Jorjani Biomedicine Journal

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Background and objectives

theaters and are not in appropriate conditions and need further support. Therefore, this study was conducted

with an objective to explain medical ethics in the operating theater and the clinical experiences of the students

of anesthesiology.

: Clinical students should become familiar with medical ethics and its principles from the beginning, observing it in their relationships with patients, in particular, the patients who are in operating

Methods:

University of Medical Sciences were studied using a purposive sampling method. The inclusion criteria of

the students included passing at least one semester of clinical experience in the ope

In this qualitative study with a phenomenological approach, 50 students of anesthesiology at Golestanrating theater, and having

inclination for participation in the study. The data collection tool was semi-structured interviews. The data were

analyzed using the conventional content analysis method. The data were analyzed in a regular three-phase pro

that is, open coding, axial coding and selective coding.

cess,

Results:

main theme derived from this study was that the patient is in the trust of us.

The themes concluded from this study for explaining medical ethics in the operating theater included trustworthiness, having a chaste look, confidentiality, observing the patient’s privacy and their clothing. The

Conclusion:

The results showed that the students of anesthesiology consider the patient as a member of their own family, and attempt to take care of the patient, who is in sensitive conditions, in the best possible way.

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Background and objectives:

Fatigue experience is a psychological experience therefore, the relevant caregivers’ acquaintance with this issue

is the most important step in offering optimal care for the patients. Accordingly, this study was conducted

to determine Cancer-related Fatigue and its Relationship with Demographic and Clinical Characteristics in

Cancer Patients.

A cancer diagnosis is a highly undesirable event for anyone.

Methods:

characteristics form and the Multidimensional Fatigue Inventory. The data were analyzed with the SPSS-

18 software and t-test and ANOVA and tukey post hoc test were used.

In this analytical study, 150 cancer patients visiting the oncology unit, the Shafa Radiotherapy Center,and Gorgan’s 5th Azar Teaching Hospital in 2012, who were selected with a purposive sampling method,participated in the study for 4 months. The required information was collected using a demographic and clinical

Results:

of treatment, 51.3% used chemotherapy-surgery-radiotherapy regimen, 24.7% surgery-chemotherapy regimen,

14% used chemotherapy, 7.3% used radiotherapy, and 2.7% used surgery. The overall mean score

of fatigue was 54.65±8.78 from 100. The variables of residence (P=0. 018), the duration of marriage

(P=0.018), the treatment regimen type (P<0.001), and the family’s economic status (P<0.000) were found to

The patients’ mean age was 48.39±1.5 Of the patients, 55.3% had undergone less than 12 months

have a significant relationship with fatigue.

Conclusion:

Psychological interventions, besides physical caring and nursing interventions play a significant

role in the all-inclusive management of cancer patients’ problems, in particular, their fatigue.

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Background and Objective: Obtaining the means of promoting nursing care quality have been always considered by nursing managers. The present study was conducted to determine the relationship between nursing care quality and patients satisfaction in the hospitals affiliated to Zahedan University of Medical Sciences in 2014.

Methods: The present cross-sectional study was accomplished on 68 employed nurses and 204 patients during a 4 month random sampling time interval. Three patients per nurse who had utilized at least 72 hours of nursing cares and were about to discharge at the time of research were chosen. Data collection tolls were the standardized questionnaires including nursing care quality measurement tool (Quality patient care scale: QUALPAC) and Patient Satisfaction Instrument (PSI). The data were analyzed using Chi-square, One-Way ANOVA and Pearson correlation coefficient tests.

Results: The average age of the nurses and patients were respectively 30.8±4.9 and 37.9±10.7. The average score for QUALPAC was 61.3±12.5 and the quality of care was desirable in 55% of cases. Moreover, the average score for the satisfaction of patients was 71.8±10.9 and the patients expressed an intermediate satisfaction in 61 percent of cases. There was a positive significant correlation between the nursing care and patient satisfaction (P=0001).

Conclusion: It seems as if the health care system can provide the satisfaction of patients by enhancing nursing care quality or to employing more skilled nurses.

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Background and objectives: Educational technology is widely used in all parts of medical education. The use and application of common educational technologies and adoption of educational design patterns in medical sciences education can greatly help in medical simulations, training, and improving of clinical skills of nurses and medical students. The aim of this research was to study computer-assisted instruction, virtual patients, and human patient simulation in medical science education based on Gagne’s educational design pattern.
Methods: The research methodology in this paper was a review-article of applied type, which helps the education designer in the field of medical education to choose the most suitable educational technologies in medical science education to achieve their desired goals by considering the advantages and disadvantages of computer-assisted instruction, virtual patients, and human patient simulation.
Results: In this article, we first reviewed the educational technology and common technologies in medical education and its advantages and disadvantages as well as the most appropriate educational technology to achieve the needed goals. We then described two multimedia (Computer-Assisted Instruction and Virtual Patients) and educational models for virtual patients as well as two simulators (virtual patient and human patient simulation). Subsequently, we explored the educational design and its patterns (including Ganja, Watson, Merrill, Reigeluth, Asher, Camp, and Siemens) and selected the best pattern (Gagne’s pattern) according to the learning theories and research background. Finally, the three approaches mentioned in this article (computer-assisted instruction, virtual patients, human patient simulation) were designed based on the Gagne’s model.
Conclusion: Based on the results, one can conclude that the computer-assisted instruction, virtual patients, and human patient simulation based on the Gagne’s educational design model can help medical education instructors in training communication skills, clinical skills, and skills of obtaining medical history from the patient as well as problem-solving skills, knowledge acquisition, and critical thinking. They can also help the educational designer in the field of medical education to select the most suitable educational technologies in medical science education due to the best educational model of virtual patients and the Meyer educational media principles and simulation-based learning-educational theories tailored to the goals and content of medical education courses. Therapies for autoimmune disorders such as SLE. 

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