A. Abyad, MD, MPH, MBA, AGSF, AFCHSE (Editor) A. Abyad, MD, MPH, MBA, AGSF, AFCHSE (Editor) Abyad Medical Center & Middle East Longevity Institute Azmi Street, Abdo Center, 2nd Floor PO BOX 618, Tripoli LEBANON Tel & Fax: 961 6 443684/5/6 Email: aabyad@cyberia.net.lb Web: www.amc-lb.com

This month we have three articles concerned with training of nurses. A study from Iran compared a designed blended educational method with classical face to face method in the cognitive effect of the program on the students' critical thinking. It concluded that the use of blended educational method is recommended for teaching in Medical and Para-medical sciences.

Another study from Iran looked at a holistic approach to bedside teaching from the views of
main users. They concluded that it is necessary to appropriately train teachers to meet these standards, and while justifying students to implement this method and its benefits, patients' satisfaction, enhancing health care, and effective clinical governance should be provided.

A third paper from Jordan looked at the Relationship between Pain Experience and Roy Adaptation Model: Application of Theoretical Framework. The author concluded that by understanding the relationships among self-concept, family functioning, functional status, and psychological adaptation, the nurse can identify the factors that lead to maladaptation, and supportive services can be implemented during the course of cancer treatment.

Another paper from Jordan explored Fatigue in Early Stage among Jordanian Patients with Cancer Receiving Chemotherapy. The purposes of the study were to (1) examine the impact of Chemotherapy on fatigue in Jordanian cancer patients, and (2) to chemotherapy related fatigue (CRF) with selected demographic variables such as age, sex, marital status, income, level of education, type of cancer, stage of disease , type of chemotherapy, body mass index, smoking and hemoglobin level. One group quasi-experimental co-relational design was used with 43 patients who had been diagnosed with cancer and required Chemotherapy treatment. Fatigue was measured using Piper Fatigue Scale (PFS). Data was collected over a period of six months and analyzed using descriptive statistics, paired-sample t-test, and Pearson Product Moment Correlation. Statistically significant differences were found between total fatigue scores as well as on behavioral, affective, sensory, and cognitive dimensions of PFS, before starting chemotherapy treatment and after 4 weeks from receiving the first dose of chemotherapy treatment.

Assessing the perception of nurses about the privacy of the patients was the focus of another paper from Jordan.

It stated that privacy is a legal right of patient/client, which flows from the fundamental rights to life, liberty and property, drives from the right to enjoy life and to be left alone (1+7+8). Respect for patients' privacy and dignity are long established principles of nursing practice (10). Invasion of a patient's privacy decreases the quality of care that is provided for the patient and decreases the trust of the patient in the medical team, which has a negative effect on the health status of the patient.

Finally a paper from Iraq explored the success of a nurse led chest drain clinic: a case study of change from the national health system in the UK It concludes safe at home management of long-term chest drains was provided by this nurse-led clinic.