[ effect of implementing clinical supervision model on the patient education outcomes]

Applying proper supervision model is an important factor in promoting the outcomes of the patient education which improves nursing care. The aim of this study was to assess the effect of Clinical Supervision Model on the outcomes of implementing patient education. [Patients' Attitude Toward Education by nurses, patient satisfaction from nurses' education and quality of patient education documentation]. This quasi-experimental study was conducted using static groups' comparison in which the control and experiment groups were compared by a posttest. Study samples included 72 patients who were matched and assigned into two distinct groups. Clinical Supervision Model was implemented through three steps in 3 wards of Samen-al-Aemme hospital in Mashhad for 6 months. The data were gathered by instruments including patient demographic information, patients' Attitude toward Education by Nurses Questionnaire, Patient Satisfaction from Nurses' Education Questionnaire and Quality of Patient Education Documentation check list. Validity of instruments was measured by content validity and reliability by split half and inter-rater. Data was gathered through interview and observation methods and analyzed by SPSS 11.5 software. The results showed significant difference in the quality of patient education documentation before and after implementing Clinical Supervision Model [P=0/0001]. Furthermore, results showed significant difference between patient satisfaction before and after implementing Clinical Supervision Model [P =0/02]. However there were not any significant differences between patients' attitude toward education before and after implementing Clinical Supervision Model Implementation of Clinical Supervision Model can develop nurses' knowledge and skills in patient education through organizing, implementing, and feedback. More studies are required in order to assess the effect of this model on other aspects of nurses' practice

[Barrier to forming and implementing academic service partnership in nursing; A qualitative study]

Clinical education is the responsibility of all those involved in delivering health care. As an international trend the development and implementing the partnership clinical education models is on the rise. To create a partnership program, it is needed to involve all the stakeholders in the planning and implementing and evaluation of this program so this study was investigate barrier to forming and implementing academic service partnership in nursing from the perspective of the all key stakeholders. This study was based on qualitative research method. A total of 15 nursing students, clinical educator, clinical nurses and nurse managers participated voluntarily in this study. Sampling was started purposefully and continued with snow-ball method. Data was obtained through semi-structured interviews, which recorded and subsequently transcribed. The analysis was carried out by qualitative content analysis method. Findings of the study yielded four significant themes. These include [1] organizational divergency [2] Overemphasizing on theory knowledge [3] Invisible wall. The process of development of the academic service partnership can be facilitated by defining a formal organizational relationship between academic and service institutes, clarifying roles and responsibilities of each staff institute regarding Clinical education, defining the clinical practice roles for nursing faculty members and emphasizing on the importance of nursing clinical practice

[Clinical supervision system: a method for improving educational performance of nursing personnel]

Employing supervision methods which focuses on educational aspects may increase the effectiveness of nursing personnel's educational activities, especially patient education. The aim of this study was to investigate the effect of clinical supervision on the effectiveness of nurses' educational performance. This quasi-experimental study was conducted using static groups' comparison in which the control and experiment groups were compared by a post-test. Study samples included 72 patients who were matched and assigned into two distinct groups. Clinical supervision system was implemented through three steps in 3 wards of Samen-al-Aemme hospital in Mashhad for 6 months. The data gathering tool included patient information sheet, patient satisfaction from nurses' educational practice and rating scale of self-care knowledge and practice of patients. Data was gathered through interview and observation methods and analyzed by SPSS software. The mean scores of self-care knowledge and practice of the patients were 30.6 and 57.1 out of 100, in the control and experiment groups, respectively. The mean score of patients' satisfaction from nurses' educational practice was 19.6 in the control group and 20.9 in the experiment group, out of 24. So that, independent t-test showed a significant difference between these two groups. Implementing clinical supervision system through observation, feedback, discussion, and investigation, may develop nurses' knowledge and professional skills in patient education. Therefore, this supervision method could be regarded as an effective model for in-service education. More studies are required in order to investigate the effect of this model on other aspects of nurses' practice