مجله مراقبت پرستاری و مامایی ابن سینا
سال بیست و چهارم شماره 3 (پیاپی 54، پاییز 1395)

Educational goals is the most important component of any educational program and achieving this goals is reason for existence of educational system. In this research we assessment of goal achievement in nursing clinical education and effective factors.
In this descriptive- analytical study all nursing students who had received internship courses of mental health nursing , community health nursing, children nursing, nursing management were selected by census method. Data collection with 5 questionnaires and analysis with SPSS Ver16.
Results indicated 66.7% students’ goal achievement mental health nursing training was excellent, 43.3% students’ goal achievement community health nursing training was good, 65.6% students’ goal children nursing training was excellent and 44.1% students’ goal nursing management training was excellent. Based on ANOVA test, student stress in clinical setting with nursing management training goal achievement, student identified duties, course objectives presentation on the first day of training, education objectives and personnel expectations matching, professional ethics and proper communication with patient, meet prerequisites training courses, meet of clinical education training, proper communication between trainer and student, trainer patience, collaboration between personnel and student, student decision making power in patient care planning, enough welfare in ward, employment motivation in future, enough supervision on clinical education with children nursing training goal achievement.(p Goal achievement of clinical courses in mental health, community health, children nursing and management groups are good.Effective factors with the most frequency were complete support of the student by the instructor in the clinical setting and appropriate instructor communication with student.

With respect to importance of chronic pain acceptance role on coping with chronic pain in the elderly, the current study aimed to evaluate the association between chronic pain acceptance, life style with pain and restriction related chronic pain in the elderly.
This study is a descriptive- analytical research in which 200 elderly patients with chronic pain were selected by multistage random sampling. Chronic pain acceptance, life style with pain and restriction related chronic pain questionnaires were used for pain acceptance, life style with pain and restriction related chronic pain measurement respectively. Pearson correlation coefficient and linear regression by SPSS software (version 21) was conducted for data analysis.
There were positive significant relations between pain acceptances with life style with pain (P The elderly with more pain acceptance had better life style with pain and lesser restriction. Moreover, in the elderly with better life style with pain, lesser restriction was observed. Thus application of acceptance oriented treatments for effective pain management in the elderly will purpose.

Identifying the relation of demographic characteristics with leadership styles of nurse managers is critical in order to promote the quality of health care and educational services. This study aimed to investigate correlation of nurse manager's demographic characteristics with emotional intelligence in Educational hospitals of Hamadan city.
A descriptive study was conducted with 370 nurse managers of five Educational hospitals (Besat, Farshchian, Beheshti, Fatemieh and Ekbatan) of Hamadan, Iran in 2014. Data were collected using leadership styles questionnaire of Luthans. Data were analyzed using descriptive and inferential statistics such as Pearson correlation coefficient tests, T-test and Variance analysis.
Findings: Nurse Managers had 63.8% relation-oriented, 31.3% task-oriented and 5.1% consolidated leadership styles. Moreover, there were significant correlation between age, marriage status, work experience, managerial experience, income level, employment with nurse managers’ leadership styles (p With consideration of high importance of Nurse Managers’ role in increasing of efficacy and productivity of educational hospitals, top managers should consider their demographic characteristics in selection process. Furthermore, top managers should provide conditions for educating of leadership styles during employing period in order to decrease problems of leadership in educational hospitals.

A healthy and balanced diet is quit important in life time and during pregnancy in particular for health of the mother and her unborn baby. The aim of this study was to Measure health belief model construct about nutritional practices of pregnant women in Saveh University of Medical Sciences.
This is a cross-sectional and analytical study that carried out on 260 pregnant women in health centers dependent of Saveh University of medical sciences. Data collecting based on the Health Belief Model (susceptibility, severity, perceived benefits and barriers, self efficacy and cues to action) and the checklist of practice pregnant women about diet. The data collected from organized interviews and finally using descriptive and analytical statistics were analyzed.
The mean age of participant was 27.4± 5 and mean gestational age was 5.5±2.4. In this study significant correlation observed between perceived barriers, sensitivity, severity, benefits, barriers and perceived self efficacy with nutritional practices of pregnant women (p As regards the mean score of Health Belief Model construct in pregnant women is moderate. Therefore, to improve the health of mothers and their children a educational program based on health belief model for enhancing sensitivity and perceived severity of health worker to their health and increase their self efficacy and benefits perceived with the reduce perceived barriers is recommended.

