Strides in Development of Medical Education

Document Type : Original Article


1 M.Sc. in Nursing Education, Research Committee, Shohada Hospital, Tabriz University of Medical Sciences, Tabriz, Iran

2 Nurse, Research Committee, Shohada Hospital, Tabriz University of Medical Sciences, Tabriz, Iran

3 M.Sc. in Anatomy, School of Medicine, Urmia University of Medical Sciences, Urmia, Iran


Background & Objective: Pharmacology education for nursing students aims to teach them how to acquire the necessary skills in the field of patients pharmaceutical cares; the acquisition of these skills is one of the necessary qualifications in nursing profession This study aimed to determine the factors affecting learning and development of clinical skills in pharmacology course from the viewpoint of nursing students Methods: In this descriptive study 200 nursing students of Tabriz University of Medical Sciences Iran selected through convenient sampling in 2014 were enrolled Data were gathered through a researchermade questionnaire consisted of six categories including instructors clinical competence instructors educational competence instructors interpersonal communication clinical learning environment curriculum planning and student factors The collected data were analyzed through descriptive and analytical statistics (MannWhitney and KruskalWallis tests) Results: Instructors clinical competence (232 ± 033) and clinical learning environment (213 ± 039) had the most and the least effects on learning and development of clinical skills in pharmacology course from the students viewpoints respectively Conclusion: Paying attention to and strengthening the instructors qualifications recruiting efficient teachers and creating appropriate clinical environment can have important role in learning medical care On the other hand considering the motivational factors affecting students success in acquiring knowledge and experience and their appreciation of the importance and necessity of proper medication and providing strategies to increase students clinical learning can facilitate and strengthen learning process of pharmaceutical care


