نیازسنجی آموزشی پرستاران مراکز درمانی مرتبط با فرآیند انتقال خون
محورهای موضوعی : روش های نوین آموزش وتوسعه منابع انسانیمینا موسی خانی 1 , اباصلت خراسانی 2 * , معصومه السادات ابطحی 3
1 - دانشجوی دکتری تخصصی رشته برنامه ریزی درسی گروه علوم تربیتی دانشکده تعلیم وتربیت اسلامی، واحدعلوم وتحقیقات داشگاه آزاد اسلامی ،تهران، ایران
2 - عضو هئیت علمی دانشگاه شهید بهشتی،تهران، ایران
3 - عضو هئیت علمی گروه علوم تربیتی دانشکده تعلیم وتربیت اسلامی، واحدعلوم وتحقیقات داشگاه آزاد اسلامی ،تهران، ایران
کلید واژه: آموزش, نیازسنجی آموزشی, استاندارد مهارت, مراکز درمانی, پرستاران,
چکیده مقاله :
تعیین نیازهای آموزشی پرستاران مرتبط با فرآیند انتقال خون مي‌تواند منجر به بهبود دانش و مهارتها، ارتقا کيفيت خدمات ارائه شده و عملکرد بهتر آنها شود. این مطالعه جهت تعیین نیازهای آموزشی پرستاران مرتبط با فرآیند انتقال خون صورت پذیرفت. جامعه آماری این مطالعه پرستاران خبره شاغل در بیمارستان‌های سراسر کشور می‌باشد و نمونه‌گیری این جامعه آماری بر اساس ترکیب روش طبقه‌بندی، ملاک‌مدار و تصادفی می‌باشد .ابزار کار پژوهش حاضر یک پرسشنامه محقق ساخته که تلفیقی از دو روش استاندارد مهارت و دیکوم می‌باشد. از بین پرستاران منتخب از سوی بیمارستان‌ها پس از مصاحبه، یک گروه به صورت هدفمند انتخاب گردید. برای پرستاران منتخب در سازمان انتقال خون جلسات آموزشی جهت تکمیل ابزار کار گذاشته شد. با استفاده از ابزار کار عنوان وظایف کلی ، وظایف فرعی و اولویت‌بندی وظایف فرعی مشخص گردید. سپس دانش، مهارت و نگرش‌های مورد نیاز در زمینه شایستگی‌ها، محتوای آموزشی و اهداف رفتاری مشخص شد. در نهایت دوره‌های آموزشی مرتبط با وظایف و فعالیت‌ها مشخص شد.کارشناسان خبره انتقال خون اطلاعات جمع‌آوری شده را مورد نقد و بررسی قرار دادند. اطلاعات با سایت o*net مطابقت داده شد پس از جمع‌بندی جهت اعتبار‌یابی توسط گروه‌های کانونی که شامل پرستاران خبره منتخب و متخصصان انتقال خون مورد نقد و بررسی قرارگرفت و تائید نهائی صورت پذیرفت. نتایج به‌دست آمده شامل 7 وظیفه اصلی و 42 وظیفه فرعی می باشد، همچنین اولویت‌بندی وظایف فرعی، سطوح و حیطه شایستگی برای هر وظیفه مشخص گردید. و در نهایت 10عنوان دوره آموزشی جهت طراحی دوره‌های آموزشی استخراج گردید.
Determining the educational needs of nurses related to the blood transfusion process can lead to the improvement of knowledge and skills, the improvement of the quality of services provided, and higher performance. This study was conducted with the purpose of determining the educational needs of nurses related to the blood transfusion process. The statistical population of this study was expert nurses working in hospitals all over the country, and the sampling of this statistical population were selected based on the combination of classification, criteria-based and random methods. The tool of the present research was a researcher-made questionnaire, which was a combination of two standard methods of skill and DICOM. Among the nurses selected by the hospitals after the interview, a group was selected purposefully. Training sessions were held for the selected nurses in the blood transfusion organization to complete the tool. By using the work tool, the titles of general tasks, subtasks and prioritization of sub-tasks were determined. Then the required knowledge, skills and attitudes in the field of competencies, educational content and behavioral goals were specified. Finally, the training courses related to the tasks and activities were determined. Blood transfusion experts reviewed the collected information. The information matched with o*net website after being summarized for validation by focus groups that included selected expert nurses and blood transfusion specialists, and the final approval was made. The obtained results included 7 main tasks and 42 sub-tasks, also the prioritization of sub-tasks, levels and scope of competence for each task were determined. And finally, 10 educational course titles were extracted for designing educational courses.
