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Background & Aims: Provision of proper care by nurses without considering their prosocial tendencies is not possible. This concept is an important component of nursing care quality. The present study aimed to determine the prosocial tendencies among nurses. Materials & Methods: This cross-sectional, descriptive study was on 200 nurses employed in four teaching hospitals affiliated to Iran University of Medical Sciences in 2019. The participants were selected via quota sampling. Data were collected using a demographic questionnaire and validated and reliable prosocial tendencies scale by Carlo et al. Data analysis was performed in SPSS version 19 using descriptive and analytical statistics. Results: The mean total score of prosocial tendencies in the nurses was 88.9±15.74. Among the prosocial tendencies, unknown dimensions (3.81±0.88), critical dimension (3.72±0.92), emotional dimension (3.72±1.1), compliant dimension (3.68±0.78), and altruistic tendencies (3.15±0.82) had the highest to the lowest mean scores, respectively. No significant correlations were observed between the demographic data and prosocial tendencies. Conclusion: Nursing managers must recognize the elements involved in the prosocial tendencies of nurses in order to promote the quality of nursing care. Among these tendencies, the strengthening of the altruistic tendency for nurses should be more prominent, which could be achieved through implementing workshops in this regard.

Background: Families face multiple problems after their children are diagnosed with cancer. This study aims to determine the effect of the Family-Centered Empowerment Model (FCEM) on the care burden of the parents of children, diagnosed with cancer. Methods: This quasi-experimental study was conducted with 78 parents, having children with cancer. The FCEM was implemented in the intervention group in four stages, namely perceived a threat, self-efficacy, educational participation, and evaluation during four sessions of 20-40 minutes. The control group only received the usual care. The burden of care of the control and intervention groups were measured one month after filling out the initial questionnaire, and one month after the end of the intervention, respectively. Results: The two groups were similar in terms of demographic variables and level of burden of care. However, a statistically significant difference was observed between the two groups, in terms of the level of burden (p

Background: Spirituality is an important dimension of human existence with a crucial role in health promotion. This study aimed to investigate nurses’ attitudes towards spiritual care and its practice. Methods: It was a descriptive cross-sectional study. The relevant data were collected by Nursing Spiritual Care Perspective Scale (NSCPS). In this study, 166 nurses working in hospitals affiliated to Iran University of Medical Sciences were selected by proportional stratified randomized sampling method. The obtained data were analysed by descriptive statistics, including frequency, mean, and standard deviation, using SPSS V. 16. Results: The Mean±SD score of nurses’ attitudes towards spiritual practice was 3.67±0.51. The mean score of responses to 9 out of 11 items was above 3 indicating high range of attitude toward providing spiritual care. The Mean±SD score of nurses’ spiritual practice was 1.93±0.48. The mean score of the responses to 3 out of 12 items was above 2 indicating the nurses’ weak ability to provide spiritual care. Conclusion: Despite nurses’ positive attitudes towards providing spiritual care, they have provided insufficient spiritual care interventions. Thus, appropriate approach for teaching spiritual merits and increasing nurses’ abilities for providing spiritual care seems necessary.

Background: Caring of the patients with mental disorders is a responsibility which brings lots of pressures and stresses to family members and lowers their quality of life. The current research aimed to study the effect of training coping strategies on the quality of life of caregivers of patients with chronic mental disorders. Methods: This study is a non-randomized clinical trial conducted on 94 caregivers of patients with chronic mental disorder. The samples were recruited by convenience sampling method and the eligible ones were put in the intervention and control groups. The data collection tool were demographics questionnaire and SF 36 life quality scale. The coping strategies were taught in eight 90-minute sessions, during 8 consecutive weeks (once a week) for 2 months in groups. The obtained data were analyzed using descriptive and inferential statistics by SPSS V. 20. Results: The caregivers were mostly female (62.7%) aged between 35 and 55 years. More than 80% of the study subjects were married. Most study subjects in both groups were housewives. In the intervention group, the physical functioning of quality of life before and two months after the intervention showed no significant difference (P = 0.877), but other areas showed significant increase two months later (P < 0.001). In the intervention group, the quality of life significantly increased two months after the intervention (P < 0.001), but it has declined in the control group (P < 0.001). Conclusion: Based on study findings, coping strategies training was effective in promoting the quality of life. Experts in family health education are in need to educate and train families. Therefore, we recommend the mental health system to promote quality of life via developing such specialized programs and facilities at educational and health centers.

