Effect of Clinical Skills Evaluation by Direct Observation of Procedural Skills (DOPS) Method on Clinical Performance of Operating Room Students

Somayeh Nayyeri; Aliakbar Bozorgvar; Somaye Barzanouni; Toktam Masoumiyan

doi:10.5812/jme.119342

Effect of Clinical Skills Evaluation by Direct Observation of Procedural Skills (DOPS) Method on Clinical Performance of Operating Room Students

Journal of Medical Education ◽

10.5812/jme.119342 ◽

2021 ◽

Vol 20 (3) ◽

Author(s):

Somayeh Nayyeri ◽

Aliakbar Bozorgvar ◽

Somaye Barzanouni ◽

Toktam Masoumiyan

Keyword(s):

Operating Room ◽

Direct Observation ◽

Clinical Performance ◽

Clinical Skills ◽

Intervention Group ◽

Control Group ◽

Procedural Skills ◽

Whitney Test ◽

Mann Whitney Test ◽

Significant Difference

Background: Evaluation is an essential and integral part of medical education. Based on the evidence, the current common methods are less effective due to the lack of accurate assessment of students' clinical skills. Clinical evaluation of students in the form of direct observation in practical situations will increase their ability to deal with clinical events in specific patient situations. Objectives: In this study, the effectiveness of the direct observation of procedural skills (DOPS) method was compared with the common method in the clinical performance of operating room students. Methods: This quasi-experimental study was performed on 30 final-year operating room students in 2019 who had an internship course. Students were randomly assigned to two groups of control (n = 15) and intervention (n = 15). The evaluation of clinical skills was done by the traditional method in the control group and the DOPS method in the intervention group. Data collection was performed by a researcher-made checklist whose validity and reliability were confirmed. Statistical analysis of data was performed by SPSS-20 software using descriptive statistics and chi-square test, independent t-test, and Mann-Whitney test. Results: There was no significant difference between the two groups in terms of demographic characteristics including age, internship score, and gender (P > 0.05). Based on the results of the Mann-Whitney test, the mean rank of procedural techniques and clinical performance score was higher in the intervention group than in the control group (P < 0.05). Conclusions: The DOPS method can be more effective than routine methods for improving the clinical performance of operating room students. Therefore, it is suggested that the DOPS method be used as an alternative to traditional methods or even as a complementary method for evaluating the clinical performance of operating room students.

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The Effect of Hypnotherapy using Induction Hanung Technique on the Level of Cigarette Dependence and Carbon Monoxide in Exhaled Breath among Active Smokers

Holistic Nursing and Health Science ◽

10.14710/hnhs.1.1.2018.12-23 ◽

2018 ◽

Vol 1 (1) ◽

pp. 12

Author(s):

Margiyati Margiyati ◽

Meidiana Dwidiyanti ◽

Diyan Yuli Wijayanti

Keyword(s):

