Nursing Students’ viewpoints about Problems of Clinical education

Background:Clinical training is fundamental part of nursing education program and causes the student to apply the theoretical knowledge in caring for patients. The nature and duties of nursing in community is such a special issue that doubles the sensitivity of coordination between theoretical courses and clinical services. About half of nursing and midwifery training time is spent on clinical training but there are many factors that affect the process of clinical education. Therefore the aim of this study is assessing the problems of clinical training in nursing students in clinical environments in Nursing and Midwifery faculty of Isfahan. Methods:This descriptive analytical study was performed on 75 nursing students in their last term. A two-part questionnaire included questions on demographic information and factors to assess clinical training problems in six major areas of problems: problems related to learner, clinical instructor, clinical environment, patient, educational program and clinical evaluation. Data analysis was performed in SPSS software. Results:After analyzing the data the following results were obtained: most of the problems were related to the clinical instructor 78%, learners 73%, clinical environment 71%, clinical training program 66%, clinical evaluation 60% and patient-related problems 43%. Conclusions:Results of this article showed that there are problems in clinical training in nursing, especially in fields that are related to learner and clinical instructor. Due to the fact that Clinical Education is the fundamental part of clinical training and in this type of training, students in interaction with instructors and the environment, apply the learned concepts in the clinical field, by understanding nursing and midwifery clinical education problems, the planners will be able to design good educational programs to increase the quality of health services to all people. Therefore, to reach this goal there is a need to more assessment and continuous clinical evaluation processes

Nursing students’ viewpoints about problems of clinical education

Background:Clinical training is fundamental part of nursing education program and causes the student to apply the theoretical knowledge in caring for patients. The nature and duties of nursing in community is such a special issue that doubles the sensitivity of coordination between theoretical courses and clinical services. About half of nursing and midwifery training time is spent on clinical training but there are many factors that affect the process of clinical education. Therefore the aim of this study is assessing the problems of clinical training in nursing students in clinical environments in Nursing and Midwifery faculty of Isfahan. Methods:This descriptive analytical study was performed on 75 nursing students in their last term. A two-part questionnaire included questions on demographic information and factors to assess clinical training problems in six major areas of problems: problems related to learner, clinical instructor, clinical environment, patient, educational program and clinical evaluation. Data analysis was performed in SPSS software. Results:After analyzing the data the following results were obtained: most of the problems were related to the clinical instructor 78%, learners 73%, clinical environment 71%, clinical training program 66%, clinical evaluation 60% and patient-related problems 43%. Conclusions:Results of this article showed that there are problems in clinical training in nursing, especially in fields that are related to learner and clinical instructor. Due to the fact that Clinical Education is the fundamental part of clinical training and in this type of training, students in interaction with instructors and the environment, apply the learned concepts in the clinical field, by understanding nursing and midwifery clinical education problems, the planners will be able to design good educational programs to increase the quality of health services to all people. Therefore, to reach this goal there is a need to more assessment and continuous clinical evaluation processes

Determinants of health-related quality of life in elderly in Tehran, Iran

BACKGROUND: As Iran started to experience population ageing, it is important to consider and address the elderly people's needs and concerns, which might have direct impacts on their well-being and quality of life. There have been only a few researches into different aspects of life of the elderly population in Iran including their health-related quality of life. The purpose of this study was to measure health-related quality of life (HRQoL) of elderly Iranians and to identify its some determinant factors. METHODS: This was a cross-sectional survey of a random sample of community residents of Tehran aged 65 years old and over. HRQoL was measured using the Short From Health Survey (SF-36). The study participants were interviewed at their homes. Uni-variate analysis was performed for group comparison and logistic regression analysis conducted to predict quality of life determinants. RESULTS: In all, 400 elderly Iranian were interviewed. The majority of the participants were men (56.5%) and almost half of the participants were illiterate (n = 199, 49.8%). Eighty-five percent of the elderly were living with their family or relatives and about 70% were married. Only 12% of participants evaluated their economic status as being good and most of people had moderate or poor economic status. The mean scores for the SF-36 subscales ranged from 70.0 (SD = 25.9) for physical functioning to 53.5 (SD = 29.1) for bodily pain and in general, the respondents significantly showed better condition on mental component of the SF-36 than its physical component (mean scores 63.8 versus 55.0). Performing uni-variate analysis we found that women reported significantly poorer HRQoL. Multiple logistic regression analysis showed that for the physical component summary score of the SF-36, age, gender, education and economic status were significant determinants of poorer physical health-related quality of life; while for the mental component summary score only gender and economic status were significant determinants of poorer mental health-related quality of life. The analysis suggested that the elderly people's economic status was the most significant predictor of their HRQoL. CONCLUSION: The study findings, although with a small number of participants, indicate that elderly people living in Tehran, Iran suffer from relatively poor HRQoL; particularly elderly women and those with lower education. Indeed to improve quality of life among elderly Iranians much more attention should be paid to all aspects of their life including their health, and economic status