Development Strategies in Medical Education
مجله راهبردهای توسعه در آموزش پزشکی
DSME
Medical Sciences
http://dsme.hums.ac.ir
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بررسی چالشهای آموزش بالینی دانشجویان رشتههای اتاق عمل و هوشبری دانشگاه علوم پزشکی بیرجند
The challenges of clinical education in operating room and anesthesia Students of Birjand University of Medical Sciences
عمومى
General
پژوهشي
Orginal
<strong><span style="letter-spacing:-.4pt;"><span style="font-family:b yagut;"><span style="font-size:10.0pt;">مقدمه و</span></span></span></strong> <strong><span style="font-family:b yagut;"><span style="font-size:10.0pt;">هدف</span></span></strong>: <span style="font-family:b yagut;"><span style="font-size:10.0pt;">آموزش</span></span> <span style="font-family:b yagut;"><span style="font-size:10.0pt;">بالینی</span></span> <span style="font-family:b yagut;"><span style="font-size:10.0pt;">بخش</span></span> <span style="font-family:b yagut;"><span style="font-size:10.0pt;">مهم</span></span> <span style="font-family:b yagut;"><span style="font-size:10.0pt;">و</span></span> <span style="font-family:b yagut;"><span style="font-size:10.0pt;">اساسی</span></span> <span style="font-family:b yagut;"><span style="font-size:10.0pt;">آموزش</span></span> <span style="font-family:b yagut;"><span style="font-size:10.0pt;">در</span></span> <span style="font-family:b yagut;"><span style="font-size:10.0pt;">اتاق</span></span><span style="font-family:b yagut;"><span style="font-size:10.0pt;">­</span></span><span style="font-family:b yagut;"><span style="font-size:10.0pt;">عمل</span></span> <span style="font-family:b yagut;"><span style="font-size:10.0pt;">می­باشد،</span></span> <span style="font-family:b yagut;"><span style="font-size:10.0pt;">وجود</span></span> <span style="font-family:b yagut;"><span style="font-size:10.0pt;">هرگونه</span></span> <span style="font-family:b yagut;"><span style="font-size:10.0pt;">مشکل</span></span> <span style="font-family:b yagut;"><span style="font-size:10.0pt;">در</span></span> <span style="font-family:b yagut;"><span style="font-size:10.0pt;">آموزش</span></span> <span style="font-family:b yagut;"><span style="font-size:10.0pt;">بالینی،</span></span> <span style="font-family:b yagut;"><span style="font-size:10.0pt;">کارآیی</span></span> <span style="font-family:b yagut;"><span style="font-size:10.0pt;">و</span></span> <span style="font-family:b yagut;"><span style="font-size:10.0pt;">بازده</span></span> <span style="font-family:b yagut;"><span style="font-size:10.0pt;">این</span></span> <span style="font-family:b yagut;"><span style="font-size:10.0pt;">بخش</span></span> <span style="font-family:b yagut;"><span style="font-size:10.0pt;">از</span></span> <span style="font-family:b yagut;"><span style="font-size:10.0pt;">آموزش</span></span> <span style="font-family:b yagut;"><span style="font-size:10.0pt;">را</span></span> <span style="font-family:b yagut;"><span style="font-size:10.0pt;">دچار</span></span> <span style="font-family:b yagut;"><span style="font-size:10.0pt;">مشکل</span></span> <span style="font-family:b yagut;"><span style="font-size:10.0pt;">می</span></span><span style="font-family:b yagut;"><span style="font-size:10.0pt;">­</span></span><span style="font-family:b yagut;"><span style="font-size:10.0pt;">کند</span></span><span dir="LTR"><span style="font-family:فه,serif;"><span style="font-size:10.0pt;">.