Background:Patient safety has become a major concern throughout the world. It is the absence of preventable harm to a patient during the process of health care, ensuring safer care is an enormous challenge, psychosocial variables influences behaviors of human. The theory of planned behavior (TPB) is a well-validated behavioral decision-making model that has been used to predict social and health behaviors. This study is aimed to investigate predictors of nurse’s patient safety intentions and behavior, using a TPB framework.Methods:Stratified sampling technique was used to choose 124 nurses who worked at the selected hospitals of Isfahan in 2011. Study tool was a questionnaire, designed by researchers team including 3 nurses a physician and a psychologist based on guideline of TPB model. Questionnaire Validity was confirmed by experts and its reliability was assessed by Cronbach’s alpha as 0.87. Binary logistic regression analysis was performed to evaluate how well each TPB variables predicted the variance in patient safety behavior. Analyzing was done by SPSS18.Results:Finding revealed that “normative beliefs” had the greatest influence on nurses intention to implement patient safety behaviors. Analyzing data by hospital types and workplace wards showed that both in public and private hospitals normative beliefs has affected safety behaviors of nurses more than other variables. Also in surgical wards, nurses behaviors have been affected by “control beliefs” and in medical wards by normative beliefs.Conclusion:Normative beliefs, and subjective norms were the most influential factor of safety behavior of nurses in this study. Considering the role of cultural context in these issues, it seemseducation of managers and top individuals about patient safety and its importance is a priority also control believes were another important predicting factor of behavior in surgical wards and intensive care units. Regarding the complexity of work in these spaces, applying medical guidelines and effective supervision must be seriously followed.

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Objective: Stress and anxiety in the mother as one of the most important members of the child's health can delay recovery and prolong hospitalization of the child. However, families feel very anxious or stressed because of the limitations imposed by COVID-19; therefore, it is important for physicians and nurses who work with children and families to recognize and reduce family stress. This study aimed to investigate the effect of implementing an educational-supportive program on improving family-centered care with bedside telehealth. Method: In this clinical trial, 40 parents with hospitalized children were selected and randomly assigned to control and intervention groups. The intervention group received a supportive training program, including teaching parental roles and supportive methods for the child and mother during the illness, while nurse counseling and support role was performed virtually as part of the intervention. After the virtual and visual implementation of the training, the father established online video communication with the child and the mother as the primary caregiver. Data collection tools were a demographic questionnaire and Stress Response Inventory (SRI) completed by the mother before and after seven days of intervention. The control group received routine care. Results: After the intervention, mothers in the intervention group showed significantly lower levels of stress than before the intervention (P < 0.05). Stress level of mothers in the control group did not demonstrate significant difference before and after the intervention (P > 0.05). Also, a comparison of mothers' stress scores post-intervention showed significant difference between the two groups (P < 0.05). Conclusion: Planning and maintaining family integrity during the COVID-19 pandemic along with educating and supporting fathers through the supportive role of spouses can reduce stress of mothers with hospitalized children.

Background: Poor oral nutrition is one of the important outcomes of hospitalization in children with respiratory disease, which may lead to insufficient energy intake. Deterioration of nutritional status during hospitalization affects clinical outcomes seriously. This study aimed to investigate the effect of an educational-supportive program for fathers on the eating behavior of hospitalized pediatrics with pneumonia in the COVID-19 pandemic. Methods: In this clinical trial, 40 children aged 12 to 36 months with pneumonia were selected together with their parents, after which they were randomly assigned to control and intervention groups. The intervention group received an educational supportive program face-to-face and virtually. Then, the father established an online video communication with the child and his mother as the main caregiver, while the control group received routine care. The data collection tools included the demographic questionnaire and the children's eating behavior questionnaire (CEBQ) completed by the mother during admission and 7 days later. Results: The results of the study showed no significant differences between any of the demographic variables of the study (P > 0.05). The mean eating behavior of the two groups before the intervention was 104.25 ± 6.20 and 105 ± 6.20, which were not significantly different (P = 0.70). However, the values of 113.2 ± 6.20 and 96.40 ± 6.20 were obtained after the intervention, indicating statistically significant differences (P <0.001). Conclusions: Planning and maintaining family integrity and educating and reminding parents of their role, including the fathers’ supportive role, can lead to the improvement of a child's eating disorder during hospitalization for pneumonia.