بررسی تأثیر دو رویکرد آموزش استادمحور و مسأله محور در بروز خطاهای گزارش نویسی پرستاران

نویسندگان

دانشگاه علوم پزشکی مشهد، مشهد، ایران.

چکیده

خطا و اشتباهات در ثبت گزارشات پرستاری مانع ارائه مراقبت پرستاری باکیفیت می‌شود، لذا در مطالعه ای نیمه تجربی به بررسی تأثیر دو رویکرد آموزش استاد محور و مسأله محور در بروز خطاهای گزارش نویسی پرستاران در بیمارستان های شهرستان تربت حیدریه در سال 1393 پرداخته شد. 93 نفر در 3 گروه 31 نفری آموزش مسأله محور، استادمحور و شاهد طبقه بندی شدند. محتوای آموزشی برای دو گروه مداخله طی شش جلسه 45 دقیقه ای توسط یک مدرس ارائه گردید. ابزار گردآوری داده‌ها پرسشنامه محقق ساخته ای بود که روایی محتوایی آن توسط اساتید با ضریب 76/0 و پایایی آن با استفاده ازروش آلفای کرونباخ و ضریب 84/0 تأیید شد. پرسشنامه قبل و 2 ماه بعد از آموزش، توسط پرستاران تکمیل گردید و داده‌ها توسط نرم افزار SPSS تحلیل گردید. در هر دو گروه آموزش استاد محور (قبل: 05/1 و بعد 51/0) و مسأله محور (قبل: 89/0 و بعد: 54/0) میانگین خطا قبل و بعد از مداخله اختلاف معنی دار آماری را نشان داد و میانگین خطای پرستاران بعد از مداخله کاهش داشت. اما در گروه شاهد اختلاف معنی داری مشاهده نشد (قبل: 79/0 و بعد 47/0). میزان رضایت پرستاران از روش مسأله محور بیشتر از استاد محور بود. با توجه به نتایج حاصل از این مطالعه، آموزش با رویکرد مسأله محور و آموزش به رویکرد استاد محور در هر دو گروه مؤثر و تأثیر مثبتی داشت اما با توجه به میزان رضایت و علاقه مندی پرستاران از آموزش مسأله محور پیشنهاد می شود از این رویکرد در کلاس های آموزش حین خدمت و آموزش روش های مقابله با انواع دیگر خطاهای پرستاری از قبیل خطاهای دارویی و درمانی استفاده شود.

کلیدواژه‌ها


عنوان مقاله [English]

A Survey on Effects of Teacher-Centered Teaching and Problem-Based Learning Methods in Incidence of Nursing Documentation Errors

نویسندگان [English]

  • Hamid Vafaee
  • Abbas Makarem
  • Eshag Ildarabadi
  • Ali Khalafi
  • Hosein Karimi Moonaghi
Facullty Member, Evidence- Based Caring Research Center,Department of Medical Surgical Nursing, School of Nursing and Midwifery, & Department of Medical Education, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
چکیده [English]

Today, with the development of the nursing process, reporting was expanded as a framework of and requirements and the need to provide and evaluated a nursing care and treatment. Nursing reports in record indicate medical treatment, nursing care and reactions of patient to its care. Illegible or incomplete records may block the nursing care and make difficult the detection of important changes in the patient health condition and behavior. However; the purpose of this study was to assess the effects of teacher-centered teaching and problem-based learning methods in incidence of nursing documentation errors in hospitals of Torbat Heydariyeh.This was a quasi-experimental study which was conducted among nurses in Torbat Heydariyeh hospitals during 2014. 93 nurses were classified into 3 groups (n=31), problem-based learning for the first group, teacher training for the second group, and the third group was the control group. Educational content for each group was presented by an instructor in the six 45-minute sessions for six consecutive days. Data collection tool was a questionnaire whose content validity (0.76) was confirmed by the researchers and reliability coefficient factor (0.84) was calculated using Cronbach alpha coefficient formula. The questionnaire was completed by nurses before and 2 months after training. Data were analyzed by SPSS software and Friedman, one-way ANOVA, Kruskal-Wallis, Mann-Whitney and independent and dependent t-test, Wilcoxon, Pearson and Spearman correlation and chi-square tests. The teacher-centered teaching method, the average error before and after treatment showed a significant statistical difference (P= 0.000), so, the average error was reduced after the intervention in nurses. Also, in problem based learning, the training of nurses after the intervention had a positive effect and it reduced the average error (P= 0.000). But, in the control group there was not a significant difference. Also satisfaction of nurses in problem based learning was more than teacher-centered teaching.Based on the results of this study, teacher-centered teaching and problem-based learning methods had a positive effect in both groups, but given the level of satisfaction and interest of nurses, the problem-based learning proposed. This method is more recommended especially, for service training courses and teaching to deal with other types

