[Evaluation of students' clinical skills: Agreement of self-assessment and clinical teacher assessment scores]

Introduction: The most essential part of any training program is evaluation, because by doing so, the shortcomings of the program can be realized and dealt with. Clinical evaluation of students is one of the fundamental challenges in clinical nursing education. Nowadays, self-evaluation is proposed as a useful method along with student evaluation by teacher

Objective: This study was performed to determine the agreement between self and clinical teacher evaluation of nursing students' clinical skills

Methods: In this descriptive cross -sectional study, 79 nursing students from of two to eight semester were chosen by stratified systematic random sampling method. At the end of the training, students' clinical skills were evaluated by themselves and clinical teachers. The data gathering instruments were evaluation forms used in college of nursing. Descriptive and inferential statistics [Variance analysis, Spearman correlation and inner group correlation square] were used for data analysis

Results: Based on study results, there was no significant difference between self and clinical teachers' evaluation in general and specific-general items. Also a high agreement and correlation were found between two assessment methods [P=0.0001, ICC= 0.916]

Conclusion: According to significant correlation between two different methods of assessment, it is suggested to increase the accuracy of clinical assessment scores and student satisfaction, self-assessment be used in addition to clinical teacher assessment. Perhaps this method may promote clinical evaluation methods

[Role of career factors on marital satisfaction of nurses]

Introduction: marital satisfactions are the key to strength the family and heighten the physical, mental health and economic development which could effect on life and job satisfaction. Professional nurses are under various stresses during their shift work to provide excellent quality of life for patients. They have responsibility for their own personal life too. Due to multiplicity of nurse's roles they suffer under several psychological and physical stresses. Understanding the factors related to their employment such as shift work can improve validity and efficiency of this force which is important in human

Objective: this study aimed to determine the role of shift work and predictor variables on marital satisfaction of employed nurses through educational - medical centers

Methods: in this cross - sectional study, 500 marital employed nurses from 8 training medical centers in Rasht were selected using stratified random sampling. Information was collected using ENRICH marital satisfaction questionnaire for demographic data, social and shift work. For data analysis spss16, descriptive and inferential statistical tests [linear regression, Pearson's test, Regression Logistic Ordinal Model] were applied

Results: results showed that there is a significant relationship between marital satisfaction and shift work [P=0/003], history job [P=0/0001], personal income [P=0/002], the place of service [P=0/0001], employment status [P=0/0001], age [P=0/002]. The findings showed each child can increase 1.65 times chance of lower satisfaction. Psychiatric ward was only ward related to marital satisfaction [p<0.0001]. But there was not significant relationship between marital satisfaction job degree, sex and educational level

Conclusion: according to this findings, shift work, and some occupational factors [history job, income, place of service, employment status] are related to marital satisfaction for nurses. Therefore, applying the appropriate ways and moderating factors to improve the marital and career state of nurses are essential

[Relationship between demogaphic characteristics, lifestyle and exposure to stressor events and colorectal cancer]

Background: colorectal cancer is considered as the most GI cancer.Although its cause is not definitely known, recognizing the relevant risk factors could reduce its incidence through preventive measures. The Purpose of this study was to determine the relationship between demographic characterisitics,lifestyle and exposure to stressor events and colorecatal cancer in Rasht, Iran

Methods: The present research was a case-control study in which 150 patients with colorectal cancer were chosen as the case group from educational and treatment centers of Rasht through the convenience sampling method[n=150, colon or rectal cancer Patients],while 150 healthy individuals were chosen as the control group through the random cluster method [n=150, healthy individuals] as control group.Data were collected by using a questionnaire which consisted of three parts:1] demographic data 2] lifestyle data 3] Holmes-Rahe social readjustment rating scale. For analyzing data, the descriptive and deductive statistics were used

Results:Findings related to demographic variables show that there are a significant relationship between BMI [P<0.001], polip history [P<0.001], Inflammatory Bowel Disease history [P<0.001], diabetes [P<0.01], family history of colorectal cancer in first degree relatives [P<0.001] and this type of cancer.Regarding lifestyle variables,results indicate that there are a statistical difference between the two study groups with consideration of smoking [P<0.01], eating fruits and vegetables [P<0.001], dairy products [P<0.025], red meat intake [P<0.001], defication status [P<0.001] and exercise [P<0.001] .Also there was a significant difference between the said groups' overall lifestyle[P<0.001]. The analysis of stressful life events show that the average values of the case group are considerably higher than those of the control group and a statistically significant difference is observed.[T= 14.73, P<0.001]

