فصلنامه آموزش پزشکی و توسعه
سال هفتم شماره 1 (بهار و تابستان 1394)

Stress as one of the prevalent diseases of the century، is the body non-responsive status to any request that can reduce the forces and affect activities and efforts. Nursing and midwifery students are experiencing multiple stressors during their study. They stress not only from theoretical training environments، that also from hospital stressors. According to negative effects of stress over academic performance of nursing students، stress management could be taught via different methods including traditional and active teaching methods. In traditional teaching، the teacher througout a one-way relationship with students is transferring knowledge and students act as knowledge recievers. In traditional teaching، the teacher is responsible for the education topic، transferring information، assessment of students’ learning status، and strengthening students’ favorable behaviors. The active learning includes methods in which students play more roles than just listening and participate in information process and practice. The aim of current study was to investigate the effect of traditional teaching compared to the active teaching of stress management on academic performance in nursing students. The study population consisted of all 3rd-semester nursing undergraduate level students from Alborz Medical University. Participant including 50 students were randomly assigned to two 25-individual groups. The first group received traditional teaching (pamphlet، explaining، lecturing) and for the second group active teaching methods (brain storming، group discussion، ask questions، role play، role-play replacement…) were performed for 8 hours. All students completed the DASS 42 questionnaire. Independent t-test results indicated significant difference between students’ level of stress before and after traditional and active teaching of stress management. Knowing that both traditional and active teachings could reduce students’ stress، though active teaching was more effective. Moreover، active teaching compared to traditional method led to a better students’ academic performance. The results of this study showed that compared to the traditional method the active learning reduced the students’ anxiety and depression. Teaching stress management especially via an active learning is a suitable approach to improve students’ academic performance and to decrease the negative effects of anxiety، stress، and depression.

Nursing has a realistic society dimension. Combination of that with health society can improve quality and quantity of life in psychological and physical fields. Promotion of science and technology in parallel with changing needs of the society required changing in the educational system. The most important mission for researcher in health field is to determine the priorities and then evaluating the adjustment of curriculum in various fields with the health priorities and needs of the society this study was a descriptive research. The sample included all nursing students, teachers and graduates’ nursing. assemblage data were interview and questionnaires which made from current curriculums of community health nursing in theory and practice courses. SPSS software was used to analysis the data after completed by samples. The sample sizes were 78 students. 9 teachers and 19 graduate nursing. The mean of score in theory courses in tree filed of concept, time and application was 11/31± 4/17, 9/62 ± 4/64, 10/60 ± 4/65.These scores for practice courses were 2/56 ± 1/68, 2/39 ± 1/74, 2/87 ± 1/71. Based on results teachers and trainers believe that curriculum in parallel with priority of need in society, but students and graduates’ nursing believed curriculums of practice courses required the basic changes.

Everyone on your arrival organization requires specialized training related to their job duties Otherwise cause harm to, the activities and behavior. Hence the importance of the papers served to him. The aim of the present study is the effect of education on knowledge and attitude of health department staff's of Kashan University of Medical Sciences is 85 to 91. This study is quasi-experimental. This study was conducted on all new employees of health department that are about 207 persons. Questionnaire was designed to collect data by researcher, before and after the training session, subjects were given. Descriptive and inductive statistical methods were applied using SPSS software, version 1. The mean of the pre-test 50.55, Mean of post-test54.44 and mean of upgrade was 15.3. Number of training courses 29 courses persons 14 and the training enforcement units annually was 14 units. The highest score of pre-test relevant to department of drug store in year 2011, lowest score of pre-test relevant to department of static in year 2012. The highest score of post-test relevant to mental health unit in year 2012, lowest score of post-test relevant to health education unit in year 86, the highest score of promote relevant to schools health unit in year 91 and the lowest score of promote relevant to health education unit in year 2007. Served upon the proper conduct of training showed that significant impact on increasing the skills of new employees. Therefore, it is of particular interest to policy makers and practitioners need to revise annually to keep pace with new job requirements, employees will enhance the quality of services and consent.

Motivating student’s research and removing the obstacles are the basic steps in establishing an efficient research system. The present research has been carried out by aiming at determining the personal and organizational barriers in performing research plans from the viewpoint of students of medical sciences in Shahed University. The present study is a cross sectional type by adopting descriptive and analytical aspects which was performed in 2014 among 640 students at Shahed University of Medical Sciences. The data was collected by the author-developed questionnaires that contained three parts; namely, demographic information, personal and organizational barriers. The results were analyzed by Chi-square Test. The findings show, the intensified curriculum (2.1) the most important personal obstacle and disregarding students’ rights (2.21) and not allocating sufficient budget (2.39) as organizational barriers. Base on the results, there are personal and organizational obstacles in students’ research which could be solved by planning and improving students’ capabilities.

The external evaluation of the quality of school education, research and treatment will be determined. External evaluation team suggested approaches for improving the quality and continuous improvement are discussed. External evaluation stimulates growth and improves the quality and overall contribution of the members of the training evaluation process. The aim was accommodating the college's performance and school educational programs with needs of the community, enhancement the quality of education and transparency in accountability. This descriptive and analytical survey Qazvin University of Medical Sciences in the School of Nursing and Midwifery. After the Design Evaluation Process of external evaluation process by the manager of Committee, with using standard manual basic medical training course approved by the ministry in 2006 and conducted workshops justification for the authorities of the university, the university external evaluation team was set up. Members of the assessment team, including experts and academic center school of medicine, dentistry, medicine and health. To explain and justify the assessment team members, several meetings in the evaluation committee were done. Reports of internal evaluation of nursing and midwifery school, day and evening, were studied. Educational evaluation was done in 8 areas: goals and mission, faculty, students, research, training and evaluation, management and educational resources. The mean external evaluation of the University School of Nursing and Midwifery, Faculty in the area of welfare and educational resources was not desirable, but in other areas Analysis was moderate to good. The external evaluation is as an indicator to showing the achievement of goals and analyses the quality of school performances. External assessment Intra College can be a good method to assess more accurately the quality of education.

