Showing 73 results for Clinical Education
Marzieh Moattari, Heidar Ali Abedi, Abolqassem Amini, Eskandar Fathi Azar,
Volume 1, Issue 4 (12-2001)
Abstract
Introduction. The significance of fostering critical thinking in students has been explicated by the increasing rate of knowledge and information. To assimilate knowledge and to assess the considerable amount of information, students need to develop their thinking skills. Considering reflection as a teaching strategy and one of the most effective ways for fostering thinking, this study was designed to determine the effect of reflection on thinking skills of nursing students at Tabriz faculty of nursing and midwifery.
Methods. 40 senior nursing students participated in this study voluntarily. After receiving the necessary information regarding their participation they took California Critical Thinking Skill Test. Then they were divided into 2 equal case and control groups. Both groups had their routine clinical programs, but the interventional program was offered only to the case group. This interventional program consisted of 3 main parts: A 4 day workshop on reflection and 10 weeks reflection on their clinical experiences, concluding dialog journals and writing up logs. At the end of their clinical program, both groups took the same test as pretest. Data were analyzed by paired T-test and T-test.
Results: Results of the study revealed that reflection has been effective on improving inductive reasoning and total scores of critical thinking skills of students.
Conclusion: Improving general critical thinking skills due to a disciplinary specific strategy was a valuable outcome. Regarding this results, reflection is recommended to be infused in our educational program.
Peyman Adibi, Bita Nik-Kholgh, Abbas Esmaeeli, Hamid Reza Sima, Mohammad Reza Zali,
Volume 3, Issue 1 (6-2003)
Abstract
Introduction. Despite growing evidence in the field of undergraduate medical education, there is not much data on resident training. Case presentation is a useful tool for scientific clinical education which along with evidence based medicine will become an interactive training method. So, the goal of this study was to compare traditional educational methods with hard talk and their role in learning process, based on residents' viewpoints. Methods. In a pre-experimental study, special monthly case discussion sessions (named "Hard talks on gastroenterology") were designed for internal medicine residents of Shaheed Beheshti University of Medical Sciences. Then the data were collected using an attitude measurement questionnaire. Each educational case was started with a title followed by history, physical examination data, as well as paraclinical lab results, respectively. The scenario ended with a definite clinical question about next needed test, diagnosis or treatment. After the sixth session, questionnaires were distributed non-randomly among 50 participants and 31 questionnaires were completed. The data were analyzed by SPSS 11 using frequency distribution and Kruskal Wallis. Results. Residents were more positive toward Hard talks. They evaluated the possibility of challenge with speakers 54.8%, learning the presented subject during the session 80.6%, the compatibility of the subject with residents' real needs 77.4%, the possibility of using the attending physician experiences 77.2%, volume of knowledge transfer in a session 67.7%. The participants considered the Hard talks better than traditional methods. Conclusion. In general, this study showed a relatively successful experience in resident training. Due to the lack of new methodologies in resident education this can be used as a guide for designing new interventions in the field.
Batool Mohammadi, Susan Valizadeh, Sima Lak Dizeji,
Volume 3, Issue 1 (6-2003)
Abstract
Introduction. Learning clinical skills at the bedside is one of the best educational methods which mainly depends on clinical instructors’ characteristics. It seems that teaching by qualified and competent instructors can enable students to reach their maximum capability. This research was designed to study the effect of teaching on knowledge, attitude and practice of nursing and midwifery instructors concerning effective behaviors at clinical teaching.
Methods. This was a quasi-experimental research which studied all nursing and midwifery instructors (N=25) at Tabriz University. The research was designed as one group and two stages which assessed knowledge, attitude and practice of instructors before and two months after running the educational program (two days workshop). The data collecting tool was a questionnaire including four sections. The scientific validity of the questionnaire was confirmed by content validity and its reliability was evaluation by split-half method. In addition to instructors, the forth section of the questionnaire concerning performance, was also completed by the students who were under the supervision of trained instructors before and two months after the workshop. The results were analyzed by SPSS 9 software and using paired t-test, relative frequency, mean and standard deviation.
