The effect of telenursing education of self-care on health-promoting behaviors in patients with multiple sclerosis during the COVID-19 pandemic: A clinical trial study.

INTRODUCTION: Multiple sclerosis is associated with decrease in health-promoting behaviors (HPBs) and require appropriate nursing interventions. Telenursing can play an important role in education of patients during the COVID-19 pandemic in which face-to-face education is limited. This study aimed to investigate the effect of self-care education with telenursing approach on HPBs in patients with MS. MATERIALS AND METHODS: In this clinical trial, 68 patients with MS were selected using simple random sampling from Jahrom MS Society and randomly assigned to the intervention (n = 34) and control (n = 34) groups. In the intervention group, educational sessions were held three days a week for six weeks. Data were collected using demographic information and Walker's Health-Promoting Lifestyle questionnaires before and immediately after the intervention. Data were analyzed by Mann-Whitney and Wilcoxon tests using SPSS software (Ver. 21). RESULTS: Based on the findings, immediately after the intervention, the mean score of HPBs was significantly higher (p = 0.005) in the intervention group (145.38 ± 26.66) than the control group (129.18 ± 22.35). The means of nutrition, exercise, health responsibility, and stress management were significantly different between the intervention and control groups immediately after the intervention (p < 0.05). CONCLUSION: results this study indicated that self-care education with telenursing approach was effective on HPBs in patients with MS. It can be beneficial to employ as an educative-supportive approach in MS patients.

A survey of nurses, midwives, and physicians attitudes in regard to health reform plan at Jahrom University of Medical Sciences in 2020.

BACKGROUND: The health reform plan (HRP) is a plan to improve Iran's health systems that began in 2014. The three main approaches of this plan include financial protection of the people, creating justice in access to health services, and improving the quality of services. It predicted that the level of health system responsiveness would increase. Achieving this goal is possible only with the correct implementation. The best people to measure the correct implementation are nurses, midwives, and physicians. Hence, this study was conducted to assess the attitude of nurses, midwives, and physicians about the implementation of the HRP. MATERIALS AND METHODS: This cross-sectional descriptive study was conducted in educational hospitals of Jahrom University of Medical Sciences in 2020. By convenience sampling method, 325 nurses, midwives, and physicians participated in this study. Sampling was done in all work shifts, and in all wards. A researcher-making questionnaire was used to collect data. The scoring did by the Likert scale from (completely agree = 4 to completely disagree = 1). Quantitative and qualitative face and content validity was calculated (IS: 0.84, CVI: 0.92, CVR: 0.87), and its reliability was calculated by Cronbach's alpha method (0.78). The data were analyzed by SPSS software version 16. Descriptive statistics, Mann-Whitney U-test, and Kruskal-Wallis test were used for the data analysis (P ≤ 0.05). RESULTS: In the study, 90.15% agreed with the implementation of the HRP. There was no significant difference between the male and female (P = 0.063). There was a significant difference between the educational degree (P = 0.006), married and the single participants' attitude (P = 0.003), the nurses, midwives, and physicians (P = 0.001). CONCLUSION: HRP is more successful in the field of financial protection, so policymakers should pay more attention to justice in access to health services and improving the quality of services fields.

Relationship between Spiritual Intelligence and Professional Self-concept among Iranian Nurses.

OBJECTIVES: To determine the relationship between spiritual intelligence (SI) and professional self-concept (PSC) among Iranian nurses. METHODS: This is a correlation study. A convenience sampling method was used and 344 nurses were selected from hospitals of Jahrom University of Medical Sciences. Data collection standard tools included two validated scales: Cowin's Nurse Self-Concept Questionnaire (36 items scored ranged from 1 to 8; Maximum score=288; 6 subcategories: General Nurse Self-Concept, Knowledge, Care, Communication, Staff Relation and Leadership) and Abdollahzadeh's SI Questionnaire (29 items scored ranged from 0 to 5; Maximum score=145; 2 subcategories: Relying on the inner core and Understanding and communicating with the origin of the universe. RESULTS: The mean total score of PSC was 220.3±30.61 and 120.67±16.13 for SI. There was a significant statistical correlation between PSC (r=0.348, p<0.0001) and almost all subcategories and SI. The results of the regression analysis showed that SI predicts 13.3% of the variance of PSC (p<0.0001). CONCLUSIONS: Considering the correlation of SI and PSC among Iranian nurses, it is suggested that strategies be used to train and promote the SI of nurses.

