scholarly journals Determining the utility of peer-assisted learning to enhance clinical skills at the bedside in a Postgraduate Homoeopathic Institute

2020 ◽  
Vol 3 ◽  
pp. 29-36 ◽  
Author(s):  
Bipin Sohanraj Jain

Objectives: Despite considerable clinical material in hospitals, students often cannot hone their bedside skills; these skills need continuous practice and input from teachers and medical officers (MOs). Making such inputs frequently available to students in busy wards and casualties is very demanding. We, therefore, conducted this study to explore the utility of peer-assisted learning (PAL) as an alternative to enhance students’ clinical skills at the bedside in a Postgraduate Homoeopathic Institute. This study was conducted at a 100-bedded Homoeopathic PG institute hospital with a 24-h emergency ward where various clinical conditions and emergency cases are treated. The objectives of the study were to study the role of PAL in enhancing clinical skills in terms of receiving the patient, history taking, clinical examination, and developing collaborative and constructive practices at the bedside and exploring the role of PAL in developing a conducive atmosphere of learning and to enhance sensitivity to peers. Materials and Methods: An orientation session and checklist were created after input from MOs and through a pilot study of 25 Part one senior. The students were educated regarding the concept and were asked to take up one case every week to observe and discuss each other’s clinical skills for 12 weeks with the help of a checklist. A retrospective pre-questionnaire was used to analyze the enhancement of clinical bedside skills. The MO analyzed these using the same questionnaire and collectively analyzed student performance at the end of 12 weeks. Results: Student responses were evaluated statistically using the Wilcoxon matched pairs signed-rank test (P ≤ 0.05). The results revealed a significant change in history-taking attitude, history-taking skills and knowledge, examination skills, investigation correlations, interpersonal relationships, and learning atmosphere. Conclusion: The process of PAL enables student physicians to improve their clinical knowledge, skills, and attitude along with interpersonal relations. This process also enables collaborative and constructive learning and improves students’ sensitivities, allowing them to learn from each other.

2017 ◽  
Vol 51 (1) ◽  
pp. 22-27
Author(s):  
Georgy J Eralil

ABSTRACT Objectives To assess clinical skills of interns in selected procedures using direct observation of procedural skills (DOPS) To assess the change in procedural skills among students who received a structured feedback on DOPS. Materials and methods The study was interventional and conducted between December 2015 and February 2016 at the Department of Obstetrics and Gynaecology of Sree Narayana Institute of Medical Sciences, Ernakulam, Kerala, India. In the study, investigator observed the trainee performing a practical procedure within the workplace and recorded a rating for each competency on the assessment form. Feedback was given expanding on the reasons for any ratings of development required and makes practical suggestions for any remedial steps. The intern is reassessed for the same procedure at a later stage and the impact on skills is scored. Then the structured feedback is provided, and later on again the score on skills obtained by DOPS are compared between pre- and post-values by Wilcoxon-signed rank test. Results The average of pre- and post-feedback values were compared by Wilcoxon signed rank test. The p-value calculated was <0.001, which is significant. None of the interns were competent to perform the procedure before feedback; 80% of them needed more practice and 20% needed supervision. After feedback, 53.3% achieved competency and 46.7% achieved competency needing supervision; 93.3% of interns regarded feedback as superior quality, while 6.7% regarded as satisfactory. Conclusion Direct observation of procedural skills can be used to assess clinical skills of interns in selected procedures and it brings changes in procedural skills among students who received a structured feedback on DOPS. How to cite this article Eralil GJ. Role of Structured Feedback of Direct Observation of Procedural Skills in improving Clinical Skill of Interns. J Postgrad Med Edu Res 2017;51(1):22-27.


