[ effect of outcome-based education on nursing students' clinical competency]

Despite global acceptance of outcome-based education, few investigations are available about its effects on clinical competencies [cognitive and behavioral skills] of nursing students. The aim of this study was to investigate the effect of outcome-based education on clinical competencies of nursing students compared to traditional education. In this quasi-experimental study using two groups design with pre and post-tests, 26 nursing students were selected through census and divided randomly into two control and experiment groups. Each group included 6 to 7 persons. After completing the pre-test of cognitive skills, the control group received clinical education through traditional method and the experiment group through outcome-based education, for 9 days. Then, students' cognitive skills were measured by post-test and their behavioral skills were observed via checklist. Data was analyzed by SPSS software using Wilcoxon, Mann Whitney, and Fisher exact tests. Outcome-based education was effective in promoting students' cognitive and behavioral skills. The mean of cognitive and behavioral skills of the experiment group in post-test were significantly higher than that of the control group in all cases and in total. Also, students' clinical competency in the experiment group was significantly higher than control group. Outcome-based education leads to developing nursing students' competencies more than traditional method. It is recommended to employ this method more in clinical education

Relationship between quality of life and social support in hemodialysis patients in Imam Khomeini and Sina educational hospitals of Tabriz university of medical sciences

The main treatment of chronic renal failure is kidney transplantation. But unfortunetly patients should be treated by dialysis, until being transplantated. In spite of therapetics effects of hemodialysis, these patients are faced with various physical and psychological stressful factors which leads to decreasing quality of life. There have been done a few research on social support of hemodialysis patients in the world, and their quality of life in Asian countries, specialy in Iran, so in this research beside of determining quality of life and social support of hemodialysis patients we are going to measure their relationship with each other. For this purpose, all hemodialysis patients who had interance criterias and were hospitalized in hemodialysis wards of Tabriz Medical Sciences University hospitals; were selected and data were collected by interviewing and completing questionnaire including three parts of demographic, quality of life, and social support. The results indicate that quality of life in 56.1%, and social support in 50.6% of hemodialysis patients were desirable, and there is a direct and significant relationship between these two variables [p< 0.001, r = 0.4]. In quality of life subsecter, social dimension in 88% of patients was desirable, while physical dimension [57/3%] and psychological dimension [53%] in most of the patients were undesirable. In social support subsecters, emotional support [57.3%] was the bigest amount, while it was 14% of total variance of quality of life. The effects of instrumental support, and informational support on quality of life were not statistically meaningful. Nearly half of the mentioned patients had not desirable quality of life and social support, and regarding to positive relationship between these two concepts specially important effects of supports in emotional subsector, it is suggested that health care planner and managers in addition of increasing instrumental and informational support should take care of emotional support in such groups for improving quality of life in hemodialysis patients