OTHERS_CITABLE Background: Comfort in patients receiving mechanical ventilation can be disturbed for many reasons. This condition may lead tonegativeimpactsduetounmetcomfortneedsinpatientswithmechanicalventilation. Kolcaba’scomforttheorydescribedthat patients’ comfortmaybeenhanced,if theneedsof comfortcanbemetinfourcontextsof comfort,includingphysical,psychospiritual, environmental, and sociocultural comfort. Therefore, there is a need to identify causative factors that may disturb comfort duringmechanicalventilationandinterventiontopromotecomfortwhilereceivingmechanicalventilation. Objective: Thisstudyaimedatreviewingtheliteratureconcerningcomfortinpatientsreceivingmechanicalventilation. Methods: A literature review was conducted by analyzing 42 scholarly papers from year 2002 to 2016. The data were searched through Scopus, ProQuest, Elsevier/Science Direct, CINAHL, and PubMed based on PICO questions with keywords; ‘comfort’, ‘discomfort’,‘comfortneed’ ‘patient’,‘mechanicalventilation’,and‘ventilator’. Relevantarticleswereappraisedfollowingtherecommendationof theJoannabriggsinstituteforevidence-basednursing. Results: Overall, 116 articles were retrieved and 42 articles met the inclusion criteria. The results presented comfort needs of mechanically ventilated patients in physical, psychospiritual, environmental, and sociocultural contexts, and interventions to promotecomfortduringmechanicalventilationweredividedtothefollowingthreecategories,pharmacologicalinterventions,nursingcareinterventions,andcomplementaryandalternativeinterventions. Conclusion and Recommendation: The knowledge from this literature review can be useful for nurses and other healthcare providerstodevelopqualitycomfortcareforpatientsdependentonmechanicalventilation. Keywords: Comfort,Discomfort,MechanicalVentilation,Ventilator   http://jccnursing.com/article-1-415-en.pdf 2019-06-24 1 7 Junaidy Suparman Rustam 1 AUTHOR Waraporn Kongsuwan 2 AUTHOR Luppana Kitrungrote 3 AUTHOR

OTHERS_CITABLE Background: Theimplementationof developmentalcareinneonatalintensivecareunit(NICU)savesneonates’ energyandstabilizestheirphysiology,reducesstressinthemandtheirfamily,anddecreaseshospitalizationtimeandhealthcarecosts. Theroleof aneonatalnurseiscrucialforanappropriateandsuccessfulexecutionof developmentalcareinNICU.Thisstudywasconductedto evaluatenurses’ opinionsonbarrierstoeffectiveimplementationof developmentalcareinNICUsof TehranUniversityof Medical Sciences. Methods: Thiswasacross-sectionalstudycarriedoutonatotalof 138nurseswhohadaminimumworkexperienceof sixmonths in NICUs. Data collecting tool was a 12-point questionnaire including questions related to 5 core measures of developmental care accordingtoCoughlin’sframeworkaswellasquestionsassociatedwithbarriersbasedonastudybyWu.Descriptiveandanalytical statisticswereusedfordataanalysis. Results: Themeanagefor138nurseswas31.76±5.41years(23-49years). ThemeanworkhistoryintheNICUwas4.36±3.58years. Of all nurses, 79.7% were found to be familiar with developmental care practice. Among participants, 56.4% mentioned most part of theirfamiliaritywithdevelopmentalcare; nursesmostlygainedfamiliaritywithdevelopmentalcareviainformationexchange withnurse colleagues. Themajority of participantsdescribed thatinadequatetime, inappropriate workenvironmentin termsof spaceandequipmentof NICU,andtoomanyrequestsbyparentsweremajorbarrierstodeliver5coremeasuresof developmental careinNICUs. Conclusions: Theimplementationof developmentalcarewashamperedbyseriousbarriers. Keywords: Barriers,DevelopmentalCare,NeonatalIntensiveCareUnit(NICU)   http://jccnursing.com/article-1-416-en.pdf 2019-06-24 1 8 Zahra Godarzi 1 AUTHOR Omolbani Rahimi 2 AUTHOR Nasrin Khalesi 3 AUTHOR Farin Soleimani 4 AUTHOR Nooredin Mohammadi 5 AUTHOR Ahmad Reza Shamshiri 6 AUTHOR

