جستجوی مقالات مرتبط با کلیدواژه « کارآموزی در عرصه » در نشریات گروه « پزشکی »

Several  studies show that apprenticeship in the field have not been able to improve the professional ability and competence of students to the desired level. Therefore, this study was conducted to Compare the effect of two methods of internship and apprenticeship in the field on clinical competence of nursing students.

This is a quasi-experimental study in which two methods of internship and apprenticeship in the field were performed for 89 final year nursing students in two groups for two semesters. Data were collected using demographic information and clinical competency questionnaire that its validity and reliability was confirmed by content validity and chronbach`s alpha( 0.93) respectively. Data were analyzed by descriptive statistics,paired t-test and chi-square test with  statistical significance( p<0.05)  through SPSS.

Paired t-test showed that the mean score of total clinical competencies and dimension of care management, its individual management in the apprenticeship group of two times did not differ significantly (P> 0.05) and in other dimensions in the apprenticeship group was significantly higherat the end of the semester than before the beginning of the semester (P <0.05). Also, the mean score of total clinical competencies and all its dimensions in the internship group after the end of the semester was significantly higher than before the beginning of the semester and in the internship group this increase was greater. (P <0.05).

Using the internship plan for final year nursing students improve their clinical competence, which will definitely improve the quality of care of patients and reduce  clinical care errors . Therefore, the use of internship plan for clinical education of nursing students is recommended.

An internship course in the field gives students the opportunity to put what they have learned into practice; it allows students to understand and try to address potential shortcomings. It also increases their potential for future employment. The purpose of this study was to determine the challenges of internship training program in the field of public health in the School of Health of Golestan University of Medical Sciences.

This qualitative study will be conducted in 2019-2020 with inductive content analysis approach in Golestan province. Participants in the study were 31 undergraduate public health graduates who completed their internship at the School of Public Health, undergraduate public health students who had completed at least one semester of internship, instructors, and faculty members of the Department of Public Health. They were purposefully selected. Data were collected by group and individual interviews and analyzed by content analysis method and Atlas.ti 8 software.

Challenges of internship in the field of public health were explained in 6 main thems (education system, students, pre-internship planning and preparation, internship management, internship field, student monitoring and evaluation) and 23 sub-thems.

The need to pay more attention to the weaknesses of the internship resulting from the study and selection of appropriate strategies to improve the current situation in the framework of the operational plan, can lead to quantitative and qualitative improvement of internship in public health at Golestan University of Medical Sciences.

Nursing students' experiences in the field of internship require intelligent attention and management. The plan was designed and implemented in order to settle the senior undergraduate nursing students at the Educational and Treatment Center. In order to implement this single-group interventional study, undergraduate nursing students were attending full-time work in medical and surgical wards of Educational and Treatment Center under the supervision of a teaching assistant (TA) and a senior instructor in their last year of the course. The program started from the first semester of the 2016-2017 academic year and continued until the second semester of the 2017-2018. The planning and implementation team of the program at the faculty and its corresponding team at the educational and treatment center was responsible for planning, implementing, monitoring, and evaluating the program. Students' satisfaction with the program and their feedback was reviewed by the planning and implementation team. In this study, the first level of a Kirkpatrick model was used to evaluate the program. Most of the participating students acknowledged that the program had a positive impact on professional preparation, accountability, self-esteem, and job independence in comparison to the conventional program. They also had criticisms of the program, that the most important of them was mentioned in the article. Also, the head nurses and TAs believed that the program, in addition to reaching the educational goals, was able to moderate the care burden of the nursing staff of the departments. Appraisal of the program illustrates the success of the program in achieving educational goals. It seems that the implementation of similar programs at this stage of the student's curriculum will not only facilitate the transition of the student's professional role but if implemented effectively, it can also help to mitigate the shortage of nursing. It is recommended to study the possibility of implementing such programs in the final year of the midwifery and other paramedical courses.