Results. According to the results, participation of instructors in educational workshops had a positive effect on increasing knowledge and improving their attitude toward clinical teaching behaviors. Moreover, according to the viewpoints of instructors and students, their performance scores increased after education. But, no significant difference between the mean of performance score of instructors before and after workshop was observed. Based on students' viewpoints, instructors' performance in assessing students showed a significant difference.
Conclusion. Considering the positive effects of education on knowledge and attitude of the instructors, providing education and an appropriate background in clinical environment for employing effective behaviors seems necessary. The results of this research can be used in designing a valid evaluation tool for assessing the effectiveness of clinical education and the educational performance of clinical instructors
Hamideh Dehghani, Khadijeh Dehghani, Hossein Fallahzadeh,
Volume 5, Issue 1 (6-2005)
Abstract
Introduction. Different problems could lead to reducing the efficiency of field training for nursing students. Identifying and solving these problems is necessary to reinforce some effective educational methods. The aim of this study was to determine the problems in clinical field training for nursing students from the viewpoints of nursing teachers and nursing students in Shahid Sadoughi University of Medical Sciences.
Methods. In this descriptive study 22 nursing instructors and 36 last year nursing students were selected by census method. The data gathering tool was a valid and reliable researcher made questionnaire. The data was analyzed by SPSS software using frequency distribution, mean and standard deviation and t-test.
Results. The majority of nursing students and teachers (over 50%), evaluated this programme as relatively weak to weak, in attaining "holistic view and community-oriented nursing", and acquiring "skills in nursing process and patient education". They stated some problems in clinical training such as "inadequate access to educational and welfare facilities", "lack of health care team cooperation", and "scattered training in clinical wards". They believed that some changes are necessary in field training. There was no significant difference between the mean scores of nursing students' and instructors' view points.
Conclusion. Although field training is appropriate for promoting skills and students' independency for providing community-oriented services in different fields of nursing and the total view towards this program is positive, there are numerous problems in the process of field training that have to be addressed by nursing educational leaders.
Fatemeh Hadizadeh, Mahboubeh Firoozi, Nazanin Shamaeyan Razavi,
Volume 5, Issue 1 (6-2005)
Abstract
Introduction. Continuous evaluation is necessary for improving and promoting the quality of clinical education. The purpose of this study was to determine the views of nursing and midwifery students of Gonabad University of Medical Science about the condition of clinical education.
Methods. This was a cross-sectional survey in which 140 nursing and midwifery students registered as day or night students were selected by census sampling method. They were studied using a questionnaire consisted of 4 sections about instructor’s performance, cooperation of staff, patients and students, facilities and equipments of clinical environment and clinical evaluation system. Data was analyzed by SPSS software using descriptive statistics, t-test, Mann Whitney and Pearson correlation coefficient.
Results. Most of the students evaluated the instructor’s performance, good with the mean and standard deviation of 62.3±15.7, cooperation of staff, patients and students, at a borderline level(between good and intermediate) with the mean and standard deviation of 51.4±22.4, facilities and equipments, at an intermediate level with the mean and standard deviation of 30.64±19.2 and clinical evaluation system at an intermediate level with the mean and standard deviation of 37.6±27.7. There was no significant difference between nursing and midwifery students' viewpoints about different aspects of clinical education.
Conclusion. In order to improve the situation of clinical education in nursing, it is recommended to provide facilities and equipments for clinical environments and revise the tools and process of clinical evaluation. These points have been confirmed by other studies as well. Improving instructors' performance and encouraging professional cooperation could lead to the improvement of clinical education.
Shabnam Omidvar, Fatemeh Bakouee, Hajar Salmalian,
Volume 5, Issue 2 (12-2005)
Abstract
Introduction: Clinical education is a complicated process which is affected by many factors and variables. Since, recognizing the problems is the first step towards reducing them, a study was designed to determine the viewpoints of midwifery students about clinical education problems in Babol Medical University.
Methods: In a cross sectional descriptive study, 55 last year midwifery students were selected by census sampling method. The data collection tool was a valid and reliable questionnaire containing 32 items asking about clinical education problems. The scale of the questionnaire was as yes, sometimes, and no. The data was analyzed by SPSS software using descriptive statistics and Chi2.
