Challenges in the Clinical Education Environment during the COVID-19 Outbreak: The Experiences of Medical Students

Authors

  • Peyman Namdar Associate Professor, Department of Emergency Medicine, Metabolic Disease Research Center, Research Institute for Prevention of Non-Communicable Diseases, Qazvin University of Medical Science, Qazvin, Iran
  • Leila Dehghankar Social Determinants of Health Research Center, Research Institute for Prevention of Non-Communicable Diseases, School of Nursing and Midwifery, Qazvin University of Medical Sciences, Qazvin, Iran
  • Mahya Shafaei Social Determinants of Health Research Center, Research Institute for Prevention of Non-Communicable Diseases, School of Nursing and Midwifery, Qazvin University of Medical Sciences, Qazvin, Iran
  • Rahman Panahi PhD in Health Education and Promotion, School of Medical Sciences, Tarbiat Modares University, Tehran, Iran
  • Leili Yekefallah Associate Professor, Metabolic Disease Research Center, Research Institute for Prevention of Non-Communicable Diseases, School of Nursing and Midwifery, Qazvin University of Medical Sciences, Qazvin, Iran

Abstract

Background: The aim of the present study was to determine the challenges of medical students in the clinical education environment during the outbreak of Covid-19 to understand their experiences.

Methods: This qualitative study was performed based on the hermeneutic phenomenological approach and Van Manen’s analytical method from 10th of August to 12th of September 2020 in different departments of Qazvin University of Medical Sciences, Iran. In this phenomenological study, using the purposive sampling method, the participants were selected from among medical students. The data were collected through semi-structured interviews with 12 medical students. All the interviews were recorded and transcribed, and then, the codes, categories, and themes were extracted using Van Manen’s analytical method.

Results: The 5 main themes of the present study were ‘inefficient clinical education’, ‘dealing with real work conflicts’, ‘the future professional challenges’, ‘the challenges related to organizational policy’, and ‘the challenges related to the sense of stigma among the medical staff’. The most important challenges consisted of ‘moving away from the educational goals due to reduced attendance at the clinical setting’, ‘the cancellation of some clinical courses’, ‘the creation of stress in the students by professors’, ‘fear of getting sick and transmitting the disease to family members’, ‘fatigue and heavy sweating due to caring for a large number of patients while wearing isolation gowns’, ‘the prolongation of the students’ studies and delay in starting their thesis’.

Conclusion: The results of this study provided a deeper insight into the perceptions, feelings, and experiences of medical students during the coronavirus pandemic.

References

Al-Hazmi, A., Gosadi, I., Somily, A., Alsubaie, S., & Bin, S. A. (2018). Knowledge, attitude and practice of secondary schools and university students toward Middle East Respiratory Syndrome epidemic in Saudi Arabia: A cross-sectional study. Saudi.J Biol.Sci, 25(3), 572-577. doi:10.1016/j.sjbs.2016.01.032 [doi];S1319-562X(16)00034-6 [pii]. Retrieved from PM:29686521

Al-Rabiaah, A., Temsah, M. H., Al-Eyadhy, A. A., Hasan, G. M., Al-Zamil, F., Al-Subaie, S. et al. (2020). Middle East Respiratory Syndrome-Corona Virus (MERS-CoV) associated stress among medical students at a university teaching hospital in Saudi Arabia. J Infect.Public Health, 13 (5), 687-691. doi:S1876-0341(20)30005-8 [pii];10.1016/j.jiph.2020.01.005 [doi]. Retrieved from PM:32001194

Bai, Y., Yao, L., Wei, T., Tian, F., Jin, D. Y., Chen, L. et al. (2020). Presumed Asymptomatic Carrier Transmission of COVID-19. JAMA., 323(14), 1406-1407. doi:2762028 [pii];10.1001/jama.2020.2565 [doi]. Retrieved from PM:32083643

Baraz, S., Memarian, R., & Vanaki, Z. (2015). Learning challenges of nursing students in clinical environments: A qualitative study in Iran. J Educ Health Promot, 4, 52. doi:10.4103/2277-9531.162345 [doi];JEHP-4-52 [pii]. Retrieved from PM:26430679