Relationship between Spiritual Intelligence and Professional Self-concept among Iranian Nurses / Relación entre la inteligencia espiritual y el autoconcepto profesional entre las enfermeras iraníes / Relação entre inteligência espiritual e autoconceito profissional entre enfermeiras iranianas

Objective. To determine the relationship between spiritual intelligence (SI) and professional self-concept (PSC) among Iranian nurses. Methods. This is a correlation study. A convenience sampling method was used and 344 nurses were selected from hospitals of Jahrom University of Medical Sciences. Data collection standard tools included two validated scales: Cowin's Nurse Self-Concept Questionnaire (36 items scored ranged from 1 to 8; Maximum score=288; 6 subcategories: General Nurse Self-Concept, Knowledge, Care, Communication, Staff Relation and Leadership) and Abdollahzadeh's SI Questionnaire (29 items scored ranged from 0 to 5; Maximum score=145; 2 subcategories: Relying on the inner core and Understanding and communicating with the origin of the universe. Results. The mean total score of PSC was 220.3±30.61 and 120.67±16.13 for SI. There was a significant statistical correlation between PSC (r=0.348, p<0.0001) and almost all subcategories and SI. The results of the regression analysis showed that SI predicts 13.3% of the variance of PSC (p<0.0001). Conclusion. Considering the correlation of SI and PSC among Iranian nurses, it is suggested that strategies be used to train and promote the SI of nurses.

Objetivo. Determinar la relación entre la inteligencia espiritual y el autoconcepto profesional entre las enfermeras iraníes. Métodos. Se trata de un estudio correlacional. Se utilizó un método de muestreo por conveniencia y se seleccionaron 344 enfermeras de los hospitales de la Universidad de Ciencias Médicas de Jahrom. Los instrumentos de recolección de los datos incluían dos escalas validadas: Cuestionario de autoconcepto de la enfermera de Cowin (36 ítems con puntuaciones que van de 1 a 8; puntuación máxima=288; 6 subcategorías: Autoconcepto enfermero general, Conocimiento, Cuidados, Comunicación, Relación con el personal y Liderazgo) y el Cuestionario de Inteligencia Espiritual de Abdollahzadeh (29 ítems puntuados de 0 a 5; Puntuación máxima=145; 2 subcategorías: Apoyarse en el núcleo interno y Comprender y comunicarse con el origen del universo). Resultados. La puntuación total media del Autoconcepto Profesional fue de 220.3±30.61 y de 120.67±16.13 para Inteligencia Espiritual. Hubo una correlación estadística significativa entre el puntaje total de la escala Autoconcepto Professional (r=0.348, p<0.0001) y de casi todas sus subcategorías, con la Inteligencia Espiritual. Los resultados del análisis de regresión mostraron que la Inteligencia Espiritual predice el 13.3% de la varianza del autoconcepto profesional (p<0.0001). Conclusión. Existe correlación entre la Inteligencia Espiritual y el Autoconcepto Profesional entre las enfermeras iraníes. En este sentido, se sugiere que se utilicen estrategias para formar y promover la Inteligencia Espiritual de las enfermeras.

Objetivo. Determinar a relação entre inteligência espiritual e autoconceito profissional entre enfermeiras iranianas. Métodos. Este é um estudo correlacional. Um método de amostragem de conveniência foi usado e 344 enfermeiras foram selecionadas dos hospitais da Jahrom University of Medical Sciences. Os instrumentos de coleta de dados incluíram duas escalas validadas: Questionário de autoconceito do enfermeiro de Cowin (36 itens com pontuação variando de 1 a 8; pontuação máxima = 288; 6 subcategorias: Autoconceito geral de enfermagem, Conhecimento, Cuidado, Comunicação, Relacionamento com a equipe e Liderança) e o Questionário de Inteligência Espiritual de Abdollahzadeh (29 itens pontuados de 0 a 5; Pontuação máxima = 145; 2 subcategorias: Baseando-se no núcleo interno e entendendo e se comunicando com a origem do universo. Resultados. A pontuação total média para o profissional do autoconceito foi de 220.3 ± 30.61 e 120.67 ± 16.13 para Inteligência Espiritual, houve correlação estatisticamente significante entre a pontuação total da escala de Autoconceito Profissional (r = 0.348, p <0.0001) e quase todas as suas subcategorias, com Inteligência Espiritual. Os resultados da análise de regressão mostraram que a Inteligência Espiritual prediz 13.3% da variância do autoconceito ou profissional (p <0.0001). Conclusão. Existe uma correlação entre Inteligência Espiritual e Autoconceito Profissional entre os enfermeiros iranianos,

Spiritual intelligence of adolescents with diabetes based on demographic components.

