Iranian Journal of Medical Ethics and History of Medicine
اخلاق و تاریخ پزشکی ایران
IJMEHM
Medical Sciences
http://ijme.tums.ac.ir
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admin
2783-4840
2783-4840
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fa
jalali
1403
9
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gregorian
2024
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Supplement of 11th Annual Iranian Congress of Medical Ethics
online
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fulltext
other
ارزیابی اثر بازاندیشی هدایتشده بر مهارتهای ارتباطی دانشجویان کارشناسی پرستاری و مامایی
Evaluation of the Effect of Guided Reflection on the Communication Skills of Undergraduate Nursing and Midwifery Students
یازدهمین کنگره اخلاق در سلامت - پوستر
Health Ethics Congress (11th) - Poster Presentation
پوستر
Poster
<div style="text-align: justify;"><span style="font-size:14px;"><span style="font-family:yekanYW;"><span style="line-height:2;"><span dir="RTL" lang="FA"><span style="color:black">برقراری ارتباط م</span></span><span dir="RTL" lang="AR-SA"><span style="color:black">ؤ</span></span><span dir="RTL" lang="FA"><span style="color:black">ثر با بیمار</span></span><span dir="RTL" lang="AR-SA"><span style="color:black">،</span></span> <span dir="RTL" lang="FA"><span style="color:black">علاوه بر اینکه جز</span></span><span dir="RTL" lang="AR-SA"><span style="color:black">ئی</span></span> <span dir="RTL" lang="FA"><span style="color:black">مهم از حرفه</span></span><span dir="RTL" lang="AR-SA"><span style="color:black"></span></span><span dir="RTL" lang="FA"><span style="color:black">ای</span></span><span dir="RTL" lang="AR-SA"><span style="color:black"></span></span><span dir="RTL" lang="FA"><span style="color:black">گرایی و رفتار حرفه</span></span><span dir="RTL" lang="AR-SA"><span style="color:black"></span></span><span dir="RTL" lang="FA"><span style="color:black">ای محسوب می</span></span><span dir="RTL" lang="AR-SA"><span style="color:black"></span></span><span dir="RTL" lang="FA"><span style="color:black">شود و جلب اعتماد بیشتر جامعه به حِرَف سلامت را در پی دارد</span></span><span dir="RTL" lang="AR-SA"><span style="color:black">،</span></span> <span dir="RTL" lang="FA"><span style="color:black">ت</span></span><span dir="RTL" lang="AR-SA"><span style="color:black">أ</span></span><span dir="RTL" lang="FA"><span style="color:black">ثیر</span></span><span dir="RTL" lang="AR-SA"><span style="color:black">ی</span></span> <span dir="RTL" lang="FA"><span style="color:black">بسزا در دستیابی به اهداف مراقبتی و درمانی نیز خواهد داشت. نظر به اهمیت تأ</span></span><span dir="RTL" lang="FA"><span style="color:black">کید بر روشهای فعال و دانشجومحور در یادگیری و اهمیت بازاندیشی در آموزش، مطالعه</span></span><span dir="RTL" lang="AR-SA"><span style="color:black">ی</span></span> <span dir="RTL" lang="FA"><span style="color:black">حاضر با هدف ارزیابی اثر بازاندیشی هدایت</span></span><span dir="RTL" lang="AR-SA"><span style="color:black"></span></span><span dir="RTL" lang="FA"><span style="color:black">شده بر مهارت</span></span><span dir="RTL" lang="AR-SA"><span style="color:black"></span></span><span dir="RTL" lang="FA"><span style="color:black">های ارتباطی دانشجویان کارشناسی پرستاری و مامایی انجام شده است.