Showing 43 results for Student
Hamid Momeni, Ashraf Salehi, Abolfaz Seraji , Dr Akram Sanagoo, Azam Karami, Marzei Mirshekari, Leila Mirshekari,
Volume 12, Issue 1 (4-2015)
Abstract
Background and Objective: The assessment of Patient satisfaction with the care given by nursing students in clinical setting can be helpful in the development of a scientific and practical training. Thus, we aimed to determine patient satisfaction with the care given by students in clinical setting.
Material and Methods: This cross-sectional study was conducted, in 2010, on 1560 inpatients in four hospitals of three provinces (Markazi, Lorestan and Charmahal Bakhtiari) via a questionnaire consisting of two parts of demographic characteristics with 15 questions and patient satisfaction with 30 questions. Given the range of 30-150, the score of more than 90 was considered having satisfaction. The data was analyzed by Mann-Whitney test and Pearson, using SPSS software.
Results: Results showed that 73.2 were satisfied and 26.8 percent were dissatisfied. The satisfaction level was not the same in different health centers in that the satisfaction in lorestan province was higher than that of Chahar Mahal, Bakhtiari province and Markazi province (P=0.001).
Conclusion: The resuls show that the patients are satisfied the care given by nursing students, but 26.8% of the patients are not satisfied with.
Dr Ehsan Kazem Nejad , Fatemeh Dehghani, Shahnaz Buraki,
Volume 12, Issue 1 (4-2015)
Abstract
Background and Objective: Stress, an undeniable fact of human life, is one of the most leading causes of diseases. This phenomenon results in low output students and learning difficulties. Hence, we aimed to identify sources of stress among students of Guilan University of Medical Sciences.
Material and Methods: This cross-sectional study was conducted on 528 students selected by stratified sampling in fall 2012. The data was collected via a two part questionnaire including demographic part and Student Stress part, and analyzed by descriptive statistics and Chi-square.
Results: The highest stressors were related to interpersonal factors (64.4%), and among this, copping with new responsibilities (69.8%) was the most one. No significant association between sources of stress and socio demographic variables was found.
Conclusion: According to multiple stressors in students’ life and education, we recommend consulting services and communication skills training be presented to reduce the damaging effects of stress.
Maryam Askaryzadeh Mahani , Laleh Soleimani, Niloofar Zafarnia, Sakineh Miri,
Volume 12, Issue 2 (12-2015)
Abstract
Background and Objective: Self-efficacy, one's belief in his ability to succeed in different situations, can have positive or negative effects on mental health. Students are considered as the community builders, and thus paying attention to their psychological dimensions is a paramount importance to health of community. This study aimed at determining the relationship of self–efficacy and mental health with academic achievement of students in Bam nursing school.
Material and Methods: This descriptive study was conducted on all students with eligibility criteria in 2011. The instruments were General Self–Efficacy Scale (GSES), Symptom Checklist-25 (SCL-25) and Grade Point Average (GPA) for academic achievement. To analyze the data, we used Ttest, ANOVA and Pearson correlation.
Results: The level of self-efficacy was weak in 3.6 %, moderate in 84.8 % and strong in 11.5% of students. Regarding mental health aspects, the highest score was related to psychotism and depression (4.21) and the lowest to Obsessive-compulsive (3.43). The mental health of students with strong self-efficacy was higher than that of others. GPA was not correlated significantly with self-efficacy (p=0.44, r=0.062) and mental health status (p=0.96, r=0.044).
Conclusion: Mental health and academic achievement are not adequate therefore, we recommend planning some educational program based on self-efficacy theory to improve both mental health and academic achievement.
Mohammad Rajabpoor, Seyed Reza Mazlom, Gholamhosein Zarifnejad, Seyed Mostafa Mohsenizadeh, Fatemeh Heshmati Nabavi , Simin Sharafi ,
Volume 13, Issue 1 (6-2016)
Abstract
Background: Using thinking-based scientific methods such as paper-based and electronic nursing processes in nursing education can lead to education of skilled and efficient experts that can affect students’ satisfaction in addition to their quality of care. The present study aimed to compare the effects of recording and implementing the nursing process based on two methods (paper-based and electronic) on the quality of patient care and nursing students’ satisfaction.