INTRODUCTION: Spiritual intelligence is better defined as a capacity to discover and develop true meaning, deep purpose, and vision in life. The purpose of the present study was to determine the predictive role of demographic variables affecting the overall spiritual intelligence in diabetic adolescents. METHODS: In 2016, a cross-sectional study was conducted involving 200 adolescents with type 1 diabetes referring to the Iranian Diabetes Association consenting to participate. The inclusion criteria were: age ranging from 15 to 21 years, more than a year since last diagnosed with diabetes, patients' full awareness of their disease, not having other physical-psychological illnesses, and not taking any psychiatric or narcotic drugs. Spiritual intelligence was measured using the Spiritual Intelligence Self Report Inventory questionnaire consisting of 24-questions. The alpha Cronbach's method was applied to validate the questionnaire in terms of content, form, and data with the reliability calculated as 0.903. Demographic data were analyzed using SPSS software version 18. RESULTS: On total, 56% of the participants were female, 17.10 ± 1.85, and the mean duration of diabetes was 5.98% ± 3.79%, 62.5% reported diabetes history among immediate relatives. Forty-two percent of the participants were the oldest child in the family first children of the family and 29.5% were studying at the university. The mean score of spiritual intelligence was 60.42 60.42 ing from 15 to 21 years regression test using the enter method (ANOVA: 0.703, F: 0.739) showed that none of the demographic components explored did not significantly alter the scores that assessed spiritual intelligence. CONCLUSION: The outcome of the current study portrayed that demographic features do not necessarily alter the overall spiritual intelligence scores, thereby not necessarily affecting an individual's overall spirituality.

Comparison of risk factors of cardiovascular diseases in male and female nurses.

INTRODUCTION: Cardiovascular disease is one of the most important causes of mortality in the world; identifying and correcting the modifiable risk factors reduce the prevalence of coronary artery disorders. Nurses, with regard to their employment conditions, can be prone to cardiovascular disease. The aim of this study was to compare the risk factors of cardiovascular diseases in male and female nurses. MATERIALS AND METHODS: In this descriptive cross-sectional study, 263 nurses from Jahrom University of Medical Sciences hospitals were enrolled in the study by convenience sampling. The data collection tool was self-report Framingham Risk Score and has two parts: first part: personal data, history of disease, history, cigarette, stress and fat disorder, alcohol consumption, diet, exercise, and average hours and second part: height, weight, body mass index (BMI), waist-to-stature ratio (WSR), waist-to-hip ratio (WHR), blood pressure, triglyceride (TG), cholesterol, and fasting blood sugar. The benchmark for blood pressure was the JNC-7 guide. The Adult Treatment Panel III was the guideline. Independent t-test, Chi-square, and Mann-Whitney tests were used for data analysis. RESULTS: None of the staff reported smoking or alcohol history. Data were analyzed using descriptive and inferential statistics. There was no statistically significant difference between the mean of fasting blood glucose, systolic and diastolic blood pressure, TG and cholesterol, Framingham percentage, religious practices, green tea and black tea, fish, vegetables, and fast food. The data were analyzed with independent t-test, Chi-square, and Mann-Whitney tests. There was no statistically significant difference between the mean of fasting blood glucose, systolic and diastolic blood pressure, TG and cholesterol, Framingham Percentage, religious practices, green tea and black tea, fish, vegetables, and fast food and sports and walking of men and women were not observed. However, there was a statistically significant difference between women and men in indicators such as eating breakfast, family history, fruit consumption, high-density lipoprotein, BMI, WSR, and WHR. CONCLUSION: The results of the study showed that men are at higher risk for cardiovascular diseases and complications than women.

The relationship between spiritual intelligence with self-efficacy in adolescents suffering type 1 diabetes.

