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Although multimodal rehabilitation programs are effective for substance use disorders and widely used, addiction is still a global socioeconomic problem. Providing practical strategies, such as the HeartMath intervention for managing stress at the moment, helps mitigate the physical, emotional, and psychological impacts associated with substance use disorder, promotes resilience, and enhances treatment motivation.
To investigate the effects of the nurse-led HeartMath Training Program on resilience, emotional adjustment, and treatment motivation among patients with substance use disorder.
A randomized controlled trial (RCT) was used to carry out this study. This study was conducted at the inpatient unit for patients with addiction at Elmaa'mora Hospital for Psychiatric Medicine in Alexandria, Egypt. The subjects were 130 patients with substance use disorders (65 in each group). Researchers used three tools to collect the necessary data: Tool I Resilience Scale, Tool II Brief Adjustment Scale–6, and Tool III Treatment Motivation Questionnaire.
The difference in resilience, emotional adjustment, and treatment motivation between the study and control groups after the Nurse-Led HeartMath training intervention was statistically significant.
The HeartMath Training Program is efficacious in improving resilience and emotional adjustment among patients with substance use disorder and increasing their treatment motivation.
ClinicalTrials.gov identifier: NCT06437366
Diabetes mellitus is a growing global health concern, with a high prevalence in Egypt. Type 2 diabetes imposes substantial health and economic challenges. Diabetes Self-Management Education and Support (DSMES) programs, such as the Diabetes Conversation Map, have demonstrated promise in enhancing patient knowledge, self-management, and self-efficacy. However, evidence regarding their direct impact remains scarce, necessitating further investigation.
This study aimed to evaluate the effectiveness of the Diabetes Conversation Map program in improving knowledge retention, self-management, and self-efficacy among type 2 diabetes patients in Egypt.
A prospective, parallel, two-arm randomized controlled trial was conducted at the Damanhour Health Insurance Outpatient Diabetic Clinic in Egypt. A total of 120 adult patients with type 2 diabetes were randomized into a control group (n = 60), receiving standard diabetes education, and an intervention group (n = 60), attending 8 weekly interactive sessions using the Diabetes Conversation Map. Primary outcomes were assessed using validated questionnaires at baseline, post-intervention, and 3 months later.
The intervention group exhibited significant improvements in knowledge, self-management, and self-efficacy compared to the control group (p < 0.001). Additionally, positive correlations between these outcomes were observed post-intervention, replacing negative correlations observed at baseline.
The Diabetes Conversation Map program effectively enhances patient knowledge, self-management, and self-efficacy, supporting its integration into routine diabetes education. Healthcare providers should implement structured, interactive educational interventions to empower patients in managing their condition. Regular follow-ups and reinforcement strategies are necessary to sustain long-term self-efficacy improvements. Policymakers should consider incorporating evidence-based diabetes education into national healthcare programs. Future research should explore digital adaptations of the program to enhance accessibility and engagement.
Registration No: R000061691, Trial ID: UMIN000054044
Work addiction is characterized by a compulsive drive to work excessively, often leading to diminished job satisfaction and negatively impacting professional quality of life and creativity. Critical care nurses require a creative mindset to deal with the variety of obstacles encountered during their work. Creativity is essential for succeeding as a critical care nurse in today's competitive world. Furthermore, creativity is crucial to healthcare organizations aiming to achieve excellence and development, particularly in the context of global growth, high demands, and a limited supply of human resources.
To investigate work addiction among critical care nurses' and its relationship with their creativity and professional quality of life.
A cross-sectional study was conducted in 4 ICUs at El-Menshawy General Hospital in Elgarbia, Egypt. All nurses were invited to complete a survey in Google Forms that included the Dutch Work Addiction Scale, Nurses Creativity Questionnaire, and Professional Quality of Life Scale.
A total of 242 intensive care nurses participated in the study: Pediatric (82), Medical (92), Neurological (30), and Cardiac (38). This study revealed that higher levels of work addiction in nurses were associated with increased creativity (r = 0.311, p < 0.001) and improved professional quality of life (r = 0.574, p < 0.001). Also, more than half (53.7%) of critical nurses had moderate levels of work addiction and just under half (49.3%) also had a moderate level of creativity and professional quality of life. Statistically significant differences were found between critical care nurses' levels of work addiction, creativity, and professional quality of life (p = 0.001). Multiple regression analyses indicated that work addiction and other parameters significantly predicted nurses' creativity (R 2 = 0.453, p < 0.001). Specifically, work addiction (B = 0.606, p < 0.001), compassion satisfaction (B = 0.692, p < 0.001), burnout (B = 0.438, p < 0.001), and secondary traumatic stress (B = 0.199, p = 0.025) were significant predictors of creativity. Additionally, attributes related to work addiction and other parameters significantly predicted professional quality of life (R 2 = 0.467, p < 0.001). Sensitivity toward problems (B = 0.874, p < 0.001) and risk-taking (B = 2.098, p < 0.001) were attributes that improved professional quality of life.
Findings highlight the need for strategies to manage work addiction among critical care nurses, fostering a balance that enhances creativity and professional quality of life. Implementing time management training, minimizing multitasking, and leveraging technology can improve efficiency and well-being in high-demand healthcare settings.
Although medication errors pose life-threatening risks to patients, and reporting them can help prevent future incidents, our understanding of the factors influencing nurses' intentions to report such errors remains incomplete. Furthermore, the underlying mechanisms driving this association have yet to be fully identified.
The study aimed to explore the association between nurse managers' anger expression and nurses' intentions to report medication errors and to examine the mediating role of perceived uncertainty in this association.
