Introduction:The most appropriate and effective method of breast cancer screening is breast self-examination. The aim of this study was to determine the effect of group counseling based on reality therapy on women's selfefficacy of breast self-examination. Methods:This was an educational trial with a pretest-posttest design that was conducted in Shazand city in 2020. The study sample consisted of 30 women who were recruited from five health centers via available sampling. Participants were randomized into two groups of intervention (14 people) and control (16 people). Both groups completed personal, demographic, and selfefficacy of breast self-examination questionnaires. The intervention group received 8 sessions (two 90-min sessions per week) of group counseling based on reality therapy. One month after the intervention, both groups completed the self-efficacy of breast self-examination questionnaire again, and changes in the mean scores were examined.Results: There was no statistically significant difference between the groups in terms of demographic characteristics such as age, level of education, marital status, menstrual age, age at marriage, and gestational age. The mean score of female self-efficacy of breast self-examination before intervention was 58.9 ± 19.8 in the control group and 58.4 ± 21.2 in the intervention group (no difference). After the intervention, the mean score of female self-efficacy in breast self-examination was 59.9 ± 18.8 in the control group and 85.7 ± 9.7 in the intervention group (P < 0.05). Using analysis of covariance (ANCOVA), the effect size of counseling was calculated at 46%. Conclusion:The results of the study indicate that group counseling based on reality therapy can improve women's self-efficacy of breast self-examination. Since this approach can be achieved in a shorter time than other types of counseling, the use of this method in important health behaviors such as breast self-examination is recommended.

Goal: For over two decades, the world’s educational centers have worried about the educational efficiency of their medical science graduates and their level of efficacy. Feedback from students can provide planners with valuable information regarding improving the quality of the educational services. Thus, this study was conducted to investigate the quality of educational and research services for MSc. students of Nursing and Midwifery in Arak University of Medical Sciences. Methods: The present study is a qualitative study. In the study, WhatsApp messenger was used to interview 11 MSc. students of Nursing and Midwifery in Arak University of Medical Sciences from different years of education. Participants were selected through purposive sampling which was continued until data saturation. All interviews were recorded and then verbatim written. A semi-structured interview began with raising a general question and continued based on the views and experiences expressed. In cases where it was necessary, guide questions were used. Following the preliminary analysis of the gathered data, coordination was made for the follow-up interviews. In all stages of the research, Helsinki declaration principles and ethical considerations were met. Results: 3 themes, 6 subthemes and 20 codes were derived through data analysis.