Volume 16, Issue 52 (2024)                   JMED 2024, 16(52): 45-54 | Back to browse issues page

Ethics code: IR.TBZMED.REC.1400.388

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Zadi Akhuleh O, Lotfi M, Rahmani V, Sheikhalipour Z, behshid M, Khodayari M et al . Self-directed learning ability and its relationship with perceived perioperative competence in the senior undergraduate surgical technology students: A cross-sectional study. JMED 2024; 16 (52) :45-54
URL: http://edujournal.zums.ac.ir/article-1-1760-en.html
School of Nursing and Allied Medical Sciences, Maragheh University of Medical Sciences, maragheh, Iran.
Abstract:   (1527 Views)
Background & Objective: Self-directed learning (SDL) as an effective strategy in surgical technology students can significantly help to improve their skills and clinical competence. The present study aimed to determine SDL ability and its relationship with Perceived Perioperative Competence in senior undergraduate surgical technology students.
Materials & Methods: The present descriptive study was conducted based on a cross-sectional design. This research included 207 final-year surgical technology students via the census method. Data collection tools included a demographic characteristics form, the Self-Directed Learning Instrument (SDLI) developed by Su-Fen Cheng (2010), and the Perceived Perioperative Competence scale. After collecting the data, they were analyzed in  SPSS version software (version 20).
Results: The mean SDL and clinical competence scores were reported as 73.8±8.9(intermediate level) and 107.2±17.3 (intermediate level), respectively. Among various dimensions of perceived clinical competence, interaction with colleagues had the highest value (3.4±0.6). Among the dimensions of SDL, interpersonal communication obtained the highest value (3.8±0.4). To investigate the relationship between SDL and clinical competence, Kendall's Tau and Spearman's correlation coefficients were obtained at 0.601 and 0.794, respectively, pointing to the significant positive relationship between the two variables (P<0.001).
Conclusion: As evidenced by the obtained results, the SDL ability predicts the clinical competence of surgical technology students; therefore, revising the curricula of surgical technology students at the BS level and paying attention to the principle of student-centeredness in the education process, along with conducting training courses on SDL principles, can improve students' clinical competence.
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Article Type : Orginal Research | Subject: Medical Education
Received: 2022/11/4 | Accepted: 2023/03/17 | Published: 2024/03/16

1. Faraji A, Karimi M, Azizi SM, Janatolmakan M, Khatony A. Evaluation of clinical competence and its related factors among ICU nurses in Kermanshah-Iran: A cross-sectional study. International Journal of Nursing Sciences. 2019;6(4):421-425. [DOI]
2. Abbasi S, Masoudi R, Rabiei L, Shahbazi K. The Effect of Assertiveness Program on Clinical Competence of Intensive Care Units Nurses; A Randomized Clinical Trial. Avicenna Journal of Nursing and Midwifery Care .2019; 27 (5) :293-305. [Article] [DOI]
3. Park K, Ahn Y, Kang N, Sohn M. Development of a simulation-based assessment to evaluate the clinical competencies of Korean nursing students. Nurse education today. 2016;36:337-41. [DOI]
4. Lotfi M, Sheikhalipour Z, Zamanzadeh V, Aghazadeh A, Zadi Akhuleh O. Observance of preventive standards against COVID-19 transmission in operating rooms: A cross-sectional study. Perioperoperative Care and Opererating Room Managment.2021;25:100212. [DOI] [PubMed]
5. Rashidi N, Raadabadi M, Ramezanpour E. Viewpoints of Surgical Technologists about Their Clinical Competence in Medical-Educational Hospitals of Mazandaran University of Medical Sciences in 2018. Journal of Nursing Education. 2020;8(6):41-7. [Article]
6. Sharif M, Mirbagher Ajorpaz N, Arandian N. Effects of Mastery Learning Model on Clinical Competencies in the Operating Room Students. Community Health Journal. 2017;10(3):11-8.
