Improving Competency Management of Public Health Center In Indonesia Using The Problem Based Learning Model

Year 2019, Volume: 7 Issue: 3, 731 - 746, 15.09.2019

Agus Salim Punaji Setyosari Waras Kamdi İ Wayan Dasna

https://doi.org/10.17478/jegys.613484

Cited By: 3

https://izlik.org/JA63MX74RG

Abstract

The ineffectiveness of the existing training
model in Indonesia, especially for remote area health center managers, needs to
develop a Problem Based Learning model that is appropriate to the problems in
the area. The methodological approach taken in this study is a quasi-experimental,
pre-posttest control design. The study subjects consisted of 26 Public Health
Centre heads from remote areas in South Sulawesi Province. The data collection
instrument used was pre-posttest with Alpha Cronbach reliability coefficient of
0.938. The results showed that group competencies taught with Problem Based
Learning (mean=88.72) were better than group competencies taught by direct
learning methods (mean=73.33). Improved test results showed a significant
difference between the experimental group and the control group (p=022). The
correlation coefficient between the post-test score and the answer score of the
Problem Based Learning worksheet shows positive significance (p=0,000). The use
of Problem Based Learning in teaching planning material results in the planning
of community health centers in accordance with the problems found in the
working area

Keywords

Problem Based Learning , Managerial Competence , Training Education , Public Health Centre

