Background: Infection with human papillomavirus (HPV) is a major public health problem and the primary cause of cervical and other HPV-related cancers. Nursing students are the future healthcare providers and can serve as a resource for HPV education and vaccine promotion. However, the gender difference of HPV awareness and vaccine acceptance may also influence their willingness to provide appropriate health education. Aim: To assess gender differences in knowledge of HPV and acceptance of HPV vaccination among first-year nursing students. Methods: A descriptive cross-sectional design was conducted on 306 first-year nursing students at the Faculty of Nursing, Kafr El-Sheikh University, Egypt. Data collection was done using three instruments, which are: Tool I: Sociodemographic and Background Characteristics Questionnaire, Tool II: Human Papillomavirus Knowledge Questionnaire (HPV-KQ), and Tool III: Carolina HPV Immunization Attitudes and Beliefs Scale (CHIAS). Results: The mean age of the nursing students was 20.03±1.19 years. Female students scored higher in HPV knowledge than male students (12.41 ± 8.77 vs. 10.67 ± 9.42, p = .04) and scored higher in immunization acceptance (63.71 ± 10.71 vs. 50.34 ± 11.41, p = .02). HPV knowledge was positively correlated with immunization acceptance (r = .44, p < .001) and the correlation was moderate. Multiple linear regression analysis showed that age, gender, first career choice and attendance at HPV training were significant predictors of HPV knowledge, explaining 14% of the variance (R² =.14). Age, marital status, and attendance at HPV training were significant predictors of acceptance of immunization, explaining 8% of its variance (R2 =.08). Conclusions: First-year nursing students had relatively low HPV knowledge but relatively higher immunization acceptance scores. Female students scored significantly higher than males in both knowledge and acceptance. HPV knowledge was positively associated with immunization acceptance, although demographic and training factors explained only a limited proportion of its variation. Recommendations: Integrate structured, gender-inclusive HPV education into first-year nursing curricula, focusing on HPV prevention, vaccination, and evidence-based counselling.
Background: A colostomy is one of the most commonly performed life-saving surgical procedures around the world. Although it is considered as the most suitable therapeutic approach and an efficient method of life saving, it may cause various physical, social, and psychological disorders. Patients’ education plays a key role in the management of stoma problems. Stoma management skills may be greatly promoted by educational nursing program that improve patients’ knowledge, self-care practices skills and self-efficacy. Aim: To evaluate the effect of implementing an educational nursing program on knowledge, self-care practices, and self-efficacy among patients with colostomy. Methods: A quasi-experimental design (one - group pretest – posttest design) was conducted at the inpatient colorectal surgery department at Alexandria Main University Hospital and the inpatient surgical department at Medical Research Institute. A convenience sample of 70 adult patients with colostomy was included in the study. Tools: Four tools were used to collect necessary data. Tool I: Socio-demographic and Clinical Data. Tool II: Knowledge of Patients with Colostomy Structured Interview Schedule. Tool III: Self-care performance checklist of colostomy patients. Tool IV: Stoma Care Self-Efficacy Scale. Results: The study showed significant improvement in the level of knowledge, self-care practices, and self-efficacy among studied patients post implementation of the educational nursing program (p < 0.001). Knowledge retention was maintained over time among studied patients. Conclusion: the implementation of the educational nursing program had marked positive effect on the knowledge, self-car practices, and self-efficacy among patients with colostomy. Recommendations: All patients undergoing ostomy surgery should be provided with illustrated educational booklet regarding, characteristic of healthy stoma, life style modification and stoma and peristomal skin care.
