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KMID : 1104220230350040377
Korean Journal of Medical Education
2023 Volume.35 No. 4 p.377 ~ p.388
Hybrid learning as alternative approach to improve Indonesian medical students¡¯ attitude towards clinical skills during COVID-19 pandemic
David Nugraha

Rezy Ramawan Melbiarta
Visuddho Visuddho
Rimbun Rimbun
Sakina Sakina
Lilik Herawati
Fithriyah Cholifatul Ummah
Purwo Sri Rejeki
Achmad Chusnu Romdhoni
Abstract
Purpose: Hybrid learning has been chosen as an alternative method in the conduction of clinical skill lectures during coronavirus disease 2019 (COVID-19) pandemic since students need to learn skills applied in emergency situations. This study aims to analyze students¡¯ attitudes between hybrid and online learning methods.

Methods: A non-randomized study was conducted between hybrid group (HG) and online group (OG) on three courses (intravenous [IV]-line insertion, nasogastric tube [NGT] insertion, and neonatal resuscitation). We developed a preformed validated questionnaire to assess students¡¯ attitudes in five domains (willingness, understanding, capacity, self-efficacy, and intended behavior). The questionnaire was applied at the pre- and post-intervention.

Results: A total of 100 participants were included (n=49 in HG, n=51 in OG). Post-course attitudes were significantly higher in online (IV-line, p=0.000; NGT, p=0.000; resuscitation, p=0.000) and hybrid (IV-line, p=0.000; NGT, p=0.000; resuscitation, p=0.000) groups compared to their pre-course. There were no significant differences in post-course attitude between groups (IV-line, p=0.072; NGT, p=0.163; resuscitation, p=0.146). Normalized-gain scores of all subjects were higher in HG (IV-line, p=0.012; NGT, p=0.085; resuscitation, p=0.033).

Conclusion: In conclusion, hybrid learning could be considered as a better alternative in clinical skill lectures to maximize students¡¯ attitudes, especially during COVID-19 pandemic.
KEYWORD
Attitude, Clinical skills, COVID-19, Hybrid learning, Medical education
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