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Leili Borimnejad, Saeideh Bazzazian, Fatemeh Barkhordari, Nasrin Rezaiee,
Volume 31, Issue 1 (4-2025)
Abstract

Background & Aim: Iran currently experiences a fertility rate below the replacement level, with decisions regarding childbearing influenced by various factors. This study focuses on individual and familial perspectives that contribute to women's reluctance to have children.
Methods & Materials: This qualitative research employed a conventional content analysis approach conducted during the period of 2022-2023. The sample comprised married women, aged 30 to 45, residing in different regions of Tehran (north, south, west, east, and central) who have voluntarily chosen not to have children. Participants were selected through purposive sampling, guided by specific inclusion and exclusion criteria, utilizing a snowball sampling technique. Data saturation was achieved with a sample of 19 women. Data were collected through semi-structured interviews and analyzed using Graneheim and Lundman’s framework with the aid of MAXQDA 2022.
Results: Data analysis revealed two primary themes: familial factors and individual factors. Each theme comprised four categories, with two subcategories identified for each category. The familial factors include: (1) issues related to the family of origin, (2) mutual agreement on childlessness between partners, (3) instability in marital life, and (4) lack of marital satisfaction. The individual factors encompass: (1) idealism, (2) egocentrism and individualism, (3) negative health effects of childbearing on mothers, and (4) the conflict between maternal and professional roles, which are recognized as significant determinants in the decision not to have children.
Conclusion: This qualitative study sheds light on the complexity of the decision-making process regarding childlessness in this age group and highlights the need to address individual and familial factors alongside others, in population growth policies.

 
Fatemeh Dehghani, Zohreh Khavari, Bahareh Fallah, Zahra Rezaei-Haftadori, Maasoumeh Barkhordari-Sharifabad,
Volume 31, Issue 4 (1-2026)
Abstract

Background & Aim: With the growing elderly population and increased survival rates, it is crucial to focus on the palliative care skills and knowledge of nursing students. This study aimed to assess the effect of palliative care education on the knowledge, attitude, and perceived self-efficacy of nursing students.
Methods & Materials: This quasi-experimental study took place in 2025 with 32 nursing intern students from the Meybod/Yazd Nursing School. Participants' knowledge, attitude, and perceived self-efficacy were evaluated before and after a palliative care education intervention using a questionnaire. Perceived self-efficacy was also measured one-month post-intervention. The intervention consisted of six four-hour sessions of a palliative care education program. Data analysis was conducted using SPSS version 21 and descriptive and inferential statistical methods (paired t-test and analysis of variance with repeated measures).
Results: Prior to the intervention, the mean scores for knowledge, attitude, and self-efficacy in palliative care were 26.90±3.76, 81.87±9.42, and 28.50±8.10, respectively. Following the intervention, the mean scores for knowledge (33.40±2.84), attitude (84.68±10.29), and self-efficacy (29.75±5.72) increased. One month later, the mean self-efficacy score rose to 32.37±6.52. The results indicated that only the increase in knowledge scores before and after the intervention was statistically significant (P<0.001).
Conclusion: The findings suggest that palliative care education positively impacts the knowledge level of nursing students. Therefore, implementing educational programs in this area during the educational period can be beneficial.
 

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