نوع مقاله : مقاله پژوهشی

نویسندگان

1 عضو هیات علمی، گروه چشم، دانشکده پزشکی، علوم پزشکی تهران دانشگاه آزاد اسلامی، تهران، ایران.

2 دانشجوی دکتری پرستاری، گروه پرستاری، دانشکده پرستاری و مامایی، علوم پزشکی تهران دانشگاه آزاد اسلامی، تهران، ایران.

3 دانشجوی کارشناسی ارشد مدیریت آموزشی، گروه علوم تربیتی، دانشکده علوم انسانی، دانشگاه آزاد اسلامی واحد تهران مرکزی، تهران، ایران.

4 عضو هیات علمی، گروه مامایی، دانشکده پرستاری و مامایی، علوم پزشکی تهران دانشگاه آزاد اسلامی، تهران، ایران.

5 عضو هیات علمی، گروه مدیریت، دانشکده بهداشت، علوم پزشکی تهران دانشگاه آزاد اسلامی، تهران، ایران.

چکیده

اضطراب پدیده­ای است که در دنیای امروز با تأکید بیش از حدی که نظام­های آموزشی بر آزمون ها دارند، روز به روز تشدید خواهد شد و این موضوع می تواند عملکرد صحیح فراگیر را در موقعیت آزمون مختل نماید. هدف این مطالعه بررسی میزان اضطراب امتحان و تأثیر آن بر عملکرد دانشجویان در آزمون صلاحیت بالینی پایان دوره پزشکی عمومی در دانشگاه آزاد اسلامی تهران سال تحصیلی 97-96 بود. روش تحقیق از نوع توصیفی همبستگی بود. تعداد 270  نفر از دانشجویان پایان دوره رشته پزشکی عمومی با روش نمونه گیری در دسترس به عنوان نمونه انتخاب شدند. به منظور جمع آوری داده­ها، از پرسشنامه جمعیت شناختی، اضطراب امتحان ساراسون (1977) و نتایج آزمون صلاحیت بالینی استفاده شد. با استفاده از رگرسیون لجستیک و نرم­افزار 22SPSS به بررسی وضعیت روابط متغیرهای پژوهش از دیدگاه پاسخ‌دهندگان پرداخته شد. نتایج نشان داد اضطراب امتحان (خفیف، متوسط و شدید) بر عملکرد دانشجویان در آزمون صلاحیت بالینی پایان دوره پزشکی عمومی در دانشگاه آزاد اسلامی تهران سال تحصیلی 97-96 تأثیر معناداری دارد (05/0p <). با توجه به این امر که برگزاری امتحان در دانشجویان ایجاد اضطراب می­کند، برنامه ریزی جهت مدیریت مؤثر اضطراب امتحان در دانشجویان ضرورت دارد.

کلیدواژه‌ها

عنوان مقاله [English]

Test Anxiety and Its Impact on Students' Performance in Clinical Competency Examination at the End of the General Medical Course in Tehran Medical Sciences Islamic Azad University

نویسندگان [English]

  • Farhad Adhami moghadam 1
  • Fatemeh Merati 2
  • Somayeh Ghomiha 3
  • Mehrandokht Nekavand 4
  • Mohammad Sahebalzamani 5

1 Faculty Member, Department of Ophthalmology, Faculty of Medicine, Tehran Medical Sciences, Islamic Azad University, Tehran, Iran.

2 Ph.D. student in nursing, Department of Nursing, Faculty of Nursing and Midwifery, Tehran Medical Sciences Islamic Azad University, Tehran, Iran.

3 M.Sc. student in Educational Management, Department of Educational Sciences, Faculty of Humanities, Islamic Azad University- Central Tehran Branch, Tehran, Iran.

4 Faculty Member, Department of Midwifery, Faculty of Nursing and Midwifery, Tehran Medical Sciences Islamic Azad University, Tehran, Iran.

5 Faculty Member, Department of Management, Faculty of Health, Tehran Medical Sciences Islamic Azad University, Tehran, Iran

چکیده [English]

Anxiety is a phenomenon that is intensified nowadays along with the high emphasis of educational systems on tests. Hence, it can disrupt the correct performance of the learner in the test position. The purpose of this study was to determine the test anxiety and its effect on the performance of students in the clinical competency test of the end of the general medical course at Tehran Islamic Azad University in the academic year 2017-2018. The research method was a descriptive-correlational design. In addition, a total of 270 graduate students were selected by available sampling method. For data collection, demographic questionnaire, test anxiety Sarason (1977) and the results of clinical competency test were used. Using the logistic regression and software 22SPSS, the status of relationships between the variables of research was examined from respondents' point of view. Accordingly, the results showed that test anxiety (mild, moderate and severe) had a significant effect on students' performance in the clinical competency test of the end of the general medical course in Tehran Islamic Azad University during the academic year 2017-2018 (p <0.05). Considering the fact that examination may cause anxiety among students, planning for effective management of test anxiety in students is necessary and should be noticed.

