Journal of Nursing and Midwifery Sciences
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Journal of Nursing and Midwifery Sciences (JNMS) contributes to the advancement of evidence-based nursing, midwifery, and healthcare by disseminating high-quality research and scholarship of contemporary relevance and with the potential to advance knowledge for practice, education, management, or policy. JNMS's intended readership includes practising nurses and midwives in all spheres and at all levels who are committed to advancing practice and professional development on the basis of new knowledge and evidence; managers and senior members of the nursing and midwifery professions; nurse educators and nursing students; and researchers in other disciplines with interest in common issues and inter-disciplinary collaboration. Papers published in JNMS are increasingly cited in reviews of evidence and used by other healthcare professionals, policymakers, commissioners and users of services to inform their decision-making and practice. All JNMS papers are required to have a sound scientific, evidential, theoretical or philosophical base and to be critical, questioning and scholarly in approach. As an international journal, JNMS promotes diversity of research and scholarship in terms of culture, paradigm and healthcare context. For JJNMS's worldwide readership, authors are expected to make clear the wider international relevance of their work and to demonstrate sensitivity to cultural considerations and differences.
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- ItemThe Predictive Power of the Mother’s Neck Circumference in the Early Diagnosis of Gestational Diabetes Mellitus(Brieflands, 2024-11-10) Mahin Balouchi Mahani; Mahtab Sattari; Akbar Mehralizade; Azam AmirianBackground: Gestational diabetes mellitus (GDM) is a risk factor for the health of both the mother and fetus, responsible for a significant number of maternal, perinatal, and neonatal complications. Timely diagnosis and effective treatment can reduce the burden of the disease on the health of women and their infants during and after pregnancy. Objectives: The present study aimed to examine the predictive power of the mother’s neck circumference in the early diagnosis of gestational diabetes mellitus. Methods: This prospective cohort study was conducted on 782 pregnant women with a gestational age of 16 weeks who visited health centers in Jiroft between 2020 and 2021. Neck circumference was measured in the 16th week of pregnancy. Gestational diabetes mellitus was diagnosed using an oral glucose tolerance test (OGTT) with 75 grams of glucose at 24-28 weeks of pregnancy. Participants were selected using convenience sampling, and data were collected through interviews with the participants. Results: Among the 782 pregnant women, 179 were diagnosed with GDM, while 603 did not have GDM. The best cut-off point for neck size was determined to be 35.45 cm using the ROC curve. For the neck circumference test, sensitivity was 71.5%, specificity was 60%, positive predictive value was 34.8%, and negative predictive value was 87.7%. Conclusions: The findings indicate that a neck circumference greater than 35.45 cm in early pregnancy (16 weeks) can be considered a new diagnostic test for GDM. Early identification of women at risk should prompt necessary measures to reduce the complications associated with gestational diabetes mellitus.
- ItemThe Role of Spirituality, Marital Satisfaction and Socio-Economic Status on Attitudes Toward Childbearing Among Married Women Without the Intention and History of Pregnancy: A Cross-Sectional Study(Brieflands, 2024-11-10) Parisa Sarsharbidokhti; Rahim Bagherzadeh Ledari; Maedeh BagheriBackground: Iran has experienced a sharp decline in childbearing rates over the past three decades, and the extent to which attitudes toward childbearing are influenced by marital satisfaction, socio-economic status, and spiritual health remains unclear. Additionally, past research has largely focused on women who already have children. This study, however, examines all women who, after five years of marriage, have not yet decided to have children. Objectives: This study aimed to determine the role of spirituality, marital satisfaction, and socio-economic status in shaping attitudes toward childbearing among married women in Semnan City in 2023, specifically those without a history of pregnancy or intention to conceive. Methods: This cross-sectional study included 235 married women who had neither the intention nor history of pregnancy, with a minimum marriage duration of five years. Participants were purposefully selected during visits to the family health center in Semnan City in 2023. Data were collected using the Childbearing Attitudes Questionnaire, the Spiritual Health Questionnaire, the Marital Satisfaction Questionnaire, and the Socio-Economic Status Questionnaire. Statistical analysis was conducted using multiple linear regression tests in SPSS software version 24. Results: The largest proportion of participants belonged to the age group of 26-32 years (31.35%). A majority (137 individuals, 58.3%) had either an associate or bachelor’s degree, and most participants (58.3%) were employed. The results demonstrated that spirituality (41%), socio-economic status (56%), and marital satisfaction (65%) were significant predictors of attitudes toward childbearing (P < 0.01). Conclusions: As marital satisfaction emerged as the strongest predictor of attitudes toward childbearing, it is recommended that health centers offer courses to improve and enhance marital satisfaction among women.
