مجله آموزش پرستاری
سال ششم شماره 6 (پیاپی 26، بهمن و اسفند 1396)

Patient education is one of the important features in the nursing profession.
Since training is cost effective on all aspects of patient care, treatment, recovery It is important to understand the Patient education by nurses The aim of this study was to evaluate patient's perspective about the state of education to patients by nurses
This cross-sectional study was conducted in Birjand Vali Asr Hospital. The study population consisted of 161 patients were being discharged hospital quota sampling were selected. Data were collected through a questionnaire. The data were analysed with discriptive descriptive and inferential analysis (correlation coefficient and chi-square) using SPSS version 14.
Results showed that the highest level of education on admission was familiar with insurance rules. Most training patients in hospital length of stay, in the diet. And at discharge, and follow up on our next visit to the doctor. The results also showed Moderate satisfaction of patients from nurses. According to Fisher's exact test, there is a significant relationship between nurse's educational performance and patient satisfaction from nursing education.
The results showed inadequate patient education in all domains from the patients’ perspective . Therefore managers should increase the awareness of nurses in patient education and provide the necessary standards and indicators to evaluation of this important task.

Teaching and learning from peers is an effective educational intervention for health science students in clinical settings. Peer assisted learning is a situation in which people of an equal social group, who are not professional teachers help others to learn and they learn during teaching at the same time. The aim of this study was investigating the effect of using Peer Assisted Learning approach on clinical self-efficacy of nursing students in selected fields of Islamic Azad University of Medical Sciences in Tehran.
This study was a quasi-experimental and case-control research. Sampling was Census method and included 150 people. These subjects were divided into two groups of case and control by simple random sampling; the control group with conventional methods (by clinical instructor) and case groups by peer learning, experienced clinical education for 3 weeks. Data collection tool was included psychometric questionnaires by Cheraghi and et.al to assess self-efficacy in clinical practice with 4-point Likert scale in 4 domains. All students completed questionnaires before and after training. For data analysis were used software SPSS (Ver22) in descriptive level (measure of central tendency) and inferential statistics (independent t test, Chi-square and covariance analysis). In this study P˂0.05 was considered significant.
Descriptive findings show that with the loss of 9 people, 141 nursing students participated in the case group (68 students) and in the control group (73 students) finally. Students of the two groups did not differ significantly in terms of age, gender and habitat (native and non-native). The results of covariance assumptions showed that due to non-violation of the linear assumption, the homogeneity of the studied regression slope and the variance consistency of the data of the under study groups, research hypothesis have been confirmed(pIt seems that the use of Peer Assisted Learning approach has been effective in improving patient care dimensions by increasing the self-efficacy of students.

Self-directed learning is vital for professional development of nursing and midwifery girl’s students. It enables these students to enhance their professional performance quality. The existence of a valid instrument seems necessary not only for assessing self-directedness of learning but also determining effectiveness of teaching and learning methods. Therefore, the aim of the present study is to determine psychometric properties of the Self-Directed Learning Readiness Scale (SDLRS) developed by Cheng et al. (2010) in nursing and midwifery girl’s students.
in the present cross-sectional/psychometric study, from among 1135 nursing and midwifery girl’s students in Islamic Azad University, Isfahan (Khorasgan) Branch and Isfahan University of Medical Sciences (Faculty of Nursing and Midwifery) who were in their pre-internship period in academic year 2014-2105, 378 students were selected via the random sampling method. Then, they completed the SDLRS containing 20 items and 4 sub-scales. The raw data were entered into SPSS-24 and LISREL-8.75 software programs and analyzed via descriptive and inferential statistical tests such as Cronbach's alpha coefficient, the Spearman–Brown prediction formula, the Gottman Method, and confirmatory factor analysis (CFA).
In the framework of construct validity assessment and using a confirmatory factor analysis(CFA), the 20-item SDLRS into four factors were analyzed through using Cronbach’s Alpha of learning motivation 0.83, planning and implementation 0.84, self-regulation 0.81, and interpersonal relationship 0.60 with reference to goodness-of-fit indices RMSE=0.057, GFI=0.91, and CFI=0.98. The results indicated that all four factors of this scale enjoy high internal consistency coefficients.
the results indicate that the SDLRS (Cheng et al. 2010) is a valid and reliable instrument for identifying self-directed leaning capabilities in nursing and midwifery girl’s students.

Health literacy includes a group of skills of reading, listening, analysis and ability of using these skills in the health situations. The women have been identified as the initial population for emphasis on increase of health literacy. This study was applied with the objective of "The effect of small-group teaching on health literacy in pregnant women with nausea and vomiting: a clinical trial".
This clinical trial was conducted, on 59 Pregnant women with the nausea and vomiting who referred to obstetrics ward of health and treatment centers in Neishabour County. The women were selected randomly in two intervention and control groups. In the intervention group, intervention by researcher was performed on a 5 to 12 member group of women in 8 training sessions 30-45 minutes. The control group received routine care. The study instruments were questionnaires STOFHLA[1] and (modified-PUGE)[2]. Data analysis done with independent t test, Wilcoxon, chi-square and Mann-Whitney.
Research units, were no statistically significant difference of personal data at the beginning of the study (p>0/05). After intervention in the intervention and control groups, the mean change score of health literacy had statistically significant difference (P Promoting health literacy using small group training is recommended in pregnant women with nausea and vomiting in the Health care center.

