The Status of Food and Nutrition Literacy and its determinants among Elementary School students in Egypt: community nursing-led design.

AIM: To assess food and nutrition literacy status and its determinants among elementary school students in El-Beheira Governorate, Egypt. BACKGROUND: Developing strategies to enhance food and nutrition literacy necessitates a deeper understanding of the food and nutrition literacy situation among elementary school students and associated factors. DESIGN: A cross-sectional descriptive research design was adopted. METHODS: A final sample of 400 primary school students (aged 6-12 years) at Itay El Barud public elementary schools in El-Beheira Governorate were administered (1) a socio-demographic characteristics and anthropometric measurements questionnaire developed by the researchers, and (2) the Food and Nutrition Literacy Scale. The derived data were analyzed using descriptive and non-parametric tests. RESULTS: The majority (61%) of students had low food and nutrition literacy scores. The results have shown that overall socio-demographic variables were significant in predicting understanding food and nutrition information, nutritional health knowledge, interactive functional and nutritional literacy, critical food and nutritional literacy, and food labeling. CONCLUSION: The study reveals that elementary school students in Egypt have poor knowledge and skills in food and nutrition literacy, largely due to a lack of nutrition education and family awareness. Factors like residential location, income, and education level also contribute to this disparity. IMPLICATIONS FOR THE PROFESSION: To improve nutrition literacy among students, a nursing approach involving community stakeholders and school nurses is recommended. This includes integrating nutrition-related topics into the school curriculum, organizing workshops, and conducting age-appropriate health education sessions. Active engagement between community health and school nurses is crucial for raising awareness about healthy nutritional choices. IMPACT: These findings hold an important impact on the education system and those designing curricula, emphasizing the need for significant incorporation of knowledge and skills related to food and nutrition within schools. REPORTING METHOD: Compliance with the STROBE checklist for cross-sectional studies was maintained throughout the research. PATIENT OR PUBLIC CONTRIBUTION: No Patient or Public Contribution.

The hidden link: dysmenorrhea, emotion regulation, and attitudes toward marriage in female nursing students.

BACKGROUND: Menstrual pain, or dysmenorrhea, can cause physical discomfort and mood swings, potentially impacting the attitudes of female nursing students toward marriage. Effective emotion regulation strategies are essential for managing stress and shaping their perspectives on marriage. This study sought to investigate the relationship between dysmenorrhea, emotional regulation skills, and attitudes toward marriage among female nursing students. METHODS: A cross-sectional survey was conducted using a stratified sample of 504 female nursing students from four academic years. The study used a combination of the Working Ability, Location, Intensity, Days of Pain, Dysmenorrhea (WaLIDD) Questionnaire, the Marital Attitude Scale, and the Emotion Regulation Questionnaire to assess various factors among the participants. The Pearson correlation coefficient was utilized to examine the relationships among the three primary variables. Additionally, linear regression analysis was employed to forecast attitudes toward marriage based on factors such as dysmenorrhea, residence, family type, regularity of the menstrual cycle, and age at menarche. RESULTS: The findings of the study are significant, revealing a negative correlation between dysmenorrhea and marital attitudes (r = -0.105, p = 0.019). Dysmenorrhea exhibited minimal and non-significant correlations with emotion regulation strategies, including cognitive reappraisal (r = -0.006, p = 0.898) and expressive suppression (r = 0.013, p = 0.774). In contrast, marital attitudes significantly influenced emotion regulation (ß = -0.169, p < 0.001). Moderation analyses indicated significant effects of various factors on marital attitudes, including residence (ß = -0.5136, p = 0.0478), family type (ß = 5.9923, p = 0.0060), regularity of the menstrual cycle (ß = 6.1262, p = 0.0014), and age at menarche (ß = 1.5521, p = 0.0491). CONCLUSION: A significant negative correlation between dysmenorrhea and certain attitudes, specifically optimistic and realistic marital attitudes, was found. This indicates that higher levels of dysmenorrhea are associated with less favorable perspectives in these domains. Additionally, the study demonstrates that negative marital attitudes were linked to poorer emotional regulation. This suggests that individuals with more pessimistic views about marriage may face challenges in effectively managing their emotions. These results underscore the intricate connections between physical health, attitudes, and emotional well-being. They highlight the need to address dysmenorrhea within nursing education and practice, considering its broader psychological impact.

Impact of moral resilience and interprofessional collaboration on nurses' ethical competence.

