Most studies on the treatment of sexual problems in women with breast cancer have been conducted based on a quantitative approach. Adding a post-intervention qualitative study can help to clarify the impact of the therapy on sexual function. The present mixed-method study was performed to determine the impact of mindfulness based stress reduction on sexual function in women with breast cancer. This study consisted of two quantitative and qualitative phases. The quantitative phase was a randomized clinical trial, where 52 subjects were randomly assigned to intervention and control groups that completed female sexual function index (FSFI) in pretest, posttest (after the intervention), and follow-up (1 month after the intervention) stages. Intervention was an eight-session group mindfulness-based stress reduction. After analyzing data from 46 subjects, qualitative data were collected using the conventional content analysis method. At the follow-up stage, statistically significant improvements were noted in the intervention group for the sexual desire (P = 0.021) and arousal (P = 0.021), but decreases were observed in orgasm scores (P = 0.042). In the control group, overall FSFI score decreased at follow-up compared to those of the pretest and posttest (P < 0.001. (There were no differences between the two groups in the three stages. Two main categories of qualitative analysis, i.e. "mindfulness, an attempt for love continuation" and "Sexual Responsiveness scope", confirmed the results of quantitative phase. Based on the results, mindfulness intervention can impact the aspects of sexual performance that rely on women, which are mostly of psychological origin and may not affect all aspects.

Background: One of the main issues regarding the management of chronic diseases is patients' non-adherence to treatment regimens. An important factor affecting treatment adherence is social support. This qualitative study was aimed at exploring the role of perceived social support in adherence to treatment regimens among patients with chronic diseases. Methods: A qualitative study was carried out on 34 patients with chronic diseases, who were purposively recruited from the targeted cities of Bushehr and Tehran, Iran. In-depth non-structured interviews were conducted for the process of data collection from June 2014 to November 2015. Data were constantly and simultaneously analyzed as they were being collected, using the content analysis approach. Results: The data collected in this study yielded four themes that included: having the wholehearted support of a spouse, living with supportive family members and significant others, obtaining information, and confiding in physicians. These themes showed the dimensions and the types of patients' perceived social support. Conclusions: The study's findings imply that the most important and common sources of perceived social support among Iranian patients with chronic illness are their spouses, relatives, and friends. According to the results, the participants realized that social support could help them in adhering to their treatments and coping with their illness. Identifying types of perceived social support allows health professionals, especially nurses, to use such information for developing and implementing evidence-based care plans and organizing support systems in order to enhance patients' adherence to treatments.

Findings may help policy makers become aware of the need for nurses to create community-based nursing in Iran. Community nurses can remind patients of perceived threats to their health to motivate them for continued healthy behaviours. Therefore, nursing curricula should be revised and educational programs utilise a community-based health approach.

Introduction Selecting an appropriate teaching methodology is one of the key stages in education. This study is an attempt to delve into the effect of FC through NPE on patient safety knowledge retention in nursing and midwifery students. Methods A randomized controlled trial, using the Solomon design, was conducted in 2019 on 82 nursing and midwifery students enrolled from Bushehr nursing and midwifery school. The Subjects were then allocated to four groups via block randomization. The Subjects in both intervention groups studied the educational content online for 2 weeks and subsequently attended the FC through NPE. Both control groups merely received education based on conventional method. The post-test was once administered to the four study groups immediately after completing the program and once again 2 months after it. Results The posttest mean scores of knowledge retention in both intervention groups remained the same (P = 0.1), while they were higher in the control groups (P < 0.05). The changes in the mean scores of the post-test in the intervention and follow-up groups did not demonstrate a statistically significant difference between the four study groups (P = 0.130, F = 1.941). Conclusion The use of the FC through NPE increased the knowledge mean scores; however, it failed to affect knowledge retention. Given the infancy of this pedagogical approach, further studies are needed to investigate its effects on various learning outcomes.

The present study investigated the actor-partner effects of parenting stress (PS) on quality of life (QoL) among parents (96 couples) of children with autism spectrum disorder (ASD). Data were collected using the QoL Scale and the PS Index. Structural equation modeling was also utilized to test the hypothesis. The results revealed the effects of PS in each parent on mental QoL of that parent. Maternal PS further shaped physical QoL in mothers. However, PS in one parent did not influence QoL of his or her partner. Accordingly, mental QoL had a mediating role between PS and physical QoL. It was ultimately suggested to take account of QoL among parents in addition to the treatment of children with ASD.