Oral health is an essential component of overall health for all adolescences. The improvement of requires proper training methods to improve knowledge, attitudes and practices in relation to its population. The aim of this study was to compare the effect of two methods (by the electronic education method and by dental training models) in improving adolescences’ knowledge, attitude, practice of dental hygiene, and decrease dental plaque and gingival index.
This study was a quasi-experimental performed on 120 primary school students in Tehran. The subjects were randomly selected and were divided into two equal groups (each group n=60). The knowledge, attitude, practice and dental plaque and gingival index of the student were measured by self-report questionnaires and examination by pre-test and post-test method. The data was analyzed by using of the software SPSS version 21 and the statistical tests Phishers exact, Chi-square and Wilcaxone.
There was no significant difference between the two groups in knowledge, attitude and practice before the intervention (P> 0.05). In the electronic education and dental training models groups, the knowledge, attitude, and the practice were improved after the both intervention, however the electronic education approach had a more effect on improving the knowledge, attitude, practice of oral health and decreasing dental plaque and gingival index (P This study showed that not only the training is effective in promoting oral health behavior, but also the type of training has an important role in promoting it. Thus the electronic education at all stages of educational methods were more effective than dental training models. Therefore, electronic dental training to promote oral health is recommended as an effective method.

Many of the problems and psychiatric disorders such as depression are rooted in life skills and psychosocial factors. It seems that identifying mental and social capabilities associated with depression can play an important role in the effectiveness of interventions. This study aims to determine the relationship between depression, life skills and psycho-social abilities in teenage students in 2015.
This cross-sectional study has been conducted on 600 high school students (14-17 age) in Isfahan. Randomized Multi-stage sampling has been carried out in different educational areas. Questionnaires on psychosocial capabilities and depression symptoms were used as the Data collection tool. Prior to the study, validity and reliability of the questionnaire on psychosocial capabilities was reviewed and approved. Linear regression analysis and SPSS 21 was used to examine the relationship between variables.
The prevalence of major depression in pupils was 29.1 and in the female and male students were 32.9 and 25.4, respectively. Depression or life skills score and all of the psychosocial factors except recreational activities, had a significant and inverse correlation. Based on the results obtained from regression analysis, among the psychosocial predictive variables, standardized coefficient of decision-making skills (-0.31) was the only variable which showed a significant correlation (P The results showed that among the psychosocial variables, decision-making skills can effectively predict the rate of depression in the students.

The Shortage of organ donation is the main goals of nursing education. Therefore, the purpose of this research was to designation the relationship of cultural competence, health and social support with the attitude toward organ donation was mediated by social responsibility.
In A descriptive survey research, the statistical sampling were includes 369 persons residing in the provinces of northwest (Zanjan, Ardebil, West Azerbaijan and East) organ donation cards in 1395 who were selected by simple random sampling method. For gathering the data, organ donation attitude questionnaire of Tihana et al, cultural competence questionnaire of Perng and Watson, Keyz social health questionnaire, Gasemipor and Ganje social protection questionnaire and social responsibility’ scale of Mergler and Shield were used. The data were analyzed by using Pearson correlational coefficient and bootstrap through software SPSS and amos-22. (P The results indicated the model was fitted and direct relationship of cultural competence (p=0, 002, β=0, 27), social health (p=0, 000, β=0, 70), social protection (p=0, 000, β=0, 57) and social responsibility (p=0, 001, β=0, 60) with Attitude with organ donation were significant. The indirect relationship of cultural competence (p=0, 05, β=0, 35), social health (p=0, 000, β=0, 35), social protection (p=0, 001, β=0, 36), with mediating of social responsibility were significant (P According to the findings of this study, it seems that with the reinforcement of cultural competence, social health, social protection and social responsibility of Individuals and particular, patients and entourage, Individual group training by nurses, can be increased positive attitudes toward organ donation and organ transplantation needs to be fixed.

Nursing at the intensive care unit is an independent and creative profession, which is why nursing is the culmination of art. Therefore, this study aimed at evaluating the skills of senior nursing students of Kerman province at the intensive care unit.
This was a descriptive cross-sectional study. The sample in this study was all senior nursing students from a total of 130 individuals. Information using specific questionnaires on clinical skills regarding the nervous system, heart, and dialysis were collected. Test, t-test, Analysis of Variance (ANOVA), and correlation coefficient were used for data analyses.
The total mean score of clinical skills at the intensive care units was 58.55 (± 12.06). The highest mean score was for neurological skills at the intensive care unit 24.89 (± 5.89) and the lowest was for hemodialysis units (14.18 (± 4.85)). Work with a ventilator, pacemaker device, and preparing hemodialysis machine were insurable skills of students at neurological, cardiac, and hemodialysis units, respectively.
According to the study, more attention is necessary for teaching clinical skills in a real environment for nursing students. This could be achieved by increasing knowledge in units of critical care and producing logbooks that are completed and evaluated.