Fariba Asgari - Academia.edu (original) (raw)

Papers by Fariba Asgari

پژوهش در آموزش علوم پزشکی, Jul 1, 2016

Introduction: Students particularly, students of medical sciences not only experience problems th... more Introduction: Students particularly, students of medical sciences not only experience problems that other students have but also they confront specific problems that are related to their job so that, they are threatened more by losing their psychological health .definitely, Self-esteem, is the most important factor in mental growth, also effective factor in academic achievement .this study has been done for determining self-esteem in students of guilan university of medical sciences. Methods: This is a descriptive-analytical study. In this study, statistical population including 2866 students of Guilan University of Medical Sciences that 537 of them were selected through stratified random sampling method in 93-94. The data were collected through cooper-smith self-esteem questionnaire in 4 domains (general esteem, social, family and educational) and demographic questionnaire and were analyzed by using inferential statistics ,Kolmogorov-Smirnov , Friedman test and SPSS software. Results: The results showed that the mean and standard deviation score of self-esteem in general dimension (19.51±4.29) , the social dimension (5.35±1.29) , the family (6.37±1.69), educational (5.62±1.68) and total self-esteem was reported (36.82±6.97) respectively. also, there is significant difference among mean score of self-esteem with sex of students(p=0.015),course(p=0.023), willingness to course (p=0.0001) and failing in one credit(p=0.013). Conclusion: According to the result , the highest mean score of self-esteem was related to familial domain and the lowest average was in terms of social self-esteem, so, considering the importance and necessity of self-esteem in academic achievement, holding educational workshops to strengthen Self-esteem by focusing on different effective factors is suggested

Eurasian journal of emergency medicine, Mar 1, 2019

Aim: The study determines moral distress and related factors among emergency nurses. Moral distre... more Aim: The study determines moral distress and related factors among emergency nurses. Moral distress is one of the recurring issues in the nursing profession that has gained importance by creating changes in the health care system. Materials and Methods: An analytic-descriptive study was conducted, in which all 180 nurses working in emergency education and health centers in were included. Moral distress was measured by questionnaire. Data were analyzed using SPSS 17. Results: The findings showed that moral distress in emergency nurses (4.93±1.08) was high. Most moral distress was in the area of professional-functional competence (5.21±1.17) in the item of "unsafe conditions" (5.55±1.45). No statistically significant correlation was found between age and experience with moral distress among nurses in the emergency department. From the perspective of nurses in the study, organizational factors including barriers to education were the strongest factor influencing moral distress. Conclusion: Given that moral distress in nurses participating in the study was very high, it seems that planning to promote professionalfunctional competency of nursing practice are essential.

Eurasian journal of emergency medicine, Dec 1, 2021

The World Health Organization has described COVID-19 as both an emergency and a critical disaster... more The World Health Organization has described COVID-19 as both an emergency and a critical disaster for human health (6,7). Disasters demand special attention because they are sudden, disruptive, and involve considerable uncertainty. When a disaster occurs, the functioning of healthcare systems is often disrupted because there are so many victims in comparison to shortage of staff and resources (8). In these situations, nurses face new challenges and must set appropriate goals to ensure that the quality of their care is consistent. So new health leadership teams may be formed quickly to manage a disaster, even if team members lack the necessary leadership skills. Health team leaders often make

Journal of education and health promotion, 2018

BACKGROUND: Achievement of productivity and improvement of quality in the educational system is t... more BACKGROUND: Achievement of productivity and improvement of quality in the educational system is the effective, influential factors for countries development. Academic achievement is the main objective of the training program and the most important concerns of teachers, education officials, and university Student's families. Self-esteem is one of the factors affecting student academic achievement. This study is aimed to investigate the relationship between self-esteem and academic achievement in Medical Sciences students of in 2014-2015. SUBJECTS AND METHODS: This is a descriptive-correlational study. In this study, 537 university students were selected using random stratified sampling method from Guilan University of Medical Sciences in 2014-2015. Data were collected using the standard self-esteem questionnaire of Cooper Smith consisting of four elements (general, social, familial, and educational) and a demographic questionnaire. Data were analyzed using SPSS software version 21 and descriptive statistics such as Spearman correlation and Logistic Regression. RESULTS: The results indicated a significant relationship between grade point average and educational self-esteem (P = 0.002, r = 0.135) and global self-esteem (P = 0.02, r = 0.102). There was also a significant relationship between composite Index educational status and general self-esteem (P = 0.019, r = 0.102) and academic achievement (P = 0.007, r = 0.116) and global self-esteem (P = 0.020, r = 0.102). CONCLUSIONS: According to the results, the highest mean score of self-esteem was related to the familial element, and the lowest average was in terms of social self-esteem, therefore, given the importance and necessity of self-esteem in academic achievement, strengthening of all aspects of self-esteem is suggested.

