Pub Date : 2023-11-22DOI: 10.18502/jmed.v18i3.14126
Yosuflu S, Taghiyani Z, Haqqani F
Introduction: Due to the high prevalence of adverse events during pregnancy and childbirth, the present study was conducted as a narrative review study investigating the challenges of disclosing bad news in the midwifery field and various intervention approaches for teaching bad news. Method: This study is in the form of a narrative review and by searching Persian and English databases including Medline, PubMed, Embase, Web of Science, Scopus, CINAHL, IRANDOC, Google Scholar, Iranmedex, medlib, Sid, and Mag-Iran with key Words including bad news, midwifery, childbirth, pregnancy, spikes (S-P-I-K-E-S), midwifery education were conducted in the time range of 1990-2022. Finally, 20 quantitative and qualitative articles were included in the research. Results: These articles were examined in two areas: the challenges of health personnel in conveying bad news and different strategies for teaching how to convey bad news. In studies, various techniques have been used to teach the delivery of bad news, such as Spikes protocol, ABCDE method, simulated patient or Mini-CEX, in the teaching of delivery of bad news in various fields of obstetrics, such as IVF failure, intrauterine death, etc. have been. The use of clinical encounter cards or CECs, Asci tests and Mini-CEX are techniques that were used to evaluate students. Conclusion: Proper transmission of bad news is one of the challenges of healthcare personnel. Using appropriate educational techniques for students and medical personnel can reduce the negative consequences of inappropriate transmission of bad news.
{"title":"The Challenges and Solutions of Breaking Bad News in Midwifery: a Narrative Review","authors":"Yosuflu S, Taghiyani Z, Haqqani F","doi":"10.18502/jmed.v18i3.14126","DOIUrl":"https://doi.org/10.18502/jmed.v18i3.14126","url":null,"abstract":"Introduction: Due to the high prevalence of adverse events during pregnancy and childbirth, the present study was conducted as a narrative review study investigating the challenges of disclosing bad news in the midwifery field and various intervention approaches for teaching bad news. Method: This study is in the form of a narrative review and by searching Persian and English databases including Medline, PubMed, Embase, Web of Science, Scopus, CINAHL, IRANDOC, Google Scholar, Iranmedex, medlib, Sid, and Mag-Iran with key Words including bad news, midwifery, childbirth, pregnancy, spikes (S-P-I-K-E-S), midwifery education were conducted in the time range of 1990-2022. Finally, 20 quantitative and qualitative articles were included in the research. Results: These articles were examined in two areas: the challenges of health personnel in conveying bad news and different strategies for teaching how to convey bad news. In studies, various techniques have been used to teach the delivery of bad news, such as Spikes protocol, ABCDE method, simulated patient or Mini-CEX, in the teaching of delivery of bad news in various fields of obstetrics, such as IVF failure, intrauterine death, etc. have been. The use of clinical encounter cards or CECs, Asci tests and Mini-CEX are techniques that were used to evaluate students. Conclusion: Proper transmission of bad news is one of the challenges of healthcare personnel. Using appropriate educational techniques for students and medical personnel can reduce the negative consequences of inappropriate transmission of bad news.","PeriodicalId":30509,"journal":{"name":"Journal of Medical Education and Development","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139246832","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-11-22DOI: 10.18502/jmed.v18i3.14131
E. Moradi, Gh Ramazani
The Article Abstract is not available.
文章摘要不详。
{"title":"Application of opinions and philosophy of Jean-Jacques Rousseau in medical education","authors":"E. Moradi, Gh Ramazani","doi":"10.18502/jmed.v18i3.14131","DOIUrl":"https://doi.org/10.18502/jmed.v18i3.14131","url":null,"abstract":"The Article Abstract is not available.","PeriodicalId":30509,"journal":{"name":"Journal of Medical Education and Development","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139249426","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-11-22DOI: 10.18502/jmed.v18i3.14130
Hamed Gholipour Belgo, M. Shahraki, Sadra Amirpour Haradasht
The Article Abstract is not available.
文章摘要不详。
