The Effect of Emergency Escape Room Simulation on Knowledge, Anxiety, and Satisfaction Levels of Students: A Randomized Controlled Trial.

The Effect of Standardized Patient use in Teaching Preoperative Care Practices on Students' Knowledge, Skills, and Anxiety in Clinical Practice

The acute respiratory disease caused by the 2019 Novel Coronavirus (2019-nCoV) is officially named Severe Acute Respiratory Syndrome-Coronavirus 2 (SARS-CoV-2). SARS-CoV-2 causes the disease Coronavirus Disease 2019 (COVID-19). To overcome the spread of COVID-19, the government has imposed restrictions on residents' activities by enforcing the Large-Scale Social Restrictions (PSBB) regulations. This condition causes anxiety in the community. It is suspected that the level of knowledge will affect the level of stress and anxiety of middle and high school students. Aim. Knowing whether there is a relationship between the level of knowledge about COVID-19 with the stress and anxiety levels of junior and senior high school students during vaccination at the Poltekkes Kemenkes Tanjungpinang. Method. The method used is a cross sectional analytic approach with the use of the Slovin formula in determining the number of samples. The necessary data were obtained through a questionnaire during vaccination. This research took place from May to July 2021. Results. The research sample was obtained as many as 129 students. Based on the Spearman correlation test, the p value = 0.036, indicating a relationship between the level of knowledge and the level of perceived anxiety, as well as between the level of knowledge and the level of stress showed a relationship marked by the value of p = 0.040. Conclusion. There is a sufficient relationship between the level of knowledge about COVID-19 and the level of anxiety and stress during the PSBB period for junior high and high school students during vaccination at the Poltekes Kemenkes Tanjungpinang.The acute respiratory disease caused by the 2019 Novel Coronavirus (2019-nCoV) is officially named Severe Acute Respiratory Syndrome-Coronavirus 2 (SARS-CoV-2). SARS-CoV-2 causes the disease Coronavirus Disease 2019 (COVID-19). To overcome the spread of COVID-19, the government has imposed restrictions on residents' activities by enforcing the Large-Scale Social Restrictions (PSBB) regulations. This condition causes anxiety in the community. It is suspected that the level of knowledge will affect the level of stress and anxiety of middle and high school students. Aim. Knowing whether there is a relationship between the level of knowledge about COVID-19 with the stress and anxiety levels of junior and senior high school students during vaccination at the Poltekkes Kemenkes Tanjungpinang. Method. The method used is a cross sectional analytic approach with the use of the Slovin formula in determining the number of samples. The necessary data were obtained through a questionnaire during vaccination. This research took place from May to July 2021. Results. The research sample was obtained as many as 129 students. Based on the Spearman correlation test, the p value = 0.036, indicating a relationship between the level of knowledge and the level of perceived anxiety, as well as between the level of knowledge and the level of stress showed a relationship marked by the value of p = 0.040. Conclusion. There is a sufficient relationship between the level of knowledge about COVID-19 and the level of anxiety and stress during the PSBB period for junior high and high school students during vaccination at the Poltekes Kemenkes Tanjungpinang.

BackgroundNursing education has increasingly benefited from innovative teaching methods, such as simulation-based learning, to enhance engagement, satisfaction, and self-confidence of students while managing the emotional challenges associated with clinical training.MethodsThis study was conducted as a randomised controlled and experimental trial with students who took the course of internal medicine nursing in the nursing department of the faculty of health sciences of a state university in the autumn term of the 2022–2023 academic year. The students in the intervention group were provided with the scenarios generated by the researchers using the simulation model. Before starting the simulation application, a questionnaire, the state-trait anxiety inventory, and the student satisfaction and self-confidence in learning scale were applied to both intervention and control groups and the scales were repeated after the application.ResultsThe mean scores of the students in the intervention group on the student satisfaction and self-confidence in learning scale were 3.8 ± 0.6 before the simulation and increased to 4.4 ± 0.6 after the simulation (p < 0.05). While their mean score of the state anxiety inventory increased from 39.5 ± 5.8 to 40.6 ± 5.3, their mean score of the trait anxiety inventory decreased from 46.6 ± 6.0 to 46.1 ± 5.5 (p > 0.05).ConclusionsConsequently, it was determined that simulation-assisted education did not affect the anxiety level of the students and significantly affected their levels of satisfaction and self-confidence in learning.Trial registrationNot applicable.

