مجله آموزش پرستاری
سال هفتم شماره 3 (پیاپی 29، امرداد و شهریور 1397)

Patient education is one of the fundamental aspects of patient care and is a necessity in the health care system. These trainings are aimed at helping individuals to improve their lives, reach maximum psychophysical development, and strengthen their self-confidence. The purpose of this research was to evaluate the efficacy of patient education delivered by nurses in the Birjand-based teaching hospitals in 2017. In this descriptive-analytical study, 303 eligible patients hospitalized in the Birjand-based Valiasr and Imam Reza hospitals were selected by quota sampling method. The data collection instruments comprised of a demographics form and Nurses’ Patient-Education Assessment Inventory whose validity is confirmed by the Nursing Deputy of Ministry of Health, Care and Medical Education via the notification letter on nationwide indices on nursing care quality. Its reliability is reported as 0.85 using Cronbach’s alpha coefficient. The data were analyzed by SPSS software using Friedman, Mann-Whitney, and Kruskal-Wallis tests. The highest mean score of knowledge was related to the identification of the physician and nurse (2. 57 ± 0.54), whereas the lowest belonged to the lifestyle dimension (0.69 ± 0.29). The total score of knowledge in the patients was 14.26 ± 3.54 (below average). The Friedman’s test showed that the mean scores of knowledge in the identification of the physician and nurse, disease recognition, drug consumption, lifestyle, self-care, post-discharge follow-up, satisfaction with the educational program delivered by the nurse, and manner of education were significantly different in the patients under study (p According to the results of this study, the necessity of planning of managers in terms of effective nursing education for patients, their supervision, and evaluation of the efficacy of nursing education is suggested.

Emergency Medical proper functioning of the system depends on the knowledge and clinical skills in pre-hospital emergency nurses that are directly related to trauma. The aim at this study was to evaluate clinical skills in the field of restrictions of spinal cord injured patients is the result of traffic accidents. This descriptive cross-sectional study in which 100 nurses of pre-hospital emergency operations in four areas of Tehran were selected by Simple random sampling method. Tools for collecting data, demographic questionnaire and a self-made check list "approach to evaluating the performance evaluation of nurses in the treatment of victims of traffic accidents and damage to the nervous system properly conveys the sleeping situation". Data were collected through observation and research skills by completing the tool were used. Data were analyzed by SPPS 19 and independent t test, One-way ANOVA and Pearson correlation coefficient tests. The results showed that the majority of nurses (88%) moderate clinical skills were the backbone of the restriction And carrying two injured correct transfer skills to get back on the boards (log roll) and fix the extremities (arms and legs) patients were too weak to get back on board. Demographic and clinical skills reversals between any abnormal spine was not significant. .Although the clinical skills of nurses in the operating limit pre-hospital spine are average but because of the importance of the skill and the consequences of incorrect transferring needs more training, especially where they are very weak

Inadequate health literacy and lack of information related to disease management can affect self-efficacy in care. The aim of this study was to determine the relationship between health literacy and self-efficacy in patients with cardiovascular disease. In this descriptive study, 161 cardiovascular patients were selected using convenience sampling method from patients referring to two educational hospitals in Khorramabad city, in 1396. In this study the data collection was used personal and social information form, health literacy questionnaire and self-efficacy questionnaire. Descriptive statistics and Pearson or Spearman correlation coefficients were used for data analysis in SPSS software. The mean age of participants was 59.97 ± 12.68 years. Most of them were women (59%) and married (71.4%). most of them had less education than a diploma (78.9%). The findings showed that most of the subjects had a level of health literacy at the borderline / moderate level (75.2%). They also had a level self-efficacy at the borderline /moderate (70.2%). The main findings showed that there is a significant relationship between the total health literacy score and the self-efficacy (r = 0.001, p = 0.00), so that people with higher levels of health literacy had more self-efficacy. The findings of this study showed that cardiovascular patients have a level of health literacy and self-efficacy at the borderline level. Considering the significant relationship between health literacy and self-efficacy, nursing interventions are needed to increase self-efficacy and health literacy for health behaviors.

Patient education is one of the fundamental principles of nursing perofession. Nurses have to do their education task to provide patient satisfaction, accelerate healing and reduce readmission rates. The aim of this study was to determine the patient's perspective at medical surgical wards in education hospitals in Kermanshah during training performance and compare it with standard clearance by nurses is 2014-2015 years In this cross-sectional study, a sample size of 152 was calculated on the basis of the pilot study and sampling was Consecutive done. Data was collected by researcher-made questionnaire containing demographic data and issues relating to nurses in six domains. SPSS version 16 used for data analyse and mean and data correlation done by descriptive statistics The results showed that in area of nurses performance related to the recognize and disease nature (19/9%), complications (19%), drug regimen (28/5%), activities (19/5%), nutrition ( 35/5%) and follow up (23/6%) was very high and high education. findings showed that nursing education and the standards of nursing was significantly different (patient satisfaction of nursing education) (p Considering the low percentage of education in all domains in terms of patients, nurse's performance is not desirable. In order to improve their level of knowledge regarding the importance of patient education, the necessary measures should be taken by the direct authorities of this profession.

