Background: Delirium is the most common neurological diagnosis with a high occurrence among patients hospitalized in intensive care units (ICUs). Nurses should be able to connect with these patients and improve the prevailing mood in ICUs. Qualitative research attempts to discover people's views and thoughts and understand the depth of issues through their experiences. The present qualitative study aimed to explore ICU nurses' experiences of care provision for delirious patients. Methods:The present study is a conventional qualitative content analysis of ICU nurses' (n, 27) experiences of care provision for delirious patients in Guilan Province, Iran in 2016. The study population was selected through purposive sampling, and the data were gathered through semistructured individual interviews, which continued until data saturation. Data analysis was performed in every stage, as recommended by Graneheim and Lundman. The strength and scientific accuracy of the study were evaluated, based on the Lincoln and Guba's criteria. Results: Data analysis indicated 2 main themes and 6 subthemes. The main themes included "troubled relationships" (subthemes: "poor relationships", "inadequate support", and "categorized relationships") and "exhaustive care provision" (subthemes: "exhaustion from devotion", "occupational fatigue", and "fruitless caring"). Conclusions: Based on the results of the present study regarding nurses' care experiences for delirious patients in ICUs, patients can be relieved from disease-related tension, especially delirium, through strengthening nurse-patient relationships. Moreover, the staff's healthy relationship with one another, besides managerial support, can improve occupational relationships and provision of care services.

Introduction:One of the important dimensions of nursing care and one of the key roles of nurses in providing health care services is patient education. Despite the great benefits of patient educating and its low cost, the implementation of this important task in some medical centers faces challenges. The aim of this study was to exploration the challenges of patient education from the perspective of nurses. Methods and Materials:The present study was a qualitative study with a contractual content analysis approach on nurses working in East of Guilan hospitals in 2019. The Sampling method was purposeful and data gathering method were semi-structured interviews with open-ended questions and continued to reach information saturation. To carry out the data analysis process, the proposed steps of Granneheim and Lundman were used and the accuracy and strength of the research was determined based on Guba and Lincoln criteria. Results:The results of 21 interviews consisted of four main categories and 17 subcategories: management barriers (neglect of teaching, The distance between the hands of a colleague, uncoordinated physicians), inadequate organizational context (inadequate nursing staff, in time constraints, Insecure privacy, insufficient equipment, invisible educational boundaries), Patient-related barriers / patient's companion (knowledge weakness, accompanying anxiety, cultural barriers, shaky beliefs, unconscious beliefs) and barriers of perceived personnel (distrust of relationship, diminutive motivation, hard language, difficult understanding). Conclusion:The results of the study have shown that the challenges of patient education are affected by various factors, which managerial and personnel barriers are more noticeable. Therefore, in order to improve the situation of patient education, it is necessary to align managers in this field and increase the level of communication skills of nurses.

BACKGROUND: The prevalence of the new infectious disease is a global health issue and a threat to nurses and other health care workers. In addition to nurses who have been directly involved in the care of patients with coronavirus disease 2019 (COVID-19), nursing managers have also played a key role in the management and control of this disease. The present study aimed to investigate the lived experiences of nursing managers in organizing and confronting COVID-19 in Iran. MATERIALS AND METHODS: This study was a qualitative research design conducted by descriptive phenomenology based on Husserl philosophy. Participants consisted of 32 nursing managers working in general public hospitals in East Guilan, north of Iran, selected using purposive sampling. In-depth and semi-structured interviews were used to collect data. Colaizzi's strategy was used to analyze the data. Coding was done with MAXQDA 2007 software. Lincoln and Guba trustworthiness criteria were used to achieve accuracy and reliability of the data. RESULTS: Data analysis led to the emergence of a main theme called “Management in the COVID-19 Crisis” and three sub-themes: ”Dealing with the unknown”, ”Managing deficiencies and assets” and ”Structural challenges”. CONCLUSION: In this study the nursing managers experienced how to deal with the COVID-19 crisis. By examining the experiences of managers involved in the COVID-19 pandemic, a rich set of managerial experiences can be gathered that prepare them for other infectious diseases in the future.