Abstract
The learning process in higher nursing education develops student competences, such as applying standard precautions, in providing professional nursing care. To improve student knowledge and compliance related to standard precautions requires innovation from lecturers in providing appropriate learning methods. Peer-assisted learning (PAL) can enhance the active role of students and improve achievement. The PAL method involves senior students as peer teachers who help junior students. Using a questionnaire as an assessment instrument, this study aimed to determine the effectiveness of PAL on knowledge and compliance in the application of standard precautions in student nurses. This study design was quasi experimental with pre and post assessment and a control group design approach. This research was conducted at the D Hospital in Padang, Indonesia, a hospital where students practice. This study was conducted in June–September 2017 with a sample size of 45. Data analysis using paired t-test showed that the average values of the level of knowledge and skills of students in the application of standard precautions before and after PAL methods differed significantly in the intervention group (p= 0.001). In conclusion, PAL can be applied in the learning process of nursing students to increase student achievement.
Abstrak
Efektifitas Metode Peer-Assisted Learning (PAL) terhadap Tingkat Pengetahuan dan Kepatuhan Mahasiswa Dalam Penerapan Kewaspadaan Standar. Proses pembelajaran dalam pendidikan tinggi keperawatan mengembangkan kompetensi siswa, seperti menerapkan tindakan pencegahan standar, dalam memberikan asuhan keperawatan profesional. Untuk meningkatkan pengetahuan dan kepatuhan mahasiswa terkait kewaspadaan standar, dibutuhkan inovasi dari dosen dalam memberikan metode pembelajaran yang tepat. Peer-assisted learning (PAL) dapat mening-katkan peran aktif siswa dan meningkatkan prestasi. Metode PAL melibatkan mahasiswa senior sebagai peer-teacher yang membantu mahasiswa junior. Menggunakan kuesioner sebagai instrumen penilaian, penelitian ini bertujuan untuk menentukan efektivitas PAL pada pengetahuan dan kepatuhan dalam penerapan kewaspadaan standar pada maha-siswa keperawatan. Desain penelitian ini adalah quasi experiment dengan penilaian pre dan post dan pendekatan control group design. Penelitian ini dilakukan di Rumah Sakit D di Padang, Indonesia, sebuah rumah sakit tempat praktik mahasiswa. Penelitian ini dilakukan pada Juni–September 2017 dengan sampel 45. Analisis data menggunakan paired t-test menunjukkan bahwa nilai rerata tingkat pengetahuan dan keterampilan mahasiswa dalam penerapan kewaspadaan standar sebelum dan sesudah metode PAL berbeda secara signifikan pada kelompok intervensi (p= 0,001). Kesimpulannya, PAL dapat diterapkan dalam proses belajar siswa keperawatan untuk meningkatkan prestasi siswa.
Kata kunci: kewaspadaan standar, mahasiswa keperawatan, peer-assisted learning (PAL)
References
- Al-Rawajfah, O.M., & Tubaishat, A. (2015). Nursing students knowledge and practices of standard precautions: A Jordanian web-based survey. Nurse Education Today, 35 (12), 1175–1180. doi: 10.1016/j.nedt.2015.05.011.
- Beard, J.H., O’Sullivan, P., Palmer, B.J.A., Qiu, M., & Kim, E.H. (2012). Peer assisted learning in surgical skills laboratory training: A pilot study. Medical Teacher, 34 (11), 957–959. doi: 10.3109/0142159X.2012.706340.
- Berman, A.T. & Snyder, S. (2012). Kozier & Erb’s Fundamentals of Nursing: Concepts, Process and Practice. London: Pearson Education.
- Bugaj, T.J., Blohm, M., Schmid., C., …, Nikendei, C. (2019). Peer-assisted learning (PAL): Skills lab tutors’ experiences and motivation. BMC Medical Education, 19 (353), 1–14. doi: 10.1186/s12909-019-1760-2.
- Carr, S.E., Brand, G., Wei, L., Nicol, P., Metcalfe, H., …, Foley, L. (2016). Helping someone with a skill sharpen it in your own mind: A mixed method study exploring health professions student experiences of peer assisted learning (PAL). BMC Medical Education 16 (48), 1–10. doi: 10.1186/s12909-016-0566-8.
- Chan, R., Molassiotis, A., Chan, E., Chan, V., Ho, B., Lia, C., Lamp, C., Shift, F., & Yiu, L. (2002). Nurses knowledge of and compliance with universal precautions in an acute care hospital. International Journal Nurses Student, 39 (2), 157–163.