Journal of Holistic Nursing and Midwifery, Oct 10, 2008

Introduction: Absenteeism is a side effect of personnel problems. Researches in different societi... more Introduction: Absenteeism is a side effect of personnel problems. Researches in different societies show nursing professionals experience high level of sickness absence in comparison with other occupational professionals. Absenteeism adversely affects patient care both directly and indirectly and nurses also as members of health care systems suffer from it. Objective: The purpose of this study was to determine the effective personal and familial factors on absenteeism in nursing professionals at educational-therapeutic centers in Rasht. Methods: In this cross-sectional and descriptive study, 600 nursing professionals were studied. A self-administered questionnaire survey method was used to collect data and it was analyzed with SPSS 11.5, chi square and exact fisher test. Results: Analyses revealed that 78.8 % of nursing professionals were not absent in the last 6 months. In addition 71% of all absences were 1-3 days (short-term). The main cause of absence was illness (69.4%) and back pain had the highest rate (33.9%) among who were absent in the last 6 months. Double booked with another facility were associated with short term absence (p<0.05) but none of other factors associated with absence. Conclusion: These results suggest that nurse managers should recognize the factors that cause nurses to work in double facilities that can be related to financial demands or staffing status of nurses. Also because the main cause of absence was illness they should plan for promotion of nurses' health.

پژوهش در آموزش علوم پزشکی, Dec 1, 2020

Due to the Coved 19 pandemic and the need to use different e-learning methods for clinical teachi... more Due to the Coved 19 pandemic and the need to use different e-learning methods for clinical teaching, this letter was sent to the editor with the aim of introducing the SAID model for clinical teaching using webside teaching method.

پژوهش در آموزش علوم پزشکی, Apr 1, 2013

Introduction: Construct of self-efficacy in an educational setting is of utmost importance. Selfe... more Introduction: Construct of self-efficacy in an educational setting is of utmost importance. Selfefficacy is in the context of social cognitive Bandura's theory. This study was based on Bandura's theory in order to determine the correlation between self-efficacy and clinical performance of the Internship nursing students. To pay attention to learners` abilities and beliefs toward the teachinglearning process and the results are given in order to enhance students' clinical skills. Methods: This cross-correlation study performed on all students of nursing (51) selected through census method of Islamic Azad University of Rasht. Tools of study were a Questionnaire "Clinical performance self-efficacy" with 46 items in four domains and a "researcher-made Check List" with 28 items and Likert-five points about clinical performance of nursing students. The face and content validity of tools was determined. Cranach's alpha coefficient for the final utility "function clinical efficacy "was α=0.92 and for checklist it was α=0 .87 respectively. Clinical practice of students of the surgical and internal wards of selected health centers during their intensive training were observed and evaluated, by means of the checklist. Data was analyzed, descriptive statistics (frequency, percentage, mean) and inferential statistics (Pearson correlation) with a significance level of 0.05 using SPSS version 16 was used. Results: Results showed that the average and standard deviation of scores in self-efficacy in clinical performance tool was 66.50±11.21 and clinical performance of nursing total scores has been on 3.74±0.47 well as between self-efficacy in clinical performance and nursing clinical performance there was a significant positive correlation. (r=0.286, p< 0.003) Also, only a positive significant relationship between average and self-efficacy in clinical performance was evident. (p<0. 04) Conclusion: Efficacy of the training relates to its impact on the future performance of students. Academic knowledge and skills in clinical practice is only one of the affecting variables. Teachers should also consider other factors such as student self-efficacy. Therefore, it is important to consider the promotion of non-academic factors, such as efficacy, especially in the clinical setting, resulting in more accurate assessment of students' performance.

