Madineh Jasemi, Soheila I Ahangarzadeh Rezae, Masoomeh Hemmati, Nasim Madadipoor, Rozita Cheraghi,
Volume 25, Issue 10 (1-2019)
Abstract
Background: Nursing student's skills evaluation plays a vital role in their professional education, but unfortunately; the quality of many evaluation methods is less than optimal. Therefore, this study was conducted to determine the effect of evaluation by using Direct Observation of Clinical Skills (DOPS) and traditional methods on nursing students' clinical skills in 2016.
Methods: In a quasi-experimental study, 108 senior nursing students were selected and then randomly assigned into two groups of case and control. In the case group was evaluated the skills related to dressing, intra-vein catheterization and suction by DOPS method and in the control group these skills was evaluated by traditional method. Finally, the skills in the two groups were checked by checklist and data were analyzed by using SPSS16 software, descriptive and inferential statistics, Chi-square, independent t-test, Pearson correlation and ANOVA.
Results: Independent T-test showed a significant difference in the mean score of dressing, intra-vein catheterization and suction skills between case and control groups (p<0.001). Also the results showed a significant increase in those skills in the third stage of assessment in the case group, which showed a statistically significant in ANOVA (p<0.001).
Conclusion: Regarding the improvement of clinical skills in case group's students, it is suggested that the DOPS evaluation method as a high-performance, objective, validated method is used for assessing clinical skills and evaluating the learning of nursing students as well as accepting responsibility professionals in medical sciences.
Seyed Reza Saadat Mostafavi, Mohammadreza Hosseini,
Volume 25, Issue 11 (2-2019)
Abstract
Background: The study of shoulder pathologies as one of the most common orthopedic injuries due to the lack of sensitivity of clinical findings is one of the topics discussed in radiology papers. Traditionally, MRI is a selective diagnostic modality of choice. However, due to its limitations, such as high cost and unavailability, simple and cheaper methods seems to be valuable. Sonography can be a good alternative in this field that examines soft tissue pathologies. This study evaluated the magnitude of ultrasound and MRI matching in cases of partial and complete tear of cuff muscles and accompanying findings such as subacromial bursal effusion and degenerative changes of shoulder joint.
Methods: In this study 85 patients who referred to the radiology department of Hazrat-e-Rasool Akram Hospital were asked for simultaneous sonographic examination of the shoulder. The degree of ultrasound and MRI correlation in localizing the tear as well as the severity of tear based on complete or partial was evaluated for each rotator cuff muscle individually. Also the degree of subacromial bursa effusion and acromioclavicular join hypertrophy were also compared.
Results: A total of 85 patients (30 males and 55 females) with different injuries in supraspinatus, infraspinatus, subscapularis and long head of biceps tendon, sonography was in acceptable agreement with the findings of MRI in the diagnosis of complete and partial tear and in determining their location. However, the tendency of tendon retraction is less than predicted by MRI.
Conclusion: Shoulder ultrasound can be used as an alternative modality to MRI, especially in cases where it is not available, to examine the rupture of cuff tendons, as well as the extent and severity of subacromial bursa effusion and acromioclavicular joint hypertrophy.
