Volume 17, Issue 55 (2024)                   JMED 2024, 17(55): 154-163 | Back to browse issues page


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Kamali N, Amini Z, Asadi F, Mohammadi S, Khatib K, Gholami S. The role of operating room educational climate in the moral distress of operating room technology students: A cross-sectional study. JMED 2024; 17 (55) :154-163
URL: http://edujournal.zums.ac.ir/article-1-2046-en.html
Department of Medical Education, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran.
Abstract:   (254 Views)
Background & Objective: The learning environment plays a vital role in shaping a student's academic success and overall satisfaction. In this study, we aimed to evaluate the impact of the educational climate in the Operating Room (OR) on the moral distress experienced by operating room technology students.
Material & Methods: In 2022, we conducted a descriptive-analytical study on 58 undergraduate operating room technology students from North Khorasan University of Medical Sciences. We utilized purposeful sampling in the form of a census from qualified academic departments. To collect information, we used three questionnaires: one for demographic information, one for IMOTEC, and one for moral distress. We analyzed the data using independent t-tests, one-way analysis of variance, and Pearson's correlation coefficient, as well as multiple linear regression analysis at a 95% confidence level using SPSS 26 software.
Results: The mean score for the OR educational climate was 71.14 ± 12.01. The rate of moral distress was measured in severity and frequency dimensions, with scores of 1.87 ± 1.08 and 1.79 ± 0.94, respectively. We found a significant inverse relationship between the mean of the educational environment and the severity (p < 0.001) and frequency (p < 0.05) of moral distress.
Conclusion: Given that the educational climate is one of the key factors affecting moral distress, it appears that enhancing the educational climate in the OR environment can play a significant role in reducing the moral distress experienced by students.
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Article Type : Orginal Research | Subject: Education
Received: 2023/09/11 | Accepted: 2024/03/2 | Published: 2024/09/10

References
1. Hosseini SH. Evaluation the problems of clinical education in the sight of nursing students in Bandar-Abbas Medical Science Education in 2015. International Electronic Journal of Medicine. 2017;6(2):38-46.
2. Schwind CJ, Boehler ML, Rogers DA, et al. Variables influencing medical student learning in the operating room. The American journal of surgery. 2004;187(2):198-200. [DOI]
3. Nagraj S, Wall D, Jones E. The development and validation of the mini-surgical theatre educational environment measure. Medical Teacher. 2007;29(6):e192-e7. [DOI]
4. Khazayi T, Hajiabadi M, Khazayi T. Clinical education environment experiences of operating room students. Journal of Medical Education. 2015;14(4).166-173. [DOI]
5. Tazakori Z, Mehri S, Mobaraki N, et al. Factors affecting on quality of clinical education from perspectives of operating room students. Journal of Health and Care. 2015;17(2):128-36.
6. Jansson I, Ene KW. Nursing students’ evaluation of quality indicators during learning in clinical practice. Nurse Education in Practice. 2016;20:17-22. [DOI]
7. Sanie Jahromi M, Hojati S, Darvishi Tafvizi M, et al. Investigating the ethical atmosphere of the operating room from the viewpoint of operating room and anesthesiology students of Jahrom University of Medical Sciences: a descriptive cross-sectional study in 2018. Journal of Education and Ethics in Nursing. 2018;5(4):26-33. [DOI]
8. Abdollah Zadeh F, Lotfi M, Mirza Aqazadeh A, Etebari Asl Z. Viewpoints of operating room staff and students toward ethical climate in teaching hospitals of Tabriz university of medical sciences. Iranian Journal of Medical Ethics and History of Medicine. 2015;9(33):65-84.
9. Karami S, Sadati L, Nouri Khanegha Z, Rahimzadeh M. Iranian Measure of Operating Theatre Educational Climate (IMOTEC): Validity and reliability study. Strides in Development of Medical Education Journal. 2022;19(1):150-7. [DOI]
10. Mahoney A, Crowe PJ, Harris P. Exploring Australasian surgical trainees' satisfaction with operating theatre learning using the ‘surgical theatre educational environment measure’. ANZ Journal of Surgery. 2010;80(12):884-9. [DOI]
11. Meyer R, Van Schalkwyk SC, Prakaschandra R. The operating room as a clinical learning environment: an exploratory study. Nurse Education in Practice. 2016;18:60-72. [DOI]
12. Khoshgoftar Z, Ahmady S. Instruments for measuring medical education environments and scope of these applications. Strides in Development of Medical Education Journal. 2014;11(1):75-89.