Methods: This randomized-field trial was conducted in 2014 on 64 nursing students that were randomly assigned into two groups of paper-based and electronic nursing process. The intervention included a one-day training on the nursing process and then its implementation on patients using the two mentioned methods during two weeks of internship. Quality of care was measured through a researcher-designed care quality questionnaire before and after the intervention. Students’ satisfaction with the implementation of the nursing process was measured through a researcher-designed students’ satisfaction questionnaire after the intervention.
Results: The mean (±standard deviation) score of students’ satisfaction in the paper-based nursing process and the electronic process was 37.3±4.7 and 68.9±14.2, respectively. There was a statistically significant difference between the two groups (P=0.015). After the intervention, the mean score of care quality in the electronic group was 46.9±5.6 and the mean score of the paper-based group was 39.9±9.2. This difference was also statistically significant (P<0.05).
Conclusion: Since electronic nursing process can increase quality of care and students’ satisfaction more than the paper-based method, the use of electronic method may facilitate the implementation of the nursing process and change education and care giving from traditional forms to a thinking-based approach. Therefore, it is recommended to pay more attention to such method in planning nursing education.
Naser Heidari, Sara Haghighat, Meysam Haji Mohammadi Arani , Fateme Ghorbani, Jamal Ashoori,
Volume 13, Issue 1 (6-2016)
Abstract
Background: Cognitive and metacognitive learning strategies are identified as important solutions for improving academic achievement. This study aimed toevaluate the effect of teaching cognitive and metacognitive learning strategies on academic achievement among nursing students.
Methods: This Study was an experimental with pretest and posttest and follow-updesign. The study population included all nursing students atIslamic Azad University of Pishva during 2013-14. Overall, 40 students were chosen byconvenience sampling technique and randomly divided into two groups (20 subjects in each group) of experimental and control. Students in the experimental group received 10 sessions of 70 minutes long (twice a week) training for cognitive and metacognitive strategies, while the control group received no training. All students completed a teacher-made academic achievement testat the pretest, posttest, and follow-up phases. Data were analyzed usingrepeated measures ANOVA technique.
Results: The mean value of the experimental group (16.67 ± 3.58) was higher than the control group (13.47 ± 2.37) at the posttest phase. Themean value of the experimental group (16.29 ± 3.74) was higher than the control group (12.93 ± 2.84) at the follow-up phase. In addition, there were significant differencesbetween mean valuesat the posttest and follow up phases and mean valueatthe pretest phase. However, there was no significant difference between the mean values of the posttest phase and the follow-up phase.
Conclusion: The results of this study indicate that teaching cognitive and metacognitive learning strategies improves academic achievement in students at posttest and follow-up phases. Thus, academic teachers may teach these useful strategies to the students to improve their academic achievement.
Mohammad Amini, Hamid Rahimi, Zahra Rasooli,
Volume 13, Issue 1 (6-2016)
Abstract
Background: Sex education is one of the challenging areas of educational systems that has always been accompanied by many problems due to some obstacles and constraints. This has led to occurrence of many behavioral problems and deviations. The aim of this study was to determine the sex education gaps in university curriculum from the students' perspective.
Methods: This was a descriptive-survey on students of universities in Kashan (15235 students), during academic year 2013-14. Overall, 220 students were enrolled in this study using stratified random sampling. Data collection tool was a questionnaire of sex education with 28 questions and six components (objectives, content, procedures, experiences and learning opportunities, cultural and advisory institutions’ performance and university atmosphere) using a 5-point Likert scale. The content validity was confirmed by experts. The reliability was estimated as 0.89 using Cronbach's alpha coefficient. Descriptive and inferential statistics were used to analyze the obtained data.
Results: The mean level of sex education gaps (3.97±0.56) in the university curriculum was above the average (3). The highest mean was related to the component of procedures (4.1±0.63) and experiences and learning opportunities (4.1±1.01).
Conclusion: The results showed that the average level of gaps in sex education in the university curriculum is higher than the assumed mean level. The gaps are present in all components of objectives, content, procedures, experiences and learning opportunities, cultural and advisory institutions’ performance and the university atmosphere.