2021 ◽  
pp. 025576142110273
Author(s):  
Erkan Sülün ◽  
Hüseyin Olgaçer ◽  
Hakkı Cengiz Eren

In this study, the authors evaluated the potential role of an activity-based guitar training program on reducing anxiety and providing fulfillment for younger relatives of cancer patients. Ten active members of KHYD (The Society for Relatives of Cancer Patients), between ages 11 and 17 participated in an 8-week guitar education program. The participants filled out two questionnaires before and after their engagement in the 8-week program, one to measure changes in their anxiety levels (State-Trait Anxiety Inventory) and the other to measure changes in their general fulfillment levels (Multidimensional Students’ Life Satisfaction Scale). Wilcoxon signed rank test, as well as descriptive statistics were used in the analysis of data. Mean rank differences were observed to be statistically significant with respect to total state and trait anxiety scores; in both cases, the participants’ scores decreased after their engagement in the program. Statistically significant mean rank differences were also observed in the overall MSLSS scores and its “friends” and “environment” sub-dimensions; with respect to these, participants’ scores increased after their engagement in the program. Recommendations for more comprehensive, larger-scale studies are given at the end.


2016 ◽  
Vol 21 (5) ◽  
pp. 521-540 ◽  
Author(s):  
Jacqueline Serigos

Aims and objectives: This study aims to redress the paucity of research on the semantics of loanwords, by extending and empirically testing Backus’s ((2001). The role of semantic specificity in insertional codeswitching: Evidence from Dutch-Turkish. Jacobson, Rodolfo (Hg): Codeswitching Worldwide. Bd, 2, 125–154) Specificity Hypothesis – ‘Embedded language elements in code-switching have a high degree of semantic specificity’ (p. 128). Approach: Adopting a concept-based approach to examine loanwords in a large, reliable corpus, the study pursues the following question: Do loanwords have a high degree of semantic specificity relative to their receiving-language equivalents? Specificity is operationalized as an entropy measure of the target word’s environment, the assumption being that more specific words have less variety in their surrounding context. Data and analysis: To test this hypothesis, Anglicisms in a 24-million-word newspaper corpus of Argentine Spanish were processed in three stages: detecting loanwords, selecting semantic equivalents, and measuring specificity. Findings/conclusions: A Wilcoxon Signed-Rank Test revealed that loanwords receive significantly lower entropy scores, that is, they are more specific than their Spanish equivalents. The results suggest a possible motive for adopting loanwords when terms already exist in the source language, namely, to utilize words that provide more nuanced meaning. Originality: Methodologically, this study offers innovative applications of computational methods to loanword research, employing a distributional model to measure entropy. Theoretically, it addresses an underrepresented aspect of loanword adoption, semantics, by extending Backus’s hypothesis to loanwords and increasing its scope to data often viewed as ‘monolingual’. Significance/implications: The conclusions offer novel perspectives on loanwords with existing semantic equivalents, often viewed as ‘unnecessary’ when compared to loanwords that introduce new concepts into the recipient language (e.g. blog). With the notion of specificity, we may understand these loanwords as disruptors to the semantic system of the recipient language, dividing up the semantic space formerly occupied solely by the native equivalent, thus increasing the level of nuance expressed in the original concept.


2021 ◽  
Vol 6 (2) ◽  
Author(s):  
Dewi Nurlaela Sari

Online learning is one of the learning efforts developed during the COVID-19 pandemic. Online learning is felt to be effectiveat all levels of education. However, this is not the case with vocational education, especially in the health sector. Onlinelearning can also have an impact on the competencies that students must achieve because there is no direct interactionbetween students, lecturers, props/phantoms and place settings that can support the implementation of clinical skills. Thepurpose of this study was to determine the effect of online learning on the Practice Ability of Midwifery Students during theCovid-19 Pandemic . The type of research method used is pre eksperimental . Sampling was done by using purposivesampling totaling 30 respondents . The instrument used to measure students ' clinical practice skills is a checklist forchildbirth assistance, the statistical test carried out is through the normality test stages using Shapiro Wilk with the resultsof the data not being normally distributed so that an analysis test is carried out using the Wilcoxon Signed Rank Test. Theresults of the study obtained a p-value of 0.000 < from the alpha value (0.05). It can be concluded that there is asignificant influence between students ' ability to perform midwifery care related to the impact of online learning duringmidwifery clinical practice . It is hoped that the results of this study can be used as the basis for policies regarding thedevelopment of online learning methods that can support the achievement of competencies, especially clinical skills.


