بررسی رابطه اعتماد به نفس و خودارزیابی بالینی دانشجویان پیراپزشکی دانشگاه علوم پزشکی بوشهر سال 1393

نوع مقاله: مقاله پژوهشی

نویسندگان

1 عضو هیات علمی، گروه مامایی، دانشکده پرستاری و مامایی،دانشگاه علوم پزشکی بوشهر، بوشهر، ایران.

2 دانشجوی دکترای بهداشت باروری، گروه مامایی، دانشکده پرستاری و مامایی،دانشگاه علوم پزشکی شاهرود، شاهرود، ایران.

3 عضو هیات علمی، گروه آمار زیستی ، دانشکده بهداشت،دانشگاه علوم پزشکی بوشهر، بوشهر، ایران.

4 عضو هیات علمی، گروه پرستاری، دانشکده پرستاری و مامایی،دانشگاه علوم پزشکی بوشهر، بوشهر، ایران.

5 شرافت اکابریان*: دانشجوی دکترای پرستاری ،کمیته تحقبقات دانشجویی، دانشگاه علوم پزشکی شیراز ، شیراز، ایران.

چکیده

یکی از بهترین روش هایی که برای تعیین دانش و مهارت بالینی استفاده می شود خودارزیابی است؛ موفقیت بالینی و خودارزیابی به عنوان نشانگر کیفیت عملکرد بالینی تحت تآثیر عوامل متعددی است. شناخت فاکتورهای موثر می تواند در بهبود عملکرد بالینی موثر باشد. پژوهش حاضر به بررسی ارتباط اعتماد به نفس با خودارزیابی بالینی در دانشجویان پیراپزشکی پرداخته است. مطالعه حاضر، مطالعه‌ای توصیفی- تحلیلی و از نوع مقطعی است که بر روی 145 دانشجوی پیراپزشکی دانشگاه علوم پزشکی بوشهر به شیوه سرشماری در سال 1393 انجام گردید. برای جمع آوری اطلاعات پرسشنامه استاندارد  اعتماد به نفس کوپراسمیت و  پرسشنامه محقق ساخته خودارزیابی بالینی استفاده گردید. داده ها با استفاده از نرم افزار spss و روش‌های اماری توصیفی و استنباطی تی مستقل، آنالیز واریانس و رگرسیون خطی مورد تجزیه و تحلیل قرار گرفت. میانگین سنی شرکت کنندگان در پژوهش 1/2±7/22 سال بود.  میانگین و انحراف معیار  نمره اعتماد به نفس و خودارزیابی به ترتیب  01/15±15/82  و 47/6±48/ 48 بود. آزمون های تحلیلی نشان داد که متغیرهای دموگرافیک با خودارزیابی بالینی ارتباطی ندارد ولی اعتماد به نفس   14%   نمره خودارزیابی بالینی دانشجویان را پیش بینی کرد(386/0r= و 001/0>P). با توجه به اینکه کسب مهارت‌های بالینی توسط دانشجویان رشته‌های پیراپزشکی نقش مهمی در موفقیت شغلی آنان در آینده دارد و با توجه به ارتباط مستقیم اعتماد به نفس با خودارزیابی بالینی، طراحی مداخلات و استراتژی های افزایش دهنده اعتماد به نفس در دانشجویان بایستی از دغدغه‌های سیاست‌گذاران آموزش عالی باشد.