Introduction: The younger mean age of breast cancer incidence in Iranian women and the longer survival of these patients necessitate the evaluation of diverse aspects of their health and quality of life, such as sexual life quality. The first step in addressing this subject is to understand the extent of this problem in these patients, as compared with healthy women. The present study aimed to compare sexual dysfunction between women with breast cancer and normal women. Methods: This descriptive-analytical study was performed in 2019 in Bushehr, Iran. A total of 46 married women with breast cancer who had their last chemotherapy session at least three months earlier were selected through the census method. Moreover, 100 healthy married women were selected for the study through a simple random sampling method. Data collection tools included a demographic information form and the Female Sexual Function Index. The data were analyzed using descriptive statistics, an independent t test, the chi-square test, and logistic regression. Results: The findings showed that breast cancer patients were more likely to experience disturbance in libido (OR = 7.145, P = 0.022), sexual arousal (OR = 3.898, P = 0.006), genital moisture during sexual intercourse (OR = 4.88, P = 0.001), orgasm (OR = 2.937, P = 0.018), sexual satisfaction (P = 0.001, OR = 5.287), and overall sexual dysfunction (OR = 11.492, P < 0.001) compared with healthy women. The two groups were not significantly different in pain during sexual intercourse (P = 0.1). Conclusion: The results revealed that the chance of sexual dysfunction is significantly higher in women with breast cancer than in healthy individuals. In breast cancer cases, planning for treating the side effects of the disease, such as sexual function disorder, should be taken into consideration along with cancer treatment.

Background: Safety climate which is a subset of organizational climate in the field of safety mirrors the attitude of people in care centers towards safety. In addition to being in connection with diverse parts of the organization’s function, safety climate can also affect the nurse’s performance. Aim: The present study aimed at determining the predicting role of the safety climate in the professional behavior of nurses working in hospitals affiliated to Bushehr University of Medical Sciences. Methods: In this cross sectional study, which is of descriptive analytical type, 595 expert nurses currently working with more than 6 months of working experience in the medical wards of hospitals affiliated to Bushehr University of Medical Sciences entered the study. Data was gathered from the viewpoint of the nurse and professional behavior through a demographic information form and two safety climate questionnaires. Then the data were analyzed by V.19 SPSS which is statistical software. The data analysis was conducted using univariate regression and multivariate linear regression at the significance level of 0.05. Results: Among the diverse domains of the safety climate, the field of nursing education (P= 0.027, ß=0.104), communicating with other nurses (P= 0.027, ß=0.101) and error reporting (P= <0.001, ß= 0.191) were the direct prediction of professional nursing behavior. Also, apart from safety climate, satisfaction of the nursing job had a direct, statistic and significant relationship with professional behavior (P= <0.001, ß= 0.142). Conclusion: Attempts to create a ward, in which the nurses receive the necessary education in an appropriate time and ameliorate their expertise, as well as a climate in which nurses have such a good relationship with their collages that they can easily talk about the possible mistakes and errors, can upgrade nurse’s professional behavior.

Background Breast cancer has been a serious public health dilemma for women worldwide, with not only physical and social impairments but also psychological stress responses such as rumination. Rumination is a constant preoccupation with thoughts. The present study aimed to investigate the effectiveness of mindfulness-based stress reduction training in lowering rumination among women diagnosed with breast cancer. Method This randomized controlled trial with a pretest, posttest, control group, and one-month follow-up design included 46 female breast cancer survivors, recruited from the clinics and hematology wards of Bushehr, Iran. The inclusion criterion was that at least three months should have passed since the last chemotherapy/radiotherapy. The participants were randomly assigned to two experimental and control groups. The experimental group received eight sessions of mindfulness-based stress reduction training. A demographic information form and a rumination questionnaire were used for data collection, and the participants completed the questionnaire in the pretest, posttest, and follow-up stages. Chi-square, Mann–Whitney U, and repeated-measures ANOVA were used to analyze the data. P < 0.05 was considered statistically significant. Results There was no significant difference in the rumination scores of the experimental group at three measurement stages. For the control group, the mean rumination scores on the posttest and follow-up were both significantly higher than on the pre-test (P < 0.001). The control group's mean follow-up rumination score was significantly higher than that of the post-test (P = 0.02). A comparison of the two groups adjusted for the baseline showed a significant difference between them in terms of the mean rumination score on the post-test (P = 0.01) and follow-up (P < 0.001). Conclusion The experimental group was more successful in avoiding increased rumination than the control group, an ability that can be attributed to the effect of mindfulness training. The use of this method is recommended because it is non-invasive, non-pharmacological, free from complications, and can be easily performed by women. However, future studies should consider larger samples and long-term follow-ups.