IntroductionContemporary educational research has extensively explored the link between anxiety and student performance, yet there's a gap in understanding this relationship in classrooms with varying levels of active learning. This study aims to establish connections between instructional design, anxiety levels, and student performance, ultimately creating a comprehensive theoretical framework.MethodsThis study was conducted during the pandemic. Data from 186 respondents at Northeast Forestry University were collected through an online survey, and 25 students were randomly selected for interviews to gather feedback. In the practical application of the introductory course “Basics Product Design,” the Rain Class software was used to facilitate an active learning environment. Data from the online survey were organized in SPSS, then imported into the structural model framework in AMOS to calculate fit indices and other values to test hypotheses, applying structural equation modeling. Additionally, the relationship between anxiety levels and student performance was analyzed based on data from five classes using different instructional designs.ResultsThe results indicated that cold calling was significantly positively correlated with anxiety levels (SE = 0.632, P &amp;lt; 0.001), group work was significantly positively correlated with anxiety (SE = 0.166, P &amp;lt; 0.05), clickers were not significantly positively correlated with anxiety (SE = 0.188, P &amp;gt; 0.05), and anxiety levels were not significantly negatively correlated with student performance (SE = −0.306, P &amp;gt; 0.05). Mediation effect tests revealed that anxiety levels fully mediated the relationship between the use of clickers and student performance. Comparing student performance and anxiety levels across the five classes, the relationship between anxiety levels and student performance did not show a simple positive or negative correlation but followed a fluctuating curve, with an interval of anxiety levels that promotes student performance.DiscussionIn a blended learning environment, different designs and frequencies of active learning activities can lead to varying levels of anxiety, which in turn affect student performance. One prominent factor in increasing student anxiety is cold calling. The findings can serve as a basis for teachers to design educational plans, helping to create classroom environments that foster active participation and maintain a positive state among students. Furthermore, in this instructional environment, it is worth further investigating the factors influencing student anxiety and the impact of anxiety on student academic performance.

Background and Aim Human patient simulators provide a very realistic situation for nursing students, centers on the opportunity for the learner to practice and learn in an environment as close to reality as possible, allows students to construct knowledge, explore assumptions, and develop psychomotor skills in a safe environment. The study aims to assess the effect of using human patient simulation on undergraduate nursing students’ skill performance and anxiety levels at the college of Nursing in Mosul University. Method and Materials: A case control study design has been used for the 1st February 2014 till 30th of May 2014. A non-probability convenience sampling of (90) under graduate nursing students (60) females and (30) males were chosen, the study sample was divided into two groups, an experimental group of (45) nursing students with human patient simulation laboratory setting experience and control group of (45) nursing students with clinical practice setting experience. The validity of this study instruments was established through a panel of (12) experts of different specialties related to the field of the present research, Reliability of the study tools was determined through the use of split half -approach of the computation of Cronbach alpha correlation coefficients for the checklist and The Cronbach’s alpha for the questionnaire. Data collection tools include the checklist which is consisted of (25) question items that related to the physical examination for thorax and lungs and the questionnaire consisted of (15) question items respondents were asked to rate the individual items on a (5)-point scale according to their response to each item, Data were prepared and entered into a computer files; Statistical Package for the Social Science (SPSS, version 21) is used for data analysis. Conclusions: The study result show that there is a significant effect of simulation in Students’ skills performance level while there is no effect in control group, and there is a significant relationship between students' skill performance and gender for case group, while there were no significant relationship between students' skill performance and gender for control group. The male students is more improvement than female in their skill level after simulation course. Anxiety level were higher in student who apply physical examination on a patient comparing with those students who apply physical examination on a HPS. Recommendation: The study recommended to introduce the modern technology (HPS) in students' training process because it decrease students' anxiety level so the skill performance of students will be more confident and reduce errors when skilled nursing application and thus reflected repercussions on public health and a better way than the old classical training.

