[Effect of the nursing staff associate model on nursing students' clinical learning]

Clinical education is one of the most important ingredients of nursing curriculum. Inadequacies in nursing skills are main concerns of nursing students. Therefore, the application of new teaching methods is essential to improve the quality of clinical education. The Clinical Education Associate Method [CEAM], using the collaboration of nursing staff is a strategy for clinical education. The aim of this study was to investigate the effect of the nursing staff associate model on nursing students' clinical learning. This was a quasi-experimental study. 40 nursing students were randomly and equally assigned into two groups. The students in the experiment group were trained by nursing staff during clinical education, while the students in the control group received the routine education. The clinical skills of the students were assessed using a checklist. Collected data was analyzed using descriptive and inferential statistics. The students in both groups were the same in terms of demographic characteristics. The students in the experiment group received better marks in clinical skills such as medication, communication with patients, isolation methods, and dressing in comparison with the students in the control group [P<0.05]. In the nursing staff associate model, students interact with each other and will be able to communication better, and their self-esteem is improved. Moreover, the level of learning in such students is higher in comparison with students taught using the routine method. Therefore, the widespread application of this model in nursing and other healthcare disciplines are suggested

reduction in anxiety and depression by education of patients with myocardial infarction

The myocardial infarction is the interruption of blood circulation heart that causes its cells to die. This deprives the heart muscle of blood and oxygen, and causes chest pain and pressure sensation. Hypertension and other risk factors like high cholesterol, cigarette smoking, and physical inactivity, can lead to coronary heart diseases with symptoms of depression and anxiety that predict subsequent mortality. The purpose of this study was to determine the effect of education on anxiety and depression in patients with myocardial infarction in selected hospitals of Urmia hospitals in 2009. This study was a quasi-experimental study that comprised 124 patients selected randomly and divided into two groups. The experimental group was educated by a face to face training and educational booklet. Control group did not receive any intervention. The level of anxiety and depression was evaluated by using HADS questionnaire at 3 intervals .After 48 hours of admission, discharge day and 2 months after discharge. The findings suggest that MI patients worried about their social role, interpersonal relations and personal health, which can exacerbate symptoms and complicate their future care. There was no significant difference between control and experimental groups before the intervention, But after the intervention, anxiety and depression in the experimental group was significantly less than control group [P<0.05]. Considering the beneficial effect of intervention on reducing anxiety and depression in such patients, the patient's education should be one of the health care goals. Most researches may also be required to confirm the results in other groups of patients

Epidemiology of burn injuries in west Azerbaijan province, western Iran

Burn injuries are in many respects the most of all tragedies an individual can experience. So there was an attempt to quantify the frequency of burn injuries, identify the risk and predisposing factors, determine the health outcomes at Imam Khomeini Hospital in Urmia, westen Iran. From March 2005 to March 2006, all demographic and epidemiological information of 639 patients [48.36% female and 51.64% male] about the burns and the complications were provided from the records of patients at Imam Khomeini Hospital in Urmia, Western Azarbaijan Province, westen Iran. The incidence rate of burn hospitalization was 21.6 per 100.000. Almost 31.8% of admissions were in the 16-25 years age group. Pediatric [<5 years] and geriatric [> 65 Years] burns were [21.6%] and [3.2%], respectively. Burning with flame, the most common cause of burning, accounted for 36.4% of admissions in males and for 43.6% in females. The mortality rate was 25.9%. The percentage of patients who had more than 40% body surface area [BSA] burn was 30.9%. Patients with >40% BSA burn had a mortality of 76.7%. The mean BSA burn was 33.8% in males and 25.2% in females. Admissions from Urmia were the most among the cities of the province. The mean duration of hospitalization was 7.76 days. The most cases occurred from October 22 to November 22; 10.95%] and from Jun 21 to July 21; 9.54%]. The results of this study help to guide health care efforts towards the prevention of burn injuries and provide a valuable baseline for assessing future efforts directed toward the prevention of burn injuries