Background & Objective: Poor physical and psychological health status in chemical warfare victims could result in decreasing quality of sleep. This study was conducted in order to evaluate the effect of using Continuous Care Model on sleep quality in chemical warfare victims with bronchiolitis obliterans.

Methods & Materials: A total of 62 chemical warfare victims with bronchiolitis obliterans were recruited to the study. The participants were randomly allocated to experimental and control groups. The Continuous Care Model was used to experimental group for a period of two months. The quality of sleep was measured using Pittsburgh Sleep Quality Index (PSQI) before and after the intervention in both study groups. Data were analyzed using independent sample t-test, and paired t-test in the SPSS-version 15.

Results: There were significant differences between experimental and control groups in the means of Subjective Sleep Quality, Sleep Disturbances, Use of Medications, and global scores after the intervention (P<0.05).

Conclusion: Using Continuous Care Model had positive effect on sleep quality in chemical warfare victims suffering from bronchiolitis obliterans.

Background & Objective: Professional socialization is defined as the process of acquiring knowledge and skills and internalizing values, attitudes, and norms to develop professional identity. This process occurs primarily during formal education programs and continues during orientation to hospital settings. The aim of this study was to clarify professional socialization concept and to identify its attributes, antecedents and consequences in nursing context.

Methods & Materials: Rodgers&apos evolutionary method of concept analysis was used to facilitate clarification of professional socialization concept in nursing. The search, performed on scientific databases using the keywords: &apossocialization&apos, &aposprofessional socialization&apos and &aposnursing&apos, resulted in findings of a sample of 446 papers covering the period 1995 to 2009 represented the disciplines of nursing and related sciences. After applying inclusion and exclusion criteria, a total of 47 articles and four books were included in the final analysis. The process was audited by two independent experts to ensure neutrality and credibility of the study and to reduce the potentials for bias.

Results: The result of the analysis showed that professional socialization is a complex process consisting of four critical attributes: learning, being interactive, developing, and being adaptive. Comprehensive educational programs, competent role models, and provision of adequate field experiences were antecedents for these attributes. The widespread and diverse consequences of professional socialization depend on personal, situational, and organizational factors. Thus, while occurrence of socialization process generates benefits, its nonoccurrence entails severe consequences.

Conclusion: Professional socialization process is a complex, diverse, dynamic, ongoing, inevitable, and unpredictable process. This process can have both positive and negative consequences on professional development. However, negative consequences are more prominently documented in the literature. Thus, successful socialization requires establishing facilities in education and practice. The purpose of this revolutionary concept analysis was to focus on significance and how-to-apply ways of the concept in nursing. These findings not only are added to the body of knowledge, but also serve as an important impetus for further theory development and research in nursing.

Background & Objective: The mortality rate of pneumonia caused by mechanical ventilation is about %25-30. Pneumonia prolongs length of stay in hospital to more than 13 days. There are various approaches to decrease rate of pneumonia in medical wards. The aim of this study was to assess the effect of planned passive respiratory exercise on prevention of pneumonia in coma patients undergo ventilation.

Methods & Materials: In this quasi-experimental study, 76 patients were assigned into two experimental and control groups. The control group (n=38) received usual care in the ICU. The experiment group (n=38) received planned respiratory care within six days. The procedure was done in five minutes/six hours for a three day period and then in 10 minutes/six hours for the next three days. Laboratory tests were done before the intervention and in the third and sixth days of the intervention. The respiratory care planning included respiratory passive exercises along with the common respiratory care.

Results: The results indicated that there were significant differences in the results of lab tests between two groups after the intervention (P<0.0001).

Conclusion: The results of this study showed that planned respiratory care had positive effect on prevention of respiratory infection in coma patients.

Background & Objective: Osteoporosis is a serious public health concern known to have several etiologic factors. This study compared lifestyles among postmenopausal women with normal and abnormal bone marrow densitometries (BMD).

Methods & Materials: In this case-control study, 81 postmenopausal women (33 cases with abnormal BMD and 48 control individuals with normal BMD) were selected using simple random sampling from Osteodensitometry center of Shariati hospital in Tehran. The BMD at lumbar spine and femoral neck had been measured with DXA. The Lifestyle was assessed using a questionnaire containing items about taking calcium, vitamin D, hormones, and Alendronat, doing physical activity, consuming tea and cola, and smoking. Reproductive characteristics were also collected via a questionnaire. Data were analyzed using χ2 test and independent sample t-test. Crude and adjusted odds ratios and relevant 95% confidence intervals were calculated through logistic regression, using SPSS v.13.

