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Nursing Students’ Perception of the Educational Environment in a Public University in Ahvaz, Iran: A Study Based on DREEM Questionnaire

*Dariush Rokhafrooz  -  Assistant-Professor, Department of Nursing, Nursing and Midwifery School, Ahvaz Jundishapur University of Medical Sciences, Iran, Islamic Republic of
Zhila Alborzi  -  Student Research Committee, School of Nursing and Midwifery, Ahvaz Jundishapur University of Medical Sciences, Iran, Islamic Republic of
Sima Sadat Ghaemi Zade Shustari  -  PhD Student in Nursing, School of Nursing and Midwifery, Ahvaz Jundishapur University of Medical Sciences, Iran, Islamic Republic of
Meysam Heydari  -  PhD Student of Medical Education, School of Medicine, Tehran University of Medical Sciences, Iran, Islamic Republic of
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Background: Students’ perception of educational environment is an important factor in evaluating the quality of education as it provides invaluable resources to identify the strengths and weaknesses of educational environment. However, there is a paucity of information regarding the educational environment from the perceptions of nursing students in Iran.

Purpose: This study aimed to investigate nursing students’ perception of the educational environment and compare the male and female students’ perceptions of the educational environment in a public university in Ahvaz, Iran.

Methods: A cross-sectional study was conducted among 130 nursing students in a public university in Ahvaz, Iran, using the Dundee Ready Educational Environment Measure (DREEM) questionnaire. Convenient sampling was used to recruit the samples. For the data analysis, the independent t-test was utilized.  

Results: The overall mean (SD) DREEM score in this study was 105.01(22.00), indicating a more positive educational environment than negative. The highest mean (SD) DREEM score was related to Students’ Perceptions of Learning domain 24.03(6.01), while the lowest one was related to Students’ Social Self-Perceptions domain 14.01(4.00). The female students showed significantly better mean score in the domains of StudentsAcademic Self-Perception and StudentsSocial Self-Perception than males (p<0.05).

Conclusion: The students’ perception of their educational environment is a positive and optimistic one. Therefore, it is suggested that students’ perceptions of the educational environment be measured regularly, for instance, at the end of each academic year, to create a healthy and effective environment for learning in the educational environment.
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Keywords: DREEM; educational environment; medical education; nursing students