Biscayart, C., Angeleri, P., Lloveras, S., Chaves, T. D. S. S., Schlagenhauf, P., & Rodriguez-Morales, A. J. (2020). The next big threat to global health? 2019 novel coronavirus (2019-nCoV): What advice can we give to travellers? - Interim recommendations January 2020, from the Latin-American society for Travel Medicine (SLAMVI). Travel Med Infect.Dis, 33, 101567. doi:S1477-8939(20)30017-X [pii];10.1016/j.tmaid.2020.101567 [doi]. Retrieved from PM:32006657

Burns, N., & Grove, S. K. (2005). The Practice of Nursing Research: Conduct, Critique, and Utilization. Practice of Nursing Research: Conduct, Critique, & Util. Philadelphia, PA: Elsevier/Saunders.

Collado-Boira, E. J., Ruiz-Palomino, E., Salas-Media, P., Folch-Ayora, A., Muriach, M., & Balino, P. (2020). "The COVID-19 outbreak"-An empirical phenomenological study on perceptions and psychosocial considerations surrounding the immediate incorporation of final-year Spanish nursing and medical students into the health system. Nurse.Educ Today, 92, 104504. doi:S0260-6917(20)30840-6 [pii];10.1016/j.nedt.2020.104504 [doi]. Retrieved from PM:32563039

Elahi, N., Alhani, F., & Ahmadi, F. (2014). Professional Partnership: Nurses’ experience of theory-practice gap in nursing education. Journal Of Nursing Education, 3(1), 21-31. doi:Article.

Elrggal, M. E., Karami, N. A., Rafea, B., Alahmadi, L., Al, S. A., Alamoudi, R. et al. (2018). Evaluation of preparedness of healthcare student volunteers against Middle East respiratory syndrome coronavirus (MERS-CoV) in Makkah, Saudi Arabia: a cross-sectional study. Z Gesundh.Wiss., 26(6), 607-612. doi:10.1007/s10389-018-0917-5 [doi];917 [pii]. Retrieved from PM:30533343

Gallagher, T. H., & Schleyer, A. M. (2020). "We Signed Up for This!" - Student and Trainee Responses to the Covid-19 Pandemic. N Engl J Med, 382(25), e96. doi:10.1056/NEJMp2005234 [doi]. Retrieved from PM:32268020

Han, Y., & Yang, H. (2020). The transmission and diagnosis of 2019 novel coronavirus infection disease (COVID-19): A Chinese perspective. J Med Virol., 92(6), 639-644. doi:10.1002/jmv.25749 [doi]. Retrieved from PM:32141619

Ikhlaq, A., Bint-E-Riaz, Bashir, I., & Ijaz, F. (2020). Awareness and Attitude of Undergraduate Medical Students towards 2019-novel Corona virus. Pak.J Med Sci, 36(COVID19-S4), S32-S36. doi:10.12669/pjms.36.COVID19-S4.2636 [doi];PJMS-36-S32 [pii]. Retrieved from PM:32582311

Jamshidi, N., Molazem, Z., Sharif, F., Torabizadeh, C., & Najafi, K. M. (2016). The Challenges of Nursing Students in the Clinical Learning Environment: A Qualitative Study. ScientificWorldJournal., 2016, 1846178. doi:10.1155/2016/1846178 [doi]. Retrieved from PM:27366787

Joolaee, S., Jafarian Amiri, S. R., Farahani, M. A., & Varaei, S. (2015). Iranian nursing students' preparedness for clinical training: A qualitative study. Nurse.Educ Today, 35(10), e13-e17. doi:S0260-6917(15)00296-8 [pii];10.1016/j.nedt.2015.07.026 [doi]. Retrieved from PM:26279334

Khan, A., Begum, H., Rehman, A., & Khan, A. (2020). Experiences of healthcare students and the challenges posed by their clinical learning environment. Cent. Eur. J. Nurs. Midwifery, 11(1), 19-24.

