تاثير برنامه زمان بندي در بهبود و ارتقاي خدمات آموزشي-درمانيدستياران جراحي عمومي بيمارستان حضرت امام خميني (ره)

The effects of time management on improvement of educational and therapeutic services in surgical residents of Imam hospital

مديريت زمان در كنترل استرس بسيار موثر است. برنامه زمان بندي و مديريت زمان در رشته جراحي و آموزش دستياران تخصصي اين رشته از اهميت به سزايي برخوردارست. با مديريت صحيح زمان و برنامه ريزي مي توان همين زمان محدود را هم مديريت نمود و كارايي بيشتري را شاهد بود. مطالعات كمي در ايران در اين خصوص صورت گرفته است. بنابراين، هدف از اين مطالعه بررسي تاثير برنامه زمان بندي در بهبود و ارتقاي خدمات آموزشي-درماني دستياران جراحي عمومي بيمارستان حضرت امام خميني (ره) در سال 1394 بود. روش بررسي در پيش و پس اين مطالعه، 18 دستيار بخش هاي جراحي عمومي پنج گانه بيمارستان امام خميني از بهمن 1394 تا اسفند 1394 كه در سال اول تا چهارم مشغول به تحصيل بودند، به روش نمونه گيري در دسترس وارد مطالعه شدند و فعاليت هاي آن ها در 11 حيطه بررسي شد. براي اندازه گيري اثربخشي اين خودارزيابي، پنج حيطه توسط اساتيد ارزيابي شد. پس از ارزيابي مجدد دستياران توسط اساتيد، نتايج اين ارزيابي با ارزيابي پيش از مداخله (بازخورد) مورد مقايسه قرار گرفت. يافته ها در مجموع 18 دستيار وارد مطالعه شدند، ده شركت كننده مرد 55/6%) و بقيه زن بودند. ميانگين سن 3/7±30 سال بود. زمان استراحت و اورژانس در دستياران سال اول و زمان مطالعه در دستياران سال چهارم بيشتر بود. زمان شركت در كلاس هاي آموزشي در دستياران سال دوم بيشتر بود. ميانگين نمره بخش در ابتدا و انتهاي مطالعه در دستياران سال چهارم از همه بيشتر و دستياران سال اول از همه كمتر بود. ميانگين تمامي نمرات انتهاي مطالعه به جز قضاوت باليني به طور معناداري بيش از ابتداي مطالعه بود. نتيجه گيري مديريت زمان مي تواند عملكرد آموزشي و درون بخشي دستياران جراحي را به نحو قابل توجهي بهبود دهد.

Time management is effective in controlling stress especially for medical residents. Time management in the surgical field and residential education is very important as they are directly involved in treating patients. Proper time management will help decrease work-related stress and increase efficacy, although there is no time management in medical courses. There are few studies in Iran in this field. So, we designed this study to assess the effects of time management on improvement of educational and therapeutic services in surgical residents of Imam Hospital. Methods This before–after study was done in Imam hospital between February-March 2015. In this before-after study, 18 surgical residents of Imam Hospital (residents of 1-4 years), were enrolled. Their activities were evaluated in 11 scopes. To evaluate the effects of this self-evaluation, 5 scopes were assessed by the staff. The time during two weeks spent on each item was claimed as a percentage of 336 hours in two weeks. The self-assessment results and their effects on their scores were considered. Data regarding age, sex, and marital status were also gathered. Data were analyzed using SPSS software. Results Eighteen residents were enrolled in this study. Ten residents were male (55.6%) and eight were female. Six (33.3%) were married. The mean age was 30±3.7 years. Resting time and emergency room time were significantly higher in the first-year residents while studying time was higher in the fourth-year residents. Second-year residents spend more time in training classes than others. The mean score at the beginning and the end of the study was highest in the forth-year residents and lowest in the first-year residents. All scores at the end of the study were significantly higher than the beginning except clinical judgment. The increase of the mean overall score was significantly higher in the fourth-year group and lowest in the first-year group. Conclusion Time management could improve the educational performance of surgical residents.