haydeh heidari

The birth of a premature baby is unexpected for mothers, and they experience negative emotions such as anxiety after it, which causes a decrease in self-efficacy. This study aimed to assess the impact of Emmons's gratitude support-educational program on the anxiety and self-efficacy of mothers with premature infants admitted to the Neonatal Intensive Care Unit at Hajar Hospital, Shahrekord, Iran.

A semi-experimental study was conducted on 41 mothers of premature babies in the neonatal intensive care unit of Hajar Hospital. Participants were selected using the convenience method and divided into two intervention and control groups. The control group's sampling took one month, while the intervention group's sampling took five months. To minimize bias, the control group was sampled before the intervention group. At three point included the beginning, immediately after the intervention, and one month after the intervention, both mothers groups completed Beck's anxiety and Barnes self-efficacy questionnaires. The intervention group underwent nine sessions, while the control group received no intervention. Emmons's gratitude program reduces negative symptoms and increases positive emotions by using the technique of gratitude and remembering blessings. The data were analyzed using descriptive and analytical statistical tests (chi-square, two-sample independent t, Fisher's exact test, and repeated measurements) in SPSS statistical software version 25 with a significance level of less than 0.05.

There was no statistically significant difference in the mean score of mothers' anxiety (P = 0.67) and their self-efficacy (P = 0.16) between the two groups before the intervention. Immediately after the intervention and during the follow-up period, the two groups showed a statistically significant difference in mothers' mean anxiety and self-efficacy scores (P<0.001). Analysis of variance with repeated measures indicated that the impact of time on the mean score of anxiety and self-efficacy was significant in the intervention group (P<0.001).

Based on the intervention's effectiveness in reducing anxiety and improving self-efficacy, it is recommended that managers and health planners take the necessary steps to train personnel in using Emmons' gratitude method to enhance the well-being of mothers with premature babies in the neonatal intensive care unit.

To compare the effect of telephone and SMS follow-up of an empowerment program on quality of life (QOL) and fatigue in patients with chronic obstructive pulmonary disease (COPD).

Non-blind randomized clinical trial (RCT). Two hospitals and clinics in Shahrekord. 105 patients with COPD grades 2 and 3 were recruited and, after implementation in empowerment sessions, were randomly assigned to three control, telephone follow-up, and SMS follow-up groups (35 individuals in each group). First, the pulmonary empowerment program was designed and implemented for six 90-minute sessions. Then, the patients were randomly assigned to three groups using a random number table. Follow-up ended after three months, and the control group received routine care. Data were collected in the first and sixth sessions of the empowerment program and at the end of the follow-up period using demographic (QOL) and fatigue questionnaires. Eventually, they were analyzed through correlation coefficient and analysis of variance (ANOVA) tests in the SPSS software (Version 20).

The study results on QOL showed that the groups were not statistically significantly different before and after the empowerment (respectively: P=0.29 and P=0.56). However, the groups showed statistically significant differences at the end of the quarterly follow-up period (P<0.001). ANOVA results for fatigue indicated no statistically significant differences between the groups before and after the empowerment (respectively: P=0.10 and P=0.32). The results of this study showed that follow-up by SMS and telephone improved patients’ QOL, and SMS had a greater effect in this regard.

The findings suggest using follow-up as an essential approach to empowerment using various technology methods and designing more comprehensive empowerment to reduce patient fatigue.

Admitting a child to a pediatric intensive care unit (PICU) brings various physical, psychological and social consequences for parents. Supporting parental self-efficacy is a step to ensure successful implementation of pediatric care. Therefore, it is necessary to provide appropriate interventions to reduce anxiety and stress and improve self-efficacy of parents. Although mobile-based education has been used for patients in many studies, its use for family caregivers of children admitted to PICU is limited. This study aims to assess the effect of a mobile-based educational program on the anxiety and self-efficacy of mothers with children admitted to PICUs in Iran.

