Document Type : Original Article

Authors

1 MD, MPH, PhD Associate Professor of Epidemiology, Shiraz University of Medical Sciences Shiraz, Iran

2 Clinical Education Research Center, Shiraz University of Medical Sciences, Shiraz, Iran

3 Research Center for Traditional Medicine and History of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran

Abstract

BACKGROUND: Due to the rapid advancement of medical knowledge, promotion in research 
is necessary to have the best clinical practice. Research Self‑efficacy (RSE) is the researcher’s 
confidence in their ability to conduct a specific study. The Evidence‑Based Practice (EBP) represents 
how to improve the quality of care and treatment of patients. RSE and EBP are the cornerstones 
of successful research and then efficacious medical practice.This study aims to evaluate RSE and 
acceptance of EBP and their correlation among medical students.
MATERIALS AND MEHODS: This is a cross‑sectional study designed on 600 clinical students at 
the medical school of Shiraz, using a census method in 2020. Students were invited to fill out the 
standardized Phillips and Russell’s questionnaires about RSE (4 domains, 33 questions) and Rubin 
and Parrish’s questionnaire of EBP (10 questions). The gathered data were analyzed through the 
SPSS at α = 0.05 using descriptive statistics, t‑test, Chi‑square, and multiple linear regressions.
RESULTS: There was a positive correlation between EBP and RSE score (P < 0.05). The results of 
linear regression test showed that all variables had a significant effect on our response variables and 
their effect were significant (P < 0.05). The highest mean score in RSE was shown in the subscale 
of writing skills (52.54). The lowest score was observed in the subscale of quantitative (student’s 
subjective assessment of their ability to work with statistically related data and formulas) as well as 
computer skills (35.61).
CONCLUSIONS: Students who participated in a research project, workshop, or Master of Public 
Health program got a higher RSE and EBP. Due to the positive correlation between RSE and EBP, 
we conclude that trained physicians who can research independently and use research evidence 
can find the best treatment approach for patients. These finding support the importance of integrating 
research education in medical curriculum to increase RSE and finally improvement of EBP among 
medical students.