Cardiovascular diseases are the main cause of death and disability. Prevention and management programs of diseases have basic role in the control of these diseases. This study aimed to determine the effect of health-related lifestyle self-management intervention on health promotion behaviors in patients with ischemic heart disease.
The clinical trial was performed on 92 patients with accessible sampling. Data were collected via demographic and health promotion behaviors questionnaires. Intervention group received self-management lifestyle program and the control group regular training. Data analysis was done by descriptive and analytic statistics using SPSS software version 16.
The majority of people in both groups was male and had Diploma. The most of them were married and had a mean age of 49 years. Men Participants were self-employed and women were housewives. Results showes significant statistically difference between mean scores of health promotion behaviors in both groups (P The results showed that the program was effective on health promotion behaviors in patients with heart disease and appropriate intervention strategies can be utilized to improve the health of patients.

Appropriate adaptation with the multiple sclerosis can help to reduce problems. One of the more effective and practical templates in nursing has more attentive to this topic is Roy Adaptation model. This study done with the purpose of study the effect of performance care plan based on the Roy Adaptation Model on effects of fatigue in multiple sclerosis patients.
In this study, 80 patients with multiple sclerosis has selected the form of available, and randomly divided into two groups of 40 subjects were assigned to intervention and control. The data collected tool in this study was, fatigue effect scale that was completed, in both groups before and after the intervention. The intervention was consisted of 6 sessions, 2 general education sessions and 4 care programs based on maladaptive behavior sessions. Data analyzed with Spss software and descriptive- Inferential statistics.
Before of intervention, the mean fatigue effects scores and that domain were not significantly different between the two groups. Mean of fatigue effects scores and that domain, decreased after-care programs based on the Roy adaptation model, in the intervention group, than the control group, that this reduction was statistically significant. (P Implementation of the Roy Adaptation Model, reduce effects of fatigue in people with multiple sclerosis, therefore it is recommended that nurses use from this model to reduce effects of fatigue in patients.

Nurses relationship with the child and family, can be effective in the stress of hospitalized children. The aim of this study was to determine the skills of nurses during patient care for mothers and hospitalized children in pediatric wards in Besat Educational and Treatment center in Hamadan.
In this descriptive - analytical study, using census method, 22 pediatric nurses were selected. After that, using simple random sampling, 330 communication skills with hospitalized children and 330 communication skills with their mothers was observed during nursing care. In order to collect data, researcher made Communication Skill Checklist with mothers and children were employed. Using descriptive statistics and multiple linear regression model data were analyzed by SPSS software version16.
76 percent of nurse's communication skills with mothers (with Mean value of 54.5 and Standard deviation value of 13.3) and with children (with Mean value of 47.4 and Standard deviation value of 12.2) was relatively desirable. Multiple linear regression equation showed that among nurse's demographic characteristics, only the number of children of married nurses had statistical relationship with their communication skills with mothers (p Although nurse's communication skills with mothers and hospitalized children was relatively high but improvement of the quality of nursing care needs to be promoted. It is recommended that in- service training courses held in this field.

adolsence is begining concerns chenging in physical,mental,social and personal or distress on health related issues is an important component of anexity in adolsencets,concern in this period can continue to adulhood,this study aimed to determine the impact of group discussion on adolescent health concerns in girls 15-18years old in zanjan city in 2016
Material and this experimental study was performed on 80 girls 18-15 years old in Zanjan city who were randomly selected. Participants were divided in two groups: intervention and control. Data were collected with demographic and health concern questionnaire. Before intervention pre-test and immediately and 4weeks after intervention poste-test was performed for both groups. Data were analyzed with spss 17.
The results showed that after intervention group discussion adolescent's health concerns were reduced. In personal health and nutrition dimention only concerns before and four weeks after intervention were significantly reduced (p Due to the specific characteristics of adolescence and the important role of this period in adult life, education intervention programs in the field of health concerns in different ways and with the direct involvement of youth and a friendly group discussions for reducing adolescent's health concerns are recommended.