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Background Clinical training stress may negatively affect nursing students’ academic achievement, clinical performance, learning outcomes, well-being, general health, and quality of life. This study aimed to evaluate the effect of mindfulness-based intervention on post-traumatic stress symptoms among emergency nursing students. This study was conducted at the technical institute of nursing, Zagazig University. Three tools were used in the current study: the sociodemographic data sheet, the impact of event scale, and the 15-item Five-Facet Mindfulness Questionnaire. Results Emergency nursing students had a wide range of PTSS at the pre-intervention period. These symptoms significantly improved after the implementation of a mindfulness-based intervention. Mindfulness level also improved after the intervention. Post-traumatic stress symptoms were positively correlated with the number of training hours and negatively correlated with students’ age, mother’s occupation, and educational level. Conclusions Mindfulness-based intervention was effective in reducing post-traumatic stress symptoms among emergency nursing students.

Background Positive thinking is a mental attitude that focuses on positive thoughts and beliefs in order to improve one’s outlook on life and is linked to a variety of positive psychological and health consequences, as well as decreased anxiety and depression. This study aimed to evaluate the effect of an intervention program on positive thinking, resourcefulness skills, and future anxiety among caregivers of children with intellectual disability. A quasi-experimental design was used on 70 caregivers whose children were attending the intellectual education school in Zagazig City. Data were collected through an interview questionnaire sheet composed of sociodemographic datasheet and child characteristics, the Positive Thinking Skills Scale (PTSS), the Resourcefulness Skills Scale (RSS), and the Future Anxiety Scale. Results The mean score of future anxiety was lower at the post-intervention phase compared to pre-intervention among the participants’ caregivers. Otherwise, the mean scores of positive thinking, social resourcefulness, personal resourcefulness, and total resourcefulness were higher at the post-intervention phase compared to pre-intervention among the participants’ caregivers. Positive thinking improved among 60.76%, resourcefulness skills among 19.49%, and future anxiety decreased among 21.30% of the caregivers after the intervention. Conclusion The intervention program was efficient in improving the caregivers’ positive thinking and resourcefulness skills and decreasing their future anxiety. Recommendations A continuous psychosocial training program is recommended to enhance the caregivers’ positive thinking and improve other aspects of psychological adjustment.

Background: Breast cancer is one of the deadly diseases in the world. Hope can be regarded as an effective coping strategy that gives them the courage to overcome difficulties and helps them accept the reality of the disease. Coping play an important role in increasing positive outcomes further social support has a direct effect on well-being, promoting the improvement of the psycho-emotional aspects of individuals in the health disease process. Aim: to assess the relation between hope, coping strategies, and social support among women with breast cancer. Methods: A correlational design was utilized in the current study on a sample of 228 breast cancer patients at oncology and nuclear Medicine department\" at Zagazig University Hospitals. The tools used for data collection were: An interview questionnaire sheet, Herth Hope Index (HHI), Jalowiec Coping Scale (JCS) and Social support scale. Results of the current study: revealed that (53.1%) of breast cancer patients had moderate level hope, (82.0%) had moderate level of coping, while (68.4%) of them had moderate level of social support. Coping strategy had positive significant correlations with hope(r=0.190) and with social support. (r=0.259). Multivariate analysis revealed that hope and social support were the statically significant independent positive predictors of patients coping score. Conclusions: breast cancer patients had moderate level of hope, coping strategies and social support. Increasing hope and social support will increase coping strategy among breast cancer women. Recommendations: Implement psycho-educational interventions to enhancement coping strategies, social support and hope, among breast cancer women.

BACKGROUND: Postoperative pain after hip arthroscopy remains a major cause of patient dissatisfaction in the immediate postoperative period. Adequate postoperative analgesia is associated with increased patient satisfaction, earlier mobilization, and decreased opioid consumption. OBJECTIVES: Therefore, there is a need for safe, reliable, and opioid- and motor-sparing methods of achieving postoperative analgesia following hip arthroscopy. We evaluated the efficacy of pericapsular nerve group (PENG) block vs fascia iliaca block (FIB) in reducing postoperative pain and analgesic consumption in the first 24 hours following hip arthroscopy. STUDY DESIGN: A prospective randomized double-blinded control clinical trial. SETTING: At the arthroscopy unit of the orthopedic department of Assiut University Hospitals, Assiut, Egypt from 2019 to 2022. METHODS: Forty-three patients comprising 18 women and 25 men scheduled for hip arthroscopy were randomized to receive a preoperative block with PENG or FIB from March 2019 to March 2022. The mean age was 27.9 years (standard deviation [SD], 6.2 years; range, 18-42 years) and the mean body mass index was 25.13 kg/m2 (SD, 5.08 kg/m2). Patients were randomized into 2 groups: group A comprising 20 patients that received FIB; and group B comprising 23 patients that received PENG block. The efficacies of FIB and PENG block were evaluated using Visual Analog Scale scores. RESULTS: Statistically significant differences in median pain scores and mean at rest pain scores were observed between the 2 groups at all measured time points following surgery (i.e., 6, 12, 18, and 24 hours). Further, dynamic pain scores (with hip flexion) scores significantly differed between the 2 groups at 24 hours postoperatively (P = 0.001). PENG block significantly decreased postoperative opioid use compared to FIB. Total opioid use in the 24-hour postoperative period was lower in the PENG group compared to the FIB group (16.5 ± 9.9 vs 27.5 ± 9.6; P < 005). LIMITATIONS: Different hip pathologies and different interventions lead to different outcomes. Also, a larger sample size and longer follow-up duration are required. CONCLUSIONS: PENG block may represent the ideal regional anesthesia modality for hip arthroscopy as an alternative to more conventional regional nerve blocks, such as FIB, femoral nerve block, and lumbar plexus block. PENG block is reproducible, easily performed in the preoperative setting, and appears to spare motor function while providing prolonged sensory analgesia. KEY WORDS: Pericapsular, nerve group block, fascia iliaca block, peripheral nerve blocks, hip arthroscopy