</span></span></span> <span style="font-family:b yagut;"><span style="font-size:10.0pt;">این</span></span> <span style="font-family:b yagut;"><span style="font-size:10.0pt;">مطالعه</span></span> <span style="font-family:b yagut;"><span style="font-size:10.0pt;">با</span></span> <span style="font-family:b yagut;"><span style="font-size:10.0pt;">هدف</span></span> <span style="font-family:b yagut;"><span style="font-size:10.0pt;">تعیین</span></span> <span style="font-family:b yagut;"><span style="font-size:10.0pt;">عوامل</span></span> <span style="font-family:b yagut;"><span style="font-size:10.0pt;">چالش</span></span><span style="font-family:b yagut;"><span style="font-size:10.0pt;">­</span></span><span style="font-family:b yagut;"><span style="font-size:10.0pt;">زای</span></span> <span style="font-family:b yagut;"><span style="font-size:10.0pt;">آموزش</span></span> <span style="font-family:b yagut;"><span style="font-size:10.0pt;">بالینی</span></span> <span style="font-family:b yagut;"><span style="font-size:10.0pt;">از</span></span> <span style="font-family:b yagut;"><span style="font-size:10.0pt;">دیدگاه</span></span> <span style="font-family:b yagut;"><span style="font-size:10.0pt;">دانشجویان</span></span> <span style="font-family:b yagut;"><span style="font-size:10.0pt;">اتاق</span></span><span style="font-family:b yagut;"><span style="font-size:10.0pt;">­</span></span><span style="font-family:b yagut;"><span style="font-size:10.0pt;">عمل</span></span> <span style="font-family:b yagut;"><span style="font-size:10.0pt;">و</span></span> <span style="font-family:b yagut;"><span style="font-size:10.0pt;">هوشبری</span></span> <span style="font-family:b yagut;"><span style="font-size:10.0pt;">انجام</span></span> <span style="font-family:b yagut;"><span style="font-size:10.0pt;">شد</span></span><span style="font-family:b yagut;"><span style="font-size:10.0pt;">.</span></span><br>
<strong><span style="font-family:b yagut;"><span style="font-size:10.0pt;">روش­ها</span></span></strong>: <span style="font-family:b yagut;"><span style="font-size:10.0pt;">این</span></span> <span style="font-family:b yagut;"><span style="font-size:10.0pt;">مطالعه</span></span> <span style="font-family:b yagut;"><span style="font-size:10.0pt;">توصیفی</span></span> <span style="font-family:b yagut;"><span style="font-size:10.0pt;">تحلیلی</span></span> <span style="font-family:b yagut;"><span style="font-size:10.0pt;">در</span></span> <span style="font-family:b yagut;"><span style="font-size:10.0pt;">سال</span></span> <span style="font-family:b yagut;"><span style="font-size:10.0pt;">تحصیلی</span></span><span style="font-family:b yagut;"><span style="font-size:10.0pt;"> 94-93 </span></span><span style="font-family:b yagut;"><span style="font-size:10.0pt;">روی</span></span> <span style="font-family:b yagut;"><span style="font-size:10.0pt;">دانشجویان</span></span> <span style="font-family:b yagut;"><span style="font-size:10.0pt;">اتاق</span></span> <span style="font-family:b yagut;"><span style="font-size:10.0pt;">عمل</span></span> <span style="font-family:b yagut;"><span style="font-size:10.0pt;">و</span></span> <span style="font-family:b yagut;"><span style="font-size:10.0pt;">هوشبری</span></span> <span style="font-family:b yagut;"><span style="font-size:10.0pt;">دانشگاه</span></span> <span style="font-family:b yagut;"><span style="font-size:10.0pt;">علوم</span></span> <span style="font-family:b yagut;"><span style="font-size:10.0pt;">پزشکی</span></span> <span style="font-family:b yagut;"><span style="font-size:10.0pt;">بیرجند</span></span> <span style="font-family:b yagut;"><span style="font-size:10.0pt;">انجام</span></span> <span style="font-family:b yagut;"><span style="font-size:10.0pt;">شد</span></span><span style="font-family:b yagut;"><span style="font-size:10.0pt;">. </span></span><span style="font-family:b yagut;"><span style="font-size:10.0pt;">روش</span></span> <span style="font-family:b yagut;"><span style="font-size:10.0pt;">نمونه</span></span> <span style="font-family:b yagut;"><span style="font-size:10.0pt;">گیری</span></span> <span style="font-family:b yagut;"><span