OTHERS_CITABLE Background: Healthcareisinevitablyassociatedwithanincreasedriskof patientsafety. Duetothecomplexityof attitudeof care, thesafetycultureandthecareof patientsplayamajorroleinsafecare. Objectives: Thepresentstudyaimedtoassessthequalityof safenursingcareintheCardiacCareUnit. Methods: ThisisadescriptivestudyconductedintheCardiacCareUnitof BaqiyatallahHospitalin2018. Allnursingstaffworking inthecardiaccareunitcomprisedthesampleof thestudy.SafenursingcarewasmeasuredusingatooldesignedbyRashvandetal. in2015. DatawereanalyzedbySPSSversion21. ThisstudywasapprovedbytheethicscommitteeinBMSU. Results: Theresultsshowedthatthemajorityof theresearchsample(55%)wasmalewithanaverageageof 42.85±9.66yearsand aworkingexperienceof 19.05±8.4years. Themeanscoreof theethicaldimensionwas17.47±1.92. Conclusions:Theresultsof thisresearchcanbeusedineducationalplanningattheundergraduatelevelof nursingtoeducatethe students from the beginning of education, especially in the first semester, regarding patient safety, in particular, ethics, and safe care,inordertomakeiteasiertouseinthefutureandtoreducetheneedforin-servicetrainingprograms. Thisdevelopssafecare inhealthcaresettings. Keywords: Quality,SafeCare,Nursing   http://jccnursing.com/article-1-417-en.pdf 2019-06-24 1 5 Mahmood Motamedzadeh 1 AUTHOR Hosein Mahmoudi 2 AUTHOR Abbas sEbadi 3 AUTHOR Batool lNehrir 4 AUTHOR

OTHERS_CITABLE http://jccnursing.com/article-1-418-en.pdf 2019-06-24 1 7 Hamed Zare 1 AUTHOR Majideh Heravi-Karimooi 2 AUTHOR Nahid Rejeh 3 AUTHOR Hamid Sharif Nia 4 AUTHOR Nader Noori Majelan 5 AUTHOR

OTHERS_CITABLE http://jccnursing.com/article-1-419-en.pdf 2019-06-24 1 6 Mahbobeh Ghasemi 1 AUTHOR Nahid Rejeh 2 AUTHOR Majideh Heravi-Karimooi 3 AUTHOR Seyed Davood Tadrisi 4 AUTHOR Parvaneh Samady Kia 5 AUTHOR

OTHERS_CITABLE Background: In obstetrics, pregnancy and childbirth are the basis for psychological and biological crises and are associated with a high prevalence of anxiety disorders. This study aimed to investigate the effectiveness of group psychological counseling on the level of pregnancy anxiety and fear of vaginal delivery in pregnant women. Methods: This Quasi-experimental study was done in 2016 on 96 pregnant women (selected via multistage cluster sampling) that had low to medium levels of anxiety and had an average of 28 or higher fear scores from birth labor. The intervention group treated with 5 sessions of group psychological counseling pre-test and post-test were completed by each of the two groups. Independent and paired t-tests were used for analyzing. Results: Results showed that the psychological counseling could reduce situational and trait anxiety in the intervention group (P < 0.001). Inthecontrolgroup,trait(P=0.007)andsituationalanxiety(P=0.004)wereincreased. Thedifferenceof situationalandtrait anxiety between two groups was significant (P < 0.001). Regarding the fear of childbirth in the intervention group, psychological counseling reduced fear of childbirth significantly (P < 0.001). Fear of childbirth showed a slight increase in the control group, and it difference score in two groups was significant (P < 0.001). Conclusions: According to results, psychological counseling was effective in reducing pregnancy anxiety and fear of childbirth. Therefore, it is recommended that the findings were considered by nurses and other medical staffs to improve the health status of pregnant women. Keywords: Psychology, Pregnancy, Anxiety, Vaginal Delivery   http://jccnursing.com/article-1-420-en.pdf 2019-06-24 1 6 Elahe Momeni 1 AUTHOR Katayoun Alidostishahraki 2 AUTHOR Mozghan Taebi 3 AUTHOR Mehdi Hoseini 4 AUTHOR Tania Dehesh 5 AUTHOR

OTHERS_CITABLE http://jccnursing.com/article-1-421-en.pdf 2019-06-24 1 7 Esmail Heidaranlu 1 AUTHOR Mohammad Pourebrahimi 2 AUTHOR Masume Rashidi 3 AUTHOR Nahid Aghdasi Mehrabad 4 AUTHOR Arman Zarbizadeh 5 AUTHOR Kosar Eftekhari 6 AUTHOR Mohsen Mollahadi 7 AUTHOR Morteza Moradi Faradonbeh 8 AUTHOR