Advances in Nursing & Midwifery
Volume:26 Issue: 92, 2016

A large number of postpartum women suffer from short and long-term complications of episiotomy. The aim of this study was to compare Chromic Catgut and Vicryl Sutures wound healing in postpartum women.
This study was a randomized clinical trial. The sample was 102 pregnant women who were randomly divided into two groups. The episiotomy wound repaired by Chromic Catgut and Vicryl respectively. 4-6 weeks after delivery both groups were evaluated for wound healing. Wound healing was evaluated using the scale (REEDA). The reeda scale consisted of 5 items including redness, edema, ecchymosis, discharge, approximation. The data was analyzed by t-test and MannWhitneyEu test.
The results showed that the two groups had no significant difference in terms of age, gestational age, parity, duration of the second stage of delivery, the time between the delivery and repair of episiotomy, length of episiotomy repair and education. Reeda scale average score was lower in vicryl sutured wounds (p According to the results of this study it seems that vicry sutures had better outcomes in healing of episiotomy wounds.

The Eastern Mediterranean Regional Office of the World Health Organization has paid attention to blood and blood products safety as a necessary standard in the Patient Safety Friendly Hospitals Initiative (PSFHI). The objective of the present study was to investigate the quality of Haemovigilance system; the quality of blood preparation and patient monitoring at the time of transfusion, after implementation of the patient safety standards.
This study was done on a single group with a repeated measure design in Baharloo hospital, Tehran, Iran. The data from 2012 (in the early establishment of standards) was compared with the data from 2014 (i.e. Four years later after implementation of the standards). 100 blood units were selected through a convenient sampling. The sample size was estimated using the Cochrane’s Formula. The data were collected via a checklist. The data was analyzed descriptive statistics and the paired sample t-test.
Findings: The mean scores of the quality of blood preparations were (6.92±0.299) and patient monitoring (7/96±0/654) after the establishment of patient safety standards, The scores increased in comparison with the early establishment of standards (2.52±0.611, 1.64±0.482). The differences were significant using a paired t-test (P The present study indicated that the establishment of patient safety standards can improve the quality of blood preparations and patient monitoring at the time of transfusion in the Heamovigilance system.

Clinical education is one of the principal elements of nursing education. Cultural competency as one of the clinical education outcomes is an important issue in medical and nursing education by it health care providers can gain the ability of working efficiently. Cultural competency can be achieved by implementation and purposeful utilization some learning strategies and processes. The purpose of this article is an overview of utilization of new teaching approaches in clinical education of nursing students and getting information about achieving to learning outcomes, particularly in the cultural competence field.
This was a review article. Persian databases, including Magiran, IranMedex, SID and Irandoc were searched using keyword's clinical training, nursing, innovative teaching methods, clinical education. A total of 62 articles were collected, then 26 relevant articles were included in the final analysis
Among related studies, six concept maps, six clinical education related, four varieties of mentorship approaches, three blended clinical teaching, and two computer-based approach were reviewed and the rest were other approaches.
The results showed that cultural competency is a missing component in nursing education. Considering the importance and necessity of cultural competency, it is recommended that clinical education approaches particularly innovative strategies should use. The qualitative and quantitative methods should use for assessment and improvement of education of this important component.

Sharp injuries are very common among health care workers. They make injured worker concern and they need fallow up with diagnostic tests and preventive medications. The aim of this study was to investigate prevalence of sharp injuries, locations and their main causes among medical and nursing students.
This was a cross-sectional study. Data was collected by a questionnaire containing demographic characteristics, frequency of sharp injuries, the ward that sharp injuries was occurred, locations of injury and reasons for them. Estimated content validity index and Reliability of questionnaire were 0.831 and 0.786. Data was analyzed by Chi-square test and Fisher’s exact test using SPSS 16.
Findings: In 41.3% of students sharp injuries had been occurred at least once. The prevalence’s were 48.4% in medical and 28.3% in nursing students. 66% of medical students and 100% of nursing students had been received preventing information. Most injuries were occurred in the emergency and internal medicine wards. Indiscretions and distraction were the main causes of injuries. The second finger of left and right hand was the most common place of sharp injuries and the injury rate were 31% and 26% respectively.
This study showed a high prevalence of sharp injuries among medical and nursing students. Thus, to reduce the sharp injuries, precise educational programs are suggested. According to the results more injuries were happened in the second finger of both hands, strengthening of the gloves in these areas is recommended.