Volume 30, Issue 3 (Summer 2024)
Intern Med Today 2024, 30(3): 100-105 |
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Basiri Moghaddam M, Askarkhah A, Baradaran R, Arabkhazaie A, Sarraf N, Arabkhazaie A. The Effect of Journaling on the Clinical Reasoning of Surgical
Technologist Students: An Interventional Quasi-Experimental Study. Intern Med Today 2024; 30 (3) :100-105
URL: http://imtj.gmu.ac.ir/article-1-4102-en.html
URL: http://imtj.gmu.ac.ir/article-1-4102-en.html
Mehrsa Basiri Moghaddam1 
, Afsaneh Askarkhah2 , Raheleh Baradaran3 , Azin Arabkhazaie4 , Nazanin Sarraf5 , Azar Arabkhazaie *6
, Afsaneh Askarkhah2 , Raheleh Baradaran3 , Azin Arabkhazaie4 , Nazanin Sarraf5 , Azar Arabkhazaie *6
1- Department of Operating Room Technology, School of Allied Medical Sciences, Social Development and Health Promotion Research Center, Gonabad University of Medical Sciences, Gonabad, Iran
2- Health in Disasters and Emergencies Research Center, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran
3- Department of Anatomy, Faculty of Medicine, Gonabad University of Medical Sciences, Gonabad, Iran
4- Department of Operating Room Technology, Torbat Jam Faculty of Medical Sciences, Torbat Jam, Iran
5- Department of Operating Room Technology, School of Allied Medical Sciences. Iran University of Medical Sciences. Tehran, Iran
6- Department of Operating Room Technology, School of Allied Medical Sciences, Social Development and Health Promotion Research Center, Gonabad University of Medical Sciences, Gonabad, Iran ,a.arabkhazie@gmail.com
2- Health in Disasters and Emergencies Research Center, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran
3- Department of Anatomy, Faculty of Medicine, Gonabad University of Medical Sciences, Gonabad, Iran
4- Department of Operating Room Technology, Torbat Jam Faculty of Medical Sciences, Torbat Jam, Iran
5- Department of Operating Room Technology, School of Allied Medical Sciences. Iran University of Medical Sciences. Tehran, Iran
6- Department of Operating Room Technology, School of Allied Medical Sciences, Social Development and Health Promotion Research Center, Gonabad University of Medical Sciences, Gonabad, Iran ,
Abstract: (50 Views)
Aims Clinical reasoning (CR) is considered one of the most important abilities required in medical sciences. The development of CR and decision-making skills requires innovative and comprehensive educational strategies. One proposed method in this field is journaling. This study aimed to investigate the impact of journaling on clinical education on the CR of surgical technology students.
Materials & Methods In this interventional study, 27 surgical technology students participated after providing informed consent. All internship students were included using a census method and randomly allocated to intervention and control groups. The control group underwent standard clinical training, while the intervention group received training based on journaling. The Self-Assessment of Clinical Reflection and Reasoning CR self-assessment questionnaire was employed to assess CR before and after the intervention. Data were analyzed using SPSS software (version ?). A paired t-test was used to compare CR scores before and after the intervention. An independent t-test was used to compare the groups.
Findings The students' age mean ± SD was 21.55 ± 1.64. Most participants (70.4%) were female, and 88.8% were single non-residents. The results indicated a statistically significant difference after the intervention (P = 0.0001). The journaling group exhibited a higher mean CR level. Initially, CR levels were unfavorable in both groups. After the intervention, improvements were observed in groups, with 92.9% of the control group and 76.9% of the journaling group demonstrating average and favorable reasoning, respectively.
Conclusion Journaling significantly improved CR scores in the intervention group compared to those in the control group (P < 0.001); 76.9% of participants in the intervention group achieved favorable levels, compared to an average of 92.9% in the control group. This clinically meaningful enhancement demonstrates that reflective journaling during clinical internships—beyond technical skill acquisition—strengthens error analysis, logical reasoning, and preparedness for high-stakes operating room challenges.
Materials & Methods In this interventional study, 27 surgical technology students participated after providing informed consent. All internship students were included using a census method and randomly allocated to intervention and control groups. The control group underwent standard clinical training, while the intervention group received training based on journaling. The Self-Assessment of Clinical Reflection and Reasoning CR self-assessment questionnaire was employed to assess CR before and after the intervention. Data were analyzed using SPSS software (version ?). A paired t-test was used to compare CR scores before and after the intervention. An independent t-test was used to compare the groups.
Findings The students' age mean ± SD was 21.55 ± 1.64. Most participants (70.4%) were female, and 88.8% were single non-residents. The results indicated a statistically significant difference after the intervention (P = 0.0001). The journaling group exhibited a higher mean CR level. Initially, CR levels were unfavorable in both groups. After the intervention, improvements were observed in groups, with 92.9% of the control group and 76.9% of the journaling group demonstrating average and favorable reasoning, respectively.
Conclusion Journaling significantly improved CR scores in the intervention group compared to those in the control group (P < 0.001); 76.9% of participants in the intervention group achieved favorable levels, compared to an average of 92.9% in the control group. This clinically meaningful enhancement demonstrates that reflective journaling during clinical internships—beyond technical skill acquisition—strengthens error analysis, logical reasoning, and preparedness for high-stakes operating room challenges.
Keywords: Clinical reasoning (CR), Critical thinking, Clinical education, Journaling, Operating room, students
Type of Study: Original |
Subject:
Surgery
Received: 2023/08/25 | Accepted: 2024/01/4 | Published: 2024/05/30
Received: 2023/08/25 | Accepted: 2024/01/4 | Published: 2024/05/30
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