Laboratory science graduates are experts who together with other health care workers will be responsible for performing common clinical laboratories practices. In order to do this, the students must acquire the necessary knowledge and skills during the internship, and various problems will reduce the efficiency of internship in the field of laboratory sciences students. Identifying and solving these problems is essential to enhance the efficiency of this course. This research was done with the purpose of examining the laboratory sciences clerkship course by knowing about the viewpoints of the related faculty members, graduates and students at Hormozgan University of Medical Sciences.. In this qualitative study, a purposive sampling was used to select the subjects from the population of trainees, graduates and the faculty members, graduates and students of laboratory sciences. Semi-structured interviews were conducted. The results of the interviews led us to select the next sample, until no fresh ideas were gained. After gathering data from 13 persons, the results of the study were investigated by means of content analysis methodology. By analyzing research data, five key themes were identified including clerkship curriculum, Expectations from clerkship, motivation of students for clerkship involvement and clerkship planning and management. The results of this study demonstrated that general view of instructors and students are positive, but in the implementation, there are problems that should be addressed by the authorities.. So it is necessary for officials to improve the quality of clerkship through more incorporated plans.

Recognition and elimination of weaknesses in the internship courses of health service management are essential to improving their quality and efficacy. The present study aimed to evaluate the viewpoints of health service management students toward the challenges in the design and implementation of internship courses at the Faculty of Management and Information in Tabriz University of Medical Sciences, Iran.
This qualitative research was conducted on the health service management students at the Faculty of Management and Information in Tabriz University of Medical Sciences in 2014. Data were collected via focused group discussions attended by 8-10 individuals per session. Data analysis was performed using content analysis.
Challenges in internships 1-4 for bachelor’s degree students were assessed in three areas, including the problems relating to instructors, internship courses, and cartable from the perspective of the students. In total, 8 main themes and 30 subthemes were extracted in each area.
According to the results, the internship curricula of health service management students should be completely modified to eliminate the weaknesses. These changes must include the correction of the course design and syllabi and essential revision of the cartable based on the latest information on health systems and labor market needs.

One of the strongest tools for teaching and evaluation of students, especially medical students and related fields is Logbook. The aim of this research was to design, implement and measure teachers and students’ satisfaction with the logbook in the field training 2 course for health services management undergraduate students.
This descriptive study was performed on 44 health service management undergraduate students and six faculty members of field training at School of Management and Medical Information, Isfahan University of Medical Sciences in 2015. Participants were selected through census method. The research consisted of two stages: design and implementation of the logbook, and satisfaction survey through a researcher-made questionnaire. Data were analyzed using descriptive statistics and Mann-Whitney and Chi-square tests.
In the first stage, a 21 section logbook was developed for field training and implemented with a group of 22 students; results were then compared with the control group. The mean score of faculty members’ satisfaction with the conventional method was 38± 4.6 and with the logbook method was 36.7±8.1; the difference was statistically insignificant using the Mann-Whitney test (P=0.87). The mean score of students’ satisfaction with the conventional method was 37.8± 6.3 and with the logbook method was 41.6±8 and the difference was significant (P=0.047, Z=175.5).
Using the logbook for teaching and evaluation of field training for health services management undergraduates while motivating students and increasing their satisfaction, provides a consistent method in the educational process of field training. However, in order to achieve all of the goals and minimum learning essentials, the logbook should be reviewed and further investigated for implementation.

A Charter of Patient's Rights is one of the means to improve and strengthen the health system and patient satisfaction. Therefore, the purpose of the current study was to evaluate awareness of paramedical intern students about Patient's Rights Charter in Lorestan University of Medical Sciences. This cross-sectional, descriptive, and analytical study was performed in 2014. The study population included all of the paramedical intern students in Lorestan University of Medical Sciences. Due to the limited number of population (69 people), they participated in the study with census method. The data-gathering tool was a valid and reliable questionnaire based on the elements of Iran patient's rights developed by the Ministry of Health and Medical Education (MOHME).The collected data were analyzed by descriptive and analytical statistics using SPSS 16 software. The results show that in 1.45 percent of the cases, the total awareness of students was weak, in 81.16 percent was moderate, and in 17.39 percent of them was good. The highest level of awareness was about the patient's rights in receiving the optimal health services (%81.1), and the lowest was about the patient's right to choose and decide freely on health services (%1.45). There was a significant relationship between gender and the students’ awareness. Total awareness of the students from patient's bill of rights was medium. Therefore, greater emphasis should be placed on inclusion and support of patient's rights in course and curriculum planning for paramedical students.

