Student Confidence Research Articles

2144 Improving PA students confidence in managing geriatric patients with a bespoke teaching programme and a novel bleep simulation

Abstract Introduction BGS reports in its ‘Case for more Geriatricians’ that the number of people age over 85 is set to double by 2045. As well as Geriatric specific policies in the Ageing Well programme of the NHS Longterm Workforce Plan there are plans to expand the number of allied health professionals including Physician Associates (PA). We set out to improve PA students’ knowledge of and confidence in managing geriatric patients with a bespoke teaching programme culminating in a novel bleep simulation. Methods We identified the students’ needs with a preliminary survey and then created a teaching programme on medical topics and issues common to geriatric wards with weekly lectures and small group work. The programme culminated in a bleep simulation where students were contacted via bleep to come to different parts of the medical education centre and respond to scenarios which would be common on geriatric wards. These included reviewing unwell patients and issues such as aspiration, constipation and urinary retention. The students were required to amend or create prescriptions and interpret test results with access to the BNF and relevant local guidelines. Results Students were asked how useful the simulation was and how much it had improved their confidence in working on geriatric wards. The average score for both statements was greater than 9/10. The students were asked before and after the simulation how confident they were responding to bleeps and managing clinical scenarios in geriatric patients. Both scores doubled following the simulation to 6.7/10 (from 2.5 and 3.3 respectively). Conclusion The Faculty of Physician Associates curriculum does not necessitate placements in geriatrics and its matrix of core clinical conditions does not include any specific to geriatrics. Through a bespoke teaching programme and a novel bleep simulation we increased PA students’ confidence in managing geriatric patients.

Pengaruh Motivasi, Inovasi dan Efikasi Diri Terhadap Minat Berwirausaha Mahasiswa D III Perhotelan Politeknik Harapan Bersama Tegal

Growing entrepreneurial interest cannot be done immediately without the encouragement that can drive a person's entrepreneurial spirit. The growth of student interest in entrepreneurship is influenced by motivation. Growing interest in entrepreneurship also requires the role of innovation as a response to the demands and needs of a person to survive in the midst of competition. Student entrepreneurial interest can be seen from the characteristics of an entrepreneur, namely student confidence in entrepreneurship, interest, and courage to take risks when they are entrepreneurs in the future and future-oriented when they are entrepreneurs. A person's confidence in their ability to complete a job (self-efficacy) will affect interest in entrepreneurship because a person's motivational condition is based more on what they believe than what is objectively true. This study aims to determine the effect of motivation, innovation and self-efficacy on entrepreneurial interest of D III Hospitality students at Harapan Bersama Polytechnic Tegal. This research is quantitative research with a survey approach. The analysis used is multiple linear regression analysis with instrument test using validity test and reliability test. The expected target of this study is to determine the significant influence of motivation, innovation and self-efficacy on entrepreneurial interest of D III Hospitality Polytechnic students of Harapan Bersama Tegal.The results of the study prove that there is a positive influence of motivation, innovation, self-efficacy on entrepreneurial interest in D III Hospitality students of Harapan Bersama Polytechnic Tegal. The higher the motivation, innovation, self-efficacy, the interest in entrepreneurship in D III Hospitality students of Harapan Bersama Polytechnic Tegal will also increase.

CALMER Conflict: A Novel Curriculum for Graduating Medical Students to Manage and Defuse Patient-Provider Conflict.

Workplace violence disproportionately affects healthcare workers and verbal aggression from patients frequently occurs. While verbal de-escalation is the first-line approach to defusing anger, there is a lack of consistent curricula or robust evaluation in undergraduate medical education. To develop a medical school curriculum focused on de-escalation skills for adult patients and evaluate effectiveness with surveys and an objective structured clinical examination (OSCE). We implemented this curriculum in the "Get Ready for Residency Bootcamp" of a single large academic institution in 2023. Forty-four fourth-year medical students PROGRAM DESCRIPTION: The curriculum consisted of an interactive didactic focused on our novel CALMER framework that prioritized six evidence-based de-escalation skills and a separate standardized patient practice session. The post-curriculum survey (82% response rate) found a significant increase from 2.79 to 4.11 out of 5 (p ≤ 0.001) in confidence using verbal de-escalation. Preparedness improved with every skill and curriculum satisfaction averaged 4.79 out of 5. The OSCE found no differences in skill level between students who received the curriculum and those who did not. This evidence-based and replicable de-escalation skill curriculum improves medical student confidence and preparedness in managing agitated patients.