7. Zadi Akhule O, Lotfi M, Nasiri E, Chalangari S, Torkali pur Y. Survey of the Performance of Operating Room Personnel Regarding the Observance of Surgical Safety Principles in Hospitals of Mazandaran University of Medical Sciences in 2019. Payavard salamat 2021; 14 (6) :484-496. [DOI]
8. Imani F, Zadi Akhule O, Memarbashi E, Nasiri E. Link between Occupational Fatigue and Medical Errors in Surgical Technologists. Archives of Occupational Health. 2020;4(4):856-62. [DOI]
9. Naeimi L, Bigdeli S, Soltani Arabshahi K. Level of self-directed learning readiness in medical students. Education Strategies in Medical Sciences. 2012;5(3):177-81. [Article]
10. Mohsenizadeh M, Kareshki H, Meshkin A, Soodmand P. Validation of Self-directed Learning Ability Scale for Nursing Student. Bimonthly of Education Strategies in Medical Sciences. 2019;12(1):23-8. [Article] [DOI]
11. Ahanchian M R, Assarroudi A. The Relationship between decision –making style and self-directed learning in Anesthesiology students. Military Caring Sciences. 2015; 2 (1):24-32. [DOI]
12. Wen C-N, Huang C-G, Chang P-Y, Yang T-H, You H-L, Ning H-C, et al. Application of the electronic book to promote self-directed learning in medical technologist continuing education: a cross-sectional study. BMC Medical Education. 2022;22(1):713. [DOI]
13. Visiers‐Jiménez L, Palese A, Brugnolli A, Cadorin L, Salminen L, Leino‐Kilpi H, et al. Nursing students’ self‐directed learning abilities and related factors at graduation: A multi‐country cross‐sectional study. Nursing open. 2022;9(3):1688-99. [DOI]
14. Koirala N, Kafle Sp, Koirala A. Factors affecting self-directed learning readiness of the undergraduate nursing students from purbanchal university, nepal: a cross-sectional study. Journal of chitwan medical college. 2021;11(3):31-5. [DOI]
15. Cadorin L, Cheng S-F, Palese A. Concurrent validity of self-rating scale of self-directed learning and self-directed learning instrument among Italian nursing students. BMC nursing. 2016;15(1):1-10. [DOI]
16. Lee S, Kim DH, Chae S-M. Self-directed learning and professional values of nursing students. Nurse education in practice. 2020;42:102647. [DOI]
17. Williamson SN. Development of a self-rating scale of self-directed learning. Nurse researcher. 2007;14(2). [DOI]
18. Sohrabi S, Habibi A, Arabzadeh N. Assessment of self-directed learning readiness in nursing students of Shahid Beheshti University of Medical Sciences in 2020. Journal of Nursing Education. 2022;10(6):44-52. [DOI]
19. Zardosht R, Karimi Moonaghi H. Clinical Instructor Criteria in operating room: Qualitative content analysis. Journal of Sabzevar University of Medical Sciences.2021; 28(2):156-163. [Article]
20. Cheng SF, Kuo CL, Lin KC, Lee-Hsieh J. Development and preliminary testing of a self-rating instrument to measure self-directed learning ability of nursing students. International journal of nursing studies. 2010;47(9):1152-8. [DOI]
21. Gillespie BM, Polit DF, Hamlin L, Chaboyer W. Developing a model of competence in the operating theatre: psychometric validation of the perceived perioperative competence scale-revised. International journal of nursing studies. 2012;49(1):90-101. [DOI]
22. Ajorpaz NM, Tafreshi MZ, Mohtashami J, Zayeri F, Rahemi Z. Psychometric Testing of the Persian Version of the Perceived Perioperative Competence Scale-Revised. Journal of nursing measurement. 2017;25(3):162-72. [DOI]
23. Narenjithani F, Keramati M, Hosseinisohi M. The role of self-directed learning in the effectiveness of e-learning during the COVID-19 pandemic. Technology of Education Journal (TEJ). 2022;16(3):571-89. [DOI]
24. Örs M. The Self-Directed Learning Readiness Level of the Undergraduate Students of Midwife and Nurse in Terms of Sustainability in Nursing and Midwifery Education. Sustainability. 2018;10(10):3574. [DOI]
25. Bahrami M, Sabeghi H, Zohourparvaz M, Karimi Moonaghi H. Relationship between Educational Environment and Self-Directed Learning in Nursing Student in COVID-19 Pandemic. Journal of Medical Education Development. 2022;15(45):47-56.[] [DOI]
26. Jafari A, Nadi MA. Qualitative Analysis of Self-Directed Learning in Nursing Training. Journal of Nursing Education (JNE). 2022;11(2):64-78. [DOI]
27. Pilling-Cormick J, Garrison DR. Self-directed and self-regulated learning: Conceptual links. Canadian Journal of University Continuing Education. 2007;33(2). [DOI]
28. Cheng SF, Lee-Hsieh J, Turton MA, Lin KC. Validation of self-directed learning instrument and establishment of normative data for nursing students in taiwan: using polytomous item response theory. The journal of nursing research : JNR. 2014;22(2):90-100. [DOI]
29. Bahari G, Alharbi Kn, Alenazi L. Learning motivation and self-efficacy towards improved clinical performance in undergraduate nursing students: a cross-sectional study. Journal of clinical & diagnostic research. 2022;16(2).
