FACTORS CORRELATED WITH MEDICAL STUDENTS ANXIETY IN CLINICAL SKILLS EXAMINATION

https://doi.org/10.22146/jpki.63251

Anak Agung Gede Pradnya Andika(1*), Yoga Pamungkas Susani(2), Dian Puspita Sari(3)

(1) Program Studi Pendidikan Dokter, Fakultas Kedokteran Universitas Mataram
(2) Fakultas Kedokteran Universitas Mataram
(3) Fakultas Kedokteran Universitas Mataram
(*) Corresponding Author

Abstract


Background: Test anxiety is one of the medical student’s problems that need attention in medical education. Test anxiety can have negative effect on students such as negative self-evaluation beliefs, low motivation, poor performance, and decreased concentration which can result in increased dropout rates and trigger general anxiety. Test anxiety can affect performance on clinical skill examination and outcomes.

Aim: To identify factors correlated with medical students’ anxiety in clinical skills examination.

Methods: This was a cross-sectional study involving the second and fourth year medical students in Universitas Mataram. Possible Anxiety Determinant Instrument (PADI) was used to measure factors associated with test anxiety and Performance Test Anxiety (PTA) inventory to measure students’ anxiety in clinical skills examination. Data collection took place after the clinical skill exam. Pearson and Spearman correlation test were used in analyzing the data.

Results: Total of 185 students participated in this study (response rate 96,9%). Factors found to be correlated with test anxiety score were internal belief factors (r = -0,686), health and lifestyle factors (r = -0,424), curriculum factors (r= -0,414), social support factors (r = -0,395), learning atmosphere factors (r = -0,312), and examination factors (r = -0,270). Preparedness and experience of examination were not correlated with the test anxiety.

Conclusion: Students’ internal belief was found to have the strongest correlation with the test anxiety, while examination factor showed the weakest correlation. These findings can guide medical education institution in developing strategies to reduce students’ anxiety toward the clinical skills examination.


