Hoseini Akramsadat Sadat, Ghasemi Fatemeh, Valizadeh Fatemeh, Nayeri Nahid Dehghan, Toulabi Tahereh, Hasanvand Shirin
Social Determinants of Health Research Center, School of Nursing and Midwifery, Lorestan of Medical Sciences, Khorramabad, Iran.
Pediatric Nursing Department, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran.
BMC Nurs. 2024 Sep 12;23(1):647. doi: 10.1186/s12912-024-02160-z.
Improving the quality of clinical training is synonymous with accomplishing nursing education goals and improving the quality of nursing care. This study aimed to improve the quality of clinical training in Maternal and Neonatal Health (MNH) in nursing students.
This action research was conducted in two cycles from June 2017 to June 2018. The study setting was the School of Nursing and Midwifery of Lorestan University of Medical Sciences in southwest Iran. The participants were nursing students, faculty members, clinical trainers, educational managers, and teaching personnel. In the first cycle, semi-structured interviews were held with stakeholders to identify clinical problems and improvement strategies. Based on the results of these sessions, the changes needed to improve the quality of clinical training were planned and implemented. The weaknesses and strengths of the implemented changes were then identified through group discussions with the stakeholders. In the second cycle, a second plan was carried out to correct the weaknesses of the changes planned in the first cycle, and the modifications were implemented and evaluated.
The main three categories extracted included an unsystematic curriculum and inadequate monitoring, inadequate resources and facilities, and the student's lack of motivation. The measures taken for improvement included holding communication workshops, developing and internalizing logbooks, reducing the number of students in clinical training groups, using modern clinical training methods, and changing clinical evaluation methods.
Improving communication skills among the students, trainers, and hospital personnel and using modern clinical training methods, such as conceptual maps, triple jumps, and clinical skill centers, are the best strategies for improving clinical training in MNH nursing students.
提高临床培训质量与实现护理教育目标以及提高护理质量同义。本研究旨在提高护理专业学生母婴健康（MNH）临床培训的质量。
本行动研究于2017年6月至2018年6月分两个周期进行。研究地点为伊朗西南部洛雷斯坦医科大学护理与助产学学院。参与者包括护理专业学生、教员、临床培训师、教育管理人员和教学人员。在第一个周期中，与利益相关者进行了半结构化访谈，以确定临床问题和改进策略。根据这些会议的结果，规划并实施了提高临床培训质量所需的变革。然后，通过与利益相关者的小组讨论，确定了已实施变革的优缺点。在第二个周期中，执行了第二个计划，以纠正第一个周期中规划变革的弱点，并实施和评估了这些修改。
提取的主要三大类问题包括课程缺乏系统性和监督不足、资源和设施不足以及学生缺乏动力。采取的改进措施包括举办沟通研讨会、开发并使日志内化、减少临床培训小组中的学生人数、采用现代临床培训方法以及改变临床评估方法。
提高学生、培训师和医院人员之间的沟通技巧，以及采用现代临床培训方法，如概念图、三级跳和临床技能中心，是提高母婴健康护理专业学生临床培训的最佳策略。