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  1. Abusaad, F. E. S., Mohamed, H. E.-S., & El-Gilany, A.-H. (2015). Nursing students' perceptions of the educational learning environment in pediatric and maternity courses using DREEM questionnaire. Journal of Education and Practice, 6(29), 26-32
  2. Akdeniz, M., Kavukcu, E., & Ilhanlı, N. (2019). DREEM in primary care: Students' perspectives on educational environment of family medicine internship in primary care centres: Experiences at Akdeniz University Faculty of Medicine in Turkey. Postgraduate Medicine, 131(6), 397-404.
  3. Al-Balas, M., Al-Balas, H. I., Jaber, H. M., Obeidat, K., Al-Balas, H., Aborajooh, E. A., Al-Taher, R., & Al-Balas, B. (2020). Distance learning in clinical medical education amid COVID-19 pandemic in Jordan: Current situation, challenges, and perspectives. BMC Medical Education, 20, 341.
  4. Al-Mohaimeed, A. (2013). Perceptions of the educational environment of a new medical school, Saudi Arabia. International Journal of Health Science (Qassim), 7(2), 150-159.
  5. Alhajjar, B., & Daf, M. A. (2013). Evaluation of nursing education environment in the faculty of nursing, Islamic University of Gaza. IUG Journal for Educational and Psychology Sciences, 21(1), 619-630
  6. Altemani, A. H., & Merghani, T. H. (2017). The quality of the educational environment in a medical college in Saudi Arabia. International Journal of Medical Education, 8, 128-132.
  7. Bakhshialiabad, H., Bakhshi, G., Hashemi, Z., Bakhshi, A., & Abazari, F. (2019). Improving students' learning environment by DREEM: An educational experiment in an Iranian medical sciences university (2011-2016). BMC Medical Education, 19(1), 397.
  8. Bjerkvik, L. K., & Hilli, Y. (2019). Reflective writing in undergraduate clinical nursing education: A literature review. Nurse Education in Practice, 35, 32-41.
  9. Emanuel, V., & Pryce-Miller, M. (2013). Creating supportive environments for students. Nursing Times, 109(37), 18-20
  10. Farooq, S., Rehman, R., Hussain, M., & Dias, J. M. (2018). Comparison of undergraduate educational environment in medical and nursing program using the DREEM tool. Nurse Education Today, 69, 74-80.
  11. Frothagh, A. N., & Gourchian, N. (2019). Study of the quality of teaching environment and learning of cardiology residents of Shahid Beheshti University of Medical Sciences based on DREEM questionnaire. Researcher Bulletin of Medical Sciences, 24(1), e3-e3
  12. Hamid, B., Faroukh, A., & Mohammadhosein, B. (2013). Nursing students' perceptions of their educational environment based on DREEM model in an Iranian university. Malaysian Journal of Medical Scicences, 20(4), 56-63
  13. Imanipour, M., Sadooghiasl, A., Ghiyasvandian, S., & Haghani, H. (2015). Evaluating the educational environment of a nursing school by using the DREEM inventory. Global Journal of Health Scicence, 7(4), 211-216.
  14. Jayaweera, P., Thilakarathne, A., Ratnayaka, M., Shashikala, T., Arachchige, R., Galgamuwa, L. S., Karunathilaka, N., & Amarasekara, T. (2021). Evaluation of learning environment among nursing undergraduates in state universities, Sri Lanka. BMC Nursing, 20, 193.
  15. Jeyashree, K., Shewade, H. D., & Kathirvel, S. (2018). Development and psychometric testing of an abridged version of Dundee Ready Educational Environment Measure (DREEM). Enviromntal Health and Preventive Medicine, 23, 13.
  16. Kaphagawani, N. C., & Useh, U. (2013). Analysis of nursing students learning experiences in clinical practice: Literature review. Studies on Ethno-Medicine, 7(3), 181-185
  17. Kaur, M., Sidhu, T. K., Mahajan, R., & Kaur, P. (2021). Evaluation of the institutional educational environment by using the Dundee Ready Educational Environment Measure. International Journal of Applied and Basic Medical Research, 11(2), 85-89.
  18. Kolb, D. A. (1984). Experiential learning: Experience as the sourse of learnin and development. Prentice Hall
  19. Koohpayehzadeh, J., Hashemi, A., Soltani Arabshahi, K., Bigdeli, S., Moosavi, M., Hatami, K., & Baradaran, H. R. (2014). Assessing validity and reliability of Dundee Ready Educational Environment Measure (DREEM) in Iran. Medical Journal of the Islamic Republic of Iran, 28, 60
  20. Palés, J., Gual, A., Escanero, J., Tomás, I., Rodríguez-de Castro, F., Elorduy, M., Arce, V. (2015). Educational climate perception by preclinical and clinical medical students in five Spanish medical schools. International Journal of Medical Education, 6, 65-75.
  21. Patil, A. A., & Chaudhari, V. L. (2016). Students' perception of the educational environment in medical college: A study based on DREEM questionnaire. Korean Journal of Medical Education, 28(3), 281-288.
  22. Rawas, H., & Yasmeen, N. (2019). Perception of nursing students about their educational environment in College of Nursing at King Saud Bin Abdulaziz University for Health Sciences, Saudi Arabia. Medical Teacher, 41(11), 1307-1314.
  23. Rochmawati, E., Rahayu, G. R., & Kumara, A. (2014). Educational environment and approaches to learning of undergraduate nursing students in an Indonesian school of nursing. Nurse Education in Practice, 14(6), 729-733.
  24. Roff, S., McAleer, S., Harden, R. M., Al-Qahtani, M., Ahmed, A. U., Deza, H., Groenen, G. & Primparyon, P. (1997). Development and validation of the Dundee Ready Education Environment Measure (DREEM). Medical Teacher, 19(4), 295-299.
  25. Roff, S., McAleer, S., Ifere, O. S., & Bhattacharya, S. (2001). A global diagnostic tool for measuring educational environment: Comparing Nigeria and Nepal. Medical Teacher, 23(4), 378-382.
  26. Salih, K. M., Idris, M. E., Elfaki, O. A., Osman, N. M., Nour, S. M., Elsidig, H. A., Toam R. M., & Elfakey, W. E. M. (2018). MBBS teaching program, according to DREEM in College of Medicine, University of Bahri, Khartoum, Sudan. Advances in Medical Educucation and Practice, 9, 617-622.
  27. Schubiger, M., Lechthaler, F., Khamidova, M., Parfitt, B. A., Prytherch, H., van Twillert, E., & Wyss, K. (2019). Informing the medical education reform in Tajikistan: Evidence on the learning environment at two nursing colleges. BMC Medical Education, 19, 85.
  28. Sharkawy, S. A., El-Houfey, A. A., & Hassan, A. K. (2013). Students' perceptions of educational environment in the faculties of nursing at Assiut, Sohag and South Valley universities. Assiut University Bulletin for Enviromental Research, 16(2), 167-197
  29. Shrestha, E., Mehta, R. S., Mandal, G., Chaudhary, K., & Pradhan, N. (2019). Perception of the learning environment among the students in a nursing college in Eastern Nepal. BMC Medical Education, 19, 382.
  30. Soliman, M. M., Sattar, K., Alnassar, S., Alsaif, F., Alswat, K., Alghonaim, M., Alhaizan, M., & Al-Furaih, N. (2017). Medical students' perception of the learning environment at King Saud University Medical College, Saudi Arabia, using DREEM Inventory. Advances in Medical Education and Practice, 8, 221-227.
  31. Soltani Arabshahi, K., Kouhpayezade, J., & Sobuti, B. (2008). The educational environment of main clinical wards in educational hospitals affiliated to Iran university of medical sciences: Learners' viewpoints based on DREEM model. Iranian Journal of Medical Education, 8(1), 43-50
  32. Utami, R. S., Pujianto, A., Setyawan, D., Naviati, E., & Rochana, N. (2020). Critical care nurses’ experiences of end-of-life care: A qualitative study. Nurse Media Journal of Nursing, 10(3), 260-274.
  33. Victor, G., Ishtiaq, M., & Parveen, S. (2017). Nursing students' perceptions of their educational environment in the bachelor's programs of the Shifa College of Nursing, Pakistan. Journal of Educational Evaluation for Health Professions, 13, 43.
  34. Yoo, D. M., & Kim, D. H. (2019). The relationship between students' perception of the educational environment and their subjective happiness. BMC Medical Education, 19, 409.

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