INTRODUCTION: An important construct to consider within diabetes management and the changing landscape of diabetes therapies is self-efficacy. Self-efficacy research holds the potential to inform and assist the diabetes team as well as patients with type 1 diabetes. METHODS: In this descriptive-correlation study, 200 adolescents with type 1 diabetes were enrolled. To measure spiritual intelligence, the 24-question Spiritual Intelligence Self-Report Inventory questionnaire and to measure self-efficacy of diabetes, the Self-efficacy Questionnaire (8 questions) were used. Data collection was conducted by simple sampling. Data were analyzed using Pearson analysis, mean, and standard deviation analysis tests. RESULTS: Nearly 66% of the participants were female, the mean age of the samples was 17.10 ± 1.85 years, the mean duration of diabetes was 5.98 ± 3.79 years, and 62.5% had a history of diabetes in first-degree relatives. Almost 42% of the participants were the first children of the family and 29.5% were studying at the university. The mean score of spiritual intelligence was 60.42 ± 12.9. The mean self-efficacy score was 5.41 ± 1.87. The mean scores in the critical thinking, personal meaning production, transcendental awareness, conscious state expansion were 18.31 ± 4.33, 13.17 ± 3.36, 11.26 ± 3.36, 46.14 ± 1.04, 11.33 ± 1.04, and 11.89 ± 3.9, respectively. Cronbach's alpha level on the level of spiritual intelligence and self-efficacy was 0.903 and 0.082, respectively, at 95% confidence level. There was a significant relationship between spiritual intelligence and self-efficacy (P = 0.026). There was no significant relationship between self-efficacy with spiritual intelligence subscales. CONCLUSION: This study showed that spiritual intelligence correlates with self-efficacy and has a decisive role in improving the health of adolescents with diabetes.

The predictive role of spiritual intelligence in self-management in adolescents with type 1 diabetes.

INTRODUCTION: Self-management leads to blood glucose control and reduced morbidity and mortality in adolescents with type 1 diabetes. Different factors affect the self-management whose role and effect are still unknown. Among the influential factors whose effect is vague are spiritual intelligence, and this study aims to investigate the predictive role of spiritual intelligence in diabetes management. MATERIALS AND METHODS: In this descriptive-correlation study, 200 adolescents with type 1 diabetes were enrolled. To measure spiritual intelligence, the 24-question SISRI questionnaire and to measure self-management of diabetes, the SMOD-A questionnaire (48 questions) were used. Data were analyzed using SPSS software version 18 using linear regression analysis tests. Data collection was conducted by simple sampling. RESULTS: Mean score of self-management of diabetes and spirituality was 86.1 ± 15.1 and 60.42 ± 12.9, respectively. Linear regression test (ANOVA: 0.002, F = 9.839) showed effect on diabetes self-management (ß: 0.218). CONCLUSION: This study showed that spiritual intelligence can predict diabetes self-management, though poorly predicted, and by strengthening it, has a decisive role in improving the health of adolescents with diabetes. Considering the findings of this study, a new window of nurses' performance in managing diabetes based on the promotion of spiritual intelligence in the educational, care, counseling, and support roles of nursing science can be opened.

The effect of melatonin on the lipid levels in menopausal women: A double-blind, controlled, clinical trial.

BACKGROUND: Cardiovascular diseases are the major public health problem in many countries and are responsible for more than half of the deaths in above 50-year-old women. The most common curable risk factor of these disorders is hypoestrogenemia resulting from menopause. The present study aimed to investigate the effect of melatonin on plasma lipid levels in menopausal women. MATERIALS AND METHODS: The present double-blind, placebo-controlled, clinical trial was conducted in 2013-2014 on 240 menopausal women between 40 and 60 years old referring to the Gynecology and obstetrics clinics of Shiraz University of Medical Sciences who were randomly divided into two groups. The intervention group received 3 mg melatonin tablets and the control group received the placebo for 3 months. The data were gathered using the demographic information questionnaire and lipid profile test before and 3 months after the intervention. Then, the data were analyzed through the SPSS statistical software (version 16). The repeated measures analysis of variance, the least significant difference, the independent-sample t, the Chi-square, and Fisher's exact tests were done for data analysis. RESULTS: The two study groups were similar regarding the demographic and clinical variables at the beginning of the study. In the melatonin group, the amount of triglyceride increased from 140.34 ± 48.29 before the study to 151.24 ± 54.60 3 months after the intervention and no significant difference was observed between the two groups in this regard (confidence interval [CI] = 95%, P > 0.05). In addition, no significant difference was found between the two groups concerning low-density lipoprotein cholesterol level (CI = 95%, P = 0.125). CONCLUSION: Melatonin was not effective in reduction of lipid levels. However, further controlled studies are needed to be conducted on the issue.

Risk Factors Of Heart Disease in Nurses.

