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"Latar belakang: Chief resident merupakan bagian penting dalam proses pendidikan di program studi pendidikan dokter spesialis (PPDS). Salah satu kompetensi chief resident adalah membimbing residen juniornya, namun kompetensi ini jarang diajarkan secara formal. Telah dilakukan program pelatihan Resident as Teacher dengan durasi 5 jam untuk 20 chief resident di PPDS Ilmu Penyakit Dalam Fakultas Kedokteran Universitas Indonesia. Penelitian ini bertujuan mengevaluasi efek pelatihan tersebut terhadap kemampuan membimbing chief resident.dengan menggunakan metode Kirkpatrick tingkat 1 hingga 3. Metode: Penelitian kualitatif dengan dengan rancangan fenomenologi. Rancangan fenomenologi ini berupa deskripsi perspektif chief resident dan senior mengenai peningkatan kemampuan membimbing chief resident PPDS IPD FKUI setelah mengikuti pelatihan RaT. Sesuai dengan metode evaluasi Kirkpatrick, dilakukan evaluasi kepuasan peserta pelatihan, peningkatan pengetahuan pasca pelatihan, dan Focus Group Discussion untuk chief dan residen junior. Dilakukan pula triangulasi berupa observasi ronde chief dan observasi acara ilmiah siang serta analisis kasus negatif berupa in depth interview serta studi dokumen. Hasil: Berdasarkan hasil kuesioner kepuasan peserta pelatihan, materi pelatihan RaT bermanfaat untuk chief, praktis untuk diterapkan, sesi dalam pelatihan menarik dan instruktur dapat membawakan materi dengan baik. Hasil pre dan post test serta FGD menunjukkan peningkatan pengetahuan chief resident mengenai teknik microskills dan pemberian umpan balik efektif. Materi pelatihan RaT mampu laksana namun hambatan yang didtemui adalah kesulitan mencari waktu membimbing di antara beban pelayanan di Rumah Sakit Cipto Mangunkusumo (RSCM) dan kesulitan memberi umpan balik positif. Simpulan: Pelatihan RaT yang telah dilakukan sesuai dengan kebutuhan chief resident dan mampu meningkatkan pengetahuan serta keterampilan membimbing chief resident. Sebagian besar chief resident belum dapat memberi umpan balik positif. Selain itu, waktu membimbing terbatas karena tugas pelayanan yang banyak di RSCM.

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Background: Teaching junior resident and medical student is one of the responsibilities of chief resident. However, teaching skill is rarely trained formally to them. A format of Resident as Teacher (RaT) training program was developed and conducted for 20 chief residents in Internal Medicine Residency Program. The aim of this study is to evaluate the improvement of chief?s teaching skill after joining this training program, based on the first three steps of Kirkpatrick evaluation program.

Methods: Qualitative research based on phenomenology study was performed within two months after the training. Program questionnaire and pre-post test were conducted to evaluate the first (reaction) and second (learning) step of Kirkpatrick evaluation method respectively. The third step (behavior change) was evaluated by performing Focus Group Discussion for chief residents and junior residents. To increase the validity of the study, triangulation by doing indirect observation or rounds, classroom based activities and document study were done. Negative case analysis was also performed to explore further about the result of FGD.

Result: Based on the questionnaire, the participants were satisfied by the RaT program. Pre and post test evaluation and FGD show that there is improvement of knowledge about teaching and giving effective feedback. FGD results supported by observations and document study show that chiefs applied the microskills technique but had difficulty in giving positive feedback, as well as finding appropriate time for discussion within very busy schedule of junior resident in the main teaching hospital.

Conclusion: The training fulfills the need of chief resident, improves knowledge of teaching method and giving constructive feedback. However the chief residents was not used to give positive feedback to the junior residents and the busy clinical situation was identified as barrier to effective chief to junior resident learning process."

