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Multicultural Sensitivity and Related Factors in Nursing Students of Zanjan University of Medical Sciences during the COVID-19 Pandemic 新冠肺炎大流行期间赞詹医科大学护生多文化敏感性及相关因素分析
Pub Date : 2022-08-01 DOI: 10.52547/edcj.15.45.19
Zeynab Bakhteri, N. Hanifi, N. Jafari Varjoshani
Background & Objective: Holistic care is provided by the ability to communicate effectively with patients from different cultures. In this respect, multicultural sensitivity helps communicate effectively with the patient. Therefore, the present study was conducted to investigate the multicultural sensitivity of nursing students and the factors affecting it during the COVID-19 pandemic. Materials & Methods: This cross-sectional correlation study was conducted on 245 nursing students of the Zanjan University of Medical Sciences in 2021. Data were collected using two questionnaires of demographic information and multicultural sensitivity. The multicultural questionnaire scored multicultural sensitivity on a Likert scale in the range of 1 to 5. Scores ≤ 3 were unfavorable multicultural sensitivities > 3 were desirable cultural sensitivities. Data analysis was performed using an independent t-test, analysis of variance, and logistic regression in the SPSS statistical software. Results: The mean total score of multicultural sensitivity was 3.64 ± 0.48. Also, the mean of multicultural sensitivity based on gender, residence, religion, bilingualism, semester, and field of study did not show a statistically significant difference (P < 0.05). The logistic regression model showed that gender and field of study could predict 3 to 6% of changes in multicultural sensitivity. Conclusion: The findings of this study showed that the multicultural sensitivity of students is favorable, despite their distance from the university environment. However, it is recommended to conduct training to make them more familiar with the cultural habits and health of Iranian ethnic groups. © The Authors.
背景与目的:整体护理是通过与来自不同文化的患者进行有效沟通的能力提供的。在这方面,多元文化敏感性有助于与患者进行有效沟通。因此,本研究旨在调查新冠肺炎大流行期间护生的多元文化敏感性及其影响因素。材料与方法:本研究对赞詹医科大学2021级245名护生进行了横断面相关性研究。使用两份关于人口统计信息和多元文化敏感性的问卷收集数据。多元文化问卷在Likert量表上对多元文化敏感性进行了评分,评分范围为1-5。分数≤3是不利的多元文化敏感性>3是理想的文化敏感性。数据分析采用独立t检验、方差分析和SPSS统计软件中的逻辑回归进行。结果:多元文化敏感性总分平均为3.64±0.48。此外,基于性别、居住地、宗教、双语、学期和学习领域的多元文化敏感性平均值没有显示出统计学上的显著差异(P<0.05)。逻辑回归模型显示,性别和学习领域可以预测多元文化敏感性的3%至6%的变化。结论:本研究结果表明,尽管学生远离大学环境,但他们的多元文化敏感性是有利的。然而,建议进行培训,使他们更熟悉伊朗少数民族的文化习惯和健康状况。©作者。
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引用次数: 1
The Viewpoints of Faculty Members and Midwifery Students on the Implementation of a Virtual Clinical Training Protocol for Midwifery Internship in a Gynecology Course during COVID-19 Pandemic: A Descriptive Qualitative Study 新冠肺炎大流行期间妇产科课程助产实习虚拟临床培训方案实施情况的描述定性研究
Pub Date : 2022-08-01 DOI: 10.52547/edcj.15.45.57
J. Ganji, Marjan Ahmad Shirvani, Tahereh Tayebi, N. Motahari-Tabari
Background & Objective: It is essential to apply the complementary methods of face-to-face education to prevent clinical education disruption during the COVID-19 pandemic. The present study aimed to explain the viewpoint of faculty members and midwifery students on implementing a virtual clinical training protocol for midwifery interns in a gynecology course during the Covid-19 pandemic. Materials & Methods: This descriptive qualitative study was performed in Sari Nursing and Midwifery faculty, Sari, Iran, 2020. Purposive sampling continued until data saturation and finished with 16 participants (9 midwifery students and 7 faculty members). A deep semi-structure interview was conducted to collect data. The data analysis was carried out by content analysis with a conventional approach and based on the steps proposed by Graneheim and Lundman. Results: Four main themes were extracted, including “strengths”, “weaknesses”, “obstacles”, and “facilitators” of the virtual clinical training. These themes consisted of ten sub-themes. Continuous learning, learning development, and facility of education in the crises were strong points of this education method, and its weaknesses were limitations of some educational dimensions and evaluation challenges. The obstacles to virtual clinical trainings were sub-structure problems and educators’ challenges, and the facilitators of this method were strengthening electronic technology, providing prerequisites, and training promotion. scores and the difference between genders was statistically significant. Conclusion: According to faculty members and midwifery students, although virtual training gynecology clinics could help access a part of educational goals, there are limitations to promoting some dimensions of professionalism. Furthermore, providing infrastructure and prerequisites can improve the efficiency of this method. © 2021.