13. Krautscheid L, Mood L, McLennon SM, Mossman TC, Wagner M, Wode J. Examining relationships between resilience protective factors and moral distress among nursing students. Nursing Education Perspectives. 2020;41(1):43-5. [DOI]
14. Lusignani M, Giannì ML, Re LG, Buffon ML. Moral distress among nurses in medical, surgical and intensive‐care units. Journal of Nursing Management. 2017;25(6):477-85. [DOI]
15. Ganske KM. Moral distress in academia. Online Journal of Issues in Nursing. 2010;15(3):1. [DOI]
16. Austin W, Lemermeyer G, Goldberg L, Bergum V, Johnson MS. Moral distress in healthcare practice: the situation of nurses. HEC Forum. 2005;17:33. [DOI]
17. Zadi Akhuleh O, Lotfi M, Sheikhalipour Z, Khodayari M, Rahmani V. Self-directed learning ability and its relationship with perceived perioperative competence in the senior undergraduate surgical technology students: a cross-sectional study. Journal of Medical Education Development. 2024;16(52):44-52. [DOI]
18. Mohammadi S, Borhani F, Roshanzadeh M. Moral distress in students: a cross-sectional study in educational environment. Medical Ethics Journal. 2015;9(31):29-47.
19. Shadfard Z, Taghizadeganzadeh M, Pournouroz N, Maarefi F, Badiyepeymaiejahromi Z. Investigating the role of self-esteem, happiness and hospital’s ethical climate in predicting perceived stress of paramedical students. Journal of Research in Medical Education. 2020;12(3):44-54. [DOI]
20. Esmaelzadeh F, Rajabdizavandi F, Nematollahi M. The relationship between ethical climate and moral distress from the perspective of operating room staff: a correlational study. Clinical Ethics. 2023;18(1):67-74. [DOI]
21. Teymoori E, Rahmani V, Fereidouni A, Khachian A, Hannani S. Ethical climate of the operating room from the perspective of the surgical team and its relationship with organizational culture and organizational commitment. Perioperative Care and Operating Room Management. 2022;26:100238. [DOI]
22. Sepehrirad E, Heidarzadeh M, Etebari Asl Z, Abbasian Z, Ashtari S. The relationship between moral sensitivity, ethical climate, and job strain with patient privacy from viewpoint of operating room staffs. Iranian Journal of Nursing and Midwifery Research. 2021;26(2):183-7. [DOI]
23. Hannani S, Khachian A, Teymoori E, Haghani H. Survey of correlation between ethical climate and organizational commitment from the viewpoints of operating room and anesthesia technologists in hospitals affiliated to Iran university of medical sciences. Military Caring Sciences Journal. 2020;7(3):243-51. [DOI]
24. Asl ZE, Abdollahzadeh F, Lotfi M, Attari AM, Asghari E. The relationship of ethical climate and nurses' job satisfaction in the operating room: a cross-sectional study. Nursing and Midwifery Studies. 2017;6(3):137-9. [DOI]
25. Lanes TC, Dalmolin GD, Silva AM, Bernardi CM, Schutz TC, Tiguman GM. Influence of the ethical climate on workers’ health among healthcare professionals: a systematic review. Revista Gaúcha de Enfermagem. 2023 Oct 27;44::e20220247. [DOI]
26. Atia NM, Abdelwahid AE. Ethical work climate, moral distress and organizational citizenship behavior of nurses: The mediating effect of moral courage. Egyptian Journal of Nursing and Health Sciences. 2023;4(3):39-56. [DOI]
27. Asgari S, Shafipour V, Taraghi Z, Yazdani-Charati J. Relationship between moral distress and ethical climate with job satisfaction in nurses. Nursing Ethics. 2019;26(2):346-56. [DOI]
28. Ghiami Keshtgar N, Shafiei F, Hosseini Zijoud S. Study of educational environment of operating room in teaching hospitals from learners’ viewpoints in Zahedan university of medical sciences. Research in Medical Education. 2022;14(4):25-33. [DOI]
29. Soomro SH, Rehman SS, Hussain F. Perception of educational environment in the operating theatre by surgical residents, a single-centre prospective study'. Journal of the Pakistan Medical Association. 2017;67(12):1864-79.