Background: Psychiatric nurses are frequently confronted with emotionally taxing circumstances that may exacerbate their susceptibility to occupational burnout and impede their capacity to modulate emotions. Metacognitive training has the potential to improve the capacity of nurses to manage emotional responses and increase their awareness of their thinking patterns. Aim: This study aimed to evaluate effectiveness of a metacognitive training program on emotion regulation and burnout among psychiatric nurses. Method: From February 2026 to April 2026, a quasi-experimental pre-test/post-test control group design was employed. Shebin El-Kom in Menoufia Governorate and Benha in Qalyubia Governorate, Egypt's Mental Health and Addiction Treatment Hospitals, were the sites of the research. A total of 140 psychiatric nurses were chosen with simple random from the specified settings. Of these, 70 were allocated to the intervention group, which received the metacognitive training program, and 70 were assigned to the control group, which did not. Four valid instruments were used for data collection: Instrument I, a structured interview questionnaire for assessing the sociodemographic characteristics of the studied psychiatric nurses; Instrument II, the Metacognitions Questionnaire-30 (MCQ-30); Instrument III, the Emotion Regulation Questionnaire (ERQ); and Instrument IV, the Maslach Burnout Inventory (MBI). Data were collected and analyzed at two time points: pre-intervention and post-intervention. Results: There were no significant variations in emotional regulation or burnout mean score between the two groups before the intervention. However, the research group showed significant improvements in emotional regulation and decreased burnout after the intervention. Conclusion: the metacognitive training program effectively enhanced emotional regulation and alleviated burnout among the psychiatric nurses who participate in the intervention. Recommendations: Nursing administrators integrate structured metacognitive and emotion regulation training programs into continuing nursing education and in-service training to reduce maladaptive metacognitive beliefs, enhance emotional regulation, and prevent occupational burnout among psychiatric nurses. Additionally, nurse managers establish regular screening and early identification mechanisms for maladaptive metacognitive beliefs, emotional exhaustion, and depersonalization, with timely referral to appropriate psychological support and counseling services when needed.
Background: Osteoporosis (OP) constitutes a significant global public health challenge, contributing to fractures, disability, and elevated healthcare expenditures. Adequate knowledge and health beliefs (HBs) are pivotal for effective prevention. Aim: This study aimed to evaluate women’s knowledge and health beliefs about osteoporosis risk factors. Methods: A descriptive cross-sectional design was employed to study 300 women attending Suez Canal University Hospital. Data was obtained through a structured questionnaire administered during interviews, and the collected data were analyzed using descriptive statistical methods, chi-square tests, and Pearson correlation analysis. Results: The majority of participants are between 30 and 45 years old, were married (79.3%), and housewives (72.3%), with secondary education being the most common educational level (47.3%). Overall knowledge regarding key OP risk factors 58% unsatisfactory. Participants demonstrated the highest awareness of non-modifiable female gender factor (78.3%), and modifiable environmental factors, particularly insufficient sunshine exposure (70.0%). Regarding dietary habits associated with bone health, awareness was highest for fruit consumption (71.3%) but suboptimal for dairy intake (46.0%). Participants with higher educational levels demonstrated greater knowledge and significantly improved HBs scores, with both correlations being statistically significant (p < 0.001), and noticed a moderate positive relationship between participants’ knowledge and HBs scores (r = 0.419; p < 0.001) . Conclusion and recommendation: Most women had unsatisfactory knowledge of osteoporosis, while the majority showed positive health beliefs regarding osteoporosis prevention. Higher education and socioeconomic status were associated with better outcomes. Health education programs should be implemented to improve knowledge of osteoporosis risk factors, and preventive behaviors.
