THE EFFECT OF STRESS DURING ONLINE LEARNING ON MEDICAL STUDENT’S LEARNING ACHIEVEMENT IN COVID-19 PANDEMIC

https://doi.org/10.22146/jpki.60615

Putu Nandika Tungga Yudanti Mahardani(1), Sri Darmayani(2), Dyah Kanya Wati(3*), Maria Elisabeth Sylvinna Wasi Elannor(4), Ketut Wulan Ari Kartika Ardhaputri(5), Andreliano Yosua Rompis(6)

(1) Udayana University
(2) Udayana University
(3) Udayana University
(4) Udayana University
(5) Udayana University
(6) Udayana University
(*) Corresponding Author

Abstract


Background: Medical students are a population that is considered vulnerable to experience stress during the COVID-19 pandemic, especially with the heavy learning load and changes in the learning system that were initially carried out face-to-face. Currently, there are limited data regarding the stress of studying online in medical students and their effect on learning achievement. This study aimed to determine the stress effect of studying online in medical students on their academic achievement.

Methods: This study was an analytic observational study with a cross-sectional approach. 112 samples were obtained from students of Bachelor of Medicine and Medical Doctor in one of the universities in Bali with the instruments that were distributed via Google Form. Primary data collection was carried out using the Medical Student Stressor Questionnaire (MSSQ) questionnaire, while secondary data collection was obtained from the average score of three-block exams done online during the COVID-19 pandemic.

Results: The stress level of medical students in online learning was dominated by high stress (55.4%) with the majority cause due to Academic Related Stressor (ARS). There is a significant relationship (p = 0.021) between the incidence of stress and learning achievement in students (-0.217, 95% CI -0.39 to -0.03). The learning system preference that was chosen by the students is dominated by a 50% online learning system and 50% offline as much as 27.7%.

Conclusion: The results indicated that there is a high level of stress among medical students. There is a correlation between stress events and medical student’s achievement during online learning.

 


Keywords


stress, COVID-19, learning achievement, online learning, medical students.