Purpose: This study examines the impact of cardiopulmonary resuscitation (CPR) training on the knowledge and anxiety levels of healthcare students in the Home Patient Care Program. Cardiac arrest, a life-threatening condition requiring immediate intervention, underscores the critical importance of proper CPR application. Methodology: The research utilized an experimental design with pre-test and post-test evaluations, involving 77 first-year students from Kastamonu University's Tosya Vocational School of Health Services. Participants were divided into experimental (n=34) and control (n=43) groups. The experimental group received five weeks of CPR and stress-anxiety management training based on the European Resuscitation Council's 2015 guidelines. Data were collected using a CPR knowledge questionnaire and the State-Trait Anxiety Inventory (STAI). Findings: Results revealed significant improvements in the CPR knowledge scores of the experimental group, increasing from 3.47 (±1.73) to 10.09 (±1.68) (p &lt; 0.001). Concurrently, their state anxiety levels decreased from 45.09 (±10.54) to 38.50 (±9.08) (p &lt; 0.001), and trait anxiety scores showed a moderate reduction. No significant changes were observed in the control group. Unique Contribution to Theory, Practice and Policy: The findings highlight the necessity of integrating CPR training with stress and anxiety management programs in healthcare education. Such training enhances students' ability to perform CPR effectively and reduces psychological barriers, ultimately improving patient outcomes. Further research with broader samples is recommended to validate these results.

Practicum examination is one of the factors affecting anxiety that leads students cannot take examinations well. Therefore, it is necessary to find ways to reduce anxiety. This research aimed to find out the effects of the spiritual technique of dzikir towards the level of anxiety in students before taking the practicum examination. The research design used a quasi-experimental pre-posttest one-group design. The variable measured was the level of anxiety in students before taking practicum examination. Technique of selecting sample used was purposive sampling with the number of population was 59 people. The number of samples used was 10 respondents. The level of anxiety was measured by using the Hamilton Anxiety Rating Scale (HARS) questionnaire. The respondents were doing dzikir an hour before taking the exam. The dzikir used was Tashbih (subhanallah), Tahmid (Alhamdulillah), Tahlil (Laa ilaahaaillallah), and Takbir (Allahuakbar) as much as 33 times for 15 minutes. The result shows that 70% of respondents had medium anxiety and 30% had severe anxiety before doing dzikir. After doing dzikir, the level of anxiety was reduced. 80% of respondents had no anxiety and 20% of respondents had mild anxiety. The research showed that there were effects of the spiritual technique of dzikir towards the level of anxiety in students before taking the practicum exam. It is recommended that students do dzikir to reduce anxiety before taking the exam.

Covid-19 is a new type of virus discovered in 2019. The Covid-19 pandemic raises anxiety and concern about the situation happening in the Covid-19 pandemic, which could decrease a person's health level, including among students at the final level. Murotal Al-Qur’an can also reduce fear, anxiety, and tension. This study aims to determine the effect of complementary therapy by listening to the Murotal Al-Quran on the level of anxiety in final-year students who are writing a thesis in a Covid-19 pandemic situation. This study used an experimental research design with a quasi-experimental design using a non-randomized pretest-Post-test with a control group design. The population in this study were seventh-semester nursing students at STIKes Surya Global Yogyakarta who were working on a thesis. A total of 30 people used a simple random sampling technique. Univariate and bivariate analysis with Wilcoxon test and Mann Whitney statistical test. After the Wilcoxon non-parametric test was carried out on the anxiety level of students in the intervention group, the results were a p-value of 0.001 (p &lt;0.05), while in the control group with a p-value of 1.157 (p&gt;0.05). In Mann-Whitney testing, the writer obtained results in the intervention group, namely the p-value of 0.006 &lt;0.05, while in the control group, the p-value of 0.668&gt; 0.05. There is an effect of Al-Qur’an Murotal therapy on the anxiety level of final-year students who are working on their thesis during the Covid-19 Pandemic at STIKes Surya Global Yogyakarta