BACKGROUND: Home care nurses are central in providing holistic and compassionate care to patients in home-based palliative care. Ethical caring competency is essential for home care to sustain nurses' integrity in the face of moral adversity. Interprofessional collaboration is vital for ensuring ethical decision-making and providing patient-centered care in home-based palliative care settings. AIM: This study explored the predictive roles of interprofessional collaboration and moral resilience on ethical caring competency among home care nurses in home-based palliative care. METHODS: A cross-sectional survey of 400 nurses was conducted from October to December 2023, utilizing standardized scales to measure interprofessional collaboration, moral resilience, and ethical caring competency. A convenience sample of 400 home care nurses was also included in this study. Correlation and linear regression analysis were used to clarify the associative and predictive findings. ETHICAL CONSIDERATIONS: Ethical approval from the ethics committee, institutional permission, and informed consent from the participants were obtained for data collection. RESULTS: Correlation analysis showed significant positive correlations between the ethical caring competency, interprofessional collaboration, and moral resilience constructs, with coefficients ranging from 0.482 to 0.967. Linear regression revealed that management of collaborative systems and total moral resilience significantly predict ethical caring competency, explaining 14.6% and 36.6% of its variance, respectively. Other variables, such as the effects of collaboration and communication, did not significantly influence ethical caring competency. CONCLUSION: The study highlights the significant impact of interprofessional collaboration, particularly the management of collaborative systems and moral resilience, on enhancing ethical caring competency among nurses. IMPLICATIONS: Enhancing interprofessional collaboration and moral resilience through targeted strategies in nursing practice and education can significantly improve ethical caring competencies. These efforts are essential for delivering high-quality, patient-centered care and for fostering a healthcare environment that respects the ethical principles guiding nursing practice.

Sentiment of Nurses Towards Artificial Intelligence and Resistance to Change in Healthcare Organisations: A Mixed-Method Study.

BACKGROUND: Research identified preliminary evidence that artificial intelligence (AI) has emerged as a transformative force in healthcare, revolutionising various aspects of healthcare delivery, from diagnostics to treatment planning. However, integrating AI into healthcare systems in Egypt is challenging, particularly concerning healthcare professionals' acceptance and adoption of these technologies. This mixed-method study aimed to explore the sentiment of nurses at different organisational levels towards AI and resistance to change in healthcare organisations. METHODS: A mixed-method design was employed, with quantitative data collected through a survey of 500 nurses using the general attitudes towards AI and resistance to change scale and qualitative data from semi-structured interviews with 17 nurses. Quantitative data were analysed using descriptive and inferential statistics, while qualitative data were analysed thematically. RESULTS: The survey demonstrated that positive attitudes were inversely correlated with resistance behaviour and resistance to change. Additionally, perceptions of AI's usefulness, ease of use and value were strongly and positively correlated with positive attitudes and negatively correlated with negative attitudes. Moreover, the influence of colleagues' opinions, self-efficacy for change and organisational support showed significant positive correlations with positive attitudes towards AI and negative correlations with negative attitudes. Qualitatively, nurses cited obstacles such as lack of familiarity with AI technologies, biases affecting decision-making, technological challenges, inadequate training and fear of technology replacing human interaction. Readiness for AI integration was associated with the necessity of training and the timing of AI use. CONCLUSION: Nurses demonstrated varied understanding of AI's applications and benefits. Some acknowledged its potential for efficiency and time-saving, while others highlighted a need for up-to-date knowledge. PATIENT OR PUBLIC CONTRIBUTION: No patient or public contribution.

The Mediating Role of Spirituality in Delineating the Interconnection Between Self-Efficacy and Resilience Among the Parents of Children With Newly Diagnosed Diabetes: A Community Nursing-Led Cross-Sectional Study.