Carbon Monoxide ◽

Intervention Group ◽

Nursing Intervention ◽

Control Group ◽

Exhaled Breath ◽

Whitney Test ◽

Mann Whitney Test ◽

Significant Difference ◽

Cigarette Dependence ◽

And Control

Background: Smoking is a habit that causes many health problems. Nicotine substances in cigarettes cause addiction and carbon monoxide inhaled is poisonous. Hypnotherapy using induction hanung technique is an alternative which can be used to change someone’s smoking behaviors. This therapy is performed by giving hypnotic suggestions combined with a massage at acupuncture points of neguan, yintang, and taiyang. Purpose: This study aimed to analyze the effects of hypnotherapy using induction hanung technique on the level of cigarette dependence and carbon monoxide in exhaled breath among active smokers in Kesdam IV/ Diponegoro College of Nursing, Semarang.Methods: The present study employed a true-experimental pretest-posttest control group design. A total of 40 students were recruited as samples and randomly assigned to the intervention group (n=20) and control group (n=20). The intervention in the form of hypnotherapy using induction hanung technique was given for six times in two weeks. The instruments used were Fagerstorm Test for Cigarette Dependence (FTCD) and smokerlyzer. Data were analyzed with the Mann-Whitney test and independent t-test.Results: The results showed a decrease in the score of cigarette dependence level in the intervention group by 1.25 after the intervention was given with pretest mean value of 1.45 (SD=1.132). The result of Mann-Whitney test showed a significant difference in the cigarette dependence score between the intervention and control groups with a pvalue of 0.028. The level of carbon monoxide in the exhaled breath also decreased by 8.80 ppm after the intervention from the pretest mean values of 12.55 (SD=6.669). The independent sample t-test result also showed a significant difference in the carbon monoxide level between the two groups with a p-value of 0.000.Conclusion: The present findings showed that hypnotherapy using induction hanung technique affected the level of cigarette dependence and carbon monoxide in exhaled breath among the active smokers. Based on the findings, this therapy is recommended as an alternative to nursing intervention for the smoking cessation programs.

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PENGARUH MENYIKAT GIGI DENGAN SIWAK (Salvadora persica) TERHADAP pH SALIVA

Andalas Dental Journal ◽

10.25077/adj.v4i1.48 ◽

2016 ◽

Vol 4 (1) ◽

pp. 45-54

Author(s):

Yossy Juliarni ◽

Gunawan Gunawan2

Keyword(s):

T Test ◽

Control Group ◽

Case Group ◽

Salvadora Persica ◽

Control Group Design ◽

Whitney Test ◽

Mann Whitney Test ◽

Significant Difference ◽

Salivary Ph ◽

Paired T Test

Background: Salivary pH is one of factor which involved in caries development. Decreasing of salivary pH will cause enamel demineralization. Miswak (Salvadora persica) as a toothbrush because it has mechanical and chemical effects such as essential oil and bicarbonate which can stimulate salivary secretion. Thus, it will increase the buffer capacity and salivary pH lead to enamel remineralization. Objective: This study aimed to know the effect of toothbrushing with miswak (Salvadora persica) on salivary pH. Methods: The clinical experiment study with pre-test and post-test control group design. The sample of this study is the students of Faculty of Dentistry, Andalas University, Padang. There are 34 students that divided into two groups randomly that is case and control group. Case group used miswak while control group used conventional toothbrush, respectively brushing horizontally for 2 minutes. Salivary pH was measured using digital pH meter in scale of 0.0 to 14.0 with 0.1 sensitivity from pen type pH meter. The data analyzed by Shapiro-Wilk test continued by paired t-test and Mann-Whitney test. Results: paired t-test produced significant value p=0,001 in case group and p=0,000 in control group. Mann-Whitney test produced significant value p=0.317. There was no significant difference in statistic among these groups. Conclusion: Toothbrushing with miswak has effect on salivary pH. Miswak as effective as toothbrush on salivary pH Keywords:Toothbrushing, miswak (Salvadora persica), Salivar

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Evaluation of hydrogel use in the development of Rapanea ferruginea with water restriction by vibrational Fourier Transform Infrared Spectroscopy (FTIR-UATR)

Ambiente e Agua - An Interdisciplinary Journal of Applied Science ◽

10.4136/ambi-agua.2744 ◽

2021 ◽

Vol 16 (5) ◽

pp. 1-16

Author(s):

Douglas Cubas Pereira ◽

Breno Pupin ◽

Kumiko Koibuchi Sakane

Keyword(s):