Research in Medical Education, Oct 15, 2007

Journal of Research in Medical and Dental Science, Dec 1, 2016

Introduction: Evaluation is one of the most important stages of education system. Student exams m... more Introduction: Evaluation is one of the most important stages of education system. Student exams may be used both for student assessment and program evaluation. Given the significance of general medicine exams, the present study systematically reviews studies conducted on these exams in Iran in 2016.Methods : Available documents weresystematically reviewed and their information was collected. Using documents available in scientific databases suchas IranMedex, SID, Magiran, Medlib, PubMed, Google Scholar, ERIC by appropriate keywords (doctor, generalpractitioner, student, graduate, trainee, intern, exam, general sciences, pre-internship, skill and medical), 59 studies conducted on general medicine exams until March 2015 were extracted; of these studies, 10 studies which wereavailable in full text and met the least research quality were selected for the review. Results: Out of 10 studiesreviewed, 7 studies evaluated the effective factors on results of general medicine exams and 3 studies analyzed theresults of these exams. Meanwhile, results of those 7 studies showed that low GPA, delay in passing the basicsciences and age at the time of admission to the university are effective factors on results of exams. Results of threestudies analyzing exams showed that genetics and radiology gained the highest and parasitology, orthopedics andphysiology gained the lowest average percentage of scaled relative ratings. In analysis of 40 exams during a 20-yearperiod, 65.8% students were passed the exams in the first trial. However, 99.6% of participants continued their education after few trials. Conclusion: The factors such as length of stay in medical school and grand point averageof students are predicating comprehensive exam results in all the reviewed studies. Therefore, these factors can beconsidered as effective factors on results of general medicine exams. Also the results may support the importance ofnational comprehensive exams as a reliable tool in fostering quality in education. Keywords: exam, basic sciences, pre-internship, general medicine

Journal of hayat, Feb 10, 2013

Background & Aim: Recognizing and modifying organizational commitment and its related factors is ... more Background & Aim: Recognizing and modifying organizational commitment and its related factors is important. It seems that nurses' attitudes towards learning organizations influence their organizational commitment. This study aimed to determine the relationship between nurses' attitudes towards learning organizations and organizational commitment. Methods & Materials: In this descriptive-correlative study, 719 nurses working in Rasht educational hospitals were recruited to the study. We gathered data using the Porter organizational commitment questionnaire and the Jeong learning organization questionnaire. Data were analyzed using descriptive statistics and the Spearman and t-tests in the SPSS-18. Results: Most of the nurses were female (94.7%) and registered (35.3%). The mean (SD) age of the nurses was 32.13 (6.98). The mean (SD) of the organizational commitment was 27.10 (42.50). The mean (SD) of the learning organization was 92.72 (10.04). The relationship between the organizational commitment and nurses' attitudes towards learning organizations was statistically significant (r=0.482; P<0.0001). Conclusion: It seems improving nurses' attitudes towards learning organizations may result in better organizational commitments.

AIMS medical science, 2019

Introduction: Academic burnout is among the factors that negatively affect academic performance a... more Introduction: Academic burnout is among the factors that negatively affect academic performance and has recently been studied in schools and universities. Aim: The aim of this study was to determine the relationship between academic burnout and educational factors among students of Guilan University of Medical Sciences in 2015–2016. Materials and methods: This cross sectional study was conducted on 532 students who were in second or higher semester of their study in Guilan University of Medical Sciences. The instruments used in this study were the Maslach’s Student Burnout Questionnaire and the Educational Factors Questionnaire. Data were analyzed using SPSS software version 21. Results: A significant relationship was observed between academic burnout and passion in college major (P = 0.0001), failing the courses (P = 0.0001), probation record (P < 0.009), teaching factors, educational environment and educational facilities (P < 0.05). Conclusion: The results of this study indicated a significant relationship between academic burnout and a number of educational factors. As a result, appropriate educational and teaching facilities can reduce students’ academic burnout.

