Resilience's Impact on Stress Reduction in Clinical Clerkship Students: A Literature Review
DOI:
https://doi.org/10.53089/medula.v14i9.1417Keywords:
clinical clerkship students, resilience, stress, Clinical clerkship students, resilience, stressAbstract
The transition from the preclinical to the clinical phase of medical education, characterized by a significant difference in the learning system and increased demands, often leads to stress among medical students. A very packed schedule, tight deadlines, and the need to adapt to a dynamic clinical environment are primary stressors for medical students during their clerkship. Prolonged high levels of stress can negatively impact mental health, academic performance, and the quality of medical care, increasing the risk of medical malpractice. Resilience, defined as an individual's ability to recover from difficult situations, has proven to be a crucial protective factor in mitigating the effects of stress. Resilience is a dynamic process demonstrated when individuals take adaptive actions in the face of adversity. It is not a genetic trait but a behavior that can be developed by strengthening the factors that support it. These factors can be internal, external, or interpersonal. One way to enhance resilience is through resilience training programs that involve interactive, independent, and reflective workshops. High levels of resilience among medical students are associated with increased subjective well-being, reduced stress levels, and a more positive perception of quality of life and the educational environment. Therefore, by enhancing resilience, medical students can better cope with the pressures of clerkship, maintain mental health, and optimize academic performance in medical care.
References
Fakultas Kedokteran Universitas Lampung. Buku Panduan Penyelenggaraan Akademik di Lingkungan Fakultas Kedokteran Universitas Lampung TA 2020/2021; 2020. Bandar Lampung: Universitas Lampung.
Bianca N, Budiarsa IGNK, Samatra DPGP. Gambaran Kualitas Tidur Mahasiswa Program Studi Pendidikan Dokter Fakultas Kedokteran Universitas Udayana Pada Tahap Preklinik dan Klinik. Jurnal Medika Udayana. 2021;10(2):1-7.
Raharjanti N, Ramadianto . Validity And Reliability Of Postgradute Hospital Educational Environment Measure. Jurnal Pendidikan Kedokteran Indonesia. 2016;5 (3):157-162.
Malahayani S, Riezky AK, Maulanza H. Tantangan Yang Dihadapi Mahasiswa Tahap Profesi Dalam Menjalankan Kepaniteraan Klinik Senior Di Rumah Sakit Umum Daerah Datu Beru Takengon Tahun 2019. Jurnal Abulyatama. 2019;3(1):576-589.
Dyrbye L, Shanafelt T. A Narrative Review on Burnout Experienced by Medical Students and Residents. Med Educ. 2016;50(1):32-49
Fauziah R, Pusparini M, Astiwara EM. Hubungan Tingkat Stres Mahasiswa Dengan Hasil Kepaniteraan Klinik Pada Mahasiswa Fakultas Kedokteran Universitas Yarsi Angkatan 2016 Dan Pandangan Menurut Islam. Junior Medical Jurnal. 2022;1(4):462-469.
Ikhwaningrum ARS, Yusuf M, Saniatuzzulfa R. Hubungan Resiliensi dan Perceived Social Support dengan Stres Akademik Saat Pembelajaran Daring pada Mahasiswa. Jurnal Sains Psikologi. 2022;11(1):50-61.
Lin YK, Lin CD, Lin BY, and Chen DY. Medical Student’s Resilience: a Protective Role On Stress and Quality Of Life In Clerkship. BMC Medical Education. 2019;19(473):2-9.
Owoc J, Manczak M, Jablonska M, Tombarkiewicz M, OLzewski R. Association Between Physician Burnout and Self-reported Errors: Meta analysis. J Patient Saf. 2022;18:180-8
Shete AN, Garkal KD. A Study Of Stress, Anxiety, and Depression Among Postgraduate Medical Students. CHRISMED Journal Of Health and Research. 2015;2(2):119-123.
Fauziah R, Pusparini M, Astiwara EM. Hubungan Tingkat Stres Mahasiswa Dengan Hasil Kepaniteraan Klinik Pada Mahasiswa Fakultas Kedokteran Universitas Yarsi Angkatan 2016 Dan Pandangan Menurut Islam. Junior Medical Jurnal. 2022;1(4):462-469.
Adryana NC, Oktafany, Apriliana, Oktaria D. Perbandingan Tingkat Stres pada Mahasiswa Tingkat I, II dan III Fakultas Kedokteran Universitas Lampung. Majority Science Journal. 2020;9(2):142-149.
Keye MD, Pidgeon AM. Investigation Of The Relationship Between Resilience, Mindfulness, And Academic Self-Efficacy. Open Journal Of Social Sciences. 2013;1(6):1–4.
