Background and aims: Long-term stress can lead to forgetfulness of nursing care and reduce the quality of nursing care. Therefore, this study aimed to determine the relationship between nursing stresses and missed nursing care during the COVID-19 pandemic. Methods: The present study was a cross-sectional study. This study included 268 nurses from various hospitals in 2022. Sampling was done by stratified quota method. Kalish and Williams’ Forgotten Nursing Care and French’s nursing stress questionnaires were used to collect data. Data were analyzed using Stata 14 at a significance level of 0.05. Results: The study showed a significant relationship between the expression of nursing stress and forgotten nursing care (P≤0.001). Average stress scores for nursing care and forgotten nursing care were obtained as 137.90±36.70 and 32.71±8.72, respectively. Conclusion: Most nurses reported much stress. Considering the positive correlation between nursing stress and forgotten nursing care, nursing managers are suggested to reduce missed nursing care with stress reduction workshops.

Background and aims: The Achillea genus, part of the Asteraceae family, is native to the Northern Hemisphere, from Europe to Asia. These plants thrive in temperate climates and are often found in dry or semi-dry conditions. This research aimed to examine the therapeutic uses of Achillea plants, drawing from traditional medicine texts and laboratory and clinical studies. Methods: This narrative review involved a comprehensive search of major scientific databases to gather information on Achillea and its extracts from native or endemic species within the Achillea genus. The review spanned several decades and utilized sources such as Google Scholar, Scopus, PubMed, Institute for Scientific Information Web of Science, and botanical and local books (1990 - present). Results: Achillea is a medicinal plant used for the treatment of gynecological problems, diabetes control, gastrointestinal disorders, side effects of cancer such as mucositis caused by chemotherapy and radiotherapy, skin reactions caused by radiotherapy, treatment of prostate cancer, breast cancer, cervical cancer, and human gastric cancer. Conclusion: Considering the role of medicinal herbs in improving the side effects of cancer, treating certain types of cancer, controlling diabetes, and treating gastrointestinal problems, it is recommended to use this plant as a complementary medicine alongside routine treatments.

Background and aims: This study investigates the effect of virtual training on the stress of mothers of children with febrile seizures. Methods: This quasi-experimental research was conducted on 64 mothers of children with febrile seizures in Shahrekord in 2022. The samples were randomly distributed into intervention and control groups. The intervention group received WhatsApp training during three individual and 3 group sessions, and the control group received routine training. Mothers' stress was measured using the Pediatric Inventory for Parents (PIP) questionnaire, completed by two groups before, immediately, and two months after the intervention. Data analysis was done using the SPSS 18 version, descriptive statistics, repeated measure analysis of variance, independent t-test, chi-square, and Fisher tests. Results: Before the intervention, the average total score of stress in frequency level in intervention and control groups was 117.29±20/70 and 122.50±24.69 and in difficulty level in intervention and control groups were 122.21±25.32 and 129.83±3.24. There was no statistically significant difference on the two levels between the groups (P=0.363) and (P=0.285). Immediately after the intervention, the average total score on the two levels in the intervention group was significantly lower than the control group (P=0.001) and (P=0.003). Two months after the intervention, the average score on two levels in the intervention group was lower than the control group (P<0.001). Conclusion: Using virtual training is suggested as an effective method to reduce the stress of mothers of children with febrile seizures.

Background and aims: Childbearing is known to be the most critical change factor in population construction. So, the present study was conducted to investigate the impact of childbearing education based on the theory of planned behavior (TPB) on the behavioral intention of childless couples. Methods: The present field trial was conducted on 70 childless referred to holistic health centers in Shahrekord in 2022. The study setting was selected by cluster sampling, and the participants were selected by convenience sampling. The instruments used were a checklist of demographic characteristics/childbearing and a questionnaire of childbearing intention. Both groups completed the questionnaire before, immediately, and one month after the intervention. Data were analyzed using SPSS 26. A P value<0.05 was considered a significance level. Results: At baseline, there was no significant difference in the mean scores of TPB constructs, i.e., attitude, social norm, perceived behavioral control, and behavioral intention, between the two groups (P>0.05). However, the mean scores obtained for the constructs in the intervention group immediately and one month after the intervention were significantly different from those in the control group (P<0.05). Also, the mean scores on the constructs in the intervention group increased immediately and one month after the intervention, indicating education’s impact on the childbearing intention (P<0.05). Conclusion: Training based on TPB increases the childbearing intention in childless couples; it is therefore recommended to create a social support system and design interventions with a further focus on using this model in educational programs related to population growth policies and encouraging couples to have children.