Background: High nursing turnover driven by rigid shift systems and burnout compromises healthcare sustainability. Quasi-experimental designs provide a robust framework to isolate scheduling interventions within specific academic medical complexes without randomization. Aim: This study aimed to evaluate the impact of flexible scheduling on staff retention by designing a sustainable nursing work environment. Methods: This study utilized a quasi-experimental research design within 6-months period within the Medical and Surgical Departments at Sohag University Hospitals. Sampling : A purposive, non-probability matching sampling technique was utilized to recruit a total sample of 240 registered nurseswho work full-time. The sample was divided into two statistically equivalent groups based on their administrative units: the Intervention Group (n=120) consisting of nurses from units that deployed the flexible scheduling models, and the Control Group (n=120) consisting of nurses from operationally matched units maintaining traditional fixed rotas. Quantitative operational metrics were gathered via an Administrative Data Extraction Form. Standardized psychometric evaluation was conducted using the McCloskey/Mueller Satisfaction Scale (MMSS) for scheduling satisfaction, the Maslach Burnout Inventory (MBI-HSS) for emotional exhaustion, and the Anticipated Turnover Scale (ATS) for intent to leave.Results: Post-intervention data analyzed via independent samples t-tests revealed statistically significant differences between the groups. The flexible scheduling units achieved a 22% increase in objective staff retention and a 45% drop in short-notice absenteeism. Psychometrically, the intervention group demonstrated significantly higher scheduling autonomy scores (MMSS), lower emotional exhaustion thresholds (MBI-HSS), and a remarkable reduction in the anticipated choice to resign (ATS) compared to the control group (p < 0.05). Conclusion: Implementing automated flexible scheduling models within targeted departments at Sohag University Hospitals proves to be a highly functional operational strategy to secure nurse retention. Recommendations: Providing scheduling autonomy successfully transforms the academic healthcare environment into a sustainable, employee-centered ecosystem.
Simulation-based learning enhances nursing students’ clinical and cognitive skills by providing realistic, active, and experiential learning opportunities. It enables students to apply theoretical knowledge to simulated clinical and managerial situations, and foster decision-making, problem-solving, communication, teamwork, critical thinking, clinical judgment, change management delegation. This study aim was to analyze simulation based learning application effectiveness and it effect on nursing students change management and delegation skills. Design: A quasi- experimental. Setting: Nursing Administration department, Faculty of Nursing, Minia University. Subjects: 4th year students during 1st semester of 2025-2026 (n=452). Tools: five tools were used (SSCLS, EPSS, SDS, CMSS, and DSS). Results: shows that 93.80% of nursing students among group (D) have good satisfaction and self- confidence in learning with simulation, 95.10% have good perception about educational practices used in SBL, and 85.40% have good perception about simulation design used in SBL. After application, the mean score of change management skills is higher among group (D) (53.3584+15.906) than group (C); as well the mean score of delegation skills is higher among group (D) (29.0000+8.922) than group (C). Conclusion: Students of nursing administration course had good perception toward simulation effectiveness. Also, there are statistically significant positive correlations between students’ perception about effectiveness of simulation with change management skills and with delegation skills. Recommendation: Provide adequate simulation laboratories, facilities, equipment, technology, and educational resources required for effective implementation of SBL in nursing administration course
Background: Nurses' performance regarding the care of patients undergoing acute abdominal robotic surgery is essential for ensuring safe and effective outcomes. Beyond understanding the surgical procedure itself, nurses must be well-versed in robotic system functionality, sterile techniques, and the specific perioperative protocols associated with minimally invasive surgery. Aim:Assess nurses’ performance regarding care for patients undergoing acute abdominal robotic surgery. Design: A descriptive exploratory research design was used to achieve the aim of the study. Setting: The study was conducted at the Surgical Intensive Care Units (A & C) in Ain Shams Specialized Hospital, affiliated to Ain Shams University, Cairo, Egypt. Sample: A purposive sample of 52 nurses. Tools: Three tools were used for data collection: Tool I: Nurses' structured interview questionnaire; consisted oftwo parts: Part I: Demographic data of the studied nurses. Part II: Nurses' knowledge regarding acute abdominal robotic surgery.Tool II: Nurses' practice observational checklist. Tool III: Nurses' Attitude Scale. Results: The current study reveals that 75.0% of nurses demonstrated a satisfactory knowledge level, 80.8% demonstrated a competency level of practice, and moreover 84.6% demonstrated a positive attitude regarding care for patients undergoing acute abdominal robotic surgery. Conclusion: The current study concluded that most of studied nurses demonstrated a satisfactory level of knowledge, practice and attitude regarding care for patients undergoing acute abdominal robotic surgery. In addition to, there was a highly statistically significant positive correlation between the studied nurses’ total knowledge, practice, and attitude. Recommendations: Periodically, training programs for nurses in robotic-assisted surgery procedures.