In this quasi-experimental study, participants were 60 mothers of children admitted to the PICUs of hospitals in Shahrekord, Iran from April to August 2022. They were selected using a convenience sampling method and were divided into two intervention and control groups. The intervention group received a mobile-based educational program for four days, one session per day, each for  60 minutes. For the control group, routine education was given by the ward nurses. Data were collected by Spielberger’s state-trait anxiety inventory and Schwarzer & Jerusalem’s general self-efficacy scale. Data were analyzed using descriptive and inferential statistics.

The mean self-efficacy score in the intervention group increased significantly compared to the pre-intervention score (from 19.60±4.01 to 21.87±5.13; P<0.001), but no significant difference was observed in the control group (from 18.53±4.23 to 19.30±5.40; P=0.393). In the intervention group, the mean anxiety score decreased significantly compared to the pre-intervention score (from 47.33±5.52 to 43.63±5.27; P=0.001) but no significant difference was observed in the control group (from 48.30±6.88 to 46.43±9.02; P=0.131). There was no significant difference between the two groups in anxiety and self-efficacy scores before and after the intervention (P>0.05).

Nurses can reduce anxiety and increase the self-efficacy of mothers of children admitted to PICUs by using other measures along with virtual education, which requires more research in this field.

Paying attention to religious beliefs is not a new approach but it is something that has attracted the attention of various scientists for many years, both in order to analyze the reasons for turning to religion and in the direction and manner of its impact on behavior. The more people pay attention to strengthening their beliefs, religious beliefs, and religious behaviors, the better they can protect themselves from psychological harm. Therefore, this study aims to explain the religious strategies of parents of infants admitted to the neonatal intensive care unit.

This qualitative study was conducted in 2020. The statistical population included parents and nurses. The research sample was selected by purposeful sampling which included 16 mothers, 6 fathers, and 6 nurses. Data were collected through in-depth semi-structured interviews. Data analysis was performed by conventional qualitative content analysis.

Data analysis was obtained in three categories: search for hope and trust in God (2 categories), Neglect of the health team to the spiritual needs of parents (2 categories), spirituality and coping with illness (2 categories).

The findings of this research can be useful at both theoretical and practical levels. The present study helps to improve health care team knowledge about parents' religious strategies in NICU. Educational interventions should be done to familiarize nurses with the correct communication with parents' religious beliefs

Diagnosing a child with cancer is associated with a series of stressful experiences and significant suffering for the child and family members. In such situations, one of the strategies that children with cancer use to deal with the disease process is spiritual coping, which aims at managing stress and dealing with critical situations. Therefore, healthcare professionals should have sufficient knowledge regarding the role of spirituality in the care of children with cancer and consider providing spiritual care to the whole family.

The current research is a narrative review that was conducted in 2023 to investigate and identify the role of spirituality in the care of children with cancer. To access related studies, relevant keywords were searched in Persian and English databases. A total of 6 articles in the Farsi language and 42 articles in the English language were extracted. After reviewing these articles based on inclusion and exclusion criteria, 1 article in Farsi and 12 articles in English were included in the study and their results were analyzed.

After analyzing the results of the studies included in the current research, the role of spirituality in the care of children with cancer was classified into five main categories, including hopefulness, coping with the situations created due to the child's illness, achieving inner peace and tranquility, receiving support, and acceptance of the situations created due to the child's illness.

The results obtained in the present study can be used by healthcare professionals as well as managers and policymakers to provide holistic and high-quality care (including spiritual care) to children with cancer and their family members.

One of the non-pharmacological interventions is gratitude, which has received less attention in the neonatal intensive care unit (NICU). The present study was conducted to investigate the effect of an educational intervention based on gratitude on the stress and mental health of mothers with preterm infants hospitalized in the NICU.
A quasi-experimental controlled study was conducted on 50 mothers with infants hospitalized in the NICU of Shahrekord City, Iran, who were divided into two intervention and control groups. The intervention group was trained by the researcher in three two-hour sessions every week for two weeks. The results related to mothers’ general health and stress were analyzed by the parental stress questionnaire and Goldberg and Hiller’s general health questionnaire (GHQ-28) before and after the intervention by the paired t-test.
The mean stress score of mothers in the intervention group significantly reduced (P<0.001). Stress was reduced in the mothers of the control group who only received routine training, but this reduction was not statistically significant (P>0.05) (before training: 35.72 and after training: 34.08). In the intervention group, the mean score of mental health improved significantly two weeks after the gratitude-based training program (P<0.05) (before training: 26.56 and after training: 19.20).
This is the first study on the effectiveness of gratitude on the health of Iranian mothers with preterm infants hospitalized in the NICU. Gratitude improves the stress level and increases the quality of mental health. The belief that gratitude will increase blessings is a crucial part of Iranian women’s religious beliefs and is a critical factor in the effectiveness of mind and body interventions.