{"title":"The weaknesses of the Iranian dental education system, suggestions, and improvement methods","authors":"Hamed Gholipour Belgo, M. Shahraki, Sadra Amirpour Haradasht","doi":"10.18502/jmed.v18i3.14130","DOIUrl":"https://doi.org/10.18502/jmed.v18i3.14130","url":null,"abstract":"The Article Abstract is not available.","PeriodicalId":30509,"journal":{"name":"Journal of Medical Education and Development","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139248740","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Introduction: Clinical education is the most important part of medical education that provides a golden opportunity for medical students to combine their theoretical mix with the clinical environment, and this is important in the countries of the style of the arena of medicine Special attention is paid. Therefore, this study was conducted to examine the views and experiences of medical students as facilitators and inhibitors of clinical education quality. Methods: This is qualitative research and a phenomenological approach was used. The study population consisted of medical students of Kerman University of Medical Sciences. Target-based sampling was performed on 40 medical students. The method for collecting information was a deep interview with the participants. The data were analyzed by the Colaizzi method. Results: Two initial codes were extracted in the form of two main themes (facilitating and inhibiting factors) and 10 sub-themes including providing motivational patterns and creating interest in interns, the high scientific and educational level of attending professors, use of technology, authorizing more responsibility, inappropriate treatment, inappropriate educational planning, inappropriate evaluation method, low-quality mornings, lack of facilities, and overwhelming of some wards were classified. Conclusion: Considering these factors, it is possible to raise the quality of clinical education to the highest possible level and educate responsible and responsible physicians for generations.
{"title":"Investigation of Views and Experiences of Medical Interns on the Facilitating and Inhibiting Factors Affecting the Quality of Education in the Clinical Education System","authors":"Ghaedamini H, Farahbakhsh S, Amirbeigi Ar, Ghaedamini Ar, Saghafi Z, Ghaedamini Am, Daneshi S","doi":"10.18502/jmed.v18i3.14123","DOIUrl":"https://doi.org/10.18502/jmed.v18i3.14123","url":null,"abstract":"Introduction: Clinical education is the most important part of medical education that provides a golden opportunity for medical students to combine their theoretical mix with the clinical environment, and this is important in the countries of the style of the arena of medicine Special attention is paid. Therefore, this study was conducted to examine the views and experiences of medical students as facilitators and inhibitors of clinical education quality. Methods: This is qualitative research and a phenomenological approach was used. The study population consisted of medical students of Kerman University of Medical Sciences. Target-based sampling was performed on 40 medical students. The method for collecting information was a deep interview with the participants. The data were analyzed by the Colaizzi method. Results: Two initial codes were extracted in the form of two main themes (facilitating and inhibiting factors) and 10 sub-themes including providing motivational patterns and creating interest in interns, the high scientific and educational level of attending professors, use of technology, authorizing more responsibility, inappropriate treatment, inappropriate educational planning, inappropriate evaluation method, low-quality mornings, lack of facilities, and overwhelming of some wards were classified. Conclusion: Considering these factors, it is possible to raise the quality of clinical education to the highest possible level and educate responsible and responsible physicians for generations.","PeriodicalId":30509,"journal":{"name":"Journal of Medical Education and Development","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139251829","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-11-21DOI: 10.18502/jmed.v18i3.14122
Javadinejad M, Bahramnezhad F
Introduction: Nursing grand rounds are one of the potential factors for providing up-to-date evidence to nurses and nursing students and their use at the patient's bedside. Identifying the visible and hidden angles of this experience can help to improve this approach. Based on this, this study was exploring the experience of undergraduate nursing students from Grand Round. Methods: This study is part of a qualitative study with an exploratory sequential interventional combined approach that was conducted with the help of conventional content analysis. For this purpose, 25 undergraduate nursing students of the 7th semester, who had internship experience in intensive care units in the Grand Round method, were purposefully included in the study. Then, with the help of semi-structured, in-depth, and face-to-face interviews with an average of 40 to 60 minutes, the experiences of these participants were extracted and after recording and implementation, they were analyzed with the help of Granheim and Lundman's approach. Results: The mean± SD age of these students was 21.3 ± 10.8 years. From a total of 25 interviews conducted with the participants, 423 primary codes were extracted. After merging the codes that had similar content and meaning, three main categories of internship purposefulness, withdrawal from island education and perceived challenges appeared with 9 subcategories. Conclusion: Since the participants in the study claimed that with the help of this approach, education at the bedside is targeted and in fact, they are faced with a new approach in education, it is necessary to take steps to identify this approach and try to solve the challenge of this approach.
