The challenges of clinical education in a baccalaureate surgical technology students in Iran
A qualitative study
Keywords:
Baccalaureate surgical technology students, Clinical education, ChallengesAbstract
Background: Clinical education is an integral part of the surgical technology curriculum, in which students combine and integrate knowledge, skills, attitudes, values and philosophies of the profession. It is difficult to learn and adapt to different types of skills and roles in the operating room environment. Objective: This qualitative study examines the difference between the clinical education of Surgical Technology and other clinical settings, and the challenges faced by students in the field, within the course. Methods: This was a qualitative content analysis study conducted in 2016. The participants in this study were 16 baccalaureate surgical technology students of the University for Medical Sciences in Khorasan Razavi province. A semi-structured interview method was run to collect the required data. The sampling was initially purposive, then in the snowball method which continued until data saturation. All interviews were recorded, then transcribed, and analyzed using a continuous comparative method and conventional qualitative content analysis method. Results: From the deep and rich descriptions of the participants, three themes including "stressful environment", "controversy between anticipation of role and reality", and "humiliating experiences" as well as a general theme of "bitter education" were obtained. Conclusion: Students' orientation before attending the operating room, accompanying, supporting, and a full-time attendance of the specialist instructor, strengthening the prerequisite knowledge and skills for the students in this field, teaching ethics, and professional interactions, play an important role in the student's acceptance of the operating room, in the surgery team and the improvement of the quality of clinical education of these students.References
Operating room and anesthesia, Introduction of operation room. Available from: http://
www.mums.ac.ir/ornanesn/fa/historyor.
Mohammadpour Y. Understanding of the clinical learning environments: the gap between the expected and
the actual environment. Journal of Oroomieh Nursing & Midwifery Journal. 2012; 9(2): 102-11.
Moattary M, Ramazani S. Perspective of nursing students' clinical learning environments. Iranian Journal
of Medical Education. 2010; 9(2): 145-37.
Lotfi M, Zamanzadeh W, Sheikh Ali Pour Z. Effect of peer clinical teaching method on the education of
operating room students. Nursing Education. 2012; 1(1): 78-83.
Dunn S, Hansford B. Undergraduate nursing students' perceptions of their clinical learning environment. J
Adv Nurse. 1997; 25(1): 299-306.
Farneya F, Abbaszadeh A, Borhanif F. inhibiting factors associated patient care in the operating room: a
qualitative content analysis. Journal of Health Sciences Research. 2013; 2 (1): 90-7.
False Silen-Lipponen M, Tossavainen K, Turunen H, Smith A. Learning about teamwork in operating
room clinical placement. British Journal of Nursing. 2004; 13(24): 244-53.
Lingard L, Reznick R, Espin S. Team Communications in the Operating Room: Talk Patterns, Sites of
Tension, and Implications for Novices. Academic Medicine. 2002; 77(3): 232-7. doi: 10.1097/00001888- 200203000-00013.
Khazaei J, Zarouj H, Abbasi A. Qualification of Clinical Education of operation room in Bachelor degree
from the perspective of students and educators in this field at the University of Medical Sciences, in
Semnan. J Educ Ethics Nurs. 2014; 3(3): 39-46.
Ghorbanian N, Abdollahzadeh Mahlani F, Kazemi Haki B. Effective Factors on Clinical Education
Quality; Anesthesiology and Operating Room Students View. Bimonthly Educe Strategy Med Sic. 2014;
(4): 235-9.
Bahrami T, Sadat LE, Mahmoudi Golgini E. Evaluate the clinical training of students' views in the
operating room and anesthesia. Alborz University of medical scienes and health. 2014; 1(3): 143-50.
Hossein KM, Fatemeh D, Fatemeh OS, Katri VJ, Tahereh B. Teaching style in clinical nursing education:
A qualitative study of Iranian nursing teachers’ experiences. Nurse Educ Pract. 2010; 10(1): 8-12. doi:
1016/j.nepr.2009.01.016. PMID: 19251481.
Burns N, Grove SK. Understanding nursing research, building an evidence-based practice. 7th edition. St.
Louis: Saunders Elsevier; 2007.
Graneheim UH, Lundman B. Qualitative content analysis in nursing research: concepts, procedures and
measures to achieve trustworthiness. Nurse Educ Today. 2004; 24(2): 105-12. doi:
1016/j.nedt.2003.10.001. PMID: 14769454.
Mayring P. Qualitative Content Analysis. Forum: Qualitative Social research. 2000; 1(2): 25-30.
Fakhr-Movahedi A, Salsali M, Negarandeh R, Rahnavard Z. Exploring contextual factors of the nurse- patient relationship: A qualitative study. Koomesh. 2011; 13(1): 23-35.
Henderson A, Twentyman M, Eaton E. Student's Perception of the psychosocial Clinical Learning
Environment: An Evaluation of Placement Models. Nurse Education Today. 2006; 26(7): 561-71.
Newton JM, Jolly BC, Ockerby CM, Cross WM. Clinical Learning Environment Inventory: Factor
analysis. J Adv Nurs. 2010; 66(6): 1371-81. doi: 10.1111/j.1365-2648.2010.05303.x. PMID: 20546367.
Abedini S. Clinical Education problems from nursing Students’ Point of View in Hormozgan University of
Medical Science. Journal of Hormozgan university of Medical sciences. 2008; 12(4): 249-53.
Rahimi A, Ahmadi F. Barriers of Clinical Education and improvement ways related from nursing teacher s’
Point of View in Tehran s’ nursing Faculties. Iranian Journal of Medical Education. 2005; 5(2): 73-80.
Tabrizi J, Mardani I, Kalantari H, Hamzehei Z. Clerkship from the perspective of students of health
services management and family health in Tabriz University of Medical Sciences. Iranian Journal of
Medical Education. 2011; 10(4): 439-51.
Tazakori Z, Mehri S, Mobaraki N, Dadashi L, Ahmadi Y, Shokri F, et al. Factors Affecting on Quality of
Clinical Education from Perspectives of Operating Room Students. Journal of Health and Care. 2016;
(2): 128-36.
Dehghani H, Dehghani K, Fallahzadeh H. The educational problems of clinical field training based on
nursing teachers and last year nursing student's viewpoints. Iranian Journal of Medical Education. 2005;
(1): 24-33.
Ghyasvndyan Sh. The effect of “Clinical Teaching Associate” Model (CTA) on the quality of nursing
students’ clinical education at Tehran University of Medical Sciences. Journal of Medicine and
Purification. 2004; 52: 10-7.
Reynolds J, Carnwell R. The nurse-patient relationship in the post-anaesthetic care unit. Nurs Stand. 2009;
(15-17): 40-6. doi: 10.7748/ns2009.12.24.15.40.c7439. PMID: 20162906.
Karimi Moonaghi H, Mirhaghi A, Oladi S, Emami Zeydi A. A journey across an unwelcoming field: A
qualitative study exploring the factors influencing nursing students’ clinical education. 2015, 9 (4):7, 6p
O’Driscoll M, Allan H, Smith P. Still looking for leadership–Who is responsible for student nurses’
learning in practice? Nurse Education Today 2010; 30(2):212-7
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