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Introduction: Lecture as a teacher-centered pattern is a common method in education. However, previous years showed a tendency of various disciplines of medical sciences toward a student-centered orientation. This study aimed to compare the effectiveness of teaching through lecture and conference presentation method on the learning level of anesthesiology students. Method: This quasi-experimental study was performed on 44 anesthesiology students through census method in Jahrom University in 2013. This study compared teaching through peer learning with lecture method. At the end of the semester, satisfaction questionnaires were completed by the students. Also, at the end of the course, students were assessed using multiple-choice questions. Results: Mean test scores in the classroom conference method and teacher lecture method were79.02 ± 11.43 and 78.57 ± 8.21, respectively. The difference was not statistically significant (p=0.76). Also the results showed that most of the students (68.36%) were satisfied with the class conference method. Conclusion: The two teaching methods used did not have a statistically significant difference and a tangible effect on the final exam results. However, conference method had the highest student’s satisfaction. In line with the finding of this study, learning method based on the student participation is recommended.

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Introduction: The purpose of this study was the assessment of family-centered empowerment program on knowledge, attitudes and self-efficacy of mothers of children with asthma.

Methods: This clinical trial study was performed during year 2012. In this study, 172 mothers of children aged 6 to 12 years with asthma, who had the inclusion criteria were selected from an available sample. The samples were selected and divided to two groups of case and control. This study was conducted in three phases: pre-intervention, intervention and post-intervention. Tools used in this study included questionnaires on knowledge, attitudes, self-efficacy regarding administration of drugs for children, control attacks of asthma, and identifying triggers of asthma. Data were collected and the SPSS software version 20 was used for analysis of descriptive statistics and inferential statistics (analysis of variance and independent t test).

Results: The results related to the impact of the intervention indicated significant differences in knowledge (21.33 ± 2.23), attitude (53.94 ± 9.45), and self-efficacy (137.62 ± 11.32) in mothers before and after the intervention, with the difference being significant (P < 0.01). Confidence was detected as 95%.

Conclusions: This study indicated that the application of family-centered empowerment model influences knowledge, attitudes and self-efficacy of parents regarding control and better asthma management of their young children. Therefore, health care providers should encourage the participation of patients and their families to reduce complications in controlling the disease. Finally, this model can be proposed for other diseases.

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Introduction: Patients with multiple sclerosis need a comprehensive nursing care program because of the chronic and complex nature of the disease. Nursing models can provide a framework and goals for the nursing process to provide more effective and comprehensive clinical care. The aim of this study was to investigate the effect of applying nursing process based on Johnson Behavioral Model on improving stable behaviors client with multiple sclerosis (MS).
Methods: In this case study, the nursing process was presented by a client with multiple sclerosis who met the MS criteria in Hamadan in 2019. In the Nursing assessment and Recognition phase, data were collected based on the "Johnson Behavioral Model scale" by observation, interview and physical examination. Data sources were the client herself, her family, physician, and medical record and MS staff. Nursing diagnoses were formulated as stable and unstable behaviors. And caring goals were set and shared with the client to increase stable behaviors and reduce or eliminate unstable behaviors. Nursing measures were performed and evaluated to achieve the goals. Data analysis was presented using the table.
Results: The results of the study showed that the client had unstable behaviors in four behavioral subsystems (inefficiency in, Aggressive- protective, Elimination, restorative and sexual subsystems). Unstable behaviors decreased after planned nursing measures.
Conclusion: Johnson's behavioral model was useful in modifying and correcting the unstable behavior. So providing care based on nursing models, can increase the quality of care and client satisfaction.
 
 

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Introduction: Cardiovascular disease is a major cause of  death, creating huge health-related costs for health care systems. A client who understands the goals of treatment and care in line with their goals and priorities, will be more involved. King's goal attainment  theory has addressed this issue. This study was performed to provide  a  nursing process in a client with acute coronary syndrome based on King's goal attainment Model.
Methods: In this case study, a myocardial infarction client with unsuccessful coronary angioplasty and the impossibility of open heart surgery who was referred to the hospital twice within 10 days due to complications was evaluated. Data were collected through the client's file, observation and interview with the client, family, physician and nurse. The stages of the nursing process, namely, nursing diagnosis, common goals setting and prioritization, transaction based on client preferences, and evaluation of client achievement goals by comparing before and after in the range of 2- to 2+ were performed as a qualitative analysis.
Results: Analyzes showed that although the client did not have a clear understanding of the importance of adherence to health and treatment behaviors, he was willing to interact with the nurse in a step-by step manner. Findings led to 7 nursing diagnoses and 42 caring goals. In the evaluation, the client was able to adhere the treatment well and modify the activities of daily living.
Conclusion: According to the nursing process based on King's goal achievement model, the Acute Coronary Syndrome client was able to act on his prioritized goals by trying to adjust daily activities. It is suggested that the nursing process be used based on King's goal achievement model in clients with acute coronary syndrome.