{"title":"Exploring the Experience of Uundergraduate Students from Nursing Grand Round: A Conventional Content Analysis","authors":"Javadinejad M, Bahramnezhad F","doi":"10.18502/jmed.v18i3.14122","DOIUrl":"https://doi.org/10.18502/jmed.v18i3.14122","url":null,"abstract":"Introduction: Nursing grand rounds are one of the potential factors for providing up-to-date evidence to nurses and nursing students and their use at the patient's bedside. Identifying the visible and hidden angles of this experience can help to improve this approach. Based on this, this study was exploring the experience of undergraduate nursing students from Grand Round. Methods: This study is part of a qualitative study with an exploratory sequential interventional combined approach that was conducted with the help of conventional content analysis. For this purpose, 25 undergraduate nursing students of the 7th semester, who had internship experience in intensive care units in the Grand Round method, were purposefully included in the study. Then, with the help of semi-structured, in-depth, and face-to-face interviews with an average of 40 to 60 minutes, the experiences of these participants were extracted and after recording and implementation, they were analyzed with the help of Granheim and Lundman's approach. Results: The mean± SD age of these students was 21.3 ± 10.8 years. From a total of 25 interviews conducted with the participants, 423 primary codes were extracted. After merging the codes that had similar content and meaning, three main categories of internship purposefulness, withdrawal from island education and perceived challenges appeared with 9 subcategories. Conclusion: Since the participants in the study claimed that with the help of this approach, education at the bedside is targeted and in fact, they are faced with a new approach in education, it is necessary to take steps to identify this approach and try to solve the challenge of this approach.","PeriodicalId":30509,"journal":{"name":"Journal of Medical Education and Development","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139252769","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-09-24DOI: 10.18502/jmed.v18i2.13668
Fakouri E, None Poorhakak
Introduction: In this study, the research team decided to take a step towards improving the quality of midwifery education by designing, implementing, and evaluating the midwifery internship course using the group rethinking method based on Boud et al.'s model.
Methods: This study was a single-group semi-experimental type. Reflection was first proposed in small groups and then in a larger group and the necessary feedback was provided. The study tool included a standard survey questionnaire and a rethinking checklist. The results of the test were analyzed by performing descriptive and analytical statistical tests, and t-tests.
Results: The average score of the survey before reflection was 122.95 ± 10.48 and after rethinking was 131.60 ± 19.78. The findings showed that there is a statistically significant difference between the opinions of students before the beginning of the study and after the end of the study (P = 0.012). Based on the results of the checklist completed by the students, the discussed topics included: 1- labor control (28%), 2- childbirth process and postpartum care of the mother (56%), and 3- newborn care (16%).
Conclusion: The results of this study show that reflection has been able to be useful for students and help educators in providing correct and adequate education. During the reflection process, the instructors will have an opportunity to complete the presented material or correct it in case of students' misconceptions. As a result, reflection is a suitable auxiliary tool to improve the quality of midwifery education.
{"title":"Group Reflection Based on the Boud et al.'s Model","authors":"Fakouri E, None Poorhakak","doi":"10.18502/jmed.v18i2.13668","DOIUrl":"https://doi.org/10.18502/jmed.v18i2.13668","url":null,"abstract":"Introduction: In this study, the research team decided to take a step towards improving the quality of midwifery education by designing, implementing, and evaluating the midwifery internship course using the group rethinking method based on Boud et al.'s model.
 Methods: This study was a single-group semi-experimental type. Reflection was first proposed in small groups and then in a larger group and the necessary feedback was provided. The study tool included a standard survey questionnaire and a rethinking checklist. The results of the test were analyzed by performing descriptive and analytical statistical tests, and t-tests.
 Results: The average score of the survey before reflection was 122.95 ± 10.48 and after rethinking was 131.60 ± 19.78. The findings showed that there is a statistically significant difference between the opinions of students before the beginning of the study and after the end of the study (P = 0.012). Based on the results of the checklist completed by the students, the discussed topics included: 1- labor control (28%), 2- childbirth process and postpartum care of the mother (56%), and 3- newborn care (16%).