Background: Palliative care is an important part of effective cancer care Objectives: The purpose of our study was to explore the lived experiences of nurses providing psychological palliative care for cancer patients in Iran. Methods: A hermeneutic phenomenological study was performed. We interviewed 11 oncology nurses to understand their lived experiences in cancer wards about psychological palliative care. We employed a seven-stage process of data analysis. Results: One constitutive pattern ‘palliative care as the driving force for providing psychological comfort to patients with cancer’ and three associated themes, namely ‘stress management’, ‘empathetic behavior’, and ‘all-embracing outlook’, were identified. Conclusions: The findings present better understanding of the lived experiences of oncology nurses in Iran regarding the phenomena under study.

IntroductionAlthough spiritual care is commonly regarded as a nursing task, in practice, it is often provided inadequately.ObjectiveThe purpose of this study was to examine relationship between attitude toward spirituality and the attitude and performance of spiritual care among nurses who working in hospitals of Iran university of medical sciences.MethodsThis was a correlative-descriptive study. Spiritual Perspective Scale (SPS) and Nursing Spiritual Care Perspective Scale (NSCPS) were used to gather the data. A number of 166 nurses participated in this study.ResultsFindings showed that of nurses’ spirituality attitude score was 4.98 ± 1.1 which indicated high attitude toward spirituality. The total average of nurses’ attitude about spiritual practices was 3.67 ± 0.51, which signified the positive attitude of nurses about spiritual practices. Findings revealed that positive spiritual attitude had a significant correlation with 6 out of 12 expressed spiritual interventions. In addition, spiritual attitude generally had a significant positive correlation with spiritual interventions. The positive spiritual attitude had a significant correlation with only 3 items out of 11 for the attitude toward spiritual practices. There was no correlation between spiritual attitude and the attitude toward spiritual practices.ConclusionIn spite of the positive attitude, nurses did not perform half of the spiritual interventions which most of them were in line with fulfilling the patients’ religious needs. Establishment of in-service education program regarding spiritual care practice by role play and modeling methods are recommended.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Background: The Brief COPE is widely validated and popularly used in assessing coping strategies in major life stressors on various populations. This study carried out to determine the validity and reliability of the Persian version of the Brief COPE among wives of patients under hemodialysis. Methods: The Brief COPE was translated into Persian language according to the standard method and the psychometric properties of the instrument were assessed among 212 wives of patients under hemodialysis in Tehran, Iran, in 2016. Content validity was established, by 15 expert opinions. Face validity was determined by respondents and expert opinion. Construct validity was analyzed through confirmatory factor analysis. The Cronbach's alpha coefficient and intraclass correlation coefficient were used to determine the internal consistency and test-retest reliability, respectively. Results: All 28 Items of Brief COPE scale had content validity index greater than 0.7, suggesting a good validity value of the items in terms of relevancy (range 0.8 - 0.94). The wording of some items was modified to make them more readily understood by the participants, although the core meaning of each item was kept intact and to observe Iranian cultural adaptation; two items were adjusted. Result of confirmatory factor support 14 factor structure of the scale has good fit. Cronbach's alpha coefficient was acceptable for the total scale (α= 0.77) and for subscales (range 0.7 - 0.91). The intraclass correlation coefficient was acceptable for scale (r=0.76, P value= 0.001). Conclusion: The Persian translation of the Brief COPE is a valid and reliable instrument to determine coping strategies in women living with the husband on hemodialysis.

