Malakooti Narges, Bahadoran Parvin, Ehsanpoor Soheyla
Student Research Center, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.
Iran J Nurs Midwifery Res. 2018 Jan-Feb;23(1):31-35. doi: 10.4103/ijnmr.IJNMR_181_16.
One of the important goals of clinical education is to promote the level of students' clinical skills. About 50% of the midwifery education is focused on clinical education, which has a great importance in shaping the professional skills of the students. The aim of this study was to determine the ability of students in some practical skills, before internship program in the field, using objective structured clinical examination (OSCE).
This research was a descriptive cross-sectional study with a single-stage, multivariate prospective design. Twenty-seven midwifery students from the Isfahan University of Medical Sciences who were in their sixth semester were selected by convenience sampling during the second semester of 2015-2016 educational year. OSCE was executed at skill laboratories in 8 stations during one day, and researcher-made checklists were used; their content and face validity were approved and their reliability was confirmed by a Cronbach's alpha coefficient of 0.97. Data analysis was performed by SPSS19.
Results showed that the level of students' skills at pelvic exam station was 39.97%, at bladder catheterization was 66.92%, at Leopold was 42.7%, at fetal ECG interpretation was 50.49%, at physical examination was 21.30%, at fetal resuscitation was 48.81%, at breast examination was 56.32%, and at answering the questions was 23.49%.
Results show that students gained a score of less than 50% in most skills. Therefore, they are not efficiently skilled for these essential clinical skills. Nonetheless, these procedures need the minimum skills that are required from students after graduation and before entering the working environment in hospitals and health centers. Therefore, more attention should be paid to these skills while planning internship programs before students enter the field. Also, more attention is required while teachers teach these skills and students are supposed to regard their weaknesses in these skills.
临床教育的重要目标之一是提高学生的临床技能水平。大约50%的助产士教育集中在临床教育上，这对塑造学生的专业技能非常重要。本研究的目的是在该领域实习项目之前，通过客观结构化临床考试（OSCE）来确定学生在一些实践技能方面的能力。
本研究是一项描述性横断面研究，采用单阶段、多变量前瞻性设计。通过便利抽样，从伊斯法罕医科大学27名处于第六学期的助产专业学生中选取了研究对象，时间为2015 - 2016学年第二学期。OSCE在技能实验室的8个站点进行，为期一天，并使用了研究者编制的检查表；其内容和表面效度得到认可，通过Cronbach's alpha系数为0.97来确认其信度。数据分析使用SPSS19进行。
结果显示，学生在盆腔检查站点的技能水平为39.97%，膀胱插管为66.92%，四步触诊法为42.7%，胎儿心电图解读为50.49%，体格检查为21.30%，胎儿复苏为48.81%，乳房检查为56.32%，回答问题为23.49%。
结果表明，学生在大多数技能方面得分低于50%。因此，他们在这些基本临床技能方面技能掌握不熟练。尽管如此，这些操作是学生毕业后进入医院和健康中心工作环境之前所需的最低技能。因此，在学生进入该领域之前规划实习项目时，应更多地关注这些技能。此外，教师教授这些技能时也需要更多关注，学生也应重视自身在这些技能方面的不足。
