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Introduction: The impact of clinical education in midwifery students’ skill development and preparation has long been recognized. The students’ experiences of these fields, especially the students who are employed in the new strategies, are very important and should be considered. Therefore, the aim of this study was to explore the midwifery students’ experiences role-playing as a teaching strategy in learning group counseling and training of the clients. Method: This study was conducted via qualitative content analysis. All midwifery students (n=16) using role playing were enrolled in the study after a purposive sampling. Data collected via 16 semi-structured individual interviews, four focus group interviews, observations and field notes. The average duration of the individual and focus group interviews were respectively 25.3(±8.7) and 48.7(12.2±) minutes. The conventional content analysis was simultaneously done with data gathering. Results: Mean ages of the students were 21.3(± .81) years. All of them were at fifth semester course of midwifery and had no prior work experience. Qualitative analysis of the interview transcripts, observations and field notes, brought about three themes “play the role”, "execution the role” and “transition from the student to professional person”. The first theme had three categories: “role taking”, “theory using opportunity” and “role significance”. The second consisted of the “primary nervousness”, “mastery” and “fulfillment” categories. The latter had “qualified practice” and “proficient future”. Conclusion: By using role playing as a teaching strategy, students can “play the imaginary role”, "implement the real role” and “transform from student to a professional person”.

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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: Patients with stroke due to the complex and severe nature of the disease, need to implement a thorough and comprehensive nursing care program. The use of nursing models in the patient care process can provide a framework for nurse thinking in examining different patient conditions, better analyzing the situation and organizing thinking for the best decision for the patient. Therefore, this study was conducted with the aim of influencing the application of the nursing process based on Johnson's behavioral system model in patients with stroke.
Methods: In this report, the nursing process of a client with a stroke referred to the neurology clinic of Shahid Beheshti Hospital in Hamadan in 2021 was presented. Data were collected during the review phase based on the "Johnson Behavioral Model Review Form" by observation, interview, and physical examination. Nursing diagnoses were formulated as sustained and unstable behaviors and care goals were determined and discussed to increase the maintenance of sustained and decreasing behaviors or eliminate unstable behaviors. Nursing procedures were performed and evaluated to achieve the goals. Data analysis was presented using tables.
Results: The results of the study showed that clients for unstable behaviors in the four sub-behavioral systems (dysfunction in the subsystems of aggression and protection, sexual and sexual). Unstable behaviors are reduced after the nursing procedures are designed.
Conclusions: The use of Johnson's behavioral model was very useful and helpful in modifying and correcting unstable behaviors. Therefore, it is suggested that this model be used as a framework for nursing care.

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Introduction: Self-evaluation and peer as formative evaluation have an effect in increase students' learning. To introduce a more effective method, this study was done to Purpose comparison of two formative evaluation methods on satisfaction and learning of clinical skills in nursing students.
methods: In this interventional study to crossover design, all one semester of bachelor nursing students of hamadan nursing and midwifery school entered the study to perform two suction and dressing procedures. Standard checklists were used to evaluate each procedure. Using the checklists, Simultaneous with the instructor evaluation, all 49 students by lottery were don one procedure by self- evaluation and the next procedure to a peer evaluation. Two weeks later, each student was reassessed by the instructor during the procedure. The final score was considered as the learning criterion. Students' satisfaction with evaluation methods was assessed using a researcher-made questionnaire. Data were analyzed by SPSS-16 with a significance level of 0.05.
Results: In the suction procedure, there was no difference between the final scores of the students in the two evaluation methods. In the dressing process, peer evaluation improves students' learning than the self-evaluation method (p<0.01). Peer evaluation led to higher satisfaction of students in the communication dimension and anxiety reduction (p <0.05).
Conclusion: Considering students 'satisfaction of peer evaluation and its positive impact on students' learning of clinical skills, it is recommended to use this method in teaching students to the educational authorities.
 

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Introduction: Nursing profession and field, as a scientific field, needs a scientific basis of which nursing models were and still are. One of the prominent models in nursing is Orem's self-care model. Therefore, this study was conducted with the aim of applying the nursing process based on the Orem self-care model in patients with tibia fractures.
Methods: In this case study, the nursing process of a patient with tibia fracture admitted to Ba'ath Hospital in Hamedan city in 2019 was presented. In the stage of nursing research and recognition, data collection was done based on the "Orem self-care model survey form". Nursing diagnoses were compiled and care goals were determined and nursing measures were taken to achieve the goals. Data analysis was presented using a table.
Results: The findings showed that cases of self-care deficiencies and patient self-care needs decreased after nursing measures based on the Orem self-care model. The findings led to 7 nursing diagnoses and 42 care goals.
Conclusions: Using Orem's self-care model as a framework for diagnosis, choosing the appropriate action and evaluating the results was very useful. It is suggested that nursing theories be applied in all departments and on different patients.
 

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Introduction: Leukemia and its treatment is a long process and requires adherence to self-care behaviors. Orem's self-care deficit nursing model provides a framework for the nursing process in this direction, therefore this study aims to apply The nursing process based on Orem's self-care deficit model was performed on a patient with acute myeloid leukemia.
Methods: In this case report, the nursing process of a client suffering from acute myeloid leukemia, referred to Beheshti Hospital in Hamadan city in 1401, based on the Orem's self-care deficit model, was presented. Data collection was done by using Orem evaluation form and by examination, interview, and observation methods. Based on the general self-care needs, development, and deviation from the patient's health, nursing diagnoses were determined, then planning and setting goals were done and the type of nursing system used was determined. Finally, nursing actions were performed based on promoting self-care, and the achievement of the patient's goals and progress was evaluated as a factor of self-care.
Results: Based on the recognition of the patient's self-care needs, ten nursing diagnoses were determined, and finally, the implementation of the nursing process based on the Orem model led to an increase in the quality of nursing services along with an increase in the patient's self-care performance regarding the problems caused by his illness, so that improving the patient's self-care ability in relation to pain control, reducing Risk of infection, control of bleeding and improvement of sleep, reduction of fear and dependence, an increase of motivation and self-confidence and sense of independence was observed in the patient.
Conclusion: Orem's self-care deficit model greatly helped to identify and comprehensively understand the patient's needs and facilitated the achievement of care goals by involving the patient in self-care.