 Conclusion: The results of this study show that reflection has been able to be useful for students and help educators in providing correct and adequate education. During the reflection process, the instructors will have an opportunity to complete the presented material or correct it in case of students' misconceptions. As a result, reflection is a suitable auxiliary tool to improve the quality of midwifery education.","PeriodicalId":30509,"journal":{"name":"Journal of Medical Education and Development","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135925713","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-09-24DOI: 10.18502/jmed.v18i2.13666
Mohammadian B, Sharifi A, Rahimi S, Poorsmaill M, Esmaeilzadeh MH, Razavi SM
Introduction: Nursing is a practical profession in which clinical training is the basic medical training program. Clinical training is so important that it is considered as the core of professional education. The aim of the present study was to compare the perceptions of nursing students and clinical instructors about the actual and ideal support and supervision in a clinical setting.
Methods: In this descriptive-analytic study, 130 nursing students and 30 clinical instructors of Gonabad Medical Science University are reviewed via census method. The data collection instrument includes the “Perception of Extent of Support and Supervision Survey” questionnaire which is designed in both real and expected status. The findings were analyzed using SPSS20 software and descriptive and analytical statistics.
Results: There is a significant difference between the actual and ideal perception of nursing students and clinical instructors in the support and supervision domains, so in the support domain, the expectation of nursing students was not met by clinical instructors, and in the supervision domain, the actual degree of supervision is greater than the students' expectation. However, clinical instructors have believed that the ideal support and supervision of students is provided by the clinical instructor.
Conclusion: Conclusion: The results indicate that there is a gap in the view of clinical instructors and nursing students towards the actual and ideal support and supervision of students in clinical education environments. This gap may have negative effects on the clinical learning of students.
{"title":"Actual and Ideal Support and Supervision in Clinical Education Settings: Comparing the Perspectives of Nursing Students and Clinical Instructors","authors":"Mohammadian B, Sharifi A, Rahimi S, Poorsmaill M, Esmaeilzadeh MH, Razavi SM","doi":"10.18502/jmed.v18i2.13666","DOIUrl":"https://doi.org/10.18502/jmed.v18i2.13666","url":null,"abstract":"Introduction: Nursing is a practical profession in which clinical training is the basic medical training program. Clinical training is so important that it is considered as the core of professional education. The aim of the present study was to compare the perceptions of nursing students and clinical instructors about the actual and ideal support and supervision in a clinical setting. 
 Methods: In this descriptive-analytic study, 130 nursing students and 30 clinical instructors of Gonabad Medical Science University are reviewed via census method. The data collection instrument includes the “Perception of Extent of Support and Supervision Survey” questionnaire which is designed in both real and expected status. The findings were analyzed using SPSS20 software and descriptive and analytical statistics.
 Results: There is a significant difference between the actual and ideal perception of nursing students and clinical instructors in the support and supervision domains, so in the support domain, the expectation of nursing students was not met by clinical instructors, and in the supervision domain, the actual degree of supervision is greater than the students' expectation. However, clinical instructors have believed that the ideal support and supervision of students is provided by the clinical instructor.
 Conclusion: Conclusion: The results indicate that there is a gap in the view of clinical instructors and nursing students towards the actual and ideal support and supervision of students in clinical education environments. This gap may have negative effects on the clinical learning of students.","PeriodicalId":30509,"journal":{"name":"Journal of Medical Education and Development","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135925580","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-09-24DOI: 10.18502/jmed.v18i2.13672
Leila Jouybari, Faezeh Samadi
The Article Abstract is not available.
没有文章摘要。
；
{"title":"The importance of using an assistant teaching approach in graduate studies","authors":"Leila Jouybari, Faezeh Samadi","doi":"10.18502/jmed.v18i2.13672","DOIUrl":"https://doi.org/10.18502/jmed.v18i2.13672","url":null,"abstract":"
 