  1. Lim AG, Honey M, Kilpatrick J. Framework for teaching pharmacology to prepare graduate nurse for prescribing in New Zealand. Nurse Educ Pract. 2007;7(5):348-53.
  2. Lim AG, Honey M. Integrated undergraduate nursing curriculum for pharmacology. Nurse Educ Pract. 2006;6(3):163-8.
  3. Latter S, Rycroft-Malone J, Yerrell P, Shaw D. Nurses’ educational preparation for a medication education role: findings from a national survey. Nurse Educ Today. 2001;21(2):143-54.
  4. Manias E. Pharmacology content in undergraduate nursing programs: Is there enough to support nurses in providing safe and effective care? Int J Nurs Stud. 2009;46(1):1-3.
  5. Armitage G, Knapman H. Adverse events in drug administration: a literature review. J Nurs Manag. 2003;11(2):130-40.
  6. Sand-Jecklin KE. (dissertation). Student Evaluation of Clinical Education Environment (SECEE): instrument development and validation. Morgantown: West Virginia University; 1998: 9.
  7. Beech B. Aggression prevention training for student nurses: differential responses to training and the interaction between theory and practice. Nurse Educ Pract. 2008;8(2):94-102.
  8. Morrison-Griffiths S, Snowden MA, Pirmohamed M. Pre-registration nurse education in pharmacology: is it adequate for the roles that nurses are expected to fulfil? Nurse Educ Today. 2002; 22(6):447-56.
  9. Manias E, Bullock S. The educational preparation of undergraduate nursing students in pharmacology: clinical nurses' perceptions and experiences of graduate nurses' medication knowledge. Int J Nurs Stud. 2002;39(8):773-84.
  10. Grandell-Niemi H, Hupli M, Leino-Kilpi H, Puukka P. Finnish nurses’ and nursing students’ pharmacological skills. J Clin Nurs. 2005;14(6):685-94.
  11. Baghcheghi N, Koohestani HR. Nursing Students’ Errors in Preparation and Administration of Intravenous Drugs. J Strides Dev Med Educ. 2008;5(1):43-9. [In Persian]
  12. Kohestani H, baghcheghi N. Investigation medication errors of nursing students in Cardiac. Scientific J Forensic Medicine. 2008;13(4):249-55. [In Persian]
  13. Lisby M, Nielsen LP, Mainz J. Errors in the medication process: frequency, type, and potential clinical consequences. Int J Qual Health Care. 2005;17(1):15-22.
  14. Andrew S, Salamonson Y, Halcomb EJ.Nursing students’ confidence in medication calculations predicts math exam performance. Nurse Educ Today. 2009;29(2):217-23.
  15. Salimi T, Shahbazi L, Mojahed S, Ahmadieh MH, Dehghanpour MH. Comparing the effects of lecture and work in small groups on nursing students' skills in calculating medication dosage. Iran J Med Educ. 2007;7(1):79-84. [In Persian]
  16. Fox ER, Birt A, James KB, Kokko H, Salverson S, Soflin DL. ASHP guidelines on managing drug product shortages in hospitals and health systems. Am J Health Syst Pharm. 2009;66(15):1399-406.
  17. Ghamari Zare Z, Purfarzad Z, Ghorbani M, Zamani M. Factors Affecting Learning of Pharmaceutical Care in Clinical Education: Arak Nursing Students’ Perspectives. Iran J Med Educ. 2012;12(4):265-73. [In Persian]
  18. Tang FI, Chou SM, Chiang HH. Students' perceptions of effective and ineffective clinical instructors. J Nurs Educ. 2005;44(4):187-92.
  19. Dehghani H, Dehghani K, Fallahzadeh H. The educational problems of clinical field training based on nursing teachers and last year nursing students view points. Iran J Med Educ. 2005;5(1):24-33. [In Persian]
  20. Hadizadeh F, Firoozi M, Shamaeyan Razavi N. Nursing and midwifery students perspective on clinical education in Gonabad University of Medical Sciences. Iran J Med Educ. 2005;5(1):70-8. [In Persian]
  21. Niknam F, Abdollah Zade F, Lotfi M, Agha Zade A. Clinical education problems from the instructors and the last-year nursing student’s view point to the college of Nursing and Midwifery, Tabriz University of Medical Sciences. J Nurs Midwifery Tabriz. 2001;2:20-6. [In Persian]
  22. Peyman H, Darash M, Sadeghifar J, Yaghoubi M, Yamani N, Alizadeh M. Evaluating the viewpoints of nursing and midwifery students about their clinical educational status. Iran J Med Educ. 2011;10(5):1121-30. [In Persian]
  23. Rostami H, Rahmani A, Ghahremanian A, Zamanzadeh V. Clinical Performance of Nurse Trainers from Viewpoints of Student Nurses and Nurse Trainers of Azad Islamic University. Iran J Nursing. 2010; 22(62):22-31. [In Persian]
  24. Gaberson KB, Oermann MH, Shellenbarger T. Clinical teaching strategies in nursing. 4th ed. New York: Springer Publishing Company; 2014.
  25. Kelly C. Student’s perceptions of effective clinical teaching revisited. Nurse Educ Today. 2007;27(8):885-92.
  26. Lee WS, Cholowski K, Williams AK. Nursing students' and clinical educators' perceptions of characteristics of effective clinical educators in an Australian university school of nursing. J Adv Nurs. 2002;39(5):412-20.
  27. Ahmadnia E, Taghiloo Gh, Payami M, Ahmadnia H. Students' views regarding academic performance , interpersonal relationships and personal characteristics of clinical instructors, in School of Nursing and Midwifery, Zanjan University of Medical Sciences. J Med Educ Dev. 2014;7(13):1-8. [In Persian]
  28. Tempelaar DT, Gijselaers WH, van der Loeff SS, Nijhuis JF. A structural equation model analyzing the relationship of student achievement motivations and personality factors in a  range  of  academic  subject-matter areas.  Contemporary  Educational  Psychology. 2007;32(1):105-31.
  29. Zareie F,  Orojlu  S,  Rasuli  D,  Naseri  O,  Shams  S. Lack  of  Knowledge  of  Pharmacology  in  Nursing Students;  Rate,  Causes  and  Solutions.  J  Urmia Nursing  Midwifery  Faculty.  2013;11(6):443-52. [In  Persian]
  30. IP  WY,  Kit  Chan  DS.  Hong  Kong  nursing students'  perception  of  the  clinical  environment:  a questionnaire survey. 2005;42(6):665-672. Int J Nurs  Stud.
  31. Chan  DS.  Nursing  students'  perceptions  of hospital  learning  environments--an  Australian perspective.  Int  J  Nurs  Educ  Scholarsh. 2004;1:Article4
  32. Hemmati Maslakpak  M,  Khalilzadeh  H.  Nursing Students’  Perspectives  on  Effective  Clinical Education:  A  Qualitative  Study.  Iran  J  Med  Educ. 2012;11(7):718-27.  [In  Persian].
  33. Nasiri  A,  Kaheni  S,  Sinaeinejad  K.  Effective factors  on  learning  of  nursing  clinical  skills  from the  viewpoints  of  clinical  instructors  and  nursing students  in  Birjand  city.  Iran  J  Med  Educ. 2003;3(10):31.  [In  Persian]