</span></span> <span dir="RTL" lang="FA"><span style="color:black">پژوهش حاضر</span></span><span dir="RTL" lang="AR-SA"><span style="color:black">،</span></span> <span dir="RTL" lang="FA"><span style="color:black">یک مطالعه</span></span><span dir="RTL" lang="AR-SA"><span style="color:black">ی</span></span> <span dir="RTL" lang="FA"><span style="color:black">نیمه</span></span><span dir="RTL" lang="AR-SA"><span style="color:black"></span></span><span dir="RTL" lang="FA"><span style="color:black">تجربی</span></span> <span dir="RTL" lang="FA"><span style="color:black">یک</span></span><span dir="RTL" lang="AR-SA"><span style="color:black"></span></span><span dir="RTL" lang="FA"><span style="color:black">گروهی همراه با پیش</span></span><span dir="RTL" lang="AR-SA"><span style="color:black"></span></span><span dir="RTL" lang="FA"><span style="color:black">آزمون </span></span><span dir="RTL" lang="AR-SA"><span style="color:black">و </span></span><span dir="RTL" lang="FA"><span style="color:black">پس</span></span><span dir="RTL" lang="AR-SA"><span style="color:black"></span></span><span dir="RTL" lang="FA"><span style="color:black">آزمون و محیط پژوهش دانشکده</span></span><span dir="RTL" lang="AR-SA"><span style="color:black">ی</span></span> <span dir="RTL" lang="FA"><span style="color:black">پرستاری و مامایی دانشگاه علوم پزشکی ایران </span></span><span dir="RTL" lang="AR-SA"><span style="color:black">بود</span></span><span dir="RTL" lang="FA"><span style="color:black">. </span></span><span dir="RTL" lang="AR-SA"><span style="color:black">پنجاه </span></span><span dir="RTL" lang="FA"><span style="color:black">دانشجوی سال</span></span><span dir="RTL" lang="AR-SA"><span style="color:black"></span></span><span dir="RTL" lang="FA"><span style="color:black">های دوم تا چهارم کارشناسی مامایی و پرستاری</span></span><span dir="RTL" lang="AR-SA"><span style="color:black">،</span></span> <span dir="RTL" lang="FA"><span style="color:black">به</span></span><span dir="RTL" lang="AR-SA"><span style="color:black"></span></span><span dir="RTL" lang="FA"><span style="color:black">شکل داوطلبی و بر اساس فراخوان در این مطالعه شرکت کردند. ابزار گردآوری داده</span></span><span dir="RTL" lang="AR-SA"><span style="color:black"></span></span><span dir="RTL" lang="FA"><span style="color:black">ها</span></span><span dir="RTL" lang="AR-SA"><span style="color:black">،</span></span><span dir="RTL" lang="FA"><span style="color:black"> شامل پرسش</span></span><span dir="RTL" lang="AR-SA"><span style="color:black"></span></span><span dir="RTL" lang="FA"><span style="color:black">نامه</span></span><span dir="RTL" lang="AR-SA"><span style="color:black">ی</span></span><span dir="RTL" lang="FA"><span style="color:black"> مشخصات فردی و پرسش</span></span><span dir="RTL" lang="AR-SA"><span style="color:black"></span></span><span dir="RTL" lang="FA"><span style="color:black">نامه</span></span><span dir="RTL" lang="AR-SA"><span style="color:black">ی</span></span><span dir="RTL" lang="FA"><span style="color:black"> مهارت</span></span><span dir="RTL" lang="AR-SA"><span style="color:black"></span></span><span dir="RTL" lang="FA"><span style="color:black">های ارتباط با بیمار جواهر و همکاران بود. مداخله شامل برگزاری </span></span><span dir="RTL" lang="AR-SA"><span style="color:black">چهار</span></span><span dir="RTL" lang="FA"><span style="color:black"> جلسه</span></span><span dir="RTL" lang="AR-SA"><span style="color:black"></span></span><span dir="RTL" lang="FA"><span style="color:black"> کلاس آموزشی با رویکرد تعاملی</span></span><span dir="RTL" lang="AR-SA"><span style="color:black"> نود</span></span><span dir="RTL" lang="FA"><span style="color:black">دقیقه</span></span><span dir="RTL" lang="AR-SA"><span style="color:black"></span></span><span dir="RTL" lang="FA"><span style="color:black">ای (هفته</span></span><span dir="RTL" lang="AR-SA"><span style="color:black"></span></span><span