References

• 1. Bappenas. Penguatan Pelayanan Kesehatan Dasar Di Puskesmas. Direktorat Kesehatan dan Gizi Masyarakat Kedeputian Pembangunan Manusia, Masyarakat dan Kebudayaan Kementerian PPN/Bappenas; 2018. 2. Barrett B, Charles JW, Temte JL. Climate change , human health , and epidemiological transition. Prev Med (Baltim) [Internet]. 2015;70:69–75. Available from: http://dx.doi.org/10.1016/j.ypmed.2014.11.0133. Harper K, Armelagos G. The changing disease-scape in the third epidemiological transition. International Journal of Environmental Research and Public Health. 2010. doi: 10.3390/ijerph70206754. Macinko J, Starfield B, Shi L. The contribution of primary care systems to health outcomes within Organization for Economic Cooperation and Development (OECD) countries, 1970-1998. Health Serv Res. 2003;38(3):831–65. doi: 10.1111/1475-6773.001495. Handoko TH. Manajemen. 2nd ed. Yogyakarta: BPFE-Yogyakarta; 2003. 79–80 p. 6. Boyatzis RE. Competence and job performance. Competence Perform. 1982; 7. Lyle M. Spencer Jr. SMS. Competence at Work: Models for Superior Performance. Canada: Wiley; 1993. https://doi.org/10.1002/hrdq.39200504118. Kak N, Burkhalter B, Cooper M. Measuring the competence of healthcare providers. Qual Assur. 2001; 9. Loureiro I, Sherriff N, Davies JK. Developing public health competencies through building a problem-based learning project. Journal of Public Health. 2009. DOI: 10.1007/s10389-009-0256-710. Mansour M. The Practice of Strategic Human Resource Management in a Developing Country. Eur Online J Nat Soc Sci. 2015;4(3):500–17. 11. Weiss C, Elouard Y, Gerold J, Merten S. Training in youth-friendly service provision improves nurses’ competency level in the Great Lakes Region. Int J Public Health. 2018; doi: 10.1007/s00038-018-1106-612. Brown JD, Wissow LS, Cook BL, Longway S, Caffery E, Pefaure C. Mental health communications skills training for medical assistants in pediatric primary care. J Behav Heal Serv Res. 2013;40(1):20–35. doi: 10.1007/s11414-012-9292-013. Pálsdóttir B, Barry J, Bruno A, Barr H, Clithero A, Cobb N, et al. Training for impact: The socio-economic impact of a fit for purpose health workforce on communities. Hum Resour Health [Internet]. 2016;14(1):1–9. Available from: http://dx.doi.org/10.1186/s12960-016-0143-614. Fletcher S. Competence-based Assessment Techniques. London: Kogan Page Publishers; 2000. 99 p. 15. Sonmez, Duygu - Lee H. Problem-Based Learning in Science. ERIC Identifier. 2003; 16. Savery JR. Interdisciplinary Journal of Problem-Based Learning Overview of Problem-based Learning: Definitions and Distinctions Overview of Problem-based Learning: Definitions and Distinctions. Interdiscip J Probl Learn [Internet]. 2006;1(1):9–20. Available from: http://dx.doi.org/10.7771/1541-5015.100217. Stankunas M, Czabanowska K, Avery M, Kalediene R, Babich SM. The implementation of problem-based learning in health service management training programs: Experience from Lithuanian University of Health Sciences. Leadersh Heal Serv. 2016; 18. Peeples D, Guerrero A, Bernstein B, Hunt J, Ong SH, Santos C, et al. Comparing and Contrasting the Use of Problem-Based Learning in Child and Adolescent Psychiatry Programs. Acad Psychiatry. 2017;41(5):587–91. 19. Sen M, Kundabala M. Students’ perception and attitude on education curriculum and system in an indian dental school. Indian J Public Heal Res Dev. 2018; doi: 10.1080/01421590802516749.20. Lee JY, Lee DY. The effects of team-based learning program on the self-directed learning capability, learning transfer and learning satisfaction of nursing students. Vol. 9, Indian Journal of Public Health Research and Development. 2018. p. 908–14. doi: 10.1016/j.nedt.2013.03.013.21. Applin H, Williams B, Day R, Buro K. A comparison of competencies between problem-based learning and non-problem-based graduate nurses. Nurse Educ Today [Internet]. 2011;31(2):129–34. Available from: http://dx.doi.org/10.1016/j.nedt.2010.05.00322. Almasoudi B. Problem-Based Learning as a Teaching Method Versus Lecture-Based Teaching in Respiratory Therapy Education. 2012;46. Available from: http://scholarworks.gsu.edu/rt_theses/1323. Kazemi F, Ghoraishi M. Comparison of Problem-Based Learning Approach and Traditional Teaching on Attitude, Misconceptions and Mathematics Performance of University Students. Procedia - Soc Behav Sci. 2012;46:3852–6. doi: 10.1016/j.sbspro.2012.06.15924. Dianati M, Adib-Hajbaghery M. Comparison of Lecture and Problem-Based Learning on Learning of Nursing Students. Futur Med Educ J. 2012;2(1):7–11. DOI: 10.22038/FMEJ.2012.90025. Choi E, Lindquist R, Song Y. Effects of problem-based learning vs. traditional lecture on Korean nursing students’ critical thinking, problem-solving, and self-directed learning. Nurse Educ Today [Internet]. 2014;34(1):52–6. Available from: http://dx.doi.org/10.1016/j.nedt.2013.02.01226. Thabet M, Taha EE-S, Abood SA, Morsy SR. The effect of problem-based learning on nursing students’ decision making skills and styles. J Nurs Educ Pract. 2017;7(6):108. https://doi.org/10.5430/jnep.v7n6p10827. Woods DR. Problem-Based Learning: Helping Your Students Gain the Most from PBL. How to Gain the Most from PBL. 1996. 28. Arends RI. Learning to teach. 9th ed. New York: McGraw-Hil; 2012. 29. Albanese MA, Mitchell S. Problem-based learning: A review of literature on its outcomes and implementation issues. Academic Medicine. 1993. DOI: 10.1097/00001888-199301000-0001230. Dods RF. An action research study of the effectiveness of problem-based learning in promoting the acquisition and retention of knowledge. J Educ Gift. 1997;20(4):423–37. https://doi.org/10.1177/01623532970200040631. Schmidt HG, Vermeulen L, Van Der Molen HT. Longterm effects of problem-based learning: A comparison of competencies acquired by graduates of a problem-based and a conventional medical school. Med Educ. 2006;40(6):562–7. DOI: 10.1111/j.1365-2929.2006.02483.x32. Hoover CR, Wong CC, Azzam A. From primary care to public health: Using problem-based learning and the ecological model to teach public health to first year medical students. J Community Health. 2012;37(3):647–52. DOI:10.1007/s10900-011-9495-y33. Cartwright P, Bruce J, McInerney P. Effects of problem-based learning on nurse competence: A systematic review. J Nurs Educ Pract. 2016;7(4):67–75. 34. Khatiban M. Lecture-based versus problem- based learning in ethics education among nursing students. 2018;1–12. doi: 10.1177/0969733018767246. 35. Burgess A, Roberts C, Ayton T, Mellis C. Implementation of modified team-based learning within a problem based learning medical curriculum: A focus group study. BMC Med Educ. 2018;18(1):1–7. doi: 10.1186/s12909-018-1172-836. Masek A. Problem Based Learning Instruction Approaches for Students’ Intrinsic Motivation Stimulus. Int J Vocat Educ Train Res. 2015;1(3):42. doi: 10.11648/j.ijvetr.20150103.1237. Korpi H, Peltokallio L, Piirainen A. Problem-Based Learning in Professional Studies from the Physiotherapy Students’ Perspective. Interdiscip J Probl Learn. 2018;13(1):11–20. https://doi.org/10.7771/1541-5015.1732
• 38. Cónsul-Giribet M, Medina-Moya JL. Strengths and weaknesses of problem based learning : from the professional perspective of registered nurses. Rev Lat Am Enfermagem. 2014; DOI: 10.1590/0104-1169.3236.2473