Results: The results showed significant differences between two groups in weight (P>0.001), BMI (P=0.022), number of pregnancies (P=0.002), number of children (P=0.004), duration of lactation (P=0.0002), dietary calcium intake (P≤0.001), and period of calcium supplement intake (P=0.002). The average of acquired scores of lifestyle factors in the case group was significantly lower than the control group (P=0.037). Inappropriate lifestyle had increased risk of the disease (OR=3.36, 95%, CI: 1.10-10.26). Meanwhile in the multivariate analysis, only insufficient intake of calcium was found to be a risk factor (P=0.002) for osteoporosis.

Conclusion: In conclusion, the results of this study showed positive effect of calcium intake on bone mineral density.

Background & Objective: It is essential to conduct studies on factors related to obesity in both reproductive ages and menopausal period. The aim of this study was to describe the prevalence of general and android obesity and to assess determinants of overweight in pre- and post-menopausal women.

Methods & Materials: In this cross-sectional, random survey of households, about 610 women 20-65 years were recruited. Data were collected via interviews with the participants. Weight, height, waist and hip circumferences were measured as well. The Body Mass Index (BMI) and the waist to hip ratio (WHR) were calculated. Overweight and general obesity were defined as 25≤BMI<30 and BMI≥30, respectively. Android obesity was defined as WHR≥0.85.

Results: The prevalence of overweight and general obesity was 90.6% in the premenopausal women and 72.6% in the post-menopausal women. About 75% and 41.9% of pre- and post-menopausal women had android obesity, respectively. Low literate post-menopausal women had significantly more general and android obesities. In addition, postmenopausal women with more parity had more android obesity. Pre-menopausal women with low literacy and housewives had significantly more general and android obesities. In addition, pre-menopausal women with more parity had less general obesity and more android obesity. In these women, android obesity was increased with age and decreased with physical activity.

Conclusion: The prevalence of general and android obesities was high in Islamshahr women, especially in the post-menopausal women. This result indicates that the women have potential risks for various diseases.

Background & Objective: Conflict occurs more frequently in health care organizations than the other settings due to complexity, frequent interaction between personnel, variations in specialties, roles, and hierarchy. Although conflict is not harmful and destructive in its nature and some degrees of conflict can help to improve health care services, high levels of conflict or its continuity may be harmful. Therefore, it is necessary to manage and control conflict. This study was carried out to assess the relationship between components of the conflict control model.

Methods & Materials: In this cross-sectional study, we developed a questionnaire that probed the relationships between components of conflict control model. A total of 290 nurses were recruited to the study using multi-stage sampling procedure from general educational hospitals in Tehran. Data were gathered using a questionnaire. Content validity of the questionnaire was examined by the expert panel. The internal consistency of the questionnaire was 0.81. Data were analyzed in the SPSS using descriptive statistics and spearman statistical test.

Results: The range of age was 22-53 (34.5±8.2). The majority of the respondents (88.6%) were female, 57.6% were married and 84.8% were staff nurses. From the majority of nurses&apos perspective, the meaning of conflict was discoordination, disagreement and disparity. However, some of the nurses meant it as violence, and difficult issues. About 41.4% of the respondents used negotiation, when they faced up to conflict. Other strategies were aggression, disagreement, avoidance, forgiveness, ignorance, and imposing own ideas to the others. From the respondents&apos point of view, factors that might cause or control the conflict were "mutual understanding and interaction" (32.4%), personality of nurses and their individual characteristics (26.6%), and conditions of the job (21.7%). Interaction was recognized to be the core strategy in conflict control model. Interaction had also significant associations with the five main variables in this study.

Conclusion: Lack of appropriate and efficient communication was an important factor in occurrence of conflict from the nurses&apos point of view. It is essential to improve nurses&apos and managers&apos communication channels by helping personnel to use effective communication skills. This measurement can be helpful for staff in understanding each other and reducing misconceptions. In addition, recognizing additional factors and variables that increases the occurrence of conflict can help to modify effective approaches.