Results: Eighty one point eight percent believed that clinical education in midwifery had some problems among which 40% were indicated as high and 41.8% as moderate. Seventy two point seven percent considered clinical education poor in facilities and environmental factors and faced with a lot of problems. Eighty seven point three percent related clinical education problems to trainers’ problems, 83.6% indicated some problems in theoretical pre-clinical courses, 74.5% related the problems to hospital and health centers’ personnel, and 83.7% of subjects felt some problems in clinical evaluation.
Conclusion: Lack of expert clinical trainers, and problems in pre-clinical courses and clinical evaluation were the most significant clinical education problems based on the view points of midwifery students in Babol Medical University.
Abolfazl Rahimi, Fazloallah Ahmadi,
Volume 5, Issue 2 (12-2005)
Abstract
Introduction: The situation of clinical education should be always evaluated in order to improve its quality. This study was performed to determine the viewpoints of clinical instructors about obstacles of clinical teaching and strategies for improving its quality in Tehran Nursing Schools in 2005.
Methods: In this cross-sectional survey 60 instructors of Tehran’s nursing and midwifery schools were selected by census sampling method. The data collection tool was a valid and reliable questionnaire consisted of 5 domains including the performance of clinical instructors, curriculum design, clinical environment, students’ characteristics, and educational and welfare facilities. Data was analyzed by SPSS software (13.0), using descriptive statistics, t-test and one-way ANOVA.
Results: The instructors reported the quality of clinical education average in the domains of clinical environment and educational facilities, and weak in other domains. Lack of interest and motivation in students was the main obstacle for clinical education. Paying more attention to appropriate planning for clinical education was mentioned as the best strategy for quality improvement.
Conclusion: The quality of clinical teaching was unsuitable. In order to overcome these challenges, the collaboration of instructors, staff, educational supervisors, head nurses, nursing managers and other managerial levels is recommended.
Mina Motallebnejad, Zahra Madani, Ehsaneh Ahmadi, Seyed Reza Hosseini,
Volume 5, Issue 2 (12-2005)
Abstract
Introduction: In order to achieve clinical education objectives, it is necessary to evaluate the educational situation continuously and identify its strength and weaknesses. The aim of this study was to determine dentists' opinion about their professional capability graduated from Babol Dental School.
Methods: In a cross-sectional descriptive study, all dental students who had entered the university in 1997 and 1998 (n=45) filled a valid and reliable questionnaire including 97 questions about clinical training objectives. The data were analyzed by SPSS software using t-test and Pearson correlation coefficient.
Findings: The total mean score was 132.2±20.11 out of 180. The lowest and highest scores belonged to periodontology and fixed prosthetics, respectively. The mean score of professional capability in males was more than females. There was no significant relationship between the mean score of capability and the year of entrance to the university, marriage status and quota of acceptance to the university.
Conclusion: The students’ opinion about their professional capabilities showed their dissatisfaction from their acquired capabilities which in turn reveals the existence of some weaknesses in clinical educational methods.
Marzie Moattari, Mahin Moghaddasi, Masoud Mousavi Nasab, Asghar Razavieh,
Volume 6, Issue 2 (12-2006)
Abstract
Introduction: The instructors’ clinical teaching behaviors need to be monitored and improved during educational process. The purpose of this study was to determine the effect of a three day educational workshop about clinical teaching and evaluation on effective clinical teaching behaviors of clinical instruc-tors at faculty of Nursing and Midwifery in Shiraz. Methods: All clinical nursing instructor who had been involved in clinical teaching at least for four months (n=39), participated In this quasi-experimental research with two group post-test only design. They were divided randomly into two experiment (n=19) and control (n=20) groups. The experiment group participated in a pre-planned three day educational workshop about clinical teaching and evaluation.Two months later, all of the students who were involved in clinical experiences (n=588) were asked to evaluate their clinical teachers using a questionnaire consisting of 21 items about effective clinical teaching behaviors. The mean scores for teaching behaviors were compared by independent t-test using SPSS software. Results: The mean scores of the experiment group were significantly higher than the control group. Furthermore, the experiment group significantly differed from the control group in six educational behaviors including conducting effective clinical conferences, providing positive feedback and reinforcement, encouraging students to think, analyzing and rational criticizing, being flexible, facilitating students’ self-evaluation, and asking stimulating questions.But no significant difference was observed in other 15 educa-tional behaviors. Conclusion: Participation in clinical education workshop had a positive effect on instructors’ efffective clinical teaching behaviors, and made them to apply some educational principles. To improve other effective clinical teaching behaviors, program organizers and directors should provide appropriate situations in order to facilitate the application of instructors’ knowledge and skills in clinical teaching.