کلیدواژه‌ها


عنوان مقاله [English]

The Investigation of Relationship between Self-esteem and Clinical Self-assessment among Paramedical Students of Bushehr University of Medical Sciences in 2014

نویسندگان [English]

  • Razieh Bagherzadeh 1
  • Zeinab Rabiei 2
  • Rahim Tahmasebi 3
  • Fatemeh Haginejad 4
  • sherafat akaberian 5
1 Faculty Member, Department of Midwifery, Faculty of Nursing and Midwifery, Bushehr University of Medical Sciences, Bushehr, Iran.
2 Ph.D. student of Reproductive Health, Department of Midwifery, Faculty of Nursing and Midwifery, Shahroud University of Medical Sciences, Shahroud, Iran.
3 Faculty Member, Department of Biostatistics, Faculty of Health, Bushehr University of Medical Sciences, Bushehr, Iran
4 Faculty Member, Department of Nursing, Faculty of Nursing and Midwifery, Bushehr University of Medical Sciences, Bushehr, Iran.
5 Ph.D. Student of nursing, Student Research Committee, Shiraz University of medical sciences, Shiraz, Iran.
چکیده [English]

One of the best ways to determine the knowledge and clinical skills is self-assessment. Clinical success and self-assessment as an indicator of the quality of clinical practice has been influenced a number of factors, and then identification the affecting factors can be effected in improving clinical practice. Hence, this study aimed to evaluate the relationship between self-esteem and clinical self-assessment in paramedical students, and it was performed in Bushehr University of Medical Sciences. This study was cross-sectional study and performed through census way on 145 students of paramedical student of Bushehr University of Medical Sciences in 2014 in which Cooper Smith questionnaire self-esteem and self-made questionnaire self-assessment were used. Moreover, data analysis was used by SPSS and methods of descriptive and inferential statistics, t-test, ANOVA and regression. The average age was 22±2.1 years old. Therefore, the mean and standard deviation of self-esteem and clinical self-assessment was 82.15±15.01, 48.48±6.47. The inferential tests showed no relationship between demographic variables and self-assessment but self –esteem predicted clinical self-assessment score 14% (p<0.001, r=0.386%). Considering that clinical skills by students paramedical plays the important role in their future career success, and also the direct relationship of self-esteem with clinical self-assessment, design interventions and strategies for enhancing self-esteem in the students should be a prior concern of  higher education policy makers.

کلیدواژه‌ها [English]

  • Self-esteem
  • clinical self-assessment
  • Students
  • paramedical

Al-Hebaish, S. M. and S. Mohammad (2012). "The correlation between general self-confidence and academic achievement in the oral presentation course."

Bakhtiarpoor, S. (2008). "Prediction of academic performance of students at Ahvaz university on the basis of inteligence, educational experience and demographic variables " Journal of social psychology (New finding in psychology) 2(7): 81-94.

Barkhordary, M., S. Jalalmanesh and M. Mahmodi (2009). "The relationship between critical thinking disposition and self esteem in third and forth year bachelor nursing students." Iranian journal of medical education 9(1): 13-19.

Dehghani, H., K. Dehghani and H. Fallahzadeh (2005). "The educational problems of clinical field training based on nursing teachers and last year nursing students view points." Iranian journal of medical education 5(1): 24-33

Emadzadeh, A., S. Alizadeh and L. Jarahi (2015). "Interns’ Change Readiness in Terms of Self-assessment of Clinical Competency in Mashhad University of Medical Sciences." Iranian Journal of Medical Education 15(28): 205-214.

Freiburger, O. A. (2002). "Preceptor programs: increasing student self-confidence and competency." Nurse Educator 27(2): 58-60

Homaie, r., A. Haidari, S. Biarpoor and M. R. Borna (2009). "The relationship between cognitive intelligence, emotional intelligence, academic histories, achievement motivation and demographical variables whit academic performance in students of Islamic azad university Ahvaz branch." Journal of social psychology (New finding in psychology) 4(12): 49-63.

Jamali, E. (2010). "The effects of socio-economic status and educational performance of higher education applicants in Iran " Iranian of higher education 3(2): 25-54.

Johnson-Crowley, N. (2004). "An alternative framework for teacher preparation in nursing." The Journal of Continuing Education in Nursing 35(1): 34-43.