Fourier Transform ◽

Infrared Spectroscopy ◽

Fourier Transform Infrared Spectroscopy ◽

Fourier Transform Infrared ◽

Control Group ◽

Water Restriction ◽

Whitney Test ◽

Mann Whitney Test ◽

Water Band ◽

Significant Difference

This study evaluated the use of hydrogel on the development of Rapanea ferruginea under water restriction through Vibrational Fourier Transform Infrared Spectroscopy (FTIR-UATR). Seedlings of approximately 30 cm height were transferred in pots with 3 L of soil. The group of seedlings was separated into 5 different triplicate treatments according to the amount of hydrogel, as follows: H1 (25%), H2 (20%), H3 (15%), H4 (10%) and S (control without hydrogel). The applied hydrogel was mixed homogeneously with the soil. All treatments were irrigated with 40 mL of water. FTIR spectra were obtained from fresh leaves collected during 13 months of monitoring. The correlation of the hydroxyl (water) band with the main biomolecules between treatments with the control was evaluated using the Mann-Whitney test (p<0.05). The biomolecule bands were subjected to principal component analysis (PCA) and hierarchical clustering analysis (HCA). The results indicate a significant correlation of the water band with the lipid, hemicellulose, cell wall and starch components in the species. The use of hydrogel resulted in a significant difference in the water absorption band in relation to the control group through the Mann-Whitney test and in biomolecules as the HCA and PCA analysis suggested. The best development was observed in groups H4 (10%), H2 (20%) and H3 (15%). The use of hydrogel positively influences the biomolecular development of the Rapanea ferruginea and monitoring is viable by FTIR. Keywords: FTIR infrared spectroscopy, plant water management, superabsorbent polymer.

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Effects of Early Warning Score (EWS) Tutorial Simulation on Nurses' Knowledge and Clinical Performance

Nurse Media Journal of Nursing ◽

10.14710/nmjn.v9i2.24821 ◽

2019 ◽

Vol 9 (2) ◽

pp. 231-241

Author(s):

Roshy Damayanti ◽

Yanny Trisyani ◽

Aan Nuraeni

Keyword(s):

Early Warning ◽

Clinical Performance ◽

Intervention Group ◽

Early Warning Score ◽

Control Group ◽

Training Methods ◽

Chi Square ◽

Significant Difference ◽

And Control ◽

Nurses Knowledge

Background: The Early Warning Score (EWS) system has been recommended for early identification tool of deterioration. However, its implementation has not been optimal; one of which is due to the low level of knowledge and understanding of EWS among nurses.Purpose: This study aimed to determine the effects of EWS tutorial simulation on nurses’ knowledge and clinical performance.Methods: This study employed a pretest posttest quasi-experimental design with a control group. Purposive sampling was used to recruit the samples of 42 respondents each in the intervention group and control group. The data were collected using the questionnaires to measure the knowledge and clinical performance, and analyzed using Chi square, Wilcoxon and Mann-Whitney tests.Results: The results showed that there were differences in the pre-test and post-test of knowledge and clinical performance in the intervention group and control group (p<0.001). There was also a significant difference in clinical performance between the intervention group and the control group (p<0.001). However, no significant difference in knowledge was found between.Conclusions: Tutorial simulation of EWS had an effect on increasing nurses’ clinical performance. Although there was no significant difference in knowledge between the intervention group and the control group, but the intervention group showed a better value than the control group. EWS tutorial simulation can be used as one of the training methods to increase nurses' knowledge and clinical performance in EWS.

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Assessment of The Effect of Interprofessional Professionalism Training On The Surgical Team Members' Perception of The Ethical Climate

10.21203/rs.3.rs-842059/v1 ◽

2021 ◽

Author(s):

Fatemeh Keshmiri ◽

Azam Hoseinpour

Keyword(s):

Operating Room ◽

Interprofessional Education ◽

Ethical Climate ◽

Intervention Group ◽

Educational Interventions ◽

Control Group ◽

Educational Systems ◽

Control Groups ◽

Significant Difference ◽

And Control

Abstract BackgroundThe aim of present study was to assess the effect of interprofessional education concerning interprofessional professionalism on learners' perception of the ethical climate of the operating room.MethodThe present study is quasi-experimental design. Learners include surgical residents, operating room technicians, and anesthesia technicians (n=130) that distributed to intervention and control groups. The objectives of the intervention were the development of competencies of ethics and professionalism (including communication, altruism, respect, and excellence). The educational strategy was interprofessional education and the main method of training was scenario-based learning. Participants completed the Olson Moral Climate Questionnaire before and one month after the intervention. We used descriptive tests (mean, SD, percentage), student t-test and ANOVA to compare the scores of learners in the intervention and control groups.ResultsThe results of the study showed that the scores of the learners in the intervention group 4.05 (0.31) improved significantly compared to the control group 3.35 (0.37) (P = 0.0001). The scores of learners in the domain of “managers” improved higher and the domain of physicians improved lesser than other domains. There was no significant difference between the three groups of residents, operating room, and anesthesia technicians in terms of moral climate scores.ConclusionIn the present study showed the positive effect of interprofessional education interventions on individuals' perceptions of the operating room ethical climate. It is suggest that educational interventions be planned and implemented continuously in the educational systems and hospitals.

