The coronavirus disease-2019 (COVID-19) epidemic is associated with impaired sleep quality in nurses for several reasons. The present study aimed to determine the effect of an online mindfulness-based stress reduction (MBSR) program on improving the sleep quality of nurses working in the COVID-19 care units. In this randomized controlled clinical trial study, all nurses in the 2 COVID-19 patient care units were randomly assigned to the control and intervention groups. The MBSR program was implemented online for 7 weeks for the intervention group by a trainer. The Pittsburgh Sleep Quality Index (PSQI) was completed online by the participants in both groups before and after the intervention. The results of the data analysis indicated that the intervention improved the scores of subjective sleep quality, sleep latency, and sleep efficiency in the intervention group. In the control group, there was a significant increase in the scores of subjective sleep quality, daily performance, and the total index score in the posttest. Besides, there was a significant difference between the 2 groups in only 2 components of sleep latency and subjective sleep quality. The MBSR program can be an effective intervention to improve the sleep quality of nurses working in COVID-19 intensive care units who are at risk of sleep quality disorders in stressful situations.

Objective: Religious coping is one of the most frequently used coping methods in parents of children with cancer. This study aims to explain dimensions of religious coping in mothers of children with cancer in Iran. Methods: In this qualitative content analysis, using purposeful sampling, 8 mothers of children with cancer were selected and interviewed. When saturation was achieved, data were analyzed through directed content analysis. Primary and secondary codes were placed in prelabeled categories and subcategories based on Pargament's religious coping theory. Results: The participants of the study used coping methods in 4 of the 5 objectives of religious coping, that are meaning, control, comfort, and intimacy with others and closeness to God. Three of the most frequent used coping methods by the participants were "Punishing God Reappraisal," "Pleading for Direct Intercession," and "Benevolent Religious Reappraisal," respectively. None of the participants used religious coping methods for its function of "life transformation." Conclusions: As suggested by Pargament's theory of religious coping, the dynamic, multidimensional process of religious coping has a culture-based pattern with unpredictable outcomes. Despite many similarities between religious coping in a Shia Muslim society and other studied ones, some differences are observed. Further studies are needed to show the potential evidence of the concept in relation to cultural diversity and religious differences.

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Chronic sorrow, a progressive, persistent, and endless feeling of grief, is seen in parents of children with chronic diseases. This study aimed to investigate chronic sorrow in mothers of children with cancer in selected hospitals in Tehran, Iran. It also sought to clarify the relationships between chronic sorrow and some demographic characteristics. In this descriptive, cross-sectional study, 264 mothers attending 3 pediatric teaching hospitals in Tehran were selected using convenience sampling. The subjects completed a demographic questionnaire and Kendall Chronic Sorrow Questionnaire (Persian version). Data were analyzed with descriptive and inferential (Mann-Whitney and Kruskal-Wallis tests) statistics in SPSS 16.0. The mean score on the Kendall Chronic Sorrow Questionnaire was 76.39 ± 15.81. Chronic sorrow was likely present or present in 97.7% of the mothers (n = 252). The mean scores on the Disparity, Sadness, and Getting Along subscales were 30.26 ± 104.209, and 33.38 ± 42.777, respectively, and the mean score for coping was 12.75 ± 11.922. The relationships between most demographic characteristics and scores on the Kendall Chronic Sorrow Questionnaire were not significant. Chronic sorrow is a concept experienced by families of children with cancer. The health care provider's knowledge about this concept and its components can facilitate the development of better support and treatment programs and lead to improved quality of life for children and their families.

Integration of family-centered and conventional care in addition to more attention to the education of professional ethical principles could be helpful to improve the ethical performance of nurses in oncology pediatric wards.

In this target group of adolescents and young adults, the need for "information" is the strongest domain of psychosocial need during parent cancer trajectory.

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Background: Cancer in children causes many challenges for the family. When a refugee family experiences it, its impacts may be different and more specified considerations for care may be needed.Aims: This study aimed to explore this experience of Afghan mothers living in the Islamic Republic of Iran who have a child with cancer. Methods: For this descriptive qualitative study, which was conducted in 2017, refugee Afghan women with children affected by cancer, and referred to one of the cancer referral centers in Tehran, were selected through purposive sampling. Face-to-face, semi-structured and in-depth interviews were conducted for data collection until data saturation was attained. The resulting data was analyzed based on Graneheim and Lundman's approach. MAXQDA 10 was used for organizing the data. / 11WHO EMRO | The perspectives of Afghan refugee mothers on the experience of caring for a child with ca Results: We interviewed nine Afghan mothers in the age group of 24-44 years who had children with cancer. Data analysis demonstrated one theme and five sub-themes. The primary theme was entitled "Passive acceptor" with five sub-themes: "Chronic suffering", "Health issues", "Lack of skills", "Maladaptive coping" and "Enthusiasm". Conclusion:The findings demonstrated that in spite of many issues in common with similar groups in other countries, some cultural implications should be considered in the care plan for an Afghan child with cancer and the family if residing in the Islamic Republic of Iran.