[Comparison of impact of face to face and educational booklet methods on respiratory self efficacy of patients with chronic obstructive pulmonary disease attending to selected hospitals of Shahid Beheshti university of medical sciences in Tehran]

Introduction: patient education is an essential strategy in disease control that reduces complications in patient with chronic diseases. Today, most of the education and information presented in health care systems are at a higher level and are not an appropriate method for people to understand. This study aimed to examine the impact of two of the above methods on respiratory self-efficacy among people with COPD

Method: this study is a quasi-experimental clinical trial that performed in 2012 on 75 patients with chronic obstructive pulmonary disease attending Masihe - Daneshvary and Emam Hosien hospitals in Tehran, Iran. We used purposive sampling method and the participants in the study were divided into three random categories [face to face, educational booklet, and control groups]. The two groups of subjects were presented with identical content but different training methods. The control group received the routine instruction in the ward. Data analysis was performed using descriptive and inferential statistics

Results: the results showed homogeneity at demographic data in three groups of study. Comparison of demographic and mean respiratory self-efficacy in the baseline between three study groups showed no significant difference. But the mean of respiratory self-efficacy in the past revealed a significant difference between face to face educational group and control groups [P<0.001]. The test showed no significant difference between educational booklet group and control group [P>0.05]

Conclusion: among people with COPD, face to face educational strategies increased respiratory self-efficacy more than booklet educational method. Consequently, nurses as care providers in patients with COPD can have a valuable role in patient education using face to face education method

[Correlation between self-concept according to Roy adaptation model with adherence to therapeutic regimen in hypertensive outpatients who attended in one of hospitals affiliated to Urmia university of medical sciences and health services]

Although drug treatment for hypertension is available, but just 30% hypertensive patients have controlled hypertension. Nowadays non adherence to recommended health regimen is accepted as a nursing diagnosis by American Nurses Association. The aim of this study was to determine correlation between self-concept [according to Roy Adaptation Model] and adherence to therapeutic health regimen in hypertensive outpatients who attended to one of hospitals affiliated to Uremia University of Medical Sciences and health Services. In this descriptive-correlational study, 120 hypertensive outpatients, who had inclusion criteria, were selected by quota purposive sampling method. Data were collected by a demographic and disease related questionnaire, "Self-Concept Questionnaire in Heart Disease Patients based on [RAM]" and "Hill-Bone Compliance to High Blood Pressure Therapy Scale". Validity and reliability of questionnaires were assessed with content validity and Cronbach's Alpha coefficient. Cronbach's alpha coefficients of "Hill-Bone Compliance to High Blood Pressure Therapy Scale" and threat and challenge perception "Self-Concept Questionnaire in Heart Disease Patients based on [RAM] were calculated 0.71, 0.87, 0.90 respectively. the questionnaires were completed by interview and data were analyzed by SPSS 16. Findings showed that adherence to recommended health regimen had significant negative relationship to total threat perception with perception of threat of self-concept [P<0.001]. Also, Adherence to recommended health regimen had a positive significant relationship with total challenge perception. Similarly, perception of challenge for body sensation, self consistency, self ideal [P<0.001] with self ethical-spiritual of self concept [P=0.027] had a positive significant correlation. According to the correlation between adherence with threat or challenge perception for dimensions of self concept in this study, nurses need to identify methods that cause patients perceive stimuli as a challenge to self-concept. As it guides person to problem solving ways that should be overcame stressful stimuli and leads to integrated adaptation

Comparing knowledge, attitude and practice of senior nursing students and graduates of Shahid Beheshti University of Medical Sciences

Appropriate nursing care for patients illustrates the quality of nursing practice in the society. In this study the knowledge, attitude and practice of senior nursing students and graduates of Shahid Beheshti University of Medical Sciencess [SBMU] were compared. 54 nurses with a 4-6 years experience of nursing in the medical or surgical wards were selected through goal oriented sampling. 54 senior nursing students were randomly selected. Initial data was gathered using 4 questionnaires dealing with: knowledge, attitude, practice, and patients' and head nurses' opinion about the participants. Mean score [ +/- standard deviation] of knowledge was 63.7 +/- 3.2 and 45.3 +/- 2.1 in nurses and students, respectively [p < 0.005]. Positive attitude was recorded in 52% of participants. Patient evaluation of nursing students and graduates did not differ in the two groups, but the head nurses gave higher scores to the graduates [56.2 +/- 4.0] than to the students [53.4 +/- 6.0] [p < 0.002]. Results revealed that both nursing students and graduates possess ample knowledge and most have a positive attitude. Patients were satisfied with the performance of both groups

Comparison of awareness, attitude, and professional function of graduates and senior nursing students

Nurses are the biggest group of health system professionals and have a considerable effect on the quality of the health care currently being provided. To investigate awareness, attitude, and professional function of nurses from the view points' of person himself colleagues, instructors and service consumers [patients]. This research is a cross-sectional study carried out to compare the awareness, attitude, and function in employed nurses and senior nursing students. Subjects of the study were 54 employed nurses who had B.S degree from Shaheed Beheshti University of Medical Sciences and had been in service for4 to 6 years in internal or surgery wards in one of the University's hospitals and were steel working at the time of the study. Subjects were chosen with purpose based sampling method and were compared with 54 senior university students from the faculty of nursing and midwifery who were ready to pass their training period in internal or surgery wards and were chosen randomly. The tools for collecting data were 4 questionnaires on the degree of awareness, attitude, professional functioning, and the viewpoints of patients, supervisors, and instructors. Mean score of awareness for the nurses and students was 63.7 +/- 3.2 and 45.3 +/- 2.1 respectively [P < 0.005]. Regarding internal and surgical hare and updates of nursing, the score of the nurses has been higher generally [P < 0.005]. But about paediatrics, health, and psychological nursing the two groups' were almost alike. 52% of all the persons studied had a positive attitude toward nursing and 46% of them were indifferent. From the patients' point of view all the nurses and students function was evaluated in a good level. But supervisors considered employed nurses better than the students with mean scores of 56.2 +/- 4 and 53.4 +/- 6 respectively. [P < 0.002] In subgroups' of care and treatment, education and personal characteristics, there was no meaningful difference between supervisors and instructors opinions. This research showed that employed nurses and students of nursing in Shaheed Beheshti University of Medical Sciences had a good level of awareness and mostly a positive attitude toward nursing. Patients had a favourable opinions about giving services and the behaviour of nurses and students