style="font-size:10.0pt;">سرشماری</span></span><span style="font-family:b yagut;"><span style="font-size:10.0pt;">(215 </span></span><span style="font-family:b yagut;"><span style="font-size:10.0pt;">نفر</span></span> <span style="font-family:b yagut;"><span style="font-size:10.0pt;">دانشجو</span></span><span style="font-family:b yagut;"><span style="font-size:10.0pt;">) </span></span><span style="font-family:b yagut;"><span style="font-size:10.0pt;">بود</span></span><span style="font-family:b yagut;"><span style="font-size:10.0pt;">. </span></span><span style="font-family:b yagut;"><span style="font-size:10.0pt;">معیار</span></span> <span style="font-family:b yagut;"><span style="font-size:10.0pt;">ورود</span></span> <span style="font-family:b yagut;"><span style="font-size:10.0pt;">افراد</span></span> <span style="font-family:b yagut;"><span style="font-size:10.0pt;">به</span></span> <span style="font-family:b yagut;"><span style="font-size:10.0pt;">مطالعه</span></span> <span style="font-family:b yagut;"><span style="font-size:10.0pt;">گذراندن</span></span> <span style="font-family:b yagut;"><span style="font-size:10.0pt;">حداقل</span></span> <span style="font-family:b yagut;"><span style="font-size:10.0pt;">یک</span></span> <span style="font-family:b yagut;"><span style="font-size:10.0pt;">واحد</span></span> <span style="font-family:b yagut;"><span style="font-size:10.0pt;">کارآموزی</span></span> <span style="font-family:b yagut;"><span style="font-size:10.0pt;">بالینی</span></span> <span style="font-family:b yagut;"><span style="font-size:10.0pt;">در</span></span> <span style="font-family:b yagut;"><span style="font-size:10.0pt;">اتاق</span></span> <span style="font-family:b yagut;"><span style="font-size:10.0pt;">عمل</span></span> <span style="font-family:b yagut;"><span style="font-size:10.0pt;">بود</span></span><span style="font-family:b yagut;"><span style="font-size:10.0pt;">. </span></span><span style="font-family:b yagut;"><span style="font-size:10.0pt;">ابزار</span></span> <span style="font-family:b yagut;"><span style="font-size:10.0pt;">گرد</span></span> <span style="font-family:b yagut;"><span style="font-size:10.0pt;">آوری،</span></span> <span style="font-family:b yagut;"><span style="font-size:10.0pt;">پرسشنامه</span></span> <span style="font-family:b yagut;"><span style="font-size:10.0pt;">ای</span></span> <span style="font-family:b yagut;"><span style="font-size:10.0pt;">پژوهشگر</span></span> <span style="font-family:b yagut;"><span style="font-size:10.0pt;">ساخته</span></span> <span style="font-family:b yagut;"><span style="font-size:10.0pt;">بود</span></span> <span style="font-family:b yagut;"><span style="font-size:10.0pt;">که</span></span> <span style="font-family:b yagut;"><span style="font-size:10.0pt;">پایایی</span></span> <span style="font-family:b yagut;"><span style="font-size:10.0pt;">پرسشنامه</span></span> <span style="font-family:b yagut;"><span style="font-size:10.0pt;">به</span></span> <span style="font-family:b yagut;"><span style="font-size:10.0pt;">روش</span></span> <span style="font-family:b yagut;"><span style="font-size:10.0pt;">آزمون</span></span> <span style="font-family:b yagut;"><span style="font-size:10.0pt;">مجدد</span></span> <span style="font-family:b yagut;"><span style="font-size:10.0pt;">محاسبه</span></span> <span style="font-family:b yagut;"><span style="font-size:10.0pt;">شد</span></span><span style="font-family:b yagut;"><span style="font-size:10.0pt;">. </span></span><span style="font-family:b yagut;"><span style="font-size:10.0pt;">داده</span></span> <span style="font-family:b yagut;"><span style="font-size:10.0pt;">ها</span></span> <span style="font-family:b yagut;"><span style="font-size:10.0pt;">پس</span></span> <span style="font-family:b