- ItemThe Role of Uterocervical Angle on Preterm Birth Incidence(Brieflands, 2024-11-10) Mahboobe Shirazi; Mozhgan Sina; Sedigheh Hantoushzadeh; Fetemeh Golshahi; Behrokh Sahebdel; Elham Feizabad; Zeynab Amiriariya; Hakime Roshani Moghaddam; leila asadiBackground: Preterm birth (PB) is associated with significant morbidities in surviving infants. Accurate prediction of PB is essential for effective prevention and management. Continuous monitoring of cervical parameters has shown utility in several studies. Objectives: This study aimed to investigate the role of the anterior uterocervical angle (UCA) in predicting the incidence of PB. Methods: A prospective, descriptive-analytic study was conducted with 165 pregnant women referred to the prenatal care clinic at Yas Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran, in 2021 - 2022. Participants were selected through convenience sampling. Cervical parameters, including UCA, length, and width, were measured via vaginal ultrasound during each trimester. All women were followed until delivery to determine PB incidence. Data were analyzed using descriptive and analytical statistical tests, including the chi-square or Fisher’s exact test and the independent samples t-test or Mann-Whitney U test. Results: Among the participants, 12 (7.3%) experienced preterm delivery. Cervical length was significantly shorter in women with PB during the second trimester (32.58 ± 4.77 mm vs. 34.68 ± 3.80 mm, P = 0.042) and third trimester (30.00 ± 4.74 mm vs. 32.77 ± 3.88 mm, P = 0.022). The mean UCA in women with preterm delivery was higher than in those with term delivery during both the second (90.58 ± 17.21° vs. 88.66 ± 16.76°) and third (100.25 ± 14.56° vs. 98.89 ± 17.78°) trimesters (P > 0.05). A UCA greater than 105° in the second trimester had a sensitivity of 16.7% and specificity of 81.5% for predicting PB. In the third trimester, a UCA greater than 105° showed a sensitivity of 58.3% and specificity of 60.7% for predicting PB. Conclusions: This study emphasizes the importance of regular cervical parameter measurements throughout pregnancy. A UCA greater than 105° in the third trimester appears to be a potential predictor of PB.
- ItemThe role of maternal health literacy in breastfeeding pattern(Brieflands, 2018-06-30) Narges Mirjalili; Ali Ansari Jaberi; Kimia Ansari Jaberi; Tayebeh Negahban BonabiContext: Today exclusive breastfeeding through the first 6 months of the infant’s life has become a challenging issue in the health-care system. It seems the health literacy to be an important element in the women’s ability to understanding, processing, and practice on health information.
- ItemLifestyle and its related factors in elderly(Brieflands, 2019-03-31) Sharareh Asadi Brojeni; Ehteram-Sadat Ilali; Zohreh Taraghi; Nouroeddin MousavinasabContext: Lifestyle recognition is important because of its ability to prevent diseases and promote the health of the body and mind.
- ItemThe effect of self‑care program based on the Orem self‑care model on fatigue and quality of life in patients with COPD(Brieflands, 2022-12-31) Iman Reiszadeh; Shahla Abolhassani; Reza Masoudi; Soleiman KheiriContext: Fatigue and the reduced quality of life are among the most common problems of patients with chronic obstructive pulmonary disease (COPD), affecting all aspects of life in these patients.
- ItemThe Relationship Between Occupational Burnout and Negative Affective Responses of Nurses During the Public Health Crisis(Brieflands, 2024-02-19) Mohammadrasoul Khalkhali; Shaghayegh Pourali; Leila Alirahimi; Hassan FarrahiBackground: Long-term exposure of nurses to coronavirus disease 2019 (COVID-19) and the lack of necessary and sufficient facilities to deal with the disease have had significant negative effects on their occupational and mental health. Objectives: The present study aimed to investigate the association between occupational burnout and negative affective responses, including depression, anxiety, and stress, in nurses during the recent pandemic. Methods: A total of 270 nurses who worked at Razi hospital, one of the principal referral hospitals for COVID-19 patients in the northern province of Guilan, Iran, throughout 2021 - 2022, were included in this study. These nurses were selected using convenience sampling and were assigned to one of three wards: COVID-19 (n = 43), emergency (n = 55), or other wards (n = 172). In addition to providing their sociodemographic information, the participants completed two assessments: The Maslach Burnout Inventory-Human Services Survey (MBI-HSS) and the Depression, Anxiety, and Stress Scales-42 (DASS-42). Results: The correlation matrix showed that all MBI-HSS and DASS-42 scores, except in one case, had a positive correlation with each other (P < 0.0001). In the multiple analysis of variance, gender (P = 0.17), education (P = 0.005), hospital ward (P = 0.048), social support (P = 0.001), family support (P < 0.0001), financial support (P = 0.01), occupational satisfaction (P = 0.044), social respect (P < 0.0001), history of death in the family (P = 0.006) and relatives (P = 0.043), and having a child in primary school age (P = 0.04) created a significant difference in MBI-HSS and DASS-42 scores. Conclusions: In general, nurses tend to be considerably affected by the negative effects of the recent public health crisis, especially occupational burnout, and it is necessary to make arrangements to improve their mental health and reduce the level of occupational burnout in them.