"Kejadian missed nursing care masih tinggi di seluruh dunia. Missed nursing care dapat berdampak terhadap kualitas asuhan keperawatan dan keselamatan pasien. Pengembangan profesional berkelanjutan perawat merupakan salah satu sarana bagi perawat dalam melakukan pembelajaran klinis di ruangan salah satunya sebagai upaya pencegahan missed nursing care di ruang rawat inap. Penelitian ini bertujuan untuk mengembangkan model pembelajaran klinis terhadap missed nursing care. Desain penelitian riset terdiri 3 tahap penelitian. Tahap 1 merupakan studi eksplorasi yang dilakukan dengan desain mixed methode dengan pendekatan kualitatif fenomenologi dan kuantitatif deskriptif cross sectional. Hasil tahap 1 didapatkan 7 tema, sementara hasil kuantitatif menunjukan gambaran missed nursing care dan faktor - faktor yang berkaitan pengembangan profesional berkelanjutan. Tahap 2 pengembangan model berdasarkan teori quality of health care model Donabedian, caring Swanson dan Social learning teori Bandura. Hasil pengembangan model tahap 3 didapatkan model yang meliputi 3 komponen yaitu Motivasi, Kepemimpinan dan Aktivitas pembelajaran klinis. Hasil penelitian tahap evaluasi didapatkan perbedaan yang signifikan kompetensi perawat dalam pencegahan missed nursing care sebelum dan sesudah implementasi model pembelajaran “MiLA” (p-value=0,001, α: 0,05). Model ini disarankan untuk digunakan sebagai salah satu upaya meningkatkan kualitas asuhan keperawatan, dan upaya pencegahan missed nursing care di rumah sakit.

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The incidence of missed nursing care is still high worldwide. Missed nursing care can impact the quality of nursing care and patient safety. Continuous professional development of nurses is one of the means for nurses to conduct clinical learning in the room, one of which is an effort to prevent missed nursing care in the inpatient room. This study aims to develop a clinical learning model for missed nursing care. The research design consisted of three stages of research. Phase 1 is an exploratory study conducted with a mixed-methods design with a phenomenological qualitative approach and cross-sectional descriptive quantitative. The results of stage 1 obtained seven themes, while the quantitative results showed an overview of missed nursing care and factors related to continuing professional development. Stage 2 model development is based on Donabedian's quality of health care model, Swanson's caring theory, and Bandura's social learning theory. The results of stage 3 model development obtained a model that includes three components, namely motivation, leadership, and clinical learning activities. The results of the evaluation phase of the study found significant differences in nurse competence in preventing missed nursing care before and after the implementation of the "MiLA" learning model (p-value = 0.001, α = 0.05). This model is recommended to be used in an effort to improve the quality of nursing care and prevent missed nursing care in hospitals."