背景与目的:COVID-19大流行期间,应用面对面教育的补充方法防止临床教育中断至关重要。本研究旨在解释教师和助产学学生在新冠肺炎大流行期间在妇科课程中实施助产学实习生虚拟临床培训方案的观点。材料与方法:本描述性定性研究于2020年在伊朗萨里的萨里护理和助产学院进行。有目的的抽样一直持续到数据饱和,并在16名参与者(9名助产学学生和7名教师)中结束。采用深度半结构访谈法收集数据。数据分析采用常规方法,根据Graneheim和Lundman提出的步骤进行内容分析。结果:提取了虚拟临床培训的“优势”、“劣势”、“障碍”和“促进因素”四个主题。这些主题由十个子主题组成。这种教育方法的优点是持续学习、学习发展和危机教育的便利,缺点是某些教育维度的局限性和评价上的挑战。虚拟临床培训的障碍是子结构问题和教育者的挑战,促进虚拟临床培训的因素是加强电子技术、提供前提条件和培训推广。得分和性别之间的差异具有统计学意义。结论:根据教师和助产学学生的调查,虽然虚拟培训妇科诊所可以帮助实现部分教育目标,但在提高专业程度方面存在局限性。此外,提供基础设施和先决条件可以提高该方法的效率。©2021。
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引用次数: 0
Baseline Assessment of Communication Skills of Undergraduate Medical Students at a Medical College in Bhopal 博帕尔医学院医学本科生沟通技能的基线评估
Pub Date : 2022-08-01 DOI: 10.52547/edcj.15.45.1
A. Athavale
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引用次数: 0
Effectiveness of Video-assisted Debriefing Versus Standard Oral Debriefing Following Screen-based Simulation (CyberPatient TM) Training 在基于屏幕的模拟(CyberPatient TM)培训后,视频辅助汇报与标准口头汇报的有效性
Pub Date : 2022-07-20 DOI: 10.5812/jme-127021
Toktam Masoumain Hosseini, S. Ahmady
Background: A common recommendation to develop skillful practice is to playback videos during debriefing; however, no study has addressed the advantages of such a technique. Objectives: The present study aimed to compare the pedagogical effectiveness of video-assisted debriefing and oral debriefing in simulation-based training. By comparing video-assisted debriefing and traditional oral debriefing, it was hypothesized that video-assisted debriefing would improve medical students' decision-making skills and professional attitudes. Methods: This quasi-experimental study used a pretest-posttest design. The study encompassed 76 medical students in the fourth year of their seven-year training program. The participants were selected using a census and were then randomly divided into intervention (video-assisted debriefing, n = 36) and control (oral debriefing, n = 40) groups. The required data were collected using a demographic information questionnaire, the Penn State College of Medicine Professionalism Questionnaire, and Lauri and Salantera’s (2002) Clinical Decision-making Questionnaire. Descriptive statistics such as mean and standard deviation were used to describe the participants’ characteristics. Paired t-test and independent t-test were run to compare the medical students’ clinical decision-making and professional attitude scores before and after the intervention within and between the groups. Results: There was no significant difference in the medical students’ clinical decision-making skills between the two groups before the intervention (P = 0.09); however, significant differences were observed in both groups after the intervention (P < 0.001). Moreover, there was no significant difference in the professional attitude of medical students between the two groups before the intervention (P = 0.03); however, there were significant differences in both groups after the intervention (P < 0.001). Conclusions: The findings revealed that simulation-based training with video-assisted debriefing was more effective in developing the undergraduate medical students' decision-making skills and promoting their professional attitudes.
