Document Type : Original Article
Authors
- . Hamideh Yazdimoghaddam
- . Ezat Samadipour 1
- . Fatemeh Ghardashi 2
- . Fateme Borzoee 3
- . Roya Akbarzadeh 4
- . Roghayeh Zardosht 5
- . Mohammad Hosseinzadeh Hesari 6
- . Sedigheh Khalili 6
1 PhD Health in Disasters and Emergencies, School Paramedical, Sabzevar University of Medical Sciences, Khorasan Razavi, Iran
2 PhD in Health Research and Technology Management, Assistant Professor of SUMS, Non-Communicable Diseases Research Center, Vice Chancellor of Education and Research, School of Paramedical Sciences, Sabzevar University of Medical Sciences, Sabzevar, Iran
3 Non-communicable Disease Research Center, Department of Operating Room, Faculty of Paramedics, Sabzevar University of Medical Sciences, Sabzerar, Iran
4 Non-Communicable Diseases Research Center, Department of Anesthesia, Faculty of Paramedices,Sabzevar University of Medical Sciences, Sabzerar, Iran
5 Iranian Research Center on Healthy Aging, Department of Operating Room, Faculty of Paramedices, Sabzevar University of Medical Sciences, Sabzerar, Iran
6 Department of Operating Room, School of Allied Medical Sciences, Non-Communicable Diseases Research Center, Sabzevar University of Medical Sciences, Sabzevar, Iran
Abstract
BACKGROUND: The ultimate goal in educating medical students is to train skilled workforce who
by obtaining the required knowledge of the discipline, personal and professional skills, and attitudes
to enter the national health‑care system. This study was conducted with the goal of designing a
comprehensive clinical competency test of operating room technology student using the Delphi
technique, and then, the clinical skills of the operating room technology students of the paramedical
school were assessed using the CIPP evaluation model.
MATERIALS AND METHODS: The present study was conducted in the University of Medical
Sciences to evaluate clinical skills with Delphi technique and CIPP evaluation model. This was
a mixed methods study. Purposive sampling method was employed in the qualitative stage, and
a census was conducted in the quantitative part. A comprehensive clinical competency test was
designed in this research using the Delphi technique and was conducted with 18 students. Then,
clinical skills evaluation was performed by descriptive-analytical statistical tests and evaluator’s
observation using the CIPP model.
RESULTS: The comprehensive clinical competencies test of the surgical technology students was
designed in four sections: content, evaluation method, test conditions, and the criteria for passing the
comprehensive test. The results in the implementation stage showed that the operating room technology
students had a range of excellent to weak performances in exhibiting basic skills at different levels.
CONCLUSIONS: The results of the present study showed that the comprehensive test, designed
based on the Delphi technique of experts, and using the CIPP model can be a good criterion for the
evaluation of the operating room technology students before entering the clerkship.
Keywords
the clinical evaluation of nursing students: Instructorsexperiences
and viewpoints. J Qual Res Health Sci 2012; 1:102‑11.
2. Mohammadi A, Khaghanizadeh M, Ebadi A, Amiri F, Raeisifar A.
Log book; a method of evaluating education and feedback strategy
in nursing. Educ Strategy Med Sci. 2010; 3 (1) :15‑16
3. Baig M, Ali SK, Ali S, Huda N. Evaluation of multiple choice and
short essay question items in basic medical sciences. Pakistan
journal of medical sciences. 2014; 30(1):3.
4. Ghorbanian N, Abdollahzadeh Mahlani F, Kazemi Haki B. Effective
factors on clinical education quality anesthesiology and operating
room student’s view. Educ Strategy Med Sci 2014; 6:235‑9.
5. Mazlom SR. Design of the structure of a comprehensive
examination for bachelor of nursing: A delphi study. J Med Educ
Dev 2018; 13:16‑30.
6. Lotfi M, Zamanzadeh V, Sheikhalipour Z. Effect of peer clinical
teaching method on the education of operating room students. J.
Nurs. Educ. 2012;1 (1):78‑83.
7 Mohamadpor Y, Pakpour V, Khalilzadeh H, Habibzadeh H,
Jafarizadeh H, Ashraf Rezaee N, et al. Nursing students’perceptions
of their educational environment: A comparison between
expected and actual environment. J Urmia Nurs Midwifery Fac
2011; 9:102‑11.
8. Aronson L, Niehaus B, Hill‑Sakurai L, Lai C, O’Sullivan PS.
A comparison of two methods of teaching reflective ability in
year 3 medical students. Med Educ 2012;46:807‑14.
9. Zardosht R, Karimi Moonaghi H, Etezad Razavi M, Ahmady
S. Educational concern of surgical technology students in the
operating room: A grounded theory study. J Edu Health Promot
2020;9:58.
10. Moonaghi HK, Zardosht R, Razavi ME, Ahmady S. Perceived
challenges by the Iranian Baccalaureate Surgical Technology
students in their clinical education: A qualitative study. Biosci
Biotech Res Comm. 2018; 10:542-0.
11. Farnia F, Abaszadeh A, Borhani F. Barriers to developing the
nurse‑patient relationship in operation room: A qualitative
content analysis. J Qual Res Health Sci 2013;2:76‑89.
12. Yazdimoghaddam H. Explaining the performance of operating
room technicians: A qualitative study. J Mazandaran Univ Med
Sci 2016;34‑121:26.
13. Ministry of Health, Educational program of Bachelor of Science
in Operating Room Technology. General profile, program, course
syllabus and evaluation method. The Fifty two session of the
Supreme Council of Medical Sciences Program. Islamic Republic
of Iran Ministry of Health and Medical Education High Council of
Medical Sciences Programming. Ministry of Heath of Iran, 2015.