Two separate studies were conducted. In Study 1, a methodological study was carried out between January and February 2024 to develop and validate a scale assessing nurses' intentions to report medication errors. This study involved 209 clinical nurses from two tertiary governmental hospitals in Mansoura, Egypt. In Study 2, a cross-sectional survey was conducted between April and June 2024 to test the study hypotheses. A total of 286 clinical nurses from three different tertiary governmental hospitals in Mansoura, Egypt, completed a questionnaire measuring leader anger expression, perceived uncertainty, and intentions to report medication errors. Data were analyzed using structural equation modeling.
In Study 1, the findings provided evidence for the reliability and validity of the Medication Errors Reporting Intention Scale. In Study 2, nurse managers' anger expression was negatively associated with nurses' intentions to report medication errors (β = −0.77, p < 0.001). Perceived uncertainty mediated this association (β = −0.62, 95% CI [−2.80, −0.96]).
Nurse managers should implement strategies to regulate their expressions of anger, thereby alleviating uncertainty among nurses and potentially enhancing their intention to report medication errors.
Building nursing process competency among beginner nurses is a pivotal need in contemporary, complex, fast-paced nursing practice. However, transitioning from the educational phase to practicing as a nurse can be a significant adjustment. New practitioners often experience a period of shock, which may present challenges in developing nurse competency. Fostering system thinking among those nurses could buffer the negative signs of transition shock and cultivate nursing process competencies at earlier times.
This study explores the relationship between transition shock and nursing process competency among early career nurses and investigates the moderating effect of system thinking on this relationship.
This cross-sectional correlational exploratory study was conducted at four large hospitals in Egypt. Data were collected from 393 nurses from the first of February 2024 to the end of April 2024 using the transition shock scale, the competency of nursing process questionnaire, and the system thinking scale. Correlational and hierarchical regression analyses were used to test the study variables.
A statistically significant negative correlation exists between transition shock, nursing process competency, and system thinking among early-career nurses. System thinking is positively associated with nursing process competency. System thinking positively moderates the relationship between transition shock and nursing process competency among early-career nurses. Transition shock and system thinking account for 23.9% of the variance in nursing process competency among early-career nurses.
Transition shock is an inevitable phenomenon among early-career nurses, negatively affecting their competency in the nursing process. System thinking buffers this adverse effect and significantly augments nursing process competency among this set of nurses. Predicting and mitigating transition shock among early-career nurses is pivotal in building nursing process competency. Nurse educators must develop curricula that cultivate system thinking skills among nursing students, which enables them to buffer transition shock after graduation.
Menopausal women often complain of a range of physical and psychological symptoms known as menopausal syndrome. These symptoms are associated with fluctuating hormone levels, sleep disturbances, and mood swings.
This study aimed to examine the efficacy of a program-based cognitive behavioral group therapy (CBT) for insomnia and depression among women experiencing menopause.
A randomized controlled trial of 88 women experiencing menopause was conducted in Egypt from June to September 2022 in outpatient clinics at Mansoura University Hospitals in Egypt. Participants were randomly assigned to a control group (45 women) and an intervention group (43 women). The intervention group received 7 weeks of CBT sessions. Insomnia Severity Index (ISI), Pittsburgh Sleep Quality Index (PSQI), and Beck Depression Inventory 2nd Edition (BDI-II) were administered before and after the intervention.
In the intervention group, there was a significant difference in scores of the subdomains of PSQI, including sleep efficiency, daytime dysfunction, subjective sleep quality, and sleep disturbance (t = 8.911, 11.77, 7.638, and 11.054, respectively), while no significant difference in domains of using sleep medication, sleep duration, and sleep latency. Significant improvements were observed between pre-and-post-intervention in the intervention group for the total scores of PSQI, ISI, and BDII-II (t = 12.711, 16.272, and 12.384, respectively), indicating a large effect size for the three studied variables (r = .81, .87, .8, respectively).
This study demonstrated the efficacy of group CBT for lowering insomnia and depression in women experiencing menopause. Thus, results indicated the need of considering prompt and appropriate interventions such as CBT as a safe treatment option to prevent the aggravation of sleep and emotional problems for menopausal women.
ClinicalTrials.gov Identifier: NCT05920460.
Stress and conflict in emergency departments are inevitable but can be managed. A supportive work environment is key to helping emergency care providers, especially nurses, constructively manage work-related stress and conflict.
The aim of this study was to assess the influence of supportive work environments on work-related stress and conflict management style among emergency care nurses.
A descriptive correlational research design was utilized. Data were collected from 221 staff nurses recruited from two university hospital emergency departments in Alexandria, Egypt. Three instruments were used: (1) perceived organizational support scale, (2) nurses' occupational stressors scale, and (3) conflict management style inventory.
There was a highly significant correlation between supportive work environments and work-related stress (p = .000) and a significant correlation between supportive work environments and conflict management style (p = .026). Supportive work environments had a significant inverse negative relationship with work-related stress experienced by nurses (p = .001) and accounted for 51% of variance in work-related stress. Meanwhile, supportive work environments had a significant positive relationship with conflict management styles of nurses (p = .026). Work-related stress had a significant relationship with nurses' conflict management style (p = .000) and accounted for 45% of the variance in conflict management style.
The style of conflict management modeled by staff within emergency departments can positively or negatively influence the work environment and level of work-related stress. There is a necessity to cultivate a supportive culture for nurses in emergency departments to develop skills for constructive conflict management styles to reduce work-related stress.
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