Considering the fact that nursing science is associated with a professional clinical practice and skill and that the clinical environment is full of stress, the present study aimed to compare the effectiveness of problem solving training and participatory training with conventional training on clinical skills, anxiety and satisfaction in nursing students of Gonbad Kavous Azad University.
The present research was a quasi-experimental study with the pretest-posttest control group design. The study population included all nursing students of Gonbad, Aliabad and Gorgan Azad universities ninety of whom were divided into 3 groups of 30 participants by random blocking
participatory training, problem solving training and conventional training. Data collection tools were: DOPS checklist, cognitive domain assessment questionnaire, Spielberger state-trait anxiety inventory, and Visual analogue Scale (VAS) questionnaire. Paired t-test was used to compare the mean scores of clinical skill before and after training, chi-square test was used to compare the level of obvious and hidden anxiety, and ANOVA test was used to analyze students' satisfaction scores.
There was a significant difference between the mean scores of clinical skills before and after the intervention in the participatory training (P> 0.001); this is also true for problem solving training (P > 0.001). In conventional training, the difference between the scores is not comparable with the two other training methods In the obvious and hidden domains of participatory and problem solving training in contrast conventional training were a significant difference between the mean score, before and after the intervention (P<0.05 ). In the satisfaction domain similarly in the participatory and problem solving training in contrast conventional training were a significant difference between the mean score, before and after the intervention (P < 0.001).
The results of this study indicated that participatory training and problem solving training can be considered appropriate methods because of promoting clinical skills, reducing anxiety and stress in the clinical environment, and improving the satisfaction of difficult working conditions. Therefore, it is suggested. In relation to this study, two methods of participatory and problem solving in contrast with current method was done, from all Novel educational methods are using and comparison the results also using in all Nursing groups.
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