Deeper look into feedback practice in an Indonesian context: exploration of factors in undergraduate clinical settings
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Purpose: The practice of feedback is influenced by the characteristics of students, teachers, and the clinical environment. Most studies on feedback have been conducted in Western settings with different sociocultural backgrounds to Indonesia. This study explores feedback in Indonesian clinical clerkship using a sociocultural lens and aims to provide an exemplar of adaptive practice relevant to non-Western settings.Methods: This qualitative study was conducted using an interpretive phenomenology approach. Data were collected through focus groups with students and teachers and interviews with program coordinators. Data were transcribed verbatim and grouped according to data sources, coded, and analyzed thematically.Results: Themes identified from the focus group discussions and interviews were categorized as student, teacher, and environmental factors. Student factors include dependence on feedback, tendencies to use a group approach, difficulties recognizing social rules, a perceived lack of resilience, and tendencies to doubt praise. Factors related to teachers include a high level of expertise, being extremely busy, having a strong commitment, and being unsure of students’ acceptance of feedback. Clinical environment factors influence interactions between teachers and learners and include high power distance and collectivistic values. A safe environment is needed to ensure effective feedback interactions.Conclusion: High power distance, collectivism, and generational characteristics of students likely impact feedback practice in clinical settings. Designing a safe environment is essential for effective feedback practice.
Abstract
Purpose: The practice of feedback is influenced by the characteristics of students, teachers, and the clinical environment. Most studies on feedback have been conducted in Western settings with different sociocultural backgrounds to Indonesia. This study explores feedback in Indonesian clinical clerkship using a sociocultural lens and aims to provide an exemplar of adaptive practice relevant to non-Western settings.Methods: This qualitative study was conducted using an interpretive phenomenology approach. Data were collected through focus groups with students and teachers and interviews with program coordinators. Data were transcribed verbatim and grouped according to data sources, coded, and analyzed thematically.Results: Themes identified from the focus group discussions and interviews were categorized as student, teacher, and environmental factors. Student factors include dependence on feedback, tendencies to use a group approach, difficulties recognizing social rules, a perceived lack of resilience, and tendencies to doubt praise. Factors related to teachers include a high level of expertise, being extremely busy, having a strong commitment, and being unsure of students’ acceptance of feedback. Clinical environment factors influence interactions between teachers and learners and include high power distance and collectivistic values. A safe environment is needed to ensure effective feedback interactions.Conclusion: High power distance, collectivism, and generational characteristics of students likely impact feedback practice in clinical settings. Designing a safe environment is essential for effective feedback practice.
참고문헌 (23)
- Ramani S, "Feedback redefined : principles and practice", J Gen Intern Med, 34(5), pp.744~749 (2019)
- Evans C, "Making sense of assessment feedback in higher education", Rev Educ Res, 83(1), pp.70~120 (2013)
- Lipnevich AA, "A review of feedback models and theories : descriptions, definitions, and conclusions", Front Educ, 6, pp.720195~ (2021)
- Jug R, "Giving and receiving effective feedback : a review article and how-to guide", Arch Pathol Lab Med, 143(2), pp.244~250 (2019)
- Telio S, "The “educational alliance”as a framework for reconceptualizing feedback in medical education", Acad Med, 90(5), pp.609~614 (2015)
- Sargeant J, "Facilitated reflective performance feedback : developing an evidence-and theory-based model that builds relationship, explores reactions and content, and coaches for performance change(R2C2)", Acad Med, 90(12), pp.1698~1706 (2015)
- Areemit RS, "Hierarchy, "Kreng Jai"and feedback : a grounded theory study exploring perspectives of clinical faculty and medical students in Thailand", Teach Learn Med, 33(3), pp.235~244 (2021)
- Nugraheny E, "Feedback in the nonshifting context of the midwifery clinical education in Indonesia : a mixed methods study", Iran J Nurs Midwifery Res, 21(6), pp.628~634 (2016)
- Oktaria D, "Undergraduate medical students’perceptions on feedback-seeking behaviour", Malays J Med Sci, 25(1), pp.75~83 (2018)
- Suhoyo Y, "Influence of feedback characteristics on perceived learning value of feedback in clerkships : does culture matter?", BMC Med Educ, 17(1), pp.69~ (2017)
- Suhoyo Y, "Clinical workplace learning : perceived learning value of individual and group feedback in a collectivistic culture", BMC Med Educ, 18(1), pp.79~ (2018)
- Cruess RL, "A schematic representation of the professional identity formation and socialization of medical students and residents : a guide for medical educators", Acad Med, 90(6), pp.718~725 (2015)
- Soemantri D, "The practice of feedback in health professions education in the hierarchical and collectivistic culture : a scoping review", Med Sci Educ, 32(5), pp.1219~1229 (2022)
- Neubauer BE, "How phenomenology can help us learn from the experiences of others", Perspect Med Educ, 8(2), pp.90~97 (2019)
- Otani T, "“SCAT” a qualitative data analysis method by four-step coding: easy startable and small scale dataapplicable process of theorization", Educ Sci, 54(2), pp.27~44 (2008)
- Ang WH, "Generation Z undergraduate students’ resilience during the COVID-19 pandemic : a qualitative study", Curr Psychol, 41(11), pp.8132~8146 (2022)
- Findyartini A, "Challenges and opportunities in cultivating medical students’ competencies : participatory action research from a hierarchical cultural setting", Med Educ Online, 28(1), pp.2185122~ (2023)
- Torralba KD, "Psychological safety, the hidden curriculum, and ambiguity in medicine", Clin Rheumatol, 39(3), pp.667~671 (2020)
- Schenarts PJ, "Now arriving : surgical trainees from generation Z", J Surg Educ, 77(2), pp.246~253 (2020)
- Bandura A, "On the functional properties of perceived self-efficacy revisited", J Manag, 38(1), pp.9~44 (2012)
- DiMattio MJ, "Educating generation Z : psychosocial dimensions of the clinical learning environment that predict student satisfaction", Nurse Educ Pract, 49, pp.102901~ (2020)
- Twenge JM, "iGen: why today’s super-connected kids are growing up less rebellious, more tolerant, less happy and completely unprepared for adulthood" (2017), Atria Books
- Johnson CE, "Psychological safety in feedback : what does it look like and how can educators work with learners to foster it?", Med Educ, 54(6), pp.559~570 (2020)