Rojas LF. Factors Affecting Academic Resilience In Middle School Students: A Case Study 1 Factores Que Afectan La Resiliencia Académica En Estudiantes De Bachillerato. Gist Education And Learning Research Journal. 2015;11:63-78.
Connor KM, Davidson JRT. Development Of A New Resilience Scale: The Connor-Davidson Resilience Scale (CD-RISC). Depress Anxiety. 2003;18:76–82.
Gariska PD, Pudyastuti SG, dan Purwanto D. Resiliensi Mahasiswa Pengemudi Ojek Online (Maxim) Di Lingkungan Pendidikan Universitas Sebelas Maret Surakarta. Jurnal Niara. 2024;17(2):299-309.
Noviana R, Suzanna E, dan Muna Z. Gambaran Resiliensi Akademik Pada Mahasiswa Psikologi Universitas Malikussaleh Yang Sedang Menyusun Skripsi. INSIGHT: Jurnal Penelitian Psikologi. 2023;1(3): 446-467.
Annida NH. Perbandingan Tingkat Depresi Pada Mahasiswa Kedokteran Preklinik Tingkat Awal dan Dokter Muda Stase Mayor Fakultas Kedokteran Universitas Lampung Pada Bulan November 2012. [Skripsi]. Bandar Lampung: Fakultas Kedokteran Universitas Lampung; 2013.
Aini DK. Positive Attachment, Mindfulness, dan Resiliensi Remaja di Era Tatanan Baru. PSISULA: Prosiding Berkala Psikologi. 2: 210-225; 2020.
Febriani I. Penerimaan Diri Pada Remaja Penyandang Tuna Daksa. Jurnal Psikoborneo. 2018;6(1):150-157.
Rumintang A, Rustika IM. Peran Kecerdasan Emosional dan Kecerdasan Adversitas Terhadap Tingkat Kecemasan Pada Dokter Muda Fakultas Kedokteran Universitas Udayana. Jurnal Psikologi Udayana. 2020;7(2):77-92.
Hardani AO. Manajemen Waktu Mahasiswa Yang Bekerja Paruh Waktu (Studi Fenomenologi). Katalis Pendidikan: Jurnal Ilmu Pendidikan dan Matematika. 2024;1(3):204-210.
Chintia, Nugraha Y, Muktamiroh H, Pasiak TF. The Relationship Between Spirituality and Resilience With Level Of Depression In Medical Students. The Indonesian Journal Of Medical Education. 2023;12(3):251-260.
Fernando F. Manfaat Spiritualitas Terhadap Resiliensi Pada Saat Pandemi. QALAM: Jurnal Pendidikan Islam. 2022;3(1):26-43.
Kiziela A, Viliuniene R, Friborg O, Navickas A. Distress and Resilience Associated with Workload of Medical Students. Journal of Mental Health. 2018;28(3):19-23.
Grotberg EH. A Guide To Promoting Resilience In Children: Strengthening The Human Spirit, Early Childhood Development: Practice And Reflections. Fundación Bernard Van Leer. Netherlands. 1996.
Hertinjung SW, Yuwono S, Laksita AK, Ramandani AA, Kencana SS. Faktor-Faktor Yang Memengaruhi Resiliensi Remaja Di Masa Pandemi. Proyeksi. . 2022;17(2):60–71.
Reivich K dan Shatte A. The Resilience Factor: 7 Essential Skills For Overcoming Life’s Inevitable Obstacles. Broadway Books: New York. 2002.
Novianti R. Orang Tua Sebagai Pemeran Utama dalam Menumbuhkan Resiliensi Anak. Educhild. 2018;7(1):26–33.
Houpy JC, Lee W, Woodruff, Pincavage A. Medical Student Resilience and Stressful Clinical Events During Clinical Training. Medical Education Online. 2017;22(1):1-7.
Gheihman G, Singh TA, Cooper CA, McKeon BA, Hirsh DA, Simpkin AL. Everyday Resilience: Equipping Faculty with Practical Exercises to Promote Resilience Among Medical Students. MedEdPortal: The Journal of Teaching and Learning Resources. 2021;17:11076.
Kiesewetter J dan Dimke B. Emotional Speed-Dating as a Part of Medical Student’s Resilience Training. Medical Education. 2020;54:473-4.
Sanjaya A, Mianto NA, Wijayanto KR, Edwin C. Resilience: A Panacea for Burnout In Medical Students During Clinical Training?. Medicine. 2024;103(49): 1-7.
Mugford H, O’Connor C, Danelson KA, Popoli D. Medical Student’s Perceptions and Retention of Skills from Active Resilience Training. Family Medicine. 2022;54(3):213-215.
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