Background: Death anxiety and obsession are human tensions that routinely present in nursing. The sense of humor is also associated with obsession and anxiety. Objectives: Therefore, the present study aimed to determine the level of death anxiety, death obsession, and sense of humor among nurses working in medical-surgical wards and intensive care units in Iran. This is a descriptive-analytical study. Methods: The research population comprised 240 nurses working in intensive care units and medical-surgical departments in Kerman. The research instrument was composed of a demographic questionnaire, death obsession scale (DOS), Templer death anxiety scale (TDAS), and humor styles questionnaire (HSQ). Results:The mean scores of nurse's death anxiety in intensive care units and medical-surgical wards were 7.46 ± 3.43 and 5.46 ± 2.84, respectively. The mean scores of death obsession in intensive care units and medical-surgical wards were 30.47 ± 11.17 and 26.38 ± 11.67, respectively. The mean scores of the sense of humor in the two groups were 117.37 ± 21.31 and 109.56 ± 23.47, respectively. The mean scores of death anxiety, death obsession, and sense of humor among nurses were significantly higher in intensive care units than in medical-surgical wards (P < 0.05). Conclusions: It is necessary to determine the sources of death anxiety and obsession and strengthen the sense of humor in nurses to provide better healthcare.

‫اعتباربخشی‬ ‫به‬ ‫بیمارستان‬ ‫کارکنان‬ ‫و‬ ‫مديران‬ ‫نگرش‬ ‫و‬ ‫دانش‬ ‫بررسی‬ ‫سبزواری‬ ‫سکینه‬ ‫نوحی،‬ ‫عصمت‬ ‫كرمی،‬ ‫مهدی‬ ، ‫باقری‬ ‫سید‬ ‫حمید‬ ‫سید‬ ‫خوشاب،‬ ‫هادی‬ ‫غالمحسینی،‬ ‫نجمه‬ ‫صادقی،‬ ‫تابنده‬ ‫دوم‬ ‫شماره‬ ‫پنجم،‬ ‫دوره‬ ‫پنجم،‬ ‫سال‬Method: This is a cross-sectional study. Collecting data instrument was, Azami and colleagues modified questionnaire.Samples were 92 persons; managers and employees of Rafsanjan medical university of sciences hospitals that they had at least one year experience. Sampling method was stratified random sampling. Data analyzed with SPSS 16 and T-test and ANOVA test were used.Results: Most participants in this study were female nurses (45.7%) and administrative staff were the lowest (20.7%). The mean score of knowledge and attitude in hospitals' managers which were successful in obtaining previous rating respectively were (37.11±3.14) and (49.61±6.12). And for failed hospitals in accreditation degree was (32.94±3.61) in knowledge and (38.22±8.02) in attitude. T-test showed significant difference between the scores of knowledge and attitudes of managers (P<0.05). The mean score of knowledge of nurses in successful and failed hospitals in accreditation degree was significant (P<0.05)and their attitude was non-significant (P>0.05). These results for hospital staff in successful and failed hospitals was no significant (P<0.05). Conclusion:In order to results, it is necessary that hospital managers improve staff attitude and knowledge about accreditation and its benefits. Also, make the right culture among managers and employees to ensure the accreditation scheme would be useful.

Background Almost 7.2%-10.6% of patients survive CPR in Iran. Most of them experience post-traumatic stress disorder (PTSD) and post-traumatic growth (PTG). There are limited studies to assessing the correlation between these two psychological outcomes among CPR survivors. Objective This study aimed to examine the correlation between PTSD and PTG among CPR survivors in South-East Iran. Subjects Using Quota sampling, 163 CPR survivors in two provinces in the South-East of Iran were selected to participate in this study. Method A descriptive-correlational study was used to fulfill the aim of the study. The impact of Event Scale-Revised (IES-R) for assessing PTSD and Post-traumatic growth questionnaires were used to assess PTG. Results The mean score of PTSD was 39.89 and according to the cutoff point, 87.1% of participants suffered from PTSD. The mean score of PTG was 78.6. PTSD and PTG had significant negative correlation. The result of multi-variate logistic regression showed that only the PTG score predicted PTSD (Odds ratio = 0.79, CI = 0.72-0.87; and p < 0.001). The result of multi-variate linear regression indicated that PTSD, time passed since CPR, and physical disability caused by CPR predicted PTG score significantly. Conclusion This study provides CPR survivors and health care personnel with some valuable insights about cultural aspects of PTSD and PTG among CPR survivors and that PTG is positively influenced by physical disability and time passed since CPR. CPR survivors may gain positive experience and valuable insight in group meetings and discussions with their counterparts.

Blindness is one of the most complex problems related to health throughout the world. The condition is worse when such stress is accompanied with cancer. The aim of this case study was to introduce a patient with both these conditions who could come over her problems well. A phenomenological hermeneutic approach influenced by Ricoeur was used to explore the experience of the patient. Data were collected through unstructured and deep interview and by checking patient medical records. The patient is an Iranian 58-year-old teacher residing in Kerman who became blind at age 32 due to bloodshed inside the eye and was affected by breast cancer at age 52. The patient could come over these divine tests through the help of spirituality so that she believed blindness and cancer was the best events in her life. Spirituality is one of the human aspects that give meaning and purposes to life. Health care providers are suggested to implement spiritual strategies such as instructional workshops for increasing spirituality in settings, such as oncologic wards for patients to pass stages of adaptation to such great stresses easily and rapidly.

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