Maryam Mansoor Bostani, Ali Akbar Abdollahi , Ganbar Rouhi , Navisa Sadat Seyedghasem, Millad Mansoor Bostani, Farnaz Abdollahi ,
Volume 14, Issue 2 (9-2017)
Abstract
Background: School age is a sensitive period in the child growth. Backpack weight has an important impact on physical growth and neuromuscular development of the children. Regarding this, the present study was conducted to determine the ratio of backpack weight to body weight and investigate its relationship with some factors among the elementary school students of Gorgan, Iran, within 2013-14.
Methods: This cross-sectional descriptive-analytical study was conducted on 258 elementary school students of Gorgan, Iran, in academic year of 2013-14. The participants were selected via stratified random sampling. The data were collected using a digital scale, a meter, and a checklist. The body weight and height of the students were measured once in the presence of the researcher. Data analysis was performed using the Mann-Whitney, Kruskal-Wallis, and analysis of variance through the SPSS version 16.
Results: According to the results, 57.4% of the participants were female. Regarding the bag type, the backpack and other types of bags, such as file-box, had the highest (89.5%) and lowest (0.8%) frequencies, respectively. The mean ratio of students’ bag weight to their body weight was 9.4±3.78. Furthermore, the ratio of bag weight to body weight had a significant difference (P<0.001) between the two groups of boys and girls, between the various school levels, and also between the different school bag types. Nevertheless, there was not a significant difference in bag weight considering the parental occupation. Moreover, the most common pain and discomfort was found to be in the neck (27.3%).
Conclusion: Although this study indicates that the ratio of bag weight to students’ body weight is in the standard limit, but neck pain was common, and this issue could be considered and taught in school schedules by managers of educational settings.
Hamideh Mancheri , Shohreh Kolagari , Mahnaz Modanloo, Habib Abdollahi, Mohammad Aryaie ,
Volume 15, Issue 1 (2-2018)
Abstract
Background: The effect of new teaching method on study skill of students results in a significant improvement in learning performances. The aim of study was to determine the effect of Team-Based Learning on study habits of nursing students.
Methods: The quasi-experimental study with a before-and-after design was conducted on nursing students of Golestan University of Medical Sciences in 2015. 101 students participated in this study through census sampling considering the inclusion criteria. The data was collected using Palsane and Sharma Study Habits Inventory (PSSHI) before and after intervention. The intervention was 16 sessions (a two-hour session per week) Team-based learning. The data was analyzed in SPSS-20 software using paired t-test.
Results: Finding showed that most of the students were female (60.3%), and single (95%) with mean age of 21.47±1.5 years. When students were stratified into four groups based on the quartiles of the distribution of study habit, the number of students who had poor study habit decrease after intervention (%5.6) and the number of students with excellent study habit increase after intervention (%3.8). In addition, the mean and standard deviation scores of students' study habits of before and after the intervention were 42.53±7.46 and 48.75±8.94, respectively, which was significantly different (P<.005).
Conclusion: The results showed that Team-Based learning improved their study habits, but the majority of students had poor study habits. In order to improve the study habits of students, student-centered learning is recommended
Afsaneh Pasha , Sedigheh Pakseresht , Komeil Rezaie , Sedigheh Rezaie , Ehsan Kazemnejad ,
Volume 15, Issue 1 (2-2018)
Abstract
Background: Since health-promoting lifestyle is an important determinant of health status, this study aimed to compare the health-promoting lifestyle in medical and non-medical students of Guilan, Iran.
Methods: This is a cross-sectional study with a descriptive-analytical approach that was performed on 1319 students of medical sciences and non-medical sciences in Guilan, 2014. The data collection tool was 52-item HPLP Π in six dimensions (health responsibility, physical activity, nutritional habits, stress management, spiritual growth, and interpersonal relationships). Data was analyzed using one-way ANOVA, T-test, and Kruskal–Wallis test.