Anxiety is one of the most important symptoms after orthopedic surgery which can have various side effects and negatively affect the process of recovery after surgery. The present study was conducted with the aim of evaluating the effect of Melissa Officinalis tea and Matricaria Chamomilla tea on anxiety of patients after lower limb orthopedic surgery.

This was a randomized controlled trial which was conducted on 96 patients after lower-limb orthopedic surgery in Ayatollah Kashani hospital in Shahrekord, Iran. Patients were selected with convenience sampling method and allocated to either Melissa Officinalis, Chamomile or control group. For Melissa Officinalis group, 1g of Melissa tea, for Chamomile group 1g chamomile tea and for control group black tea was prescribed 3 times a day. Anxiety of participants was evaluated before start of interventions and after each step of interventions using Spielberger’s state anxiety inventory. The mean score of anxiety before interventions and the mean changes of anxiety score after each step of interventions compared between groups. Data were analyzed with descriptive and analytical statistics using SPSS software.

the results of Tukey’s post-hoc test showed that after the second step of interventions till the last step, the mean change of anxiety score in Melissa Officinalis and Chamomile group was significantly greater than in the control group (P<0.05).   

The results of this study show that prescription of Melissa Officinalis and Chamomile tea is effective in reducing anxiety of patients after lower limb orthopedic surgery.

The care team's awareness of the adaptive behavior of parents having a child with thalassemia and the teaching of teachings related to strengthening parents' religious beliefs and beliefs helps them adapt to stress and crisis. Therefore, this study aims to analyze the religious behavior of parents of a child with thalassemia along with the interpretation of related Quranic teachings.

This study was done in two steps with two methods. Content analysis was used to analyze the adaptive behaviors of parents having a child with thalassemia, and a library method was used by reviewing authentic religious sources and the Holy Quran to apply relevant Quranic teachings.

After analysis of the data, three categories were obtained. The category of searching for hope and trust in God was according to the interpretation of Surah al-Kahf verse 23 and Surah Ghafir verse 44, the seeking information category was according to the interpretation of Surah an-Nahl verse 43 and Surah al-Anbiya verse 7, and the category of spirituality and compromise with child illness was according to the interpretation of Surah Ar-Ra'd verse 28.

The results of this research provide new insight to the treatment team and help them to identify spiritual resources such as hope and trust in God, search for information and spirituality, and compromise with the disease. Also, teaching Quranic teachings to parents plays an important role in the adaptation of parents of a child with thalassemia.

Families of children with thalassemia may become exhausted due to the frequent hospitalizations of the child for blood injections and because of spending a great deal of time learning about and managing this disease.

The aim of this research was to explain supportive systems for parents of children with thalassemia.

This study was done at Hajar hospital in Shahrekord in 2017. Content analysis was used. Ten samples consisting of 5 mothers, one grandmother, two fathers, and two nurses were selected purposely in this study. A semi-structured, face-to-face interview was used.

Based on data analysis, three categories of the need for supporters, lack of consultative services, and economic problems were obtained.

Since thalassemia is a chronic disease, the parents of these children need support and consultative services throughout their life. It is necessary for authorities and healthcare planners to take measures in order to support parents of children with thalassemia (the forgotten part of the health system). The consultant-trained nurse has an important role in supporting these families.

Children with heart defects who need angiography are increasing. They have high anxiety and stress. Implementing an effective program for children undergoing angiography is one of the tasks of nurses. This article has been compiled with the aim of reviewing nursing interventions for children under angiography.

Elsevier, SID, Magiran, Scopus, PubMed, and Google Scholar databases were searched using keywords such as coronary angiography, nonpharmacological interventions, nursing interventions, pediatric, infant, children, and complementary therapies during 1984–2021. From 60 studies in the initial search, 12 studies were maintained.