Jünger, J., S. Schäfer, C. Roth, D. Schellberg, M. Friedman Ben‐David and C. Nikendei (2005). "Effects of basic clinical skills training on objective structured clinical examination performance." Medical education 39(10): 1015-1020.

Khosravi, S., M. Pazargadi and T. Ashktorab (2012). "Nursing studentsviewpoints on challenges of student assessment in clinical settings: A Qualitative Study." Iranian journal of medical education 11(7): 735-749.

Mirashrafi, S. B., E. Khodaie and E. Jamali (2016). "Family background and socioeconomic status effects on educational performances by data mining methods: A case study in Iran." International Journal for Cross-Disciplinary Subjects in Education (IJCDSE) 7(1): 2735-2741

Molavi, P., H. Mohammadnia, R. Arab, B. Rasoolzadeh and F. Derakhshani (2007). "Evaluation of effective factors in reduction of educational motive of students of Ardebil University of Medical Science." Pakistan J Soc Sci 4(1): 98-101

Nasiriani, K., F. Farnia, T. Salimi, L. Shahbazi and M. Motavasselian (2006). "Nursing Graduates’ Self-assessment of their Clinical Skills Acquired in Medical-Surgical Wards." Iranian Journal of Medical Education 6(1): 93-100.

Nohi, E., F. Borhani and M. HelalBirjandi (2013). "Effect of usingnursing field students in clinical teachingteam (mentorship program) on the self-confidence of nursing students." Modern Care Journal 10(1): 19-25.

Sabet, M. (1996). survey of validity, reliability and Normative Self Esteem test cooper smite in Tehran nineteen branches of education.(MS Thesis), Allameh Tabatabai University

Salimi, T., H. Karimi, L. Shahbazi, M. Dehghanpour, A. Hafezieh, K. Parandeh and F. Eshghi (2005). "Evaluation of Clinical Skills of Final Year Nursing Students in Critical Care Units." SSU_Journals 13(3): 60-66.

Salmalian, Z. and E. Kazemnezhad Leili (2014). "Correlation between self-concept and academic achievement of students." Holistic Nursing And Midwifery Journal 24(1): 40-47.

Salmela-Aro, K. and J.-E. Nurmi (2007). "Self-esteem during university studies predicts career characteristics 10 years later." Journal of Vocational Behavior 70(3): 463-477

Scoles, P. V., R. E. Hawkins and A. LaDuca (2003). "Assessment of clinical skills in medical practice." Journal of Continuing Education in the Health Professions 23(3): 182-190.

Seime, R. J. (2003). "Self-Assessment in Clinical Psychology: Is the Model Sufficient for Expansion of Practice in Clinical Health Psychology? Comment on Belar et al.(2001)." Prevention & Treatment 6(1).

Shokri, O., P. Kadivar, Z. Naghsh, Z. Ghanai, Z. Daneshvarpour and M. Molaei (2007). "Personality traits, Academic stress, And academic performance." Journal of educational psychology studies 3(3): 25-48.

Tagharrobi, Z., E. Fakharian, F. Mirhoseini, S. Rasoulinejad, H. Akbari and H. Ameli (2011). "Role of Influencing Factors on Academic Performance of Midwifery Alumni at Kashan University of Medical Sciences (Kaums)." Research in Medical Education 3(1): 34-41.

Tagharrobi, Z., E. Fakharian, F. Mirhosseini, S. Rasoulinejad, H. Akbari and H. Ameli (2010). "Predictors of academic performance in nursing alumni of Kashan University of Medical Sciences." Education Strategies in Medical Sciences 3(3): 127-131.

White, A. H. (2003). "Clinical decision making among fourth-year nursing students: An interpretive study." Journal of Nursing Education 42(3): 113-120

Zehni, K., M. Rokhzadi, M. Abdolmaleki and G. Salehnezhad (2015). "Evaluation of Achieving to Clinical objectives in Nursing Students in Critical Care Units." Research in Medical Education 7(2): 37-44