Despite the attention focused on spiritual care in clinical settings in Iran, there remains a significant gap in terms of meeting the spiritual needs of patients in nursing practice. This finding assists nursing clinicians, educators and policy makers to more effectively approach spiritual care as a beneficial component of holistic care. It is proposed that more emphasis is placed on integrating spirituality content into educational programmes to enable more effective clinical delivery. In addition, it would be beneficial to implement more widespread cultural assessment in order to further benefit spiritual care practices.

Green Hospital" has been emerged as an approach to address environmental challenges and meet the needs of society. The aim of this study was to evaluate the components of the Green Hospital in Teaching and Private Hospitals covered by Tehran University of Medical Sciences. The present study is a descriptive-analytical which examines the elements of the green hospital at 19 teaching and private hospitals covered by Tehran University of Medical Sciences in 2013. The checklist was developed by the Centre for Environmental Sciences Augsburg Germany which translated by Iranian Green's Management Association. The checklist consisted of eight Green Hospital dimensions which were used for data collection. Descriptive statistics measures including frequency tables mean and range and analytical statistics such as independent t-tests and analysis of variance (ANOVA) were used for data analysis. The studied hospitals have earned 59.5 percent of total points. In this regard, the dimensions of "environmental leadership and management" have rated the highest and water management is in the lowest rating. Although private hospitals had earned higher scores in all aspects of green hospitals apart from management and leadership and chemicals compared with teaching hospitals, but there wasn't any significant difference between these dimensions and types of hospitals statistically. Given that the hospitals studied do not meet green * Corresponding author.F. E. Azar et al. 260hospital standards properly, it seems necessary to prepare a comprehensive action plan to improve their weaknesses and meet these standards. Trying to perform a green hospital accreditation and receive certification of international authoritative institutions or developing a national standards is also recommended.

Background:Relapse prevention is a medical intervention designed for educating cognitive and behavioral skills to avoid continued drug abuse and relapse.Objectives:This study examined high risk situations for relapse for self-referred addicts are related in Bushehr province substance abuse treatment centers.Patients and Methods:The present study is descriptive cross-sectional. The sample size consisted of 609 self-referred addicts to Bushehr province substance abuse centers. IDTS Marlatt questionnaire was used. Analytical and descriptive statistics were used to analyze the data.Results:The findings showed that 73.1% of addicts have used substance during the past 12 months, and 72% have experienced a full relapse. Unpleasant emotions and physical discomfort was the most important reason for relapse and testing personal control and pleasure emotions the least important reason. Interpersonal factors have also a great role in this regard.Conclusions:Considering the high rates of relapse, more attention should be paid to reasons for relapse. It seems necessary that both clinical and psychological approaches would be undertaken simultaneously.

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