1.Encan B, Akin S. Knowledge of blood transfusion among nurses. The Journal of Continuing Education in Nursing. 2019;50(4):176-82.
2.Rao SV, Jollis JG, Harrington RA, Granger CB, Newby LK, Armstrong PW, et al. Relationship of blood transfusion and clinical outcomes in patients with acute coronary syndromes. Jama. 2004;292(13):1555-62.
3.Bielby L, Stevenson L, Wood E. The role of the transfusion nurse in the hospital and blood centre. ISBT Science Series. 2011;6(2):270-6.
4.Purfarzad Z, Farmahini Farahani M, Ghamarizare Z, Ghorbani M, Zamani M. Nurses’ Knowledge and practice of blood transfusion in hospitals of Arak in 2010. Scientific Journal of Iran Blood Transfus Organ. 2012;9(3):337-45.
5.Mole LJ, Hogg G, Benvie S. Evaluation of a teaching pack designed for nursing students to acquire the essential knowledge for competent practice in blood transfusion administration. Nurse education in practice. 2007;7(4):228-37.
6.Farideh Jalali MF, Mohammad reza Balali, Homa Ramezani, Mostafa Moghadam, Fatemeh Rajabpur Niknam, Maryam Khosravian, Nahid Moradi. . Iranian national haemovigilance guideline: Zohd; 2015.
7.Gharehbaghian A, Vafaie N. Research collection of Iranian Blood Transfusion Organization. Tehran: Zohd Publication. 2005;1(2):113.
8.Wu W-C, Rathore SS, Wang Y, Radford MJ, Krumholz HM. Blood transfusion in elderly patients with acute myocardial infarction. New England Journal of Medicine. 2001;345(17):1230-6.
9.Hijji B, Parahoo K, Hossain MM, Barr O, Murray S. Nurses’ practice of blood transfusion in the United Arab Emirates: an observational study. Journal of clinical nursing. 2010;19(23‐24):3347-57.
10.Zareiyan Jahromi A, Ahmadi F. Learning needs assessment in bachelor of nursing: a qualitative research. Iranian journal of medical education. 2005;5(2):81-92.
11.Bahrami S, Forughi Abari AA. Health directors and experts, and proper need assessment models. Iranian Journal of Medical Education. 2003;3(1):71-9.
12.Khorasani A. Training need assessment (operational strategies): industrial research and training center of Iran; 2007.
13.Saadat E. Human Resource Management, SAMT, publication. ISBN: 964-459-183-6. 2004.
14.Keikhavani S, Hosseinzade M. Educational needs assessment of faculty members in Ilam UMS. Journal of Medical education development. 2013;6(11):61-71.
15.Sullivan EJ, Decker PJ. Effective leadership and management in nursing. AJN The American Journal of Nursing. 1998;98(6):16L.
16.Bysshe S. Win-Win Growing Your Team Growing Your Business: Promoting the Economic Benefits of Information, Advice and Guidance to Small and Medium-Sized Employers. 2004.
17.Lee SM, Kim YH, Shim YM, Choi JS, Yu M. Development of hospital nurses' job description based on DACUM method: Focusing on General Ward and Intensive Care Unit. Journal of korean Academy of Nursing administration. 2017;23(5):535-47.
18.Kang M-J, Seo J-S, Kim E-M, Park M-S, Woo M-H, Ju D-L, et al. Development of job standards for clinical nutrition therapy for dyslipidemia patients. Clinical nutrition research. 2015;4(2):76-89.