BACKGROUND: Identifying and correcting the modifiable risk factors reduces the prevalence of coronary artery disorders (CAD). Nurses, with regards to their employment conditions, can be prone to cardiovascular disease (CVD). This study aimed to determine the prevalence of cardiovascular risk factors among nurses. MATERIALS AND METHODS: In this cross-sectional study, census sampling was conducted among nurses of Jahrom, Iran, in 2014. Data were collected through interviews, blood pressure measurement, anthropometric parameters, and blood sample collection. To analyze the data, descriptive statistical analysis, and comparative (independent t-test) and correlation (Pearson) tests were used; the significance level was considered to be P < 0.05. RESULTS: In this study, 263 (89.76%) nurses participated, 79.8% of whom were women. The mean age of the participants was 31.04 (6.97). In terms of body mass index, 41.7% was the waist-to-hip ratio, 16.7% was the waist-to-height ratio, and 63.1% were in the range of obesity. In addition, 5.7% had abnormal triglyceride, 4.9% had high cholesterol, and 15.1% had high blood pressure. The mean percentage of the Framingham risk score of the participants was 1.07 (1.84). CONCLUSIONS: In this study, the total mean percentage of the Framingham risk score of the nurses was 1.07, which showed a low risk of CAD in the study population over the next decade.

The Effect of Omentoplasty on the Rate of Anastomotic Leakage after Intestinal Resection: A Randomized Controlled Trial.

Anastomotic leakage is a major postoperative complication after intestinal surgery leading to increased risk of morbidity and mortality. Omentoplasty has been evaluated to prevent anastomotic leakage in several studies. However, there is no consensus regarding whether or not omentoplasty should be used to decrease the rate of anastomotic leakage after intestinal resection. A prospective, randomized study was conducted to evaluate the influence of omentoplasty on anastomotic leakage after intestinal resection. A total of 124 patients who underwent intestinal resection were enrolled in this prospective study. Patients were randomly assigned to receive either the omentoplasty or nonomentoplasty. In the omentoplasty group, the omentum was wrapped around the anastomotic region. Age, gender, site and type of anastomosis, duration of hospital stay, and performance of omentoplasty were recorded. This study was registered in Iranian Registry of clinical trial (number: IRCT201412316925N3). The rate of anastomotic leakage was significantly lower in the omentoplasty group (P = 0.04). Patients in the omentoplasty group developed a significantly lower rate of postoperative infection and peritonitis (P < 0.05). There was no significant difference of abscess and fistula formation between the two groups (P > 0.05). The length of hospital stay was longer in the nonomentoplasty group, compared with that for omentoplasty patients (P < 0.05). No death occurred in the omentoplasty subjects, while six nonomentoplasty patients died (P < 0.05). Our data demonstrated that omentoplasty is useful to lower the rate of postoperative complications in patients underwent intestinal surgery.

Effect of recorded male lullaby on physiologic response of neonates in NICU.

PURPOSE: Most infants in the NICU are exposed to sensory overloads and deprivations as part of their care. This study conducted to assess the effect of lullaby on physiologic response of neonates admitted to NICU. METHOD: This is a randomized double-blind intervention trial which was performed on 52 neonates in Jahrom (Iran) 2013-2014. The samples were randomly assigned into lullaby group and a control group (sampling was sequential and randomization was by lottery). Neonates in lullaby group (n=26) listened to male lullaby via headphones during 3days and daily for 20min. Headphones without sound were placed for the control group (n=26) during this period. Immediately before the intervention, 10min later, 20min after the start and 20min after the completion of it, changes in heart rate and oxygen saturation were recorded by heart monitor, then data were analyzed by software SPSS:V 21, Greenhouse-Geisser test, repeated measures and t-test. RESULTS: The mean of Heart rate in secondday at 20th and 40th minutes in lullaby group were less than control and this differences were significant (respectively p=0.013, 0.026). Also the blood oxygen saturation levels on the first day at 20th minutes, secondday at 10th minutes-20th and 40th minutes and the third on 40min were significantly different among groups. CONCLUSION: Lullaby (male voice and without music) could significantly reduce heart rate and increase blood oxygen saturation of neonates. Future studies are required to make music as a part of evidence-based strategies to promote outcome of neonates in NICUs.

Comparison Patients and Staffs Satisfaction in General Versus Special Wards of Hospitals of Jahrom.

