Training nurses on spiritual principles and values helps to stimulate moral imagery and a deep understanding of moral problems in them. However, spirituality issue was not included in ethical educational content. There was still no interventional study on the effect of spirituality education on ethical sensitivity. This study was conducted to determine the effect of spirituality training on moral sensitivity of nursing students. A randomized controlled trial design was used. Data were collected by a moral sensitivity questionnaire and analyzed using Chi-square, Fisher, independent and paired t-test in SPSS 13v. This research was performed on 60 nursing students of Kashan University of Medical Sciences, Iran, in 2018. Participants were randomly assigned to two groups. The intervention group was under the spirituality group training in seven 60 min sessions. The control group was traditionally trained. Baseline characteristics were similar in the two groups. The differences between the two groups were statistically significant in the moral sensitivity score ( p < 0.0001). A significant difference was observed between the mean of moral sensitivity score of the intervention group, before and after the training ( p < 0.001), while no significant change was observed in the control group, before and after the study ( p = 0.93). The spirituality education increased the moral sensitivity of nursing students. That provides a new perspective on the role and effect of spirituality education on the ethical sensitivity of nursing students.

Introduction: Patients with cancer under chemotherapy usually manifest a wide range of symptoms. The frequency of these symptoms is reported differently. The current study aimed at addressing the common symptoms of cancer, according to gender and primary site of cancer in patients receiving chemotherapy in Kashan, Iran, in 2017. Methods: The current cross-sectional study was conducted on 186 patients with cancer. The frequency of 14 common symptoms in cancer was evaluated with interviewing the patients. The data were analyzed with SPSS version 13 using descriptive statistics, chi-square, the Mann-Whitney U, and the Kruskal-Wallis tests. Results: About half of the subjects were female, and 58.1% aged above 50 years. The common primary sites of cancer were breast (23.1%), colon (21%), bone (11.3%), and lung (7%). The most common symptoms were fatigue (86.6%), followed by dry mouth, insomnia, anorexia, and pain. The subjects reported 6.672.63± symptoms in average. The patients with the history of surgery reported significantly more symptoms. The symptoms of insomnia, nausea, and diarrhea were significantly higher in female patients, while anorexia was significantly higher in male ones. Dry mouth, diarrhea, and total number of symptoms were significantly associated with the primary site of the cancer. Conclusions: Patients with cancer experience various symptoms that are different based on the primary site of the cancer and the gender of patients. Any effective actions in palliative care should be based on the accurate assessment of the symptoms.