Background: ISBAR Handover helps nursing staff to summarize and describe patient data via communication. Aim: To assess the effect of nursing staff's awareness about ISBAR handover on patients' safety and satisfaction. Study design and methods: A descriptive correlational cross-sectional study. Part (I) regard to nursing staff: Nurses' Personal characteristics & Nursing handover awareness questionnaire. Part (II) regard to patient: Patient's personal characteristics, Patient safety assessment tool & Patient satisfaction assessment tool. Results: There was positive correlation between safety level and nursing handover awareness questionnaire level (P = .001*, Coef .971).also between satisfaction level and nursing handover awareness questionnaire level (P = .001*, Coef .920). Conclusion: The findings of this study reveal that increased awareness and application of ISBAR were strongly associated with higher levels of patient safety and satisfaction, as demonstrated by statistically significant improvements in both areas. Relevance to clinical practice: Good communication is essential for safe patient care and health care quality, The ISBAR technique is a simple way to maintain good communication.Hence, structured communication training significantly improved handover accuracy and patient outcomes.
Background: Artificial intelligence is rapidly transforming healthcare delivery, and its successful integration depends on the adaptability of nursing professionals. However, the extent to which nurses’ awareness and fears about artificial intelligence influence their readiness for clinical implementation remains unclear. Aim: This study aimed to assess nurses’ levels of awareness, fear, and readiness regarding artificial intelligence in medical-surgical and critical care units. Research design: A descriptive, correlational, cross-sectional design was used. Setting: The study was conducted in medical, surgical, and critical care units affiliated to Damanhour Medical National Institute in El-Beheira, Egypt. Sample:A convenience sample of 92 nurses was included. Tools: Tool I (Nurses' Awareness toward AI), Tool II (Fear of Artificial Intelligence Scale), and Tool III (Medical Artificial Intelligence Readiness Scale). Results: A significant positive correlation was identified between awareness and readiness for AI (p < 0.001). Conversely, a negative correlation existed between fear and readiness. Conclusion: Nurses showed limited awareness of artificial intelligence and reported moderate levels of fear and readiness. Critical care nurses demonstrated greater awareness and readiness than medical-surgical nurses. Recommendation: These findings underscore the importance of tailored AI education and training for nursing staff to enhance their understanding, reduce AI-related anxieties, and support the safe and ethical implementation of artificial intelligence in nursing practice.
Background: Chronic kidney disease (CKD) severely compromises children's mental well-being and demands intricate therapeutic regimens. Integrating community and pediatric nursing through peer support may alleviate psychological burdens and foster self-management. Impact of a Hybrid Community-Pediatric Peer Support Group on the Psychological Distress and Self-Care Agency of Children with Chronic Kidney Disease Aim: To evaluate the impact of a hybrid community-pediatric peer support group on psychological distress and self-care agency among children with Chronic Kidney Disease. Methods: A quasi-experimental, pre-post-test design was utilized. A purposive sample of 40 children diagnosed with CKD (stages 3–5, aged 8–18 years) was recruited from pediatric nephrology outpatient clinics and dialysis units at Aswan University Hospital. The intervention comprised hybrid (clinical and community-based) peer support sessions focusing on coping mechanisms, dietary compliance, and disease management. Data were collected using a demographic clinical characteristic questionnaire, The Kessler Psychological Distress Scale, and the Appraisal of Self-Care Agency Scale (ASA). Results: The intervention is anticipated to show a statistically significant decrease in psychological distress scores (anxiety and depression) and a substantial, measurable improvement in self-care agency levels among the participating children compared to baseline (p < 0.05). Conclusion: Hybrid peer support groups represent a vital, cost-effective nursing strategy that bridges clinical pediatric care and community support, effectively enhancing the holistic well-being and independence of children managing CKD.