dir="RTL" lang="FA"><span style="color:black">ای یک بار)، به</span></span><span dir="RTL" lang="AR-SA"><span style="color:black"></span></span><span dir="RTL" lang="FA"><span style="color:black">صورت آنلاین و در </span></span><span dir="RTL" lang="AR-SA"><span style="color:black">بستر</span></span><span dir="RTL" lang="FA"><span style="color:black"> گوگل</span></span><span dir="RTL" lang="AR-SA"><span style="color:black"></span></span><span dir="RTL" lang="FA"><span style="color:black">میت بود. دو جلسه</span></span><span dir="RTL" lang="AR-SA"><span style="color:black">ی</span></span><span dir="RTL" lang="FA"><span style="color:black"> اول به آموزش م</span></span><span dir="RTL" lang="AR-SA"><span style="color:black">ؤ</span></span><span dir="RTL" lang="FA"><span style="color:black">لفه</span></span><span dir="RTL" lang="AR-SA"><span style="color:black"></span></span><span dir="RTL" lang="FA"><span style="color:black">های حرفه</span></span><span dir="RTL" lang="AR-SA"><span style="color:black"></span></span><span dir="RTL" lang="FA"><span style="color:black">گرایی با ت</span></span><span dir="RTL" lang="AR-SA"><span style="color:black">أ</span></span><span dir="RTL" lang="FA"><span style="color:black">کید بر مهارت</span></span><span dir="RTL" lang="AR-SA"><span style="color:black"></span></span><span dir="RTL" lang="FA"><span style="color:black">های ارتباط با بیمار و آموزش و تمرین بازاندیشی و دو جلسه</span></span><span dir="RTL" lang="AR-SA"><span style="color:black">ی</span></span><span dir="RTL" lang="FA"><span style="color:black"> بعد به ارائه</span></span><span dir="RTL" lang="AR-SA"><span style="color:black">ی</span></span><span dir="RTL" lang="FA"><span style="color:black"> سناریو و پخش فیلم و ارائه</span></span><span dir="RTL" lang="AR-SA"><span style="color:black">ی</span></span><span dir="RTL" lang="FA"><span style="color:black"> فرصت</span></span><span dir="RTL" lang="AR-SA"><span style="color:black"></span></span><span dir="RTL" lang="FA"><span style="color:black">هایی برای بازاندیشی و به</span></span><span dir="RTL" lang="AR-SA"><span style="color:black"></span></span><span dir="RTL" lang="FA"><span style="color:black">اشتراک</span></span><span dir="RTL" lang="AR-SA"><span style="color:black"></span></span><span dir="RTL" lang="FA"><span style="color:black">گذاری تجارب دانشجویان و جمع</span></span><span dir="RTL" lang="AR-SA"><span style="color:black"></span></span><span dir="RTL" lang="FA"><span style="color:black">بندی اختصاص یافت. داده</span></span><span dir="RTL" lang="AR-SA"><span style="color:black"></span></span><span dir="RTL" lang="FA"><span style="color:black">های حاصل </span></span><span dir="RTL" lang="AR-SA"><span style="color:black">از </span></span><span dir="RTL" lang="FA"><span style="color:black">مطالعه</span></span><span dir="RTL" lang="AR-SA"><span style="color:black">،</span></span><span dir="RTL" lang="FA"><span style="color:black"> پس از ورود به نرم</span></span><span dir="RTL" lang="AR-SA"><span style="color:black"></span></span><span dir="RTL" lang="FA"><span style="color:black">افزار SPSS </span></span><span dir="RTL"><span style="color:black">نسخه</span></span><span dir="RTL" lang="AR-SA"><span style="color:black">ی</span></span> <span dir="RTL" lang="AR-SA"><span style="color:black">۲۴ </span></span><span dir="RTL" lang="FA"><span style="color:black">با استفاده از تست</span></span><span dir="RTL" lang="AR-SA"><span style="color:black"></span></span><span dir="RTL" lang="FA"><span style="color:black">های آمار توصیفی و تحلیلی</span></span><span dir="RTL" lang="AR-SA"><span style="color:black">،</span></span><span dir="RTL" lang="FA"><span style="color:black"> تجزیه </span></span><span dir="RTL" lang="AR-SA"><span style="color:black">و </span></span><span dir="RTL" lang="FA"><span style="color:black">تحلیل </span></span><span dir="RTL" lang="AR-SA"><span style="color:black">شدند</span></span><span dir="RTL" lang="FA"><span style="color:black">.