Strides in development of medical education, 2015

Background & Objective: One method to evaluate and monitor the effectiveness of the general medic... more Background & Objective: One method to evaluate and monitor the effectiveness of the general medicine curriculum is the collection of results of research in this field. In this study, research results on the extent of predefined general competency in the formal document of the minimum competencies of Iranian general physicians have been systematically integrated. Methods: The search strategy in this study included the searching of words doctor, student, interns, or graduate, and ability, competency, knowledge, skill, attitude, or performance, in the title, abstract, or keywords of articles. All papers published from 2002 to 2014 in Persian language journals were retrieved from the Irandoc, Iranmedex, Magiran, Medlib, and SID databases. Results: After the removal of irrelevant or duplicate papers, from 270 recorded papers, 24 articles were selected and analyzed. All studies were descriptive studies and most used selfreporting methods to assess the competency of physicians. Reviewed articles focused on only 48% of subdomains of the formal document of the minimum competencies of physicians. In 70% of assessed skills, physicians' competencies were estimated as low to moderate. Conclusion: Although these studies did not assess all skills mentioned in the formal document of the minimum competencies of physicians, estimates show that the competencies of general physicians in assessed skills were not desirable. It is recommended that future studies in this field to be managed.

iranian journal of nursing and midwifery research, Feb 8, 2010

Method and Materials: This was a quasi-experimental research study on 50 discharged patients from... more Method and Materials: This was a quasi-experimental research study on 50 discharged patients from cardiac surgery wards of some selected hospitals (25 patients before intervention and 25 after intervention). The data were gathered by questionnaires and included demographic ...

پژوهش در آموزش علوم پزشکی, Oct 1, 2012

Introduction: Determine research priorities as a scientific process and principle of strategic pl... more Introduction: Determine research priorities as a scientific process and principle of strategic planning and research sturcture devote resources for the best assigned. Given the importance and role of scientific research in micro and macro planning and also considering the basic needs of society in the direction of research should be relevant, the aim of this study was to determine research priorities in education from the viewpoint of the medical school faculty. Methods:This cross-sectional study on 30 individuals have expert faculty of Guilan University of Medical Sciences. Medical research environment was in Rasht. Data collection method, Delphi method was conducted in three stages. Collected data using SPSS software version 13 was analyzed. After calculating the scores of all participants on each title, titles that had a higher score as a high priority issue in the domain were concerned. Results: Results of the consensus, including 89 reserch subject in six priority areas of research training as was provided. After scoring and analysis of different areas, eventually about six titles in different areas of consensus was achieved. Respectively in the final stage in each domain: educational planning 39 subject, educational evaluation 19 subject, Faculty 13 subject, continuing education 5 subject, educational management 10 subject and talented students 3 subject were confirmed. Conclusion: It seems that in order to providing the necessities of community, determine medical education research as one of basic objectives of strategic planning in education as well as coordinate educational development office (EDO) activities with others is necessery.

Strides in development of medical education, Jul 1, 2010

Background & Objective: An effective teaching is a collection of teachers' behaviors leading to e... more Background & Objective: An effective teaching is a collection of teachers' behaviors leading to educational goals and better learning. This study was conducted to determine the indices of an effective teaching from teachers' and students' point of view in Guilan University of Medical Sciences in 2005. Methods: In this descriptive cross-sectional study, 90 teachers according to consensus and 200 students randomly selected participated. Data was collected using a researcher-made questionnaire, which its content validity and test-retest reliability were already confirmed. The questionnaires, including four main domains of scholarship, teaching method, communication ability and personality, were completed in a self-reporting way. Results: Our findings suggest that the main domains of an effective teaching, according to teachers' point of view, include scholarship, teaching method and communication ability whereas students' believed that communication ability, teaching method, personality and scholarship are in priority. There was a significant relationship between sex and teachers' point of view about teaching indices (P=0.043). There was no significant relationship between students' demographic information and their point of view. Conclusion: According to our results and to improve teaching quality, it is recommended to consider the characteristics of an effective teaching according to students' point of view and create objective and valid evolution forms to promote educational quality, the final goal of evaluation.