Background: Post-operative pain management is a crucial and a critical aspect of nursing care after surgery that significantly affect patient recovery as untreated pain may lead to serious complications. Nurses should have adequate knowledge and good practice regarding pain management in order to provide quality of care. Objective: To assess nurses’ knowledge and practice regarding post-operative pain management of patients undergoing cardiac surgeries.Methods: Descriptive Explorative research design with Convenience sampling method involving 46 nurses was used in the study. The instrument used to collect data for this study was adapted from the previous similar studies. Statistical analysis was conducted using SPSS version 21. Chi-square was used to identify the relationship between variables and statistical significance was set at P value below 0.05. Results: The results of this study showed that the majority of nurses had fair knowledge and the majority of nurses had satisfactory level of practice. Statistical significant association was found between level of knowledge and years of experience, level of education and training on pain management (p<0.01) as well as between level of knowledge and level of practice (p<0.01). Conclusion: The study highlights critical gaps in nurse’s knowledge and practice regarding post-operative pain management. Nurses need to adhere to best practices in pain management by increasing their theoretical and practical knowledge in order to deliver effective care. Recommendation: There is a need of targeted training, policy reforms, and future research with different approach to enhance competencies among nurses and improve patient’s satisfaction during post -operative period.
Background: Postoperative ileus is a common complication following colorectal surgery and may delay oral feeding, ambulation, hospital discharge, and overall recovery. Although minimally invasive colorectal surgery facilitates faster recovery, consistent implementation of evidence-based nursing interventions is essential. A nurse-driven fast-track recovery protocol on post-operative ileus and patient satisfaction in minimally invasive colorectal surgery. Aim: The study aimed to evaluate the impact of a nurse-driven fast-track recovery protocol on postoperative ileus and patient satisfaction among patients undergoing minimally invasive colorectal surgery. Methods: A quasi-experimental research design was used. A convenience sample of 100 adult patients undergoing elective minimally invasive colorectal surgery was recruited and equally assigned to an intervention group (n = 50) and a control group (n = 50). The study was conducted at the General Surgery Department and Colorectal Surgery Unit of Sohag University Hospitals, Sohag, Egypt. Data were collected using four tools: Tool I: Structured Patient Assessment Questionnaire; Tool II: Nurse-Driven Fast-Track Recovery Protocol Adherence Checklist; Tool III: Postoperative Ileus Assessment Tool; and Tool IV: Patient Satisfaction Scale, consisting of 15 items rated on a five-point Likert scale to assess satisfaction with nursing care, communication, symptom management, education, and participation in recovery. The intervention group received the nurse-driven fast-track recovery protocol, while the control group received routine postoperative care. Data were collected preoperatively and at 6, 24, 48, and 72 hours postoperatively and at discharge. Results: Patients in the intervention group demonstrated significantly faster gastrointestinal recovery than those in the control group, including shorter time to first flatus, first bowel movement, and tolerance of oral and solid food (p < 0.001). The incidence and duration of postoperative ileus were significantly lower in the intervention group. They also experienced earlier ambulation, lower postoperative pain and nausea/vomiting, and shorter hospital stay compared with the control group (p < 0.001). Furthermore, patients who received the nurse-driven fast-track recovery protocol reported significantly higher satisfaction with postoperative nursing care and overall recovery (p < 0.001). Conclusion:The nurse-driven fast-track recovery protocol was effective in accelerating gastrointestinal recovery, reducing the incidence and duration of postoperative ileus, shortening hospital stay, and improving patient satisfaction following minimally invasive colorectal surgery. Recommendations: Nurse-driven fast-track recovery protocols should be incorporated into routine postoperative colorectal surgical care, with appropriate nursing training in early mobilization, progressive feeding, gastrointestinal assessment, multimodal symptom management, and patient education.
