Strides in Development of Medical Education

Document Type : Original Article

Authors

1 Ph.D. Candidate, Nursing and Midwifery School, Medical Education Research Centre (MERC), Isfahan University of Medical Sciences, Isfahan, Iran

2 Assistant Professor, Faculty of Nursing and Midwifery School, Medical Education Research Centre (MERC), Isfahan University of Medical Sciences, Isfahan, Iran

3 Associate Professor, Islamic Azad University, Khorasgan Branch and Medical Education Research Centre (MERC), Isfahan University of Medical Sciences, Isfahan, Iran

Abstract

Background & Objective: One of the most important goals of clinical education is ensuring from students clinical competency In such process the evaluation of clinical skills is one of the most important challenges The aim of the present study was to introduce some of the important concepts related to the evaluation of clinical skills Methods : Using phenomenological approach participants were selected from students and teachers of Isfahan Nursing and Midwifery School A purposive sample of 18 individuals (10 nursing students and 8 clinical teachers) who had experienced at least one course of clinical education was recruited An indepth interview was undertaken and Colaizzi method was used for data analysis The reliability and validity of the study was grounded on the four items (factual value applicability consistency and neutrality) Results : The transcribed interviews were analyzed in the seven stages of analysis Emerging codes were categorized in the following three major themes: Triangulation in evaluation the atmosphere of clinical evaluation and Evaluation syndrome Conclusion : Based upon an emphasis on the relationship among clinical evaluation environment (physical and psychosocial) the characteristics of the evaluator and the evaluated and relevant concepts the findings of the present study identified a need for the integration of all influential factors in the process of clinical evaluation Findings also suggest that clinical evaluation has to enjoy relevant models including various influential factors rather than strict structured tools

Keywords

  1. Wilkes LM, Wallis MC. A model of professional nurse caring: nursing students' experience. J Adv Nurs 1998; 27(3): 582-89.
  2. Dolan G. Assessing student nurse clinical competency: will we ever get it right? J Clin Nurs 2003; 12(1): 132-41.
  3. Milligan F. Defining and assessing competence: the distraction of outcomes and the importance of educational process. Nurse Educ Today 1998; 18(4): 273–80.
  4. Chambers MA. Some issues in the assessment of clinical practice: a review of the literature. J Clin Nurs 1998; 7(3): 201–8.
  5. Calman L, Watson R, Norman I, Refern S, Murrells T. Assessing practice of student nurses: methods, preparation of assessors and student views. J Adv Nurs 2002; 38(5): 516–23.
  6. Zygmont DM, Schaefer KM. Assessing the critical thinking skills of faculty: what do the findings mean for nursing education? Nurs Educ Perspec 2006; 27(5):260-8.
  7. Chapman H. Some important limitations of competency-based education with respect to nurse education:an Australian perspective. Nurse Educ Today 1999; 19(2): 129–35.
  8. Meretoja R, Leino-Kilpi H, Kaira A. Comparison of nurse competence in different hospital work environment. J Nurs Manag 2004; 12(5): 329–36.
  9. Martin JA. Putting competency-based training into practice: are we ready to try? ANZ J Surg 2004; 74(8): 617.
  10. Speziale HS, Carpenter DR. Qualitative research in nursing: advancing the humanistic imperative. 3rd ed. Philadelphia: Lippincott Williams & Wilkins; 2003: 91-2.
  11. Burn’s N, Grove SK. Understanding nursing research. 3rd ed. Philadelphia, W.B Sanders; 2003: 378- 83.
  12. Shin KR, Kim MY, Kim YH. Study on the lived experience of aging. Nursing & health science 2003; 5(4):245-252(8).
  13. Montana state university, college of nursing; Available from: URL:http://www.montana.edu/wwwpy/undergrad.htm
  14. Curran V, Christopher J, Lemire F, Collins A, Barrett B. Application of a responsive evaluation approach in medical education. Med Educ 2003; 37(3): 256-66.
  15. Cook LJ. Inviting teaching behaviors of clinical faculty and nursing students' anxiety. J Nurs Educ 2005;44(4):156-61.
  16. Sharif F, Masoumi S. A qualitative study of nursing student experiences of clinical practice. BMC Nurs 2005; 9(4):6.
  17. Sellek T. Satisfying and anxiety-creating incidents for nursing students. Nurs Times 1982; 78(48): suppl 35: 137-40.
  18. Rolfe G. Listening to students: course evaluation as action research. Nurse Educ Today 1994; 14(3): 223-7.
  19. Gerrish K. Still fumbling along? A comparative study of the newly qualified nurse's perception of the transition from student to qualified nurse. J Adv Nurs 2000; 32(2): 473–80.
  20. Gibbons C, Dempster M, Moutray M. Stress and eustress in nursing students. J Adv Nurs 2008; 61 (3): 282–90.
  21. Meerabean E. Back to the bedpans: the debates over preregistration nursing education in England. J Adv Nurs 2001; 34(4): 427–35.