Background and aims: Professional commitment and moral courage affect the quality of nursing care. Assertiveness is a necessary communication skill for nurses. The studies have less focused on the relationship between the mentioned variables. Therefore, this study examined the impact of assertiveness-based empowerment on professional commitment and moral courage. Methods: This quasi-experimental study was conducted on 70 nurses of Shahrekord educational hospitals who entered the study via available sampling and random allocation in intervention and control groups in 2021. Then, the assertiveness-based program was implemented in six 2-hour sessions for the intervention group. In both groups, data were collected before, immediately, and three months after the intervention using the Nurses’ Professional Commitment Standard questionnaire (NPCS) and Sekerka’s moral courage. The data was analyzed using SPSS software version 18. One sample t-test, chi-square, and repeated measurements analysis were used. Results: Before the study, neither group showed significant differences in demographic data, professional commitment, and moral courage (P>0.05). However, this difference was significant immediately after the intervention and three months later (P<0.001). Conclusion: The empowerment program based on assertiveness improved nurses’ professional commitment and moral courage. Therefore, it is appropriate to use these moral virtues in the professional training of nurses to provide high-quality care to patients.

Background and aims: Due to the importance of breastfeeding and the necessity of identifying the factors affecting the creation and promotion of this behavior, this study aims to determine the relationship between sleeping place, duration of weaning time, and breastfeeding in Children aged 2-3 years. Methods: This study was descriptive and analytical-correlational research in 2021. The participants were 214 children aged 2-3 years old from the health centers of Ramsar city, Iran. The sampling method of the present study was convenient. The tool of the study was a researcher-made questionnaire on infant sleeping places and breastfeeding. The data were entered into SPSS 16 and analyzed using the univariate chi-square test, Pearson correlation coefficient, and analysis of variance(P=0.05). Results: Exclusive feeding 69.2% (148 people) of children who were exclusively breastfed and in the usual place of sleep, 36.4% (78 people) of children slept in a shared bed with adults, and 57.5% (123 people) shared a room. However, in a separate bed, 1.6% (13 people) slept in a separate room. The average age of weaning in children sleeping in a shared room in the mother’s bed and next to the mother is 1.27 times and 1.30 times that of children sleeping in a separate room, respectively. The relationship between Infant’s sleeping place and the duration of exclusive breastfeeding (P=0.005), age of weaning onset (P=0.007), length of weaning (P=0.018), and definite age of weaning (P=0.014) was significant. 56.5% of infants (n=121) were female, and 56.1% (n=120) had the first birth rank. Breast milk exclusively fed 69.2% (n=148) of infants. Conclusion: The results showed that the place of sleep has a significant relationship with the exclusive feeding of milk and the age at which the child is weaned. The results of this study can be useful in planning interventions to promote exclusive breastfeeding and increase the duration of feeding infants with breast milk.

Background and aims: People with HIV/AIDS may encounter several problems, such as discrimination and social challenges, which affect their perceived dignity. The purpose of this study was to evaluate the perception of dignity among HIV/AIDS patients in a healthcare setting in Iran. Methods: This cross-sectional study was done on HIV/AIDS patients referring to behavioral disease consulting centers affiliated with a mainstay of health and medical education, Iran, in 2023. The study sample consisted of 220 patients selected using the available sampling method. A patient dignity questionnaire was used to collect data. The validity and reliability of the questionnaire were confirmed. The collected data were analyzed by SPSS 25 software using parametric tests. Results: Findings showed that the mean age of patients was 37; 51.1% of participants were men, 46.1% were married, 4.2% had primary education, 55.9% were employed, and 66.7% were in the asymptomatic stage of the disease. The overall score for perceived dignity was 1/96 out of 5 and was evaluated well. The mean scores for mental abilities and perceptions, personal and social concerns were 1.37 (SD: 0.44), 2.85 (SD: 0.94), and 1.37 (SD: 0.48), respectively. There was also a statistically significant relationship between perceived dignity score and the levels of education and being under treatment. Conclusion: Although the studied patients had a well-perceived status of dignity and were satisfied with their abilities and social communication, their greatest concern was personal concerns. It is recommended that psychological support and therapies be provided to these patients.