背景:培养熟练练习的一个常见建议是在汇报过程中回放视频;然而,还没有研究指出这种技术的优点。目的:本研究旨在比较视频辅助述职和口头述职在模拟训练中的教学效果。通过对视频辅助述职与传统口头述职的比较,我们假设视频辅助述职能提高医学生的决策技能和职业态度。方法:准实验研究采用前测后测设计。这项研究包括76名医学院学生,他们正在进行为期七年的培训计划的第四年。通过人口普查选择参与者,然后随机分为干预组(视频辅助汇报,n = 36)和对照组(口头汇报,n = 40)。所需要的数据是通过人口统计信息问卷、宾夕法尼亚州立医学院专业问卷和Lauri和Salantera(2002)临床决策问卷收集的。描述性统计如平均值和标准差被用来描述参与者的特征。采用配对t检验和独立t检验比较干预前后医学生临床决策和专业态度得分在组内和组间的差异。结果:干预前两组医学生临床决策能力差异无统计学意义(P = 0.09);但干预后两组间差异有统计学意义(P < 0.001)。干预前两组医学生的专业态度差异无统计学意义(P = 0.03);但干预后两组比较差异有统计学意义(P < 0.001)。结论:视频辅助述职的模拟训练能更有效地培养医学生的决策能力和职业态度。
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引用次数: 1
The Way of Breaking Bad News by Nurses: A Report from Guilan Academic Hospitals 护士突发事件的处理方式——以桂兰专科医院为例
Pub Date : 2022-07-08 DOI: 10.5812/jme-120468
Gelareh Biazar, Ali Pourramzani, H. S. Fayazi, Reyhaneh Shahrokhi Rad, M. Habibi, Zahra Atrkarroushan, M. Ahmadi, Fatemeh Ramezani Kashal
Background: Breaking Bad News (BBN) is a multidisciplinary and unpleasant task, and nurses play a vital role in this process as they are often exposed to such situations. It is a critical duty that has not been adequately addressed. Objectives: This study investigated the performance of nurses in academic hospitals affiliated with Guilan University of Medical Sciences (GUMS) regarding BBN. Methods: During 2020, eligible nurses were interviewed, and a questionnaire containing 16 items about environmental and psychical support was filled out. The first 10 questions evaluated psychical support, and the next six assessed environmental support. Each question scored 10, "never," to 50, "always." Results: A total of 384 out of 410 nurses filled out the questionnaires, and a response rate of 93.65% was obtained. As shown, 346 (90.1%) responders were women, and 38 (9.9%) were men. Also, 289 (75.3%) had passed educational courses. A positive association was observed between psychical and environmental support and age (P = 0.007, P = 0.003) and years of experience (P = 0.013, P = 0.004). However, there was no significant difference respecting educational programs (P > 0.05). Conclusions: This study revealed that the current educational programs are not practical and could not induce a significant difference in nurses' answers. Effective interventions to improve nurses' communication skills are strongly warranted.
背景:突发坏消息(BBN)是一项多学科和令人不快的任务,护士在这一过程中扮演着至关重要的角色,因为他们经常暴露在这样的情况下。这是一项尚未得到充分处理的关键职责。目的:调查桂兰医科大学附属学术医院护士在BBN方面的表现。方法:在2020年期间,对符合条件的护士进行访谈,填写包含16个项目的环境和心理支持问卷。前10个问题评估心理支持,后6个问题评估环境支持。每个问题得分为10分,“从不”到50分,“总是”。结果:410名护士中有384人填写了问卷,问卷回复率为93.65%。如图所示,346名应答者(90.1%)为女性,38名应答者(9.9%)为男性。此外,289人(75.3%)通过了教育课程。心理和环境支持与年龄(P = 0.007, P = 0.003)和工作年限(P = 0.013, P = 0.004)呈正相关。在教育方案方面差异不显著(P > 0.05)。结论:本研究发现现行的教育方案不具有实用性,不能使护士的回答产生显著差异。有效的干预措施,以提高护士的沟通技巧是非常必要的。
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引用次数: 0
Explanation of Non-Iranian Students’ Views on the Quality of Learning Experiences at Shahid Beheshti University of Medical Sciences, Tehran, Iran 解释非伊朗学生对伊朗德黑兰沙希德·贝赫什蒂医学大学学习经验质量的看法
Pub Date : 2022-07-04 DOI: 10.5812/jme-119704
Somayeh Akbari farmad, Masoume Hashemi, Somaye Sohrabi
Background: Learning experiences help learners achieve educational goals and are usually related to the educational context that occurs in teaching groups, teacher-student relationships, and teaching-learning activities. Objectives: The current study aimed to explain the views of non-Iranian students on the quality of learning experiences at Shahid Beheshti University of Medical Sciences, Tehran, Iran. Methods: This was a qualitative study with the directional content analysis method. The participants were 12 non-Iranian students studying in the last year or before the last year in medicine, nursing, and paramedical faculties of Shahid Beheshti University of Medical Sciences who were randomly selected from non-Iranian students for semi-structured oral interviews. The interviews continued until data saturation. Results: After content analysis, 85 initial codes were extracted. Based on the relationship between the codes, 14 subcategories were obtained and placed into 4 main categories. The main categories were available resources, available content, learning flexibility, and the quality of professors’ relationships with students. Conclusions: Based on the results, the quality of learning experiences plays a critical role in effective learning. Paying attention to the experiences and viewpoints of non-Iranian students studying at Shahid Beheshti University of Medical Sciences is very important to improve the quality of learning experiences and attract non-Iranian students.