- ItemPerceptions of Medical Staff on COVID-19 Vaccination: A Qualitative Content Analysis(Brieflands, 2024-06-30) Roghieh Sodeify; Fatemeh Moghaddam Tabrizi; Sakineh RezaeiBackground: The COVID-19 pandemic has caused almost unimaginable damage to the lives, health, and economies of many countries. Alongside health and behavioral control measures, vaccination has been considered the most successful method to control the COVID-19 epidemic. Although vaccination is an effective way to reduce and eliminate diseases, its effectiveness depends on the willingness of the population to receive the vaccine. The purpose of this study is to explore the perceptions of medical staff on COVID-19 vaccination through qualitative content analysis. Objectives: This study aims to explore the perceptions of medical staff on COVID-19 vaccination through qualitative content analysis. Methods: A qualitative study employing a content analysis approach was conducted at Khoy city hospitals in Iran. The researchers explored the perceptions of 16 medical staff members who were among the first group to receive the vaccine in 2021 - 2022. Health staff of various ages, genders, and professions including doctors, nurses, midwives, pharmacists, laboratory staff, and radiologists were included in the research. Sampling was purposeful, and data collection utilized face-to-face semi-structured individual interviews. Data analysis followed the method of “conventional qualitative content analysis.” Results: Data analysis revealed three main categories and seven sub-categories as follows: “Conflicting feelings” (confidence or doubt, hope or worry, complications and benefits), “continuing to fight against COVID-19” (responding to social/professional responsibility, encouraging people to accept the vaccine), and “getting rid of COVID-19” (return to normal life, reduction of mortality). Conclusions: The medical staff expressed a desire to receive the COVID-19 vaccine to continue fighting the disease and eliminate it, but they also had conflicting feelings about receiving it. The perceptions of healthcare workers about healthcare issues serve as a reliable source of knowledge for the public and play a crucial role in deciding whether to accept or reject critical health interventions. Therefore, health policymakers dealing with epidemic diseases should prioritize creating scientific and psychological support for acceptance among healthcare workers, who serve as a reference for the public.
- ItemSupporting Caregivers of Hemodialysis Patients: Applying the 5-A Self-management Model to Alleviate Caregiver Burden(Brieflands, 2024-06-30) Zahra Zarmohammadi; Marzieh Khatooni; Mehdi Ranjbaran; Seyedeh Zahra HosseinigolafshaniBackground: Enduring chronic renal failure and undergoing hemodialysis significantly impact patients' and their caregivers' physical, spiritual, psychological, and functional abilities. Objectives: To examine the impact of implementing the 5-A self-management model on the burden experienced by caregivers of patients undergoing hemodialysis. Methods: This experimental study, utilizing a pre-test and post-test design, involved 90 caregivers of patients undergoing hemodialysis. Caregivers were selected through simple random sampling. Data were collected using a demographic questionnaire and the ZARIT caregiving burden tool. The intervention included implementing the 5-A Self-Management model. Data analysis involved repeated measures ANOVA, comparing scores before the intervention, immediately after, as well as one and three months later. Results: Prior to the intervention, caregivers in the intervention group experienced higher levels of pressure compared to the control group (P = 0.018). However, one month (P = 0.004) and three months (P = 0.003) after the intervention, the intervention group's scores were significantly lower than those of the control group. Furthermore, the effect of time (P < 0.001) and the interaction effect (P < 0.001) were statistically significant, indicating the intervention's positive impact on caregivers' burden and the differences in score changes over time. Conclusions: Implementation of the 5-A self-management model led to a significant reduction in the burden of caregiving among caregivers of patients undergoing hemodialysis. Providing self-management training tailored to the needs of hemodialysis patients and their caregivers is an effective approach to enhancing caregivers' abilities.
