Comparison of the Effect of Lecture Training and Clinical Education on the Care of Patients with Angina Pectoris on Attitude of Nurses in Emergency Department of Military Hospitals of in Mashhad

Nursing education has the task of preparing graduates with the ability to identify the needs of patients in a changing society and in the clinical setting, and provide the best possible care based on the best scientific evidence. The aim of this study was to compare the effect of lecture and clinical education on the care of patients with angina pectoris on attitude of nurses in the emergency department of military hospitals in Mashhad. This single-blind randomized clinical trial was performed on 58 nurses in Emergency Department of Military Hospitals in Mashhad, Iran in 2018-2019. Nurses were divided into three groups: lecture training, clinical education and control groups. The data gathering tool was a researcher-made attitude questionnaire that was completed before, immediately and one month after intervention in all three groups, and the level of attitude of care for angina patients in each group was determined and compared. Data were analyzed by SPSS software version 22 using statistical tests. The Kruskal Wallis and the Median Test showed that the three groups had no significant difference in attitude scores before intervention (P = 0.821) and (P = 0.456), respectively. One-way ANOVA showed that the attitude of the three groups was significantly different immediately after intervention (P <0.001) and one month after the intervention (P <0.001). The mean score of the clinical group was higher than the other two groups, and the post hoc test showed that the attitude of each group was significantly different (P <0.001).
Discussion and The results of this study showed that training by lecture method and clinical education increased attitude of nurses in the care of patients with angina pectoris, but the effectiveness and durability of these trainings was higher in clinical education method. Also, in this study, clinical education was more effective than lecture training, and increasing attitude of nurses in clinical education was more stable. Therefore, it is suggested that more effective methods be used to educate nurses such as clinical education and similar methods.