[ assessing quality of teaching from two method of scenario base learning and peer group review in knowledge and performance of student in patient care]

Students must be able to interpret, their information and integrate the new information with their present knowledge in order to solve the new issues. The present study aims to investigate the efficacy of two methods of peer review and scenario- based leaning on the promotion of nursing students, knowledge and performance in patient care. This research is an experimental study on 42 nursing students. The students were randomly devided into two groups and were taught the two methods of peer review an scenario-based methods. In the pretest, data were collected using short essay questions and in the post test, the students were tested through performance checklist. The findings of this study revealed that there was a significant difference between the students, mean scores on knowledge and performance in the two methods [p<.05]. The difference between the mean score of the student knowledge and performance in fields of diagnosis, disease, nursing process, nursing intervention and nursing education in the pre and post tests was statistically significant [p<0.05]. Considering the results obtained and the effectiveness of peer review in the students, clinical skills, it is suggeste that using different methods of teaching as critical and cooperative learning skills as a useful approach to be practiced in clinical teaching

[ effects of endotracheal suctioning on arterial blood gases in patients receiving mechanical ventilation: a before-after open clinical trial]

Endotracheal suctioning is one of the most frequently used methods for airway clearance in patients receiving mechanical ventilation but there are controversial findings regarding its effects on arterial blood gases in mechanically ventilated patients. This study was carried out to determine the effects of endotracheal suctioning on arterial blood gases in patients receiving mechanical ventilation. This research was a before-after open clinical trial study. The subjects consisted of 70 mechanically ventilated patients who were admitted to intensive care units and emergency department of Hazrat-Rasool Hospital in Tehran. Subjects were selected with purposive convenience sampling. The patients received endotracheal suctioning. Arterial blood gases were measured 5 minutes before and 25 minutes after endotracheal suctioning. Data were recorded on the data-recording sheet. Data were analyzed utilizing Wilcoxon and paired t-tests. There were significant differences in the ratio of arterial partial pressure of oxygen to fraction of inspired oxygen [Pao2/Fio2], Paco2, and arterial oxygen saturation [Sao2] between before and after endotracheal suctioning [p=0.000]. As findings showed that endotracheal suctioning improves arterial blood gases exchanges in patients receiving mechanical ventilation, so performing endotracheal suctioning in mechanically ventilated patients is recommended

[ study of the effect of sour orange on reduction clinical symptoms of BPH]

The prevalence of BPH among 5-10 year old men is about 50% and it reaches 90% in 80 year old ones. The use of the components of citrus fruits containing a group of vitamines [specially C], flavonoid and a type of polysaccharides as pectin which are effective in treatment of hyperplasia, allergy and viral infection. This is a clinical-trial study conducted on two groups, each with 30 samples [patients drinking 60 ml sour orange Juice/daily and those administering 1 prozacin tablet daily as used in classical treatment]. Convenient sampling was performed for selection of patients in both groups. From the patients refering to the specialty clinic in Jahrom. The data were collected through a checklist consisting of two part of demographic information and AUA which measures the severity of prostatic symptoms. SPSS software was used to analyzed data. Comparison of the AUA mean scores before and after having sour orange juice revealed that the difference was significant [before: 25.833 +/- 0.823, after: 2.833 +/- 0.248, p=0.000] However, the same comparison for the control groups mean scores before and after taking the above mentioned tablet revealed a non-significant difference [before: 26.666 +/- 0.717, after: 26.666 +/- 0.723, p=1.000]. comparison of AUA mean scores of the case and control groups revealed that the difference was statistically significant [case group: 2.833 +/- 0.248 and control group: 26.666 +/- 0.723, p=0.000] Considering the finding of this study, citrus fruit can be effective in reducing the symptoms of prostate hypertorophy

[ Study on the nurse's attitude about their professional rules and legal responsibilities in Jahrom hospitals]