 
 
 
 
 
 
 
 
 
 The Article Abstract is not available.
 
 
 
 
 
 
 
 
 
 
 
 
 
","PeriodicalId":30509,"journal":{"name":"Journal of Medical Education and Development","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135925572","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-09-24DOI: 10.18502/jmed.v18i2.13669
Dargahi H, Mireshghollah M, Zolfaghari M, Azam K
Background: The need for medical sciences universities in Iran to develop electronic education in special conditions and crises such as epidemics and pandemics, including the COVID-19 Virus, and even in order to realize the teaching-learning systems, is so necessary. Therefore, this research aimed to determine the level of satisfaction of faculty members from E-learning systems during the COVID-19 pandemic among the selected schools in Tehran University of Medical Sciences.
Methods: This research was a cross-sectional and descriptive-analytical study conducted in 2020-2022. The research population was the faculty members of selected schools of this University including 870, respectively. Sample size determination conducted by Krejcie and Morgan table consisted of 265 faculty members which was determined to be equal to 200 people by taking into account the response rate. The data collection tool was a researcher-constructed educators satisfaction with virtual learning systems questionnaire its face validity and reliability were confirmed. Results: The majority of faculty members as teaching users are relatively satisfied with electronic education and related offline and online systems.
Conclusion: Regarding the current results, most of the faculty members are relatively satisfied with the electronic education system and offline and online systems. However, the Low speed of the Internet could impact educator users. Therefore, it is recommended that providing more appropriate conditions by the empowerment of infrastructure and facilities lead to faculty member's satisfaction with electronic education for better utilization in possible crises in the future.
{"title":"Investigating the Faculty Members Satisfaction from Virtual Education and Electronic Education Systems during the Covid-19 Pandemic in Tehran University of Medical Sciences","authors":"Dargahi H, Mireshghollah M, Zolfaghari M, Azam K","doi":"10.18502/jmed.v18i2.13669","DOIUrl":"https://doi.org/10.18502/jmed.v18i2.13669","url":null,"abstract":"Background: The need for medical sciences universities in Iran to develop electronic education in special conditions and crises such as epidemics and pandemics, including the COVID-19 Virus, and even in order to realize the teaching-learning systems, is so necessary. Therefore, this research aimed to determine the level of satisfaction of faculty members from E-learning systems during the COVID-19 pandemic among the selected schools in Tehran University of Medical Sciences.
 Methods: This research was a cross-sectional and descriptive-analytical study conducted in 2020-2022. The research population was the faculty members of selected schools of this University including 870, respectively. Sample size determination conducted by Krejcie and Morgan table consisted of 265 faculty members which was determined to be equal to 200 people by taking into account the response rate. The data collection tool was a researcher-constructed educators satisfaction with virtual learning systems questionnaire its face validity and reliability were confirmed. Results: The majority of faculty members as teaching users are relatively satisfied with electronic education and related offline and online systems.
 Conclusion: Regarding the current results, most of the faculty members are relatively satisfied with the electronic education system and offline and online systems. However, the Low speed of the Internet could impact educator users. Therefore, it is recommended that providing more appropriate conditions by the empowerment of infrastructure and facilities lead to faculty member's satisfaction with electronic education for better utilization in possible crises in the future.","PeriodicalId":30509,"journal":{"name":"Journal of Medical Education and Development","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135925715","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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