There are several solutions that can reduce stress in children under angiography: including music therapy, play therapy including digital games, distraction, and relaxation therapy.

Pediatric nursing interventions under angiography can play an effective role in the recovery process. Children undergoing angiography have interventions to reduce stress according to their developmental age. Depending on the environmental and psychological and social conditions of the child, solutions can be adopted and implemented so that children and their parents experience less stress.

The distraction of thought is a technique in which a pleasant stimulus is presented to the patient. This study aimed to investigate the effect of the distraction of thought by music on pain relief in patients undergoing extracorporeal shock wave lithotripsy (ESWL).

This clinical trial was performed on 120 patients referring to Ayatollah Kashani Hospital in Shahrekord for ESWL in 2019. Patients were randomly divided into two experimental and control groups. In addition to routine care, the experimental group received the natural sound of the event, along with its beautiful scenery, while the control group only received routine care. The pain score was measured by the McGill Pain Questionnaire. The data obtained were analyzed by SPSS (version 18) using paired and independent t-tests and Tukey’s test.

The two groups were significantly different in terms of pain changes (P=0.007). The mean difference in addictive drug consumption between the control and experimental groups was significant (P=0 004).

Thought distraction by music reduces pain and narcotic use of analgesics by the patients under ESWL.

The provision of spiritual care along with holistic and comprehensive care is an important need for families with children hospitalized in an intensive care unit. This study aimed to explore the perceptions of healthcare providers regarding the spiritual care of parents with a newborn in a neonatal intensive care unit (NICU) in Iran.
This study was conducted using conventional qualitative content analysis, which adopts open coding, classification, and abstraction. A total of eight nurses and one doctor participated to be interviewed.
Based on data analysis, three categories of nursing support needed for spiritual care as well as the necessity of changes in structural conditions were identified in this study.
Hospital administrators must undertake measures to change circumstances in NICUs. In addition, nurse managers should plan training courses on the importance of providing spiritual care to patients and their families.

Urinary stones are the third most common genital tract disease after urinary tract infections and prostate diseases. Extracorporeal Shock Wave Lithotripsy (ESWL) is the most common treatment for more than half of all kidney stones. Most patients experience pain during the surgery, despite the use of pain killer after ESWL. This study aimed to investigate the effect of prayer on pain in the patients who underwent ESWL.

This clinical trial was performed on 120 patients who were referred to Ayatollah Kashani Hospital, Shahrekord, Iran, for ESWL in 2018. Patients were divided into two experimental and control groups. In addition to the reception of routine care, the test group repeated the prayer “peace be upon Mohammad and his descendants” during ESWL. However, the control group only received routine care. The pain score was determined using McGill Pain Questionnaire and the collected data were analyzed in SPSS software (version 20) through descriptive statistics and t-test.

The scores of pain variations in the prayer (intervention) and control groups were estimated at -11.10±10.13 and -1.85±8.67, respectively. Based on the results obtained from the Tukey test, there was a significant difference between the two groups in terms of pain variations (P=0.001). There was a significant difference between the mean drug use in the control and experimental groups (P=0.01).

This study showed that prayer therapy reduced the pain of the patients who underwent ESWL.

Nowadays, the promotion of cardiac care programs for infants in need of specialized heart care has improved the survival of these patients. This study aimed to explain the experiences of healthcare staff regarding angiography in pediatric patients. This study was conducted based on qualitative content analysis. The data were collected through in-depth, semi-structured, face-to-face, and individual interviews. In total, 20 participants (9 nurses, 4 radiologists, and 7 pediatric cardiologists) were included in this study. According to the results, three main categories were found in this study, including the need for specialized skills (along with three subcategories of the need for knowledge skills, communication skills, and experience), lack of pediatric angiography facilities (along with three subcategories of a shortage of specialist and pediatric nurses, as well as lack of space), and lack of providing care to caregivers (along with three subcategories of intensive shifts, suffering from aggressive pediatric procedures, and environmental vulnerability). Health care staff working in the field of angiography in infants are experiencing numerous mental and psychological problems; however, the health system has not taken supportive measures for such personnel. The result of this study can help future interventions develop supportive programs for healthcare staff working in this unit.