Background and aims: Mood disorders include major depression and bipolar disorder. Treatment adherence and health literacy are very important in these patients because they may affect their quality of life, performance, and recovery. Therefore, this study aims to determine the level of treatment adherence and its relationship to health literacy in patients with mood disorders. Methods: This cross-sectional-correlation study was conducted on 120 patients with mood disorders in 2021-2022. Data were collected using the treatment adherence questionnaire of Ziaee et al and the Health Literacy of Iranian Adults (HELIA) questionnaire. Finally, the collected data were analyzed in SPSS-16 software. Results: Findings showed that patients with mood disorders had moderate treatment adherence (51.53±8.31) and insufficient health literacy (61.31±15.91). The results indicated that treatment adherence had a significant relationship with health literacy in patients with mood disorders (P<0.05, r: 0.298). Conclusion: Inadequate health literacy in patients with mood disorders shows that health literacy should be considered in improving mental health. Therefore, it is recommended that by promoting the health literacy of these patients and identifying its challenges, treatment adherence in patients with mood disorders be improved.

Background and aims: COVID-19 has adverse effects on health. The best way to prevent it is vaccination. One of the high-risk groups for COVID-19 is pregnant women. Self-care of pregnancy can reduce the adverse consequences of pregnancy, which are affected by many factors. The present study aims to investigate the self-care status of pregnancy and its relationship with social support and anxiety caused by Corona in pregnant women following the implementation of the national vaccination program for COVID-19. Methods: A total of 199 pregnant women from comprehensive health service centers were included in the study and completed self-care questionnaires during pregnancy, social support, and anxiety questionnaires caused by corona. Data were analyzed by SPSS 18 software. Results: The average score of self-care was 41.19±5.21, the average score of social support was 65.14±11.45, and the average score of anxiety caused by Corona was 10.64±8.93. The Pearson correlation test showed that self-care was significantly associated with social support (P<0.05, r: 0.347) but not coronavirus anxiety. The regression model showed that social support is the strongest predictor of pregnancy self-care (P<0.001). Conclusion: Considering the favorable score of self-care and social support and the low score of corona anxiety of the participants in the study and comparing with the results of other studies in the COVID-19 pandemic and before vaccination, it seems that COVID-19 vaccination had a significant effect on the results. However, longitudinal studies are suggested to ensure the results.

Background and aims: Toddlerhood is an important period of a child’s development to master the functioning of the bowel and bladder sphincters. In this regard, the present study aimed to determine the relationship between parental awareness, self-efficacy, and defecation control skills in Iranian toddlers. Methods: The present study was descriptive cross-sectional research. The questionnaires on Demographic information of children and parents, parental awareness and self-efficacy, and defecation control skills were completed by 72 mothers of children aged 18-24 months old in the city of Ramsar. The data were analyzed using SPSS 18, descriptive tests of mean and standard deviation, analytical tests of analysis of variance, independent t-test, and Pearson’s correlation coefficient. Results: The results showed that the awareness and self-efficacy level was at a medium level of 17.70±2.9230.54±7.15, and their children’s defecation control skill was at a high level8.88±2.91 respectively. Also, there was a positive significant relationship between parental awareness (r=0.19, P=0.02) and self-efficacy (r=0.20, P=0.01) with defecation control skills. There was a significant relationship between the mother’s occupation (P=0.04), the father’s age (P=0.04), and parental self-efficacy (P=0.04). In addition, a significant relationship was found between the child’s age (P=0.03) and the mother’s age (P=0.01) with the child’s defecation control skill. Conclusion: Promoting awareness and self-efficacy in training defecation control skills is a necessity for parents, and the policymakers should include the integrated care of children in the educational programs of the Ministry of Health so that it is included in the agenda of routine care of health centers in the country.