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Background: Self-learning module (SLM) is designed for independent learning. In this study, the hypothesis that SLM is effective to some extent in improving clinical competence in nursing students was tested. Materials and Methods: The study employed a randomized controlled design. In this study, 46 nursing students were randomized into the control or intervention group. Study tools included a demographic information form and nursing skills checklist. Unlike the control group, the intervention group received clinical SLM. Nursing students' clinical competency was measured at the end of the intervention through objective structured clinical examination. Statistical analysis was performed in SPSS software. A p value < 0.050 was considered statistically significant. Results: In total, 46 students participated in this study. The Mean (SD) age of the study participants was 18.80 (1.06) years. There was a significant difference in students' clinical competency between the control and intervention groups (Mann–Whitney U -test: p = 0.010). Mean (SD) of clinical competency in the control and SLM groups was 58.19 (6.41) and 62.83 (6.05), respectively. Results of the group equivalency test indicated that all demographic variables were equivalent between the groups. Moreover, there was no significant difference between women and men in terms of clinical competency. Conclusions: According to the results, the use of SLM could help the students enhance the quality of nursing clinical competency.

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The aim of the present study was to investigate the relationships among hospital safety climate, patient safety climate, and safety outcomes among nurses.Methods: In the current cross-sectional study, the occupational safety climate, patient safety climate, and safety performance of nurses were measured using several questionnaires. Structural equation modeling was applied to test the relationships among occupational safety climate, patient safety climate, and safety performance.Results: A total of 211 nurses participated in this study. Over half of them were women (57%). The age of the participants tended to be between 20 and 30 years old (55.5%), and slightly more than half had less than 5 years of work experience (51.5%). The maximum and minimum scores of occupational safety climate dimensions were found for reporting of errors and cumulative fatigue, respectively. Among the dimensions of patient safety climate, non-punitive response to errors had the highest mean score, and manager expectations and actions promoting patient safety had the lowest mean score. The correlation coefficient for the relationship between occupational safety climate and patient safety climate was 0.63 (p<0.05). Occupational safety climate and patient safety climate also showed significant correlations with safety performance.Conclusions: Close correlations were found among occupational safety climate, patient safety climate, and nurses' safety performance. Therefore, improving both the occupational and patient safety climate can improve nurses' safety performance, consequently decreasing occupational and patient-related adverse outcomes in health care units.

Article InfoBackground: Suicide attempts, being considered from among psychiatric emergencies, are under the category of social and health problems that affect the individual, the family, and even the community. This study was conducted to determine the characteristics of people who attempted suicide referred to the emergency ward of Ali Ibn Abi Taleb hospital in the city of Rafsanjan, Iran in 2016. Materials and Methods: This descriptive study was conducted using a census on 347 individuals who had attempted to suicide and were referred to the emergency ward of Ali Ibn Abi Taleb hospital in the city of Rafsanjan, in 2016. Data collection was conducted on a monthly basis using the checklist of the suicide prevention plan provided to the emergency wards by the health department. The data were analyzed using SPSS and Chi-square and Fisher's exact tests were applied. Results: 347 cases of suicide attempts were occurred, with three cases (0.9%) leading to death. The mean age of the individuals who attempted suicide was 26.15 years, with the standard deviation of 8.81 years. Among those individuals, 268 individuals (77.2%) had attempted suicide only once, 54 individuals (13%) twice. About 190 individuals (54.8%) were women, and 138 individuals (73.4%) carried out suicide using drugs. Conclusion: It can be concluded that considering the easy access of the people to drugs, the most prevalent method of suicide was using drugs. Besides, having the highest percentage of suicide, women are leading in suicide attempts.