Following the development of technology and the increase of intensive  care beds has led to the highest level of need for professional care team in these departments. In addition, intensive care personnel are exposed to serious occupational stressors such as time pressure reduced social support, overwork, and spiritual and moral distress. The aim of this study was to explain the strategies for promoting quality care in pediatric angiography

This is a qualitative study that was conducted purposefully with the participation of 20 members of the care team. Sampling was done until data saturation. Data analysis was performed using qualitative content analysis.

By analyzing the data, three categories were identified that included categories of structural correction,   human management modification and human interaction modification .

Findings of this study show that strategies to improve the management of the angiography department are affected by various factors such as structural management correction, human management, and human interaction correction. Therefore, in order to improve the management of this department, it is necessary to align managers in the field of standardization of the department and increase the level of communication skills of the care team

The most important compliant of post-operative orthopedic patients is severe and intolerable pain. This pain has negative impacts on patient’s satisfaction with pain management and bone healing after surgery. This study was conducted with the aim of evaluating the effects of Melissa officinalis (Melissa) tea and Matricaria chamomilla (Chamomile) tea on pain intensity and satisfaction with pain management in patients after lower limb orthopedic surgery.

This was a randomized controlled trial conducted on 96 patients after lower limb orthopedic surgery in Ayatollah Kashani hospital of Shahrekord city, Iran. Patients were randomized to M. officinalis, Chamomile and control groups with blocking randomization method. For M. officinalis group, 1 g of Melissa tea, for Chamomile group 1 g chamomile tea and for control group black tea was prescribed 3 times a day. Study variables were evaluated before and 30 min after each stage of intervention and then the mean changes of pain intensity and satisfaction before interventions and after each step of intervention were compared between groups. Significance level was considered as P<0.05.

Before intervention, the mean scores of pain intensity and satisfaction with pain management had no significance difference between groups. The mean changes of pain intensity and satisfaction with pain management (after first 3 steps of intervention) in M. officinalis and M. chamomilla groups were significantly greater than the ones in control group (P<0.05).

Prescription of M. officinalis tea or Chamomile tea might be used as effective remedy for reducing pain and increasing satisfaction with pain management after orthopedic surgery.

 Thalassemia can affect different aspects of life the same as any other chronic disease. Despite therapeutic measures of thalassemia, the patient and families encounter several physical and psychological problems. Having a child with thalassemia can disrupts the family mental balance.

 The purpose of this study is to explain the consequences of parents who have children with thalassemia.

 Inductive qualitative approach was applied in 2017 - 2018 in Hajar Hospital. Semi-structured interviews were conducted for data collection. Qualitative conventional content analysis was employed for data analysis. 10 five mothers, one grandmother, and two fathers and nurses participated in this study.

 The three specified categories were as follows: (1) Non-acceptance of disease: disbelief, not following up treatment, and interest for abortion, (2) parent psychological reactions: unhappiness, anxiety, and mental confusion, (3) Isolation: dissociation and stigma.

 Parents who had children with thalassemia experienced several psychological problems. The consultative and supportive services of the health system were necessary for these parents. Also, it was urgent that the health authorities establish consulting clinics for chronic diseases to provide them the required consulting services.

Clinical field is an important part of nursing education. Insufficiency in providing opportunities for learning practically not only gives rise to adverse consequences for students, but also affects educational programs and nursing profession.

The aim of this study was to investigate nursing students’ attitudes toward and satisfaction with concept map (CM).

The present research is an embedded study. The qualitative stage included 18 nursing students of Shahrekord University of Medical Sciences in their 6th semester who were selected through purposive sampling. Content analysis was used for data analysis. Semi-structured individual interviews were conducted for data collection. The quantitative stage was implemented simultaneously with distribution of the researcher-made questionnaires among 48 students.

Based on findings, four categories were obtained: competency of CM method, managing and organizing measures, promoting care services, and increasing critical thinking. In the quantitative stage, data were gathered by obtaining history from parents or children; 31.2% - 68.8% agree with the quality of CM. Required information about disease was collected from parents and patient; 39.6% - 58.3% agree and 2.1% disagree. Different data from various sources (such as parents and children) were related; 43.7% - 54.2% agree and 2.1% disagree.

