan Covid-19 (Sebelas Maret-Pendampingan UNtuk mAsyarakat dan KeluargA melaWAN Covid-19) was chosen to named this media. Punakawan is a puppet character,  the "servant" of the knights but has an important role as an advisor, so it is very suitable to represent health workers. There are several media used to convey the SMart-Punakawan  including videos, banners, brochures and its implemented to the community either face to face and online (youtube, whatsapp group) in order to reach wider community. The effectivity of this project measured quantitatively using instruments to measure knowledge about Five M and Covid-19 vaccination before and after implementation. We use Wilxocon test because the data wasnot normally distributed. As the result, there is significant differences on respondent knowledge before and after implementation (p<0.001). The SMart-Punakawan is effective in improving people’s knowledge related Five M and Covid-19 vaccination. However, further exploration is  still needed to know impact of the SMart-Punakawan in changing people’s behaviour.
Using online flipped classroom in problem-based learning medical curriculum: A mixed method study Dian Nugroho; Bulan Kakanita Hermasari
Journal of Education and Learning (EduLearn) Vol 17, No 2: May 2023
Publisher : Intelektual Pustaka Media Utama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11591/edulearn.v17i2.20729

Abstract

The coronavirus disease (COVID-19) pandemic has changed the education system, including problem-based learning (PBL), which is the main curriculum model in medical education. Social interaction and acquisition of knowledge and skills are one of the challenges in online learning during a pandemic. This study evaluated the use of the flipped classroom in the PBL curriculum of medical education. This study used mixed-methods design with a concurrent approach. The data collection technique was secondary data collection in the form of data from the block learning evaluation form. The evaluation form contains statements regarding the quality of the learning process, in the form of Likert scales. At the end of the form, there was a fill-in/essay question for more in-depth exploration. The quantitative data were analysed using descriptive univariate analysis, meanwhile, the qualitative data were analysed using thematic analysis techniques. Unbalanced learning load on the block, block learning management, and knowledge retention in block learning were considered lacking in flipped classroom block implementation. The management of time delays, a stage for students to be ready, a step to lessen psychological stress, and the use of media to generate different learning experiences are particular areas that need improvement.
Edukasi Interprofessional Education and Collaboration (IPEC) pada Tenaga Kesehatan Puskesmas Siti Munawaroh; Eti Poncorini Pamungkasari; Veronika Ika Budiastuti; Yunia Hastami; Atik Maftuhah; Bulan Kakanita Hermasari; Dian Nugroho; Aldira Ayu Nastiti Nur Hanifah; Afifah Nurul Izzah
Abdimas Universal Vol. 6 No. 1 (2024): April
Publisher : Lembaga Penelitian dan Pengabdian kepada Masyarakat Universitas Balikpapan (LPPM UNIBA)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36277/abdimasuniversal.v6i1.376

Abstract

Collaboration in health services is an important thing to implement. With good collaboration, we can provide quality services and support patient health and comfort. Without good collaboration between health workers, medical errors can result. One of the obstacles faced by clinical supervisors in the field is that they have not received education related to IPEC when they study. So they have difficulty teaching IPEC. Therefore, training is needed regarding the implementation of IPEC for health workers in educational facilities such as community health centers. This community service aims to conduct IPEC training for health workers at the Karangdowo health center, Klaten. Service activities begin with socialization about IPEC, followed by assessing perceptions regarding interprofessional collaboration from health workers using the ISVS (Interprofessional Socialization and Valuing Scale) – 9A questionnaire. The service was attended by 30 participants from various health professions at the Puskesmas. The results of the assessment of perceptions of interprofessional collaboration obtained a scale score of 4-7 (medium-very large) indicating that the perception of health workers at the Karangdowo Health Center is good.. IPEC counseling plays an important role in increasing collaboration capabilities between health workers at Community Health Centers.