Implementing ethical leadership seems to be one feasible strategy to improve nurses' organisational commitment and perception of patient safety culture. Efforts by nurse managers to develop ethical leadership reinforce organisational commitment to improve patient outcomes. Nurse managers' engagement and performance in this process is vital for a successful result.

According to the results of the study, there was a reverse significant relationship between moral distress and perceived organizational justice; therefore, the head nurses are expected to contribute to reduce moral distress and to increase perceived organizational justice in nurses.

Background: The importance of sleep in physical and mental well-being is generally acknowledged by both health professionals and the general public.This study investigated the effects on inhalation aromatherapy on sleep quality in cardiac patients.Methods: Ninety-six men and women aged between 20 and 75 were randomized to inhale aromatherapy essential oil from Lemon Balm (Melissa officinalis L.) or odorless sesame oil (the placebo) for 30 minutes twice daily for 3 days. Sleep quality by Verran Synder- Halpern (VSH) scale were assessed before and after period.Results: Compared with the placebo, the experimental group showed that the components such as subjective sleep quality, sleep disturbance, and daytime dysfunction were significantly decreased (P< 0.005).Conclusion: Aromatherapy may be used as an independent nursing intervention for improving sleep quality of cardiac patients.

BackgroundEmpathy is one of the most important communication skills in clinical practice, specifically in the field of oncology. Empathic competences have a significant meaning for caring and therapeutic relations in nurses’ responsibilities. Clinical empathy brings positive performance, thus patients’ emotions are perceived and expressed more easily. Clinical empathy is contextual, interpersonal and affective, but it is also difficult to study. Awareness of oncology nurses’ perception of this phenomenon might help them to plan for more effective patient-centered consultations within interventional programs. Therefore, the aim of this study was to explore the content of clinical empathy with cancer patients from the perspective of oncology nurses.Patients and methodsIn this qualitative study, 15 oncology nurses were selected by purposive sampling. A semi-structured face-to-face interview was conducted with each of the participants. After data collection, all interviews were transcribed and reviewed, and then primary codes, sub-categories and categories were extracted. The data were analyzed with the conventional content analysis method by MAXQDA 10 software.ResultsClinical empathy showed a composite construct with five main categories, including co-presence (physical and emotional presence), metacognition (self-awareness of mental processes), perception (knowing about awareness of individuals), inherent (genetic) and didactic (instructive) nature.ConclusionClinical empathy as an effective strategy can be taught through three areas of “co-presence”, “metacognition” and “perception” in the context of cancer care. Thus, clinical empathy should be considered as one of the competency standards which can be taught to oncology nurses.

The NCFI has acceptable reliability and validity. It can be easily used by nursing researchers and managers and even hospital nurses.