INTRODUCTION AND AIMS: Patient satisfaction is the most important indicator of high-quality health care and is used for the assessment and planning of health care. Also, Job satisfaction is an important factor on prediction and perception of organizational manner. The aim of this study is to identify and compare patient and staff satisfaction in general versus special wards. MATERIAL AND METHOD: In order to identify the various indicators of satisfaction and dissatisfaction, a descriptive study (cross sectional) was done to assess patients' satisfaction with in-patient care at Jahrom University of Medical Science hospitals. The sample size was 600 patients that selected by sequential random sampling technique and are close to their discharge from the hospital. Patients were asked to indicate the scale point which best reflected their level of satisfaction with the treatment or service. Also we assess the staff satisfaction (sample size was 408 staffs) in general ward using a researcher made questionnaire. It should be noted that the participants were anonymous and there was no obligation to participation. We tried to set a secure and comfortable environment for filling out the questionnaire. RESULTS: Among 600 patients, 239 (n=38.67%) were men and 368 (61.33%) were female. Number of nurses was 408, of which 135 (33.08%) were men and 273 (66.92%) female. There was a significant correlation between working experience and professional factors of personnel. The mean total patient satisfaction in general and special wards is (2.75±.35, 3.03±.53) respectively. Differences of patient satisfaction in domains such respect, care and confidence in general wards versus special ward were statistically significant, but there was no difference in expect time of patients in these wards. Differences Between the mean patient and staff satisfaction in the general wards versus special wards were statistically significant using independent t-tests (p=.018, p=.029). Spearman test showed a statistically significant correlation between patient and staff satisfaction (p=.044). CONCLUSION: For improving quality of medical services and effective functioning needs maximizing efforts to obtain full patient and staff satisfaction.

Effect of streptokinase on reperfusion after acute myocardial infarction and its complications: an ex-post facto study.

INTRODUCTION: Emergency treatment of patients with acute myocardial infarction is very important. Streptokinase in Iran is often as the only clot-busting medication is used. The purpose of using streptokinase medication is to revive the ischemic heart tissue, although has dangerous complications too. Therefore, the present study aimed to determine the effect of streptokinase on reperfusion after acute myocardial infarction and its complications, has been designed and conducted. MATERIALS & METHODS: This is an Ex-post facto study. The study population included patients who suffer from acute myocardial infarction. The sample size was 300 patients, and 2 groups were matched, in variables of age, sex, underlying disease, frequencies and area of MI. Data collection did by researcher making questionnaire, that accept face and content validity by 10 expert researcher, the reliability was conducted with Spearman's test (r=0.85) by Test-retest method. Data analysis did by SPSS software: V 12. FINDINGS: Mean of EF in SK group was (46.15±8.11) and in control group was (43.11±12.57). Significant relationship was seen between SK, arrhythmia occurring and improve EF reperfusion by chi-square test (p=0.028), (p=0.020).The most arrhythmia in SK group was Ventricular Tachycardia (20.7%). Significant statistical relation between SK and mortality were found by Chi-square test (p=0.001). But a meaningful statistical relation was not found between SK and pulmonary edema incidence (p=0.071). CONCLUSIONS: Nurses of CCU should be aware about SK complications such as hypotension, bleeding and arrhythmias. Proposed compare SK and tissue plasminogen drug in reperfusion and complications effect.

Comparison between current and ideal condition of educational justice from the students' viewpoints at Jahrom Nursing and Paramedical School.

INTRODUCTION: Educational justice is a process by which all those involved in education are pondering and seeking to establish it in their regulatory environments. This study aimed to investigate effective factors in an ideal educational justice and the current condition of educational justice from the students' viewpoint and ultimately increase the awareness and understanding of authorities and educational planners of the existing shortcomings.  METHODS: This is a descriptive-analytical study. Samples include all nursing, operating room, and anesthesia students of nursing and paramedical college who had passed at least 5 semesters. Data collection was carried out through a scholar questionnaire. Validity was assessed through content validity and reliability of the questionnaire was evaluated using a pilot study.  In order to determine the status of the scores, 5 points (very high), 4 (often), 3 (moderate), 2 (low) and 1 (very low) were assigned, respectively. To determine the justice level, a 35 score interval was considered as very low, low, medium, high and very high. SPSS software, descriptive statistics, independent t-test and ANOVA were used to analyze the data.  RESULTS: There was a significant difference between the ideal and the current conditions in all items (p≤0.001) and also in the total mean score of ideal condition  and mean score of current condition (p=0.010). CONCLUSION: In an educational system, educational methods and aims should be regulated in a way that principles and components of justice are attainable and distribution and allocation of educational facilities of justice are considered thoroughly.