Results: The mean health-promoting lifestyle among students of Guilan University and Guilan University of Medical Sciences was (129.5± 7.17) and (128.1± 19), respectively. There was a significant difference between the two studied population in terms of health responsibility (p= 0.0001). Students of medical sciences had 3.2 times more favorable health promoting lifestyle (OR = 3.123, 95% CI = 1.57-6.3), married students 6.1 times (OR= 1.55, 95% CI = 1.05-2.32), students with mothers with under diploma degree 2.6 times (OR= 2.6 95% CI = 1.49-4.62), students with fathers with diploma 1.7 times (OR = 1.7, 95% CI = 1.2-2.56), and physical education and sports science students 5.8 times (OR = 8.5, 95% CI = 3.42- 20.95) had a more optimal health promoting lifestyle.
Conclusion: In the present study, students' health-promoting lifestyles are in an unfavorable condition. Since the students in the future will be responsible for managing different sectors of the country and will play a role in changing the other health-promoting behavior of other strata of the society, it is important to consider their health-promoting lifestyles by providing facilities and eliminating the shortcomings.
Keywords: lifestyle, health-promoting, students
Fatemeh Najafi-Sharjabad, Mohammad Rayani,
Volume 16, Issue 2 (11-2019)
Abstract
Background: Human Papilloma Virus (HPV) is the causative agent of cervical cancer. Vaccination against HPV is an effective strategy against cervical cancer. This study aimed to assess the acceptance of HPV vaccination for cervical cancer prevention and its relationship with knowledge and attitude about HPV vaccination among students.
Methods: This cross-sectional study was carried out on 360 female students at Bushehr University of Medical Sciences in 2018. Students were recruited using proportional stratified random sampling method. Data was gathered using a questionnaire about knowledge, attitude and effective factors of HPV vaccine acceptance. Descriptive analysis, chi-square, independent sample t-test, and logistic regression were used to analyze the data in SPSS-16.0 (SPSS Inc., Chicago, IL, USA). The significance level was set at P < 0.05.
Results: 56.4% of students had poor knowledge while 54.1% were willing to accept HPV vaccination as well as 43% who had positive attitude towards HPV vaccination. Paramedical students were 96% more likely to accept the HPV vaccination compared to health sciences faculty students (OR= 1.96; 95% CI= 1.04-3.68; p=0.036). Also, for each unit increase in the HPV knowledge score, students were 15% more likely to accept the vaccine (OR= 1.15; 95% CI= 1.07-1.24; p <0.001). Moreover, for each unit increase in attitude score, students were 16% more likely willing to accept HPV vaccine (OR= 1.16; 95% CI=1.08 -1.28; p =0.002).
Conclusions: It is necessary to implement on HPV vaccination for students. Inclusion of HPV vaccine in the National Program on Immunization would also be an effective strategy for improving HPV vaccination.
Asieh Sadat Baniaghil, Shohreh Ghasemi, Masumeh Rezaei Aval , Nasser Behnampour,
Volume 17, Issue 0 (4-2020)
Abstract
Background: Patient interview is the most common professional activity of clinicians. Effective interview can strengthen clinician-patient relationship and improve treatment outcomes. In some studies, such as saboori et al. (87-86) and Managheb et al. (2010), the Calgary-Cambridge model-based learning skill is effective in interviewing skills, while in other studies including Rezvani (2014), communication skills based on the Calgary-Cambridge model did not mention effective interviewing skills. This study aimed to evaluate the effects of communication skills training through the Calgary-Cambridge model on interviewing skills among midwifery students.
Methods: This two-group pretest-posttest randomized controlled field trial was conducted in 2017–2018. The number of participants was thirty including the students in the sixth and eighth semester of bachelor of midwifery conveniently recruited from Golestan University of Medical Sciences, Gorgan, Iran. Initially, their interviewing skill was assessed using Evan and colleague’s History-taking Rating Scale. Then, they were randomly allocated to a control (15) and to an intervention group (15) through stratified randomization based on their interviewing skill scores and their academic semester. Participants in the control group did not receive any communication skills training, while those in the intervention group received communication skills training based on Calgary-Cambridge model in four four-hour sessions held twice weekly (16 hours). Interviewing skills in the control and in the intervention groups was re-assessed respectively four weeks after pretest and four weeks after the intervention. Exclusion criteria were unilateral withdrawal from the study, two or more absences from communication skills training sessions, and failure to attend the communication skills assessment session. Therefore, one student in the control group and one student in the experimental group were excluded. Data were analyzed using SPSS software (v. 18.0).
