End-of-life care in ICU is emotionally challenging, therefore, nurses in this setting require psychological and spiritual support to ensure optimal care provision.

Objective To investigate health‐system challenges responsible for the poor performance of a cervical cancer prevention program in the Kurdistan Region of Iraq. Method A qualitative study was conducted among a purposive sample of healthcare providers and female volunteers in Erbil, Kurdistan Region of Iraq, between December 10, 2014, and July 23, 2016. Data were collected from participants using in‐depth semi‐structured interviews. The interviews were then transcribed and analyzed with an inductive content analysis approach. Results In total, 23 individuals completed the interviews. The participants included 8 (35%) female volunteers; 5 (22%) nurses; 4 (17%) managers; 3 (13%) doctors; and 3 (13%) gynecologists. The health‐system challenges were classified into three main categories: existence of an official reminder system, public information delivery programs, and infrastructures of facilities, which included three subcategories—cervical cancer screening center, material resources, and human resources. Conclusions The Kurdistan Region of Iraq health system faced several challenges in delivering a cervical cancer prevention program. These challenges must be addressed to improve the coverage of cervical cancer screening, diagnosis, and treatment.

Background: Patients' satisfaction has become an established outcome indicator of the quality and efficiency of the health care system. Objective: The aim of this study was to assess the level of Breast cancer patients' satisfaction toward nursing care in selected hospital of Erbil city in Iraqi Kurdistan Region. Materials and Methods: A descriptive study was designed at oncology ward of Rizgari Teaching Hospital.Participants were interviewed and questions were asked. It started in 1st June to 20th September 2014.Thequestionnaire included demographical data: gender, educational qualification, history of cancer in the family, familyincome, type of hospital room and duration of stay in hospital, and type of treatment and frequency of hospitalization were analyzed by using Rating ScaleResults: 60 patients participated in this study. Likert scale was used to assess the levels of satisfaction. Chi-squareanalysis was computed to find the associations between the levels of satisfaction and demographic variables. 30patients had a scored between 60-80 and considered to have a good level of satisfaction toward nursing care.However, 30 participants had scoring between 38-59 and are considered to have average level of satisfaction. Conclusion: The study concluded breast cancer patients had positive attitude toward nursing care. be conducted toassess the level of breast cancer patients’ satisfaction toward nursing care Recommendations: Further research including further oncology hospitals.