Introduction: The present study aimed at exploring and describing the perception of moral health from middle-aged women standpoints. Women’s decisive role in family is undeniable. In the family which is built upon tradition, faith and ethics, this is women’s principle which is represented in the moral health of the individual and the society, deals with the nature of the vice and virtue. This study attempted to identify the perception of Iranian middle-aged women about the concept of moral health. Method: The present study completed through a content analysis method. Twenty two middle-aged women were recruited through purposive sampling. Data were granted by face to face, semi-structured interview. Result: Our major categories are devotion, preserving moral values and moral challenges. Devotion category includes subcategories such as prioritizing the health of family members and trying to save marriage. Preserving moral values category includes subcategories such as respecting values and consolidating beliefs over time. Moral challenges category consists of individual and familial challenges subcategories. Conclusion: Moral health is of high importance which affects various dimensions of individual, social and familial life. The findings of the present study presented new dimensions of middle-aged women’s health regarding moral health which can finally have different consequences on familial and social moral health.

Background & Objective The effect of perceived-stress on students' health is dependent on their coping abilities. One of coping strategies for dealing with stress is resilience. The aim of this study is to examine perceived stress and its relation with resilience in undergraduate Nursing students Methods & Materials In this cross-sectional study, 309 under-graduate nursing students studying at Tehran University of Medical Sciences during the first semester of 2012-2013 were selected by stratified sampling. Data were collected using the Perceived stress scale and Connor-Davidson Resilience Scale (CD-RISC) questionnaires. The data was analyzed using descriptive and inferential statistics by SPSS-Verrsion14. Results Findings revealed that about 100% (99.3%) students reported that perceived stress moderately or high. Regarding relation between perceived-stress and resilience There were statistically significant relationship between these two variables (P≤ 001/0, r=-0.38). Conclusion According the study findings nursing school can provide facilities and opportunities for students to learn stress management strategies such as increasing resilience ability during 4 years educational program.

Background: cancer patients require palliative care. Aim: the purpose of this study was to explore the experiences of nurses, who provide palliative care for cancer patients, within the context of Iranian culture. Methods: we conducted a hermeneutic phenomenological study. Semi structured in-depth interviews with 10 nurses were audio taped and transcribed. The transcriptions were then analyzed by Van Manen’s method. Results: one of the most important themes that emerged was “human relationships”, which also contained the subthemes of “comprehensive acceptance” and “psychological support”. Conclusions: the results provide deep understanding of human relationships in palliative care of cancer patients in Iran.

IntroductionThe ability to solve problems and make decisions creatively has become paramount to new nursing graduates, as these skills assist them with recognizing and evaluating situations that require prompt attention. This study was done to determine nursing student’s problem solving skills in various years of their four-year program.MaterialsThis is a cross-sectional study. Three hundred and twenty two undergraduate nursing students in BSc nursing program participated in this study. The study setting was Nursing School of Iran University of Medical Sciences. The Problem Solving Inventory (PSI; Heppner & Petersen, 1982) was used to data gathering. The scale was divided into three subscales including: problem-solving confidence, approaching avoidance style, and personal control. Low scores were representative of a positive judgment and high scores indicated a poorer judgment of problem-solving abilities. Students involved in the study signed the study Informed consent.ResultsFindings showed that the mean score of problem solving skill was 89.5 ± 21.51. First year students were found to have a mean score of 89.13 ± 18.71, second year students had a mean of 91.57 ± 1.87. The mean score of third year was 91.52 ± 20.8 and for fourth year students was 84.18 ± 27.47. When these results are compared, no significant differences occurred among the student in different years, as well as no difference between nursing students in 3 subscales of problem solving was seen.ConclusionsIt is expected that Nursing school produce practitioners who have the ability to solve problems and make decisions.