Results: The pretest mean score of interviewing skills in the intervention and the control groups was 33.71±7. 342 and 33.64±6.021 respectively, with no significant between-group difference (P = 0.978). At posttest, the mean score of interviewing skills in the intervention and the control groups was 54.50±8.169 and 33.93±5.399 respectively and the between-group difference was statistically significant (P < 0.001).
Conclusions: Communication skills training through Calgary-Cambridge model is effective in significant improving midwifery students’ interviewing skills. The Calgary-Cambridge model could be used as part of the midwifery educational curriculum to improve the skills of interviewing midwifery students.
Abed Noori, Fereydon Azma , Samereh Shojaee , Aliasghar Bayani ,
Volume 17, Issue 2 (4-2020)
Abstract
Background: Entrepreneurship is a process in which a person with a new idea and thought offers a new product and service to market by mobilizing all resources through building businesses by accepting financial, social and economic risks. Given the existing bases in the field of health, the present study was conducted with an aim to determine the entrepreneurial talent in nursing students at universities of Golestan province.
Methods: The present cross-sectional study was conducted on 250 postgraduate nursing students at universities of Golestan province during the academic year of 2018-2019, and they were included in the study using the simple random method. The data were gathered using a 95-item Kordenaeej entrepreneurship questionnaire with eight subscale including need for achievement, Internal locus of control, Moderate risk-taking propensity, Ambiguity tolerance, thought flow, daydreaming, operation oriented, and challenge seeking. The final score of entrepreneurial talent was categorized as very weak (95-264), weak (265-283), strong (284-303), and very strong (304380). Data were analyzed in SPSS16 using descriptive statistics, independent and paired t-tests, and chi-square test. Significance level was considered less than 0.05.
Results: The students' mean age was 20.95±2.37. Samples were strong or very strong only in challenge seeking and thought flow, and were weak or very weak in other features. In the entrepreneurial talent, 47.7% were very weak, 29.4% were weak, 17.4% were strong and only 5.5% were very strong. There were statistical significant relationships between students' gender and entrepreneurial talent (P=0.002) as well as students' place of residence and entrepreneurial talent (P=0.039).
Conclusion: Results of the present study indicated that nursing students at universities of Golestan province were weak in entrepreneurial talent. The students' weakness of entrepreneurial talent indicated that it was necessary to pay attention to the entrepreneurial talent and strengthen the above characteristics in nursing students using the necessary interventions and proper planning.
Asieh.sadat Baniaghil, Shohreh Ghasemi, Masumeh Rezaei Aval, Nasser Behnampour,
Volume 17, Issue 2 (4-2020)
Abstract
Background: Communication skills are of top priority for health care provider's professional traits and communication is an essential part of the midwifery care. Many studies of midwifery and midwifery students' communication skills are poor and average. This study aimed to evaluate the effects of communication skills training through the Calgary Cambridge model on communication skill among midwifery students.
Methods: This randomized controlled field trial was conducted in 2018. Thirty midwifery students were recruited using conventional sampling method from Golestan University of Medical Sciences, Gorgan, Iran. Then subjects was assigned into two experimental and control groups by stratified random allocation method. Initially, their communication skill was assessed using Queendom scale. Participants in the experimental group received communication skills training based on Calgary-Cambridge model in four four-hour sessions held twice weekly. The control group did not receive any intervention. Communication skill in both control and experimental groups was re-assessed respectively four weeks after pretest. Data were analyzed using the Mann-Whitney U test, the independent-sample t test and the paired-sample test in SPSS-16 software.
Results: The pretest mean scores of communication skill in the experimental and the control groups were respectively 122.43±9.40 and 122.29±7.81, with no significant between-group difference. At post-test, the mean score of communication skill in the experimental and the control groups was respectively 122±8.06 and 120±8.08 and the between-group difference was not significant (P=0.51).