AIM: This study examined the interplay among spirituality, self-efficacy and resilience in this context. DESIGN: A cross-sectional study. METHOD: A total of 178 parents of children newly diagnosed with diabetes mellitus; the instruments used for data collection were the Parental Self-Efficacy Scale for Diabetes Management, The Arabic version of The Walsh Family Resilience Questionnaire and the Spiritual Perspective Scale. RESULTS: Self-efficacy had a significant positive direct effect on family resilience. Spirituality also had a significant positive direct effect on family resilience. Additionally, self-efficacy had a significant positive indirect effect on family resilience through its effect on spirituality. CONCLUSION: The findings underscore the impact of spirituality and self-efficacy on a family resilience. IMPLICATIONS FOR THE PROFESSION: Nurses should prioritise self-care and personal reflection to enhance their spiritual well-being. This can help them better understand and empathise with their patients' spiritual needs, allowing for more effective and compassionate care. IMPACT: Upon the initial diagnosis of diabetes in a child, parents undergo a profound emotional and psychological upheaval. They are faced with the daunting task of managing their child's condition while also coping with their feelings of distress, uncertainty and fear. Amidst these challenges, factors such as self-efficacy and resilience play pivotal roles in determining how parents adapt to and navigate this new reality. Nurses can use spiritual care to give parents a sense of meaning, purpose and hope, bolstering their self-efficacy and resilience. REPORTING METHOD: The relevant reporting method has been adhered to, that is, STROBE. PATIENT OR PUBLIC CONTRIBUTION: In our research, data collection is assisted by nurses working in community-based settings.

Golden steps: A nursing approach for vitality, agility, and rumination in geriatric clients with depressive disorders through mindful walking.

BACKGROUND: Depression is a prevalent issue among older adults and can significantly impact their overall quality of life. While traditional treatments may not always be sufficient or suitable for all individuals, the potential of alternative interventions, such as mindful walking, offers a ray of hope. This study aimed to evaluate the impact of mindful walking on rumination, agility, vitality, and mindfulness in geriatric patients with depressive disorders. METHOD: A prospective quasi-experimental design was employed with a purposive sample of 35 clients in the intervention group and 33 in the control group. This study utilized the Ruminative Responses Scale - Short Form (RRS-SF) and Five Facet Mindfulness Questionnaire (FFMQ) to measure the primary outcome. The Timed Up and Go Test (TUG) and State-Level Version of the Subjective Vitality Scale (SVS) were used to measure the secondary outcomes. RESULTS: Mindful walking significantly affected vitality, mindfulness, and rumination, with effect sizes (Õ²2 = 0.168, 0.137, and 0.127), respectively. On the other hand, the intervention had a less significant effect on agility, with an effect size (Õ²2 = 0.047). CONCLUSION: This study revealed that geriatric clients with depressive disorders showed more significant improvements in vitality, followed by improvement in rumination and agility. Integrating mindful walking as a part of care plans for those clients would promote their physical activity and mental well-being.

Nursing in the digital age: The role of nursing in addressing cyberbullying and adolescents mental health.