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Pengaruh Diabetes Self Management Education (DSME) terhadap Self Management pada Pasien Diabetes Mellitus

Jurnal Ilmiah Kesehatan ◽

10.48144/jiks.v12i2.174 ◽

2019 ◽

Vol 12 (2) ◽

Author(s):

Trina Kurniawati ◽

Titih Huriah ◽

Yanuar Primanda

Keyword(s):

Diabetes Mellitus ◽

Management Education ◽

Intervention Group ◽

Simple Random Sampling ◽

Wilcoxon Test ◽

Self Management ◽

Control Group ◽

P Value ◽

Whitney Test ◽

Mann Whitney Test

AbstrakEdukasi kepada pasien Diabetes Mellitus (DM) yang dapat memperbaiki hasil klinis adalah Diabetes Self Management Education (DSME). DSME merupakan salah satu metode yang dapat memfasilitasi pengetahuan dan keterampilan. Penelitian ini bertujuan untuk mengetahui pengaruh Diabetes Self Management Education terhadap Self Management pada pasien DM. Penelitian ini menggunakan metode penelitian quasi experimental dengan control group pre test- post test design. Teknik pengambilan sampel menggunakan teknik Simple random sampling dengan jumlah sampel sebanyak 46 orang yang terbagi menjadi 23 orang pada kelompok intervensi mendapatkan DSME sebanyak 4 sesi dalam satu bulan dan 23 orang pada kelompok kontrol mendapatkan edukasi dari Program PERSADIA. Instrumen yang digunakan menggunakan kuesioner. Analisis statistik menggunakan Wilcoxon dan Mann Whitney test. Hasil penelitian menunjukkan bahwa P value uji Wilcoxon test sebesar 0,000 pada kelompok intervensi, P value uji Mann Whitney test adalah 0,000 pada variabel self management. Berdasarkan hasil uji statistik didapatkan p<0,05 yang menunjukkan bahwa terdapat perbedaan nilai self management antara kelompok intervensi dengan kelompok kontrol secara signifikan. Kesimpulan penelitian ini adalah DSME dapat meningkatkan self management pada pasien DM. Disarankan petugas kesehatan dapat memberikan DSME untuk meningkatkan self management pasien diabetes dan menggunakan DSME sebagai program promosi kesehatan.Kata kunci: Diabetes Mellitus; DSME;Self Management The Influnce of Diabetes Self Management Education (DSME) to the Self Management on the Diabetes Patient AbstractEducation to patients Diabetes Mellitus (DM) who can improve clinical outcomes is Diabetes Self Management Education (DSME). DSME is one method that can facilitate knowledge and skills. The purpose of this research is to determine the effect of Diabetes Self Management Education (DSME) to Self Management on the diabetes patients. This study is used the quasi experimental research method with control group pre test post test design. The sampling technique used Simple random sampling with a samples of 46 people and it is devided 23 people in the intervention group get DSME as much as 4 sessions in one month and 23 people in the control group get education programe at PERSADIA. The instrument used was questionnaire. Statistical analysis used Wilcoxon and Mann Whitney test. The results showed that P value of Wilcoxon test was 0.000 in the intervention group, P test value of Mann Whitney test was 0.000 in self management variable. Based on statistical test results obtained p <0.05 which indicates that there are differences in self-management value between the intervention group and the control group significantly. The conclusions of this research is DSME can improve self-management on the patients with diabetes. It is recommended that health workers can provide DSME to improve self-management in diabetic patients and use DSME as a health promotion program.Keywords : Diabetes Mellitus, DSME, Self Management

