Objectives: To investigate the effect of virtual reality (VR) on anxiety, stress, and hemodynamic parameters during cesarean section (CS). Methods: This is a randomized controlled clinical trial conducted at the operating theatre / Maternal and Children Hospital, Najran, Saudi Arabia from February to October 2021. The study comprised a random sample of 351(176 study and 175 control) low-risk pregnant women undergoing elective CS with regional anesthesia. Data collection was carried out using 5 instruments. Basic and clinical data sheet, maternal hemodynamic parameters assessment sheet, brief measure of preoperative emotional stress, a novel visual facial anxiety scale, and maternal satisfaction scale. Virtual reality group exposed to 3D natural videos associated with calm Quran or music voices via phone using VR glasses immediately after anesthesia until completion of skin suture. The control group left for routine hospital care. Results: The VR group showed significantly lower stress and anxiety levels immediately after skin suture and 2h postoperative (p=0.000). Maternal satisfaction 2 hours after CS showed that 58% of the VR group were completely satisfied compared to 11.3% of the control group (FET=135.359 p=0.000). Virtual reality have an impact on hemodynamic parameters at some time points while peripheral oxygen saturation did not differ significantly (p>0.05). Conclusion: Virtual reality significantly reduced anxiety and stress among women undergoing CS under regional anesthesia. Virtual reality may be added to the routine intraoperative techniques that help induce patient relaxation and increase satisfaction.

Many factors have been found to correlate with satisfactory Exclusive Breastfeeding (EBF) practices. The relationships between EBF practices and associated factors are complex and multidimensional; Breastfeeding Self-Efficacy (BSE) is the most important psychological factor that may help the mother to overcome any expected barriers. This study investigates the determinants of high breastfeeding self-efficacy among Saudi nursing mothers. Methods: This is a descriptive cross-sectional study investigating the determinant of BSE among 1577 nursing mothers in primary health centers in Najran City, Saudi Arabia. The study uses a cluster random sampling technique. Data collection was performed from June 2022 to January 2023 using a self-reported questionnaire that encompasses the Breastfeeding Self-Efficacy Scale—Short Form (BSES-SF), Gender Friendly Breastfeeding Knowledge Scale (GFBKS), Iowa Infant Feeding Attitude Scale (IIFAS), and a basic data questionnaire to assess women’s demographic factors and obstetric history. Results: The mean score for all BSES-SF items was between 3.23–3.41, the highest mean score was in mothers who felt comfortable breastfeeding with family members present (3.41 ± 1.06), and the lowest mean was in mothers who could breastfeed their baby without using formula as a supplement (3.23 ± 0.94). The overall BSE score was high among 67% of the study participants. Binary logistic regression showed that being a housewife, being highly educated, having breastfeeding experience, and being multiparous are positive predictors for high BSE (p ≤ 0.001). In addition, having adequate breastfeeding knowledge and positive breastfeeding attitudes were positively associated with higher BSE (p = 0.000). Conclusion: BSE can be predicted by modifiable predictors such as mothers’ education, working status, parity, breastfeeding experience, adequate breastfeeding knowledge, and positive attitudes toward breastfeeding. If such predictors are considered during breastfeeding-related educational interventions, it could lead to more effective and sustainable effects in community awareness regarding breastfeeding.

This study aimed to investigate the effect of an educational intervention based on the health belief model (HBM) about COVID-19 on nursing students' awareness and health beliefs. A true-experimental research design was conducted at nursing college, Najran University, KSA. A comprehensive sampling was followed to include all female students at the colleges (164 students). The sample was divided randomly into intervention (82) and control group (82). The educational intervention was designed and conducted based on the HBM through four sequential phases: assessment, planning, implementation, and evaluation. The current study results indicated no statistically significant differences between intervention and control groups concerning their demographic characteristic, awareness, and health beliefs before intervention. After intervention, significant differences (p< 0.05) were observed between intervention and control groups in their awareness and all HBM constructs regarding COVID19. There were positive, statistically significant correlations (P< 0.05) between participants' total HBM score and their total awareness score. This study concluded that HBM is effective in increasing nursing students' awareness regarding COVID-19. It also increases their perceived susceptibility, severity, and benefits. Besides, it may increase their self-efficacy to overcome perceived barriers to practice protective and preventive actions while dealing with COVID-19.