Masoumeh Delaram,
Volume 6, Issue 2 (12-2006)
Abstract
Introduction: The continuous examination of the current situation, and recognizing the strengths and improving the weaknesses are necessary for promoting the quality of clinical education. This study was designed to determine the problems of clinical education from the viewpoints of nursing and midwifery students of Shahrekord University of Medical Sciences. Methods: In this descriptive study performed in 2004-2005, all bachelor nursing and midwifery students who were in their last semester (n=133) were asked to complete a 36 item questionnaire as self-administered. The data was analyzed by SPSS software using frequency distribution. Results: The most important strength of clinical education were proper encounter with trainees, on time presence of trainees and trainers, respecting the pre-requisite courses, respecting the stages of clinical education, full support of trainees, and complete supervision over clinical education. The weaknesses included not using audiovisual aids, lack of welfare facilities, not evaluating trainers by the students, and lack of coordination between theory and practice. Conclusion: Most subjects concerning educational objectives and trainers were confirmed while the situation of educational environment, supervising and evaluation were not optimal. There were also some problems in encountering with students. It is recommended to improve the facilities and equipments of clinical education and revise the evaluation tools and process.
Fariba Farhadian, Mina Tootoonchi, Tahereh Changiz, Fariba Haghani, Shahram Oveis Gharan,
Volume 7, Issue 1 (6-2007)
Abstract
Introduction: Identifying faculty members' skills and their educational needs in teaching is necessary for planning faculty development programs. This study was designed to determine faculty members' educational needs and their skills concerning teaching methods during teaching medical clerkship and internship courses in order to coordinate the content of educational workshop according to their needs.
Methods: In a descriptive study, 108 faculty members teaching clerkship and internship courses in Isfahan University of Medical Sciences were selected by random stratified sampling and completed a 16 item questionnaire as self-administered. The questionnaire was about their skills and educational needs in teaching methods of clinical internship and clerkship courses. The data was analyzed by SPSS software using frequency distribution, mean, standard deviation, and linear regression.
Results: Faculty members had educational needs in all 16 areas under investigation. They considered their skills at proficiency level in implementation but low level in using evaluation feed-back for improving performance, video recording and making educational films. Their most important priorities for education were information resources and full-text journals, clinical skills evaluation, and using evaluation results for identifying their weaknesses in teaching. The results showed no significant relationship between the subjects' skills and educational needs, and their demographic characteristics.
Conclusion: Although faculty members evaluated their skills almost at proficiency level in most areas, they needed more education. It seems that teaching methods and student assessment workshops have to be revised and the content of the workshops should be designed according to the needs of the faculty members. It is also recommended to use different educational methods such as workshops, books and pamphlets, self-learning materials, and educational films to respond to faculty members' educational needs.