Keywords

  1. Black ML, Curran MC, Golshan S, Daly R, Depp C, Kelly C,
    et al. Summer research training for medical students: Impact on 
    research self‑efficacy. Clin Transl Sci 2013;6:487‑9.
    2. Salehi A, Hashemi N, Saber M, Imanieh MH. Designing and 
    conducting MD/MPH dual degree program in the Medical School 
    of Shiraz University of Medical Sciences. J Adv Med Educ Prof 
    2015;3:105‑10.
    3. Holden G, Barker K, Meenaghan T, Rosenberg G. Research 
    self‑efficacy: A new possibility for educational outcomes 
    assessment. J Soc Work Educ 1999;35:463‑76.
    4. Phillips JC, RussellRK. Research self‑efficacy, the research training 
    environment, and research productivity among graduate students 
    in counseling psychology. Couns Psychol 1994;22:628‑41.
    5. Ramin MR, Aghazadeh M. Research self‑efficacy in the 
    psychology and educational sciences graduate students. Res 
    Curric Plan 2014;10:147‑55.
    6. Bishop RM, Bieschke KJ. Applying social cognitive theory to 
    interest in research among counseling psychology doctoral 
    students: A path analysis. J Couns Psychol 1998;45:182.
    7. Rubin A, Parrish DE. Development and validation of the 
    evidence‑based practice process assessment scale: Preliminary 
    findings. Res Soc Work Pract 2010;20:629‑40.
    8. Ayoubian A, Nasiripour AA, Tabibi SJ, Bahadori M. Evaluation 
    of facilitators and barriers to implementing evidence‑based 
    practice in the health services: A systematic review. Galen Med 
    J 2020;9:e1645.
    9. Leach MJ. Evidence‑based practice: A framework for clinical 
    practice and research design. Int J Nurs Pract 2006;12:248‑51.
    10. Dessie G, Jara D, Alem G, Mulugeta H, Zewdu T, Wagnew F,
    et al. Evidence‑based practice and associated factors among health 
    care providers working in public hospitals in Northwest Ethiopia 
    during 2017. Curr Ther Res Clin Exp 2020;93:100613.
    11. Ashktorab T, Pashaeypoor S, Rassouli M, Alavi‑Majd H. Nursing 
    students’ competencies in evidence‑based practice and its related 
    factors. Nurs Midwifery Stud 2015;4:e23047.
    12. George LE, Locasto LW, Pyo KA, W Cline T. Effect of the 
    dedicated education unit on nursing student self‑efficacy: 
    A quasi‑experimental research study. Nurse Educ Pract 
    2017;23:48‑53.
    13. Rafiei S, Ghajarzadeh M, Habibollahi P, Fayazbakhsh A. The effect 
    of introducing evidence based medicine on critical appraisal skills 
    of medical students. Iran J Med Educ 2008;8:149‑53.
    14. Tiyuri A, Saberi B, Miri M, Shahrestanaki E, Bayat BB, 
    Salehiniya H. Research self‑efficacy and its relationship with 
    academic performance in postgraduate students of Tehran 
    University of Medical Sciences in 2016. J Educ Health Promot 
    2018;7:11.
    15. Mickan S, Hilder J, Wenke R, Thomas R. The impact of 
    a small‑group educational intervention for allied health 
    professionals to enhance evidence‑based practice: Mixed methods 
    evaluation. BMC Med Educ 2019;19:131.
    16. Abrahamson K, Arling P, Gillette J. Does self‑efficacy influence 
    the application of evidence‑based practice? J Nurs Educ Pract 
    2012;3:1.
    17. Green LW. Making research relevant: If it is an evidence‑based 
    practice, where’s the practice‑based evidence? Fam Pract 
    2008;25 Suppl 1:i20‑4.
    18. Farahangiz S, Salehi A, Rezaee R, Imanieh MH. Assessment of 
    students’ perspectives about master of public health program 
    in medical school of Shiraz University. J Adv Med Educ Prof. 
    2016 Jan; 4 (1):39‑43.
    19. Ellis I, Howard P, Larson A, Robertson J. From workshop to 
    work practice: An exploration of context and facilitation in the 
    development of evidence‑based practice. Worldviews Evid Based 
    Nurs 2005;2:84‑93.
    20. Kyriakoulis K, Patelarou A, Laliotis A, Wan AC, Matalliotakis M, 
    Tsiou C, et al. Educational strategies for teaching evidence‑based 
    practice to undergraduate health students: Systematic review. 
    J Educ Eval Health Prof 2016;13:34.
    21. Lim A, Nakamura BJ, Higa‑McMillan CK, Shimabukuro S, 
    Slavin L. Effects of workshop trainings on evidence‑based practice 
    knowledge and attitudes among youth community mental health 
    providers. Behav Res Ther 2012;50:397‑406.
    22. Tabari P, Arya N, Moghadami M, Khoshnood K, Shokripour M, 
    Omidfar N. The role of educating healthcare personnel in 
    prevention, diagnosis, or treatment of COVID19: A narrative mini 
    review. J Educ Health Promot 2021;In press.
    23. Shokouhi G, Ghojazadeh M, Sattarnezhad N. Organizing 