yagut;"><span style="font-size:10.0pt;">از</span></span> <span style="font-family:b yagut;"><span style="font-size:10.0pt;">ورود</span></span> <span style="font-family:b yagut;"><span style="font-size:10.0pt;">به</span></span> <span style="font-family:b yagut;"><span style="font-size:10.0pt;">نرم</span></span> <span style="font-family:b yagut;"><span style="font-size:10.0pt;">افزار</span></span> <span dir="LTR"><span style="font-family:فه,serif;"><span style="font-size:10.0pt;">SPSS <sub>16</sub></span></span></span> <span style="font-family:b yagut;"><span style="font-size:10.0pt;">،</span></span> <span style="font-family:b yagut;"><span style="font-size:10.0pt;">تجزیه</span></span> <span style="font-family:b yagut;"><span style="font-size:10.0pt;">و</span></span> <span style="font-family:b yagut;"><span style="font-size:10.0pt;">تحلیل</span></span> <span style="font-family:b yagut;"><span style="font-size:10.0pt;">شد</span></span><span style="font-family:b yagut;"><span style="font-size:10.0pt;">.</span></span><br>
<strong><span style="font-family:b yagut;"><span style="font-size:10.0pt;">یافته­ها: </span></span></strong><span style="font-family:b yagut;"><span style="font-size:10.0pt;">194</span></span><span style="font-family:b yagut;"><span style="font-size:10.0pt;">نفر</span></span> <span style="font-family:b yagut;"><span style="font-size:10.0pt;">از</span></span> <span style="font-family:b yagut;"><span style="font-size:10.0pt;">دانشجویان،</span></span> <span style="font-family:b yagut;"><span style="font-size:10.0pt;">پرسشنامه</span></span> <span style="font-family:b yagut;"><span style="font-size:10.0pt;">ها</span></span> <span style="font-family:b yagut;"><span style="font-size:10.0pt;">را</span></span> <span style="font-family:b yagut;"><span style="font-size:10.0pt;">تکمیل</span></span> <span style="font-family:b yagut;"><span style="font-size:10.0pt;">نمودندکه</span></span><span style="font-family:b yagut;"><span style="font-size:10.0pt;"> 51</span></span><span style="font-family:b yagut;"><span style="font-size:10.0pt;">نفر</span></span> <span style="font-family:b yagut;"><span style="font-size:10.0pt;">ازآنها</span></span> <span style="font-family:b yagut;"><span style="font-size:10.0pt;">مذکر</span></span> <span style="font-family:b yagut;"><span style="font-size:10.0pt;">و</span></span><span style="font-family:b yagut;"><span style="font-size:10.0pt;"> 143</span></span><span style="font-family:b yagut;"><span style="font-size:10.0pt;">نفر</span></span> <span style="font-family:b yagut;"><span style="font-size:10.0pt;">مونث</span></span> <span style="font-family:b yagut;"><span style="font-size:10.0pt;">بودند</span></span><span style="font-family:b yagut;"><span style="font-size:10.0pt;">. 146 </span></span><span style="font-family:b yagut;"><span style="font-size:10.0pt;">نفر</span></span><span style="font-family:b yagut;"><span style="font-size:10.0pt;">( 3/75%) </span></span><span style="font-family:b yagut;"><span style="font-size:10.0pt;">دانشجویان</span></span> <span style="font-family:b yagut;"><span style="font-size:10.0pt;">اتاق</span></span> <span style="font-family:b yagut;"><span style="font-size:10.0pt;">عمل</span></span> <span style="font-family:b yagut;"><span style="font-size:10.0pt;">و</span></span><span style="font-family:b yagut;"><span style="font-size:10.0pt;"> 48 </span></span><span style="font-family:b yagut;"><span style="font-size:10.0pt;">نفر</span></span><span style="font-family:b yagut;"><span style="font-size:10.0pt;"> (7/24%) </span></span><span style="font-family:b yagut;"><span style="font-size:10.0pt;">دانشجویان</span></span> <span style="font-family:b yagut;"><span style="font-size:10.0pt;">هوشبری</span></span> <span style="font-family:b yagut;"><span style="font-size:10.0pt;">بودند</span></span><span style="font-family:b yagut;"><span style="font-size:10.0pt;">.</span></span><br>