Internships in the bedside Plays an essential role in Achievement students to Professional ability With regard to Importance of Viewpoint students in the education process for improving the quality of clinical education, this present study with the aim of study of Viewpoint of Final year bachelor operation room and Anesthesia students about internships in the clinical was performed. This is a cross - sectional study that Performed on 59 Final year bachelor operation room and Anesthesia students of you University of Medical Sciences in 2014. This sample of research’s equal to Research community. Data collection tool is Researcher made, valid and reliable questionnaire consists of two parts, Include Demographic information and viewpoint of students about internships in clinical. Data collected by SPSS version 18 and Descriptive and inferential statistical methods was analyzed. Results showed that 28. 8 percent of students status of internships in clinical at low level, 23. 72 percent at average level and 47.48 percent at good level Have stated so that 42.37 percent of Samples Stated Domain of Lecturer Poorly, 54.23 percent Stated Domain of Learner Poorly and 89.83 percent (Samples) Stated Domain of Environment Poorly. Between the sex, Field of Study and Grade point average with status of internships in clinical wasn’t statistically significant difference. Based on findings of this study, Strengthening of existing programs, Providing Experienced human resources for environment clinical and Providing Standard educational environments is Recommended.

Clinical education plays an important role in medical education, in which students learn new skills and obtain knowledge of their usage in patients. Log book, as an evaluation tool, can be used to improve the clinical education levels as well as educational planning and evaluation process. Since there is no study about the usage of log book in clinical education of physiotherapy students in Iran, and due to the incomplete studies on log book usage in other disciplines, our study aimed at using log book in clinical education of physiotherapy students with the emphasis on the content of log book.
Twenty four undergraduate semester 7 physiotherapy students, who have already experienced the routine clinical education, were selected using convenience sampling. The students were allocated randomly into 4 clinical education centers affiliated with the Faculty of Rehabilitation. They were educated and evaluated for the whole semester by using log book. A valid and reliable written questioner in different educational domain was used for analysis.
In this preliminary study, our finding following the intervention (log book) demonstrated descriptively. The study results showed that among 23 analyzed educational items, the students’ most satisfactions by using log book obtained from the education of physiotherapy recording manner, documentation of experience and their possible comparison in different semesters, improvement of self-evaluation spirit, and systematic recording of educational tasks.
Log book in clinical education of physiotherapy students can be used as an effective tool in improvement of the quality of clinical education.

Clinical practice is considered a very important part of the nursing education. Effective and dynamic interactions among the students, Health care providers, instructors, and the clinical environment and its elements affect their professional development. This report is part of a major study that describes the final year experience of BSN student in the clinical environment. through this qualitative study, the data was collected from 12 undergraduate nursing students in two large nursing and midwifery schools and two new graduated students. In-depth semi-structured individual interviews were conducted with a purposive sample of participants during their clinical placements and after graduation. The data were analyzed using the Straussian version (1998) of grounded theory method. Professional pride as one of the significant findings of study was evident in experiences of participating students in the final year of their study. Professional pride as one of the most important results of the seminal study consisted of three subcategories: professional adequacy, accepted by others, and the practice of being professional. This feeling initiated and developed through last three semesters. Participants while acquiring individual capabilities and professional competencies, due to prolong presence in clinical environments had much more opportunities to interact and to make relationship with patients and health care members. In addition, they found that they must to be ready to practice in the real workplace. Professional pride experienced by student nurses coincided with entering to the Internship program. Revision of the philosophy, mission, and goals of the Internship program and make any modifications in execution of program in the clinical settings can result in positive effects on socialization and role transition of the student nurses. Recommendations to enhance the clinical experiences of student nurses in final year of their study were outlined.

Public health graduates are experts who together with other health workforce will be responsible for provision، maintenance and promotion of community health. To do this important job، the students must gain the necessary knowledge and skills principally at clerkship period. This research was done with the purpose of examining the public health clerkship course by knowing about the viewpoints of the related faculty members and students at Mazandaran University of Medical Sciences. In this qualitative study، a purposive sampling was used to select the subjects from the population of trainees، graduates and the faculty members of public health. Semi-structured interviews were conducted. The results of the interviews led us to select the next sample، until no fresh ideas were gained. After gathering data from 11 persons، the results of the study were investigated by means of content analysis methodology. By analyzing research data، five key themes were identified including clerkship curriculum، expectations from clerkship، motivation of students for clerkship involvement، training of non-technical skills، and clerkship planning and management. The results of this study demonstrated that lack of integrated planning is the most significant issue causing major setbacks for students'' clerkship. So it is indispensable for officials to improve the quality of clerkship through more incorporated plans.