Communication skills are important tools in providing medical care. Therefore, this study was conducted with the aim of the effectiveness of Communication Skills Training Course (CSTC) of emergency medical staff on patients' satisfaction. This semi-experimental study (June to September 2017) was performed in Tehran city. In this study firstly 20 subjects (medical-staff: physician, nurse; non-medical staff: security and service staff) using census method selected from person who worked in emergency unit and then they were educated and studied for CSTC(2 weeks, 4 sessions 2 hours). In this study 32 and 42 other patients before CSTC (June) and one month after CSTC (September) respectively filled out self-designed 5 items questionnaire. In this study, chi-square test and SPSS software version 18 were used for statistical testing and data analysis respectively. This study was performed on 73 patients admitted in the emergency department (46 (63%) males, 27 (37%) women). The results of this study showed an increase of 18% to 24% for non-medical staff (security and service staff) an increase of 17% to 18% satisfaction for medical staff (physician, nurse). Considering the lower effect of communication skills among nurses and physicians, it is recommended that this course be designed according to the type of physicians and nurses work and conducted separately as workshops with a retraining for the medical staff.

One of the research methods for reviewing and updating educational programs is conducting comparative studies that it's about analyzing and recognizing the similarities and differences between phenomena, institutions and educational systems. The aim of this study was to couducted a comparative study of nursing master's education program in Iran and John Hopkins School of nursing. This descriptive-comparative study was carried out in 2018, data were collected by searching the internet with the key words of nursing, nursing education, curriculum, strategic plan, Iran, America (Johns Hopkins), and with a review of the history and details of the nursing master's education program in Iran and the Johns Hopkins Nursing School and compared using Bereday’s four-stage model: description, interpretation, juxta position and comparison. Findings: Attention to the needs of society, permanent changes and diversity in nursing tendencies, choosing self-directed learning strategies, pay attention to coverage and professional appearance were common in Iran and Johns Hopkins. But admission requirements, goals, philosophy, mission, vision, course content, the role of graduates, having Nurse Practioner, spaces and abilities and administrative staff were different in Iran and Johns Hopkiner. Using a decentralized method for admitting student, designing an educational program for tutor and researcher training, focus on courses appropriate to the needs of the community and common diseases in the service place, to improve Master of nursing programs are offered in Iran.

Today, life skills training plays an important role in the social health and creativity of humans. The aim of this study was to determine the effect of life skills training on social health and creativity of nurses. The present study is applied in terms of purpose and in terms of nature and method, descriptive. The statistical population of the study consisted of all nurses in Tabriz city. The sample size was 297. Multi-stage cluster sampling method was used for sampling. In order to collect information in this research, library and field method and data gathering tool, this research was done by Social Health Questionnaire and Creativity Questionnaire. After distributing and collecting questionnaires, U-Mann Whitney tests and Multivariate Analysis of Mann-Whitney (MANOVA) were used to test the research hypotheses using the spss version 19 software. The results showed that trained nurses have significantly more social health than the nurses who were enrolled (P <0.05). The results also showed that there is a significant difference between two groups of trained and untrained nurses in terms of creativity (fluidity, flexibility, elaboration and innovation). For the fluidity variable, the level of significance was less than 0.05 and for the flexural variable the level was less than 0.01 and for the level of development, the significance level was less than 0.05 and for the level of significance initiative less than 0.001. Therefore, according to the averages (the mean flexibility was 3.43, 2.6, 2.83, and 2.3 fluid, in the nurses group trained, and the mean flexibility was 2.5, 2.13, 2.01 and 53.0, respectively in the group of untrained nurses), it can be said that trained nurses have significantly more flexibility, elucidation, fluidity and more initiative than nurses. The results show that nurses who have passed the life skills training course have significantly more social health and creativity than the nurses who have been trained. Therefore, it is necessary to improve the social health and development of their creativity by incorporating life skills training curriculum in nursing education.

Psychosomatic complaints in nurses are among the variables that threaten their health in work environments. For this reason, it is necessary to help them for reduce these types of complaints in different ways. This research was administered with the aim of investigating structural model of the relationship between affective-collective investments with affective capital and psychosomatic complaints among nurses. Methods and Materials: Research method was correlation type of model determination and the research statistical population was the nurses of Amin hospital in Isfahan city, among them two hundred eighty persons were selected using convenience sampling. Research instrument consisted of, affective-collective investment questionnaire with Cronbach Alpha 0.965, affective capital questionnaire with Cronbach Alpha 0.96, and psychosomatic complaints scale with Cronbach Alpha 0.86. Data were analyzed with the use of Pearson’s correlation coefficient and Structure Equation Modeling (SEM). Results revealed that there is a positive significant relationship between affective-collective investment with affective capital (p=0.001), and there is a negative significant relationship between affective-collective investment and affective capital with psychosomatic complaints (p=0.001). Results of structural equation modeling and mediation analysis indicated that affective capital is a complete mediator on the relationship between affective-collective investments with psychosomatic complaints. The results of this study showed that positive capacities of affective capital and affective-collective investment can be used to promote the physical health of nurses in nursing workplaces. Therefore, it is suggested that this be important in the nursing education process.