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Pengaruh Menyikat Gigi dengan Siwak (Salvadora Persica) Terhadap pH Saliva

Andalas Dental Journal ◽

10.25077/adj.v8i1.48 ◽

2020 ◽

Vol 8 (1) ◽

pp. 49-56

Author(s):

Yossy Juliarni ◽

Gunawan Gunawan

Keyword(s):

T Test ◽

Control Group ◽

Case Group ◽

Salvadora Persica ◽

Control Group Design ◽

Whitney Test ◽

Mann Whitney Test ◽

Significant Difference ◽

Salivary Ph ◽

Paired T Test

Background: Salivary pH is one of factor which involved in caries development. Decreasing of salivary pH will cause enamel demineralization. Miswak (Salvadora persica) as a toothbrush because it has mechanical and chemical effects such as essential oil and bicarbonate which can stimulate salivary secretion. Thus, it will increase the buffer capacity and salivary pH lead to enamel remineralization. Objective: This study aimed to know the effect of toothbrushing with miswak (Salvadora persica) on salivary pH. Methods: The clinical experiment study with pre-test and post-test control group design. The sample of this study is the students of Faculty of Dentistry, Andalas University, Padang. There are 34 students that divided into two groups randomly that is case and control group. Case group used miswak while control group used conventional toothbrush, respectively brushing horizontally for 2 minutes. Salivary pH was measured using digital pH meter in scale of 0.0 to 14.0 with 0.1 sensitivity from pen type pH meter. The data analyzed by Shapiro-Wilk test continued by paired t-test and Mann-Whitney test. Results: paired t-test produced significant value p=0,001 in case group and p=0,000 in control group. Mann-Whitney test produced significant value p=0.317. There was no significant difference in statistic among these groups. Conclusion: Toothbrushing with miswak has effect on salivary pH. Miswak as effective as toothbrush on salivary pH. Keywords:Toothbrushing, miswak (Salvadora persica), Salivar

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EFFECT OF ACUPRESSURE THERAPY POINT LI 4, SP 6, AND BL 60 ON DURATION OF THE FIRST STAGE OF LABOR IN PRIMIGRAVIDA AND NEWBORN’S APGAR SCORE

Belitung Nursing Journal ◽

10.33546/bnj.294 ◽

2017 ◽

Vol 3 (6) ◽

pp. 697-701

Author(s):

Fara Imelda Theresia Patty ◽

Suhartono Suhartono ◽

Ngadiyono Ngadiyono ◽

Mardiyono Mardiyono

Keyword(s):

Public Health ◽

Health Center ◽

Apgar Score ◽

Control Group ◽

P Value ◽

Whitney Test ◽

Mann Whitney Test ◽

Significant Difference ◽

And Control ◽

First Stage Of Labor

Background: The prolonged partus is one of the causes of maternal deaths marked by the slow progress of labor. Induction of labor and caesarean section is a common procedure performed on long-term partus events to end pregnancy. The birth acupressure technique is a complementary method to activate the hormone oxytocin at a certain point to use to soften the cervix and increase contraction.Objective: To examine the effect of acupressure point LI4, SP6 and BL60 on the duration of the first stage of labor and APGAR Score of newborn in primigravida.Methods: This research employed a Quasy experimental study with posttest control group design. It was conducted at the Public Health Center of Trauma and Public Health Center of Palaran Samarinda, East Kalimantan. There were 40 respondents selected using purposive sampling, which 20 respondents assigned in the experiment and control group. The duration of the first stage of labor was assessed using partograph and APGAR Score was assessed using APGAR Score assessment sheets. Mann Whitney test was used for data analysisResults: Findings showed that the duration of the first stage of labor in the experiment group was 187 minutes and in the control group was 307 minutes. Mann Whitney test obtained p-value 0.001 (<0.05), which indicated that there was a statistically significant difference of the duration of the first stage of labor between both groups. However, Mann Whitney test for APGAR score showed p-value 0.114 (>0.05), which indicated that there was no significant difference of APGAR score in the experiment and control group.Conclusion: There was a significant effect of acupressure on the duration of the first stage of labor, but no effect of the APGAR score. Therefore, acupressure may be recommended to shorten the duration of the first stage of delivery in primigravida.

