American Journal of Nursing Research

Post Abortion Women's Life Style: Impact of Counseling Based on PLISSIT Model

Hanan Elzeblawy Hassan, Walaa Khalaf Gooda, Noha Nasser Nashed — 2025-09-24

Background: Counseling on post-abortion care is vital for reproductive health, utilizing structured models for informed decision-making. The PLISSIT model (Permission, Limited Information, Specific Suggestions, Intensive Therapy) offers a stepwise approach to address women's concerns regarding psychological, emotional, and social complications post-abortion. Its effective implementation can mitigate post-abortion complications and improve women's knowledge, emotional adaptation, and lifestyle. Aim: The current study was conducted to evaluate the impact of counseling based on PLISSIT model on post abortion women's life style. Subjects & Methods: Design: A quasi-experimental (pre- and post-test) research design was used. Sample &Settings: A convenient sample of 92 women who had abortions affiliated obstetrics & gynecology unit at Beni-Suef University Hospital. Tools: (1) women's knowledge regarding abortion and management sheet; (2) women's lifestyle after abortion Questionnaire; (3) information technology Questionnaire; (4) abortion counseling based on the PLISSIT model. Results: 15.2% of the studied women had satisfactory knowledge regarding modern educational information on abortion pretest which improved posttest to become 80.4%. Also, 88% of the studied women had unhealthy lifestyle regarding weight and exercise which improved posttest to become 27.2%. Moreover, 3.3% of the studied women had good level of impact of social networking sites after abortion which improved posttest to become 76.1%. The mean total knowledge of the studied women about abortion during pretest was 20.73±6.33 which improved posttest to become 34.04±6.76. Conclusion: In the pretest, no correlation was found between total knowledge, lifestyle, and the impact of social networking sites on women post-abortion. However, the posttest revealed a correlation between total knowledge and the impact of social networking sites. Furthermore, positive correlations were identified between total knowledge and overall lifestyle, and between overall lifestyle and the total impact of social networking sites on women post-abortion. Recommendations: Developing an educational program to enhancing women’s knowledge regarding the using of social media properly, maximizing its advantages, introducing women to the most trustworthy and legitimate social media sites, and showing them how to use these resources to improve women’s life style after abortion.

Working Females’ Knowledge, Attitude, and Intention at Beni-Suef University regarding Oocyte Cryopreservation: Effect of an Educational Program

2025-09-29

Background: Nowadays, an emerging oocyte freezing technology can offer some protection for women against the loss of fertility with aging and may be advised or recommended as a remedy for infertility issues. Aim: The current study was conducted to evaluate the effect of an educational program on females working at Beni-Suef University regarding knowledge, attitude, and intention regarding oocyte cryopreservation. Subjects and Methods: Design: A quasi-experimental design was used. Sample and Settings: A study from Beni-Suef University on a purposive sample consisted of 334 working females at Beni-Suef University. Tools: Four data collection tools were used to carry out the current study: (I): A Structured Interviewing Questionnaire Sheet; (II): Females' knowledge regarding oocyte cryopreservation; (III): Females' attitudes regarding oocyte cryopreservation; (IV): Females' intention regarding oocyte cryopreservation. Results: It reveals that 72.8% & 51.8% of the studied sample delayed marriage or childbearing to complete their studies or work. After program implementation, knowledge improved from 8.62±3.78 to 9.21±2.24. Females’ attitude toward oocyte preservation after program implementation improved to 48.52±4.66 compared to 36.83±4.87 preprogram. Working females’ intention regarding oocyte preservation after program implementation is 21.89±2.15 as compared to 19.74±2.98 preprogram. Using the chi-square test revealed highly significant statistical differences between females’ overall knowledge, attitude, and intentions pre- and post-program implementation (P=0.000). Conclusion: Based on the findings of the present study, it can be concluded that after program implementation, the studied female workers at Beni-Suef University had marked improvement in knowledge, attitude, and intention regarding oocyte cryopreservation compared to before program implementation. Recommendations: To increase knowledge about fertility preservation and its possible advantages for future quality of life, oocyte cryopreservation should be incorporated into premarital counseling in various maternity and child health (MCH) facilities.

Nurse-Led Intervention Program and Its Impact on the Quality of Life of Patients With Cardiac Disorders: A Narrative Review

Olivia Mehra, Mrs. Ranjana Verma, Dr. Jisa George T. — 2025-10-21

Introduction: Cardiac disorders remain a major global health challenge, contributing to high morbidity, mortality, and reduced quality of life [QoL]. Beyond physical symptoms, these conditions affect psychological and social well-being. Nurse-led intervention programs have emerged as a key approach in cardiac care, providing education, psychosocial support, and structured follow-up to empower patients and improve outcomes. Materials and methods: A narrative review was conducted using PubMed, CINAHL, and PsycINFO databases, focusing on studies published between 2015 and 2025. Randomized controlled trials, cohort studies, and qualitative studies were included if they examined nurse-led interventions and their impact on QoL in cardiac populations. Eligible studies 17 were thematically synthesized into ten core domains: education, medication adherence, lifestyle modification, psychosocial support, self-care empowerment, healthcare resource use, long-term outcomes, disparities in access, patient perspectives, and interdisciplinary collaboration. Results: Nurse-led programs improved patient knowledge, self-care skills, and medication adherence, leading to fewer hospital readmissions and better symptom management . Lifestyle modifications guided by nurses enhanced vitality and reduced cardiovascular risk . Psychosocial support decreased anxiety and depression, strengthening coping strategies . Evidence also supported cost-effectiveness and healthcare savings . However, challenges included heterogeneous program design, sustainability concerns, digital inequities, and nurse workforce burden . Patient satisfaction was consistently high, correlating with improved perceived QoL . Interdisciplinary collaboration amplified benefits but required clear role delineation and communication pathways . Conclusion: Nurse-led interventions play a vital role in improving QoL among patients with cardiac disorders by addressing clinical, behavioral, and psychosocial needs. Despite clear benefits, barriers to sustainability and equity must be overcome. Future research should emphasize long-term effectiveness, scalable models, and workforce sustainability to strengthen nurse-led care as a cornerstone of cardiac management.

