QUESTIONNAIRE
“ATTITUDES AND PERCEPTION OF SPEECH SCIENCE AND AUDIOLOGY
STUDENTS TOWARD CLINICAL PRACTICE”
JABATAN AUDIOLOGI DAN SAINS PERTUTURAN
FAKULTI SAINS KESIHATAN
UNIVERSITI KEBANGSAAN MALAYSIA
53200 KUALA LUMPUR
[SULIT]
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RESEARCH CONSENT FORM
Purpose and Procedure:
The purpose of this research is to study the differences in attitude and perception of the
Speech Science and Audiology students toward the clinical practice for pre-clinical and postclinical students. If you agree to take part in this research, you need to fill in the questionnaire
given.
Volunteerism:
Your participation in this study is voluntary, and you have the right to withdraw from the
study at any time.
Risk:
Your participation in this study did not involve any physical risk.
Cost:
There is no cost to be incurred in participating in this study.
Confidentiality:
All information is confidential. Your identity will be kept confidential.
If you have any questions, you may contact:
Siau Chin
016-5225079
Raymond
016-6981592
Permission: Signing this document means that this research study, including the information
above has been explained to you verbally and you voluntarily agree to participate in this
research.
____
(Name of Respondent)
(Date)
(Signature of Respondents)
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PART A: DETAILS OF RESPONDEN
1.
Name
:_________________________________
2.
Age
:__________
2.
Year of Study
3.
Course
:__________
:
Audiology
Speech Science
4.
Gender: (Please tick / )
Male
Female
5. Race (Please tick /)
Malay
Chinese
India
Others (Please state):______________
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PART B: ATTITUDE TOWARD CLINICAL PRACTICE
For each of the statements below, please indicate the extent of your agreement or
disagreement by placing a tick in the appropriate box.
The response scale is as follows:
1. Strongly Agree
2. Agree
3. Undecided or Neutral
4. Disagree
5. Strongly Disagree
NO.
STATEMENTS
1.
I always cooperate with team members during clinical
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practice.
2.
I am able to come early before the clinic session starts.
3.
When I am facing difficulties during clinical practice,
I will always approach supervisor or clinician or
search for solution.
4.
I can talk to patient, supervisor or clinician
confidently.
5.
I can work well under stress during the clinical
session.
6.
I can manage the clinical session independently.
7.
I am able to conduct the clinical session according to
my plan.
8.
If the clinical session does not go smoothly, I can
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come out with alternative plan quickly.
9.
I am comfortable in dealing with variety of patients
(different age group, socioeconomic status and
gender.)
10.
I am always ready in dealing with different kinds of
unexpected or unpredictable issues in clinical practice.
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PART C: PERCEPTION TOWARD CLINICAL PRACTICE
For each of the statements below, please indicate the extent of your agreement or
disagreement by placing a tick in the appropriate box.
The response scale is as follows:
1. Strongly Agree
2. Agree
3. Undecided or Neutral
4. Disagree
5. Strongly Disagree
NO
STATEMENTS
1.
The clinic provides learning opportunity to students
during observation, hands on and clinical practice.
2.
Clinical practice was successful in meeting most
learning goals.
3.
Wide range of learning opportunities available during
the clinical practice.
4.
Clinical practice allows more independence with
increased skills.
5.
Clinical practice allows students to develop personal
growth and professional identity as an audiologist and
speech pathologist.
6.
Students are provided with adequate guidance and
support from supervisors and clinician.
7.
Students help each other in clinical practice.
8.
Students can easily find help from other resources such
as supervisor or clinician when needed.
9.
Instructors encourage students to help each other during
clinical session.
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10.
Students feel supported when learning new skills in
clinical practice.
11.
Clinical setting provides an effective learning
environment to the students.
12.
The clinical setting is appropriate for the patients in
term of the management provided.
13.
There is adequate number and variety of patients
available at clinic.
14.
There is needed equipment, supplies and resources are
available in the clinic.
15.
Students feel comfortable with the clinical setting.
~ THANK YOU ~
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