Satisfaction of nursing students with two clinical evaluation methods: objective structured clinical examination (OSCE) and practical examination of clinical competence

Background and aimClinical training is an essential part of nursing education. Its evaluation can deeply affect on its quality and has always been a challenge for nursing education. The aim of this descriptive study was to compare satisfaction of nursing students with two methods of clinical evaluation, namely, objective structured clinical examination (OSCE) and practical examination in faculty of nursing and midwifery affiliated to Shahid Beheshti University of Medical Sciences in Tehran in 2007. Materials and Methods44 sophomore students in their orthopedic clinical training were selected by convenience sampling method and evaluated by the two evaluation methods. Data were collected by a satisfaction questionnaire in 3 cognitive, affective, and psychomotor domains. Content and inter-rater methods were used for validity and reliability of the questionnaire respectively. SPSS package (ver. 13) was used for data analysis. FindingsSatisfaction rates of nursing students in the 3 domains were higher in OSCE than in practical examination with a significant difference in achieving educational goals in the domains  and in total (

Nurses' and patients' viewpoints regarding quality of nursing care in the teaching hospitals of Semnan University of Medical Sciences, 2009

Introduction: Nursing care is an essential component of health services. Patient's health and improvement depends on the quality of nursing care. Nurses and patients views as well as their active participation for making decision have an important role in quality of services, so it must be regarded as a principle. The purpose of this research was to study nurses' and patients' viewpoints regarding quality of nursing care in teaching hospital of Semnan (Iran). Materials and Methods: In this descriptive-comparative study, 52 nurses and 300 patients from internal, surgical, gynecology and pediatric wards of Fatemieh and Amir Hospitals were selected by systematic sampling. Nursing care quality was assessed in psychotic, social and communicative aspects using a Quality Patient Care Scale questioner. The questioner had 41 questions with 3 answer choices (rarely, occasionally and usually) that marked from 1 to 3. Mean scores were calculated for all subjects and then were categorized in undesirable (less than 1.5), low desirable (1.5-2.49) and desirable (2.5-5) groups. Results: 31.6 % of patients and 92.6% of nurses evaluated psychotic-social aspect of care quality as desirable. The desirability percent for communicative aspect of care quality was 24.7% in patients and 56.8% in nurses. There was a significant statistical difference between patients and nurses views in both aspects (P<0.001). In psychosocial aspect, 73.5% of patients expressed that nurses do not introduce themselves and 77.9% of them expressed that nurses rarely introduce new patients to other patients. In communicative aspect, 42.5% of patients declared that they ensured about their secrets rarely. Conclusion: Nurses' and patients' viewpoints on quality of nursing care were different because of their various experiences and insight. Thus, re-evaluation of the quality standards of nursing care based on client approach, choosing some strategies to increase nurse-patient communication and considering psycho-social patients needs seems to be a necessity

Effects of change position in bed on vascular complications after coronary angiography

AbstractIntroduction: Angiography is the most common invasive method for assessing coronary artery disease. This method is associated with vascular complications such as bleeding, hematoma and arterial thrombosis. To prevent these complications, patients are restricted to bed in supine position after the procedure, which is associated with back pain and discomfort. change Position in bed is considered an alteration in routine care protocols after coronary angiography, improving patients’ comfort and satisfaction.  Purpose: This clinical trial was conducted to identify the effects of position change in bed on vascular complications after coronary angiography. Materials and Methods: 130 patients hospitalized for coronary angiography were enrolled in the study and randomly divided into two equal control and experimental groups. The control group remained supine in bed during the first 6 hours after coronary angiography. The position of patients in the experimental group was changed each hour into supine, semi-Fowler’s (up to 30°) and elevated (up to 45°) positions. A checklist was used for data collection.  Results: None of the patients developed bleeding, hematoma or arterial thrombosis; therefore, no significant difference was found between the groups. Conclusion: change Position in bed may reduce back pain and promote physical comfort without increasing vascular complications. Keywords: Coronary angiography, change Position, Vascular complications