Introduction and Objectives : Evaluation is the first phase of the nursing process which can be obtained information from the patient and enables nurses to identify the nursing diagnoses , determine intervention for implementing and also it would be able to measure interventions as being efficient results. In consequence , clearly the nurses require to these skills and techniques which relate to physical examination and these should be included in their training programs as well as should be

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... rained them during their period of employment. The purpose of this study was conducted to evaluate and determine the self-assessment and the level of training needs of nurses in term of the health assessment of patients in hospitals of Birjand universities of medical science. Materials and Methods: In this descriptive analytical study, the graduated working nurses were selected in hospitals of Birjand universities of medical science by simple random sampling. Tools of data collection were, the questionnaire was consisted of two parts: firstly, demographic characteristics (nine questions) and secondly the questions related to the main objectives of the study (38 items). The responses were arranged in two sections. First part of assessment was related to self-assessment into five categories (very good, good, average, bad, very bad) and the second part of that were the educational needs as three categories (advanced, middle and basal). The data were analyzed by using of software SPSS and statistical tests t Pearson correlation coefficient. Results: There were 104 nurses were included (88/5%) females with a mean age 2/6 ± 44/30 and work experience 35/6 ± 27/7. The most samples were included ICU (15/4%), internal ward (13/5%), CCU and Emergency (6/10%) respectively. On average, the highest scores of self-assessment was linked to prepare approaches the blood and urine tests, electrocardiogram (ECG) and the lowest score was determined with how use and apply a Trans Aylvm Ynatvr. Also the highest level of training needs ) 8 / 55 % of nurses in the advance level was related to blood , urine -Stools tests and for intermediate level was linked to (51/9%) how to prepare ultrasound of the abdomen and pelvis as well as chest radiography and for the basic level was (30/8%) how use and apply ( MRI ) . On average the females had better self-assessment than meals but there was no significant statistic relationship for that. Also there was no relationship between ages, work experience with self-assessment. Conclusions: According to one of the main factor for efficient implementation of care is a systematic approach, but the results of this study revealed that the nurses' knowledge to meet these needs was insufficient and the promotion of them seems to be essential by retraining during work.