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Background Holistic care is comprehensive care that emphasizes the interaction of human existential dimensions and has a significant role in accelerating the recovery process. Since nurses interact and communicate with patients more than other health care providers, the current study aimed to determine the Iranian patients’ perceptions of holistic care and overall satisfaction with nursing care. Methods It is a descriptive-correlational study done on patients admitted to the oncology wards of hospitals in southeastern Iran. The holistic caring inventory and patient satisfaction instrument were used to measure the patients’ perceptions of holistic care and their satisfaction, respectively. SPSS 19 was used to analyze the data. Results The results showed that there is a significant positive correlation between patients’ perception of holistic care and overall satisfaction with nursing care ( P  < 0.01, r  = 032), which means that the higher the patients’ perception of holistic care, the greater their overall satisfaction. Based on the regression model, type of hospital, Patient’s perception of holistic care, education, previous experience of hospitalization, age and marriage are respectively predictors of overall satisfaction with nursing care ( P  < 0.05). Conclusion The present study showed that patients’ overall satisfaction with nursing care depends on holistic nursing care, meaning that nurses should pay attention to patients’ physical, mental, emotional aspects and increase the quality of care.

Childhood cancer as a stressful event has many consequences for both the parents and their children. The aim of the study was to assess the coping strategies used by Iranian parents of children with cancer. The present study was conducted through convenience sampling with the participation of 205 parents with at least one child with cancer referred to the oncology ward, in the southeast of Iran. The Coping Health Inventory for Parents was used to measure parental coping strategies. Results showed that the highest and the lowest mean coping score belonged to the dimensions of social support and medical factors, respectively. Briefly, “Belief in God” and “Gratefulness for his Blessings” were the most helpful coping strategies among parents. Based on results of this study, it seems necessary for nurses to be aware of all aspects of human existence, including religion and spirituality as strong sources of power for parents to adapt with the illness of their child. Also, providing interventions to teach effective coping skills to parents may reduce their distress and improve their quality of life.

AimThis study aimed to investigate the relationship between general health and self-efficacy for health practices of pregnant women.Subjects and methodsIn this descriptive cross-sectional study, a two-stage cluster-sampling method was applied and 300 pregnant women were selected from 15 health centers affiliated with a large medical university in the southeast of Iran. Data were collected using a demographic questionnaire, the General Health Questionnaire (GHQ-28), and the Self Rated Abilities for Health Practices Scale (SRAHPS).ResultsThe pregnant women’s total mean score for the GHQ-28 was 28.65 ± 10.92, which showed slight general health disorders. The total mean score of participants’ self-efficacy for health practices was moderate (54.47 ± 18.40). A significant relationship was observed between general health and self-efficacy for health practices (r = − 0.35, p = 0.01).ConclusionsPregnant women had slight general health disorders and moderate self-efficacy for health practices. According to the findings, increasing general health status of pregnant women improved their self-efficacy for health practices. Therefore, general health-promoting interventions are recommended to improve self-efficacy for health practices of pregnant women.

Several studies have been conducted among cardiopulmonary resuscitation (CPR) survivors. Some studies have shown that positive and negative experiences coexist. Emotional distress and psychopathology in CPR survivors are related to the urgent need to make growth. Understanding the meaning of CPR survivors' lived experiences of growth may facilitate their growth. The aim of the study was to illuminate the meaning of CPR survivor's lived experiences of growth in southeast Iran. A qualitative design using a phenomenological hermeneutic approach influenced by Ricoeur was used in 12 CPR survivors. Three main themes emerged including: (1) opening up a new horizon in the meaning of life, (2) opening up a new horizon in the meaning of interpersonal connections and (3) opening up a new horizon in the meaning of God and spirituality. The interpreted comprehensive understanding conveyed a meaning that CPR survivors' experience of growth seems to be like opening the doors of perception to the higher reality. The finding may assist other CPR survivors to learn from participants in this study. Exposure to suitable narratives under health care provider supervision could develop profound learning. Training sessions with an emphasis on meditation education and how to use connecting to God in the adaptation process may approve the quality of life of CPR survivors.

Patients’ rights are among the most important criteria for evaluating the quality of health services. The current study aimed to determine the importance and observance of the patient's bill of rights. This cross-sectional study was done in Kerman, Iran. The research samples were 217 patients and 204 personnel. The data collection tool was a researcher-made questionnaire in the scope of the patient's bill of rights, and data were analyzed by SPSS 15. The results showed a significant difference between patients and the personnel on the subject of the patient's bill of rights and most of its dimensions (P < 0.01). However, no significant difference was found between their views on the observance of the patient's bill of rights and its dimensions. Also, 35.9% of patients as well as 25% of personnel considered the observance of patients’ rights unfavorable. The participants were aware of the importance of the patient's bill of rights. It is necessary, however, to codify and approve the laws related to the rights of patients.

