The Exploration Of Problems And Inhibitory Factors In Learning Of Clinical Skills And Training Among Students
Introduction: The clinical training is a dynamic process that plays a crucial role in training of competent and efficient nurses. The importance of clinical nursing appropriate training is undeniable in individual and professional development and clinical skills. Nursing students are mainly exposed to several problems in clinical training. Doubtlessly, recognition of these problems is the first step in reduction of clinical training bottlenecks. The students are personally deemed as one of the best and most reliable sources to explore the problems and barriers of learning clinical skills and training. In the present study, the problems and barriers of learning clinical skills and training have been investigated from the viewpoints of students in Zahedan Nursing Faculty in 2013.
Methods: 143 students from Zahedan Faculty of Nursing (operation room, midwifery, and nursing wards) were elected as sample by classified sampling method proportional to sample size in academic year (2012-13) in this descriptive- sectional survey. The questionnaire was utilized as a tool for data collection in which they were scored and ranked in two parts including first part consists of demographic information (gender, age, educational discipline) and the second one regarding the problems and barriers against learning clinical skills and training with 39 questions based on Likert 5-scale spectrum that ranged from choices of completely agreed (5) to completely disagreed (1) and also content and face validities of this questionnaire was approved by means of comments from academic teachers and its reliability was determined by calculation of Cronbach alpha coefficient as 0.83. The data were analyzed by descriptive statistics and t-test as well as SPSS-18 software at 95% level of confidence.
Findings: With respect to the given results, the problems and barriers against learning clinical skills and training were determined with order preference according to viewpoint of nursing students. The student’s dissatisfaction with way of presentation of theoretical and practical lessons was considered as the first priority and then other variables were ranked respectively as follows: problems and barriers (with mean value of 4.21 and standard deviation 0.61) and then the relationship among instructor and student as the last priority in these problems and barriers (mean = 3.85 and standard deviation = 0.34). Similarly, one- way ANOVA on respondents based on their educational discipline indicated that there is difference among three groups in various educational disciplines (nursing, midwifery, and operation room) for students in advantages of using clinical skills training center (α<0.05). Tuckey range test showed that there is difference in status of educational discipline (nursing and midwifery) but no difference was seen among status of educational discipline in operation room and midwifery.
Conclusion: The research finding indicated that the existing problems and barriers against learning of clinical skills and training were caused especially by dissatisfaction of students with method of presentation of practical and theoretical lessons, the existing hospital facilities, and the related features to instructors and external factors. With recognizing these problems, the related officials and practitioners will be able to provide the ground for rising of quality and to remove barriers for the applicants by controlling external factors to the great extent.
Keywords - Clinical Training, Clinical Skill Training Center, Student, Nursing Faculty