Keywords


test anxiety, determinant factors of test anxiety, clinical skill examination

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References

  1. Quek TT, Tam WW, Tran BX, Zhang M, Zhang Z, Ho CS, et al. The Global Prevalence of Anxiety Among Medical Students : A Meta-Analysis. Int J Environ Res Public Health. 2019;16(2735):1–18.
  2. Hashmat S, Hashmat M, Amanullah F, Aziz S. Factors causing exam anxiety in medical students. J Pak Med Assoc. 2008;58(4):167–70.
  3. Asghari A, Kadir RA, Elias H, Baba M. Test Anxiety and Its Related Concepts : A Brief Review. GESJ Educ Sci Psychol. 2012;3(22):3–8.
  4. Tsegay L, Shumet S, Damene W, Gebreegziabhier G, Ayano G. Prevalence and determinants of test anxiety among medical students in Addis Ababa Ethiopia. BMC Med Educ. 2019;19(423):1–10.
  5. Brand HS, Schoonheim-Klein M. Is the OSCE more stressful? Examination anxiety and its consequences in different assessment methods in dental education. Eur J Dent Educ. 2009;13(13):147–53.
  6. O’Carroll PJ, Fisher P. Metacognitions , worry and attentional control in predicting OSCE performance test anxiety. John Wiley Sons Ltd Med Educ 2013. 2013;47:562–8.
  7. Guraya SY, Guraya SS, Habib F, Alquiliti KW, Khoshhal KI. Medical students perception of test anxiety triggered by different assessment modalities. Med Teach [Internet]. 2018;0(0):1–7. Available from: https://doi.org/10.1080/0142159X.2018.1465178
  8. Alghifari MM, Hartono, Randhita ABT. Studi Kualitatif Kecemasan pada Mahasiswa Kedokteran saat Menghadapi Objective Structured Clinical Examination ( OSCE ). NEXUS Pendidik Kedokt DAN Kesehat. 2016;5(2):145–60.
  9. Suyanto, Isrovianingrum R. Kecemasan Mahasiswa Perawat Sebelum Mengikuti Ujian Ketrampilan di Laboratorium. J Heal Sci. 2018;11(2):97–103.
  10. Alammari MR, Bukhary DM. Factors contributing to prosthodontic exam anxiety in undergraduate dental students. Adv Med Educ Pract. 2019;10:31–8.
  11. Al-sahman LA, Al-sahman RA, Joseph B, Javali A. Major Factors Causing Examination Anxiety in Undergraduate Dental Students - A Questionnaire Based Cross-Sectional Study. Ann Med Health Sci Res. 2019;9(6):691–4
  12. Nurrahmasia, Amalia E, Sari DP. Hubungan Mekanisme Koping Dengan Skor Kecemasan Dalam Menghadapi Ujian Keterampilan Medik Pada Mahasiswa Prodi Pendidikan Dokter Universitas Mataram. SMART Med J. 2021;4(1):18–28. Available from: http://dx.doi.org/10.13057/smj.v4i1.47695
  13. Kalantari M, Zadeh NL, Agahi RH, Navabi N. Measurement of the levels anxiety , self ‑ perception of preparation and expectations for success using an objective structured clinical examination , a written examination , and a preclinical preparation test in Kerman dental students. J Educ Health Promot. 2017;6.
  14. Nasir AA, Yusuf AS, Abdur-rahman LO, Babalola OM, Adeyeye AA, Popoola AA, et al. Medical Students ’ Perception of Objective Structured Clinical Examination : A Feedback for Process Improvement. J Surg Educ [Internet]. 2014;71(5):701–6. Available from: http://dx.doi.org/10.1016/j.jsurg.2014.02.010
  15. Asayesh H, Hosseini MA, Sharififard F, Kharameh ZT. The relationship between self-efficacy and test anxiety among the paramedical students of Qom University of Medical Sciences. J Adv Med Educ. 2018;1(3).
  16. Chou M-H. Predicting self-efficacy in test preparation: Gender, value, anxiety, test performance, and strategies. J Educ Res. 2019 Jan;112(1):61–71.
  17. Taheri-Kharameh Z. Academic self-efficacy and test anxiety among students of medical sciences. BMJ Open. 2017;7(0).
  18. Kandola A, Vancampfort D, Herring M, Rebar A, Hallgren M, Firth J. Moving to Beat Anxiety : Epidemiology and Therapeutic Issues with Physical Activity for Anxiety. Curr Psychiatry Rep. 2018;20:63.
  19. Khoshhal KI, Khairy GA, Guraya SY, Guraya SS. Exam anxiety in the undergraduate medical students of Taibah University. Med Teach [Internet]. 2017;1–5. Available from: http://dx.doi.org/10.1080/0142159X.2016.1254749
  20. Sansgiry SS, Sail K. Effect of Students ’ Perceptions of Course Load on Test Anxiety. Am J Pharm Educ. 2006;70(2):1–6.
  21. Ningrum DSA, Andriani E. Hubungan Social Support dengan Kecemasan Siswa dalam Menghadapi Ujian. Quanta. 2020;4(2):87–92.
  22. Hasibuan YA. Hubungan Dukungan Sosial Terhadap Tingkat Kecemasan Mahasiswa Semester 1 Pendidikan Dokter Universitas Syiah Kuala. ETD Unsyiah. 2014;
  23. Palupi DA, Sarjana W, Hadiati T. Hubungan Ketergantungan Smartphone Terhadap Kecemasan pada Mahasiswa Fakultas Diponegoro. J Kedokt Diponegoro. 2018;7(1):140–5.
  24. Ramaita, Armaita, Vandelis P. Hubungan Ketergantungan Smartphone dengan Kecemasan (Nomophobia). J Kesehat. 2019;10(2):89–93.
  25. Lutfianawati D, Lestari SMP, Istiana S. Hubungan Kesiapan Belajar Mandiri dengan Tingkat Kecemasan pada Mahasiswa Tahun Pertama Fakultas Kedokteran Universitas Malahayati Tahun 2017. J Ilmu Kedokt dan Kesehat. 2018;5(4):232–44.
  26. Novriani N. Hubungan Persiapan UKMPPD Terhadap Simtom Kecemasan dan Simtom Depresi pada Mahasiswa Fakultas Kedokteran Universitas Muhammadiyah Sumatera Utara. Medan; 2018.
  27. Kondo DS. Anxiety, Stress, & Coping : An Strategies for coping with test anxiety. Harwood Acad Publ. 1997;10:203–15.
  28. Simić N, Manenica I. Exam experience and some reactions to exam stress. Fiziol Cheloveka. 2014;38(1):82–7.
  29. Labaf A, Eftekhar H, Majlesi F, Anvari P, Sheybaee-Moghaddam F, Jan D, et al. Students′ concerns about the pre-internship objective structured clinical examination in medical education. Educ Heal. 2014;27(2):188.
  30. Mavis B. Self-Efficacy and OSCE Performance Among Second Year Medical Students. Kluwer Acad Publ. 2001;6:93–102.



DOI: https://doi.org/10.22146/jpki.63251

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