کلیدواژه‌ها [English]

  • Anxiety test
  • Academic performance
  • Clinical competency test
  • General Medical Course
Adib- Hajbaghery M, Yazdani M 2018, Effect of OSCE on learning, satisfaction and test anxiety of nursing students: a review study, JME; VOL. 18, NO 9, Pp 70-83. {Persian}.
Aghdasi A, Asl e fatahi B, Saed M 2011. Effect of Stress-Immunization Training on Test Anxiety and Academic Performance of girl student, Journal of Educational Sciences, Vol.5 No.20, Pp 33-48. {Persian}
Ahghar GH 2014. The prediction of test anxiety on the basis of intrinsic and extrinsic religious orientation in students of high schools, Tehran, Journal of  Educational Science of Islam VOL. 2, NO 2, Pp 67-82. {Persian}
Allami A, Saffari F 2014, Correlation of OSCE and pre-internship examination results, Journal of Medical Education Development ; VOL. 7, NO. 13, Pp 57-63. {Persian}
AlizadehM, Karimi F, Valizadeh S, et al 2014. Investigation on Relationship between Test Anxiety and Academic Performance of Nursing and Midwifery Students in Tabriz and Maragheh―Iran, Health, Vol. 6 No.21,Pp 3055-3061. {Persian}
BasirShabestari S, Shirinbak I, Sefidi F, et al 2014 , Comparison of traditional and Objective Structured Clinical Examination (OSCE) exams in terms of clinical skills assessment and attitudes of dental students of Qazvin dental school, Journal of Medical Education and Development. VOL. 9, NO 3, Pp 67-74. {Persian}
Beyabangard A. Test Anxiety. 2nded. Tehran: Farhange Eslami Press, 2015.[Persian]
Cheraghian B, Fereidooni-Moghadam M, Baraz Pardejani SH, et al  2015;. Test Anxiety and its Relationship with Academic Performance among Nursing Students, Journal of Knowledge & Health, VOL. 3, NO (3-4), Pp 25-29. {Persian}
DaryaZadeh S, Faghihi A, Jokar F , et al  2017, Medical students’ viewpoints about clinical competency exam: a qualitative study, JME; VOL. 17, NO. 9, Pp 100-109. {Persian}
Dawood E, Al  Ghadeer H, Mitsu R, et al 2016. Relationship between Test Anxiety and Academic Achievement among Undergraduate Nursing Students ,  Journal of Education and Practice; VOL. 7, NO 2, Pp 57-65
Ebadi S, Khaksar Z 2014 . The relationship between Iranian upper intermediate EFL learner's test anxiety level and their performance in writing test of TOEFL . IJLLALW, VOL. 6, NO 4, Pp 293-307. {Persian}
Ebrahimi Fakhar A, Adhami Moghadm F, Merati F, et al  2019. Examine the styles of learning of the final year of medical students and its relationship with the scores of comprehensive exams in basic sciences and pre-internships and the results of the clinical competency test of the end of the general practitioner course in Islamic Azad University in academic year 2017-2018. Jundishapur scientific medical journal. VOL. 10, NO 3, Pp 219-229. {Persian}
Ebrahimi MR, Khoshsima H. 2014, On the association(s)between teast anxiety and emotional intelligence, IJSELL, VOL. 7, NO 2, Pp 147-157. {Persian}
Ghorban Dorodi Nejada F. Hakimi H. Ashouri M ,et al 2011. On the relationship between test    anxiety and academic performance. Procedia- social and behavior sciences, VOL. 15, NO 1, Pp 3774-3778. {Persian}
Hahn H, Kropp P, Kirschstein T, et al 2017. Test anxiety in medical school is unrelated to academic performance but correlates with an effort/reward imbalance. PLoS One, VOL. 12, NO 2, Pp 1-13
Niu Zhang, MD,  Henderson C 2014, Test anxiety and academic performance in chiropractic students, J Chiropr Educ, VOL. 28, NO 1, Pp  2–8
Saheb AlzamaniM, Zirak A 2011. Students‘ Learning and Study Strategies in Isfahan University of Medical Sciences and their relationship with test anxiety, Iranian Journal of Medical Education; VOL. 1, NO 11, Pp 58-68. {Persian}
Salehi K, Salehi Z, Shakour M, et al  2018, A Review on OSCE for Clinical Evaluation of Nursing and Midwifery Students in Iran, Journal of education strategies in medical sciences, Vol.11 No.48,Pp 73-82. {Persian}
Sheydaei aghdam SH, Fatemipour H 2017. The effect of mindfulnus training on reducing students’ Test anxiety, Journal of thought & behavior in clinical psychology, Vol.11 No.45,Pp 67-76. {Persian}
Sreeramareddy CT, Shankar PR, Binu VS 2015. Psychological morbidity, sources of stress and coping strategies among undergraduate medical students of Nepal, BMC Medical education, VOL. 7, NO 26, Pp 1-8.
Taheri Z 2014. Mediating role of working memory in relation to test anxiety and academic performance, Psychology and Educational Sciences Faculty of Birjand University , Master's Thesis. {Persian}
von der Embse N, Jester D, Roy D, et al 2018‌. Test anxiety effects, predictors, and correlates: A 30-year meta-analytic review, J Affect Disord, ,VOL.227, , Pp 483-493