Student Stress, Coping, and APPE Readiness at Two Public Institutions before and during the Pandemic.

The coronavirus disease 2019 (COVID-19) pandemic significantly impacted pharmacy students' education and well-being. The primary aim of this study was to evaluate the effects of the pandemic on students' perceived stress by comparing third- and fourth-year students from the pre-pandemic Class of 2019 with mid-pandemic Class of 2021 at two public institutions. Secondary aims were to evaluate the pandemic effects on students' academic and professional development skills and practice readiness. The Perceived Stress Scale (PSS) and the Brief Coping Orientation to Problems Experienced (COPE) scale were used to measure student well-being. Students' self-rated problem-solving, time management, and study skills were used to measure their academic and professional development; practice readiness was measured using students' self-rated confidence levels. PSS scores were significantly higher in mid-pandemic than pre-pandemic students, and the Brief COPE avoidant coping subscale differed between pre-pandemic and mid-pandemic students. No differences were found in any academic and professional development skills between the pre- and mid-pandemic students, and there were significant improvements in student confidence levels for practice readiness among the mid-pandemic students. In conclusion, the pandemic appeared to affect students' stress and avoidant coping mechanism but had variable effects on academic and professional development and practice readiness.

Comparative Effectiveness of Developed Serious Game Versus Standardized Patients' Simulation in Nursing Education.

Background: Serious games provide a realistic environment in nursing education, a stimulating and experiential learning environment for developing skills necessary for learning, recognizing, analyzing, selecting, and applying information. Methods: This study aims to determine the impact of serious games and standard patient practices developed for nursing education on students' knowledge levels, satisfaction, self-confidence, critical thinking, and problem-solving skills. A serious game was designed using the educational principles of the diabetes course and developed using the 3D interactive content creation platform UNITY. One group played the game online, whereas another had a face-to-face experience. Both groups completed forms before, after, and 4 weeks later via Google Forms. Results: Quantitative analysis showed significant improvements in knowledge and increases in student satisfaction and confidence in learning in both the serious game and standardized patient groups. The groups had no significant differences in problem-solving and critical-thinking abilities (P > 0.005). Conclusion: Developing advanced clinical proficiencies in nursing students requires an engaging and reliable educational environment. Using serious games and standardized patient simulations in nursing instruction highlights the need for diverse digital teaching tools. Therefore, it is essential to support the professional development of nursing educators in these innovative modalities.

Applying Non-Verbal Reinforcement in Increasing Students' Confidence in Economic Subjects

This study was motivated by students' low self-confidence in themselves and the environment, especially in teaching and learning activities in the classroom. This research aims to describe the level of student self-confidence in economics subjects by providing non-verbal reinforcement and the effectiveness of non-verbal reinforcement in increasing students' self-confidence during teaching and learning activities in economics subjects. With a high level of self-confidence, students can experience teaching and learning activities in class in a fun way which has an impact on increasing understanding of economic material. The research method used in this research is quasi-experimental. The population in this study was 146 students, and the sample was 36 students. Data collection in this research used tests and observations. The test in this study was used to measure students' self-confidence. Data were analyzed with descriptive statistics, percentages and t tests using SPSS. The research results showed that the effectiveness of implementing non-verbal reinforcement in increasing students' self-confidence increased after implementing non-verbal reinforcement. Before being given nonverbal reinforcement, students were in the less confident category when studying economics in class. Meanwhile, after being given non-verbal reinforcement, students experienced an increase in self-confidence when studying economics material in class. There is a significant difference in students' self-confidence after being given nonverbal reinforcement compared to before being given nonverbal reinforcement.