Roshanak Hassan Zahraei, Giti Atash Sokhan, Shayesteh Salehi, Soheila Ehsanpour, Akbar Hassanzadeh,
Volume 7, Issue 2 (3-2008)
Abstract
Introduction: Teaching and learning are interdependent in educational process. Teaching effectiveness, therefore, is to be investigated both from teachers' and learners' viewpoints in order to achieve a better education. This study was conducted to determine and compare the factors related to effective clinical education from teachers' and students' viewpoints in School Of Nursing and Midwifery in Isfahan University of Medical Sciences. Methods: In this descriptive cross-sectional study, the population under the study was 53 faculty members and 118 senior students selected through purposeful sampling. The research environment consisted of teachers' offices, hospitals, and clinical centers affiliated to Isfahan University of Medical Sciences. The data gathering tool was a researcher made questionnaire consisted of two parts of demographic feَAutres and factors related to clinical education which contained 5 general areas of individual feَAutres of the learner, clinical teacher, clinical environment, educational planning, and clinical evaluation. Questions related to each of these areas were scored based on a five point Scale. The questionnaires were distributed anonymously and gathered after one week. The data was analyzed by SPSS software. Results: Mean of the scores in areas of factors related to the individual feَAutres of the learner, clinical teacher, clinical environment, and educational planning were above 4 and only in the area of clinical evaluation it was 3.95±0.81 out of the total score 5. T-test results for four before mentioned areas were 0.46, 0.45, 0.53, and, 1.39, respectively and it was 0.38 for evaluation area which revealed no significant difference. Conclusion: Regarding the agreement of faculty members and students on the importance of these factors in clinical education, it is recommended to apply all these factors in order to promote the quality of clinical education.
Musa Alavi, Heydarali Abedi,
Volume 7, Issue 2 (3-2008)
Abstract
Introduction: Clinical education program was designed to promote nursing education which its processes are mainly aimed at students. Despite all of this, less attention has been paid to students' feedback in this process. This study focused on nursing students' personal experiences about instructors' roles in clinical education program and intended to clarify the concept of "effective instructor" in clinical education.
Methods: Using purposeful sampling method, 12 nursing students of Isfahan University of Medical Sciences, who had passed at least one clinical education course, were selected and studied through phenomenological approach. Data was gathered through in-depth interview. Raw data was analyzed using Colaizzi method. The validity and reliability of the study was acquired through considering four elements of factual value, applicability, consistency and neutrality.
Results: The interview texts were analyzed and the codes were extracted. Then, the codes were categorized into eight major concepts of presence, instructor as evaluator, instructor as communicator, instructor as experience provider, instructor as motivator, instructor as supervisor, instructor as moderator, and instructor as supporter.
Conclusion: Participants in this study emphasized the instructor's key role in forming an appropriate or safe working environment. They revealed that the instructor can play an effective and useful role in clinical learning by providing new information, supporting the students thoroughly, and supervising their performance. In addition to experiencing some levels of dependence, participants accentuated the necessity for establishing a safe environment in order to provide learning opportunities for students. They also confirmed effective role playing by the teacher as an appropriate input for nursing students' needs.
Azad Rahmani, Alireza Mohajjelaghdam, Eskandar Fathi Azar, Fariborz Roshangar,
Volume 7, Issue 2 (3-2008)
Abstract
Introduction: Effective clinical teaching requires educational methods capable of developing an appropriate level of knowledge and practice in students. The aim of this study was to investigate the effect of adapted model of mastery learning on cognitive and practical learning of nursing students. Methods: In a quasi-experimental study using pre-test and post-test with two group design, 52 nursing students were selected through census sampling method and placed randomly in 6 experiment and 6 control groups, each group containing 4 to 5 people. After taking the cognitive and practical pre-tests, control group received traditional education and experiment group went under clinical education using adapted model of mastery learning for 12 days. At final step, the post-tests were held. An achievement test and 4 checklists were designed for data gathering. The results were analyzed by SPSS software using Wilcoxon and Mann Whitney tests. Results: Both methods of clinical education were effective in promoting cognitive and practical learning of students. Comparing the difference between the means of pre-test and post-test of cognitive and practical learning in the two groups, showed a higher difference in the experiment group in all items. Conclusion: The effect of adapted model of mastery learning on cognitive and practical learning of nursing students was more than the traditional method of clinical education. Therefore, it is recommended to use this model in clinical education.