Since work related stress imposes an uncustomary and irreversible adverse effect on work structure, it is considered as one of the most important job hazards in the health industry especially in hospitals. This study aimed to determine the Job stress and its related factors in nurses of Qazvin University of Medical Sciences. This is a descriptive cross sectional research study done by sampling census on 112 nursing personnel in one of the Qazvin educational medical hospitals in 2010 with use of a standard stress questionnaire. Information gathering tool included two sections of demographic information and job stress in 7 parts and SPSSWIN/18 software with a 95% confidence was used to evaluate the findings. Results indicate that 4.6% of the nurses have low job related stress; 74.1% with medium job related stress and 21.3%confront high job related stress. Since this study was based on evaluation of major important stressors; results indicated that between amount of intensity of work stress and demographic particulars of the studied society like sex, age, years of service, kind of employment, level of education, work shift and amounts received have no significant relationship (P>0.05). Pearson coefficient correlation test results also indicated the followings: job stress or role ambiguity (P<0.001), over-loaded role (P=0.001), role scarcity (P=0.001), work intensity (P=0.004), work repetition (P<0.001) have a straight line relationship (P<0.05). Based on the results of various studies, work stress whether in a positive form or negative form, constitute an important part of individuals working life; hence with the existence of medium to high work stress intensity in the studied society we have to point out that long term stress at work will cause an irreparable damage and we have to change management view points and pay special attention for making a suitable work related condition or effective intervention in the important factors to reduce or eliminate stress from the work arenas, hence improving.

Morning report is an important and influential method in clinical training of medical field. The purpose of this study was to evaluate the morning reports in. University hospitals of khorramabad. In this study, 83 sessions of morning reports were evaluated. Informations were collected by objective morning report check list. It was designed using reliable sources of clinical training and contained questions about the structure, educational content, patient presentation method, physical environment conditions and how ethical considerations during the morning report meetings. ANOVA and Chi-square were used to data analysis. The mean duration of morning reports was 49/8 ±16/7 minutes. The number of patients presented in the majority of sessions (60.2 percent), was 2 patients. in the majority of meetings (38/6 percent), three faculties were present. Average length of time a patient presention was 22/7 ± 11/6 minute. The main core of Discussion in 20/3 percent of sessions was stepwise approach to the patient and in the 19/5% was discussion about how to treat patients. In most sessions (69/9 percent), interns were introduced the patients. Develop a standard and appropriate educational objectives model for morning reports, in educational programs of clinical sections seem necessary.

Blood pressure is an important vital sign that reflects systemic and focal changes. Planning of treating most of the disease is based on the values obtained from this measurement. Regarding this, Knowledge about Blood pressure measurement procedure is important. The aim of this study was to determine the practical skill in measuring of blood pressure in undergraduate nursing students. This is an analytic-descriptive study of 350 first years to fourth year undergraduate nursing students who had studied in educational year 2012-2013 of Tehran University of Medical Sciences and samplized by census methods. Data collection was done through investigator-made questionnaire. The data was analyzed by using SPSS software (V: 21), using descriptive and analytical Statistics; at the significant level P<0.05. Findings showed the overall mean score of the students's knowledge in Blood pressure measurement was13/77±2/86. First year students's level of knowledge in Blood pressure measurement was higher than the other years, however the differences wasn's t statistically significant (P=0/93). These findings indicate that knowledge of participants was inadequate to perform blood pressure measurement in a standardized manner; therefore it is vital to have frequent, regular and up-to-date training for nurses in order to follow the new rules for measuring blood pressure.

Sleep and its rites have a great significance in Quranic teachings. Human beings can achieve spiritual and physical health by good sleep which is a basic need. Having observed appropriate rites of sleep, the relationship between human's soul and the Divine world is established, thus human beings can understand the truth. Sleep is a blessing bestowed by God which may cause human being's temperament balance and provide their health. The Holy Quran says " … and we appointed your sleep for a rest" {surah: Tidings, verse: 9}. Thus the Holy Quran and Traditions have frequently emphasized the importance of sleep and its quality and rites. Accordingly in this study we tried to address the importance of sleep from the view point of the Holy Quran and Traditions. This research is a library study the main basis of which is the Holy Quran and Traditions of the Fourteen Immaculate Ones (P.B.U.T). This research is collected based on scholar's researches in this regard. It should be noted that the main references in this study are the Holy Quran, traditions of narrative books from both Shia and Sunni literature as well as conventional medicine. However, given the type of this study and limitations of the existing traditions in research references, we have faced some obstacles in gathering the effective references. Various sciences have failed to interpret sleep specifically so they couldnt present a reality-based image from sleep. It has been stated that the main reasons for this failure might be the material aspect of different sciences. This research tries to reveal the essence of sleep based on the Holy Quran and traditions, and then it addresses the rites of sleep in the Holy Quran. Having investigated the relationship between verses concerning sleep in the verse style specifically and in the Holy Quran as a whole, as well as narrative books including Shia and Sunni literature and conventional medicine, it is concluded that the Holy Quran and Traditions coming from the Fourteen Immaculate Ones (P.B.U.T) have regarded great significance for sleep and considered some rites for it so that human beings can benefit a lot from this God-given blessing.