Background: Nurses have an important role in the process of providing information and helping patients prepare for and receive bad news and understand and cope with the bad news they have been given. This study was conducted to evaluate the effect of communication skills training on the level of skill and participation of nurses in breaking bad news. Materials and Methods: This semiexperimental study was performed on 60 nurses working in educational hospitals of Birjand, Iran in 2019. Convenience sampling was performed and the participants were randomly assigned to the two groups of intervention and control. For the experimental group, an integrated workshop on communication skills was held. Before and after the intervention, the Setting, Patient Perception, Invitation, Knowledge, Empathy, and Strategy (SPIKES) SPIKES questionnaire (breaking bad news skills) and the questionnaire of participation in breaking bad news were completed. The collected data were analyzed using descriptive and inferential statistics (independent t-test) in SPSS software. Results: The mean (SD) of breaking bad news skills after the intervention was 57.42 (10.13) in the control group and 65.12 (5.68) in the experimental group and the between-group difference was statistically significant (t59,41 = 3.93, p < 0.001). After the intervention, the mean (SD) of nurses' participation in delivering bad news was 21.17 (5.21) in the control group and 25.77 (4.96) in the experimental group and the between-group difference was statistically significant (t75,48 = 3.94, p < 0.001). Conclusions: It seems that to increase the ability of nurses in the process of breaking bad news, it is necessary to teach them communication skills.

Background & Aims: Cardiac arrest outside of a hospital is a major public health concern. Cardiopulmonary resuscitation (CPR) is an effort to protect the vital body organs (e.g., heart and lungs), which is performed based on a specific protocol. A proper CPR process depends on the acquisition of the required knowledge and skills by the resuscitator. The present study aimed to assess the effects of peer education based on the jigsaw puzzle method on the knowledge and performance of nursing students regarding basic CPR on adults. Materials & Methods: This quasi-experimental study was conducted in 2017 with a pretest-posttest design and a control group on 72 undergraduate nursing students, who were selected via census sampling from Tehran

Background and aims: Fertility is among the major components of the population, the reduction of which can cause irreparable socioeconomic damage to the country. Unfortunately, the fertility rate is declining, and it is lower than the critical level in Iran. Therefore, this study aimed to investigate the factors influencing fertility desire in order to reveal more aspects of this issue. Methods: This descriptive-analytical study included all the rural and urban families referring to healthcare centers in Ferdows, Iran, in 2020. The participants were selected using a multi-stage sampling method. Finally, 400 married men and women referring to the centers were assessed by the fertility desire scale (FDS). The data were analyzed using descriptive statistics as well as the Mann-Whitney and Spearman tests by SPSS 19.0. Results: In this study, 81.2% of the participants were female, 52.5% of who aged 25-35 years old. The mean scores of fertility desire among urban and rural households were 66.69±9.61 and 65.06±9.08, respectively (P=0.03). In all dimensions of the questionnaire except for childbearing worries, significant differences were observed between urban and rural households. These dimensions included positive childbearing motivations (P=0.05), social beliefs (P=0.04), and preferences (P=0.004). Conclusion: The results obtained from this study can be used in population policies in order to build culture, support parents, and increase childbearing desire, especially in rural areas.