</span></span> <span dir="RTL" lang="FA"><span style="color:black">یافتهها نشان داد</span></span><span dir="RTL" lang="AR-SA"><span style="color:black">،</span></span> <span dir="RTL" lang="FA"><span style="color:black">نمره</span></span><span dir="RTL" lang="AR-SA"><span style="color:black">ی</span></span> <span dir="RTL" lang="FA"><span style="color:black">مربوط به مهارتهای ارتباطی بلافاصله بعد از آموزش و یک ماه بعد</span></span><span dir="RTL" lang="AR-SA"><span style="color:black">،</span></span> <span dir="RTL" lang="FA"><span style="color:black">نسبت به قبل از مداخله</span></span><span dir="RTL" lang="AR-SA"><span style="color:black">،</span></span> <span dir="RTL" lang="FA"><span style="color:black">تغییر</span></span><span dir="RTL" lang="AR-SA"><span style="color:black">ی</span></span> <span dir="RTL" lang="FA"><span style="color:black">مثبت داشته</span></span><span dir="RTL" lang="AR-SA"><span style="color:black">؛</span></span> <span dir="RTL" lang="FA"><span style="color:black">ولی این تغییر معنادار نبوده است. </span></span><span dir="RTL" lang="AR-SA"><span style="color:black">نتایج تحلیلهای آماری </span></span><span dir="RTL" lang="FA"><span style="color:black">دربا</span></span><span dir="RTL" lang="AR-SA"><span style="color:black">رهی</span></span> <span dir="RTL" lang="FA"><span style="color:black">حیطه</span></span><span dir="RTL" lang="AR-SA"><span style="color:black"></span></span><span dir="RTL" lang="FA"><span style="color:black">های مهارت</span></span><span dir="RTL" lang="AR-SA"><span style="color:black"></span></span><span dir="RTL" lang="FA"><span style="color:black">های ارتباطی نشان داد</span></span><span dir="RTL" lang="AR-SA"><span style="color:black">،</span></span> <span dir="RTL" lang="FA"><span style="color:black">حیطه</span></span><span dir="RTL" lang="AR-SA"><span style="color:black">ی</span></span> <span dir="RTL" lang="FA"><span style="color:black">شروع آگاهانه قبل از آموزش به</span></span><span dir="RTL" lang="AR-SA"><span style="color:black"></span></span><span dir="RTL" lang="FA"><span style="color:black">طور معناداری پایین</span></span><span dir="RTL" lang="AR-SA"><span style="color:black"></span></span><span dir="RTL" lang="FA"><span style="color:black">تر از بلافاصله</span></span><span dir="RTL" lang="AR-SA"><span style="color:black"> پس از آموزش (0/005 = P) </span></span><span dir="RTL" lang="FA"><span style="color:black">و یک ماه بعد</span></span><span dir="RTL" lang="AR-SA"><span style="color:black"> ازآن</span></span><span dir="RTL" lang="FA"><span style="color:black"> (0/011 = P) </span></span><span dir="RTL" lang="FA"><span style="color:black">بود و در حیطه</span></span><span dir="RTL" lang="AR-SA"><span style="color:black">ی</span></span> <span dir="RTL" lang="FA"><span style="color:black">پذیرش غیرمشروط مددجو</span></span><span dir="RTL" lang="AR-SA"><span style="color:black">،</span></span> <span dir="RTL" lang="FA"><span style="color:black">مقایسه</span></span><span dir="RTL" lang="AR-SA"><span style="color:black">ی</span></span> <span dir="RTL" lang="FA"><span style="color:black">دو به دو نشان داد</span></span><span dir="RTL" lang="AR-SA"><span style="color:black">،</span></span> <span dir="RTL" lang="FA"><span