<span style="font-family:b yagut;"><span style="font-size:10.0pt;">میزان</span></span> <span style="font-family:b yagut;"><span style="font-size:10.0pt;">عوامل</span></span> <span style="font-family:b yagut;"><span style="font-size:10.0pt;">چالش</span></span><span style="font-family:b yagut;"><span style="font-size:10.0pt;">­</span></span><span style="font-family:b yagut;"><span style="font-size:10.0pt;">زا</span></span> <span style="font-family:b yagut;"><span style="font-size:10.0pt;">از</span></span> <span style="font-family:b yagut;"><span style="font-size:10.0pt;">دید</span></span> <span style="font-family:b yagut;"><span style="font-size:10.0pt;">دانشجویان</span></span> <span style="font-family:b yagut;"><span style="font-size:10.0pt;">به</span></span> <span style="font-family:b yagut;"><span style="font-size:10.0pt;">ترتیب</span></span> <span style="font-family:b yagut;"><span style="font-size:10.0pt;">به</span></span> <span style="font-family:b yagut;"><span style="font-size:10.0pt;">شرح</span></span> <span style="font-family:b yagut;"><span style="font-size:10.0pt;">ذیل</span></span> <span style="font-family:b yagut;"><span style="font-size:10.0pt;">می­باشد،</span></span> <span style="font-family:b yagut;"><span style="font-size:10.0pt;">حیطه</span></span> <span style="font-family:b yagut;"><span style="font-size:10.0pt;">محیط</span></span> <span style="font-family:b yagut;"><span style="font-size:10.0pt;">آموزشی</span></span><span style="font-family:b yagut;"><span style="font-size:10.0pt;"> 97 </span></span><span style="font-family:b yagut;"><span style="font-size:10.0pt;">نفر</span></span><span style="font-family:b yagut;"><span style="font-size:10.0pt;">(50%)</span></span><span style="font-family:b yagut;"><span style="font-size:10.0pt;">،</span></span> <span style="font-family:b yagut;"><span style="font-size:10.0pt;">حیطه</span></span> <span style="font-family:b yagut;"><span style="font-size:10.0pt;">ارتباطات</span></span> <span style="font-family:b yagut;"><span style="font-size:10.0pt;">بین فردی</span></span><span style="font-family:b yagut;"><span style="font-size:10.0pt;"> 93 </span></span><span style="font-family:b yagut;"><span style="font-size:10.0pt;">نفر</span></span><span style="font-family:b yagut;"><span style="font-size:10.0pt;"> (9/47%) </span></span><span style="font-family:b yagut;"><span style="font-size:10.0pt;">،حیطه</span></span> <span style="font-family:b yagut;"><span style="font-size:10.0pt;">تجارب</span></span> <span style="font-family:b yagut;"><span style="font-size:10.0pt;">بالینی</span></span> <span style="font-family:b yagut;"><span style="font-size:10.0pt;">در</span></span> <span style="font-family:b yagut;"><span style="font-size:10.0pt;">آموزش</span></span> <span style="font-family:b yagut;"><span style="font-size:10.0pt;">بالینی</span></span><span style="font-family:b yagut;"><span style="font-size:10.0pt;"> 93</span></span><span style="font-family:b yagut;"><span style="font-size:10.0pt;">نفر</span></span><span style="font-family:b yagut;"><span style="font-size:10.0pt;"> (9/47%)</span></span><span style="font-family:b yagut;"><span style="font-size:10.0pt;">،</span></span> <span style="font-family:b yagut;"><span style="font-size:10.0pt;">حیطه</span></span> <span style="font-family:b yagut;"><span style="font-size:10.0pt;">تجارب</span></span> <span style="font-family:b yagut;"><span style="font-size:10.0pt;">تحقیرآمیز</span></span><span style="font-family:b yagut;"><span style="font-size:10.0pt;"> 74 </span></span><span style="font-family:b yagut;"><span style="font-size:10.0pt;">نفر</span></span><span style="font-family:b