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从手术室学生的角度基于DREEM模型对临床教育环境进行评估。

Evaluation of the clinical educational environment based on the DREEM model from the viewpoint of the OR students.

作者信息

Galehdar Nasrin, Habibi Maryam, Ebrahimzadeh Farzad, Moradi Behzad

机构信息

Department of Surgical Technologist, Social Determinants of Health Research Center, School of Allied Medical Sciences, Lorestan University of Medical Sciences, Khorramabad, Iran.

PhD Student in Department of Anatomical Sciences, School of Medicine, Jundishapur University of Medical Sciences, Ahvaz, Iran.

出版信息

J Educ Health Promot. 2023 Jun 30;12:221. doi: 10.4103/jehp.jehp_1861_22. eCollection 2023.

Abstract

BACKGROUND

The most important part of learning happens in the clinic. To determine the differences between the real educational environment and the desirable environment, the DREEM1 model is used. The present study was conducted to evaluate the clinical educational environment based on the DREEM model from the viewpoint of the OR2 students of the Lorestan University of Medical Sciences.

MATERIALS AND METHODS

The present descriptive-analytical cross-sectional study evaluated the viewpoint of 118 students of operation room (OR) technology using the DREEM (Dundee Ready Educational Environment Measure) questionnaire in the hospitals affiliated with the Lorestan University of Medical Sciences during the second semester of 2020. The DREEM questionnaire has 50 statements and is divided into five sections, which are rated on a five-point Likert scale (0-4). The data were analyzed using frequency distribution tables, mean and standard deviation indices, Mann-Whitney and Kruskal-Wallis tests. Data analysis was conducted using IBM SPSS Statistics 22.0. IBM Corp.; 2013. and the level of significance was set at 0.05.

RESULTS

The total perception of the students of the clinical educational environment was good and excellent in 73.8% of the cases and of the subscales was also good (50.8%-63.2%). There was a significant relation between the total score of students' perception of the clinical educational environment and age ( = 5.618, < 0.001), semester (χ= 43.929, df = 3, < 0.001), internship hospital (χ= 12.948, df = 6, = 0.044) and also the mean score of the subscales ( < 0.001). As the GPA3 and interest in the major increased, the mean score of total perception and its subscales also increased except for perception from the educators ( < 0.05).

CONCLUSION

According to the results, the studied students had a positive perception of the clinical educational environment. It is recommended that the scientific foundation of the educators, the physical facilities of the operating rooms, and social communication should be strengthened to improve the care, treatment, and educational services. It will be useful to use the results to improve the accreditation level of medical centers.

摘要

背景

学习最重要的部分发生在临床实践中。为了确定实际教育环境与理想环境之间的差异,采用了DREEM1模型。本研究旨在从洛雷斯坦医科大学手术室(OR)专业学生的角度,基于DREEM模型评估临床教育环境。

材料与方法

本描述性分析横断面研究在2020年第二学期,使用DREEM(邓迪教育环境准备度测量)问卷,对洛雷斯坦医科大学附属医院118名手术室技术专业学生的观点进行了评估。DREEM问卷有50个陈述,分为五个部分,采用五点李克特量表(0 - 4)评分。数据使用频率分布表、均值和标准差指数、曼 - 惠特尼检验和克鲁斯卡尔 - 沃利斯检验进行分析。数据分析使用IBM SPSS Statistics 22.0(IBM公司;2013年)进行,显著性水平设定为0.05。

结果

73.8%的学生对临床教育环境的总体感知良好或优秀,各子量表的感知也良好(50.8% - 63.2%)。学生对临床教育环境的总体感知得分与年龄(χ = 5.618,P < 0.001)、学期(χ = 43.929,自由度 = 3,P < 0.001)、实习医院(χ = 12.948,自由度 = 6,P = 0.044)以及子量表的平均分(P < 0.001)之间存在显著关系。随着平均绩点3(GPA3)和对专业兴趣的增加,除了对教育者的感知外,总体感知及其子量表的平均分也增加(P < 0.05)。

结论

根据结果,被研究的学生对临床教育环境有积极的感知。建议加强教育者的科学基础、手术室的物理设施以及社会沟通,以改善护理、治疗和教育服务。利用这些结果来提高医疗中心的认证水平将是有益的。

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