- ItemWork-family conflict as a stressor in the lifestyle of nurses: A content analysis(Brieflands, 2018-09-30) Fatemeh Alhani; Gholam Reza Mahmoodi-ShanContext: Work–family conflict (WFC) is a consequence of imbalance and incompatibility, which influences the health and family relationship of nurses negatively and creates challenges for the individual and the organization. Aim: To explain the nurses’ view on the stressful effects of conflict between work and family on their lifestyle.
- ItemMental Health Literacy and Attitude Toward Seeking Professional Psychological Help Among Iranian Older Adults: A Cross-Sectional Study(Brieflands, 2024-06-30) Kosar Fazlifar; Abdolhakim Jorbonyan; Mina Rafati Lemraski; Shahab PapiBackground: Considering the rising prevalence of mental health issues among older adults and potential barriers to treatment seeking, investigating mental health literacy and attitudes toward professional psychological services in this demographic is crucial for enhancing access to care and fostering psychological well-being. Objectives: This study aimed to explore the association between mental health literacy (MHL) and attitudes toward seeking professional psychological help (ATSPPH) among older adults attending health centers in Amol, Mazandaran, Iran, in 2023. Methods: A cross-sectional study was conducted involving 128 older adults attending health centers in Amol, Mazandaran, Iran, in 2023. Participants were selected using cluster random sampling and completed research instruments including O'Connor and Casey's Mental Health Literacy Scale (MHLS) and the short form of Attitude Toward Seeking Professional Psychological Help (ATSPPH-S). Data were analyzed using descriptive statistics, independent t-tests, one-way analysis of variance, and Pearson's correlation coefficient in SPSS 24 software. Results: The Pearson correlation coefficient revealed a positive and significant relationship between older adults' level of MHL and their ATSPPH (r = 0.28, P < 0.05). Tukey's post hoc test indicated a significant association between older adults' MHL and their educational level. Additionally, independent t-test results demonstrated a significant correlation between ATSPPH and gender as well as the history of visiting a psychologist or psychiatrist (P < 0.05). Conclusions: The study findings suggest that higher levels of MHL among older adults are associated with an increased willingness to seek professional psychological help. Therefore, initiatives aimed at enhancing MHL through education and promotion may play a vital role in encouraging older adults to seek appropriate support.
- ItemEvaluation of the incidence of errors and related factors in the use of blood glucose control medications in an elderly population with type 2 diabetes(Brieflands, 2022-03-31) Ali Darvishpoor; Mostafa Ghazvinian; Marzie Pazokian; Mahsa Haji Mohammad HoseiniContext: The pace of population aging is increasing around the world. Medication errors are more common among the elderly for a variety of reasons and can lead to serious complications.Aims: The aim of this study was to determine the incidence of errors and related factors in the use of blood glucose control medications in a diabetic elderly population in Qom, Iran.Setting and Design: This descriptive, correlational study was conducted on the elderly with type II diabetes, who were referred to the diabetes centers of Qom. The sample size was measured to be 200, based on the available sampling method.Materials and Methods: Data were collected using a demographic questionnaire, as well as a researcher‑made Medication errors questionnaire.Statistical Analysis Used: SPSS version 20 was used to analyze the data.Results: Overall, 69% of the samples were female, and the mean age of the participants was 63.59 ± 4.84 years. The incidence of medication errors was 69% among older patients. There was a significant relationship between medication error and polypharmacy (P < 0.001), comorbidities (P < 0.025), duration of diabetes (P < 0.026), and use of aids (P < 0.038). Forgetfulness (26.33%) and lack of drug information (12.61%) were the most common causes of medication errors in patients.Conclusion: The results showed that the incidence of medication errors, which was influenced by various factors, was high among the elderly. Therefore, to prevent and reduce the incidence of medication misuse, proper measures should be taken.