Gamification and Game-Based Learning in Nursing Education

With the recent rapid changes in the medical environment and technology, traditional teaching methods are no longer sufficient to meet current professional needs. There is an increasing demand for emerging technologies in higher education, necessitating more interactive and personalized educational approaches. Hence, educators are exploring innovative teaching interventions, including digital simulations and gamified learning, to enhance motivation and engagement in learning. In this article, the concept and core elements of gamified learning are introduced and related methods applicable to nursing education such as digital simulations, virtual reality, tabletop games, and escape rooms are described. In addition, gamification teaching techniques that enhance student learning motivation as well as improve learning outcomes in theory and practice are discussed. Gamified learning enables nursing students to practice in rich and diverse interactive simulated environments. Using appropriate teaching strategies, the gamified approach to learning can strengthen critical thinking, problem-solving abilities, and communication confidence in students. Designing game mechanisms and methods that align with educational objectives and mastering the key principles of gamified teaching is an effective approach to diversifying and enhancing the effectiveness of learning activities in the classroom.

Daur al-Biah al-Lugawiyyah fī Tarqiyah al-Kafāah al-Żātiyyah li al-Kalām ladai Ṭalabah al-Madrasah al-Ṡānawiyyah

This research The purpose of this research. First, the state of the linguistic environment in increasing speaking self-efficacy among MTs Mambaul Ulum Metro students is to be determined. Second, to find out the application of speaking efficacy training to MTs Mambaul Ulum Metro students. Third, to reveal self-efficacy in speaking to MTs Mambaul Ulum Metro students. This research methodology is a descriptive qualitative study that describes and finds appropriate and precise facts. Moreover, how to collect data using interviews, observation, and written document methods. This study examines the language environment's role in enhancing students' subjective speaking skills at MTs Manbaul Ulum Metro. By employing qualitative research methods, including observations and interviews, the study explores how various aspects of the language environment contribute to students' perceptions of their speaking abilities. The findings reveal that a supportive language environment, characterized by frequent practice opportunities, positive reinforcement, and exposure to diverse linguistic inputs, significantly boosts students' confidence and proficiency in speaking. The study underscores the importance of creating a conducive language learning environment to facilitate effective language acquisition. The language environment system at MT Mambaul Ulum Metro School is very important to increase student's confidence in speaking Arabic through active interaction and correct use of grammar. Social support, a supportive learning environment, the use of technology, and effective learning strategies play a role in building students' self-confidence. Consistent speaking practice and real-world activities such as a language classroom environment. These factors help students develop courage, perseverance, and the ability to face the challenges of learning Arabic.

Use of Interactive Food Labels to Increase Confidence in Preparing Produce among College Students.

College students may have limited access to produce and may lack confidence in preparing it, but cooking videos can show how to make healthy dishes. The Cognitive Theory of Multimedia Learning suggests that learning is enhanced when visual and auditory information is presented considering cognitive load (e.g., highlighting important concepts, eliminating extraneous information, and keeping the video brief and conversational). The purpose of this project was to pilot test a food label for produce grown at an urban university and assess whether student confidence in preparing produce improved after using the label and QR code to view a recipe video developed using principles from the Cognitive Theory of Multimedia Learning. The video showed a student preparing a salad with ingredients available on campus. Students indicated the label was helpful and reported greater perceived confidence in preparing lettuce after viewing the label and video (mean confidence of 5.60 ± 1.40 before vs. 6.14 ± 0.89 after, p = 0.016, n = 28). Keeping the video short and providing ingredients and amounts onscreen as text were cited as helpful. Thus, a brief cooking video and interactive label may improve confidence in preparing produce available on campus. Future work should determine whether the label impacts produce consumption and if it varies depending on the type of produce used.

The Influence of an Interdisciplinary Approach on Student Confidence in Undergraduate Anatomy and Physiology

The Influence of an Interdisciplinary Approach on Student Confidence in Undergraduate Anatomy and Physiology

Developing commercial awareness and digital video interview skills in second-year life sciences students

Employers are increasingly using video interviews in the application process, highlighting the need for graduates to adapt to digital technologies. To ensure graduates are adequately prepared, a Year 2 skills module was redeveloped, replacing face-to-face interviews with asynchronous video interviews using ShortlistMe. Aligning the assessment to a careers event allowed students to engage with employers and develop commercial awareness. Out of 430 students, 395 completed the video interview, and 329 connected with employers during the careers event (a 63% increase compared to the previous year). A survey explored student perceptions of the video interview (n= 39). Student confidence in completing a video interview increased by 44.6%, and in demonstrating commercial awareness by 30%. This model effectively connected employers with the curriculum at scale, fostering digital fluency, commercial awareness, and enhancing employability skills. This adaptable approach could benefit any discipline, equipping students for success in a dynamic job market. This article was published open access under a CC BY-NC-ND licence: https://creativecommons.org/licenses/by-nc-nd/4.0/ .

