Strides in Development of Medical Education

Effect of Occupational Therapy Clinical Training on SelfEfficacy and Clinical Reasoning of Students

Document Type : Original Article

Authors

Sara Afshar 1
Dorsa Hamedi 2
Nasibeh Noori-Moombeini 2
Nazila Akbarfahimi 3

1 Ph.D. Student, Department of Occupational Therapy, School of Rehabilitation, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran

2 M.Sc. in Occupational Therapy, Musculoskeletal Rehabilitation Research Center AND Lecturer, Department of Occupational Therapy, School of Rehabilitation, Jundishapur University of Medical Sciences, Ahvaz, Iran

3 Ph.D. in Occupational Therapy, Assistant Professor, Department of Occupational Therapy, School of Rehabilitation, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran

Abstract
Background & Objective: The ultimate goal of medical universities is clinical efficacy in their students Students evaluation of selfefficacy can be a good guide to predicting their clinical skills Therefore this research was designed to evaluate the effect of occupational therapy clinical training during one semester on selfefficacy and clinical reasoning in students and the relationship between these two factors Methods: This descriptiveanalytical and crosssectional study was conducted on 42 third and fourth year undergraduate students of occupational therapy‎ who were passing the clinical education course The study was conducted in all occupational therapy clinical centers of Jundishapur ‎University of Medical Sciences Ahvaz Iran through census sampling in 2014 The General SelfEfficacy Scale (10 questions) and SelfAssessment of Clinical Reflection and Reasoning (26 questions) were used in this study Data were analyzed using descriptive statistics and parametric tests such as paired ttest independent ttest and the Pearson correlation coefficient in SPSS software Results: Results indicated a significant change (from 2997 ± 387 in pretest to 3180 ± 404 in posttest) in students selfefficacy during one semester (P = 0009) However the increase in mean scores of clinical reasoning and selfreflection at the end of the semester was not significant (P = 0460) There was a weak correlation between the selfefficacy variable and clinical reasoning and selfreflection (P = 0010 r = 039) Scores did not show statistically significant differences in either cases and between the two sexes Conclusion: According to the results of this study clinical training program in the field of occupational therapy led to the creation and promotion of selfefficacy in students but does not increase clinical reasoning among them Therefore revision of clinical training of students and improvement of their clinical courses plans seems necessary

Keywords

Clinical education
Self
Efficacy
Clinical reasoning
Students
Occupational Therapy
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Strides in Development of Medical Education
Volume 13, Issue 5
2017
Pages 468-475

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