2020 ◽  
Vol 8 (7) ◽  
pp. 3850-3857
Author(s):  
Rajnik Jadav ◽  
Alankruta Dave ◽  
Swati Dabhi

Anidra (Insomnia) is a type of sleep disorder in which individual feels difficulty in falling asleep, staying asleep or both. In Ayurveda, Anidra is indicated as VataNanatmajaVikara by Acharya Charaka. Insomnia affects most of the people at any stage of life due to today’s stressful day to day life. Allopathic hypnotic drugs are used to treat insomnia in acute stage, but long-term use can lead to dependency and withdrawal symptoms along with other side effects. In present study a polyherbal compound Tagaradi Capsule consist extracts of Tagara, Jatamansi, ParsikaYavani, Ashwagandha, Brahmi, Shankhapushpi, Pippalimula and Sarpagandha is used to check its efficacy in the management insomnia. Aim: Role of Tagaradi capsule in the management of Anidra (Insomnia). Materials and methods: Total 33 newly diagnosed patients of age group 18 to 70 years of insomnia who were not taking any other hypnotic medicine were selected and administered 2 capsules each of 500 mg of Tagaradi compound extract along with a cup of warm milk at bedtime for 2 months. Assessment was done considering the overall improvement of sleep quality according to Pittsburgh Insomnia Rating Scale, im-provement in associated complains, relieving of anxiety according to Hamilton Anxiety rating Scale and relieving of depression according to Hamilton Depression Rating Scale. Observations: The information gathered on the basis of observations was subjected to statistical analysis. The Paired ‘t’ test was used to check the significance of objective criteria and Wilcoxon Signed Rank Test was used to check the signifi-cance to subjective criteria. Results: The results showed that the trial drug had highly significant effect on almost all the mentioned parameters of Insomnia.


Author(s):  
Agnieszka Kosek ◽  
Agata Wolska

Building Interpersonal Relationships in Grades 1–3 in Distance Learning Conditions Interpersonal relations are an integral part of living in society. Interpersonal competences combine activities related to communication, making new friends, solving problems or cooperating with others. Therefore, they are extremely important at every educational stage. However, building proper relations among education participants becomes more difficult when schools around the world switch to distance learning due to the COVID-19 virus pandemic. Relations between teachers and students, as well as among classmates, often undergoes various modifications, frequently deteriorating the quality of mutual contact. Distance education has also changed the role of pupils’ parents. The new situation often required from them to adapt to their child’s schedule in order to support them and help them in learning. This particularly applies to the families with younger children. In order to explain these issues, this article will present the results of research conducted among teachers and parents of pupils from grades 1–3 on the relationship at a pupil–pupil and a student–teacher level. The didactic and educational activities of teachers that are undertaken by them in order to improve contact on both these levels in the face of the new reality will also be discussed. The article will also address the topic of transformations of the abovementioned relations, which took place during and after the transition to compulsory distance learning.


2007 ◽  
Vol 25 (18_suppl) ◽  
pp. 7606-7606
Author(s):  
S. Yendamuri ◽  
A. A. Vaporciyan ◽  
T. Zaidi ◽  
R. Fernandez ◽  
D. C. Rice ◽  
...  