Background & Aim: Anxiety is a common experience which is felt as uneasiness, non-specific threat, and activation of autonomic nervous system. The aim of this study was to assess the effect of muscular relaxation on anxiety level of patients underwent cardiac catheterization.

Methods & Materials: In this clinical trial, 118 patients who were expected to have a cardiac catheterization were recruited from an educational hospital at Tehran University of Medical Science. The participants were allocated to two groups, including muscular relaxation group (50 patients), and control group (68 patients). Data were collected using a questionnaire, and a self-report paper for recording anxiety level. Anxiety level was recorded one hour before cardiac catheterization in two groups. Then, the intervention group was asked to listen to the Benson muscle relaxation guide direction tape for 20 minutes through headphone. After using muscle relaxation in the intervention group and immediately before cardiac catheterization, the anxiety level of the respondents was recorded once more. Control group received standard nursing cares. Data were analyzed using χ², Fisher&aposs exact test, Kruscalwallis, Man-Whitney and Wilcoxon statistical tests in the SPSS.

Results: There were no significant difference between two groups in demographic characteristics and anxiety level before the intervention and one hour before cardiac catheterization. After the intervention, the anxiety level was significantly reduced in the intervention group (P<0.001) while it increased in the control group.

Conclusion: Based on the results of this study, Benson muscle relaxation significantly decreased anxiety level in patients who were expected to go for cardiac catheterization.

Background & Objective: Nurses&apos perspective on organizational climate can affect job satisfaction and quality of care. Organizational climate influences staffs&apos attitudes and behaviors in either positive directions, such as productivity, satisfaction, and motivation, or negative directions, such as absenteeism, staff turnover, and work accidents. The purpose of this study was to determine factors that influence the nurses&apos perspectives about organizational climate.

Methods & Materials: This descriptive study was carried out in four educational hospitals in Tehran during fall 2009. A total of 140 nurses were selected for the study using simple sampling method. Data were gathered using organizational climate questionnaire including 25 items about in-service education, work communication, group participation, leader supervision, job promotion, and work policies and standards. Data were analyzed in the SPSS v.13.

Results: The most important dimensions of organizational climate from the respondents&apos point of view were: leader supervision (31.4%), coworker communication and support (19.26%), and skills in practice (17%). The most important negative factors that influenced the nurses&apos perspectives were: lack of reward system (49.3%), high work pressure (47.1%), and lack of participation in important decision-makings (39.3%). The most important positive factors influenced nurses&apos perspectives were: adequate job information (63.6%), having good communication with coworkers and having supportive coworker (47.9%), and having good communications with the leaders (40.7%).

Conclusion: Using effective communication skills and making supportive systems in hospitals can help to create optimal organizational climate and may reduce rate of job dissatisfaction, absenteeism, and staff turnover.

Background & Objective: Preterm labor is a major risk factor of mortality and morbidity in newborns and fetuses. Low birth weight is also a risk factor for mortality and various neonatal diseases. This study aimed to determine the association between the CRP levels in first trimester of pregnancy with low birth weight and preterm labor.

Methods & Materials: In this prospective cohort study, we measured serum CRP levels in 400 pregnant women up to 20 weeks of gestation. All participants were followed up to delivery. Preterm labor was defined as delivery before 37 weeks of gestation. Low birth weight was defined as weight less than 2500 g at birth. Statistical analysis was done using Chi-square, Logistic regression, and ROC curve. P-values less than 0.05 were considered to be significant.

Results: After controlling for the effects of age above 35 years, mothers&apos occupations, history of preterm labor, socio-economic status, history of abortion, primiparity, and passive smoking, logistic regression analysis showed statistically significant relationship between the CRP and preterm labor (P-value=0.000, OR=1.24, %95 CI=1.11-1.38). However, there were no significant relationships between the CRP levels with other factors. Using Roc curve, we determined CRP cut-off point level for preterm labor. With 81% sensitivity, and 64% specificity, CRP cut-off point was 3.45 mg/l. After controlling for the effects of low socio-economic status, history of LBW, history of abortion, gravidity, primiparity, and passive smoking, logistic regression analysis showed statistically significant association between the CRP levels and LBW (OR=1.31, CI %95=1.08-1.59, P=0.005). However, there were no significant relationships between CRP levels with other factors. CRP cut-off point level for LBW was determined using Roc curve. With 87.5% sensitivity, and 74% specificity, CRP cut-off point was 4.75 mg/l.