yagut;"><span style="font-size:10.0pt;">(1/38%)</span></span><span style="font-family:b yagut;"><span style="font-size:10.0pt;">،</span></span> <span style="font-family:b yagut;"><span style="font-size:10.0pt;">حیطه</span></span> <span style="font-family:b yagut;"><span style="font-size:10.0pt;">احساسات</span></span> <span style="font-family:b yagut;"><span style="font-size:10.0pt;">ناخوشایند</span></span><span style="font-family:b yagut;"><span style="font-size:10.0pt;"> 74 </span></span><span style="font-family:b yagut;"><span style="font-size:10.0pt;">نفر</span></span><span style="font-family:b yagut;"><span style="font-size:10.0pt;"> (1/38%).</span></span><br>
<strong><span style="font-family:b yagut;"><span style="font-size:10.0pt;">نتیجه­گیری</span></span></strong>: <span style="font-family:b yagut;"><span style="font-size:10.0pt;">از</span></span> <span style="font-family:b yagut;"><span style="font-size:10.0pt;">آنجایی</span></span> <span style="font-family:b yagut;"><span style="font-size:10.0pt;">که</span></span> <span style="font-family:b yagut;"><span style="font-size:10.0pt;">محیط</span></span> <span style="font-family:b yagut;"><span style="font-size:10.0pt;">آموزش</span></span> <span style="font-family:b yagut;"><span style="font-size:10.0pt;">نقش</span></span> <span style="font-family:b yagut;"><span style="font-size:10.0pt;">مهمی</span></span> <span style="font-family:b yagut;"><span style="font-size:10.0pt;">در</span></span> <span style="font-family:b yagut;"><span style="font-size:10.0pt;">برطرف</span></span> <span style="font-family:b yagut;"><span style="font-size:10.0pt;">کردن</span></span> <span style="font-family:b yagut;"><span style="font-size:10.0pt;">چالش</span></span><span style="font-family:b yagut;"><span style="font-size:10.0pt;">­</span></span><span style="font-family:b yagut;"><span style="font-size:10.0pt;">های</span></span> <span style="font-family:b yagut;"><span style="font-size:10.0pt;">آموزشی</span></span> <span style="font-family:b yagut;"><span style="font-size:10.0pt;">دارد</span></span> <span style="font-family:b yagut;"><span style="font-size:10.0pt;">بنابراین</span></span> <span style="font-family:b yagut;"><span style="font-size:10.0pt;">باید</span></span> <span style="font-family:b yagut;"><span style="font-size:10.0pt;">توجه</span></span> <span style="font-family:b yagut;"><span style="font-size:10.0pt;">ویژه</span></span><span style="font-family:b yagut;"><span style="font-size:10.0pt;">­</span></span><span style="font-family:b yagut;"><span style="font-size:10.0pt;">ای</span></span> <span style="font-family:b yagut;"><span style="font-size:10.0pt;">به</span></span> <span style="font-family:b yagut;"><span style="font-size:10.0pt;">این</span></span> <span style="font-family:b yagut;"><span style="font-size:10.0pt;">محیط</span></span><span style="font-family:b yagut;"><span style="font-size:10.0pt;">­</span></span><span style="font-family:b yagut;"><span style="font-size:10.0pt;">ها</span></span> <span style="font-family:b yagut;"><span style="font-size:10.0pt;">نمود</span></span><span style="font-family:b yagut;"><span style="font-size:10.0pt;">.</span></span><span style="font-family:b yagut;"><span style="font-size:10.0pt;">بر</span></span> <span style="font-family:b yagut;"><span style="font-size:10.0pt;">اساس</span></span> <span style="font-family:b yagut;"><span style="font-size:10.0pt;">یافته</span></span><span style="font-family:b yagut;"><span style="font-size:10.0pt;">­</span></span><span style="font-family:b yagut;"><span style="font-size:10.0pt;">های</span></span> <span style="font-family:b yagut;"><span style="font-size:10.0pt;">پژوهش</span></span> <span style="font-family:b yagut;"><span style="font-size:10.0pt;">حاضر</span></span> <span