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Background: Using thinking-based scientific methods such as paper-based and electronic nursing processes in nursing education can lead to education of skilled and efficient experts that can affect students’ satisfaction in addition to their quality of care. The present study aimed to compare the effects of recording and implementing the nursing process based on two methods (paper-based and electronic) on the quality of patient care and nursing students’ satisfaction.

Methods: This randomized-field trial was conducted in 2014 on 64 nursing students that were randomly assigned into two groups of paper-based and electronic nursing process. The intervention included a one-day training on the nursing process and then its implementation on patients using the two mentioned methods during two weeks of internship. Quality of care was measured through a researcher-designed care quality questionnaire before and after the intervention. Students’ satisfaction with the implementation of the nursing process was measured through a researcher-designed students’ satisfaction questionnaire after the intervention.

 Results: The mean (±standard deviation) score of students’ satisfaction in the paper-based nursing process and the electronic process was 37.3±4.7 and 68.9±14.2, respectively. There was a statistically significant difference between the two groups (P=0.015). After the intervention, the mean score of care quality in the electronic group was 46.9±5.6 and the mean score of the paper-based group was 39.9±9.2. This difference was also statistically significant (P<0.05).

Conclusion: Since electronic nursing process can increase quality of care and students’ satisfaction more than the paper-based method, the use of electronic method may facilitate the implementation of the nursing process and change education and care giving from traditional forms to a thinking-based approach. Therefore, it is recommended to pay more attention to such method in planning nursing education.

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Background: The management of Psychological symptom in patients and nurses, effective communication with patients are important issues that should be taken into consideration in nursing care. This study aimed to examine the effects of nursing welcome program on the level of stress and satisfaction in patients in the Coronary Care Units (CCU).
Methods: The interventional study was done on 72 patients, who were admitted to CCU at Emdadi hospital in Abhar in 2017. The patients were selected by convenience sampling and were allocated into intervention (n= 36) and control (n= 36) groups. Data was collected using a questionnaire including demographic; Depression, Anxiety and Stress Scale (DASS-21), and the La Monica–Oberst Patient Satisfaction Scale (LOPSS). The DASS-21 was fulfilled by a welcome nurse through interview in both groups. Then the welcome nurse began to implement the Nursing Welcome Program in the intervention group. The level of patients' stress and satisfaction were measured an hour and 24 hours after the intervention respectively. Patients in the control group received routine care without any intervention. Data was analyzed using independent t-test, chi-square test, and Fisher's exact test in SPSS-16.
Results: The Mean±SD of stress in intervention and control groups after intervention were 8.23±3.24 and 11.9±4.20 respectively (p= 0.001). The Mean±SD of satisfaction in intervention and control groups after intervention were 249.26±26.7 and 236.10±23.71 respectively (p=0.031).
Conclusions: According to the importance of nurses' position in communicating with patients, employing welcome nurses as an effective care method to reduce psychological symptoms and increase patients' satisfaction is suggested.