Journal of Nursing Education
Year:2018 | Volume:6 | Issue:6 |Papers Count:8

Introduction: Patient education is one of the important features in the nursing profession. Since training is cost effective on all aspects of patient care, treatment, and recovery, it is important to understand patient education by nurses. The aim of this study was to evaluate patients' perspective about the state of education provided to patients by nurses.Methods: This cross-sectional study was conducted at Birjand Vali Asr Hospital. The study population consisted of 161 patients, who were being discharged from the hospital and the sample was selected by quota sampling. Data were collected through a questionnaire. The data were analysed with discriptive descriptive and inferential analysis (correlation coefficient and chi-square) using the SPSS version 14 software.Results: The results showed that the highest level of education on admission was familiar with insurance rules. Most training of patients during the hospital stay was on diet. The results also showed moderate satisfaction of patients with nurses. According to Fisher's exact test, there was a significant relationship between nurses' educational performance and patient satisfaction from nursing education.Conclusions: 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 evaluate this important task.

Introduction: 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 learn, and they themselves learn during teaching at the same time. The aim of this study was to investigate 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.Methods: This study was a quasi-experimental and case-control research. Sampling was done via the census method and included 150 cases. These subjects were divided to 2 groups of case and control by simple random sampling; the control group received conventional methods (by clinical instructor) and the case groups by peer learning, and experienced clinical education for 3 weeks. The data collection tool included psychometric questionnaires by Cheraghi and et al. to assess self-efficacy in clinical practice with a 4-point Likert scale in 4 domains. All students completed questionnaires before and after training. For data analysis, the SPSS (Ver 22) software was used at the 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.Results: Descriptive findings showed that with the loss of 9 people, 141 nursing students participated in the case (68 students) and the control group (73 students). Students of the 2 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 study groups, the research hypothesis was confirmed (P<0.00). The peer-assisted learning approach had an impact on increasing the clinical self-efficacy of nursing students.Conclusions: It seems that the use of Peer Assisted Learning approach is effective in improving patient care dimensions by increasing the self-efficacy of students.

Introduction: Self-directed learning is vital for professional development of nursing and midwifery female students. It enables these students to enhance their professional performance quality. The existence of a valid instrument seems necessary for assessing self-directedness of learning and determining effectiveness of teaching and learning methods. Therefore, the aim of the present study was to determine psychometric properties of the Self-Directed Learning Readiness Scale (SDLRS) developed by Cheng et al. (2010) in nursing and midwifery female students.Methods: In the present cross-sectional/psychometric study, from among 1135 nursing and midwifery female students at the 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 to 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 in the SPSS-24 and LISREL-8.75 software programs and analyzed via descriptive and inferential statistical tests, such as Cronbach's alpha coefficient, Spearman–Brown prediction formula, Gottman Method, and Confirmatory Factor Analysis (CFA).Results: In the framework of construct validity assessment and using a Confirmatory Factor Analysis (CFA), the 20-item SDLRS in 4 factors were analyzed 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 had high internal consistency coefficients.Conclusions: 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 female students.

Introduction: Health literacy includes a group of skills, including reading, listening, and analysis, and the ability to use these skills in the health situations. Females have been identified as the initial population for emphasis on increase of health literacy. This study was applied with the objective of determining "the effect of small-group teaching on health literacy in pregnant females with nausea and vomiting: a clinical trial".Methods: This clinical trial was conducted on 59 Pregnant females with nausea and vomiting, who were referred to obstetrics ward of health and treatment centers in Neishabour county. The females were selected randomly in 2 intervention and control groups. In the intervention group, an intervention by the researcher was performed on a 5- to 12-member group of females in 8 training sessions of 30 to 45 minutes. The control group received routine care. The study instruments were questionnaires of STOFHLA (Short Test of Functional Health Literacy in Adults) and modified-PUGE (Pregnancy-Unique Quantification of Emesis and Nausea). Data analysis was done with the independent t test, Wilcoxon, chi-square, and Mann-Whitney.Results: Research units had no statistically significant differences in 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 differences (P<0.001). Before and after the intervention in the intervention group, score of health literacy had a statistically significant difference (P<0.001).Conclusions: Promoting health literacy using small group training is recommended in pregnant females with nausea and vomiting at health care centers.

Introduction: Oral health is an essential component of overall health for all adolescences. The improvement of dental health 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 of dental plaque, and gingival index.Methods: This study was a quasi-experimental research performed on 120 primary school students of Tehran. The subjects were randomly selected and were divided to two equal groups (each group n=60). The knowledge, attitude, practice, and dental plaque and gingival index of the students were measured by self-report questionnaires, and examination was done by the pre-test and post-test method. The data was analyzed using the SPSS version 21 software and the statistical tests were Phishers exact, Chi-square, and Wilcaxone.Results: There was no significant difference between the 2 groups in knowledge, attitude, and practice before the intervention (P>0.05). In the electronic education and dental training model groups, knowledge, attitude, and practice were improved after both interventions, however, the electronic education approach had a more significant effect on improving knowledge, attitude, and practice of oral health and decreasing dental plaque and gingival index (P<0.001).Conclusions: This study showed that training is effective in promoting oral health behavior, while the type of training has an important role in the extent of improvement in this behavior. Thus, 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.

Introduction: Many 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 aimed at determining the relationship between depression, life skills, and psycho-social abilities in teenage students during year 2015.Methods: This cross-sectional study was conducted on 600 high school students (aged 14 to 17 years) in Isfahan. Randomized multi-stage sampling was 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.Results: The prevalence of major depression in pupils was 29.1 and in female and male students this was 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 psychosocial predictive variables, standardized coefficient of decision-making skills (-0.31) was the only variable, which showed a significant correlation (P< 0.001). The results of Analysis of Variance (ANOVA) showed that the regression model was significant (P<0.001).Conclusions: The results showed that among psychosocial variables, decision-making skills could effectively predict the rate of depression in students.

Introduction: The shortage of organ donation is the main goal of nursing education. Therefore, the purpose of this research was to determine the relationship of cultural competence, health and social support with the attitude towards organ donation mediated by social responsibility.Methods: In this descriptive research, the statistical sample included 369 individuals residing in northwest provinces (Zanjan, Ardebil, West Azerbaijan and East) with organ donation cards during year 2016, 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’s Social Health Questionnaire, Gasemipor and Ganje Social Protection Questionnaire and Social Responsibility Scale of Mergler and Shield were used. The data were analyzed using Pearson correlational coefficient and bootstrap using the SPSS and amos-22 software (P<0.05).Results: The results indicated the model was fitted and the direct relationship between cultural competence (P=0.002 and b =0.27), social health (P=0.000 and b =0.70), social protection (P= 0.000 and b =0.57), and social responsibility (P=0.001 and b =0.60) and attitude with organ donation was significant. The indirect relationship of cultural competence (P=0.05 and b =0.35), social health (P=0.000 and b =0.35), social protection (P=0.001 and b =0.36), with mediation of social responsibility was significant (P<0.05). In conclusion, 72% of the variance in attitudes to organ donation was determined by variables of this research model.Conclusions: 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 particularly, patients and entourage, individual group training by nurses, can increase positive attitudes toward organ donation.

Introduction: 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.Methods: 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.Results: 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.Conclusions: 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.