Conclusion: This study indicates significant difference between some demographic characteristics,lifestyle and the level of exposure to stressors events of colorectal cancer patients and healthy people.Results of this study and it's suggestions could be of great importance for healthcare workers and the general public,especially those who are succeptible to the said disease because they can provide more information about risk factors of colorectal cancer and its preventive measures

[Relationship between nursing burnout and occupational support]

Burnout is a specific kind of occupational stress reaction prevalent among human service professions such as nursing. It is characterized by feeling of emotional exhaustion, depersonalization and reduced personal accomplishment. Occupational support is a factor reducing stress in workplace. The purpose of this study was to examine the level of burnout and relationship between it and occupational support in nurses. In a descriptive study, 257 nurses were randomly selected through stratified sampling, and were classificated into eight medical educational hospitals in Rasht. Participants completed MBI [Maslach burnout inventory] and Spooner occupational support questionnaires. T test, chi square test, Fisher's exact test and logistic regression were used to analyze the data. Emotional exhaustion was low in%51.4 and it was moderate to high in%48.6, depersonalization was low in%94.2 and moderate to high in%5.8, reduced accomplishment was low in%33.9 and it was moderate to high in%66.1. Coworker support in most nurses [%82.9] was moderate to high and manager support in%73.6 of the nurses was moderate to high. There was a negative correlation between manager support and emotional exhaustion and a positive correlation between dialysis unit and depersonalization and a negative correlation between age and depersonalization. Findings indicate that nursing managers can increase organizational support and consequently prevent nursing burnout. In doing so, high level of nursing care and job satisfaction are achieved

[ article publication status among faculty members of Guilan university of medical sciences]

Bibliometrics as a method of annual evaluation of research performance in Iranian Universities of Medical Sciences involves determination of scientific activities of faculty members. A wide range of scientific performances are evaluated in this way and determination of number of publications is an important indicator of this evaluation. Determination of number of article published by Guilan University of Medical Sciences [GUMS] faculty members. Using a descriptive design based on biblometrics methods, four eminent scientific databases including Scientific Information Database [SID], Iranmedex, Web of Knowledge [WOK]; and Scopus has been searched and the number of articles published by GUMS faculty members has been determined. Data obtained in this research indicates the number of Persian and Latin articles published by GUMS faculty members shows a rapid increase in recent five years as the number of Latin articles increased from 9 in 2003 to 41 in 2008. Of 879 articles published by GUMS members in this period, the medical faculty members contributed the highest percentage [77.47%], with Internal group as rank one with 69 articles. The current trend of article publication by GUMS members is favorably increasing, although this tendency has no equality in all faculties. Conducting more researches to discover the potential causes of this situation and providing sophisticated resolutions seems be necessary

[Factors defined by nurses as influential upon the development of clinical competence]

Introduction: Competence is acknowledged as a controversial issue in health care settings, which affects many different aspects of the nursing profession such as education, practice and management. Although a number of research and discussion papers have explored the issue of competence in nursing and in particular the meaning and assessment of nursing competence, to date little research has been carried out to survey the factors identified by nurses themselves as being influential upon the development of professional competence in nursing. In this regard, this study attempted to reveal factors that contribute to the formation of competence based on nurses' experience. Once these factors understood, managers and educators might be able to implement appropriated strategies to boost nursing competence development

Objective: This study was conducted to explore and identify factors described by nurses as influential on the development of professional competence in nursing

Materials and Methods: This study is a qualitative study, which was done through content analysis. The sample consisted of fifteen registered nurses who were recruited from two Tabriz university-affiliated hospitals, which were chosen by non-probable sampling and by “sampling based on objective”. Tape-recorded semi-structured interviews were used as the data collection method. ?The contents of the interviews were transcribed into statements based on chosen methodology and then analysed

Results: Six interrelated categories were identified from the collected data. These categories, which have some degrees of overlap, include: [I] experience [II] opportunities [III] environment [IV] personal characteristics [V] motivation [VI] theoretical knowledge

Conclusions: Based on the findings obtained, a wide domain of internal and external personal conditions and factors influence achieving clinical competence. An understanding of these factors gives nursing managers and educators a scientific basis for closer dealing with this debatable issue. Nurses need this knowledge to be better able to pursue effective competency development pathways and ultimately to be prepared for providing a high standard of care. Thus the findings of this study could have important implications for nursing practice, management and education