style="color:black">مهارت</span></span><span dir="RTL" lang="AR-SA"><span style="color:black"></span></span><span dir="RTL" lang="FA"><span style="color:black">های ارتباطی در این حیطه قبل از مداخله به</span></span><span dir="RTL" lang="AR-SA"><span style="color:black"></span></span><span dir="RTL" lang="FA"><span style="color:black">طور معناداری</span></span><span dir="RTL" lang="AR-SA"><span style="color:black">،</span></span> <span dir="RTL" lang="FA"><span style="color:black">کمتر از یک ماه بعد بود (0/02 </span></span><span style="color:black">=P</span><span dir="RTL" lang="FA"><span style="color:black">)</span></span><span dir="RTL" lang="AR-SA"><span style="color:black">. با توجه به یافتههای این پژوهش، برای اظهارنظر دربارهی تأثیر بازاندیشی هدایتشده در ارتقاء مهارتهای ارتباطی دانشجویان پرستاری و مامایی، کماکان به پژوهشهای بیشتری نیاز است.</span></span></span></span></span></div>
<div style="text-align: justify;"><span style="font-size:14px;"><span style="font-family:Arial;"><span style="line-height:2;"><span style="color:black">Effective communication with patients is not only a crucial element of professionalism in healthcare but also plays a significant role in achieving care and treatment goals. In light of the importance of active learning strategies and reflective practices in education, this study aimed to evaluate the effect of guided reflection on the communication skills of undergraduate nursing and midwifery students. This semi-experimental study with a pre-test and post-test design was conducted at the Faculty of Nursing and Midwifery, Iran University of Medical Sciences. A total of 50 second- to fourth-year undergraduate students in nursing and midwifery voluntarily participated in the study following a public invitation. Data collection tools included a demographic questionnaire and a patient communication skills questionnaire developed by Javaher et al. The intervention consisted of four 90-minute interactive training sessions conducted weekly via Google Meet. The first two sessions focused on teaching components of professionalism with an emphasis on patient communication and reflective practice. The final two sessions included scenario presentations, film viewings, opportunities for reflection, and shared discussions. Data were analyzed using descriptive and inferential statistical tests in SPSS version 24. The findings indicated a positive change in the overall communication skills score immediately after the training and one month later, although the change was not statistically significant. In specific areas of communication skills, the "conscious initiation" domain showed a statistically significant improvement from pre-intervention to immediately after (P=0.005) and one month after the training (P=0.011). Additionally, in the domain of "unconditional acceptance of the client," pairwise comparisons revealed a significant improvement in scores one month after the intervention compared to the pre-intervention phase (P=0.02). Although guided reflection showed some promise in enhancing specific aspects of communication skills among nursing and midwifery students, the overall impact was not statistically significant. Further research with larger samples and longer follow-up periods is recommended to more conclusively determine its effectiveness.</span></span></span></span></div>
آموزش, بازاندیشی, پرستاری, مامایی, مهارتهای ارتباطی
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http://ijme.tums.ac.ir/browse.php?a_code=A-12-1581-88&slc_lang=other&sid=1
Homa
Sadeghi Avval Shahr
هما
صادقی اول شهر