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References

  1. Arizona K, Abidin Z, Rumansyah R. Pembelajaran Online Berbasis Proyek Salah Satu Solusi Kegiatan Belajar Mengajar di Tengah Pandemi Covid-19. Jurnal Ilmiah Profesi Pendidikan. 2020; 5(1): 64-70.
  2. Kemendikbud. 2020. Kemendikbud Gandeng Swasta Siapkan Sistem Belajar Daring. [Internet]. Available from: https://www.kemdikbud.go.id/main/blog/2020/03/kemendikbud-gandeng-swasta-siapkan-sistem-belajar-daring. [Cited 2020 July 18].
  3. David Sam Jayakumar GS, Sulthan A. Stress Symptoms: Structural Equation Modelling. SCMS Journal of Indian Management. Journal of Indian Management. 2013; 10: 95-109.
  4. Yaribeygi H, Panahi Y, Sahraei H, Johnston TP, Sahebkar A. The impact of stress on body function: A review. EXCLI Journal. Leibniz Research Centre for Working Environment and Human Factors. 2017; 16: 1057–1072.
  5. American Psychological Association. 2015. Stress in America. [Internet]. Available from: https://www.apa.org/news/press/releases/stress/2015/snapshot[Cited 2020 July 20].
  6. Kementerian Kesehatan. 2018. Riset Kesehatan Dasar 2018. [Internet]. Available from: https://kesmas.kemkes.go.id/assets/upload/dir_519d41d8cd98f00/files/Hasil-riskesdas-2018_1274.pdf. [Cited 2020 July 21].
  7. Besral, Widiantini W. Determinan Stres pada Pegawai Kementerian Kesehatan Indonesia. Jurnal Kesehatan Masyarakat Nasional. 2015; 9(3): 222-228.
  8. Melaku L, Mossie A, & Negash A. Stress among Medical Students and Its Association with Substance Use and Academic Performance. 2015; 10: 1-9
  9. Afridi A, Fahim MF. Identification of stressors and Perceptional difference of stress in first and final year Doctor of Physical Therapy students; a comparative study. Journal of the Pakistan Medical Association. 2019; 69(4): 572-575.
  10. Regehr C, Glancy D, Pitts A. Interventions to reduce stress in university students: A review and meta-analysis. Journal of Affective Disorder. 2013;148: 1-11.
  11. Crego A, Carrillo-Diaz M, Armfield JM, Romero M. Stress and Academic Performance in Dental Students: The Role of Coping Strategies and Examination-Related Self-Efficacy. Journal of Dental Education. 2016; 80(2):165-172.
  12. Ali NM., Nowshad, NA., Mansoor KM., Ibnouf RA., Albehiery RM., Carrick FR, Abdulrahman M. Perceived Academic and Psychological Stress among Adolescents in United Arab Emirates: Role of gender, age, depression, and high expectation of parents. Psychiatria Danubina. 2019; 31(Suppl 3):331-337.
  13. Saddik B, Hussein A, Sharif-Askari FS, Kheder W, Temsah MH, Koutaich RA, Halwani R. 2020. Increased levels of anxiety among medical and non-medical university students during the COVID-19 pandemic in the United Arab Emirates. 2020; 13: 2395-2406
  14. Yusoff, M. S. B. The development and validity of the medical student stressor questionnaire (MSSQ). ASEAN Journal of Psychiatry. 2010; 11(1), 13–24. Retrieved from: https://www.researchgate.net/publication/228486045_The_Development_and_Validity_of_the_Medical_Student_Stressor_Questionnaire_MSSQ
  15. National Center for Education Statistics. 2008. Distance Education at Degree-Granting Postsecondary Institutions: 2006-07 [Internet]. Available from: https://nces.ed.gov/pubsearch/pubsinfo.asp?pubid=2009044. [Cited 2020 July 19].
  16. Singh S, Rylander D, Mims T. Efficiency of Online vs. Offline Learning: A Comparison of Inputs and Outcomes. International Journal of Business, Humanities, and Technology. 2012; 2(1): 94-98.
  17. Zhong X. Development and Application of Offline Learning System in College Teaching. International Journal of Emerging Technologies in Learning. 2015; 10(5):35-39.
  18. Al-Qahtani MF, Alsubaie ASR. Investigating Stress and Sources of Stress Among Female Health Profession Students in a Saudi University. Journal of Multidisciplinary Healthcare. 2020; 13, 477–484.
  19. Samaha A., Al Tassi A, Yahfoufi N, Gebbawi M., Rached M, Fawaz MA. Data on The Relationship between Caffeine Addiction and Stress among Lebanese Medical Students in Lebanon. Data in Brief. 2019; 28: 104845.
  20. Gupta S, Choudhury S, Das M, Mondol A, Pradhan R. Factors Causing Stress Among Students of Medical College in Kolkata, India. Educ Health (Abingdon). 2015; 28(1): 92-95.
  21. Rahmayani RD, Liza RG, Syah NA. Gambaran Tingkat Stres Berdasarkan Stressor pada Mahasiswa Kedokteran Tahun Pertama Program Studi Profesi Dokter Fakultas Kedokteran Universitas Andalas Angkatan 2017. Jurnal Kesehatan Andalas. 2019; 8(1): 103-111.
  22. Bergmann C, Muth T, Loerbroks A. 2019. Medical students’ perceptions of stress due to academic studies and its interrelationships with other domains of life: a qualitative study. Medical Education Online. 2019; 24(1): 1603526.
  23. Ruzhenkova VV, Ruzhenkov VA, Lukyantseva IS, Anisimova NA. Academic stress and its effect on medical students’ mental health status. Drug Invention Today. 2018; 10; 1171–1174.
  24. Molnár R, Nyári T, Hazag A, Csinády A, Molnár P. Career choice motivations of medical students and some characteristics of the decision process in Hungary. Central European Journal of Medicine. 2008; 3(4): 494–502.
  25. Yusoff B & Saiful M, The Medical Student Stressor Questionnaire ( MSSQ ) Manual An explanatory guide on stress and stressors in medical study to help you. 2010.
  26. Brown K, Anderson-Johnson P, McPherson AN. Academic-related stress among graduate students in nursing in a Jamaican school of nursing. Nurse Education in Practice. 2016; 20: 117–124.
  27. Pokhrel NB, Khadayat R, Tulachan P. Depression, anxiety, and burnout among medical students and residents of a medical school in Nepal: a cross-sectional study. BMC Psychiatry. 2020; 20(1): 298.
  28. Bamuhair S, Farhan A, Althubaiti A, Agha S, Rahman S, Ibrahim N. Sources of Stress and Coping Strategies among Undergraduate Medical Students Enrolled in a Problem-Based Learning Curriculum. Journal of Biomedical Education. 2015: 1-8.
  29. Rahmi N. Hubungan Tingkat Stres dengan Prestasi Belajar Mahasiswa Tingkat II Prodi D-III Kebidanan Banda Aceh Jurusan Kebidanan Poltekkes Kemenkes. Jurnal ISU. 2013; 2: 1-4.
  30. Putra R, Widiastuti I, Affarah W. Hubungan Antara Tingkat Stres dengan Prestasi Belajar Mahasiswa Fakultas Kedokteran Universitas Mataram. Jurnal Kedokteran. 2014; 3(1).
  31. Mustaqim. Psikologi Pendidikan. Semarang: Pustaka Pelajar; 2008.
  32. Mahakud GC, Sharma V, Gangai KN. Stress Management : Concept and Approaches. The International Journal of Humanities & Social Studies. 2018; 1(6); 1–5.
  33. Ismail AO, Mahmood AK, & Abdelmaboud A. 2018. Factors influencing academic performance of students in blended and traditional domains. International Journal of Emerging Technologies in Learning (iJET). 2018; 13(02), 170-187.
  34. Sankar J, Kalaichelvi R, John J, Menon N, Elumalai K, Alqahtani M, & Abumelha M. Factors Affecting the Quality of E-Learning During the COVID-19 Pandemic from the Perspective of Higher Education Students. Journal of Information Technology Education: Research. 2020; 19(1): 731-753.



DOI: https://doi.org/10.22146/jpki.60615

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Copyright (c) 2021 Putu Nandika Tungga Yudanti Mahardani, Sri Darmayani, Dyah Kanya Wati, Maria Elisabeth Sylvinna Wasi Elannor, Ketut Wulan Ari Kartika Ardhaputri, Andreliano Yosua Rompis

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