背景:学习经历帮助学习者实现教育目标,通常与教学小组、师生关系和教与学活动中发生的教育背景有关。目的:本研究旨在解释非伊朗学生对伊朗德黑兰Shahid Beheshti医科大学学习经验质量的看法。方法:采用定向含量分析法进行定性研究。参与者是去年或前年在Shahid Beheshti医学科学大学医学、护理和辅助医学院系学习的12名非伊朗学生,他们是从非伊朗学生中随机选出的,进行半结构化的口头访谈。访谈一直持续到数据饱和。结果:经内容分析,提取85个初始代码。根据代码之间的关系,得到14个子类别,并将其划分为4个主要类别。主要类别是可用资源、可用内容、学习灵活性以及教授与学生关系的质量。结论:基于研究结果,学习体验的质量对有效学习起着至关重要的作用。注意在沙希德·贝赫什蒂医科大学学习的非伊朗学生的经历和观点,对于提高学习经验的质量和吸引非伊朗学生非常重要。
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引用次数: 2
Professional Medical Teachers: What Do They Have to Declare Aloud? 专业医学教师:他们要大声宣布什么?
Pub Date : 2022-06-26 DOI: 10.5812/jme-123745
S. Moradi
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引用次数: 0
Addressing Challenges of Undergraduate Medical Education in India Through Massive Open Online Courses (MOOCs) 通过大规模在线开放课程(MOOCs)解决印度本科医学教育的挑战
Pub Date : 2022-06-25 DOI: 10.5812/jme-118562
Rakesh Kumar
Context: Massive open online courses (MOOCs) have much potential in higher education, including medical education. This paper explores the challenges and potential solutions through planning, developing, and integrating MOOCs into the medical curriculum. Evidence Acquisition: A non-systematic review study was conducted in March and April 2021. A comprehensive literature search was done on Pubmed, Scopus, Web of Science, Google Scholar, and websites to retrieve articles on MOOCs and medical education using relevant search terms. Results: With their wide availability, open access, and affordability, MOOCs have attracted the attention of several educationalists and learners. Indian medical undergraduates face several problems, such as introducing the new competency-based curriculum, information overload, the COVID-19 pandemic, and increased health care demand. The advantages of MOOCs can be leveraged to solve some of the problems in medical education. They can be effectively used to educate and empower the general public and provide patient education and continuous professional development. Conclusions: With embedded advanced interactive tools, MOOCs have the potential to reshape medical education. Sustained commitment, promotion competition, and collaboration can help overcome the common barriers to MOOC development and integration into the undergraduate medical curriculum.