Conclusion: Communication skills training through Calgary-Cambridge model is not effective in significantly improving midwifery students’ communication skill. Therefore, to improve communication skills, this model is insufficient and may need to be modified, or it is necessary to add more intervention to this model.
John Bright Agyemang, Abigail Kusi-Amponsah Diji, Richard Adongo Afaya, Hanson Boakye, Evans Oduro, Albert Amagyei, Joana Kyei-Dompim,
Volume 17, Issue 2 (4-2020)
Abstract
Background: The knowledge and attitudes of nurses and midwives, as well as nursing and midwifery students on pediatric pain are crucial in the management of hospitalized children’s pain. However, few studies have addressed the preparedness of nursing and midwifery students to manage children’s pain based on their knowledge and attitudes. This study therefore assessed nursing and midwifery students’ knowledge and attitudes pertaining to children’s pain management.
Methods: This descriptive cross-sectional study was conducted on 554 nursing and midwifery students who were in their last year at four nursing and midwifery training institutions in city Ghana in 2018-2019. Data were collected over a three-month period using the Pediatric Nurses’ Knowledge and Attitudes Survey regarding pain (PNKAS). Data analyzed by the SPSS version 25 and presented using descriptive statistics and independent T test and one-way ANOVA.
Results: Participants had an average PNKAS score of 42.1% (range: 21.4% to 81.0%). The nursing and midwifery students in either public (44.1%±7.9%) or private (43.7%±9.6%) university had significantly higher scores than those in a public nursing and midwifery training college (40.3%± 6.9%) (p<.001).
Conclusion: Nursing and midwifery students in the study generally had insufficient knowledge and attitudes toward children’s pain. There is an urgent need to intensify education in this area so as to adequately prepare these students to cater to the pain needs of vulnerable children and their families. Future studies should focus on how student’s theoretical knowledge and attitudes are linked to their pediatric pain assessment and management practices.
Touran Bahrami Babaheidari, Siamak Amiri , Zohreh Mahmoodi , Marjan Haj Firooz Abadi , آقا Sara Rahimi, Hadi Soleymani Sartangi , Arman Latifi,
Volume 18, Issue 2 (7-2021)
Abstract
Background: Teacher evaluation is an essential and useful tool for decision making and determining appropriate teaching policies, especially in universities. The present study aimed to compare the teacher evaluation indices from the perspective of students and teachers at Alborz University of Medical Sciences, Iran.
Methods: The present descriptive-analytical study was conducted in 2013 on 34 faculty members and 418 students at Alborz University of Medical Sciences in Karaj, Iran. Data were collected using a researcher-made questionnaire on demographic characteristics, target group, appropriate time for teacher evaluation and opinions of faculty members and students about the twenty indices of teacher evaluation. The data were analyzed with SPSS 16 using descriptive statistics, mean test and Pearson correlation coefficient.
Results: The most effective target groups for teacher evaluation from the perspective of teachers were elite students (58.9%) and normal students (20.6%), while the most effective target groups for teacher evaluation from the perspective of students were normal students (42.1%) and teachers (14.1%).
Conclusion: Based on the results of the present study, we suggest using the criteria agreed by the teacher and students, revising the teacher evaluation forms, not limiting the evaluation process to the students' opinion, conducting self-evaluation by the teachers, conducting continuous evaluation at different times of the semester, a survey of teachers in preparing forms and summarizing and concluding the evaluations.
Abdolhussein Shakurnia, Ata Ghadiri, Maedeh Hamidi, Niloofar Jelodar,
Volume 19, Issue 1 (1-2022)
Abstract
Background: Human papillomavirus (HPV) is one of the most important causes of cervical cancer. It is essential to evaluate the knowledge and attitude of people about HPV infection in the community, especially among midwifery students who will act as health professionals in the society. This study aimed to determine the knowledge and attitude of midwifery students toward HPV infection and cervical cancer.
Methods: This cross-sectional study was done on midwifery students at Jundishapur University of Medical Sciences in Ahvaz (Iran) in 2019. 141 midwifery students were recruited through census. The knowledge and attitude of 112 eligible midwifery students toward HPV infection were assessed using a self-administered questionnaire. The validity and reliability of the questionnaire were confirmed. Data were analyzed in SPSS16 using the chi-square test and the Pearson’s correlation coefficient at statistical significance of 0.05.