Considering that nursing process is now widely used in Iran at B.Sc. and M.Sc. levels, integrating CM to nursing process can be useful in nursing education.

Venous thromboembolism (VTE) is a major health concern, which is associated with high mortality and morbidity and treatment costs. Although prevention is considered a priority is in this regard, there are no specific standards in Iran based on the specific conditions and care culture for the prevention of pulmonary embolism. The present study aimed to develop national standards of nursing care for the prevention of VTE.

In this descriptive study, the care standards for the prevention of pulmonary embolism were extracted from valid references. At the second stage, a checklist was prepared, and its validity and reliability were confirmed. Finally, the Delphi technique was used to finalize the respective checklists at the first stage by 12 experts and the second stage by 120 experts, with the consensus of over 70%. Data analysis was performed in SPSS.

The obtained results were finalized in four phases. The first phase was patient evaluation (four standards in the form of 67 checklists), the second phase was prophylaxis (three standards in the form of 22 checklists), the third phase was drug management and preventive measures (two standards in the form of 24 checklists), and the fourth phase was the nursing process (four standards in the form of 155 checklist).

Based on the results of the third stage, the standards with lower consensus than 70% were eliminated, and the standards with higher consensus than 70% were established. It is hoped that these standards would improve the quality of nursing care and contribute to the prevention of pulmonary embolism in Iran.

This study aimed to explore the difficulties of the health system for supporting parents having children with thalassemia. This qualitative study was done for parents having children with thalassemia in Hajar Hospital of Shahrekord University of Medical Sciences in 2017. In this study, the approach for data collection was descriptive qualitative. Ten participants, including 5 mothers, 1 grandmother, 2 fathers, and 2 nurses interviewed in this study. Analyzing the data indicated two categories. The first category needed to change the marriage laws of couples with thalassemia containing two subcategories as follows: marriage prevention of couples with thalassemia and prevention of childbirth. The second category involved with the drug crisis, containing three subcategories as follows: the lack of drugs, inability to provide drugs, and drug complications. Health authorities must take the necessary measures to provide the appropriate treatment and drugs for these patients. Also, there is a need for adequate laws and programs for couples to play a role in preventing childbirth with thalassemia.

Providing oral hygiene in patients with a tracheal tube in the mouth is one of the most important tasks of nurses. This study has been conducted with the aim of comparing the effects of two mouthwash solutions (chlorhexidine and orthodentol) on the oral hygiene of patients with respiratory ventilation device and hospitalized in intensive care units.
This is a clinical trial in which 90 patients with oral tracheal tube entered the study through simple sampling method. Inclusion criteria were being insensitive to herbal compounds and aged 15-85 years. They were divided randomly into two intervention (orthodentol) and control (chlorhexidine) groups. Each group had 45 subjects. The Beck Oral Hygiene Checklist was used to collect data (before and after intervention). Data were analyzed using SPSS software.
Patients in intervention and control groups were similar in terms of demographic characteristics, oral hygiene, and other characteristics. Oral hygiene in patients in both orthodentol and chlorhexidine groups had a significant improvement after intervention.
The comparison of orthodentol and chlorhexidine oral mucosal effects showed that oral hygiene of patients hospitalized in intensive care units was improved to a certain extent. Considering the benefits of herbal compounds, orthodentol mouthwash can be mentioned as an appropriate alternative for chlorhexidine.