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Introduction: Employing traditional teaching methods in universities may result in a lack of knowledge and practice of drug therapy in nursing students. This study aimed to determine the effect of case-based education on knowledge and practice of drug therapy in nursing students at Jahrom university of Medical Sciences.
Methods: This study was conducted in 2020 on 37 nursing interns of Jahrom university of Medical Sciences. The participants were selected through the census method. Online case-based training was conducted through the WhatsApp application in four 90-minute sessions over 4 days. Nursing students’ knowledge and practice of drug therapy were assessed before and after the intervention by a researcher-developed knowledge test related to drug therapy containing 26 multiple-choice questions and an  Objective Structured Clinical Examination containing 10 stations, respectively. The validity and reliability of both knowledge and practice tests were assessed before conducting the study. The collected data were analyzed using paired t-test and Wilcoxon tests in SPSS 21.
Result: The means of drug therapy knowledge in nursing students before and after the intervention was 17.97 ± 2.69 and 22.11 ± 2.55 respectively, and the increase was statistically significant (p <0. 05). Also, the results showed that the means of drug therapy practice before and after the intervention were 61.88 ± 5.37 and 92.85 ± 2.56 respectively, and the increase was statistically significant (p <0. 05).
Conclusions: Case-based education improved knowledge and practice of drug therapy in nursing interns. Therefore, this method is suggested to improve the knowledge and practice of drug therapy.
 

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Introduction:  Safe medication and prevention of medication errors are important tasks of the nursing profession; it seems that one of the causes of medication errors by nurses is incorrect habitual practices and actions without reflection.  The aim of the study was to Investigate the effect of reflection by nurses on their medication errors in Shahid Motahari Hospital in Jahrom.
Methods: Method: This study was a quasi-experimental before and after single-group study, which was conducted on 30 nurses working in Motahhari Hospital in 2021 who were enrolled in the study by the census. The reflection training was conducted in three sessions in a presentation using the Gibbs cycle; In addition, nurses were trained for one month on the reflection process by using scientific and scenarios related to medication errors on WhatsApp. The 20-item medication error questionnaire with a specificity of 0.91 and reliability of r = 0.86 was completed by nurses before and 3 months after the intervention. The collected data were analyzed using the Wilcoxon test using SPSS20 software.
Results: The results of the Wilcoxon test showed that the mean of total medication errors of nurses before the intervention was (22.20±26.44) and three months after the intervention was (12.57±17.33), and statistically, there was a significant decrease in the average medication errors of nurses (P = 0.001).
Conclusions: Performing reflection by nurses reduced their medication errors. Therefore, it is suggested to use this learning method in order to guide nurses to use critical and reflective thinking in playing a critical role in drug therapy in order to prevent medication errors and maintain patient safety.
 

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Introduction: Today, self-care education in thalassemia major patients can improve their care behaviors.The aim of this study was to compare the effect of self-care training through mobile and face-to-face methods on the care behaviors of patients with thalassemia major. 
Methods: This is a quasi-experimental study with the participation of 58 patients with thalassemia major referred to the Cooley's center of Ostad Motahari Hospital in Jahrom in 2020. Patients were randomly (by statistical software SAS) divided into three groups (two groups of 19 people and one group of 20 people) including education via mobile phone, face-to-face education and control group. The training was performed within two months. The data collection tool was a researcher-made self-care questionnaire, which was completed by patients before training, immediately and one month later. Data were analyzed using descriptive statistics and analytical in SPSS version 21. The level of significance in statistical analysis (p<0.05) was considered.
Results: Before the intervention, there was no significant difference in the mean scores of patients' caring behavior between the intervention. and a control groups (p=0.638), however, after the intervention and one month later, a significant increase in the mean scores of care behaviors was observed in the face-to-face and mobile phone groups (p<0.05), however, there was no significant difference in the mean scores after the intervention and one month later between the face-to-face training group and the mobile phone group (p=0.613).
Conclusions: The results of this study indicated the positive and equal effect of two types of face-to-face and mobile phone training on the caring behaviors of patients with thalassemia major. Therefore, it is suggested to use any of the mentioned educational methods or a combination of the two mentioned methods in teaching thalassemia patients.