Background: Chest tube management is a critical nursing skill, requiring both theoretical knowledge and practical competence to prevent emergent complications and ensure patient safety. Aim: To assess the effect of a bite-sized teaching method on nurses’ level of knowledge and evidence-based practice in chest tube management. Methods: A quasi-experimental study was conducted on 60 nurses at Suez Canal University Hospital, in Ismailia governorate. Data were gathered utilizing a standardized knowledge questionnaire and an evidence-based observational practice checklist to investigate study outcomes, before and immediately after implementation of bite-size teaching intervention and during a three-month follow-up assessment. Results: Most of the participating nurses were female (75%) holding bachelor's degree (66.7%). During the baseline assessment, most nurses demonstrated inadequate knowledge (80%) and inadequate practice (86.7%) concerning current evidence-based chest tube management. Post-intervention bite-sized teaching results, including immediate and follow-up assessments, demonstrated substantial enhancements in both knowledge and practice scores (p < .001). Nurses’ knowledge and practice about chest tube evidence-based practice were strongly positively correlated with each other (r = 0.82, p < .001). Older nurses with extensive clinical experience, prior training, and advanced higher education exhibited greater proficiency in chest tube evidence-based practice concerning baseline assessment. Conclusion: Bite-sized teaching effectively enhances nurses’ knowledge and evidence-based practice in chest tube management. Recommendation: Implementing structured, focused educational interventions in nursing training programs can improve clinical competence, patient safety, and quality of care.
This study explores the perceptions, challenges, and suggestions regarding clinical simulation education among nursing students at King Abdulaziz University. Clinical simulation (CS) is increasingly integrated into nursing curricula, offering a risk-free environment for enhancing critical skills and bridging theoretical knowledge with practical experience. A quantitative descriptive cross-sectional design was employed, utilizing an online questionnaire distributed to 135 nursing students. The findings reveal that while students generally view simulation positively recognizing its role in developing confidence, clinical decision-making, and teamwork 97.2% reported challenges during simulation sessions, including lack of realism, anxiety, and insufficient feedback. Data analysis indicates neutral perceptions of the effectiveness of simulation in comparison to traditional clinical education, highlighting a need for improvements in scenario realism and preparatory training. Recommendations include enhancing simulation realism, implementing structured debriefing sessions, and providing instructor training to optimize outcomes. This study underscores the importance of addressing identified challenges to improve the effectiveness of simulation-based learning in nursing education, contributing to the development of clinically competent and confident nursing professionals.
Background: Hypertension is a major chronic health problem requiring adequate blood pressure control, medication adherence, disease knowledge, and self-management. Mobile health applications may support patients in managing hypertension and maintaining healthy behaviors. Aim: To evaluate the effect of developing and implementing the HyperCare nurse-led mobile application on blood pressure control, medication adherence, and hypertension-related knowledge among patients with hypertension. Methods: A quasi-experimental design was used among 60 adult patients with hypertension at the General Internal Medicine Department, Assiut University Hospital, Egypt. Patients were equally allocated to a study group (n = 30), who used the HyperCare application for three months, and a control group (n = 30), who received routine care. Data were collected using a Patient Assessment Sheet, Hypertension Medication Adherence Sheet, Hypertension Knowledge Questionnaire, and System Usability Scale. Results: The study group had significantly higher total medication adherence scores (6.5 ± 1.6 versus 4.0 ± 2.0) and hypertension knowledge scores (7.73 ± 2.07 versus 4.27 ± 2.52) than the control group (P < 0.001). In the study group, systolic blood pressure decreased from 153.20 ± 12.10 to 126.50 ± 8.40 mmHg, while diastolic blood pressure decreased from 92.40 ± 7.10 to 80.20 ± 5.10 mmHg (P < 0.001). No statistically significant changes were observed in the control group. The System Usability Scale score for patients in the study group was 78.08 ± 13.53 (0–100). Medication adherence was strongly positively correlated with hypertension-related knowledge (r = 0.825, P < 0.001).Conclusion: The HyperCare nurse-led mobile application was associated with significant improvements in blood pressure control, medication adherence, and hypertension-related knowledge among patients with hypertension. Recommendations: Nurse-led mobile applications should be integrated into hypertension management to support blood pressure monitoring, health education, medication adherence, and self-management.