    evidence based medicine (EBM) journal clubs in department of 
    neurosurgery, Tabriz university of medical sciences. Int J Health 
    Sci (Qassim) 2012;6:59‑62.
    24. Albarqouni L, Hoffmann T, Glasziou P. Evidence‑based practice 
    educational intervention studies: A systematic review of what is 
    taught and how it is measured. BMC Med Educ 2018;18:177.
    25. Omidifar N, Keshtkari A, Dehghani M, Shokripour M. 
    Introduction to clinical pathology: A brief course of laboratory 
    medicine in the field for medical students. J Educ Health Promot 
    2017;6:84.
    26. Patelarou AE, Mechili EA, Ruzafa‑Martinez M, Dolezel J, Gotlib J, 
    Skela‑Savič B, et al. Educational interventions for teaching 
    evidence‑based practice to undergraduate nursing students: 
    A scoping review. Int J Environ Res Public Health 2020;17:6351.
    27. Aryani E, Narimani A, Kamangar K, Omidvar A. The role of 
    gender in research self‑efficacy of nursing students. Iran J Nurs 
    2015;27:112.
    28. Slavin SJ, Schindler DL, Chibnall JT. Medical student mental 
    health 3.0: Improving student wellness through curricular 
    changes. Acad Med 2014;89:573‑7.
  2. 29. Dodani S, LaPorte RE. Ways to strengthen research capacity 
    in developing countries: Effectiveness of a research training 
    workshop in Pakistan. Public Health 2008;122:578‑87.
    30. Ried K, Montgomery BD, Stocks NP, Farmer EA. General practice 
    research training: Impact of the Australian Registrar Research 
    Workshop on research skills, confidence, interest and involvement 
    of participants, 2002‑2006. Fam Pract 2008;25:119‑26.
    31. Ahmadi‑Abhari S, Soltani A, Hosseinpanah F. Knowledge 
    and attitudes of trainee physicians regarding evidence‑based 
    medicine: A questionnaire survey in Tehran, Iran. J Eval Clin 
    Pract 2008;14:775‑9.
    32. Rangraz Jeddy F, Moravej A, Abazari F. The knowledge and 
    use of evidence based medicine among general practitioners, 
    residents and specialists in the area of Iran. J Urmia Univ Med 
    Sci 2013;23:646‑54.
    33. Liabsuetrakul T, Sirirak T, Boonyapipat S, Pornsawat P. Effect of 
    continuous education for evidence‑based medicine practice on 
    knowledge, attitudes and skills of medical students. J Eval Clin 
    Pract 2013;19:607‑11.
    34. Murrock CJ. Building scholarship for evidence‑based practice 
    in undergraduate nursing students. Nurs Educ Perspect 
    2020;41:E45‑6.
    35. Schilling K, Wiecha J, Polineni D, Khalil S. An interactive 
    web‑based curriculum on evidence‑based medicine: Design and 
    effectiveness. Fam Med 2006;38:126‑32.
    36. Ghanbari S, Soltanzadeh V. The mediating role of emotional 
    intelligence in the relationship between self‑efficacy of research 
    and academic achievement motivation. Educ Meas Eval Stud 
    2016;6:41‑67.
    37. Mafla AC, Divaris K, Herrera‑López HM, Heft MW. Self‑efficacy 
    and academic performance in colombian dental students. J Dent 
    Educ 2019;83:697‑705.
    38. Richardson M, Abraham C, Bond R. Psychological correlates of 
    university students’ academic performance: A systematic review 
    and meta‑analysis. Psychol Bull 2012;138:353‑87.
    39. Farokhzadian J, Karami A, Azizzadeh Forouzi M. 
    Health‑promoting behaviors in nursing students: Is it related to 
    self‑efficacy for health practices and academic achievement? Int 
    J Adolesc Med Health 2018;32:3.
    40. Bierer SB, Prayson RA, Dannefer EF. Association of research 
    self‑efficacy with medical student career interests, specialization, 
    and scholarship: A case study. Adv Health Sci Educ Theory Pract 
    2015;20:339‑54.
    41. Ashrafi‑Rizi H, Najafi NS, Kazempour Z, Taheri B. Research 
    self‑efficacy among students of Isfahan University of Medical 
    Sciences. J Educ Health Promot 2015;4:26.
    42. Ismayilova K, Klassen RM. Research and teaching self‑efficacy of 
    university faculty: Relations with job satisfaction. Int J Educ Res 
    2019;98:55‑66.
    43. Samuriwo R, Patel Y, Webb K, Bullock A. ‘Man up’: Medical 
    students’ perceptions of gender and learning in clinical practice: 
    A qualitative study. Med Educ 2020;54:150‑61.
    44. Dikmen Y, Filiz NY, Tanrıkulu F, Yılmaz D, Kuzgun H. Attitudes 
    of intensive care nurses towards evidence‑based nursing. Int J 
    Health Sci Res 2018;8:138‑43.
    45. Ma X, Xu B, Liu Q, Zhang Y, Xiong H, Li Y. Effectiveness of 
    evidence‑based medicine training for undergraduate students 
    at a Chinese Military Medical University: A self‑controlled trial. 
    BMC Med Educ 2014;14:133.