Background & Aim: The objective of this study was to investigate perspectives of managers regarding change management in nursing and midwifery schools.

Methods & Materials: In this qualitative study, we used a descriptive exploratory approach with triangulation. We used snow ball sampling to recruit faculty members of nursing and midwifery schools in Tehran. The participants were included in the study if they had at least 1-year experience as a faculty member. Data were gathered using semi-structured interviews in which a guide and field notes were used. Data were saturated after observing repetition of the codes. Latent content analysis was used for data analysis. The trustworthiness was achieved using a prolonged field experience, member check, peer check and sharing the content with two qualitative research experts.

Results: Ten participants (seven females and three males) aged 38-54 were interviewed. Three participants were employed in highly recognized management levels. Immediately after interviews, conceptual codes were extracted. Suggested themes were classified as concentration in management, managers&apos characteristics, and attitude toward change.

Conclusion: Accordingly, the concept of change management was postulated as the purpose of this study. Furthermore, its influencing factors were identified. The results of this study can be used by faculties of the nursing and midwifery schools to use them according to their organizational culture.

Background & Aim: Endotracheal suctioning (ETS) is a common invasive nursing procedure. Hemodynamic parameters changes during and after the procedure. If appropriate strategies do not be applied during the ETS, hemodynamic changes can be significant and life threatening in critically ill patients. The purpose of this study was to assess the effect of education of endotracheal suctioning on patients&apos hemodynamic parameters.

Methods & Materials: This was a non-equivalent quasi-experimental study conducted in two critical care units in Hazarat Rasool hospital. All nurses working in these two units participated in the study in a period of two weeks. Systolic blood pressure, diastolic blood pressure and mean blood pressure of all patients who needed suctioning were measured before and after the endotracheal suctioning. We analyzed the data using the SPSS.

Results: At baseline, the systolic, diastolic and mean arterial blood pressures increased significantly (P=0.02) in the first and third minutes post-suctioning. In post-education phase, diastolic and mean arterial blood pressure increased significantly (P<0.001) in the first minute post-suctioning. In the third minute post-suctioning, systolic, diastolic and mean arterial blood pressure decreased (P=0.43).

Conclusion: The study findings showed significant changes in hemodynamic parameters after post-endotracheal suctioning. In this study, conducting endotracheal suctioning education improved the outcomes of hemodynamic parameters in patients. Educational programs can improve nursing care outcomes by preventing and minimizing hemodynamic changes during and after the suctioning in critically ill patients.