30. Al-Qahtani MF, Al-Sheikh M. Assessment of educational environment of surgical theatre a teaching hospital of a saudi university: using surgical theatre educational environment measures. Oman Medical Journal. 2012;27(3):217-23. [ [DOI]
31. Talat N, Sethi A, Mirza B, et al. Perception of surgical residents about learning in operation theatres at CHICH using STEEM. Health Professions Educator Journal. 2019;2(2):47-53. [DOI]
32. Elebute OA, Sule SS, Mofikoya BO, Jeje EA, Atoyebi OA. Surgical resident doctors' perception of their training using Surgical Theatre Educational Environment Measure (STEEM) tool in postgraduate surgical residency training institutions in Nigeria. Nigerian Postgraduate Medical Journal. 2022;29(3):256-61. [DOI]
33. Kamran R, Al-Eraky M, Izhaar F, Anjum KM. Educational environment: Medical students’perceptions of the educational environment in the surgical theater. The Professional Medical Journal. 2018;25(08):1270-6. [DOI]
34. Faghani M, Jouybari L, Sanagoo A, Mansourian A. The perspectives of students about educational climate of Golestan university of medical sciences in 2010. Journal of Medical Education Development. 2014;6(12):43-50.
35. Nasiri F, Fatollahi S, Hanani S. Comparing a view point of male and female undergraduate surgical technologists toward a quality of educational environment in Iran university of medical sciences in 2016-2017. Paramedical Sciences and Military Health. 2017;12(3):29-34.
36. Fathi M, Valiee S. Nursing, midwifery and operations room students perception of the educational environment of Kurdistan university of medical sciences. Journal of Education Strategies in Medical Sciences. 2019;12(3):12-22.
37. Zarei A, Haji J, Ghorbani M, Mohammadimehr M. Students' perspectives on clinical education environment in a military medical university. Journal of Research in Medical Education. 2023;15(1):22-30.
38. Heshmati H, Darvishpour K. Effective factors in clinical education quality from the viewpoints of operation room and anesthesiology students in Torbat Heydarieh university of medical sciences. Iranian Journal of Medical Education. 2015;15:601-12.
39. Hannani S, Khachian A, Teymoori E, Haghani H. Survey of correlation between ethical climate and organizational commitment from the viewpoints of operating room and anesthesia technologists in hospitals affiliated to Iran university of medical sciences. Military Caring Sciences Journal. 2020;7(3):243-51. [DOI]
40. Hexter AT, O’Dowd-Booth C, Hunter A. Factors that influence medical student learning in the operating room. Medical Teacher. 2019;41(5):555-60. [DOI]
41. Afrazandeh S, Bakhshizadeh F, Madah R, Khosravi M. Relationship between learning environment with civic-educational behaviors from the students᾽ viewpoint. Journal of Research in Medical Education. 2022;14(1):1-12. [DOI]
42. Roshanzadeh M, Shirvani M, Tajabadi A, Khalilzadeh MH, Mohammadi S. The clinical learning challenge of surgery technologist students: a qualitative content analysis. Journal of Payavard Salamat. 2022;16(2):102-12.
43. Wojtowicz B, Hagen B, van Daalen‐Smith C. No place to turn: Nursing students' experiences of moral distress in mental health settings. International Journal of Mental Health Nursing. 2014;(3):257-64. [DOI]
44. Rennó HM, Ramos FR, Brito MJ. Moral distress of nursing undergraduates: Myth or reality?. Nursing ethics. 2018;25(3):304-12. [DOI]
45. Kamali N, Hannani S, Amiri F, Hosseini AF, Mohammadi S. Level of moral distress in operating room technologist students in Iran: a cross-sectional study. Advances in Nursing & Midwifery. 2020;29(4):1-6. [DOI]
46. Shafipour V, Mousavinasab N, Jouybari L. The relationship between moral distress and professional values in nursing students. . Quarterly Journal of Medical Ethics. 2022;16(47):e10. [DOI]

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