14. Roghayeh Zardosht, Hossain Karimi Moonagh. Clinical Instructor
Criteria in operating room: Qualitative content. J Sabzevar Univ
Med Sci 2021;28:155-163.
15. Etherington N, Wu M, Cheng-Boivin O, Larrigan S, Boet S.
Interprofessional communication in the operating room: a
narrative review to advance research and practice. Canadian
Journal of Anesthesia/Journal canadien d'anesthésie. 2019;
66(10):1251-60.
16. Paige JT, Garbee DD, Bonanno LS, Kerdolff KE. Qualitative
Analysis of Effective Teamwork in the Operating Room (OR).
Journal of Surgical Education. 2020; 5.
17. Taghipour A, karimi FZ, Mousavi Bazaz S M, Khosravi Anbaran
Z, Abdolah M I. Factor Structure and Reliability of the Persian
Version of the Jefferson Scale of Physician Lifelong LearningMedical Students(JeffSPLL-MS). Iranian Journal of Medical
Education. 2015; 14 (11) :988-997.
18. Pålsson Y, Mårtensson G, Swenne CL, Ädel E, Engström M. A
peer learning intervention for nursing students in clinical practice
education: A quasi-experimental study. Nurse education today.
2017;1;51:81-7.
19. Gobbo JL, Cardozo MV, de Lacerda LD, Karcher DE, Dias LG,
de Nardi AB, Minto BW, Moraes PC. Evaluation of Operating
Room Environment Contamination and Efficacy of 2%
Chlorhexidine for Surgical Hand Scrubbing before and after
Gowning and Gloving. Acta Scientiae Veterinariae. 2017; 45:1‑0.
20. Roshanzadeh M, Toleyat M, Mohammadi S. Clinical evaluation
tool for operating room students: Development and measurement
of reliability and validity. Iranian Journal of Medical Education
2015: 15(15):98‑ 110.
21. Flostrand A, Pitt L, Bridson S. The Delphi technique in
forecasting–A 42-year bibliographic analysis (1975–2017).
Technological Forecasting and Social Change. 2020; 1; 150:119773.
22. Barzegari Esfeden Z, Dashtgard A, Ebadinejad Z. Evaluation of
the realization of clinical nursing students’ learning objectives
using CIPP evaluation model. Iran J Nurs Res 2019;14:66‑72.
23. O’Donoghue D, Davison G, Hanna LJ, McNaughten B, Stevenson M, Thompson A. Calibration of confidence and assessed clinical
skills competence in undergraduate paediatric OSCE scenarios:
a mixed methods study. BMC medical education. 2018; 18(1):1-8.
24. Majumder MA, Kumar A, Krishnamurthy K, Ojeh N, Adams
OP, Sa B. An evaluative study of objective structured clinical
examination (OSCE): students and examiners perspectives.
Advances in medical education and practice. 2019;10:387.
25. Selim AA, Ramadan FH, El‑Gueneidy MM, Gaafer MM.
Using objective structured clinical examination (OSCE) in
undergraduate psychiatric nursing education: Is it reliable and
valid? Nurse Educ Today 2012; 32:283‑8.
26. ArabKherad A, HajiAghajani S. Survey of Semnan University of
Medical Sciences teachers’ opinions about the effect of evaluation
on teaching methods and their satisfaction with evaluation. Sci
Inf Cent (Virtual) 2015;1:26‑30.
27. Abbasi S, Einollahi N, Gharib M, Nabatchian F, Dashti N,
Zarebavani M. Evaluation methods of theoretical and practical
courses of paramedical faculty laboratory sciences undergraduate
students at Tehran University of Medical Sciences in the Academic
Year 2009‑2010. Payavard Salamat. 2013;6 (5):342‑53
28. Hassanian ZM, Ahanchian MR, Karimi‑Moonaghi H. Can
knowledge management be implemented in the teaching of
medical sciences? Acta Fac Med Naiss 2015;32:231‑42.
29. Stollar F, Cerutti B, Aujesky S, Nendaz M, Galetto-Lacour A.
Evaluation of a best practice approach to assess undergraduate
clinical skills in Paediatrics. BMC medical education. 2020; 20(1):1-9.
30. Khan SA, Aaraj S, Talat S, Javed N. Students’ perception and scores
in Paediatrics end-of-clerkship and final professional Objective
Structured Clinical Examination (OSCE): A comparative study.
Pakistan Journal of Medical Sciences. 2021;2;37(2).
31. La Chimea T, Kanji Z, Schmitz S. Assessment of clinical
competence in competency‑based education. Canadian Journal
of Dental Hygiene. 2020 Jun 1;54 (2)
32. Eldarir SA, Nagwa A, Hamid A. Objective structured
clinical evaluation (OSCE) versus traditional clinical students
achievement at maternity nursing: A comparative approach. IOSR
J Dent Med Sci 2013;4:63‑8.
33. Sadeghi T, Nejhad MS. Evaluation of nursing students to
the OSCE: An approach to assess the merit students. JMED
2015;12:226‑8.
34. Gandomkar R, Amini B. Application of various student
assessment procedures by the department of Tehran University
of Medical Sciences Iran. J Strides Dev Med Educ 2015;12:209‑18.
35. Rafiee G, Moattari M, Nikbakht AN, Kojuri J, Mousavinasab M.
Problems and challenges of nursing students’ clinical evaluation:
A qualitative study. Iran J Nurs Midwifery Res 2014;19:41‑9.
36. Roohi ZR, Salehi S. Quality of clinical evaluation from viewpoint
of nurse interns and nursing unit clerks; nursing students of the
school of nursing and midwifery. Asian J Pharm Res Health Care
2017; 9:17‑21.
37. Ferris H, O’Flynn D. Assessment in medical education; what are
we trying to achieve? Int J High Educ 2015; 4:139‑44.
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