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INTRODUCTION: Health and lifestyle of women are of great importance in some periods of life, such as menopause. Since postmenopausal women are considered as a vulnerable group of the society, finding a strategy to improve their health seems necessary. METHODS: This experimental study with pretest-posttest design was carried out on 200 postmenopausal women between 45 and 60 years old in Ramjerd, Marvdasht, Iran, in 2014. The women who met the inclusion criteria of the study were selected by simple random sampling. The data were collected using demographic information questionnaire, Menopause Rating Scale (MRS), and Walker's Health Promoting Lifestyle Profile (HPLPII). The data were entered into the SPSS statistical software (version 19) and were analyzed using descriptive statistics, paired t-test, independent t-test, and chi-square test. P-values less than 0.05 were considered as statistically significant. RESULTS: The results of paired t-test showed a significant difference in the mean scores of health promoting lifestyle and MRS in the experimental group (P<.05), but not in the control group (P>.05). CONCLUSION: Lifestyle education was effective in health promoting behaviors and menopausal symptoms. After the educational intervention, health promoting behaviors increased and menopausal symptoms decreased in the postmenopausal women. Therefore, educational interventions based on health promoting lifestyles can be used as an appropriate strategy to reduce postmenopausal women's menopausal symptoms and improve their health.
RESUMO
BACKGROUND: Nurses play a crucial role in patient-care. Therefore, assessing nurses' clinical competence is essential to achieve qualified and safe care. The aim of this study was to determine and compare the competence assessments made by head nurses and practicing nurses in a university hospital in Iran in 2009. METHODS: A cross-sectional survey was conducted to make comparisons of both self-assessment of nurse competence as well as assessment made by their respective head nurses working in a university hospital setting in Iran. The instrument employed for data collection was Nurse Competence Scale (NCS), whose reliability and validity have been previously confirmed. The clinical competence of the nurses in 73 skills under 7 categories was determined based on a Visual Analogue Scale (VAS) (0 to 100). They were also asked to indicate the extent to which their competence was actually used in clinical practice on a four-point scale of Likert. The data was analyzed through descriptive and inferential statistics. RESULTS: Comparison of self-assessment (87.03 ± 10.03) and the assessment done by head nurses (80.15 ± 15.54) showed a significant difference but no precise differences were found between the assessment methods for the frequency of using these competencies. CONCLUSIONS: The results of this study indicated no consensus between the nurses owns assessment and their head nurse assessment. Therefore, it is necessary to use a combination of nurses' competence assessment methods in order to reach a more valid and precise conclusion.
