Background: Sleep, as a reversible phenomenon, is vital for maintaining energy and enhancing the quality of life. Sleep disorders after burn accidents may have biopsychological effects on burn patients, years after the initial injury. This study evaluated the quality of sleep in patients with chronic burns. 
Methods: A descriptive cross-sectional study was conducted on 100 patients referred to the Subspecialty Hospital for Burns in Tehran, Iran 6 months after their discharge for reconstructive surgery. Pittsburgh Sleep Quality Index was used to collect the study data. The participants were recruited by convenience sampling method. The obtained data were analyzed by Chi-square test using SPSS. 
Results: According to the results, 38% of the participants had experienced good sleep quality (Mean±SD: 3.3±0.9), but 62% reported poor sleep quality (Mean±SD: 9.96±3.2). There were statistically significant associations between sleep quality and gender (P=0.039), material status (P=0.003), occupational status (P=0.000), educational level (P=0.04), burn surface (P=0.02), and duration after burn (P=0.028). No statistically significant association was found between sleep quality and patients’ age, burn surface, and monthly income.
Conclusion: Evaluation of sleep adequacy should be a routine component of outpatient assessment in patients with burn, with the consideration of referral to a sleep specialist, as needed. 

Background: Pain management of children with a burn is one of the most important issues in pediatrics medicine. Non-pharmacological methods of pain control can play an important role in suitable some patients. This study was aimed conducted with the aim ofto investigating investigate the effect of Medical-directed play on the severity of pediatric pain during burn dressing change in children.
Methods: A randomized controlled trial was conducted on 82, 3- to 6- year-old children referring to a burn center in Tehran, Iran, for their first burn dressing change. The children were assigned into control (n=41) and intervention (n=41) groups by random allocation method. The Face, Legs, Activity, Cry, Consolability (FLACC) scale was used to measure the severity of pain before and during the dressings. The arterial blood oxygen level and pulse rate were also measured by a pulse oximeter. In the intervention group, the children were taught about the dressing steps 15 minutes before starting the procedure using a doll. The control group received routine care. The pain intensity, pulse rate, and arterial blood oxygen were compared between the groups by the Independent t-test, Paired t-test, Chi-square, and Fisher’s exact exact-test using in SPSS V. 20. 
Results: There was a significant difference between the groups between regarding the mean score of pain intensity during dressing between the groups (P=0.041). A significant difference was also found in the mean heart rate of the groups during dressing (P<0.001). No significant difference was seen in the arterial blood oxygen saturation between the groups.
Conclusion: Medical-directed play effectively reduces pediatric procedural pain through children’s cooperation during dressing changes. This cost-effective, non-invasive technique can be widely used for pain management in children with a burn.

Background: Donor milk is a newly emerging phenomenon in Iran and its banks are currently operating at a limited level. Nurses’ knowledge and attitudes toward this issue play a key role in the adoption of human donor milk by families. This study aimed to determine the knowledge and attitude of nurses working in Neonatal Intensive Care Units (NICUs) regarding the use of human donor milk and its advantages and disadvantages.
Methods: This research was a descriptive cross-sectional study. One hundred nurses working in the NICUs of three hospitals affiliated to Iran University of Medical Sciences were recruited by census method. The study data were collected by “nurses’ questionnaire towards donor milk and the pros and cons” and “attitude of nurses towards donor milk”. The obtained data were analyzed by the independent t test and analysis of variance in SPSS V. 22.
Results: Most nurses had appropriate knowledge about donor milk. About 68% of them believed that human donor milk would reduce the growth rate of the baby, but 33% said that the formula milk was easier to find and less stressful than donor milk. Nurses did not express a positive attitude toward donor milk in most questions. Approximately 48% were opposed to receiving human donor milk. Forty-five percent of the nurses blamed its costs and investment as the strongest barriers toward consuming donor milk in their cities. Around 68% supported the establishment of a human milk bank in the area or city where they work and reside. The results also showed the knowledge (P=0.031), and attitude (P<0.00) of the nurses were significantly associated with their marital status.
Conclusion: The nurses had appropriate knowledge about human donor milk; however, in most cases, they lacked a favorable attitude toward it. It seems that cultural and religious issues might have played a role in this respect.