- ItemPredicting Missed Nursing Care Based on Moral Sensitivity and Care-Related Factors(Brieflands, 2024-06-30) Elmira Fouladi; Mohammad Ali Mohammadi; Naser MozaffariBackground: Care is one of the essential metaparadigms of nursing. The personal and professional character of the nurse, along with attention to human, financial, and communication factors, can provide an essential part of standard care. Moral sensitivity, as a part of professional ethics, offers responsible and accurate care. Objectives: This study was conducted with the aim of predicting missed nursing care based on moral sensitivity and care-related factors in 2021. Methods: In this cross-sectional-analytical study, 345 nurses working in medical education centers in Ardabil were selected by stratified random sampling from internal, surgical, special care, emergency, and pediatric departments. Data were collected using the modified Lutzen Moral Sensitivity Questionnaire, Kalish's Missed Nursing Care, and Blackman's Missed Care Related factors. The collected data were analyzed using SPSS 19 with descriptive statistics (frequency, percentage, mean, and standard deviation) and inferential statistics (ANOVA, regression, and Pearson). Results: The results of the present study showed that nurses had an average level of moral sensitivity (70.75 ± 10.83). The mean and standard deviation of missed nursing care were (33.93 ± 10.35), which was less than the median of the questionnaire. The components of moral sensitivity (0.32) and related factors (0.08) explain missed care. There was a significant relationship between age, work experience, overtime, and second job with missed care (P < 0.001). Conclusions: Identifying influential factors in reducing missed care is crucial in care, education, and management. It can be said that the dimensions of moral sensitivity and related factors such as human, financial, and communication resources are predictors of missed care. Increasing workload and having a second job increase forgetfulness in caregiving. It is suggested to utilize the experiences of nurses with expertise in care, education, and management, in addition to enhancing moral sensitivity, to ensure comprehensive care while reducing overtime and avoiding second jobs.
- ItemEvaluation of professional autonomy and the association with individual factors among nurses in the Southeast of Iran(Brieflands, 2015-12-31) Mohadeseh Motamed-Jahromi; Tayebe Jalali; Fatemeh Eshghi; Homa Zaher; Seyedeh Leila DehghaniBackground and Purpose: Professional autonomy in nursing is defined as working in a self-determined environment and makingdecisions based on professional judgment. This study aimed to evaluate professional autonomy and its association with individualfactors in nurses employed at teaching hospitals affiliated to Kerman University of Medical Sciences in the southeast of Iran in 2013.Methods: This was a descriptive analytical study, and required data were collected by quota sampling using self-administeredquestionnaires, which were completed by 385 nurses at four teaching hospitals in Kerman, Iran. Data analysis was performed usinginferential (ANOVA) and descriptive statistics (mean and frequency) in SPSS V.18.Results: In this study, a significant correlation was observed between professional autonomy and age (P>0.001), gender (P=0.04), workexperience (P>0.03), education level (P>0.02) and attitude of nurses. Moreover, a positive correlation was found between the meanscores of professional autonomy and nursing experience (r=0.559).Conclusion: According to the results of this study, general attitude of nurses towards professional autonomy was relatively positive. Inaddition, professional autonomy was observed to increase with higher education level and job satisfaction. Hierarchical team decisionmakingmay restrict professional autonomy in nurses. Therefore, it is recommended that nursing skills and professional autonomy ofnurses be improved through appropriate methods.
- ItemNursing developments in Iran during World Wars I & II: A historical study(Brieflands, 2015-03-31) Abbas Heydari; Seyed Naser Lotfi FatemiBackground and Purpose: Iran's nursing has witnessed remarkable changes in the period 1914 to 1945 that could be a turningpoint in the history of the nursing professionin Iran. This paper is a survey of modern nursing transformation history in the historicalperiod of the World Wars and their impacton the development of the nursing profession in Iran.Methods: In the present historical study, following the statement of the problem, by an aim to access to the relevant informationresources, we studied primary and secondary sources relevant to the research topic. 107 documents including photos, letters, officialreports, journal archives, websites, memories, autobiographies, articles and books were studied. To complete the social conditions inthis period of the history, the oral tradition history was used, too. First, the social situation of Iran at these periods of history wasbriefly reviewed and collected data were analyzed. Finally, the causal relationships in the development of nursing-related incidentswere investigated.Results: The results of this study can be divided into three sections: socio-political situation in Iran during the Word Wars, thebeginning of modern nursing and the start of academic nursing training in Iran. Based on our findings, interactions of multiple factorssuch as war, famine, presence of foreign forces, and beginning the modern age have led to the onset of modern nursing and nursingeducation in Iran.Conclusions: This study showed how the response to a social need, and at a critical juncture in the history of Iran, would lead to thequantitative and qualitative development of nursing as an academic discipline.