背景:大规模在线开放课程(MOOCs)在包括医学教育在内的高等教育中具有很大的潜力。本文探讨了通过规划、开发和整合MOOCs到医学课程中所面临的挑战和潜在的解决方案。证据获取:2021年3月和4月进行了一项非系统评价研究。在Pubmed、Scopus、Web of Science、Google Scholar和其他网站上进行了全面的文献检索,使用相关搜索词检索mooc和医学教育方面的文章。结果:mooc以其广泛的可用性、开放获取和可负担性吸引了许多教育家和学习者的注意。印度医学本科生面临着一些问题,如引入新的以能力为基础的课程,信息过载,COVID-19大流行以及医疗保健需求增加。mooc的优势可以用来解决医学教育中的一些问题。它们可以有效地用于教育和赋予公众权力,并提供耐心的教育和持续的专业发展。结论:通过嵌入先进的互动工具,mooc具有重塑医学教育的潜力。持续的承诺、促进竞争和合作可以帮助克服MOOC发展和融入本科医学课程的共同障碍。
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引用次数: 0
Debriefing is Missing Loop of Simulation-enhanced Clinical Education: Prescription for Best Practice 汇报是模拟强化临床教育的缺失环节:最佳实践处方
Pub Date : 2022-06-25 DOI: 10.5812/jme-127075
Toktam Masoumain Hosseini, S. Ahmady
{"title":"Debriefing is Missing Loop of Simulation-enhanced Clinical Education: Prescription for Best Practice","authors":"Toktam Masoumain Hosseini, S. Ahmady","doi":"10.5812/jme-127075","DOIUrl":"https://doi.org/10.5812/jme-127075","url":null,"abstract":"<jats:p />","PeriodicalId":30594,"journal":{"name":"Journal of Medical Education Development","volume":"3 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79260443","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}
引用次数: 0
Evaluation of Foundation Course for First-Year Medical Undergraduates in a Medical College of Eastern India 东印度某医学院一年级医学本科生基础课程评价
Pub Date : 2022-06-25 DOI: 10.5812/jme-122116
Mousumi Datta, S. Bhattacharya, Soumitra Mondal
Background: The foundation course (FC) is proposed for undergraduate medical students in India at the beginning of the curriculum. The present study planned to evaluate the FC conducted at Medical College Kolkata, India, by comparing students’ ratings of pre-course and post-course skills. Objectives: This study aimed to assess the self-rated baseline communication skills, interpersonal skills, intellectual skills, self-management skills, learning skills, and management-career skills of recently admitted medical undergraduates and the magnitude of change in self-rated skills by completing the FC. Methods: A random sample of 100 Bachelor of Medicine and Bachelor of Surgery students admitted in 2021 were enrolled for this prospective pre-post study. Data collection was electronic by self-administered 39 items on skills in a learning questionnaire. This questionnaire had six subscales, including communication skills, interpersonal skills, intellectual skills, self-management skills, learning skills, and management-career development skills, which were to be rated within 1 - 6, with 1 as the worst and 6 as the best. The outcome was calculated as total and subscale mean with their confidence interval, comparison of mean, and percentage of skill improvement. Results: In this study, 97 respondents completed the questionnaires. The mean age of the subjects was 19.8 years, and 62.9% of the participants were male. The total score and scores for all subscales improved after the FC, with significant improvement in communication (P = 0.001), interpersonal (P = 0.008), management-career development (P = 0.002), and overall learning skills (P = 0.001). Interpersonal and communication skills were significantly higher for students staying at the campus hostel and having knowledge of the local language (P < 0.05). Conclusions: Communication and interpersonal skills improved following the FC at the study institute, although the course was only moderately successful in the improvement of overall learning skills. Hostel living and local vernacular reinforced skills are learned in FC.
背景:基础课程(FC)是在课程开始时为印度的本科医科学生提出的。本研究计划通过比较学生对课前和课后技能的评分来评价在印度加尔各答医学院进行的FC。目的:本研究旨在评估新入学医学本科生的自评基线沟通能力、人际交往能力、智力能力、自我管理能力、学习能力和管理职业技能,并通过填写FC评估自评技能的变化幅度。方法:随机抽取100名2021年入学的医学学士和外科学士学生进行前瞻性前后研究。数据收集采用电子方式,采用自我管理的39项技能学习问卷。本问卷共设沟通能力、人际交往能力、智力能力、自我管理能力、学习能力、管理职业发展能力六个分量表,评分范围为1 - 6,1为最差,6为最好。结果计算为总均值和亚量表均值及其置信区间、均值比较和技能提高百分比。结果:本研究共97人完成问卷调查。研究对象的平均年龄为19.8岁,男性占62.9%。FC后总分和各分量表得分均有改善,其中沟通(P = 0.001)、人际关系(P = 0.008)、管理职业发展(P = 0.002)和整体学习技能(P = 0.001)有显著改善。在校园宿舍住宿并掌握当地语言的学生,其人际交往能力和沟通能力显著高于其他学生(P < 0.05)。结论:在研修所进行FC后,沟通和人际交往能力得到了改善,尽管该课程在整体学习技能的提高方面仅取得了中等程度的成功。旅舍生活和本地方言强化技能在FC学习。
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引用次数: 0
期刊
Journal of Medical Education Development
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