7606 Objectives: To study the feasibility of detecting chromosomal deletions at the 3p and 10q regions in bronchoscopic brush biopsies and touch preparations by FISH and to study their distribution in different areas of the airway in patients with NSCLC. Methods: Bronchoscopic brush biopsies from the mainstem bronchus on the normal side contralateral to the tumor (NBB) and normal mainstem bronchus on the tumor side (TBB) were obtained from 120 patients who underwent surgical resection. Touch preparations from the tumor (TTP) and normal lung parenchyma from the involved lung (NTP) and from bronchi adjacent to the tumor (TAB) were also obtained. Two FISH assays using probes complementary to 3p22.1 and 10q22.3 were used for evaluation of chromosomal deletions at each site. The ratios of the percentage of deletions detected at different anatomical sites were compared using the Wilcoxon signed rank test. Correlations between deletions at TTP and other sites were estimated with a Spearman coefficient. Results: Contralateral normal bronchial tissue (NBB) showed a relatively low deletion rate of 3p and 10q compared to TTP (p<0.0001). FISH on brush biopsies at TBB showed a significantly higher rate of deletions compared to NBB (p<0.05) for both 3p and 10q. A significantly higher deletion rate was seen at TTP compared to NTP at both the 3p (p<0.0001) and 10 q regions (p<0.0001). Significant correlations were seen between the rate of deletions between TTP and TBB at 3p (ρ=0.61, p<0.0001) and between TTP and TAB at 10q (ρ=0.64, p<0.0001). Conclusions: Chromosomal deletions of the 3p and 10q regions can be reliably detected by FISH in bronchoscopic biopsies and touch preparations. As one progresses from the contralateral normal bronchus to the bronchus on the side of tumor and the tumor itself, the percentage of chromosomal deletions increases in a statistically significant fashion,supporting an etiological role of these changes. Deletions at the bronchoscopically normal main and adjacent bronchus on the side of the tumor correlate with an increased deletion rate in the tumor itself. This suggests that FISH analysis of bronchoscopic brushes may be useful for identifying patients at high risk for developing NSCLC. No significant financial relationships to disclose.


2021 ◽  
pp. 097226292110290
Author(s):  
Amit Gupta ◽  
Abhishek Goel ◽  
Belen Bande-Vilela

This article tests a model describing the relationship between organizational cynicism and perceptions of organizational politics (POPS) and the mitigating role of empowerment and interpersonal relationships in satisfaction with work and managers. Data were collected from 361 employees of an Indian information technology (IT) services organization. The analysis of the model showed that empowerment of employees and interpersonal relations among employees alleviated the negative spiral of organizational cynicism and POPS. Lower levels of interpersonal relationships accentuated the organizational cynicism–POPS relationship.


2019 ◽  
Vol 13 ◽  
pp. 01-07
Author(s):  
NAROTTAM KUMAR

Aim of the present study was to evaluate the effect of Gayatri mantra recitation and Om recitation on selective attention as measured by color stroop. The study was performed on undergraduate students (Male=30) with age range of 18 to 30 years. All students were trained for reciting Gayatri mantra for 3 days. The baseline data were used. The participants participated in Gayatri mantra and Om recitation about 15 min for two consecutive days. The sequence of the session was assigned randomly to the participants. The attention was assessed using color stroop test before and immediately after each session. Within-group comparison showed that due to GM recitation and Om recitation, Stroop scores improved or significant improvement of Stroop scores in both groups (P < 0.001;Wilcoxon signed rank test). The percentage improvement of Stroop score was 16.16 % after GM recitation whereas 9.26 % after Om recitation. This pilot study shows that both Gayatri mantra and simply sitting led to improvement in attention, as measured by Stroop Task. But the influence of Gayatri mantra was significantly higher than Om recitation.


Author(s):  
Ika Friscila ◽  
Achadiyani Achadiyani ◽  
Endang Sutedja

Background: The role of the clinical instructor is very important in clinical learning process that preparing students to become health workers who are competent in the practical environment. Effective clinical instructor is instructor who has profesional competence, interpersonal relationships, personality characteristics, and teaching skills in the process of providing guidance. The aim of the study was to analyze the relationship between clinical instructor characteristics and the score of pregnancy care clinical skills and analyze the most influenced characteristics of clinical instructor in the score of pregnancy care clinical skills in students of the Akademi Kebidanan Sari Mulia in Banjarmasin City.Methods: This study used a cross-sectional design with 11 clinical instructors and 25 Sari Mulia Midwifery Academy students using total sampling. This study used a Nursing Effectiveness Clinical Teacher Inventory questionnaire (NCTEI) questionnaire as instrument.Results: There is a relationship between clinical instructor characteristics and the score of pregnancy care clinical skills in students, namely interpersonal relationships (p = 0.043) and personality characteristics (p = 0.024). The dominant factor associated was personality characteristics (POR = 4.4; IK 95%: 1.02-19.08) with a value of p = 0.048.Conclusion: From this study, it can be concluded that the interpersonal relationships and personality characteristics can enhance the role of clinical instructor in the clinical learning process and personality characteristics represent the clinical instructor characteristics that are most in line with the score of pregnancy care clinical skills.


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