Becoming Agents of Change: OT Students in Screening, Brief Intervention, & Treatment for Recovery From Substance Use Disorders

Abstract Date Presented 03/21/24 This study depicts how a 3-week delivery of educational experiences increased student knowledge, attitudes, competence, confidence, and readiness to conduct screening, brief intervention, and referral to treatment for individuals in recovery. Primary Author and Speaker: Jill Brown Contributing Authors: Kathleen Schachman, Meghan Baruth

Knowledge, Attitudes, Confidence, and comfort of Nurses and Nursing Students Caring for Military Veterans and Their Families

BackgroundNational initiatives such as ‘Joining Forces’ and the ‘Have you ever served in the military?’ campaign increased awareness of the needs of the military and veteran population. Yet, empirical evidence suggests that nurses and other healthcare providers continue to report insufficient cultural competency, as well as knowledge and awareness of unique healthcare needs to provide optimal care to this population. PurposesThe study purposes were to explore nurses' and nursing students' knowledge, attitudes, confidence, and comfort levels to care for veterans and their family, identify potential factors associated with these outcome measures, and examine the relationships between knowledge, attitudes, confidence, and comfort. MethodA quantitative, cross-sectional study design guided an online survey of 153 respondents. The military and veteran family cultural competency model provided a theoretical foundation. FindingsOverall, the confidence in skills and abilities, and comfort levels on addressing military culture, providing care, and discussing health issues increases as participants' gain knowledge and awareness of the military. Having an immediate family member(s) who served in the military was a significant factor related to confidence. ImplicationsNursing students and nurses in practice need education aimed at addressing the veteran care competencies, specifically military/veteran culture.

ACADEMIC BURNOUT CONDITIONS IN INDONESIAN STUDENTS: PHYSICAL, MENTAL, AND EMOTIONAL

The unclear end of the Covid-19 pandemic has had an impact on learning in schools. Students as an affected community cause the online learning process with various limitations, even though students have begun to get used to online learning. Conditions related to online learning pose a new problem about academic burnout. This study aims to develop an academic burnout scale and describe the condition of student academic burnout. The research method uses a mix-method with academic burnout variables and the target is students. The results found three aspects of academic burnout from physical fatigue, mental exhaustion, and emotional exhaustion. The burnout scale is validly tested with reliability in the very high category. The measurement of student academic burnout found that the average student has a high burnout category as a result of online learning. The effects of burnout conditions are self-confidence, motivation, achievement, self-control or depression in students. Immediate intervention for the prevention, reduction, or alleviation of burnout by school counselors or in collaboration with psychologists or universities.

The influence of the Knisley mathematics learning model on the mathematical connection ability and self-confidence of high school students

This research aims to conduct a study that focuses on the effect of applying the Knisley mathematics learning model on students' mathematical connection abilities and self-confidence.This research is research using a quasi-experimental method with a research design in the form of a pretest-posttest control group design. The sampling technique used was cluster random sampling. The population in this study were all class XI students at SMAN 1 Tirtayasa, with a sample of 2 classes to be used as experimental classes, namely class The instruments used in this research were mathematical connection ability tests, self-confidence questionnaires, observation sheets and interviews. Based on data analysis, it was concluded that (1) Learning using the Knisley mathematics learning model had a positive effect on students' mathematical connection abilities, (2)Learning using the Knisley mathematics learning model has a positive effect on students' self-confidence.