19.Kosidlak J. DACUM: Setting maternity nursing competency standards for public health nurses. Management Review. 1987;76:19-20.
20.Nurses' educational needs assessment by DACUM method: a case study. Quarterly Journal of Nersing Management. 2014;3(1):45-54.
21.Hossein Ojaghi Haghighi S, Hejazi A, Zijah V. Need Assessment Models of Continuing Medical Education in Advanced and Developing Countries-A Systematic Review Study. Depiction of Health. 2019.
22.Jannati N, Ameri A, Salmanizadeh F. ASSESSMENT OF THE MOST IMPORTANT EDUCATIONAL NEEDS OF NURSING STAFF: A CASE STUDY. Nursing and Midwifery Journal. 2020;18(9):722-31.
23.Mahdizadeh AH, Taheri Z. Educational Needs Assessment of Nurses Working In Hospitals of Tehran University. 2 Journal of Nursing Education. 2016;5(3):1-9.
24.Assemi S. What the nurse should know and do about blood transfusion. Iranian Nursing Journal. 2004;36.
25.Jafari E, Koohestani S, Ghaziizade M. Knowledge among health care workers about hemovigilance in hospitals of Kerman in 2018. The Scientific Journal of Iranian Blood Transfusion Organization. 2019;16(4):280-8.
26.Aslani Y, Etemadyfar S, Noryan K. Nurses’ knowledge of blood transfusion in medical training centers of Shahrekord University of Medical Science in 2004. Iranian journal of nursing and midwifery research. 2010;15(3):141.
27.Taheri -Ezbarami Z, Rafie-papkiadeh S, Mirzaie Takmili M, Kazemnejad-Leili's E. Knowledge and Clinical Decision-Making of Nursing Students of Guilan University of Medical Sciences in Use of Blood Transfusion in Pediatric Nursing. The Scientific Journal of Iranian Blood Transfusion Organization. 2020;17(3):188-99.
28.Shamshirian A, Alirahimi Z, Ghorbanpour A, Motamen S, Maadi N, Zamani P, et al. Knowledge and awareness of nursing students on blood transfusion. International Journal of Medical Investigation. 2017;6(4):129-34.
29.Lee ELS, Rahim A, Arzuar N, Din T, Azdiana S. Knowledge of blood transfusion among nurses at hospital pulau pinang: nursing responsibilities and patient management related to transfusion reactions. Education in Medicine Journal. 2016;8(4).
30.Kavaklioglu AB, Dagci S, Oren B. Determination of health workers’ level of knowledge about blood transfusion. Northern clinics of Istanbul. 2017;4(2):165.
31.Fathi Vajargah K. Principles of curriculum planning. Tehran, Iran: Iran-Zamin Publications. 2005.
32.Tehraninezhad M, Neshati Sani S, Mirhaji P. Assessing the nurses' views on educational needs in patient education in 2016. 2018.
33.Fathi Vajargah K. DACUM analysis guide (comprehensive approach in educational need-assessment. Tehran, Sima-ye Danesh Publications. 2012.
34.Yamani M, Hasanzadeh Barani Kourd S, Khorasani A. Identify middle managers, educational needs of Iran Khodro co and the affiliated companies. Journal of Management and Planning In Educational System. 2011;4(2):8-27.
35.Rothschild JM, McGurk S, Honour M, Lu L, McClendon AA, Srivastava P, et al. Assessment of education and computerized decision support interventions for improving transfusion practice. Transfusion. 2007;47(2):228-39.
36.Kasraian L. The awareness of medical staff of hospitals in Shiraz about transfusion medicine and the impact of education. Scientific Journal of Iran Blood Transfus Organ. 2014;11(3):214-20.
37.Vaghar MI. The impact of an educational program on blood and blood products transfusion on nurses’ level of knowledge and performance. Journal of medicine and life. 2018;11(3):238.
38.Freixo A, Matos I, Leite A, Silva A, Bischoff F, Carvalho M, et al. Nurses knowledge in Transfusion Medicine in a Portuguese university hospital: the impact of an education. Blood Transfusion. 2017;15(1):49.