All mortality risk factors are higher in non-breastfed infants compared to infants under five months of age who receive Exclusive Breastfeeding (EBF). Examining the predicting role of maternal ideation in EBF practices can help to direct and strengthen the cooperation between multidisciplinary healthcare providers to formulate multidisciplinary breastfeeding enhancement strategies. Methods: This correlational cross-sectional study investigates the relationship between maternal ideation and EBF practice among Saudi nursing mothers at Maternal and Children’s Hospital (MCH) in Najran, Saudi Arabia. The study incorporated 403 Saudi nursing mothers aged 6–12 months with healthy infants. The data collected using a questionnaire comprises demographic characteristics and obstetric history, the EBF Practice scale, and a maternal ideation scale. The data was collected from the beginning of November 2022 to the end of January 2023 and analyzed using I.B.M. version 22. Results: Breastfeeding initiation within one hour occurred among 85.1% of women, while 39.2% fed their newborn only colostrum during the first three days. EBF until six months was practiced by 40.9% of the participants day and night and on-demand (38.7%). Furthermore, 60.8% of the study participants had satisfactory overall EBF practices. The cognitive part of maternal ideation shows that 68.2% of the participants had adequate knowledge and 63.5% had positive beliefs regarding EBF practice. The maternal psychological ideation dimensions show that 81.4% had high EBF self-efficacy. The maternal social ideation dimensions showed that high injunctive and descriptive norms were present among 40.9% and 37.5%, respectively. In addition, healthcare providers (39.2%) had the most significant social influence, followed by husbands (30.5%). Binary logistic regression shows that the mother’s age, occupation, and education are the significant demographic predictors of satisfactory EBF practices (p < 0.05). All maternal ideation constructs were positive predictors of satisfactory EBF practices (p < 0.05). Conclusion: Maternal ideation constructs are positive predictors of satisfactory EBF practice and can be used to predict high-risk groups and plan for further intervention.

The exclusive breastfeeding (EBF) intention conceived by pregnant women is the most important predictor of breastfeeding (BF) initiation, duration, and continuation. This study explores the associated factors of EBF intention among pregnant women. This was a descriptive cross-sectional study conducted from November 2022 to January 2023 with 382 pregnant women who came to the outpatient clinic in the Maternal and Children Hospital (MCH). Four instruments were used for data collection: the Infant Feeding Intention scale, the Gender-Friendly BF Knowledge scale (GFBKS), the Iowa Infant Feeding Attitude scale (IIFAS), and the basic data questionnaire. The study findings indicated that 51.8% and 75.9% of gravida women had adequate knowledge and a positive attitude regarding BF. Furthermore, 56.3% of the participants had a high intention for EBF. Binary logistic regression illustrated that occupational status, antenatal care, plan for the current pregnancy, BF practice, last child delivery mode, medical disorder during the current pregnancy, age, BF knowledge, and attitude are potential predictors. The goodness of fit test revealed that 46.8% of the EBF intention could be anticipated through the positive pre-mentioned factors. The low EBF intention is modifiable by addressing the previously positive predictors. BF educational interventions should be tailored based on EBF intention predictors in order to be effective and lead to behavior change.

Osteoporosis is a chronic bone disease affecting both men and women, but it is more prevalent in women. Promoting a healthy lifestyle among adults, particularly women, is crucial in preventing and reducing the osteoporosis impact. This study aimed to compare the osteoporosis knowledge, health beliefs and preventive behaviors among adult male and female in Najran city Saudi Arabia. This cross-sectional study was performed on 516 males and 581 females in Najran City, Saudi Arabia, from January to April 2023. The data collection instrument is a self-reported online questionnaire consisting of basic data, the Osteoporosis Preventive Behavior (OPB) scale, the osteoporosis knowledge assessment tool, and the osteoporosis health belief scale. The results revealed that male participants had a higher OPB (26.70) than females (20.32). However, females have a higher knowledge (10.71), perceive themselves as more susceptible to osteoporosis (20.34) and had higher exercise barriers (20.11) compared to males (9.97, 18.79 and 19.20, respectively). Statistically significant correlations (p < 0.001) were observed between OPB, osteoporosis knowledge (r = 0.26), perceived susceptibility (r = 0.33), severity (r = 0.53), exercise (r = 0.54) and calcium (r = 0.33) benefits, exercise (r = 0.40) and calcium (r = 0.81) barriers and health motivation (r = 0.37). The study concluded significant disparities between males and females regarding osteoporosis-related knowledge, preventive behaviors, perceived susceptibility, severity, and exercise perceived barriers. The results suggest gender-based educational interventions to enhance OPB by addressing osteoporosis-related knowledge, perceived susceptibility, seriousness, benefits, and health motivation.