The aim of the article is to evaluate the level of basic knowledge of accounting issues of students of the School of Business Administration in Karvinå (SBA) in the Czech Republic and verify the existence of dependence of their knowledge on gender, secondary education, aspects of their university studies, and last but not least, on their work experience. Furthermore, the research aims to find out how these students perceive the importance of the qualification level of professional accountants. In order to achieve the objective of the article, a questionnaire survey was used. On the basis of the acquired nominal data, the non-parametric Kruskal-Wallis test was used to answer the first research question concerning the impact of aspects of the university study on the level of student accounting knowledge. As part of the research, 1,035 students were contacted and 709 respondents have completed the questionnaire. The perceptions of the accountant profession were examined using the Pearson's chi-square test and the Pearson´s coefficient of contingency. It can be concluded from the results that the form of study and the degree of study have no influence on the level of students' knowledge. In the field of study, on the other hand, the dependence of accounting knowledge of students on this aspect has already been proved. The work experience of students was most markedly reflected in the students' accounting knowledge.

Since pain has been described as the fifth vital sign, the importance of adequate pain management became more invaluable. Insufficient pain management may result from insufficient knowledge in pain management and conservative attitude toward pain management of healthcare providers. For improving pain management, it is necessary to determine medical university students attitude and knowledge level before they become healthcare providers. This paper presents findings from a study which investigated the understanding of, and attitudes toward, postoperative pain management among students in China Medical University, Taichung, Taiwan. This survey was conducted via questionnaire containing 10 questions abridged from McCaffery and Ferrell's Nurse's Knowledge and Attitudes Survey regarding Pain. All participants in this study were China Medical University (CMU) students. There were 290 valid questionnaires replied and the score referred to the number of correct answers (0 to 10). The average score of all participants was 4.81. Most participants doubted the pain intensity reported by patients themselves and are not aware that pain may or may not influence vital signs and result in sleep disturbance. They did not know the incidence of drug addiction resulting from postoperative narcotic analgesia is low. The students' knowledge level needed to be improved before they become competent clinical healthcare providers.

The last two decades have provided a plethora of new studies concerning noncarious cervical lesions. Most significant studies are reviewed and integrated into a practical approach to the understanding and designation of abrasion, abfraction and erosion.

Introduction: High standards are set for university students in the learning process while young people are not always psy- chologically and emotionally ready to comply with such requirements. New living conditions, difficulties of higher education, and/or the forthcoming examination period can suppress adaptive capabilities and cause stress and anxiety in students.Objective: To compare the levels of situational and personal anxiety in medical university students having different intensityof physical activity. Materials and methods: The study involved 684 medical students (30.7 % of boys and 69.3 % of girls) aged 18 to 25 years. Based on the International Physical Activity Questionnaire (IPAQ) and in accordance with the metabolic equivalent of task (MET) indicators, all students were divided into three groups by their physical activity intensity (low (1), moderate (2), and high (3)). The level of situational and personal anxiety was assessed using the State-Trait Anxiety Inventory, a 40-item self-completed questionnaire, developed by Charles D. Spielberger and adapted by Yuri L. Hanin. Results: We established a higher level of situational anxiety in students with low physical activity compared to those with high intensity (42.18 ± 3.67 against 31.29 ± 3.45 points, respectively, p &lt; 0.05). Similar results were obtained in groups 1 and 3 for personal anxiety (47.69 ± 3.71 against 33.30 ± 3.50 points, p &lt; 0.01). The sex-specific analysis of average levels of situational and personal anxiety in group 2 showed higher personal anxiety in young women than in men (48.14 ± 3.81 against 36.06 ± 3.49 points, respectively, p &lt; 0.05). Conclusions: Our findings demonstrated a statistically significant inverse correlation between the levels of both situational and personal anxiety and the intensity of physical activity among the medical university students.