Hospitalization of infants in the neonatal intensive care unit (NICU) may disrupt the proper interaction with infants and lead to anxiety and depression, while adversely affecting the role of families. Therefore, it is necessary for healthcare teams to be familiar with the principles of parental mental health in the NICU. The present study aimed to codify the principles of parental mental health in the NICU.
This study was conducted with a triangulation methodology in two steps. In the first step, the principles of mental health care for parents in the NICU were compiled and translated. In the second step, the principles were edited using the Delphi method based on the opinion of experts (physicians, faculty members, and health policymakers). Final principles of parental mental health in the NICU were codified.
In total, four general principles of holistic care, relationship with parents in the NICU, special care for establishing communication with families in the NICU, and principles of infants and family care were obtained.
Since healthcare teams may not be familiar with the principles of parental mental health in the NICU, the results of the present study could lay the groundwork for promoting the knowledge of healthcare team members in interaction with parents

Cancer is a growing challenge worldwide. Although it affects both sexes, women tend to be more vulnerable to it than men. This study aims to elucidate the perceptions of women afflicted with cancer regarding health-related behaviors.
This is a qualitative study with content analysis. Participants included 22 women with cancer in Tehran. The participants were recruited by purposive sampling and were administered semi-structured, face-to-face interviews. The interviews were transcribed and reviewed to yield the findings. Initially, semantic resemblances and differences were reviewed and subcategories were defined. Subsequently, after repeated review, the related subcategories were placed in one category.
The participants in this study were aged 27 to 65 years, most were married (14 women) and homemakers (20 women). Moreover, their education ranged from elementary school to a bachelor’s degree. Regarding cancer type, most were diagnosed with breast cancer (12 women) and the duration of the disease ranged 2-5 years. Data analysis yielded 2 categories and 4 subcategories. The category “physical health-related behaviors” consisted of two subcategories: “health-related behaviors pertaining to physical activities after cancer” and “physical activities after treatment”. The category “psychosocial health-related behaviors” consisted of two subcategories: “mental health-related behaviors” and “socio-cultural health-related behaviors”.
Our findings highlight the fact in order to improve the health of women with cancer, aspects of health other than physical health (e.g. psychosocial health) need to be addressed. Since, according to our findings, health-related behaviors of women with cancer are deeply affected by culture, it appears that countering the cultural taboos pertaining to cancer will improve these women’s health. Achieving this outcome requires extensive cultural interventions in the healthcare system. We propose community-based educational interventions to correct cultural beliefs of the community to improve health for this vulnerable group.

There is an interval between clinical and theoretical teachings in nursing which proper teachings during initial courses in nursing. Therefore, the purpose of this process was to comply Log Book in teaching principles and techniques to nursing students.
This mixed study was an exploratory study which was done in three stages on midwifery and nursing students. At first, Log Book was planned based on authentic resources and opinion of group members. Then, the planned Log Book was used during 2 terms and at the end of the term the results were qualitatively and quantitatively analyzed through mixed method.
Based on the results of qualitative stage three classes of learning improvement, covering educational needs, and need to equipment and facilities were obtained. Based on the results of quantitative stage the following percentages were obtained: familiarity of students with learning purposes and responsibilities: 54.5% totally agreed, making students’ efforts toward learning related tasks purposeful: 52% totally agreed, making teachers’ efforts toward teaching to students purposeful: 52.7% totally agreed, establishing educational interaction between teacher and learner: 54.5% totally agreed, making the professors’ efforts in observing training and giving feedback purposeful: 56% totally agreed, documenting practical activities of students: 52.7% totally agreed.
Using Log Book will result in deep learning and will provide the possibility for required trainings for students. But it requires appropriate facilities, spending time and employing specialized forces.

Infant hospitalization is stressful event for parent in NICU. Parents think that they have lost control because of unfamiliar environment. Therefore, stress management is very important in this period. The family as the main factor of strength and protection for infant is required as the bases of standard care in NICU. Therefore the aim of this study was to investigate stress management in Iranian NICU Parents.
Using qualitative content analysis approach helped to collect and analysis data for open coding, classification, and theme abstraction. Twenty one parents with hospitalized neonates, physicians and nurses in the city of Isfahan were purposely recruited and selected for in-depth interviews.
The analyzed content revealed unique stress management approaches among the parents. The main themes were: 1) spirituality, 2) seeking information, 3) Seeking hope, 4) maintaining calm, 5) attachment to infant, and 6) communicating with the medical team.
Findings of this study highlights the importance of medical team’s attention to stressed parents who are trying to make adjustment or adapt to the hospitalization of their infant. A revised management approach to address the emotional needs of parents of neonates in Iran seems essential for improving communication with physicians and nurses.