Impact of Patient Nurse Ratio on Patient Satisfaction with Nursing Care Quality during Hajj Season

2025-11-27

Background: Nurse-to-patient ratios play a crucial role in determining the quality of patient care and overall satisfaction, particularly during high-demand healthcare events like Hajj. In such mass gatherings, healthcare institutions face challenges in maintaining optimal care delivery due to increased patient volumes and resource constraints. Objective: This study aimed to assess patient satisfaction with nursing care quality during the Hajj season at King Abdullah Medical City in Makkah and to evaluate the impact of patient-nurse ratios on satisfaction levels across various dimensions of care. Subjects and Methods: A cross-sectional descriptive study was conducted among 206 adult patients admitted to specialized medical and surgical units and cardiac inpatient units during the Hajj period. Data were collected through a self-administered, structured questionnaire adapted from the Patient Judgement of Hospital Quality (PJHQ) tool, assessing satisfaction across 23 items. Demographic data and nurse-to-patient ratios were also recorded. Statistical analysis included descriptive statistics and One-Way ANOVA to identify associations between satisfaction and patient demographics or unit characteristics. Results: Patients reported consistently high satisfaction levels across most domains of nursing care, with overall mean satisfaction score of 116.49 (SD = 15.85). The highest satisfaction was observed in humanistic aspects such as courtesy and respect (83.5% rated excellent) and communication clarity. Statistically significant associations were found between satisfaction and gender (p = 0.028), hospital stay duration (p = 0.001), and admitting department (p = 0.001). However, age, marital status, and education level did not significantly influence satisfaction scores. Conclusion: The results show that keeping the right number of patients to nurses during the Hajj season has a favourable effect on the quality of nursing care. Even during this busy time, patients were quite happy with the care they received. This shows how important it is to have staffing plans that take into account the workload and the needs of the patients. Making nurses more attentive and the setting more comfortable could make patients even happier.

Obesity and Chronic Disease Burden among Primary Health Care Attendees in Al-Khobar, Saudi Arabia: A Cross-Sectional Analysis

Zainab A. Alsaffar, Fairooz M. Boali, Mona M. Mahnshi, Saleh H. Aljaroudi — 2025-12-05

Obesity represents a major public health concern in Saudi Arabia, with increasing rates influenced by urbanization, lifestyle changes, and dietary habits. This study aimed to determine the prevalence of obesity and its associated chronic disease burden among clients attending primary health care centers (PHCs) in Al-Khobar and to explore associated demographic and clinical determinants. Methods: A retrospective cross-sectional study was conducted in August 2023 using data extracted from the national electronic health record platform (Raqeem). A total of 300 participants from ten randomly selected PHCs in Al-Khobar were included. Data on body mass index (BMI), age, gender, marital status, and comorbidities such as diabetes, hypertension, dyslipidemia and thyroid disorders were analyzed. Statistical associations were tested using chi-square analysis. Results: Among the 300 participants (51.7% females and 48.3% males), 32.7% were obese, 22% overweight, and 45.3% within the normal BMI range. Significant associations were found between obesity and age group, marital status, hypertension, type II diabetes, and hypothyroidism (p < 0.01). Females exhibited higher rates across all obesity classes, particularly in Class I and II categories. Conclusion: Obesity is highly prevalent among PHC attendees in Al-Khobar, particularly among women and middle-aged adults. The findings underscore the need for targeted, gender- and age-specific public health interventions and early screening strategies integrated within primary health care services to mitigate obesity-related comorbidities.

Impact of Nurse Leadership Styles on Nursing Staff Performance: A Comparative Study of Rural Divisions and Qatif Health Network in the Eastern Health Cluster, Saudi Arabia

2025-12-25

This study investigates the impact of nurse leadership styles on nursing staff performance in both rural healthcare divisions and the Qatif Health Network under the Eastern Health Cluster in Saudi Arabia. A cross-sectional design was used, employing the Multifactor Leadership Questionnaire (MLQ-5X) to measure transformational, transactional, and laissez-faire leadership styles. Data from 380 nurses were analyzed using descriptive statistics, Pearson correlations, and multiple regression analyses. Results revealed that transformational and transactional leadership styles had strong positive correlations with job satisfaction, while laissez-faire leadership showed no significant effect. No statistically significant difference was found between rural and urban settings, suggesting that effective leadership practices transcend environmental differences. The findings underscore the importance of developing transformational and transactional leadership skills to improve nurse satisfaction, retention, and performance, aligning with Saudi Arabia’s Vision 2030 goals for healthcare excellence.