- ItemViolence and its variants in nurses: A review article(Brieflands, 2015-12-31) Kaveh Jafari; Mohammad Ali Heidarigorji; Jabbar Heydarifard; Yadollah Jannati; Salma AhmedBackground and Purpose: Violence is defined as unnecessary hostile behavior in clinical environments, which may lead topsychological abuse by colleagues. This systematic review aimed to evaluate violence and its associated factors among nurses.Methods: In this study, we searched for articles and patented documentations published until December 2014 via databases such asPubMed, Medline, Scopus, Google Scholar, Iranian Journal Database (Magiran), Scientific Information Database (SID), IranMedexand Iranian Biomedical Journal. Using keywords such as violence, horizontal violence, lateral violence, prevalence, predisposingfactors and bullying, we found 84 articles out of 19,000 search results.Results: Violence has a variable definition in different cultures. Violent behavior in clinical environments is influenced by factors suchas age, gender, work experience, work shifts, working hours and employment status of medical staff. In nurses, violence could lead toadverse outcomes, such as physical and psychological damages.Conclusion: According to the results of this study, male and younger nurses are more frequently exposed to violent behavior comparedto female and elder nurses. Therefore, nurses should be informed on the adverse effects of violent behavior. In this regard, authoritiesand management of medical centers should show zero tolerance for violent behaviors on behalf of nursing staff.
- ItemThe effect of primrose oil on the premenstrual syndrome among the female students in Lorestan University of Medical Sciences: A triple blind study(Brieflands, 2015-03-31) Mandana Saki; Soheila Akbari; Mojgan Saki; Mohammad Javad Tarrahi; Mohammad Gholami; Soheila PirdadehBackground and Purpose: The premenstrual syndrome is the emergence of a set of symptoms before menstrual which results in imbalance in individual’s life and daily activities. Today the prescription of herbals is recommended for the treatment of the illnesses. The present study aim to pinpoint the effect of primrose oil on the premenstrual syndrome.
- ItemPreparing nurses for retirement: A concept analysis(Brieflands, 2015-03-31) Monir Nobahar; Fazlollah Ahmadi; Masoud Fallahi-KhoshknabBackground and Purpose: Retirement is an important event in nurses’ life. Preparation and planning are the essentialnecessities before nurses get retired. Healthcare leaders play an important role in preparing nurses for retirement. Thisstudy aims to explore the process by which nurses were prepared for retirement.Methods: The theory development method according to Walker and Avant was used to derive a model from thereviewed literature. Based on Walker and Avant's (2005) three-step method, retirement planning for the nurses has beenconducted. The first step is to identify the key concepts for manufacturing and processing the theoretical basis, Thesecond stage, the literature review is done to identify the factors related to the focal concepts and the nature of theframework's concept. In third stage of theory, the concepts and statements are organized generally concerning the studyphenomenon.Results: Four categories were identified influencing nurses' preparation for retirement: "enjoying appropriateeducation", "prevention from financial strait", "appropriate work conditions before retirement", and "reduced negativeinteractions".Conclusion: Prepare for retirement induced transfer to successful retirement. Understanding these factors can be usedto aid nursing leaders to prepare nurses for retirement.
- ItemEffectiveness of positive thinking training on anxiety, depression and quality of life of mothers of children with leukemia(Brieflands, 2019-03-31) Hoda Esmaeili Douki; Forouzan Elyasi; Ramezan HasanzadehContext: Leukemia is the most common pediatric cancer. Diagnosis and treatment of childhood cancer may have adverse psychological effects on children and their families.Aim: We examined the effectiveness of positive thinking education on anxiety, depression, and quality of life of mothers of children with leukemia.Settings and Design: This randomized control trial has been conducted during August-September 2017, on 30 mothers of children with leukemia who randomly allocated into two groups using 30 random numbers produced by computer software and assigned to intervention (n = 15) and control (n = 15) groups.Materials and Methods: Data collection tools included depression, anxiety, stress scale-21, and MOS 36-Item Short-Form Health Survey quality of life questionnaire.Statistical Analysis Used: The normality of data distribution examined using the Kolmogorov–Smirnov test. Then, data were analyzed using descriptive methods (mean, frequency, and percentage), Chi-square, and independent t-test.Results: There were no statistically significant differences between the study groups in depression, anxiety, and quality of life variable at baseline (P > 0.05). However after the intervention, results showed significant differences between the study groups in all the three variables in posttest compared to the pretest. The mean scores of depression and anxiety respected, in the intervention group were significantly lower than the control group (P < 0.001) and (P < 0.004). Furthermore, significant differences were found between the study groups in quality of life score (P < 0.05).Conclusion: Positive thinking training reduced anxiety and depression and increased the quality of life of mothers of children with leukemia.