- Cheung, K., Chan, C.K., Chang, M.Y., Chu, P.H., Fung, W.F., …. Mak, H.M. (2015). Predictors for compliance of standard precautions among nursing students. American Journal of Infection Control, 43 (7), 729–734. doi: 10.1016/j.ajic.2015.03.007.
- Gilmour, J., Kopeikin, A., & Douche, J. (2007). Student nurses as peer-mentors: Congeniality in practice. Nurse Education Practice, 7 (1), 36–43.
- Hammond, J.A., Bithell, C.P., Jones, L., & Bidgood, P. (2010). A first year experience of student-directed peer-assisted learning. Active Learning in Higher Education, 11 (3), 201–212. doi: 10.1177/14697874103796 83.
- Hamso, M., Ramsdell, A., Balmer, D., & Boquin, C. (2012). Medical students as teachers at CoSMO, Columbia University's student-run clinic: A pilot study and literature review. Medical Teacher, 34 (3), 189–197. doi: 10.3109/0142159X.2012.642832.
- Li, H.C., Wang, L.S., Lin, Y.H., & Lee, I. (2010). The effect of a peer-mentoring strategy on student nurse stress reduction in clinical practice. International Nursing Review, 58 (2), 203–210. doi: 10.1111/j.1466-7657.2010.00839.x.
- Lockspeiser, T.M., O’Sullivan, P., Teherani, A., & Muller, J. (2008). Understanding the experience of being taught by peers: The value of social and cognitive congruence. Advances in Health Sciences Education: Theory and Practice, 13 (3), 361–372. doi: 10.1007/s10459-006-9049-8.
- McKenna, L., & French, J. (2011). A step ahead: Teaching undergraduate students to be peer teachers. Nurse Education in Practice, 11 (2), 141–145. doi: 10.1016/j.nepr.2010.10. 003.
- Owen, A., & Ward-Smith, P. (2014). Collaborative learning in nursing simulation: Near-peer teaching using standardized patients. Journal of Nurse Education, 53 (3), 170–173.
- Patil, A.A., & Chaudhari, V.L. (2016). Students’ perception of the educational environment in medical college: A study based on DREEM questionnaire. Korean Journal of Medical Education, 28 (3), 281–288.
- Pelloux, S., Gregoire, A., Kirmizigul, P., Maillot, S., … Rimmele, T. (2017). Peripheral venous catheter insertion simulation training: A randomized controlled trial comparing performance after instructor-led teaching versus peer-assisted learning. Anaesthesie Critical Care Pain Medication, 36 (6), 397–402. doi: 10.1016/j.accpm.2016.11.007.
- Ross, M.T., & Cameron, H.S. (2007). Peer assisted learning: A planning and implementation framework: AMEE Guide no 30. Medical Teacher, 29 (6), 527–545. doi: 10.1080/01421590701665886.
- Scheckel, M. (2016). Nursing education: Past, present, future. Retrieved from http://www. jblearning.com/samples/0763752258/52258_CH02_Roux.pdf.
- Secomb, J. (2008). A systematic review of peer teaching and learning in clinical education. Journal of Clinical Nursing, 17 (6), 703–716. doi: 10.1111/j.1365-2701.2007.01954.x.
- Sheahan, L., While, E., & Bloomfield, J. (2015). An exploratory trial exploring the use of a multiple intelligences teaching approach (MITA) for teaching clinical skills to first year undergraduate nursing students. Nurse Education Today, 35 (12), 1148–1154. Simorangkir, S.J.V. (2015). Peer Assisted Learning in anatomy learning. Jurnal Pendidikan Kedokteran Indonesia, 4 (2), 58–64.
- Ten Cate, O., Van de Vorst, I., & Van den Broek, S. (2012). Academic achievement of students tutored by near-peers. International Journal of Medical Education, 3 (6), 6–13. doi: 10.5116/ijme.4f0c.9ed2.
- Willians, B., Fellow, H., Eastwood, K., & Wallis, J. (2014). Peer teaching experience of final year paramedic students: 2011–2012. Journal of Peer Learning, 7 (1), 81–91.
- Williams, B., Olaussen, A., & Peterson, E.L. (2015). Peer-assisted teaching: An interventional study. Nurse Education in Practice, 15 (4), 293–298. doi: 10.1016/j.nepr.2015.03.008.
- Yu, T.C., Wilson, N.C, Singh, P.P., Lemanu, D.P., Hawken, S.J., & Hill, A.G. (2011). Medical students-as-teachers: A systematic review of peer-assisted teaching during medical school. Advances in Medical Education and Practice, 23 (2), 157–172. doi: 10.2147/AM EP.S14383.