The success of clinical education as a critical element of nursing curriculum, needs the effective collaboration and interaction between nursing schools and clinical settings. The aim of this study was to explore the perspectives experiences of preceptors and students on the implementation of the preceptorship model in clinical practice training. A qualitative design with a content analysis approach was used to collect and analyze data. Semi-structured interviews were conducted with nursing students and nurse preceptors chosen using purposive sampling. They were consisted of 15 nursing students and 3 nurse preceptors after participating in a perceptorship program in clinical practice. Data analysis was result in the development of 10 themes: “becoming goal-oriented”, “becoming cooperative”, “capturing learning opportunities”, “responsibility regarding student's teaching”, “security vs. confusion”, “belonging to the nursing team”, “student advocacy”, “gradual acceptance of the model”, “acquiring independence”, and “fair evaluation”. The preceptorship model is a suitable teaching method in clinical practice, which provides good learning opportunities in order to transfer fundaments skills and professional competences to nursing students.

Health services management and family health students require professional knowledge and skills to meet clients’ and health systems needs and expectations. In this area, clerkship has a fundamental role to achieve specific skills and competencies. This study aimed at exploring the root problems in clerkship from the viewpoint of students in order to suggest applicable recommendations to promote the quality of education and design an appropriate clerkship program. This is a qualitative research conducted to detect clerkship problems in health services management and family health programs in July2008. Focus Group Discussion (FGD) as a qualitative data collection method was used to determine clerkship problems from the perspective of health services management and family health students. Three FGDs were carried out with 22 students. The results showed that themes of coordination, teaching and supervision in the fields, tutor attendance in the fields and final exam were as the most important problem roots. Themes of planning, lesson plan, educational resources, field report and orientation workshops were found as relatively important problems. Finally, themes of hands-on practice, checking students’ presence, field workers cooperation and their satisfaction were the least important problems. The findings revealed that most of the concerns expressed by the students rooted from themes of coordination with school and clerkship fields, teaching and supervision in the fields, attendance of tutor in the fields, final exam, planning, lesson plan, educational resources, field report and orientation workshops. Therefore, solving these problems will improve quality of clerkship education and consequently students’ knowledge and competencies.

B ackground and Clinical education is an essential section of nursing education and duty of nursing colleges are teaching the nurses that have been ability to apply clinical service according to progressive in knowledge nowadays. In regarding to importance of trainers view in educational process and distinguish of problems for promotion of quality nursing service, therefore this study has done to assess view of students about clinical education and it’s problems. This study is descriptive design and the study population consisted of 30 probationer nursing student in Nursing College, Khoy. Sampling method was census and data collected by using questionnaire. Validity of scale determined by content validity. Reliability of scale determined by Cronbach alpha. Results show that view of nursing student about “skills of patient education” (66.6%) and “skills of implementing nursing process” (55.2%) were weak. The most problems of clinical education were “following from bad habit” (56.7%), “lack of appropriate knowledge in units” (46.6%) and “amazing of student at time absent of instructor” (50%). The purpose of clinical education is promotion of service in society, however several problem are barriers for achieve this purpose. Therefore responsible of nursing education should pay attention to that.

Aims . Field clinical education is the heart of professional nurse training. In order to improve the quality of clinical education, its condition must be evaluated. This study was to find out field apperentices problems in the view of educational instructors and nurse students of Mahabad Azad University in 1387. Methods. In a descriptive study, 6 instructures and 30 last year nursing students of Mahabad Azad University chose. A reliable and valid reasearcher-made questionaire used collecting data. Findings analyzed with SPSS 11. Results . The majority of instructors and students stated that there is no need to clinical instructor and an advisor is sufficient. The manner of supervisions of consultant instructors in the field, gaining skills in performing nursing procedures, producing skills in instructing patients, view to society, discipline in planning and recognizing apperentice aims in the field both for instructors and students along with their responsibilities evaluated good to excelent. The view of instructors and students in accessing facilities and nurse groups coordination along with health units, not having proper scientific grounds in the wards and units and follow wrong habits evaluated weak to very weak. Conclusion. Providing educational and walfare equipment, performing partic principles, presenting scientific and correct trainings for patient care and correcting the students evaluation criteria is suggested.