Background: Hematopoietic stem cell transplantation (HSCT) recipients face intricate clinical challenges post-discharge, where absolute compliance with complex self-care protocols determines survival rates. Mobile health (mHealth) nursing frameworks present a scalable, remote strategy to ensure continuity of specialized care and bridge post-transplant monitoring gaps. Aim: This study evaluated the effectiveness of mobile Health nursing intervention on self-care adherence and post-transplant outcomes in stem cell recipients. Methods: A randomized controlled trial (RCT) design was conducted at the Sohag Oncology Institute in Sohag City, Egypt. A purposive sample of 100 post-transplant recipients was randomly and equally assigned into two groups: an intervention group (n = 50) that utilized a dedicated mHealth nursing application (incorporating automated medication compliance trackers, infection prevention guidance, symptom logging, and direct nursing consultations) and a control group (n = 50) receiving standard discharge education. Data were collected at baseline, 3 months, and 6 months post-discharge using a Demographic and Clinical Baseline Questionnaire, the 15-item Stem Cell Transplant Self-Care Adherence Scale (SCT-SCAS), and the 37-item Functional Assessment of Cancer Therapy-Bone Marrow Transplant (FACT-BMT) Scale. Results: The mHealth intervention cohort demonstrated statistically significant, higher scores in overall self-care adherence—specifically within infection prevention protocols and medication compliance—compared to the control group (P < 0.05). Additionally, the use of the digital nursing platform was associated with a clinically significant reduction in unplanned 30-day and 90-day hospital readmissions alongside marked improvements across the physical, emotional, and functional HRQoL subscales of the FACT-BMT instrument. Conclusion: mHealth-delivered nursing interventions effectively improve patient self-management capabilities, reduce post-transplant hospital utilization, and optimize recovery trajectories. Integrating digital health tracking into routine oncology nursing workflows at regional oncology centers is highly recommended to improve long-term clinical prognosis.
Background: Premarital counseling (PMC) has a significant impact on individuals who want to learn how to be in a successful and stable marriage. Additionally PMC has preventive, educational and therapeutic aspects. Aim: to assess nurses’ knowledge and practice regarding premarital counseling in South of Sinai. Design: Descriptive analytical design was utilized in the current study. Setting: The study was conducted at selected primary health care centers affiliated to health affairs directorate in South of Sinai governorate. Sample type: A convenience sample. Sample size: 168 nurses. Tools of data collection: Tool I: interviewing structured questionnaire; Part I: Demographic characteristics of nurses. Part II: Nurses' Knowledge assessment regarding premarital counseling. Tool II: pre-marital counseling observation checklist for nurses working in primary health care services to assess nurses' practice. Results: The current study revealed that 61.9 % of the studied nurses had good total knowledge level regarding premarital counseling. And 88.7% of nurses are categorized under "Done performing," indicating a substantial majority have engaged in premarital counseling practices. Conclusion: there were no statistically significant relation between total knowledge level of the studied nurses and their socio-demographic characteristics. In addition, there were a highly statistically significant relation between the studied nurses’ total knowledge score and reported practices regarding premarital counseling. Recommendation: Design and implement training programs to update the knowledge and practice of nurses toward premarital counseling.