Conclusion: It seems that the inflammatory marker, CRP, can be used to identify women who are at high risk for preterm labor and LBW. However, larger studies are needed to establish this relationship definitively

Background & Aim: Micronutrients deficiency is one of the most common health problems among adolescents. Theory based educational interventions which address learners&apos preferences are among the solutions for the matter in hand. The aim of this study was to determine the effectiveness of the Transtheoretical model (TTM) based educational package on vitamin intake in female adolescents in Tehran.

Methods & Materials: A randomized community trial was applied. Study samples were consisted of 80 female students from two middle schools of Tehran, district 17^th. They were selected using a cluster-random sampling method and were randomly assigned to the intervention (n=40) and control groups (n=40). The intervention group received a TTM-based educational package. Changes in vitamin intake were assessed using standard food frequency & 24-recall questionnaires.

Results: Based on pre-test results, intake of vitamin B2, B6, B9, B12, and C were lower than Dietary Reference Intake (DRI) in both groups. Based on the post-test data, a significant increase occurred in the mean score of vitamin intake in the intervention group comparing with the control group and also with the intervention group at pretest (P<0.05).

Conclusion: TTM-based educational package could be effective in improving vitamin intake in urban female adolescents.

Background & Objective: Invasive procedures are severe stressors for
in-patient children. The stress result in sleep disorder, reduced concentration, and increased pain. Nowadays, pharmacologic and nonpharmacologic interventions are used to control stress. We aimed to assess the effect of massage on children&aposs anxiety level before intensive procedures.

Methods & Materials: In this clinical trial, 70 children aged 7-11 were recruited from a children hospital. The participants were randomly allocated to the intervention and control groups. The intervention group received massage therapy in the Yeen tang point and palms for five minutes. The control group received the usual care. Anxiety was measured using OSBD-R. Data were analyzed using Mann-Wittny and Willcoxon statistical tests.

Results: The anxiety level was not significantly different between two groups before the intervention (Control group: 3.24±0.48 Intervention group: 3.24±0.56) (P=0.472). Following the massage, the anxiety level decreased significantly in the intervention group (Intervention group: 1.57±0.54 Control group: 3.37±0.46) (P<0.001).

Conclusion: Massage in the Yeen tang point and palms can reduce the anxiety level in hospitalized children prior to invasive procedures. It is recommended to use this massage technique in pediatric wards to reduce anxiety level.

Background & Objective: Illness, hospitalization and pain are often first crisis children faced with in their early life. Performing painful procedures such as IV injections for medical purposes are inevitable and stressful events in pediatric wards. Distraction is an inexpensive, practical, and nonpharmacological nursing intervention for pain relief. This study aimed to determine the effects of distraction on some physiological indices (heart rate and O₂ saturation (and intensity of pain in the hospitalized children aged 3-6 years undergoing IV injection.

Methods & Materials: In this clinical trial, 72 children aged 3-6 years who were undergoing IV insertion were recruited for the study. The participants were randomly allocated into two groups of intervention and control. Distraction technique was applied using bubble-maker in the intervention group. After 10 minutes, pain intensity was measured using OUCHER scale. Moreover, heart rate and blood oxygen saturation were measured for three minutes in both groups using Pulse Oxymeter pre- and post-intervention.

Results: The findings showed statistically significant differences in the average heart rate (P<0.01) and the amount of saturated oxygen (P<0.009) and the pain intensity (P<0.001) between two groups after the intervention. The pain decreased significantly in the intervention group in comparison with the control group.

Conclusion: According to the research findings, distraction with bubble-maker resulted in decreasing the physiological responses and intensity of pain in children aged 3- 6 years. This method can be useful in reliving the pain in preschool children undergoing IV insertion.

Background & Objective: Regular and adequate physical activity is a major factor in maintaining good health throughout entire life course. Levels of inactivity are high in all countries. Effective educational interventions are needed to promote physical activity in all populations. The aim of this study was to determine the effect of a heath education intervention on physical activity knowledge, attitude, and behavior in health volunteers of Tehran in 2008.

Methods & Materials: All active female health volunteers of Tehran, district 14 (n=100) were recruited for this experimental study. Data were gathered using a questionnaire of knowledge, attitude, and behavior regarding physical activity. The questionnaire was completed by all participants in two phases of pre- and post-intervention (four weeks after the intervention). Health education intervention strategies were presented to the intervention group during three educational sessions with one week interval between the sessions. Data were analyzed using related statistical tests.