THE RELEVANCE OF OUR STUDY TO MENTAL HEALTH NURSING: What is known on the subject? The study's findings are crucial for mental health nursing, as they highlight the significant impact of cyberbullying on adolescents' mental health in Egypt. What this paper adds to existing knowledge? By establishing a clear link between cyberbullying, family income, and mental health issues such as anxiety, stress, and depression, the research underscores the need for targeted interventions and support systems. What are the implications for practice? Mental health nurses can utilize this information to develop effective prevention and treatment strategies, advocate for policy changes, and educate families and communities. Addressing cyberbullying and its effects can lead to improved mental health outcomes, demonstrating the critical role of mental health nursing in supporting affected adolescents. SUMMARY STATEMENT OF IMPLICATIONS FOR PRACTICE: WHAT DOES THIS RESEARCH ADD TO EXISTING KNOWLEDGE OF CYBERBULLYING AMONG ADOLESCENTS?: This study brings attention to the widespread occurrence of cyberbullying among adolescents in Egypt and its substantial impact on their mental health. The research indicates that cyberbullying, along with family income, collectively explains more than 60% of the variation in mental health. These results underscore the importance of developing strategies to address cyberbullying and taking socioeconomic factors into account when addressing mental health issues in adolescents. WHAT ARE THE IMPLICATIONS OF THIS NEW KNOWLEDGE FOR NURSING CARE WITH ADOLESCENTS?: School nurses should be knowledgeable about the prevalence and effects of cyberbullying on the mental well-being of teenagers. They need to be equipped to recognize signs of cyberbullying and associated mental health issues, such as anxiety, depression, and stress. Educating adolescents, parents, and school staff about the dangers of cyberbullying and prevention methods is a crucial role that school nurses can play. This may involve teaching safe internet usage, promoting open communication about online experiences, and encouraging positive online behaviour. When evaluating mental health needs and planning care for adolescents, school nurses should consider their economic status. They should advocate for resources and assistance for low-income families to help alleviate the impact of financial stress on mental health. HOW COULD THE FINDINGS INFLUENCE POLICY, PRACTICE, RESEARCH, OR EDUCATION?: It is important to introduce policies that provide financial support to families with lower incomes, as the research has shown a strong connection between a family's monthly income and its members' mental well-being. Educational institutions, including schools, should introduce programs to prevent bullying, with a specific focus on cyberbullying. It would be beneficial for researchers to explore the effectiveness of various interventions in reducing cyberbullying and improving mental health outcomes. It is crucial to integrate education on cyberbullying into school curricula in order to raise awareness about this issue and to teach students how to respond if they or someone they know becomes a victim of cyberbullying. Educating parents and teachers about the indicators of cyberbullying and its potential impact on mental health is important so that they can offer support to adolescents who are experiencing cyberbullying. Further research is needed to address other covariates that could impact cyberbullying, such as addictive personality traits, impulsive seeking behaviours, and parenting styles. ABSTRACT: BACKGROUND: Cyberbullying, a significant concern in today's digital age, has a profound impact on teenagers' mental health, leading to stress, depression, anxiety, low self-esteem, and, in severe cases, suicidal ideation. This study aimed to explore the effects of cyberbullying on adolescents' mental health. METHODS: The study employed a cross-sectional descriptive research design conducted at five public secondary schools in El-Beheira governorate, Egypt. A total of 500 students were selected through a multistage sampling technique, yielding a response rate of 96%. The instruments used for data collection were the European Cyberbullying Intervention Project Questionnaire and the Depression Anxiety Stress Scale-21. RESULTS: The findings revealed that 27.4% and 32.0% of respondents reported high levels of victimization and cyberaggression, respectively. Furthermore, 72.2%, 44%, and 52.6% of students exhibited severe to extremely severe levels of anxiety, stress, and depression, respectively. The study also found that cyberbullying and family monthly income accounted for 61.6% of the variance in stress, anxiety, and depressive symptoms (adjusted R2 = .614). CONCLUSION: The study concludes that cyberbullying is a prevalent issue among adolescents in Egypt, with a majority of students experiencing moderate to high levels of cybervictimization and aggression. This leads to varying degrees of anxiety, stress, and depression. The study also established a significant relationship between cyberbullying and mental health issues among adolescents. Moreover, both cyberbullying and family monthly income were found to significantly influence mental health, with higher levels of cyberbullying and lower income associated with increased stress, anxiety, and depressive symptoms. PATIENT OR PUBLIC CONTRIBUTION: No Patient or Public Contribution. IMPLICATIONS FOR NURSING PRACTICE: It is important for nurses working with adolescents to have an understanding of how common cyberbullying is and how it can affect mental health. They should receive training to be able to recognize signs of cyberbullying and mental health issues, such as anxiety, depression, and stress. Nurses can teach adolescents, parents, and school staff about its dangers and ways to prevent cyberbullying. This may involve educating adolescents on safe internet practices, promoting open communication about online experiences, and encouraging positive online behaviour. Lastly, considering the strong connection between income and mental health, nurses should also take into account the socioeconomic status of adolescents when assessing their mental health needs and planning care. They should work to secure resources and support for low-income families to help alleviate the impact of financial stress on mental health. Additionally, further research is needed to address other covariates that could impact cyberbullying, such as addictive personality traits, impulsive seeking behaviours, and parenting styles.

Sustainability consciousness among nursing students in Egypt: a cross-sectional study.