Background: Motivation is the driver of guidance, control and persistence in human behavior . Self-efficacy is affected by personal and environmental variables and influences motivational outcomes of choices, effort, persistence, and achievement , both intrinsic and extrinsic motivation can be bolstered by the enhancement of self-efficacy . Aim of the study: Assess the relationship between motivation and self-efficacy among head nurses . Design: A descriptive correlational design was used in this study. setting: The study was conducted at Menoufia University Hospital. Subjects: All head nurses and their assistants . Their total number is ( 64 ). Tools: Two tools were used for data collection namely : Goal setting formative questionnaire and General self- efficacy scale .Results: Minority of head nurses had high self-efficacy level , quarter of head nurses had moderate self-efficacy level , minority had high proficiency in goal setting level , two thirds had moderate proficiency in goal setting level . Conclusions: There were highly significant statistical positive correlations between goal setting, and self-efficacy among head nurses .Recommendation: Creat a motivational environment for head nurses , coduct training program for newly hired head nurses about self-efficacy and motivation for improvement of work , Consider health care members values, interests and complain.
Background: Major abdominal surgeries typically accompanied by severe postoperative pain and prolonged hospital stays. Enhanced Recovery After Surgery (ERAS) protocols improve outcomes, but non-opioid pain management remains a critical challenge. Aim: To evaluate the effectiveness of a nurse-led ERAS care bundle with Virtual Reality (VR) pain management in major abdominal surgeries. Methods: randomized controlled trial with outcome-assessor blinding was conducted at Sohag University Hospitals. A total of 120 adult patients undergoing elective major abdominal surgery were randomly allocated into two equal groups (n=60 each). The intervention group received a nurse-led ERAS bundle combined with 20-minute VR sessions twice daily from postoperative day 1 (POD1) to POD3. The control group received standard ERAS care alone. Primary outcomes were acute pain intensity measured by the Visual Analog Scale (VAS) and daily opioid consumption converted to Morphine Milligram Equivalents (MME). The secondary outcome was LOS. Three tools were used in this study Tool I: Demographic and Clinical Sheet, Tool II: Visual Analog Scale (VAS), and Tool III: Clinical Recovery and Analgesic Consumption Log. Results: Patients in the VR-integrated ERAS group reported significantly lower post-session pain scores compared to the control group across all three postoperative days (POD1: 3.8±0.9 vs 5.9±1.1, p<0.001; POD2: 2.5±0.7 vs 4.2±0.8, p<0.001; POD3: 1.4±0.5 vs 2.8±0.6, p<0.001). Total opioid consumption was reduced by 35% in the intervention group (45.5±8.2" MME” vs 70.0±12.5" MME”, p<0.001). Additionally, the average length of stay was significantly shortened by 1.5 days (4.2±0.8 vs 5.7±1.1" days”, p<0.001).
Background: Urinary diversion surgeries are major procedures performed for patients with muscle-invasive bladder cancer, impacting their physiological, social, and psychological well-being. Patients’ learning needs assessment can help in fulfilling patients’ needs and improving their lifestyle. Nurses play a vital role in identifying and addressing the educational needs of these patients. Aim: This study aimed to assess health related learning needs among patients undergoing urinary diversion surgeries. Design: A descriptive research design was utilized for this study. Setting: The study was conducted at the Urology Department of the Main University Hospital in Alexandria, Egypt. Subjects: convenience sample of (75) adult patients undergoing urinary diversion surgeries. Tools: Two tools were used to collect data: Socio demographic and clinical data assessment sheet, and Urinary Diversion Patients’ health related learning needs structured interview schedule. Results: The findings showed that all patients with urinary diversion had high learning needs across all assessed domains with overall mean percent score (79.75±21.48). Also, revealed that nearly three-quarters of patients (74.7%) had poor knowledge, while only 12% demonstrated good knowledge. There was statistically significance relationship between patients learning needs and educational level (χ² = 15.780, p = 0.005). Conclusion: It can be concluded that the studied subjects had poor knowledge level regarding urinary diversion, post-operative complications, danger signs that require immediate contact with the doctor. Also, Physical needs were identified as the top priority, followed by psychological needs, discharge planning needs, and socioeconomic needs. Recommendations: Health education pamphlets for patients undergoing urinary diversion surgery should be prepared in-service education on urinary diversion and stoma care should be provided to nurses by experienced surgeons and specialized stoma care nurses.