Vahid Zamanzadeh, Farahnaz Abdollahzadeh, Mojgan Lotfi, Ahmad Aghazadeh,
Volume 7, Issue 2 (3-2008)
Abstract
Introduction: Promoting clinical education quality, requires continuous assessment of the current situations in clinical education fields, identifying the strengths, and improving the weaknesses. The aim of this study was to assess clinical education fields of School of Nursing and Midwifery from the viewpoints of its faculty members. Methods: This study which is a description of current situation in clinical education fields, was carried out during the second semester of 2004-2005 academic year. The study population included clinical education teachers of school of nursing who were selected by census sampling method through 4 sessions held with the members of different departments of medical surgical, midwifery, pediatrics, health and psychiatric nursing. The data gathering tool was a questionnaire consisted of two parts: Clinical teachers' demographic data and the characteristics of clinical education field including 5 parts of the feَAutres of compiled education program in the field, appropriate learning fields, method of education, method of evaluation, and other indices. Results: Clinical teachers assessed educational departments of pediatrics (54.2 percent), medical-surgical (43.8 percent), midwifery (61.6 percent), and health and psychiatric nursing (57.5 percent) as good and excellent. Considering compiled program, clinical education fields were described as good and excellent by 74.9 percent of the participants. Some strength of this aspect included introducing the course objectives at the first day of clinical education as well as presenting references according to the references introduced by the related ministry. Appropriate position of nursing students and instructors in the field and also the unimportant role of the educational department in the management of the educational field were amongst weaknesses of this aspect. Conclusion: Although some aspects of clinical education field were good and excellent, improving positive aspects and modifying the weaknesses may be an effective step in clinical education quality promotion. Continuous assessment of clinical fields and comparing the current situation with the previous situation can reveal the strengths and weaknesses of clinical education.
Marzieh Moattari, Heydarali Abedi,
Volume 8, Issue 1 (9-2008)
Abstract
Introduction: Reflective thinking has been emphasized as an effective educational strategy by many researchers but there are few qualitative researches regarding the results of its application. This research was conducted to find out the mechanisms by which reflection on practice affects clinical experiences. Methods: This qualitative study was performed as grounded theory. The participants were twenty 4th year nursing students having 10 weeks experience of reflective thinking program. A guide on reflective thinking was given to students who were asked to write their thoughts about experiences obtained in clinical environment in their personal journals and give them to the researcher on a weekly base. Then, they received an appropriate feedback based on the scales of reflective thinking levels and thinking strategies in nursing. At the end of the mentioned time, students participated in focus group interviews in two groups of ten. Transcripts were analyzed through qualitative method and were coded in three stages during which the data were categorized and named. The names of categories are the themes of this study. Results: Findings demonstrated that the process of reflective thinking influencing clinical experience emerges in 5 domains of caring, thinking, theory and practice integration, self-regulatory mechanisms and motivation. Conclusion: Students’ experiences in reflective thinking show that reflective thinking leads to having holistic approach toward patients, affecting thinking, integrating theory and practice, and improving self-regulatory mechanisms and motivation. Motivation variable as a central variable influences 4 other themes and is also affected by them. The element of motivation could be added to this cycle as a central variable. Integrating reflective thinking in nursing programs is recommended.
Mohammadreza Yazdankhah Fard, Shahnaz Pouladi, Farahnaz Kamali, Nasrin Zahmatkeshan, Kamran Mirzaei, Sherafat Akaberian, Siamak Yazdanpanah, Tayebeh Jamand, Tayebeh Gharibi, Rozita Khorramroudi,
Volume 8, Issue 2 (3-2009)
Abstract
Introduction: Clinical education is a complicated process which is affected by several factors and variables. Thus the aim of this study was to determine the stressing factors in clinical education from the viewpoints of students of Boushehr University of Medical Sciences. Methods: In this descriptive cross-sectional study, 334 students of Boushehr University of Medical Sciences were selected thorough census. The data gathering tool was a researcher-made questionnaire. This question-naire consisted of two parts of demographic data and 60 questions about stressing factors in clinical educa-tion in five areas. Data was analyzed by SPSS software using frequency distribution, mean, standard devia-tion, and Chi², variance analysis test. Results: The humiliating experiences, educational environment, clinical experiences, unpleasant emotions, and interpersonal relationships areas were high stressing factors respectively. The most stressing factors were as teachers' notification in front of personnel and physicians, lack of facilities in ward, watching patients suffering from pain, solicitude about contagious disease transmission, and lack of teacher support respectively. Conclusion: Medical students are exposed to a variety of stressor factors. Thus establishing a supportive system during the first academic year and improving it throughout clinical education is necessary to equip medical students with effective coping skills.