Background: The purpose of this study is to determine the relationship between anxiety levels and exercise addiction of higher school students studying in the field of sports sciences during Covid-19 pandemic period. Aim: It is to determine relationship between anxiety levels and exercise addiction of higher school students studying in field of sports sciences during Covid-19 pandemic period. Methods: 184 students participated in the study. Gender, age, educational class, having regular exercise and exercise periods were learned as demographical information. In order to determine anxiety and exercise addiction levels of students, Corona virus anxiety scale and Exercise addiction scale survey were applied. In the analysis of study SPSS-24 statistical packet program was used. Results: When demographic information of students are reviewed, it is seen that gender of 51.1% of them was male and gender of 48.9% of them were female. It was determined that 44% of students were at the age of 22. 28.3% of educational class was 2nd class. While 62.5% of students did regular exercise and active sports, 37.5% of them did not deal with these. While 38% of those doing regular and active sports did not do exercises, 4.3% of them did regular exercise and active sports. When coronavirus anxiety scale applied to students is examined, it is seen that gender had impact of diziness, dullness, lose of appetite, and nausea and that situation of doing regular exercises and active sports had impact on lack of appetite and nausea. When exercise addiction scale applied to students is examined, it is seen that doing regular exercise and active sports and its period had impact on hyper focus and mood swings. When relationship between coronavirus anxiety and exercise addiction levels of students are reviewed, it was seen that postponement of individual social needs and conflict had negative impacts on the person's anxiety level, drowsiness, loss of appetite, and nausea. Conclusion: When coronavirus anxiety levels and exercise addiction of students during Covid-19 pandemic period are examined, the process they are in have had various negative impacts on the students. Gender of students studying in the field of sports sciences affects their anxiety status. At the same time, regular exercise students do and its period plays a role in relation to focusing and emotional changes. Keywords: Covid-19, Anxiety, Exercise Addiction, Sports Sciences

Background: Epidemiological studies have shown increasing trends of HPV-associated oral cancers worldwide. HPV-related diseases are a new public health problem that negatively affects the field of dentistry. The aim of this study is to determine the knowledge levels of first-year dentistry students about HPV. Methods: The study population consisted of 130 students enrolled in the first year of the Faculty of Dentistry in the academic year of 2023 and 2024. The Human Papilloma Virus Knowledge Scale (HPV-KS) was used to determine students' HPV knowledge levels. In the analysis of the data, the t test, and Mann-Whitney U test were used. Results: 53.6% of the students were female and 96% were in the 18-21 age group. The HPV-KS score of the students was found to be 10.60±7.27 (0-33). 58.4% of the students stated that they had heard of HPV before, 57.6% had heard of the HPV test before, and 50.4% had heard of the HPV vaccine before. Furthermore, female students scored significantly higher than male students in the HPV vaccine knowledge questions sub-dimensions (p=0.037). Conclusions: Considering the knowledge levels of students in the first grade, it can guide the educational programs to be prepared. In order to protect public health, it is recommended to increase the knowledge of dentistry students about HPV and HPV-related diseases.

Speaking is one of the important skills that must be mastered by students. Those who have low communication skills will have difficulty in expressing their thoughts, and they feel anxiety when they speak in front class. These problems should be addressed immediately. Based on these problem, the researchers conducted the study about finding the level of students' anxiety in speaking skills and the types of students' anxiety in speaking skills. The respondent in this study was the students in VII B at SMP Islamic Sunan Gunungjati. This study used a quantitative descriptive method. The instrument used in this study was a questionnaire sheet to obtain the instrument. Based on the results of the research, it can be concluded that the level of anxiety in students' speaking skills at SMP Islamic Sunan Gunungjati is "high”. The students had difficulties in speaking skills because they felt anxiety, had lack of confidence, and were afraid doing mistaken when they were speaking English in front of the class. Then, the type of student anxiety in speaking skills at SMP Islamic Sunan Gunungjati is "trait anxiety". Therefore, the anxiety level of students' speaking skills at SMP Islamic Sunan Gunungjati is at the "high" level and is included in the type of "trait anxiety".