فصلنامه حیات
سال پانزدهم شماره 1 (پیاپی 40، بهار 1388)

Privacy is one of basic rights of the patients. Privacy becomes important for the adolescents when they hospitalize in an unfamiliar environment. This study aimed to compare the perceptions of inpatient adolescents with nurses on the observance of privacy and its importance.Methods & Materials: In this cross-sectional study, 175 nurses and a convenience sample of 180 inpatient adolescents who had met the inclusion criteria were recruited to the study. Data was gathered using a questionnaire. Man-whitney u and kruskal-wallis statistical tests were used to analyze the data.

The results showed that there was significant differences between nurse's and inpatient adolescents` perceptions on the observance of privacy and its importance (man-whitney u, P<0.001). The most important priority regarding the privacy from nurse's point of view was "covering the unnecessary parts of the body while caring"; whilst it was "providing a pleasant decorated environment, telephone, toilet and bath in room, and hospitalization in a room with peers" from the adolescent's point of view. The most observed case about privacy from the nurse's point of view was "taking immediate action to help the teenagers if necessary"; whilst, from the adolescents view, it was "calling them with their favorite names".

The mean perceptions of nurses were higher than the adolescences toward observance of privacy and its importance. The results can guide nurses to improve quality of care for this group.

The Clinical Teaching Partner model (CTP) integrates theoretical knowledge with professional skills and brings the reality to workplaces. Closing educational and practical aspects in nursing discipline has been a challenging goal for nursing which requires cooperation between faculty instructors with nurse practitioners; such collaboration will led to development and promotion of nursing discipline. Therefore selecting an effective and efficient approach in order to integrate theoretical knowledge with practical experiences would be crucial for nursing profession. This study was conducted in order to investigate the effect of CTP on nursing student's clinical skills outcome.Methods & Materials: A quasi experimental, only post test design was applied. Study sample consisted of 1) three faculty instructors, 2) seven registered nurse practitioners who were staff nurses in three pediatric wards and voluntarily participated in the study and 3) fifty two nursing students which were in the 5th semester of nursing BSc. program and had eligible criteria to enter the study. Students were allocated randomly to the intervention (n=28) and control (n=24) groups. Participants in the control group, initially started their internship period in 3 pediatric wards and were evaluated by faculty instructors regarding their clinical skills at the end; students in the intervention group, then started their clinical training course in the same ward as control group, but their clinical education was conducted by the nurse practitioners who voluntarily participated in the study and trained initially in the nursing facultie's skill lab. Student's clinical skills were evaluated by nursing mentors via some instruments at the end of the educational period; in addition, clinical education outcomes and nursing student's satisfaction of achievement to apprenticeship goals were assessed at the end of the training period. Data were analyzed using the statistical tests including Chi square, Fisher exact test, Mann-Whiney U, and t-test in SPSS.

Considering students demographic characteristics, both groups were homogenous. There was a significant difference in the student's clinical skills between two groups (P<0.001). A significant difference was shown in the nursing mentors and faculty instructor's satisfaction of application of cooperative education method between both groups (P=0.004). No significant differences were found between student's satisfaction of reaching to educational outcomes between both groups (P=0.058). There were also no statistical differences between nursing mentors and faculty instructor's satisfaction of achieving to clinical education outcomes (P=0.109).

According to this study, CTP is an effective approach in clinical education and development of clinical skills for nursing students; therefore,application of this method is recommended in clinical nursing education.