"Lingkungan pembelajaran klinik di rumah sakit berpotensi mendorong pencapaian kompetensi IPE/IPCP mahasiswa dan meningkatkan kemampuan IPCP staf pengajar klinik. Upaya faculty development (FD) mempersiapkan staf pengajar klinik sebagai fasilitator IPE penting untuk keberhasilan implementasi kurikulum IPE. Namun, hingga saat ini belum ada model yang dapat menjadi acuan. Tujuan penelitian adalah menghasilkan model FD untuk mempersiapkan staf pengajar dari berbagai profesi kesehatan sebagai fasililitator IPE tahap klinik di rumah sakit.Penelitian ini menggunakan metode campuran dengan desain transformasi longitudinal di FKUI, FKKKMK UG, FK UII, dan FK UNS. Penelitian dilakukan dalam tiga tahap yaitu analisis kebutuhan komprehensif dan pengembangan model FD, penerjemahan model FD dalam penyusunan modul FD, dan uji coba serta evaluasi efektivitas modul. Penelitian dilakukan pada periode Januari 2023 hingga Agustus 2024. Responden penelitian adalah pimpinan institusi, IPE champion, IPE lead, staf pengajar klinik dan mahasiswa berbagai profesi kesehatan yang pernah terlibat dalam kurikulum IPE klinik. Data dikumpulkan dengan metode wawancara mendalam, FGD dan survei menggunakan kuesioner teaching competency for interprofessional education yang diadaptasi ke dalam situasi klinik di Indonesia.Penelitian telah menghasilkan kuesioner adaptasi yang valid dan reliabel untuk menilai persepsi staf pengajar dan mahasiswa tentang kompetensi fasilitator IPE klinik dan karakteristik pendidik klinik yang baik dalam konteks interprofesional. Hasil uji statistik menunjukkan tidak ada perbedaan bermakna antara persepsi staf pengajar dan mahasiswa. Penelitian menghasilkan model FIND yang terdiri atas empat prinsip meliputi to Foster optimal support from institution, to Involve IPE champions and IPE leads as initiator, innovator, communicator and coordinator, to Nurture faculty members’ competencies through an adequate needs analysis and faculty development, to Deliver faculty development with thorough preparation, targeted implementation and measured evaluation. Penerjemahan model FIND menghasilkan program FD yang dilaksanakan melalui modul pelatihan keterampilan memfasilitasi dinamika kelompok interprofesional di tatanan klinik. Prinsip pada model FIND diterapkan dengan cermat dalam penyusunan modul pelatihan. Kegiatan pelatihan berjalan lancar, partisipasi dan keterlibatan aktif peserta baik, tujuan pembelajaran yang disampaikan pada modul dapat tercapai. Peserta puas dengan pelatihan yang dilakukan, terdapat peningkatan persepsi sebelum dan sesudah pelatihan tentang berbagai kompetensi fasilitator IPE klinik. Dengan demikian dapat disimpulkan model FIND sesuai untuk pengembangan staf pengajar sebagai fasilitator IPE di tatanan klinik di Indonesia.

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Clinical learning environment in hospitals has the potential to encourage the achievement of IPE/IPCP competencies of students and improve the IPCP abilities of clinical teaching staff. Faculty development (FD) efforts to prepare clinical teaching staff as IPE facilitators are important for the successful implementation of the IPE curriculum. However, there is no model that can be a reference. The purpose of the study is to develop an FD model to prepare teaching staff from various health professions as facilitators of IPE in the clinical stage in hospitals.

This study uses a mixed method with longitudinal transformation design in FKUI, FKKKMK UG, FK UII, and FK UNS. The research was carried out in three stages, namely comprehensive needs analysis and development of the FD model, translation of the FD model in the preparation of the FD module, and trial and evaluation of module effectiveness. This study was conducted from January 2023 to August 2024. The respondents of the study were institutional leaders, IPE champions, IPE leads, clinical teaching staff and students of various health professions who had been involved in the clinical IPE curriculum. Data were collected using in-depth interview methods, FGDs and surveys using teaching competency questionnaires adapted to clinical situations in Indonesia.

This study has produced a valid and reliable adaptation questionnaire to assess the perception of teaching staff and students about the competence of clinical IPE facilitators and the characteristics of good clinical educators in an interprofessional context. The results showed that there was no difference between the perception of teaching staff and students. This study has produced a FIND model consisting of four principles including to Foster optimal support from institution, to Involve IPE champions and IPE leads as initiator, innovator, communicator and coordinator, to Nurture faculty members' competencies through an adequate needs analysis and faculty development, to Deliver faculty development with thorough preparation, targeted implementation and measured evaluation. The translation of the FIND model resulted in a skills training module to facilitate the intreprofessional group dynamics in the clinical setting. The principles in the FIND model are carefully applied in the preparation of training modules. The training activities went smoothly, the active participation and involvement of participants was good, and the learning objectives conveyed in the module could be achieved. Participants were satisfied with the training conducted. There was an increase in perception before and after the training about the various competencies of clinical IPE facilitators. Thus, it can be concluded that the FIND model is suitable for the development of teaching staff as IPE facilitators in clinical settings in Indonesia."