Nursing is a job based on ethical and legal commiments. One of the most significant resposibilities of every nurse is to know the rules and regulations of his/her job. This cross-sectional descriptive study was conducted to determine, the nursing personnel attitude about their professional rules and responsibilities in jahrom hospitals.The data were collected by a two-part questionnaire. The first part contained demographic data and the second part contained 50 questions, 40 of which were about professional rules and regulations [part one], 7 questions about nursing duties [part two] and 3 about commiting professional crimes [part 3]. The samples involved all of personnel in 2 hospitals [271]. Finally 167 questionnaires were analyzed by SPSS software The percent of the answers to each question was also determined. The findings shawed that 60% of the participants were from Ostad Motahari hospital [O.M.H] and 40% from paymanieh hospital [P.H]. The Mean ago of the samples in [O.M.H] was 33.5 and in P.H was 29. Also the mean range of job time in O.M.H was 11.5 and in P.H was 7.5. 65.3% of personnel had B.S nursing degree and 23.4% were auxiliary nurses. The mean rank of the questionnaire was 25. The mean rank of the knowledge in 2 hospitals was 37.52. In O.M.H it was 36.88 and in P.H, 38.48% there was a significant difference between the mean rank of knowledge in P.H [M=29.44 SD +/- 3.14] and in O.M.H [M=28.03 SD +/- 2.29] in part one [p =7000]. However, there were no sighificant difference between the mean rank of knowledge and age, education, marriage job time and type of responsibility. Assessment of the answeres to the questions revealed that the knowledge of 135 [80.8%] personnel about taking oral consent and 95[56.9%] about the consent of a patiem. seeking help or nursing care over the phone, and 101[60.5%] about finding one of the parents and taking the consent before doing any relatively urgent treatment for their children was poor. Also 133 nurses [79.6%] didn't agree damage to the patients due to the negligenle of health care providers, 72[43.1%] said that if work problems occurred in their workplaces, they didn't know where and to which cowst of law to reffer to and 133 [79.6%] said that if there were some professional problems they wouldn't have been supported by their employers. The results showed that the mean rank of knowledge in three parts was higher than the mean rank of the best but in part one the mean rank of knowledge in P.H was higher than O.M.H. probably one reason is that there are more B.S nursing graduates that work in P.H and pass the nursing ethics course. The knowledge of personnel about some important, rules was poor, so the nurses must be educated about some professional rules and the course of nursing law must be added to nursing curriculum. Also by preparing notebooks and in service education, the knowledge of the personnel must be educated

Study of physical, spiritual, and social stress-related symptoms in nurses and midwiferies working at Educational and Theraputic centers affiliated to Jahrom Medical School 1383

Nursing is a stressful occupation. Stress has many effects on health and well-being of nurses. The experience of work-related stress generally quality of nurse-working lives, increases minor psychiatric detracts from the morbidity and may contribute to some forms of physical and social illness. The aim of this study was to determine physical, spiritual, and social stress-related symptoms in health care providers working at Jahrom hospitals. This cross-sectional descriptive study was conducted to determine the physical, spiritual, and social stress-related symptoms in nurses and midwiferies. The sample consisted of 246 Nurses, Midwifers, Technicians, and diploma holders among nursing personnel. Data were collected by a two part questionnaire which assessed demographic and 55 questions about stress-related symptoms. Data was analyzed by SPSS software. Physical stress related symptoms were [5.461+4.09], spiritual stress-related symptoms were [2.200+2.2] and social stress-related symptoms were [2.373+2.343]. The highest level of stress related symptoms were observed among the members faculty who worked 4-6 shift per week, worked in screen ward, the surgical, medical, operating, and obstetric wards, there were higher level of symptom in married than singles, in women rather than men, and in young faculty rather than the older. The omst sommon findings of physical stress test were sleep disorders [74%], spiritual stress fear of death [44,5%], and social stresses was lack of true understanding about their family. The results of this study indicate that there are many type of stress-related symptoms in nurses. Therefore appropriate interventions are demanded for recognition and applying measures to prevent, control, and decrease stresses are ecumenical Using the methods of reducing stress will improve the attitude of nurses to wards their jobs and will reduce the illnesses and absences from their works and will increase the quality of patient care

[Investigating the effect of Individual health education on knowledge and practice of students in Shiraz Sajasieh town]

Public health is one of the most important factors that development of each community Depend to it and health education is very important because community health is depent to community cooperation. This research with aim of determine the effect of individual health teaching on knowledge and practice of student's families was done. Determine the effect of teaching individual health on knowledge and practice of student's families. This research is a quasi experimental study containing case and control groups: the case group was contained of 80 student s' parents and the control group was selected the same as the case group. The sampling method was convenient methods and Data gathering performed by questionnaire in two steps before and after students education. The data was analyzed by pair T-Test in both group that in case group was significant difference between before and after education [p<0.05] but in control group haven't been seen significant differences