Ezzati Ebrahim, Molavynejad Shahram, Jalali Amir, Cheraghi Mohammad-Ali, Jahani Simin, Rokhafroz Dariush
Student Research Committee, School of Nursing and Midwifery, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
Nursing Care Research Center in Chronic Diseases, School of Nursing and Midwifery, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
BMC Nurs. 2023 Jan 6;22(1):7. doi: 10.1186/s12912-022-01157-w.
Nursing education in Iran is one of the disciplines of medical sciences and it needs a design tailored to the community needs in terms of theoretical and clinical approaches. This system is currently faced with various challenges. This study aims to explore the challenges of Iranian nursing education system to address community needs.
A study was carried out through an exploratory descriptive qualitative design with content analysis method. In-depth semi-structured interviews were conducted with 21 participants from the nursing society, selected through purposive sampling. The interviews were continued until data saturation. Data analysis was performed simultaneous with data collection by using Graneheim & Lundman approach.
Based on the interviews and simultaneous analyses, a total of 471 codes, 14 subcategories, six main categories, and two themes were extracted. The first theme, "system structure," consisted of three categories: "the need for ongoing revision of curriculum," "the need to recruit qualified students," and "the need for a proportionate educational environment." The second theme was "the education process" with three categories "the need for purposive educational design," "the need for purposive monitoring and feedback," and "the need for appropriate and early interaction with the community." The participants emphasized the continuous revision of the educational curriculum based on the current needs of the community and community-based nursing education.
In general, the results showed that Iranian nursing education system is faced with many challenges in the educational system structure and processes. It is necessary to make appropriate plans to enhance the status of the educational system structure and develop educational designs to address community needs using a hospital/community-based approach.
伊朗的护理教育是医学科学的学科之一，在理论和临床方法方面需要一个根据社区需求量身定制的设计。该体系目前面临着各种挑战。本研究旨在探讨伊朗护理教育体系在满足社区需求方面所面临的挑战。
采用探索性描述性定性设计和内容分析法进行研究。通过目的抽样从护理界选取21名参与者进行深入的半结构化访谈。访谈持续进行直至数据饱和。使用格兰内海姆和伦德曼方法在数据收集的同时进行数据分析。
基于访谈和同步分析，共提取出471个代码、14个子类别、6个主要类别和2个主题。第一个主题“系统结构”包括三个类别：“课程需要持续修订”、“需要招收合格学生”以及“需要一个相称的教育环境”。第二个主题是“教育过程”，包括三个类别：“需要有目的的教育设计”、“需要有目的的监测和反馈”以及“需要与社区进行适当和早期的互动”。参与者强调应根据社区当前需求和基于社区的护理教育不断修订教育课程。
总体而言，结果表明伊朗护理教育体系在教育系统结构和过程方面面临诸多挑战。有必要制定适当计划以提升教育系统结构的地位，并采用基于医院/社区的方法开发满足社区需求的教育设计。