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The effect of surgical preference card on the clinical self-efficacy of operating room students

Nursing Practice Today ◽

10.18502/npt.v7i3.3346 ◽

2020 ◽

Author(s):

Mohammad Reza Zarei ◽

Sara Bagheri ◽

Amin Sedigh ◽

Mohammad Ghasembandi

Keyword(s):

Operating Room ◽

Clinical Education ◽

Self Efficacy ◽

Intervention Group ◽

Surgical Care ◽

Control Group ◽

Chi Square ◽

Wide Range ◽

Significant Difference ◽

Educational Aid

Background & Aim: A wide range of clinical education of operating room students is done in the operating room. One of the problems in students' clinical education is the lack of appropriate learning tools in the operating room. The use of educational tools that improve students' performance affects students' self-efficacy in the operating room. So, the purpose of this study was to investigate the influence of the surgical preference card as an educational aid tool on the self-efficacy of the operating room students. Methods & Materials: This quasi-experimental study was carried out on 64 operating room students of Isfahan University of Medical Sciences at AL-Zahra Hospital in the year 2018. Participates were selected through convenience sampling and were divided into experimental (n=32) and control (n=32) groups. The students in the intervention group performed surgical care with using the surgical preference card. The data collection tool was a clinical self-efficacy questionnaire. Data were analyzed with SPSS-21 software using the independent-t, paired t-test, and chi-square test. Results: The findings of this study showed that there was no significant difference between the average self-efficacy score of the control group before and after the intervention (p>0.05). while the average self-efficacy score of the experimental group increased significantly after the intervention as compared with before the intervention (p <0.001). Conclusion: The surgical preference card as an educational aid tool improved the students' selfefficacy. Therefore, it is recommended to use this tool for the clinical education of other operating room students.

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Methodological Choices In Detecting Divergent Earnings: An Extension

Journal of Applied Business Research (JABR) ◽

10.19030/jabr.v18i1.2107 ◽

2011 ◽

Vol 18 (1) ◽

Author(s):

David T. Doran

Keyword(s):

Statistical Tests ◽

Market Price ◽

Nonparametric Tests ◽

Control Group ◽

Type Ii ◽

Type Ii Error ◽

Whitney Test ◽

Mann Whitney Test ◽

Significant Difference ◽

The Common

Divergent earnings are those that differ from expected.  Doran (2000) provides evidence that nonparametric tests based upon rank values are superior to parametric alternatives in detecting divergent earnings.  He also finds that deflator choice (i.e., forecasted earnings or market price of the stock) is of little importance when superior nonparametric methods are used.  This study extends the efforts of Doran (2000) by testing for benefit derived from the common research method of deflating earnings data.  The data used here is the same as used by Doran (2000), where Value Line is the source of all earnings data.  One hundred independent two sample tests are performed between a positive earnings group and a matched control group.  The tests are performed with various levels (1%, 3%, 5%, 7%, and 10 %) of positive actual earnings introduced.  Failure to reject the null hypothesis of no positive earnings divergence indicates the existence of Type II error (determined using the nonparametric Mann Whitney test).  The Mann Whitney test was performed on the undeflated data, and the same data deflated by: 1) forecasted earnings, and 2) market price of the stock.  Difference in frequency of type II error is determined using the Chi-square test.  The results generally indicate no significant difference in the ability to identify abnormal divergent earnings when utilizing deflated data.  Statistical tests are found here to be at least as powerful when undeflated earnings data are used.  There is weak evidence supporting the notion that deflating earnings data inhibits the ability to detect abnormal earnings.  These findings indicate that the common practice of deflating earnings data is unnecessary, and may actually weaken the power of statistical tests.

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