Research Square (Research Square), Nov 24, 2022

Background: SCT, considered a valid alternative to the classical evaluation method, is a distinct... more Background: SCT, considered a valid alternative to the classical evaluation method, is a distinctive method to evaluate medical students' clinical reasoning skills. The present study aimed to determine the correlation between SCT and clinical-based classical multiple-choice questions (MCQs) in the clinical evaluation of the course of oral disease among Guilan dental students. Methods: In this analytical cross-sectional study, 73 nal-year students of the dentistry school of Guilan University who had completed oral and dental diseases courses 1 to 5 were investigated. In this study, in addition to the classical MCQ test at the end of the semester, 15 SCT scenarios with three follow-up questions (45 questions in total) were also administered to the students. The di culty and discrimination coe cients and the correlation coe cient between the SCT and MCQ tests were measured. Results: The results showed that the mean age of the students was 24.1±59.36, and 53% (39 individuals) were males. Their GPA of the previous semester was 15.42 ± 1.23. Based on the obtained results, a direct and signi cant relationship was found between the SCT and the MCQ scores (P=0.035); as the SCT scores increased, the MCQ scores increased accordingly. Conclusions: SCT scores were correlated with the results obtained in the classical MCQ test. It is recommended that more research on SCT be used in formative evaluations.

Introduction: As a novel teaching technique, educational simulations can expand students’ knowled... more Introduction: As a novel teaching technique, educational simulations can expand students’ knowledge, skills, and performance. This study was carried out to design, implement, and evaluate simulated nursing grand rounds in promoting the learning of clinical nursing care in postgraduate nursing students at Guilan University of Medical Sciences. Materials and methods: In this quasi-experimental study, all postgraduate nursing students of Shahid Beheshti School of Nursing and Midwifery, Rasht, in the second semester of the academic year 2021-2022, were invited to take their clinical credits. Each training credit was held in six days by attending nursing grand rounds in the clinical setting with the relevant professor and peers and participating in the simulated grand rounds at the skill lab. The data collection tool consisted of a two-section questionnaire, with the first part containing a demographic profile and a questionnaire about satisfaction with the simulated grand round (STROEHL...

Caspian Journal of Health Research

Background: The roles of Faculty members of medical sciences universities in responding to and co... more Background: The roles of Faculty members of medical sciences universities in responding to and controlling critical situations and epidemic diseases are critical and of great importance. Objective: This study was aimed to explain the role of faculty members in dealing with epidemics and crises. Materials and Methods: This qualitative study was conducted using a content analysis method at Guilan University of Medical Sciences in 2020. Thirteen faculty members (physician, Ph.D. in nursing, anesthesiologist, PhD in reproductive health, and Ph.D. in disaster and emergency health) were selected through purposive sampling method, and their viewpoints were surveyed until data saturation was reached. Data were collected through semi-structured interviews. Qualitative content analysis was used to analyze the data. Results: Based on participants’ experiences, several roles could be considered under 3 main categories: a public educator, a clinical therapist, and a manager. Each of these main c...

Background: SCT, considered a valid alternative to the classical evaluation method, is a distinct... more Background: SCT, considered a valid alternative to the classical evaluation method, is a distinctive method to evaluate medical students’ clinical reasoning skills. The present study aimed to determine the correlation between SCT and clinical-based classical multiple-choice questions (MCQs) in the clinical evaluation of the course of oral disease among Guilan dental students. Methods: In this analytical cross-sectional study, 73 final-year students of the dentistry school of Guilan University who had completed oral and dental diseases courses 1 to 5 were investigated. In this study, in addition to the classical MCQ test at the end of the semester, 15 SCT scenarios with three follow-up questions (45 questions in total) were also administered to the students. The difficulty and discrimination coefficients and the correlation coefficient between the SCT and MCQ tests were measured. Results: The results showed that the mean age of the students was 24.1±59.36, and 53% (39 individuals) we...

