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Background & Aims: Self-assessment is a useful method which leads to the professional development of graduate nurse attention to their clinical practice. The aim of this study was to compare Self-assessment and observer assessment of nurses' teaching competency in patient education in cardiac and CCU care units in teaching hospitals affiliated to the Mashhad University of Medical Sciences in 2013. Materials & Methods: This analítico- correlación study was performed on 60 nurses working in cardiac care units in hospitals affiliated to the Mashhad University of Medical Sciences through using convenience sampling method. Data were collected using self-report questionnaires, teaching competency, and teaching observation checklists in patient education. Data were analyzed through Pearson correlation coefficient, t-test and ANOVA using spss software version 16. Results: The mean of the Nurse's Self-assessment score was 15.31±  2.05  and, the mean of this evaluation by observation was 12.63±2.20 which demonstrated a significant difference (P=0.001). The correlation coefficient between the scores of Self-assessment and evaluation by observation was weak and statistically not significant (r=0.1, P=0.11). Conclusions: In general, nurses' perceptions of their knowledge and teaching competency was exagerated and this can lead to a lack of trying to promote your knowlegde which itself can disturbe the process of patient care. Therefore, self assessment is highly recomended to be done by nurses.

Keywords: teaching competency, Self-assessment, observation, patient education

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