THE LEVEL OF KNOWLEDGE AMONG UNDERGRADUATE MEDICAL STUDENTS ABOUT STROKE

https://doi.org/10.22146/jpki.67942

Rita Arsika Fauziah(1*), Lisda Amalia(2), Nandina Oktavia(3), Lulu Eva Rakhmilla(4)

(1) Program sarjana Kedoktean Fakultas Kedokteran Universitas Padjadjaran, Bandung – Indonesia
(2) Departemen Neurologi Fakultas Kedokteran Universitas Padjadjaran, Bandung – Indonesia
(3) 3Departemen Ilmu Kedokteran Dasar Fakultas Kedokteran Universitas Padjadjaran, Bandung – Indonesia
(4) Departemen Ilmu Kesehatan Masyarakat Fakultas Kedokteran Universitas Padjadjaran, Bandung – Indonesia
(*) Corresponding Author

Abstract


Background: Stroke is a neurological emergency that requires prompt and precise diagnosis and treatment. However, errors in diagnosis and treatment are still frequently seen. One of the main causes of this problem is the lack of doctors’ knowledge. This study aims to determine the level of knowledge among undergraduate medical students about stroke. The results of this study can be used as basic information to provide educational interventions to medical students to prevent and minimize the occurrence of medical errors.

 

Methods: This study used a quantitative-descriptive method with a cross-sectional approach. The study subjects were third-semester medical undergraduate students at the Medical Faculty of Padjadjaran University during the 2018/2019 academic year. Samples were 43 secondary data collected from ischemic and hemorrhagic stroke Students Objective Oral Case Analysis (SOOCA) exam scores and 168 primary data collected using a 30-item questionnaire regarding stroke knowledge. The data obtained was then analyzed descriptively and the result was categorized into 3 levels of knowledge: Good, moderate, and poor.

 

Results: Each variable demonstrates a varying degree of knowledge. However, based on the total scores and averages collected from both the questionnaire and the SOOCA exam, most of the students had a moderate level of knowledge regarding ischemic and hemorrhagic stroke.

 

Conclusion: Most of the students had a moderate level of knowledge about stroke, so educational interventions and student’s capabilities improvement are required to increase knowledge of stroke.


Keywords


Knowledge, Stroke, SOOCA

Full Text:

PDF


References

  1. Ahmed Z, Saada M, Jones AM, Al-Hamid AM. Medical errors: Healthcare professionals’ perspective at a tertiary hospital in Kuwait. PLoS One. 2019;14(5):e0217023.
  2. Makary MA, Daniel M. Medical error-the third leading cause of death in the US. BMJ [Internet]. 2016 [cited 2021 July 15];353:i2139. Available from: http://dx.doi.org/doi:10.1136/bmj.i2139
  3. Bakradze E, Liberman A. Diagnostic Error in Stroke—Reasons and Proposed Solutions. Curr Atheroscler Rep. 2018;20(2):11.
  4. Dubosh NM, Edlow JA, Lefton M, Pope J V. Types of diagnostic errors in neurological emergencies in the emergency department. Diagnosis. 2014;2(1):21–8.
  5. Tomi TB, Akrom A, Jatiningrum A. Gambaran medication error pada fase prescribing dan administrasi pada pengobatan stroke di IGD Rumah Sakit X di Yogyakarta. Pharmaciana. 2017;7(1):25-32.
  6. Karthikeyan M, Balasubramanian T, Khaleel MI, Sahl M, Rashifa P. A Systematic Review on Medication Errors. Int J Drug Dev Res [Internet]. 2015;7(4):9–11. Available from: http://www.ijddr.in/drug-development/role-of-natural-products-in-drug-discovery-process.php?aid=5524
  7. Michaels AD, Spinler SA, Leeper B, Ohman EM, Alexander KP, Newby LK, et al. Medication errors in acute cardiovascular and stroke patients: A scientific statement from the american heart association. Circulation. 2010;121(14):1664–82.
  8. Newman-Toker DE, Schaffer AC, Yu-Moe CW, Nassery N, Saber Tehrani AS, Clemens GD, et al. Serious misdiagnosis-related harms in malpractice claims: The "Big Three" - vascular events, infections, and cancers. Diagnosis. 2019;6(3):227-240.
  9. Campbell BCV, De Silva DA, Macleod MR, Coutts SB, Schwamm LH, Davis SM, et al. Ischaemic stroke. Nat Rev Dis Prim [Internet]. 2019;5(1). Available from: http://dx.doi.org/10.1038/s41572-019- 0118-8
  10. Tajuddin R, Sudirman I, Maidin A. Faktor Penyebab Medication Error di Instalasi Rawat Darurat. Jurnal Manajemen Pelayanan Kesehatan. 2012;15(4):182-187.
  11. Mohajan HK. Medical Errors Must be Reduced for the Welfare of the Global Health Sector. Int J Public Heal Heal Syst [Internet]. 2018;3(5):91–101. Available from: https://mpra.ub.uni-muenchen.de/89644/1/MPRA_paper_89644.pd
  12. Meurer WJ, Majersik JJ, Frederiksen SM, Kade AM, Sandretto AM, Scott PA. Provider perceptions of barriers to the emergency use of tPA for Acute Ischemic Stroke: A qualitative study. BMC Emerg Med [Internet]. 2011 [cited 2021 July 15];11(1):5. Available from: http://www.biomedcentral.com/1471-227X/11/5
  13. Carr SE, Celenza A, Puddey IB, Lake F. Relationships between academic performance of medical students and their workplace performance as junior doctors. BMC Med Educ. 2014;14(1):157.
  14. Likic R, Maxwell SRJ. Prevention of medication errors: Teaching and training. Br J Clin Pharmacol. 2009;67(6):656–61.
  15. Konsil Kedokteran Indonesia. Standar Nasional Pendidikan Profesi Dokter Indonesia. Jakarta: Konsil Kedokteran Indonesia; 2019.
  16. Fakultas Kedokteran Universitas Padjadjaran. Pedoman Penyelenggaraan Pendidikan Fakultas Kedokteran Tahun Akademik 2018/2019. Bandung: Universitas Padjadjaran; 2018.
  17. Terry R, Hing W, Orr R, Milne N. Do coursework summative assessments predict clinical performance? A systematic review. BMC Med Educ. 2017;17(1):40.
  18. Fan Y, Zhang S, Li Y, Li Y, Zhang T, Liu W, et al. Development and psychometric testing of the Knowledge, Attitudes and Practices (KAP) questionnaire among student Tuberculosis (TB) Patients (STBP-KAPQ) in China. BMC Infect Dis. 2018;18(1):213.
  19. Ramadhani BP, Soeroto AY, Suryadinata H, Rakhmilla LE. Nursing knowledge, attitude, and practice to influenza vaccination at suburban hospital in West Java, Indonesia. J Prev Med Hyg. 2020;61(1):E15–20.
  20. Helhid KP, Syafrita Y, Asri E. Gambaran Pengetahuan, Sikap dan Tindakan Mahasiswa Fakultas Ekonomi Universitas Andalas Angkatan 2013 tentang Stroke. J Kesehat Andalas. 2018;7(1):108-111.
  21. Ropper AH, Samuels MA, Klein JP, Prasad S. Adams and Victor's Principles of Neurology. 11th ed. New York: McGraw-Hill Medical; 2019.
  22. Chamnansua P, Panidchakul K, Sanghuachang W, Yingrengreung S, Peansungnern N, Karuncharernpanit S, et al. Knowledge of Stroke Risk Factors and Warning Signs among Undergraduate Nursing Students in Thailand, Indonesia, and Myanmar. Proceedings of the 3rd Annual Conference of the Asian Network for Public Opinion Research (ANPOR) [Internet]. 2015 [cited 2021 July 15]. p. 1-8. Available from: https://www.researchgate.net/publication/301232438_Knowledge_of_Stroke_Risk_Factors_and_Warning_Signs_among_Undergraduate_Nursing_Students_in_Thailand_Indonesia_and_Myanmar
  23. El Sherbiny N, Ghaffar HA, El-Mously S. Awareness of stroke in adults and pediatrics among Fayoum University hospital workers and medical students. Egypt J Neurol Psychiatry Neurosurg. 2011;48(3):235–40.
  24. Almalki S, Habeeb F, Alaboud N, Alhamoud H, Albeladi A, Alsuwaylih M. Perception of stroke warning signs and knowledge of potential risk factors among medical students in King Faisal University. Int J Med Dev Ctries. 2020;4(9):1421–7.
  25. Saklayen MG. The Global Epidemic of the Metabolic Syndrome. Curr Hypertens Rep. 2018;20(2):12.
  26. Caplan L. Caplan’s Stroke A Clinical Approach. 5th ed. New York: Cambridge University Press; 2016.
  27. Khubaib MU, Rathore FA, Waqas A, Jan MM, Sohail S. Knowledge Regarding Basic Facts of Stroke Among Final Year MBBS Students and House Officers: A Cross-Sectional Survey of 708 Respondents from Pakistan. Cureus. 2016;8(3):e539.
  28. Ray S, Chakravarty K, Kathuria H, Lal V. Errors in the diagnosis of stroke-tales of common stroke mimics and strokes in hiding. Ann Indian Acad Neurol. 2019;22(4):477–81.
  29. Febriza A, Fitria A. Correlation of Student's Oral Case Analysis (SOCA) Assessment with MCQ Exams on Undergraduate Medical Students. Proceedings of 10th Asian Medical Education Association (AMEA) Symposium [Internet]. 2019 [cited 2021 July 15]. Available from: https://www.researchgate.net/publication/335230038_Correlation_of_Student's_Oral_Case_Analysis_SOCA_Assessment_with_MCQ_Exams_on_Undergraduate_Medical_Students
  30. Liansyah TM. Problem Based Learning Sebagai Metode Perkuliahan yang Efektif. Universitas Syiah Kuala Banda Aceh. 2015;(8) (1):55–63.
  31. Maesaroh S. Peranan Metode Pembelajaran Terhadap Minat Dan Prestasi Belajar Pendidikan Agama Islam. J Kependidikan. 2013;1(1):150–68.



DOI: https://doi.org/10.22146/jpki.67942

Article Metrics

Abstract views : 1404 | views : 1529

Refbacks

  • There are currently no refbacks.


Copyright (c) 2022 Rita Arsika Fauziah, Lisda Amalia, Nandina Oktavia, Lulu Eva Rakhmilla

Creative Commons License
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

Jurnal Pendidikan Kedokteran Indonesia (The Indonesian Journal of Medical Education) indexed by:

  

 JPKI Stats