کلیدواژه‌ها [English]

  • teacher
  • centered teaching
  • Problem
  • based learning
  • documentation errors
  • Nurses
1-Abdul Hassan Hamza, R 2012.Effect of Problem Based Learning and Lecture Based Learning on Nursing Students at Oman Nursing Institute. DGET at Ministry of health in Oman.

     

2-Asadpour M. 1998. Effect of lectures and group discussions on smoking of high school students in Rafsanjan. Master Thesis of Tehran. university of Tarbiyat Modarres.

     

3-Azer SA. 2011. Introducing a problem-based learning program: 12 tips for success. Med Teacher;Vol.33, No.80, Pp.8-13.

     

4-Bagae, M 2002. Comparison of teaching methods with PBL on students' learning and remembering. Iranian Journal of Medical Education. Vol.7, No.3, Pp.32-36.

     

5-Bandar, M, Almasoudi , 2012. Problem-based learninig as a teaching method versus lecture-based teaching in respiratory therapy education. Georgia State University, Pp. 1-5.

     

6-Barrows, HS 1994. Practice-based Learning: Problem-based Learning Applied to Medical Education: ERIC.

     

7-Bates, D, Cohen, M, Leape L,et al 2001. Reducing the frequency of errors in medicine using information technology. J Am Med Inform Assn. Vol.8, No.4, Pp.299-308.

     

8-Beers, GW 2005, The effect of teaching method on objective test scores: problem-based learning versus lecture. J Nurs EducJul.Vol.44, No.7,Pp.305-309. http:// www.ncbi.nlm.nih.gov/pubmed/160947881.

     

9-Benson, G, Noesgaard, C, Drummond-Young, M 2001.'Facilitating small group learning’, Transforming Nursing Education through Problem-Based Learning, Ed. Ride out E.

     

10-Brett, D, Cory, M, Parastou, M 2013. The Effects of a Collaborative Problem-based Learning Experience on Students’ Motivation in Engineering Capstone Courses. Interdisciplinary Journal of Problem-Based Learning. Vol.7, No.2. Pp. 5-16.

     

11-Christina, De S. 2014. Problem-Based Learning in Teacher Education: Trajectories of Change. International Journal of Humanities and Social Science Vol. 4, No. 12.

     

12-Dadgari, A 2000.Comparison of two teaching strategies: the traditional method or methods of PBL Fourth National Conference on Medical Education, Tehran. Pp. 148- 151.

     

13-Deldar, M 1998.Comparison of lecture and group discussion on the volunteers' knowledge and attitudes about family planning.Master Thesis in Tehran. Shahid Beheshti University Of Medical Sciences.Pp. 25-26.

     

14-Dolmans. D, Schmidt. HG 2000. What directs self-directed learning in a problem-based curriculum? Problem-based learning: A research perspective on learning interactions.Pp. 251-262

     

15-Dibiasia, D, Groccia, JE 2003 Active and cooperative learning in an introductory chemical engineering course. Pp. 18-19.

     

16-Engel, CE 1991. Not just a method but a way of learning. The challenge of problem-based learning.Pp. 23-33.

     

17-Evenson, D, Hmelo, C, Evenson, D, et al. 2000.Introduction to problem based learning: gaining insights on learning interactions through multiple methods of enquiry. Problem based learning: A research perspective on learning interactions.Pp 1-16.

     

18-from:URL:http://www.fie.engneng.pitt.edu/fie95/3c2

     

19-Gibson, DR, Campbell, RM. 2000. The role of cooperative learning in the training of junior hospital doctor. Med T Each. Vol.3, NO.1,Pp.297-300.