The effects of gradual release of assistance instruction on students’ heuristics, confidence, and attitude toward independent problem-solving

The 'Gradual Release of Assistance (GRA) instruction' was implemented among pre-service teachers in a problem-solving course designed to reduce students' resistance to independent problem-solving. This approach aimed to enhance students' heuristic skills, confidence, and attitudes toward problem-solving. The GRA instruction encompassed activities with progressively decreasing levels of instructional support across three stages: the maximum assistance stage, the medium assistance stage, and the independent problem-solving stage. Utilizing an embedded multiple-case design and a simple time-series analysis of six individual cases, this research explored how pre-service teachers applied heuristics and their confidence and attitudes toward problem-solving. The study revealed improvements in heuristic application among cases with high and medium mathematical abilities, as well as increased confidence and positive attitudes toward problem-solving within this cohort. However, there were no notable improvements in using different heuristics among cases with low mathematical ability. The findings discussed the observed changes and consistencies, offering plausible explanations that underscore the significance of GRA instruction in alleviating students' reluctance to engage in independent problem-solving.

A combined interactive online simulation and face-to-face laboratory enable undergraduate student proficiency in hemocytometer use, cell density and viability calculations.

A hemocytometer is a key piece of laboratory equipment typically used in diagnostic and immunology research laboratories to enumerate white blood cells. The accurate quantification of cell density is essential to ensure accurate numbers of cells are added to assays to generate valid data. Hence, learning to correctly use a hemocytometer is a critical skill for all undergraduate immunology students. However, this skill can be challenging to learn because of students' unfamiliarity with correct cell identification, differentiating viable versus dead cells and mathematical proficiency in calculating cell density and viability. To address these issues, we developed an interactive computer simulation that replicated all aspects of a Neubauer-style hemocytometer. This simulation was used to teach second-year undergraduate immunology students before a face-to-face (F-2-F) laboratory exercise where these skills were applied. Using a mixed methods approach, student performance and feedback were collected on broad aspects of the intervention and its benefits to the F-2-F setting. The approach was found to be extremely successful with all measures indicating a significant impact of the virtual hemocytometer on student learning, understanding and confidence. We suggest that integrating an online simulation to teach students the fundamentals of hemocytometer use and calculations is a valuable educational aid for learning this important skill.

Meta-Synthesis of Effective Practices and Outcomes in the Use of Manipulatives for Teaching Mathematics

Use of manipulatives in mathematics classes has yielded compelling evidence of their value in improving several aspects of mathematics education. This report endeavored to gain a clearer picture of their benefits by using a meta-synthesis technique by integrating findings from 12 previous qualitative or mixed methods studies. They were evaluated using the Critical Appraisal Skills Programme and summarized using a PRISMA diagram. Content analysis identified five main (5) themes: (1) activation of classroom engagement and participation, (2) building of confidence and motivation, (3) enhancement of mathematical proficiency, (4) availability and accessibility of varied resources as manipulative, and (5) teachers’ competency and careful planning. A meta-theme that emerged was Optimizing Mathematics Learning with Effective Classroom Resources through Manipulatives. Thematic study revealed that strategically integrating manipulatives into classroom instruction has a favorable influence on student engagement, confidence, motivation, and mathematical ability. By incorporating manipulatives into mathematics instruction, educators may create inclusive, engaging, and dynamic learning environments that encourage deeper conceptual comprehension.

The Use of Fillers in Proposal Seminar Presentation

This research aimed to investigate the frequency and reasons for using fillers during proposal seminar presentations among students in the English Department. The study involved five students who took the proposal seminar exam on March 18, 2022. Using a mixed-method approach, data were collected and analyzed to identify the types and frequency of fillers used, as well as the underlying reasons for their use. The findings revealed that the frequency of unlexicalized fillers was higher (172 occurrences, average 74.78) compared to lexicalized fillers (31 occurrences, average 13.48). The main reasons for using fillers included nervousness, forgetting what to say, reflexive habits, and difficulty finding the right words. These results highlight the need for students to improve their speaking skills and practice more to minimize the use of fillers during presentations. Additionally, it is suggested that lecturers focus on reducing the use of fillers in speaking classes to enhance students' performance and confidence in public speaking. This research provides valuable insights for educators in developing more effective teaching strategies to improve students' oral communication skills.

Building international student confidence to participate in taught sessions at the graduate level

Building international student confidence to participate in taught sessions at the graduate level