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Background: Coronary artery diseases are among the most important causes of disability and coronary artery bypass graft (CABG) surgery is considered as one of the most important methods of treatment. The improvement of post-surgery adherence to treatment plan is one of the main healthcare objectives. Objectives: The present study attempted to determine the effect of family-centered empowerment model on the adherence of patients undergoing CABG to the treatment plans. Methods: This research was a clinical trial and a quasi-experimental study, including pre and post tests with a control group performed on 102 patients and active family members of the patients hospitalized at the intensive care unit (ICU) of Imam Khomeini hospital of Tehran, Iran in 2014. For the experimental group, the family-centered empowerment model was implemented with four steps. The control group received only common care. The rate of patients' adherence to the treatment plans was then investigated in three areas of diet, medication, and physical activities before and after the intervention, and the data were analyzed using PASW Statistics V18 software. Results: The two groups were similar in terms of demographic variables. After the intervention, there was a significant difference based on the results of the independent T-test in terms of mean scores of adherence to the treatment plan in the three areas mentioned above (P = 0.000). Also, before and after the intervention, a significant difference was observed in the experimental group in terms of the above mean scores (P = 0.000). Conclusions: Based on the research findings, the family-centered empowerment model seems to be practical and feasible for the patients under CABG, which can bring improvement or correction of adherence to the treatment plan.

Background Witnessing or experiencing of incivility affected the nurses’ perception of the ethical climate and quality of their work life. The aim of this study was to investigate the effectiveness of educational intervention and cognitive rehearsal on perceived incivility among emergency nurses. Method This study was conducted as a randomized controlled parallel group clinical trial. Eighty emergency nurses participated in this study and were randomly assigned to intervention and control groups during December 2019—March 2020. Cognitive rehearsal program (include of definitions of incivility, ten common incivilities and appropriate practice methods for responding to each and role-plays) was delivered in five two-hour sessions over three weeks on different working days and shifts. The control group received only written information about what incivility is and how to deal with it before the implementation of intervention and one month after the completion of the training sessions, the demographic information form and the incivility scale were completed by the nurses. Results The results showed that there was a significant effect on overall incivility, general incivility, and supervisor incivility between the intervention and control groups. However, these significant reductions were seen in control group who received only written education. There were no significant differences in nurse's incivility towards other nurses, physician incivility, and patient/visitor incivility between the two groups. Conclusion The cognitive rehearsal program did not decrease perceived incivility among emergency department nurses in the short term. Trial registration Our research was registered on clinicaltrials.gov. Registration number: IRCT20200714048104N1, first registration 16/07/2020.

Background & Aim: Effective communication with the patients and engaging patients in decision-making and care planning are necessary to improve health outcomes and satisfaction with the treatment. Communicating effectively can help prevent and manage complications following the treatment of cancer. Therefore, this study aimed to describe and explain cancer patients’ communication facilitators' experiences between patients and nurses. Methods & Materials: This is a qualitative conventional content analysis study. The study was conducted on 22 cancer patients who were selected based on a purposeful sampling approach. Semi-structured interviews were performed to collect the data. The data were then analyzed using conventional content analysis. Also, the Lincoln and Guba criteria were used to measure the trustworthiness of the data. Results: The researchers have identified the main theme as “humanitarian care”. Besides, five categories of “good-naturedness”, “empathy”, “patience”, “confidentiality”, and “honesty” were also extracted from 18 subcategories. Conclusion: Effective nurse-patient communication facilitates patients’ healing, enhances clinical outcomes and improves patients’ response to treatment. Hence, these ethical features need to be reinforced among nurses.