Admission of newborns in the intensive care unit is one of the most important health care challenges due to repeated painful invasive procedures. Therefore, the aim of this study was to determine the effect of recorded mother’s lullaby on the heart rate of preterm neonates following endotracheal suctioning. This was a cross-over clinical trial study that was conducted on 40 premature infants admitted to the neonatal intensive care unit. The samples were selected by convenience sampling and randomly allocated to routine care / lullaby, and lullaby / routine care groups. At the time of the intervention, mother's lullaby was sung 5 minutes before suction and continued for 10 minutes after suction. Heart rate was measured as a basic information, one minute before endotracheal suctioning per 5 minutes until 30 minutes after suction. Data were analyzed using independent t-test, Mann-Whitney U, Chi-Square, and Friedman tests, and SPSS version 23 software. The results showed that the mean changes of heart rate were lower in intubated preterm newborns who were under mechanical ventilation and received mother's lullaby during suctioning (P <0.05). Preterm infants respond to lullaby music as evidenced by the changes in their heart rate. Further studies are recommended to examine the effect of music on other physiologic parameters.

The transition from intrauterine life to the real-world life is one of the most dynamic and most dangerous stages of human life. Separating the baby from the mother after birth, even in the short time can lead to adverse physical and psychological effects on the baby. The aim of this study was to determine the effect of skin-to-skin contact of mother and neonate immediately after cesarean section on neonatal behavioral state. This is a randomized controlled interventional study conducted on 80 pairs of mothers and newborns after cesarean in intervention and control groups. Neonatal behavioral state was recorded before and after skin contact using Anderson Behavioral State Scoring (ABSS) checklist and analyzed using SPSS version 22 and ANCOVA, Chi square, and Fisher tests. The results showed that there is a significant difference between the behavioral state scores of neonates after the intervention between the two groups (P = 0.001). The demographic variables of the newborn also had no significant effect on the behavioral state score (pvalue >0.05). Improving the behavioral state of the infant, which leads to reducing the anxiety of the baby, making better communication between the baby and the parents, and providing proper opportunities for nursing processes is one of the valuable and effective results of skin-to-skin contact of mother and child. Therefore, it is suggested that this contact be made for all babies as soon as possible after birth.

Background Analysis of nursing theoretical works and its role in knowledge development is presented as an essential process of critical reflection. Health promotion model (HPM) focuses on helping people achieve higher levels of well-being and identifies background factors that influence health behaviors. Objectives This paper aims to evaluate, and critique HPM by Barnum's criteria. Methods The present study reviewed books and articles derived from Proquest, PubMed, Blackwell Databases. The method of evaluation for this model is based on Barnum's criteria for analysis, application and evaluation of nursing theories. The criteria selected by Barnum embrace both internal and external criticism. Internal criticism deals with how theory components fit with each other (internal construction of theory) and external criticism deals with the way in which theory relates to the extended world (which considers theory in its relationships to human beings, nursing, and health). Results The electronic database search yielded over 27,717 titles and abstracts. Following removal of duplicates, 18,963 titles and abstracts were screened using the inclusion criteria and 1278 manuscripts were retrieved. Of these, 80 were specific to HPM and 23 to analysis of any theory in nursing relating to the aim of this article. After final selection using the inclusion criteria for this review, 28 manuscripts were identified as examining the factors contributing to theory analysis. Evaluation of health promotion theory showed that the philosophical claims and their content are consistent and clear. HPM has a logical structure and was applied to diverse age groups from differing cultures with varying health concerns. Conclusion In conclusion, among the strategies for theory critique, the Barnum approach is structured and accurate, considers theory in its relationship to human beings, community psychiatric nursing, and health. While according to Pender, nursing assessment, diagnosis and interventions are utilized to operationalize the HPM through practical application and research.

Context: Cancer as a life-threatening disease develops a range of existential challenges in persons. These challenges cause the patients to encounter some existential questions and tensions. This study method focuses on a person's experience about them. Aims: The aim of this study is to illuminate the meaning of existential challenges in patients with cancer in Iran. Subjects and Methods: A hermeneutic phenomenological approach, influenced by the philosophy of Ricoeur, was used to analyze the experiences of 10 Iranian patients with cancer. Data analysis was based on three stages of simple and fast understanding, structural analysis, and comprehensive understanding. Results: The present study showed that existential challenges in patients with cancer can be considered as getting out or remaining in the cage of inauthentic self. This theme consists of two subthemes \"Being exposed to the light of awareness that revealed the cage of inauthentic self\" and \"The tension between getting out of the cage or remaining.\" First, being exposed to the light of awareness revealed the cage of inauthentic self which subjectively refers to the emergence of existential questions, the past, the fear of future, and the collapse of physical body identity. Second, the tension between getting out of the cage or still staying which is characterized by anger, denial, sense of loneliness, and depression. Conclusions: According to the results of this qualitative study, it is possible to form discussion groups with peers or have self-reflective practice teaching groups to reflect patients' questions and existential challenges. In this way, participants can express themselves, share their experiences, challenges, learn, and find the answers.