Results: Mean age of midwifery students was 21.6±2.4 years. Of 112 students, only 38 (33%) had desirable knowledge about HPV infection. The majority of students (77.7%) had a positive attitude towards HPV infection. The knowledge and attitude of midwifery students in different academic years did not differ significantly (P>0.05).
Conclusion: There is insufficient knowledge about HPV infection and cervical cancer prevention among midwifery students at the Jundishapur University of Medical Sciences in Ahvaz. Therefore, it is recommended to incorporate HPV-related educational programs in order to increase students' awareness.
Hamdoni Pangandaman, Nursidar Mukattil, Joy Hope Lambayong, Marwida Abdulhan, Raniza Hayudini, Mardalyne Salve, Iman Matumadi, Samiel Macalaba, Ronald Kadil, Abolbashar Mangontawar,
Volume 21, Issue 1 (4-2024)
Abstract
Background: Acquiring clinical skills is vital in nursing education as it directly impacts students' competency and preparedness to provide safe and effective patient care. Flipped classroom approaches have gained attention, restructuring the teaching model to promote active learning and student engagement.
The effectiveness of flipped classroom approaches in developing clinical skills among nursing students was evaluated through a systematic review.
Methods: A systematic review methodology was employed to identify relevant studies. From the period 2013 to 2023, seven databases, namely ScienceDirect, Scopus, ProQuest, EBSCOhost, Sage Journal, Taylor and Francis, and PubMed, were searched through search strategy and the use of Boolean operators. Articles were assessed based on criterion and appraised using standardized tools: Joanna Briggs Institute (JBI) for quasi-experimental research & ROBVIS RCT checklist for assessing the risk of bias in randomized controlled trials. The authors employed the synthesis without meta-analysis (SWiM) guidelines for data analysis PRISMA checklist in finally appraising articles included for review.
Results: Eight articles (quasi-experimental and RCTs) out of 17,374 reviewed were conducted in Egypt, the United States, Turkey, Spain, and Taiwan. The studies involved 733 nursing students, and the duration of the interventions ranged from 10 to 16 weeks. Studies showed an overall low risk of bias and flipped classrooms significantly improved nursing students' clinical skills. The specific clinical skills that were improved included cardiopulmonary resuscitation, urinary catheterization, and safe medication administration.
Conclusion: Flipped classroom approaches are a promising pedagogical method for enhancing the clinical skills of nursing students. However, more research is needed to confirm these findings and to identify the best practices for implementing flipped classroom approaches in nursing education.
Zahra Soltaninejad, Zahra Amouzeshi, Seyed Mostafa Mohsenizadeh, Fateme Biabani,
Volume 21, Issue 2 (6-2024)
Abstract
Background: Proficiency in physical examination is a crucial aspect of the nursing process. Enhancing this skill in nursing students will improve the quality of future nursing care. However, as technology evolves, new educational methods are required to keep pace. Therefore, the present study aimed to assess the effect of the flipped classroom method on nursing students’ physical examination skills.
Methods: This quasi-experimental, non-randomized study used a control group and a posttest-only design. The study was conducted at the Birjand University of Medical Sciences, Eastern Iran, in 2023. A total of 77 nursing students were selected using a census method. The intervention group received training using the flipped classroom method, while the control group followed the routine method (lectures and practice on simulators). After the intervention, the physical examination skills of both groups were evaluated using the Objective Structured Clinical Examination. Data were analyzed in SPSS 16 using the Mann-Whitney test, Chi-square test, two-way analysis of variance, Spearman’s correlation coefficient, and the Point-Biserial correlation coefficient test.
Results: The mean score of physical examination skills was 14.0±1.56 in the control group and 18.6±1.29 in the intervention group. The Mann-Whitney test showed a statistically significant difference in the mean scores of physical examination skills between the two groups (p=0.0001).
Conclusion: The higher mean score of physical examination skills in the intervention group compared to the control group suggests that the flipped classroom method is effective in modern nursing education.