     

20-Hall, L 2002.Nursing intellectual capital: a theoretical approach for analyzing nursing productivity. Nursing economics. . Vol.21, NO.1,Pp.9-14.

     

21-Health, Do 1999. Making a difference: strengthening the nursing, midwifery and health visiting contribution to health and healthcare: The Stationary Office London. Pp. 2-4.

     

22-Javid, M 1999.Comparison of two methods of problem-based learning and lecture on nursing students' learning and remembering. Proceedings of the medical education, Shahid Beheshti University of Medical Sciences.Pp 50-51.

     

23-Johnstone, M-J, Kanitsaki, O 2006. The ethics and practical importance of defining, distinguishing and disclosing nursing errors: a discussion paper. International journal of nursing studies. Vol.43, No.3,Pp.367-376.

     

24-Joloee, S, Haljy Babaee, F, Piruzi, H 2009.Evaluation nursing errors and reporting and its relation to working conditions in hospitals Iran University of medical science. Journal of Ethics and History of Medicine. Vol.3, No.1, Pp.65-76.

     

25-Kaleyni, N, Farshidfar, F, Shams, B, et al.2003. Problem Based Learning or Lecture: experience a new way of teaching biology to medical students. Iranian Journal of Medical Education . Vol.10, No.1, Pp.57-63.

     

26-Kohestani, H, Baghcheghi, N 2007.Study medication errors in nursing students in intensive care. Journal of Ganon. Vol.13, No.1,Pp.249-255.

     

27-Leung, WC Concept of treatment in the A&E department. Accid Emerge Nurse. Vol.10, No.1,Pp.17-25.

     

28-Mashhadi, H.R. 2003. comparison of traditional cooperative education with teacher training on student achievement and its relation to cognitive style in Teacher training centers. Educational Technology Master's thesis, University of Tarbiat Moaallem.Pp 18-21.

     

29-Mahmofi, R, Kambiz, K 2013. Comparison of the effectiveness of teacher based and student based teaching methods in the course of Embryology. Twelfth National Conference on Medical Education. mashhad university of medical sciences.

     

30-Panjwin , S 2006. Determine the frequency of medication errors in nursing. Journal of research in Nursing. . Vol.1, No.1,Pp.59-64.

     

31-Onyon, C 2012. Problem-based learning: a review of the educational and psychological theory. Clin Teacher; Vol.9, Pp 22-26.

     

32-Shabani Seychani, Z 2005.Effectiveness of teaching methods to enhance cognitive abilities, emotional and behavioral of students. Master Thesis, Tehran, Faculty of Education, University of Allameh Tabatabai.Pp 53-56.

     

33-Savin-Baden, M, Glen, S, Wilkie, K 1999.Group dynamics and disjunction in problem-based contexts. Problem-based learning in nursing Macmillan. Jonesand Bartlett Publishers, Pp. 75-102.

     

34-Samarji, A 2014. How Problematic Is Problem-based Learning (PBL)? A Case Study of Medical Education Teaching. Annals of Behavioral Science and Medical Education., Vol. 20, No. 2, Pp. 19–23

     

35-Semih, G, Stuart, W, Roger, A 2014. Formulation of Problem-Based Learning in “Building Components Design” Education. Journal of Engineering and Architecture. Vol. 2, No. 2, Pp. 13-26.

     

36-Tambouris, E, Panopoulou, E, Tarabanis, K, et al 2012. Enabling Problem Based Learning through Web 2.0 Technologies: PBL 2.0. Educational Technology & Society, Vol.15, No.4, Pp. 238–251.

     

37-Waddell, DL 1990. The effects of continuing education on nursing practice: a meta-analysis. Journal of continuing education in nursing. Vol. 22, No.3, Pp.113-118.

     

38-Wilkie, K 2000. The nature of problem-based learning. Problem-based learning in nursing: A new model for a new context. Pp. 11-34.

     

39-Yang Nae – Dong. 1998. Exploring a new roll for teachers: promoting learner autonomy. System. Vol.26, No.1, Pp.127-135.