RESUMO
Introduction: Hemodialysis patients require effective education to improve their quality of life. Flexible educational strategy via internet [computer] is essential
Objective: The aim of this study was to compare the effects of multimedia based education and traditional methods on life quality of hemodialysis patients
Methods: In this quasi- experimental study, all of the patients [n=62] who referred to four hemodialysis centers in Tabriz City from May to Sept 2013 were divided randomly in tow groups, intervention and control. Quality of short life questionnaire [Sf-36] were completed before and three months after the educational program. The intervention group navigated their way through the Research Development Hemodialysis and Essentials Care Application using laptop during their hemodialysis. The control group received the same content in the traditional way [face to face education and pamphlet]. Data were analyzed by conducting the independent- and the paired samples t, the Chi-square, and ANOVA tests
Results: There were no statistically significant difference between the study groups in pre- and post-education life quality mean scores, but inter group comparison findings showed that all post-education quality of life scales mean scores had changed statistically in both the intervention and control groups except Apperception general health scale [p>0/05]
Conclusion: The Hemodialysis and Essentials Care application based education can improve patients' life quality as well as traditional method. This application could be used to facilitate the patient education process to improve their life style
RESUMO
Introduction: From the past, nursing profession has encountered many challenges in its developmental process route. One of the update challenges is to recruit doctorates of nursing in clinical settings. The aim of this study was to describe Challenges and opportunities of doctorate of nursing in clinical settings. This is based on nursing lecturers and students [PhD] views
Methods and Materials: This is a qualitative descriptive phenomenological study that conducted with consent and participation of 10 nursing students [PhD] and nursing lecturers in Tehran nursing schools. Data gathering method was semi-structured written report with open ended questions. Colaizzi's method was used to data analysis. Lincoln and Guba criteria assessed to confirm data accuracy
Findings: Analyzing data led to 24 preliminary cods, 12 sub- categories and 5 categories. Emerging categories included; managing and organizing clinical settings, gap between theory and practice in nursing doctoral program, doctorate of nursing practice education, promoting and optimizing quality of education and nursing clinical services
Conclusion: Results revealed that doctorates of nursing should be recruited in their specialty and higher levels of nursing and their positions should be designed and clarified in clinical settings prior their recruitment. In regard to advanced services and evidence-based nursing delivery, it is better to educate nurses as doctor of nurse practice or professional doctorate