امید زادی

Clinical education plays a fundamental role in forming basic skills and professional competencies for operating room and anesthesiology students. Understanding students’ perspectives on clinical training can help us to improve the quality of their clinical performance in the future. This study was conducted to determine the present status of clinical education from perspectives of operating room and anesthesiology students in mazandaran University of Medical Sciences.

In this descriptive cross-sectional study, a number of 134 students of operating room and Anesthesiology studying in Mazandaran university of Medical science in 2018 were selected through convenient sampling. A valid and reliable questionnaire which assessed five domains of instructor, environment and facilities, educational programs, dealing with students and supervision and evaluation was applied. Data was analyzed by SPSS software using descriptive statistics, t-test, and chi- square.

The mean age of the students was 21/6±1/8. The mean scores of the assessed domains were: educational programs (10/3±4/6), instructor (11/4±3/7), environment and facilities (4/9±2/5), dealing with students (4/2±1/9), supervision and evaluation (2/7±1/6) and self-efficacy (7/6±2/7). 67.9% of the participants reported the quality of clinical education as moderate. There was significant difference between the two groups regarding the educational programs domain (p<0.01).

The mean scores of all assessed domains were in average level. In order to improve the situation of clinical education, it is recommended to provide facilities and equipment for clinical environments and revise the tools and process of clinical evaluation. Improving instructorschr('39') performance and encouraging professional cooperation could lead to the improvement of clinical education.

Surgical technologistschr('39') problems may affect the perioperative outcome. The aim of this study was to evaluate musculoskeletal disorders and related ergonomic considerations in surgical technologists.

This descriptive correlational study was performed among 141 technologists of selected teaching hospitals of Mazandaran University of Medical Sciences. The data collection tool consists of four sections containing demographic information, 13 questions to assess the level of knowledge about ergonomics, 16 questions to assess working conditions and a standard Nordic questionnaire to determine the extent of musculoskeletal disorders. T-test and ANOVA were used to compare the means, and Spearman correlation coefficient was used to examine the relationship between the variables.

The results showed that 78% of the participants had experienced musculoskeletal disorders in at least one area of the body during the last 12 months. The three most prevalent body regions were the low back (55%), shoulders (29%) and wrists (26%). Knowledge of correct principles of working with an average of 3.03±0.55 of 5 points was moderate, 61% reported training in ergonomic considerations as poor. Participantschr('39') work environment and tools such as poor ventilation, ergonomic tools and equipment, and lack of short rest between long-term works are contrary to ergonomic principles.

According to the identification of risk factors in this study, appropriate training programs, ergonomic interventions and the use of safety and health equipment can probably reduce occupational injuries and increase productivity.