Background:As a major factor in patient-centered care, patient education has a great impact on the quality of care provided by nurses; however, clinical nurses’ performance with regard to patient education is not satisfactory. This study is an attempt to investigate barriers and facilitators in patient education from nurses’ point of view.Methods:122 nurses at Jahrom University of Medical Sciences participated in this descriptive-cross sectional study. Sampling was based on the census method. The questionnaire used to collect data included questions about nurses’ demography, barriers (10 questions), and facilitators (10 questions) in patient education. The questionnaire was designed to be completed independently. To analyze the data, the researchers used descriptive statistics, including frequency, mean and standard deviation.Results:The highest scores related to barriers to patient education were: nurses’ insufficient knowledge, patients’ physical and emotional unpreparedness, and lack of a proper environment for education. The most important facilitators, on the other hand, were: enhancement of instructing nurses’ knowledge and skills, motivating nurses, and a step-by-step approach to patient education.Conclusion:It is important that nurses be prepared and motivated to train their patients. By satisfactory patient education on the part of nurses, patients will be more willing to cooperate in the treatment process.

Objective: Nursing professional self-concept is nurses' internalized values and beliefs and the manner they affect their thoughts and behavior. The questions of how nursing students see themselves and what qualities interest them are of great importance. The present study aims to determine the correlation between clinical performance and nursing students’ professional self-concept. Materials and Method: The present cross-sectional-analytical study was conducted on 86 nursing students at Jahrom universities of medical sciences. The study data were collected using a questionnaire which consisted of 6-Dimension Scale of Nurse Performance (6-DSNP) and Nurse Self-Concept Questionnaire (NSCQ). The data analyzed using descriptive and inferential statistics. Results: The nursing students’ clinical performance and professional self-concept scores were 2.94±1.45 and 5.46±1.11. Pearson correlation coefficient revealed a significant correlation between the students’ clinical performance and professional self-concept. Total 6-DSNP score were significantly related to two of the dimensions of NSCQ: Nursing care and communication (p<0.05). There was a relationship between academic year and professional self-concept total score (p=0.01, r= 0.26). Conclusion: The results of the study show that clinical performance and professional self-concept are related. These findings can be helpful to teachers, authorities at nursing colleges, and nursing managers. Applying techniques that will enhance students' professional self-concept are essential to improving their clinical performance.Bangladesh Journal of Medical Science Vol.15(1) 2016 p.57-61

Introduction:Diabetes is a chronic illness that requires continuing medical care and patient self-management education to reduce the risk of long-term and acute complications. The aim of the present study was to determine the effectiveness of diabetes self-management education on quality of life in elderly females with diabetic mellitus (type 2) in Shiraz, Iran, 2013.Method:The study was conducted from January to April 2014 at the Jahandidegan center, a day center affiliated to Shiraz welfare organization. The instrument used for the study was the Quality of life Questionnaire (WHO QOL-BREF) SF26. After an explanation of the aim of the study by the researcher, 90 participants with all the required criteria and G.H.Q score ≤ 23 were selected as the study sample for the intervention. Participants divided into experimental and control groups, and completed WHO QOL-BREF before the intervention, 2 and 3 months after the last session of education.Result:It is shown that 2 and 3 months after the intervention, QOL scores had a significant difference between the two groups. In other words, the training sessions improved the score of QOL in the intervention group (P < 0.001) versus control group (P = 0.5).Conclusion:The Behavioral Intervention Program significantly improved the quality of life outcomes of the diabetic elderly females. Thus, it is concluded that the diabetic individuals can be significantly improved following instruction by health care providers.

Congestive heart failure (CHF) is the inability of the myocardium to pump enough blood to meet the body's metabolic demands. This study was conducted to assess the effects of effect of massage therapy on physiologic responses in patients with congestive heart failure. This study was a quasi-experimental, done with the permission of Jahrom University of Medical Sciences that conducted on two CCU wards of hospitals of Jahrom. Fifty participants were recruited to participate in this study within 24 hours after admission to the cardiac ward. The massages were begun 3 days after hospitalization in order not to disturb their medical treatment plan. Blood pressure, heart rate, respiratory rate, and blood oxygen saturation data were collected 30 minutes before and after back massage. A total of 50 individuals participated in this study. After 3 days of massage, participants' systolic BP (p < 0.01), diastolic BP (p < 0.01), HR (p < 0.01), and respiratory rates (p < 0.01) were significantly decreased. Also, the participants' oxygen saturation levels showed significant improvement (p < 0.01). Based on the findings of the present study, massage therapy was effective in blood pressure, heart rate, respiration rate and O2 saturation in patients with CHF. Therefore we suggest that massage therapy be used as a complementary method to stabilize their vital signs.