Journal of Health …, 2005

Introduction: Time restraint, heavy workload, limitation of diagnostic procedures and Urgency in ... more Introduction: Time restraint, heavy workload, limitation of diagnostic procedures and Urgency in selecting treatment Method are among the remarkable features of working in emergency units. These points, along with other particular problems in a selected emergency largest referral unit in Glean/province were our driving force to document the weaknessess by using statisties and information and propose a strategy to improve the quality of health care rendered to patients. Methods: In a cross-sectional study conducted within a month period, the quality health of services rendered to all referrals in emergency units expect, infant emergency unit, gyneochological and obsterics (O.B.G), and psychiatric cases were studied, A criterian based questionnaire was designed to be completed by the observer, then data were tallied statistically by computer. Finbings: The number of referrals to the emergency department whilst the study was being conducted amounted to 2815.Or on the average (84 daily).59.2 percent personally referred, 40.8 percent were referrals from other centers or offices, 42.3 percent were hospitalized and 57.7 percent were treated as outpatients. The mean time spent for each diagnostic and treatment procedurals was as follows: The average time spent by trainers was 29 minutes, the time patient entered the unit until he was actually admitted took 55 minutes, record filling was 16 minutes, prescripitonal procedures 16 minutes, transfer time to the other departments 18 minutes, the time the emergency patient entered the ward (after diagnosis and treatment procedurals) till he got the prescription 118 minutes, lab results took 97 minutes. EKG results 11 minutes, sonography results 48 minutes, C.T scan from reqursting to return the result took 27 minutes. During Shahrrivar month in 1381, orthopedic and surgical wards had the most admissions (39.1and 28.8 respectably). Resident aids in the screening room at the emergency department were mostly anesthesists an surgeon aids all inal only 10.2 percent of the sceener's field of specialty matched the referees' cases. The average CPR and death cases in emergency unit was 2.5 and 2 respectably. Early diagnosis in 34% of the cases were correct and 5.4 percent were wrong. 42.8% of cases the final dignosis was determined by only one sign or indication. In 15.1% of the cases, there existed an ambiguity in the patient's diagnosis. The most crowded referral time estimated to have between 4 to 12p.m (49.4%). Results: considering the results, the procedures which hinderd the work flow in the selected center include: diagnositic tests, making decisions on admission, orders, filing procedures. Other shortcomings of the selected center are; lack of adequate space and great number of emergency referrals, inconsistency of the aid's major field of study to the referrals actual medical complaint, and the absence of documentation of final diagosis in some cases.

پژوهش در آموزش علوم پزشکی, Jul 1, 2016

Eurasian journal of emergency medicine, Mar 1, 2019

Eurasian journal of emergency medicine, Dec 1, 2021

Journal of education and health promotion, 2018

Journal of Holistic Nursing and Midwifery, Oct 10, 2008

پژوهش در آموزش علوم پزشکی, Dec 1, 2020

پژوهش در آموزش علوم پزشکی, Apr 1, 2013

Research in Medical Education, Oct 15, 2007

Journal of Research in Medical and Dental Science, Dec 1, 2016

Journal of hayat, Feb 10, 2013

AIMS medical science, 2019

Strides in development of medical education, 2015

iranian journal of nursing and midwifery research, Feb 8, 2010

پژوهش در آموزش علوم پزشکی, Oct 1, 2012

Strides in development of medical education, Jul 1, 2010

Research Square (Research Square), Nov 24, 2022

Caspian Journal of Health Research

Background: SCT, considered a valid alternative to the classical evaluation method, is a distinct... more Background: SCT, considered a valid alternative to the classical evaluation method, is a distinctive method to evaluate medical students’ clinical reasoning skills. The present study aimed to determine the correlation between SCT and clinical-based classical multiple-choice questions (MCQs) in the clinical evaluation of the course of oral disease among Guilan dental students. Methods: In this analytical cross-sectional study, 73 final-year students of the dentistry school of Guilan University who had completed oral and dental diseases courses 1 to 5 were investigated. In this study, in addition to the classical MCQ test at the end of the semester, 15 SCT scenarios with three follow-up questions (45 questions in total) were also administered to the students. The difficulty and discrimination coefficients and the correlation coefficient between the SCT and MCQ tests were measured. Results: The results showed that the mean age of the students was 24.1±59.36, and 53% (39 individuals) we...

Journal of Health …, 2005