BACKGROUND: Recognizing nurses as pivotal change agents and urgent preparation for the next generation is crucial for addressing sustainability issues and cultivating a sustainable healthcare system. Reports highlight gaps in the integration of sustainable development goals (SDGs) into nursing curricula, prompting the International Council of Nurses to stress the importance of sustainable development in nursing education. The extent to which nursing students are aware of sustainability issues remains to be determined. This study addresses a global and Egyptian research gap by evaluating and comparing Sustainability Consciousness (SC) levels among nursing students at three universities, providing insights into awareness, attitudes, and behaviors related to sustainability. METHODS: This descriptive comparative study was conducted across three nursing faculties within three Egyptian public universities. The target population for this study was undergraduate nursing students enrolled in these universities during the academic year 2022-2023. This study used the extended version of the Sustainability Consciousness Questionnaire (SCQ-L) to measure individuals' knowingness, attitudes, and behaviors related to the three dimensions of sustainable development: environmental, social, and economic. RESULTS: More than half of the nursing students across the three universities expressed unfamiliarity with the SDGs. Social media was the most common source of information across the three universities. Sohag University recorded the highest median (IQR) scores in sustainability knowingness (72.0, IQR: 70.0-81.0), attitudes (56.0, IQR: 53.0-61.5), and behavior (65.0, IQR: 60.0-69.0) across their respective dimensions, as well as in overall SC (195, IQR: 184.5-208.5). This was followed by Damanhour University, with a median score of 179.0 (IQR: 124.5-194), and then Alexandria University, with a median score of 116.0 (IQR: 85.5-153), all of which were significantly different (all with p values=0.000). Older students from rural areas exhibited higher SC median scores, while students with insufficient family income and no familiarity with the SDGs had lower SC scores. CONCLUSIONS: This study highlighted the prevalent reliance on social media for information among nursing students across these universities, emphasizing the pivotal role of academic institutions in integrating sustainability development concepts in nursing education. Sohag University's notable commitment to sustainability practices has contributed to the higher SC of its students compared to Alexandria and Damanhour Universities. The study also identified age, place of residence, family income, and familiarity with the SDGs as consistent predictors of sustainability consciousness.

Cluttered spaces, strained bonds: Examining the correlation between hoarding symptoms and social functioning among long-term care facilities older adult residents.

BACKGROUND: Symptoms of hoarding, such as the inability to part with possessions, leading to significant clutter, are commonly observed among residents in long-term care facilities in Egypt. This behavior significantly impacts their social interactions and functioning. Therefore, this study examined the relationship between hoarding symptoms and social functioning among older adult residents in long-term care facilities. METHODS: The study employed a cross-sectional survey on a purposive sample of 300 older adults. TOOLS: Saving Inventory-Revised and Functional Idiographic Assessment Template-Questionnaire-Short Form were used. RESULTS: The findings revealed a significant positive correlation between hoarding symptoms and social functioning (r = 0.682, p < 0.000). A linear regression analysis supported this correlation, establishing hoarding symptoms as a significant predictor of social functioning (adjusted R2 = 0.32). CONCLUSION: The current study highlighted that a significant proportion of long-term care older adult residents displayed moderate hoarding symptoms and compromised social functioning. A noticeable positive association was observed between hoarding symptoms and social functioning. These results underscore the potential impact of hoarding symptoms on various aspects of social functioning. Given these findings, long-term care nurses should comprehend the various facets of compulsive hoarding behavior and devise effective strategies for assessment and intervention. Establishing support groups within these facilities could provide a platform for these residents to share their experiences and coping strategies. This could reduce interpersonal conflicts and argumentativeness and foster emotional expression and intimacy.

The effectiveness of an interactive digital-based educational program in improving breastfeeding knowledge, attitudes and self-efficacy among primiparous women in Egypt.

Malnutrition is the main cause of two-thirds of deaths among Egyptian under five children, which could be due to reduced rates of breastfeeding, as it is one of the contributing factors. Breastfeeding is the optimal solution for health promotion to mothers and their infants. It has various benefits not only for the mother and infant but also for society. Breastfeeding educational programs are essential for the enhancement of knowledge and self-efficacy of new mothers, and to ensure a longer duration of breastfeeding. Therefore, this study aims to evaluate the effects of an interactive digital-based educational program about breastfeeding on the knowledge, attitudes, and self-efficacy of primiparous women in Egypt. A quasi-experimental study design was adopted. The study was held in Itay El-baroud maternal and child health center, whereby 120 pregnant women were purposively selected. Then, they were randomly assigned to either a study group (60) or control group (60). The derived data were statistically analysed using SPSS version 20, Pearson correlation coefficient, chi-square test and independent sample t test were utilized. Four tools were utilized for data collection. A statistically significant mean difference was found concerning total breastfeeding knowledge scores after one month and three months. The total attitude and self-efficacy scores showed highly statistically significant differences after one month and three months from the start of the program. Moreover, breastfeeding self-efficacy was found to be positively correlated with knowledge and attitude. In conclusion, the interactive digital-based educational program about breastfeeding was suggested to be effective in enhancing the knowledge, attitude and self-efficacy of the primiparous women, in combination with other health education activities. Therefore, it is recommended that web-based educational sites are created for first-time mothers.