ABSTRACT
Introduction: Clinical learning environment have an important role in clinical learning of nursing students. Any differences between expected and actual clinical learning environment of nursing student result in reduce the interest of nursing students to clinical environment and decrease their clinical performance. The aim was to comparison the perception of nursing students regarding expected and actual clinical learning environment in medical-surgical wards
Method: This study was a descriptive cross-sectional and conducted in first semester of 2009-2010 educational years. In this study 217 baccalaureate nursing student from Iran nursing and midwifery faculty participated. The researcher appeared in the student's clinical learning placement at last day, and after produce necessary information about purpose of study, both of versions of questionnaire give to students contemporaneously, and collected after completion. For data collection, clinical learning environment inventory was used that contain 42 item in six areas. Data was analyzed by SPSS software using descriptive and inferential statistic
Results: The paired t test showed that there were statistical differences between actual and expected perception on nursing students regarding clinical learning environment
Conclusion: The results of this study showed, nursing students haven't positive perception of the clinical learning environment and their perception of actual clinical learning environment to differ from expected clinical learning environment
ABSTRACT
Post-kidney transplant survival relies on patient adherence to the intake of immunosuppressive medication. Non-adherence to immunosuppressive drugs leads to rejection, graft loss, dialysis, lower quality of life, increased costs and mortality. Quality of life may be useful to identify non-adherence. The aim of the current study was to examine the relationship between medication adherence and quality of life in renal transplant patients. This was a descriptive cross-sectional study in which 230 patients who were more than 18 years old and at least 3 month elapsed from their graft participated. Data were collected by Immunosuppressant Therapy Adherence Scale [2005] and Quality of Life in Kidney Transplant Patient questionnaires. Data were analyzed by SPSS, version 15. Finding showed that the mean score and standard deviation of quality of life were 21.65 and 4.039, respectively, and 57.8% of patients were non-adherent. A statistically significant and indirect relationship was found between adherence and quality of life [p < 0.001, rETA=0.23]. Regarding the results that showed the relationship between adherence and quality of life in patients, nurses should consider immunosuppressant adherence in teaching and caring as a health promoting strategy