Susan Valizadeh, Yousef Mohammadpour, Kobra Parvan, Sima Lakdizaji,
Volume 9, Issue 2 (10-2009)
Abstract
Introduction: Despite global acceptance of outcome-based education, few investigations are available about its effects on clinical competencies (cognitive and behavioral skills) of nursing students. The aim of this study was to investigate the effect of outcome-based education on clinical competencies of nursing students compared to traditional education. Methods: In this quasi-experimental study using two groups design with pre and post-tests, 26 nursing students were selected through census and divided randomly into two control and experiment groups. Each group included 6 to 7 persons. After completing the pre-test of cognitive skills, the control group received clinical education through traditional method and the experiment group through outcome-based education, for 9 days. Then, students' cognitive skills were measured by post-test and their behavioral skills were observed via checklist. Data was analyzed by SPSS software using Wilcoxon, Mann Whitney, and Fisher exact tests. Results: Outcome-based education was effective in promoting students' cognitive and behavioral skills. The mean of cognitive and behavioral skills of the experiment group in post-test were significantly higher than that of the control group in all cases and in total. Also, students' clinical competency in the experiment group was significantly higher than control group. Conclusion: Outcome-based education leads to developing nursing students' competencies more than traditional method. It is recommended to employ this method more in clinical education.
Fereshteh Aein, Fatemeh Alhani, Monireh Anoosheh,
Volume 9, Issue 3 (1-2010)
Abstract
Introduction: Most studies concerning clinical education of nursing students have been performed qualita-tively. This study was performed to more deeply investigate the students’ education at nursing clerkship and explore the experiences of nursing students, instructors, and hospital administrators from the clinical educa-tion of nursing students. Methods: In a qualitative study a semi-structured interview was done with 8 nursing students at the end of clerkship, four nurses working as ward administrators, an education supervisor, and two supervising instructors. Qualitative content analysis was employed for analyzing the data. Results: Six central variables were realized (emerged) including lack of readiness for entering into clinical learning environment, undesirability of student assessment process, lack of advantageous relationship between the nursing school and the hospital, ideal planning for clerkship shifts, deficiency in clinical educa-tion, and the effects of clerkship on hospital and patients' affairs. Conclusion: According to the findings of the study, it is necessary for the nursing administrators to place more effort to resolve the present problems specially the relationship between the nursing school and the hospital, and to renovate hospital into a favorable learning space to meet educational goals of nursing clerkship
Samaneh Parchebafieh, Sima Lakdizaji, Shahrzad Ghiasvandian,
Volume 9, Issue 3 (1-2010)
Abstract
Introduction: In order to resolve the existing problems of clinical education such as low-level proficiency of nursing graduates in achieving essential competencies and skills at the end of nursing education and the necessity of employing new methods of education for promoting the quality of clinical education, this study was performed to investigate the effect of clinical education associate on nursing students' learning compared to contemporary method. Methods: In a quasi-experimental study, 60 students of nursing school passing clinical medical surgical course were selected along an academic semester through census and using simple randomization. They were divided into two groups. The first group was taught by clinical education associate method and the second one experiences the contemporary technique. After two weeks of learning, the students' cognitive and skill areas were evaluated using questionnaire and checklist. Data was analyzed by SPSS software using independent t test, paired t, Fisher, and Chi². Results: Both methods were effective in promoting students' learning area. But the mean difference of students' skills in two groups was not significant while a statistically significant difference was observed in cognitive learning of student. Conclusion: The effect of these two models on learning clinical skills in students was similar but cognitive learning area in group 2 (contemporary method) was higher than the group of clinical associate model. It seems that it is more effective to use contemporary model. According to the dissimilarity of the findings of this study with that of similar studies, it is recommended to search for more evidences in bigger samples and different wards.