Results: Findings showed significant statistical differences in knowledge, total physical activity rate per week, and the mean sitting time per day between the control and intervention groups after the intervention (P<0.05). While, these variables were not significantly different before the educational intervention among both groups.

Conclusion: The health education intervention presented in this study was effective in promoting knowledge, total physical activity rate per week, and mean sitting time per day among the female health volunteers.

Background & Aim: Gestational diabetes is a major concern during pregnancy. Psychological factors such as self-efficacy play important role in adherence of the treatment, control of blood glucose, and the outcomes of the pregnancy. The main purpose of this study was to determine correlations of self-efficacy in women with gestational diabetes attending to educational medical centers of Iran University of Medical Sciences in Tehran.

Methods & Materials: In this descriptive correlational study, we recruited 100 women aged 15-49 years old with gestational diabetes and singleton pregnancies using consecutive sampling method. Data were collected using Diabetic Self-Efficacy scale.

Results: The mean age of the women was 31 years. The majority of the women (66%) had moderate economic status and more than half (60%) had no higher education. Sixty eight percent of the study participants were obese or overweight. About 33% of the participants were nullipara and 69% had wanted pregnancies. The results showed that 43% of the women had low self-efficacy. The self-efficacy scores were significantly correlated with education (P=0.005) and occupation (P=0.016).

Conclusion: Self-efficacy is an important determinant of self-management and self-control in gestational diabetes. Regarding low self-efficacy among the women, it seems that implementing educational-counseling strategies to enhance self-efficacy can be helpful to promote optimum self-care among women with gestational diabetes

Background & Aim: Childbearing is a potentially traumatic event in the lives of women and can lead to post traumatic stress disorder in some women. This study aimed to determine the prevalence and predisposing factors of post traumatic stress disorder after childbearing in women in Bushehr.

Methods & Materials: In this cross-sectional study, 400 women who attended the medical centers 6-8 weeks after delivery were recruited to the study. Participants with traumatic delivery were included in the study. They completed the posttraumatic symptoms scale-I (PSS-I), and predisposing factors questionnaire. Data were analyzed in two groups of women with the PTSD and without PTSD using Chi-square and Fisher&aposs exact test with P=0.05.

Results: The results of this study showed that 54.4% of women had experienced a traumatic delivery and one-third of the women were affected to PTSD after childbearing. There were significant differences between obstetrical factors including complications of pregnancy, wanted pregnancy, post-partum complications, interval of the last two pregnancies less than two years neonatal factors including type of feeding, issues of child care, birth weight and psychological factors including stressful life events, and maternity social support with the PTSD (P<0.05). Income had statistically significant association with the PTSD (P<0.05).

Conclusion: Some of obstetrical, neonatal and psychological factors are associated with occurrence of the PTSD after delivery

Background & Aim: Diet adherence is a major issue in cardiovascular diseases control. Patient education could be a valuable strategy for promoting diet adherence. The aim of this study was to compare the effects of computer-assisted vs. face to face education on dietary adherence among patients with myocardial infarction.

Methods & Materials: In this experimental study, 117 patients with the first acute myocardial infarction were selected via a convenience sampling. The participants were randomly allocated into three groups. Patients in the face to face group (n=43) received an education about diet in two two-day sessions. The computer-assisted education group (n=33) received the same educational plan provided by computer software containing audio, text, images and animations at home. The control group (n=41) received their usual care. Adherence to dietary regimen was assessed three months after the educations.

Results: There were not significant association between the three groups in terms of demographic characteristics and disease history. There were no significant different in unhealthy diet adherence between the three groups. There were not significant differences in healthy diet between the computer-assisted and face to face education groups. The computer-assisted education group had significantly better adherence with the consumed amount of fats (P=0.01), useful meat substitutes (P=0.01), and other foods (P=0.012) than the control group. In addition, the face to face education group had significantly greater adherence scores with consuming meat substitutes (P=0.04), and fats (P=0.04) than the control group.

Conclusion: Both computer-assisted and face to face educational strategies had positive effects on improving adherence following myocardial infarction.

