Abstract

Introduction: Clinical education is essential for training professional nurses with independent function in different job positions. In the correct clinical education, the theoretical issues of nursing knowledge are integrated with clinical experiences and facts, the concept of Kartami is taught to students, develops problem-solving skills and increases student judgment and decision-making power. Training is a complex process and any simplicity in which can lead to the loss of forces and facilities and the inability to achieve educational goals or to reduce the quality of education. Development and transformation in education require review of educational processes and knowledge of modern executive methods. This issue is more important in nursing education because nurse education is empowered and has the knowledge, attitude, and skills necessary to maintain and improve the health status of the community. Method: This was a quasi-experimental interventional study using a census sampling method in which eight groups of undergraduate nursing students attending a cardiology unit in their fourth semester were selected. Four groups of 9 students were intercepted and trained by cascadingties as an instructor and cascading students. Four groups in the control group, with a non-cascading student instructor were evaluated. Data were analyzed using a key approach test scenario design. The Kolmogorov-Smirnov test, Mann-Whitney test, Chi-square, T-test and exact test were used for data analysis. The Fisher's exact test in SPSS was also used for data analysis. Results: Comparison of the clinical skills of nursing students in the two groups of current clinical education and clinical education with the mentioned tests revealed that there was a significant difference in the level of clinical skills of the students in the two groups such that the mean clinical skills of the clinical education group was higher than the prevalence of cascading (p<0.001). Conclusion: The results of this study showed that one of the effective factors in increasing the skills of nursing students is the use of cascading student programs that they hope to help learners in the clinical setting. Considering the fact that, in this study, the clinical skills are influenced, clinical teaching was cascading; therefore, the results of this study could be useful for adopting policies of medical universities of the country and especially nursing faculties in order to use a cascade scheme.