Andri Nugraha, Iin Patimah, Engkus Kusnadi, Wikky Fawwaz Al Maki ,
Volume 21, Issue 3 (10-2024)
Abstract
Background: The learning styles and personality traits of millennial nursing students are different from those of previous generations, presenting a challenge in teaching as these differences affect academic motivation, knowledge, and clinical skills. Alternative models of teaching that are more interactive, technology-based, practical, and observational are needed. This study aimed to examine the effectiveness of virtual reality head-mounted display (VRHMD) on academic motivation and skills of millennial nursing students in teaching prevention and control of catheter-associated urinary tract infections (CAUTIs).
Methods: This quasi-experimental study employed a nonequivalent control group pretest-posttest design and involved 64 nursing students who participated in the research. They were randomly divided into two groups using purposive sampling. The intervention group used VRHMD method, while the control group followed the routine method (the practice laboratory using mannequins). In this study, the inclusion criteria consisted of bachelor's and associate degree nursing students in their third semester who completed the course of fundamental nursing practicum and were able to operate VR devices. They performed a 20-minute exercise three times. After the complete practice, data were collected using Academic Motivation Scale (AMS)-Short Indonesian Language Version questionnaire to measure Academic Motivation and the assessment of clinical skills to prevent CAUTIs questionnaire to measure clinical skills. The assessment was done immediately before the intervention and immediately after the intervention. Data were analyzed using independent T-test and Chi-square test.
Results: The mean levels of academic motivation in the experimental group during the pre-test and post-test were 73.53 ± 3.100 and 84.09 ± 3.286. Moreover, VRHMD led to higher academic motivation in students compared to those who utilized traditional methods. This difference was statistically significant (p=0.004).
Conclusion: According to the findings of the present study, VRHMD is effective in improving the skills and academic motivation levels of millennial nursing students. This method is recommended as a teaching method for millennial nursing students.
Somayeh Mousavi, Hamidreza Haririan, Hadi Hassankhani, Mahdieh Naeri,
Volume 21, Issue 3 (10-2024)
Abstract
Background: In many countries, nurses serve as prescribers in the healthcare system to manage acute and chronic diseases. Nurse prescribing can be affected by specific variables, one of which is the nurses' self-efficacy. This study aimed to determine Iranian postgraduate nursing students’ attitudes and readiness for prescribing and its relationship with their self-efficacy in patient care.
Methods: This correlational study was conducted on 220 postgraduate nursing students of Tabriz Faculty of Nursing and Midwifery, Iran, from Dec 2022 to Mar 2023. The total population sampling method was employed to include all students, and data were collected using a three-part questionnaire: demographics, nurse prescribing (attitude, and readiness), and self-efficacy questionnaire. The collected data were analyzed using SPSS-26 software. Descriptive statistics were used to analyze demographics. ANOVA and t-tests were employed to compare mean scores, while the Pearson correlation coefficient measured the linear correlation between data sets. The significance level for all tests was determined to be p <0.05.
Results: Postgraduate nursing students displayed a positive attitude (39.49±6.04) and strong readiness (40.49±5.33) for prescribing. They also had a strong sense of self-efficacy (166.57±17.05) in patient care. However, participants received the lowest mean score in their knowledge of pharmacology and the decisiveness dimension of self-efficacy. There was a significant positive correlation between the attitudes (r=0.286, p <0.0001) and readiness (r=0.55, p <0.0001) of participants for prescribing and their self-efficacy. PhD students (p=0.01) and those with more clinical work experience (p=0.02) had a positive attitude towards NP. Male students (p=0.02), PhD students (p=0.03), those with clinical work experience (p=0.04), and those who had prescribed medicine for patients or their families (p=0.006), were also more prepared for NP. PhD students (p=0.001), students with more clinical work experience (p=0.04), and those who had a greater interest in nursing (p=0.005) achieved higher mean self-efficacy scores.
Conclusion: Given postgraduate nursing students' positive attitudes toward prescribing, readiness to assume this responsibility, and high self-efficacy for patient care, it is possible to prepare them for this new role by improving their pharmacological knowledge and strengthening their decisiveness skills, especially doctoral nursing students.