30. Hassankhani H, Aghdam AM, Rahmani A, Mohammadpoorfard Z. The relationship between learning motivation and self efficacy among nursing students. Research and Development in Medical Education. 2014;4(1):97-101. [DOI]
31. Naderi Behrad R, Imani B, Rezvani S. Correlation between Spiritual Intelligence and Clinical Competency of Operating Room and Anesthesia Students Hamadan University of Medical Sciences. Pajouhan Scientific Journal. 2020;18(4):24-30. [DOI]
32. Imani B, Zandyeh M, Mahdiyoun A. The Effect of Emotional Intelligence on the Clinical Competency. Journal of Nursing Education. 2019;7(3):63-9. [Article]
33. Atmani M, Jasemi Khalyani M, Radfar M, Khalkhali. Investigating the relationship between perception of clinical learning environment with clinical competence in nursing students of urmia university of medical sciences in 2019. nursing and midwifery journal. 2021;19(6):427-36. [DOI]
34. Ezzati R, Tafazoli M, Mazlom SR, Asgharipour N. Evaluation of the extent of achieving clinical competencies in midwifery students and its relation with some of the demographic factors. Nursing and Midwifery Journal. 2018;16(9):678-85. [Article]
35. Khashei S, Ziaeirad M. The relationship between moral intelligence and clinical competence of nursing students in the internship course. nursing and midwifery journal. 2021;19(6):437-48. [DOI]
36. Karimi-Moonaghi H, Gazerani A, Vaghee S, Gholami H, Salehmoghaddam AR, Gharibnavaz R. Relation between spiritual intelligence and clinical competency of nurses in Iran. Iranian journal of nursing and midwifery research. 2015;20(6):665-669. [DOI]
37. Wons A, Bargiel-Matusiewicz K. The emotional intelligence and coping with stress among medical students. Wiadomosci Lekarskie (Warsaw, Poland: 1960). 2011;64(3):181-7.
38. Mousavi E, Aarabi A, Adel Mehraban M, Mojdeh S. A Survey of Healthcare Team Work and its Related Factors in Operating Room. Paramedical Sciences and Military Health. 2019;14(2):3947. [Article]
39. Yule S, Flin R, Maran N, Rowley D, Youngson G, Paterson-Brown S. Surgeons’ non-technical skills in the operating room: reliability testing of the NOTSS behavior rating system. World journal of surgery. 2008;32(4):548-56. [DOI]
40. Yang G-F, Jiang X-Y. Self-directed learning readiness and nursing competency among undergraduate nursing students in Fujian province of China. International Journal of Nursing Sciences. 2014;1(3):255-9. [DOI]
41. Vasli P, Asadiparvar-Masouleh H. Effects of self-directed learning on clinical competence and the mediating role of clinical learning environment among internship nursing students: A structural equation modeling approach. Research Square; 2022.
42. Yang J-J, Park M-Y. The relationship of clinical competency and self-directed learning in nursing students. The Journal of Korean academic society of nursing education. 2004;10(2):271-7.
43. Jho MY, Chae M-O. Impact of self-directed learning ability and metacognition on clinical competence among nursing students. The Journal of Korean academic society of nursing education. 2014;20(4):513-22.

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