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The present study examined the extent to which social support (SS) availability and satisfaction could predict the extent of caregiver burden (CB) among mothers of children with Acute Lymphocytic Leukemia (ALL). The study was a cross-sectional, descriptive-correlative study. It was conducted on a sample of 117 mothers whose children were undergoing treatment in a public hospital in Bam, Iran. The Norbeck Social Support Scale and the Caregiver Burden Scale were used to measuring study variables. The data were analyzed using Pearson's correlations, t-tests, ANOVAs, and linear regressions. Significant correlations were observed between CB and SS availability (r = -0.499, p < 0.001), SS satisfaction (r = -0.543, p < 0.001), the age of the child with cancer (r = -0.22, p = 0.01), and duration of treatment (r = 0.336, p < 0.001). Married mothers experienced less CB than those that were widowed or divorced. Within the regression equation, SS satisfaction, SS availability, marital status, and duration of treatment were the predictors of CB. Based on the results of the current study, mothers who have less SS, especially those who are single mothers, with younger children, and who have taken care of their child for an extended duration should be given special attention. Furthermore, it appears that there are distinct cultural variations amongst Iranian mothers which suggest that culture may impact upon SS availability. Results also suggest a need for interventions that enhance nurses' ability to provide support to caregivers and the broader family unit as a whole. Nurses in cancer care need to have psychological competencies to help family members of cancer patients especially mothers and more so those that are single mothers. As integral members of the patient care experience, nurses may be uniquely positioned to provide this needed psychosocial support.

Background: Participation in the organ donation process is a part of the expected activities in the nursing profession and nurses play a major role in this regard. Providing correct information by nurses increases the number of organ donors and it requires knowledge and positive attitude towards organ donation. The present study was conducted with the aim of evaluating the effect of clinical scenario-based educational workshop and re-thinking on the knowledge and attitude of head nurses and clinical supervisors working in Valiasr Hospital of Fasa in southwestern of Iran in 2019. Materials and Methods: This was a pre-test and post-test type of quasi-experimental study. A total of 50 head nurses and clinical supervisors were randomly divided into intervention and control groups (each group contained 25 subjects). Reflective thinking and clinical scenario-based educational program was implemented for the intervention group in four sessions, 2 hours per session. Then, the mean score of knowledge and attitude in both groups was assessed before, immediately and one month after intervention. Data were analyzed using independent t-test ،Chi-square and ANOVA through SPSS, version 22, software. Results: The attitude (P=0.47) and knowledge (P=0.78) of head nurses and clinical supervisors in two groups did not differ significantly before training. Intervention group had a significant improvement in attitude and knowledge after training compared to the control group. (P<0.05) Conclusion: Clinical scenario-based education and Reflective thinking was effective in enhancing the knowledge and attitude of nurses towards brain death and organ donation. Thus, it is recommended that nursing managers can consider necessary measures and plans in this regard.

Introduction: Prescription of the right antihypertensive drug plays a key role in treatment and prevention of serious side effects for patients. The present study aims to identify the types of hypertension medications prescribed by general practitioners and the degree to which they agree with 2018 ESC (European Society of Cardiology) and ESH (European Society of Hypertension) Guidelines for the management of hypertension in the health centers of villages near a city in the province of Fars, south of Iran. Materials and Methods: The present study is a descriptive, cross-sectional work where 300 individuals with hypertension were selected from 30 villages according to the cluster sampling method. Data were collected using a checklist which addressed the respondent's demographics, underlying disease, and type of hypertension medication. Subsequently, the extent of consistency between the prescribed medications and the hypertension guidelines were examined. The collected data were analyzed using SPSS-23. Results: The participants ranged from 37 to 59 years of age with an average age of 47.23±15.1 years. 60% of the patients studied had stage 1, 30% stage 2, and 10% had stage 3 hypertension. Beta blockers were found to be the medications most frequently prescribed by the general practitioners. Most of the patients with cardiac disorders, diabetes, and kidney failure had been prescribed beta blockers, which was not in accordance with the new hypertension guidelines. Conclusion: Medications prescribed for patients with hypertension are usually not consistent with hypertension guidelines. It is recommended that general practitioners' awareness of hypertension guidelines be raised through workshops in order to decrease or prevent the serious consequences of hypertension in patients by treating them correctly.

Introduction: Promoting professional values is an important factor in the development of nursing careers, so any mischief in honoring professional commitment and ethics can overcome the quality of nursing care. The view of most nurses is there are barriers to ethical performance in their work environment, which disrupts their ability to provide appropriate care. According to the above, and such a study was not carried out in Bam, this study aimed to determine Barriers standards of professional ethics in clinical care from the perspective of nurses. Methods: This descriptive-analytic study was conducted with the participation of nurses of Bam Pasteur Hospital in a census sampling. Tool for collecting information is a questionnaire that examines the barriers to observing professional ethics standards in three dimensions: managerial, environmental and individual-care. Data were analyzed by SPSS software version 23 using descriptive statistics (frequency, mean, standard deviation) and inferential statistics (independent t-test, ANOVA). The results of the study showed that there is no significant relationship between observance of ethical criteria and demographic variables. The mean barriers standards of professional ethics in clinical care from the perspective of nurses was 0/56±3/81 that according to the maximum mean (5), There are barriers to standards of professional ethics in clinical care, which has average barriers in various fields as follows: environmental barriers with an average of 0/66±4/10, administrative barriers with an average of 0/64±3/77 and personal barriers with an average of 0/65±3/75, respectively. Discussion: Considering that environmental factors are known as the most important barrier to non-observance of professional ethics standards, Therefore, it is suggested that health care centers with careful planning and emphasis on principles and standards of care, including environmental factors, The importance of professional ethics in improving patients' Disadvantages of non-compliance with professional ethics, Providing favorable conditions for nurses such as improving the conditions of the wards, Creating a safe and secure physical and psychological environment and meeting their needs, such as rest and adequate income, Arrangement of appropriate shifts, provision of standard equipment, Take effective steps to comply with the best standards of professional ethics.