Background & Objective: Osteoporosis is a serious metabolic bone disorder and a major health concern in women. Osteoporosis affects the quality of life of women. Studying the osteoporosis related food habits and behaviors can promote health promotion program planning. It seems that female teachers are the best models and educational sources for female students. This study was carried out to determine the osteoporosis related food habits and behaviors among female teachers.

Methods & Materials: This study was a cross-sectional study in which 308 female teachers were randomly selected using stratified sampling method from the schools of the 6^th district of Tehran. Data were collected using a questionnaire and analyzed using student t-test, one-way analysis of variance and Tukey test.

Results: Mean score of osteoporosis related food habits and behaviors was 14.9±4.2 (out of a possible 24 maximum attainable score). Osteoporosis related food habits and behaviors score was significantly higher in the teachers who had higher knowledge score, aged more than 50 years old, had worked for more than 25 years , had used educational books and booklets as the first informational source, and among the post- menopausal teachers (P<0.03).

Conclusion: According to the findings, the teachers demonstrated average level of osteoporosis related food habits and behaviors, whereas their mean calcium intake was relatively adequate, but their other food habits and behaviors were relatively inappropriate. It seems developing and implementation of educational programs and offering educational booklets to teacher can help to promote their food habits and behavior which may be helpful in enhancing students&apos food habits.

Background & Objective: Labor pain management is one of the most important procedures of midwifery cares. Acupressure, a non-pharmacological method of labor pain relief, is an available, easy to use, inexpensive, and without side effect method of pain relief. The purpose of this study was to compare the effects of LI-4 acupressure on labor pain in women during first stage of labor.

Methods & Materials: A single blind randomized clinical trial study was carried out on 83 primipara women. The inclusion criteria were singleton pregnancy in 38-42 weeks of gestation, cephalic presentation, and spontaneous uterine contractions. Participants were divided into three groups including acupressure group, touch group, and the usual care (control group). The intensity of labor pain was measured using visual analog scale with the rating from 0-100 mm immediately, 30 minutes, and one hour after the intervention during the first stage of labor. Data were analyzed using statistical tests of ANOVA, Chi-square, and Exact chi-square.

Results: Findings indicated that acupressure group had lower labor pain in the active phase of the first stage of labor immediately after intervention than the other groups (P=0.026).

Conclusion: The results of this study suggested that LI4 acupressure reduced the intensity of labor pain in the first stage of labor without any side effects to mother and infant. This procedure can be used as a simple, safe and inexpensive method to relief labor pain.

Background & Aim: Parents participation in management of diabetes has been recognized to be beneficent. Recognizing parents&apos worries should be addressed to plan effective health promoting programs. This study aimed to explore parents&apos worries about life problems of adolescent girls with diabetes.

Methods & Materials: In this qualitative study, 26 parents (16 mothers and 10 fathers) of adolescent girls with type 1 diabetes were recruited using purposive sampling from the Diabetes Society in west Azerbaijan. Data were collected using in-depth and semi-structured interviews. Analysis of the transcripts was guided by qualitative content analysis.

Results: Qualitative content analysis demonstrated three original categories from parents&apos worries: 1) worries about the future 2) worries about the treatments and 3) worries about the society.

Conclusion: Better perception of parents&apos concerns may promote effective communication between health professionals and parents. Modification of parents&apos personal control and perceived threat through appropriate educational programs that acknowledge and address their concerns may be a means of empowering parents.

Background & Aim: Healthcare classification systems help to gather information and process health data. Nursing management focus on developing computerized records to answer legal, managerial and clinical needs. The Classification systems help organizations to use nursing data. This study investigated informational and structural needs of nursing data classification.

Methods & Materials: This descriptive-comparative study was carried out in 2009. Current classification systems for nursing were investigated and their specifications were gathered in a questionnaire. The items were prioritized by experts in four degrees. Using statistical analysis items with a priority over 80 percent (average 2.4) were selected.

Results: Findings about nursing diagnosis, intervention and outcomes showed that diagnosis item (average 2.93 out of 3), intervention item (average 2.52 out of 3), and outcome item (average 2.84 out of 3) should be presented in the system. Structure of nursing data classification was identified as a hierarchical and combinational classification. The computerized terminology (average 1.86 out of 3) had no priority.

Conclusion: It is suggested to make decisions for standardizing nursing data to use in computerized systems. Since, nursing system in Iran is moving toward defining tariff for nursing services, coding nursing care components will help this plan to be developed.