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Background Game-based training is increasingly implemented in different nursing fields, as it allows students to learn experientially, with the flexibility to regulate their training based on their personal progresses and abilities. This study aimed to compare the effects of virtual training by the “Playing with Surgical Instruments (PlaSurIn)” game and the lecture on the surgical instruments setup knowledge and performance of Operating Room (OR) novices. Methods This study was conducted on 51 s-semester undergraduate OR technology students taking the course “An Introduction to Surgical Instruments and Equipment.” An additional virtual training session was held via a learning management system using two different methods. The students of the Game Training Group (GTG, n = 27) played individually with the “PlaSurIn” game during a week, while the students of the Lecture Training Group (LTG, n = 24) received the lecture-based training during a week. To measure knowledge, all the students participated in a theoretical test with 10 multiple-choice questions before and immediately after the training. They also participated in an Objective Structured Clinical Examination (OSCE) after the training, and their performance was evaluated by the remained time for setup completion and the scores, errors, and bonuses. Results The mean score of the theoretical test was significantly higher in the GTG than in the LTG after the training (p = 0.040). Additionally, the GTG participants had higher scores (p = 0.016), fewer errors (p = 0.001), and higher bonuses (p = 0.011) compared to the LTG ones. The remained time for setup completion was also significantly longer in the GTG than in the LTG (p < 0.001). Conclusion Virtual training by “PlaSurIn” was superior to the lecture-based method for the enhancement of surgical instruments setup knowledge and performance amongst OR novices.

Introduction: Nursing students are part of a clinical teaching team in the course of education. And it is important to examine their attitude toward euthanasia. Investigating the attitude of nursing students towards euthanasia has always been welcomed by researchers. These studies often indicate a lack of acceptance of euthanasia among nurses, but different percentages of opposition to euthanasia have been reported. This study aimed to determine the attitudes study of students and staff of nursing about euthanasia in Behbahan city in 2018. Materials and Methods: This descriptive-analytical study was conducted to investigate the euthanasia attitude among nursing staff and students in 2018. The study population is nurses and nursing students of Behbahan city. Population volume was 187 in Behbahan hospital staff and 117 students respectively, that with Cochran's formula with 95% confidence interval was 126 and 83 respectively (z: equal 1.96 p=q=0.5 d=0.5). Students were selected from semesters 4 to 8 in order to understand students correctly. Data were analyzed by SPSS software version 22 and statistical methods including: mean, frequency, T-test, Chi-Square, multiple regression test and significance level p <0.05 was used. Results: 107 nurses and 83 nursing students participated in this study. The mean age of participants was 27 years. Multiple regression was used to examine the relationship between the dimensions of euthanasia and demographic variables. Multiple regression results showed that naturalistic beliefs were significantly different between the two groups of nurses and students (p-value = 0.021). There was no significant difference between other aspects of euthanasia attitude in nurses and students. There were also significant differences between the two groups of men in terms of practical considerations (p-value=0.048). Conclusion: Knowing the attitudes of nurses in a community towards the issue of euthanasia can be an effective step towards a better plan for improving the care of patients with euthanasia. The results of this study showed that naturalistic beliefs were significantly different between the two groups of nurses and students. But there was no significant difference between other aspects of euthanasia attitude and nurses and students; There were also significant differences in the practical considerations between the two groups of men. It is necessary to improve the knowledge of nurses in this field.

Aim This study aimed to clarify the value of caring programs developed according to Orem's Self‐Care Deficit Nursing Theory regarding quality of life and self‐care as the primary outcomes and self‐efficacy, anxiety, depression, and stress as the secondary outcomes among individuals aged 18–70 years with chronic diseases. Background Chronically ill patients need to receive appropriate self‐care training, counseling, and support. In this regard, the use of caring programs developed based on theories is highly suggested. Orem's Nursing Theory is the most well‐known theory that provides a structure to involve patients in their self‐care activities. Introduction Orem's Nursing Theory has been increasingly applied to guide practice for patients with chronic health conditions. However, recent trials have reported conflicting findings on the value of its application. Methods Eight information sources (e.g., Web of Science Core Collection, PubMed, and Scopus) and the International Clinical Trials Registry Platform were searched up to 30 March 2022. Results A total of 46 studies and 11 study register entries were eligible. Orem's theory‐based interventions significantly improved the quality of life, self‐care, and self‐efficacy as well as significantly reduced anxiety and depression. However, the value of the interventions on stress was uncertain, as performing the meta‐analysis was not possible. Discussion Orem's Nursing Theory can help nurses in different fields to dynamically and carefully evaluate patients’ self‐care ability and implement appropriate nursing measures tailored to their needs, interests, and problems. Considering the inconsistent evidence to support the empirical adequacy of this theory, high‐quality reviews are essential. Conclusion Orem's theory‐based programs had a favorable effect on taking care of adults with chronic diseases. Implications This study augments the previous reviews related to the applicability of Orem's Nursing Theory. Considering the undesirable evidence quality and the high between‐study heterogeneity, further well‐designed trials are required to draw an evidence‐based conclusion.