Liu, Q., Luo, D., Haase, J. E., Guo, Q., Wang, X. Q., Liu, S. et al. (2020). The experiences of health-care providers during the COVID-19 crisis in China: a qualitative study. Lancet.Glob.Health, 8(6), e790-e798. doi:S2214-109X(20)30204-7 [pii];10.1016/S2214-109X(20)30204-7 [doi]. Retrieved from PM:32573443

Lovric, R., Farcic, N., Mikšic, Š., & Vcev, A. (2020). Studying during the COVID-19 pandemic: A qualitative inductive content analysis of nursing students' perceptions and experiences. Educ.Sci., 7(10), 1-18.

Magerman, J. (2016). Clinical supervisors' experience of supervising nursing students from a higher education institution in the Western Cape [Thesis]. Cape Town, South Africa: University of the Western Cape.

Menon, A., Klein, E. J., Kollars, K., & Kleinhenz, A. L. W. (2020). Medical Students Are Not Essential Workers: Examining Institutional Responsibility During the COVID-19 Pandemic. Acad.Med, 95(8), 1149-1151. doi:10.1097/ACM.0000000000003478 [doi]. Retrieved from PM:32349014

Meyer, G. M., Nel, E., & Downing, C. (2016). Basic student nurse perceptions about clinical instructor caring. Health SA Gesondheid, 21, 444-452.

O'Byrne, L., Gavin, B., & McNicholas, F. (2020). Medical students and COVID-19: the need for pandemic preparedness. J Med Ethics, 46(9), 623-626. doi:medethics-2020-106353 [pii];10.1136/medethics-2020-106353 [doi]. Retrieved from PM:32493713

Parsh, B. (2010). Characteristics of effective simulated clinical experience instructors: interviews with undergraduate nursing students. J Nurs Educ, 49(10), 569-572. doi:10.3928/01484834-20100730-04 [doi]. Retrieved from PM:20669874

Robinson, K., O'Neill, A., Conneely, M., Morrissey, A., Leahy, S., Meskell, P. et al. (2020). Exploring the beliefs and experiences of older Irish adults and family carers during the novel coronavirus (COVID-19) pandemic: A qualitative study protocol. HRB.Open.Res, 3, 16. doi:10.12688/hrbopenres.13031.1 [doi]. Retrieved from PM:33015540

Scully N., J. The theory–practice gap and skill acquisition: an issue for nursing education. Collegian 2011; 18(2), 93-98.

Stirling, B., & Harmston, J. (2015). Readying nurses for clinical practice: Protecting students during an outbreak of Middle Eastern-Coronavirus in Saudi Arabia. J. Nurs Educ. Pract., 5(2), 40-44.

Swift, A., Banks, L., Baleswaran, A., Cooke, N., Little, C., McGrath, L. et al. (2020). COVID-19 and student nurses: A view from England. J Clin Nurs, 29(17-18), 3111-3114. doi:10.1111/jocn.15298 [doi]. Retrieved from PM:32298512

Taghrir, M. H., Borazjani, R., & Shiraly, R. (2020). COVID-19 and Iranian Medical Students; A Survey on Their Related-Knowledge, Preventive Behaviors and Risk Perception. Arch Iran Med, 23(4), 249-254. doi:10.34172/aim.2020.06 [doi]. Retrieved from PM:32271598

Theoret, C., & Ming, X. (2020). Our education, our concerns: The impact on medical student education of COVID-19. Med Educ, 54(7), 591-592. doi:10.1111/medu.14181 [doi]. Retrieved from PM:32310318

van Manen, M. (2016). Researching Lived Experience: Human Science for an Action Sensitive Pedagogy. London & New York: Taylor & Francis.

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Published

2021-05-06

How to Cite

Namdar, P., Dehghankar, L., Shafaei, M., Panahi, R., & Yekefallah, L. . (2021). Challenges in the Clinical Education Environment during the COVID-19 Outbreak: The Experiences of Medical Students. International Journal of Body, Mind and Culture, 8(2). Retrieved from https://ijbmc.org/index.php/ijbmc/article/view/260

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Section

Qualitative Study(ies)