style="font-family:b yagut;"><span style="font-size:10.0pt;">مسئولان</span></span> <span style="font-family:b yagut;"><span style="font-size:10.0pt;">آموزش</span></span> <span style="font-family:b yagut;"><span style="font-size:10.0pt;">بالینی</span></span> <span style="font-family:b yagut;"><span style="font-size:10.0pt;">باید</span></span> <span style="font-family:b yagut;"><span style="font-size:10.0pt;">با</span></span> <span style="font-family:b yagut;"><span style="font-size:10.0pt;">اتخاذ و اجرای </span></span><span style="font-family:b yagut;"><span style="font-size:10.0pt;"> تصمیمات موثر </span></span><span style="font-family:b yagut;"><span style="font-size:10.0pt;">عوامل</span></span> <span style="font-family:b yagut;"><span style="font-size:10.0pt;">چالش</span></span><span style="font-family:b yagut;"><span style="font-size:10.0pt;">­</span></span><span style="font-family:b yagut;"><span style="font-size:10.0pt;">زای</span></span> <span style="font-family:b yagut;"><span style="font-size:10.0pt;">آموزش</span></span> <span style="font-family:b yagut;"><span style="font-size:10.0pt;">بالینی</span></span><span style="font-family:b yagut;"><span style="font-size:10.0pt;"> را </span></span><span style="font-family:b yagut;"><span style="font-size:10.0pt;">کاهش </span></span><span style="font-family:b yagut;"><span style="font-size:10.0pt;">دهند. </span></span><br>
<strong>Introduction: </strong>Clinical education is an essential part of education in operating room, any problems in clinical education Creates problems for this part of the education to be effective and efficient. The aim of this study was to determine the challenging factors of clinical education from the viewpoint of the operating room and anesthesia students of Birjand University of Medical Sciences. Sampling method was census<br>
<strong>Methods:</strong> This descriptive-analytic study was conducted on students of Operating and Anesthesia Room of Birjand University of Medical Sciences in the academic year of 2015-2016. Criteria for the study was Passing at least one clinical practice unit in the operating room. A researcher made questionnaire which it's reliability was calculated and confirmed by a test-retest method was employed collect data. The data was analyzed by SPSS 16 software.<br>
<strong>Results:</strong> 194 students completed questionnaires, 51 of whom were male and 143 were female.<br>
146 (75.3%) were operative students and 48 (24.7%) students were anesthetists.<br>
The scale of challenging factors faced by students is as follows: The educational environment 97 (50%), the scope of interpersonal communication 93 (47.9%), the range of clinical experiences in clinical education was 93 (47.9%), the domain of humiliating experiences was 74 (38.1%), and the area of unpleasant feelings was 74 (38.1%)<br>
<strong>Conclusion</strong>: Based on the findings of this study Clinical education authorities Must adopt methods to reduce the challenges of clinical education. Since the teaching environment plays an important role in solving educational challenges Therefore, special attention should be paid to these environments.<br>
<br>
آموزش بالینی, اتاق عمل, عوامل چالشزا.
Challenging Factors, Clinical Education, Operating Room.
52
60
http://dsme.hums.ac.ir/browse.php?a_code=A-10-263-1&slc_lang=fa&sid=1
Maryam
Tolyat
مریم
تولیت
10031947532846005332
10031947532846005332
No
Birjand University of Medical Sciences
دانشگاه علوم پزشکی بیرجند
Mohammad
Taherirad
محمد
طاهری راد
10031947532846005333
10031947532846005333
Yes
Birjand University of Medical Sciences
دانشگاه علوم پزشکی بیرجند
Razieh
Pirannezhad
راضیه
پیران نژاد
10031947532846005334
10031947532846005334
No
Birjand University of Medical Sciences
دانشگاه علوم پزشکی بیرجند