Hamidreza Jamaati - Tobacco Prevention and Control Research Center (TPCRC), National Research Institute of Tuberculosis and Lung Diseases (NRITLD), Masih Daneshvari Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran
Mohammad Bagher Kashafi - Nursing and midwifery Faculty, Mashhad University of Medical Sciences, Mashhad, Iran
Amir Vahedian-Azimi - Trauma research center and Nursing Faculty, Baqiyatallah University of Medical Sciences, Tehran, Iran
Mohammad Asghari-Jafarabadi - Road Traffic Injury Prevention Research Center, Department of Statistics and Epidemiology, Tabriz University of Medical Sciences, Tabriz, IR Iran

To explore patient education problems in clinical and educationalsettings.Methods: A review and an explanatory sequential mixed methods design were used.In the quantitative phase, an extensive review of the literature was performed forimproving the validation of the questionnaire and after that, 2300 nursing students byconvenience sampling were recruited. Data were collected by a self-report bridgesand barriers of patient education questionnaire. In the qualitative phase, 25 nursingstudents were recruited using purposeful sampling. Data were gathered using semistructuredinterviews and two focus groups.Results: In the quantitative phase, two items were recognized as first priorities(Need assessment of each patient in each ward and protocol creation based on; andGood communication between the nurse and patient). In the qualitative phase, onemain-theme (Club of patient education problems) with two sub-themes (Educationaland experimental problems; and communicational and managerial problems)emerged.Conclusion: It is essential for the managers in all levels of nursing to try to equalizeand integrate the educational and clinical opportunities in two more important andinseparable environments of college and hospital.Practice Implications: It is possible that for the better education andimplementation of the patient education courses for nursing students, particularlyIranian nursing students, the authorities of colleges and hospitals be able to use fromthe results of this research.

Patient education problems, Clinical and Educational Settings, Patient education Questionnaire, Mixed Method, Review article, Iran